Une dambudziko rekufema kwenguva refu here, kureva chirwere chakadai seCOPD (Chronic Obstructive Pulmonary Disease)? Muzviitiko zvakadaro, chiremba wako angangodaro akakuudza kuti utore mushonga uchishandisa nebulizer. Imwe yemishonga mikuru inopihwa nenzira iyi uye inoita kuti kufema kuve nyore iIpratropium. Unogona kazhinji kuwana mushonga uyu uchishandisa zita rekuti Atrovent. Saka nhasi, ngatitaurei zviri nyore nezvemushonga uyu, mashandisirwo awo, uye zvinhu zvekungwarira.
Ipratropium mushonga werudzii?
Muchidimbu, Ipratropium mushonga unozorodza tsandanyama dziri munzira dzekufema dziri mumapapu ako, uchidziwedzera, zvichiita kuti zvive nyore kufema nekubuda. Unonyanya kushandiswa kugadzirisa zvirwere zvekufema zvenguva refu zvakaita seCOPD .
Asi izvi zvakakosha zvikuru: Ipratropium haisi mushonga unoshandiswa kurapa asthma inongoerekana yatanga. Chiremba wako anogona kunge akakupa mushonga we "reliever" wakasiyana, unoshanda nekukurumidza. Mushonga uyu unoshandiswa kudzora zviratidzo zvako uye kudzivirira kuti zvisadzokorore.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga
Usati watanga kushandisa mushonga uyu, zvakakosha kuzivisa chiremba wako nezvezvimwe zvirwere uye allergies zvaunazvo, sezvo tichifanira kungwarira zvikuru pakushandisa mushonga uyu une zvimwe zvirwere.
| Mamiriro ezvinhu aunofanira kutaura | Sei izvozvo zvichikosha? |
|---|---|
| Glaucoma (kumanikidzwa kwakanyanya mumaziso) | Kana mushonga uyu ukapinda mumaziso ako, dambudziko rako re glaucoma rinogona kuipa. Saka, unofanira kupfeka mask ye nebulizer nemazvo uye uve nechokwadi chekuti mushonga wacho haupinde mumaziso ako. |
| Kuoma kwekuita weti kana matambudziko eprostate | Mushonga uyu unogona kukanganisa kugona kwako kubata weti, saka zvakakosha kuudza chiremba wako kana uine dambudziko rakadaro. |
| Chirwere chemwoyo kana kurova kwemoyo kusina kurongeka | Kunyangwe zvisingawanzoitiki, mushonga uyu unogona kukanganisa kurova kwemoyo. Saka, kana uine nhoroondo yechirwere chemwoyo, ndapota tizivise. |
| Kurwara kwakasiyana-siyana (Allergies) | Unofanira kutiudza kana uine allergies, kunyanya kune zvinhu zvakaita seIpratropium, Atropine, soy protein, kana nzungu. |
| Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa | Muzviitiko izvi, zvakakosha zvikuru kutaura nachiremba wako usati washandisa chero mushonga uye kunzwisisa zvakanakira nezvakaipira. |
Ungashandisa sei mushonga uyu nemazvo uchishandisa nebulizer?
Nebulizer muchina unoshandura mushonga wemvura kuita mhute yakatsetseka. Paunofema mhute iyi nemuromo wako kana nemuromo wako nemhino (kuburikidza nemasiki), mushonga unopinda zvakananga mumapapu ako.
Matanho ari nyore ekutevera:
1. Kutanga, geza maoko ako nesipo zvakanaka.
2. Isa huwandu hwemushonga weIpratropium wakanyorerwa nachiremba mukapu kadiki (nebulizer cup) iri munebulizer.
3. Batanidza zvimwe zvikamu zve nebulizer (mask kana mouthpiece nechubhu) zvakanaka.
4. Kana chiri chifukidzo, chiise pachiso chako kuitira kuti chifukidze mhino yako nemuromo zvakanaka. Kana chiri chifukidziro chemuromo, chibatisise zvakasimba nemiromo yako.
5. Zvino vhura nebulizer wofema zvakanaka. Ramba uchifema nenzira iyi kusvika mushonga wapera (anenge maminetsi gumi kusvika gumi nemashanu).
6. Kana wapedza, bvisa nebulizer woichenesa zvichienderana nemirairo yemugadziri.
Chinhu chinonyanya kukosha ndechekushandisa huwandu uye nguva dzakatarwa nachiremba wako chete. Usambofa wakachinja mushonga sezvaunoda kana kuushandisa kakawanda kupfuura zvawakanyorerwa.
Chii chaunofanira kuita kana ukadarika kana kuti ukarasikirwa nedosi?
Kana dose yakawedzerwa
Kana uchifunga kuti watora mushonga wakawanda kupfuura zvaunofunga, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika . Kana kuti bata National Poisons Information Centre paColombo National Hospital.Unogona kufonera National Poisons Information Centre kuti uwane mazano.
Kana ukarasikirwa nekudya
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi rinotevera, svetuka dosi rausina kutora wotora dosi rinotevera panguva yakatarwa. Usambofa wakatora dosi mbiri panguva imwe chete kuti udzorere dosi rausina kutora.
Ndeipi mimwe mishonga inogona kupindirana nemushonga uyu?
Ipratropium inogona kushanda pamwe chete nemimwe mishonga yauri kutora. Saka ipa chiremba wako runyoro rwakakwana rwemishonga yauri kutora, kusanganisira mavhitamini, mishonga yemiti, uye zvinowedzera. Chenjerera zvakanyanya nemishonga inotevera:
- Atropine
- Mamwe maantihistamine ekudzivirira dzihwa uye allergies
- Mishonga yematambudziko edundira (semuenzaniso oxybutynin, tolterodine)
- Mimwe mishonga yekurapa chirwere chepfungwa
- Mimwe mishonga yekurwadziwa kwemudumbu (semuenzaniso dicyclomine)
- Mishonga yekurutsa kana uri parwendo (semuenzaniso scopolamine)
- Mimwe mishonga yekurapa chirwere cheParkinson
Rondedzero iyi haina kukwana. Saka , usasanganise mishonga mu nebulizer kana kutanga mimwe mitsva usina kubvunza chiremba wako.
Migumisiro inogona kuitika panguva yekutora mushonga
Kufanana nemushonga upi zvawo, Ipratropium inogona kukonzera mimwe migumisiro yakaipa. Mimwe yacho yakakomba, asi mimwe inowanzoonekwa.
| Mhedzisiro yedivi | Tsananguro uye zvekuita |
|---|---|
| Migumisiro yakakomba inoda kurapwa nekukurumidza | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. Enda kuna chiremba nekukasika. |
| Kurwadziwa kwemaziso kamwe kamwe kana kuchinja kwemaonero | Zvinhu zvakaita sekuona zvinhu zvisinganzwisisike, kuona mhete dzakatenderedza mwenje, kana kurasikirwa nekuona. Enda kuna chiremba nekukasika. |
| Kuoma kwekuita weti | Kana uri kuita weti shoma kana kuti uchinetseka, zivisa chiremba wako. |
| Kuoma kufema kwakanyanya mushure mekutora mushonga | Izvi hazviwanzoitiki (paradoxical bronchospasm). Kana izvi zvikaitika, usashandise mushonga zvakare uye enda kuna chiremba nekukasika. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Muromo wakaoma | Unogona kuwana zororo nekunwa mvura uye kutsenga chingamu isina shuga. |
| Kukosora | Izvi zvinowanzopera mukati memazuva mashoma. Kana zvikaramba zviripo, udza chiremba wako . |
| Musoro | Zorora. Kana zvichidikanwa, unogona kutaura nachiremba wowana mishonga inonyaradza marwadzo. |
| Kuzvimba | Inwa mvura yakawanda uye idya zvekudya zvakawanda zvine fibrous (michero, miriwo). |
Mharidzo Yekuenda Nayo Kumba
- Ipratropium mushonga unoshandiswa kurapa zvirwere zvekufema zvenguva refu zvakaita seCOPD, kwete mushonga unoshandiswa panguva dzenjodzi.
- Usati watanga mushonga uyu, iva nechokwadi chekuudza chiremba wako nezvezvirwere zvako zvese nemimwe mishonga yauri kutora.
- Shandisa nebulizer sezvakarairwa nachiremba wako. Usambofa wakawedzera dose.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukasangana nemigumisiro yakaipa, yakadai sekurwadziwa kwemaziso, kuchinja kwekuona, kusawirirana kwakanyanya, kana kuoma kufema mushure mekutora mushonga.
- Mushonga uyu ndewako chete. Usabvumira mumwe munhu kuushandisa chero chikonzero chipi zvacho.
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