Ngaba nawe unesifo semiphunga esingapheliyo, esibizwa ngokuba yiCOPD ngokwezonyango (Chronic Obstructive Pulmonary Disease)? Ukuba kunjalo, ugqirha wakho usenokuba ukunike i-inhaler efana nale. Oku kudityaniswe namayeza amathathu. Nangona kunokubonakala kunzima kancinci xa uqala ukuyibona, indlela esetyenziswa ngayo kunye nezinto ekufuneka uzazi ngayo zilula kakhulu. Ngoko masithethe ngale nto ngokucacileyo namhlanje, ngokungathi sithetha nomhlobo osenyongweni.
Kwenzeka ntoni ngokwenene ngale inhaler?
Ngamafutshane, le inhaler inceda imiphunga yakho ukuba iphefumle lula. Iqulethe amayeza amathathu aphambili: iBudesonide , iGlycopyrrolate , kunye neFormoterol . Makhe sijonge ukuba nganye kwezi yenza ntoni.
- I-Budesonide: Le yi-steroid ephefumlwayo. Isebenza ngokunciphisa ukudumba kunye nokuvuvukala kwimigudu yakho yomoya. Xa oku kudumba kwehla, imigudu yakho yomoya iba banzi kancinci.
- I-Glycopyrrolate kunye neFormoterol: Zombini ezi mithi zibizwa ngokuba zii-bronchodilators. Oku kuthetha ukuba zisebenza ngokukhulula izihlunu ezijikeleze iindlela zomoya ezixineneyo nezixineneyo, zizenze zande. Kufana nokwandisa ityhubhu exineneyo.
Ngenxa yokuba la mayeza mathathu asebenza kunye, le inhaler inokukunceda uphefumle lula imini yonke. Yiyo loo nto siyibiza ngokuba yi "controller inhaler." Oko kuthetha ukuba isetyenziselwa ukulawula iimpawu, ukuzigcina imini yonke, kungekhona imeko engxamisekileyo ngequbuliso.
Kubaluleke kakhulu: Le inhaler akufuneki isetyenziswe kwi-COPD ekhawulezileyo. Ugqirha wakho usenokuba ukunike "i-inhaler yokuhlangula" eyahlukileyo ukuze uyisebenzise kwiimeko ezinjalo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Kubaluleke kakhulu ukuba ugqirha wakho azi kakuhle imeko yakho yempilo ngaphambi kokuba akunike eli yeza. Ukuba unayo nayiphi na kwezi meko zingezantsi, qiniseka ukuba uxelela ugqirha wakho ngayo.
| Iimeko zakho zempilo |
|---|
| Iingxaki zesinyi okanye ubunzima bokuchama |
| Iingxaki zamathambo (umz. i-osteoporosis) |
| Isifo seswekile |
| Izifo zamehlo (umz. i-glaucoma, i-cataracts) okanye iingxaki zokubona |
| Isifo sentliziyo okanye uxinzelelo lwegazi oluphezulu |
| Imbali yokungahambi kakuhle kwesingqisho sentliziyo |
| Ubuthathaka okanye usulelo lwenkqubo yomzimba yokuzikhusela |
| Isifo sezintso |
| Izifo zeprostate |
| Isifo se-thyroid |
| Ukuba ukhe waba nempendulo engaqhelekanga okanye ye-allergy kula mayeza (budesonide, formoterol, glycopyrrolate), amanye amayeza, ukutya okanye izithinteli |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa |
Uyisebenzisa njani le inhaler ngokuchanekileyo?
Ukuze ufumane okuninzi koku, kubalulekile ukwazi kakuhle indlela yokuyisebenzisa.
- Yithathe ngexesha elifanelekileyo: Yithathe ngexesha elifanayo yonke imihla , njengoko ugqirha wakho ekuyalele. Ngokwesiqhelo inikwa umyalelo wokuba ithathwe kabini ngemini (kusasa nangokuhlwa).
- Shukumisa kakuhle: Shukumisa kakuhle i-inhaler ngaphambi kokuba uyisebenzise.
- Hlamba umlomo wakho (okubaluleke kakhulu): Emva kokuba ugqibile ukuthatha iyeza, thatha amanzi emlonyeni wakho, hlambulula umlomo wakho kakuhle, uze uwutshice ngaphandle kokuwuginya.Oku kubaluleke kakhulu kuba ukuba iyeza le-steroid kweli yeza linamathela emlonyeni wakho, linokubangela usulelo lwefungus (thrush) olubangela amabala amhlophe emlonyeni wakho. Ukuhlamba umlomo wakho yindlela yokuthintela oko.
- Musa ukuthatha ngaphezu komlinganiselo omiselweyo: Musa ukuthatha ngaphezu komlinganiselo omiselwe ngugqirha wakho (umz., ukuba ukhupha iipilisi ezimbini ngosuku, ezimbini kuphela).
- Musa ukuyeka: Qhubeka uyisebenzisa de ugqirha wakho akuxelele ukuba uyeke. Musa ukuyeka ngequbuliso, nokuba uzive ungcono.
Ukuba unamathandabuzo malunga nendlela yokusebenzisa i-inhaler yakho, ungabi nazintloni kwaye ubuze ugqirha wakho kwakhona ukuze aqinisekise.
Kuthekani ukuba ndisebenzisa amayeza amaninzi ngempazamo?
Ukuba ucinga ukuba uthathe okungaphezulu kunokuba ucinga, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Amanye amayeza anokusebenza kunye nale mayeza
Ayizizo zonke iiyeza ozisebenzisayo ezihambelana nale inhaler. Amanye amayeza anokunyusa iziphumo ebezingalindelekanga okanye atshintshe indlela eli yeza elisebenza ngayo xa lisetyenziswa nale inhaler.
| Amayeza angafanele asetyenziswe kunye nale inhaler |
|---|
| Amayeza afana neCisapride, iDronedarone, iPimozide, neThioridazine |
| Ii-MAOI ngamayeza asetyenziselwa ukunyanga izifo zengqondo. |
| Le kunye nezinye ii-inhalers ezine-bronchodilators ezisebenza ixesha elide (ii-LABA) |
Ukongeza, amanye amayeza amaninzi anokuchaphazela oku. Umzekelo:
- Amanye amayeza esifo sentliziyo kunye noxinzelelo lwegazi oluphezulu (umz., ii-beta-blockers ezifana ne-Atenolol kunye ne-Metoprolol)
- Amanye amayeza eemeko ezinje ngokudakumba
- Amayeza anjengeKetoconazole kunye neItraconazole, asetyenziselwa ukunyanga izifo zefungus
- Amanye amayeza e-antiviral e-HIV okanye i-Hepatitis
- Amayeza anjenge-Oxybutynin kunye neTolterodine, asetyenziselwa iingxaki zesinyi
- I-Diuretics (amayeza asusa amanzi emzimbeni)
- Ezinye ii-steroidsIipilisi (umz. iPrednisolone)
Olu luhlu aluphelelanga. Ngoko ke, nika ugqirha wakho uluhlu olupheleleyo lwamayeza onke, iivithamini, amayeza emifuno, kunye nezongezo ozithathayo. Qiniseka ukuba uxelele ugqirha wakho ukuba uyatshaya okanye usela utywala.
Zithini iziphumo ebezingalindelekanga?
Njengalo naliphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zimbi kakhulu, ezinye ziqhelekile. Kubalulekile ukuzazi ezi zinto.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, ubunzima bokuphefumla okanye bokuginya. |
| Ukuphefumla ngokukhawuleza emva kokusebenzisa i-inhaler | Ukuba ubunzima bokuphefumla buyanda ngoko nangoko emva kokuthatha iyeza. |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo rhoqo, ukubetha kwentliziyo okungahambelaniyo, iintlungu zesifuba, isiyezi. |
| Iingxaki zamehlo | Iintlungu zamehlo ngequbuliso, umbono ofipheleyo, kunye nee-halos ezijikeleze izibane. |
| Usulelo lwefungus emlonyeni (Thrush) | Amabala amhlophe emlonyeni okanye elulwimini. |
| Ubunzima bokuchama | Ukuva ubunzima okanye iintlungu xa uchama. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Umphimbo obuhlungu, ukurhawuzelela | Ukurhawuzela, Umphimbo obuhlungu |
| Intloko ebuhlungu, ukukhwehlela, umlomo owomileyo | Intloko ebuhlungu, Ukukhwehlela, Umlomo owomileyo |
| Ukungalali, ukungcangcazela komzimba | Ingxaki yokulala, Iindudumo |
Uligcina kwaye ulilahla njani iyeza?
- Indawo yokugcina: Gcina le inhaler kubushushu begumbi (phakathi kwe-15-30 Celsius), kwindawo eyomileyo. Gcina kude nokufikelela kwabantwana nezilwanyana zasekhaya. Ungaze uyigcine kufutshane nobushushu obugqithisileyo okanye ilangabi. Ibhokisi ingaqhuma. Musa ukuyibeka efrijini.
- Ukuphelelwa: Kufuneka usebenzise i-inhaler zingadlulanga iinyanga ezi-3 (kwi-puff canister eyi-120) okanye iiveki ezi-3 (kwi-puff canister engama-28) ukususela ngomhla ovula ngawo ipakethe ye-aluminiyam. Ngaphandle koko, yilahle i-inhaler xa isalathisi sedosi sibonisa u-zero (0) .
- Ukulahlwa: Cela ugqirha wakho akunike icebiso malunga nendlela yokulahla ngokukhuselekileyo i-inhaler yakho oyisebenzise okanye ephelelwe lixesha.
Umyalezo Wokuya Ekhaya
- Le inhaler "yi-inhaler yokulawula" oyisela yonke imihla ukulawula i-asthma yakho. Musa ukuyisebenzisa xa uphelelwa ngumphefumlo ngequbuliso. Sebenzisa "i-inhaler yakho yokusindisa" kuloo nto.
- Emva kokusebenzisa rhoqo, hlambulula umlomo wakho kakuhle ngamanzi uze uwutshice ngaphandle kokuwuginya. Oku kubalulekile ukuthintela usulelo lwefungus emlonyeni.
- Yazisa ugqirha wakho ngazo zonke ezinye iindlela zonyango, iivithamini, kunye namayeza esintu owasebenzisayo.
- Ukuba iimpawu zakho ziya zisiba mandundu okanye ufumanisa ukuba kufuneka usebenzise "i-relief inhaler" yakho rhoqo, tsalela umnxeba ugqirha wakho ngoko nangoko.
- Gcina i-inhaler ngokuchanekileyo kwaye uyilahle ngokukhuselekileyo xa iphelelwe lixesha.
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