Kodi dokotala wanu anakupatsani mankhwala atsopano opumira chifukwa muli ndi COPD (Chronic Obstructive Pulmonary Disease)? Kodi amatchedwa Aclidinium ndi Formoterol? Mwina ali pansi pa dzina la Duaklir. Ngati ndi choncho, nkhaniyi idzakhala yofunika kwambiri kwa inu. Popeza iyi ndi mankhwala ovuta pang'ono, tiyeni tifotokoze zonse mosavuta, ngati kuti tikulankhula ndi mnzanu.
Kodi chimachitika ndi chiyani ndi inhaler iyi?
Mwachidule, chopumira ichi chimagwiritsidwa ntchito poletsa COPD . Chimagwira ntchito pokulitsa njira zopumira m'mapapu anu, kuzipumulitsa, ndikupangitsa kuti zikhale zosavuta kupuma. Taganizirani izi ngati kutsegula chitoliro chotsekedwa.
Ili ndi mitundu iwiri ikuluikulu ya mankhwala. Imodzi ndi Aclidinium, yomwe ili m'gulu lotchedwa ``Anticholinergic```. Ina ndi Formoterol, yomwe ndi ``Bronchodilator``. Zonsezi zimagwira ntchito limodzi kuti zithandize kuti mpweya wanu ukhale wotseguka.
Chofunika Kwambiri: Iyi si mankhwala oti mugwiritse ntchito mukakumana ndi vuto la kupuma mwadzidzidzi (COPD flare-up). Iyi ndi ``Controller Inhaler'', yomwe imagwiritsidwa ntchito tsiku lililonse kuti muchepetse zizindikiro. Dokotala wanu mwina adakupatsani inhaler yapadera ya ``Reliever/Rescue'', yomwe ndi inhaler yogwira ntchito mwachangu kuti mugwiritse ntchito pakagwa mwadzidzidzi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Musanayambe kugwiritsa ntchito inhaler iyi, ndikofunikira kwambiri kukambirana momasuka ndi dokotala wanu za mbiri yanu yonse ya thanzi, makamaka ngati muli ndi vuto lililonse mwa izi:
- Mphumu
- Matenda a shuga
- Glaucoma, matenda omwe amabwera chifukwa cha kuthamanga kwa magazi m'maso
- Matenda a mtima kapena kuthamanga kwa magazi
- Kugunda kwa mtima kosakhazikika
- Matenda a impso kapena chiwindi
- Mavuto a prostate
- Kugwidwa ndi khunyu
- Matenda a chithokomiro
- Ngati muli ndi vuto la ziwengo ndi mankhwala awa, monga Aclidinium, Formoterol, Atropine , kapena mapuloteni a mkaka .
- Ngati muli ndi vuto la mankhwala ena, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi amene akuyamwitsa mwana.
Ndikofunikira kwambiri kuti chitetezo chanu chikhale chotetezeka kunena zinthu izi popanda kuzibisa.
Kodi mungagwiritse ntchito bwanji inhaler moyenera?
Iyi ndi mankhwala opumira. Gwiritsani ntchito monga momwe dokotala wanu wanenera, komanso nthawi zonse monga momwe mwalangizidwira.
- Yesani kugwiritsa ntchito nthawi yomweyo tsiku lililonse . Mukangoyamba kuchita izi, simudzayiwalanso.
- Musasiye kumwa mankhwala mpaka dokotala wanu atakuuzani kuti mutero. Pitirizani kumwa ngakhale zizindikiro zanu zitachepa.
- Musagwiritse ntchito mopitirira muyeso womwe mwapatsidwa. Kuchita zimenezi sikungakupangitseni kumva bwino mwachangu, koma kungakulitse zotsatirapo zake.
Kodi mungachite chiyani ngati mlingo ukuwonjezeka (kupitirira muyeso)?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku chipatala chapafupi cha Emergency Department (ETU) nthawi yomweyo.
Nanga bwanji ngati ndaphonya mlingo?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi.
Kodi izi zingagwirizane ndi mankhwala ena?
Inde, ili ndi funso lofunika kwambiri. Chopumira ichi chingagwirizane ndi mankhwala ena. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa, osati omwe dokotala wanu wakupatsani okha, komanso omwe mumagula ku pharmacy, mavitamini, mankhwala achikhalidwe (mankhwala a Chisinhala), komanso zakudya zomwe mumadya (mowa, kusuta).
| Mankhwala omwe angayambitse mavuto ndi inhaler iyi | |
|---|---|
| Musagwiritse ntchito izi ndi mayina. | |
| Mankhwala ena opumira a LABA | Mwachitsanzo: Indacaterol, Olodaterol, Salmeterol |
| Mankhwala ena a matenda a mtima | Cisapride, Dofetilide, Dronedarone, Pimozide, Thioridazine |
| Uzani dokotala wanu ngati mukumwa izi. | |
| Mankhwala a ziwengo, chifuwa, ndi chimfine | Mankhwala oletsa kugwidwa ndi histamine |
| Mankhwala a matenda amisala ndi kuvutika maganizo | Mitundu yosiyanasiyana, kuphatikizapo MAOIs |
| Mankhwala ena omwe ali mgulu la anticholinergic | Ipratropium, Tiotropium, Glycopyrrolate |
| Zina | Atropine, Theophylline, mankhwala ena a matenda a chikhodzodzo, matenda a Parkinson, ndi mavuto am'mimba |
Zinthu zoti muzisamala nazo mukamagwiritsa ntchito komanso zotsatira zake zoyipa
Nthawi zonse samalani ngati zizindikiro zanu zikuchepa kapena zikuipiraipira mukamagwiritsa ntchito mankhwalawa. Uzani dokotala wanu za izi mukapita kuchipatala.
Musagwiritse ntchito inhaler iyi pamavuto. Sungani inhaler yanu ya `(Rescue)` pafupi pamavuto. Ngati mukufuna kugwiritsa ntchito inhaler yanu ya `(Rescue)` pafupipafupi, zikutanthauza kuti vuto lanu silikutha. Ngati ndi choncho, imbani dokotala nthawi yomweyo.
Nthawi zina, mungakhale ndi kupuma movutikira kapena kupuma movutikira mukatha kugwiritsa ntchito inhaler iyi. Izi sizingachitike mwadzidzidzi. Ngati izi zitachitika, siyani kugwiritsa ntchito inhaler nthawi yomweyo ndipo lankhulani ndi dokotala wanu.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa, kuvutika kupuma. |
| Kusintha kwa masomphenya | Kupweteka kwa maso mwadzidzidzi, kusawona bwino, kuona mphete mozungulira magetsi. |
| Zizindikiro zina zazikulu | Kuthamanga kwa magazi, kupweteka kwa minofu kapena kupweteka kwa minofu, kuvutika kukodza. |
| Kuvuta kupuma kwambiri | Kuvuta kupuma kapena kufupika kwa mpweya pambuyo pogwiritsa ntchito inhaler. |
| Uzani dokotala wanu ngati zikupitirira kapena zikukuvutitsani. | |
| Zotsatira zoyipa zofala | Pakamwa pouma, pakhosi popweteka, chifuwa, mutu, kupweteka kwa msana, kudzimbidwa, kusowa tulo, kunjenjemera kwa manja. |
Kodi mumagwira bwanji inhaler moyenera?
Kuti mankhwala akhale abwino, ndikofunikira kuwasunga bwino.
- Sungani pamalo omwe ana ndi ziweto sangafikire .
- Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius). Sungani kutali ndi kutentha kwambiri, kuzizira, kapena chinyezi.
- Gwiritsani ntchito inhaler mkati mwa miyezi iwiri mutachotsa mu thumba lake la foil .
- Musagwiritse ntchito inhaler ngati kauntala ya mlingo ikuwonetsa "0" kapena ngati tsiku lotha ntchito lapita . Zikatero, itayeni, chilichonse chomwe chikubwera poyamba.
Ndikofunikanso kutaya mosamala mankhwala akale kapena osagwiritsidwa ntchito. Funsani dokotala wanu za izi.
Uthenga Wopita Nawo Kunyumba
- Mankhwala opumira awa (Aclidinium; Formoterol) ndi mankhwala oletsa matenda a COPD omwe amaperekedwa tsiku ndi tsiku . Si mankhwala ochepetsa ululu.
- Gwiritsani ntchito nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera.
- Uzani dokotala wanu za mankhwala ena onse , mavitamini, ndi mankhwala achikhalidwe omwe mukumwa.
- Ngati mukumva kuvutika kupuma kapena zotsatirapo zoyipa mutagwiritsa ntchito mankhwalawa, imbani dokotala nthawi yomweyo.
- Musasiye kugwiritsa ntchito mankhwalawa popanda upangiri wa dokotala.
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