Aliyense amene ali ndi vuto la kupuma movutikira , mphumu , kapena matenda osatha obstructive pulmonary disease (COPD ) amadziwa momwe zimakhalira zovuta kukhala nazo. Kumva ngati chifuwa chanu chili cholimba tsiku lonse, ndipo kumva chizungulire ngakhale mutachita ntchito zazing'ono kungakhale chopinga chachikulu pa moyo wanu watsiku ndi tsiku. Lero tikulankhula za mtundu wapadera wa inhaler womwe madokotala amakulemberani kuti muchepetse mavuto otere. Mwina ndinu m'modzi mwa omwe amagwiritsa ntchito inhaler iyi.
Kodi chopumira ichi ndi chiyani? Kunena zoona...
Ichi ndi chopumira chapadera cha ufa wouma chomwe chili ndi kuphatikiza kwa mankhwala atatu. Mankhwala atatuwa ndi fluticasone, umeclidinium, ndi vilanterol . Dokotala wanu angatchule izi ndi dzina la kampani ya `TRELEGY ELLIPTA`.
Mwachidule, mankhwala atatuwa amagwira ntchito limodzi kuti athandize mapapu anu.
1. Fluticasone: Iyi ndi steroid yopumira yomwe imachepetsa kutupa m'njira zopumira . Taganizirani ngati njira zopumira zanu zatupa komanso zatupa. Mankhwalawa amagwira ntchito pochepetsa kutupa ndikutsegula njira zopumira zanu.
2. Umeclidinium: Iyi ndi mankhwala oletsa cholinergic omwe amamasula minofu yozungulira njira zopumira . Minofu imeneyi ikalimba, kupuma kumakhala kovuta. Mankhwalawa amagwira ntchito pochepetsa kulimba kwa mpweya ndikukulitsa njira zopumira.
3. Vilanterol: Iyi ndi bronchodilator yomwe imagwira ntchito kwa nthawi yayitali yomwe imathandiza kuti njira zopumira zizikhala zotakata .
Zonsezi zitatu zikagwirizana, zimalamulira kupuma kwanu kofooka ndipo zimakuthandizani kupuma mosavuta tsiku lonse.
Chofunika kwambiri: Ichi chimatchedwa "chowongolera inhaler." Izi zikutanthauza kuti chimagwiritsidwa ntchito poletsa zizindikiro zanu tsiku ndi tsiku ndikuletsa kuphulika kwa mphumu kapena COPD.Izi sizingagwiritsidwe ntchito ngati mwadzidzidzi mwadwala mphumu kapena ngati mwadwala matenda oopsa a COPD. Dokotala wanu mwina anakupatsani "chopumira chopulumutsira" china pazidzidzidzi zotere.
Zinthu zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa
Musanapereke mankhwala oti mugwiritse ntchito, dokotala wanu ayenera kulemba mbiri yonse ya matenda anu . Izi zili choncho chifukwa matenda ena amafunika chisamaliro chapadera mukamagwiritsa ntchito mankhwalawa. Ngati muli ndi vuto lililonse mwa omwe ali pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Matenda anu kapena vuto lanu | N’chifukwa chiyani ndiyenera kudziwitsa? (mwachidule) |
|---|---|
| Matenda a shuga | Mankhwalawa angakhudze kuchuluka kwa shuga m'magazi. |
| Matenda a mtima kapena kuthamanga kwa magazi | Kuthamanga kwa mtima kapena kuthamanga kwa magazi kungasinthe. |
| Matenda a maso (makamaka glaucoma) | Kupanikizika kwa maso kungachuluke. |
| Matenda opatsirana m'thupi | Popeza ili ndi ma steroid, ingakhudze momwe matenda amafalikira. |
| Matenda a mafupa | Kugwiritsa ntchito nthawi yayitali kungakhudze mafupa. |
| Matenda a chithokomiro, khunyu, impso, kapena prostate | Zizindikiro za matenda amenewa zimatha kusiyana. |
| Kukhala ndi pakati kapena kuyesa kutenga mimba | Muyenera kulankhula ndi dokotala wanu za zotsatira zomwe zingachitike pa mwana wosabadwayo. |
| Kuyamwitsa | Ndikofunikira kudziwa ngati mankhwalawo amaperekedwa kwa mwana kudzera mu mkaka. |
| Kutupa kwa mkaka kapena lactose | Ufa womwe uli mu inhaler iyi uli ndi lactose. |
Kodi mungagwiritse ntchito bwanji inhaler iyi moyenera?
Momwe izi zimagwiritsidwira ntchito n'kofunika kwambiri. Ngati simugwiritsa ntchito bwino, simudzapeza phindu lonse la mankhwala.
1. Nthawi yomweyo tsiku lililonse: Gwiritsani ntchito izi nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera. Chitani izi chizolowezi.
2. Kukonzekera chopumira: Kankhirani chivundikiro cha chopumiracho kumbali imodzi. Muyenera kuchikankhira mpaka mutamva "kudina". Chopumiracho tsopano chakonzeka kugwiritsidwa ntchito.
3. Kutulutsa mpweya: Musanaike chopumira mkamwa, tulutsani mpweya mozama. Koma musatulutse mpweya m'chopumiracho.
4. Kupuma mankhwala: Tsopano tsekani pakamwa pa chipangizo chopumira mwamphamvu ndi milomo yanu ndipo pumirani mpweya wakuya komanso wautali kudzera pakamwa panu.
5. Kugwira mpweya wanu: Chotsani chopumira pakamwa panu ndikugwira mpweya wanu kwa masekondi 3-4 kapena kutalika komwe mungathe.
6. Mpweya wotuluka: Tsopano tulutsani mpweya.
7. Kutseka chivundikiro: Mukamaliza kugwiritsa ntchito, tsekani chivundikirocho momwe chinalili.
8. Tsukani pakamwa panu (kofunikira!): Iyi ndi sitepe yofunika kwambiri. Mukangogwiritsa ntchito inhaler,Tsukani pakamwa panu bwino ndi madzi ndipo muwalavulire. Musameze madziwo. Izi ndi kupewa thrush.
Ndingatani ngati ndaphonya mlingo?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira (monga, mkati mwa maola ochepa), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi 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.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa ofesi ya dokotala, zitsamba, ndi mavitamini. Mankhwala ena amatha kusokonezana ndi inhaler iyi ndikuyambitsa zotsatirapo zoyipa kapena kuchepetsa mphamvu ya inhaler.
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Mankhwala omwe sayenera kumwedwa pamodzi | |
| Mankhwala ena oletsa kusinthasintha kwa mtima | Cisapride, Dronedarone, Pimozide, Thioridazine |
| Mankhwala oletsa kuvutika maganizo a MAOI | Marplan, Nardil, Parnate |
| Mankhwala ena omwe ayenera kugwiritsidwa ntchito mosamala | |
| Beta-blockers (yogwiritsidwa ntchito pa matenda a mtima/kuthamanga kwa magazi) | Metoprolol, Propranolol |
| Mankhwala ena ophera fungicides ndi maantibayotiki | Ketoconazole, Itraconazole, Clarithromycin |
| Mankhwala ogwiritsidwa ntchito pa matenda a HIV/AIDS | Mankhwala monga Ritonavir |
| Mankhwala opumira omwe amagwiritsidwa ntchito pa matenda ena opumira | Ipratropium, Tiotropium |
Zinthu zofunika kusamala nazo mukamagwiritsa ntchito
- Samalani ndi zizindikiro: Ngati zizindikiro zanu sizikusintha, kapena ngati zikuoneka kuti zikuipiraipira, uzani dokotala wanu nthawi yomweyo.
- Konzekerani zadzidzidzi: Monga tanenera kale, iyi si mankhwala adzidzidzi. Nthawi zonse khalani ndi chopumira chanu chopulumutsa. Ngati mukufunika kuchigwiritsa ntchito pafupipafupi, chikhoza kukhala chizindikiro chakuti vuto lanu silikutha. Ngati izi zitachitika, lankhulani ndi dokotala wanu.
- Kupuma movutikira mukangogwiritsa ntchito: Nthawi zambiri, anthu ena amavutika kupuma akangogwiritsa ntchito inhaler iyi. Ngati izi zitachitika, siyani kugwiritsa ntchito inhaler iyi nthawi yomweyo, gwiritsani ntchito inhaler yanu yochepetsera ululu, ndipo lankhulani ndi dokotala wanu.
- Dzitetezeni ku matenda: Mankhwalawa angakhudze chitetezo chanu cha mthupi pang'ono. Choncho, yesetsani kupewa anthu omwe ali ndi malungo kapena chimfine . Uzani dokotala wanu ngati mukuyamba zizindikiro monga malungo, kupweteka kwa thupi, kapena kupweteka pakhosi.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zake, koma anthu ambiri sakumana ndi zotsatirapo zake zoopsa.
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira, kupweteka pachifuwa, chizungulire. |
| Kusintha kwa masomphenya | Kuona molakwika, kupweteka kwa maso mwadzidzidzi, kuona mphete mozungulira magetsi. |
| Madontho oyera mkamwa (Thrush) | Matenda a bowa mkamwa kapena pakhosi (akhoza kupewedwa potsuka pakamwa). |
| Kuvuta kukodza | Kuvuta kapena kupweteka pokodza. |
| Mutu | Kupweteka pakhosi kapena kusanza |
| Pakamwa pouma | Chifuwa |
| Kuvuta kugona | Kunjenjemera (kunjenjemera pang'ono) m'manja |
Uthenga Wopita Nawo Kunyumba
- Chopumira ichi ndi "chopumira chowongolera" chomwe chimagwiritsidwa ntchito poletsa matendawa tsiku ndi tsiku, osati "chopumira chochepetsa" chomwe chimagwiritsidwa ntchito pochiza matenda mwadzidzidzi.
- Mukatha kugwiritsa ntchito nthawi iliyonse, tsukani pakamwa panu bwino ndi madzi ndipo mutaye madziwo. Izi ndi zofunika.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda ena aliwonse omwe muli nawo.
- Funani upangiri wa dokotala nthawi yomweyo ngati zizindikiro zanu zikuipiraipira kapena ngati mukukumana ndi zotsatirapo zachilendo.
- Mankhwala opumira awa ndi anu okha. Musagawane ndi ena.
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