I-Fluticasone Oral Inhalation

-Delile

• Ngaphambi kokusebenzisa i-fluticasone inhalation yomlomo,
• Ukuhogela i-Fluticasone kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo esigabeni esikhethekile SOKUQAPHA, shayela udokotela wakho ngokushesha:

I-Fluticasone inhalation yomlomo isetshenziselwa ukuvimbela ukuphefumula kanzima, ukuqina kwesifuba, ukuqhuma, nokukhwehlela okubangelwa yisifuba somoya kubantu abadala nasezinganeni. Kusesigabeni semithi ebizwa nge-corticosteroids. IFluticasone isebenza ngokunciphisa ukuvuvukala nokucasuka ezindleleni zomoya ukuvumela ukuphefumula okulula.

IFluticasone iza njenge-aerosol yokuhogela ngomlomo usebenzisa i-inhaler nanjengempuphu yokuhogela ngomlomo usebenzisa i-inhaler. I-Fluticasone aerosol oral inhalation (i-Flovent HFA) ivame ukuhogela kabili nsuku zonke. I-Fluticasone powder ye-inhalation yomlomo ivame ukuhogela kanye nsuku zonke (i-Armonair, i-Arnuity Ellipta) noma kabili nsuku zonke (i-Armonair Respiclick, i-Flovent Diskus). Zama ukusebenzisa i-fluticasone ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-fluticasone njengoba iqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Khuluma nodokotela wakho mayelana nokuthi kufanele uyisebenzise kanjani eminye imishanguzo yomlomo ne-inhaled ye-asthma ngenkathi welashwa nge-inhalation ye-fluticasone. Uma usebenzisa noma imuphi omunye umuthi ofakwe ngaphakathi, buza udokotela wakho ukuthi kufanele yini uphefumulele le mithi isikhathi esithile ngaphambi nangemva kokuhogela i-fluticasone inhalation.Uma ngabe ubuthatha i-steroid yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), noma i-prednisone (i-Rayos), udokotela wakho angafuna ukunciphisa kancane umthamo wakho we-steroid uqala okungenani iviki elingu-1 ngemuva kokuqala ukusebenzisa i-fluticasone.

IFluticasone isiza ukuvimbela ukuhlaselwa yisifuba somoya (iziqephu ezingazelelwe zokuphefumula, ukuhefuzela nokukhwehlela) kepha ngeke ikuyeke ukuhlaselwa yisifuba somoya osekuqalile. Ungasebenzisi i-fluticasone ngesikhathi uhlaselwa yisifuba somoya. Udokotela wakho uzokunika i-inhaler emfushane ezosebenza ngesikhathi sokuhlaselwa yisifuba somoya.

Udokotela wakho mhlawumbe uzokuqala ngesilinganiso esilinganiselwe se-fluticasone. Udokotela wakho anganciphisa umthamo wakho lapho izimpawu zakho zilawulwa noma zikhuliswe uma izimpawu zakho zingakathuthuki ngemuva kwamaviki ama-2 okungenani.

IFluticasone ilawula isifuba somoya kepha ayiyelaphi. Izimpawu zakho zingathuthuka emahoreni angama-24 ngemuva kokuqala ukusebenzisa i-fluticasone, kepha kungathatha amasonto ama-2 noma ngaphezulu ngaphambi kokuthi uzwe umuthi ngokugcwele. Qhubeka nokusebenzisa i-fluticasone noma ngabe uzizwa uphilile. Ungayeki ukusebenzisa i-fluticasone ngaphandle kokukhuluma nodokotela wakho.

Uma ingane yakho izosebenzisa i-inhaler, qiniseka ukuthi iyayazi ukuthi isetshenziswa kanjani. Buka ingane yakho njalo lapho isebenzisa i-inhaler ukuze uqiniseke ukuthi uyisebenzisa kahle.

Tshela udokotela wakho uma i-asthma yakho iba yimbi ngesikhathi sokwelashwa kwakho. Shayela udokotela wakho uma unokuhlaselwa yisifuba somoya okungayeki lapho usebenzisa umuthi wakho osebenza ngokushesha we-asthma, noma uma udinga ukusebenzisa imishanguzo yakho esebenza ngokushesha okukhulu kunokujwayelekile.

I-inhaler eza ne-fluticasone aerosol yenzelwe ukusetshenziswa kuphela nge-canister ye-fluticasone. Ungalokothi uwusebenzise ukuhogela noma imuphi omunye umuthi, futhi ungalokothi usebenzise enye i-inhaler ukuhogela i-fluticasone.

Umkhiqizo ngamunye wenzelwe ukuhlinzeka ukuhogela okungu-30, 60, noma 120, kuya ngohlobo lwe-inhaler. Ngemuva kokuthi kusetshenziswe inombolo ebhalwe ngama-inhalation, ukuhogela emuva kwesikhathi kungahle kungabi nenani elifanele lemithi. Kufanele ulandele inani le-inhalations oyisebenzisile. Ungahlukanisa inani le-inhalations ku-inhaler yakho ngenani le-inhalations oyisebenzisayo usuku ngalunye ukuthola ukuthi i-inhaler yakho izohlala izinsuku ezingaki. Lahla ibhokisana eliyibhokisi ngemuva kokusebenzisa inombolo enelebula yokuhogela noma ngabe isenalo uketshezi futhi iqhubeke nokukhipha isifutho lapho icindezelwe. Musa ukuntanta ibhokisana lamanzi emanzini ukuze ubone ukuthi lisenemithi yini.

Ungasebenzisi i-fluticasone aerosol inhaler yakho ngenkathi useduze nelangabi elivulekile noma umthombo wokushisa. I-inhaler ingaqhuma uma ivezwa amazinga okushisa aphakeme kakhulu.

Ngaphambi kokusebenzisa i-fluticasone okokuqala, funda imiyalo ebhaliwe eza nayo. Bheka imidwebo ngokucophelela futhi uqiniseke ukuthi uyazibona zonke izingxenye ze-inhaler. Buza udokotela wakho, usokhemisi, noma umelaphi wokuphefumula ukuthi akubonise ukuthi ungayisebenzisa kanjani. Prakthiza ukusebenzisa i-inhaler ngenkathi ikubuka.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa i-fluticasone inhalation yomlomo,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-fluticasone, noma imiphi eminye imithi, amaprotheni obisi, noma ezinye izithako ze-fluticasone inhalation. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo engabhaliswanga, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma osanda kuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: ama-antifungal anjenge-itraconazole (i-Onmel, i-Sporanox), i-ketoconazole, ne-voriconazole (i-Vfend); i-clarithromycin (i-Biaxin); i-conivaptan (iVaprisol); I-HIV protease inhibitors efana ne-atazanavir (Reyataz, e-Evotaz), indinavir (Crixivan), lopinavir (eKaletra), nelfinavir (Viracept), ritonavir (Norvir, eKaletra, eViekira Pak, abanye), nase-saquinavir (Invirase); imithi yokuquleka, i-nefazodone; i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), ne-prednisone (i-Rayos); ne-telithromycin (Ketek; ayisatholakali e-U.S.). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-fluticasone inhalation yomlomo ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• ungasebenzisi i-fluticasone inhalation ngesikhathi sokuhlaselwa yisifuba somoya. Udokotela wakho uzokunika i-inhaler emfushane ezosebenza ngesikhathi sokuhlaselwa yisifuba somoya. Shayela udokotela wakho uma uhlaselwa yisifuba somoya esingayeki lapho usebenzisa umuthi osebenza ngokushesha we-asthma, noma uma udinga ukusebenzisa umuthi osebenza ngokushesha kunokujwayelekile.
• uma usebenzisa noma imuphi omunye umuthi ofakwe ngaphakathi, buza udokotela wakho ukuthi kufanele yini uphefumulele le mithi isikhathi esithile ngaphambi noma ngemuva kokuhogela i-fluticasone inhalation.
• Tshela udokotela wakho uma wena noma omunye umuntu emndenini wakho enesifo samathambo (isimo lapho amathambo eba mancane futhi abe buthakathaka futhi aphuke kalula) futhi uma uke waba nesifo sofuba (i-TB; uhlobo lwesifo samaphaphu) ku amaphaphu akho, inkalakatha (ukufiphazwa kwelensi yeso), i-glaucoma (isifo samehlo), noma isifo sesibindi. Phinda utshele udokotela wakho uma unanoma yiluphi uhlobo lokutheleleka okungalashwa kunoma yikuphi emzimbeni wakho noma ukutheleleka kwamehlo kwe-herpes (uhlobo lokutheleleka olubangela ukuqaqamba kujwabu leso noma iso), uma ubhema noma usebenzisa imikhiqizo kagwayi, noma uma e-bedrest noma engakwazi ukuhambahamba.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-fluticasone, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-fluticasone.
• uma unezinye izimo zezokwelapha, njengesifuba somoya, isifo samathambo, noma i-eczema (isifo sesikhumba), zingase zibe zimbi kakhulu lapho umthamo wakho we-oral steroid wehla. Tshela udokotela wakho uma lokhu kwenzeka noma uma uhlangabezana nalezi zimpawu ezilandelayo ngalesi sikhathi: ukukhathala ngokweqile, ubuthakathaka bemisipha, noma ubuhlungu; ubuhlungu obungazelelwe esiswini, emzimbeni ophansi, noma emilenzeni; ukulahlekelwa ukudla; ukuncipha komzimba; isisu esibuhlungu; ukuhlanza; isifo sohudo; isiyezi; ukuquleka; ukucindezeleka; ukucasuka; nokumnyama kwesikhumba. Umzimba wakho kungenzeka ungakwazi ukubhekana nengcindezi njengokuhlinzwa, ukugula, ukuhlaselwa yisifuba somoya okunzima, noma ukulimala ngalesi sikhathi. Shayela udokotela wakho ngokushesha uma ugula futhi uqiniseke ukuthi bonke abahlinzeki bokunakekelwa kwezempilo abakwelaphayo bayazi ukuthi usanda kufaka i-steroid yakho yomlomo nge-inhalation ye-fluticasone. Phatha ikhadi noma ufake isongo likamazisi wezokwelapha ukwazisa abasebenzi bezimo eziphuthumayo ukuthi ungadinga ukuphathwa nge-steroids esimweni esiphuthumayo.
• Tshela udokotela wakho uma ungakaze ube nenkukhu noma isimungumungwane futhi awugonyelwanga lezi zifo. Hlala kude nabantu abagulayo, ikakhulukazi abantu abanenkukhu noma isimungumungwane. Uma uvezwa kwesinye salezi zifo noma uma uba nezimpawu zokunye kwalokhu kutheleleka, shayela udokotela wakho ngokushesha. Ungadinga ukwelashwa ukukuvikela kulezi zifo.
• kufanele wazi ukuthi i-fluticasone inhalation kwesinye isikhathi ibangela ukuphefumula nobunzima bokuphefumula ngokushesha ngemuva kokuhogela. Uma lokhu kwenzeka, sebenzisa umuthi wakho we-asthma osebenza ngokushesha (bese) ushayele udokotela wakho. Ungasebenzisi i-fluticasone inhalation futhi ngaphandle kokuthi udokotela wakho akutshele ukuthi kufanele.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Yeqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa esivamile. Ungasebenzisi umthamo ophindwe kabili ukwenza okulahlekile.

Ukuhogela i-Fluticasone kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• ikhala eligcwele noma eligijimayo
• ukushaqeka
• ubuhlungu bamazinyo
• umphimbo obuhlungu noma othukuthele
• amabala amhlophe abuhlungu emlonyeni noma emphinjeni
• imfiva
• ukutheleleka kwezindlebe

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo esigabeni esikhethekile SOKUQAPHA, shayela udokotela wakho ngokushesha:

• isifuba
• ukuqubuka
• ukulunywa
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuphefumula kanzima noma ukugwinya
• ukukhwehlela
• ukuphelelwa umoya

I-Fluticasone ingadala ukuthi izingane zikhule kancane. Akukho lwazi olwanele ukusho ukuthi ukusebenzisa i-fluticasone kunciphisa ubude bokugcina izingane ezizofinyelela kubo lapho ziyeka ukukhula. Udokotela wengane yakho uzobuka ukukhula kwengane yakho ngokucophelela ngenkathi ingane yakho isebenzisa i-fluticasone. Khuluma nodokotela wengane yakho ngezingozi zokunikeza ingane yakho lo muthi.

I-Fluticasone ingakhuphula ubungozi bokuthi uzoba ne-glaucoma noma i-cataract. Kuzodingeka ukuthi ube nokuhlolwa kwamehlo okujwayelekile ngesikhathi sokwelashwa kwakho nge-fluticasone. Tshela udokotela wakho uma unanoma ikuphi kwalokhu okulandelayo: ubuhlungu, ukuba bomvu, noma ukungaphatheki kahle kwamehlo, ukungaboni kahle, ukubona ama-halos noma imibala ekhanyayo ezungeze amalambu, noma olunye uguquko kumbono. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.

I-Fluticasone ingakhuphula ubungozi bokuhlaselwa ngamathambo. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.

I-Fluticasone ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina i-fluticasone aerosol inhaler yakho ngomlomo okhomba phansi. Yigcine lapho izingane zingakwazi ukufinyelela khona, ekamelweni lokushisa kanye nokushisa nokushisa okwedlulele (hhayi endlini yangasese). Uma usebenzisa i-fluticasone powder ye-inhalation (i-Flovent Diskus) i-50 mcg noma i-Arnuity Ellipta 50 mcg, i-100, i-mcg, noma i-200 mcg, kufanele ulahle i-inhaler amasonto ayisithupha ngemuva kokuvula isikhwama se-foil noma ngemuva kokuthi kusetshenziswe lonke iblister (lapho ikhawunta yomthamo ifunda u-0), noma yikuphi okuza kuqala. Uma usebenzisa i-fluticasone powder ye-inhalation (i-Flovent Diskus) i-100 mcg noma i-250 mcg, kufanele ulahle i-inhaler izinyanga ezimbili ngemuva kokuvula isikhwama se-foil noma ngemuva kokuthi kusetshenziswe lonke ibhamuza (lapho isibali sedosi sifunda u-0), noma yikuphi okuzayo kuqala. Uma usebenzisa i-fluticasone powder ye-inhalation (i-Armonair Respiclick), kufanele uyilahle ezinsukwini ezingama-30 ngemuva kokuvula isikhwama se-foil noma (lapho ikhawunta yedosi ifunda u-0), kuye ngokuthi ikuphi okuza kuqala. Musa ukugcina i-inhaler eduzane nomthombo wokushisa noma ilangabi elivulekile. Vikela i-inhaler ekuqandeni naselangeni eliqondile. Musa ukubhoboza isitsha se-aerosol futhi ungasilahli kusishisi noma emlilweni.

Imithi yakho ingafika nepakethe ye-desiccant (iphakethe elincane eliqukethe into edonsa umswakama ukugcina umuthi womile) esitsheni. Ungayidli noma uyihogele. Yilahle kudoti wasekhaya lapho kungafinyeleleki khona ezinganeni nasezifuyweni.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ungavumeli omunye umuntu asebenzise imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Armonair^® Phendula
• Amandla^® U-Ellipta
• I-Flovent^® Diskus^®
• I-Flovent^® I-HFA