Inhalation yomlomo weFluticasone

Umxholo

• Ngaphambi kokusebenzisa inhalation yomlomo we-fluticasone,
• Inhalation yeFluticasone inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zikwicandelo LOKUKHUSELEKILEYO, Biza ugqirha ngoko nangoko:

Inhalation yomlomo we-Fluticasone isetyenziselwa ukuthintela ubunzima bokuphefumla, ukuqina kwesifuba, ukuvutha, kunye nokukhohlela okubangelwa sisifuba kubantu abadala nasebantwaneni. Kwiklasi yamayeza abizwa ngokuba yi-corticosteroids. I-Fluticasone isebenza ngokunciphisa ukudumba kunye nokucaphuka kwiindlela zomoya ukuvumela ukuphefumla lula.

I-Fluticasone iza njenge-aerosol yokuphefumla ngomlomo usebenzisa i-inhaler nanjengomgubo wokuphefumla ngomlomo usebenzisa i-inhaler. Inhalation yomlomo we-Fluticasone aerosol (i-Flovent HFA) ihlala iphefumla kabini yonke imihla. I-Fluticasone powder ye-inhalation yomlomo ihlala iphefumlwa kanye yonke imihla (iArmonair, iArnuity Ellipta) okanye kabini yonke imihla (iArmonair Respiclick, iFlovent Diskus). Zama ukusebenzisa i-fluticasone kumaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa i-fluticasone ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu okanye ngaphantsi okanye uyisebenzise rhoqo kunokuyalelwa ngugqirha.

Thetha nogqirha wakho malunga nendlela oyisebenzisa ngayo eminye imishanguzo yomlomo kunye ne-inhaled ye-asthma ngexesha lonyango lwakho nge-fluticasone inhalation. Ukuba usebenzisa nayiphi na imishanguzo e-inhaled, cela ugqirha wakho ukuba ufanele ukungenisa la mayeza ixesha elithile ngaphambi nangemva kokuba uphefumle i-fluticasone inhalation.Ukuba ubuthatha i-steroid yomlomo efana ne-dexamethasone, methylprednisolone (Medrol), okanye i-prednisone (iRayos), ugqirha wakho unokufuna ukunciphisa ngokuthe ngcembe idosi yakho ye-steroid ukuqala ubuncinci kwiveki enye emva kokuba uqale ukusebenzisa i-fluticasone.

IFluticasone inceda ekuthinteleni uhlaselo lwesifuba (iziqendu zequbuliso zokuphefumla kancinci, ukuvuthisa, nokukhohlela) kodwa ayizukuyeka ukuhlaselwa sisifuba esele siqalisile. Musa ukusebenzisa i-fluticasone ngexesha lokuhlaselwa sisifuba. Ugqirha wakho uya kumisela i-inhaler emfutshane ukuba ayisebenzise ngexesha lokuhlaselwa sisifo sombefu.

Ugqirha wakho uya kukuqala ngedosi ephakathi yefluticasone. Ugqirha wakho unokunciphisa idosi yakho xa iimpawu zakho zilawulwa okanye zonyuswe ukuba iimpawu zakho aziphuculanga emva kweeveki ezi-2 ubuncinci.

IFluticasone ilawula isifuba kodwa ayiyinyangi. Iimpawu zakho zinokuphucula iiyure ezingama-24 emva kokuba uqale ukusebenzisa i-fluticasone, kodwa kunokuthatha iiveki ezi-2 okanye ngaphezulu ngaphambi kokuba uzive uluncedo olupheleleyo lwamayeza. Qhubeka usebenzise i-fluticasone nokuba uziva uphilile. Ungayeki ukusebenzisa i-fluticasone ngaphandle kokuthetha nogqirha wakho.

Ukuba umntwana wakho uza kusebenzisa i-inhaler, qiniseka ukuba uyayazi indlela yokuyisebenzisa. Jonga umntwana wakho ngalo lonke ixesha esebenzisa i-inhaler ukuze aqiniseke ukuba uyisebenzisa ngokuchanekileyo.

Tshela ugqirha wakho ukuba isifuba sakho sombefu siba sibi ngexesha lonyango lwakho. Biza ugqirha wakho ukuba unesifo se-asthma esingayeki xa usebenzisa iyeza lakho le-asthma elisebenza ngokukhawuleza, okanye ukuba ufuna ukusebenzisa amayeza akho asebenza ngokukhawuleza kunesiqhelo.

I-inhaler eza ne-fluticasone aerosol yenzelwe ukusetyenziswa kuphela ngebhotile ye-fluticasone. Ungaze uyisebenzise ukurhola amanye amayeza, kwaye ungaze usebenzise enye i-inhaler yokungenisa i-fluticasone.

Imveliso nganye yenzelwe ukubonelela nge-30, 60, okanye120 inhalations, kuxhomekeke kuhlobo lwe-inhaler. Emva kokuba inani elinelebheli le-inhalation lisetyenzisiwe, inhalations kamva isenokungabinalo inani elifanelekileyo lamayeza. Kuya kufuneka ugcine umkhondo wenani le-inhalations oyisebenzisileyo. Unokwahlula inani le-inhalations kwi-inhaler yakho ngenani le-inhalations oyisebenzisayo ngosuku ngalunye ukufumana ukuba zingaphi iintsuku i-inhaler yakho iya kuhlala. Yilahle le nkonkxa emva kokuba usebenzise inani elinelebheli yokusezela inokuba inelulwelo kwaye iyaqhubeka nokukhupha isitshizi xa icinezelwe. Musa ukuntywila ibhotile emanzini ukuze ubone ukuba isekhona na amayeza.

Ungayisebenzisi inhaler yakho ye-fluticasone ye-aerosol ngelixa ukufutshane nelangatye elivulekileyo okanye umthombo wobushushu. I-inhaler inokuqhuma ukuba ichanekile kumaqondo obushushu aphezulu kakhulu.

Ngaphambi kokuba usebenzise i-fluticasone okokuqala, funda imiyalelo ebhaliweyo eza nayo. Jonga imizobo ngononophelo kwaye uqiniseke ukuba uyawaqonda onke amalungu e-inhaler. Buza ugqirha wakho, usokhemesti, okanye ugqirha wokuphefumla akubonise indlela yokuyisebenzisa. Ziqhelise ukusebenzisa inhaler ngelixa bekubukele.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokusebenzisa inhalation yomlomo we-fluticasone,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-fluticasone, nawaphi na amanye amayeza, iiprotein zobisi, okanye nasiphi na isithako esikwi-inhalation ye-fluticasone. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye neemveliso zamayeza owathathayo okanye osandula ukuwathatha. Qiniseka ukuba ukhankanya oku kulandelayo: ii-antifungals ezinje nge-itraconazole (Onmel, Sporanox), ketoconazole, kunye ne-voriconazole (Vfend); i-clarithromycin (i-Biaxin); ikhonkco (Vaprisol); I-HIV protease inhibitors njenge-atazanavir (Reyataz, e-Evotaz), indinavir (Crixivan), lopinavir (e-Kaletra), nelfinavir (Viracept), ritonavir (Norvir, e-Kaletra, e-Viekira Pak, abanye), kunye ne-saquinavir (i-Invirase); amayeza ngokuhlutha, nefazodone; i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (iMedrol), kunye ne-prednisone (iRayos); kunye ne-telithromycin (Ketek; ayisafumaneki e-U.S.). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Uninzi lwamanye amayeza anokusebenzisana ne-fluticasone yomlomo inhalation ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• Sukusebenzisa inhalation ye-fluticasone ngexesha lokuhlaselwa sisifuba. Ugqirha wakho uya kumisela i-inhaler emfutshane ukuba ayisebenzise ngexesha lokuhlaselwa sisifo sombefu. Biza ugqirha wakho ukuba unesifo se-asthma esingayeki xa usebenzisa amayeza e-asthma asebenza ngokukhawuleza, okanye ukuba ufuna ukusebenzisa amayeza asebenza ngokukhawuleza kunesiqhelo.
• ukuba usebenzisa nawaphi na amayeza angenayo, cela ugqirha wakho ukuba ngaba ufanele ukungenisa la mayeza ixesha elithile ngaphambi okanye emva kokuba uphefumle i-fluticasone inhalation.
• xelela ugqirha wakho ukuba ngaba wena okanye nabani na kusapho lwakho ukhe wanaso okanye wakhe wanesifo samathambo (imeko apho amathambo esiba buthathaka kwaye abuthathaka kwaye aphuke ngokulula) kwaye ukuba unesifo sephepha (i-TB, uhlobo losulelo lwemiphunga) imiphunga, ikati (ilifu lens), iglaucoma (isifo samehlo), okanye isifo sesibindi. Xelela ugqirha wakho ukuba unalo naluphi na uhlobo losulelo olunganyangekiyo naphi na emzimbeni wakho okanye usulelo lwamehlo lwe-herpes (uhlobo losulelo olwenza isibetho esikhaleni okanye kumphezulu wamehlo), ukuba uyatshaya okanye usebenzisa iimveliso zecuba, okanye ukuba kwibhedi yokulala okanye ungakwazi ukuhambahamba.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwe ngelixa usebenzisa i-fluticasone, biza ugqirha wakho.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa i-fluticasone.
• ukuba unayo nayiphi na imeko yezonyango, enesifo sombefu, isifo samathambo, okanye i-eczema (isifo solusu), zinokuba mbi ngakumbi xa ithamo lakho lomlomo le-steroid linciphile. Tshela ugqirha wakho ukuba oku kuyenzeka okanye ukuba ufumana ezinye zeempawu ezilandelayo ngeli xesha: ukudinwa kakhulu, ubuthathaka bemisipha, okanye iintlungu; iintlungu ngesiquphe esiswini, emzimbeni osezantsi, okanye emilenzeni; ukuphelelwa ngumdla wokutya; ukuhla ukusinda; isisu esimoshakele; ukugabha; urhudo; isiyezi; isiqaqa; ukudakumba; ukucaphuka; kunye nokuba mnyama kolusu. Umzimba wakho usenokungakwazi ukujamelana noxinzelelo olufana notyando, ukugula, isifo sombefu okanye ukwenzakala ngeli xesha. Biza ugqirha wakho ngoko nangoko ukuba uyagula kwaye uqiniseke ukuba bonke abanikezeli bezempilo abakunyangayo bayazi ukuba kutshanje ubeke i-steroid yomlomo wakho nge-inhalation ye-fluticasone. Phatha ikhadi okanye unxibe isacholo sonyango sokwazisa abasebenzi bakaxakeka ukuba kungafuneka uphathwe nge-steroids kwimeko engxamisekileyo.
• xelela ugqirha wakho ukuba awukaze ube nenkukhu okanye imasisi kwaye khange ugonywe ezi zifo. Hlala kude nabantu abagulayo, ngakumbi abantu abanerhashalala okanye imasisi. Ukuba ufumene olunye lwezi zifo okanye ukuba uvelisa iimpawu zesifo, biza ugqirha wakho kwangoko. Ungadinga unyango ukukhusela kwezi zifo.
• Kuya kufuneka uyazi ukuba inhalation ye-fluticasone ngamanye amaxesha ibangela ukuvutha kunye nobunzima bokuphefumla kwangoko emva kokuba uphefumlelwe. Ukuba oku kuyenzeka, sebenzisa iyeza lesifuba elisebenza ngokukhawuleza (lihlangule) kwaye ubize ugqirha wakho. Ungasebenzisi i-fluticasone inhalation kwakhona ngaphandle kokuba ugqirha wakho akuxelele ukuba kufanele.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo yokulinganisa Sukusebenzisa idosi ephindwe kabini ukwenza eyilahlekileyo.

Inhalation yeFluticasone inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko ebuhlungu
• impumlo egobileyo okanye egobayo
• ukudinwa
• Lizinyo
• umqala obuhlungu okanye ocaphukisayo
• amabala amhlophe abuhlungu emlonyeni okanye emqaleni
• ifiva
• usulelo lwendlebe

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zikwicandelo LOKUKHUSELEKILEYO, Biza ugqirha ngoko nangoko:

• urhwebo
• irhashalala
• ukurhawuzelela
• ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
• ubunzima bokuphefumla okanye ukugwinya
• ukukhohlela
• ukuqhawukelwa ngumphefumlo

I-Fluticasone inokubangela ukuba abantwana bakhule kancinci. Akukho lwazi lwaneleyo ukuxelela ukuba ukusebenzisa i-fluticasone kunciphisa ubude bokugqibela abaya kufikelela kubo abantwana xa beyeka ukukhula. Ugqirha womntwana wakho uya kujonga ukukhula komntwana wakho ngononophelo ngelixa umntwana wakho esebenzisa i-fluticasone. Thetha nogqirha womntwana wakho malunga neengozi zokunika umntwana wakho eli yeza.

I-Fluticasone inokunyusa umngcipheko wokuba uphuhlise i-glaucoma okanye i-cataract. Kuya kufuneka ukuba ube neemviwo zamehlo rhoqo ngexesha lonyango lwakho nge-fluticasone. Tshela ugqirha wakho ukuba unayo nayiphi na kwezi zinto zilandelayo: iintlungu, ukuba bomvu, okanye ukungonwabi kwamehlo, ukubona okungacacanga, ukubona iihalos okanye imibala eqaqambileyo ejikeleze izibane, okanye naluphi na olunye utshintsho kumbono. Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza.

I-Fluticasone inokunyusa umngcipheko wokuba ne-osteoporosis. Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza.

IFluticasone inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina i-fluticasone aerosol inhaler yakho kunye nomlomo okhombe ezantsi. Yigcine kwindawo ekungenakufikelelwa kuyo ngabantwana, kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Ukuba usebenzisa umgubo we-fluticasone we-inhalation (i-Flovent Diskus) i-50 mcg okanye i-Arnuity Ellipta 50 mcg, i-100, i-mcg, okanye i-200 mcg, kuya kufuneka ulahle inhaler iiveki ezi-6 emva kokuvula isingxobo se-foil okanye emva kokuba kusetyenziswe yonke iblister (xa ikhawuntari yethamo ifunda u-0), nayiphi na eza kuqala. Ukuba usebenzisa umgubo we-fluticasone we-inhalation (i-Flovent Diskus) i-100 mcg okanye i-250 mcg, kufuneka ulahle i-inhaler iinyanga ezi-2 emva kokuvula isingxobo se-foil okanye emva kokuba kusetyenziswe lonke iblister (xa ikhawuntari yedosi ifunda u-0), nayiphi na eza Ekuqaleni. Ukuba usebenzisa i-fluticasone powder forhalation (i-Armonair Respiclick), kufuneka uyilahle kwiintsuku ezingama-30 emva kokuvula isingxobo se-foil okanye (xa ikhawuntari yedosi ifunda u-0), nayiphi na eza kuqala. Ungayigcini inhaler kufutshane nomthombo wobushushu okanye ilangatye elivulekileyo. Khusela i-inhaler ekubandeni nasekukhanyeni kwelanga. Sukugqobhoza isikhongozeli se-erosol kwaye musa ukusilahla kwisitovu okanye emlilweni.

Amayeza akho anokuza nepakethi ye-desiccant (ipakethi encinci enezinto ezifunxa ukufuma ukugcina iyeza lome) kwisitya. Musa ukuyitya okanye ukuyiphefumlela ngaphakathi. Yilahle emgqomeni wasekhaya apho abantwana kunye nezilwanyana bangenakufikelela khona.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Gcina lonke ixesha lokudibana nogqirha wakho.

Musa ukuvumela omnye umntu asebenzise amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

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