Kodi mukudwala matenda a COPD (Chronic Obstructive Pulmonary Disease), matenda a m'mapapo omwe nthawi yayitali amachititsa kuti kupuma kukhale kovuta ndipo chifuwa chanu chikuoneka ngati chatsekeka? Ngati ndi choncho, dokotala wanu mwina anakupatsani mankhwala apadera opumira omwe mumagwiritsa ntchito ndi kapisozi wofiirira. Dzina lake ndi Tiotropium, koma anthu ambiri amawadziwa ndi dzina lodziwika bwino la Spiriva HandiHaler. Chifukwa chake, lero tikambirana mwachidule momwe mungagwiritsire ntchito mankhwalawa, zinthu zomwe muyenera kusamala nazo, komanso zotsatirapo zake zomwe zingachitike.
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Choyamba, kodi mankhwala awa otchedwa Tiotropium ndi chiyani?
Mwachidule, Tiotropium ndi mankhwala omwe amakulitsa njira zopumira m'mapapu anu ndikupangitsa kuti kupuma kukhale kosavuta. Izi ndizofunikira kwambiri chifukwa si mankhwala opumira omwe mumagwiritsa ntchito pakagwa mwadzidzidzi, kutanthauza kuti, mukavutika kupuma mwadzidzidzi. Ndi mankhwala opumira omwe 'amalamulira' . Izi zikutanthauza kuti mumagwiritsa ntchito tsiku lililonse, monga momwe dokotala wanu wanenera, kuti muwongolere zizindikiro zanu. Izi zimakuthandizani kuti muwongolere kupuma kwanu tsiku lonse ndikukhala omasuka.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yanu yonse ya thanzi. Onetsetsani kuti mwawauza za vuto lililonse mwa izi, makamaka:
- Glaucoma: Ngati muli ndi glaucoma, vuto lomwe kuthamanga kwa magazi m'diso kumawonjezeka. Mankhwalawa nthawi zina amatha kusokoneza kuthamanga kwa magazi m'maso.
- Matenda a impso: Ngati muli ndi vuto lililonse pakugwira ntchito kwa impso zanu.
- Matenda a prostate: Ngati ndinu mwamuna, ngati muli ndi mavuto monga prostate yotupa, mankhwalawa angayambitse vuto pokodza.
- Ziwengo: Muyenera kutiuza ngati muli ndi ziwengo zilizonse zokhudzana ndi mankhwalawa (Tiotropium), Ipratropium, Atropine, Lactose mu mkaka, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba kapena kuyamwitsa: Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, muyenera kulankhula ndi dokotala wanu za izi.
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Check Availability →Chofunika kwambiri! Kodi mungagwiritse ntchito bwanji inhaler iyi moyenera?
Ichi ndi gawo lofunika kwambiri. Kuti mupindule kwambiri ndi mankhwalawa, muyenera kuwagwiritsa ntchito moyenera.
Chofunika kwambiri: Musameze kapisozi yomwe imabwera ndi mankhwalawa ndi madzi! Sikuti imezedwe, koma iikidwe mu inhaler ndipo ufa wa mankhwala mkati umapumidwa.
Mukapatsidwa mankhwalawo, mudzalandira kabuku kokuuzani momwe mungagwiritsire ntchito. Werengani mosamala. Nthawi zambiri, zomwe muyenera kuchita ndi izi:
1. Tsegulani pamwamba pa chopumira.
2. Ikani kapisozi pamalo osankhidwa.
3. Tsekani pakamwa pa chopumira ndikudina batani lobiriwira lomwe lili pambali kamodzi. Izi zidzaboola kapisozi ndikutulutsa ufa wa mankhwala.
4. Tulutsani mpweya kwambiri, ikani chopumira cha inhaler mkamwa mwanu, tsekani milomo yanu mwamphamvu, ndipo pumirani mpweya mwachangu komanso mozama . Mudzamva mankhwalawo akulowa m'mapapu anu.
5. Gwirani mpweya wanu kwa masekondi pafupifupi 10, kenako tulutsani mpweya pang'onopang'ono.
6. Yang'anani ngati pali mankhwala aliwonse omwe atsala mu kapisozi, ndipo pumaninso mpweya ngati pakufunika kutero.
7. Chotsani kapisozi yopanda kanthu yomwe yagwiritsidwa ntchito ndikutseka chopumira.
Khalani ndi chizolowezi chomwa mankhwalawa nthawi yomweyo tsiku lililonse. Mwanjira imeneyi simudzaiwala. Musasiye kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti mutero.
Kodi mungachite chiyani ngati mwaphonya 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.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo mwangozi, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku ETU (Emergency Treatment Unit) ya chipatala chapafupi.
Zinthu Zofunika Kuziganizira Mukamagwiritsa Ntchito Tiotropium
- Izi sizili zadzidzidzi: Monga tanenera kale, izi sizothandiza ngati kupuma kwanu mwadzidzidzi kukuvuta. Dokotala wanu mwina adakupatsani mankhwala apadera oti 'Reliever' (monga Ventolin yabuluu) kuti mugwiritse ntchito pazochitika zotere. Gwiritsani ntchito zimenezo. Ngati mukufuna kugwiritsa ntchito mankhwala oti Reliever nthawi zambiri, zikutanthauza kuti vuto lanu silikuthetsedwa. Pitani kwa dokotala nthawi yomweyo.
- Pakamwa pouma: Mankhwalawa angayambitse pakamwa pouma. Kutafuna chingamu chopanda shuga, kuyamwa maswiti opanda shuga, ndi kumwa madzi ambiri tsiku lonse kungathandize. Ngati vutoli likupitirira, uzani dokotala wanu .
- Kugona ndi chizungulire: Anthu ena angamve ngati akugona kapena akuzungulire pang'ono. Choncho, pewani kuchita zinthu zoopsa 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 pabedi. Kupanda kutero, mungamve ngati mukuzungulire ndi kugwa.
Kodi tikudziwanso za zotsatirapo zake?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Koma si aliyense amene amalandira. Tiyeni tigawane izi m'magulu awiri.
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. Izi zitha kukhala zizindikiro za matenda oopsa. Chithandizo chachangu chikufunika. |
| Kupweteka kwa maso kapena kusintha kwa masomphenya | Kupweteka maso mwadzidzidzi, kusawona bwino, ndi kuona mphete zamitundu yosiyanasiyana (halos) mozungulira magetsi kungakhale zizindikiro za glaucoma. |
| Kuvuta kukodza | Kuvuta kukodza kapena kusakodza konse. |
| Kuvuta kupuma kwambiri | Ngati mukuvutika kupuma kapena chifuwa chanu chikulimba mutagwiritsa ntchito inhaler. |
| Zotsatirapo zomwe nthawi zambiri siziyenera kuda nkhawa nazo, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Pakamwa pouma | Izi zimachitika kawirikawiri. Yesani njira zomwe takambirana kale. |
| Kudzimbidwa | Imwani madzi ambiri ndipo idyani zakudya zokhala ndi ulusi (zipatso, ndiwo zamasamba). |
| Kupweteka pakhosi, mphuno yodzaza | Kutsuka pakamwa panu ndi madzi ofunda kungathandize. |
| Kusasangalala m'mimba | Izi nthawi zina zimatha kuchepetsedwa mwa kumwa mankhwala mutadya. |
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ngati mukumwa Tiotropium, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba). Mankhwala ena amatha kuyanjana ndi mankhwalawa. Mwachitsanzo, mankhwala a ziwengo, mankhwala a chifuwa, mankhwala ena opweteka m'mimba, ndi mankhwala a matenda a Parkinson angayambitse vutoli. Chifukwa chake, uzani dokotala wanu zonse zomwe mukumwa.
Uthenga Wopita Nawo Kunyumba
- Tiotropium (Spiriva) si mankhwala ochepetsa ululu. Ndi mankhwala oletsa ululu omwe amagwiritsidwa ntchito tsiku ndi tsiku.
- Musameze kapisozi yomwe imabwera ndi izi. Iyenera kuyikidwa mu inhaler ndikupumira.
- Imwani mankhwala nthawi yomweyo tsiku lililonse. Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yatsala pang'ono, thawani mlingo womwe mwaphonya. Musamwe milingo iwiri nthawi imodzi.
- Uzani dokotala wanu za matenda ena aliwonse omwe muli nawo (makamaka matenda a maso, impso ndi prostate) ndi mankhwala ena aliwonse omwe mumamwa.
- Ngati mukumva kuvutika kupuma, kupweteka m'maso, kapena zizindikiro zoopsa za ziwengo mutamwa mankhwala, funsani upangiri wa dokotala nthawi yomweyo.
- Sungani mankhwala kutali ndi ana ndi ziweto, ndipo sungani kutentha kwa chipinda m'maphukusi ake oyambirira.
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