Aliyense amene adadwalapo COPD (Chronic Obstructive Pulmonary Disease) amadziwa momwe zimakhalira zovuta kukhala ndi moyo wovuta kupuma. Nthawi zina, ngakhale kupuma nthawi zambiri kumakhala kovuta. Koma pali mankhwala othandiza omwe angakuthandizeni kuthana ndi vutoli ndikupangitsa moyo wanu kukhala wosavuta. Lero, tikambirana za mankhwala enaake otere, inhaler yapadera yomwe dokotala wanu angakupatseni.
Kodi chopumira ichi ndi chiyani? (Tiotropium; Olodaterol)
Mwachidule, iyi ndi inhaler yomwe ili ndi kuphatikiza kwa mankhwala awiri. Mankhwala awiriwa ndi Tiotropium ndi Olodaterol . Mutha kuwaona pamsika pansi pa mayina monga STIOLTO RESPIMAT . Mankhwala awiriwa amagwira ntchito limodzi kuti awonjezere njira zopumira m'mapapo mwanu, kuchepetsa kutsekeka kwa mpweya, komanso kuti kupuma kukhale kosavuta. Zili ngati kuchotsa chitoliro chotsekedwa ndikulola madzi kuyenda mosavuta.
Chofunika kwambiri: Ichi chimatchedwa "chopumira chowongolera." Izi zikutanthauza kuti muyenera kuchigwiritsa ntchito tsiku lililonse, panthawi yoyenera, ngakhale mutakhala kuti mulibe zizindikiro. Izi ndi zowongolera matendawa kwa nthawi yayitali. Ichi si "chopumira chopulumutsa" chomwe mumagwiritsa ntchito mukavutika kupuma mwadzidzidzi. Dokotala wanu mwina adakupatsani chopumira china chapadera pa izi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanagwiritse ntchito inhaler iyi, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Mankhwalawa angagwirizane ndi matenda ena. Chifukwa chake, ngati muli ndi vuto lililonse pansipa, onetsetsani kuti mwawauza za vutoli.
| Matenda/nkhani zina | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Mphumu | Izi makamaka ndi za COPD ndipo zimafunika chisamaliro chapadera zikagwiritsidwa ntchito pa mphumu. |
| Matenda a mtima, kuthamanga kwa magazi, kugunda kwa mtima kosasinthasintha | Mankhwalawa angakhudze kugunda kwa mtima. |
| Matenda a shuga | Zingakhale ndi zotsatira zochepa pa kuchuluka kwa shuga m'magazi. |
| Glaucoma (kuwonjezeka kwa kuthamanga kwa magazi m'diso) | Kupanikizika kwa maso kungapitirire. |
| Matenda a impso | Mlingo ungafunike kusinthidwa chifukwa umakhudza kutuluka kwa mankhwala m'thupi. |
| Mavuto a prostate kapena kuvutika kukodza | Zingawonjezere kusadziletsa kwa mkodzo. |
| Matenda a chithokomiro, khunyu | Matendawa amatha kukhudzidwa ndi mankhwala. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Dokotala ayenera kudziwa za zotsatira zomwe zingachitike pa mwana wosabadwayo kapena mwana. |
| Kutupa kwa mankhwala ena, zakudya, kapena zakumwa | Kuti mudziwe ngati muli ndi vuto la ziwengo ku chilichonse mwa zosakaniza zomwe zili mu mankhwalawa. |
Kodi mungagwiritse ntchito bwanji inhaler moyenera?
Momwe mumagwiritsira ntchito inhaler iyi ndikofunikira kwambiri.
- Nthawi yomweyo tsiku lililonse: Imwani mankhwala awa nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera. Umu ndi momwe mungapezere phindu lalikulu kuchokera ku mankhwalawa.
- Werengani kabuku ka malangizo: Werengani kabuku ka malangizo komwe kamabwera ndi mankhwala mosamala. Kali ndi malangizo a momwe mungagwiritsire ntchito bwino chopumira.
- Mvetserani ndipo dziwani:Ngati muli ndi kukayikira kulikonse pa momwe mungagwiritsire ntchito izi, musachite manyazi ndipo funsani dokotala wanu. Iye adzakuwonetsani momwe mungachitire bwino.
- Musagwiritse ntchito mopitirira muyeso womwe mwapatsidwa: Musagwiritse ntchito mopitirira muyeso kapena mopitirira muyeso womwe dokotala wanu wakupatsani.
- Musasiye kumwa mankhwala: Ngakhale mutakhala bwino tsopano, musasiye kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti mutero.
Kodi mungachite chiyani ngati mwaphonya mlingo?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaiwala.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mankhwala ena omwe mukumwa angagwirizane ndi mankhwala opumira awa. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera). Ndikofunikira kwambiri kudziwitsa dokotala wanu ngati mukumwa mankhwala aliwonse mwa awa:
- Mankhwala ena ochizira kuvutika maganizo (monga MAOIs)
- Mankhwala ena a matenda a mtima
- Mankhwala a matenda a chikhodzodzo (monga Oxybutynin, Tolterodine)
- Mankhwala ena a ziwengo, chifuwa, ndi chimfine
- Mankhwala ochizira matenda a bowa (monga Ketoconazole)
- Maantibayotiki ena (monga Clarithromycin, Erythromycin)
- Mankhwala a matenda a Parkinson
- Mankhwala ochepetsa mphamvu ya madzi m'thupi (Diuretics)
- Mankhwala a steroid (monga Prednisone)
- Mitundu ina ya inhalers, monga Ipratropium
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa, ngati mumasuta fodya, kapena ngati mumamwa mowa.
Zinthu zofunika kukumbukira mukamagwiritsa ntchito inhaler
- Osati pazadzidzidzi: Monga tanenera kale, musagwiritse ntchito izi ngati mwangopuma movutikira. Muyenera kugwiritsa ntchito "chopumira chopulumutsa" chanu pazochitika zotere. Ngati mukufuna kugwiritsa ntchito chopumira chopulumutsa nthawi zonse, zikutanthauza kuti vuto lanu silikuthetsedwa. Pitani kwa dokotala nthawi yomweyo.
- Ngati mukuvutika kupuma mutagwiritsa ntchito inhaler: Nthawi zina, kawirikawiri, mungakhale ndi vuto kupuma mutagwiritsa ntchito inhaler iyi. Ngati izi zitachitika,Siyani kugwiritsa ntchito inhaler iyi nthawi yomweyo. Gwiritsani ntchito inhaler yanu yochepetsera ululu ndipo imbani dokotala nthawi yomweyo.
- Chizungulire: Mankhwalawa angapangitse anthu ena kumva chizungulire. Choncho, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Pewani kudzuka kapena kukhala pansi mofulumira kwambiri, makamaka ngati ndinu okalamba.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatira zina zoyipa, ngakhale kuti si aliyense amene amazilandira.
| Kugawa zotsatira zoyipa | |
|---|---|
| 🚨 Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| |
| 🩺 Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
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Kodi mankhwalawo angasungidwe bwanji?
- Sungani pamalo omwe ana aang'ono ndi ziweto sangafikire.
- Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius). Sungani kutali ndi kutentha kwambiri, kuzizira, kapena chinyezi.
- Chofunika Kwambiri: Mkati mwa miyezi itatu kuchokera pamene chopukutiracho chachotsedwa m'thumba lake la foilTayani mutagwiritsa ntchito. Komanso, itayeni pamene kauntala ya mlingo wake yafika pa "0" kapena tsiku lotha ntchito litadutsa. Ngati chimodzi mwa zinthu zitatuzi chiyamba kuchitika, musagwiritsenso ntchito inhaler.
Uthenga Wopita Nawo Kunyumba
- Chopumira ichi ndi "chopumira chowongolera" chomwe chimagwiritsidwa ntchito tsiku lililonse poletsa COPD kwa nthawi yayitali, osati "chopumira" chomwe chimagwiritsidwa ntchito pazidzidzidzi.
- Gwiritsani ntchito izi nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera.
- Nthawi zonse sungani chopumira chanu chotchedwa "Rescue Inhaler" chomwe mwapatsidwa kuti mugwiritse ntchito ngati mwayamba kupuma movutikira.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi matenda omwe mukumwa.
- Ngati vuto la kupuma likuwonjezeka nthawi yomweyo mutagwiritsa ntchito inhaler, musagwiritsenso ntchito ndipo funsani upangiri wa dokotala nthawi yomweyo.
- Musagawireko ena mankhwala anu opumira.
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