Ese iyi niyo ihumeka muganga yaguhaye kubera ikibazo cyawe cyo guhumeka? (Ipratropium; Albuterol Metered Dose Ihaler - MDI)

Ese hari igihe wumva ufite ikibazo cyo guhumeka? Ese wumva igituza cyawe kirimo kubyimba, cyangwa wumva umerewe nabi cyane nk'aho ugiye gucika intege? Ahari muganga wawe yakubwiye ko ufite indwara yitwa `COPD (Indwara y'ibihaha idakira)` kandi akakubwira gukoresha inhaler nk'uburyo bwo kuyivura. Muri ibyo bihe, inhaler imwe ushobora kubona ni `Ipratropium; Albuterol Metered Dose Inhaler (MDI)`. Reka tubiganireho birambuye uyu munsi.

Ni iki kigenda kuri iyi inhaler? (`Ipratropium; Albuterol MDI`)

Mu magambo make, iyi humyo ikoreshwa mu kuvura indwara idakira yo mu bihaha (COPD) . Tekereza ko imiyoboro mito ijyana umwuka mu bihaha byawe yazibye. Uyu muti ukora mu gufungura iyo nzira z'ubuhumekero zazibye , bigatuma byoroha guhumeka.

Mu by’ukuri iyi ni imiti ibiri ivanze: umwe ni umuti urwanya kolineriji n’undi ni umuti ugabanya ubushyuhe bw’amaraso. Iyi miti yombi hamwe ifasha kwagura inzira z’ubuhumekero. Iyi miti ikunze kwitwa 'inhaler igenzura' . Ibi bivuze ko uyikoresha mu kugenzura COPD yawe buri munsi, ntabwo ari iyo ugize ikibazo gitunguranye. Ibi ntabwo bizagufasha ku ndwara ya COPD itunguranye , kandi muganga wawe ashobora kuba yaraguhaye indi ihaler kuri ibyo.

Hari igihe abaganga bashobora gukoresha uyu muti ku zindi ndwara. Niba ufite ikibazo kuri wo, ni byiza kubaza muganga wawe cyangwa umufarumasiye. Izina ry'ikirango cy'uyu muti rizwi cyane ni `Combivent Respimat`.

Ni iki nabwira muganga mbere yo gufata uyu muti?

Mbere yo gutangira gukoresha iyi inhaler, hari ibintu bimwe na bimwe ugomba kubwira muganga wawe. Kuko ayo makuru azamufasha guhitamo niba uyu muti ukubereye cyangwa utakubereye, n'uko wawutanga.

Niba ufite ibi bintu, vuga uti:

• Indwara z'umutima: Niba ufite indwara y'umutima, ugomba kubimenyesha muganga wawe, kuko uyu muti ushobora kugira ingaruka nke ku muvuduko w'umutima wawe.
• Umuvuduko w'amaraso ukabije: Niba umuvuduko w'amaraso wawe uri hejuru, vuga nabyo.
• Umutima utera nabi: Niba umutima wawe utera nabi, vuga nawe.
• Indwara zo kurwara indwara: Niba warigeze kugira ubwivumbure ku miti `ipratropium`, `albuterol`, `atropine`, cyangwa indi miti, ibiryo, irangi, cyangwa imiti irinda indwara, ugomba kubibwira muganga wawe niba warigeze kugira ubwivumbure mu gihe cyashize.
• Niba utwite cyangwa ugerageza gutwita: Muri ibi bihe, ni ngombwa kubimenyesha muganga wawe, kuko imiti imwe n'imwe ishobora kugira ingaruka ku mwana.
• Niba uri umubyeyi wonsa:Ibi bigomba kandi kuganirwaho mu gihe cyo konsa.

Mu kuvuga ibi bintu neza, muganga ashobora kugufasha mu buryo burambye.

Ni gute ukoresha iyi inhaler neza?

Iyi inhaler igomba gukoreshwa uhumeka unyuze mu kanwa . Wibuke kuyikoresha neza nk'uko muganga wawe yabikubwiye, icyarimwe buri munsi, icyarimwe. Ntukigere ukoresha ingano irenze iyagenwe. Komeza kuyikoresha kugeza igihe muganga wawe azakubwiriye guhagarika.

Iyi inhaler iza iri kumwe n'agapapuro k'AMABWIRIZA YO GUKORESHA . Soma witonze. Niba hari ikintu udasobanukiwe, saba umufarumasiye wawe cyangwa umuganga wawe kugira ngo agusobanukirwe neza. Kuko umusaruro mwiza uboneka iyo ukoresheje umuti neza.

Icy'ingenzi: Uyu muti wanditswe kuri wewe gusa. Ntuwuhe undi muntu uwo ari we wese ku mpamvu iyo ari yo yose.

Ugomba kwitonda cyane mu gihe uha abana bato uyu muti. Kubwibyo, niba ukoresha uyu muti ku mwana, ganira na muganga wawe kuri uwo muti.

Kunywa imiti irenze urugero: Niba ubona ko wafashe imiti myinshi kuruta uko wabitekerezaga, ugomba guhita ujya mu bitaro bikuru byihutirwa cyangwa ugahamagara ikigo gishinzwe kurwanya uburozi.

Wakora iki iyo usibye gahunda yo gufata imiti?

Niba wabuze dose, fata vuba uko wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose ikurikira hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri cyangwa zirenzeho.

Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti? (Imikoranire)

Imiti imwe n'imwe ishobora kugira ingaruka ku iyi inhaler iyo uyikoresheje. Ibi bivuze ko ingaruka mbi zishobora kwiyongera cyangwa ubushobozi bw'iyi inhaler bukagabanuka. Kubwibyo, ni ngombwa cyane kubwira muganga wawe imiti yose ufata.

Iyi inhaler ishobora kugira ingaruka ku bikurikira:

• 'Atropine'
• Beta-blockers (urugero, imiti y'umuvuduko w'amaraso nka metoprolol na propranolol)
• Imiti imwe n'imwe ivura allergie, inkorora, n'ibicurane
• Imiti imwe n'imwe ivura ibibazo by'inkari (urugero: oxybutynin, tolterodine)
• Imiti imwe n'imwe ivura indwara zo mu mutwe ziterwa no kwiheba, guhangayika, cyangwa izindi ndwara zo mu mutwe
• Imiti imwe n'imwe ivura indwara zo mu gifu (urugero: dicyclomine, hyoscyamine)
• Imiti ivura indwara yo kugenda (urugero, `scopolamine`)
• Imiti imwe n'imwe ivura indwara ya Parkinson (urugero: benztropine, trihexyphenidyl)
• Utunyangingo tw'imitsi
• Imiti yitwa `MAOIs` (urugero: `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`)
• Imiti imwe n'imwe ivura indwara y'umutima idakora neza
• Imiti itera imbaraga mu kugabanya ibiro, cyangwa kugira ngo umuntu agume ari maso

Uru rutonde ntirwuzuye. Kubwibyo, bwira muganga wawe imiti yose ufata (harimo na vitamine, imiti y'ibimera, n'imiti igurishwa mu kigo), inyongeramusaruro ufata, kandi niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Hari ibintu bishobora kugira ingaruka ku miti yawe.

Ibintu ugomba kwitondera mu gihe ukoresha uyu muti

• Niba ibimenyetso byawe bitagenze neza, bivuze ko guhumeka kwawe kudateye neza, bwira muganga wawe.
• Niba guhumeka kwawe kurushijeho kumera nabi mugihe ukoresha uyu muti, cyangwa niba wumva urimo kumera nabi, hamagara muganga wawe vuba.
• Ntureke gufata imiti yawe utabanje kugirwa inama na muganga.
• Mu kanwa kawe ushobora kumva wumye. Guhekenya ishinya ridafite isukari, kunywa bombo ikomeye idafite isukari, no kunywa amazi menshi bishobora gufasha. Iki kibazo nigikomeza cyangwa kikarushaho gukomera, bwira muganga wawe.
• Ushobora kumva umeze nk'ufite isereri cyangwa utabona neza. Ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikintu cyose gisaba kwitonda kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Ntugahaguruke uvuye aho wicaye cyangwa uhagaze mu buryo butunguranye, cyane cyane niba ugeze mu za bukuru. Kubikora bishobora kugabanya ibyago byo kurwara isereri no kugwa.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, iyi ishobora gutera ingaruka zimwe na zimwe, nubwo atari buri wese uzibona.

Ingaruka mbi ugomba guhita umenyesha muganga wawe:

• Indwara zo kugira ubwivumbure: Kuryarya ku ruhu, kubyimba, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Imihindagurikire y'umutima: Umutima utera vuba cyangwa utari umeze neza, isereri, gucika intege, kubabara mu gituza, guhumeka bigoranye.
• Ukwiyongera k'umuvuduko w'amaraso.
• Kubabara imitsi cyangwa kuribwa mu nda.
• Ububabare bw'amaso butunguranye cyangwa impinduka mu kureba: kutabona neza, kubona indorerwamo zikikije amatara, gutakaza ubushobozi bwo kureba.
• Ikibazo cyo gusohora inkari.
• Guhumeka nabi cyangwa kugorana nyuma yo kubikoresha.

Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga wawe mu gihe zikomeje cyangwa zigatera ibibazo:

• Impatwe
• Inkorora
• Umunwa wumye
• Umutwe (Iyi ni inyuguti mbi mu kinyajeworujiya, ijambo rikwiye rya Sinhala ni: )
• Kubabara mu muhogo
• Guhinda umushyitsi cyangwa kunyeganyega
• Ikibazo cyo gusinzira

Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose zishobora kubaho. Niba ubonye ibimenyetso bidasanzwe, vugana na muganga wawe. Ushobora gutanga raporo kuri FDA kuri 1-800-FDA-1088.

Uyu muti nawubika he?

• Bika ahantu abana bato n'amatungo batagera.
• Bika ahantu hashyushye mu cyumba (hagati ya dogere selisiyusi 15 na 30 / dogere selisiyusi 59 na 86). Ntuzigere ukonjesha.
• Igikoresho cyo guhumeka kigomba gutabwa nyuma yo guteranywa, amezi 3 nyuma yo gukoreshwa bwa mbere, cyangwa nyuma yuko igikoresho cyo guhumeka kimaze gufungwa (icyo ari cyo cyose kiza mbere).

Ubutumwa bwa nyuma bwo kujyana mu rugo

Sawa, rero ndizera ko ubu usobanukiwe neza n'umuti wa `Ipratropium; Albuterol` twavuze.

Wibuke ko iyi ari "inure ifata" kugira ngo igenzure indwara yawe ya COPD. Ntabwo ari iyo mu bihe byihutirwa.

Nk’uko muganga abivuga, icy’ingenzi ni ugukoresha igipimo gikwiye mu gihe gikwiye. Niba ufite ikibazo cyangwa gushidikanya, ntugatinye kubaza muganga wawe cyangwa umufarumasiye. Ni inshingano zawe kwita ku buzima bwawe.

Nanone, ntukibagirwe kubwira muganga wawe imiti yose ufata n'indwara iyo ari yo yose ufite. Ni bwo azabasha kuguha ubuvuzi bwiza kandi bwizewe.

` Impumuro, COPD, Ipratropium, Albuterol, Indwara z'ubuhumekero, Indwara z'ibihaha, Ubuvuzi