Usizo lobunzima bokuphefumula: Ake sifunde nge-Ipratropium kanye ne-Albuterol Nebulizer Solution (isb. i-DuoNeb)

Ingabe uvame ukuzizwa unzima kancane ukuphefumula? Ingabe kuzwakala sengathi isifuba sakho siyacinana, sengathi uyaminza? Lokhu kungaba yinto evamile, ikakhulukazi kulabo abahlushwa yisimo esibizwa ngokuthi "( COPD )" noma i-Chronic Obstructive Pulmonary Disease . Ngakho-ke namuhla sizokhuluma ngomuthi ongasiza ekulawuleni ubunzima obunjalo bokuphefumula .

Uyini lomuthi? Usetshenziselwani?

Kalula nje, lo muthi uqukethe izinhlobo ezimbili zomuthi okuthiwa i-Ipratropium kanye ne-Albuterol . Lona "i-Nebulizer" okusho ukuthi usetshenziswa kusetshenziswa i-vaporizer . Uyazi, lo muthi usebenza ngokwandisa imigudu yokuphefumula emaphashini akho. Ngemuva kwalokho kuba lula ukuphefumula.

Isetshenziswa kakhulu ukwelapha isimo esibizwa ngokuthi 'Isifo Esingapheli Sokuvimbela Amaphaphu' (COPD). Ibizwa ngokuthi ' umuthi wokulawula' . Lokhu kusho ukuthi kusiza ukugcina izimpawu zilawulwa.

Into ebalulekile ukuthi, lokhu akusebenziswa uma izimpawu ze-COPD zanda ngokuzumayo (ukuqubuka). Kunemithi ehlukile yokwelapha ngokushesha yalokho.

Ngezinye izikhathi odokotela bangase bakunike lo muthi kwezinye izimo, ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.

Yini okufanele ngiyitshele udokotela ngaphambi kokuthatha lo muthi?

Ngaphambi kokuba uqale ukusebenzisa lo muthi, kubalulekile ukutshela udokotela wakho noma ithimba elikwelaphayo ngalokhu okulandelayo:

• Unesifo senhliziyo.Ingabe zikhona? (isib. ukungalingani kwesigqi senhliziyo, ubuhlungu besifuba)
• Ingabe unaso isifo somfutho wegazi ophakeme ?
• Ingabe unenhliziyo engavamile noma isigqi esingajwayelekile?
• Wake waba nokusabela okungavamile noma kokungezwani komzimba nemithi efana ne-Ipratropium, i-Albuterol, i-Atropine, noma eminye imithi, ukudla, amadayi okwenziwa, noma izithasiselo ?
• Uma ukhulelwe noma ulindele umntwana .
• Uma uncelisa .

Kubaluleke kakhulu ukunikeza udokotela wakho lolu lwazi, ngoba bangakwazi ukunquma ukuthi lo muthi ukulungele yini noma cha.

Ungayisebenzisa kanjani le mithi ngendlela efanele?

Lo muthi usetshenziswa ngokuphefumula , kusetshenziswa i-nebulizer, okuwumshini ophefumula umuthi owuketshezi ube yizinhlayiya ezincane (ama-aerosols). Bese uphefumula umusi ngomlomo wakho, noma ngomlomo wakho namakhala, ungene emaphashini akho.

• Kufanele usebenzise lokhu njengoba nje udokotela wakho ekuyalele, ngesilinganiso esinqunyiwe nangesikhathi esinqunyiwe .
• Ungalokothi usebenzise okungaphezu kwalokho udokotela akutshele khona.

Lo muthi uza nencwajana ethi IMIYALELO YOKUSEBENZISA. Yifunde ngokucophelela. Uma ungaqondi lutho, cela usokhemisi noma udokotela wakho ukuthi akuchazele.

Uma unikeza izingane lo muthi, kufanele uqaphele ngokukhethekile. Ngakho-ke, khuluma nodokotela wezingane ukuze uthole iseluleko.

Okubalulekile: Lo muthi unikezwe wena kuphela . Ungawuniki omunye umuntu, noma ngabe unezimpawu ezifanayo nezakho.

Kuthiwani uma ngingakwazi ukuyithola ngesikhathi?

Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo njengoba kuhleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa noma uthathe umthamo owengeziwe.

Ingabe lo muthi uyasebenzisana neminye imithi?

Yebo, lo muthi ungasebenzisana neminye imithi. Lokhu kusho ukuthi uma uthathwa kanye neminye imithi, ukusebenza kahle kwalo muthi kungashintsha noma imiphumela emibi inganda. Ngakho-ke, kufanele utshele udokotela wakho ngezinto ezilandelayo ozithathayo:

• I-Atropine
• Ama - blocker e-Beta (isib. i-metoprolol, i-propranolol)
• Eminye imithi yokwelapha umkhuhlane, ukukhwehlela, kanye nokungezwani komzimba
• Eminye imithi yezinkinga zesinyi (isib. i-oxybutynin, i-tolterodine)
• Eminye imithi yokucindezeleka, ukukhathazeka, kanye nokugula kwengqondo
• Eminye imithi yokwelapha ukuphazamiseka kwesisu (isib. i-dicyclomine, i-hyoscyamine)
• Eminye imithi yokwelapha ukugula okubangelwa ukuhamba (isb., i-scopolamine)
• Eminye imithi yesifo sikaParkinson (isb., i-benztropine, i-trihexyphenidyl)
• Imithi yokukhipha umchamo omningi (i-diuretics)
• Ama-MAOI (isib. i-Carbex, i-Eldepryl, i-Marplan, i-Nardil, i-Parnate)
• Eminye imithi yokwelapha izinkinga zesigqi senhliziyo
• Imithi ekhuthazayo yokusiza ekulweni nokuntuleka kokunaka, ukwehlisa isisindo, noma ukuhlala uphapheme

Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela, ethengiswa ngaphandle kwemithi kadokotela, imikhiqizo yamakhambi, amavithamini, kanye nezithasiselo) . Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Lezi zinto zingathintana nemithi yakho.

Yiziphi izinto okufanele uziqaphele uma usebenzisa lo muthi?

Bona udokotela wakho njalo ukuze uhlole impilo yakho ngenkathi usebenzisa lo muthi. Tshela udokotela wakho uma izimpawu zakho zingathuthuki noma uma ziba zimbi kakhulu.

Uma izimpawu zakho ziba zimbi ngokuzumayo, noma uma uzizwa sengathi udinga ukusebenzisa lo muthi omningi kunokujwayelekile, shayela udokotela wakho ngokushesha.

• Umlomo owomile: Lo muthi ungabangela ukuthi umlomo wakho wome. Lokhu kungalawulwa ngokuhlafuna itshungama engenashukela, ukumunca amaswidi angenashukela, nokuphuza amanzi amaningi usuku lonke. Kodwa-ke, uma le nkinga iqhubeka noma inzima, tshela udokotela wakho.
• Isikhathi sokusabela: Lo muthi ungathinta ibhalansi yakho, isikhathi sokusabela, noma ikhono lokwenza izinqumo. Ngakho-ke , gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena.
• Isiyezi: Ukuze unciphise isiyezi kanye nokungabi nakhanda eliqhakazile, vuka kancane lapho uhleli noma ulele phansi.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, lena ingaba nemiphumela emibi. Eminye iyingozi, eminye ayibi yingozi kangako.

Imiphumela emibi okufanele uyitshele udokotela wakho ngokushesha ihlanganisa:

Uma unezinye zalezi zimpawu, tshela udokotela wakho noma umhlinzeki wezempilo ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi kanye nomphimbo.
• Ukushintsha kwesigqi senhliziyo: Ukushaya kwenhliziyo okusheshayo, ukushaya kwenhliziyo okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula.
• Umfutho wegazi ophakeme.
• Ubuhlungu noma ukuqina kwemisipha.
• Ubuhlungu bamehlo noma ukushintsha kombono ngokuzumayo: ukubona okufiphele, ukubona indandatho ezungeze izibani (`ama-halos`), ukulahlekelwa umbono.
• Ubunzima bokuchama.
• Ukuphefumula kanzima noma ukwanda kobunzima bokuphefumula ngemva kokusebenzisa umuthi.

Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka noma ikhathaza:

• Ukuqunjelwa
• Ukukhwehlela
• Umlomo owomile
• Ikhanda elibuhlungu
• Umphimbo obuhlungu
• Ukuthuthumela noma ukuthuthumela
• Ukungalali

Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, buza udokotela wakho.

Uwugcina kanjani lo muthi?

Kubaluleke kakhulu futhi ukugcina lo muthi ngendlela efanele.

• Gcina kude nezingane nezilwane ezifuywayo.
• Gcina esiqandisini noma ekamelweni lokushisa (phakathi kwama-degree Celsius angu-20 no-25 / 68 no-77 degrees Fahrenheit).
• Vikela ekukhanyeni.
• Gcina amabhodlela angavulwanga ephaketheni lawo le-foil.
• Lahla imithi ephelelwe yisikhathi.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule

Ngakho-ke, ngithemba ukuthi manje usuyiqonda kangcono ikhambi le-Ipratropium ne-Albuterol nebulizer esikhulume ngalo.

Lona umuthi osetshenziswa ku-"Nebulizer" ukulawula izinkinga zokuphefumula ezifana ne-"COPD". Khumbula, lo akusiwo umuthi okufanele usetshenziswe ezimweni eziphuthumayo.

• Sebenzisa njengoba nje udokotela wakho ekutshelile, ngesilinganiso esinqunyiwe nangesikhathi esinqunyiwe.
• Qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo kanye nanoma yimiphi eminye imithi oyiphuzayo.
• Qaphela imiphumela emibi. Uma ubona noma yini embi kakhulu, tshela udokotela wakho ngokushesha.
• Gcina umuthi ngendlela efanele.

Uma uneminye imibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho noma usokhemisi. Bazokusiza. Hlala uphilile!