Wakanyorerwa mushonga wekufema nachiremba here nekuti une chirwere chakadai seasthma chinoita kuti uomerwe nekufema? Kana zvakadaro, ungangove unoziva kuti kune mhando dzakawanda dzemushonga wekufema. Nhasi tichataura nezveimwe yadzo, mhando chaiyo yemushonga wekufema, Tiotropium. Uyu mushonga unokosha zvikuru unogona kukubatsira kudzora matambudziko ako ekufema kwenguva refu.
Mushonga werudzii unonzi Tiotropium?
Muchidimbu, Tiotropium mushonga unoshandiswa kurapa zvirwere zvekufema zvakaita seasthma neCOPD (Chronic Obstructive Pulmonary Disease) . Basa rayo guru nderekuwedzera nzira dzekufema dziri mumapapu ako, zvichiita kuti zvive nyore kufema mukati nekubuda.
Izvi zvinowanzonzi " controller inhaler." Izvi zvinoreva kuti inoshandiswa kudzora mamiriro ako zuva nezuva uye kudzivirira matambudziko ekufema.
Chinonyanya kukosha: Iyi haisi "inhaler yekununura" yaunoshandisa kana ukangoerekana wabatwa neasthma. Inhaler yebhuruu yekununura yaunopihwa nachiremba wako ndiyo yaunofanira kushandisa kana paine emergency.
Mushonga uyu unowanikwa muSri Lanka uchishandisa zita rekuti `Spiriva Respimat`.
Zvinhu zvekuudza chiremba wako usati watora mushonga uyu
Chiremba wako asati akupa mushonga uyu wekufema, anofanira kuziva nhoroondo yako yese yezvekurapa . Saka, kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekuudza chiremba wako nezvazvo.
- Kana uine glaucoma, chirwere chekuti kumanikidzwa kwemaziso ako kunowedzera.
- Kana uine chirwere cheitsvo .
- Kana uri murume, une chirwere cheprostate .
- Kana uine allergies kwete chete kuTiotropium, asiwo kune mimwe mishonga yakaita se'Ipratropium', 'Atropine', chikafu, kana chimwe chinhu.
- Kana uine pamuviri kana kuti uchironga kubata pamuviri .
- Kana uri amai vanoyamwisa .
Nekukuudza zvinhu izvi nemazvo, chiremba wako anogona kuona kana mushonga uyu wakakunakira kana kuti kwete.
Nzira yekushandisa sei inhaler nemazvo?
Mushonga uyu unoshandiswa nekufemewa nemuromo. Chinhu chakakosha ndechekuushandisa sezvakarairwa nachiremba uye panguva yakakodzera.
- Nguva dzose panguva imwe chete:Edza kunwa mushonga uyu panguva imwe chete zuva nezuva zvakanyanya sezvinobvira. Izvi zvichabatsira kuti mushonga uyu urambe uchishanda zvakanaka mumuviri.
- Shandisa huwandu hwakatarwa chete: Usashandise huwandu hunopfuura hwakatarwa nachiremba wako.
- Usarega: Usarega kutora mushonga kusvika chiremba wako akuudza kuti udaro. Kunyangwe uchinzwa zviri nani, unofanira kuramba uchitora mushonga uyu nekuti mushonga unodzora zvirwere.
- Verenga chinyorwa chemushonga wemurwere: Verenga chinyorwa chemushonga wemurwere chinouya nemushonga wako nokungwarira. Chinotsanangura nhanho nhanho mashandisirwo echinhu chinofema mushonga nemazvo.
Mushonga uyu ungapiwa vana here?
Ehe, mune dzimwe nguva, mushonga uyu unogona kunyorerwa vana vane makore anopfuura matanhatu. Asi chisarudzo pamusoro peizvi chinoitwa nachiremba wevana. Saka, kana uri kupa mwana uyu, taura nachiremba nokungwarira nezvazvo.
Ko kana ikashandiswa zvisizvo kana kuti zvakanyanyisa?
Kana uchifunga kuti watora mushonga unopfuura waunofunga, usatya. Fonera National Poisons Information Centre paColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Mushonga uyu wakanyorerwa iwe chete. Usaugovane nemumwe munhu chero chikonzero chipi zvacho.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kurasikirwa nemushonga mumwe chete kunogona kuitika kune chero munhu. Kana ukarasikirwa nemushonga mumwe chete, tora mushonga wacho nekukurumidza paunoyeuka. Zvisinei, kana uri pedyo nemushonga wako unotevera paunoyeuka (semuenzaniso, uri kure nemaawa mashoma), siya mushonga wakarasika wotora mushonga wako unotevera panguva yakatarwa. Usambofa wakatora mushonga mumwe chete kaviri.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Mimwe mishonga yauri kutora inogona kupindirana neTiotropium inhaler iyi. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora. Pazasi pane mimwe mishonga inogona kupindirana neTiotropium.
| Rudzi rwemishonga | Tsananguro |
|---|---|
| Mishonga yeAllergy uye dzihwa | Mhando dzemishonga inorwisa mabhakitiriya |
| Atropine | Mushonga unokanganisa zvinhu zvakaita sekurova kwemoyo |
| Mishonga yezvirwere zvedundira | Muenzaniso: `oxybutynin`, `tolterodine` |
| Mishonga yekurapa chirwere cheParkinson | Semuenzaniso: `benztropine`, `trihexyphenidyl` |
| Mimwe mishonga yekurwadziwa kwemudumbu | Semuenzaniso: `dicyclomine`, `hyoscyamine` |
| Mushonga wekurwara nekufamba | Semuenzaniso: `scopolamine` |
| Ipratropium | Uyu mumwe mushonga wezvirwere zvekufema. |
Rondedzero iyi haina kukwana. Saka, udza chiremba wako nezvemishonga yauri kutora usingatengeswi nechiremba, kusanganisira mavhitamini, mishonga yemishonga, mishonga yechivanhu, uye mishonga yekuwedzera . Zvakakoshawo kuudza chiremba wako kana uchisvuta kana kunwa doro .
Zvinhu zvekungwarira pakushandisa
- Ona chiremba wako nguva dzose: Tarisa chiremba wako nguva dzose kuti uone kuti mamiriro ako akaita sei. Kana zviratidzo zvako zvikasavandudzika kana kuti zvichiratidza kunge zviri kuwedzera kuipa, udza chiremba wako .
- Muromo wakaoma: Zvakajairika kunzwa muromo wakaoma paunenge uchitora mushonga uyu. Izvi zvinogona kugadziriswa nekutsenga chingamu isina shuga, kusvuta masiwiti asina shuga, uye kunwa mvura yakawanda mukati mezuva. Kana izvi zvikaramba zviripo, taurira chiremba wako.
- Dzungu uye kutarisirwa: Vamwe vanhu vanogona kunzwa dzungu kana kushamisika mushure mekutora mushonga uyu. Saka, kusvika waziva kuti mushonga uyu uchakukanganisa sei,Dzivisa kutyaira kana kushandisa michina inoda kungwarira. Simuka zvishoma nezvishoma, kwete kamwe kamwe, sepakubuda pamubhedha. Migumisiro iyi inogona kuwedzera kana ukanwa doro.
Migumisiro inogona kuitika yemushonga
Kufanana nemishonga yese, iyi inogona kuva nemigumisiro yakaipa. Mimwe yakakomba, mimwe inowanzoonekwa. Zvakakosha kuziva izvi.
| Rudzi rwemhedzisiro yakaipa | Hunhu |
|---|---|
| Migumisiro yakaipa yaunofanira kuudza chiremba wako nekukasika | |
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kuchinja kwemaziso | Kurwadziwa kwemaziso kamwe kamwe, kuona kusina kujeka, kupenya kwechiedza, uye kurasikirwa nekuona. |
| Kuoma kwekuita weti | Kuoma kwekuita weti kana kusaita weti zvachose. |
| Kuoma kwakanyanya kufema | Kana kufema kwava kuoma mushure mekushandisa inhaler. |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Kuzvimba | Dumbu rakaoma |
| Muromo wakaoma | Kudonhedza madonhwe |
| Mhino inoyerera | Kunzwa kwechando |
| Huro inorwadza | Huro inorwadza |
Rondedzero iyi haina mimwe migumisiro yese inogona kuitika. Kana ukaona chimwe chinhu chisingawanzoitika pamusoro peizvi, taura nachiremba wako nezvazvo futi.
Unochengeta uye unobvisa sei chinhu chinopinza mweya?
- Kuchengetera: Chengeta chinhu chinofema mweya chiri kure nevana nezvipfuyo . Zvakanaka kuti chichengetwe patembiricha yemukamuri (pakati pe20-25 degrees Celsius). Usachichengete munzvimbo dzine kupisa kwakanyanya, kutonhora, kana hunyoro.
- Kuraswa: Rasa mushonga wekufema mushure memwedzi mitatu kubva pazuva rawabviswa mupaketi yefoil, kana chirauro chemushonga chiri painhaler chikaratidza "0" , kana zuva rekupera kwemushonga rapfuura, chero chipi zvacho chinotanga. Bvunza chiremba wako kuti ungarasa sei mishonga yapera zvakachengeteka. Usaiise mumarara enguva dzose.
Mharidzo Yekuenda Nayo Kumba
- Tiotropium mushonga we "controller" unobatsira kudzora chirwere chako cheasthma kana COPD kwenguva refu. Hausi mushonga we "rescue" unoshandiswa panguva dzenjodzi.
- Usati watora mushonga uyu, udza chiremba wako nezvezvimwe zvirwere zvese zvaunazvo (kunyanya glaucoma, chirwere cheitsvo neprostate) pamwe nemimwe mishonga yese yauri kutora.
- Shandisa mushonga wekufemesa panguva imwe chete zuva nezuva, chete kana wanyorerwa nachiremba wako.
- Kana ukaona zviratidzo zvakaita sekusawirirana kwakanyanya, kuchinja kwemaonero, kuoma kuita weti, kana kuoma kufema zvakanyanya, tsvaga rubatsiro rwechiremba nekukasika.
- Chinofefetera ichi ndechenyu chete. Musamborega mumwe munhu achichishandisa. Kana muine mibvunzo nezvemushonga wenyu, musatya kubvunza chiremba wenyu.
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