Ingabe wena noma othile emndenini wakho wake wabhekana nokuphelelwa umoya okungazelelwe, ukuqina kwesifuba, kanye nomsindo wokuphefumula othi "whoosh.. whoosh.."? Lokhu kuyinto evamile kakhulu futhi engakhululekile kumuntu onesifo esifana ne-asthma. Namuhla, sizokhuluma ngokwelashwa okusetshenziswa ezikhathini ezinjengalezi futhi okunikeza impumuzo esheshayo. Lowo umuthi i-epinephrine, onikezwa nge-nebulizer.
Uyini lo muthi obizwa ngokuthi i-Epinephrine?
Kalula nje, i-epinephrine umuthi osetshenziselwa ukwelapha izimo ezibangela ubunzima bokuphefumula emaphashini. Ikakhulukazi ezifweni ezifana ne-asthma, ukuncipha kwemigudu yomoya (i-bronchi) ethwala umoya uye emaphashini ethu kwenzeka. Ngokwezokwelapha, lokhu sikubiza ngokuthi `(i-Bronchospasm)`.
Cabanga ukuthi uma ipayipi lamanzi libhajwa phakathi, kuba nzima ukuthi amanzi adlule. Uma le migudu yomoya ivaliwe, kuba nzima kakhulu kithi ukuphefumula. Lokho okwenziwa yi-epinephrine ukuvula nokuvula le migudu yomoya emincane nemincane. Kufana nokukhulula ipayipi elivaliwe. Khona-ke umoya ungangena kalula futhi uphume emaphashini, bese ukuphefumula kuba lula futhi.
Lo muthi ngezinye izikhathi ungatholakala emakethe ngaphansi kwamanye amagama. Isibonelo `(Adrenalin)`. Kodwa isithako esisebenzayo siyafana.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuthatha noma yimuphi umuthi, kubalulekile ukutshela udokotela wakho umlando wakho wezokwelapha ophelele. Ngoba umuthi owodwa ungathinta omunye. Ngaphambi kokuthatha i-epinephrine, qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo.
| Isimo sakho sempilo | Kungani kufanele unikeze ulwazi? |
|---|---|
| Isifo sikashukela | I-Epinephrine ingakhuphula amazinga kashukela egazini. |
| I-Glaucoma | Kukhona ithuba lokwenyuka komfutho wamehlo. |
| Isifo senhliziyo | Kungakhuphula izinga lokushaya kwenhliziyo kanye nomfutho wegazi, okungabeka ukucindezeleka okwengeziwe enhliziyweni. |
| Umfutho wegazi ophakeme | Lomuthi ungandisa kakhulu umfutho wegazi. |
| Isifo sikaParkinson | Izimpawu, ikakhulukazi ukuthuthumela, zingase zande. |
| Isifo se-thyroid | Izimpawu zingase zibe zimbi kakhulu uma indlala yegilo isebenza ngokweqile. |
| Ezinye izinto ezibangela ukungezwani komzimba | Uma une-allergies ku-epinephrine, eminye imithi, ukudla, noma izithasiselo. |
| Uma ukhulelwe noma ulindele umntwana | Kubalulekile ukubonisana nodokotela mayelana nokusetshenziswa kwemithi ngesikhathi sokukhulelwa. |
| Uma ungumama oncelisayo | Kufanele ukhulume nodokotela wakho mayelana nokwenzeka kokuthi umuthi udluliselwe enganeni yakho ngobisi lwebele. |
Uyisebenzisa kanjani kahle le mithi?
Lomuthi usetshenziswa nedivayisi ebizwa ngokuthi i-nebulizer . Lokhu kuguqula umuthi, osesimweni soketshezi, ube yinkungu encane (i-aerosol) ongayiphefumula. Ube usuphefumula lo nkungu emaphashini akho, kungaba ngomlomo wakho noma ngemaski emboza umlomo nekhala lakho.
Okubaluleke kakhulu: Hlala ulandela imiyalelo kadokotela wakho noma ilebula yemithi ngqo . Ungaphuzi kaningi noma ngemithamo ephezulu kunalokho okuyalelwe.
Lomuthi unikezwa izingane ezincane, ikakhulukazi lezo ezineminyaka engaphezu kwengu-4 ubudala, kwezinye izimo ezikhethekile. Kodwa wenziwa ngokucophelela kakhulu ngaphansi kokuqashwa ngudokotela.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umthamo ongaphezu kobekiwe, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Khumbula, lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nanoma ubani omunye.
Eminye imithi engase ihlangane nalo muthi
Eminye imithi ingasebenzisana uma ithathwa ndawonye. Lokhu kusho ukuthi ukusebenza kahle komuthi owodwa kunganda, kwehle, noma kubangele imiphumela emibi engafuneki. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi yezitshalo, ngisho namavithamini).
Ikakhulukazi ungayithathi i-epinephrine kanye nemithi elandelayo:
- Ezinye izinhlobo zamagesi asetshenziswa ukuvusa ubuthongo ngesikhathi sokuhlinzwa (`(Imithi yokubulala izinzwa evamile)`)
Imithi elandelayo ingasebenzisana ne-epinephrine:
- Eminye imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (`(Antihistamines)`)
- Imithi yokwelapha umfutho wegazi, isifo senhliziyo, kanye nezinkinga zesigqi senhliziyo
- Eminye imithi yokucindezeleka noma ukukhathazeka
- Eminye imithi yesifo sikaParkinson
- I-Digoxin
- Imithi yokukhipha amanzi emzimbeni (i-diuretics)
- I-Thyroxine (i-Levothyroxine)`
- Ama-antidepressant ohlobo lwe-MAOI
- Imithi yohlobo lwe-steroid (isb. i-prednisone)
- Eminye imithi evuselelayo
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo. Futhi, mtshele uma ubhema noma uphuza utshwala.
Izinto okufanele uziqaphele uma usebenzisa umuthi
Bona udokotela wakho njalo ukuze uqaphe izimpawu zakho. Uma izimpawu zakho ziba zimbi kakhulu, noma udinga ukusebenzisa lo muthi kaningi kunokujwayelekile, shayela udokotela wakho ngokushesha . Lokhu kungasho ukuthi i-asthma yakho ayikalawuleki futhi ukwelashwa kwakho kungadinga ukushintshwa.
Sebenzisana nodokotela wakho ukuze wakhe "uHlelo Lokusebenza Lwesifuba" oluqondene nawe ngqo. Cacisa ukuthi yini okufanele uyenze uma izimpawu zakho zincane (i-Yellow Zone) nokuthi yini okufanele uyenze esimweni esiphuthumayo (i-Red Zone).
Yimiphi imiphumela emibi elindelekile?
Njenganoma yimuphi umuthi, i-epinephrine ingabangela imiphumela emibi. Eminye yayo iyingozi, eminye ivamile.
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu zokuhlaselwa yinhliziyo | Ukuqina noma ubuhlungu esifubeni, emahlombe, ezingalweni, noma emhlathini, isicanucanu, ubunzima bokuphefumula, ukujuluka okubandayo, ukuquleka. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba. |
| Umfutho wegazi okhuphukile | Ubuhlungu obukhulu bekhanda, ukushintsha kombono. |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| Ukukhathazeka, ukungahlaliseki | Ikhanda elibuhlungu |
| Isiyezi | Ukuzwa kwenhliziyo esheshayo |
| Isicanucanu noma ukuhlanza | Ukuthuthumela |
| Ukujuluka | Isikhumba esikhanyayo |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, buza udokotela wakho ngazo futhi.
Umlayezo Wokuya Nawe Ekhaya
- I-epinephrine nebulizer umuthi ovula imigudu yokuphefumula evalekile futhi wenze ukuphefumula kube lula ezimweni ezifana ne-asthma.
- Landela njalo umthamo kanye nemiyalelo enikezwe udokotela wakho ngqo . Ungalokothi usebenzise okungaphezu kwenani elibekiwe.
- Kubalulekile ukwazisa udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo (njengesifo sikashukela, isifo senhliziyo) kanye nayo yonke eminye imithi oyiphuzayo.
- Uma ubhekene nomphumela omubi kakhulu njengobuhlungu besifuba, ubunzima obukhulu bokuphefumula, noma ukusabela okukhulu kokungezwani komzimba, iya ekamelweni eliphuthumayo (ETU) ngokushesha.
- Uma izimpawu zakho ziba zimbi kakhulu noma udinga ukusebenzisa umuthi kaningi, kusho ukuthi isimo sakho asilawulwa kahle. Bonana nodokotela wakho ngokushesha.
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