Ngezinye izikhathi kunzima ukuphefumula, akunjalo? Isifuba siyaqina, kuzwakale umsindo wokuphefumula... Lokhu kuyinto ejwayelekile futhi engakhululekile kubantu abanezifo zokuphefumula ezifana ne -asthma . Ngezikhathi ezinjengalezi, lapho izindlela zokuphefumula zinciphile futhi kunzima ukuphefumula ( i-bronchospasm ), umuthi okhethekile obizwa ngokuthi i-Racepinephrine usetshenziswa odokotela ukunikeza usizo olusheshayo. Lokhu kuvame ukubizwa ngokuthi umuthi "wokusiza ngokushesha" noma "wokusindisa". Ake sixoxe ngalokhu kalula.
Uhlobo luni lomuthi i-Racepinephrine?
Kalula nje, lo umuthi owandisa imigudu yomoya emincane nemincane emaphashini akho, okwenza kube lula ukuphefumula. Njengoba nje ipayipi lamanzi livaliwe, kunzima ukuphefumula uma imigudu yethu yomoya ivaliwe. Lo muthi usebenza ngokususa ukuvaleka nokuvula imigudu yomoya futhi. Ngokuvamile uza njengoketshezi, olufakwa emshinini obizwa ngokuthi i-nebulizer, bese umzimba uwuthola ngokuhogela umhwamuko.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokukunikeza lo muthi, kubaluleke kakhulu ukuthi udokotela wakho azi kahle ngesimo sakho sempilo. Ngoba lo muthi ungathintana nezinye izimo zezokwelapha. Ngakho-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi uyamtshela udokotela wakho.
- Uma uke walaliswa esibhedlela ngaphambilini ngenxa yesifo sofuba
- Isifo sikashukela
- Isimo se-Glaucoma
- Isifo senhliziyoNoma uma unenhliziyo engajwayelekile.
- Umfutho wegazi ophakeme
- Isimo esibizwa ngokuthi i-pheochromocytoma
- Izinkinga ze-prostate
- Uma uke waba nokuxhuzula ngaphambili
- Uma uke waba nesifo sohlangothi
- Uma uke wathatha umuthi wokucindezeleka we-MAOI njenge-Carbex, i-Eldepryl, i-Marplan, i-Nardil, noma i-Parnate ezinsukwini ezingu-14 ezedlule .
- Izifo ze-thyroid
- Uma uke waba nokusabela kokungezwani komzimba ne-racepinephrine, i-epinephrine, noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa
- Uma ungumama oncelisayo
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela ngaphandle kokufihla lolu lwazi.
Ngiyisebenzisa kanjani ngempela le mithi?
Lomuthi uthathwa ngokuphefumula kusetshenziswa idivayisi ebizwa ngokuthi i-nebulizer. I-nebulizer iguqula umuthi owuketshezi ube yinkungu encane (i-aerosol) ongayiphefumula ngomlomo noma ekhaleni lakho. Lo muthi ungena ngqo emaphashini akho.
- Sebenzisa kuphela njengoba kuqondiswe udokotela wakho, ngenani elinqunyiwe . Ungalokothi usebenzise okungaphezu kwenani elinconyiwe noma kaningi.
- Lo muthi unikezwa nezingane ezingaphezu kweminyaka engu-4 ubudala kwezinye izimo ezikhethiwe. Kodwa-ke, unezinyathelo zokuphepha ezikhethekile, ngakho khuluma nodokotela wakho ngokucophelela uma uwusebenzisa enganeni.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungalibali . Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo?
Lo muthi akuwona umuthi okufanele uthathwe ngesikhathi esibekiwe nsuku zonke. Usetshenziswa kuphela ezimweni eziphuthumayo uma unenkinga yokuphefumula. Ngakho-ke, ukweqa umthamo akusebenzi kulokhu.
Eminye imithi engase ihlangane nalo muthi
Eminye imithi oyithathayo ingathinta indlela lo muthi osebenza ngayo. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela kanye nemithi ethengiswa ngaphandle kwemithi kadokotela, imikhiqizo yamakhambi, kanye namavithamini. I-Racepinephrine ingasebenzisana nemithi elandelayo ikakhulukazi:
| Isigaba sezidakamizwa | Incazelo nezibonelo |
|---|---|
| Ama-antidepressant ohlobo lwe-MAOI | Imithi efana neCarbex, i-Eldepryl, iMarplan, iNardil, iParnate. I-Racepinephrine akufanele ithathwe kanye nalezi. |
| Imithi yezinye izifo zokuphefumula | Ezinye izinhlobo ze-inhaler ezifana ne-aminophylline, i-theophylline, i-albuterol, ne-levalbuterol. |
| Imithi yokwelapha umfutho wegazi ophakeme noma isifo senhliziyo | Noma yimuphi umuthi wenhliziyo noma umfutho wegazi onikezwe udokotela. |
| Imithi yokwelapha isifo sengqondo | Imithi yokwelapha izimo ezinjengokucindezeleka nokukhathazeka. |
| Umuthi womkhuhlane | Imithi equkethe i-phenylephrine noma i-pseudoephedrine. |
| Okunye | I-caffeine, ama-hormone e-thyroid, imithi yokwehlisa isisindo, kanye nezikhuthazi zezinkinga zokunaka. |
Izinto okufanele uziqaphele uma usebenzisa umuthi
Bona udokotela wakho ngezinsuku ezihleliwe ukuze ubone ukuthi izimpawu zakho ziyathuthuka noma ziya ziba zimbi. Uma izimpawu zakho zingathuthuki noma zibonakala ziba zimbi kakhulu, tshela udokotela wakho.
I-asthma yisimo esingasongela impilo ngezinye izikhathi. Ngakho-ke qaphela lezi zimpawu. Funa usizo lwezokwelapha ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo:
- Uma ubuhlungu bungapheli ngemva kwemizuzu engama-20 yokuphuza umuthi.
- Uma izimpawu ziba zimbi kakhulu .
- Uma udinga ukusebenzisa lo muthi izikhathi ezingaphezu kwezingu-12 emahoreni angu-24.
- Uma kufanele uyisebenzise izinsuku ezingaphezu kwezingu-3 ngesonto, izikhathi ezingaphezu kwezingu-9 ngosuku.
- Uma uhlaselwa yi-asthma izikhathi ezingaphezu kwezimbili ngesonto.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yayo iyingozi, eminye ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile, isiyezi, ubuhlungu besifuba, nobunzima bokuphefumula. |
| Umfutho wegazi okhuphukile | Izimpawu zomfutho wegazi ophakeme. |
| Ubunzima obandayo bokuphefumula | Uma ukuphefumula kwakho kunzima noma kunzima ukuphefumula ngemva kokusebenzisa umuthi. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ikhanda elibuhlungu | – |
| Umphimbo obuhlungu | – |
| Ukuthuthumela | Ukuzizwa sengathi izandla noma umzimba wakho uyathuthumela. |
| Ukungalali | – |
Uwugcina futhi uwulahla kanjani umuthi?
- Gcina kude nezingane nezilwane ezifuywayo .
- Gcina endaweni yokushisa ephakathi kwama-degree Celsius angu-2 kuya kwangu-25 (ama-degree Fahrenheit angu-36 kuya kwangu-77). Ungalokothi uqandiswe.
- Vikela ekukhanyeni. Gcina amabhodlela angavulwanga esikhwameni sawo se-aluminium foil.
- Ungalokothi usebenzise ngemva kosuku lokuphelelwa yisikhathi.
- Buza udokotela wakho ukuthi ungayilahla kanjani ngokuphephile imithi ephelelwe yisikhathi noma engasadingeki. Ungamane uyilahle emgqonyeni kadoti.
Umlayezo Wokuya Nawe Ekhaya
- I-Racepinephrine akuyona imithi yansuku zonke, kodwa umuthi osetshenziselwa ukunikeza usizo olusheshayo esimweni esiphuthumayo lapho kunzima ukuphefumula khona.
- Kubalulekile ukwazisa udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo (njengesifo sikashukela, isifo senhliziyo) kanye nayo yonke eminye imithi oyiphuzayo.
- Uma ubuhlungu bungapheli zingakapheli imizuzu engama-20 uphuze umuthi, noma uma izimpawu ziba zimbi kakhulu, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Ungalokothi wabelane ngalo muthi nanoma ubani omunye. Lo muthi unikezwe wena kuphela.
- Uma uphuza umuthi omningi kakhulu, kuyisimo esibucayi. Yiya eNational Poison Information Center noma e-ETU ngokushesha.
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