Ukuphefumla ngomlomo weTiotropium
Umxholo
- Ukusebenzisa i-inhaler, landela la manyathelo:
- Ngaphambi kokusebenzisa i-tiotropium,
- I-Tiotropium inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo, tsalela ugqirha ngokukhawuleza:
- Iimpawu zokudlula ngaphezulu zinokubandakanya:
I-Tiotropium isetyenziselwa ukuthintela ukuvutha, ukuphefumla kancinci, ukukhwehlela, kunye nokuqina kwesifuba kwizigulana ezinesifo esinganyangekiyo semiphunga (i-COPD, iqela lezifo ezichaphazela imiphunga kunye neendlela zomoya) ezinjenge-bronchitis engapheliyo (ukudumba kweendlela zomoya ezikhokelela imiphunga) kunye ne-emphysema (ukonakala kweengxowa zomoya emiphungeni). I-Tiotropium ikudidi lwamayeza abizwa ngokuba yi-bronchodilators. Isebenza ngokuphumla kunye nokuvula iivesi zomoya eziya kwimiphunga ukwenza ukuphefumla kube lula.
I-Tiotropium iza njengecapsule ukuyisebenzisa kunye ne-inhaler eyilelwe ngokukodwa. Uya kusebenzisa i-inhaler ukuphefumla umgubo owomileyo oqulathwe kwiifomsile. I-Tiotropium ihlala iphefumlelwa kanye ngemini kusasa okanye ngokuhlwa. Ukukunceda ukhumbule ukukhupha i-tiotropium, yiphefumlele ngeenxa zonke yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa i-tiotropium ngokuchanekileyo njengoko kuyalelwe. Musa ukungenisa ngaphezulu okanye ngaphantsi okanye ukuwuphefumlela rhoqo kunokuba ugqirha ugqirha.
Musa ukuginya njengezingxobo ze-tiotropium.
I-Tiotropium iya kusebenza kuphela xa usebenzisa i-inhaler iza kunye nokuphefumla i powder kwiifomsile. Ungaze uzame ukubaphefumlela usebenzisa nayiphi na enye inhaler. Ungaze usebenzise i-inhaler yakho ye-tiotropium ukuthatha naliphi na iyeza.
Sukusebenzisa i-tiotropium ukunyanga ukuhlaselwa ngesiquphe okanye ukuphefumla kancinci. Ugqirha wakho uya kuthi amisele iyeza elahlukileyo oza kulisebenzisa xa kunzima ukuphefumla.
I-Tiotropium ilawula i-COPD kodwa ayiyinyangi. Kungathatha iiveki ezimbalwa ngaphambi kokuba uzive izibonelelo ezipheleleyo zetiotropium. Qhubeka nokuthatha i-tiotropium nokuba uziva uphilile. Sukuyeka ukuthatha i-tiotropium ungakhange uthethe nogqirha wakho.
Lumka ungafumani tiotropium powder emehlweni akho. Ukuba i-tiotropium powder ingena emehlweni akho, umbono wakho unokuba mfiliba kwaye unokuba novakalelo ekukhanyeni. Biza ugqirha wakho ukuba oku kuyenzeka.
Ukusebenzisa i-inhaler, landela la manyathelo:
- Sebenzisa umzobo kulwazi lwesigulana esize nonyango lwakho ukukunceda ufunde amagama ezindawo ze-inhaler yakho. Kuya kufuneka ukwazi ukufumana ikepusi yothuli, into oyithethayo, isiseko, iqhosha lokuhlaba, kunye negumbi eliphakathi.
- Thatha ikhadi elinye le-blister leetapsules ze-tiotropium kwaye ulikrazule ecaleni kwendlela. Kuya kufuneka ngoku ube nemicu emibini enezinto ezintathu.
- Beka enye yemigca kamva. Sebenzisa ithebhu ukucoca ngononophelo ifoyile komnye umtya we-blister kude kube ngumgca we-STOP. Oku kuya kutyhila ngokupheleleyo iphilisi enye. Ezinye iifomsile ezimbini kumcu kufuneka zitywinwe kwiipakethe zazo. Cwangcisa ukusebenzisa ezo philisi kwiintsuku ezimbini ezilandelayo.
- Tsala phezulu phezulu kwisitya se-inhaler sakho ukuyivula.
- Vula umlomo we-inhaler. Susa i-tiotropium capsule kwiphakeji kwaye uyibeke kwigumbi eliphakathi le-inhaler.
- Vala umlomo ngokuqinileyo de ucofe, kodwa ungavali ikepusi yothuli.
- Bamba inhaler ukuze umlomo ubengaphezulu. Cinezela iqhosha lokugqobhoza oluhlaza kube kanye, emva koko uyeke.
- Phefumlela ngaphandle ngokupheleleyo ngaphandle kokubeka nayiphi na inhaler ngaphakathi okanye kufutshane nomlomo wakho.
- Yizisa nge-inhaler emlonyeni wakho kwaye uvale imilebe yakho ngokuqinileyo ujikeleze umlomo.
- Bamba intloko yakho ime nkqo kwaye uphefumle kancinci kwaye ngokunzulu. Kuya kufuneka uphefumle ngokukhawuleza ngokwaneleyo ukuze uve isingxobo sesingxobo. Qhubeka uphefumlela ngaphakathi de ibe imiphunga yakho igcwele.
- Gcina umphefumlo wakho ixesha elide kangangoko unako. Thatha i-inhaler ngaphandle komlomo wakho ngelixa ubambe umphefumlo wakho.
- Ukuphefumla ngesiqhelo ixesha elifutshane.
- Phinda amanyathelo ama-8 ukuya ku-11 ukuze uphefumle naliphi na iyeza elinokushiyeka kwi-inhaler yakho.
- Vula umlomo kwaye uthambise i-inhaler ukuze uchithe i-capsule esetyenzisiweyo. Lahla iphilisi esetyenzisiweyo ngaphandle kokufikelela kwabantwana nakwizilwanyana ezifuywayo. Unokubona inani elincinci lomgubo osele kwi-capsule. Oku kuqhelekile kwaye akuthethi ukuba awufumananga idosi epheleleyo.
- Vala umlomo kunye nekepusi yothuli kwaye ugcine i-inhaler kwindawo ekhuselekileyo.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokusebenzisa i-tiotropium,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-tiotropium, atropine (Atropen, Sal-Tropine, Ocu-Tropine), ipratropium (Atrovent), okanye nawaphi na amanye amayeza.
- xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye neemveliso zamayeza owathathayo. Qiniseka ukuba ukhankanya nayiphi na kwezi zilandelayo: amiodarone (Cordarone); antihistamines; iatropine (Atropen, Sal-Tropine, Ocu-Tropine); i-cisapride (iPropulsid); iDisopyramide (iNorpace); dofetilide (iTikosyn); i-erythromycin (i-E.S.S, i-E-Mycin, i-Erythrocin); wamehlo; ipratropium (Atrovent); amayeza okuba nesifo sesisu, isifo sokuhamba, isifo sikaParkinson, izilonda, okanye iingxaki zomchamo; moxifloxacin (Avelox); ipimozide (Orap); Ukufumana kwakhona (iProcanbid, Pronestyl); quinidine (Quinidex); isotalol (iBetapace); sparfloxacin (iZagam); kunye ne-thioridazine (Mellaril). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
- xelela ugqirha wakho ukuba ukhe wakha une-glaucoma (isifo samehlo esinokubangela ukulahleka kombono), iingxaki zomchamo, ukubetha kwentliziyo ngendlela engaqhelekanga, okanye iprotate (ilungu lendoda lokuzala) okanye isifo sezintso.
- xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-tiotropium, biza ugqirha wakho.
- ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-tiotropium.
Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.
Phefumlela idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Musa ukungenisa idosi ephindwe kabini ukwenza into ephosiweyo.
I-Tiotropium inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- umlomo owomileyo
- ukuqhina
- isisu esibuhlungu
- ukugabha
- ukuqunjelwa
- iintlungu zemisipha
- impumlo
- impumlo enemifinya
- Ukuthimla
- amabala amhlophe abuhlungu emlonyeni
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo, tsalela ugqirha ngokukhawuleza:
- urhwebo
- irhashalala
- ukurhawuzelela
- ubunzima bokuphefumla okanye ukugwinya
- ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
- ukudinwa
- iintlungu zesifuba
- umqala obuhlungu, umkhuhlane, ukubanda, kunye neminye imiqondiso yosulelo
- intloko okanye ezinye iimpawu zentsholongwane yesono
- ukuchama kabuhlungu okanye kunzima
- ukubetha kwentliziyo okukhawulezayo
- iintlungu zamehlo
- ukungaboni kakuhle
- ukubona iihalos ezijikeleze izibane okanye ubona imifanekiso enemibala
- amehlo abomvu
I-Tiotropium 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 eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Sukuyivula iphakheji yeblister ejikeleze iphilisi kude kube ngaphambi kokuba ulungele ukuyisebenzisa. Ukuba ngempazamo uvula iphakheji yecapsule ongakwaziyo ukuyisebenzisa kwangoko, yilahle loo capsule. Ungaze ugcine iicapsles ngaphakathi kwe-inhaler.
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.
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
Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.
Iimpawu zokudlula ngaphezulu zinokubandakanya:
- umlomo owomileyo
- isisu esibuhlungu
- ukuqhina
- ukuxhawula izandla ongenakuzilawula
- utshintsho kwindlela yokucinga
- ukungaboni kakuhle
- amehlo abomvu
- ukubetha kwentliziyo ngokukhawuleza
- ubunzima bokuchama
Gcina lonke ixesha lokudibana nogqirha wakho.
Uyakufumana inhaler entsha ngokubonelelwa ngamayeza iintsuku ezingama-30. Ngokwesiqhelo, awuyi kufuna ukucoca i-inhaler yakho ngeentsuku ezingama-30 uyisebenzisa. Nangona kunjalo, ukuba ufuna ukucoca i-inhaler yakho, kuya kufuneka uvule ikepusi nothuli uze ucofe iqhosha lokuhlaba ukuvula isiseko. Emva koko hlamba yonke inhaler ngamanzi ashushu kodwa ngaphandle kwesepha okanye isepha. Cebisa amanzi agqithisileyo kwaye ushiye i-inhaler ukuba yome umoya iiyure ezingama-24 ngesikhuselo sothuli, umlomo, kunye nesiseko esivulekile. Sukuyihlamba inhaler yakho kwindawo yokuhlambela izitya kwaye ungayisebenzisi emva kokuba uyihlambile ide ivunyelwe ukuba yome iiyure ezingama-24. Unokucoca umphandle womlomo ngesithambisi esimanzi (hayi esimanzi).
Musa ukuvumela nabani na ukuba athathe 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.
- Spiriva® HandiHaler®
- Isitayile ® Ukuphendula® (iqulethe i-olodaterol kunye ne-tiotropium)