Yini Ukuphefumula Kwe-Cromolyn: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokuningi

Ukuphefumula kwe-Cromolyn kuyimithi ethambile, evimbela esiza ukugcina imigudu yakho yomoya izolile futhi inciphise ukuvuvukala emaphashini akho. Cabanga ngayo njengendlovu evikelayo yemigudu yakho yokuphefumula, esebenza buthule ngemuva ukugwema ukuhlaselwa yisifuba somoya kanye nokusabela komzimba ngaphambi kokuthi kuqale.

Lo muthi ungowesigaba esibizwa ngokuthi ama-mast cell stabilizers, okusho ukuthi uvimbela amaseli athile emaphashini akho ekukhululeni izinto eziqala ukuvuvukala nezinkinga zokuphefumula. Ngenkathi kungewona umuthi wokuphefumula osheshayo ezimweni eziphuthumayo, i-cromolyn isebenza ngokuqhubekayo ngokuhamba kwesikhathi ukwenza amaphaphu akho angasabeli kangako ezintweni eziqala ukuhlasela njenge-allergens, ukuzivocavoca, noma izinto ezicasulayo.

Yini Ukuphefumula Kwe-Cromolyn Okusetshenziselwa Yona?

Ukuphefumula kwe-Cromolyn ikakhulukazi kuvimbela izimpawu zesifuba somoya nokusabela komzimba emaphashini akho. Udokotela wakho angase akubhale uma unesifuba somoya esingesibi kakhulu, ikakhulukazi uma siqaliswa yi-allergies, ukuzivocavoca, noma izinto ezivela emvelweni.

Lo muthi usebenza kahle kakhulu kubantu abanesifuba somoya esixhunyaniswe nezinto eziqalisayo ezithile. Abanye odokotela bayawuncoma ngesifuba somoya esibangelwa ukuzivocavoca, lapho umsebenzi womzimba ngokuvamile uletha ukukhwehlela, ukukhwehlela, noma ukuphefumula kanzima. Kungasiza futhi ngesifuba somoya somsebenzi, lapho ukuchayeka emsebenzini kubangela izinkinga zokuphefumula.

Kwezinye izimo, i-cromolyn isiza ukuphatha ukusabela komzimba emaphashini okubangelwa izinto ezinjengoboya bezilwane, impova, noma izimuncwana zothuli. Umhlinzeki wakho wezempilo angase akusikisela njengengxenye yohlelo olubanzi lokuphatha isifuba somoya, ngokuvamile kanye neminye imithi.

Isebenza Kanjani Ukuphefumula Kwe-Cromolyn?

I-Cromolyn isebenza ngokuzinzisa amaseli e-mast, okuyizicubu ezikhethekile zokuzivikela emaphashini akho ezikhipha izinto ezivuvukalisayo uma ziqaliswa. Lapho la maseli ehlangana ne-allergens noma izinto ezicasulayo, ngokuvamile akhipha amakhemikhali afana ne-histamine abangela ukuvuvukala, ukukhiqizwa kwama-mucus, nokuqina kwemigudu yomoya.

Ngokugcina la maseli ezinzile, i-cromolyn ivimbela ukukhululwa kwalezi zinto ezivuthayo ngaphambi kokuba zibange izinkinga. Lokhu kuyenza ibe yimithi yokuvimbela kunokuba ibe yindlela yokwelapha yokuhlenga. Umuthi ufundisa imigudu yakho yomoya ukuthi ingasabeli kakhulu ezintweni ezibangela ukuba zivuvukale ngokuhamba kwesikhathi.

Kubalulekile ukuqonda ukuthi i-cromolyn ithathwa njengomuthi olula uma iqhathaniswa nama-corticosteroids noma ama-bronchodilators. Ngenkathi ithambile futhi inemiphumela emincane, kungathatha amasonto amaningana okusetshenziswa okuqhubekayo ukuze ifinyelele ekusebenzeni kwayo okuphelele. Le ndlela enqekelezayo iyenza ilungele ikakhulukazi ukuphathwa kwesifuba somoya sesikhathi eside.

Ngingayithatha kanjani i-Cromolyn Inhalation?

Thatha i-cromolyn inhalation njengoba nje udokotela wakho ekunqumele, ngokuvamile izikhathi ezi-3-4 ngosuku ngezikhathi ezihlukaniswe ngokulinganayo. Umuthi uza ngezindlela ezahlukene okuhlanganisa ama-metered-dose inhalers, izixazululo ze-nebulizer, kanye nama-dry powder inhalers, ngakho inqubo yakho izoncika ohlotsheni olusebenzisayo.

Nge-metered-dose inhalers, nyakazisa i-inhaler kahle ngaphambi kokuyisebenzisa ngakunye, khipha umoya ngokuphelele, beka izindebe zakho ngomlomo, bese uphefumula kancane futhi ujule ngenkathi ucindezela phansi esitsheni. Bambelela emoyeni imizuzwana eyi-10 uma kungenzeka, bese ukhipha umoya kancane. Linda okungenani umzuzu owodwa phakathi kwama-puffs uma udokotela wakho ekunqumele ama-puffs amaningi.

Uma usebenzisa i-nebulizer, linganisa inani eliqondile lesixazululo udokotela wakho akuchazele ku-nebulizer cup. Hlala uqonde futhi uphefumule ngokujwayelekile ngomlomo kuze kube yilapho yonke imithi isiphelile, okuthatha imizuzu engu-10-15. Hlanza imishini yakho ye-nebulizer ngemva kokuyisebenzisa ngakunye ngokwemiyalelo yomkhiqizi.

Ungathatha i-cromolyn ngaphandle kokudla, futhi ayihlangani nokudla okuningi noma iziphuzo. Nokho, hlambulula umlomo wakho ngamanzi ngemva kokuphefumula ukuze uvimbele ukucasuka komphimbo futhi unciphise ingozi ye-oral thrush, ikakhulukazi uma usebenzisa eminye imithi ephefumulwayo.

Kufanele ngiyithathe isikhathi esingakanani i-Cromolyn Inhalation?

Ukuphefumula kwe-Cromolyn kuvame ukusetshenziswa njengomuthi wokugcinwa wesikhathi eside, okusho ukuthi cishe uzowuthatha izinyanga noma iminyaka kuye ngokuthi ulawula kanjani isifuba sakho. Ngokungafani nezinto zokuphefumula ezisheshayo ozisebenzisa kuphela lapho izimpawu zivela, i-cromolyn isebenza kangcono uma ithathwa njalo nsuku zonke.

Abantu abaningi badinga ukusebenzisa i-cromolyn okungenani amasonto angu-2-4 ngaphambi kokubona ukuthuthuka okukhulu ezimpawini zabo. Umuthi wakha emzimbeni wakho kancane kancane, ngakho ukubekezela kubalulekile emasontweni okuqala okwelashwa. Abanye abantu bangase babone izinzuzo ngokushesha, kanti abanye bangase badinge amasonto angu-6-8 ukuze bazwe imiphumela ephelele.

Udokotela wakho uzohlola njalo ukuthi umuthi usebenza kahle kangakanani futhi angase alungise uhlelo lwakho lokwelashwa ngokusekelwe ezimpawini zakho, izivivinyo zomsebenzi wamaphaphu, kanye nokulawulwa okuphelele kwesifuba. Uma isifuba sakho siqhubeka silawulwa kahle isikhathi eside, udokotela wakho angase axoxe ngokunciphisa kancane kancane imvamisa noma ekugcineni ayeke i-cromolyn, kodwa lokhu akufanele kwenziwe ngaphandle kokuqondiswa kwezokwelapha.

Yiziphi Imiphumela Eceleni Yokuphumula Nge-Cromolyn?

Ukuphumula nge-Cromolyn kuvamile ukubekezeleleka kahle, ngemiphumela eminingi eceleni iba mnene futhi yesikhashana. Imiphumela evame kakhulu eceleni ithinta umphimbo wakho nomlomo njengoba umuthi uthintana ngqo nalezi zindawo ngesikhathi sokuphefumula.

Nansi imiphumela eceleni ongase uyithole, ukhumbula ukuthi abantu abaningi bayayibekezelela kahle i-cromolyn:

• Ukuvuvukala komphimbo noma ukoma
• Ukukhwehlela, ikakhulukazi ngemuva nje kokuphefumula
• Ukunambitheka okungathandeki emlonyeni wakho
• Ukuminyana okuncane noma izinguquko zezwi
• Ikhanda
• Isicanucanu noma isisu esibuhlungu
• Ikhala eligcwele noma elinomoya

Le miphumela evame kakhulu eceleni ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni okuqala okwelashwa. Ukugeza umlomo wakho ngamanzi ngemuva kokusebenzisa ngakunye kungasiza ukunciphisa ukucasuka komphimbo nezinkinga zokunambitheka.

Imiphumela emibi engathi sína ayivamile kodwa ingabandakanya ukusabela okukhulu komzimba, ubunzima bokugwinya, noma ukwanda kwezimpawu zesifuba somoya. Ezimweni ezingavamile kakhulu, abanye abantu bangase babe nokucinana esifubeni, ukukhwehlela okukhulu, noma ubunzima bokuphefumula ngemva nje kokusebenzisa i-cromolyn. Uma uqaphela noma yiziphi zalezi zimpawu, yeka ukusebenzisa umuthi bese uthintana nodokotela wakho ngokushesha.

Ubani Ongafanele Athathe I-Cromolyn Inhalation?

Abantu abaningi bangasebenzisa i-cromolyn inhalation ngokuphepha, kodwa zikhona izimo ezithile lapho udokotela wakho angase akhethe omunye umuthi. Uma uke waba nokusabela komzimba ku-cromolyn noma kunoma yiziphi izithako zayo esikhathini esidlule, kufanele ugweme lo muthi ngokuphelele.

Abantu abanesifuba somoya esibi, esingalawuleki kahle bangase badinge imithi eqinile kunaleyo i-cromolyn engayinikeza. Njengoba i-cromolyn isebenza kancane kancane futhi ngobumnene, ingase inganele ekuphatheni ukuhlaselwa okukhulu kwesifuba somoya noma izinkinga ezinkulu zokuphefumula ezidinga ukungenelela okusheshayo, okunamandla.

Udokotela wakho uzosebenzisa ukuqapha okwengeziwe uma unezimo ezithile. Uma unezinkinga zezinso noma zesibindi, umzimba wakho ungase ukwazi ukucubungula umuthi ngendlela ehlukile, nakuba lokhu akuvamile ukuba yinkinga enkulu nge-cromolyn. Abesifazane abakhulelwe nabancelisayo ngokuvamile bangasebenzisa i-cromolyn ngokuphepha, njengoba ithathwa njengomunye wemithi yesifuba somoya ephephe kakhulu ngesikhathi sokukhulelwa, kodwa kufanele uhlale uxoxa ngalokhu nodokotela wakho.

Izingane ngokuvamile zingasebenzisa i-cromolyn, kodwa zidinga imiyalelo efanele mayelana ne-inhaler technique futhi zingase zidinge ukugadwa ngabantu abadala ukuze kuqinisekiswe ukuthi zisebenzisa umuthi ngendlela efanele. Izingane ezincane kakhulu zingase zidinge inguqulo ye-nebulizer kunokuba i-inhaler ephathwayo.

Amagama Omkhiqizo we-Cromolyn Inhalation

I-Cromolyn inhalation itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Intal ingomunye owaziwa kakhulu. Ungase futhi uyithole imakethwa njenge-Gastrocrom kwezinye izindlela zokwakheka, nakuba lokhu ngokuvamile kusetshenziselwa izimo ezihlukene.

Izinhlobo ezivamile zokuphefumula kwe-cromolyn sodium nazo ziyatholakala futhi zisebenza ngendlela efanayo nezinhlobo ezinamagama. Isithako esisebenzayo sifana kungakhathaliseki ukuthi ngubani umenzi, ngakho-ke ungalindela imiphumela efanayo yokwelapha evela ku-cromolyn ejwayelekile njengoba ungathola emikhiqizweni enegama.

Abakhiqizi abahlukene bangasebenzisa izithako ezingasebenzi ezihlukile kancane noma amadivayisi okulethwa, ngakho-ke uma ushintshwa usuka kolunye uhlobo ukuya kolunye, qaphela noma yiziphi izinguquko ekunambithekeni, ukucasuka komphimbo, noma ukusebenza kahle. Uma uqaphela umehluko omkhulu, xoxa ngabo kumakhemisi akho noma udokotela.

Ezinye izindlela zokuphefumula ze-Cromolyn

Ezinye izindlela ziyatholakala uma i-cromolyn ingasebenzi kahle kuwe noma uma udinga ukulawulwa kwe-asthma okuqinile. Ama-corticosteroids aphefumulwayo afana ne-fluticasone (Flovent) noma i-budesonide (Pulmicort) yimithi eqeda ukuvuvukala enamandla amaningi odokotela abayithandayo nge-asthma eqhubekayo.

Iziguquli ze-Leukotriene ezifana ne-montelukast (Singulair) zisebenza ngendlela ehlukile ku-cromolyn kodwa futhi zisiza ekuvikeleni izimpawu ze-asthma. Lezi ziza ngamaphilisi kunokuba zibe ama-inhalers, okuthile abanye abantu bakuthola kulula. Zisiza ikakhulukazi kubantu abane-asthma ebangwa ukungezwani komzimba noma ukuzivocavoca.

Kubantu abadinga ukuvikelwa okuqinile, ama-inhalers ahlanganisiwe aqukethe kokubili i-corticosteroid ephefumulwayo kanye ne-bronchodilator esebenza isikhathi eside ingasebenza kahle. Izibonelo zifaka i-fluticasone/salmeterol (Advair) noma i-budesonide/formoterol (Symbicort).

Imithi emisha efana ne-omalizumab (Xolair) iyatholakala kubantu abane-asthma enzima yokungezwani komzimba, nakuba lezi zivame ukugcinwa ezimweni lapho ezinye izindlela zokwelapha zinganele. Udokotela wakho uzosiza ekunqumeni ukuthi iyiphi enye indlela engasebenza kahle kakhulu ngokusekelwe kuphethini yakho ethile ye-asthma nobungako bayo.

Ingabe Ukuphefumula kwe-Cromolyn Kungcono Kune-Albuterol?

Ukuphefumula kwe-Cromolyn kanye ne-albuterol kusebenza ngezinhloso ezingafani ngokuphelele, ngakho ukuqhathanisa ngqo akulungile. I-Cromolyn iyimithi yokuvimbela oyithatha njalo ukunciphisa ukuvuvukala nokuvimbela izimpawu zesifuba somoya, kanti i-albuterol iyimithi esheshayo oyisebenzisayo ngesikhathi sokuhlaselwa yisifuba somoya ukuvula imigudu yakho yomoya ngokushesha.

Cabanga nge-cromolyn njengevithamini yansuku zonke yamaphaphu akho, esebenza buthule ngemuva ukugcina ukuvuvukala kuphansi. Ngakolunye uhlangothi, i-albuterol injengamathuluzi aphuthumayo anikeza ukukhululeka okusheshayo uma usuvele unenkinga yokuphefumula. Abantu abaningi abanesifuba somoya badinga zombili izinhlobo zemithi ukuze kulawulwe ngokugcwele.

I-Cromolyn inobumnene futhi inemiphumela emincane kuno-albuterol, kodwa kuthatha amasonto ukufinyelela ekusebenzeni okugcwele futhi ngeke isize ngesikhathi sokuhlaselwa yisifuba somoya esisebenzayo. I-Albuterol isebenza ngemizuzu kodwa ayibhekisisi ukuvuvukala okuyisisekelo okubangela izimpawu zesifuba somoya ukuthi zithuthuke ekuqaleni.

Udkt wakho cishe uzokunika imithi yomibili uma unesifuba somoya esiqhubekayo, esebenzisa i-cromolyn ukuvimbela nsuku zonke futhi egcina i-albuterol isesandleni sezimpawu zokuphuma noma izimo eziphuthumayo.

Imibuzo Evame Ukubuzwa Mayelana Nokuphefumula kwe-Cromolyn

Ingabe Ukuphefumula kwe-Cromolyn Kuphephile Esinhliziyweni?

Ukuphefumula kwe-Cromolyn ngokuvamile kubhekwa njengokuphephile kubantu abanezifo zenhliziyo. Ngokungafani nama-bronchodilators athile angathinta izinga lenhliziyo nomfutho wegazi, i-cromolyn isebenza endaweni emaphaphu futhi inemiphumela emincane ohlelweni lwakho lwe-cardiovascular.

Imithi ngokuvamile ayibangeli ukushaya kwenhliziyo okusheshayo, ukuthuthumela, noma izinguquko zomfutho wegazi abanye abantu abazithola nge-albuterol noma eminye imithi ye-beta-agonist. Lokhu kwenza i-cromolyn ibe yindlela enhle kubantu abanesifuba somoya nezimo zenhliziyo.

Noma kunjalo, kufanele usamtshele udokotela wakho nganoma yiziphi izinkinga zenhliziyo ngaphambi kokuqala i-cromolyn. Ngenkathi ukuxhumana kungavamile, umhlinzeki wakho wezempilo udinga isithombe esiphelele sempilo yakho ukuze enze izinqumo zokwelapha ezingcono kakhulu futhi akuqaphele ngendlela efanele.

Kufanele Ngenzeni Uma Ngisebenzisa Ngengozi I-Cromolyn Inhalation Eningi Kakhulu?

Ukuthatha ngengozi i-cromolyn inhalation eningi kakhulu akunakwenzeka ukuthi kubangele umonakalo omkhulu, njengoba lo muthi uneprofayili yokuphepha enhle kakhulu. Abantu abaningi abasebenzisa izilinganiso ezengeziwe bangase bahlangabezane nokwanda kokucasuka komphimbo, ukukhwehlela, noma ukunambitheka okungathandeki, kodwa lezi zinto zivame ukuba mnene futhi zesikhashana.

Uma uqaphela ukuthi uthathe okuningi kunokunqunyiwe, ungesabi. Geza umlomo wakho kahle ngamanzi bese uzibheka nganoma yiziphi izimpawu ezingavamile. Inkinga evame kakhulu kungaba ukucasuka komphimbo, okufanele kulungiswe ngokwawo emahoreni ambalwa.

Xhumana nodokotela wakho noma usokhemisi uma ukhathazekile ngobuningi obuthathile noma uma uhlangabezana nanoma yiziphi izimpawu ezingavamile. Ngenkathi ukweqisa kwe-cromolyn kungavamile futhi ngokuvamile akuyingozi, ngaso sonke isikhathi kungcono ukuthola iseluleko sochwepheshe uma ungaqiniseki ngokuphepha komuthi.

Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Cromolyn Inhalation?

Uma uphuthelwa umthamo we-cromolyn inhalation, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile. Ungaphindi kabili imithamo ukuze ulungise leyo oyiphuthelwe.

Ukuphuthelwa umthamo owodwa ngezikhathi ezithile ngeke kube nomthelela omkhulu ekulawuleni isifuba sakho, kodwa zama ukugcina ukuqina ukuze uthole imiphumela engcono kakhulu. Njengoba i-cromolyn isebenza ngokwakha ohlelweni lwakho ngokuhamba kwesikhathi, ukusetshenziswa kwansuku zonke okuvamile kubalulekile ekugcineni imiphumela yayo yokuvikela.

Uma ukhohlwa njalo imithamo, cabangela ukusetha izikhumbuzi zocingo noma ukugcina i-inhaler yakho endaweni ebonakalayo lapho uzokhumbula ukuyisebenzisa. Abanye abantu bakuthola kuwusizo ukuxhumanisa ukusetshenziswa kwabo i-cromolyn emisebenzini yansuku zonke efana nokuxubha amazinyo noma ukudla ukudla.

Ngingayeka nini ukuthatha i-Cromolyn Inhalation?

Ungayeki ukuthatha i-cromolyn inhalation ngokuzumayo ngaphandle kokuxoxa nodokotela wakho kuqala. Noma ngabe imithi emnene, ukuyeka kungazelelwe kungaholela ekubuyeni kwezimpawu zesifuba somoya futhi kungenzeka ukuthi kwenze ukuphefumula kwakho kube kubi ngokuhamba kwesikhathi.

Udokotela wakho uzonquma ukuthi kufanele nini ukunciphisa noma ukuyeka i-cromolyn ngokusekelwe ekulawuleni kwakho isifuba somoya, izivivinyo zomsebenzi wamaphaphu, kanye nesimo sempilo yakho esiphelele. Lesi sinqumo sivame ukwenzeka kuphela ngemuva kokuthi isifuba somoya sakho silawulwe kahle isikhathi eside, imvamisa izinyanga eziningana kuya ngonyaka.

Uma wena nodokotela wakho ninquma ukuyeka i-cromolyn, kuvame ukwenziwa kancane kancane kunokuthi konke ngesikhathi esisodwa. Lokhu kungabandakanya ukunciphisa imvamisa yemithamo noma ukushintshela eshedyulini njengoba kudingeka ngaphambi kokuyeka ngokuphelele. Kuyo yonke le nqubo, uzodinga ukuqapha eduze ukuqinisekisa ukuthi isifuba somoya sakho siqhubeka silawulwa kahle.

Ngingayisebenzisa i-Cromolyn Inhalation ngesikhathi sokukhulelwa?

I-Cromolyn inhalation ngokuvamile ithathwa njengephephile ngesikhathi sokukhulelwa futhi ivame ukukhethwa ngaphezu kweminye imithi yesifuba somoya yabesifazane abakhulelwe. Umuthi usebenza endaweni emaphapheni futhi okuncane kakhulu okuthathwa egazini lakho, okusho ukuthi ukuchayeka okuncane kumntwana wakho okhulayo.

Ukugcina ukulawulwa okuhle kwesifuba somoya ngesikhathi sokukhulelwa kubalulekile empilweni yakho nasentuthukweni yengane yakho. Isifuba somoya esingalawulwa kahle singaholela ezinkingeni ezinjengesisindo sokuzalwa esiphansi, ukuzalwa ngaphambi kwesikhathi, noma ukuncishiswa kokuhlinzekwa komoya-mpilo enganeni, okukhathaza kakhulu kunezingozi ezincane ezihambisana nokusetshenziswa kwe-cromolyn.

Noma kunjalo, kufanele njalo uxoxe nganoma yikuphi ukusetshenziswa kwemithi nodokotela wakho wezifo zabesifazane kanye nodokotela wamaphaphu noma wezifo zokungezwani komzimba. Bangasebenzisana ukudala uhlelo oluphephile nolusebenzayo lokuphatha isifuba somoya esimweni sakho esiqondile ngesikhathi sokukhulelwa nokuncelisa.