Munhu wese akamborwara neCOPD (Chronic Obstructive Pulmonary Disease) anoziva kuti zvakaoma sei kurarama nekushaya mweya. Dzimwe nguva, kunyangwe kufema kunogona kunzwa sekunge kwakaoma. Asi kune mishonga inoshanda inogona kukubatsira kugadzirisa dambudziko iri uye kuita kuti hupenyu hwako huve nyore. Nhasi, tichataura nezveimwe yemishonga yakadaro, mushonga wekufema wakakosha waunogona kunyorerwa nachiremba wako.
Chii chinonzi mushonga uyu wekufema? (Tiotropium; Olodaterol)
Zvichitaurwa zviri nyore, iyi inhaler ine musanganiswa wemishonga miviri. Mishonga miviri iyi iTiotropium neOlodaterol . Unogona kuiona pamusika pasi pemazita akadai seSTIOLTO RESPIMAT . Mishonga miviri iyi inoshanda pamwe chete kuti nzira dzekufema dziwedzere, dzideredze kuzara kwemhepo, uye dziite kuti zvive nyore kufema. Zvakafanana nekubvisa pombi yakavharika uye kubvumira mvura kuti iyerere zviri nyore.
Chinhu chinonyanya kukosha: Iyi inonzi "controller inhaler." Izvi zvinoreva kuti unofanira kuishandisa zuva nezuva, panguva yakakodzera, kunyangwe kana usina zviratidzo. Izvi ndezvekudzora chirwere kwenguva refu. Iyi haisi "rescue inhaler" yaunoshandisa kana ukangoerekana wava nedambudziko rekufema. Chiremba wako angangodaro akakupa imwe inhaler yeizvozvo.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati washandisa mushonga uyu wekufema, zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako. Mushonga uyu unogona kukanganisa mamwe mamiriro ehutano. Saka, kana uine chimwe chezvirwere zviri pazasi, iva nechokwadi chekuvaudza nezvazvo.
| Mamiriro ehutano/zvimwe zvinhu | Sei uchifanira kuzivisa chiremba? |
|---|---|
| Asima | Izvi zvinonyanya kuitika kune COPD uye zvinoda kutarisirwa zvakanyanya kana zvichishandiswa pakurapa asthma. |
| Chirwere chemwoyo, BP yakakwira, kurova kwemoyo kusina kurongeka | Mushonga uyu unogona kukanganisa kurova kwemoyo. |
| Chirwere cheshuga | Zvinogona kukanganisa zvishoma huwandu hweshuga muropa. |
| Glaucoma (kumanikidzwa kwakawedzerwa muziso) | Kumanikidzwa kwemaziso kunogona kuwedzera zvakanyanya. |
| Chirwere cheitsvo | Chipimo chingada kugadziriswa nekuti chinokanganisa kuburitswa kwemushonga mumuviri. |
| Matambudziko eprostate kana kuoma kuita weti | Zvinogona kuwedzera kusakwanisa kudzora weti. |
| Zvirwere zve thyroid, pfari | Matambudziko aya anogona kukanganiswa nemishonga. |
| Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa | Chiremba anofanira kuziva nezvemigumisiro inogona kuitika pamwana ari mudumbu kana kuti pamwana. |
| Kurwara nemimwe mishonga, chikafu, kana zvinwiwa | Kuti muzive kana muine allergy kune chero chinhu chiri mumushonga uyu. |
Nzira yekushandisa sei inhaler nemazvo?
Mashandisiro aunoita mushonga uyu wekufema akakosha zvikuru.
- Panguva imwe chete zuva nezuva: Inwa mushonga uyu panguva imwe chete zuva nezuva, sezvakarairwa nachiremba wako. Ndiyo nzira yaunogona kuwana mabhenefiti akazara kubva mumushonga.
- Verenga pepa remirayiridzo: Verenga pepa remirayiridzo rinouya nemushonga nokungwarira. Rine mirairo yekuti ungashandisa sei mushonga wekufema nemazvo.
- Teerera uzive:Kana usina chokwadi chekuti ungashandisa sei mushonga uyu, usanyara bvunza chiremba wako. Iye achakuratidza kuti ungaushandisa sei zvakajeka.
- Usashandise zvinopfuura huwandu hwakatarwa: Usashandise kakawanda kana kupfuura zvinokurudzirwa nachiremba wako.
- Usarega kutora mushonga: Kunyangwe uchinzwa zviri nani izvozvi, usarega kutora mushonga kusvika chiremba wako akuudza kuti udaro.
Chii chaunofanira kuita kana ukarasikirwa nedosi?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa wakatora mishonga miviri panguva imwe chete kuti udzorere mushonga wawakakanganwa.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga wakawanda kupfuura zvaunofunga, enda kuEmergency Department (ETU) nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Mimwe mishonga yauri kutora inogona kupindirana nechinhu ichi chinofema. Saka, taurira chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini, mishonga yemishonga, uye zvinowedzera). Zvakakosha kuzivisa chiremba wako kana uri kutora chero ipi yemishonga inotevera:
- Mimwe mishonga yekuderedza kushungurudzika (semuenzaniso, MAOIs)
- Mimwe mishonga yezvirwere zvemwoyo
- Mishonga yekurapa matambudziko edundira (semuenzaniso Oxybutynin, Tolterodine)
- Mimwe mishonga yekurapa allergies, kukosora, uye dzihwa
- Mishonga yezvirwere zvefungus (semuenzaniso Ketoconazole)
- Mamwe maantibiotic (semuenzaniso Clarithromycin, Erythromycin)
- Mishonga yekurapa chirwere cheParkinson
- Mishonga inobvisa mvura mumuviri (diuretics)
- Mishonga yemhando yeSteroid (semuenzaniso, Prednisone)
- Mamwe marudzi einhaler, akadai seIpratropium
Rondedzero iyi haina kukwana. Saka udza chiremba wako nezvemishonga yese yaunotora, kana uchisvuta, kana kana uchinwa doro.
Zvinhu zvekufunga nezvazvo kana uchishandisa inhaler
- Hazvisi zvekukurumidzira: Sezvatakambotaura, usashandise izvi kana ukangoerekana washaya mweya. Unofanira kushandisa "rescue inhaler" yako mumamiriro ezvinhu akadaro. Kana uchida kushandisa rescue inhaler yako nguva dzese, zvinoreva kuti mamiriro ako haasi kudzoreka. Ona chiremba wako nekukasika.
- Kana uchinetseka kufema mushure mekushandisa mushonga wekufemesa: Dzimwe nguva, kashoma, unogona kunetseka kufema mushure mekushandisa mushonga uyu wekufemesa. Kana izvi zvikaitika,Rega kushandisa mushonga uyu wekufemesa nekukasika. Shandisa mushonga wako wekufemesa wekufemesa wofonera chiremba wako nekukasika.
- Dzungu: Mushonga uyu unogona kuita kuti vamwe vanhu vanzwe dzungu. Saka, dzivisai mabasa anoda kungwarira, akadai sekutyaira kana kushandisa michina, kusvika maziva kuti mushonga uyu unokubatsirai sei. Dzivisai kumuka kana kugara pasi nekukurumidza, kunyanya kana makwegura.
Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?
Kufanana nemushonga upi zvawo, izvi zvinogona kukonzera mimwe migumisiro yakaipa, kunyange hazvo vasiri vese vanoiwana.
| Kupatsanura migumisiro yakaipa | |
|---|---|
| 🚨 Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
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| 🩺 Migumisiro inofanira kutaurwa kuna chiremba kana ikaramba iripo kana kuti ichinetsa | |
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Nzira yekuchengetedza mushonga uyu sei?
- Chengeta kure nevana vadiki nezvipfuyo.
- Chengeta patembiricha yemumba (pakati pe20-25 degrees Celsius). Chengeta kure nekupisa kwakanyanya, kutonhora, kana hunyoro.
- Zvakakosha: Mukati memwedzi mitatu yekubvisa mushonga wekufema kubva muhomwe yawo yefoilRasa mushure mekushandisa. Zvakare, rasa kana dose counter iri pairi yasvika "0" kana kuti zuva rekupera rapfuura. Kana chimwe chezvinhu zvitatu izvi chikaitika pakutanga, usashandise inhaler zvakare.
Mharidzo Yekuenda Nayo Kumba
- Iyi inhaler i "controller inhaler" inoshandiswa zuva nezuva kudzora COPD kwenguva refu, kwete "reliever" inhaler inoshandiswa munguva dzenjodzi.
- Shandisa izvi panguva imwe chete zuva nezuva, sezvakarairwa nachiremba wako.
- Gara uchichengeta mushonga wako we "Rescue Inhaler" uri pedyo kuti ushandise kana ukangoerekana washaya mweya.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye mamiriro ehutano auri kutora.
- Kana kuoma kwekufema kukawedzera mushure mekushandisa mushonga wekufemesa, usashandise zvakare uye tsvaga rubatsiro rwechiremba nekukasika.
- Usambofa wakagovana mushonga wako wekufema nevamwe.
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