Iwe kana mumwe munhu mumhuri yako akambosangana nedambudziko rekufema kamwe kamwe, kuomeswa nechipfuva, uye kuchema-chema kwekuti "whoosh.. whoosh.."? Uku kunowanzoitika uye kusingafadzi kune munhu ane chirwere chakadai seasthma. Nhasi, tichataura nezvemushonga unoshandiswa munguva dzakadai uye unopa zororo nekukurumidza. Uyu mushonga we epinephrine, unopiwa kuburikidza ne nebulizer.
Mushonga uyu unonzi Epinephrine chii?
Zvichitaurwa zviri nyore, epinephrine mushonga unoshandiswa kurapa zvirwere zvinokonzera kuoma kwekufema mumapapu. Kunyanya muzvirwere zvakaita seasthma, kutetepa kwenzira dzekufema (bronchi) dzinotakura mweya kuenda kumapapu edu kunoitika. Mukurapa, tinozvidaidza kuti `(Bronchospasm)`.
Fungidzira kuti kana pombi yemvura yavharwa pakati, zvinova zvakaoma kuti mvura ipfuure nepakati. Kana nzira idzi dzekufema dzavharwa, zvinova zvakaoma kuti tifeme. Zvinoitwa ne epinephrine kuvhura nekuvhara nzira idzi dzekufema dzakatetepa uye dzakatetepa. Zvakafanana nekuburitsa chubhu yakavharika. Ipapo mhepo inogona kupinda nekubuda mumapapu zviri nyore, uye kufema kunova nyore zvakare.
Mushonga uyu dzimwe nguva ungawanikwa pamusika uchishandisa mamwe mazita. Muenzaniso ndewekuti `(Adrenalin)`. Asi chinhu chinoshanda chakafanana.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati watora chero mushonga, zvakakosha kuudza chiremba wako nhoroondo yako yese yezvekurapa. Nekuti mumwe mushonga unogona kukanganisa mumwe. Usati watora epinephrine, iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera.
| Hutano hwako | Sei uchifanira kuzivisa? |
|---|---|
| Chirwere cheshuga | Epinephrine inogona kuwedzera huwandu hweshuga muropa. |
| Glaucoma | Pane mukana wekuwedzera kumanikidzwa kwemaziso. |
| Chirwere chemwoyo | Zvinogona kuwedzera kurova kwemoyo neBP, izvo zvinogona kuwedzera mutoro pamoyo. |
| Kukwira kweropa | Mushonga uyu unogona kuwedzera BP. |
| Chirwere cheParkinson | Zviratidzo, kunyanya kudedera, zvinogona kuwedzera. |
| Chirwere chethyroid | Zviratidzo zvinogona kuwedzera kana gland re thyroid rikashanda zvakanyanya. |
| Zvimwe zvirwere zvemuviri | Kana uine allergies kune epinephrine, mimwe mishonga, chikafu, kana zvinochengetedza. |
| Kana uine pamuviri kana kuti uchitarisira mwana | Zvakakosha kubvunza chiremba nezvekushandiswa kwemishonga panguva yekuzvitakura. |
| Kana uri amai vanoyamwisa | Unofanira kutaura nachiremba wako nezve mukana wekuti mushonga uyu upfuure kumwana wako kuburikidza nemukaka wemuzamu. |
Mushonga uyu unoshandiswa sei chaizvo?
Mushonga uyu unoshandiswa nemudziyo unonzi nebulizer . Izvi zvinoshandura mushonga, uri muchimiro chemvura, kuita mhute diki (aerosol) yaunogona kufema. Wobva wafemera mhute iyi mumapapu ako, kungave nemuromo wako kana kuburikidza nemasiki anovhara muromo wako nemhino.
Chinonyanya kukosha: Gara uchitevera mirairo yachiremba wako kana yakanyorwa mubhuku remishonga . Usatore kakawanda kana kuti muhuwandu hwakanyanya kupfuura hwakarairwa.
Mushonga uyu unopiwa vana vadiki, kunyanya avo vane makore anopfuura mana, mune dzimwe nguva. Asi unoitiswa nokungwarira zvikuru pasi pekutarisirwa nachiremba.
Chii chaunofanira kuita kana ukatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga unopfuura wakatarwa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika . Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Yeuka kuti mushonga uyu wakanyorerwa iwe chete. Usambougovana nemumwe munhu.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Mimwe mishonga inogona kushanda pamwe chete kana ikatorwa pamwe chete. Izvi zvinoreva kuti kushanda kwemushonga mumwe chete kunogona kuwedzera, kudzikira, kana kukonzera migumisiro isingadiwe. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (yakanyorwa nachiremba, isingatengeswi nechiremba, yemishonga yemishonga, uye kunyange mavitamini).
Kunyanya musatore epinephrine pamwe chete nemishonga inotevera:
- Mamwe marudzi emagasi anoshandiswa kukonzera hope panguva yekuvhiyiwa (`(General anesthetics)`)
Mishonga inotevera inogonawo kushanda pamwe chete ne epinephrine:
- Mimwe mishonga yekurapa allergies, kukosora, uye dzihwa (`(Antihistamines)`)
- Mishonga yeBP, chirwere chemwoyo, uye matambudziko emwoyo
- Mimwe mishonga yekuderedza kushungurudzika kana kuzvidya mwoyo
- Mimwe mishonga yekurapa chirwere cheParkinson
- Digoxin
- Mishonga inobvisa mvura mumuviri (diuretics)
- Thyroxine (Levothyroxine)`
- Mishonga yekuora mwoyo yerudzi rweMAOI
- Mishonga yemhando yeSteroid (semuenzaniso prednisone)
- Mimwe mishonga inokurudzira
Rondedzero iyi haina kukwana. Saka udza chiremba wako nezvemishonga yese yaunotora. Uyewo, muudze kana uchisvuta kana kunwa doro.
Zvinhu zvekungwarira pakushandisa mushonga
Ona chiremba wako nguva nenguva kuti utarise zviratidzo zvako. Kana zviratidzo zvako zvikawedzera, kana kuti uchifanira kushandisa mushonga uyu kakawanda kupfuura zvawagara uchiita, fonera chiremba wako nekukasika . Izvi zvinogona kureva kuti asthma yako haisi kudzoreka uye kurapwa kwako kungada kuchinjwa.
Shanda nachiremba wako kuti ugadzire "Asthma Action Plan" yakanangana newe. Taura zvakajeka zvekuita kana zviratidzo zvako zvisina kusimba (Yellow Zone) uye zvekuita kana paine emergency (Red Zone).
Ndezvipi zvinotarisirwa kuti zviitike?
Kufanana nemushonga upi zvawo, epinephrine inogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba, mimwe inowanzoonekwa.
| Migumisiro inofanira kuziviswa kuna chiremba nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Zviratidzo zvechirwere chemwoyo | Kuoma kana kurwadziwa muchipfuva, pamafudzi, mumaoko, kana pashaya, kuda kurutsa, kunetseka kufema, kudikitira nechando, kupera simba. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kupera simba, kurwadziwa pachipfuva. |
| Kuwedzera kweropa | Musoro wakakomba, kuchinja kwemaonero. |
| Kazhinji hazvisi zvekurwara zvakanyanya (asi udza chiremba wako kana zvikaramba zviripo) | |
| Kunetseka, kusagadzikana | Musoro |
| Dzungu | Kunzwa kwekurova kwemoyo nekukurumidza |
| Kusvotwa kana kurutsa | Kudedera |
| Kudikitira | Ganda rakachenuruka |
Kana ukaona zvimwe zviratidzo zvisingawanzoitiki zvisina kutaurwa pane urongwa uhwu, bvunza chiremba wako nezvazvo zvakare.
Mharidzo Yekuenda Nayo Kumba
- Epinephrine nebulizer mushonga unovhura nzira dzekufema dzakavharika uye unoita kuti kufema kuve nyore mumamiriro ezvinhu akadai seasthma.
- Gara uchitevedzera mushonga wakanyorwa nachiremba wako nemazvo . Usamboshandisa mushonga unopfuura huwandu hwawakanyorwa.
- Zvakakosha kuzivisa chiremba wako nezvezvimwe zvirwere zvaunazvo (zvakaita sechirwere cheshuga, chirwere chemwoyo) nemimwe mishonga yese yauri kutora.
- Kana ukasangana nedambudziko rakakura sekurwadziwa muchipfuva, kuoma kufema zvakanyanya, kana kuti allergic reaction yakanyanya, enda kuchipatara che emergency room (ETU) nekukasika.
- Kana zviratidzo zvako zvikawedzera kana kuti uchifanira kushandisa mushonga kakawanda, zvinoreva kuti mamiriro ako haasi kudzorwa zvakanaka. Enda kuna chiremba wako nekukasika.
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