Udokotela wakho kungenzeka ukuthi ukutshelile ukuthi usebenzise i-dry powder inhaler (DPI) ukwelapha umfutho wegazi ophezulu emaphashini akho. Ungase ube nomuthi obizwa ngokuthi i-Treprostinil esandleni sakho. Njengoba lo umuthi ukhethekile, ake sifunde kabanzi ngawo, akunjalo? Namuhla, sizoxoxa ngalo muthi, ukuthi uwusebenzisa kanjani, nokuthi yini okufanele uyiqaphele.
Kwenzekani ngempela ngalo muthi?
Lo muthi usetshenziselwa ukwelapha isimo esibizwa ngokuthi i-Pulmonary Arterial Hypertension (PAH). Cabanga ukuthi imithambo yegazi ethwala igazi lisuka enhliziyweni yethu liya emaphashini ethu ivalekile. Ngemuva kwalokho inhliziyo kufanele isebenze kanzima ukupompa igazi liye emaphashini. Yilokhu esikubiza ngokuthi i-PAH.
Kalula nje, uma usebenzisa le inhaler, umuthi udlula ohlelweni lwakho lokuphefumula futhi uphumuze imithambo yegazi emaphashini akho. Lokhu kunciphisa ingcindezi ngaphakathi kwaleyo mithambo. Lokhu kuvumela inhliziyo yakho ukuthi ipompe igazi ngomzamo omncane. Ngenxa yalokho, ungaphefumula kalula futhi ube matasa kakhudlwana.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubaluleke kakhulu ukuthi udokotela wakho akwazise ngolwazi oluthile mayelana nesimo sakho sempilo ngaphambi kokuqala lo muthi.
| Isimo okudingeka usibike | Kungani lokho kubalulekile? |
|---|---|
| Uma unesifo sesibindi | Isibindi yilapho umuthi ukhishwa khona emzimbeni. Uma unenkinga yesibindi, umthamo wakho ungadinga ukulungiswa. |
| Uma une-blood pressure ephansi | Lo muthi unganciphisa nomfutho wegazi, ngakho-ke uma usuvele unomfutho wegazi ophansi, kufanele uqaphele ngakho. |
| Uma unezinye izifo zokuphefumula ezifana ne-asthma noma i-COPD | Lomuthi ngezinye izikhathi ungabangela ukuvaleka komoya okuqhubekayo (ukuphefumula kanzima). Ngakho-ke, uma unezinye zalezi zimo, kufanele utshele udokotela wakho. |
| Uma une-allergies kunoma yini | Sicela usitshele uma une-allergies kulo muthi, eminye imithi, ukudla, noma udayi. |
| Uma ukhulelwe noma ulindele umntwana | Khuluma nodokotela wakho ngemiphumela yalo muthi ngesikhathi sokukhulelwa. |
| Uma umama encelisa ingane yakhe | Khuluma nodokotela wakho ukuqinisekisa ukuthi umuthi udluliselwa enganeni yakho ngobisi lwebele. |
Uyisebenzisa kanjani le inhaler ngendlela efanele?
Lona umuthi owuthatha ngomlomo. Kufanele uwuthathe njengoba nje udokotela wakho ekutshela, ngesikhathi esifanele, nangenani elifanele. Ngokuvamile uthathwa njalo emahoreni ama-4. Ungalokothi uwuthathe ngaphezu kwenani elibekiwe. Qhubeka uwuthatha kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Kubaluleke kakhulu: Lo muthi kufanele usetshenziswe kuphela nge-inhaler ekhethekile (i-Tyvaso DPI Inhaler) eza nayo. Futhi, kufanele ulahle i-inhaler endala bese uqala ukusebenzisa entsha njalo ezinsukwini eziyi-7.
IMIYALELO YOKUSEBENZISA ehambisana nomuthi ichaza ngokucacile ukuthi ungawusebenzisa kanjani. Yifunde ngokucophelela. Uma ungaqondi, cela udokotela wakho ulwazi olwengeziwe.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Ungakhathazeki. Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo (isibonelo, kungakapheli amahora amabili), yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Zicabange ukuthi uphuze umuthi omningi ngengozi. Uma lokhu kwenzeka, ungesabi, kodwa shayela ucingo ngokushesha eNational Poisons Information Centre eColombo National Hospital. Isikhungo sizokunikeza iseluleko esidingekayo. Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Izinto okufanele uziqaphele lapho uthatha lo muthi
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele kancane futhi unesiyezi. Ngakho-ke, ungenzi noma yini edinga ukunakwa okuningi, njengokushayela noma ukusebenzisa imishini, uze wazi kahle ukuthi lokhu kukuthinta kanjani.
- Ungavuki ngokuzumayo: Ikakhulukazi uma usukhulile, ungavuki ngokuzumayo uhleli noma uphume embhedeni. Ukwenza kanjalo kungabangela isiyezi futhi ungase uwe. Ngakho vuka kancane.
- Ingozi yokopha: Lokhu kungandisa kancane ingozi yokopha. Tshela udokotela wakho uma uphuka noma wopha kalula.
- Eminye imithi: Tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemithi yamakhambi (njenge-kashaya, i-aristha). Eminye imithi ingasebenzisana nalo muthi. Lokhu kuyiqiniso ikakhulukazi ngeminye imithi yomfutho wegazi ophakeme, njenge -Gemfibrozil kanye ne-Rifampin .
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Umphumela ongemuhle | Izimpawu ozibonayo |
|---|---|
| Izimpawu ezinkulu ezidinga ukubikwa kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukopha okungavamile | Ukuhlanza igazi (njengezitsha zekhofi), indle iba mnyama noma ihlale isikhathi eside, umchamo uba bomvu/nsundu omnyama, kuvela amabala amancane abomvu/onsomi emzimbeni, kanye nokushayeka ngaphandle kwesizathu. |
| Umfutho wegazi ophansi | Isiyezi, amehlo aluhlaza okwesibhakabhaka, kanye nokulahlekelwa ukwazi. |
| Ubunzima bokuphefumula | Ukuphefumula kanzima, ubunzima bokuphefumula. |
| Ngokuvamile akukho okufanele ukhathazeke ngakho, kodwa uma kuqhubeka, nazi ezinye izinto ongakusho: | |
| Ukukhwehlela, umphimbo obuhlungu kanye nekhala eligobhozayo | Isimo esivamile esibangelwa ukuphefumula umuthi. |
| Ikhanda elibuhlungu, isicanucanu, ukucasuka kwesisu | Lokhu kuvame ukubonakala ezigabeni zokuqala. |
| Ububomvu bobuso | Njengoba imithambo yegazi ivuleka, ukugeleza kwegazi ebusweni kuyanda, okubangela ukubukeka okubomvu. |
Ungawugcina kanjani umuthi kanye ne-inhaler?
Lokhu futhi kuyinto okudingeka uyazi ngokuqinisekile.
- Amakhadi e-blister angavulwanga: Gcina lawa esiqandisini. Kodwa ungalokothi uwafake esiqandisini. Wakhiphe esiqandisini imizuzu eyi-10 ngaphambi kokuwasebenzisa.
- Uma igcinwe endaweni yokushisa kwegumbi: Amaphakethe angavulwa angagcinwa endaweni yokushisa kwegumbi (phakathi kuka-20-25 Celsius) kuze kube amasonto ama-5.
- Imichilo ye-blister evuliwe: Lokhu kufanele kusetshenziswe zingakapheli izinsuku ezi-3 kusukela kuvulwe. Ungayibeki imichilo evuliwe esiqandisini.
- I-inhaler: Lokhu kungagcinwa esiqandisini noma ekamelweni lokushisa. Qiniseka ukuthi uyayilahla bese uthola entsha ngemva kwezinsuku ezingu-7 zokusebenzisa.
Uma ulahla umuthi ophelelwe yisikhathi noma ongasadingeki emgqonyeni kadoti, hlanganisa umuthi nento efana nekhofi eligayiwe, inhlabathi, noma udoti wekati, bese uwuvala kahle esikhwameni noma esitsheni ngaphambi kokuwulahla.
Umlayezo Wokuya Nawe Ekhaya
- Sebenzisa lo muthi njengoba nje udokotela wakho ekuyalile, ngesikhathi esifanele nangenani elifanele.
- Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Yazisa udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo kanye nayo yonke imithi oyiphuzayo.
- Uma kuvela imiphumela emibi kakhulu (ukungezwani komzimba, ukopha, isiyezi esinzima), funa iseluleko sikadokotela ngokushesha.
- Gcina imithi yakho kanye ne-inhaler ngendlela efanele. Ungakhohlwa ukushintsha i-inhaler yakho njalo ezinsukwini eziyi-7.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
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