I-Tiotropium, i-Inhalation Powder

-Delile

• Izexwayiso ezibalulekile
• Yini i-tiotropium?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Tiotropium
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• I-Tiotropium ingaxhumana neminye imithi
• Ezinye izidakamizwa ze-anticholinergic
• Izexwayiso ze-Tiotropium
• Isexwayiso somzimba
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• Ungayithatha kanjani i-tiotropium
• Isikali sesifo samaphaphu esingapheliyo
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-tiotropium
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuzilawula
• Ukuqapha komtholampilo
• Ngaphambi kokugunyazwa
• Ingabe zikhona ezinye izindlela?

Okuvelele kwe-tiotropium

1. I-Tiotropium inhalation powder iyatholakala njengesidakamizwa esinegama lomkhiqizo. Akutholakali njengomuthi ojwayelekile. Igama lomkhiqizo: Spiriva.
2. I-Tiotropium iza ngezindlela ezimbili: i-inhalation powder ne-inhalation spray.
3. I-Tiotropium inhalation powder isetshenziselwa ukwelapha isifo esingamahlalakhona sokuphazamiseka kwamaphaphu (COPD).

Izexwayiso ezibalulekile

• Isexwayiso sokuphefumula esifushane: Imithi ehogelwayo efana nalesi sidakamizwa ingalulaza ukuphefumula ngokungalindelekile. Kungadala nezinkinga zokuphefumula ezintsha. Uma lokhu kwenzeka, shayela udokotela wakho uyeke ukusebenzisa lesi sidakamizwa.
• Isexwayiso sokulimala kwamehlo: Lesi sidakamizwa singalimaza amehlo akho. Shayela udokotela wakho uma unezinkinga ezilandelayo zamehlo ngenkathi usebenzisa lo muthi:
• ubuhlungu beso noma ukungaphatheki kahle
• ukungaboni kahle
• ukubona ama-halos noma izithombe ezinemibala
• Isixwayiso sokugcinwa komchamo: Lesi sidakamizwa singadala ukuthi ugcine umchamo. Shayela udokotela wakho uma unenkinga yokudlulisa umchamo, noma uma unezinhlungu lapho uchama.
• Isixwayiso sesiyezi: Lesi sidakamizwa singadala isiyezi. Sebenzisa ukuqaphela okukhulu lapho ushayela imoto noma usebenzisa imishini uma uthatha lo muthi.

Yini i-tiotropium?

I-Tiotropium ngumuthi kadokotela. Kuza njenge-inhalation powder noma i-inhalation spray.

I-Tiotropium inhalation powder iyatholakala njengomuthi wegama lomkhiqizo Spiriva. Akutholakali njengomuthi ojwayelekile. Impuphu, eza nge-capsule, ihogelwe kusetshenziswa into ebizwa nge-HandiHaler.

I-Tiotropium inhalation powder ingasetshenziswa njengengxenye yokwelashwa okuhlanganayo. Lokhu kusho ukuthi ungadinga ukuyithatha nezinye izidakamizwa.

Kungani kusetshenziswa

I-Tiotropium inhalation powder isetshenziselwa ukwelashwa isikhathi eside kwesifo esingapheliyo se-pulmonary disease (COPD). Isetshenziselwa ukunciphisa ukuqhuma kwezifo.

I-Tiotropium inhalation powder akufanele isetshenziselwe ukwelashwa ngokushesha kokuphefumula noma ezinye izinkinga zokuphefumula.

Isebenza kanjani

I-Tiotropium inhalation powder ingeyesigaba sezidakamizwa ezibizwa ngokuthi imishanguzo yokuhogela i-anticholinergic. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

I-Tiotropium inhalation powder yehlisa imisipha yamaphaphu akho. Lokhu kusiza ukunciphisa nokuvimbela ukuphefumula okuncane.

Imiphumela emibi ye-Tiotropium

I-Tiotropium inhalation powder ayikwenzi ukhathele. Noma kunjalo, kungakwenza ube nesiyezi. Kungadala neminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Eminye yemiphumela emibi ejwayelekile engenzeka ngokusetshenziswa kwe-tiotropium ifaka:

• umlomo owomile
• Umphimbo obuhlungu
• ukukhwehlela
• izinkinga ze-sinus
• ukuqunjelwa
• ukushaya kwenhliziyo okusheshayo
• ukufiphala kombono noma ukushintsha kombono
• ubuhlungu ngokuchama

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

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:

• Ukuphefumula okungazelelwe okungasongela impilo
• Ukulimala kweso. Izimpawu zingafaka:
• ubuhlungu beso noma ukungaphatheki kahle
• ukungaboni kahle
• halos
• amehlo abomvu
• ukubona izithombe ezinemibala
• Izinkinga zomchamo. Izimpawu zingafaka:
• ubuhlungu ngenkathi uchama
• inkinga yokuchama

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.

I-Tiotropium ingaxhumana neminye imithi

I-Tiotropium inhalation powder ingasebenzisana neminye imithi, amavithamini, noma amakhambi okungenzeka ukuthi uthatha. Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kuvimbele umuthi ukuthi usebenze kahle.

Ukusiza ukugwema ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma amakhambi owathathayo. Ukuthola ukuthi lo muthi ungahlangana kanjani nokunye okuthathayo, khuluma nodokotela wakho noma usokhemisi.

Izibonelo zemithi engadala ukusebenzisana ne-tiotropium zibhalwe ngezansi.

Ezinye izidakamizwa ze-anticholinergic

Ingozi yemiphumela emibi ingakhuphuka lapho i-tiotropium isetshenziswa neminye imithi ye-anticholinergic. Ungayisebenzisi i-tiotropium nezinye izidakamizwa ze-anticholinergic. Izibonelo zale mithi zifaka:

• i-diphenhydramine
• benztropine
• clomipramine
• olanzapine

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

Izexwayiso ze-Tiotropium

Lesi sidakamizwa siza nezixwayiso eziningana.

Isexwayiso somzimba

Lesi sidakamizwa singadala ukusabela okweqile komzimba. Izimpawu zingafaka:

• ukulunywa
• ukuvuvukala kwezindebe, ulimi, noma umphimbo
• ukuqubuka
• inkinga yokuphefumula

Uma uthuthukisa lezi zimpawu, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi (kungadala ukufa). Futhi, ungawuthathi lo muthi uma ngabe uke waba ne-allergen reaction ku-ipratropium. Futhi qaphela ngokweqile uma ngabe uphendulile emzimbeni we-atropine noma amaprotheni obisi. Impuphu ye-inhalation iqukethe i-lactose, engaqukatha amaprotheni obisi.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanesifo sezinso: Uma unesifo sezinso, ungahle ungakwazi ukusula lesi sidakamizwa emzimbeni wakho kahle. Lokhu kungakhuphula amazinga alo muthi emzimbeni wakho futhi kubangele imiphumela emibi eminingi.

Okwabantu abane-glaucoma ewumkhawulo omncane: Lesi sidakamizwa singasenza sibe sibi isimo sakho. Khuluma nodokotela wakho mayelana nokuthi lo muthi uphephile yini kuwe.

Okwabantu abane-prostate enwetshiwe noma ukuvinjelwa kwesinye: Lesi sidakamizwa singadala ukugcinwa komchamo. Uma unezinkinga ezengeziwe zokuchama ngenkathi uthatha lo muthi, shayela udokotela wakho khona manjalo.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: : Ucwaningo ezilwaneni lukhombise imiphumela emibi embungwini lapho umama edla umuthi. Kodwa-ke, akuzange kube nezifundo ezanele ezenziwe ebantwini ukuze kuqinisekiswe ukuthi umuthi ungalithinta kanjani umbungu womuntu.

Khuluma nodokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Lesi sidakamizwa kufanele sisetshenziswe kuphela uma inzuzo engaba khona iqinisekisa ubungozi obungaba khona.

Uma ukhulelwa ngenkathi usebenzisa lesi sidakamizwa, shayela udokotela wakho ngokushesha.

Kwabesifazane abancelisayo: Lesi sidakamizwa singadlula ubisi lwebele futhi singadala imiphumela emibi enganeni enceliswa ibele. Khuluma nodokotela wakho uma uncelisa ingane yakho ibele. Ungadinga ukunquma ukuthi uyeka ukuncelisa noma uyeke ukuthatha le mithi.

Ungayithatha kanjani i-tiotropium

Yonke imithamo engenzeka kanye namafomu ezidakamizwa kungenzeka angafakwa lapha. Umthamo wakho, ifomu lesidakamizwa, nokuthi uwuthatha kangaki umuthi kuzoya ngokuthi:

• iminyaka yakho
• isimo esilashwa
• sinzima kangakanani isimo sakho
• ezinye izimo zezokwelapha onazo
• ukuthi usabela kanjani esilinganisweni sokuqala

Isikali sesifo samaphaphu esingapheliyo

Umkhiqizo: Spiriva

• Ifomu: Ama-capsules ane-powder forhalation yomlomo, okumele asetshenziswe nedivayisi ye-HandiHaler
• Amandla: Iphilisi ngalinye liqukethe ama-micrograms ayi-18 emithi.

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Thatha ukuhogela kabili kokuqukethwe kompuphu wephilisi elilodwa kanye ngosuku.
• Ungathathi ngaphezulu kokuhogela okungu-2 emahoreni angama-24.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akuqinisekisiwe ukuthi i-tiotropium iphephile futhi isebenza kahle ekusetshenzisweni ezinganeni ezine-COPD ezineminyaka engaphansi kwengu-18 ubudala.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Njalo ukukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

Thatha njengoba kuqondisiwe

I-Tiotropium inhalation powder isetshenziselwa ukwelashwa kwesikhathi eside. Akufanele isetshenziswe njengokwelapha ngokushesha ukuphefumula okuncane noma ezinye izinkinga zokuphefumula. Kuza nezingozi uma ungayithathi njengokuyalelwe.

Uma uyeka ukuthatha lo muthi noma ungawuthathi nhlobo: Kungenzeka ukuthi uye waphefumula kanzima noma ezinye izinkinga zokuphefumula.

Uma uphuthelwa imithamo noma ungaphuzi umuthi ngesikhathi: Imithi yakho kungenzeka ingasebenzi kahle noma ingayeka ukusebenza ngokuphelele. Ukuze lo muthi usebenze kahle, inani elithile lidinga ukuba semzimbeni wakho ngaso sonke isikhathi.

Uma uthatha kakhulu: Ungaba namazinga ayingozi omuthi emzimbeni wakho. Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma isikhungo sendawo sokulawula ubuthi. Uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Okufanele ukwenze uma uphuthelwa umthamo: Thatha umthamo wakho ngokushesha nje lapho ukhumbula. Kepha uma ukhumbula amahora ambalwa ngaphambi komthamo wakho olandelayo ohleliwe, thatha umthamo owodwa kuphela. Ungalokothi uzame ukuthola ngokuthatha amanani amabili ngasikhathi sinye. Lokhu kungaholela emiphumeleni emibi eyingozi.

Ungasho kanjani ukuthi umuthi uyasebenza: Kufanele ube nokuphefumula okuncane noma ezinye izinkinga zokuphefumula.

Ukucatshangelwa okubalulekile kokuthatha i-tiotropium

Gcina lokhu kucatshangelwa engqondweni uma udokotela wakho ekunika i-tiotropium.

Jikelele

• Musa ukusika, ukuchoboza, noma ukuvula i-capsule. Ingasetshenziswa kuphela ngedivayisi ye-HandiHaler.

Isitoreji

• Gcina amaphilisi ku-77 ° F (25 ° C). Zingagcinwa emazingeni okushisa angama-59 ° F no-86 ° F (15 ° C no-30 ° C) isikhathi esifushane kakhulu.
• Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.
• Ama-capsules kufanele agcinwe kwiphakethe le-blister angena futhi asuswe ngaphambi nje kokuwasebenzisa. Ungagcini amaphilisi ngaphakathi kwensiza yeHandiHaler.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-x-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha isitsha sokuqala esinelebula kadokotela.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuzilawula

I-Tiotropium inhalation powder iza nge-capsule. Ungagwinyi iphilisi. Ubeka i-capsule kudivayisi ekhethekile ehogelayo ebizwa nge-HandiHaler. Le divayisi ikuvumela ukuthi uhogele i-powder ngomlomo wakho.

Udokotela wakho uzokukhombisa ukuthi ungayisebenzisa kanjani i-inhaler yakho. Kufanele futhi ufunde imiyalo eza nodokotela wakho ukuze wazi ukuthi uyisebenzisa kanjani idivayisi yakho.

Ukuqapha komtholampilo

Ngenkathi uthatha lesi sidakamizwa, udokotela wakho uzokubuza imibuzo ngezikhathi ezithile. Bazokuhlola mayelana nokuphefumula kwakho kanye namandla akho okubekezelela ukuzivocavoca kanye nezinye izinto zomzimba zempilo yakho yansuku zonke.

Ngaphambi kokugunyazwa

Izinkampani eziningi zomshuwalense zidinga ukugunyazwa kwangaphambili kwalomuthi. Lokhu kusho ukuthi udokotela wakho uzodinga ukuthola imvume enkampanini yakho yomshuwalense ngaphambi kokuba inkampani yakho yomshuwalense ikhokhele incwadi kadokotela.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. 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.