Kei a koe anō hoki tētahi mate pūkahukahu mau tonu, arā, ko te COPD (Chronic Obstructive Pulmonary Disease) te ingoa hauora? Mēnā koinā, kua hoatu pea e tō tākuta he inhaler pēnei ki a koe. He huinga rongoā tēnei e toru. Ahakoa he ahua uaua pea i te tuatahi, he tino māmā te whakamahinga me ngā mea e tika ana kia mōhio koe mōna. Nō reira, me kōrero mārama tātou mō tēnei i tēnei rā, me te mea kei te kōrero tātou ki tētahi hoa pai.
He aha rawa te mea ka tupu ki tēnei inhaler?
Hei whakarāpopototanga, ka āwhina tēnei taputapu whakapūngao i ō pūkahukahu kia māmā ake te manawa. E toru ngā rongoā matua kei roto: Budesonide , Glycopyrrolate , me Formoterol . Me titiro tātou ki te mahi a ia o ēnei.
- Budesonide: He steroid manawa tēnei. Mā te whakaiti i te pupuhi me te mumura i roto i ō ara manawa ka mahi. Ina memeha haere tēnei pupuhi, ka whānui ake ō ara manawa.
- Glycopyrrolate me Formoterol: E kiia ana ēnei rongoā e rua he bronchodilator. Ko te tikanga o tēnei ka mahi mā te whakangāwari i ngā uaua huri noa i ngā ara manawa kua whaiti, kua kōpiripiri, ka whānui ake. He rite ki te whānui ake i tētahi ngongo kua whaiti.
Nā te mahi tahi o ēnei rongoā e toru, ka taea e tēnei inhaler te āwhina i a koe kia ngāwari ake te manawa i te roanga o te rā. Koia mātou i kī ai he "controller inhaler". Arā, ka whakamahia hei whakahaere i ngā tohumate, hei pupuri i aua tohumate i te roanga o te rā, ehara i te mea mō ngā āhuatanga ohorere.
He mea tino nui: Kaua rawa tēnei taputapu whakangote e whakamahia mō te putanga ohorere o te COPD. Tērā pea kua hoatu e tō tākuta he "whakangote whakaora" motuhake hei whakamahi māu i roto i ēnei āhuatanga.
Ngā mea me kōrero e koe ki tō tākuta i mua i te tango i tēnei rongoā
He mea tino nui kia mōhio tō tākuta ki tō āhua hauora i mua i te hoatutanga o tēnei rongoā ki a koe. Mena kei a koe tētahi o ngā āhuatanga i raro nei, me whakamōhio atu ki tō tākuta.
| Ō āhuatanga hauora |
|---|
| Ngā raruraru pūkahukahu, te uaua rānei ki te mimi |
| Ngā raruraru wheua (hei tauira, te osteoporosis) |
| Mate huka |
| Ngā mate kanohi (hei tauira, te glaucoma, te katarata) me ngā raruraru tirohanga rānei |
| Te mate ngakau, te toto toto tiketike rānei |
| He hītori o ngā rerekētanga o te manawa o te ngakau |
| Ngā ngoikore o te pūnaha ārai mate, ngā mate pāwera rānei |
| mate whatukuhu |
| Ngā mate pūkahukahu |
| Mate tairoi |
| Mena kua pāngia koe e tētahi tauhohenga rerekē, mate pāwera rānei ki ēnei rongoā (budesonide, formoterol, glycopyrrolate), ki ētahi atu rongoā, kai, matū tiaki rānei |
| Mena kei te hapu koe, kei te ngana rānei kia hapu, kei te whāngai u rānei |
Me pēhea te whakamahi tika i tēnei inhaler?
Hei whakatutuki i te hua tino pai o tēnei, he mea nui kia mōhio koe ki te huarahi tika hei whakamahi.
- Tangohia i te wā tika: Tangohia i te wā kotahi i ia rā , e ai ki te tohutohu a tō tākuta. Ko te tikanga kia tangohia kia rua i te rā (ata me te ahiahi).
- Rūrūtia kia pai: Rūrūtia te pūwero i mua i te whakamahinga.
- Horoia tō waha (te mea nui rawa): Kia mutu te tango i te rongoā, tangohia he wai ki roto i tō waha, horoia tō waha kia pai, ka tuwha ki waho, kaua e horomia.He mea tino nui tēnei nā te mea ki te piri te rongoā steroid i roto i tēnei rongoā ki roto i tō waha, ka pā mai he mate harore (thrush) ka puta he mā i roto i tō waha. Ko te horoi i tō waha te huarahi hei ārai i tēnā.
- Kaua e nui atu i te nui i whakaritea: Kaua e nui atu i te nui i whakaritea e tō tākuta (hei tauira, ki te rua ngā ngongo i te rā, e rua anake).
- Kaua e mutu: Me whakamahi tonu kia kī mai rā anō tō tākuta kia mutu. Kaua e mutu ohorere, ahakoa kua pai ake tō āhua.
Ki te mea he ruarua āu mō te whakamahinga o tō inhaler, kaua e whakamā, me pātai anō ki tō tākuta kia tino mōhio ai koe.
A, mehemea ka nui rawa taku rongoā i whakamahia e au mā te hē?
Ki te whakaaro koe kua nui atu i tō whakaaro te horopeta i tangohia e koe, waea atu tonu ki te National Poisons Information Centre i te Colombo National Hospital . Mēnā rānei, haere ki te Emergency Treatment Unit (ETU) o te hōhipera tata.
Ētahi atu rongoā ka taunekeneke pea me tēnei rongoā
Kāore e hototahi ngā rongoā katoa e tangohia ana e koe ki tēnei inhaler. Tērā pea ka whakanui ake ētahi rongoā i ngā pānga taha, ka whakarerekē rānei i te pai o te mahi a tēnei rongoā ina tangohia tahi me tēnei inhaler.
| Ngā rongoā kāore e tika kia tangohia me tēnei inhaler |
|---|
| Ngā rongoā pēnei i a Cisapride, Dronedarone, Pimozide, Thioridazine |
| Ko ngā MAOI he rongoā e whakamahia ana hei rongoā i ngā mate hinengaro. |
| Ko tēnei me ētahi atu rongoā manawa kei roto ngā rongoā whakapūngao roa-mahi (LABA) |
Hei tāpiritanga, he maha atu anō ngā rongoā ka taea te taunekeneke me tēnei. Hei tauira:
- Ko ētahi rongoā mō te mate manawa me te toto toto tiketike (hei tauira, ngā beta-blockers pēnei i te Atenolol me te Metoprolol)
- Ko ētahi rongoā mō ngā āhuatanga pēnei i te pouri
- Ngā rongoā pēnei i te Ketoconazole me te Itraconazole, e whakamahia ana hei rongoā i ngā mate harore
- Ko ētahi rongoā ārai huaketo mō te HIV, te Hepatitis rānei
- Ngā rongoā pēnei i te Oxybutynin me te Tolterodine, e whakamahia ana mō ngā raruraru o te pūkahukahu
- Ngā rongoā diuretic (ngā rongoā hei tango i te wai mai i te tinana)
- Ētahi atu steroidsNgā pire (hei tauira, Prednisolone)
Kāore tēnei rārangi i te oti. Nō reira, hoatu ki tō tākuta he rārangi katoa o ngā rongoā katoa, ngā huaora, ngā rongoā otaota, me ngā tāpiringa e tangohia ana e koe. Me whakamōhio atu ki tō tākuta mēnā kei te momi hikareti koe, kei te inu waipiro rānei.
He aha ngā pānga taha e tumanakohia ana?
Pērā i ngā rongoā katoa, ka pāngia ētahi tāngata e tēnei pānga taha. Ko ētahi he kino, ko ētahi he noa. He mea nui kia mōhio ki ēnei.
| Pānga taha | Whakaahuatanga |
|---|---|
| Ngā pānga kino nui me ripoata tonu ki tō tākuta | |
| Ngā uruparenga mate pāwera | He ponana kiri, he mākūkū, he pupuhi o te mata, o ngā ngutu, o te arero, he uaua ki te manawa, ki te horomi rānei. |
| Te whewhe i muri tonu i te whakamahinga o te inhaler | Mena ka piki haere te uaua o te manawa i muri tonu i te tango i te rongoā. |
| Ngā huringa o te tere o te ngakau | Te tere o te manawa, te pā o te manawa kāore i te ōrite, te mamae o te uma, te whanoke. |
| Ngā raruraru kanohi | Te mamae ohorere o ngā kanohi, te tirohanga pōuri, me ngā porowhita e karapoti ana i ngā rama. |
| Ngā mate harore o te waha (Thrush) | Ngā ira mā i roto i te waha, i runga rānei i te arero. |
| Te uaua ki te mimi | Te mamae, te uaua rānei i te wā e mimi ana. |
| Ngā pānga taha kāore i te kino te nuinga o te wā, engari me ripoata ki te tākuta mēnā ka mau tonu | |
| Korokoro mamae, reo pārū | Te reo pāorooro, te korokoro mamae |
| Te ānini, te maremare, te waha maroke | Mamae upoko, Maremare, Waha maroke |
| Te kore moe, te wiri o te tinana | Ngā raruraru moe, Ngā wiri |
Me pēhea te penapena me te whakakore i te rongoā?
- Rokiroki: Rokirokihia tēnei hauhautanga ki te pāmahana rūma (i waenga i te 15-30 Celsius), ki te wāhi maroke. Puritia kia kore e taea e ngā tamariki me ngā mōkai te toro atu. Kaua rawa e rongoatia ki te taha o te wera nui, o te mura rānei. Tērā pea ka pahū te ipu. Kaua e waiho ki roto i te pouaka whakamātao.
- Paunga: Me whakamahi e koe te inhaler i roto i ngā marama e 3 (mō te ipu pupuhi 120) i roto rānei i ngā wiki e 3 (mō te ipu pupuhi 28) mai i te rā i huakina ai e koe te putea konumohe. Ki te kore, maka atu te inhaler ina whakaatu te tohu horopeta i te kore (0) .
- Te Whakakorenga: Pātai atu ki tō tākuta mō te huarahi haumaru hei whakakore i tō hauhautanga kua whakamahia, kua pau rānei te wā.
Karere Tangohia ki te Kāinga
- He "whakahaumanu whakahaere" tēnei ka tangohia e koe i ia rā hei whakahaere i tō mate huango. Kaua e whakamahia mō te poto ohorere o te manawa. Whakamahia tō "whakahaumanu whakaora" mō tēnā.
- I muri i ia whakamahinga, horoia tō waha ki te wai, ka tuwha ki waho, kaua e horomia. He mea nui tēnei hei ārai i ngā mate harore i roto i te waha.
- Me whakamōhio atu ki tō tākuta mō ngā rongoā katoa, ngā huaora me ngā rongoā tuku iho e tangohia ana e koe.
- Ki te kino haere ō tohumate, ki te hiahia rānei koe ki te whakamahi i tō "whakaora manawa", waea atu ki tō tākuta tonu.
- Rokirokihia te manawa whakapūmau i te huarahi tika, ā, maka atu ki te wāhi haumaru ina pau te wā.
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