Une chirwere chemapapu chisingaperi here, icho chatinodaidza kuti COPD (Chronic Obstructive Pulmonary Disease) muchipatara? Kana zvakadaro, chiremba wako angangodaro akakupa mushonga wekufema wakadai. Uyu musanganiswa wemishonga mitatu. Kunyangwe zvingaita sekunge zvakaoma pakutanga, mashandisirwo ayo nezvinhu zvaunofanira kuziva nezvazvo zviri nyore kwazvo. Saka ngatitaurei nezvazvo zvakajeka nhasi, sekunge tiri kutaura neshamwari yakanaka.
Chii chaizvo chinoitika nechinhu ichi chinofefetera?
Muchidimbu, mushonga uyu unobatsira mapapu ako kufema zviri nyore. Une mishonga mikuru mitatu: Budesonide , Glycopyrrolate , uye Formoterol . Ngationei kuti chimwe nechimwe cheizvi chinoitei.
- Budesonide: Iyi isteroid inofemedzwa. Inoshanda nekuderedza kuzvimba uye kuzvimba munzira dzekufema. Kana kuzvimba uku kwadzikira, nzira dzekufema dzinowedzera kukura zvishoma.
- Glycopyrrolate neFormoterol: Mishonga iyi yese inonzi bronchodilators. Izvi zvinoreva kuti inoshanda nekurerutsa tsandanyama dzakatenderedza nzira dzekufema dzakamanikana uye dzakaoma, ichidziwedzera. Zvakafanana nekukudza chubhu yakamanikana.
Nekuti mishonga iyi mitatu inoshanda pamwe chete, mushonga uyu unogona kukubatsira kufema zviri nyore mukati mezuva. Ndosaka tichiudaidza kuti "mushonga unodzora." Izvi zvinoreva kuti unoshandiswa kudzora zviratidzo, kuzvichengetedza mukati mezuva, kwete panguva yenjodzi inongoerekana yaitika.
Zvakakosha: Chinhu ichi chekufema hachifanirwe kushandiswa pakukurumidza kweCOPD. Chiremba wako angangodaro akakupa "chinhu chekufema chekununura" chakasiyana kuti ushandise mumamiriro ezvinhu akadaro.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Zvakakosha kuti chiremba wako azive zvizere nezvehutano hwako asati akupe mushonga uyu. Kana uine chimwe chezvirwere zviri pazasi, iva nechokwadi chekuudza chiremba wako nezvazvo.
| Matambudziko ako ehutano |
|---|
| Matambudziko edundira kana kuoma kuita weti |
| Matambudziko emapfupa (semuenzaniso osteoporosis) |
| Chirwere cheshuga |
| Zvirwere zvemaziso (semuenzaniso glaucoma, cataracts) kana matambudziko ekuona |
| Chirwere chemwoyo kana BP yakakwira |
| Nhoroondo yekusarongeka kwemoyo |
| Kusasimba kwemuviri wemuviri kana hutachiona |
| Chirwere cheitsvo |
| Zvirwere zveprostate |
| Chirwere chethyroid |
| Kana wakambova nechirwere chisina kujairika kana kuti chakakurwadza nemishonga iyi (budesonide, formoterol, glycopyrrolate), mimwe mishonga, chikafu kana zvinochengetedza |
| Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa |
Unoshandisa sei mushonga uyu nemazvo?
Kuti uwane zvakawanda kubva pane izvi, zvakakosha kuziva mashandisirwo azvo chaiwo.
- Itore panguva yakakodzera: Itore panguva imwe chete zuva nezuva , sezvakarairwa nachiremba wako. Inowanzo nyorerwa kuti itore kaviri pazuva (mangwanani nemanheru).
- Zunza zvakanaka: Zunza mushonga wekufema zvakanaka usati washandisa.
- Sukurudza muromo wako (chinonyanya kukosha): Kana wapedza kunwa mushonga, nwa mvura mumuromo mako, sukurudza muromo wako zvakanaka, wosvipa usingamedze.Izvi zvakakosha zvikuru nekuti kana mushonga we steroid uri mumushonga uyu ukaramba uri mumuromo mako, unogona kukonzera hutachiona hwefungus (thrush) hunokonzera mavara machena mumuromo mako. Kusukurudza muromo wako ndiyo nzira yekudzivirira izvozvo.
- Usatore zvinopfuura huwandu hwakatarwa: Usatore zvinopfuura huwandu hwakatarwa nachiremba wako (semuenzaniso, kana ukatora kaviri pazuva, kaviri chete).
- Usarega: Ramba uchiishandisa kusvika chiremba wako akuudza kuti urege. Usarega kamwe kamwe, kunyangwe uchinzwa zviri nani.
Kana muine kusava nechokwadi nezvekushandisa mushonga wenyu wekufema, musanyara uye bvunzai chiremba wenyu zvakare kuti ave nechokwadi.
Ko kana ndikashandisa mushonga wakawandisa ndisingazive?
Kana uchifunga kuti watora zvinopfuura zvaunofunga, fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Haisi mishonga yese yaunotora inoenderana neinhaler iyi. Mimwe mishonga inogona kuwedzera migumisiro kana kuchinja mashandiro emushonga uyu kana ukatorwa neinhaler iyi.
| Mishonga isingafanirwe kutorwa nechinhu ichi chinofema |
|---|
| Mishonga yakaita seCisapride, Dronedarone, Pimozide, Thioridazine |
| MAOIs mishonga inoshandiswa kurapa chirwere chepfungwa. |
| Iyi nemimwe mishonga yekufemesa ine mishonga inobvisa mabronchodilator inoshanda kwenguva refu (LABAs) |
Pamusoro pezvo, mimwe mishonga yakawanda inogona kukanganisa izvi. Semuenzaniso:
- Mimwe mishonga yekurapa chirwere chemwoyo neBP (semuenzaniso, beta-blockers dzakadai seAtenolol neMetoprolol)
- Mimwe mishonga yekurapa zvirwere zvakaita sekuora mwoyo
- Mishonga yakaita seKetoconazole neItraconazole, inoshandiswa kurapa hutachiona hwefungus
- Mimwe mishonga inorwisa utachiona yeHIV kana Hepatitis
- Mishonga yakaita seOxybutynin neTolterodine, inoshandiswa pakurapa matambudziko edundira
- Mishonga inobvisa mvura mumuviri ( diuretics )
- Mamwe ma steroidMapiritsi (semuenzaniso, Prednisolone)
Rondedzero iyi haina kukwana. Saka, ipa chiremba wako runyoro rwakakwana rwemishonga yese, mavhitamini, mishonga yemiti, uye zvekudya zvinovaka muviri zvaunotora. Iva nechokwadi chekuudza chiremba wako kana uchisvuta kana kunwa doro.
Ndezvipi zvinotarisirwa kuti zviitike?
Kufanana nemushonga upi zvawo, uyu unogona kukonzera migumisiro yakaipa kune vamwe vanhu. Mimwe yakakomba, mimwe inowanzoonekwa. Zvakakosha kuziva izvi.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kuoma kufema kana kumedza. |
| Kufemera mukati mushure mekushandisa inhaler | Kana kufema kukaoma kunowedzera mushure mekunwa mushonga. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo, kurova kwemoyo kusina kurongeka, kurwadziwa muchipfuva, dzungu. |
| Matambudziko emaziso | Marwadzo emaziso kamwe kamwe, kuona zvisipo, uye mwenje inopenya. |
| Zvirwere zvefungus mumuromo (Thrush) | Mavara machena mumuromo kana parurimi. |
| Kuoma kwekuita weti | Kunzwa kuoma kana kurwadziwa paunenge uchiita weti. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Huro inorwadza, kurira kwezwi | Kuchema, Huro inorwadza |
| Musoro, kukosora, muromo wakaoma | Musoro, Kukosora, Muromo wakaoma |
| Kushaya hope, kudedera kwemuviri | Dambudziko rekurara, Kudedera |
Munochengeta uye munorasa sei mushonga wacho?
- Kuchengetera: Chengeta mushonga uyu wekufema patembiricha yemumba (pakati pe15-30 Celsius), munzvimbo yakaoma. Chengeta kure nevana nezvipfuyo. Usambofa wakachengeta pedyo nekupisa kwakanyanya kana murazvo. Chirongo chinogona kuputika. Usaise mufiriji.
- Kupera Kwenguva: Unofanira kushandisa mushonga wekufema mukati memwedzi mitatu (ye 120 puff canister) kana mavhiki matatu (ye 28 puff canister) kubva pazuva raunovhura packet yearuminiyamu. Kana zvisina kudaro, rasa mushonga wekufema kana chiratidzo chemushonga chikaratidza zero (0) .
- Kurasa: Bvunza chiremba wako kuti akupe mazano ekuti ungarasa sei mushonga wako wekushandisa kana wapera basa.
Mharidzo Yekuenda Nayo Kumba
- Iyi inhaler i "controller inhaler" yaunonwa zuva nezuva kudzora asthma yako. Usashandise kana wangoerekana washaya mweya. Shandisa "rescue inhaler" yako pane izvozvo.
- Mushure mekushandisa kwega kwega, geza muromo wako nemvura zvakanaka wobva wasvipa usingamedze. Izvi zvakakosha kudzivirira hutachiona hwefungus mumuromo.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye mishonga yechivanhu yauri kutora.
- Kana zviratidzo zvako zvikawedzera kana kuti uchifanira kushandisa "relief inhaler" yako kakawanda, fonera chiremba wako nekukasika.
- Chengeta mushonga wekufema nemazvo wourasa zvakachengeteka kana wapera simba.
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