Ingabe nawe unesifo samaphaphu esingamahlalakhona, okuyilokho esikubiza ngokwezokwelapha ngokuthi i-COPD (Isifo Sokuvimbela Amaphaphu Esingamahlalakhona)? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike i-inhaler efana nale. Empeleni lokhu kuyinhlanganisela yemithi emithathu. Nakuba kungase kubonakale kuyinkimbinkimbi kancane ekuqaleni, indlela esetshenziswa ngayo nezinto okudingeka uzazi ngayo kulula kakhulu. Ngakho-ke ake sixoxe ngalokhu ngokucacile namuhla, njengokungathi sikhuluma nomngane omuhle.
Kwenzekani ngempela ngale inhaler?
Kalula nje, le inhaler isiza amaphaphu akho ukuthi aphefumule kalula. Iqukethe imithi emithathu eyinhloko: i-Budesonide , i-Glycopyrrolate , kanye ne-Formoterol . Ake sibheke ukuthi ngayinye yale mithi yenzani.
- I-Budesonide: Lena i-steroid ephefumulwayo. Isebenza ngokunciphisa ukuvuvukala nokuvuvukala emigudwini yakho yomoya. Uma lokhu kuvuvukala kwehla, imigudu yakho yomoya iba banzi kancane.
- I-Glycopyrrolate kanye ne-Formoterol: Yomibili le mithi ibizwa ngokuthi ama-bronchodilators. Lokhu kusho ukuthi isebenza ngokukhulula imisipha ezungeze imigudu yomoya emincane neyinciphile, iwandise. Kufana nokwandisa ipayipi elinciphile.
Ngenxa yokuthi le mithi emithathu isebenza ndawonye, le inhaler ingakusiza ukuthi uphefumule kalula usuku lonke. Yingakho siyibiza ngokuthi "i-inhaler yokulawula." Lokho kusho ukuthi isetshenziselwa ukulawula izimpawu, ukuzigcina usuku lonke, hhayi isimo esiphuthumayo esingazelelwe.
Kubaluleke kakhulu: Le inhaler akufanele isetshenziswe ekuqubukeni kwe-COPD okungazelelwe. Udokotela wakho kungenzeka ukuthi ukunikeze "i-inhaler yokusindisa" ehlukile ongayisebenzisa ezimweni ezinjalo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kubaluleke kakhulu ukuthi udokotela wakho azi kahle ngesimo sakho sempilo ngaphambi kokukunikeza lo muthi. Uma unezinye zezimo ezingezansi, qiniseka ukuthi utshela udokotela wakho ngakho.
| Izimo zakho zezokwelapha |
|---|
| Izinkinga zesinyi noma ubunzima bokuchama |
| Izinkinga zamathambo (isib. i-osteoporosis) |
| Isifo sikashukela |
| Izifo zamehlo (isib. i-glaucoma, i-cataracts) noma izinkinga zokubona |
| Isifo senhliziyo noma umfutho wegazi ophakeme |
| Umlando wokuphazamiseka kwesigqi senhliziyo |
| Ubuthakathaka noma izifo zomzimba |
| Isifo sezinso |
| Izifo ze-prostate |
| Isifo se-thyroid |
| Uma uke waba nokusabela okungavamile noma kokungezwani komzimba kule mithi (budesonide, formoterol, glycopyrrolate), eminye imithi, ukudla noma izithasiselo |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa |
Uyisebenzisa kanjani le inhaler ngendlela efanele?
Ukuze uthole okuningi kulokhu, kubalulekile ukwazi kahle ukuthi ungayisebenzisa kanjani.
- Yithathe ngesikhathi esifanele: Yithathe ngesikhathi esifanayo nsuku zonke , njengoba kuyalelwe udokotela wakho. Ngokuvamile kuyalelwe ukuthi ithathwe kabili ngosuku (ekuseni nakusihlwa).
- Shukumisa kahle: Shukumisa kahle i-inhaler ngaphambi kokusebenzisa.
- Hlanza umlomo wakho (okubaluleke kakhulu): Ngemva kokuqeda ukuthatha umuthi, thatha amanzi emlonyeni wakho, uhlanze umlomo wakho kahle, bese uwukhafula ngaphandle kokuwugwinya.Lokhu kubaluleke kakhulu ngoba uma umuthi we-steroid kulo muthi ubhajwa emlonyeni wakho, ungabangela ukutheleleka kwesikhunta (thrush) okubangela amabala amhlophe emlonyeni wakho. Ukuhlanza umlomo wakho kuyindlela yokuvimbela lokho.
- Ungathathi okungaphezu kwesilinganiso esinqunyiwe: Ungathathi okungaphezu kwesilinganiso esinqunyiwe ngudokotela wakho (isib., uma uphuza kabili ngosuku, kabili kuphela).
- Ungayeki: Qhubeka uyisebenzisa kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungayeki ngokuzumayo, noma ngabe uzizwa ungcono.
Uma unokungabaza ngokuthi ungayisebenzisa kanjani i-inhaler yakho, ungabi namahloni bese ubuza udokotela wakho futhi ukuze aqinisekise.
Kuthiwani uma ngisebenzisa umuthi omningi ngephutha?
Uma ucabanga ukuthi uthathe okungaphezu kwalokho okucabangayo, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engase ihlangane nalo muthi
Akuyona yonke imithi oyithathayo ehambisana nale inhaler. Eminye imithi ingandisa imiphumela emibi noma ishintshe ukuthi lo muthi usebenza kahle kangakanani uma uthathwa nale inhaler.
| Imithi okungafanele isetshenziswe nale inhaler |
|---|
| Imithi efana neCisapride, iDronedarone, iPimozide, neThioridazine |
| I-MAOI imithi esetshenziselwa ukwelapha izifo zengqondo. |
| Lokhu kanye nezinye izifutho eziqukethe ama-bronchodilator asebenza isikhathi eside (ama-LABA) |
Ngaphezu kwalokho, eminye imithi eminingi ingasebenzisana nalokhu. Isibonelo:
- Eminye imithi yesifo senhliziyo kanye nomfutho wegazi ophakeme (isib., ama-beta-blockers afana ne-Atenolol ne-Metoprolol)
- Eminye imithi yokwelapha izimo ezinjengokucindezeleka
- Imithi efana neKetoconazole ne-Itraconazole, esetshenziselwa ukwelapha izifo zesikhunta
- Eminye imithi yokulwa namagciwane ye-HIV noma i-Hepatitis
- Imithi efana ne-Oxybutynin ne-Tolterodine, esetshenziselwa izinkinga zesinyi
- Imithi yokukhipha amanzi emzimbeni ( i-diuretics )
- Amanye ama -steroidAmaphilisi (isib. i-Prednisolone)
Lolu hlu aluphelele. Ngakho-ke, nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa, amavithamini, amakhambi, kanye nezithasiselo ozithathayo. Qiniseka ukuthi uyamtshela udokotela wakho uma ubhema noma uphuza utshwala.
Yimiphi imiphumela emibi elindelekile?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye iyingozi, eminye ivamile. Kubalulekile ukuqaphela lokhu.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, ubunzima bokuphefumula noma ukugwinya. |
| Ukuphefumula ngokushesha ngemva kokusebenzisa i-inhaler | Uma ubunzima bokuphefumula bukhula ngokushesha ngemva kokuthatha umuthi. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okungajwayelekile, ukushaya kwenhliziyo okungajwayelekile, ubuhlungu besifuba, isiyezi. |
| Izinkinga zamehlo | Ubuhlungu bamehlo obungazelelwe, ukubona okufiphele, kanye nama-halo azungeze izibani. |
| Ukutheleleka kwesikhunta emlonyeni (i-Thrush) | Amabala amhlophe emlonyeni noma olimini. |
| Ubunzima bokuchama | Ukuzwa ubunzima noma ubuhlungu lapho uchama. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Umphimbo obuhlungu, ukusha | Ukusha kwezwi, Umphimbo obuhlungu |
| Ikhanda elibuhlungu, ukukhwehlela, umlomo owomile | Ikhanda elibuhlungu, Ukukhwehlela, Umlomo owomile |
| Ukungalali, ukuthuthumela komzimba | Unenkinga yokulala, Ukuthuthumela |
Uwugcina futhi uwulahla kanjani umuthi?
- Indawo Yokugcina: Gcina le inhaler ekushiseni kwegumbi (phakathi kuka-15-30 Celsius), endaweni eyomile. Gcina kude nezingane nezilwane ezifuywayo. Ungalokothi uyigcine eduze kokushisa okukhulu noma ilangabi. Ibhokisi lingaqhuma. Ungalifaki efrijini.
- Ukuphelelwa yisikhathi: Kufanele usebenzise i-inhaler zingakapheli izinyanga ezi-3 (ze-puff canister eziyi-120) noma amasonto ama-3 (ze-puff canister ezingama-28) kusukela ngosuku ovula ngalo iphakethe le-aluminium. Ngaphandle kwalokho, lahla i-inhaler uma inkomba yomthamo ibonisa u-zero (0) .
- Ukulahlwa: Xhumana nodokotela wakho mayelana nendlela yokulahla ngokuphephile i-inhaler yakho esetshenzisiwe noma ephelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- Le inhaler "iyi-inhaler yokulawula" oyiphuza nsuku zonke ukulawula i-asthma yakho. Ungayisebenzisi uma uphefumula kanzima. Sebenzisa "i-inhaler yakho yokusindisa" ngalokho.
- Ngemva kokusebenzisa ngakunye, hlanza umlomo wakho kahle ngamanzi bese uwukhafula ngaphandle kokugwinya. Lokhu kubalulekile ukuvimbela ukutheleleka ngefungus emlonyeni.
- Yazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemithi yendabuko oyithathayo.
- Uma izimpawu zakho ziba zimbi kakhulu noma uzithola kufanele usebenzise "i-relief inhaler" yakho kaningi, shayela udokotela wakho ngokushesha.
- Gcina i-inhaler ngendlela efanele bese uyilahla ngokuphephile uma isiphelelwe yisikhathi.
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