Kutsegula kwa Mlomo wa Tiotropium

Zamkati

• Kuti mugwiritse ntchito inhaler, tsatirani izi:
• Musanagwiritse ntchito tiotropium,
• Tiotropium imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo:

Tiotropium imagwiritsidwa ntchito popewera kupuma, kupuma movutikira, kutsokomola, komanso chifuwa kwa odwala omwe ali ndi matenda osokoneza bongo (COPD, gulu la matenda omwe amakhudza mapapo ndi mayendedwe amlengalenga) monga bronchitis yanthawi yayitali (kutupa kwa maulendowa omwe amatsogolera mapapo) ndi emphysema (kuwonongeka kwa matumba ampweya m'mapapu). Tiotropium ili mgulu la mankhwala otchedwa bronchodilators. Zimagwira ntchito pomasuka ndikutsegulira njira zam'mapapu kuti kupuma kuzikhala kosavuta.

Tiotropium imabwera ngati kapisozi kuti mugwiritse ntchito ndi inhaler yopangidwa mwapadera. Mudzagwiritsa ntchito inhaler kupuma mu ufa wouma womwe uli m'mapapisozi. Tiotropium nthawi zambiri imapuma kamodzi patsiku m'mawa kapena madzulo. Kukuthandizani kuti muzikumbukira kupuma tiotropium, ikani mpweya nthawi yomweyo. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito tiotropium ndendende momwe mwalangizira. Osapumira pang'ono kapena kupumira kangapo kuposa momwe adanenera dokotala.

Osameza makapisozi a tiotropium.

Tiotropium imangogwira ntchito ngati mutagwiritsa ntchito inhaler yomwe imadza ndikulowetsa ufa m'makapiso. Musayese konse kupumira iwo pogwiritsa ntchito inhaler ina iliyonse. Musagwiritse ntchito tiotropium inhaler yanu kumwa mankhwala ena aliwonse.

Musagwiritse ntchito tiotropium pochiza mwadzidzidzi kupumira kapena kupuma movutikira. Dokotala wanu angakupatseni mankhwala ena oti mugwiritse ntchito mukavutika kupuma.

Tiotropium imayang'anira COPD koma siyichiza. Zitha kutenga milungu ingapo musanapindule ndi tiotropium. Pitirizani kumwa tiotropium ngakhale mutakhala bwino. Osasiya kumwa tiotropium osalankhula ndi dokotala.

Samalani kuti musatenge ufa wa tiotropium m'maso mwanu. Ngati tiotropium ufa umalowa m'maso mwanu, masomphenya anu atha kukhala osalongosoka ndipo mutha kukhala ozindikira kuwala. Itanani dokotala wanu ngati izi zichitika.

Kuti mugwiritse ntchito inhaler, tsatirani izi:

1. Gwiritsani ntchito chithunzicho pazidziwitso za wodwala zomwe zidabwera ndi mankhwala anu kuti zikuthandizeni kudziwa mayina azigawo za inhaler yanu. Muyenera kupeza kapu, cholankhulira, m'munsi, batani lobowola, ndi chipinda chapakati.
2. Tengani khadi limodzi lamatuza a makapisozi a tiotropium ndikuwang'amba pakhomopo. Mukuyenera tsopano kukhala ndi zingwe ziwiri zomwe iliyonse ili ndi makapisozi atatu.
3. Chotsani chimodzi mwazizindikiro mtsogolo. Gwiritsani ntchito tabuyo kuti muzitha kusungunula zojambulazo pazingwe zina mpaka mzere wa STOP. Izi zikuyenera kuzindikira kapisozi m'modzi. Ma capsules ena awiri pamzerewo amayenera kusindikizidwa m'matumba awo. Konzani kugwiritsa ntchito makapisoziwo masiku awiri otsatira.
4. Kokani mmwamba pamwamba pa fumbi la inhaler yanu kuti mutsegule.
5. Tsegulani pakamwa pa inhaler. Chotsani kapisozi wa tiotropium paphukusi ndikuyiyika m'chipinda chapakati cha inhaler.
6. Tsekani cholankhulira mwamphamvu mpaka ikadina, koma osatseka kapu.
7. Gwirani inhaler kuti cholankhulira chikhale pamwamba. Dinani batani lobaya lobiriwira kamodzi, kenako mulole apite.
8. Pumirani kunja kwathunthu osayika gawo lililonse la inhaler mkamwa mwanu kapena pafupi.
9. Bweretsani inhaler mpaka pakamwa panu ndikutseka milomo yanu mwamphamvu mozungulira kamwa.
10. Gwirani mutu wanu moyenera ndikupumira pang'onopang'ono komanso mozama. Muyenera kupuma mwachangu mokwanira kuti mumve kapuleyo ikunjenjemera. Pitirizani kupuma mpaka mapapu anu atadzaza.
11. Gwiritsani mpweya wanu malinga ngati mungathe kuchita bwino. Chotsani inhaler mkamwa mwanu pomwe mukupuma.
12. Pumirani bwinobwino kwa kanthawi kochepa.
13. Bweretsani masitepe 8-11 kuti mulowetse mankhwala aliwonse omwe angatsalire mu inhaler yanu.
14. Tsegulani pakamwa ndikutsamira inhaler kuti mutulutse kapisozi wogwiritsidwa ntchito. Taya kapisozi yemwe wagwiritsidwa ntchito kutali ndi ana ndi ziweto zomwe sangathe. Mutha kuwona ufa wocheperako wotsalira mu kapisozi. Izi ndi zachilendo ndipo sizitanthauza kuti simunalandire mlingo wanu wonse.
15. Tsekani cholankhulira ndi kapu yafumbi ndikusunga inhaler pamalo abwino.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanagwiritse ntchito tiotropium,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi tiotropium, atropine (Atropen, Sal-Tropine, Ocu-Tropine), ipratropium (Atrovent), kapena mankhwala ena aliwonse.
• auzeni dokotala ndi wazamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa. Onetsetsani kuti mwatchulapo izi: amiodarone (Cordarone); mankhwala; mankhwala (Atropen, Sal-Tropine, Ocu-Tropine); cisapride (Propulsid); disopyramide (Norpace); dofetilide (Tikosyn); erythromycin (E.E.S, E-Mycin, Erythrocin); madontho a diso; ipratropium (Atrovent); mankhwala a matenda opunduka, matumbo, matenda a Parkinson, zilonda, kapena mavuto amikodzo; moxifloxacin (Avelox); pimozide (Orap); procainamide (Procanbid, Pronestyl); quinidine (Quinidex); sotalol (Betapace); sparfloxacin (Zagam); ndi thioridazine (Mellaril). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo ndi glaucoma (matenda amaso omwe amatha kuyambitsa kutaya kwa masomphenya), mavuto amakodzo, kugunda kwamtima kosafunikira, kapena prostate (chiwalo choberekera chachimuna) kapena matenda a impso.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga tiotropium, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa tiotropium.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Lembani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musapangire mpweya wawiri kuti ukhale wosowa.

Tiotropium imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• pakamwa pouma
• kudzimbidwa
• kupweteka m'mimba
• kusanza
• kudzimbidwa
• kupweteka kwa minofu
• m'mphuno
• mphuno
• kuyetsemula
• zigamba zoyera zopweteka mkamwa

Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:

• ming'oma
• zotupa pakhungu
• kuyabwa
• kuvuta kupuma kapena kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kupweteka pachifuwa
• zilonda zapakhosi, malungo, kuzizira, ndi zizindikiro zina za matenda
• kupweteka mutu kapena zizindikiro zina za matenda a sinus
• pokodza kowawa kapena kovuta
• kuthamanga kwa mtima
• kupweteka kwa diso
• kusawona bwino
• kuwona ma halos mozungulira magetsi kapena kuwona zithunzi zamitundu
• maso ofiira

Tiotropium imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Musatsegule chithuza chomwe chili pafupi ndi kapisozi mpaka musanakonzekere. Ngati mwangozi mutsegule phukusi la kapisozi lomwe simungagwiritse ntchito mwachangu, siyani kapisoziyo. Osasunga makapisozi mkati mwa inhaler.

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo:

• pakamwa pouma
• kupweteka m'mimba
• kudzimbidwa
• kugwirana chanza komwe simungathe kulamulira
• amasintha kaganizidwe kake
• kusawona bwino
• maso ofiira
• kugunda kwamtima mwachangu
• kuvuta kukodza

Sungani maimidwe onse ndi dokotala wanu.

Mukalandira inhaler yatsopano patsiku lililonse la 30 la mankhwala. Nthawi zambiri, simusowa kuyeretsa inhaler yanu m'masiku 30 omwe mumagwiritsa ntchito. Komabe, ngati mukufuna kuyeretsa inhaler yanu, muyenera kutsegula kapu ndi cholankhulira kenako ndikudina batani lobowola kuti mutsegule maziko. Ndiye muzimutsuka inhaler yonse ndi madzi ofunda koma popanda sopo kapena chotsukira chilichonse. Limbikitsani madzi ochulukirapo ndikusiya inhaler kuti iume youma kwa maola 24 ndi chipewa cha fumbi, cholankhulira, ndikutseguka. Osatsuka inhaler yanu pamakina ochapira ndipo musagwiritse ntchito mukatha kuisamba mpaka italoledwa kuyanika kwa maola 24. Muthanso kuyeretsa kunja kwa cholankhuliracho ndi minofu yonyowa (osati yonyowa).

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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• Stoolto ^® Yankhani^® (okhala ndi olodaterol ndi tiotropium)