I-Tiotropium Oral Inhalation

-Delile

• Ukuze usebenzise i-inhaler, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-tiotropium,
• I-Tiotropium ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

I-Tiotropium isetshenziselwa ukuvimbela ukuphefumula, ukuphefumula okuncane, ukukhwehlela, nokuqina kwesifuba ezigulini ezinesifo esingamahlalakhona se-pulmonary disease (i-COPD, iqembu lezifo ezithinta amaphaphu nemigwaqo yomoya) njenge-bronchitis engapheli (ukuvuvukala kwezindima zomoya eziholela amaphaphu) ne-emphysema (ukulimala kwamasaka omoya emaphashini). I-Tiotropium isekilasini lemithi ebizwa ngama-bronchodilators. Isebenza ngokuphumula nokuvula izindima zomoya eziya emaphashini ukwenza ukuphefumula kube lula.

I-Tiotropium iza njenge-capsule ezosetshenziswa nge-inhaler eyenzelwe ngokukhethekile. Uzosebenzisa i-inhaler ukuphefumula impuphu eyomile equkethwe kumaphilisi. I-Tiotropium ivame ukuhogela kanye ngosuku ekuseni noma kusihlwa. Ukukusiza ukuthi ukhumbule ukuhogela i-tiotropium, uyihogele ngesikhathi esifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-tiotropium njengoba nje kuqondisiwe. Musa ukuhogela ngaphezulu noma ngaphansi kwayo noma uyihogele kaningi kunokuyalelwa ngudokotela wakho.

Ungagwinyi amaphilisi we-tiotropium.

I-Tiotropium izosebenza kuphela uma usebenzisa i-inhaler eza nokuhogela impuphu kumaphilisi. Ungalokothi uzame ukuwahogela usebenzisa noma iyiphi enye i-inhaler. Ungalokothi usebenzise i-tiotropium inhaler yakho ukuthatha noma imuphi omunye umuthi.

Ungayisebenzisi i-tiotropium ukuphatha ukuhlaselwa okungazelelwe kokuphefumula noma ukuphefumula okuncane. Udokotela wakho mhlawumbe uzokunika umuthi ohlukile ongawusebenzisa lapho unenkinga enkulu yokuphefumula.

I-Tiotropium ilawula i-COPD kepha ayiyelaphi. Kungathatha amasonto ambalwa ngaphambi kokuba uzwe izinzuzo ezigcwele ze-tiotropium. Qhubeka uthathe i-tiotropium noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-tiotropium ngaphandle kokukhuluma nodokotela wakho.

Qaphela ukuthi ungatholi i-tiotropium powder emehlweni akho. Uma i-tiotropium powder ingena emehlweni akho, umbono wakho ungafiphala futhi ungazwela ekukhanyeni. Shayela udokotela wakho uma lokhu kwenzeka.

Ukuze usebenzise i-inhaler, landela lezi zinyathelo:

1. Sebenzisa umdwebo emininingwaneni yesiguli eze nomuthi wakho ukukusiza ufunde amagama ezingxenye ze-inhaler yakho. Kufanele ukwazi ukuthola ikepisi lothuli, okokukhuluma, isisekelo, inkinobho yokubhoboza, negumbi eliphakathi nendawo.
2. Thatha ikhadi elilodwa le-blister lamaphilisi we-tiotropium bese ulidabula eduze kokugcotshwa. Manje kufanele ube nemichilo emibili equkethe amaphilisi amathathu.
3. Beka eyodwa yemichilo yakamuva. Sebenzisa ithebhu ukuxebula ngokucophelela i-foil komunye umcu webhamuza kuze kube ulayini we-STOP. Lokhu kufanele kuveze ngokuphelele iphilisi elilodwa. Amanye amaphilisi amabili asemgqeni kusamele afakwe uphawu emaphaketheni awo. Hlela ukusebenzisa lawo ma-capsule ezinsukwini ezimbili ezilandelayo.
4. Donsela phezulu kusivalo sothuli se-inhaler yakho ukuyivula.
5. Vula okokukhulumela i-inhaler. Susa i-tiotropium capsule ephaketheni bese uyibeka egumbini eliphakathi nendawo le-inhaler.
6. Vala okokukhuluma ngokuqinile ize ichofoze, kodwa ungavali ikepisi lothuli.
7. Bamba i-inhaler ukuze okokukhulumela kube ngaphezulu. Cindezela inkinobho yokubhoboza eluhlaza kanye, bese uyidedela.
8. Phefumulela ngaphandle ngokuphelele ngaphandle kokufaka noma iyiphi ingxenye ye-inhaler emlonyeni wakho noma eduze kwayo.
9. Letha i-inhaler emlonyeni wakho bese uvale izindebe zakho ngokuqinile eduze kwesipika somlomo.
10. Bamba ikhanda lakho liqonde bese uphefumulela phezulu kancane nangokujulile. Kufanele uphefumule ngokushesha okukhulu ngokwanele ukuzwa i-capsule idlidliza. Qhubeka uphefumule kuze kufike amaphaphu akho.
11. Bamba umoya wakho isikhathi eside ngangokunokwenzeka lapho wenza kahle. Khipha i-inhaler emlonyeni wakho ngenkathi ubambe umoya.
12. Phefumula ngokujwayelekile isikhashana.
13. Phinda izinyathelo 8-11 ukuhogela noma imuphi umuthi ongashiywa ku-inhaler yakho.
14. Vula okokukhuluma bese utshekisa i-inhaler ukuze uchithe i-capsule esetshenzisiwe. Lahla i-capsule esetshenzisiwe lapho izingane nezilwane ezifuywayo zingafinyeleli khona. Ungabona inani elincane le-powder elisele ku-capsule. Lokhu kujwayelekile futhi akusho ukuthi awutholanga umthamo wakho ogcwele.
15. Vala okokukhulumela nomlotha wothuli bese ugcina i-inhaler endaweni ephephile.

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

Ngaphambi kokusebenzisa i-tiotropium,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-tiotropium, atropine (Atropen, Sal-Tropine, Ocu-Tropine), ipratropium (Atrovent), noma eminye imithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo ongayinikiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyiphuzayo. Qiniseka ukuthi usho noma ikuphi kokulandelayo: amiodarone (Cordarone); ama-antihistamine; i-atropine (Atropen, Sal-Tropine, Ocu-Tropine); i-cisapride (i-Propulsid); i-disopyramide (iNorpace); i-dofetilide (Tikosyn); i-erythromycin (E.E.S, E-Mycin, Erythrocin); amaconsi wamehlo; ipratropium (Atrovent); imishanguzo yezifo zamathumbu ezicasulayo, ukugula okunyakazayo, isifo sikaParkinson, izilonda, noma izinkinga zomchamo; moxifloxacin (Avelox); ipimozide (i-Orap); i-procainamide (i-Procanbid, i-Pronestyl); i-quinidine (i-Quinidex); i-sotalol (iBetapace); i-sparfloxacin (iZagam); kanye ne-thioridazine (Mellaril). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uke waba ne-glaucoma (isifo samehlo esingadala ukulahleka kombono), izinkinga zomchamo, ukushaya kwenhliziyo okungajwayelekile, noma i-prostate (isitho sowesilisa sokuzala) noma isifo sezinso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-tiotropium, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-tiotropium.

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

Donsela umthamo ongekho lapho usukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Musa ukuhogela umthamo ophindwe kabili ukwenzela okulahlekile.

I-Tiotropium ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• umlomo owomile
• ukuqunjelwa
• ubuhlungu besisu
• ukuhlanza
• ukugaya ukudla
• ubuhlungu bemisipha
• ekhaleni
• ikhala eligijimayo
• ukuthimula
• amabala amhlophe abuhlungu emlonyeni

Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:

• isifuba
• ukuqubuka kwesikhumba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ubuhlungu besifuba
• umphimbo obuhlungu, umkhuhlane, amakhaza nezinye izimpawu zokutheleleka
• ikhanda noma ezinye izimpawu zokutheleleka kwesono
• ukuchama kabuhlungu noma okunzima
• ukushaya kwenhliziyo okusheshayo
• ubuhlungu beso
• ukungaboni kahle
• ukubona ama-halos azungeze amalambu noma ukubona izithombe ezinemibala
• amehlo abomvu

I-Tiotropium 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 le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Ungavuli iphakethe le-blister elizungeze i-capsule kuze kube yilapho usulungele ukuyisebenzisa. Uma uvula ngengozi iphakethe le-capsule ongeke ukwazi ukulisebenzisa ngokushesha, lahla lelo philisi. Ungalokothi ugcine amaphilisi ngaphakathi kwe-inhaler.

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.

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

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• umlomo owomile
• ubuhlungu besisu
• ukuqunjelwa
• ukuxhawula izandla ongeke ukwazi ukuzilawula
• izinguquko ekucabangeni
• ukungaboni kahle
• amehlo abomvu
• ukushaya kwenhliziyo okusheshayo
• ubunzima bokuchama

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Uzothola i-inhaler entsha ngomuthi ngamunye wezinsuku ezingama-30. Imvamisa, awudingi ukuhlanza i-inhaler yakho phakathi nezinsuku ezingama-30 oyisebenzisa. Kodwa-ke, uma udinga ukuhlanza i-inhaler yakho, kufanele uvule ikepisi nothuli bese ucindezela inkinobho yokubhoboza ukuvula isisekelo. Bese ugeza yonke i-inhaler ngamanzi afudumele kodwa ngaphandle kwensipho noma okokuhlanza. Faka amanzi amaningi ngokweqile bese ushiya i-inhaler emoyeni yome amahora angama-24 ngesigqoko sethuli, okokukhuluma, nesisekelo esivulekile. Musa ukugeza i-inhaler yakho kumshini wokuwasha izitsha futhi ungayisebenzisi ngemuva kokuyigeza ize ivunyelwe ukuthi yome amahora angama-24. Ungahlanza nengaphandle lesikhulumi ngomlomo ngezicubu ezinomswakama (hhayi ezimanzi).

Ungavumeli omunye umuntu ukuthi athathe 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.

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• I-Stiolto ^® Phendula^® (equkethe i-olodaterol ne-tiotropium)