Kodi mulinso ndi matenda osatha a m'mapapo, omwe timawatcha kuti COPD (Chronic Obstructive Pulmonary Disease)? Ngati ndi choncho, dokotala wanu mwina anakupatsani mankhwala opumira ngati awa. Izi kwenikweni ndi kuphatikiza kwa mankhwala atatu. Ngakhale zingawoneke zovuta pang'ono poyamba, momwe zimagwiritsidwira ntchito komanso zinthu zomwe muyenera kudziwa za izi ndizosavuta. Choncho tiyeni tikambirane momveka bwino lero, ngati kuti tikulankhula ndi mnzanu wabwino.
Kodi chimachitika ndi chiyani ndi inhaler iyi?
Mwachidule, chopumira ichi chimathandiza mapapu anu kupuma mosavuta. Chili ndi mankhwala atatu akuluakulu: Budesonide , Glycopyrrolate , ndi Formoterol . Tiyeni tiwone zomwe chilichonse mwa izi chimachita.
- Budesonide: Iyi ndi steroid yopumidwa. Imagwira ntchito pochepetsa kutupa ndi kutupa m'njira zanu zopumira. Kutupa kumeneku kukachepa, njira zanu zopumira zimakhala zazikulu pang'ono.
- Glycopyrrolate ndi Formoterol: Mankhwala onsewa amatchedwa bronchodilators. Izi zikutanthauza kuti amagwira ntchito pomasula minofu yozungulira njira zopumira zopapatiza komanso zopapatiza, ndikuzikulitsa. Zili ngati kukulitsa chubu chopapatiza.
Popeza mankhwala atatuwa amagwira ntchito limodzi, chopumira ichi chingakuthandizeni kupuma bwino tsiku lonse. Ndicho chifukwa chake timachitcha "chopumira chowongolera." Izi zikutanthauza kuti chimagwiritsidwa ntchito poletsa zizindikiro, kuzisunga tsiku lonse, osati pa ngozi yadzidzidzi.
Chofunika Kwambiri: Chopumira ichi sichiyenera kugwiritsidwa ntchito pa matenda a COPD omwe amabwera mwadzidzidzi. Dokotala wanu mwina anakupatsani "chopumira chopumira" china kuti mugwiritse ntchito pazochitika zotere.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu asanakupatseni mankhwala awa. Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwauza dokotala wanu za vutoli.
| Matenda anu |
|---|
| Mavuto a chikhodzodzo kapena kuvutika kukodza |
| Mavuto a mafupa (monga osteoporosis) |
| Matenda a shuga |
| Matenda a maso (monga glaucoma, cataracts) kapena mavuto a maso |
| Matenda a mtima kapena kuthamanga kwa magazi |
| Mbiri ya kusakhazikika kwa kayendedwe ka mtima |
| Kufooka kwa chitetezo chamthupi kapena matenda |
| Matenda a impso |
| Matenda a prostate |
| Matenda a chithokomiro |
| Ngati mwakhalapo ndi vuto lachilendo kapena la ziwengo chifukwa cha mankhwala awa (budesonide, formoterol, glycopyrrolate), mankhwala ena, zakudya kapena zosungira |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa |
Kodi mumagwiritsa ntchito bwanji inhaler iyi moyenera?
Kuti mupindule kwambiri ndi izi, ndikofunikira kudziwa bwino momwe mungagwiritsire ntchito.
- Imwani panthawi yoyenera: Imwani nthawi yomweyo tsiku lililonse , monga momwe dokotala wanu wanenera. Nthawi zambiri imalembedwa kuti imwedwe kawiri patsiku (m'mawa ndi madzulo).
- Gwedezani bwino: Gwedezani bwino chopumira musanagwiritse ntchito.
- Tsukani pakamwa panu (chofunika kwambiri): Mukamaliza kumwa mankhwala, imwani madzi pang'ono mkamwa mwanu, tsukani pakamwa panu bwino, kenako muwalavulire osameza.Izi ndizofunikira kwambiri chifukwa ngati mankhwala a steroid omwe ali mu mankhwalawa akhazikika pakamwa panu, angayambitse matenda a bowa (thrush) omwe amayambitsa mawanga oyera pakamwa panu. Kutsuka pakamwa panu ndiyo njira yopewera zimenezo.
- Musamwe mankhwala ochulukirapo kuposa omwe mwauzidwa: Musamwe mankhwala ochulukirapo kuposa omwe mwauzidwa ndi dokotala (monga, ngati mumwa mankhwala awiri patsiku, awiri okha).
- Musasiye: Pitirizani kugwiritsa ntchito mpaka dokotala wanu atakuuzani kuti musiye. Musasiye mwadzidzidzi, ngakhale mutamva bwino.
Ngati mukukayikira momwe mungagwiritsire ntchito inhaler yanu, musachite manyazi ndipo funsani dokotala wanu kachiwiri kuti akutsimikizireni.
Nanga bwanji ngati nditagwiritsa ntchito mankhwala ochulukirapo mwangozi?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa momwe mukuganizira, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Si mankhwala onse omwe mumamwa omwe amagwirizana ndi inhaler iyi. Mankhwala ena amatha kuwonjezera zotsatirapo zake kapena kusintha momwe mankhwalawa amagwirira ntchito akamwedwa ndi inhaler iyi.
| Mankhwala omwe sayenera kumwedwa ndi inhaler iyi |
|---|
| Mankhwala monga Cisapride, Dronedarone, Pimozide, ndi Thioridazine |
| MAOIs ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala. |
| Izi ndi zina zopumira zomwe zili ndi ma bronchodilator ogwira ntchito nthawi yayitali (LABAs) |
Kuphatikiza apo, mankhwala ena ambiri amatha kusokoneza izi. Mwachitsanzo:
- Mankhwala ena a matenda a mtima ndi kuthamanga kwa magazi (monga beta-blockers monga Atenolol ndi Metoprolol)
- Mankhwala ena a matenda monga kuvutika maganizo
- Mankhwala monga Ketoconazole ndi Itraconazole, omwe amagwiritsidwa ntchito pochiza matenda a bowa
- Mankhwala ena oletsa mavairasi a HIV kapena Hepatitis
- Mankhwala monga Oxybutynin ndi Tolterodine, omwe amagwiritsidwa ntchito pa mavuto a chikhodzodzo
- Mankhwala ochepetsa mphamvu ya madzi m'thupi ( Diuretics )
- Ma steroid enaMapiritsi (monga Prednisolone)
Mndandanda uwu sunathe. Chifukwa chake, perekani dokotala wanu mndandanda wathunthu wa mankhwala onse, mavitamini, mankhwala azitsamba, ndi zowonjezera zomwe mumamwa. Onetsetsani kuti mwadziwitsa dokotala wanu ngati mumasuta kapena kumwa mowa.
Kodi zotsatirapo zake zomwe zimayembekezeredwa ndi ziti?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina mwa anthu ena. Zina zimakhala zoopsa, zina zimakhala zofala. Ndikofunikira kudziwa izi.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, kuvutika kupuma kapena kumeza. |
| Kupuma pang'ono mukangogwiritsa ntchito inhaler | Ngati vuto la kupuma likuwonjezeka nthawi yomweyo mutamwa mankhwala. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima, kugunda kwa mtima kosasinthasintha, kupweteka pachifuwa, chizungulire. |
| Mavuto a maso | Kupweteka kwa maso mwadzidzidzi, kusawona bwino, ndi kuwala kozungulira magetsi. |
| Matenda a bowa mkamwa (thrush) | Madontho oyera mkamwa kapena pa lilime. |
| Kuvuta kukodza | Kumva kupweteka kapena kuvutika pokodza. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kupweteka pakhosi, kusanza | Kusanza, Kupweteka pakhosi |
| Mutu, chifuwa, pakamwa pouma | Mutu, Chifuwa, Pakamwa pouma |
| Kusagona tulo, kunjenjemera kwa thupi | Kuvutika kugona, Kunjenjemera |
Kodi mumasunga ndi kutaya bwanji mankhwalawo?
- Kusunga: Sungani chopumira ichi kutentha kwa chipinda (pakati pa 15-30 Celsius), pamalo ouma. Sungani pamalo omwe ana ndi ziweto sangafikire. Musasunge pafupi ndi kutentha kwambiri kapena lawi. Chidebecho chingaphulike. Musachisunge mufiriji.
- Kutha Ntchito: Muyenera kugwiritsa ntchito chipangizo chopumira mkati mwa miyezi itatu (pa chidebe cha 120 puff) kapena milungu itatu (pa chidebe cha 28 puff) kuyambira tsiku lomwe mwatsegula paketi ya aluminiyamu. Apo ayi, tayani chipangizocho pamene chizindikiro cha mlingo chikuwonetsa zero (0) .
- Kutaya: Funsani dokotala wanu kuti akupatseni upangiri wa momwe mungatayire bwino inhaler yanu yomwe mwagwiritsa ntchito kapena yomwe yatha ntchito.
Uthenga Wopita Nawo Kunyumba
- Chopumira ichi ndi "chopumira chowongolera" chomwe mumamwa tsiku lililonse kuti muchepetse mphumu yanu. Musachigwiritse ntchito ngati mukupuma movutikira. Gwiritsani ntchito "chopumira chopulumutsa" chanu pa izi.
- Mukatha kugwiritsa ntchito nthawi iliyonse, tsukani pakamwa panu bwino ndi madzi ndipo muwalavulire osameza. Izi ndizofunikira kwambiri kuti mupewe matenda a bowa mkamwa.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala achikhalidwe omwe mukumwa.
- Ngati zizindikiro zanu zikuipiraipira kapena mukuyenera kugwiritsa ntchito "relief inhaler" yanu pafupipafupi, imbani dokotala nthawi yomweyo.
- Sungani bwino chipangizo chopumira ndipo muchitaye bwino chikatha ntchito.
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