Ese muganga wawe yaguhaye umuti mushya wo guhumeka kubera ko ufite COPD (Indwara y’ibihaha idakira)? Ese witwa Aclidinium na Formoterol? Wenda uri ku izina rya Duaklir. Niba ari byo, iyi nkuru izaba ingenzi cyane kuri wewe. Kubera ko uyu muti ugoye, reka dusobanure byose mu buryo bworoshye, nk'aho twavuganye n'inshuti.
Ni iki koko kibaho kuri iyi inhaler?
Mu magambo make, iyi inhaler ikoreshwa mu kugenzura COPD . Ikora mu kwagura inzira z'ubuhumekero mu bihaha byawe, ikaruhura, kandi ikakorohereza guhumeka. Tekereza nko gufungura umuyoboro wafunzwe.
Irimo ubwoko bubiri bw'ingenzi bw'imiti. Umwe ni Aclidinium, uri mu itsinda ryitwa ``Anticholinergic```. Undi ni Formoterol, ari yo ``Bronchodilator```. Ibi byombi bikorana kugira ngo bifashe inzira z'ubuhumekero kugumisha zifunguye.
Icy'ingenzi cyane: Uyu si umuti wo gukoresha iyo ugize ikibazo cyo guhumeka gitunguranye (COPD flare-up). Uyu ni "Controller Inhaler", ikoreshwa buri munsi mu kugenzura ibimenyetso. Muganga wawe ashobora kuba yaraguhaye "Reliever/Rescue" yihariye, ikaba ari inhaler ikora vuba yo gukoresha mu gihe cy'impanuka.
Ibintu ugomba kubwira muganga wawe mbere yo gufata umuti
Mbere yo gutangira gukoresha iyi inhaler, ni ngombwa cyane kuganira na muganga wawe ku buryo bweruye ku bijyanye n'ubuzima bwawe bwose, cyane cyane niba ufite imwe muri izi ndwara zikurikira:
- Asima
- Diyabete
- Glaucoma, indwara yo kwiyongera k'umuvuduko mu maso
- Indwara z'umutima cyangwa umuvuduko ukabije w'amaraso
- Umutima utari umeze neza
- Indwara y'impyiko cyangwa umwijima
- Ibibazo bya prostate
- Indwara zo mu mutwe
- Indwara ya tiroyide
- Niba ufite ubwivumbure kuri iyi miti, ari yo Aclidinium, Formoterol, Atropine , cyangwa poroteyine zo mu mata .
- Niba ufite allergie ku yindi miti iyo ari yo yose, ibiryo, cyangwa irangi.
- Niba utwite cyangwa ugerageza gutwita.
- Niba uri umubyeyi wonsa umwana.
Ni ingenzi cyane ku mutekano wawe kuvuga ibi bintu utarinze kubihisha.
Ni gute wakoresha inhaler neza?
Uyu ni umuti uhumekwa. Uwukoreshe gusa nk'uko muganga wawe yabigutegetse, kandi inshuro nyinshi uko wabigutegetse.
- Gerageza kubikoresha icyarimwe buri munsi . Numara kubigira akamenyero, ntuzigera wibagirwa.
- Ntureke gufata umuti kugeza igihe muganga wawe agutegetse. Komeza kuwufata nubwo ibimenyetso byawe byaba bigabanuka.
- Ntugakoreshe ibirenze urugero rwagenwe. Kubikora ntabwo bizatuma wumva umeze neza vuba, ariko bishobora kongera ingaruka mbi.
Ni iki cyakorwa niba igipimo cyiyongereye (dose irenze urugero)?
Niba utekereza ko warengeje urugero rw'umuti, hamagara ikigo cy'igihugu gishinzwe amakuru ku burozi mu bitaro by'igihugu bya Colombo . Cyangwa ujye mu ishami rishinzwe ubutabazi bwihuse (ETU) ry'ibitaro biri hafi yawe.
Bite se nintakaza dose?
Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
Ese ibi bishobora kugira ingaruka ku yindi miti?
Yego, iki ni ikibazo cy'ingenzi cyane. Iyi humyo ishobora kugira ingaruka ku yindi miti. Bwira muganga wawe imiti yose ufata, atari iyo muganga wawe yaguze gusa, ahubwo n'iyo uguze muri farumasi, vitamine, imiti gakondo (ubuvuzi bwa Sinhala), ndetse n'imirire yawe (inzoga, kunywa itabi).
| Imiti ishobora guteza ibibazo kuri iyi inhaler | |
|---|---|
| Ntuzigere ukoresha ibi hamwe n'amazina. | |
| Izindi mashini zihumeka za LABA | Urugero: Indacaterol, Olodaterol, Salmeterol |
| Imiti imwe n'imwe y'indwara z'umutima | Cisapride, Dofetilide, Dronedarone, Pimozide, Thioridazine |
| Bibwire muganga wawe niba ufata ibi. | |
| Imiti ivura allergie, inkorora, n'ibicurane | Antihistamines |
| Imiti ivura indwara zo mu mutwe n'ihungabana | Ubwoko butandukanye, harimo na MAOIs |
| Indi miti yo mu cyiciro cy'imiti irwanya kolineriji | Ipratropium, Tiotropium, Glycopyrrolate |
| Ibindi | Atropine, Theophylline, imiti imwe n'imwe ivura indwara z'uruhago, indwara ya Parkinson, n'ibibazo byo mu gifu |
Ibintu ugomba kwitondera mu gihe ukoresha n'ingaruka mbi
Buri gihe witondere niba ibimenyetso byawe birushaho kwiyongera cyangwa birushaho kwiyongera mu gihe ukoresha uyu muti. Bibwire muganga wawe ibi iyo umusuye.
Ntugakoreshe iyi inhaler mu bihe byihutirwa. Bika inhaler yawe ya `(Rescue)` hafi yawe mu bihe byihutirwa . Niba ukeneye gukoresha inhaler yawe ya `(Rescue)` kenshi, bivuze ko indwara yawe idakira. Niba ari uko bimeze, hamagara muganga wawe vuba.
Hari igihe ushobora kugira ikibazo cyo kubura umwuka cyangwa guhumeka nyuma yo gukoresha iyi inhaler. Ibi ni ibintu bitunguranye. Niba ibi bibaye, hagarika gukoresha iyi inhaler ako kanya kandi uganire na muganga wawe.
| Ubwoko bw'ingaruka mbi | Ibimenyetso |
|---|---|
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba cyangwa utari mwiza, isereri, ububabare mu gituza, guhumeka bigoranye. |
| Impinduka mu cyerekezo | Kubabara amaso mu buryo butunguranye, kutabona neza, kubona impeta zikikije amatara. |
| Ibindi bimenyetso bikomeye | Ubwiyongere bw'umuvuduko w'amaraso, ububabare bw'imitsi cyangwa kuribwa mu nda, kugorwa no kunyara. |
| Kurushaho kugorwa no guhumeka | Guhumeka bigoranye cyangwa guhumeka nabi nyuma yo gukoresha inhaler. |
| Bwira muganga wawe niba bikomeje cyangwa bikubangamiye. | |
| Ingaruka zisanzwe | Kumunga umunwa, kuribwa mu muhogo, inkorora, kuribwa umutwe, kubabara umugongo, kuribwa mu nda, kudasinzira neza, guhindagura intoki. |
Ni gute ufata neza inhaler?
Kugira ngo imiti ikomeze kuba myiza, ni ngombwa kuyibika neza.
- Bika ahantu abana n'amatungo batagera .
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20-25). Bika ahantu hari ubushyuhe bwinshi, ubukonje cyangwa ubuhehere.
- Koresha inhaler mu mezi 2 uhereye igihe uyikuye mu gafuka kayo .
- Ntugakoreshe inhaler niba ikarita y'umuti igaragaza "0" cyangwa niba itariki ntarengwa yararenze . Muri ibyo bihe, jya uyijugunya, icyo ari cyo cyose kiza mbere.
Ni ngombwa kandi kujugunya imiti ishaje cyangwa itarakoreshejwe mu buryo bwizewe. Baza muganga wawe kuri ibi.
Ubutumwa bwo kujyana mu rugo
- Iyi miti ihumeka (Aclidinium; Formoterol) ni umuti ukoreshwa buri munsi mu kugabanya indwara za COPD. Si umuti ugabanya ububabare.
- Koresha mu gihe kimwe buri munsi, nk'uko muganga wawe yabigutegetse.
- Menyesha muganga wawe indi miti yose , vitamine, n'imiti gakondo ufata.
- Niba uhura n'ingorane zo guhumeka cyane cyangwa ingaruka mbi zikomeye nyuma yo gukoresha umuti, hamagara muganga wawe ako kanya.
- Ntugahagarike gukoresha uyu muti nta nama za muganga.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.