Kodi mukuvutika kupuma, mphumu, kapena matenda osatha a m'mapapo monga COPD (Chronic Obstructive Pulmonary Disease)? Ngati ndi choncho, dokotala wanu mwina anakuuzani kuti mugwiritse ntchito inhaler. Lero tikambirana za inhaler imodzi yogwiritsidwa ntchito kwambiri, Tiotropium, yomwe imagwiritsidwa ntchito makamaka poletsa matendawa. Nthawi zambiri mupeza izi pansi pa dzina la Spiriva Respimat.
Kodi Tiotropium ndi chiyani? Imagwira ntchito bwanji?
Mwachidule, Tiotropium ndi mankhwala omwe amakulitsa njira zopumira m'mapapu anu ndikupangitsa kuti kupuma kukhale kosavuta. Amatchedwa 'controller' inhaler . Izi zikutanthauza kuti sagwiritsidwa ntchito mukakumana ndi vuto la mphumu mwadzidzidzi kapena kupuma movutikira. Amagwiritsidwa ntchito tsiku lililonse, panthawi yoikika , kuti athetse zizindikiro zanu.
Ichi ndi chinthu chomwe anthu ambiri amasokonezeka nacho. Kumbukirani, Tiotropium si mankhwala opumulira omwe mumagwiritsa ntchito pakagwa mwadzidzidzi. Dokotala wanu mwina anakupatsani mankhwala enaake opumulira.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakulembereni mankhwala oti agwiritse ntchito Tiotropium inhaler, ayenera kudziwa mbiri yonse ya thanzi lanu, makamaka zinthu izi.
- Glaucoma: Izi zikutanthauza kuti muli ndi vuto lomwe limayambitsa kupanikizika kwa maso.
- Matenda a impso: Ngati muli ndi vuto lililonse lokhudzana ndi impso.
- Mavuto a prostate: Ngati ndinu mwamuna, mwina mukuvutika kukodza kapena muli ndi vuto la prostate.
- Matenda a ziwengo: Uzani dokotala wanu ngati muli ndi vuto la ziwengo ku Tiotropium, kapena mankhwala ena monga Ipratropium ndi Atropine. Komanso, uzani dokotala wanu ngati muli ndi vuto la ziwengo ku mankhwala ena, zakudya, kapena utoto.
- Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi pakati, mukufuna kutenga pakati, kapena ngati mukuyamwitsa .
Kodi mumagwiritsa ntchito bwanji inhaler iyi moyenera?
Momwe izi zimagwiritsidwira ntchito n'kofunika kwambiri.
1. Imwani mlingo woyenera, panthawi yoyenera: Imwani mankhwalawa nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wakuuzirani. Ngati ndi kamodzi patsiku, imwani nthawi yomweyo tsiku lililonse. Musamwe mankhwala opitirira muyeso womwe walembedwa.
2. Pitirizani kugwiritsa ntchito:Ngakhale mutaona kuti zizindikiro zanu zachepa, pitirizani kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye. Izi zili choncho chifukwa uwu ndi mankhwala 'owongolera', kutanthauza kuti matendawa amawongoleredwa chifukwa mukupitiriza kumwa mankhwalawo.
3. Werengani phukusi la wodwala: Mukapatsidwa mankhwala anu, werengani phukusi la wodwalayo mosamala. Lili ndi malangizo omveka bwino a momwe mungapangire, kugwiritsa ntchito, ndi kuyeretsa chopumira.
4. Ngati aperekedwa kwa ana: Mankhwalawa nthawi zina amalimbikitsidwa kwa ana azaka zopitirira 6. Koma lankhulani ndi dokotala wanu za mankhwalawa ndipo mugwiritse ntchito motsatira malangizo ake.
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 pazifukwa zilizonse.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala azitsamba, chifukwa mankhwala ena amatha kusokonezana ndi Tiotropium ndikuyambitsa zotsatirapo zake.
| Mtundu wa mankhwala | Kufotokozera |
|---|---|
| Mankhwala a ziwengo, chifuwa ndi chimfine | Mitundu ina ya mankhwala oletsa antihistamine. |
| Mankhwala ena opumira | Mankhwala ena opumira, makamaka omwe ali ndi Ipratropium. |
| Mankhwala a matenda a chikhodzodzo | Mwachitsanzo, oxybutynin, tolterodine. |
| Mankhwala a matenda a Parkinson | Mwachitsanzo, benztropine, trihexyphenidyl. |
| Mankhwala ena ochizira kupweteka m'mimba | Mwachitsanzo, dicyclomine, hyoscyamine. |
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa. Komanso, muuzeni ngati mumasuta kapena kumwa mowa.
Zotsatirapo zoyipa zomwe muyenera kuzidziwa mukamagwiritsa ntchito mankhwalawa
Ndi zachilendo kukhala ndi zotsatirapo zazing'ono mukamagwiritsa ntchito mankhwala, koma pali zinthu zina zomwe tiyenera kusamala nazo kwambiri.
| 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 maso | Kupweteka kwa maso mwadzidzidzi, kusawona bwino, kuona kuwala kozungulira magetsi, komanso kutayika kwa masomphenya. |
| Kuvuta kukodza | Kuvuta kukodza kapena kusakodza konse. |
| Kuvuta kupuma kwambiri | Ngati mukumva kupuma movutikira kapena kupsinjika pachifuwa mutagwiritsa ntchito inhaler. |
| Zotsatirapo zomwe nthawi zambiri siziyenera kuda nkhawa nazo, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Pakamwa pouma | Kutafuna chingamu chopanda shuga ndi madzi akumwa kungathandize pa izi. |
| Kudzimbidwa | Idyani zakudya zambiri zokhala ndi ulusi ndi madzi. |
| Chikhure | Izi zitha kuchepetsedwa mwa kutsuka pakamwa panu ndi madzi mutagwiritsa ntchito inhaler. |
| Zizindikiro zofanana ndi kuzizira | Mphuno yotuluka madzi kapena mphuno yotsekeka. |
Zinthu zina zofunika kuziganizira
- Kugona/Kuzunguzika: Mankhwalawa angapangitse anthu ena kumva tulo kapena chizungulire pang'ono. Choncho, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe zimakukhudzirani. Samalani mukadzuka kapena kukhala pansi mwachangu, makamaka ngati ndinu okalamba.
- Pakamwa pouma: Pakamwa pouma ndi zotsatira zoyipa zomwe zimachitika kawirikawiri chifukwa cha mankhwalawa. Imwani madzi ambiri. Kutafuna chingamu chopanda shuga kapena kuyamwa maswiti kungathandizenso. Ngati vutoli likupitirira, uzani dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Tiotropium ndi mankhwala opumira omwe amagwiritsidwa ntchito poletsa matendawa. Izi zikutanthauza kuti ayenera kugwiritsidwa ntchito tsiku lililonse poletsa matendawa, osati ngati mwadzidzidzi.
- Nthawi zonse khalani ndi chopumira chapadera cha 'reliever' kuti mugwiritse ntchito ngati muli ndi mphumu kapena mukuvutika kupuma.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda aliwonse omwe muli nawo (makamaka mavuto a maso, impso, kapena prostate).
- Ngati mukukumana ndi vuto lopuma movutikira, mavuto a maso, kapena zizindikiro zoopsa za ziwengo mutagwiritsa ntchito inhaler, funsani upangiri wa dokotala nthawi yomweyo.
- Mankhwalawa ayenera kusungidwa kutentha kwa chipinda, komwe ana sangawafikire. Chotsani mu paketi ya zojambulazo ndipo muwataye patatha miyezi itatu kapena akatha ntchito.
- Ngati muli ndi mafunso kapena kukayikira kulikonse, musaope kulankhula ndi dokotala wanu za vutoli.
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