Une chirwere cheCOPD (Chronic Obstructive Pulmonary Disease), chirwere chemapapu chinogara kwenguva refu chinoita kuti zviome kufema uye zvinoita sekunge chipfuva chako chakamanikana? Kana zvakadaro, chiremba wako anogona kunge akakupa mushonga wekufema waunoshandisa nekapisi yepepuru. Zita racho rinonzi Tiotropium, asi vanhu vazhinji vanoriziva nezita rekuti Spiriva HandiHaler. Saka, nhasi tichataura zviri nyore nezve mashandisirwo emushonga uyu, zvinhu zvekungwarira, uye migumisiro inogona kuitika.
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Kutanga, mushonga uyu unonzi Tiotropium chii?
Muchidimbu, Tiotropium mushonga unoita kuti nzira dzekufema dziwedzere uye unoita kuti zvive nyore kufema. Izvi zvakakosha nekuti hausi mushonga 'wekunyaradza' waunoshandisa panguva yekukurumidzira, kureva kuti, paunoerekana waomerwa nekufema. Imushonga 'wekudzora' . Izvi zvinoreva kuti unoushandisa zuva rega rega, sezvakarairwa nachiremba wako, kudzora zviratidzo zvako. Izvi zvinokubatsira kudzora kufema kwako mukati mezuva uye kugara wakasununguka.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Chiremba wako asati akupa mushonga uyu, anofanira kuziva nhoroondo yako yese yehutano. Iva nechokwadi chekuvaudza nezvechero chimwe chezvirwere zvinotevera, kunyanya:
- Glaucoma: Kana uine glaucoma, chirwere chinoita kuti kumanikidzwa kwemaziso kuwedzere. Mushonga uyu dzimwe nguva unogona kukanganisa kumanikidzwa kwemaziso.
- Chirwere cheitsvo: Kana uine dambudziko rekushanda kweitsvo dzako.
- Chirwere cheprostate: Kana uri murume, kana uine matambudziko akadai seprostate yakakura, mushonga uyu unogona kukonzera kuoma kwekuita weti.
- Kurwara: Munofanira kutiudza kana muine allergies pamushonga uyu (Tiotropium), Ipratropium, Atropine, Lactose mumukaka, kana chero mimwe mishonga, chikafu, kana dhayi.
- Kubata pamuviri kana kuyamwisa: Kana uine pamuviri, uchiedza kubata pamuviri, kana kuyamwisa, unofanira kutaura nachiremba wako nezveizvi.
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Check Availability →Zvakakosha! Ungashandisa sei mushonga uyu nemazvo?
Ichi ndicho chinhu chakakosha zvikuru. Kuti uwane zvakawanda kubva pamushonga uyu, unofanira kuushandisa nemazvo.
Zvakakosha: Usambomedza kapusule inouya nemushonga uyu nemvura! Hauna kuitirwa kuti umedzwe, asi kuti uiswe muchinhu chinofema mushonga wobva wafema upfu hwemushonga uri mukati.
Kana wapihwa mushonga uyu, uchagamuchira kapepa kanokuudza mashandisirwo awo. Verenga nokungwarira. Kazhinji, chaunofanira kuita ndeichi:
1. Vhura pamusoro pechinhu chinofema.
2. Isa kapusule munzvimbo yakatarwa.
3. Vhara muromo wemushonga wekufemesa wodzvanya bhatani regirini parutivi kamwe chete. Izvi zvichaboora kapisiyu woburitsa upfu hwemushonga.
4. Bvumira mweya zvakadzama, isa muromo wemushonga wekufemera mweya mumuromo mako, vhara miromo yako zvakasimba, wofemera mweya nekukurumidza . Uchanzwa mushonga uchipinda mumapapu ako.
5. Bata mweya wako kwemasekonzi gumi, wobva waburitsa mweya zvishoma nezvishoma.
6. Tarisa kana paine mushonga wasara mukapusule, wobva wafema zvakare kana zvichidikanwa.
7. Bvisa kapisiyu isina chinhu yashandiswa wovhara chinhu chinopinza mweya.
Iva netsika yekunwa mushonga uyu panguva imwe chete zuva nezuva. Izvi zvinoita kuti usazokanganwa. Usarega kutora mushonga kusvika chiremba wako akuudza kuti udaro.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, svetuka dosi yawakarasikirwa nayo wotora dosi yako inotevera panguva yakatarwa. Usambofa watora dosi yakapetwa kaviri.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti wakatora mushonga wakawandisa netsaona, fonera National Poisons Information Centre kuColombo National Hospital nekukasika, kana kuenda kuETU (Emergency Treatment Unit) yechipatara chiri pedyo.
Zvinhu zvekufunga nezvazvo pakushandisa Tiotropium
- Izvi hazvisi zvekukurumidzira: Sezvatakambotaura, izvi hazvibatsiri kana kufema kwako kukangoerekana kwaoma. Chiremba wako angangodaro akakupa mushonga we'Reliever' (wakaita seVentolin yebhuruu) wekushandisa mumamiriro ezvinhu akadaro. Shandisa izvozvo. Kana uchida kushandisa mushonga weReliever kakawanda, zvinoreva kuti mamiriro ako haasi kudzoreka. Ona chiremba wako nekukasika.
- Muromo wakaoma: Mushonga uyu unogona kukonzera muromo wakaoma. Kutsenga chingamu isina shuga, kusvuta masiwiti asina shuga, uye kunwa mvura yakawanda mukati mezuva rose zvinogona kubatsira. Kana dambudziko iri rikaramba riripo, udza chiremba wako .
- Kurara nedzungu: Vamwe vanhu vanogona kunzwa hope kana dzungu. Saka, dzivisa mabasa ane njodzi akadai sekutyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei. Kunyanya kana uri munhu mukuru, simuka zvishoma nezvishoma paunomuka kubva panzvimbo yawakagara kana pamubhedha. Zvikasadaro, unogona kunzwa dzungu wodonha.
Tinozivawo here nezvemigumisiro yacho?
Kufanana nemushonga upi zvawo, uyu unogona kuva nemigumisiro yakaipa. Asi havasi vese vanoiwana. Ngatizviparadzanisei muzvikamu zviviri.
| Mhedzisiro yedivi | Tsananguro uye zvekuita |
|---|---|
| Migumisiro yakakomba inoda kurapwa nekukurumidza | |
| Kurwara kwakanyanya | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. Izvi zvinogona kuva zviratidzo zvechirwere chakakomba. Kurapa nekukasika kunodiwa. |
| Kurwadziwa kweziso kana kuchinja kwemaonero | Kurwadziwa kwemaziso kamwe kamwe, kuona zvisizvo, uye kuona mhete dzine mavara (halos) dzakatenderedza mwenje zvinogona kuva zviratidzo zve glaucoma. |
| Kuoma kwekuita weti | Kuoma kwekuita weti kana kusaita weti zvachose. |
| Kuwedzera kuoma kwekufema | Kana uchinetseka kufema kana kuti chipfuva chako chakabata mushure mekushandisa mushonga wekufemesa. |
| Migumisiro isingawanzoitiki yekunetseka nezvayo, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Muromo wakaoma | Izvi zvinowanzoitika. Edza mishonga yatakambotaura nezvayo. |
| Kuzvimba | Inwa mvura yakawanda uye idya chikafu chine fiber (michero, miriwo). |
| Huro inorwadza, mhino yakazadzwa | Kusukurudza muromo wako nemvura inodziya kunogona kukubatsira. |
| Kusagadzikana kwedumbu | Izvi zvinogona kuderedzwa dzimwe nguva nekutora mushonga mushure mekudya. |
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Kana uri kutora Tiotropium, zvakakosha kuudza chiremba wako nezvemimwe mishonga yauri kutora (kusanganisira mavhitamini nemishonga yemishonga). Mimwe mishonga inogona kukanganisa mushonga uyu. Semuenzaniso, mishonga yekurwisa kurwara, mishonga yekukosora, mimwe mishonga yekurwadziwa mudumbu, uye mishonga yechirwere cheParkinson zvinogona kukanganisa mushonga uyu. Saka, udza chiremba wako nezvese zvauri kutora.
Mharidzo Yekuenda Nayo Kumba
- Tiotropium (Spiriva) haisi mushonga wekuderedza marwadzo. Imushonga we'controller' unoshandiswa kudzora zviratidzo zvechirwere zuva nezuva.
- Usambomedza kapisiyu inouya neiyi. Inofanira kuiswa muinhaler woifema.
- Inwa mushonga panguva imwe chete zuva nezuva. Kana ukarasikirwa nemushonga, tora nekukurumidza sezvaunoyeuka. Asi kana yava nguva yekuti utore mushonga unotevera, siya mushonga wausina kutora. Usatore mishonga miviri panguva imwe chete.
- Udza chiremba wako nezvezvimwe zvirwere zvaunazvo (kunyanya matambudziko eganda, itsvo neprostate) uye chero mimwe mishonga yaunotora.
- Kana ukanyanya kunetseka kufema, kurwadziwa kwemaziso, kana zviratidzo zvakakomba zveallergy mushure mekutora mushonga, tsvaga rubatsiro rwechiremba nekukasika.
- Chengeta mushonga kure nevana nezvipfuyo, uye uchengete patembiricha yemukamuri mupakeji yekutanga.
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