Aliyense amene adadwalapo COPD (Chronic Obstructive Pulmonary Disease) amadziwa momwe zimakhalira zovuta kukhala ndi vuto monga kupuma movutikira. Ngati muli ndi vutoli, dokotala wanu mwina adakupatsani mankhwala apadera opumira kuti mapapu anu azitha kupuma mosavuta. Lero, tikambirana za mankhwala opumira omwe amabwera ngati ufa womwe uli ndi mankhwala awiri, Indacaterol ndi Glycopyrrolate.
Mwachidule, kodi mankhwala awa ndi chiyani?
Iyi ndi mankhwala ophatikizana awiri. Onsewa amagwira ntchito pokulitsa pang'ono njira zopumira m'mapapu anu, kuchepetsa kutsekeka kwa mpweya, komanso kupangitsa kuti kupuma kukhale kosavuta. Iyi ndi mankhwala osamalira omwe muyenera kumwa tsiku lililonse.
Chofunika Kwambiri: Chopumira ichi ndi cha nthawi yayitali chowongolera matenda a COPD. Musachigwiritse ntchito pochiza matenda a COPD mwadzidzidzi. Pazochitika zotere, muyenera kugwiritsa ntchito chopumira cha buluu chogwira ntchito kwakanthawi kochepa, monga chomwe dokotala wanu wakupatsani.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Kuti mukhale otetezeka, ndikofunikira kuti mudziwitse dokotala wanu za mbiri yonse ya thanzi lanu musanagwiritse ntchito mankhwalawa. Onetsetsani kuti mwamuuza ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
| Matenda omwe ayenera kufotokozedwa kwa dokotala | |
|---|---|
| Matenda a shuga | Glaucoma |
| Matenda a mtima amtundu uliwonse | Kuthamanga kwa magazi |
| Kugunda kwa mtima kosakhazikika | Matenda a impso kapena chiwindi |
| Mavuto a prostate kapena kuvutika kukodza | Kugwidwa ndi khunyu |
| Matenda a chithokomiro | Matenda a mkaka kapena mankhwala ena aliwonse kapena chakudya |
| Ngati mukuyesera kutenga mimba kapena muli ndi pakati | Ngati ndinu mayi woyamwitsa |
Kodi mungagwiritse ntchito bwanji inhaler moyenera?
Izi zimafuna chipangizo chapadera chopumira, choncho onetsetsani kuti mwamvetsa bwino momwe dokotala wanu kapena wamankhwala amakulangizirani kuti mugwiritse ntchito.
- Musameze makapisozi: Ichi ndi chinthu chofunika kwambiri. Mankhwalawa amabwera ngati makapisozi ang'onoang'ono. Awa si mankhwala oti muwameze pakamwa. Kapisozi iyi imayikidwa mu inhaler yomwe imabwera nayo, ndipo mukadina batani, kapisoziyo imabowoka, ndipo mutha kungopuma (kupuma) ufa wa mankhwala omwe ali mkati.
- Musagwiritse ntchito chopachika: Chipangizo chopachika sichigwiritsidwa ntchito ndi inhaler iyi.
- Imwani panthawi yoyenera: Imwani mankhwala pokhapokha ngati mwapatsidwa mankhwala komanso ngati mwapatsidwa mankhwala monga mwalangizidwira ndi dokotala. Musagwiritse ntchito mankhwala opitirira muyeso womwe mwapatsidwa.
- Musasiye mwadzidzidzi: Musasiye kugwiritsa ntchito izi popanda upangiri wa dokotala.
- Zidutswa za kapisozi zomwe zimalowa mkamwa mwanu: Nthawi zina, mukapuma mankhwalawo, zidutswa zazing'ono za gelatin kuchokera ku kapisozi zimatha kulowa mkamwa mwanu. Izi ndi zachilendo, choncho musadandaule nazo.
- Sikoyenera ana: Mankhwalawa saloledwa kugwiritsidwa ntchito kwa ana.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, funsani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital. Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi. Musachedwetse izi.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yoti mutenge mlingo wotsatira yayandikira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Mankhwala ena omwe mukumwa angagwirizane ndi mankhwala omwe ali mu inhaler iyi. Izi zingayambitse zotsatira zoyipa kapena kusintha momwe mankhwalawa amagwirira ntchito. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, zakudya zowonjezera, mankhwala a Sinhala, ndi mankhwala a Ayurvedic .
Onetsetsani kuti mwatiuza ngati mukumwa mankhwala aliwonse mwa awa:
- Mitundu ina ya ma bronchodilator ogwira ntchito kwa nthawi yayitali (ma beta-2 agonists ogwira ntchito kwa nthawi yayitali - ma LABA)
- Mankhwala a matenda ena a mtima
- Mankhwala a matenda amisala ndi kuvutika maganizo (monga MAOIs)
- Mankhwala ochepetsa mphamvu ya mkodzo
- Mankhwala a ziwengo, chifuwa, ndi chimfine
- Mankhwala ena oletsa cholinergic (monga ipratropium, tiotropium)
- Mitundu ya ma steroid (monga prednisone)
Mndandandawu sunathe, choncho ndibwino kuuza dokotala wanu zonse zomwe mumamwa.
Zinthu zofunika kusamala nazo mukamamwa mankhwala
- Kuyezetsa magazi nthawi zonse: Pitani kuzipatala nthawi ndi nthawi monga momwe dokotala wanu wanenera.
- Samalani ndi zizindikiro: Ngati zizindikiro zanu sizikusintha, kapena ngati zikuoneka kuti zikuipiraipira, uzani dokotala wanu nthawi yomweyo.
- Samalani ndi chopumira chanu chofulumira: Ngati mukufunika kugwiritsa ntchito chopumira chanu chadzidzidzi (chogwira ntchito mwachidule) pafupipafupi kuposa masiku onse, chikhoza kukhala chizindikiro chakuti vuto lanu silikulamuliridwa bwino. Uzani dokotala wanu nthawi yomweyo.
- Musalole kuti mankhwalawa alowe m'maso mwanu: Musalole kuti mankhwalawa alowe m'maso mwanu. Kuchita zimenezi kungayambitse kupweteka kwa maso, kutentha, komanso kusawona bwino.
- Chizungulire: Anthu ena angamve chizungulire akamagwiritsa ntchito mankhwalawa. Choncho, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu munthu wokalamba, imirirani pang'onopang'ono mukadzuka pampando wokhala pansi kapena potuluka pabedi.
- Kuyeretsa chopumira: Nthawi zonse sungani chopumiracho chili choyera monga momwe zalembedwera mu malangizo omwe amabwera ndi mankhwala.
Tiyeni tiphunzirenso za zotsatirapo zake.
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa. Zina mwa izo ndi zazikulu, zina mwa izo ndi zofala.
| Zizindikiro zazikulu zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo: kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. | Kuvuta kupuma kwambiri: Ngati kupuma kukuvuta kwambiri mutamwa mankhwala. |
| Kusintha kwa kugunda kwa mtima: kupweteka pachifuwa, chizungulire, kumva ngati mtima wanu ukugunda mofulumira kapena mosakhazikika, kukomoka. | Kusintha kwa maso: kusawona bwino, kupweteka kwa maso. |
| Kuvuta kukodza: kupweteka pakukodza, kusintha kwa kuchuluka kwa mkodzo. | Kupweteka kapena kuuma kwa minofu, kunjenjemera. |
| Zizindikiro za shuga wambiri m'magazi: pakamwa pouma, kumva ludzu kwambiri kapena njala, kufuna kukodza pafupipafupi. | |
| Zizindikiro zomwe nthawi zambiri siziyenera kuda nkhawa nazo, koma ngati zikupitirira, muyenera kuuza dokotala wanu. | |
| Kupweteka kwa msana | Chifuwa |
| Zizindikiro zonga chimfine (mphuno yotuluka madzi) | Chikhure |
Kodi mungasunge bwanji mankhwala moyenera?
Kuti mankhwala apitirize kukhala abwino, ayenera kusungidwa bwino.
- Sungani pamalo omwe ana sangafikire.
- Sungani kutentha kwa chipinda, pamalo ouma. Tetezani ku chinyezi.
- Sungani makapisozi mu paketi ya aluminiyamu mpaka mutakonzeka kuwagwiritsa ntchito. Musachotse makapisoziwo ndikuwayika mkati mwa inhaler.
- Nthawi iliyonse mukalandira paketi yatsopano ya mankhwala, gwiritsani ntchito inhaler yatsopano yomwe imabwera nayo.
Uthenga Wopita Nawo Kunyumba
- Mankhwala opumira awa ndi mankhwala osamalira omwe amagwiritsidwa ntchito poletsa COPD kwa nthawi yayitali. Musagwiritse ntchito ngati munthu wapuma movutikira mwadzidzidzi.
- Musameze makapisozi a mankhwala. Amapangidwira kuti azipumidwa kudzera mu inhaler yokha.
- Uzani dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala onse omwe mumamwa.
- Ngati mukufuna mankhwala anu ophera tizilombo toyambitsa matenda pafupipafupi, pitani kwa dokotala nthawi yomweyo.
- Ngati zizindikiro za zotsatirapo zoyipa (kupweteka pachifuwa, kuvutika kupuma kwambiri, ndi ziwengo) zikupezeka, funsani upangiri wa dokotala nthawi yomweyo.
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