Kodi muli ndi vuto la kupuma kwa nthawi yayitali, kapena zomwe dokotala wanu amatcha COPD (Chronic Obstructive Pulmonary Disease)? Ngati ndi choncho, dokotala wanu mwina adakupatsani mankhwala oti mumwe kudzera mu 'Nebulizer' kuti muchepetse mapapu anu. Munkhaniyi, tikulankhula za mankhwala amodzi otere, Formoterol. Kugwiritsa ntchito mankhwalawa moyenera komanso moyenera ndikofunikira kwambiri pa thanzi lanu.
Mwachidule, kodi Formoterol ndi chiyani?
Formoterol ndi mankhwala omwe amagwiritsidwa ntchito makamaka pochiza matenda a m'mapapo monga COPD (Chronic Obstructive Pulmonary Disease) . Amagwira ntchito potsegula njira zopumira m'mapapu anu ndikupangitsa kuti kupuma kukhale kosavuta.
Taganizirani ngati kukonza galimoto nthawi zonse. Mukagwiritsa ntchito mankhwalawa tsiku ndi tsiku, amathandiza kuti dongosolo lanu lopumira likhale bwino. Ndicho chifukwa chake timatcha kuti mankhwala owongolera .
Koma chinthu chimodzi choyenera kukumbukira ndichakuti iyi si mankhwala oti mugwiritse ntchito pakagwa ngozi, pamene mwadzidzidzi mukumva kupuma movutikira. Dokotala wanu mwina adakupatsani 'chopumira chopulumutsa' china kuti mugwiritse ntchito pazochitika zotere.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanapereke Formoterol, ndikofunikira kuti dokotala wanu adziwe mbiri yonse ya thanzi lanu. Chifukwa chake, ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwadziwitsa dokotala wanu .
- Matenda a shuga (shuga wambiri m'magazi)
- Matenda a mtima amtundu uliwonse
- Kuthamanga kwa magazi
- Kugunda kwa mtima kosakhazikika
- `Pheochromocytoma` (ichi ndi chotupa chapadera chomwe chimapezeka mu adrenal gland)
- Kugwidwa ndi khunyu
- Matenda a chithokomiro
- Ngati muli ndi vuto la formoterol kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba
- Ngati ndinu mayi woyamwitsa
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Mankhwalawa amagwiritsidwa ntchito powapumira kudzera mu makina otchedwa ``Nebulizer.'' Makinawa amasintha mankhwala amadzimadzi kukhala utsi wochepa kwambiri (aerosol) ndipo amakulolani kuti muwapumire m'mapapo mwanu kudzera pakamwa panu kapena kudzera pakamwa ndi mphuno mwanu.
- Musasakanize mankhwalawa ndi mankhwala ena mu nebulizer.
- Gwiritsani ntchito mankhwala omwe mwapatsidwa monga momwe zalembedwera pa phukusi. Musagwiritse ntchito mobwerezabwereza kuposa momwe dokotala wanu wanenera.
- Mankhwalawa saloledwa kugwiritsidwa ntchito kwa ana aang'ono, choncho lankhulani ndi dokotala wanu za mankhwalawa kwa mwana wanu.
Nanga bwanji ngati nditatenga zambiri molakwika?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo mwangozi, imbani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Izi ndizofunikira kwambiri.
Kumbukirani, mankhwalawa aperekedwa kwa inu nokha . Musagawane ndi wina aliyense.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri pazifukwa zilizonse.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Formoterol ndi mankhwala omwe angagwirizane ndi mankhwala ena, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa.
| Mtundu wa mankhwala/mankhwala omwe angayambitse mavuto | Zambiri |
|---|---|
| MAOIs (mtundu wa mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo) | Izi siziyenera kumwedwa ndi mankhwala monga Carbex, Eldepryl, Marplan, Nardil, ndi Parnate. |
| Mankhwala a mavuto ena opuma | Mankhwala ena opumira kapena mankhwala. |
| Mankhwala ochepetsa kuthamanga kwa magazi | Kugwira ntchito kwa mankhwala ena othamanga magazi (monga beta-blockers) kungasinthe. |
| Mankhwala a matenda amisala | Mankhwala a matenda monga kuvutika maganizo ndi nkhawa. |
| Mankhwala ochepetsa mphamvu ya mkodzo | Kuchuluka kwa potaziyamu m'thupi kungakhudzidwe. |
| Maantibayotiki ena | Monga Clarithromycin, Erythromycin, ndi Levofloxacin. |
| Monga Prednisone kapena Cortisone. | |
| Kafeini ndi zinthu zina zolimbikitsa | Khofi, tiyi, ndi mankhwala ena ochepetsa thupi. |
Mndandandawu sunathe. Chifukwa chake, uzani dokotala wanu za mankhwala onse, mavitamini, mankhwala azitsamba, ndi zowonjezera zomwe mukumwa. Uzaninso dokotala wanu ngati mumasuta kapena kumwa mowa.
Zinthu zofunika kukumbukira mukamagwiritsa ntchito mankhwalawa
- Pitani kwa dokotala nthawi zonse: Yang'anani thanzi lanu ndipo pitani kwa dokotala nthawi zonse. Ngati zizindikiro zanu sizikusintha kapena kuipiraipira, mudziwitseni.
- Gwiritsani ntchito chopumira chopulumutsa munthu pakagwa ngozi: Monga tanenera kale, musagwiritse ntchito mankhwalawa ngati mwadzidzidzi mukuvutika kupuma. Gwiritsani ntchito chopumira chopulumutsa munthu chomwe mwapatsidwa pa izi. Ngati muyenera kugwiritsa ntchito chopumira chopulumutsa munthu pafupipafupi, zikutanthauza kuti vuto lanu silikuthetsedwa. Imbani dokotala nthawi yomweyo.
- Ngati mukumva kupuma movutikira mutamwa mankhwalawa: Anthu ena angavutike kupuma atamwa mankhwalawa. Ngati izi zitachitika, siyani kugwiritsa ntchito mankhwalawa nthawi yomweyo, gwiritsani ntchito 'chopumira chopulumutsa' chanu, ndipo imbani dokotala wanu.
- Funsani musanamwe mankhwala a matenda ena: Musanamwe mankhwala ochokera ku pharmacy a zinthu monga chifuwa ndi chimfine, funsani dokotala wanu. Mankhwala ena angagwirizane ndi Formoterol.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Angagawidwe m'magulu awiri akuluakulu.
| 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. |
| Kuthamanga kwa magazi kowonjezeka | Izi zitha kutsimikiziridwa ndi kufufuza kwa dokotala. |
| Kupweteka kwa minofu kapena kupunduka | Kupweteka kwa minofu kapena kupweteka m'mimba. |
| Kuvuta kupuma kwambiri mutagwiritsa ntchito mankhwala | Kupuma movutikira kapena kuvutika kupuma komwe kumakhala koipa mukatha kugwiritsa ntchito. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Chifuwa | Mutu |
| Mphuno yotuluka madzi kapena yotsekeka | Chikhure |
| Kugwedezeka | Kuvuta kugona |
Kodi mungasunge bwanji mankhwala?
- Kusunga mufiriji (njira yabwino): Sungani mabotolo osatsegulidwa mufiriji m'thumba lawo la zojambulazo. Musaswe botolo mpaka litakonzeka kugwiritsidwa ntchito. Mukasweka, gwiritsani ntchito nthawi yomweyo.
- Kusunga pa kutentha kwa chipinda: Mankhwalawa akhoza kusungidwa pa kutentha kwa chipinda kwa miyezi itatu. Sungani mu paketi ya zojambulazo. Sungani kutali ndi kutentha kwambiri ndi kuzizira. Tayani patatha miyezi itatu kapena tsiku lotha ntchito (lililonse lomwe limabwera poyamba).
- Kutaya mankhwala omwe atha ntchito kapena omwe sakufunidwa: Funsani dokotala wanu kuti akupatseni upangiri wa momwe mungatayire mankhwala omwe atha ntchito mosamala.
Uthenga Wopita Nawo Kunyumba
- Formoterol ndi mankhwala 'olamulira' omwe amagwiritsidwa ntchito tsiku lililonse kuti athetse matendawa, osati mankhwala 'opulumutsa' omwe amagwiritsidwa ntchito pazidzidzidzi.
- Ngati mwadzidzidzi mwayamba kupuma movutikira, nthawi zonse gwiritsani ntchito chopumira chanu chopulumutsa.
- Uzani dokotala wanu za matenda onse omwe muli nawo komanso mankhwala ena onse omwe mumamwa.
- Ngati mukumva kuvutika kupuma kwambiri mutamwa mankhwalawa, siyani kumwa mankhwalawa nthawi yomweyo ndipo imbani dokotala wanu.
- Sungani mankhwalawo moyenera, muwataye akatha ntchito, ndipo musagawane mankhwalawo ndi ena.
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