Ake sifunde nge-Ipratropium Inhaler (MDI)? Impumuzo yobunzima bakho bokuphefumula!

Ingabe ngezinye izikhathi uzizwa uphelelwa umoya? Noma uzizwa sengathi uyaphefumula lapho ukhuphuka izitebhisi noma wenza okuthile okunzima? Ikakhulukazi uma unesifo 'se-Chronic Obstructive Pulmonary Disease (COPD)' noma njengoba sisho ngesiSinhala, isifo samaphaphu esingamahlalakhona , ungase ujwayelene nalokhu okuhlangenwe nakho. Namuhla sizokhuluma ngomuthi ongakusiza ezikhathini ezinjalo - okungukuthi 'i-Ipratropium', 'i-Metered Dose Inhaler (MDI)'.

Uyini lo muthi obizwa ngokuthi i-Ipratropium?

Kalula nje, i-'Ipratropium' umuthi owandisa imigudu yokuphefumula emaphashini akho futhi wenze kube lula ukuphefumula. Isebenza njengepayipi elincane elivulekile. Yenza kube lula ngawe ukuphefumula ngaphakathi nangaphandle. Lo muthi usetshenziswa kakhulu ukwelapha 'Isifo Esingapheli Sokuvimbela Amaphaphu (i-COPD).' Ngezinye izikhathi ungaba namagama ahlukene emakethe, isibonelo i-'Atrovent' noma i-'Atrovent HFA'. Kodwa into ebaluleke kakhulu ukuthi uqukethe umuthi i-'Ipratropium'.

Kodwa nansi into okufanele uyikhumbule: Le inhaler iwukuphatha i-COPD yakho nokunciphisa ubunzima bakho bokuphefumula bansuku zonke. Ayilungele ukusetshenziswa ngesikhathi sokuqubuka kwe-COPD okungazelelwe. Udokotela wakho kungenzeka ukuthi ubhale i-inhaler ehlukile, esheshayo ezimweni eziphuthumayo ezinjengale. Ngakho-ke qaphela nalokho.

Odokotela ngezinye izikhathi bangase bakunike lo muthi kwezinye izimo zezokwelapha, ngakho-ke uma uneminye imibuzo mayelana nalokhu, buza udokotela wakho noma usokhemisi.

Yini okufanele ngiyitshele udokotela ngaphambi kokuthatha lo muthi?

Ngaphambi kokuthi uqale ukusebenzisa le "inhaler ye-Ipratropium," kunezinto ezimbalwa okufanele nakanjani utshele udokotela wakho ngazo. Lo muthi ungase ungahambisani nezimo ezithile zempilo, noma kungadingeka ukuthi unakekele ngokukhethekile.

Nasi uhlu lwezinto ezinjalo:

• Uma unezinkinga zesinye (isib. ubunzima bokuchama, ukugcinwa komchamo).
• Uma unesifo samehlo i-glaucoma .
• Uma unesifo senhliziyo .
• Uma ukushaya kwenhliziyo yakho kungajwayelekile .
• Uma unesifo se-prostate (lesi yisimo esenzeka kwabesilisa).
• Uma uke waba nokusabela kokungezwani komzimba ne-Ipratropium, eminye imithi, ukudla, udayi, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa .
• Uma ungumama oncelisayo .

Kubaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho ngalezi zinto ukuze akwazi ukukhetha ukwelashwa okufanele nokuphephile kakhulu kuwe.

Uyisebenzisa kanjani le inhaler ngendlela efanele?

Lo muthi uthathwa ngomlomo, okungukuthi, ngokuwuphefumula . Imiyalelo eqondile yokusebenzisa ibhalwe ngokucacile kwilebula kadokotela oyinikezwe udokotela wakho. Kubaluleke kakhulu ukulandela leyo miyalelo ngqo.

• Zama ukusebenzisa lokhu ngesikhathi esifanayo nsuku zonke . Ngaleyo ndlela, ungalondoloza ukusebenza okufanayo komuthi.
• Ungasebenzisi okungaphezu kwesilinganiso esinconywe udokotela wakho.
• Qhubeka nokusebenzisa lokhu kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungayeki ngokuzumayo.

Esikhathini esiningi, uzothola incwajana ethi IMIYALELO YOKUSEBENZISA enalesi sifutho. Yifunde ngokucophelela bese uyiqonda. Uma ungaqondi lutho, buza usokhemisi wakho noma udokotela. Bazokutshela ngqo ukuthi ungakwenza kanjani lokhu.

Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni. Ngakho-ke, uma uwusebenzisa enganeni, qiniseka ukuthi ukhuluma nodokotela wakho futhi uthole iseluleko.

Kuthiwani uma ngiphuza umuthi omningi kakhulu?

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, iya egumbini lezimo eziphuthumayo esibhedlela esiseduze noma ushayele isikhungo sokulawula ubuthi ngokushesha . Ungesabi, kodwa kubalulekile ukuthola iseluleko sezokwelapha ngokushesha.

Ngenzenjani uma ngiphuthelwa isikhathi sokubonana nodokotela?

Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esijwayelekile. Ungalokothi uthathe umthamo ophindwe kabili noma umthamo owengeziwe.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Yebo, i-Ipratropium ingasebenzisana neminye imithi, okusho ukuthi ingathintana. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, imithi yendabuko, amavithamini, kanye nezithasiselo zokudla).

Nazi ezinye zemithi enjalo:

• `I-Atropine`
• Ezinye izinhlobo zama-antihistamine zinikezwa umkhuhlane, ukukhwehlela, kanye nokungezwani komzimba.
• Eminye imithi yezinkinga zesinyi, isibonelo, i-Oxybutynin ne-Tolterodine.
• Eminye imithi yokucindezeleka, ukukhathazeka, noma ezinye izimo zempilo yengqondo.
• Eminye imithi yezinkinga zesisu, isibonelo i-`Dicyclomine`, i-`Hyoscyamine`.
• Eminye imithi, njenge-"Scopolamine", inikezwa izimo ezifana nokuguliswa ukunyakaza.
• Eminye imithi esetshenziswa isifo sikaParkinson, isibonelo, i-Benztropine kanye ne-Trihexyphenidyl.

Lolu hlu luyisibonelo nje. Tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa, njengoba lezi zingathintana nemithi yakho.

Yini okufanele ngiyiqaphele lapho ngisebenzisa lo muthi?

Ngesikhathi usebenzisa lo muthi , bonana nodokotela wakho njalo ukuze uhlole impilo yakho. Tshela udokotela wakho uma izimpawu zakho zingathuthuki noma uma ziba zimbi kakhulu.

Lesi yisikhumbuzo: Ungalokothi usebenzise le inhaler uma uhlaselwa yi-asthma ngokuzumayo. Esikhundleni salokho, sebenzisa i-inhaler yakho yokusiza esebenza ngokushesha. Uma izimpawu zakho ziba zimbi kakhulu, noma udinga ukusebenzisa i-inhaler yakho yokusiza ngokushesha kaningi, shayela udokotela wakho ngokushesha.

• Kuvamile ukuzwa umlomo owomile ngenkathi uthatha lo muthi. Lokhu kungaqedwa ngokuhlafuna itshungama engenashukela, ukumunca amaswidi aqinile angenashukela, nokuphuza amanzi amaningi. Kodwa-ke, uma le nkinga iqhubeka noma inzima, khuluma nodokotela wakho.
• Lo muthi ungathinta ukuhlangana kwakho, isikhathi sokusabela, noma ukwahlulela . Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena.
• Ukuze unciphise isiyezi kanye nokuquleka, hlala phansi kancane bese uvuka kancane.

Yimiphi imiphumela emibi engingayithola kulo muthi?

Njenganoma yimuphi umuthi, le inhaler ethi 'Ipratropium' ingabangela imiphumela emibi. Eminye yayo iyingozi kakhulu futhi kufanele utshele udokotela wakho ngokushesha. Eminye yayo ayibi kakhulu kangako, kodwa uma iqhubeka noma ikhathaza, kufanele utshele udokotela wakho.

Imiphumela emibi edinga usizo lwezokwelapha ngokushesha:

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ubuhlungu bamehlo noma ukushintsha kombono ngokuzumayo: ukubona okufiphele, ukubona ama-halo azungeze ukukhanya, ukulahlekelwa umbono.
• Ubunzima bokuchama.
• Ukuphefumula kanzima noma ukwanda kobunzima bokuphefumula ngemva kokusebenzisa umuthi.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa kufanele ibikwe kudokotela uma iqhubeka noma ikhathaza):

• Ukuhlungu obusemhlane
• Umlomo owomile
• Ikhanda elibuhlungu
• Isicanucanu

Lolu hlu alufaki yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, sicela uxhumane nodokotela wakho.

Ngingawugcina kanjani lo muthi?

Kubaluleke kakhulu futhi ukugcina lo muthi ngendlela efanele.

• Gcina kude nezingane nezilwane ezifuywayo.
• Gcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angama-20 kuya kwangu-25).
• Gcina i-inhaler kude nokushisa okukhulu, ukubanda okukhulu, kanye nomswakama omkhulu.
• Lahla i-inhaler uma ikhawunta yomthamo ku-inhaler ifundeka kanje "0" noma uma usuku lokuphelelwa yisikhathi seludlulile (noma yikuphi okuza kuqala).

Umyalezo Wokugcina Wokuya Nasekhaya

Ngakho-ke, i-'Ipratropium inhaler' iwumuthi obalulekile ongaletha impumuzo esimweni sakho se-'COPD'. Kodwa-ke, ukuze uthole okuningi kukho, kunezinto ezimbalwa okudingeka uzazi.

• Thatha umthamo onqunyiwe ngesikhathi esinqunyiwe, njengoba kusho udokotela.
• Khumbula ukuthi lokhu akuyona imithi okufanele isetshenziswe ezimweni eziphuthumayo .
• Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nazo zonke izimo zakho zempilo.
• Qaphela imiphumela emibi. Uma ubona noma yini engavamile, tshela udokotela wakho.
• Funda ukuthi ungayisebenzisa kanjani i-inhaler yakho ngendlela efanele futhi uyigcine kahle.

Uma uneminye imibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho, umhlengikazi noma usokhemisi. Bazokusiza. Impilo yakho ibaluleke kakhulu kuwe!

I- Ipratropium, i-inhaler, i-MDI, i-COPD, ubunzima bokuphefumula, isifo samaphaphu, imithi