Une matambudziko ekufema kwenguva refu here, kana kuti chinonzi nachiremba wako COPD (Chronic Obstructive Pulmonary Disease)? Kana zvakadaro, chiremba wako anogona kunge akakupa mushonga wekuti unwe kuburikidza ne'Nebulizer' kuti urerutse mapapu ako. Munyaya ino, tiri kutaura nezvemumwe mushonga wakadaro, Formoterol. Kushandisa mushonga uyu nemazvo uye nemazvo kwakakosha zvikuru pahutano hwako.
Zvichitaurwa zviri nyore, chii chinonzi Formoterol?
Formoterol mushonga unoshandiswa zvakanyanya kurapa zvirwere zvemapapu zvenguva refu zvakaita seCOPD (Chronic Obstructive Pulmonary Disease) . Unoshanda nekuvhura nzira dzekufema mumapapu ako uye kuita kuti zvive nyore kufema.
Funga nezvazvo sekunge uri kugadzirisa mota nguva dzose. Nekushandisa mushonga uyu zuva nezuva, unobatsira kuchengetedza kufema kwako kuri mumamiriro akanaka. Ndosaka tichiudaidza kuti mushonga we'controller' .
Asi chimwe chinhu chekurangarira ndechekuti uyu hausi mushonga wekushandiswa panguva yekukurumidzira, kana ukangoerekana wanzwa kushaya mweya. Chiremba wako anogona kunge akakunyorera imwe 'rescue inhaler' yekushandisa mumamiriro ezvinhu akadaro.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati wanyora Formoterol, zvakakosha kuti chiremba wako azive nhoroondo yako yese yehutano. Saka, kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuudza chiremba wako .
- Chirwere cheshuga (shuga yakakwira muropa)
- Chero rudzi rwechirwere chemwoyo
- Kukwira kweropa
- Kurova kwemoyo kusina kurongeka
- `Pheochromocytoma` (iri bundu rakasiyana rinoitika muadrenal gland)
- Kubatwa nepfari
- Chirwere chethyroid
- Kana uine allergy yeforomaterol kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri
- Kana uri amai vanoyamwisa
Mushonga uyu unoshandiswa sei chaizvo?
Mushonga uyu unoshandiswa nekuufema nemuchina unonzi ``Nebulizer.'' Muchina uyu unoshandura mushonga wemvura kuita mhute yakapfava (aerosol) uye unokubvumira kuufema mumapapu ako nemuromo wako kana nemuromo wako nemhino.
- Usambosanganisa mushonga uyu nemimwe mishonga mu nebulizer.
- Shandisa mushonga wawakapihwa sezvakarairwa papepa rekushandisa. Usambofa wakaushandisa kakawanda kupfuura zvawakanyorerwa nachiremba wako.
- Mushonga uyu haubvumidzwe kushandiswa kuvana vadiki, saka taura nachiremba wako nezvemushonga uyu kumwana wako.
Ko kana ndikatora zvakawandisa ndisingazive?
Kana uchifunga kuti wakatora mushonga uyu netsaona, fonera National Poisons Information Centre paColombo National Hospital nekukasika, kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo. Izvi zvakakosha zvikuru.
Yeuka kuti mushonga uyu wakanyorerwa iwe chete . Usambougovana nemumwe munhu.
Ko kana ndikarasikirwa nemushonga mumwe chete?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, siya dosi yakarasika wotora dosi yako inotevera panguva yakatarwa. Usatore dosi yakapetwa kaviri chero chikonzero chipi zvacho.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Formoterol mushonga unogona kushanda pamwe chete nemimwe mishonga, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora.
| Rudzi rwemushonga/chinhu chinogona kukonzera matambudziko | Mamwe mashoko |
|---|---|
| MAOIs (rudzi rwemushonga unoshandiswa kurapa kuora mwoyo) | Izvi hazvifanirwe kutorwa nemishonga yakaita seCarbex, Eldepryl, Marplan, Nardil, uye Parnate. |
| Mishonga yemamwe matambudziko ekufema | Mimwe mishonga yekufema kana yekunwa. |
| Mishonga yeBP | Kushanda kwemishonga yeBP (semuenzaniso, beta-blockers) kunogona kuchinjwa. |
| Mishonga yekurapa chirwere chepfungwa | Mishonga yekurapa zvirwere zvakaita sekuora mwoyo nekuzvidya mwoyo. |
| Mishonga inobvisa mvura mumuviri | Kuwanda kwepotassium mumuviri kunogona kukanganiswa. |
| Mamwe maantibayotiki | Kufanana neClarithromycin, Erythromycin, Levofloxacin. |
| Kufanana nePrednisone kana Cortisone. | |
| Caffeine nezvimwe zvinokurudzira | Kofi, tii, nemimwe mishonga yekuderedza uremu. |
Rondedzero iyi haina kukwana. Saka, udza chiremba wako nezvemishonga yese, mavhitamini, mishonga yemiti, uye zvekudya zvinovaka muviri zvauri kutora. Udzawo chiremba wako kana uchisvuta kana kunwa doro.
Zvinhu zvekurangarira kana uchishandisa mushonga
- Ona chiremba wako nguva dzose: Tarisa hutano hwako uye ona chiremba wako nguva dzose. Kana zviratidzo zvako zvikasavandudzika kana kuipa, vaudze.
- Shandisa mushonga wekununura kana paine emergency: Sezvatakambotaura, usashandise mushonga uyu kana ukangoerekana waomerwa nekufema. Shandisa mushonga wekununura wawakapihwa kuti uite izvozvo. Kana uchifanira kushandisa mushonga wekununura nguva nenguva, zvinoreva kuti mamiriro ako haasi kugadzikana. Fonera chiremba wako nekukasika.
- Kana ukanzwa kushaya mweya mushure mekutora mushonga uyu: Vamwe vanhu vanogona kuwedzera kuoma kwekufema mushure mekutora mushonga uyu. Kana izvi zvikaitika, rega kushandisa mushonga wacho nekukasika, shandisa 'rescue inhaler' yako, uye fonera chiremba wako.
- Bvunza usati watora mushonga wezvimwe zvirwere: Usati watora mushonga kubva ku pharmacy wezvinhu zvakaita sekukosora nedzihwa, bvunza chiremba wako. Mimwe mishonga inogona kupindirana neFormoterol.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemishonga yese, iyi inogona kuva nemigumisiro yakaipa. Inogona kukamurwa kuita mapoka maviri makuru.
| 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. |
| Kuwedzera kweropa | Izvi zvinogona kusimbiswa nekuongororwa nachiremba. |
| Kurwadziwa kwetsandanyama kana kukamhina | Kurwadziwa kwetsandanyama kana kurwadziwa kweganda. |
| Kuoma kufema kwakanyanya mushure mekushandisa mushonga | Kufema kana kunetseka kufema kunotowedzera kuipa mushure mekushandisa. |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Kukosora | Musoro |
| Mhino inoyerera kana kuti yakazadza | Huro inorwadza |
| Kudengenyeka | Kuomerwa nekurara |
Nzira yekuchengetedza mushonga sei?
- Kuisa mufiriji (nzira yakanakisisa): Chengeta mabhodhoro asina kuvhurwa mufiriji mubhegi rawo refoil. Usapwanye bhodhoro kusvika ragadzirira kushandiswa. Kana rapwanyika, shandisa ipapo ipapo.
- Kuchengetera patembiricha yemukamuri: Mushonga uyu unogona kuchengetwa patembiricha yemukamuri kusvika kumwedzi mitatu. Chengeta mupaketi yefoil. Chengeta kure nekupisa kwakanyanya uye kutonhora. Rasa mushure memwedzi mitatu kana zuva rekupera (chero ripi zvaro rinotanga).
- Kurasa mishonga yapera kana kuti yausingade: Bvunza chiremba wako kuti akupe mazano ekuti ungarasa sei mishonga yapera zvakachengeteka.
Mharidzo Yekuenda Nayo Kumba
- Formoterol mushonga 'wekudzora' unoshandiswa zuva nezuva kudzora chirwere, kwete mushonga 'wekununura' unoshandiswa munguva dzenjodzi.
- Kana ukangoerekana washaya mweya, shandisa mushonga wako wekuponesa mweya nguva dzose.
- Udza chiremba wako nezvezvirwere zvese zvaunazvo pamwe nemimwe mishonga yese yaunotora.
- Kana ukaona kuoma kufema kwakawedzera mushure mekutora mushonga uyu, rega kutora mushonga nekukasika wofonera chiremba wako.
- Chengeta mushonga wacho zvakanaka, uurase kana wapera, uye usazombogovana mushonga uyu nevamwe.
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