Noma ubani owake wahlushwa ukuphelelwa umoya uyazi ukuthi kunzima kangakanani ukuphila nakho. Ikakhulukazi uma uphila nesimo sokuphefumula sesikhathi eside njenge-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu), ngezinye izikhathi kungaba kubi kangangokuthi ngisho nemisebenzi emincane kakhulu ayinakwenziwa. Ngakho-ke, odokotela banikeza imithi ehlukahlukene yokulawula izimo ezinjalo. Namuhla, sizokhuluma ngesidakamizwa esisodwa esinjalo, okungukuthi i-Arformoterol.
Kalula nje, uyini lo muthi obizwa ngokuthi i-Arformoterol?
I-Arformoterol umuthi osetshenziselwa ukwelapha i-COPD . Isebenza ngokwandisa imigudu yokuphefumula emaphashini akho, inciphise ukuminyana, futhi yenze kube lula ukuphefumula. Isebenza njengokuvula indlela yokuphefumula evalekile.
Kodwa-ke, into ebalulekile lapha ukuthi lokhu kwenzelwa ukulawula lesi sifo isikhathi eside, hhayi ukusetshenziswa uma kwenzeka ukuqubuka kwe-COPD okungazelelwe. Esimweni esiphuthumayo esinjalo, kusetshenziswa 'i-inhaler yokutakula' ehlukile, esebenza ngokushesha. Udokotela wakho uzokuchazela lokhu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokukunikeza i-Arformoterol, udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele. Qiniseka ukuthi ubatshela nganoma yiziphi izimo ezingezansi.
| Izimo zempilo okufanele wazise udokotela wakho ngazo | |
|---|---|
| Isifo sikashukela | Izimo zamazinga aphezulu kashukela egazini. |
| Isifo senhliziyo | Noma yiluphi uhlobo lwesifo senhliziyo noma ukuphazamiseka kwesigqi senhliziyo. |
| Umfutho wegazi ophakeme | Uma welashwa umfutho wegazi ophakeme. |
| Isifo se-thyroid | Izinkinga zezinga lama-hormone e-thyroid. |
| Ezinye izimo zezokwelapha | Izimo ezifana ne-pheochromocytoma noma i-seizures. |
| Ukungezwani komzimba | Uma une-allergy ku-arformoterol noma kunoma yimuphi omunye umuthi, ukudla, noma udayi. |
| Ukukhulelwa noma ukuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Ngiyisebenzisa kanjani ngempela le mithi?
Lomuthi uza njengoketshezi. Usetshenziswa ngomshini obizwa ngokuthi i-nebulizer . Lo mshini uguqula umuthi oketshezi ube yinkungu encane (i-aerosol) ongayiphefumula. Uma uphefumula lo mkhuhlane ngomlomo wakho noma ngomlomo wakho namakhala, ungena ngqo emaphashini akho.
Izinto ezimbalwa okufanele uzikhumbule:
- Ungaxubi neminye imithi: Ungaxubi eminye imithi noketshezi lwe-Arformoterol ku-nebulizer.
- Thatha umthamo onqunyiwe kuphela: Sebenzisa kuphela inani kanye nemvamisa enqunyiwe ngudokotela wakho. Ungalokothi usebenzise umthamo ongaphezu konqunyiwe.
- Funda incwajana yemiyalelo: Njalo funda incwajana yemiyalelo (i-MedGuide) eza nomuthi wakho ngokucophelela. Uma ungaqiniseki ukuthi uyisebenzisa kanjani, cela udokotela wakho ukuthi akunike ulwazi olwengeziwe.
- Akufanelekile ezinganeni: Lo muthi awuvunyelwe ukusetshenziswa ezinganeni.
Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga, shayela iNational Poisons Information Centre eColombo National Hospital ngokushesha. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Lesi yisimo esiphuthumayo, ungalibali.
Ezinye izinto ezingase zihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, kanye namavithamini, imikhiqizo yamakhambi, utshwala, ngisho nogwayi owusebenzisayo, ngoba eminye imithi ingasebenzisana ne-Arformoterol.
| Ungalokothi uthathe i-Arformoterol nalezi. | |
|---|---|
| Ama-MAOI (ama-inhibitor e-Monoamine oxidase) | Lezi ezinye zezinhlobo zemithi esetshenziselwa ukwelapha izifo zengqondo. (Isibonelo: Carbex, Eldepryl, Marplan) |
| I-Procarbazine | Lona umuthi wokwelapha umdlavuza. |
| Ingase isabele ngalokhu (thatha iseluleko sezokwelapha kuphela) | |
| Eminye imithi yokuphefumula | Imithi efana neFormoterol, iSalmeterol, neTheophylline. |
| Imithi yokuhlanza | Imithi yokwelapha umfutho wegazi ophakeme noma isifo senhliziyo. |
| Amanye ama-antibiotic | NjengeClarithromycin, i-Erythromycin, i-Levofloxacin. |
| Okunye | I-caffeine, imithi yokwelapha izifo zengqondo, ama-hormone e-steroid, kanye neminye imithi yomkhuhlane. |
Qaphela lezi zinto uma uthatha imithi.
- Qaphela izimpawu: Uma izimpawu zakho zingathuthuki, noma ziba zimbi kakhulu, tshela udokotela wakho ngokushesha.
- Uma kwenzeka isimo esiphuthumayo: Uma uzizwa unenkinga yokuphefumula ngokuzumayo, ungasebenzisi lo muthi. Sebenzisa 'i-inhaler yakho yokusindisa' ngaleso sikhathi. Uma udinga ukusebenzisa i-inhaler yakho yokusindisa kaningi, kusho ukuthi i-COPD yakho ayisalawuleki. Ngakho-ke bonana nodokotela wakho ngokushesha.
- Uma uzizwa uphelelwa umoya ngemva kokuthatha lo muthi: Ngezinye izikhathi, ngokungajwayelekile, ungase uzizwe uphelelwa umoya ngemva nje kokusebenzisa lo muthi. Uma lokhu kwenzeka, yeka ukusebenzisa umuthi ngokushesha bese ukhuluma nodokotela wakho.
- Eminye imithi: Uma uthatha imithi yomkhuhlane, ukukhwehlela, noma ukungezwani komzimba etholakala ngaphandle kwemithi kadokotela, buza udokotela wakho ngalokho futhi, njengoba eminye imithi ingase ihlangane nalena.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yimuphi umuthi, i-Arformoterol ingabangela imiphumela emibi.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba, ubunzima bokuphefumula. |
| Ezinye izimpawu ezinkulu | Ukwanda komfutho wegazi, ubuhlungu bemisipha noma ukuqaqamba, ukoma okwandayo ngemva kokuthatha umuthi. |
| Imiphumela emibi evamile okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu | Umphimbo obuhlungu |
| Uhudo | Ukuhlungu obusemhlane |
| Ukungalali | Ukuthuthumela |
Ungawugcina kanjani umuthi?
Ukuze kulondolozwe izakhiwo zokwelapha, kubalulekile ukuzigcina ngendlela efanele.
- Indlela engcono kakhulu yokugcina isesiqandisini: Gcina amabhodlela angavulwanga ezikhwameni zawo ze-foil esiqandisini. Ungavuli ibhodlela uze usukulungele ukulisebenzisa.
- Ukugcinwa ekamelweni lokushisa: Uma kudingeka, lo muthi ungagcinwa ekamelweni lokushisa (phakathi kuka-20-25 Celsius) kuze kube amasonto ayisithupha. Uma kunjalo, lahla noma yimuphi umuthi osele ngemva kwamasonto ayisithupha.
- Imithi Ephelelwe Yisikhathi: Lahla ngokuphephile imithi ephelelwe yisikhathi noma engafuneki. Buza udokotela wakho ngezinhlelo ezitholakalayo zalokhu.
Umlayezo Wokuya Nawe Ekhaya
- I-Arformoterol umuthi we-COPD wesikhathi eside, hhayi umuthi wokutakula.
- Ngaphambi kokuthatha lo muthi, tshela udokotela wakho ngazo zonke izimo zezokwelapha onazo kanye nayo yonke eminye imithi oyithathayo.
- Yazi kahle ukuthi ungawusebenzisa kanjani umuthi nge-nebulizer futhi uthathe umthamo onqunyiwe kuphela.
- Uma uhlangabezana nemiphumela emibi kakhulu (ubuhlungu besifuba, ukushaya kwenhliziyo okwandayo, ukusabela kokungezwani komzimba), funa iseluleko sikadokotela ngokushesha.
- Gcina imithi endaweni ephephile, kude nezingane, ezingeni lokushisa elifanele.
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