Ko Salmeterol Dry Powder Inhaler (DPI) inogona kukubatsira here nekutadza kwako kufema? Ngatikurukurei!

Unonzwawo kuoma kufema here? Kana kuti dzimwe nguva unonzwa kuoma muchipfuva chako, kufemereka, kana kufemereka sekunge une asthma? Saka pamwe wakambonzwa nezve mushonga uyu wehupfu unonzi Salmeterol , unozivikanwawo seDry Powder Inhaler (DPI) . Sezvo vanhu vazhinji vachiushandisa, ngatitaurei nezvawo zvakadzama nhasi. Mushonga uyu ndewerudzii, unobatsira sei muviri wedu, uye ndezvipi zvinhu zvatinofanira kurangarira patinenge tichiushandisa.

Mushonga werudzii uyu Salmeterol?

Zvichitaurwa zviri nyore, Salmeterol mushonga unoita kuti nzira diki dzemhepo dziri mumapapu ako dzikure zvishoma, zvichiita kuti zvive nyore kufema. Funga nezvazvo senzira yemhepo yakavharika, uko kunonetsa kuburitsa mvura, uye ndizvo zvinoitika kana nzira dzako dzekufema dzakavharwa. Mushonga uyu unokubatsira kufema zviri nani uye unoderedza kuvharika.

Izvi zvinonyanya kushandiswa kune vanhu vane asthma , pamwe chete nevaya vane chirwere chinonzi Chronic Obstructive Pulmonary Disease (COPD) . COPD chirwere chemapapu chinogara kwenguva refu chinoita kuti zviome kufema.

Chinhu chakakosha ndechekuti mushonga uyu weSalmeterol inhaler 'controller inhaler' . Izvi zvinoreva kuti haushandiswe kumisa kurwiswa kweasthma kana COPD exacerbation ipapo ipapo. Unoshandiswa kubatsira kudzora kutanga kwekuwedzera kwakadaro uye kuderedza huwandu hwazvinoitika. Zvakafanana nekutora vhitamini zuva nezuva, uye mhedzisiro yacho inowanikwa chete kana ukaramba uchiishandisa. Pakurwisa kwakanyanya, chiremba wako angave akakupa mushonga wakasiyana we'reliever/rescue inhaler' . Ndizvo zvaunofanira kushandisa panguva iyoyo.

Chii chandinofanira kuudza chiremba ndisati ndatora mushonga uyu?

Zvino, usati watanga kushandisa mushonga uyu weSalmeterol inhaler, pane zvinhu zvishoma zvaunofanira kuudza chiremba wako kana murapi wemishonga papharmacy kwaunowana mushonga wako. Nekuti muviri wemunhu wese wakasiyana, haisi mishonga yese yakafanana kune munhu wese. Saka, zvakakosha kuti uchengetedzeke kuti uvazivise nezvezvinhu izvi:

• Une chirwere chemwoyo here? (Semuenzaniso, kurwadziwa kwemoyo, kurova kwemoyo kusina kurongeka, nezvimwewo)
• Une BP yakakwira here ?
• Une chirwere cheshuga here?
• Kurova kwemoyo kusina kurongeka kana kuti mutinhimira , zvinoreva kuti pane shanduko here pakurova kwemoyo?
• Unoziva here kana uine chirwere chechiropa ?
• Pane chirwere chinonzi Pheochromocytoma here? (Ichi chirwere chisingawanzoitiki, bundu rinoumbwa pamagland eadrenal ari pamusoro peitsvo dzedu).
• YakapfuuraWakambova nechirwere chakafanana nepfari here?
• Pane chirwere kana shanduko mukushanda kwegland re thyroid here?
• Wakambova neallergy here nemushonga uyu, Salmeterol, chero mimwe mishonga, zvigadzirwa zvemukaka, zvimwe zvekudya, madhayi ezvekudya, kana zvinochengetedza? (semuenzaniso, mapundu, kuvaviwa, kunetseka kufema).
• Une pamuviri here? Kana kuti uri kutarisira kubata pamuviri munguva pfupi iri kutevera?
• Muri amai vanoyamwisa here?

Nekujekesa zvinhu izvi, chiremba wako anogona kukupa mazano chaiwo ekuti mushonga uyu wakakunakira here kana kuti kwete, kana kuti ungaushandisa sei zvakachengeteka.

Ndinofanira kushandisa sei mushonga uyu wekufema?

Zvakanaka, ngationei kuti tingashandisa sei mushonga uyu weSalmeterol inhaler. Uyu mushonga unofemerwa nemuromo uchienda mumapapu.

• Zvakanakisisa kunwa mushonga wako panguva imwe chete zuva nezuva , sezvakarairwa pachinyorwa chechiremba. Izvi zvichabatsira kuchengetedza kushanda kwemushonga.
• Usashandise kakawanda kupfuura zvawaudzwa nachiremba wako.
• Unofanira kuramba uchitora mushonga uyu kusvika chiremba wako akuudza kuti urege. Hazvina kunaka kurega kamwe kamwe.

Kana wawana mushonga uyu kubva ku pharmacy, uchagamuchira kapepa kemirayiridzo kanonzi 'MedGuide' . Unofanira kuverenga 'MedGuide' iyi nokungwarira pese paunotora mushonga, uye pese paunouzadzazve. Ine ruzivo rwakakosha nezvemushonga uyu, kusanganisira mashandisirwo awo, migumisiro yakaipa, nezvimwewo.

Mushonga uyu unouya neMIRAYIRIDZO YEKUSHANDISA inotsanangura nhanho nhanho mashandisirwo awo. Ndokumbirawo muverenge zvakanaka. Pakutanga ungangove mutsva, saka kana musina chokwadi nezvekuti ungaushandisa sei, musatya kubvunza chiremba wenyu wemishonga kana wechiremba kuti akutsanangurirei. Kungoshandisa mushonga nemazvo chete ndiko kunogona kukubatsirai zvizere.

Mushonga uyu unofanira kupiwa kuvana vadiki here?

Kana uri kupa vana vadiki mushonga uyu weSalmeterol inhaler, unofanira kutaura nachiremba wako nezvazvo. Dzimwe nguva, unogona kuupihwa kuvana vane makore mana chete , pasi pemamwe mamiriro ehutano. Zvisinei, zvinoda matanho akakosha ekudzivirira uye kutariswa kwakanyatsojeka nachiremba wako.

Chii chaunofanira kuita kana ukashandisa mushonga wakawandisa?

Kana uchifunga kuti wakatora mushonga uyu wakawandisa netsaona, enda kuchipatara chiri pedyo nechipatara kana kufonera nzvimbo inoona nezve chepfu nekukasika.Uyu mushonga unongopihwa iwe chete, nekuda kwechirwere chako. Usagovane mushonga uyu nemumwe munhu chero chikonzero chipi zvacho.

Ko kana ndikakanganwa kutora mushonga?

Dzimwe nguva, unogona kukanganwa kutora mushonga wako nekuda kwemaitiro ako ezuva nezuva. Kana izvi zvikaitika, tora mushonga nekukurumidza paunoyeuka. Zvisinei, kana yava nguva yekutora mushonga wako unotevera (semuenzaniso, mukati memaawa mashoma), siya mushonga wakarasika wotora mushonga unotevera panguva yakatarwa. Usambofa watora kaviri kana kuwedzera kuti udzorere mushonga wakarasika.

Mimwe mishonga inogona kupindirana nemushonga uyu (Kudyidzana Kwemishonga)

Izvi zvakare chimwe chinhu chekungwarira zvikuru. Kana ukashandisa mushonga uyu weSalmeterol, unogona kukanganisa mimwe mishonga yauri kutora. Muchidimbu, mumwe mushonga unogona kukanganisa kushanda kwemumwe mushonga, kana kuwedzera migumisiro.

Vanachiremba vanokukurudzira kuti usatore mishonga iyi neSalmeterol kana uri kuishandisa:

• MAOIs - Iyi imhando yemishonga inoshandiswa kurapa zvimwe zvirwere zvepfungwa. Mienzaniso inosanganisira mishonga ine mazita akadai seCarbex, Eldepryl, Marplan, Nardil, uye Parnate.
• Salmeterol, pamwe chete nemimwe mishonga yekufemesa kana mishonga ine beta2-agonists inoshanda kwenguva refu (LABAs) .
• Mushonga unonzi Procarbazine (uyu mushonga unoshandiswa kurapa kenza).

Kwete izvi chete, kune mimwe mishonga inogona kushanda pamwe chete neSalmeterol. Ndosaka zvichikosha kuzivisa chiremba wako nezvemishonga yese yauri kutora. Heano mimwe mienzaniso:

• Mimwe mishonga inorwisa hutachiona - semuenzaniso, chloroquine, pentamidine.
• Mishonga inorwisa utachiona yeHIV kana AIDS.
• Zvikafu zvine caffeine (zvinowanikwa mutii, kofi, chokoreti, zvinwiwa zvisina doro, uye zvimwe zvinoderedza marwadzo).
• Cisapride (mushonga unoshandiswa kurapa zvimwe zvirwere zvemudumbu).
• Mishonga inobvisa mvura yakawandisa mumuviri (Diuretics ) - Iyi mishonga inobvisa mvura yakawandisa nemunyu mumuviri (inowanzopihwa kune BP yakakwira).
• Mimwe mishonga yekutora yedzihwa.
• Mishonga yekuderedza kushungurudzika, kuzvidya mwoyo, kana zvimwe zvinetso zvepfungwa.
• Mishonga yezvirwere zvefungus - semuenzaniso ketoconazole, itraconazole.
• Mimwe mishonga inonyorerwa kuderedza uremu, pamwe chete nemimwe mishonga yemiti.
• Methadone.
• Mimwe mishonga inorwisa mabhakitiriya - semuenzaniso clarithromycin, erythromycin, levofloxacin, linezolid, telithromycin.
• Mishonga yezvirwere zvemwoyo.
• Mahormone eSteroid - semuenzaniso dexamethasone, cortisone, hydrocortisone.
• Theophylline (mumwe mushonga unoshandiswa pakurapa asima).
• Mahormone ethyroid.

Rondedzero iyi haina kukwana. Saka, iva nechokwadi chekuudza chiremba wako nezvemishonga yese yaunotora (kusanganisira yaunotenga usingatengeserwe chiremba), mishonga yemishonga, mavhitamini, uye zvekudya zvinovaka muviri zvaunoshandisa. Zvakare, iva nechokwadi chekuudza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa zvinodhaka zvisiri pamutemo. Izvi zvinogona dzimwe nguva kukanganisa mishonga yako.

Zvinhu zvekungwarira pakushandisa mushonga uyu

Pane zvinhu zvishoma zvaunofanira kuziva paunenge uchishandisa mushonga uyu weSalmeterol inhaler. Kana ukanyatsoteerera izvi, unogona kushandisa mushonga uyu zvakanyanya uye kudzivirira matambudziko asina basa.

• Endai kuna chiremba wenyu nguva nenguva kuti muongororwe nguva nenguva. Chiremba wenyu ndiye achaona kana zviratidzo zvenyu zviri kuwedzera kana kuipa, uye kana mushonga wenyu uchida kuchinjwa. Kana zviratidzo zvenyu zvikasapera kana kuipa, taurirai chiremba wenyu nekukasika.
• Ichi ndicho chinhu chakakosha! Usamboshandisa mushonga uyu weSalmeterol kana wabatwa neasthma zvakanyanya. Sezvandambotaura, mushonga uyu unodzora mushonga. Kana paine emergency yakadaro, unofanira kushandisa mushonga we'short-acting rescue inhaler' wawakapihwa. Kana zviratidzo zvako zvikawedzera, kana kuti uchida kushandisa mushonga wako wekukurumidza kupora kakawanda (zvinoreva kuti asthma yako haisi kudzorwa), taura nachiremba wako nekukasika.
• Vamwe vanhu vanogona kufema zvisina kunaka kana kufemereka zvakanyanya mushure mekushandisa mushonga uyu weSalmeterol inhaler. Izvi hazviwanzoitika. Saka, gara uine mushonga wekufema usina simba kwenguva pfupi kuti ushandise nekukurumidza. Kana ukanzwa kufema zvisina simba, rega kushandisa Salmeterol nekukasika wofonera chiremba wako nekukasika.
• Dzimwe ongororo dzinoratidza kuti mushonga uyu unogona kuwedzera njodzi yekufa nezvirwere zvine chekuita neasthma. Kana uine mibvunzo kana zvinokunetsa nezvazvo, taura nachiremba wako nezvazvo. Iye anogona kukutsanangurira zvakawanda.
• Kana uine chikosoro, dzihwa, kana allergy, usatore mishonga inotengwa nechiremba usati watanga wabvunza chiremba wako. Mimwe mishonga isingakushandiswi nechiremba inogona kukanganisana nesalmeterol.
• Zvakakosha kuti iwe nachiremba wako mushande pamwe chete kugadzira 'Asthma Action Plan' yakakunakira. Iyi ihurongwa hwakajeka hwezvaunofanira kuita kana asthma yako yawedzera kuipa (inonzi 'yellow zone') kana zvekuita kana asthma yako ikanyanya uye ikava emergency yekurapa (inonzi 'red zone'). Unofanira kuziva chirongwa ichi.
• Kana uchizovhiyiwa kana kuvhiyiwa kumwe , kwakadai sekubviswa kwezino, udza chiremba pachine nguva kuti uri kushandisa mushonga uyu weSalmeterol inhaler.

Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?

Kufanana nemushonga upi zvawo, vamwe vanhu vanogona kusangana nematambudziko kana vachishandisa mushonga uyu weSalmeterol inhaler. Asi musazvidya moyo, havasi vese vanowana matambudziko aya. Mamwe acho anozopera mushure memazuva mashoma. Zvisinei, mamwe matambudziko acho akakomba, uye kana akaitika, unofanira kuudza chiremba wako nekukasika.

Migumisiro inofanira kuziviswa kuna chiremba nekukasika:

Kana ukaona chimwe chezviratidzo izvi, enda kuna chiremba nekukurumidza:

• Kurwara nepfungwa - mapundu eganda, kuvaviwa, mapundu, kuzvimba kwechiso, miromo, rurimi, kana pahuro (izvi zvinogonawo kuita kuti zviome kufema).
• Kuchinja kwemoyo - moyo unotanga kurova nekukurumidza (kurova kwemoyo nekukurumidza), kurova kwemoyo kunotanga kusarongeka (kurova kwemoyo kusingarongeka), dzungu, kunzwa kupera simba kana kupererwa nemusoro, kurwadziwa pachipfuva, kunetseka kufema.
• Kukwira kamwe kamwe kweropa.
• Kurwadziwa kwetsandanyama kana kuti kurwadziwa kweganda kunoitika.
• Kana uchinetseka kufema kana kufemereka zvakanyanya mushure mekushandisa mushonga wako wekufema kupfuura kare.

Migumisiro isingawanzove yakakomba, asi inofanira kutaurwa kuna chiremba wako kana ikaramba iripo kana kuti ichikunetsa:

Izvi zvinowanzopera mushure memazuva mashoma, asi kana zvikaramba zviripo, udza chiremba wako:

• Kukosora.
• Musoro.
• Mhuno inoyerera kana kuti yakazadza.
• Huro inorwadza.
• Kudedera kana kuzununguka.
• Kunetseka kurara.

Kana ukaona zviratidzo zvitsva kana zvisingawanzoitiki zvisiri pane runyorwa urwu, usazeza kutaura nachiremba wako. MuUnited States, unogona kuudza FDA (Food and Drug Administration) nezvemigumisiro yakaipa panhamba 1-800-FDA-1088. MuSri Lanka, chinhu chakanakisa chekuita kuzivisa chiremba wako.

Ndingachengeta sei chinhu ichi chekufema? (Kuchengetera)

Kuchengeta mishonga nemazvo kwakakosha zvikuru kuti irambe yakanaka.

• Gara uchichengetedza mushonga uyu wekufema kure nevana vadiki nezvipfuyo.
• Zviri nani kuichengeta patembiricha yemumba, zvinoreva kuti panenge pakati pe20 ne25 degrees Celsius (68 ne77 degrees F).
• Dzivirirai kubva kuzuva rakananga uye hunyoro. Izvi zvinoreva kuti musaichengete munzvimbo dzine hunyoro dzakadai semuimba yekugezera.
• Chengeta chivharo/chivharo chemushonga wekufema chakavharwa zvakasimba.
• Chengeta chinhu chinofefetera kure nekupisa kwakanyanya, kutonhora kwakanyanya, kana hunyoro hwakawanda (semuenzaniso, usachisiye padashboard yemotokari).
• Mushure mekubvisa mushonga wekufema kubva muhomwe yefoil, rega kushandisa mushonga wekufema wourasa mushure memavhiki matanhatu , kana kana dose counter iri pamudzi wekufema yati "0" (zvichireva kuti mushonga wacho wapera), kana kana zuva rekupera rakanyorwa pamudzi wekufema rapfuura , chero chipi zvacho chinotanga .

Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, kubva pane zvatataura nezvazvo nhasi, ndinovimba wanzwisisa zvakanaka uye zvakajeka mushonga uyu wehupfu unonzi Salmeterol.

Chinhu chinonyanya kukosha ndechekuti Salmeterol mushonga unobatsira kudzora asthma yako neCOPD, kwete mushonga wekurapa kurwiswa kwakanyanya. Gara uchinwa sezvawakaudzwa nachiremba wako, nechiyero chakakodzera, panguva yakakodzera.

Kana muine mibvunzo, zvinokunetsai, kana zvinokunetsai nezvemushonga uyu, mashandisirwo awo, migumisiro yawo, kana zvimwe zvinokunetsai, ndapota inzwai makasununguka kubvunza chiremba wenyu kana wemishonga. Hutano hwenyu hwakakosha kwamuri, saka ibasa renyu kuutarisira. Ndinokushuvirai hutano hwakanaka!

Salmeterol , Chinofema Upfu Hwakaoma, DPI, Asthma, COPD, Chinofema, Chirwere Chekufema, Chirwere Chemapapu