Munyori: Clyde Lopez
Zuva Rekusika: 24 Chikunguru 2021
Gadziridza Zuva: 14 Mbudzi 2024
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Zvemukati

Iko kusanganiswa kwealbuterol uye ipratropium inoshandiswa kudzivirira kufema, kunetseka kufema, kuomesa pachipfuva, uye kukosora kune vanhu vane chirwere chisingaperi chisingapindike chemapapu (COPD; boka rezvirwere zvinokanganisa mapapu nemhepo) senge isingaperi bronchitis (kuzvimba kwemweya ndima dzinotungamira kumapapu) uye emphysema (kukuvara kwemweya masaga mumapapu). Albuterol uye ipratropium mubatanidzwa unoshandiswa nevanhu vane zviratidzo zvisina kudzorwa nemushonga mumwe chete unofemerwa. Albuterol uye ipratropium vari mukirasi yemishonga inonzi bronchodilators. Albuterol uye ipratropium mubatanidzwa unoshanda nekuzorora uye kuvhura nzira dzemhepo kumapapu kuti kufema kuve nyore.

Iko kusanganiswa kwealbuterol uye ipratropium kunouya semhinduro (mvura) yekufema nemuromo uchishandisa nebulizer (muchina unoshandura mushonga kuita mhute inogona kufemerwa) uye sekupfekedza kufema nemuromo uchishandisa inhaler. Inowanzo kufemetwa kana pazuva. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa albuterol uye ipratropium chaizvo sekurairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.


Chiremba wako anogona kukuudza kuti ushandise mamwe madosi ealuteruterol uye ipratropium inhalation kana iwe ukaona zviratidzo zvakaita sekufema, kunetseka kufema, kana kuomarara pachipfuva. Tevedza aya madhiri nokungwarira, uye usashandise mamwe madosi emishonga kunze kwekunge chiremba wako akuudza kuti iwe unofanirwa. Usashandise anopfuura maviri madhiri ekuwedzera eiyo nebulizer mhinduro pazuva. Usashandise inhalation pfapfaidzo kanopfuura katanhatu mumaawa makumi maviri nemana.

Fonera chiremba wako kana zviratidzo zvako zvanyanya, kana iwe uchinzwa kuti albuterol uye ipratropium inhalation haichadzore zviratidzo zvako, kana kana iwe ukaona kuti iwe unofanirwa kushandisa mamwe madosi emushonga kazhinji.

Kana iwe uri kushandisa iyo inhaler, yako mishonga inouya mumakaturiji. Imwe neimwe katuriji yealbuterol uye ipratropium inhalation spray yakagadzirirwa kupa makumi maviri nemaviri inhalations. Uyu mushonga wakaringana kupedza mwedzi mumwe kana ukashandisa inhalation imwe kanomwe pazuva. Mushure mekushandisa ese madhayeti zana nemakumi mairi, inhaler inokiya uye haizoburitse chero imwe mishonga, Pane chiratidzo chedosi padivi peiyo inhaler iyo inoteedzera kuti ingani mishonga yasara mu cartridge. Tarisa chiratidzo chedosi nguva nenguva kuti uone kuti mishonga yasara sei. Kana pointer pachiratidzo chedosi ichipinda munzvimbo tsvuku, iyo katuriji ine mishonga yakakwana kwemazuva manomwe uye inguva yekuzadza tsamba yako kuti usazopera mushonga.


Ngwarira kuti usawane albuterol uye ipratropium inhalation mumaziso ako. Kana iwe ukawana albuterol uye ipratropium mumaziso ako, unogona kukura yakatetepa angle glaucoma (yakakomba ziso mamiriro ayo anogona kukonzera kurasikirwa kwemaonero). Kana iwe uchitova nediki kona glaucoma, mamiriro ako anogona kuwedzera. Unogona kusangana nevadzidzi vakawedzera (denderedzwa dema pakati peziso), kurwadziwa kweziso kana kutsvuka, kusaona zvakanaka, uye shanduko yekuona senge kuona halos dzakatenderedza mwenje, kana kuona mavara asina kujairika Fonera chiremba wako kana iwe ukawana albuterol uye ipratropium mumaziso ako. kana kana iwe ukaita izvi zviratidzo.

Iyo inhaler inouya nealbuterol uye ipratropium spray yakagadzirirwa kushandiswa chete necartridge yealbuterol uye ipratropium. Usambofa wakashandisa kuumbiridza chero imwe mishonga, uye usashandise chero imwe inhaler kupinza mushonga mu cartridge yealbuterol uye ipratropium.

Usati washandisa albuterol uye ipratropium inhalation kekutanga, verenga yakanyorwa mirairo inouya neinhaler kana nebulizer. Kumbira chiremba wako, wemishonga, kana wekufema murapi kuti akuratidze mashandisiro ako. Dzidzira kushandisa inhaler kana nebulizer iye achiona.


Kugadzirira inhaler yekushandisa, tevera nhanho idzi:

  1. Isa inhaler pamwe chete usati waishandisa kekutanga. Kutanga, tora inhaler kunze kwebhokisi, uye chengeta chivharo cheorenji chakavharwa. Dhinda iyo yekuchengetedza yekubata uye bvisa iyo yakajeka base yeiyo inhaler. Ive nekuchengera kuti usabata icho chinoboora mukati meiyo base
  2. Iyo inhaler inofanirwa kuraswa mwedzi mitatu mushure mekunge maisa pamwechete. Nyora zuva iri pakanyorwa inhaler kuti usazokanganwa paunenge uchida kurasa inhaler yako.
  3. Tora katuri kunze kwebhokisi uye isa mugumo wakamanikana mune inhaler. Iwe unogona kumanikidza inhaler kurwisa yakaoma nzvimbo kuti uve nechokwadi chekuti inoiswa nemazvo. Tsiva iyo yakajeka plastiki chigadziko pane inhaler.
  4. Bata iyo inhaler yakatwasuka nekapu yeorenji yakavharwa. Chinja hwaro hwakajeka munzira yemiseve chena kusvikira yadzvanya.
  5. Flip chivharo cheorenji kuti izarure zvakakwana. Nongedza iyo inhaler pasi.
  6. Dhinda bhatani bhatani rekuburitsa. Vhara chivharo cheorenji.
  7. Dzokorora nhanho 4-6 kusvika iwe waona pfapfaidzo ichibuda mune inhaler. Wobva wadzokorora nhanho idzi katatu.
  8. Iyo inhaler ikozvino yakatemerwa uye yagadzirira kushandiswa. Iwe haufanire kutora yako inhaler zvakare kunze kwekunge iwe usingashandise kwayo kwenguva yakareba kupfuura mazuva matatu. Kana ukasashandisa inhaler yako kweanopfuura mazuva matatu, uchafanirwa kuburitsa imwe pfapfaidzo uchienda pasi usati watanga kuishandisa zvakare. Kana iwe ukasashandisa yako inhaler kweanopfuura mazuva makumi maviri nerimwe, iwe uchafanirwa kuteedzera nhanho 4-7 kuti utangezve iyo inhaler zvakare.

Kuti ufukidze pfapfaidzo uchishandisa inhaler, tevera nhanho idzi:

  1. Bata iyo inhaler yakatwasuka nekapu yeorenji yakavharwa. Chinja hwaro hwakajeka munzira yemiseve chena kusvikira yadzvanya.
  2. Vhura chivharo cheorenji.
  3. Fema kunze zvishoma nezvishoma uye zvakakwana.
  4. Isa muromo mumuromo mako uye vhara miromo yako uchitenderedza. Ive nekuchengera kuti usavhara mweya mweya nemiromo yako.
  5. Nongedza iyo inhaler kumashure kwehuro yako uye fema mukati zvishoma uye zvakadzika.
  6. Paunenge uchifemera mukati, tinya bhatani rekuburitsa bhatani. Ramba uchifema mukati apo pfapfaidzo inosunungurwa mumuromo mako.
  7. Bata mweya wako kwemasekondi gumi kana sekureba sekugona kwaunogona.
  8. Tora inhaler kubva mumuromo mako uye uvhare chivharo cheorenji. Chengeta chivharo chakavharwa kusvikira wagadzirira kushandisa inhaler zvakare.

Kuburitsa mhinduro uchishandisa nebulizer, tevera nhanho idzi:

  1. Bvisa rimwe gaba remishonga kubva muhomwe yefilosi. Isa zvese zviriko muhombodo kusvikira wagadzirira kuzvishandisa.
  2. Bvisa kubva pamusoro pevhiri uye svina iyo yese mvura mudura reiyo nebulizer.
  3. Unganidza dziva reNebulizer kumuromo kana kumeso kumeso.
  4. Unganidza iro nebulizer dura kune iyo compressor.
  5. Isa muromo mukanwa kana kuisa kumeso kumeso. Gara munzvimbo yakasununguka, yakatwasuka uye batidza iyo compressor.
  6. Fema nekudzikama, zvakadzama, uye zvakaenzana kuburikidza nemuromo wako kwemaminetsi mashanu kusvika gumi nemashanu kusvikira mhute yamira kuumbika mukamuri ye nebulizer.

Geza yako inhaler kana nebulizer nguva dzose. Tevedza zvinongedzo zvemugadziri nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo nezve kuchenesa yako inhaler kana nebulizer.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa. Kumbira chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati washandisa albuterol uye ipratropium inhalation,

  • udza chiremba uye wemishonga kana uri weergoria kune ipratropium (Atrovent), atropine (Atropen), albuterol (Proventil HFA, Ventolin HFA, Vospire ER), levalbuterol (Xoponex), chero mimwe mishonga, kana chimwe chezvinhu zviri mualbuterol uye ipratropium solution kana spray. Kumbira mushonga wako wemishonga kana kutarisa ruzivo rwemurwere wemugadziri kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera zvinovaka muviri uye zvigadzirwa zvemakwenzi zvauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: beta blockers senge atenolol (Tenormin), labetalol, metoprolol (Lopressor, Toprol XL), nadolol (Corgard), uye propranolol (Inderal); diuretics ('mapiritsi emvura'); epinephrine (Epipen, Primatene Mist); mishonga yechando, chirwere chinokanganisa ura, chirwere cheParkinson, maronda, kana matambudziko eweti; imwe inhaled mishonga, kunyanya mimwe mishonga yeasthma yakadai seArformoterol (Brovana), formoterol (Foradil, Perforomist), metaproterenol, levalbuterol (Xopenex), uye salmeterol (Serevent, muAdvair); uye terbutaline (Brethine). Uyezve udza chiremba wako kana uri kutora ipi yemishonga inotevera kana kuti warega kuinwa mukati memasvondo maviri apfuura: mishonga yekudzvinyirira yakadai seamitriptyline amoxapine; clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), uye trimipramine (Surmontil); kana monoamine oxidase (MAO) inhibitors senge isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), uye selegiline (Eldepryl, Emsam, Zelapar). Chiremba wako anogona kunge achifanira kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • udza chiremba wako kana iwe wakambove kana uine glaucoma (mamiriro eziso); kunetseka kuita weti; kuvharika mudundira rako; prostate (gland reproductive gland) mamiriro; pfari; hyperthyroidism (mamiriro umo mune yakawandisa thyroid thyroid mumuviri); kukwirira kweropa; kurova kwemoyo zvisina kujairika; chirwere cheshuga; kana moyo, chiropa, kana hosha yeitsvo.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa albuterol uye ipratropium, fonera chiremba wako.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa albuterol uye ipratropium inhalation.
  • iwe unofanirwa kuziva kuti albuterol uye ipratropium inhalation dzimwe nguva inokonzera kufema uye kunetseka kufema nekukurumidza mushure mekunge yafemerwa. Kana izvi zvikaitika, dana chiremba wako pakarepo. Usashandise albuterol uye ipratropium inhalation zvakare kunze kwekunge chiremba wako akuudza kuti iwe unofanirwa.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Shandisa iro rakarasika dhizai nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usashandise dhivhosi mbiri kugadzira iyo yakarasika imwe.

Iyi mishonga inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

  • musoro
  • kuzunza kusingadzoreki nhengo yemuviri
  • huta

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:

  • kutsanya kana kurova kurova kwemoyo
  • kurwadziwa pachipfuva
  • mikoko
  • mapundu
  • kuvava
  • kuzvimba kwemaziso, kumeso, miromo, rurimi, huro, maoko, tsoka, makumbo, kana makumbo ezasi
  • kunetseka kufema kana kumedza
  • huro, fivha, kutonhora, uye zvimwe zviratidzo zvehutachiona
  • kunetseka kuita weti

Albuterol uye ipratropium inogona kukonzera mamwe mhedzisiro. Dana chiremba wako kana iwe uine chero matambudziko asina kujairika iwe paunenge uchishandisa mushonga uyu.

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Chengeta zvisina kushandiswa ndiro dze nebulizer solution muhomwe yefail kusvikira wagadzirira kuzvishandisa. Chengetedza mishonga pakushambidzwa kwemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Usatendere mweya wekufema kuti utonhorere.

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa.Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

  • kurwadziwa pachipfuva
  • kukurumidza kurova kwemoyo

Chengetedza zvese zvakagadzwa nachiremba wako.

Usarega mumwe munhu achishandisa mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

  • Kubatana® Metered Dose Inhaler
  • Mubatanidzwa Respimat® Inhalation mwaya
  • DuoNeb® Inhalant Solution

Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.

Yekupedzisira Yakagadziridzwa - 05/15/2019

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