Umlobi: Marcus Baldwin
Usuku Lokudalwa: 22 Ujuni 2021
Ukuvuselela Usuku: 19 Unovemba 2024
Anonim
Breztri (budesonide, glycopyrrolate, formoterol)- COPD- by Saro Arakelians, PharmD- Episode #67
Ividiyo: Breztri (budesonide, glycopyrrolate, formoterol)- COPD- by Saro Arakelians, PharmD- Episode #67

-Delile

I-Glycopyrrolate inhalation yomlomo isetshenziswa njengokwelashwa kwesikhathi eside ukulawula ukuphefumula, ukuphefumula okuncane, ukukhwehlela, nokuqina kwesifuba ezigulini ezinesifo esingamahlalakhona se-pulmonary disease (COPD; iqembu lezifo ezithinta amaphaphu nemigwaqo yomoya, okubandakanya i-bronchitis engapheli ne-emphysema. ). I-Glycopyrrolate isekilasini lemithi ebizwa nge-anticholinergics. Isebenza ngokuphumuza imisipha ezungeze imigwaqo yomoya emaphashini akho, okwenza kube lula ukuphefumula.

I-Glycopyrrolate inhalation yomlomo iza njengephilisi eligcwele impuphu ukuhogela ngomlomo usebenzisa i-inhaler ekhethekile futhi njengesixazululo (uketshezi) ukuhogela ngomlomo usebenzisa i-nebulizer (umshini oguqula umuthi ube yinkungu engaphefumula). Kuvamise ukuhogela kabili ngosuku, kanye ekuseni kanye kanye nakusihlwa. Faka i-glycopyrrolate ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-glycopyrrolate njengoba nje kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.


Ungagwinyi amaphilisi we-gylcopyrrolate noma isisombululo se-nebulizer.

Ungasebenzisi i-glycopyrrolate inhalation yomlomo ngesikhathi sokuhlaselwa okungazelelwe kwe-COPD. Udokotela wakho uzokunikeza i-inhaler emfushane (yokusindisa) ukuze uyisebenzise ngesikhathi sokuhlaselwa kwe-COPD.

Shayela udokotela wakho noma uthole usizo oluphuthumayo lwezokwelapha uma izinkinga zakho zokuphefumula ziba zimbi, uma kufanele usebenzise i-inhaler yakho yokwenza okufushane ukuphatha ukuhlaselwa kwe-COPD kaningi, noma uma i-inhaler yakho esebenza isikhashana ingazinciphisi izimpawu zakho.

I-Glycopyrrolate inhalation yomlomo ilawula i-COPD kepha ayiyelaphi. Qhubeka nokusebenzisa i-glycopyrrolate noma ngabe uzizwa uphilile. Ungayeki ukusebenzisa i-glycopyrrolate ngaphandle kokukhuluma nodokotela wakho. Uma uyeka ukusebenzisa i-glycopyrrolate inhalation, izimpawu zakho zingase zibe zimbi kakhulu.

Ngaphambi kokusebenzisa i-glycopyrrolate oral inhalation okokuqala, funda imiyalo ebhaliwe eza ne-inhaler noma i-nebulizer. Buza udokotela wakho, usokhemisi, noma umelaphi wokuphefumula ukuthi akubonise ukuthi ungahlangana kanjani usebenzise i-inhaler noma i-nebulizer. Zijwayeze ukusebenzisa i-inhaler noma i-nebulizer ngenkathi yena ebuka.


Ungasebenzisi i-nebulizer noma i-inhaler ukuhogela noma imuphi omunye umuthi.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokusebenzisa i-glycopyrrolate,

  • Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-glycopyrrolate, noma imiphi eminye imishanguzo, noma ezinye izithako ku-glycopyrrolate powder capsule noma isixazululo se-nebulizer. Uma uzosebenzisa i-powder capsule futhi utshele udokotela wakho uma unegciwane ku-lactose (amaprotheni obisi). Buza usokhemisi wakho ukuthola uhlu lwezithako.
  • Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi kokulandelayo: ama-antihistamines; i-atropine (eLomotil, Motofen); eminye imishanguzo ye-COPD kufaka phakathi i-aclidinium (Tudorza Pressair), ipratropium (Atrovent HFA, ku-Combivent Respimat), tiotropium (Spiriva, eStioloto Respimat), ne-umeclidinium (Incruse Ellipta, e-Anoro Ellipta, Trelegy Ellipta); i-glycopyrrolate yomlomo (i-Cuvposa, i-Robinul); noma imishanguzo yesifo samathumbu esicasulayo, isifo sokuhamba, isifo sikaParkinson, izilonda, noma izinkinga zomchamo. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-glycopyrrolate, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
  • Tshela udokotela wakho uma uke waba ne-glaucoma (isifo samehlo), ukugcinwa komchamo (ukungakwazi ukukhipha isinye ngokuphelele noma nhlobo), izinkinga zedlala lendlala noma isinye, noma isifo sezinso.
  • utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-glycopyrrolate, shayela udokotela wakho.

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


Yeqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa esivamile. Ungayisebenzisi imishanguzo ngaphezu kwezikhathi ezimbili ngosuku noma usebenzise umthamo ophindwe kabili ukwenza umthamo ophuthelwe.

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

  • isifo sohudo
  • isicanucanu
  • ubuhlungu besisu
  • ubuhlungu emuva noma ngokuhlanganyela
  • ikhanda
  • ukukhathala ngokweqile
  • ukuvuvukala kwezingalo noma imilenze
  • Umphimbo obuhlungu

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, yeka ukusebenzisa i-glycopyrrolate inhalation yomlomo bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

  • ukuphefumula okungazelelwe ngokushesha ngemuva kokusetshenziswa
  • ukuqubuka; isifuba; ubunzima bokugwinya noma ukuphefumula; ukuvuvukala kobuso, umphimbo, ulimi, izindebe, namehlo; ukushaqeka
  • ubuhlungu beso, amehlo abomvu, isicanucanu, ukuhlanza. ukungaboni kahle, ukubona imibuthano ekhanyayo ezungeze amalambu noma ezinye izithombe ezinemibala
  • ukuchama okunzima, okuvamile, okubuhlungu, noma okubuthakathaka

I-Glycopyrrolate inhalation yomlomo ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha 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 amaphilisi wempuphu nesisombululo se-nebulizer kuphakethe le-blister noma esikhwameni se-foil efikile, evaliwe, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Lahla izitsha zeglycopyrrolate ezingasetshenziswanga uma zingasetshenziswanga zingakapheli izinsuku eziyi-7 ngemuva kokuvula isikhwama se-foil.

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.

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 okulandelayo:

  • isicanucanu
  • ukuhlanza
  • uzizwa unesiyezi noma unekhanda elincane
  • ukungaboni kahle noma ezinye izinkinga zombono
  • amehlo abuhlungu noma abomvu
  • ukuqunjelwa
  • ubunzima bokuchama

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.

  • Lonhala Magnair®
  • Seebri®
  • I-Bevespi Aerosphere®(njengomkhiqizo ohlanganisiwe oqukethe i-Glycopyrrolate, i-Formoterol)®
  • Utibron®(njengomkhiqizo ohlanganisiwe oqukethe i-Glycopyrrolate, i-Indacterol Maleate)®
Kugcine ukubuyekezwa - 04/15/2018

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