Thandizo pa vuto la kupuma: Tiyeni tiphunzire za Ipratropium ndi Albuterol Nebulizer Solution (monga DuoNeb)

Kodi nthawi zambiri mumamva kuvutika kupuma? Kodi mumamva ngati chifuwa chanu chikuchepa, ngati kuti mukusanza? Izi zitha kukhala zodziwika bwino, makamaka kwa iwo omwe akudwala matenda otchedwa ``( COPD )`` kapena Chronic Obstructive Pulmonary Disease . Lero tikambirana za mankhwala omwe angathandize kuchepetsa mavuto otere opuma .

Kodi mankhwalawa ndi chiyani? Amagwiritsidwa ntchito chiyani?

Mwachidule, mankhwalawa ali ndi mitundu iwiri ya mankhwala otchedwa Ipratropium ndi Albuterol . Ichi ndi ``Nebulizer``, zomwe zikutanthauza kuti chimagwiritsidwa ntchito pogwiritsa ntchito vaporizer . Mukudziwa, mankhwalawa amagwira ntchito pokulitsa njira zopumira m'mapapu anu. Kenako zimakhala zosavuta kupuma.

Amagwiritsidwa ntchito makamaka pochiza matenda otchedwa ` `Chronic Obstructive Pulmonary Disease' ' (COPD). Amatchedwa `` mankhwala owongolera'' . Izi zikutanthauza kuti amathandiza kuchepetsa zizindikiro.

Chofunika ndichakuti, izi sizingagwiritsidwe ntchito pamene zizindikiro za COPD zikuwonjezeka mwadzidzidzi (kutupa). Pali mankhwala osiyana ochepetsa ululu mwachangu a zimenezo.

Nthawi zina madokotala angakupatseni mankhwala awa pa matenda ena, choncho ngati muli ndi mafunso, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kumwa mankhwalawa?

Musanayambe kugwiritsa ntchito mankhwalawa, ndikofunikira kuuza dokotala wanu kapena gulu lomwe likukuthandizani za:

• Muli ndi matenda a mtima.Kodi pali chilichonse? (monga kusayenda bwino kwa kugunda kwa mtima, kupweteka pachifuwa)
• Kodi muli ndi matenda amagazi othamanga ?
• Kodi kugunda kwa mtima kwanu sikukuyenda bwino kapena kayimbidwe kake sikamayenda bwino?
• Kodi munayamba mwakhalapo ndi vuto lachilendo kapena la ziwengo chifukwa cha mankhwala monga Ipratropium, Albuterol, Atropine, kapena mankhwala ena, zakudya, utoto wopangidwa, kapena zotetezera ?
• Ngati muli ndi pakati kapena mukuyembekezera mwana .
• Ngati mukuyamwitsa .

Ndikofunikira kwambiri kupereka chidziwitsochi kwa dokotala wanu, chifukwa ndiye angasankhe ngati mankhwala awa ndi oyenera kwa inu kapena ayi.

Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?

Mankhwalawa amagwiritsidwa ntchito popuma , pogwiritsa ntchito nebulizer, yomwe ndi makina omwe amapukutira mankhwala amadzimadzi kukhala tinthu tating'onoting'ono (aerosols). Kenako mumapumira nthunzi kudzera pakamwa panu, kapena kudzera pakamwa panu ndi mphuno, kupita m'mapapu anu.

• Muyenera kugwiritsa ntchito izi monga momwe dokotala wanu wanenera, mu mlingo wovomerezeka komanso panthawi yovomerezeka .
• Musagwiritse ntchito mankhwala ochulukirapo kuposa momwe dokotala wanenera.

Mankhwalawa amabwera ndi kabuku ka malangizo ogwiritsira ntchito. Werengani mosamala. Ngati simukumvetsa chilichonse, funsani wamankhwala wanu kapena dokotala kuti akufotokozereni.

Ngati mukupereka mankhwalawa kwa ana, muyenera kusamala kwambiri. Choncho, lankhulani ndi dokotala wanu wa ana kuti akupatseni upangiri.

Chofunika: Mankhwalawa aperekedwa kwa inu nokha . Musapatse wina aliyense, ngakhale atakhala ndi zizindikiro zomwezo zomwe muli nazo.

Nanga bwanji ngati sindingathe kuipeza pa nthawi yake?

Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira monga momwe munakonzera. Musamwe mlingo umodzi kapena umodzi wowonjezera.

Kodi mankhwalawa amagwirizana ndi mankhwala ena?

Inde, mankhwalawa amatha kuyanjana ndi mankhwala ena. Izi zikutanthauza kuti akamwedwa limodzi ndi mankhwala ena, mphamvu ya mankhwalawa ingasinthe kapena zotsatira zake zingawonjezere. Chifukwa chake, muyenera kuuza dokotala wanu za zinthu zotsatirazi zomwe mukumwa:

• Atropine
• Beta - blockers (monga metoprolol, propranolol)
• Mankhwala ena a chimfine, chifuwa, ndi ziwengo
• Mankhwala ena a matenda a chikhodzodzo (monga oxybutynin, tolterodine)
• Mankhwala ena ochizira kuvutika maganizo, nkhawa, ndi matenda amisala
• Mankhwala ena ochizira matenda am'mimba (monga dicyclomine, hyoscyamine)
• Mankhwala ena ochizira matenda oyenda (monga scopolamine)
• Mankhwala ena a matenda a Parkinson (monga benztropine, trihexyphenidyl)
• Mankhwala ochepetsa mphamvu ya mkodzo (mankhwala omwe amapangitsa kuti mkodzo wambiri utuluke)
• MAOI (monga Carbex, Eldepryl, Marplan, Nardil, Parnate)
• Mankhwala ena a matenda a mtima
• Mankhwala olimbikitsa kuti achepetse nkhawa, kuchepetsa thupi, kapena kukhala maso

Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala azitsamba, mavitamini, ndi zowonjezera) . Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zinthuzi zingakhudze mankhwala anu.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa?

Pitani kwa dokotala nthawi zonse kuti muone ngati thanzi lanu silikuyenda bwino mukugwiritsa ntchito mankhwalawa. Uzani dokotala ngati zizindikiro zanu sizikusintha kapena ngati zikuipiraipira.

Ngati zizindikiro zanu zikuipiraipira mwadzidzidzi, kapena ngati mukumva kuti muyenera kugwiritsa ntchito mankhwala ambiri kuposa masiku onse, imbani dokotala wanu nthawi yomweyo.

• Pakamwa pouma: Mankhwalawa angayambitse pakamwa panu kuuma. Izi zitha kuthetsedwa pomwa chingamu chopanda shuga, kuyamwa maswiti opanda shuga, ndikumwa madzi ambiri tsiku lonse. Komabe, ngati vutoli likupitirira kapena ndi lalikulu, uzani dokotala wanu.
• Nthawi yochitira zinthu: Mankhwalawa angakhudze momwe mumachitira zinthu, nthawi yochitira zinthu, kapena luso lanu lopanga zisankho. Chifukwa chake , pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Chizungulire: Kuti muchepetse chizungulire ndi mutu wopepuka, dzukani pang'onopang'ono mutakhala pansi kapena mutagona.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena si oopsa kwambiri.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo ndi izi:

Ngati muli ndi zizindikiro izi, uzani dokotala wanu kapena wothandizira zaumoyo mwamsanga:

• Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, ndi pakhosi.
• Kusintha kwa kayimbidwe ka mtima: Kugunda kwa mtima mofulumira, kugunda kwa mtima kosakhazikika, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma.
• Kuthamanga kwa magazi kokwera.
• Kupweteka kapena kuuma kwa minofu.
• Kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya: kusawona bwino, kuwona mphete mozungulira magetsi (`halos`), kutayika kwa masomphenya.
• Kuvuta kukodza.
• Kupuma movutikira kapena kupuma movutikira kwambiri mutagwiritsa ntchito mankhwala.

Zotsatirapo zomwe nthawi zambiri sizifuna thandizo la dokotala, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa:

• Kudzimbidwa
• Chifuwa
• Pakamwa pouma
• Mutu
• Chikhure
• Kugwedezeka kapena kugwedezeka
• Kusowa tulo

Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati muwona china chilichonse chachilendo, funsani dokotala wanu.

Kodi mumasunga bwanji mankhwala awa?

Ndikofunikanso kwambiri kusunga mankhwala awa moyenera.

• Sungani pamalo omwe ana ndi ziweto sangafikire.
• Sungani mufiriji kapena kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius / madigiri 68 ndi 77 Fahrenheit).
• Tetezani ku kuwala.
• Sungani mabotolo osatsegulidwa mu paketi yawo ya zojambulazo.
• Tayani mankhwala otha ntchito.

Pomaliza, zinthu zofunika kwambiri kukumbukira

Kotero, ndikukhulupirira kuti tsopano mwamvetsa bwino njira ya Ipratropium ndi Albuterol nebulizer yomwe tinakambirana.

Iyi ndi mankhwala omwe amagwiritsidwa ntchito mu ``Nebulizer`` kuti athetse mavuto opuma monga ``COPD``. Kumbukirani, iyi si mankhwala oti agwiritsidwe ntchito pakagwa ngozi.

• Gwiritsani ntchito monga momwe dokotala wanu wanenera, mu mlingo wovomerezeka komanso panthawi yovomerezeka.
• Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mukumwa.
• Dziwani zotsatirapo zake. Ngati muwona chilichonse choopsa, uzani dokotala wanu nthawi yomweyo.
• Sungani mankhwala moyenera.

Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu kapena wamankhwala. Adzakuthandizani. Khalani ndi thanzi labwino!