Noma ubani owake wahlushwa yi-COPD (Chronic Obstructive Pulmonary Disease) uyazi ukuthi kungaba nzima kangakanani ukuphila nesimo esifana nokuphelelwa umoya. Uma unalesi simo, udokotela wakho kungenzeka ukuthi ukunike i-inhaler ekhethekile ukuze kube lula ngamaphaphu akho ukuphefumula. Namuhla, sizokhuluma nge-inhaler eza ngesimo sempuphu equkethe inhlanganisela yemithi emibili, i-Indacaterol ne-Glycopyrrolate.
Kalula nje, uyini lo muthi?
Lokhu kuyinhlanganisela yemithi emibili. Yomibili isebenza ngokwandisa kancane indlela yokuphefumula emaphashini akho, ukunciphisa ukuminyana, nokwenza kube lula ukuphefumula. Lona umuthi wokunakekela okudingeka uwuthathe nsuku zonke.
Kubaluleke kakhulu: Le inhaler iwukulawula isikhathi eside i-COPD. Ungayisebenzisi ekuhlaselweni okungazelelwe kokuphelelwa umoya. Ezimweni ezinjalo, kufanele usebenzise i-inhaler eluhlaza okwesibhakabhaka esebenza ngokushesha, njengaleyo udokotela wakho akunike yona.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ukuze uphephe, kubalulekile ukuthi wazise udokotela wakho ngomlando wakho wezempilo ophelele ngaphambi kokusebenzisa lo muthi. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezibalwe ngezansi.
| Izimo zempilo okumele zibikwe kudokotela | |
|---|---|
| Isifo sikashukela | I-Glaucoma |
| Noma yiluphi uhlobo lwesifo senhliziyo | Umfutho wegazi ophakeme |
| Ukushaya kwenhliziyo okungajwayelekile | Isifo sezinso noma sesibindi |
| Izinkinga ze-prostate noma ubunzima bokuchama | Ukuquleka |
| Isifo se-thyroid | Ukungezwani nobisi noma yimuphi omunye umuthi noma ukudla |
| Uma uzama ukukhulelwa noma ukhulelwe | Uma ungumama oncelisayo |
Ungayisebenzisa kanjani i-inhaler ngendlela efanele?
Lokhu kudinga idivayisi ekhethekile yokufutha, ngakho qiniseka ukuthi uyaqonda kahle ukuthi udokotela wakho noma usokhemisi wakho ukutshela kanjani ukuthi uyisebenzise.
- Ungagwinyi ama-capsule: Lena yinto ebaluleke kakhulu. Lo muthi uza ngesimo sama-capsule amancane. Lena akuyona imithi okufanele igwinywe ngomlomo. Le capsule ifakwa ku-inhaler eza nayo, futhi uma ucindezela inkinobho kuyo, i-capsule iyabhoboka, futhi ungakwazi kuphela ukuphefumula (ukuphefumula) impuphu yomuthi engaphakathi.
- Ungasebenzisi i-spacer: Idivayisi ye-spacer ayisetshenziswa nale inhaler.
- Yithathe ngesikhathi esifanele: Thatha umuthi kuphela uma futhi ngenani elinqunyiwe njengoba kunqunywe udokotela wakho. Ungalokothi usebenzise okungaphezu kwenani elinqunyiwe.
- Ungayeki ngokuzumayo: Ungayeki ukusebenzisa lokhu ngaphandle kweseluleko sikadokotela wakho.
- Izingcezu ze-capsule ezifika emlonyeni wakho: Ngezinye izikhathi, uma uphefumula umuthi, izingcezu ezincane ze-gelatin ezivela ku-capsule zingase zifike emlonyeni wakho. Lokhu kuvamile, ngakho ungakhathazeki ngakho.
- Akufanelekile ezinganeni: Lo muthi awuvunyelwe ukusetshenziswa ezinganeni.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe okungaphezu komthamo onqunyiwe, xhumana ngokushesha ne-National Poisons Information Centre e-Colombo National Hospital. Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Ungakulibazisi lokhu.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
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 imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Eminye imithi oyithathayo ingase ihlangane nomuthi okulesi sifutho. Lokhu kungabangela imiphumela emibi engafuneki noma kushintshe indlela umuthi osebenza ngayo. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, izithasiselo zokudla okunempilo, imithi yesiSinhala, kanye nemithi ye-Ayurvedic .
Qiniseka ukuthi usitshela uma uthatha noma yimuphi wale mithi:
- Ezinye izinhlobo zama-bronchodilator asebenza isikhathi eside (ama-agonist e-beta-2 asebenza isikhathi eside - ama-LABA)
- Imithi yezifo ezithile zenhliziyo
- Imithi yokugula ngengqondo kanye nokucindezeleka (njenge-MAOIs)
- Imithi yokuhlanza
- Imithi yokungezwani komzimba, ukukhwehlela, kanye nomkhuhlane
- Eminye imithi yokulwa ne-cholinergic (isb. i-ipratropium, i-tiotropium)
- Izinhlobo zama-steroid (isb. i-prednisone)
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuhlolwa njalo: Iya emitholampilo ngezikhathi ezithile njengoba udokotela wakho ekuyalele.
- Qaphela izimpawu: Uma izimpawu zakho zingathuthuki, noma uma zibonakala ziba zimbi kakhulu, tshela udokotela wakho ngokushesha.
- Qaphela i-inhaler yakho esheshayo: Uma uzithola udinga ukusebenzisa i-inhaler yakho ephuthumayo (esebenza ngokushesha) kaningi kunokujwayelekile, kungaba uphawu lokuthi isimo sakho asilawulwa kahle. Tshela udokotela wakho ngokushesha.
- Ungavumeli lo muthi ungene emehlweni akho: Ungavumeli lo muthi ungene emehlweni akho. Ukwenza kanjalo kungabangela ubuhlungu bamehlo, ukusha, kanye nokungaboni kahle.
- Isiyezi: Abanye abantu bangase bazizwe benesiyezi lapho besebenzisa lo muthi. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi lo muthi uthinta kanjani wena. Ikakhulukazi uma ungumuntu osekhulile, sukuma kancane lapho uvuka endaweni yokuhlala noma uvuka embhedeni.
- Ukuhlanza i-inhaler: Gcina i-inhaler ihlanzekile njalo njengoba kuqondiswe emiyalweni ehambisana nomuthi.
Ake sifunde nangemiphumela emibi.
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Eminye yayo iyingozi, eminye yayo ivamile.
| Izimpawu ezinkulu okufanele zibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. | Ukwanda kobunzima bokuphefumula: Uma ukuphefumula kuba nzima ngemva kokuthatha umuthi. |
| Izinguquko ekushayeni kwenhliziyo: ubuhlungu besifuba, isiyezi, ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile, ukuquleka. | Izinguquko zamehlo: ukubona okufiphele, ubuhlungu bamehlo. |
| Ubunzima bokuchama: ubuhlungu ngesikhathi sokuchama, ushintsho enanini lomchamo. | Ubuhlungu noma ukuqina kwemisipha, ukuthuthumela. |
| Izimpawu zoshukela ophezulu egazini: umlomo owomile, ukuzizwa womile kakhulu noma ulambile, ukudinga ukuchama njalo. | |
| Izimpawu ezivame ukuba yinto engakhathazeki ngazo, kodwa uma ziqhubeka, kufanele utshele udokotela wakho. | |
| Ukuhlungu obusemhlane | Ukukhwehlela |
| Izimpawu ezifana nokubanda (impumulo egobhozayo) | Umphimbo obuhlungu |
Ungawugcina kanjani umuthi ngendlela efanele?
Ukuze kulondolozwe ikhwalithi yomuthi, kumele ugcinwe kahle.
- Yigcine kude nezingane.
- Gcina ekamelweni lokushisa, endaweni eyomile. Vikela emswakama.
- Gcina ama-capsule ephaketheni le-aluminium foil uze ulungele ukuwasebenzisa. Ungawasusi ama-capsule bese uwafaka ngaphakathi kwe-inhaler.
- Njalo uma uthola iphakethe elisha lomuthi, sebenzisa i-inhaler entsha eza nayo.
Umlayezo Wokuya Nawe Ekhaya
- Le inhaler iwumuthi wokunakekela osetshenziswa ukulawula i-COPD isikhathi eside. Ungayisebenzisi uma uphefumula kanzima.
- Ungalokothi ugwinye ama-capsule omuthi. Ahloselwe ukuhogela kuphela nge-inhaler.
- Tshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo kanye nayo yonke imithi oyiphuzayo.
- Uma udinga i-inhaler yakho yokutakula njalo, bona udokotela wakho ngokushesha.
- Uma kuvela izimpawu zemiphumela emibi kakhulu (ubuhlungu besifuba, ubunzima bokuphefumula obandayo, ukusabela kokungezwani komzimba), funa iseluleko sikadokotela ngokushesha.
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