Ukuphefumula ngomlomo kweBudesonide

-Delile

• Ukuhogela impuphu usebenzisa i-inhaler, landela lezi zinyathelo:
• Ukuhogela ukumiswa usebenzisa i-jet nebulizer, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-budesonide inhalation,
• Ukuphefumula kweBudesonide kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo esigabeni esikhethekile SOKUQAPHA, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

IBudesonide isetshenziselwa ukuvimbela ubunzima bokuphefumula, ukuqina kwesifuba, ukuvunguza nokukhwehlela okubangelwa yisifuba somoya. I-Budesonide powder ye-inhalation yomlomo (i-Pulmicort Flexhaler) isetshenziswa kubantu abadala nasezinganeni ezineminyaka engu-6 nangaphezulu. Ukumiswa kweBudesonide (uketshezi) lwe-inhalation yomlomo (amaPulmicort Response) kusetshenziswa ezinganeni eziyizinyanga eziyi-12 kuya kwengu-8 ubudala. IBudesonide ingeyesigaba semithi ebizwa nge-corticosteroids. Isebenza ngokunciphisa ukuvuvukala nokucasuka ezindleleni zomoya ukuvumela ukuphefumula okulula.

IBudesonide iza njengempuphu yokuhogela ngomlomo usebenzisa i-inhaler kanye nokumiswa kokuhogela ngomlomo usebenzisa i-jet nebulizer ekhethekile (umshini oguqula imithi ibe yinkungu engaphefumula). I-Budesonide powder ye-inhalation yomlomo ivame ukuhogela kabili ngosuku. Ukumiswa kweBudesonide kwe-inhalation yomlomo kuvame ukuhogela kanye noma kabili ngosuku. Zama ukusebenzisa ama-budesonide ngasikhathi sangezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-budesonide njengoba nje kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Khuluma nodokotela wakho mayelana nokuthi kufanele uyisebenzise kanjani eminye imishanguzo yomlomo ne-inhaled ye-asthma ngenkathi welashwa nge-budesonide inhalation. Uma ubuthatha i-steroid yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), noma i-prednisone (i-Rayos), udokotela wakho angafuna ukunciphisa kancane umthamo wakho we-steroid uqala ngemuva kokuqala ukusebenzisa i-budesonide.

IBudesonide ilawula izimpawu zesifuba somoya kepha ayiyelaphi. Ukwenza ngcono i-asthma yakho kungenzeka ngokushesha ngemuva kokusebenzisa umuthi, kepha imiphumela ephelele kungenzeka ingabonakali kumaviki awu-1 kuya kwangu-2 ngemuva kokusebenzisa i-powder kanye nama-4 kuye kumasonto ayisithupha ngemuva kokusebenzisa ukumiswa njalo. Qhubeka nokusebenzisa i-budesonide noma ngabe uzizwa uphilile. Ungayeki ukusebenzisa i-budesonide ngaphandle kokukhuluma nodokotela wakho. Shayela udokotela wakho uma izimpawu zakho noma izimpawu zengane yakho zingathuthuki phakathi namaviki amabili okuqala (i-powder) noma amasonto okuqala angu-6 (ukumiswa) noma uma eba kubi kakhulu.

IBudesonide iyasiza ukuvimbela ukuhlaselwa yisifuba somoya (iziqephu ezingazelelwe zokuphefumula, ukuhefuzela nokukhwehlela) kepha ngeke ikuyeke ukuhlaselwa yisifuba somoya osekuqalile. Udokotela wakho uzokunika i-inhaler emfushane ezosebenza ngesikhathi sokuhlaselwa yisifuba somoya. Tshela udokotela wakho uma i-asthma yakho iba yimbi ngesikhathi sokwelashwa kwakho.

I-inhaler ngayinye ye-budesonide yakhelwe ukuhlinzeka ukuhogela okungu-60 noma okungu-120, kuya ngosayizi wayo. 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 i-inhaler ngemuva kokusebenzisa inombolo enelebula yokuhogela noma ngabe isenoketshezi oluthile futhi iqhubeke nokukhipha isifutho lapho icindezelwe.

Ungagwinyi ukumiswa kwe-budesonide nebulizer.

Ngaphambi kokusebenzisa i-budesonide inhaler noma i-jet nebulizer okokuqala, funda imiyalo ebhaliwe eza nayo. Bheka imidwebo ngokucophelela futhi uqiniseke ukuthi uyazibona zonke izingxenye ze-inhaler noma i-nebulizer. Buza udokotela wakho, usokhemisi, noma umelaphi wokuphefumula ukuthi akubonise indlela efanele yokusebenzisa i-inhaler noma i-nebulizer. Zijwayeze ukusebenzisa i-inhaler noma i-nebulizer phambi kwakhe, ngakho-ke uqinisekile ukuthi uyenza ngendlela efanele.

Ukuhogela impuphu usebenzisa i-inhaler, landela lezi zinyathelo:

1. Vula ikhava evikelayo bese uyisusa.
2. Isikhathi sokuqala lapho usebenzisa i-budesonide inhaler entsha kufanele uyiqale. Ukuze wenze lokhu, bamba i-inhaler emile (ngomlomo phezulu), bese uphendukezela ukubambelela onsundu ngokugcwele ngakwesokunene lapho izohamba khona, bese ubuyela emuva ngokuphelele ngakwesobunxele. Uzozwa ngokuchofoza. Phinda. Iyunithi manje selinconyiwe futhi selikulungele ukulayisha umthamo wokuqala. Akudingeki ukuthi uphinde uqalise i-inhaler futhi ngemuva kwalokhu, noma ngabe ungayisebenzisi isikhathi eside.
3. Ukubamba i-inhaler ime mpo, layisha umthamo wokuqala ngokugxilisa ngokugcwele ngakwesokunene nangakwesobunxele ngokuphelele ize ichofoze.
4. Susa ikhanda lakho kwi-inhaler bese uphefumulela ngaphandle. Ungashayi noma ukhiphe i-inhaler. Unganyakazisi i-inhaler ngemuva kokuyilayisha.
5. Bamba i-inhaler endaweni eqondile (ngomlomo phezulu) noma endaweni evundlile. Faka into oyikhulumayo phakathi kwezindebe zakho emlonyeni wakho. Nyakazisa ikhanda lakho emuva kancane. Vala izindebe zakho ngokuqinile eduze komlomo, kodwa ungalumi noma ukuhlafuna okokukhuluma. Adonse umoya ngokujulile nangamandla. Qiniseka ukuthi inkungu ingena emphinjeni wakho futhi ayivinjiwe ngamazinyo noma ngolimi lwakho.
6. Susa i-inhaler emlonyeni wakho bese ubamba umoya wakho cishe imizuzwana eyi-10. Ungashayi noma ukhiphe umoya ngokusebenzisa i-inhaler.
7. Uma uzodonsa umoya ukudonsa okubili, phinda izinyathelo 4-6. Ekudonseni okulandelayo i-inhaler kufanele ilayishwe endaweni emile ngaphambi kokusetshenziswa kwayo. Jika ukubamba ngokugcwele kwesokudla bese ngokugcwele ngakwesobunxele ize ichofoze.
8. Faka ikepisi evikelayo ku-inhaler bese uyisonta ivaleke.
9. Ngemuva kokwelashwa ngakunye, hlambulula umlomo wakho ngamanzi uphinde ukhafule. Ungagwinyi amanzi.
10. Gcina i-inhaler ihlanzekile futhi yomile lapho ikhava iqiniswe kahle ngaso sonke isikhathi.

Ukuhogela ukumiswa usebenzisa i-jet nebulizer, landela lezi zinyathelo:

1. Susa i-ampule eyodwa yokumiswa kwe-inhalation esikhwameni se-foil.
2. Nyakazisa kancane i-ampule ngokunyakaza okuyindilinga.
3. Bamba i-ampule ime mpo bese usonta phezulu kwe-ampule. Thela lonke uketshezi echibini le-nebulizer. Ungahlanganisi eminye imithi ne-budesonide echibini.
4. Xhuma ichibi le-nebulizer esikhunjeni somlomo noma kumaski obuso.
5. Xhuma i-nebulizer ku-compressor.
6. Faka okokukhuluma emlonyeni wengane yakho noma usebenzise imaski yobuso. Cela ingane yakho ihlale endaweni eqondile, ekhululekile bese ivula i-compressor.
7. Tshela ingane yakho ukuthi iphefumule ngomoya ophansi, ngokujulile nangokulinganayo kuze kube yilapho inkungu iyeka ukwakhiwa egumbini.
8. Ngemuva kokwelapha ngakunye, cela ingane yakho ukuthi igeze umlomo wayo ngamanzi futhi ikhafule; ungagwinyi amanzi.
9. Lahla i-ampule engenalutho naphezulu kwayo emgqonyeni kadoti okungenakufinyeleleka ezinganeni nasezifuyweni.
10. Hlanza i-nebulizer yakho njalo. Landela izinkomba zomkhiqizi ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unanoma yimiphi imibuzo mayelana nokuhlanza i-nebulizer yakho.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa i-budesonide inhalation,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-budesonide, noma imuphi omunye umuthi, noma iziphi izithako ku-budesonide inhalation powder noma isisombululo se-nebulizer. Uma uzobe usebenzisa i-inhalation powder, phinda utshele udokotela wakho uma unegciwane emaprotheni obisi. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo engabhaliswanga, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma osanda kuyithatha.Qiniseka ukuthi usho noma yikuphi okulandelayo: ama-antifungal anjenge-itraconazole (i-Onmel, i-Sporanox) ne-ketoconazole (i-Nizoral); i-clarithromycin (i-Biaxin); I-HIV protease inhibitors efana ne-atazanavir (Reyataz, e-Evotaz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, eKaletra, eViekira Pak, abanye), nase-saquinavir (Invirase); imithi yokuquleka, i-nefazodone; i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), ne-prednisone (i-Rayos); kanye ne-telithromycin (Ketek). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-budesonide inhalation, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu.
• ungasebenzisi i-budesonide ngesikhathi sokuhlaselwa yisifuba somoya. Udokotela wakho uzokunika i-inhaler emfushane ezosebenza ngesikhathi sokuhlaselwa yisifuba somoya. Shayela udokotela wakho uma uhlaselwa yisifuba somoya esingayeki lapho usebenzisa umuthi osebenza ngokushesha we-asthma, noma uma udinga ukusebenzisa umuthi osebenza ngokushesha kunokujwayelekile.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo samathambo (isimo lapho amathambo eba mancane futhi abuthakathaka futhi aphuke kalula) futhi uma uke waba nesifo sofuba (i-TB; isifo samaphaphu esibi) amaphaphu, amakhathakhatha (ukufiphaza ilensi yeso), i-glaucoma (isifo samehlo) noma umfutho ophakeme esweni, noma isifo sesibindi. Phinda utshele udokotela wakho uma unanoma yiluphi uhlobo lokutheleleka okungalashwa kunoma yikuphi emzimbeni wakho noma ukutheleleka kwamehlo kwe-herpes (uhlobo lokutheleleka olubangela ukuqaqamba kwejwabu leso noma iso).
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-budesonide, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-budesonide.
• uma unezinye izimo zezokwelapha, njengesifuba somoya, isifo samathambo, noma i-eczema (isifo sesikhumba), zingase zibe zimbi kakhulu lapho umthamo wakho we-oral steroid wehla. Tshela udokotela wakho uma lokhu kwenzeka noma uma uhlangabezana nalezi zimpawu ezilandelayo ngalesi sikhathi: ukukhathala ngokweqile, ubuthakathaka bemisipha noma ubuhlungu; ubuhlungu obungazelelwe esiswini, emzimbeni ophansi noma emilenzeni; ukulahlekelwa ukudla; ukuncipha komzimba; isisu esibuhlungu; ukuhlanza; isifo sohudo; isiyezi; ukuquleka; ukucindezeleka; ukucasuka; nokumnyama kwesikhumba. Umzimba wakho kungenzeka ungakwazi ukubhekana nengcindezi njengokuhlinzwa, ukugula, ukuhlaselwa yisifuba somoya okunzima, noma ukulimala ngalesi sikhathi. Shayela udokotela wakho ngokushesha uma ugula futhi uqiniseke ukuthi bonke abahlinzeki bezokunakekelwa kwezempilo abakwelaphayo bayazi ukuthi usanda kufaka i-steroid yakho yomlomo esikhundleni se-budesonide inhalation. Phatha ikhadi noma ufake isongo likamazisi wezokwelapha ukwazisa abasebenzi bezimo eziphuthumayo ukuthi ungadinga ukuphathwa nge-steroids esimweni esiphuthumayo.
• Tshela udokotela wakho uma ungakaze ube nenkukhu noma isimungumungwane futhi awugonyelwanga lezi zifo. Hlala kude nabantu abagulayo, ikakhulukazi abantu abanenkukhu noma isimungumungwane. Uma uvezwa kwesinye salezi zifo noma uma uba nezimpawu zokunye kwalokhu kutheleleka, shayela udokotela wakho ngokushesha. Ungadinga ukwelashwa ukukuvikela kulezi zifo.
• kufanele wazi ukuthi i-budesonide inhalation kwesinye isikhathi ibangela ukuhefuzela nobunzima bokuphefumula ngokushesha ngemuva kokuhogela. Uma lokhu kwenzeka, sebenzisa umuthi wakho we-asthma osebenza ngokushesha (bese) ushayele udokotela wakho. Ungasebenzisi i-budesonide inhalation futhi ngaphandle kokuthi udokotela wakho akutshele ukuthi kufanele.

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

Yeqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa esivamile. Ungasebenzisi umthamo ophindwe kabili ukwenza okulahlekile.

Ukuphefumula kweBudesonide kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• ikhala eligcwele noma eligijimayo
• Umphimbo obuhlungu
• isifo sohudo
• ukulahlekelwa isifiso sokudla
• ubuhlungu besisu
• ubunzima bokulala noma ukulala
• ubuhlungu bentamo noma emuva
• izifo zendlebe
• ukuphuma kwamakhala

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo noma lezo esigabeni esikhethekile SOKUQAPHA, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• amabala amhlophe noma izilonda emlonyeni wakho
• ukuqubuka
• isifuba
• ukulunywa
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya
• isifuba
• ukukhwehlela
• ubuhlungu besifuba
• ukukhathazeka
• umkhuhlane, ukubanda, noma ezinye izimpawu zokutheleleka
• ukukhathala
• isicanucanu
• ukuhlanza
• ubuthakathaka
• izinguquko embonweni

Ukuphefumula kweBudesonide kungadala ukuthi izingane zikhule kancane. Akunalwazi olwanele lokutshela ukuthi ukusebenzisa i-budesonide kunciphisa ubude bokugcina izingane ezizofinyelela kubo lapho ziyeka ukukhula. Udokotela wengane yakho uzobuka ukukhula kwengane yakho ngokucophelela ngenkathi ingane yakho isebenzisa i-budesonide. Khuluma nodokotela wengane yakho ngezingozi zokunikeza ingane yakho lo muthi.

Ezimweni ezingavamile, abantu abasebenzisa i-budesonide isikhathi eside baba ne-glaucoma noma i-cataract. Khuluma nodokotela wakho ngezingozi zokusebenzisa i-budesonide nokuthi amehlo akho kufanele ahlolwe kangaki ngesikhathi sokwelashwa kwakho.

IBudesonide ingakhuphula ubungozi bokuhlaselwa ngamathambo (isimo lapho amathambo eba mncane khona futhi abe buthakathaka futhi aphule kalula). Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.

Ukuphefumula kweBudesonide kungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ama-ampuler we-nebulizer evaliwe emaphaketheni abo we-foil uze ulungele ukuwasebenzisa. Gcina isisombululo se-inhaler ne-nebulizer ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Ungafaki esiqandisini noma umise isixazululo se-nebulizer. Uma usebenzisa i-inhalation powder, shintsha i-inhaler yakho endala njalo uma ugcwalisa umuthi wakho. Uma usebenzisa isisombululo se-nebulizer, kufanele ulahle ama-ampules uma ungasetshenziswanga amasonto ama-2 ngemuva kokuvula isikhwama se-foil.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

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.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri.

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-Pulmicort^®¶
• I-Pulmicort^® I-Flexhaler
• I-Pulmicort^® Izimpendulo

• I-Symbicort^® (equkethe iBudesonide, iFormoterol)

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.