Ingabe i-Salmeterol Dry Powder Inhaler (DPI) ingakusiza ngezinkinga zakho zokuphefumula? Ake sixoxe!

Ingabe nawe uzizwa unzima ukuphefumula? Noma ngezinye izikhathi uzizwa ukuqina esifubeni sakho, ukuphefumula, noma ukuphefumula sengathi une-asthma? Kungenzeka ukuthi uke wezwa ngale mpuphu ephehlayo ebizwa ngokuthi i-Salmeterol , eyaziwa nangokuthi i-Dry Powder Inhaler (DPI) . Njengoba abantu abaningi beyisebenzisa, ake sixoxe ngayo ngokuningiliziwe namuhla. Luhlobo luni lomuthi, lusiza kanjani umzimba wethu, futhi yiziphi izinto okudingeka sizikhumbule lapho siyisebenzisa.

Uhlobo luni lomuthi lolu yiSalmeterol?

Kalula nje, i-Salmeterol umuthi owenza imigudu yomoya emincane emaphashini akho ibe mikhulu kancane, okwenza kube lula ukuphefumula. Cabanga ngayo njengendlela yomoya evalekile, okwenza kube nzima ukuthi amanzi ageleze, futhi yileyo ndlela esebenza ngayo lapho imigudu yakho yomoya ivalekile. Lo muthi usebenza ngokunciphisa lokho kuvinjelwa futhi ukusize uphefumule kahle.

Lokhu kuvame ukusetshenziswa kubantu abane- asthma , kanye nalabo abanesimo esibizwa ngokuthi i-Chronic Obstructive Pulmonary Disease (COPD) . I-COPD yisifo samaphaphu sesikhathi eside esenza kube nzima ukuphefumula.

Into ebalulekile ukuthi le inhaler yeSalmeterol 'iyi -inhaler yokulawula' . Lokhu kusho ukuthi ayisetshenziselwa ukuvimba ukuhlaselwa yi-asthma noma ukukhushulwa kwe-COPD ngokushesha. Isetshenziselwa ukusiza ukulawula ukuqala kokukhushulwa okunjalo nokunciphisa inani lezikhathi ezenzeka ngazo. Kufana nokuthatha i-vitamin yansuku zonke, futhi imiphumela itholakala kuphela uma uqhubeka nokuyisebenzisa. Ngokuhlaselwa okukhulu, udokotela wakho kungenzeka ukuthi ukunikeze 'i-reliever/rescue inhaler' ehlukile. Yilokho okufanele ukusebenzise ngaleso sikhathi.

Yini okufanele ngiyitshele udokotela ngaphambi kokuthatha lo muthi?

Manje, ngaphambi kokuba uqale ukusebenzisa le inhaler yeSalmeterol, kunezinto ezimbalwa okufanele uzitshele udokotela wakho noma usokhemisi ekhemisi lapho uthola khona imithi yakho. Ngenxa yokuthi umzimba wawo wonke umuntu uhlukile, akuwona wonke umuthi ofanayo kuwo wonke umuntu. Ngakho-ke, kubaluleke kakhulu ekuphepheni kwakho ukubazisa ngalezi zinto:

• Ingabe unesifo senhliziyo ? (Isibonelo, ubuhlungu benhliziyo, ukushaya kwenhliziyo okungajwayelekile, njll.)
• Ingabe unaso isifo somfutho wegazi ophakeme ?
• Ingabe unesifo soshukela ?
• Ukushaya kwenhliziyo okungajwayelekile noma isigqi , okusho ukuthi kukhona ushintsho endleleni inhliziyo eshaya ngayo?
• Uyazi ukuthi unesifo sesibindi ?
• Ingabe kukhona isimo esibizwa ngokuthi i-Pheochromocytoma ? (Lesi yisimo esingavamile, isimila esakheka ezindlaleni ze-adrenal ngaphezu kwezinso zethu).
• OkwangaphambiliniUke waba nesimo esifana nesithuthwane ?
• Ingabe kukhona isifo noma ushintsho ekusebenzeni kwe-thyroid gland ?
• Wake waba nokusabela kokungezwani komzimba kulo muthi, i-Salmeterol, noma yimuphi omunye umuthi, imikhiqizo yobisi, ukudla okuthile, udayi wokudla, noma izithasiselo? (isib., amaqhubu, ukulunywa, ubunzima bokuphefumula).
• Ukhulelwe? Noma unethemba lokukhulelwa maduze?
• Ingabe ungumama oncelisayo?

Ngokucacisa ngalezi zinto, udokotela wakho angakunikeza iseluleko esiqondile sokuthi lo muthi ukulungele yini noma cha, noma ukuthi ungawusebenzisa kanjani ngokuphephile.

Ngingayisebenzisa kanjani le inhaler?

Kulungile, manje ake sibone ukuthi singayisebenzisa kanjani kahle le inhaler yeSalmeterol. Lona umuthi ophefumulwa ngomlomo uye emaphashini.

• Kungcono ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke , njengoba kuqondiswe kwilebula kadokotela. Lokhu kuzosiza ekugcineni ukusebenza kahle komuthi.
• Ungasebenzisi kaningi kunalokho udokotela wakho akutshele khona.
• Kufanele uqhubeke uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Akuyona into enhle ukuwuyeka ngokuzumayo.

Uma uthola lo muthi ekhemisi, uzothola incwajana yemiyalelo ekhethekile ebizwa ngokuthi 'i-MedGuide' . Kufanele uwufunde ngokucophelela lo 'MedGuide' njalo uma uthatha umuthi, futhi njalo uma uwugcwalisa kabusha. Uqukethe ulwazi olubaluleke kakhulu ngalo muthi, okuhlanganisa nendlela yokuwusebenzisa, imiphumela emibi, nokuningi.

Le inhaler iza ne -INSTRUCTIONS ZOKUSENZISA echaza isinyathelo ngesinyathelo ukuthi isetshenziswa kanjani . Sicela uyifunde ngokucophelela. Kungase kube yinto entsha ekuqaleni, ngakho-ke uma unokungabaza ngokuthi isetshenziswa kanjani, ungesabi ukubuza usokhemisi wakho noma udokotela ukuze akucacisele. Kuphela ngokuyisebenzisa kahle lapho ungathola khona izinzuzo ezigcwele zomuthi.

Ingabe lo muthi kufanele unikezwe izingane ezincane?

Uma unikeza izingane ezincane lesi sidakamizwa i-Salmeterol inhaler, kufanele ukhulume nodokotela wakho ngaso. Ngezinye izikhathi, singanikezwa izingane ezineminyaka engu-4 ubudala , ngaphansi kwezimo ezithile zezokwelapha. Kodwa-ke, sidinga izinyathelo zokuphepha ezikhethekile kanye nokuqapha okuseduze ngudokotela wakho.

Yini okufanele uyenze uma uphuza umuthi ngokweqile?

Uma ucabanga ukuthi ngephutha uphuze lo muthi omningi kakhulu, iya egumbini lezimo eziphuthumayo esibhedlela esiseduze noma ushayele isikhungo sokulawula ubuthi ngokushesha.Lona umuthi onikezwe wena kuphela, ngenxa yesimo sakho. Ungabelani ngalo muthi nanoma ubani omunye nganoma yisiphi isizathu .

Kuthiwani uma ngikhohlwa ukuthatha umthamo othile womuthi?

Ngezinye izikhathi, ungase ukhohlwe ukuphuza umuthi wakho ngenxa yendlela yakho yansuku zonke. Uma lokhu kwenzeka, thatha umthamo ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isb., phakathi namahora ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo ephindwe kabili noma eyengeziwe ukuze ubuyisele umthamo ophuthelwe.

Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)

Lokhu futhi kuyinto okufanele uyiqaphele kakhulu. Uma usebenzisa le inhaler yeSalmeterol, ingasebenzisana neminye imithi oyithathayo. Kalula nje, umuthi owodwa ungathinta ukusebenza komunye umuthi, noma wandise imiphumela emibi.

Odokotela bakweluleka ukuthi ugweme ukuthatha le mithi neSalmeterol uma uyithatha:

• I-MAOI - Lezi yizinhlobo zemithi esetshenziselwa ukwelapha izifo ezithile zengqondo. Izibonelo zifaka phakathi izidakamizwa ezinamagama afana neCarbex, Eldepryl, Marplan, Nardil, kanye neParnate.
• I-Salmeterol, kanye nezinye izifutho noma imithi equkethe i-beta2-agonists esebenza isikhathi eside (LABAs) .
• Umuthi obizwa ngokuthi i-Procarbazine (lo umuthi osetshenziselwa ukwelapha umdlavuza).

Akukhona lokhu kuphela, kuneminye imithi engase ihlangane neSalmeterol. Yingakho kubalulekile ukwazisa udokotela wakho ngayo yonke imithi oyithathayo. Nazi izibonelo ezimbalwa:

• Eminye imithi yokulwa nokutheleleka - isibonelo, i-chloroquine, i-pentamidine.
• Imithi yokulwa negciwane lengculazi noma ingculazi.
• Ukudla okune -caffeine (kungatholakala etiyeni, ekhofini, kushokoledi, kwezinye iziphuzo ezibandayo, kanye nakwezinye izidakamizwa zokunciphisa ubuhlungu).
• I-Cisapride (umuthi osetshenziselwa ukwelapha izifo ezithile zesistimu yokugaya ukudla).
• Ama-Diuretics - Lena imithi esusa amanzi amaningi nosawoti emzimbeni (ngokuvamile enikezwa umfutho wegazi ophakeme).
• Eminye imithi okufanele uyithathe yomkhuhlane.
• Imithi yokucindezeleka, ukukhathazeka, noma ezinye izinkinga zengqondo.
• Imithi yokutheleleka kwesikhunta - isib. i-ketoconazole, i-itraconazole.
• Eminye imithi enikezwa ukunciphisa umzimba, kanye neminye imikhiqizo yamakhambi.
• I-Methadone.
• Amanye ama-antibiotic - isib. i-clarithromycin, i-erythromycin, i-levofloxacin, i-linezolid, i-telithromycin.
• Imithi yezifo ezithile zenhliziyo.
• Ama-hormone e-steroid - isib. i-dexamethasone, i-cortisone, i-hydrocortisone.
• I-Theophylline (esinye isidakamizwa esisetshenziselwa i-asthma).
• Ama-hormone e-thyroid.

Lolu hlu aluphelele. Ngakho-ke, qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi leyo oyithenga ngaphandle kwemithi kadokotela), amakhambi, amavithamini, kanye nezithasiselo zokudla ozisebenzisayo. Futhi, qiniseka ukuthi utshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Lokhu ngezinye izikhathi kungathintana nemithi yakho.

Izinto okufanele uziqaphele uma usebenzisa lo muthi

Kunezinto ezimbalwa okufanele uziqaphele uma usebenzisa le Salmeterol inhaler. Uma uzinaka lezi zinto, ungathola okuningi emuthini futhi ugweme izinkinga ezingadingekile.

• Bona udokotela wakho njalo ukuze ahlolwe njalo. Udokotela wakho uzobona ukuthi izimpawu zakho ziya ziba zimbi noma zimbi, nokuthi imithi yakho idinga ukushintshwa yini. Uma izimpawu zakho zingabi ngcono noma ziba zimbi kakhulu, tshela udokotela wakho ngokushesha.
• Lokhu kuyinto ebaluleke kakhulu! Ungalokothi usebenzise le Salmeterol inhaler uma uhlaselwa yi-asthma. Njengoba ngishilo ngaphambili, lena i-controller inhaler. Esimweni esiphuthumayo esinjalo, kufanele usebenzise 'i-short-acting rescue inhaler' oyinikeziwe. Uma izimpawu zakho ziba zimbi kakhulu, noma uma udinga ukusebenzisa i-quick-relief inhaler yakho kaningi (okusho ukuthi i-asthma yakho ayilawulwa), khuluma nodokotela wakho ngokushesha.
• Abanye abantu bangase babe nokuphefumula okunzima noma ukuphefumula kanzima ngemva kokusebenzisa le Salmeterol inhaler. Lokhu akuvamile. Ngakho-ke, hlala uphethe i-inhaler esebenza isikhathi esifushane ukuze uyisebenzise ngokuphuthumayo. Uma uzwa ukuphefumula okunzima, yeka ukusebenzisa iSalmeterol ngokushesha bese ushayela udokotela wakho ucingo ngokushesha.
• Ezinye izifundo zisikisela ukuthi lo muthi ungandisa kancane ingozi yokufa ngenxa yezinkinga ezihlobene ne-asthma. Uma unemibuzo noma ukukhathazeka ngalokhu, khuluma nodokotela wakho ngakho. Angakuchazela kabanzi ngalokhu.
• Uma unesifo sokukhwehlela, umkhuhlane, noma ukungezwani komzimba okuvamile, ungathathi imithi ethengwa ngaphandle kwemvume kadokotela ngaphandle kokubheka udokotela wakho kuqala. Eminye imithi engagunyaziwe ingase ihlangane ne-salmeterol.
• Kubalulekile ukuthi wena nodokotela wakho nisebenzisane ukudala 'uHlelo Lokusebenza Lwe-Asthma' olufanele wena. Lolu luqoqo olucacile lwemiyalelo yokuthi yini okufanele uyenze uma i-asthma yakho iba yimbi kancane (ebizwa ngokuthi 'indawo ephuzi') noma ukuthi yini okufanele uyenze uma i-asthma yakho iba yimbi kakhulu futhi iba yisimo esiphuthumayo sezokwelapha (ebizwa ngokuthi 'indawo ebomvu'). Kufanele ujwayelene nalolu hlelo.
• Uma uzokwenza noma yiluphi ukuhlinzwa noma olunye uhlobo lwezokwelapha , njengokukhishwa kwezinyo, tshela udokotela kusenesikhathi ukuthi usebenzisa le Salmeterol inhaler.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, abanye abantu bangase babe nemiphumela emibi lapho besebenzisa le Salmeterol inhaler. Kodwa ungakhathazeki, akuwona wonke umuntu othola le miphumela emibi. Eminye yayo izophela ngemva kwezinsuku ezimbalwa. Kodwa-ke, eminye imiphumela emibi iyingozi kakhulu, futhi uma ivela, kufanele utshele udokotela wakho ngokushesha.

Imiphumela emibi okufanele ibikwe kudokotela ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, bona udokotela ngokushesha:

• Ukusabela kokungezwani komzimba - ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo (lokhu kungenza kube nzima nokuphefumula).
• Isigqi senhliziyo siyashintsha – inhliziyo iqala ukushaya ngokushesha okukhulu (ukushaya kwenhliziyo okusheshayo), ukushaya kwenhliziyo kuba okungajwayelekile (ukushaya kwenhliziyo okungajwayelekile), isiyezi, ukuzizwa ubuthakathaka noma ikhanda elibuhlungu, ubuhlungu besifuba, ubunzima bokuphefumula.
• Ukwanda okungazelelwe komfutho wegazi.
• Kuvela ubuhlungu noma ukuqaqamba kwemisipha.
• Uma ubhekene nobunzima obukhulu bokuphefumula noma ukuhogela ngemva kokusebenzisa i-inhaler yakho kunangaphambili.

Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka noma ikhathaza:

Lokhu kuvame ukuphela ngemva kwezinsuku ezimbalwa, kodwa uma kuqhubeka, tshela udokotela wakho:

• Ukukhwehlela.
• Ikhanda elibuhlungu.
• Impumulo egobhozayo noma evalekile.
• Umphimbo obuhlungu.
• Ukuthuthumela noma ukuthuthumela.
• Unenkinga yokulala.

Uma uhlangabezana nanoma yiziphi izimpawu ezintsha noma ezingavamile ezingabhalwanga kulolu hlu, ungangabazi ukukhuluma nodokotela wakho. E-United States, ungabika imiphumela emibi ku-FDA (Food and Drug Administration) ku-1-800-FDA-1088. ESri Lanka, into engcono kakhulu ongayenza ukwazisa udokotela wakho.

Ngingawugcina kanjani lo mshini wokufutha? (Indawo yokugcina)

Ukugcina imithi ngendlela efanele kubaluleke kakhulu ukuze kugcinwe ikhwalithi yayo.

• Gcina lesi sifutho sokuphefumula kude nezingane ezincane nezilwane ezifuywayo.
• Kungcono ukuyigcina ekamelweni lokushisa, okusho ukuthi endaweni ephakathi kwama-degree Celsius angu-20 no-25 (68 no-77 degrees F).
• Vikela elangeni eliqondile kanye nomswakama. Lokho kusho ukuthi ungayigcini ezindaweni ezimanzi njengendlu yokugezela.
• Gcina isitsha/isivalo se-inhaler sivaliwe kahle.
• Gcina i-inhaler kude nokushisa okukhulu, ukubanda okukhulu, noma umswakama ophezulu (isib., ungayishiyi kudeshibhodi yemoto).
• Ngemva kokukhipha i-inhaler esikhwameni se-foil, yeka ukusebenzisa i-inhaler bese uyilahla ngemva kwamasonto ayi-6 , noma uma ikhawunta yomthamo ku-inhaler ifundeka ngokuthi "0" (okusho ukuthi umuthi awusekho), noma uma usuku lokuphelelwa yisikhathi olubhalwe ku-inhaler seludlulile , noma yikuphi okuza kuqala .

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke kusukela kulokho esikhulume ngakho namuhla, ngithemba ukuthi usuthole ukuqonda okuhle nokucacile kwale mpuphu ephehlayo (i-DPI) ebizwa ngokuthi i-Salmeterol.

Into ebaluleke kakhulu ukuthi i-Salmeterol iwumuthi osiza ukulawula i-asthma yakho kanye ne-COPD, hhayi umuthi wokwelapha ukuhlaselwa okukhulu. Njalo yiphuze njengoba udokotela wakho ekutshelile, ngomthamo ofanele, ngesikhathi esifanele.

Uma unemibuzo, ukukhathazeka, noma ukukhathazeka ngalo muthi, ukusetshenziswa kwawo, imiphumela emibi, noma okunye ukukhathazeka, sicela ukhululeke ukubuza udokotela wakho noma usokhemisi. Impilo yakho ibaluleke kakhulu kuwe, ngakho-ke kungumthwalo wakho ukuyinakekela. Ngikufisela impilo enhle!

I- Salmeterol, Isifutho Sokuphefumula Esinomswakama Owomile, i-DPI, Isifuba, i-COPD, Isifutho Sokuphefumula, Isifo Sokuphefumula, Isifo Samaphaphu