Umlobi: Randy Alexander
Usuku Lokudalwa: 26 Epreli 2021
Ukuvuselela Usuku: 24 Ujuni 2024
Anonim
Inhlanganisela ye-Respimat (ipratropium / albuterol) - Nezinye
Inhlanganisela ye-Respimat (ipratropium / albuterol) - Nezinye

-Delile

Kuyini i-Combivent Respimat?

I-Combivent Respimat ngumuthi kadokotela wegama lomuthi. Isetshenziselwa ukwelapha isifo esingamahlalakhona semiphunga (COPD) kubantu abadala. I-COPD iyiqembu lezifo zamaphaphu ezibandakanya i-bronchitis engapheli ne-emphysema.

I-Combivent Respimat i-bronchodilator. Lolu uhlobo lomuthi olusiza ukuvula izindima zokuphefumula emaphashini akho, bese uwudonsela ngaphakathi.

Ngaphambi kokuba udokotela wakho anikeze i-Combivent Respimat, kufanele ngabe usuvele usebenzisa i-bronchodilator esefomini ye-aerosol. Futhi, kufanele ube ne-bronchospasms (ukuqina kwemisipha ku-airways yakho) futhi udinga i-bronchodilator yesibili.

I-Combivent Respimat iqukethe izidakamizwa ezimbili. Eyokuqala yi-ipratropium, okuyingxenye yesigaba semithi ebizwa nge-anticholinergics. (Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo.) Umuthi wesibili yi-albuterol, oyingxenye yesigaba semithi ebizwa nge-beta2-adrenergic agonists.

I-Combiment Respimat iza njenge-inhaler. Igama ledivayisi ye-inhaler yi-Respimat.


Ukusebenza ngempumelelo

Esifundweni somtholampilo, iCombivent Respimat isebenze kangcono kune-ipratropium iyodwa (esinye sezithako kwiCombivent Respimat). Abantu abathathe i-Combivent Respimat bangakhipha umoya ngamandla ngaphezulu komzuzwana owodwa (owaziwa nge-FEV1) uma kuqhathaniswa nabantu abathathe i-ipratropium.

I-FEV1 ejwayelekile yomuntu one-COPD cishe ingamalitha ayi-1.8. Ukwanda kwe-FEV1 kukhombisa ukuhamba komoya okungcono emaphashini akho. Kulolu cwaningo, abantu baba nokuthuthuka ku-FEV1 yabo kungakapheli amahora amane bephuze umuthi owodwa. Kepha i-FEV1 yabantu abathathe i-Combivent Respimat ithuthukise ama-millilitara angama-47 ngaphezu kwabantu abathathe i-ipratropium bodwa.

Impendulo Ehlanganayo ejwayelekile

I-Combivent Respimat itholakala kuphela njengomuthi wegama lomkhiqizo. Okwamanje ayitholakali ngendlela ejwayelekile.

I-Combivent Respimat iqukethe izithako ezimbili ezisebenzayo zezidakamizwa: i-ipratropium ne-albuterol.

Ipratropium ne-albuterol ziyatholakala njengomuthi ojwayelekile osetshenziselwa ukwelapha i-COPD. Kodwa-ke, umuthi ojwayelekile ukwindlela ehlukile kune-Combivent Respimat, eza njenge-inhaler. Umuthi ojwayelekile uza njengesisombululo (ingxube ye-liquid) esetshenziswe kudivayisi ebizwa nge-nebulizer. I-nebulizer iguqula umuthi ube yinkungu ohogela imaski noma okokukhuluma.


Umuthi ojwayelekile nawo uza ngamandla ahlukile kuneCombivent Respimat, equkethe i-20 mcg ye-ipratropium ne-100 mcg ye-albuterol. Umuthi ojwayelekile uqukethe u-0.5 mg we-ipratropium no-2.5 ​​mg we-albuterol.

Isikali se-Combivent Respimat

Umthamo we-Combivent Respimat odonswa ngudokotela wakho uzoncika ekutheni isifo sakho se-pulmary obstructive esibi kangakanani (COPD).

Imininingwane elandelayo ichaza imithamo esetshenziswa kakhulu noma enconywayo. Kodwa-ke, qiniseka ukuthatha isilinganiso udokotela wakho akubekela sona. Udokotela wakho uzonquma isilinganiso esihle kakhulu ukuhlangabezana nezidingo zakho.

Amafomu wezidakamizwa namandla

I-Combivent Respimat iza ngezicucu ezimbili:

  • i-inhaler device
  • igobolondo eliqukethe umuthi (ipratropium ne-albuterol)

Ngaphambi kokuba usebenzise i-Combivent Respimat device okokuqala, kuzofanele ufake igobolondo ku-inhaler. (Bheka isigaba esithi "Ungasisebenzisa kanjani i-Combivent Respimat" ngezansi.)

Ukuphefumula ngakunye (ukukhukhumeza) komuthi kuqukethe ama-mcg angama-20 e-ipratropium ne-100 mcg ye-albuterol. Kukhona ukukhukhumeza okungu-120 ku-cartridge ngayinye.


Isilinganiso se-COPD

Umthamo ojwayelekile we-COPD ukukhipha okukodwa, kane ngosuku. Umthamo omkhulu ukukhipha okukodwa, kathathu ngosuku.

Kuthiwani uma ngiphuthelwa umthamo?

Uma uphuthelwa umthamo we-Combivent Respimat, linda kuze kufike isikhathi sethamo lakho elilandelayo elihleliwe. Bese uqhubeka nokuphuza umuthi njengenjwayelo.

Ukusiza ukuqinisekisa ukuthi awuphuthelwa umthamo, zama ukusetha isikhumbuzi efonini yakho. Isikhathi semithi singasiza, futhi.

Ngabe kuzodingeka ngisebenzise lesi sidakamizwa isikhathi eside?

I-Combivent Respimat yenzelwe ukuthi isetshenziswe njengokwelashwa kwesikhathi eside. Uma wena nodokotela wakho nibona ukuthi umuthi uphephile futhi uyasebenza kuwe, kungenzeka uwuthathe isikhathi eside.

Imiphumela emibi ye-Respimat

I-Combiment Respimat ingadala imiphumela emibi noma emibi. Uhlu olulandelayo luqukethe eminye yemiphumela emibi engase yenzeke ngenkathi ithatha i-Combivent Respimat. Lezi zinhlu azibandakanyi yonke imiphumela emibi engaba khona.

Ukuthola eminye imininingwane ngemiphumela engemihle ye-Combivent Respimat, khuluma nodokotela wakho noma usokhemisi. Bangakunika amathiphu okuthi ungabhekana kanjani nanoma yimiphi imiphumela emibi engase ikukhathaze.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile ye-Combivent Respimat ingafaka:

  • ukukhwehlela
  • ukuphelelwa umoya noma ukuphefumula kanzima
  • ikhanda
  • izifo ezingathinta ukuphefumula kwakho okunjalo i-bronchitis enamandla noma imikhuhlane

Iningi lalemiphumela emibi ingahle ihambe ezinsukwini ezimbalwa noma emasontweni ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Imiphumela emibi ebucayi evela ku-Combivent Respimat ayijwayelekile, kepha ingenzeka. Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha.

Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

  • I-bronchospasm ephikisayo (ukuphefumula noma inkinga yokuphefumula okuya kuba kubi kakhulu)
  • Izinkinga zamehlo. Izimpawu zingafaka:
    • i-glaucoma (ingcindezi eyandisiwe ngaphakathi kweso)
    • ubuhlungu beso
    • ama-halos (abona imibuthano ekhanyayo ezungeze amalambu)
    • ukungaboni kahle
    • isiyezi
  • Inkinga yokuchama noma ubuhlungu ngenkathi uchama
  • Izinkinga zenhliziyo. Izimpawu zingafaka:
    • ukushaya kwenhliziyo ngokushesha
    • ubuhlungu besifuba
  • I-Hypokalemia (amazinga aphansi e-potassium). Izimpawu zingafaka:
    • ukukhathala (ukungabi namandla)
    • ubuthakathaka
    • amajaqamba
    • ukuqunjelwa
    • ukushaya kwenhliziyo (umuzwa wokweqa noma ukushaya kwenhliziyo okwengeziwe)

Imininingwane yomphumela oseceleni

Ungase uzibuze ukuthi kaningi kangakanani imiphumela emibi ethile eba khona ngalo muthi. Nayi imininingwane ngeminye imiphumela emibi engadalwa yilesi sidakamizwa.

Ukusabela okweqile

Njengezidakamizwa eziningi, abanye abantu bangaba nokungezwani komzimba ngemuva kokuthatha i-Combivent Respimat. Izimpawu zokuphendula okuncane komzimba zingabandakanya:

  • ukuqubuka kwesikhumba
  • ukulunywa
  • ukuqhuma (ukufudumala nokubomvu esikhunjeni sakho)

Ukusabela okweqile okwedlulele akuvamile kodwa kungenzeka. Izimpawu zokuphendula okweqile kakhulu zingabandakanya:

  • ukuvuvukala ngaphansi kwesikhumba sakho, imvamisa ezinkalweni zakho, izindebe, izandla, noma izinyawo
  • ukuvuvukala kolimi lwakho, umlomo, noma umphimbo
  • inkinga yokuphefumula

Akwaziwa ukuthi bangaki abantu abaye baba nomzimba ongemuhle ngemuva kokuthatha i-Combivent Respimat.

Uma unesifo esibi kakhulu se-Combivent Respimat, shayela udokotela wakho ngokushesha. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha.

Umkhuhlane

Ukuthatha i-Combivent Respimat kungadala ukuthi ungenwe umkhuhlane. Ucwaningo lomtholampilo lubheke abantu abanesifo esingelapheki se-pulmonary disease (COPD) abathathe i-Combivent Respimat noma i-ipratropium (isithako se-Combivent Respimat). Kulolu cwaningo, bangu-3% abantu abathathe iCombivent Respimat benomkhuhlane. Amaphesenti amathathu abantu abathathe i-ipratropium nabo babenomkhuhlane.

Umkhuhlane ungaphinde wenze izimpawu ze-COPD zibe zimbi kakhulu, njengokuhlupheka ukuphefumula, ukuvunguza nokukhwehlela. Lokhu kungenxa yokuthi imikhuhlane ingathinta amaphaphu akho. Ungazama ukuvimbela umkhuhlane ngalezi zeluleko:

  • Geza izandla zakho njalo.
  • Khawulela ukuxhumana nanoma ngubani ogulayo.
  • Gwema ukwabelana ngezinto zakho siqu, njengezibuko zokuphuza kanye namabhulashi wamazinyo, nabanye abantu.
  • Hlanza izibambo zeminyango namaswishi alula.

Uma uba nomkhuhlane ngenkathi uthatha i-Combivent Respimat, khuluma nodokotela wakho noma usokhemisi. Bangakunika izeluleko zokuthi ungaziphatha kanjani izimpawu zakho ezibandayo neze-COPD.

Izinkinga zamehlo

Ukuthatha i-Combivent Respimat kungadala izinkinga ngamehlo akho, njenge-glaucoma entsha noma ekhulayo. IGlaucoma wukwanda kwengcindezi ngaphakathi kweso okungaholela ekulimaleni kwamehlo. Akwaziwa ukuthi bangaki abantu ababa nezinkinga zamehlo ngemuva kokuthatha iCombivent Respimat.

Kungenzeka futhi ukuthi ufafaze i-Combivent Respimat emehlweni akho ngengozi lapho uhogela umuthi. Uma lokhu kwenzeka, ungaba nobuhlungu beso noma ukubona okungaboni kahle. Ngakho-ke uma usebenzisa i-Combivent Respimat, zama ukugwema ukufafaza umuthi emehlweni akho.

Uma uthatha i-Combivent Respimat futhi ubona ama-halos (imibuthano ekhanyayo ezungeze amalambu), uye wabona umbono, noma wabona ezinye izinkinga zamehlo, tshela udokotela wakho. Udokotela wakho angamisa i-Combivent noma akushintshele komunye umuthi. Ngokuya ngezimpawu zakho, bangelapha inkinga yakho yamehlo.

Ezinye izindlela zempendulo ehlanganisiwe

Ezinye izidakamizwa ziyatholakala ezingelapha isifo esingelapheki se-pulmonary disease (COPD). Ezinye zingakulungela kangcono kunabanye. Uma unentshisekelo yokuthola enye indlela ye-Combivent Respimat, khuluma nodokotela wakho. Bangakutshela ngeminye imithi engakusebenzela kahle.

Qaphela: Eminye yemithi efakwe kuhlu lapha isetshenzisiwe ngaphandle kwelebula ukwelapha lezi zimo ezithile. Ukusetshenziswa okungekho kwelebula kulapho umuthi ovunyelwe ukwelapha umbandela owodwa usetshenziselwa ukwelapha isimo esihlukile.

Ezinye izindlela ze-COPD

Izibonelo zezinye izidakamizwa ezisetshenziselwa ukwelapha i-COPD zifaka:

  • ama-bronchodilators asebenza okwesikhashana, njenge-levoalbuterol (Xopenex)
  • ama-bronchodilator asebenza isikhathi eside, njenge-salmeterol (Serevent)
  • ama-corticosteroids, njenge-fluticasone (i-Flovent)
  • ama-bronchodilator amabili asebenza isikhathi eside (ngokuhlanganiswa), njenge-tiotropium / olodaterol (Stiolto)
  • i-corticosteroid ne-bronchodilator esebenza isikhathi eside (inhlanganisela), efana ne-budesonide / formoterol (Symbicort)
  • i-phosphodiesterase-4 inhibitors, efana ne-roflumilast (Daliresp)
  • i-methylxanthines, efana ne-theophylline
  • ama-steroids, njenge-prednisone (iDeltasone, iRayos)

Esinye isifo esingenza kube nzima ukuphefumula yisifuba somoya, esidala ukuvuvukala emoyeni wakho. Ngoba zombili i-COPD ne-asthma kungaholela ezinkingeni zokuphefumula, eminye imishanguzo ye-asthma ingasetshenziswa ngaphandle kwelebuli ukwelapha izimpawu ze-COPD. Isibonelo somuthi ongasetshenziswa ngaphandle kwelebula le-COPD yinhlanganisela yezidakamizwa i-mometasone / formoterol (iDulera).

Impendulo Ehlanganayo vs. Symbicort

Ungase uzibuze ukuthi i-Combivent Respimat iqhathanisa kanjani neminye imithi enikezwe ukusetshenziswa okufanayo. Lapha sibheka ukuthi i-Combivent Respimat ne-Symbicort zifana kanjani futhi zehlukile.

Isebenzisa

Ukuphathwa Kwezokudla Nezidakamizwa (i-FDA) kuvume kokubili i-Combivent Respimat ne-Symbicort ukwelapha isifo esingamahlalakhona sokuphazamiseka kwamaphaphu (COPD) kubantu abadala. I-COPD iyiqembu lezifo zamaphaphu ezibandakanya i-bronchitis engapheli ne-emphysema.

Ngaphambi kokuba udokotela wakho anikeze i-Combivent Respimat, kufanele ngabe usebenzisa i-bronchodilator efomini le-aerosol. Lolu uhlobo lomuthi olusiza ukuvula izindima zokuphefumula emaphashini akho, bese uwudonsela ngaphakathi. Futhi, kusamele ube nama-bronchospasms (ukuqina kwemisipha ku-airways yakho) futhi udinga i-bronchodilator yesibili.

I-Symbicort nayo ivunyelwe ukwelapha i-asthma kubantu abadala nezingane ezineminyaka engu-6 nangaphezulu.

I-Combivent Respimat noma i-Symbicort yenzelwe ukuthi isetshenziswe njengomuthi wokutakula we-COPD wokuthola ukuphefumula ngokushesha.

Amafomu wezidakamizwa nokuphathwa

I-Combivent Respimat iqukethe izidakamizwa i-ipratropium ne-albuterol. I-Symbicort iqukethe izidakamizwa i-budesonide ne-formoterol.

Kokubili i-Combivent Respimat ne-Symbicort kuza izingcezu ezimbili:

  • i-inhaler device
  • igobolondo (Combivent Respimat) noma ibhokisana lamabhokisi (Symbicort) eliqukethe umuthi

Inhalation (puff) ngayinye ye-Combivent Respimat iqukethe i-20 mcg ye-ipratropium ne-100 mcg ye-albuterol. Kukhona ukukhukhumeza okungu-120 ku-cartridge ngayinye.

Ukudonsa ngakunye kwe-Symbicort kuqukethe i-160 mcg ye-budesonide ne-4.5 mcg ye-formoterol yokwelapha i-COPD. Kukhona ama-60 noma i-120 akhukhumeza ebhokisini ngalinye.

Nge-Combivent Respimat, umthamo ojwayelekile we-COPD ukukhukhumeza okukodwa, kane ngosuku. Umthamo omkhulu ukukhipha okukodwa, kathathu ngosuku.

Kwi-Symbicort, umthamo ojwayelekile we-COPD ukukhukhumeza kabili, kabili ngosuku.

Imiphumela emibi kanye nezingozi

I-Combivent Respimat ne-Symbicort zombili ziqukethe izidakamizwa ekilasini elifanayo lemithi. Ngakho-ke, yomibili le mithi ingadala imiphumela emibi efanayo. Ngezansi kunezibonelo zale miphumela emibi.

Imiphumela emibi ejwayelekile

Lezi zinhlu ziqukethe izibonelo zemiphumela emibi ejwayelekile engenzeka nge-Combivent Respimat, ene-Symbicort, noma ngazo zombili izidakamizwa (uma zithathwa ngazodwana).

  • Kungenzeka nge-Combiment Respimat:
    • ukukhwehlela
  • Kungenzeka nge-Symbicort:
    • ubuhlungu esiswini sakho, emuva, noma emphinjeni
  • Kungenzeka ngamabili ama-Combivent Respimat ne-Symbicort:
    • ukuphelelwa umoya noma ukuphefumula kanzima
    • ikhanda
    • izifo ezingathinta ukuphefumula kwakho okunjalo i-bronchitis enamandla noma imikhuhlane

Imiphumela emibi kakhulu

Lezi zinhlu ziqukethe izibonelo zemiphumela emibi kakhulu engenzeka nge-Combivent Respimat, ene-Symbicort, noma ngazo zombili izidakamizwa (uma zithathwa ngazodwana).

  • Kungenzeka nge-Combiment Respimat:
    • unenkinga yokuchama noma ubuhlungu ngenkathi uchama
    • i-hypokalemia (amazinga aphansi e-potassium)
  • Kungenzeka nge-Symbicort:
    • ingozi ephezulu yokutheleleka, njengokutheleleka emlonyeni wakho okubangelwa ukhunta noma igciwane
    • Izinkinga ze-adrenal gland, kufaka phakathi amazinga aphansi e-cortisol
    • i-osteoporosis noma ubuncane bamaminerali amathambo
    • ukwehlisa ukukhula ezinganeni
    • amazinga aphansi e-potassium
    • amazinga aphezulu kashukela egazini
  • Kungenzeka ngamabili ama-Combivent Respimat ne-Symbicort:
    • i-bronchospasm ephikisayo (ukuphefumula noma ukukhathazeka ukuphefumula okuya kuba kubi kakhulu)
    • ukusabela okweqile
    • izinkinga zenhliziyo, njengokushaya kwenhliziyo okusheshayo noma ubuhlungu besifuba
    • izinkinga zamehlo, njenge-glaucoma ebhebhetheka

Ukusebenza ngempumelelo

I-Combivent Respimat ne-Symbicort zinokusetshenziswa okuvunyelwe okwehlukile kwe-FDA, kodwa womabili asetshenziselwa ukwelapha i-COPD.

Le mithi ayikaze iqhathaniswe ngqo ezifundweni zomtholampilo, kepha izifundo zithole ukuthi zombili i-Combivent Respimat ne-Symbicort ziyasebenza ekwelapheni i-COPD.

Izindleko

I-Combivent Respimat ne-Symbicort zombili izidakamizwa zomuthi. Okwamanje azikho izinhlobo ezijwayelekile zomuthi.

Kodwa-ke, i-FDA ivume i-ipratropium ne-albuterol (izithako ezisebenzayo ku-Combivent Respimat) njengomuthi ojwayelekile osetshenziselwa ukwelapha i-COPD. Lesi sidakamizwa siza ngendlela ehlukile kune-Combivent Respimat. Umuthi ojwayelekile uza njengesisombululo (ingxube ye-liquid) esetshenziswe kudivayisi ebizwa nge-nebulizer. Le nebulizer iguqula umuthi ube yinkungu ohogela imaski noma okokukhuluma.

Ngokuya ngokulinganiselwa ku-GoodRx.com, i-Symbicort ibiza ngaphansi kwe-Combivent Respimat. Isidakamizwa esijwayelekile se-ipratropium ne-albuterol ngokujwayelekile sizobiza kancane kuneCombivent Respimat noma iSymbicort. Intengo yangempela ozoyikhokhela le mithi incike ohlelweni lwakho lomshuwalense, indawo okuyo nasekhemisi oyisebenzisayo.

Impendulo Ehlanganayo vs. Isiphenduli seSpiriva

Ungase uzibuze ukuthi i-Combivent Respimat iqhathanisa kanjani neminye imithi enikezwe ukusetshenziswa okufanayo. Lapha sibheka ukuthi i-Combivent Respimat ne-Spiriva Respimat zifana kanjani futhi zehlukile.

Isebenzisa

Ukuphathwa Kwezokudla Nezidakamizwa (i-FDA) kuvume kokubili i-Combivent Respimat ne-Spiriva Respimat ukwelapha isifo esingamahlalakhona sokuphazamiseka kwamaphaphu (COPD) kubantu abadala. I-COPD iyiqembu lezifo zamaphaphu ezibandakanya i-bronchitis engapheli ne-emphysema.

Ngaphambi kokuba udokotela wakho anikeze i-Combivent Respimat, kufanele ngabe usebenzisa i-bronchodilator efomini le-aerosol. Lolu uhlobo lomuthi olusiza ukuvula izindima zokuphefumula emaphashini akho, bese uwudonsela ngaphakathi. Futhi, kusamele ube nama-bronchospasms (ukuqina kwemisipha ku-airways yakho) futhi udinga i-bronchodilator yesibili.

ISpiriva Respimatis nayo ivume ukwelapha i-asthma kubantu abadala nezingane ezineminyaka eyisithupha nangaphezulu.

I-Combivent Respimat noma i-Spiriva Respimat yenzelwe ukuthi isetshenziswe njengomuthi wokutakula we-COPD wokusiza ukuphefumula ngokushesha.

Amafomu wezidakamizwa nokuphathwa

I-Combivent Respimat iqukethe izidakamizwa i-ipratropium ne-albuterol. I-Spiriva Respimat iqukethe i-tiotropium yezidakamizwa.

Kokubili i-Combivent Respimat ne-Spiriva Respimat iza ngezicucu ezimbili:

  • i-inhaler device
  • igobolondo equkethe imithi

Inhalation (puff) ngayinye ye-Combivent Respimat iqukethe i-20 mcg ye-ipratropium ne-100 mcg ye-albuterol. Kukhona ukukhukhumeza okungu-120 ku-cartridge ngayinye.

Ukudonsa ngakunye kweSpiriva Respimat kuqukethe i-2.5 mcg ye-tiotropium yokwelapha i-COPD. Ama-Cartridges eza nama-60 akhukhumeza kuwo.

Nge-Combivent Respimat, umthamo ojwayelekile we-COPD ukukhukhumeza okukodwa, kane ngosuku. Umthamo omkhulu ukukhipha okukodwa, kathathu ngosuku.

Kwi-Spiriva Respimat, umthamo ojwayelekile we-COPD uyakhukhumeza kabili, kanye ngosuku.

Imiphumela emibi kanye nezingozi

I-Combivent Respimat ne-Spiriva Respimat zombili ziqukethe imishanguzo ekilasini elifanayo lezidakamizwa. Ngakho-ke, yomibili le mithi ingadala imiphumela emibi efanayo. Ngezansi kunezibonelo zale miphumela emibi.

Imiphumela emibi ejwayelekile

Lezi zinhlu ziqukethe izibonelo zemiphumela emibi ejwayelekile engenzeka nge-Combivent Respimat, ne-Spiriva, noma ngazo zombili izidakamizwa (uma zithathwa ngazodwana).

  • Kungenzeka nge-Combiment Respimat:
    • nemiphumela engemihle embalwa ejwayelekile
  • Kungenzeka nge-Spiriva Respimat:
    • umlomo owomile
  • Kungenzeka ngamabili ama-Combivent Respimat ne-Spiriva Respimat:
    • ukukhwehlela
    • ukuphelelwa umoya noma ukuphefumula kanzima
    • ikhanda
    • izifo ezingathinta ukuphefumula kwakho, i-bronchitis enamandla noma imikhuhlane

Imiphumela emibi kakhulu

Lezi zinhlu ziqukethe izibonelo zemiphumela emibi engaba khona ne-Combivent Respimat, ne-Spiriva, noma ngazo zombili izidakamizwa (uma zithathwa ngazodwana).

  • Kungenzeka nge-Combiment Respimat:
    • izinkinga zenhliziyo, njengokushaya kwenhliziyo okusheshayo noma ubuhlungu besifuba
    • i-hypokalemia (amazinga aphansi e-potassium)
  • Kungenzeka nge-Spiriva Respimat:
    • nemiphumela engemihle embalwa eyingqayizivele
  • Kungenzeka ngamabili ama-Combivent Respimat ne-Spiriva Respimat:
    • i-bronchospasm ephikisayo (ukuphefumula noma ukukhathazeka ukuphefumula okuya kuba kubi kakhulu)
    • ukusabela okweqile
    • izinkinga zamehlo, njenge-glaucoma entsha noma ekhulayo
    • unenkinga yokuchama noma ubuhlungu ngenkathi uchama

Ukusebenza ngempumelelo

I-Combivent Respimat ne-Spiriva Respimat zinokusetshenziswa okwehlukile okuvunyelwe yi-FDA, kepha le mithi emibili isetshenziselwa ukwelapha i-COPD.

Le mithi ayikaze iqhathaniswe ngqo ezifundweni zomtholampilo, kepha izifundo zithole ukuthi zombili i-Combivent Respimat ne-Spiriva Respimat ziyasebenza ekwelapheni i-COPD.

Izindleko

I-Combivent Respimat ne-Spiriva Respimat zombili izidakamizwa zomuthi. Okwamanje azikho izinhlobo ezijwayelekile zomuthi.

Kodwa-ke, i-FDA ivume i-ipratropium ne-albuterol (izithako ezisebenzayo ku-Combivent Respimat) njengomuthi ojwayelekile osetshenziselwa ukwelapha i-COPD. Lesi sidakamizwa siza ngendlela ehlukile kune-Combivent Respimat. Umuthi ojwayelekile uza njengesisombululo (ingxube ye-liquid) esetshenziswe kudivayisi ebizwa nge-nebulizer. Le nebulizer iguqula umuthi ube yinkungu ohogela imaski noma okokukhuluma.

Ngokuya ngokulinganiselwa ku-GoodRx.com, i-Combivent Respimat ne-Spiriva ngokuvamile kubiza ngokufana. Isidakamizwa esijwayelekile se-ipratropium ne-albuterol ngokujwayelekile sizobiza kancane kuneCombivent Respimat noma iSpiriva. Intengo yangempela ozoyikhokhela le mithi incike ohlelweni lwakho lomshuwalense, indawo okuyo nasekhemisi oyisebenzisayo.

Ukusetshenziswa kwe-Respimat ehlanganisiwe

Ukuphathwa Kwezokudla Nezidakamizwa (i-FDA) kuvuma imishanguzo kadokotela efana ne-Combivent Respimat yokwelapha izimo ezithile. I-Combivent Respimat nayo ingasetshenziswa ngaphandle kwelebula ngezinye izimo. Ukusetshenziswa okungekho kwelebula kulapho umuthi ovunyelwe ukwelapha umbandela owodwa usetshenziselwa ukwelapha isimo esihlukile.

Impendulo ehlanganayo yesifo samaphaphu esingapheliyo

I-FDA ivume i-Combivent Respimat yokwelapha isifo esingamahlalakhona sokuphazamiseka kwamaphaphu (COPD) kubantu abadala. I-COPD iyiqembu lezifo zamaphaphu ezibandakanya i-bronchitis engapheli ne-emphysema.

I-bronchitis engapheli ibangela ukuthi amashubhu omoya emaphashini akho anciphise, avuvuke futhi aqoqe amafinyila. Lokhu kwenza kube nzima ukuthi umoya udlule emaphashini akho.

I-Emphysema ibhubhisa izikhwama zomoya emaphashini akho ngokuhamba kwesikhathi. Ngamasaka omoya ambalwa, kuba nzima ukuphefumula.

Kokubili i-bronchitis ne-emphysema engapheli iholela enkingeni yokuphefumula, futhi kujwayelekile ukuba nezimo zombili.

Ngaphambi kokuba udokotela wakho anikeze i-Combivent Respimat, kufanele ngabe usebenzisa i-bronchodilator efomini le-aerosol. Lolu uhlobo lomuthi olusiza ukuvula izindima zokuphefumula emaphashini akho, bese uwudonsela ngaphakathi. Futhi, kusamele ube nama-bronchospasms (ukuqina kwemisipha ku-airways yakho) futhi udinga i-bronchodilator yesibili.

Ukusebenza ngempumelelo

Esifundweni somtholampilo, iCombivent Respimat isebenze kangcono kune-ipratropium iyodwa (esinye sezithako kwiCombivent Respimat). Abantu abathathe i-Combivent Respimat bangakhipha umoya ngamandla ngaphezulu komzuzwana owodwa (owaziwa nge-FEV1) uma kuqhathaniswa nabantu abathathe i-ipratropium.

I-FEV1 ejwayelekile yomuntu one-COPD cishe ingamalitha ayi-1.8. Ukwanda kwe-FEV1 kukhombisa ukuhamba komoya okungcono emaphashini akho. Kulolu cwaningo, abantu baba nokuthuthuka ku-FEV1 yabo kungakapheli amahora amane bephuze umuthi owodwa. Kepha i-FEV1 yabantu abathathe iCombivent Respimat ithuthukise ama-millilitara angama-47 ngaphezulu kwe-FEV1 yabantu abathathe i-ipratropium iyodwa.

Ukusetshenziswa okungekho kwelebula kwe-Combivent Respimat

Ngokungeziwe ekusetshenzisweni okubalwe ngenhla, i-Combivent Respimat ingasetshenziswa ngaphandle kwelebula kokunye ukusetshenziswa. Ukusetshenziswa kwezidakamizwa ezingekho ilebula kulapho umuthi ovunyelwe ukusetshenziswa kokunye usetshenziselwa okwehlukile okungavunyelwe.

Impendulo Ehlanganayo Yesifuba Somoya

I-FDA ayivumanga i-Combivent Respimat yokwelapha ukuhlaselwa yisifo somoya. Kodwa-ke, udokotela wakho angakunika umuthi ongekho ilebula uma ezinye izindlela zokwelapha ezivunyiwe zingakusebenzelanga. Isifuba somoya yisimo samaphaphu lapho umoya wakho uqinisa khona, uvuvuke futhi ugcwalise amafinyila. Lokhu kuholela ekuphefumuleni futhi kwenza kube nzima ukuphefumula.

Ukusetshenziswa kwe-Combivent Respimat nezinye izidakamizwa

I-Combivent Respimat isetshenziswa kanye neminye imishanguzo engalapheki yezifo zamaphaphu (COPD) yokwelapha i-COPD. Uma umuthi wakho we-COPD wamanje ungazinciphisi izimpawu zakho, udokotela wakho angahle anikeze i-Combivent Respimat njengesidakamizwa esengeziwe.

Izibonelo zemithi ye-bronchodilator engasetshenziswa ne-Combivent Respimat ifaka:

  • ama-bronchodilators asebenza okwesikhashana, njenge-levoalbuterol (Xopenex)
  • ama-bronchodilator asebenza isikhathi eside, njenge-salmeterol (Serevent)

Le mithi ingaqukatha izithako ezifanayo kulezo ze-Combivent Respimat. Ngakho-ke ukuthatha lokhu nge-Combivent Respimat kungenza imiphumela yakho emibi ibe nzima kakhulu. (Sicela ubheke isigaba se- "Combivent Respimat side effects" ngenhla ukuthola eminye imininingwane.) Udokotela wakho angaqapha imiphumela yakho emibi noma akushintshele komunye umuthi weCOPD uma kudingeka.

Ungayisebenzisa kanjani i-Combivent Respimat

Kufanele uthathe i-Combivent Respimat ngokuya ngemiyalo kadokotela wakho noma yomhlinzeki wezokunakekelwa kwempilo.

I-Combivent Respimat iza ngezicucu ezimbili:

  • i-inhaler device
  • igobolondo equkethe imithi

Uzothatha i-Combivent Respimat ngokuyihogela. Ukufunda ukuthi ungayilungisa kanjani i-inhaler yakho futhi uyisebenzise usuku nosuku, bukela lawa mavidiyo kuwebhusayithi yeCombivent Respimat. Ungalandela imiyalo yesinyathelo ngesinyathelo nezithombe ezivela kule webhusayithi.

Ukuthatha nini

Umthamo ojwayelekile ukukhipha okukodwa okuhogelwayo, kane ngosuku. Umthamo omkhulu ukukhukhumeza okukodwa okuhogelwayo, izikhathi eziyisithupha ngosuku. Umthamo we-Combivent Respimat kufanele uhlale okungenani amahora amane kuya kwamahlanu. Ukugwema ukuvuka ebusuku ukuze uthathe umthamo, beka imithamo yakho phakathi nosuku lapho uvukile.

Ukusiza ukuqinisekisa ukuthi awuphuthelwa umthamo, faka isikhumbuzi efonini yakho. Ungathola futhi isibali sikhathi semithi.

Izindleko zokuphendula ezihlanganayo

Njengayo yonke imithi, izindleko ze-Combivent Respimat zingahluka.

Intengo yangempela ozoyikhokha incike ohlelweni lwakho lomshuwalense, indawo okuyo nasekhemisi oyisebenzisayo.

Usizo lwezezimali nolomshuwalense

Uma udinga ukwesekwa kwezezimali ukukhokhela i-Combivent Respimat, noma uma udinga usizo lokuqonda ukutholakala komshuwalense wakho, usizo luyatholakala.

I-Boehringer Ingelheim Pharmaceuticals, Inc, umkhiqizi we-Combivent Respimat, unikeza ikhadi lokonga elingasiza ekwehliseni izindleko zencwadi kadokotela. Ukuthola eminye imininingwane nokuthola ukuthi ukulungele yini ukwesekwa, shayela ku-800-867-1052 noma uvakashele iwebhusayithi yohlelo.

Impendulo ehlanganayo notshwala

Ngalesi sikhathi, utshwala abaziwa ukuthi buhlangana ne-Combivent Respimat. Kodwa-ke, ukuphuza utshwala njalo kungaholela esifo esingelapheki se-pulmonary disease (COPD). Uma uphuza kakhulu, amaphaphu akho anenkinga enzima yokugcina imigudu yakho yomoya icacile.

Uma unemibuzo mayelana nokuphuza utshwala nokuthatha i-Combivent Respimat, khuluma nodokotela wakho.

Ukuhlangana kokuphendula okuhlangene

I-Combivent Respimat ingaxhumana neminye imithi eminingana. Ingasebenzisana nezithasiselo ezithile kanye nokudla okuthile.

Ukuxhumana okuhlukile kungadala imiphumela ehlukile. Isibonelo, ukuxhumana okuthile kungaphazamisa ukusebenza kwesidakamizwa. Okunye ukuxhumana kungakhuphula inani lemiphumela emibi noma kubenze babe nzima kakhulu.

I-Combiment Respimat neminye imithi

Ngezansi kunohlu lwemithi engasebenzisana ne-Combivent Respimat. Lolu hlu aluqukethe yonke imishanguzo engasebenzisana ne-Combivent Respimat.

Ngaphambi kokuthatha i-Combivent Respimat, khuluma nodokotela wakho nosokhemisi. Batshele ngayo yonke imishanguzo oyinikezwa ngudokotela, i-counter-counter, nezinye izidakamizwa oziphuzayo. Batshele futhi nganoma yimaphi amavithamini, amakhambi, nezithako ozisebenzisayo. Ukwabelana ngalolu lwazi kungakusiza ugweme ukuhlangana okungenzeka.

Uma unemibuzo mayelana nokuhlangana kwezidakamizwa okungakuthinta, buza udokotela wakho noma usokhemisi.

I-Combivent Respimat namanye ama-anticholinergics kanye / noma ama-agonists we-beta-adrenergic

Ukuthatha i-Combivent Respimat namanye ama-anticholinergics kanye / noma i-beta2-adrenergic agonists kungenza imiphumela yakho emibi ibe nzima kakhulu. (Uyacelwa ukuthi ubheke isigaba "semiphumela emibi yokubamba iqhaza" ukuthola imininingwane ethe xaxa.)

Izibonelo zamanye ama-anticholinergics kanye ne-beta2-adrenergic agonists afaka:

  • i-anticholinergics, njenge-diphenhydramine (iBenadryl), i-tiotropium (i-Spiriva)
  • i-beta2-adrenergic agonists, efana ne-albuterol (Ventolin)

Ngaphambi kokuba uthathe i-Combivent Respimat, tshela udokotela wakho uma ngabe uthatha noma imuphi wale mithi. Bangakuqapha ngesikhathi sokwelashwa kwe-Combivent Respimat noma bakushintshele emithini ehlukile.

I-Combivent Respimat nemithi ethile yomfutho wegazi ophakeme

Ukuthatha i-Combivent Respimat ngemithi ethile yomfutho wegazi ophezulu kungehlisa amazinga e-potassium emzimbeni wakho noma kuvimbele i-Combivent Respimat ekusebenzeni kahle.

Izibonelo zemithi yomfutho wegazi engasebenzisana ne-Combivent Respimat ifaka phakathi:

  • i-diuretics, efana ne-hydrochlorothiazide, i-furosemide (i-Lasix)
  • ama-beta-blockers, afana ne-metoprolol (Lopressor), atenolol (Tenormin), propranolol (Inderal)

Ngaphambi kokuba uthathe i-Combivent Respimat, tshela udokotela wakho uma ngabe uthatha noma imuphi wale mithi. Bangakushintshela kumfutho wegazi ohlukile noma ngemithi ye-COPD, noma baqaphe amazinga akho we-potassium.

I-Combivent Respimat kanye nemithi ethile elwa nokudangala

Ukuthatha i-Combivent Respimat ngemithi ethile ye-anti-depressant kungenza imiphumela yakho emibi ibe nzima kakhulu. (Uyacelwa ukuthi ubheke isigaba "semiphumela emibi yokubamba iqhaza" ukuthola imininingwane ethe xaxa.)

Izibonelo ze-antidepressants ezingasebenzisana ne-Combivent Respimat zifaka:

  • i-tricyclic antidepressants, efana ne-amitriptyline, nortriptyline (Pamelor)
  • i-monoamine oxidase inhibitors (i-MAOIs), efana ne-phenelzine (Nardil), selegiline (Emsam)

Ngaphambi kokuba uthathe i-Combivent Respimat, tshela udokotela wakho uma ngabe uthatha noma imuphi wale mithi. Bangakushintshela ku-anti-depressant ehlukile okungenani amasonto amabili ngaphambi kokuqala ukuthatha i-Combivent Respimat. Udokotela wakho kungenzeka futhi ukuthi uthathe umuthi ohlukile we-COPD.

Ama-Respimat ahlanganisiwe namakhambi nezithako

Awekho amakhambi noma izengezo ezaziwayo ukusebenzisana ne-Combivent Respimat.Kodwa-ke, kusamele uhlole udokotela wakho noma usokhemisi ngaphambi kokusebenzisa noma yimaphi amakhambi noma izithako lapho uthatha i-Combivent Respimat.

Ukweqisa ngokweqile kokuphendula ngokweqile

Ukusebenzisa okungaphezu kwesilinganiso esinconyiwe se-Combivent Respimat kungaholela emiphumeleni emibi kakhulu.

Izimpawu zokudlula ngokweqile

Izimpawu zokudlula ngokweqile zingabandakanya:

  • ubuhlungu besifuba
  • ukushaya kwenhliziyo ngokushesha
  • umfutho wegazi ophakeme
  • izinguqulo ezinamandla zemiphumela emibi ejwayelekile (Sicela ubheke isigaba esithi “Imiphumela Yokubamba Okuhlangene” ngenhla ukuze uthole eminye imininingwane.)

Okufanele ukwenze uma kwenzeka ukweqisa ngokweqile

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho. Ungashayela futhi i-American Association of Poison Control Centers ku-800-222-1222 noma usebenzise ithuluzi labo eliku-inthanethi. Kepha uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Isebenza kanjani i-Combivent Respimat

Isifo esingapheliyo se-pulmonary disease (COPD) yiqembu lezifo zamaphaphu ezibandakanya i-bronchitis engapheli kanye ne-emphysema.

I-bronchitis engapheli ibangela ukuthi amashubhu omoya emaphashini akho anciphise, avuvuke futhi aqoqe amafinyila. Lokhu kwenza kube nzima ukuthi umoya udlule emaphashini akho.

I-Emphysema ibhubhisa izikhwama zomoya emaphashini akho ngokuhamba kwesikhathi. Ngamasaka omoya ambalwa, kuba nzima ukuphefumula.

Kokubili i-bronchitis ne-emphysema engapheli iholela enkingeni yokuphefumula, futhi kujwayelekile ukuba nezimo zombili.

Izidakamizwa ezisebenzayo kuCombivent Respimat, ipratropium ne-albuterol, zisebenza ngezindlela ezehlukene. Zombili lezi zidakamizwa ziphumuza imisipha ezindleleni zakho zomoya. Ipratropium ingeyesigaba semithi ebizwa ngokuthi i-anticholinergics. (Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo.) Izidakamizwa ezikulesi sigaba zisiza ukuvimbela imisipha esemaphashini akho ukuba iqine.

I-Albuterol ingeyesigaba semithi ebizwa ngama-short-acting beta2-agonists (SABAs). Imithi ekulesi sigaba isiza ukukhulula imisipha emaphashini akho. I-Albuterol ibuye isize ukukhipha amafinyila ezindleleni zakho zomoya. Lezi zenzo zisiza ukuvula imigwaqo yakho yomoya ukwenza ukuphefumula kube lula.

Kuthatha isikhathi esingakanani ukusebenza?

Ngemuva kokuthatha umthamo we-Combivent Respimat, umuthi kufanele uqale ukusebenza cishe imizuzu eyi-15. Lapho umuthi uqala ukusebenza, ungaqala ukubona ukuthi kulula ukuphefumula.

Impendulo ehlangene nokukhulelwa

Ayikho idatha eyanele yokwazi ukuthi kuphephile yini ukuthatha i-Combivent Respimat ngenkathi ukhulelwe. Kodwa-ke, isithako seCombivent Respimat esibizwa nge-albuterol sikhonjisiwe ukuthi silimaze izingane ezifundweni zezilwane. Khumbula ukuthi izifundo zezilwane azihlali zibikezela ukuthi kuzokwenzekani kubantu.

Uma ukhulelwe noma uhlela ukukhulelwa, khuluma nodokotela wakho. Bangakutshela ngezinzuzo nezingozi zokusebenzisa lo muthi ngenkathi ukhulelwe.

Impendulo ehlanganisiwe nokulawulwa kokuzalwa

Akwaziwa ukuthi ngabe i-Combivent Respimat iphephile yini ukuyithatha ngesikhathi sokukhulelwa. Uma wena noma umlingani wakho wezocansi ungakhulelwa, khuluma nodokotela wakho ngezidingo zakho zokulawula ukubeletha ngenkathi usebenzisa i-Combivent Respimat.

Impendulo ehlanganisiwe nokuncelisa

Ayikho idatha eyanele yokwazi ukuthi kuphephile yini ukusebenzisa i-Combivent Respimat ngenkathi uncelisa.

I-Combivent Respimat iqukethe isithako esibizwa nge-ipratropium, kanti ingxenye ye-ipratropium idlulela ebisini lwebele. Kodwa akwaziwa ukuthi lokhu kuzithinta kanjani izingane ezincelisayo.

Esinye isithako seCombivent Respimat esibizwa nge-albuterol sikhonjisiwe ukuthi silimaza izingane ezifundweni zezilwane. Kodwa-ke, izifundo zezilwane azihlali zibikezela ukuthi kuzokwenzekani kubantu.

Uma uncelisa noma uhlela ukuncelisa, khuluma nodokotela wakho. Bangakutshela ngezinzuzo nezingozi zokusebenzisa lo muthi ngenkathi uncelisa.

Imibuzo ejwayelekile nge-Combivent Respimat

Nazi izimpendulo zemibuzo ebuzwa njalo nge-Combivent Respimat.

Ngabe ngisazodinga ukusebenzisa i-inhaler yami yokutakula ejwayelekile nge-Combivent Respimat?

Ungahle. I-inhaler yokutakula iyithuluzi olisebenzisa kuphela uma unenkinga yokuphefumula futhi udinga ukukhululeka khona lapho. I-Combivent Respimat, ngakolunye uhlangothi, isidakamizwa osiphuzayo njalo ukukusiza uqhubeke uphefumule kahle. Kepha kungahle kube nezikhathi lapho unezinkinga zokuphefumula, ngakho-ke usengadinga i-inhaler yokutakula.

Khuluma nodokotela wakho mayelana nokuthi usebenzisa kangaki i-inhaler yakho yokutakula. Uma ulisebenzisa kaningi, uhlelo lwakho lokwelashwa lwe-COPD kungadingeka lushintshwe.

Ngabe i-Combivent Respimat ingcono kunokwelashwa kwe-albuterol kukodwa?

Kungenzeka, ngokwesifundo somtholampilo sabantu abanesifo esingelapheki sokuvimbela kwamaphaphu (COPD). Abantu bathathe inhlanganisela ye-ipratropium ne-albuterol (imishanguzo esebenzayo ku-Combivent Respimat), i-ipratropium iyodwa, noma i-albuterol iyodwa.

Ucwaningo luthole ukuthi inhlanganisela ye-ipratropium ne-albuterol igcina imigwaqo yomoya ivuleka isikhathi eside kunaleyo eyenziwa yi-albuterol iyodwa. Abantu abathathe inhlanganisela yezidakamizwa babevule imigwaqo yomoya amahora amane kuya kwamahlanu. Lokhu kwaqhathaniswa namahora amathathu kubantu abathatha i-albuterol nje.

Qaphela: Kulolu cwaningo, abantu abathathe inhlanganisela ye-ipratropium ne-albuterol basebenzise into ehlukile yokuhogela kunedivayisi yeCombivent Respimat.

Uma unemibuzo mayelana ne-albuterol noma ezinye izindlela zokwelashwa ze-COPD, khuluma nodokotela wakho.

Ingabe ikhona imishanguzo engingayithola yokwehlisa ubungozi bokuqhuma kwe-COPD?

Yebo. I-Centers for Disease Control and Prevention (CDC) incoma ukuthi abantu abane-COPD bathole imishanguzo yomkhuhlane, inyumoniya, ne-Tdap. Ukuthola le mithi yokugoma kungasiza ekwehliseni ubungozi bakho bokuqhamuka kwe-COPD.

Lokhu kungenxa yokuthi izifo zamaphaphu ezinjengomkhuhlane, inyumoniya, nokukhwehlela kungenza i-COPD ibe yimbi kakhulu. Futhi ukuba ne-COPD kungabhebhethekisa umkhuhlane, inyumoniya, nokukhwehlela.

Ungadinga eminye imigomo, futhi, ngakho-ke buza udokotela wakho uma usesikhathini kuzo zonke izibhamu zakho.

Ngabe i-Combivent Respimat yehluke kanjani kwi-DuoNeb?

I-Combivent Respimat ne-DuoNeb bobabili bavunywa yi-Food and Drug Administration (FDA) ukwelapha i-COPD. Noma kunjalo, i-DuoNeb ayisatholakali emakethe. I-DuoNeb manje ifika ngendlela ejwayelekile njenge-ipratropium / albuterol.

Kokubili i-Combivent Respimat ne-ipratropium / albuterol iqukethe i-ipratropium ne-albuterol, kepha imithi ifika ngezindlela ezahlukahlukene. I-Combivent Respimat iza njengedivayisi ebizwa nge-inhaler. Uhogela umuthi njengesifutho esicindezelwe (i-aerosol) ngokusebenzisa i-inhaler. Ipratropium / albuterol iza njengesisombululo (ingxube ketshezi) esetshenziswa kudivayisi ebizwa nge-nebulizer. Le divayisi iguqula umuthi ube yinkungu ohogela imaski noma okokukhuluma.

Uma unemibuzo mayelana neCombivent Respimat, ipratropium / albuterol, noma ezinye izindlela zokwelapha ze-COPD, khuluma nodokotela wakho.

Izinyathelo zokuvikela ukuphendula ngokuhlangana

Ngaphambi kokuthatha i-Combivent Respimat, khuluma nodokotela wakho ngomlando wakho wezempilo. I-Combivent Respimat ingahle ingakulungeli uma unezimo ezithile zezokwelapha noma ezinye izinto ezithinta impilo yakho. Lokhu kufaka phakathi:

  • Ukusabela okweqile. Uma ungezwani ne -Combivent Respimat, noma iziphi izithako zayo, noma i-atropine yezidakamizwa, akufanele uthathe i-Combivent Respimat. (I-Atropine isidakamizwa esifana namakhemikhali nesinye sezithako ze-Combivent Respimat.) Uma ungenasiqiniseko sokuthi unaleligciwane kunoma iyiphi yalezi zidakamizwa, khuluma nodokotela wakho. Bangancoma ukwelashwa okwehlukile uma kudingeka.
  • Izimo ezithile zenhliziyo. I-Combiment Respimat ingadala izinkinga zenhliziyo uma unezimo ezithile zenhliziyo. Lokhu kufaka phakathi i-arrhythmia, umfutho wegazi ophakeme, noma ukungasebenzi kahle kwe-coronary (kunciphise ukugeleza kwegazi kuye enhliziyweni). Isidakamizwa singadala ushintsho kumfutho wegazi, ukushaya kwenhliziyo, nesigqi senhliziyo. Uma unesimo senhliziyo, buza udokotela wakho ukuthi ngabe i-Combivent Respimat ikulungele yini.
  • I-glaucoma emincane. I-Combiment Respimat ingakhuphula ingcindezi emehlweni, okungaholela ekutheni i-glaucoma entsha noma ibe yimbi kakhulu. Uma unale ndlela ye-glaucoma, udokotela wakho uzokuqapha ngesikhathi sokwelashwa kwakho kwe-Combivent Respimat.
  • Izinkinga ezithile zomchamo. I-Combivent Respimat ingadala ukugcinwa komchamo, isimo lapho isinye sakho singakhiphi ngokuphelele. Uma unezinkinga ezithile zomchamo njenge-prostate enwetshiwe noma ukuvinjelwa kwesibindi-intamo, buza udokotela wakho ukuthi ngabe i-Combivent Respimat ikulungele yini.
  • Izinkinga zokubamba. I-Albuterol, esinye sezidakamizwa ezikwiCombivent Respimat, singase sibe sibi kakhulu isifo sokuthathwa komzimba. Uma unenkinga yokuquleka, buza udokotela wakho ukuthi ngabe i-Combivent Respimat ikulungele yini.
  • I-Hyperthyroidism. I-Albuterol, esinye sezidakamizwa kwi-Combivent Respimat, ingahle ibe yimbi i-hyperthyroidism (amazinga aphezulu egilo). Uma une-hyperthyroidism, buza udokotela wakho ukuthi ngabe i-Combivent Respimat ikulungele yini.
  • Isifo sikashukela. I-Albuterol, esinye sezidakamizwa ezikwiCombivent Respimat, ingase isibhebhethekise isifo sikashukela. Uma unesifo sikashukela, cela udokotela wakho ukuthi ngabe i-Combivent Respimat ikulungele yini.
  • Ukukhulelwa nokuncelisa. Akukaziwa ukuthi ngabe i-Combivent Respimat iyingozi yini ngesikhathi sokukhulelwa noma lapho uncelisa. Ngeminye imininingwane, sicela ubheke izigaba ezingenhla ze- "Combivent Respimat and pregnancy" kanye ne- "Combivent Respimat kanye nokuncelisa ibele".

Qaphela: Ukuthola eminye imininingwane ngemiphumela engemihle engaba khona ye-Combivent Respimat, bheka isigaba esingenhla "Semiphumela ye-Combivent Respimat" ngenhla.

Ukuphela kwesikhathi sokuphendula, ukugcinwa, nokulahlwa

Uma uthola i-Combivent Respimat ekhemisi, usokhemisi uzokwengeza usuku lokuphelelwa yisikhathi kwilebula esebhodleleni. Lolu suku luvame ukuba unyaka owodwa kusukela ngosuku abanikeze ngalo umuthi.

Usuku lokuphelelwa isikhathi lusiza ukuqinisekisa ukusebenza komuthi ngalesi sikhathi. Isimo samanje se-Food and Drug Administration (i-FDA) ukugwema ukusebenzisa imishanguzo ephelelwe yisikhathi. Uma usebenzise umuthi ongasetshenziswanga osudlulile esikhathini sokuphelelwa yisikhathi, khuluma nosokhemisi wakho mayelana nokuthi usengakwazi yini ukuwusebenzisa.

Uma usufake igobolondo lemithi ku-inhaler, lahla noma iyiphi i-Combivent Respimat esele ngemuva kwezinyanga ezintathu. Lokhu kusebenza noma ngabe uthathe noma imuphi umuthi noma cha.

Isitoreji

Ukuthi umuthi uhlala ulungile isikhathi eside kangakanani kungancika ezintweni eziningi, kufaka phakathi ukuthi uwugcina kanjani futhi kuphi umuthi.

Kufanele ugcine i-Combivent Respimat ekamelweni lokushisa. Ungasiqandisi lesi sidakamizwa.

Ukulahlwa

Uma ungasadingi ukuthatha i-Combivent Respimat futhi unemithi esele, kubalulekile ukuyilahla ngokuphepha. Lokhu kusiza ukuvimbela abanye, kufaka phakathi izingane nezilwane ezifuywayo, ekuthatheni lesi sidakamizwa ngengozi. Kuyasiza futhi ukugcina umuthi ungalimazi imvelo.

Iwebhusayithi ye-FDA inikeza amathiphu amaningi awusizo ngokulahlwa kwemithi. Ungabuza futhi usokhemisi wakho imininingwane yokuthi ungayilahla kanjani imithi yakho.

Imininingwane yobungcweti ye-Combivent Respimat

Imininingwane elandelayo inikezwa odokotela nabanye ochwepheshe bezempilo.

Izinkomba

I-Combivent Respimat ikhonjiswa njengokwengezwa kokwelashwa kwesifo esingapheliyo se-pulmonary disease (COPD) lapho isiguli singenayo impendulo eyanele (i-bronchospasms eqhubekayo) ku-bronchodilator yaso yamanje.

Indlela yokusebenza

I-Combivent Respimat yi-bronchodilator equkethe i-ipratropium bromide (anticholinergic) ne-albuterol sulfate (i-beta2-adrenergic agonist). Uma ihlanganisiwe, inikela ngomphumela onamandla we-bronchodilation ngokwandisa i-bronchi nemisipha ephumuzayo kunaleyo esetshenziswa yodwa.

I-Pharmacokinetics ne-metabolism

Isikhathi sempilo ye-ipratropium bromide ngemuva kokuphefumula noma ukuphathwa ngemithambo cishe amahora amabili. Impilo kahafu ka-Albuterol sulfate amahora amabili kuya kwayisithupha emva kokuhogela kanye namahora angu-3.9 ngemuva kokuphathwa kwe-IV.

Izimo

I-Combivent Respimat iyaphikiswa ezigulini ezihlangabezane nokusabela kwe-hypersensitivity ku:

  • ipratropium, albuterol, noma esinye isithako ku-Combivent Respimat
  • i-atropine noma yini ethathwe ku-atropine

Isitoreji

I-Combivent Respimat kufanele igcinwe ku-77 ° F (25 ° C), kepha i-59 ° F kuye ku-86 ° F (15 ° C kuye ku-30 ​​° C) iyamukeleka. Ungafrizi.

Ukuzikhulula: IMedical News Namuhla yenze yonke imizamo yokuqinisekisa ukuthi yonke imininingwane iyiqiniso, iphelele futhi ihambisana nesikhathi.Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.

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