Chiremba wako akakupa mushonga wekushandisa wekurapa chirwere chemapapu chinogara kwenguva refu (COPD) here? Mushonga uyu unonzi ANORO ELLIPTA here? Kana zvakadaro, chinyorwa chino chichava chakakosha kwauri. Ngatitaurei zviri nyore nezvemushonga uyu, mashandisirwo awo, uye zvekungwarira.
Mushonga uyu chii? Zvichitaurwa zviri nyore...
Mushonga uyu une musanganiswa wemishonga miviri, Umeclidinium naVilanterol. Unoshanda nekuvhura nzira dzekufema mumapapu ako uye zvichiita kuti zvive nyore kufema. Chirwere ichi chinonzi Chronic Obstructive Pulmonary Disease (COPD).
Chinhu chakakosha ndechekuti iyi i "controller inhaler." Izvi zvinoreva kuti inoshandiswa kubatsira kudzora zviratidzo uye kugara zvakanaka zuva nezuva. Haisi "rescue inhaler" yekushandisa kana wangoerekana waomerwa nekufema (COPD flare-up). Chiremba wako angangodaro akakupa imwe inhaler yekukurumidza.
Zvinhu zvekuudza chiremba wako usati washandisa mushonga wekufemesa
Chiremba wako anofanira kunyora nhoroondo yako yezvekurapa usati wakupa mushonga uyu. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
- Chirwere cheshuga
- Glaucoma
- Chirwere chemwoyo
- Kukwira kweropa
- Kurova kwemoyo kusina kurongeka
- Chirwere cheitsvo
- Chirwere chinonzi Pheochromocytoma
- Zvirwere zveprostate
- Kubatwa nepfari
- Chirwere chethyroid
- Kana uine allergic reaction kuUmeclidinium, Vilanterol, kana mapuroteni elactose kana mukaka ari mumushonga uyu.
- Kana uine allergies kune chero mimwe mishonga, chikafu, kana kupenda.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri.
- Kana uri amai vanoyamwisa.
Nzira yekushandisa sei inhaler iyi nemazvo?
Mushonga uyu unofanira kunwiwa nemuromo. Utore sezvawakaudzwa nachiremba wako, panguva imwe chete zuva nezuva. Usatore zvinopfuura mwero wakatarwa. Ramba uchitora kusvika chiremba wako akuudza kuti urege.
Chinofefetera ichi chinouya nepepa rine mirayiridzo yekuti ungachishandisa sei. Verenga zvakanaka wonzwisisa. Kana uine matambudziko, kumbira chiremba wako kuti adzidze kuchishandisa nemazvo.
Chii chaunofanira kuita kana ukarasikirwa nedosi?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekuti utore dosi rinotevera, siya dosi rausina kutora wotora dosi rinotevera panguva yakatarwa.Usambofa watora dose yakapetwa kaviri.
Ko kana ndikatora mushonga wakawandisa? (Kunyanya kunwa mushonga)
Kana uchifunga kuti watora mushonga wakawanda kupfuura zvaunofunga, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika . Kana kufonera National Poisons Information Centre kuColombo National Hospital .
Zvakakosha: Mushonga uyu wakanyorerwa iwe chete. Usaugovane nemumwe munhu chero chikonzero chipi zvacho.
Mimwe mishonga inogona kupindirana nemushonga uyu (Kupindirana kweMishonga)
Zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga), sezvo mimwe mishonga inogona kukanganisa mushonga uyu.
| Kudyidzana Kwemishonga | |
|---|---|
| Usashandise neizvi zvachose | |
Mishonga yakaita seDofetilide, Dronedarone, Pimozide, Thioridazine, Ziprasidone, uye MAOIs (semuenzaniso, Carbex, Eldepryl). | |
| Izvi zvinogona kusangana ne | |
| Mishonga inorwisa mabhakitiriya yekurwisa allergies | Mishonga inorwisa utachiona inotorwa yeHIV kana AIDS |
| Atropine | Beta-blockers (semuenzaniso, metoprolol, propranolol) |
| Mishonga yematambudziko edundira (semuenzaniso, oxybutynin) | Mimwe mishonga yekuderedza kushungurudzika kana kuzvidya mwoyo |
| Mimwe mishonga yekurapa chirwere cheParkinson | Mimwe mishonga yekurwadziwa kwemudumbu (semuenzaniso dicyclomine) |
| Mishonga inobvisa mvura mumuviri | Mimwe mishonga yekufema yakaita seIpratropium, Tiotropium |
| Mishonga yezvirwere zvefungus (semuenzaniso ketoconazole) | Mimwe mishonga inokanganisa rhythm yemoyo (QT interval) |
Rondedzero iyi haina kukwana, saka zvakanaka kuudza chiremba wako nezvese zvaunotora.
Zvinhu zvekungwarira pakushandisa inhaler
Ona chiremba wako pamazuva akarongwa kuti uone kana paine shanduko muzviratidzo zvako. Kana zviratidzo zvako zvikasavandudzika kana kuti zvikasawedzera kuipa, udza chiremba wako.
Usamboshandisa mushonga uyu wekufema kana munhu angoerekana ashaya mweya. Shandisa mushonga wako wekufema we "rescue inhaler" (mushonga wekufema unoshanda kwenguva pfupi) chete muzviitiko zvakadaro.
Dzimwe nguva, unogona kusangana nematambudziko ekufema zvakanyanya paunenge uchishandisa mushonga uyu. Kana izvi zvikaitika, rega kushandisa mushonga uyu nekukasika, shandisa mushonga wako wekununura, uye fonera chiremba wako nekukasika.
Bvunza chiremba wako usati watora mushonga wega wezvinhu zvakaita sekukosora, dzihwa, kana allergies, sezvo mimwe mishonga inogona kukanganisa mushonga uyu.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemushonga upi zvawo, izvi zvinogona kukonzera migumisiro yakaipa kune vamwe vanhu.
| Mhedzisiro yedivi | Zvekuita |
|---|---|
| Zvinhu zvekutaurira chiremba wako nekukasika | |
| Kurwara nepfungwa (mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi) | Tsvaga rubatsiro rwechiremba nekukasika. |
| Kuchinja kwekurova kwemoyo (kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kurwadziwa kwechipfuva) | Tsvaga rubatsiro rwechiremba nekukasika. |
| Kuwedzera kweropa | Udza chiremba. |
| Kurwadziwa kwemaziso kamwe kamwe, kuona zvisipo, kuona mhete dzakatenderedza mwenje | Tsvaga rubatsiro rwechiremba nekukasika. |
| Kuoma kwekuita weti | Udza chiremba. |
| Kuoma kufema kwakanyanya mushure mekushandisa mushonga | Tsvaga rubatsiro rwechiremba nekukasika. |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Kuzvimba | Kukosora, muromo wakaoma |
| Musoro | Mhuno inoyerera, pahuro panorwadza |
| Kudedera kwemaoko | Kuomerwa nekurara |
Munochengeta uye munorasa sei mushonga wacho?
- Chengeta kure nevana nezvipfuyo.
- Chengeta patembiricha yemumba (pakati pe20-25 degrees Celsius). Chengeta kure nechiedza, kupisa kwakanyanya, kutonhora, uye hunyoro.
- Kana chinhu chinopinza mweya chabviswa kubva muhomwe yacho yefoil, chinofanira kushandiswa mukati memavhiki matanhatu .
- Rasa chinhu chinopinzwa mushonga kana mushonga wacho waratidza kuti "0" kana kuti zuva rekupera kwemushonga rapfuura, kana kuti mavhiki matanhatu apfuura kubva pawakabviswa mupaketi yeblister (chero chinotanga).
Bvunza chiremba wako kuti akupe mazano ekuti ungarasa sei mishonga isina kushandiswa kana yapera basa.
Mharidzo Yekuenda Nayo Kumba
- Mushonga uyu wekufema i "controller" inoshandiswa kudzora zviratidzo zvezuva nezuva, kwete mushonga wekufema we "rescue" unoshandiswa panguva yenjodzi.
- Iva nechokwadi chekuudza chiremba wako nezvezvimwe zvirwere zvaunazvo pamwe nemishonga yese yauri kutora.
- Kana paine migumisiro yakakomba (allergies, kurwadziwa pachipfuva, kuchinja kwemaonero), tsvaga rubatsiro rwechiremba nekukasika.
- Gara uchichengeta "chinonhuhwirira" chawakanyorerwa kuti upiwe mushonga we "rescue inhaler" pedyo kana paine njodzi.
- Ziva mashandisirwo uye kuchengetwa kwemushonga wako wekufema nemazvo. Kana uine mibvunzo, bvunza chiremba wako.
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