Yini i-Nedocromil: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Nedocromil iyimithi yokuphefumula yokuvimbela esiza ukulawula isifuba somoya nokusabela komzimba okungavamile emoyeni wakho. Isebenza ngokumisa ukuvuvukala ngaphambi kokuthi kuqale, okwenza kube lula kuwe ukuphefumula futhi kunciphise ukuhlaselwa yisifuba somoya ngokuhamba kwesikhathi.

Lo muthi ungoweqembu elibizwa ngokuthi ama-mast cell stabilizers, okusho ukuthi uvimbela amaseli athile emaphashini akho ekukhululeni izinto ezibangela ukuvuvukala nokucasuka. Cabanga ngayo njengendlela yokuzivikela emoyeni wakho kunokuba kube ukwelashwa okusheshayo.

Yini i-Nedocromil Esetshenziselwa Yona?

I-Nedocromil isetshenziswa ikakhulukazi ukuvimbela izimpawu zesifuba somoya nokunciphisa ukuvama kokuhlaselwa yisifuba somoya. Ilusizo ikakhulukazi kubantu abanesifuba somoya esiqhubekayo esidinga ukuphathwa kwansuku zonke kunokukhululeka ngezikhathi ezithile.

Udokotela wakho angase akubhalele i-nedocromil uma uhlangabezana nezimpawu zesifuba somoya ezivamile njengokuphefumula, ukuqina kwesifuba, noma ukuphefumula kanzima. Iphinde isebenze ngempumelelo esifubeni somoya esibangelwa ukuzivocavoca, isiza ukuvimbela izinkinga zokuphefumula uma usebenza ngokomzimba.

Ngaphezu kwalokho, i-nedocromil ingasiza ekuphatheni isifuba somoya esibangelwa izinto ezinjengempova, uthuli, noma izinwele zezilwane ezifuywayo. Ngokuyisebenzisa njalo, ungase uthole ukuthi imigudu yakho yomoya iba ngaphansi kokusabela kulezi zinto ezibangela ukucasuka ngokuhamba kwesikhathi.

Isebenza Kanjani i-Nedocromil?

I-Nedocromil isebenza ngokuvimbela ukuvuvukala emoyeni wakho ngaphambi kokuthi kubangele izinkinga. Ithathwa njengemithi yokuvimbela enamandla aphakathi nendawo eqondise imbangela yezimpawu zesifuba somoya kunokumane izelaphe ngemva kokuthi zivele.

Uma uphefumula i-nedocromil, igqamisa amaseli emoyeni wakho abizwa ngokuthi ama-mast cells. Lawa maseli ngokuvamile akhipha amakhemikhali afana ne-histamine lapho ehlangana nama-allergens noma izinto ezicasulayo. I-Nedocromil imisa lokhu kukhishwa, ivimbele ukuvuvukala nokukhiqizwa kwamafinyila okwenza ukuphefumula kube nzima.

Lo muthi uthatha isikhathi ukwakha amazinga okuvikela emzimbeni wakho. Ngeke uzizwe ukhululeka ngokushesha njengoba ungazizwa nge-rescue inhaler, kodwa emasontweni okusetshenziswa njalo, imigudu yakho yomoya iba ngaphansi kokuzwela nokusabela.

Kufanele Ngiyithathe Kanjani I-Nedocromil?

Thatha i-nedocromil njengoba kunqunywe ngudokotela wakho, ngokuvamile izikhathi ezimbili kuya kwezine ngosuku ngedivayisi ye-inhaler. Umthamo ovamile omdala ngamaphasi amabili (4 mg) kabili ngosuku, kodwa udokotela wakho uzoqaphela inani elifanele lezidingo zakho ezithile.

Ngaphambi kokusebenzisa i-inhaler yakho, iyinyakazise kahle bese uphefumula ngokuphelele. Beka umlomo phakathi kwezindebe zakho, cindezela esitsheni ngenkathi uphefumula kancane futhi ujule, bese ubamba umoya wakho imizuzwana eyi-10 uma kungenzeka.

Ungathatha i-nedocromil ngaphandle kokudla, futhi asikho isidingo sokuyihlela ngesikhathi sokudla. Kodwa-ke, ukugeza umlomo wakho ngamanzi ngemva kokusetshenziswa ngakunye kungasiza ekuvikeleni ukucasuka komphimbo futhi kunciphise ukunambitheka okubabayo komuthi.

Nge-asthma ebangwa ukuzivocavoca, thatha i-nedocromil cishe imizuzu eyi-15-30 ngaphambi komsebenzi womzimba. Lokhu kunika umuthi isikhathi sokudala isithiyo esivikelayo emoyeni wakho ngaphambi kokuthi uqale ukuzivocavoca.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Nedocromil?

Abantu abaningi badinga ukuthatha i-nedocromil amasonto amaningana ngaphambi kokuzwa izinzuzo zayo eziphelele. Udokotela wakho ngokuvamile uzoncoma ukuyisebenzisa nsuku zonke okungenani amasonto angu-2-4 ukuze abone ukuthi iyasiza yini ukulawula izimpawu zakho ze-asthma.

Uma i-nedocromil isebenza kahle kuwe, ungase udinge ukuqhubeka nokuyithatha isikhathi eside njengomuthi wokugcinwa. Abantu abaningi bayayisebenzisa izinyanga noma iminyaka ukuze bagcine i-asthma yabo ilawulwa kahle futhi bavimbele ukuhlaselwa.

Udokotela wakho uzobuyekeza njalo ukwelashwa kwakho ukuze abone ukuthi usayidinga yini i-nedocromil noma ngabe uhlelo lwakho lokuphatha i-asthma ludinga ukulungiswa. Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kokubonisana nomhlinzeki wakho wezempilo, ngoba lokhu kungaholela ekubeni kubi kakhulu izimpawu ze-asthma.

Ziyini Imiphumela Eceleni ye-Nedocromil?

Abantu abaningi bayakwazi ukumelana kahle ne-nedocromil, kodwa njengayo yonke imithi, ingabangela imiphumela eceleni kwabanye abantu. Izindaba ezinhle ukuthi imiphumela eceleni engathi sína ayivamile ngalo muthi.

Imiphumela eceleni ejwayelekile ongase uyithole ihlanganisa ukunambitheka okubabayo noma okungathandeki emlonyeni wakho ngemva kokusebenzisa i-inhaler. Ungase futhi uqaphele ukucasuka komphimbo, ukukhwehlela, noma umuzwa wokuluma emphinjeni wakho, ikakhulukazi uma uqala ukusebenzisa umuthi.

Nansi imiphumela eceleni ebikwa kaningi ethambekele ekubeni mnene futhi ilawuleke:

• Ukunambitheka okungathandeki emlonyeni
• Ukuvuvukala komphimbo noma ubuhlungu
• Ukukhwehlela noma ukukhwehlela
• Ikhanda
• Isicanucanu noma isisu esicasukile
• Isiyezi

Le miphumela eceleni ejwayelekile ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi, ngokuvamile phakathi nezinsuku ezimbalwa kuya emavikini okusetshenziswa njalo.

Imiphumela eceleni engavamile kodwa ekhathazayo idinga ukunakekelwa kwezokwelapha uma kwenzeka. Nakuba kungavamile, abanye abantu bangase babe nokusabela komzimba noma izimpawu ezingathi sína zokuphefumula.

Xhumana nodokotela wakho uma uhlangabezana nanoma iyiphi yale miphumela eceleni engavamile kodwa engathi sína:

• Ukukhwehlela okukhulu noma ukuhlaselwa umoya okuba kubi kakhulu
• Ukuqina kwesifuba noma ubuhlungu
• Ubunzima bokugwinya
• Ukuqubuka kwesikhumba noma imihuzuko
• Ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo
• Ikhanda elibuhlungu noma isiyezi

Nakuba kungavamile kakhulu, ukusabela komzimba okukhulu kungenzeka futhi kudinga ukunakekelwa kwezokwelapha eziphuthumayo ngokushesha.

Ubani Ongafanele Athatha I-Nedocromil?

I-Nedocromil ngokuvamile iphephile kubantu abadala abaningi nezingane ezineminyaka engaphezu kwengu-12 ubudala, kodwa abanye abantu kufanele bagweme lo muthi noma bawuse ngokuqapha okwengeziwe.

Akufanele uthathe i-nedocromil uma unenkinga yokungezwani nayo noma nganoma yiziphi izithako zayo. Abantu abanomlando wokungezwani komzimba okukhulu nemithi efanayo kufanele futhi bayigweme.

Yazisa udokotela wakho ngomlando wakho wezokwelapha ophelele ngaphambi kokuqala i-nedocromil, njengoba izimo ezithile zingase zithinte ukuthi lo muthi ukufanele yini:

• Isifo esibi sezinso
• Isifo esibi sesibindi
• Umlando wokungezwani komzimba emithini ephefumulwayo
• Ukukhulelwa noma izinhlelo zokukhulelwa
• Ukuncelisa

Uma ukhulelwe noma uncelisa, udokotela wakho uzohlola izinzuzo ngokumelene nezingozi ezingaba khona, njengoba kunedatha yokuphepha elinganiselwe ye-nedocromil ngesikhathi sokukhulelwa nokuncelisa.

Amagama Omkhiqizo we-Nedocromil

Igama elivamile lomkhiqizo we-nedocromil inhalation yi-Tilade, nakuba lo muthi ungase utholakale ngaphansi kwamanye amagama kuye ngendawo yakho nekhemisi.

Izinhlobo ezivamile ze-nedocromil nazo zingase zitholakale, eziqulathe isithako esifanayo esisebenzayo kodwa ngokuvamile zibiza kancane. Hlala uhlola usokhemisi wakho ukuze uqinisekise ukuthi uthola umuthi ofanele kanye namandla abekwe udokotela wakho.

Ezinye Izindlela ze-Nedocromil

Uma i-nedocromil ingasebenzi kahle kuwe noma ibangela imiphumela engathandeki, imithi eminingi ehlukile yokuvimbela isifuba somoya iyatholakala.

I-Cromolyn sodium iyindlela efana kakhulu, njengoba isebenza ngendlela efana ne-nedocromil ngokuzinzisa amaseli e-mast. Itholakala futhi njenge-inhaler futhi inohlu olufanayo lwemiphumela.

Eminye imithi yokuvimbela isifuba somoya udokotela wakho angase ayicabange ihlanganisa:

• Ama-corticosteroids aphefumulwayo (njenge-fluticasone noma i-budesonide)
• Ama-beta-agonists asebenza isikhathi eside ahlanganiswe nama-steroids
• Iziguquli ze-Leukotriene (njenge-montelukast)
• I-Theophylline ezimweni ezinzima

Udokotela wakho uzosiza ekunqumeni ukuthi iyiphi enye indlela engasebenza kangcono ngokusekelwe ohlotsheni lwakho oluthile lwesifuba somoya nokuthi usabela kanjani ekwelashweni okuhlukene.

Ingabe i-Nedocromil Ingcono Kune-Cromolyn?

Kokubili i-nedocromil ne-cromolyn zisebenza ngendlela efanayo ngokuvimbela amaseli e-mast ukuthi angakhiphi izinto ezivuthayo emoyeni wakho. Kodwa-ke, i-nedocromil ngokuvamile ithathwa njengephumelela kancane kubantu abaningi abanesifuba somoya.

Ucwaningo luphakamisa ukuthi i-nedocromil ingahlinzeka ngokuqondisa okungcono kwezimpawu futhi idinge ukulinganiswa okungavamile kune-cromolyn. Abantu abaningi bathola ukuthi isimiso sokulinganiswa se-nedocromil sokuthatha kabili ngosuku silula kune-cromolyn's ejwayelekile yokuthatha izikhathi ezine ngosuku.

Kodwa-ke, i-cromolyn ingase ithandwe uma uhlangabezana nemiphumela emibi ehlobene nokunambitheka nge-nedocromil, njengoba ivame ukuba nokunambitheka okungathathi hlangothi. Udokotela wakho uzokusiza ukhethe phakathi kwale mithi ngokususelwa ekuphenduleni kwakho komuntu ngamunye nezintandokazi.

Imibuzo Evame Ukubuzwa Nge-Nedocromil

Q1. Ingabe i-Nedocromil iphephile ezigulini zenhliziyo?

Yebo, i-nedocromil ngokuvamile iphephile kubantu abanezifo zenhliziyo. Ngokungafani neminye imithi yesifuba somoya, i-nedocromil ayithinti kakhulu izinga lokushaya kwenhliziyo noma umfutho wegazi lakho.

Kodwa-ke, ngaso sonke isikhathi yazisa udokotela wakho nganoma yiziphi izimo zenhliziyo onazo ngaphambi kokuqala i-nedocromil. Bangase bafune ukukuqapha eduze, ikakhulukazi uma uthatha eminye imithi yenhliziyo yakho.

Q2. Kufanele ngenzeni uma ngiphuthelwa ukusebenzisa i-Nedocromil eningi kakhulu?

Uma ngengozi uthatha i-nedocromil eningi kunaleyo ebekiwe, ungangeni ekuqhumeni. Ukweqisa ngale mithi akunakwenzeka ukuthi kubangele ukulimala okukhulu, kodwa ungase uhlangabezane nemiphumela emibi eyengeziwe efana nokucasuka komphimbo noma isicanucanu.

Geza umlomo wakho ngamanzi bese uthintana nodokotela wakho noma usokhemisi ukuze uthole iseluleko. Uma uhlangabezana nezimpawu ezinzima njengobunzima bokuphefumula noma ukugwinya, funa ukunakekelwa kwezempilo ngokushesha.

Q3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-Nedocromil?

Uma uphuthelwa umthamo we-nedocromil, yithathe ngokushesha lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo ohleliwe, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho esijwayelekile.

Ungathathi umthamo ophindwe kabili ukuze ulungise lowo oweqiwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi. Ukusetshenziswa kwansuku zonke okuqhubekayo kubalulekile ukuze i-nedocromil isebenze ngempumelelo.

Q4. Ngingayeka nini ukuthatha i-Nedocromil?

Ungayeki ukuthatha i-nedocromil ngaphandle kokubonisana nodokotela wakho kuqala. Lo muthi usebenza kahle uma usetshenziswa njalo, futhi ukuyeka kungazelelwe kungaholela ekubeni izimpawu ze-asthma zibe zimbi kakhulu.

Udokotela wakho uzokusiza ukuthi unqume ukuthi kuphephile nini ukunciphisa noma ukuyeka i-nedocromil ngokusekelwe ekutheni i-asthma yakho ilawulwa kahle kangakanani nokuthi ngabe usebenzisa eminye imithi yokuvimbela.

Q5. Ngingayisebenzisa i-Nedocromil neminye imithi ye-Asthma?

Yebo, i-nedocromil ngokuvamile ingasetshenziswa ngokuphepha kanye neminye imithi ye-asthma, okuhlanganisa ama-inhaler okusindisa kanye nama-corticosteroids aphefumulwayo. Eqinisweni, abantu abaningi basebenzisa imithi eminingi ye-asthma njengengxenye yohlelo olubanzi lokwelapha.

Njalo tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi etholakala ngaphandle kwe-oda kanye nezithasiselo, ukuze uqinisekise ukuthi akukho ukusebenzisana noma ukukhathazeka ngokuhlanganiswa kwakho kokwelashwa.