I-Salmeterol Oral Inhalation

-Delile

• Ungasebenzisi i-salmeterol uma une-asthma noma i-COPD esheshe yanda. Uma unezinye zalezi zimpawu ezilandelayo zokuba nesifo somoya noma i-COPD esiba sibi kakhulu, shayela udokotela wakho ngokushesha:
• Ukuze usebenzise i-inhaler, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-salmeterol,
• I-Salmeterol ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Esifundweni esikhulu somtholampilo, iziguli eziningi ezine-asthma ezisebenzise i-salmeterol zathola iziqephu ezinzima zesifuba somoya okwakudingeka ziphathwe esibhedlela noma zabangela ukufa kuneziguli ezine-asthma ezingazange zisebenzise i-salmeterol. Uma une-asthma, ukusetshenziswa kwe-salmeterol kungakhuphula ithuba lokuthi uzohlangabezana nezinkinga ze-asthma ezinzima noma ezibulalayo.

Udokotela wakho uzokunikeza i-salmeterol kuphela uma i-asthma yakho ibucayi kangangokuba kudingeka imishanguzo emibili ukuyilawula. Akufanele usebenzise i-salmeterol wedwa; kufanele uhlale uyisebenzisa kanye nomuthi we-steroid ohogelwayo. Izingane nentsha edinga ukwelashwa nge-salmeterol cishe izophathwa ngomkhiqizo ohlanganisa i-salmeterol kanye nomuthi we-steroid ohogelwayo ku-inhaler eyodwa ukwenza kube lula kubo ukusebenzisa yomibili imithi njengoba kunqunyiwe.

Ngenxa yezingozi zokusebenzisa i-salmeterol, kufanele usebenzise i-salmeterol kuphela uma nje kudingeka ukuze ulawule izimpawu zakho ze-asthma. Lapho nje i-asthma yakho ilawulwa, udokotela wakho mhlawumbe uzokutshela ukuthi uyeke ukusebenzisa i-salmeterol kodwa uqhubeke nokusebenzisa omunye umuthi wesifuba somoya.

Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-salmeterol futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

I-Salmeterol isetshenziselwa ukulawula ukuphefumula, ukuphefumula, ukukhwehlela, nokuqina kwesifuba kubantu abanezifo ezingapheli zokuphefumula (COPD; iqembu lezifo zamaphaphu ezibandakanya i-bronchitis engapheli ne-emphysema). Ibuye isetshenziswe kanye nomuthi we-steroid ophefumulwayo wokulawula ukuphefumula, ukuphefumula, ukukhwehlela, nokuqina kwesifuba nakubantu abadala kanye nezingane ezineminyaka engu-4 nangaphezulu ezine-asthma. Ibuye isetshenziselwe ukuvimbela i-bronchospasm (ubunzima bokuphefumula) ngesikhathi sokuzivocavoca kubantu abadala kanye nezingane ezineminyaka engu-4 nangaphezulu. I-Salmeterol isekilasini lemithi ebizwa ngama-beta agonists asebenza isikhathi eside (LABAs). Isebenza ngokuphumula nokuvula izindima zomoya emaphashini, kwenze kube lula ukuphefumula.

I-Salmeterol iza njenge-powder eyomile yokuhogela ngomlomo usebenzisa i-inhaler eyenzelwe ngokukhethekile. Lapho i-salmeterol isetshenziselwa ukwelapha i-asthma noma i-COPD, ivame ukusetshenziswa kabili ngosuku, ekuseni nakusihlwa, cishe ngamahora ayi-12. Sebenzisa i-salmeterol cishe ngezikhathi ezifanayo nsuku zonke. Lapho i-salmeterol isetshenziselwa ukuvimbela ubunzima bokuphefumula ngesikhathi sokuzivocavoca, imvamisa isetshenziswa okungenani imizuzu engama-30 ngaphambi kokuzivocavoca kepha hhayi kaningi ngaphezu kwesisodwa njalo emahoreni ayi-12. Uma usebenzisa i-salmeterol kabili ngosuku njalo, ungasebenzisi omunye umthamo ngaphambi kokuzivocavoca. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-salmeterol njengoba nje kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Ungasebenzisi i-salmeterol ukwelapha ukuhlaselwa yisifuba somoya noma i-COPD ngokuzumayo. Udokotela wakho uzokunika umuthi osebenza okwesikhashana we-beta agonist njenge-albuterol (Accuneb, Proair, Proventil, Ventolin) ongayisebenzisa ngesikhathi sokuhlaselwa. Uma ngabe ubusebenzisa lolu hlobo lwemithi njalo ngaphambi kokuba uqale ukwelashwa nge-salmeterol, udokotela wakho uzokutshela ukuthi uyeke ukuyisebenzisa njalo kepha uqhubeke nokuyisebenzisa ukuphatha ukuhlaselwa okungazelelwe kwezimpawu zesifuba somoya. Landela lezi zinkomba ngokucophelela. Ungashintshi indlela osebenzisa ngayo noma yimiphi imithi yakho ngaphandle kokukhuluma nodokotela wakho.

Ungasebenzisi i-salmeterol uma une-asthma noma i-COPD esheshe yanda. Uma unezinye zalezi zimpawu ezilandelayo zokuba nesifo somoya noma i-COPD esiba sibi kakhulu, shayela udokotela wakho ngokushesha:

• ukuphefumula kwakho kuba kubi kakhulu
• i-inhaler yakho esebenza okwesikhashana ayisebenzi kahle njengakuqala
• Udinga ukusebenzisa ukudonsa okuthe xaxa kunokujwayelekile kwe-inhaler yakho yokwenza okufutshane noma ukuyisebenzisa kaningi
• udinga ukusebenzisa ukudonsa okune noma okungaphezulu ngosuku lwe-inhaler yakho yokwenza okufutshane izinsuku ezimbili noma ngaphezulu zilandelana
• usebenzisa i-canister engaphezu kweyodwa (i-inhalations engu-200) ye-inhaler yakho yokwenza okufishane ngesikhathi samaviki ayi-8
• imitha yakho yokugeleza okuphezulu (idivayisi yasekhaya esetshenziselwa ukuhlola ukuphefumula) imiphumela ikhombisa ukuthi izinkinga zakho zokuphefumula ziya ngokuya ziba zimbi
• une-asthma futhi izimpawu zakho azithuthuki ngemuva kokusebenzisa i-salmeterol njalo isonto elilodwa

ISalmeterol ilawula izimpawu zesifuba somoya nezinye izifo zamaphaphu kepha ayizelaphi lezi zimo. Ungayeki ukusebenzisa i-salmeterol ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukusebenzisa i-salmeterol, izimpawu zakho zingase zibe zimbi kakhulu.

Ngaphambi kokusebenzisa i-salmeterol inhaler okokuqala, cela udokotela wakho, usokhemisi, noma owelapha ngokuphefumula ukuthi akubonise ukuthi uyisebenzisa kanjani. Zijwayeze ukusebenzisa i-inhaler ngenkathi yena ebuka.

Ukuze usebenzise i-inhaler, landela lezi zinyathelo:

1. Uma uzosebenzisa i-inhaler entsha okokuqala ngqa, isuse ebhokisini naku-foil wrapper. Gcwalisa izikhala kwelebula le-inhaler nosuku owavula ngalo isikhwama kanye nosuku amasonto ayisithupha kamuva lapho kufanele ungene esikhundleni se-inhaler.
2. Bamba i-inhaler ngesandla esisodwa, bese ufaka isithupha sesinye isandla kusithupha. Cindezela isithupha sakho kude kuze kufike lapho okhulumela khona umlomo bese eqala ukuma kahle.
3. Bamba i-inhaler endaweni elinganisiwe, evundlile ngomlomo oqonde kuwe. Shelelisela i-lever kude nawe lapho izohamba ize ichofoze khona.
4. Njalo lapho i-lever ihlehliselwa emuva, umthamo ulungele ukuhogela. Uzobona inombolo ekhawuntareni yomthamo yehla. Ungamoshi imithamo ngokuvala noma ngokutshekisa i-inhaler, ukudlala nesigwedlo, noma ukuqhubekisela phambili isigwedlo ngaphezu kokukodwa.
5. Bamba izinga le-inhaler futhi lisuke emlonyeni wakho, uphefumulele phezulu ngangokunokwenzeka.
6. Gcina i-inhaler isesilinganisweni, endaweni eyisicaba. Beka okokukhuluma ezindebeni zakho. Donsa umoya ngokushesha nangokujulile yize i-inhaler, hhayi ngamakhala akho.
7. Susa i-inhaler emlonyeni wakho, bese ubamba umoya wakho imizuzwana eyi-10 noma inqobo nje uma ungakwazi kahle. Phefumulela ngaphandle kancane.
8. Cishe uzonambitha noma uzwe i-salmeterol powder ekhishwe yi-inhaler. Noma ungakwenzi, musa ukuhogela omunye umthamo. Uma ungaqiniseki ukuthi uthola umthamo wakho we-salmeterol, shayela udokotela wakho noma usokhemisi.
9. Beka isithupha sakho kusithupha bese usilayida usibuyisele kuwe lapho izofika khona. Idivayisi izocofa ukuvala.

Ungalokothi ukhiphe i-inhaler, uthathe i-inhaler, noma ugeze okokufaka umlomo noma enye ingxenye ye-inhaler. Gcina i-inhaler yomile. Ungayisebenzisi i-inhaler nge-spacer.

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

Ngaphambi kokusebenzisa i-salmeterol,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-salmeterol, noma imiphi eminye imithi, amaprotheni obisi, noma yikuphi ukudla.
• Tshela udokotela wakho uma usebenzisa enye i-LABA efana ne-arformoterol (Brovana), i-fluticasone ne-salmeterol inhlanganisela (i-Advair), i-formoterol (i-Perforomist, e-Bevespi Aerosphere, i-Duaklir Pressair, i-Dulera, i-Symbicort), i-indacaterol (i-Arcapta), i-olodaterol (i-Striverdi Respimat, e-in Stiolto Respimat), noma i-vilanterol (e-Anoro Ellipta, Breo Ellipta, Trelegy Ellipta). Le mithi akufanele isetshenziswe nge-salmeterol. Udokotela wakho uzokutshela ukuthi imiphi imithi okufanele uyisebenzise nokuthi imiphi imithi okufanele uyeke ukuyisebenzisa.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo ongayinikiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyiphuzayo. Qiniseka ukuthi usho noma yikuphi okulandelayo: ama-antifungal anjenge-itraconazole (Onmel, Sporanox, Tolsura) kanye ne-ketoconazole; ama-beta blocker anjenge-atenolol (Tenormin, in Tenoretic), labetalol (Trandate), metoprolol (Kapspargo, Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), kanye nepropranolol (Hemangeol, Inderal, Innopran); i-clarithromycin; isisu (‘amaphilisi amanzi’); I-HIV protease inhibitors efana ne-atazanavir (Reyataz, e-Evotaz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, eKaletra, Viekira Pak), ne-saquinavir (Invirase); nefazodone; kanye ne-telithromycin (Ketek). Phinda utshele udokotela noma usokhemisi wakho uma uphuza le mithi elandelayo noma uyekile ukuyiphuza emasontweni amabili edlule: imishanguzo efana ne-amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine ( Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), kanye ne-trimipramine (Surmontil); kanye ne-monoamine oxidase (MAO) inhibitors kufaka phakathi isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Zelapar), kanye ne-tranylcypromine (iParnate). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma ngabe uke waba nokushaya kwenhliziyo okungajwayelekile, umfutho wegazi ophakeme, ukwandiswa kwe-QT (isigqi senhliziyo esingajwayelekile esingaholela ekuphelelweni amandla, ekulahlekelweni ukwazi, ekubanjweni, noma ekufeni okungazelelwe), isifo sikashukela, ukuquleka, noma isibindi , noma isifo senhliziyo.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-salmeterol, shayela udokotela wakho.
• kufanele wazi ukuthi i-salmeterol inhalation kwesinye isikhathi ibangela ukuhefuzela nobunzima bokuphefumula ngokushesha ngemuva kokuhogela. Uma lokhu kwenzeka, shayela udokotela wakho ngokushesha. Ungasebenzisi i-salmeterol 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. Musa ukuhogela umthamo ophindwe kabili ukwenzela okulahlekile.

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

• ukuzamazama kwengxenye yomzimba wakho ongeke ukwazi ukuyilawula
• ikhanda
• uvalo
• isiyezi
• ukukhwehlela
• ikhala eligxishiwe
• ikhala eligijimayo
• ubuhlungu bendlebe
• ubuhlungu bemisipha, ukuqina, noma amajaqamba
• ubuhlungu obuhlangene
• umunyu, umphimbo ocasukile

• izimpawu ezinjengomkhuhlane
• isicanucanu
• isilungulela
• ubuhlungu bezinyo
• umlomo owomile
• izilonda noma amabala amhlophe emlonyeni
• amehlo abomvu noma acasukile
• ubunzima bokulala noma ukulala
• ukushisa noma ukuncinza kwezandla noma izinyawo

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla
• ubuhlungu besifuba
• ukuqubuka
• isifuba
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, noma amehlo
• ukushaqeka
• ukuminyaniswa noma ubunzima bokugwinya
• ukuphefumula okukhulu, okuphezulu

I-Salmeterol 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 le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Yigcine ekamelweni lokushisa kude nelanga eliqondile, nokushisa okweqile nomswakama (hhayi endlini yangasese). Lahla i-inhaler emasontweni ayisithupha ngemuva kokuyikhipha ku-foil overwrap noma ngemuva kokuthi kusetshenziswe yonke ibhamuza (lapho inkomba yedosi ifunda u-0), noma yikuphi okuza kuqala.

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:

• isithuthwane
• ubuhlungu besifuba
• isiyezi
• ukuquleka
• ukungaboni kahle
• ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
• uvalo
• ikhanda
• ukuzamazama kwengxenye yomzimba wakho ongeke ukwazi ukuyilawula
• amajaqamba noma ubuthakathaka
• umlomo owomile
• isicanucanu
• isiyezi
• ukukhathala ngokweqile
• ukungabi namandla
• ubunzima bokulala noma ukulala

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ngaphambi kokwenza noma yiluphi uvivinyo lwe-laboratory (ikakhulukazi lezo ezibandakanya i-methylene blue), tshela udokotela wakho nabasebenzi be-laboratory ukuthi usebenzisa i-salmeterol.

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.

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