Iwe une asthma zvakare here? Zvinofanira kunge zvakaoma kuita mabasa ako ezuva nezuva nekuda kwekugara uchifema uye kuoma kufema, handiti? Vanachiremba vanowanzo kurudzira mhando mbiri dzemainhaler kuvanhu vakadaro. Imwe i'Reliever' inhaler, iyo inoshandiswa kana asthma yangoerekana yawedzera kuipa. Imwe i'Controller' inhaler, iyo inochengetedza asthma ichidzora uye inodzivirira kurwiswa. Nhasi tichataura nezveinhaler ine mushonga weBudesonide, uri werudzi urwu rwechipiri uye unoshandiswa nevanhu vazhinji.
Chii chaizvo chinoitika nechinhu ichi chinofefetera?
Muchidimbu, Budesonide mushonga uri muboka remishonga inonzi 'inhaled steroids' . Unoshanda nekuderedza kuzvimba uye kunzwa kwemhepo mumapapu. Kana kuzvimba uku kwadzikira, nzira dzemhepo dzinovhurika uye zvinova nyore kufema.
Chinhu chakakosha ndechekuti iyi inhaler inodzora inodzivirira uye inodzora zviratidzo zveasthma. Inoshandiswa kuchengetedza asthma iri padanho rakanaka kwenguva refu. Hazvibatsiri kuishandisa pakurwiswa kweasthma kamwe kamwe. Muchiitiko chakadaro, unofanirwa kushandisa 'Reliever' (semuenzaniso Salbutamol) inhaler yawakanyorerwa nachiremba.
Zvinhu zvaunofanira kuudza chiremba wako usati washandisa izvi
Usati wakupa mushonga weBudesonide inhaler, chiremba wako anofanira kuziva nhoroondo yako yese yehutano. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
| Dambudziko/hutano | Tsananguro |
|---|---|
| Kurwara | Kana wakambova neallergy nebudesonide, mamwe masteroids, mimwe mishonga, chikafu kana zvinochengetedza. |
| Utachiona huripo | Kunyanya kana uine hutachiona hwakaita sechicken pox, herpes, kana chero humwe hutachiona mumuviri wako. |
| Zvirwere zvemaziso | Kana uine zvirwere zvemaziso zvakaita se glaucoma. |
| Kushaya simba kwemapfupa | Kana uine chirwere chekuonda mapfupa chakadai se osteoporosis. |
| Kushandisa mimwe mishonga | Kana uri kushandisa mamwe ma steroid akaita sePrednisone. |
| Mamwe mapoinzi | Kana wakambovhiyiwa nguva pfupi yadarika, uine dambudziko nemasoja emuviri wako, une pamuviri, uri kuedza kubata pamuviri, kana kuti uri amai vanoyamwisa. |
Unonyatsoshandisa sei izvi?
Nzira chete yekuwana pundutso iyi ndeyekuishandisa nemazvo.
1. Maitiro akakodzera: Verenga mirairo inouya neinhaler yega yega nokungwarira. Gadzirira inhaler sezvakarairwa uye fema mweya wakadzika mumuromo mako. Kana usina chokwadi chekuti ungaishandisa sei, bvunza chiremba wako kuti akupe mirairo.
2. Geza muromo wako: Mushure mekushandisa mushonga wekufemesa, iva nechokwadi chekusuka muromo wako nemvura zvakanaka wobva wasvipa. Usamedze mvura. Izvi zvinoitirwa kudzivirira zvinhu zvakaita semapundu mumuromo mako nepahuro.
3. Nguva yezuva: Inwa mushonga uyu panguva imwe chete zuva nezuva sezvakarairwa nachiremba wako. Kana ukautora kaviri pazuva, utore panguva imwe chete mangwanani nemanheru.
4. Nemamwe mainhaler: Kana wakapihwa mushonga we'Reliever' (semuenzaniso Albuterol, Salbutamol) uye uchida kushandisa ese ari maviri panguva imwe chete, shandisa mushonga we'Reliever' kutanga . Wobva wamirira kwemaminitsi mashanu, wobva washandisa mushonga weBudesonide.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Ngatitii wakanganwa kutora mushonga wako wemangwanani. Utore nekukurumidza sezvaunoyeuka. Asi kana kwasara maawa mashoma usati watora mushonga wako unotevera (mushonga wemanheru) kana wayeuka, svetuka mushonga wausina kutora wotora mushonga wemanheru panguva yakatarwa. Usatore mushonga wakapetwa kaviri chero chikonzero chipi zvacho.
Ko kana ikashandiswa zvakanyanya?
Kana uchifunga kuti wakashandisa mushonga uyu zvakanyanya, fonera National Poisons Information Centre kuColombo National Hospital nekukasika, kana kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Zvinhu zvekungwarira pakushandisa
- Kuongororwa nguva dzose: Ramba uchiona chiremba wako kuti uone mamiriro ako ezvinhu. Kana zviratidzo zvako zvikasavandudzika kana kuti zvikasawedzera kuipa, udza chiremba wako.
- Chirongwa Chekuita neAsthma: Iwe nachiremba wako munogona kushanda pamwe chete kugadzira 'Asthma Action Plan' yakasarudzika iyo ichakubatsira kunzwisisa zvekuita kana asthma yako yava kuipa (yellow zone) uye kana uchida kutsvaga rubatsiro rwechiremba nekukasika (red zone).
- Dziviriro kubva kuzvirwere: Dziviriro yemuviri wako inogona kudzikira zvishoma kana uchishandisa mushonga uyu. Saka edza kugara kure nevanhu vanorwara. Kana ukaona zviratidzo zvakaita sefivha, dzihwa, kana kurwadziwa pahuro, usazvirape wega woenda kuna chiremba.
Migumisiro yemushonga
Kufanana nemushonga upi zvawo, izvi zvinogona kukonzera migumisiro yakaipa kune vamwe vanhu. Zvisinei, vanhu vazhinji havasangani nematambudziko makuru.
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Matambudziko ekufema | Kana uchinzwa kuoma kufema kana kufemereka zvakanyanya mushure mekushandisa inhaler. |
| Zvirwere zvefungus mumuromo (Thrush) | Mavara machena mumuromo. |
| Kuderera kwebasa readrenal | Kusvotwa, kurutsa, kushaya chido chekudya, kuneta kwakanyanya, dzungu. |
| Zvimwe zvinhu | Zviratidzo zvechikosoro kana furuu zvakaita sefivha, kurwadziwa kwemuviri, musoro, kurwadziwa kana kusanzwa simba mumakumbo. |
| Kazhinji hapana chekunetseka nacho (asi udza chiremba wako kana chikaramba chiripo) | |
| Kurwara nehuro | Kushoshoma |
| Kukosora | Kunzwa shanduko mukuravira |
| Mhuno inoyerera kana mhino yakazadza | |
Kuchengeta mushonga
- Chengeta mushonga wako wekufema kure nevana nezvipfuyo .
- Chengeta patembiricha yemumba (pakati pe20-25 degrees Celsius). Usachengete munzvimbo dzine kupisa kwakanyanya, kutonhora, kana hunyoro.
- Rasa mushonga wekufemesa kana mushonga wacho wakanyorwa kuti "0" kana kuti zuva rekupera kwemushonga rapfuura.
Mharidzo Yekuenda Nayo Kumba
- Budesonide mushonga wekufema wenguva refu weasthma. Haugone kushandiswa pakurwisa asthma.
- Mushure mekushandisa mushonga wekufemesa, iva nechokwadi chekusuka muromo wako nemvura wobva wasvipa.
- Udza chiremba wako nezve chero zvimwe zvirwere zvaunazvo kana mimwe mishonga yauri kutora.
- Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Asi kana yava nguva yekuti utore dosi rinotevera, siya dosi rausina kutora wotora dosi rinotevera panguva yakatarwa. Usatore dosi mbiri panguva imwe chete.
- Kana ukaona kuoma kufema kana zvimwe zviratidzo zvakakomba zvekurwara mushure mekushandisa mushonga wekufemesa, tsvaga rubatsiro rwechiremba nekukasika.
- Kana muine mibvunzo kana zvinokunetsai nezveasthma yenyu, taurai nachiremba wenyu.
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