Noma ubani ohlushwa ukuphefumula okunzima , i-asthma , noma isifo samaphaphu esingamahlalakhona (COPD ) uyazi ukuthi kungaba nzima kangakanani ukuphila naso. Ukuzizwa sengathi isifuba sakho siqinile usuku lonke, futhi ukuzizwa unesiyezi ngisho nalapho wenza imisebenzi emincane kungaba yisithiyo esikhulu empilweni yakho yansuku zonke. Ngakho-ke namuhla sikhuluma ngohlobo olukhethekile lwe -inhaler olunikezwa odokotela ukulawula izimo ezinjalo. Mhlawumbe ungomunye walabo abasebenzisa le inhaler.
Iyini le inhaler? Ukucacisa...
Lesi i-inhaler ekhethekile yempuphu eyomile equkethe inhlanganisela yemithi emithathu. Imithi emithathu yi -fluticasone, umeclidinium, kanye ne-vilanterol . Udokotela wakho angase ayibize ngegama lomkhiqizo elithi `TRELEGY ELLIPTA`.
Kalula nje, le mithi emithathu isebenza ndawonye ukuze inikeze impumuzo emaphashini akho.
1. I-Fluticasone: Lena i-steroid ephefumulwayo enciphisa ukuvuvukala emigudwini yomoya . Cabanga ngayo sengathi imigudwini yakho yomoya iyavuvukala futhi iyavuvukala. Lo muthi usebenza ngokunciphisa ukuvuvukala nokuvula imigudwini yakho yomoya.
2. I-Umeclidinium: Lona umuthi oqeda i-cholinergic okhulula imisipha ezungeze imigudu yomoya . Kulapho le misipha iqina khona lapho ukuphefumula kuba nzima. Lo muthi usebenza ngokukhulula lokho kuqina nokwandisa imigudu yomoya.
3. I-Vilanterol: Lokhu futhi kuyi-bronchodilator esebenza isikhathi eside esiza ukugcina imigudu yomoya ibanzi .
Uma zonke lezi zinto ezintathu zihlangana, zilawula ukuphelelwa kwakho umoya futhi zikusize uphefumule kalula usuku lonke.
Into ebaluleke kakhulu: Lokhu kubizwa ngokuthi “i-inhaler yokulawula.” Lokhu kusho ukuthi isetshenziselwa ukulawula izimpawu zakho nsuku zonke nokuvimbela ukuqubuka kwe -asthma noma i-COPD.Lokhu akusebenziswa uma kwenzeka ukuhlaselwa yisifuba somoya ngokuzumayo noma ukuqubuka okukhulu kwe-COPD. Udokotela wakho kungenzeka ukuthi ukunikeze "i-inhaler yokusindisa" ehlukile yezimo eziphuthumayo ezinjalo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Ngaphambi kokukunikeza lo mkhiqizo wokuphefumula, udokotela wakho kufanele ahlole umlando wezokwelapha ophelele. Lokhu kungenxa yokuthi ezinye izimo zidinga ukunakekelwa okukhethekile lapho usebenzisa lo muthi. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi uyamtshela udokotela wakho.
| Isimo sakho sezokwelapha noma isimo sakho | Kungani kufanele ngazise? (kafushane) |
|---|---|
| Isifo sikashukela | Lo muthi ungathinta amazinga kashukela egazini. |
| Isifo senhliziyo noma umfutho wegazi ophakeme | Izinga lokushaya kwenhliziyo noma umfutho wegazi kungashintsha. |
| Izifo zamehlo (ikakhulukazi i-glaucoma) | Ukucindezeleka kwamehlo kunganda. |
| Isimo esithathelwanayo emzimbeni | Njengoba iqukethe ama-steroid, ingathinta ukulawulwa kokutheleleka. |
| I-Osteoporosis | Ukusetshenziswa isikhathi eside kungathinta amathambo. |
| Izinkinga ze-thyroid, ukuquleka, izinso, noma i-prostate | Izimpawu zalezi zimo zingahluka. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Kufanele ukhulume nodokotela wakho ngemiphumela engaba khona embungwini. |
| Ukuncelisa | Kubalulekile ukwazi ukuthi umuthi udlulela enganeni ngobisi. |
| Ukungezwani nobisi noma i-lactose | Impuphu ekulesi sithako sokuphefumula iqukethe i-lactose. |
Ungayisebenzisa kanjani le inhaler ngendlela efanele?
Indlela esetshenziswa ngayo lokhu ibaluleke kakhulu. Uma isetshenziswa kabi, ngeke uthole izinzuzo ezigcwele zomuthi.
1. Ngesikhathi esifanayo nsuku zonke: Sebenzisa lokhu ngesikhathi esifanayo nsuku zonke, njengoba kuyalelwe udokotela wakho. Kwenze kube umkhuba lokhu.
2. Ukulungisa i-inhaler: Cindezela isembozo se-inhaler eceleni. Udinga ukusicindezela uze uzwe "ukuchofoza". I-inhaler isilungele ukusetshenziswa.
3. Ukukhipha umoya: Ngaphambi kokufaka i-inhaler emlonyeni wakho, khipha umoya ujule. Kodwa ungawukhiphi umoya ungene kwi-inhaler.
4. Ukuphefumula umuthi: Manje vala umlomo we-inhaler ngokuqinile ngezindebe zakho bese uphefumula ngokujulile, isikhathi eside ngomlomo wakho.
5. Ukubamba umoya wakho: Khipha i-inhaler emlonyeni wakho bese ubamba umoya wakho imizuzwana emi-3-4 noma isikhathi eside ngangokunokwenzeka.
6. Ukukhipha umoya: Manje khipha umoya.
7. Ukuvala isembozo: Uma usuqedile ukusebenzisa, vala isembozo njengoba sasinjalo.
8. Hlanza umlomo wakho (kuyadingeka!): Lesi yisinyathelo esibaluleke kakhulu. Ngemva nje kokusebenzisa i-inhaler,Hlanza umlomo wakho kahle ngamanzi bese uwukhafula. Ungalokothi ugwinye amanzi. Lokhu kwenzelwa ukuvimbela i-thrush.
Ngenzenjani uma ngiphuthelwa umthamo?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isb., phakathi namahora ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi imithamo emibili ngesikhathi esisodwa 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.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi etholakala ngaphandle kwemithi kadokotela, amakhambi, namavithamini. Eminye imithi ingasebenzisana nale inhaler futhi ibangele imiphumela emibi noma inciphise ukusebenza kahle kwe-inhaler.
| Isigaba sezidakamizwa | Izibonelo |
|---|---|
| Imithi okungafanele ithathwe ndawonye | |
| Eminye imithi yokulawula isigqi senhliziyo | I-Cisapride, i-Dronedarone, i-Pimozide, i-Thioridazine |
| Ama-antidepressant ohlobo lwe-MAOI | I-Marplan, i-Nardil, i-Parnate |
| Eminye imithi okufanele isetshenziswe ngokuqapha | |
| Ama-Beta-blocker (asetshenziselwa isifo senhliziyo/umfutho wegazi) | I-Metoprolol, i-Propranolol |
| Amanye ama-fungicides nama-antibiotic | I-Ketoconazole, i-Itraconazole, i-Clarithromycin |
| Imithi esetshenziselwa i-HIV/AIDS | Izidakamizwa ezifana ne-Ritonavir |
| Ama-inhalers asetshenziswa kwezinye izifo zokuphefumula | I-Ipratropium, i-Tiotropium |
Izinto okufanele uziqaphele uma usebenzisa
- Qaphela izimpawu: Uma izimpawu zakho zingathuthuki, noma uma zibonakala ziba zimbi kakhulu, tshela udokotela wakho ngokushesha.
- Lungela izimo eziphuthumayo: Njengoba sishilo ekuqaleni, lokhu akuyona imithi ephuthumayo. Hlala ugcina i-inhaler yakho yokutakula nawe. Uma uzithola udinga ukuyisebenzisa kaningi, kungaba uphawu lokuthi isimo sakho asilawuleki. Uma lokhu kwenzeka, khuluma nodokotela wakho.
- Ukuphelelwa umoya ngokushesha ngemva kokusebenzisa: Akuvamile kakhulu, abanye abantu bangase babe nokuphelelwa umoya okukhulu ngokushesha ngemva kokusebenzisa le inhaler. Uma lokhu kwenzeka, yeka ukusebenzisa le inhaler ngokushesha, sebenzisa i-relier inhaler yakho, bese ukhuluma nodokotela wakho.
- Zivikele ezifweni: Lo muthi ungathinta kancane amasosha omzimba wakho. Ngakho-ke, zama ukuhlala kude nabantu abanomkhuhlane noma umkhuhlane . Tshela udokotela wakho uma uba nezimpawu ezifana nomkhuhlane, izinhlungu zomzimba, noma umphimbo obuhlungu.
Yimiphi imiphumela emibi engingayithola?
Njengayo yonke imithi, lena ingaba nemiphumela emibi, kodwa abantu abaningi ababi nemiphumela emibi kakhulu.
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha, ubuhlungu besifuba, isiyezi. |
| Izinguquko zombono | Ukubona okufiphele, ubuhlungu bamehlo obungazelelwe, ukubona indandatho ezizungeze izibani. |
| Amabala amhlophe emlonyeni (i-Thrush) | Ukutheleleka kwesikhunta emlonyeni noma emphinjeni (kungavinjelwa ngokuhlanza umlomo). |
| Ubunzima bokuchama | Ubunzima noma ubuhlungu lapho uchama. |
| Ikhanda elibuhlungu | Umphimbo obuhlungu noma ukusha |
| Umlomo owomile | Ukukhwehlela |
| Ubunzima bokulala | Ukuthuthumela (ukuthuthumela okucashile) ezandleni |
Umlayezo Wokuya Nawe Ekhaya
- Le inhaler "i-inhaler yokulawula" esetshenziselwa ukulawula lesi sifo nsuku zonke, hhayi "i-inhaler yokunciphisa umkhuhlane" esetshenziselwa ukuhlasela okungazelelwe.
- Ngemva kokusebenzisa ngakunye, hlanza umlomo wakho kahle ngamanzi bese ulahla amanzi. Lokhu kuyimpoqo.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi ezinye izimo zezokwelapha onazo.
- Funa iseluleko sezokwelapha ngokushesha uma izimpawu zakho ziba zimbi kakhulu noma uma uhlangabezana nanoma yimiphi imiphumela emibi engavamile.
- Le inhaler inikezwe wena kuphela. Ungalokothi wabelane ngayo nabanye.
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