Ukuphefumula ngomlomo kwe-Ipratropium

-Delile

• Ukuze usebenzise i-inhaler, landela lezi zinyathelo:
• Ukuhogela isixazululo usebenzisa i-nebulizer, landela lezi zinyathelo;
• Ngaphambi kokusebenzisa i-ipratropium inhalation,
• Ipratropium ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

Ipratropium inhalation yomlomo isetshenziselwa ukuvimbela ukuphefumula, ukuphefumula, ukukhwehlela, nokuqina kwesifuba kubantu abanezifo ezingapheli zokuphefumula (COPD; iqembu lezifo ezithinta amaphaphu nemigwaqo yomoya) njenge-bronchitis engapheli (ukuvuvukala kwezindima zomoya kuholele emaphashini) ne-emphysema (ukulimala kwamasaka omoya emaphashini). Ipratropium ikusigaba semithi esibizwa ngama-bronchodilators. Isebenza ngokuphumula nokuvula izindima zomoya eziya emaphashini ukwenza ukuphefumula kube lula.

Ipratropium iza njengesisombululo (uketshezi) ukuhogela ngomlomo usebenzisa i-nebulizer (umshini oguqula umuthi ube yinkungu engaphefumula) nanjenge-aerosol yokuhogela ngomlomo usebenzisa i-inhaler. Isixazululo se-nebulizer ngokuvamile sisetshenziswa kathathu noma kane ngosuku, kanye njalo emahoreni ayisithupha kuya kwayisishiyagalombili. I-aerosol ivame ukusetshenziswa kane ngosuku. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa ipratropium njengoba nje kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Khuluma nodokotela wakho ngalokho okufanele ukwenze uma uhlangabezana nezimpawu ezinjengokuvunguza, ukuphefumula kanzima, noma ukuqina kwesifuba. Udokotela wakho mhlawumbe uzokunika i-inhaler ehlukile esebenza ngokushesha okukhulu kune-ipratropium ukukhulula lezi zimpawu. Udokotela wakho futhi angakutshela ukuthi usebenzise ukuqhuma okungeziwe kwe-ipratropium kanye neminye imithi yokwelapha lezi zimpawu. Landela lezi zinkombandlela ngokucophelela futhi uqiniseke ukuthi uyazi lapho kufanele usebenzise i-inhalers yakho ngayinye. Ungasebenzisi ukukhukhumeza okwengeziwe kwe-ipratropium ngaphandle kokuthi udokotela wakho akutshele ukuthi kufanele ukwenze. Ungalokothi usebenzise ukukhukhumeza okungaphezulu kwe-12 kwe-ipratropium inhalation aerosol esikhathini samahora angama-24.

Shayela udokotela wakho uma izimpawu zakho ziba zimbi noma uma uzwa ukuthi i-ipratropium inhalation ayisazilawuli izimpawu zakho. Fonela nodokotela wakho uma utshelwe ukuthi usebenzise imithamo eyengeziwe ye-ipratropium futhi uthole ukuthi udinga ukusebenzisa imithamo eminingi kunokujwayelekile.

Uma usebenzisa i-inhaler, umuthi wakho uzofika kuma-canisters. Ibhokisi ngalinye le-ipratropium aerosol lenzelwe ukuhlinzeka nge-inhalations engu-200. Ngemuva kokuthi kusetshenziswe inombolo ebhalwe ngama-inhalation, ukuhogela emuva kwesikhathi kungahle kungabi nenani elifanele lemithi. Kufanele ulandele inani le-inhalations oyisebenzisile. Ungahlukanisa inani le-inhalations ku-inhaler yakho ngenani le-inhalations oyisebenzisayo usuku ngalunye ukuthola ukuthi i-inhaler yakho izohlala izinsuku ezingaki. Lahla ibhokisana eliyibhokisi ngemuva kokusebenzisa inombolo enelebula yokuhogela noma ngabe isenalo uketshezi futhi iqhubeke nokukhipha isifutho lapho icindezelwe. Musa ukuntanta ibhokisana lamanzi emanzini ukuze ubone ukuthi lisenemithi yini.

Qaphela ukuthi ungafaki i-ipratropium emehlweni akho. Uma usebenzisa i-inhaler, gcina amehlo akho evaliwe lapho usebenzisa umuthi. Uma usebenzisa isisombululo se-nebulizer, kufanele usebenzise i-nebulizer enesipika somlomo esikhundleni sesifihla-buso sobuso. Uma kufanele usebenzise isifihla-buso sobuso, buza udokotela wakho ukuthi ungakuvimbela kanjani ukuthi umuthi ungavuzi. Uma uthola i-ipratropium emehlweni akho, ungahle uhlakulele i-angle glaucoma emincane (isimo esibi samehlo esingadala ukulahleka kombono). Uma usuvele unayo i-angle glaucoma emincane, isimo sakho singase sibe sibi kakhulu. Ungase uzwe abafundi abakhulisiwe (imibuthano emnyama enkabeni yamehlo), ubuhlungu beso noma ukubomvu, ukungaboni kahle, nokushintsha kombono njengokubona ama-halos azungeze amalambu. Shayela udokotela wakho uma uthola i-ipratropium emehlweni akho noma uma uba nalezi zimpawu.

I-inhaler eza ne-ipratropium aerosol yenzelwe ukusetshenziswa kuphela nge-canister ye-ipratropium. Ungalokothi uwusebenzise ukuhogela noma imuphi omunye umuthi, futhi ungasebenzisi enye i-inhaler ukuhogela ipratropium.

Ungayisebenzisi i-ipratropium inhaler yakho uma useduze nelangabi noma umthombo wokushisa. I-inhaler ingaqhuma uma ivezwa amazinga okushisa aphakeme kakhulu.

Ngaphambi kokusebenzisa ipratropium inhalation okokuqala, funda imiyalelo ebhaliwe eza nayo. Buza udokotela wakho, usokhemisi, noma umelaphi wokuphefumula ukuthi akubonise ukuthi ungayisebenzisa kanjani i-inhaler noma i-nebulizer. Zijwayeze ukusebenzisa i-inhaler noma i-nebulizer ngenkathi yena ebuka.

Ukuze usebenzise i-inhaler, landela lezi zinyathelo:

1. Bamba i-inhaler ngesiphetho esicacile esikhombe phezulu. Faka ibhokisana lensimbi ngaphakathi ekugcineni okucacile kwe-inhaler. Qiniseka ukuthi itholakala ngokuphelele futhi iqinile nokuthi ibhokisana eliyibhokisi lezinkuni lisemazingeni okushisa ekamelweni.
2. Susa ikepisi lokuvikela uthuli ekugcineni komlomo. Uma ikepisi lothuli lingafakwanga kulowo okhuluma ngomlomo, hlola okokukhuluma ukungcola noma ezinye izinto
3. Uma usebenzisa i-inhaler okokuqala noma uma ungakayisebenzisi i-inhaler ezinsukwini ezintathu, yithathe ngokuyicindezela phansi ebhokisaneni ukuze udedele izifutho ezimbili emoyeni, kude nobuso bakho. Qaphela ukuthi ungafuthisi umuthi emehlweni akho ngenkathi uncoma i-inhaler.
4. Phefumulela phezulu ngokuphelele ngangokunokwenzeka ngomlomo wakho.
5. Bamba i-inhaler phakathi kwesithupha sakho neminwe yakho elandelayo elandelayo ngomlomo ongezansi, ubheke kuwe. Faka ukuphela okuvulekile komlomo emlonyeni wakho. Vala izindebe zakho ngokuqinile nxazonke zomlomo. Vala amehlo akho.
6. Donsa umoya kancane kancane ngokujula ngomlomo. Ngasikhathi sinye, cindezela phansi ngokuqinile ku-canister.
7. Bamba umoya wakho imizuzwana eyi-10. Bese ususa i-inhaler, bese uphefumulela ngaphandle kancane.
8. Uma utshelwe ukuthi usebenzise ukudonsa okumbili, linda okungenani imizuzwana engu-15 bese uphinda izinyathelo 4 kuya ku-7.
9. Miselela ikepisi lokuvikela ku-inhaler.

Ukuhogela isixazululo usebenzisa i-nebulizer, landela lezi zinyathelo;

1. Gweba phezulu kwesitsha esisodwa se-ipratropium solution bese ucindezela lonke uketshezi echibini le-nebulizer.
2. Xhuma ichibi le-nebulizer esikhunjeni somlomo noma kumaski obuso.
3. Xhuma i-nebulizer ku-compressor.
4. Faka okokukhuluma emlonyeni wakho noma ufake isifihla-buso sobuso. Hlala ume mpo, unethezekile uvule icompressor.
5. Phefumula ngomoya ophansi, ngokujulile nangokulinganayo imizuzu engaba ngu-5 kuya kwengu-15 kuze kube yilapho inkungu iyeka ukwakha egumbini le-nebulizer.

Hlanza i-inhaler yakho noma i-nebulizer njalo. Landela izinkomba zomkhiqizi ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unanoma yimiphi imibuzo mayelana nokuhlanza i-inhaler yakho noma i-nebulizer.

I-Ipratropium kwesinye isikhathi isetshenziselwa ukwelapha izimpawu zesifuba somoya. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho

Ngaphambi kokusebenzisa i-ipratropium inhalation,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-ipratropium, atropine (Atropen), noma yimuphi omunye umuthi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi kokulandelayo: ama-antihistamines; noma imishanguzo yesifo samathumbu esicasulayo, isifo sokuhamba, isifo sikaParkinson, izilonda, noma izinkinga zomchamo. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• uma usebenzisa noma imuphi omunye umuthi ohogelwayo, buza udokotela wakho ukuthi kufanele yini uyisebenzise le mithi isikhathi esithile ngaphambi noma ngemuva kokusebenzisa i-ipratropium inhalation. Uma usebenzisa i-nebulizer, cela udokotela wakho ukuthi ungaxuba noma imiphi eminye imithi yakho ne-ipratropium ku-nebulizer.
• Tshela udokotela wakho uma uke waba ne-glaucoma, izinkinga zomchamo noma i-prostate (isitho sowesilisa sokuzala).
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa ipratropium, shayela udokotela wakho.
• uma uzohlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa ipratropium.
• kufanele wazi ukuthi i-ipratropium inhalation kwesinye isikhathi ibangela ukuhefuzela nobunzima bokuphefumula ngokushesha ngemuva kokuhogela. Uma lokhu kwenzeka, shayela udokotela wakho ngokushesha. Ungasebenzisi i-ipratropium inhalation futhi ngaphandle kokuthi udokotela wakho akutshele ukuthi kufanele.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Sebenzisa umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungasebenzisi umthamo ophindwe kabili ukwenza okulahlekile.

Ipratropium ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isiyezi
• isicanucanu
• isilungulela
• ukuqunjelwa
• umlomo owomile
• ubunzima bokuchama
• ubuhlungu lapho uchama
• isidingo sokuchama kaningi
• ukuhlungu obusemhlane

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• ukuqubuka
• isifuba
• ukulunywa
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umphimbo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya
• ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla
• ubuhlungu besifuba

Ipratropium ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina izitsha eziyisixazululo ezingasetshenziswanga kuphekhi le-foil uze ulungele ukuzisebenzisa. Gcina umuthi ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Ungabhobozi ibhodlela le-aerosol, futhi ungalilahli kusishisi noma emlilweni.

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ungavumeli omunye umuntu asebenzise imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Atrovent^® I-HFA