Ukuphefumla ngomlomo ngeBudesonide

Umxholo

• Ukungenisa umgubo usebenzisa i-inhaler, landela la manyathelo:
• Ukuphefumla ukumiswa usebenzisa i-jet nebulizer, landela la manyathelo:
• Ngaphambi kokusebenzisa i-budesonide inhalation,
• Ukuphefumla kweBudesonide kunokubangela 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 OKUQHELEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:

IBudesonide isetyenziselwa ukuthintela ubunzima bokuphefumla, ukuqina kwesifuba, ukuvutha kunye nokukhohlela okubangelwa sisifuba. I-Budesonide powder ye-inhalation yomlomo (Pulmicort Flexhaler) isetyenziswa kubantu abadala nakubantwana abaneminyaka eyi-6 ubudala nangaphezulu. Ukumiswa kweBudesonide (ulwelo) lwe-inhalation yomlomo (iimpendulo zePulmicort) isetyenziswa ebantwaneni kwiinyanga ezili-12 ukuya kwiminyaka esi-8 ubudala. IBudesonide ikudidi lwamayeza abizwa ngokuba yi-corticosteroids. Isebenza ngokunciphisa ukudumba kunye nokucaphuka kwiindlela zomoya ukuvumela ukuphefumla lula.

I-Budesonide iza njengomgubo wokuphefumla ngomlomo usebenzisa i-inhaler kunye nokunqunyanyiswa kokungenisa ngomlomo usebenzisa i-jet nebulizer ekhethekileyo (umatshini ojika amayeza abe yinkungu engaphefumla). I-Budesonide powder ye-inhalation yomlomo ihlala iphefumlelwa kabini ngemini. Ukumiswa kwe-Budesonide ye-inhalation yomlomo kuhlala kufuthwa kanye okanye kabini ngemini. Zama ukusebenzisa i-budesonide malunga namaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa i-budesonide 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 kunye ne-budesonide inhalation. Ukuba ubuthatha i-steroid yomlomo efana ne-dexamethasone, i-methylprednisolone (iMedrol), okanye i-prednisone (iRayos), ugqirha wakho unokufuna ukunciphisa ngokuthe ngcembe idosi yakho ye-steroid emva kokuba uqale ukusebenzisa ibudesonide.

I-Budesonide ilawula iimpawu zesifuba kodwa ayiyinyangi. Ukuphuculwa kwesifuba sakho somzimba kunokuvela kwakamsinya emva kokusebenzisa amayeza, kodwa iziphumo ezigcweleyo azinakubonwa kwiiveki ezi-1 ukuya kwezi-2 emva kokusebenzisa umgubo kunye neeveki ezi-4 ukuya kwezi-6 emva kokusebenzisa ukunqunyanyiswa rhoqo. Qhubeka nokusebenzisa i-budesonide nokuba uziva uphilile. Sukuyeka ukusebenzisa i-budesonide ngaphandle kokuthetha nogqirha wakho. Biza ugqirha wakho ukuba iimpawu zakho okanye iimpawu zomntwana wakho aziphucuki ngexesha leeveki zokuqala ezi-2 (umgubo) okanye iiveki zokuqala ezi-6 (ukunqunyanyiswa) okanye ukuba ziya zisiba mbi.

I-Budesonide inceda ukuthintela uhlaselo lwesifuba (iziqendu zequbuliso zokuphefumla kancinci, ukuvuthisa, kunye nokukhohlela) kodwa ayizukuyeka ukuhlaselwa sisifuba esele siqalisile. Ugqirha wakho uya kumisela i-inhaler emfutshane ukuba ayisebenzise ngexesha lokuhlaselwa sisifo sombefu. Tshela ugqirha wakho ukuba isifuba sakho sombefu siba sibi ngexesha lonyango lwakho.

Inhaler nganye ye-budesonide yenzelwe ukubonelela nge-60 okanye i-120 inhalations, kuxhomekeke kubukhulu bayo. 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 inhaler emva kokuba usebenzise inani elinelebheli yokusezela nokuba isenalo ulwelo kwaye iyaqhubeka nokukhupha isitshizi xa icinezelwe.

Musa ukuginya ukumiswa kwebudesonide nebulizer.

Ngaphambi kokuba usebenzise i-budesonide inhaler okanye i-jet nebulizer okokuqala, funda imiyalelo ebhaliweyo eza nayo. Jonga ngononophelo kwimizobo kwaye uqiniseke ukuba uyawaqonda onke amalungu e-inhaler okanye i-nebulizer. Buza ugqirha wakho, usokhemisi, okanye ugqirha wokuphefumla akubonise indlela efanelekileyo yokusebenzisa i-inhaler okanye i-nebulizer. Ziqhelise ukusebenzisa i-inhaler okanye i-nebulizer phambi kwakhe, ke uqinisekile ukuba uyayenza ngendlela eyiyo.

Ukungenisa umgubo usebenzisa i-inhaler, landela la manyathelo:

1. Guqula isiciko sokukhusela kwaye usisuse.
2. Ngethuba lokuqala usebenzisa i-inhaler entsha ye-budesonide kufuneka uyiqale. Ukwenza oku, bamba i-inhaler ethe nkqo (ngomlomo phezulu), emva koko ujikise ukubambelela okumdaka ngokupheleleyo ngasekunene ukuya kuthi ga apho uya khona, emva koko uphinde ubuye ubuye ngokupheleleyo ngasekhohlo. Uya kuva unqakrazo. Phinda. Iyunithi ngoku ilungisiwe kwaye ilungele ukulayisha idosi yokuqala. Akunyanzelekanga ukuba uphinde uyiqalekise inhaler emva koku, nokuba awuyisebenzisi ixesha elide.
3. Ukubamba i-inhaler ethe nkqo, layisha idosi yokuqala ngokuguqula ngokupheleleyo ukubamba ekunene kwaye ngokupheleleyo ngasekhohlo ide icofe.
4. Susa intloko yakho kwi-inhaler kwaye uphefumlele ngaphandle. Musa ukuvuthela okanye ukhuphe kwi-inhaler. Musa ukushukumisa i-inhaler emva kokuyilayisha.
5. Gcina i-inhaler kwindawo ethe tye (umlomo phezulu) okanye indawo ethe tyaba. Beka into oyithethayo phakathi kwemilebe yakho ungene emlonyeni wakho. Yijikeleze intloko yakho kancinci. Vala imilebe yakho ngokuqinileyo ngakwisithethi somlomo, kodwa musa ukuluma okanye ukuhlafuna umlomo. Phefumlela ngaphakathi nangamandla. Qiniseka ukuba inkungu ingena emqaleni kwaye ayivalwanga ngamazinyo okanye ulwimi.
6. Susa inhaler emlonyeni wakho kwaye ubambe umphefumlo wakho kangangemizuzwana eli-10. Musa ukuvuthela okanye uphefumle nge-inhaler.
7. Ukuba uza kuphefumla kabini, phinda amanyathelo 4-6. Ukukhupha okulandelayo inhaler kufuneka ilayishwe kwindawo ethe tye phambi kokusetyenziswa kwayo. Jika ukubamba ngokupheleleyo ngasekunene emva koko ubhekise ngasekhohlo de ucofe.
8. Buyisela ikepusi yokukhusela kwi-inhaler kwaye uyijije ivale.
9. Emva konyango ngalunye, hlamba umlomo wakho ngamanzi kunye namathe. Musa ukuwaginya amanzi.
10. Gcina i-inhaler icocekile kwaye yomile kunye nekhava ngokuqinileyo endaweni yayo ngalo lonke ixesha.

Ukuphefumla ukumiswa usebenzisa i-jet nebulizer, landela la manyathelo:

1. Susa enye i-ampule yokumiswa kwe-inhalation kwisikhwama se-foil.
2. Gubungela ngobumnene i-ampule kwisindululo setyhula.
3. Bamba i-ampule ethe nkqo kwaye ujike ngaphezulu kwe-ampule. Thela lonke ulwelo kwindawo yokugcina i-nebulizer. Musa ukudibanisa amanye amayeza kunye nebudesonide echibini.
4. Qhagamshela ichibi le-nebulizer kwisithethi somlomo okanye imaski yobuso.
5. Qhagamshela i-nebulizer kwisiguquli.
6. Beka umlomo emlonyeni womntwana wakho okanye usebenzise imaski yobuso. Misela umntwana wakho ukuba eme endaweni emileyo, ekhululekile kwaye avule isiguquli.
7. Tshela umntwana wakho ukuba aphefumle ngokuzola, ngokunzulu, nangokulinganayo de inkungu iyeke ukwenzeka kwigumbi.
8. Emva konyango ngalunye, cela umntwana wakho ahlambe umlomo wakhe ngamanzi kunye namathe; sukuwaginya amanzi.
9. Lahla i-ampule engenanto kunye nomphezulu wayo kumgqomo wenkunkuma ongenakufikelelwa ngabantwana nakwizilwanyana zasekhaya.
10. Coca i-nebulizer yakho rhoqo. Landela izikhombisi zomenzi ngononophelo kwaye ubuze ugqirha wakho okanye usokhemesti ukuba unayo nayiphi na imibuzo malunga nokucoca i-nebulizer yakho.

La mayeza ngamanye amaxesha amiselweyo kwezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokusebenzisa i-budesonide inhalation,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-budesonide, nawaphi na amanye amayeza, okanye nasiphi na isithako kwi-budesonide inhalation powder okanye isisombululo se-nebulizer. Ukuba uza kusebenzisa i-inhalation powder, xelela ugqirha wakho ukuba ngaba uxabana neeproteni zobisi. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane 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) kunye ne ketoconazole (Nizoral); i-clarithromycin (i-Biaxin); I-HIV protease inhibitors efana ne-atazanavir (Reyataz, e-Evotaz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, eKaletra, eViekira Pak, abanye), kunye ne-saquinavir (Invirase); amayeza ngokuhlutha, nefazodone; i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (iMedrol), kunye ne-prednisone (iRayos); kunye ne-telithromycin (Ketek). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Uninzi lwamanye amayeza anokusebenzisana ne-budesonide inhalation, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• Sukusebenzisa i-budesonide 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.
• xelela ugqirha wakho ukuba ngaba wena okanye nabani na kusapho lwakho ukhe wanaso okanye wakhe wanaso isifo samathambo (imeko apho amathambo esiba buthathaka kwaye abuthathaka kwaye aphuke ngokulula) kwaye ukuba unesifo sephepha (isifo sephepha; isifo esibuhlungu semiphunga) imiphunga, ikati (ilifu lamehlo), i-glaucoma (isifo samehlo) okanye uxinzelelo oluphezulu kwiliso, okanye isifo sesibindi. Xelela ugqirha wakho ukuba unayo nayiphi na intsholongwane enganyangekiyo naphi na emzimbeni wakho okanye usulelo lwamehlo lwe-herpes (uhlobo losulelo olubangela ukuqaqamba kwinkophe okanye kumphezulu wamehlo).
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa usebenzisa i-budesonide, tsalela umnxeba ugqirha wakho.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa i-budesonide.
• 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 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 ababoneleli bezonyango abakunyangayo bayazi ukuba kutshanje ubeke i-steroid yomlomo wakho nge-budesonide inhalation. 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-budesonide ngamanye amaxesha ibangela ukuvutha kunye nobunzima bokuphefumla kwangoko emva kokuba uphefumlelwe. Ukuba oku kuyenzeka, sebenzisa iyeza lesifuba elisebenza ngokukhawuleza (lihlangule) kwaye ubize ugqirha wakho. Sukusebenzisa i-budesonide 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.

Ukuphefumla kweBudesonide kunokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko ebuhlungu
• impumlo egobileyo okanye egobayo
• umqala obuhkungu
• urhudo
• Ukuphelelwa ngumdla wokutya
• isisu esibuhlungu
• ubunzima bokulala okanye ukulala
• intamo okanye iintlungu zomqolo
• usulelo lwendlebe
• impumlo

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zikwicandelo LOKUKHUSELEKILEYO OKUQHELEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:

• amabala amhlophe okanye izilonda emlonyeni wakho
• irhashalala
• urhwebo
• ukurhawuzelela
• ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
• ukudinwa
• ubunzima bokuphefumla okanye ukugwinya
• ukuvutha
• ukukhohlela
• iintlungu zesifuba
• ixhala
• umkhuhlane, ukugodola, okanye ezinye iimpawu zosulelo
• ukudinwa
• isicaphucaphu
• ukugabha
• ubuthathaka
• utshintsho kumbono

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

Kwiimeko ezinqabileyo, abantu abasebenzisa i-budesonide ixesha elide baba ne-glaucoma okanye i-cataract. Thetha nogqirha wakho malunga nomngcipheko wokusebenzisa i-budesonide kwaye kufuneka uwavavanye kangaphi amehlo ngexesha lonyango lwakho.

I-Budesonide inokuwonyusa umngcipheko wokuba ne-osteoporosis (imeko apho amathambo esiba buthathaka kwaye abuthathaka kwaye aphule ngokulula). Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza.

Ukuphefumla kweBudesonide kunokubangela 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. Gcina ii-ampulizer ampule zitywinwe kwiipokotho zabo zefoyile de ube ukulungele ukuzisebenzisa. Gcina isisombululo se-inhaler kunye ne-nebulizer kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Ungafriji okanye ubambe isisombululo se-nebulizer. Ukuba usebenzisa i-inhalation powder, yitshintshe i-inhaler yakho yakudala ngalo lonke ixesha uzalisa amayeza akho. Ukuba usebenzisa isisombululo se-nebulizer, kuya kufuneka ulahle ii-ampules ukuba awusetyenzisanga iiveki ezi-2 emva kokuvula isingxobo se-foil.

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 kunye nelabhoratri.

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.

• IPulmicort^®¶
• IPulmicort^® Flexhaler
• IPulmicort^® Iimpendulo

• Uphawu^® (iqulethe iBudesonide, iFomoterol)

^¶ Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.