Ingabe unesifo i-COPD (Chronic Obstructive Pulmonary Disease), isifo samaphaphu esihlala isikhathi eside esenza kube nzima ukuphefumula futhi kuzwakale sengathi isifuba sakho sinciphile? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike i-inhaler ekhethekile oyisebenzisa ne-capsule ensomi. Igama layo yi-Tiotropium, kodwa abantu abaningi bayayazi ngegama lomkhiqizo i-Spiriva HandiHaler. Ngakho-ke, namuhla sizokhuluma kalula ngendlela yokusebenzisa lo muthi ngqo, ukuthi yiziphi izinto okufanele uziqaphele, nokuthi yimiphi imiphumela emibi engase ivele.
Okokuqala, uyini lo muthi obizwa ngokuthi i-Tiotropium?
Kalula nje, i-Tiotropium umuthi owandisa imigudu yokuphefumula emaphashini akho futhi wenze kube lula ukuphefumula. Lokhu kubaluleke kakhulu ngoba akuyona i-inhaler 'eqeda ukuphefumula' oyisebenzisayo esimweni esiphuthumayo, okungukuthi, lapho uzizwa unenkinga yokuphefumula ngokuzumayo. Iyi -inhaler 'elawulayo' . Lokhu kusho ukuthi uyisebenzisa nsuku zonke, njengoba kuyalelwe udokotela wakho, ukulawula izimpawu zakho. Lokhu kukusiza ukuthi ulawule ukuphefumula kwakho usuku lonke futhi uhlale ukhululekile.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kuzodingeka azi umlando wakho wezempilo ophelele. Qiniseka ukuthi ubatshela nganoma yiziphi izimo ezilandelayo, ikakhulukazi:
- I-Glaucoma: Uma une-glaucoma, isimo lapho ingcindezi esweni ikhuphuka khona. Lo muthi ngezinye izikhathi ungathinta ingcindezi yamehlo.
- Isifo sezinso: Uma unenkinga yokusebenza kwezinso zakho.
- Isifo se-prostate: Uma uyindoda, uma unezinkinga ezifana nokukhula kwe-prostate, lo muthi ungabangela ubunzima bokuchama.
- Ukungezwani komzimba: Kumelwe usitshele uma une-allergies kulo muthi (i-Tiotropium), i-Ipratropium, i-Atropine, i-lactose ebisini, noma eminye imithi, ukudla, noma idayi.
- Ukukhulelwa noma ukuncelisa: Uma ukhulelwe, uzama ukukhulelwa, noma ukuncelisa, kufanele ukhulume nodokotela wakho ngalokhu.
Kubaluleke kakhulu! Ungayisebenzisa kanjani le inhaler ngendlela efanele?
Lena yingxenye ebaluleke kakhulu. Ukuze uthole okuningi kulo muthi, udinga ukuwusebenzisa ngendlela efanele.
Kubaluleke kakhulu: Ungalokothi ugwinye i-capsule ehambisana nalomuthi namanzi! Akufanele igwinywe, kodwa kufanele ifakwe ku-inhaler bese impuphu yomuthi engaphakathi ihogelwa.
Uma unikezwa umuthi, uzothola incwajana ekutshela ukuthi ungawusebenzisa kanjani. Yifunde ngokucophelela. Ngokuvamile, okudingeka ukwenze:
1. Vula ingxenye ephezulu ye-inhaler.
2. Beka i-capsule endaweni ekhethiwe.
3. Vala umlomo we-inhaler bese ucindezela inkinobho eluhlaza ohlangothini kanye. Lokhu kuzobhoboza i-capsule bese kukhulula impuphu yomuthi.
4. Khipha umoya ngokujulile, faka umlomo we-inhaler emlonyeni wakho, vala izindebe zakho ngokuqinile, bese uphefumula ngokushesha nangokujulile . Uzozwa umuthi ungena emaphashini akho.
5. Bamba umoya wakho cishe imizuzwana eyi-10, bese ukhipha umoya kancane kancane.
6. Hlola ukuthi kukhona yini umuthi osele ku-capsule, bese uphefumula futhi uma kudingeka.
7. Susa i-capsule engenalutho esetshenzisiwe bese uvala i-inhaler.
Zijwayeze ukuthatha lokhu ngesikhathi esifanayo nsuku zonke. Ngaleyo ndlela ngeke ukhohlwe. Ungayeki ukuthatha umuthi kuze kube yilapho udokotela wakho ekuyala ukuthi ukwenze.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
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 umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uphuze umuthi omningi ngengozi, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-ETU (Emergency Treatment Unit) yesibhedlela esiseduze.
Izinto okufanele uzicabangele uma usebenzisa i-Tiotropium
- Lokhu akusikho okwezimo eziphuthumayo: Njengoba sishilo ngaphambili, lokhu akusizi uma ukuphefumula kwakho kuba nzima ngokuzumayo. Udokotela wakho kungenzeka ukuthi ukunikeze i -'Reliever' inhaler ekhethekile (njenge-Ventolin eluhlaza okwesibhakabhaka) ukuze uyisebenzise ezimweni ezinjalo. Yisebenzise. Uma udinga ukusebenzisa i-Reliever inhaler kaningi, kusho ukuthi isimo sakho asilawuleki. Bonana nodokotela wakho ngokushesha.
- Umlomo owomile: Lo muthi ungabangela umlomo owomile. Ukuhlafuna itshungama engenashukela, ukumunca amaswidi angenashukela, nokuphuza amanzi amaningi usuku lonke kungasiza. Uma le nkinga iqhubeka, tshela udokotela wakho .
- Ukozela kanye nesiyezi: Abanye abantu bangase bazizwe belele kancane noma benesiyezi. Ngakho-ke, gwema imisebenzi eyingozi njengokushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Ikakhulukazi uma ungumuntu osekhulile, sukuma kancane uma uvuka endaweni yokuhlala noma embhedeni. Ngaphandle kwalokho, ungase uzizwe unesiyezi bese uwe.
Ingabe siyazi nemiphumela emibi?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Kodwa akuwona wonke umuntu oyitholayo. Ake sihlukanise lokhu kube yizigaba ezimbili.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. Lokhu kungaba izimpawu zesimo esibucayi. Kudingeka ukwelashwa ngokushesha. |
| Ubuhlungu bamehlo noma izinguquko zombono | Ubuhlungu bamehlo obungazelelwe, ukubona okufiphele, kanye nokubona ama-ring anemibala (ama-halo) azungeze izibani kungaba izimpawu ze-glaucoma. |
| Ubunzima bokuchama | Ubunzima bokuchama noma ukungachami nhlobo. |
| Ubunzima obandayo bokuphefumula | Uma ubhekene nobunzima bokuphefumula noma ukuqina kwesifuba ngemva kokusebenzisa i-inhaler. |
| Imiphumela emibi evame ukuba yinto engakhathazeki ngayo, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Umlomo owomile | Lokhu kuyinto evamile. Zama izindlela zokwelapha esixoxe ngazo ekuqaleni. |
| Ukuqunjelwa | Phuza amanzi amaningi futhi udle ukudla okune-fiber (izithelo, imifino). |
| Umphimbo obuhlungu, impumulo ecijile | Ukuhlanza umlomo wakho ngamanzi afudumele kungakunikeza impumuzo. |
| Ukungakhululeki kwesisu | Lokhu kungancishiswa ngezinye izikhathi ngokuthatha umuthi ngemva kokudla. |
Eminye imithi engase ihlangane nalo muthi
Uma uthatha i-Tiotropium, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Eminye imithi ingasebenzisana nayo. Isibonelo, imithi yokungezwani komzimba, imithi yokukhwehlela, eminye imithi yobuhlungu besisu, kanye nemithi yesifo sikaParkinson kungayithinta. Ngakho-ke, tshela udokotela wakho ngakho konke okuthathayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Tiotropium (i-Spiriva) akuyona imithi yokuqeda ubuhlungu. Iyi-inhaler 'elawulayo' esetshenziswa ukulawula izimpawu nsuku zonke.
- Ungalokothi ugwinye i-capsule ehambisana nalokhu. Kufanele ifakwe ku-inhaler bese ihogelwa.
- Thatha umuthi ngesikhathi esifanayo nsuku zonke. Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawutholanga. Ungathathi imithamo emibili ngesikhathi esisodwa.
- Tshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo (ikakhulukazi izinkinga ze-cataract, izinso kanye nezinkinga ze-prostate) kanye nanoma yimiphi eminye imithi oyithathayo.
- Uma ubhekene nobunzima obukhulu bokuphefumula, ubuhlungu bamehlo, noma izimpawu zokungezwani komzimba okukhulu ngemva kokuthatha umuthi, funa iseluleko sikadokotela ngokushesha.
- Gcina umuthi kude nezingane nezilwane ezifuywayo, bese uwugcina ekamelweni lokushisa ephaketheni lokuqala.
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