Ingabe nawe unenkinga yokuphefumula isikhathi eside, okungukuthi, isimo esifana ne-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu)? Ezimweni ezinjalo, udokotela wakho kungenzeka ukuthi ukutshelile ukuthi uthathe umuthi nge-nebulizer. Omunye wemithi eyinhloko enikezwa ngale ndlela futhi eyenza ukuphefumula kube lula yi-Ipratropium. Ungathola lokhu ngaphansi kwegama lomkhiqizo i-Atrovent. Ngakho-ke namuhla, ake sixoxe kalula ngalo muthi, ukuthi uwusebenzisa kanjani, nokuthi yiziphi izinto okufanele uziqaphele.
Uhlobo luni lomuthi i-Ipratropium?
Kalula nje, i-Ipratropium umuthi ophumuza imisipha emigudwini yomoya emaphashini akho, uwandise, okwenza kube lula ukuphefumula nokungena. Isetshenziswa kakhulu ukuphatha izimo zokuphefumula zesikhathi eside njenge -COPD .
Kodwa lokhu kubaluleke kakhulu: I-Ipratropium akuyona imithi esetshenziselwa ukwelapha ukuqubuka kwesifuba okungazelelwe. Udokotela wakho kungenzeka ukuthi ukunikeze i-inhaler ehlukile, esebenza ngokushesha "yokuqeda" lokho. Lo muthi usetshenziselwa ukugcina izimpawu zakho zilawulwa futhi uzivimbele ukuthi zingaphinde zivele.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ngaphambi kokuqala ukusebenzisa lo muthi, kubalulekile ukwazisa udokotela wakho nganoma yiziphi ezinye izifo kanye nokungezwani komzimba onakho, njengoba kudingeka siqaphele kakhulu lapho sisebenzisa lo muthi onezimo ezithile.
| Isimo okudingeka usibike | Kungani lokho kubalulekile? |
|---|---|
| I-Glaucoma (ukucindezeleka okukhulu emehlweni) | Uma lo muthi ungena emehlweni akho, isimo sakho se-glaucoma singase sibe sibi kakhulu. Ngakho-ke, kufanele ugqoke imaski ye-nebulizer kahle futhi uqiniseke ukuthi umhwamuko womuthi awungeni emehlweni akho. |
| Ubunzima bokuchama noma izinkinga ze-prostate | Lo muthi ungathinta ikhono lakho lokubamba umchamo, ngakho-ke kubalulekile ukutshela udokotela wakho uma usuvele unenkinga enjalo. |
| Isifo senhliziyo noma ukushaya kwenhliziyo okungajwayelekile | Nakuba kungavamile, lo muthi ungathinta izinga lokushaya kwenhliziyo. Ngakho-ke, uma unomlando wesifo senhliziyo, sicela usazise. |
| Ukungezwani komzimba okuhlukahlukene (Ukungezwani komzimba) | Kufanele usitshele nakanjani uma une-allergies, ikakhulukazi ezintweni ezifana ne-Ipratropium, i-Atropine, i-soy protein, noma amantongomane. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Kulezi zimo, kubaluleke kakhulu ukukhuluma nodokotela wakho ngaphambi kokusebenzisa noma yimuphi umuthi futhi uqonde izinzuzo nezingozi zawo. |
Uyisebenzisa kanjani kahle le mithi nge-nebulizer?
I-nebulizer umshini oguqula umuthi owuketshezi ube yinkungu encane. Uma uphefumula le nkungu ngomlomo wakho noma ngomlomo wakho nangekhala (ngemaski), umuthi ungena ngqo emaphashini akho.
Izinyathelo ezilula okufanele uzilandele:
1. Okokuqala, geza izandla zakho kahle ngensipho.
2. Faka inani lomuthi we-Ipratropium owuketshezi onikezwe udokotela enkomishini encane (indebe ye-nebulizer) ku-nebulizer.
3. Xhuma ezinye izingxenye ze-nebulizer (imaski noma i-mouthpiece kanye ne-tube) kahle.
4. Uma kuyimaski, yibeke ebusweni bakho ukuze imboze kahle impumulo nomlomo wakho. Uma kuyi-mouthpiece, yibambe ngokuqinile ngezindebe zakho.
5. Manje vula i-nebulizer bese uphefumula ngendlela evamile. Qhubeka uphefumula ngale ndlela kuze kube yilapho umhwamuko womuthi usuphelile (cishe imizuzu eyi-10-15).
6. Uma usuqedile, hlukanisa i-nebulizer bese uyihlanza ngokwemiyalelo yomenzi.
Into ebaluleke kakhulu ukusebenzisa kuphela inani kanye nemvamisa echazwe udokotela wakho. Ungalokothi ushintshe umthamo ngokuthanda kwakho noma uwusebenzise kaningi kunalokho okunqunywe udokotela wakho.
Yini okufanele uyenze uma uphuza ngokweqile noma uphuthelwe umthamo?
Uma umthamo unyusiwe
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ukuthi ungakwenza, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Noma xhumana ne-National Poisons Information Centre e-Colombo National Hospital.Ungashayela iNational Poisons Information Centre ukuze uthole iseluleko.
Uma uphuthelwa ukudla
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.
Yimiphi eminye imithi engasebenzisana nalo muthi?
I-Ipratropium ingasebenzisana neminye imithi oyithathayo. Ngakho-ke nikeza udokotela wakho uhlu oluphelele lwayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imithi yamakhambi, kanye nezithasiselo. Qaphela kakhulu ngemithi elandelayo:
- I-Atropine
- Ama-antihistamine athile okwelapha umkhuhlane kanye nokungezwani komzimba
- Imithi yezinkinga zesinyi (isib. i-oxybutynin, i-tolterodine)
- Eminye imithi yokwelapha isifo sengqondo
- Eminye imithi yokwelapha izinhlungu zesisu (isib. i-dicyclomine)
- Imithi okufanele uyithathe uma uhlanza lapho usohambweni (isb. i-scopolamine)
- Eminye imithi yesifo sikaParkinson
Lolu hlu aluphelele. Ngakho-ke , ungaxubi noma yimiphi imithi ku-nebulizer noma uqale emisha ngaphandle kokubuza udokotela wakho.
Imiphumela emibi engase ivele ngenkathi uthatha umuthi
Njenganoma yimuphi umuthi, i-Ipratropium ingabangela imiphumela emibi. Eminye yale miphumela iyingozi, kanti eminye ivamile.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. Bheka udokotela ngokushesha. |
| Ubuhlungu bamehlo obungazelelwe noma izinguquko zombono | Izinto ezifana nokungaboni kahle, ukubona imisindo ezungeze izibani, noma ukulahlekelwa umbono. Bonana nodokotela ngokushesha. |
| Ubunzima bokuchama | Uma uchama kancane noma kunzima, yazisa udokotela wakho. |
| Ubunzima bokuphefumula obandayo ngemva kokuthatha umuthi | Lokhu kuyinto engavamile (i-paradoxical bronchospasm). Uma lokhu kwenzeka, ungaphinde usebenzise umuthi futhi ubone udokotela ngokushesha. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Umlomo owomile | Ungathola impumuzo ngokuphuza amanzi nokuhlafuna itshungama engenashukela. |
| Ukukhwehlela | Lokhu kuvame ukuphela ezinsukwini ezimbalwa. Uma kuqhubeka, tshela udokotela wakho . |
| Ikhanda elibuhlungu | Phumula. Uma kudingeka, ungakhuluma nodokotela bese uthola imithi yokwelapha izinhlungu. |
| Ukuqunjelwa | Phuza amanzi amaningi futhi udle ukudla okune-fiber eningi (izithelo, imifino). |
Umlayezo Wokuya Nawe Ekhaya
- I-Ipratropium umuthi osetshenziselwa ukwelapha izifo zokuphefumula zesikhathi eside njenge-COPD, hhayi umuthi osetshenziselwa izimo eziphuthumayo.
- Ngaphambi kokuqala lo muthi, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye neminye imithi oyithathayo.
- Sebenzisa i-nebulizer njengoba nje udokotela wakho ekuyalele. Ungalokothi wandise umthamo.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nemiphumela emibi kakhulu, njengobuhlungu bamehlo, izinguquko embonweni, ukusabela okukhulu kokungezwani komzimba, noma ubunzima obandayo bokuphefumula ngemva kokuthatha umuthi.
- Lo muthi ungowakho kuphela. Ungavumeli omunye umuntu awusebenzise nganoma yisiphi isizathu.
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