Ingabe unenkinga yokuphefumula, i-asthma, noma isifo samaphaphu esingamahlalakhona njenge-COPD (Chronic Obstructive Pulmonary Disease)? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukutshelile ukuthi usebenzise i-inhaler. Ngakho-ke namuhla sizokhuluma nge-inhaler esetshenziswa kakhulu, i-Tiotropium, esetshenziswa kakhulu ukulawula lesi sifo. Uzovame ukuyithola ngaphansi kwegama lomkhiqizo i-Spiriva Respimat.
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Iyini i-Tiotropium? Yenzani?
Kalula nje, i-Tiotropium umuthi owandisa imigudu yokuphefumula emaphashini akho futhi wenze kube lula ukuphefumula. Ibizwa ngokuthi i-'controller' inhaler . Lokhu kusho ukuthi ayisetshenziswa uma uhlaselwa yi-asthma ngokuzumayo noma ubunzima bokuphefumula. Isetshenziswa nsuku zonke, ngezikhathi ezibekiwe , ukulawula izimpawu zakho.
Lokhu kuyinto abantu abaningi abadideka ngayo. Khumbula, i-Tiotropium akuyona i-inhaler 'eqeda ubuhlungu' oyisebenzisayo ezimweni eziphuthumayo. Udokotela wakho kungenzeka ukuthi ukunike i-inhaler ehlukile yalokho.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuba udokotela wakho akunike i-Tiotropium inhaler, kuzodingeka azi umlando ophelele wempilo yakho, ikakhulukazi ngalezi zinto.
- I-Glaucoma: Lokhu kusho ukuthi unesifo esibangela ukucindezeleka okukhulu emehlweni.
- Isifo sezinso: Uma unezinkinga ezihlobene nezinso.
- Izinkinga ze-prostate: Uma uyindoda, ungase ube nobunzima bokuchama noma unenkinga ye-prostate.
- Ukungezwani komzimba: Tshela udokotela wakho uma une-allergy ku-Tiotropium, noma eminye imithi efana ne-Ipratropium ne-Atropine. Futhi, tshela udokotela wakho uma une-allergy kunoma yimiphi eminye imithi, ukudla, noma udayi.
- Qiniseka ukuthi wazisa udokotela wakho uma ukhulelwe, uzama ukukhulelwa, noma uncelisa .
Uyisebenzisa kanjani le inhaler ngendlela efanele?
Indlela esetshenziswa ngayo lokhu ibaluleke kakhulu.
1. Thatha umthamo ofanele, ngesikhathi esifanele: Thatha lo muthi ngesikhathi esifanayo nsuku zonke, njengoba nje udokotela wakho ekutshelile. Uma kuba kanye ngosuku, thatha ngesikhathi esifanayo nsuku zonke. Ungalokothi uthathe okungaphezu kwesilinganiso esinqunyiwe.
2. Qhubeka nokusebenzisa:Ngisho noma uzizwa sengathi izimpawu zakho seziphelile, qhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Lokhu kungenxa yokuthi lo muthi 'wokulawula', okusho ukuthi lesi sifo siyalawulwa ngoba uyaqhubeka nokuphuza umuthi.
3. Funda isembozo sephakheji yesiguli: Uma unikezwa imithi yakho, funda isembozo sephakheji yesiguli ngokucophelela. Siqukethe imiyalelo ecacile yokuthi ungahlanganisa kanjani, usebenzise futhi uhlanze kanjani i-inhaler.
4. Uma kunikezwa izingane: Lo muthi ngezinye izikhathi unconywa ezinganeni ezingaphezu kweminyaka engu-6 ubudala. Kodwa khuluma nodokotela wakho ngawo futhi uwusebenzise kuphela ngokwemiyalelo yakhe.
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. Ungathathi umthamo ophindwe kabili nganoma yisiphi isizathu.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ngakho, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemithi yamakhambi, njengoba eminye imithi ingasebenzisana ne-Tiotropium futhi ibangele imiphumela emibi.
| Uhlobo lomuthi | Incazelo |
|---|---|
| Imithi yokungezwani komzimba, ukukhwehlela kanye nomkhuhlane | Ezinye izinhlobo zama-antihistamine. |
| Eminye imithi yokuphefumula | Ezinye izifutho, ikakhulukazi lezo eziqukethe i-Ipratropium. |
| Imithi yezifo zesinye | Isibonelo, i-oxybutynin, i-tolterodine. |
| Imithi yesifo sikaParkinson | Isibonelo, i-benztropine, i-trihexyphenidyl. |
| Eminye imithi yokwelapha izinhlungu zesisu | Isibonelo, i-dicyclomine, i-hyoscyamine. |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo. Futhi, mtshele uma ubhema noma uphuza utshwala.
Imiphumela emibi okufanele uyiqaphele lapho usebenzisa umuthi
Kujwayelekile ukuba nemiphumela emibi emincane lapho uthatha imithi, kodwa kunezinto ezithile okudingeka siziqaphele kakhulu.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko emehlweni | Ubuhlungu bamehlo obungazelelwe, ukubona okufiphele, ukubona ukukhanya okuzungezile ukukhanya, kanye nokulahlekelwa umbono. |
| Ubunzima bokuchama | Ubunzima bokuchama noma ukungachami nhlobo. |
| Ubunzima obandayo bokuphefumula | Uma uzwa ukuphelelwa umoya okukhulu noma ukuqina kwesifuba ngemva kokusebenzisa i-inhaler. |
| Imiphumela emibi evame ukuba yinto engakhathazeki ngayo, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Umlomo owomile | Ukuhlafuna itshungama engenashukela namanzi okuphuza kungasiza kulokhu. |
| Ukuqunjelwa | Yidla ukudla okune-fiber kanye namanzi amaningi. |
| Umphimbo obuhlungu | Lokhu kungancishiswa ngokuhlanza umlomo wakho ngamanzi ngemva kokusebenzisa i-inhaler. |
| Izimpawu ezifana nokubanda | Impumulo egobhozayo noma impumulo evalekile. |
Ezinye izinto okufanele uzicabangele
- Ukozela/Isiyezi: Lo muthi ungenza abanye abantu bazizwe belele kancane noma benesiyezi. Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi kukuthinta kanjani. Qaphela lapho uvuka noma uhlala phansi ngokushesha, ikakhulukazi uma usukhulile.
- Umlomo owomile: Umlomo owomile uwumphumela ovamile wecala walo muthi. Phuza amanzi amaningi. Ukuhlafuna itshungama engenashukela noma ukumunca uswidi nakho kungasiza. Uma inkinga iqhubeka, tshela udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Tiotropium iyi -inhaler 'elawulayo'. Lokhu kusho ukuthi kufanele isetshenziswe nsuku zonke ukulawula lesi sifo, hhayi njengesimo esiphuthumayo.
- Hlala uphethe i-inhaler ehlukile 'yokunciphisa ubuhlungu' ukuze uyisebenzise uma kwenzeka uhlaselwa yi-asthma noma ukuphefumula kunzima.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi izimo zezokwelapha onazo (ikakhulukazi izinkinga zamehlo, zezinso, noma ze-prostate).
- Uma ubhekene nobunzima obukhulu bokuphefumula, izinkinga zamehlo, noma izimpawu zokungezwani komzimba okukhulu ngemva kokusebenzisa i-inhaler, funa iseluleko sezokwelapha ngokushesha.
- Umuthi kufanele ugcinwe ekamelweni lokushisa, kude nezingane. Khipha ephaketheni le-foil bese uwulahla ngemva kwezinyanga ezintathu noma uma usuphelelwe yisikhathi.
- Uma unemibuzo noma ukungabaza, ungesabi ukukhuluma nodokotela wakho ngakho.
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