Chiremba wenyu akakupai mushonga mutsva wekufema nekuti mune COPD (Chronic Obstructive Pulmonary Disease) here? Unonzi Aclidinium neFormoterol here? Pamwe uri pasi pezita rekuti Duaklir. Kana zvakadaro, chinyorwa chino chichava chakakosha kwamuri. Sezvo uyu mushonga wakaoma, ngatitsanangurei zvese zviri nyore, sekunge tiri kutaura neshamwari.
Chii chaizvo chinoitika nechinhu ichi chinofefetera?
Zvichitaurwa zviri nyore, mushonga uyu unoshandiswa kudzora COPD . Unoshanda nekuwedzera nzira dzekufema dziri mumapapu ako, kuazorodza, uye kuita kuti zvive nyore kufema. Funga nezvazvo sekuvhura pombi yakavharika.
Ine mhando mbiri huru dzemishonga. Imwe iAclidinium, iri muboka rinonzi ``Anticholinergic```. Imwe iFormoterol, inova ``Bronchodilator``. Zvose izvi zvinoshanda pamwe chete kubatsira kuchengetedza nzira dzekufema dzakavhurika.
Zvakakosha: Uyu hausi mushonga wekushandisa kana ukangoerekana wave nedambudziko rekufema (COPD flare-up). Uyu mushonga we "Controller Inhaler", unoshandiswa zuva nezuva kudzora zviratidzo. Chiremba wako anogona kunge akakupa mushonga we "Reliever/Rescue" wakasiyana, unova mushonga we "quick-activity inhaler" wekushandisa panguva yenjodzi.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga
Usati watanga kushandisa mushonga uyu, zvakakosha kuti utaure nachiremba wako pachena nezvenhoroondo yako yehutano, kunyanya kana uine chimwe chezvirwere zvinotevera:
- Asima
- Chirwere cheshuga
- Glaucoma, chirwere chekuwedzera kwedzvinyiriro mumaziso
- Chirwere chemwoyo kana BP yakakwira
- Kurova kwemoyo kusina kurongeka
- Chirwere cheitsvo kana Chiropa
- Matambudziko eprostate
- Kubatwa nepfari
- Chirwere chethyroid
- Kana uine allergy nemishonga iyi, inonzi Aclidinium, Formoterol, Atropine , kana mapuroteni emukaka .
- Kana uine allergies kune chero mimwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri.
- Kana uri amai vari kuyamwisa mwana.
Zvakakosha zvikuru kuti ugare wakachengeteka kutaura zvinhu izvi usingazvivanzi.
Nzira yekushandisa sei inhaler nemazvo?
Uyu mushonga unofemedzwa. Ushandise chete sezvawakarairwa nachiremba wako, uye kakawanda chete kana wanyorerwa.
- Edza kuishandisa panguva imwe chete zuva nezuva . Kana wangozvijaira, hauzombokanganwi.
- Usarega kutora mushonga kusvika chiremba wako akuudza kuti udaro. Ramba uchitora mushonga uyu kunyangwe zviratidzo zvako zvikadzikira.
- Usashandise zvinopfuura mwero wakatarwa. Kuita izvi hakuzoiti kuti unzwe zviri nani nekukurumidza, asi zvinogona kuwedzera migumisiro yakaipa.
Chii chekuita kana dose ikawedzera (overdose)?
Kana uchifunga kuti washandisa zvinodhaka zvakanyanya, fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
Ko kana ndikarasikirwa nedosi?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga unotevera panguva yakatarwa. Usambofa watora mishonga miviri panguva imwe chete.
Izvi zvinogona kudyidzana nemimwe mishonga here?
Ehe, uyu mubvunzo unokosha zvikuru. Mushonga uyu unogona kushanda pamwe chete nemimwe mishonga. Saka udza chiremba wako nezvemishonga yese yauri kutora, kwete chete yawakanyorerwa nachiremba wako, asiwo yaunotenga kupharmacy, mavhitamini, mishonga yechivanhu (mushonga wechiSinhala), uye kunyange maitiro ako ekudya (doro, kusvuta).
| Mishonga inogona kukonzera matambudziko nechinhu ichi chinofema | |
|---|---|
| Usamboshandisa izvi nemazita. | |
| Mamwe maLABA inhalers | Semuenzaniso: Indacaterol, Olodaterol, Salmeterol |
| Mimwe mishonga yezvirwere zvemwoyo | Cisapride, Dofetilide, Dronedarone, Pimozide, Thioridazine |
| Udza chiremba wako kana uri kutora mishonga iyi. | |
| Mishonga yekurapa allergies, kukosora, uye dzihwa | Mishonga inorwisa histamine |
| Mishonga yekurapa chirwere chepfungwa nekuora mwoyo | Mhando dzakasiyana-siyana, kusanganisira MAOIs |
| Mimwe mishonga iri mukirasi yeanticholinergic | Ipratropium, Tiotropium, Glycopyrrolate |
| Zvimwe | Atropine, Theophylline, mimwe mishonga yezvirwere zvedundira, chirwere cheParkinson, uye matambudziko emudumbu |
Zvinhu zvekungwarira pakushandisa uye migumisiro yazvo
Gara uchitarisa kana zviratidzo zvako zvichivandudzika kana kuti zvichiwedzera paunenge uchishandisa mushonga uyu. Udza chiremba wako nezvazvo paunoshanyira chiremba.
Usashandise mushonga uyu wekufema panguva dzenjodzi. Chengeta mushonga wako wekufema we`(Rescue)` pedyo nenguva dzenjodzi . Kana uchida kushandisa mushonga wako wekufema we`(Rescue)` nguva nenguva, zvinoreva kuti mamiriro ako ezvinhu haasi kudzoreka. Kana zvakadaro, fonera chiremba wako nekukasika.
Dzimwe nguva, unogona kunzwa kupererwa nemhepo zvakanyanya kana kufemereka mushure mekushandisa mushonga uyu. Izvi hazvitarisirwi. Kana izvi zvikaitika, rega kushandisa mushonga uyu nekukasika wotaura nachiremba wako.
| Rudzi rwemhedzisiro yakaipa | Zviratidzo |
|---|---|
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kurwadziwa pachipfuva, kunetseka kufema. |
| Kuchinja kwemaonero | Kurwadziwa kwemaziso kamwe kamwe, kuona zvisipo, kuona mhete dzakatenderedza mwenje. |
| Zvimwe zviratidzo zvakakomba | Kuwedzera kweBP, kurwadziwa kwetsandanyama kana kuzvimba kwemuviri, kuoma kuita weti. |
| Kuwedzera kuoma kwekufema | Kutadza kufema zvakanaka kana kuwedzera kufema mushure mekushandisa mushonga wekufema. |
| Udza chiremba wako kana zvichiramba zvichiitika kana kuti zvichikunetsa. | |
| Migumisiro yakajairika | Muromo wakaoma, pahuro panorwadza, kukosora, musoro, kurwadziwa nemusana, kuvimbiwa, kushaya hope, kudedera kwemaoko. |
Unobata sei chinhu chinofema mweya zvakanaka?
Kuti mishonga irambe yakanaka, zvakakosha kuichengeta zvakanaka.
- Chengeta kure nevana nezvipfuyo .
- Chengeta patembiricha yemumba (pakati pe20-25 degrees Celsius). Chengeta kure nekupisa kwakanyanya, kutonhora, kana hunyoro.
- Shandisa mushonga wekufema mukati memwedzi miviri mushure mekuubvisa mubhegi rayo refoil .
- Usashandise mushonga wekufema kana mushonga wacho uchiratidza kuti "0" kana kuti zuva rekupera kwawo rapfuura . Muzviitiko izvozvo, urasire, chero chipi zvacho chinotanga.
Zvakakoshawo kurasa mishonga yekare kana isina kushandiswa zvakachengeteka. Bvunza chiremba wako nezvenyaya iyi.
Mharidzo Yekuenda Nayo Kumba
- Mushonga uyu wekufema (Aclidinium; Formoterol) unotorwa zuva nezuva kuti ubatsire varwere vane COPD. Hausi mushonga unoderedza dambudziko.
- Ishandise panguva imwe chete zuva nezuva, sezvakarairwa nachiremba wako.
- Udza chiremba wako nezvemimwe mishonga yese , mavhitamini, nemishonga yechivanhu yauri kutora.
- Kana ukanyanya kunetseka kufema kana kuti ukakanganiswa zvakanyanya mushure mekushandisa mushonga, fonera chiremba wako nekukasika.
- Usarega kushandisa mushonga uyu usina kupiwa mazano nachiremba.
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