Isalmeterol Ukuphefumla ngomlomo

Umxholo

• Sukusebenzisa i-salmeterol ukuba une-asthma okanye i-COPD ekhula ngokukhawuleza. Ukuba unayo nayiphi na le miqondiso ilandelayo yokonyuka kwesifo sombefu okanye i-COPD, tsalela ugqirha ngokukhawuleza:
• Ukusebenzisa i-inhaler, landela la manyathelo:
• Ngaphambi kokusebenzisa i-salmeterol,
• I-Salmeterol 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, tsalela umnxeba kwangoko:
• Iimpawu libanda kungaquka oku kulandelayo:

Kuphononongo olukhulu lweklinikhi, izigulana ezininzi ezinesifuba esisebenzisa i-salmeterol zafumana iziqendu ezinzima zesifuba esanyangwa esibhedlele okanye sabangela ukusweleka kunezigulana ezinesifuba esingazange sisebenzise i-salmeterol. Ukuba une-asthma, ukusebenzisa i-salmeterol kunokunyusa amathuba okuba ube neengxaki ze-asthma ezinzima okanye ezibulalayo.

Ugqirha wakho uya kukuyalela kuphela i-salmeterol ukuba isifuba sakho sombefu siqatha kangangokuba kufuneka amayeza amabini ukuze ulawulwe. Akufanele usebenzise i-salmeterol wedwa; Kuya kufuneka usoloko uyisebenzisa kunye nonyango lwe-inhaled steroid. Abantwana kunye nabakwishumi elivisayo abafuna ukuphathwa nge-salmeterol baya kuthi baphathwe ngemveliso edibanisa i-salmeterol kunye neyeza elinganyangekiyo le-steroid kwi-inhaler enye ukwenza kube lula kubo ukuba basebenzise amayeza njengoko kumiselwe.

Ngenxa yomngcipheko wokusebenzisa i-salmeterol, kuya kufuneka usebenzise i-salmeterol kuphela xa kufuneka ukuzisa iimpawu zesifuba phantsi kolawulo. Emva kokuba i-asthma yakho ilawulwe, ugqirha wakho uya kukuxelela ukuba uyeke ukusebenzisa i-salmeterol kodwa uqhubeke usebenzisa enye iyeza le-asthma.

Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-salmeterol kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

I-Salmeterol isetyenziselwa ukulawula ukuvutha komzimba, ukuphefumula okufutshane, ukukhwehlela, kunye nokuqina kwesifuba kubantu abanezifo ezingapheliyo zokuphefumula (COPD; iqela lezifo zemiphunga ezibandakanya i-bronchitis engapheliyo kunye ne-emphysema). Ikwasetyenziswa kunye nonyango lwe-inhaled lwe-steroid ukulawula ukuvutha, ukuphefumla okufutshane, ukukhwehlela, kunye nokuqina kwesifuba nakubantu abadala nakwiminyaka eyi-4 ubudala nangaphezulu ngesifuba. Isetyenziselwa ukuthintela i-bronchospasm (ubunzima bokuphefumla) ngexesha lokuzilolonga kubantu abadala nakubantwana abaneminyaka emi-4 nangaphezulu. I-Salmeterol ikudidi lwamayeza abizwa ngokuba yi-beta-agonists ye-beta esebenza ixesha elide (LABAs). Isebenza ngokuphumla kunye nokuvula iivesi zomoya kwimiphunga, yenze kube lula ukuphefumla.

I-Salmeterol iza njengomgubo owomileyo wokungenisa ngomlomo usebenzisa inhaler eyenzelwe ngokukodwa. Xa i-salmeterol isetyenziselwa ukunyanga i-asthma okanye i-COPD, ihlala isetyenziswa kabini ngemini, kusasa nangokuhlwa, malunga neeyure ezili-12 ngaphandle. Sebenzisa i-salmeterol kumaxesha afanayo yonke imihla. Xa i-salmeterol isetyenziselwa ukuthintela ubunzima bokuphefumla ngexesha lokuzilolonga, ihlala isetyenziswa ubuncinci imizuzu engama-30 ngaphambi kokuzilolonga kodwa hayi rhoqo kunakuqala kwiyure ezili-12. Ukuba usebenzisa i-salmeterol kabini ngemini rhoqo, musa ukusebenzisa enye idosi ngaphambi kokuba wenze umthambo. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa i-salmeterol ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu okanye ngaphantsi okanye uyisebenzise rhoqo kunokuyalelwa ngugqirha.

Sukusebenzisa i-salmeterol ukunyanga uhlaselo lwe-asthma okanye lwe-COPD ngequbuliso. Ugqirha wakho uya kukuyalela amayeza e-beta agonist asebenza ngokufutshane njenge-albuterol (Accuneb, Proair, Proventil, Ventolin) oza kuyisebenzisa xa uhlaselwa. Ukuba ubusebenzisa olu hlobo lwamayeza rhoqo ngaphambi kokuba uqale unyango nge-salmeterol, ugqirha wakho uya kuthi kuwe uyeke ukuyisebenzisa rhoqo kodwa uqhubeke nokuyisebenzisa ukuphatha uhlaselo lweempawu zesifuba. Landela le miyalelo ngononophelo. Sukutshintsha indlela osebenzisa ngayo nawaphi na amayeza akho ngaphandle kokuthetha nogqirha wakho.

Sukusebenzisa i-salmeterol ukuba une-asthma okanye i-COPD ekhula ngokukhawuleza. Ukuba unayo nayiphi na le miqondiso ilandelayo yokonyuka kwesifo sombefu okanye i-COPD, tsalela ugqirha ngokukhawuleza:

• ukuphefumla kwakho kuya kusiba mandundu
• I-inhaler yakho emfutshane esebenza ayisebenzi kakuhle njengangaphambili
• Kuya kufuneka usebenzise ukukhukhumala ngaphezulu kwesiqhelo kwi-inhaler yakho emfutshane okanye uyisebenzise rhoqo
• Kuya kufuneka usebenzise ukukhukhumeza kane okanye nangaphezulu ngosuku lwe-inhaler yakho emfutshane esebenza iintsuku ezimbini okanye nangaphezulu zilandelelana
• usebenzisa i-canister engaphezulu kwesinye (i-inhalations ezingama-200) ye-inhaler yakho emfutshane esebenza ngexesha leeveki ezisi-8
• imitha yokuhamba okuphezulu (isixhobo sasekhaya esivavanywa ukuphefumla) iziphumo zibonisa ukuba iingxaki zakho zokuphefumla ziya zisiba mandundu
• Unesifuba kwaye iimpawu zakho aziphucuki emva kokusebenzisa i-salmeterol rhoqo kwiveki enye

I-Salmeterol ilawula iimpawu zesifuba nezinye izifo zemiphunga kodwa ayizinyangi ezi meko. Ungayeki ukusebenzisa i-salmeterol ngaphandle kokuthetha nogqirha wakho. Ukuba uyeka ngesiquphe ukusebenzisa i-salmeterol, iimpawu zakho zinokuba mandundu.

Ngaphambi kokuba usebenzise i-salmeterol inhaler okokuqala, cela ugqirha wakho, usokhemisi, okanye ugqirha wokuphefumla akubonise indlela yokuyisebenzisa. Ziqhelise ukusebenzisa i-inhaler ngelixa ibukele.

Ukusebenzisa i-inhaler, landela la manyathelo:

1. Ukuba uza kusebenzisa i-inhaler entsha okokuqala, isuse kwibhokisi kunye ne-foil wrapper. Gcwalisa izikhewu kwileyibhile yokuphefumla ngomhla owawuyivula ngayo isingxobo kunye nomhla weeveki ezi-6 kamva xa kufuneka ubeke endaweni yomrhumo we-inhaler.
2. Bamba i-inhaler kwisinye isandla, kwaye ubeke ubhontsi wesinye isandla sakho kwilungu lobhontsi. Cofa isithupha sakho kude kuwe kude kuye kude kufike into oyithethayo uze ungene kwindawo efanelekileyo.
3. Bamba inhaler kwinqanaba elichanekileyo, indawo ethe tyaba ngomlomo oza kuwe. Slayida i-lever kude kuwe ukuya kuthi ga ngokokuya kuyo de icofe.
4. Ngalo lonke ixesha i-lever ityhilwa umva, idosi ilungele ukurhola. Uya kulibona inani kwikhawuntara yedosi liyehla. Musa ukuchitha iidosi ngokuvala okanye ukuthambisa inhaler, ukudlala i-lever, okanye ukuqhubela phambili i-lever ngaphezulu kwesinye.
5. Bamba inhaler inqanaba kude nomlomo wakho, kwaye uphefumlele ngaphandle kangangoko unako.
6. Gcina i-inhaler ekwinqanaba, kwindawo ethe tyaba. Beka umlomo kwimilebe yakho. Ukuphefumla ngokukhawuleza nangobunzulu nangona i-inhaler, hayi ngeempumlo.
7. Susa i-inhaler emlonyeni wakho, kwaye ubambe umphefumlo wakho kangangemizuzwana eli-10 okanye kangangoko unakho. Phefumlela ngaphandle kancinane.
8. Uya kungcamla okanye uve i-salmeterol powder ekhutshwe yi-inhaler. Nokuba awuyenzi, musa ukungenisa elinye idosi. Ukuba awuqinisekanga ukuba ufumana idosi yesalmeterol, biza ugqirha okanye usokhemesti.
9. Beka ubhontsi wakho kwithupha uze usilayide sibuyele ngakuwe kude kuye kuthi ga ngoku. Isixhobo siza kucofa sivale.

Ungaze uphefumle kwi-inhaler, uthathe i-inhaler ngaphandle, okanye uhlambe umlomo okanye nayiphi na indawo ye-inhaler. Gcina i-inhaler yomile. Sukuyisebenzisa inhaler ngespacer.

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

Ngaphambi kokusebenzisa i-salmeterol,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-salmeterol, nawaphi na amanye amayeza, iprotein yobisi, okanye nakuphi na ukutya.
• xelela ugqirha wakho ukuba usebenzisa enye i-LABA efana ne-arformoterol (Brovana), i-fluticasone kunye ne-salmeterol indibaniselwano (i-Advair), i-formoterol (i-Perforomist, kwi-Bevespi Aerosphere, i-Duaklir Pressair, i-Dulera, i-Symbicort), i-indacaterol (i-Arcapta), i-olodaterol (iStriverdi Respimat, kwi Stiolto Respimat), okanye vilanterol (eAnoro Ellipta, Breo Ellipta, Trelegy Ellipta). La mayeza akufuneki asetyenziswe salmeterol. Ugqirha wakho uza kukuxelela ukuba leliphi iyeza ekufuneka ulisebenzisile kwaye leliphi iyeza ekufuneka uyeke ukulisebenzisa.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye neemveliso zamayeza owathathayo. Qiniseka ukuba ukhankanya oku kulandelayo: ii-antifungals ezinje nge-itraconazole (Onmel, Sporanox, Tolsura) kunye ne ketoconazole; ii-beta blockers ezinje nge-atenolol (Tenormin, kwi-Tenoretic), labetalol (Trandate), metoprolol (Kapspargo, Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), kunye nepropranolol (Hemangeol, Inderal, Innopran); I-clarithromycin; umchamo ('iipilisi zamanzi'); I-HIV protease inhibitors njenge-atazanavir (Reyataz, e-Evotaz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, e Kaletra, Viekira Pak), kunye ne-saquinavir (Invirase); nefazodone; kunye ne-telithromycin (Ketek). Xelela ugqirha wakho okanye usokhemesti ukuba uthatha la mayeza alandelayo okanye uyekile ukuwathatha kwiiveki ezi-2 ezidlulileyo: i-anti-depressants efana ne-amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine ( Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), kunye netrimipramine (Surmontil); kunye ne-monoamine oxidase (MAO) inhibitors kubandakanya isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Zelapar), kunye tranylcypromine (Parnate). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wabethwa yintliziyo ngendlela engaqhelekanga, uxinzelelo oluphezulu lwegazi, ukwanda kweQT (isingqi esingaqhelekanga sentliziyo esinokukhokelela ekuphelelweni lithemba, ukubhubha, ukubanjwa, okanye ukufa ngesiquphe), isifo seswekile, ukuxhuzula, okanye isibindi, idlala lengqula , okanye isifo sentliziyo.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwe ngelixa usebenzisa i-salmeterol, biza ugqirha wakho.
• Kuya kufuneka uyazi ukuba i-salmeterol inhalation ngamanye amaxesha ibangela ukuvutha kunye nobunzima bokuphefumla kwangoko emva kokuba uphefumlelwe. Ukuba oku kuyenzeka, biza ugqirha wakho kwangoko. Sukusebenzisa i-salmeterol 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 Musa ukungenisa idosi ephindwe kabini ukwenza into ephosiweyo.

I-Salmeterol inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukungcangcazela kwelungu lomzimba ongenakulilawula
• intloko ebuhlungu
• uvalo
• isiyezi
• ukukhohlela
• impumlo efakiweyo
• impumlo enemifinya
• ubuhlungu bendlebe
• iintlungu zemisipha, ukuqina, okanye iicramps
• intlungu edibeneyo
• Ubuhlungu, umqala ocaphukisayo

• Iimpawu ezinjengomkhuhlane
• isicaphucaphu
• isilungulela
• iintlungu zamazinyo
• umlomo owomileyo
• izilonda okanye amabala amhlophe emlonyeni
• amehlo abomvu okanye acaphukisayo
• ubunzima bokulala okanye ukulala
• ukutshisa okanye ukurhawuzelela kwezandla okanye iinyawo

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:

• ngokukhawuleza okanye ukubetha kwentliziyo
• iintlungu zesifuba
• irhashalala
• urhwebo
• ukudumba kobuso, umqala, ulwimi, imilebe, okanye amehlo
• ukudinwa
• ukukrwitsha okanye ubunzima bokuginya
• phezulu, ukuphefumla okuphezulu

I-Salmeterol inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha 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 nelanga elithe ngqo, kunye nobushushu obugqithisileyo kunye nokufuma (hayi kwigumbi lokuhlambela). Yilahle inhaler iiveki ezi-6 emva kokuba uyisusile kwi-foil engaphezulu okanye emva kokuba kusetyenziswe yonke iblister (xa isalathiso sedosi sifunda u-0), nayiphi na eza kuqala.

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.

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 libanda kungaquka oku kulandelayo:

• ukuxhuzula
• iintlungu zesifuba
• isiyezi
• isiqaqa
• ukungaboni kakuhle
• ngokukhawuleza, ukubetha, okanye ukubetha kwentliziyo okungaqhelekanga
• uvalo
• intloko ebuhlungu
• ukungcangcazela kwelungu lomzimba ongenakulilawula
• izihlunu zemithambo okanye ubuthathaka
• umlomo owomileyo
• isicaphucaphu
• isiyezi
• ukudinwa kakhulu
• ukunqongophala kwamandla
• ubunzima bokulala okanye ukulala

Gcina lonke ixesha lokudibana nogqirha wakho.

Ngaphambi kokuba uvavanywe elebhu (ngakumbi ezo zibandakanya imethylene eluhlaza okwesibhakabhaka), xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba usebenzisa isalmeterol.

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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