Ingabe lesi yi-inhaler udokotela wakho akunike yona ngenxa yobunzima bakho bokuphefumula? (Ipratropium; I-Albuterol Metered Dose Inhaler - MDI)

Ingabe ngezinye izikhathi uzizwa sengathi unenkinga yokuphefumula? Ingabe uzizwa sengathi isifuba sakho siyacinana, noma uzizwa ungakhululekile njengokungathi usuzoquleka? Mhlawumbe udokotela wakho ukutshelile ukuthi unesifo esibizwa ngokuthi 'i-COPD (Chronic Obstructive Pulmonary Disease)' futhi ukutshelile ukuthi usebenzise i-inhaler njengokwelashwa kwaso. Ngezikhathi ezinjalo, i-inhaler eyodwa ongayithola yi-'Ipratropium; i-Albuterol Metered Dose Inhaler (MDI)'. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Kwenzekani ngale inhaler? (`Ipratropium; Albuterol MDI`)

Kalula nje, le inhaler isetshenziselwa ukwelapha isifo samaphaphu esingamahlalakhona (COPD) . Cabanga ukuthi amapayipi amancane athwala umoya emaphashini akho avalekile. Lo muthi uvula leyo migudu yokuphefumula evalekile , okwenza kube lula ngawe ukuphefumula.

Empeleni lokhu kuyinhlanganisela yemithi emibili: eyodwa iyi-anticholinergic kanti enye iyi-bronchodilator. Zombili lezi zisebenza ukwandisa imigudu yakho yokuphefumula. Lokhu kuvame ukubizwa ngokuthi 'i-controller inhaler' . Lokhu kusho ukuthi uyisebenzisela ukulawula i-COPD yakho nsuku zonke, hhayi uma uhlaselwa yi-COPD ngokuzumayo. Lokhu ngeke kusebenzele i-COPD ngokuzumayo , futhi udokotela wakho kungenzeka ukuthi ukunike i-inhaler ehlukile yalokho.

Ngezinye izikhathi odokotela bangasebenzisa lo muthi kwezinye izimo. Uma unemibuzo ngawo, kungcono ukubuza udokotela wakho noma usokhemisi. Igama lomkhiqizo elivamile lalo muthi yi-'Combivent Respimat'.

Yini okufanele ngiyitshele udokotela ngaphambi kokuthatha lo muthi?

Ngaphambi kokuthi uqale ukusebenzisa le inhaler, kunezinto okufanele uzitshele udokotela wakho nakanjani. Ngoba lolo lwazi luzomsiza ukuthi anqume ukuthi lo muthi ukulungele yini noma cha, nokuthi angawunikeza kanjani.

Uma unalezi zinto, vele usho njalo:

• Isifo senhliziyo: Uma unesifo senhliziyo, kufanele utshele udokotela wakho, njengoba lo muthi ungase ube nomthelela omncane ekushaya kwenhliziyo yakho.
• Umfutho wegazi ophezulu: Uma umfutho wegazi wakho uphezulu, khuluma nangalokho.
• Ukushaya kwenhliziyo okungajwayelekile: Uma ukushaya kwenhliziyo yakho kungajwayelekile, kubike futhi.
• Ukusabela kokungezwani komzimba: Uma uke waba nokungezwani komzimba nemithi ethi `ipratropium`, `albuterol`, `atropine`, noma yimuphi omunye umuthi, ukudla, amadayi, noma izithasiselo, kufanele utshele udokotela wakho uma uke waba nokungezwani komzimba esikhathini esidlule.
• Uma ukhulelwe noma uzama ukukhulelwa: Phakathi nalezi zikhathi, kubalulekile ukwazisa udokotela wakho ngalokhu, njengoba eminye imithi ingathinta ingane.
• Uma ungumama oncelisayo:Lokhu kufanele kuxoxwe ngakho ngesikhathi sokuncelisa.

Ngokusho lezi zinto ngendlela efanele, udokotela angakwelapha ngokuphephile.

Uyisebenzisa kanjani le inhaler ngendlela efanele?

Le inhaler kufanele isetshenziswe ngokuyiphefumula ngomlomo . Khumbula ukuyisebenzisa njengoba nje udokotela wakho ekutshelile, ngesikhathi esifanayo nsuku zonke, ngesikhathi esifanayo. Ungalokothi usebenzise okungaphezu kwesilinganiso esibekiwe. Qhubeka uyisebenzisa kuze kube yilapho udokotela wakho ekutshelile ukuthi uyeke.

Le inhaler iza nencwajana ethi IMIYALELO YOKUSEBENZISA . Yifunde ngokucophelela. Uma kukhona ongakuqondi, cela usokhemisi wakho noma udokotela ukuthi aqinisekise ukuthi uyaqonda. Ngoba imiphumela emihle kakhulu itholakala uma usebenzisa umuthi ngendlela efanele.

Okubalulekile: Lo muthi unikezwe wena kuphela. Ungawuniki omunye umuntu nganoma yisiphi isizathu.

Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni ezincane. Ngakho-ke, uma uwusebenzisa enganeni, khuluma nodokotela wakho ngakho.

Ukweqisa umthamo: Uma ucabanga ukuthi uphuze umuthi omningi kunalokho obekucabanga, kufanele uye ngokushesha emnyangweni wezimo eziphuthumayo esibhedlela esiseduze noma ushayele isikhungo sokulawula ubuthi.

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 imithamo ephindwe kabili noma eyengeziwe.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi? (Ukusebenzisana)

Eminye imithi ingase ihlangane nale inhaler uma uyisebenzisa. Lokhu kusho ukuthi imiphumela emibi inganda noma ukusebenza kahle kwale inhaler kungancipha. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo.

Le inhaler ingasebenzisana nalokhu okulandelayo:

• `I-Atropine`
• Ama-Beta-blocker (isibonelo, imithi yokucindezela kwegazi efana ne-metoprolol kanye ne-propranolol)
• Eminye imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane
• Eminye imithi yezinkinga zesinyi (isib. i-oxybutynin, i-tolterodine)
• Eminye imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo
• Eminye imithi yokwelapha ukuphazamiseka kwesisu (isib. i-dicyclomine, i-hyoscyamine)
• Imithi yokugula kokunyakaza (isb., `scopolamine`)
• Eminye imithi yesifo sikaParkinson (isib. i-benztropine, i-trihexyphenidyl)
• Imithi yokuhlanza
• Imithi ebizwa ngokuthi 'MAOIs' (isib. `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`)
• Eminye imithi yokwelapha ukushaya kwenhliziyo okungajwayelekile
• Imithi evuselelayo yokuphazamiseka kokungakwazi ukunaka, ukwehlisa isisindo, noma ukuhlala uphapheme

Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imithi yamakhambi, kanye nemithi ethengwa ngaphandle kwemithi kadokotela), izithasiselo zokudla ozithathayo, kanye nokuthi uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nemithi yakho.

Izinto okufanele uziqaphele uma usebenzisa lo muthi

• Uma izimpawu zakho zingathuthuki, okusho ukuthi ukuphelelwa umoya akuthuthuki, tshela udokotela wakho.
• Uma ukuphefumula kwakho kuba kubi kakhulu ngenkathi usebenzisa lo muthi, noma uma uzizwa sengathi uya uba mubi kakhulu, shayela udokotela wakho ngokushesha.
• Ungayeki ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho.
• Umlomo wakho ungase uzizwe womile. Ukuhlafuna itshungama engenashukela, ukumunca amaswidi aqinile angenashukela, nokuphuza amanzi amaningi kungasiza. Uma le nkinga iqhubeka noma iba nzima, tshela udokotela wakho.
• Ungase uzizwe unesiyezi noma ungaboni kahle. Ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukugxilisa ingqondo uze wazi ukuthi lo muthi uthinta kanjani wena. Ungasukumi endaweni yokuhlala noma yokuma ngokuzumayo, ikakhulukazi uma usukhulile. Ukwenza kanjalo kunganciphisa ingozi yokuba nesiyezi nokuwa.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, lokhu kungabangela imiphumela emibi, yize kungebona bonke abantu abayitholayo.

Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ukushintsha kwesigqi senhliziyo: Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula.
• Ukwanda komfutho wegazi.
• Ubuhlungu bemisipha noma ukuqaqamba.
• Ubuhlungu noma ushintsho oluzumayo emehlweni: ukubona okufiphele, ukubona ukukhanya okuzungezile ukukhanya, ukulahlekelwa umbono.
• Unenkinga yokuchama.
• Ukuphefumula kanzima noma ukuphefumula okunzima kakhulu ngemva kokusebenzisa.

Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka noma iba yinkinga:

• Ukuqunjelwa
• Ukukhwehlela
• Umlomo owomile
• Ikhanda elibuhlungu (Lokhu kuyiphutha lokubhala ngesiGeorgia, igama lesiSinhala elifanele lithi: )
• Umphimbo obuhlungu
• Ukuthuthumela noma ukuthuthumela
• Inkinga yokulala

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, khuluma nodokotela wakho. Ungabika imiphumela emibi ku-FDA ku-1-800-FDA-1088.

Ngingawugcina kuphi lo muthi?

• Yigcine kude nezingane ezincane nezilwane ezifuywayo.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30 / 59 no-86 degrees Fahrenheit). Ungalokothi uqandise.
• I-inhaler kufanele ilahlwe ngemva kokuhlanganiswa, izinyanga ezi-3 ngemva kokusetshenziswa kokuqala, noma ngemva kokuba i-inhaler isivaliwe (noma yikuphi okuza kuqala).

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, ngakho-ke ngithemba ukuthi usuyiqonda kangcono i-inhaler ye-'Ipratropium; Albuterol' esikhulume ngayo.

Khumbula, lokhu 'kuyi-inhaler yokulawula' yokulawula isimo sakho se-COPD. Akusikho okwezimo eziphuthumayo.

Njengoba udokotela esho, into ebaluleke kakhulu ukusebenzisa umthamo ofanele ngesikhathi esifanele. Uma unemibuzo noma ukungabaza, ungabi namahloni ubuze udokotela wakho noma usokhemisi. Kungumthwalo wakho ukunakekela impilo yakho.

Futhi, ungakhohlwa ukutshela udokotela wakho ngayo yonke imithi oyithathayo kanye nanoma yiziphi izifo onazo. Kulapho-ke kuphela lapho ezokwazi ukukunikeza ukwelashwa okungcono kakhulu nokuphephile.

I - Inhaler, i-COPD, i-Ipratropium, i-Albuterol, Isifo Sokuphefumula, Isifo Samaphaphu, Imithi