Created at:1/13/2025
Ukuphefumula nge-Beclomethasone kuyimithi ye-corticosteroid oyiphefumulela ngqo emaphashini akho ukunciphisa ukuvuvukala nokuvimbela ukuhlaselwa yisifuba. Cabanga ngayo njengokwelashwa okulula, okuhloswe ngaso ukuvuvukala okusebenza ngqo lapho okudingeka khona kakhulu - emoyeni wakho. Le mithi ephefumulwayo isiza izigidi zabantu ukuthi baphefumule kalula ngokuthulisa ukuvuvukala nokucasuka okwenza izimpawu zesifuba zibe zimbi kakhulu.
Ukuphefumula nge-Beclomethasone kuyi-corticosteroid eyenziwe ngumuntu elingisa i-cortisol, i-hormone yemvelo umzimba wakho oyikhiqizayo ukulwa nokuvuvukala. Uma uphefumula le mithi, iya ngqo emaphashini akho nasemoyeni esikhundleni sokuhamba emzimbeni wakho wonke kuqala.
Lolu hlelo lokulethwa oluqondiwe lwenza i-beclomethasone iphephe kakhulu kune-steroids yomlomo ngenkathi isahlinzeka ngemiphumela enamandla yokulwa nokuvuvukala. Umuthi uza ngezindlela ezimbili eziyinhloko: i-metered-dose inhaler (MDI) ekhulula umoya olinganiselwe womuthi, kanye ne-dry powder inhaler eletha umuthi uma uphefumula ngokujulile.
Ngokungafani nama-inhalers osizo ahlinzeka ngokusheshisa ngesikhathi sokuhlaselwa yisifuba, i-beclomethasone iyimithi yokulawula. Lokhu kusho ukuthi uyayithatha njalo, ngisho nalapho uzizwa ulungile, ukuvimbela izimpawu ukuthi zingaveli endaweni yokuqala.
Ukuphefumula nge-Beclomethasone ngokuyinhloko kulapha ukwelapha isifuba ngokuvimbela ukuvuvukala okuholela ebunzimeni bokuphefumula. Udokotela wakho angase akubhalele uma unesifuba esiqhubekayo esidinga ukuphathwa kwansuku zonke, hhayi nje ukukhululeka ngezikhathi ezithile.
Umuthi usebenza kahle kakhulu kubantu abanezimpawu zesifuba esenzeka izikhathi eziningana ngesonto noma abavuka ebusuku. Kuyasiza futhi uma uzithola ufikelela ku-inhaler yakho yosizo ngaphezu kwesikhathi esingamaviki amabili, okuyinto evame ukubonisa ukuthi isifuba sakho sidinga ukulawulwa okungcono kwesikhathi eside.
Kwezinye izimo, odokotela banikeza i-beclomethasone ye-chronic obstructive pulmonary disease (COPD) ukunciphisa ukuvuvukala kwemigudu yomoya. Nokho, lokhu kusetshenziswa akuvamile futhi kuvame ukugcinelwa izimo ezithile lapho ukuvuvukala kudlala indima enkulu ezinkingeni zokuphefumula.
I-Beclomethasone isebenza ngokunciphisa ukuvuvukala emoyeni wakho, njengoba imithi elwa nokuvuvukala inciphisa ukuvuvukala eqaqa elinyazwe. Uma une-asthma, imigudu yakho yomoya iyavuvukala, ikhiqize amafinyila engeziwe, futhi ibe nobucayi obukhulu ezintweni ezibangela njenge-pollen noma umoya obandayo.
Le mithi ivimba ukukhiqizwa kwezinto ezibangela ukuvuvukala, isize imigudu yakho yomoya ihlale izolile futhi ivulekile. Ithathwa njenge-corticosteroid enamandla aphakathi nendawo - enamandla kunezinye izidakamizwa eziphefumulwayo kodwa ithambile kunezinye, okuyenza ifanele abantu abaningi abane-asthma elula noma ephakathi nendawo.
Imiphumela yakha kancane kancane ngokuhamba kwesikhathi, yingakho ngeke uzwe ukukhululeka ngokushesha njengoba ungakwenza nge-rescue inhaler. Abantu abaningi baqaphela ukuthuthuka ekuphefumuleni kwabo phakathi nezinsuku ezimbalwa kuya emavikini amabili okusetshenziswa njalo.
Thatha i-beclomethasone ngendlela enqunywe ngayo udokotela wakho, ngokuvamile kabili ngosuku - kanye ekuseni kanye nakusihlwa. Isikhathi sibaluleke kancane kunokuvumelana, ngakho zama ukuyithatha cishe ngezikhathi ezifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo ohlelweni lwakho.
Ungayithatha le mithi ngaphandle noma ngaphandle kokudla, nakuba abanye abantu bekuthola kulula ukuyikhumbula uma beyihlanganisa nokudla. Uma usebenzisa i-metered-dose inhaler, yinyakazise kahle ngaphambi kokuyisebenzisa ngakunye futhi ulinde okungenani umzuzu owodwa phakathi kokuhogela uma udokotela wakho enquma ukuhogela okuningi.
Nakhu okwenza imithamo yakho isebenze kahle: Hlala ugeza umlomo wakho ngamanzi bese uwakhipha ngemva kokusebenzisa i-inhaler yakho. Lesi sinyathelo esilula sivimbela umuthi ukuthi ungahlali emlonyeni nasemphinjeni wakho, okungaholela ekutheni ube ne-oral thrush noma izinguquko zezwi.
Nge-inhaler yomuthi owomile, phephela ngokushesha nangokujulile ukuze uqinisekise ukuthi umuthi ufika kahle emaphashini akho. Ungaphefumuleli ngaphakathi kudivayisi, ngoba lokhu kungathinta umthamo olandelayo.
Abantu abaningi abane-asthma badinga ukuthatha i-beclomethasone inhalation izinyanga noma iminyaka ukuze balondoloze ukulawulwa okuhle kwezimpawu zabo. Lokhu akuyona ukwelashwa kwesikhashana - kuyisu lesikhathi eside lokugcina izindlela zakho zomoya ziphilile futhi zivimbele ukuhlaselwa kwe-asthma.
Udkt wakho cishe uzofuna ukukubona njalo ezinyangeni ezimbalwa ukuze ahlulele ukuthi umuthi usebenza kahle kangakanani. Uma i-asthma yakho ihlala ilawulwa kahle izinyanga eziningana, bangase bacabange ukunciphisa umthamo wakho noma bahlole ezinye izinketho, kodwa lokhu kufanele kwenziwe ngaphansi kokuqondiswa kwezokwelapha.
Ungayeki ukuthatha i-beclomethasone ngokuzumayo, ngisho noma uzizwa ungcono kakhulu. Izindlela zakho zomoya zidinga isikhathi sokuzivumelanisa, futhi ukuyeka ngokuphazima kweso kungaholela ekubuyeni kwezimpawu noma ngisho nokushuba kwe-asthma.
Abantu abaningi bayayibekezelela kahle i-beclomethasone inhalation, kodwa njengayo yonke imithi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi ngenxa yokuthi uphefumulela umuthi ngqo emaphashini akho, mancane amathuba okuthi uzwe imiphumela emibi engathi sína ehlobene nama-steroid omlomo.
Imiphumela emibi ejwayelekile ethinta umlomo nomphimbo wakho ihlanganisa:
Lezi zimo eziseceleni ngokuvamile zithambile futhi zivame ukuvikelwa ngokuwasha umlomo wakho ngemva kokusebenzisa ngakunye nokusebenzisa indlela efanele yokuphefumula.
Imiphumela emibi engavamile kodwa ekhathazayo ihlanganisa:
Le miphumela engathi sína ayivamile, ikakhulukazi ngemithamo ejwayelekile echaziwe, kodwa udokotela wakho uzokuqapha njalo ukuze abambe noma yiziphi izinkinga zisasekuqaleni.
Ukuphendula okungavamile kodwa okungathi sína komzimba kungase kwenzeke, nakuba kungavamile kakhulu. Funani ukunakekelwa kwezempilo ngokushesha uma uhlangabezana nobunzima obukhulu bokuphefumula, ukuvuvukala kobuso bakho noma umphimbo, noma ukuqubuka okubanzi ngemva kokusebenzisa i-inhaler.
Ukuphefumula kwe-Beclomethasone akulungile kuwo wonke umuntu, nakuba uhlu lwabantu abangakwazi ukuluthatha lufushane. Udokotela wakho uzocabangela ngokucophelela umlando wakho wezokwelapha ngaphambi kokuchaza lo muthi.
Akufanele usebenzise i-beclomethasone uma unokungezwani nayo noma yiziphi izithako zayo. Izimpawu zokungezwani komzimba zingase zihlanganise ukuqubuka, ukuluma, ukuvuvukala, noma ubunzima bokuphefumula ngemva kokusebenzisa imithi ye-corticosteroid ngaphambilini.
Abantu abanezimo ezithile badinga ukuqashwa okukhethekile noma bangase badinge ukugwema lo muthi ngokuphelele:
Ukukhulelwa nokuncelisa kufuna ukucatshangelwa ngokucophelela, nakuba i-beclomethasone ngokuvamile ithathwa njengephephile kune-asthma engalawulwa. Udokotela wakho uzohlola izinzuzo ngokumelene nanoma yiziphi izingozi ezingaba khona kuwe nomntwana wakho.
Izingane ngokuvamile zingathatha i-beclomethasone ngokuphepha, kodwa zidinga ukuqashwa njalo ngokukhula nokuthuthuka, ikakhulu uma isetshenziswa isikhathi eside.
I-Beclomethasone inhalation itholakala ngaphansi kwamagama amaningi omkhiqizo, i-QVAR ne-QVAR RediHaler yizona ezivame kakhulu e-United States. Lawa magama omkhiqizo abhekisela esithakweni esifanayo esisebenzayo kodwa angase abe namadivayisi ahlukene e-inhaler noma amafomula ahlukile kancane.
I-QVAR isebenzisa i-inhaler yesilinganiso esilinganisiwe esinenkomba eyakhelwe ngaphakathi ukukusiza ukuthi ulandelele imithamo esele. I-QVAR RediHaler iyi-inhaler ephefumulwayo ekhulula imithi uma uphefumula, okwenza kube lula kwabanye abantu ukuxhumanisa ukuphefumula kwabo nokukhululwa kwemithi.
Izinhlobo ze-generic ze-beclomethasone inhalation nazo ziyatholakala futhi zisebenza ngempumelelo njengezinhlobo zegama lomkhiqizo. Umuthi wakho wezemithi angakusiza ukuthi uqonde ukuthi iyiphi inguqulo oyitholayo nokuthi uyisebenzisa kanjani ngendlela efanele.
Ezinye izinhlobo eziningi ze-corticosteroids eziphefumulwayo zisebenza ngendlela efanayo ne-beclomethasone futhi zingase zifaneleke kangcono ezidingweni zakho ezithile. Udokotela wakho angase acabangele lezi ezinye izindlela uma i-beclomethasone ingayilawuli kahle i-asthma yakho noma uma uhlangabezana nemiphumela emibi ekhathazayo.
I-Fluticasone (amagama omkhiqizo i-Flovent, i-ArmonAir) inamandla kancane kune-beclomethasone futhi iza ngezinhlobo ezahlukene ze-inhaler. Abanye abantu bayithola isebenza kahle kakhulu nge-asthma ebucayi, kanti abanye bakhetha i-beclomethasone ngenxa yemiphumela yayo emnene.
I-Budesonide (igama lomkhiqizo i-Pulmicort) enye inketho ecwaningwe kahle ezinganeni nakwabesifazane abakhulelwe. Inesithombe sokuphepha esifanayo ne-beclomethasone kodwa ingasebenza kangcono ngamaphethini athile esifuba somoya sabanye abantu.
Kubantu abanesifuba somoya esibi kakhulu, ama-inhaler ahlanganisiwe aqukethe kokubili i-corticosteroid e-inhaled kanye ne-bronchodilator esebenza isikhathi eside angase afaneleke kakhulu. Lokhu kwelashwa okuhlanganisiwe, njenge-fluticasone/salmeterol (Advair) noma i-budesonide/formoterol (Symbicort), kunikeza kokubili imiphumela elwa nokuvuvukala kanye ne-bronchodilating.
Kokubili i-beclomethasone ne-fluticasone ziyi-corticosteroids e-inhaled ezisebenzayo, kodwa akukho noyedwa ongcono kunomunye. Ukukhetha phakathi kwabo kuncike ekuphenduleni kwakho ngakunye, ubunzima besifuba sakho somoya, nezintandokazi zakho mayelana namadivayisi e-inhaler.
I-Fluticasone ngokuvamile ithathwa njengeqinile kakhulu, okusho ukuthi ungase udinge umthamo ophansi ukuze uzuze umphumela ofanayo olwa nokuvuvukala. Lokhu kungaba nenzuzo kubantu abanesifuba somoya esibi kakhulu noma labo abadinga ukulawulwa okuqinile kokuvuvukala.
I-Beclomethasone, ngakolunye uhlangothi, isetshenziswe ngokuphepha amashumi eminyaka futhi ingase ibangele imiphumela emibi yendawo embalwa njengokucasuka komphimbo kwabanye abantu. Itholakala futhi ngezinhlobo eziningi ze-inhaler, ikunikeza izinketho eziningi zokuthola idivayisi esebenza kahle kuwe.
Udokotela wakho uzocabangela izinto ezinjengobunzima besifuba sakho somoya, izimpendulo zemithi yangaphambilini, kanye nanoma yimiphi imiphumela emibi oyitholile lapho ekhetha phakathi kwale mithi. Abantu abaningi benza kahle nganoma iyiphi inketho, futhi into ebaluleke kakhulu ukuthola umuthi kanye nokuhlanganiswa kwe-inhaler ozokusebenzisa njalo.
Ukuphefumula kwe-beclomethasone ngokuvamile kuphephile kubantu abanezifo zenhliziyo ngoba imithi encane kakhulu ingena egazini lakho uma iqhathaniswa nama-steroid omlomo. Kodwa-ke, udokotela wakho kufanele azi ngesimo senhliziyo yakho ngaphambi kokunquma noma imuphi umuthi omusha.
Ukunikezwa okuqondile emaphashini akho kusho ukuthi i-beclomethasone ayinethuba elikhulu lokuthinta izinga lokushaya kwenhliziyo yakho, umfutho wegazi, noma eminye imisebenzi yenhliziyo nemithambo yegazi. Abantu abaningi abanezifo zenhliziyo bangasebenzisa ama-corticosteroid aphefumulwayo ngokuphepha ngenkathi begcina imithi yabo yenhliziyo.
Uma unesifo senhliziyo esibi noma usebenzisa imithi eminingi yenhliziyo, udokotela wakho angase afune ukukuqapha eduze lapho uqala i-beclomethasone, kodwa ukuxhumana okukhulu akuvamile.
Uma ngengozi uthatha okungaphezu komthamo wakho onqunyiwe we-beclomethasone, ungapheli amandla. Ngokungafani neminye imithi, ukweqisa okukodwa kwe-beclomethasone ephefumulwayo akunakwenzeka ukuthi kubangele ukulimala okukhulu ngokushesha.
Xhumana nodokotela wakho noma usokhemisi ukuze uthole isiqondiso, ikakhulukazi uma uthathe okuningi kakhulu kunokunqunyiwe noma uma uzizwa ungaphilile. Bangakuncoma ukuthi ngabe udinga ukuqapha noma ngabe kufanele ulungise umthamo wakho olandelayo ohleliwe.
Ukusebenzisa i-beclomethasone eningi kakhulu njalo ngokuhamba kwesikhathi kungakhuphula ingozi yakho yemiphumela emibi, ikakhulukazi i-thrush yomlomo kanye nezinguquko zezwi. Yingakho kubalulekile ukusebenzisa kuphela inani elinqunyiwe nokugeza umlomo wakho ngemuva kokusebenzisa ngakunye.
Uma ukhohlwa ukuthatha umthamo wakho we-beclomethasone, wuthatha ngokushesha lapho ukhumbula, ngaphandle kokuthi sekuyisikhathi somthamo wakho olandelayo ohleliwe. Kuleso simo, weqa umthamo ophuthelwe bese ubuyela esimisweni sakho esijwayelekile.
Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo owuphuthelwe, ngoba lokhu kwandisa ingozi yakho yemiphumela emibi ngaphandle kokunikeza inzuzo eyengeziwe. Ukuphuthelwa umthamo ngezikhathi ezithile ngeke kukulimaze, kodwa zama ukugcina ukusetshenziswa kwansuku zonke okuqhubekayo ukuze uthole ukulawulwa okungcono komoya.
Uma uvame ukukhohlwa imithamo, cabangela ukusetha ama-alamu ocingo noma ukusebenzisa umhleli wamaphilisi ukukusiza ukuthi ukhumbule. Abanye abantu bakuthola kuwusizo ukuthatha i-inhaler yabo ngesikhathi esifanayo nokuxubha amazinyo abo noma ukudla ukudla.
Kufanele uyeke kuphela ukuthatha i-beclomethasone inhalation ngaphansi kokuqondisa kukadokotela wakho, ngisho noma izimpawu zakho zomoya zinyamale ngokuphelele. Ukuyeka ngaphambi kwesikhathi noma kungazelelwe kungaholela ekubuyeni kokuvuvukala nezimpawu zomoya.
Udokotela wakho angase acabange ukunciphisa umthamo wakho uma umoya wakho ulawulwe kahle izinyanga eziningana, kodwa le nqubo kufanele ibe kancane kancane futhi iqashwe ngokucophelela. Abanye abantu badinga ukuqhubeka nokusebenzisa ama-corticosteroids aphefumulwayo isikhathi eside ukuze bavimbele ukuqubuka komoya.
Isinqumo sokuyeka noma ukunciphisa i-beclomethasone sincike ezintweni ezinjengokuthi umoya wakho wawunzima kangakanani ngaphambi kokwelashwa, ukuthi usunesikhathi esingakanani ungenazo izimpawu, nokuthi ngabe unazo yini izinto ezibangela umoya ezingase zibangele izinkinga uma uyeka umuthi.
I-Beclomethasone inhalation ngokuvamile ithathwa njengephephile ngesikhathi sokukhulelwa, futhi ukugcina ukulawulwa okuhle komoya kubalulekile empilweni yakho nasekukhuleni kwengane yakho. Umoya olawulwa kabi ubeka izingozi eziningi ekukhulelweni kunomuthi ngokwawo.
Udokotela wakho uzohlola ngokucophelela izinzuzo nezingozi, kodwa ochwepheshe abaningi bayavuma ukuthi izinzuzo zokugcina umoya wakho ulawulwe kahle zidlula izingozi ezincane ezingaba khona zama-corticosteroids aphefumulwayo ngesikhathi sokukhulelwa.
Uma ukhulelwa ngenkathi usebenzisa i-beclomethasone, ungaluyeki umuthi ngaphandle kokubonisana nodokotela wakho kuqala. Bangase bafune ukukuqapha eduze noma balungise uhlelo lwakho lokwelapha, kodwa ukuyeka kungazelelwe kungaholela ekuqhumeni komoya okuyingozi.