Une-asthma, ngakho-ke udokotela wakho cishe ukunike i-inhaler ongayisebenzisa nsuku zonke. Ezinye zalezi zisetshenziswa kuphela lapho i-asthma yakho iba yimbi ngokuzumayo, okungukuthi, lapho unenkinga yokuphefumula. Kodwa kukhona olunye uhlobo, okudingeka ulusebenzise nsuku zonke. Namuhla sikhuluma nge-inhaler eyodwa enjalo oyisebenzisa nsuku zonke. Lokhu kubizwa ngokuthi 'i-controller inhaler', okusho ukuthi ilawula i-asthma yakho futhi iyivimbele ukuthi ingaphinde ivele. Lokhu akusebenziswa uma uhlaselwa yi-asthma, kodwa ukulawula ukuhlaselwa yi-asthma. Namuhla sizokhuluma ngokuningiliziwe ngalolu hlobo lwe-'controller' inhaler, i-Mometasone Dry Powder Inhaler (DPI).
Iyini i-Mometasone?
Kalula nje, i-Mometasone umuthi onciphisa ukuvuvukala nokuvuvukala emigudwini yakho yomoya, amapayipi athwala umoya uye emaphashini akho. Ingowesigaba semithi ebizwa ngokuthi 'ama-steroids aphefumulayo'. Cabanga ngale ndlela: umuntu one-asthma unendlela yomoya evuvukile futhi enciphile. I-Mometasone inhaler isebenza ngokunciphisa lokho kuvuvukala, ivule imigudu yomoya, futhi ikusize uphefumule kalula.
Into ebaluleke kakhulu: Lena i-inhaler 'elawulayo'. Lokhu kusho ukuthi isetshenziselwa ukuvimbela izimpawu ze-asthma ukuthi zingabi khona. Uma uzizwa unenkinga yokuphefumula ngokuzumayo futhi uhlaselwa yi-asthma, lena akuyona i-inhaler okufanele uyisebenzise. Yi-inhaler 'yokusindisa' noma 'yokunciphisa' (njengeluhlaza okwesibhakabhaka) udokotela wakho akunike yona.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokukunikeza i-Mometasone inhaler, udokotela wakho uzokubuza ngezinto ezithile. Futhi, uma unezinye zezimo ezilandelayo, kufanele utshele udokotela wakho nakanjani .
- Uma une -glaucoma .
- Uma unesimiso somzimba esibuthakathaka .
- Uma unegciwane elifana ne -chickenpox, i-herpes , noma olunye ukutheleleka.
- Uma kukhona ukulimala emlonyeni noma emphinjeni.
- Uma une -osteoporosis .
- Uma usuvele usebenzisa enye i-steroid efana ne -Prednisone , kungaba ngesimo sephilisi noma ngenye indlela.
- Uma usanda kuhlinzwa.
- Uma uke waba nokusabela kokungezwani komzimba ne-mometasone, amanye ama-steroid, eminye imithi, ukudla, noma amadayi.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela ngalezi zinto.
Ungayisebenzisa kanjani i-inhaler ngendlela efanele?
Ukuze uthole okuningi ngalo muthi, kubalulekile ukwazi ukuthi uwusebenzisa kanjani ngendlela efanele.
1. Phefumula kahle: Lo muthi uza ngesimo sempuphu. Udinga ukuwuphefumula ngokujulile ngomlomo wakho. Funda futhi uqonde izinyathelo eziseMYALEZWENI YOKUSEBENZISA oza ne-inhaler. Uma ungaqondi, cela udokotela wakho ukuthi akunike imiyalelo eqondile.
2. Hlanza umlomo wakho (kuyadingeka!): Ngemva kokuphefumula umuthi, thatha amanzi emlonyeni wakho, hlanza umlomo wakho kahle, bese uwukhafula . Ungagwinyi la manzi. Lokhu kubaluleke kakhulu, ngoba impuphu yomuthi eseleyo emlonyeni wakho ingabangela ukutheleleka kwesikhunta (thrush) emlonyeni wakho. Ukuhlanza umlomo wakho kungaqeda leyo ngozi.
3. Yithathe ngesikhathi esifanele: Njengoba udokotela wakho ekutshelile, yithathe ngesikhathi esifanayo nsuku zonke. Ekuseni uma kusesekuseni, nakusihlwa uma kusebusuku. Ngaleyo ndlela, ukusebenza kahle komuthi kungagcinwa ezingeni elifanayo emzimbeni.
4. Ungayeki: Ungayeki ukusebenzisa lokhu kuze kube yilapho udokotela wakho ekuyala. Uma uyeka ukucabanga ukuthi uzizwa ungcono, i-asthma yakho ingase ibe yimbi futhi.
Uma uyinika izingane...
Odokotela ngezinye izikhathi batusa lo muthi ezinganeni ezineminyaka engu-4 ubudala. Kodwa kunezinyathelo zokuphepha ezikhethekile. Ngakho-ke uma uwunika ingane, landela imiyalelo kadokotela ngqo.
Izinto okufanele uziqaphele kanye nemiphumela emibi
| Isenzakalo / Izimpawu | Okudingeka ukwenze |
|---|---|
| Imiphumela emibi edinga usizo lwezokwelapha ngokushesha | |
| Ukusabela kokungezwani komzimba (Ukucasuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe/ulimi/ubuso/umphimbo) | Lokhu kungaba kubi kakhulu. Bonana nodokotela ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. |
| Amabala amhlophe emlonyeni (i-Thrush) (Amabala amhlophe emlonyeni noma olimini) | Lokhu kuyisifo sefungus. Bona udokotela wakho ukuze uthole ukwelashwa. Hlanza umlomo wakho njalo ngemva kokusebenzisa i-inhaler yakho. |
| Ubunzima obandayo bokuphefumula (Uma uzwa ukuphefumula okunzima noma ukuqina kwesifuba ngemva kokusebenzisa i-inhaler) | Lokhu kuyinto engavamile. Sebenzisa i-rescue inhaler yakho ngokushesha bese utshela udokotela wakho. |
| Umsebenzi ophansi we-adrenal gland (Isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ukukhathala okungavamile, isiyezi) | Uma unalezi zimpawu, tshela udokotela wakho. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukushintsha kokunambitheka emlonyeni, ukukhwehlela, ikhanda elibuhlungu, ukusha, umphimbo obuhlungu, ikhala eligobhozayo noma ukuminyana kwamakhala. | Lokhu kuvame ukuphela ezinsukwini ezimbalwa, kodwa uma kuqhubeka noma kukhathaza, tshela udokotela wakho. |
Ezinye izinto okufanele uzicabangele
- Uhlelo Lokusebenza Lwe-Asthma: Sebenzisana nodokotela wakho ukuze wakhe 'uHlelo Lokusebenza Lwe-Asthma' oluqondene nawe oluhlanganisa lokho okufanele ukwenze lapho i-asthma yakho iba yimbi kakhulu (i-Yellow Zone) nokuthi yini okufanele uyenze uma udinga usizo lwezokwelapha (i-Red Zone).
- Ingozi yokutheleleka: Lo muthi ungase unciphise kancane amasosha omzimba wakho. Ngakho-ke, uma uba nezimpawu ezifana nomkhuhlane, ukubanda, noma ubuhlungu bomzimba, ungaziniki imithi bese ubona udokotela. Zama ukugwema izindawo lapho kukhona khona abantu abagulayo.
- Impilo yamathambo: Ukusetshenziswa isikhathi eside kwama-inhaler e-steroid njengalawa kungaholela ekunciphiseni kancane amandla ethambo. Khuluma nodokotela wakho ngale ngozi.
Ingabe iyasebenzisana neminye imithi?
Yebo, eminye imithi ingasebenzisana ne-Mometasone. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo. Lokhu kufaka phakathi amavithamini, amakhambi, ngisho nezithasiselo. Qiniseka ukuthi utshela udokotela wakho uma uthatha noma yimuphi wale mithi elandelayo:
- Ezinye, njengeClarithromycin, iTelithromycinAma-antibiotic
- Eminye imithi yokulwa namagciwane enikezwa i-HIV noma i-AIDS
- Imithi yokulwa nesikhunta efana neKetoconazole ne-Itraconazole
- I-Cobicist
- I-Nefazodone
Kuthiwani uma uphuza kakhulu lo muthi? Uma ucabanga ukuthi usuphuze kakhulu lo muthi, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Uyigcina futhi uyisuse kanjani i-inhaler?
- Gcina kude nezingane: Gcina kude nezingane nezilwane ezifuywayo.
- Indawo Yokugcina: Gcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angu-20 no-25). Ungagcini ezindaweni ezinokushisa okukhulu, okubandayo, noma okunomswakama.
- Ukulahlwa: Lahla i-inhaler ezinsukwini ezingu-45 ngemuva kokuyisusa ephaketheni le-foil, lapho ikhawunta yomthamo ku-inhaler ifundeka ngokuthi "0" , noma lapho usuku lokuphelelwa yisikhathi seludlulile, noma yikuphi okuza kuqala .
Umlayezo Wokuya Nawe Ekhaya
- I-Mometasone iyi-inhaler 'controller' ye-asthma. Ayikwazi ukusetshenziselwa ukuhlaselwa yi-asthma. Sebenzisa i-inhaler 'yokusindisa' ngalokho.
- Ngemva kokusebenzisa i-inhaler, qiniseka ukuthi ugeza umlomo wakho ngamanzi ukuze uvimbele ukutheleleka kwesikhunta emlonyeni.
- Ungayeki ukusebenzisa lokhu ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Uma izimpawu zakho ze-asthma ziba zimbi kakhulu, noma uma udinga ukusebenzisa i-'rescue' inhaler yakho kaningi, bona udokotela ngokushesha.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo, ngisho namavithamini.
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