Mgwirizano Wophatikiza (ipratropium / albuterol)

Zamkati

• Kodi Mgwirizano wa Mgwirizano ndi Chiyani?
• Kuchita bwino
• Ophatikiza Poyankha generic
• Mlingo woyanjana wa Respimat
• Mitundu ya mankhwala ndi mphamvu
• Mlingo wa COPD
• Ndingatani ngati ndaphonya mlingo?
• Kodi ndiyenera kugwiritsa ntchito mankhwalawa nthawi yayitali?
• Zotsatira zoyanjana za Respimat
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Zotsatira zoyipa
• Njira Zina Zophatikizira Poyankha
• Njira zina za COPD
• Mgwirizano wophatikiza motsutsana ndi Symbicort
• Ntchito
• Mafomu azamankhwala ndi makonzedwe
• Zotsatira zoyipa ndi zoopsa
• Kuchita bwino
• Mtengo
• Mgwirizano wophatikiza motsutsana ndi Spiriva Respimat
• Ntchito
• Mafomu azamankhwala ndi makonzedwe
• Zotsatira zoyipa ndi zoopsa
• Kuchita bwino
• Mtengo
• Zogwiritsira ntchito Respimat
• Kuyankha koyanjana kwamatenda am'mapapo
• Kugwiritsa ntchito kopanda chizindikiro kwa Combivent Respimat
• Kugwiritsa ntchito njira yothandizirana ndi mankhwala ena
• Momwe mungagwiritsire ntchito Combivent Respimat
• Nthawi yoti mutenge
• Mtengo Wophatikiza Poyankha
• Thandizo lazachuma komanso inshuwaransi
• Mgwirizano Wophatikizana ndi mowa
• Kuyanjana kwa Respimat
• Mgwirizano wophatikizira ndi mankhwala ena
• Mgwirizano wophatikizira ndi zitsamba ndi zowonjezera
• Kuphatikiza pazoyeserera kophatikizana
• Zizindikiro zambiri za bongo
• Zomwe muyenera kuchita mukamagwiritsa ntchito bongo
• Momwe Combivent Respimat imagwirira ntchito
• Zimatenga nthawi yayitali bwanji kuti zigwire ntchito?
• Mgwirizano wophatikizira komanso kutenga pakati
• Mgwirizano wophatikizira ndi kulera
• Mgwirizano wophatikizana ndi kuyamwitsa
• Mafunso wamba a Combivent Respimat
• Kodi ndidzafunikirabe kugwiritsa ntchito inhaler yanga yopulumutsa pafupipafupi ndi Combivent Respimat?
• Kodi Combivent Respimat ndiyabwino kuposa chithandizo cha albuterol chokha?
• Kodi pali katemera aliyense yemwe ndingapeze kuti ndichepetse chiopsezo cha ziphuphu za COPD?
• Kodi Combivent Respimat imasiyana bwanji ndi DuoNeb?
• Zoyeserera zophatikizira za Respimat
• Kutha kwa gawo limodzi la Respimat, kusunga, ndi kutaya
• Yosungirako
• Kutaya
• Zambiri zamaphunziro a Combivent Respimat
• Zisonyezero
• Njira yogwirira ntchito
• Pharmacokinetics ndi metabolism
• Zotsutsana
• Yosungirako

Kodi Mgwirizano wa Mgwirizano ndi Chiyani?

Combivent Respimat ndi mankhwala odziwika ndi dzina lodziwika bwino. Amagwiritsidwa ntchito pochiza matenda osachiritsika a m'mapapo mwanga (COPD) mwa akulu. COPD ndi gulu la matenda am'mapapo omwe amaphatikizapo bronchitis ndi emphysema.

Combivent Respimat ndi bronchodilator. Uwu ndi mtundu wa mankhwala omwe amathandizira kutsegula njira zopumira m'mapapu anu, ndipo mumapumira.

Musanapereke mankhwala a Combivent Respimat, muyenera kuti mukugwiritsa ntchito bronchodilator mu mawonekedwe a aerosol. Komanso, muyenera kukhala ndi ma bronchospasms (kumangitsa minofu mumlengalenga) ndikufunika bronchodilator yachiwiri.

Mgwirizano wa Respimat uli ndi mankhwala awiri. Yoyamba ndi ipratropium, yomwe ndi gawo la mankhwala omwe amatchedwa anticholinergics. (Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi.) Mankhwala achiwiri ndi albuterol, omwe ndi gawo la mankhwala omwe amatchedwa beta2-adrenergic agonists.

Combivent Respimat imabwera ngati inhaler. Dzina la chipangizo cha inhaler ndi Respimat.

Kuchita bwino

Pakafukufuku wamankhwala, Combivent Respimat adagwira ntchito bwino kuposa ipratropium yokha (chimodzi mwazomwe zimaphatikizidwa mu Combivent Respimat). Anthu omwe adatenga Combivent Respimat amatha kutulutsa mpweya mwamphamvu pamphindikati umodzi (wotchedwa FEV1) poyerekeza ndi anthu omwe adatenga ipratropium.

FEV1 yodziwika bwino kwa munthu yemwe ali ndi COPD ndi pafupifupi 1.8 malita. Kuwonjezeka kwa FEV1 kumawonetsa mpweya wabwino m'mapapu anu. Phunziroli, anthu adasintha mu FEV1 yawo mkati mwa maola anayi atamwa mankhwala amodzi. Koma FEV1 ya anthu omwe adatenga Combivent Respimat adasintha mamililita 47 kuposa anthu omwe adatenga ipratropium yokha.

Ophatikiza Poyankha generic

Combivent Respimat imangokhala ngati mankhwala omwe ali ndi dzina. Sikupezeka pakadali pano mu mawonekedwe achibadwa.

Combivent Respimat ili ndi zinthu ziwiri zomwe zimagwira ntchito: ipratropium ndi albuterol.

Ipratropium ndi albuterol amapezeka ngati mankhwala achibadwa omwe amagwiritsidwa ntchito pochiza COPD. Komabe, mankhwala achibadwawa ali munjira ina kuposa Combivent Respimat, yomwe imabwera ngati inhaler. Mankhwala achibadwa amabwera ngati yankho (kusakaniza kwamadzi) komwe kumagwiritsidwa ntchito mu chipangizo chotchedwa nebulizer. Nebulizer imasinthira mankhwalawo kukhala nkhungu yomwe mumalowetsa mu chigoba kapena pakamwa.

Mankhwala achibadwa amabweranso ndi mphamvu ina kuposa Combivent Respimat, yomwe ili ndi 20 mcg ya ipratropium ndi 100 mcg ya albuterol. Mankhwalawa amakhala ndi 0.5 mg ya ipratropium ndi 2.5 mg wa albuterol.

Mlingo woyanjana wa Respimat

Mlingo wa Combivent Respimat womwe adokotala amakupangitsani kuti uzidalira kutengera matenda anu am'mapapo (COPD).

Chidziwitso chotsatirachi chimalongosola miyezo yomwe amagwiritsidwa ntchito kwambiri kapena amalimbikitsidwa. Komabe, onetsetsani kuti mwatenga mlingo womwe dokotala akukulemberani. Dokotala wanu adzazindikira mlingo woyenera kuti ugwirizane ndi zosowa zanu.

Mitundu ya mankhwala ndi mphamvu

Mgwirizano wa Respimat umabwera mu zidutswa ziwiri:

• inhaler chipangizo
• cartridge yomwe ili ndi mankhwala (ipratropium ndi albuterol)

Musanagwiritse ntchito chipangizo cha Combivent Respimat kwa nthawi yoyamba, muyenera kuyika katirijiyo mu inhaler. (Onani gawo la "Momwe Mungagwiritsire Ntchito Mgwirizano Wophatikiza" pansipa.)

Kutulutsa mpweya uliwonse kwamankhwala kumakhala ndi 20 mcg ya ipratropium ndi 100 mcg ya albuterol. Pali zotupa 120 mu katiriji iliyonse.

Mlingo wa COPD

Mlingo wamba wa COPD ndi kuwomba kamodzi, kanayi patsiku. Mlingo waukulu ndi kuwomba kamodzi, kasanu ndi kamodzi patsiku.

Ndingatani ngati ndaphonya mlingo?

Ngati mwaphonya mlingo wa Combivent Respimat, dikirani mpaka nthawi yakwana yoti mukonzekere mlingo wotsatira. Kenako pitirizani kumwa mankhwalawa mwachizolowezi.

Pofuna kuthandizira kuti musaphonye mlingo, yesetsani kukhazikitsa chikumbutso mufoni yanu. Timer ya mankhwala ingakhale yothandiza, nayenso.

Kodi ndiyenera kugwiritsa ntchito mankhwalawa nthawi yayitali?

Mgwirizano wa Mgwirizano uyenera kugwiritsidwa ntchito ngati chithandizo chanthawi yayitali. Ngati inu ndi adokotala mwawona kuti mankhwalawa ndi otetezeka komanso ogwira ntchito kwa inu, mwina mutenga nthawi yayitali.

Zotsatira zoyanjana za Respimat

Combivent Respimat imatha kuyambitsa zovuta zochepa kapena zoyipa. Mndandanda wotsatirayi muli zovuta zina zomwe zingachitike mukamatenga Combivent Respimat. Mndandandawu mulibe zovuta zonse zomwe zingachitike.

Kuti mumve zambiri paza zotsatira zoyipa za Combivent Respimat, lankhulani ndi dokotala kapena wazamankhwala. Amatha kukupatsirani malangizo amomwe mungathetsere mavuto omwe angakhale ovuta.

Zotsatira zofala kwambiri

Zotsatira zofala kwambiri za Combivent Respimat zitha kuphatikiza:

• chifuwa
• kupuma movutikira kapena kupuma movutikira
• kupweteka mutu
• Matenda omwe angakhudze kupuma kwanu monga chifuwa chachikulu kapena chimfine

Zambiri mwa zotsatirazi zimatha kutha masiku angapo kapena milungu ingapo. Ngati ali ovuta kwambiri kapena osapita, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zoyipa

Zotsatira zoyipa zochokera ku Combivent Respimat sizodziwika, koma zimatha kuchitika. Itanani dokotala wanu nthawi yomweyo ngati muli ndi zovuta zina. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi vuto lachipatala.

Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:

• Bronchospasm yodabwitsa (kupuma kapena kupuma movutikira komwe kumakulirakulira)
• Mavuto amaso. Zizindikiro zimatha kuphatikiza:
  • glaucoma (kuthamanga kwakukulu mkati mwa diso)
  • kupweteka kwa diso
  • halos (kuwona mabwalo owala mozungulira magetsi)
  • kusawona bwino
  • chizungulire
• Kuvuta kukodza kapena kupweteka mukakodza
• Mavuto amtima. Zizindikiro zimatha kuphatikiza:
  • kuthamanga kwambiri kwa mtima
  • kupweteka pachifuwa
• Hypokalemia (potaziyamu yochepa). Zizindikiro zimatha kuphatikiza:
  • kutopa (kusowa mphamvu)
  • kufooka
  • kukokana kwa minofu
  • kudzimbidwa
  • kupweteka kwamtima (kumva kudumpha kapena kugunda kowonjezera)

Zotsatira zoyipa

Mutha kudabwa kuti zovuta zina zimachitika kangati ndi mankhwalawa. Nazi zina mwazomwe zingayambitse mankhwalawa.

Matupi awo sagwirizana

Monga momwe zimakhalira ndi mankhwala ambiri, anthu ena amatha kusokonezeka atatenga Combivent Respimat. Zizindikiro za kuchepa pang'ono zimatha kuphatikiza:

• zotupa pakhungu
• kuyabwa
• Kutentha (kutentha ndi kufiira pakhungu lanu)

Zomwe zimayambitsa matendawa zimakhala zochepa koma ndizotheka. Zizindikiro za kuyanjana kwambiri ndi izi:

• kutupa pansi pa khungu lanu, makamaka m'makope anu, milomo, manja, kapena mapazi
• kutupa lilime, pakamwa, kapena pakhosi
• kuvuta kupuma

Sizikudziwika kuti ndi anthu angati omwe adakumana ndi zovuta atatenga Combivent Respimat.

Ngati simukugwirizana ndi Combivent Respimat, pitani kuchipatala nthawi yomweyo. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi vuto lachipatala.

Chimfine

Kutenga Mgwirizano Wapawokha kumatha kukupangitsani kuti muzizizira. Kafukufuku wamankhwala adayang'ana anthu omwe ali ndi matenda osachiritsika am'mapapo (COPD) omwe adatenga Combivent Respimat kapena ipratropium (chophatikizira mu Combivent Respimat). Phunziroli, 3% ya anthu omwe adatenga Combivent Respimat adadwala chimfine. Atatu mwa anthu omwe adatenga ipratropium nawonso anali ndi chimfine.

Kuzizira kumathandizanso kukulitsa zizindikilo za COPD, monga kupuma movutikira, kupumira, ndi kutsokomola. Izi ndichifukwa choti chimfine chimatha kukhudza mapapu anu. Mutha kuyesa kupewa chimfine ndi malangizo awa:

• Sambani m'manja nthawi zambiri.
• Chepetsani kucheza ndi aliyense amene akudwala.
• Pewani kugawana zinthu zanu, monga magalasi akumwa ndi mabotolo a mano, ndi anthu ena.
• Sambani zitseko zoyatsira ndi magetsi.

Ngati mukudwala chimfine mukamamwa Combivent Respimat, lankhulani ndi dokotala kapena wamankhwala. Amatha kukupatsirani malangizo amomwe mungathetsere matenda anu ozizira ndi COPD.

Mavuto amaso

Kutenga Mgwirizano Wophatikizira kumatha kubweretsa mavuto ndi maso anu, monga glaucoma yatsopano kapena yowonjezereka. Glaucoma ndi kuwonjezeka kwa kupanikizika mkati mwa diso komwe kumatha kubweretsa kuwonongeka kwa diso. Sizikudziwika kuti ndi anthu angati omwe akhala ndi mavuto amaso atatenga Combivent Respimat.

Ndizotheka kupopera Combivent Respimat m'maso mwanu mwangozi mukapumira mankhwalawo. Izi zikachitika, mutha kukhala ndi ululu wamaso kapena kusawona bwino. Chifukwa chake mukamagwiritsa ntchito Combivent Respimat, yesetsani kupewa kupopera mankhwalawa m'maso mwanu.

Ngati mutenga Combivent Respimat ndikuwona ma halos (mabwalo owala mozungulira magetsi), mwawona bwino, kapena kuzindikira mavuto ena amaso, uzani dokotala wanu. Dokotala wanu akhoza kuyimitsa Combivent kapena akusinthireni ku mankhwala ena. Kutengera ndi zizindikilo zanu, atha kuthana ndi vuto lanu la diso.

Njira Zina Zophatikizira Poyankha

Mankhwala ena alipo omwe angachiritse matenda opatsirana a m'mapapo mwanga (COPD). Ena akhoza kukuyenererani kuposa ena. Ngati mukufuna kupeza njira ina yophatikizira ya Combivent Respimat, lankhulani ndi dokotala wanu. Amatha kukuwuzani zamankhwala ena omwe atha kukuthandizani.

Zindikirani: Mankhwala ena omwe atchulidwa pano amagwiritsidwa ntchito ngati zilembo kuti athetse vutoli. Kugwiritsa ntchito mankhwala osokoneza bongo ndi pamene mankhwala omwe amavomerezedwa kuti athetse vuto limodzi amagwiritsidwa ntchito kuthana ndi vuto lina.

Njira zina za COPD

Zitsanzo za mankhwala ena omwe amagwiritsidwa ntchito pochiza COPD ndi awa:

• bronchodilators ochepa, monga levoalbuterol (Xopenex)
• bronchodilators omwe akhala akutalika, monga salmeterol (Serevent)
• corticosteroids, monga fluticasone (Flovent)
• bronchodilators awiri otenga nthawi yayitali (kuphatikiza), monga tiotropium / olodaterol (Stiolto)
• corticosteroid ndi bronchodilator yotenga nthawi yayitali (kuphatikiza), monga budesonide / formoterol (Symbicort)
• phosphodiesterase-4 inhibitors, monga roflumilast (Daliresp)
• methylxanthines, monga theophylline
• steroids, monga prednisone (Deltasone, Rayos)

Matenda ena omwe amalepheretsa kupuma ndi mphumu, yomwe imayambitsa kutupa munjira zanu zopumira. Chifukwa COPD ndi mphumu zimatha kubweretsa mavuto kupuma, mankhwala ena a mphumu atha kugwiritsidwa ntchito osachiza zizindikiro za COPD. Chitsanzo cha mankhwala omwe angagwiritsidwe ntchito popanda COPD ndi mankhwala osakaniza a mometasone / formoterol (Dulera).

Mgwirizano wophatikiza motsutsana ndi Symbicort

Mutha kudabwa momwe Combivent Respimat ikufananirana ndi mankhwala ena omwe amaperekedwa kuti agwiritse ntchito chimodzimodzi. Apa tikuwona momwe Combivent Respimat ndi Symbicort alili ofanana komanso osiyana.

Ntchito

Food and Drug Administration (FDA) yavomereza onse Combivent Respimat ndi Symbicort kuti athetse matenda opatsirana a m'mapapo (COPD) mwa akulu. COPD ndi gulu la matenda am'mapapo omwe amaphatikizapo bronchitis ndi emphysema.

Musanapereke mankhwala a Combivent Respimat, muyenera kuti mumagwiritsa ntchito bronchodilator mu mawonekedwe a aerosol. Uwu ndi mtundu wa mankhwala omwe amathandiza kutsegula njira zopumira m'mapapu anu, ndipo mumapumira. Komanso, mukuyenerabe kukhala ndi bronchospasms (kumangitsa minofu mumayendedwe anu) ndikusowa bronchodilator yachiwiri.

Symbicort imavomerezedwanso kuchiza mphumu mwa akulu ndi ana azaka 6 kapena kupitilira apo.

Combivent Respimat kapena Symbicort sichiyenera kugwiritsidwa ntchito ngati mankhwala opulumutsa a COPD kupuma mwakanthawi.

Mafomu azamankhwala ndi makonzedwe

Combivent Respimat ili ndi mankhwalawa ipratropium ndi albuterol. Symbicort imakhala ndi mankhwala a budesonide ndi formoterol.

Onse Combivent Respimat ndi Symbicort amabwera magawo awiri:

• inhaler chipangizo
• cartridge (Combivent Respimat) kapena canister (Symbicort) yomwe ili ndi mankhwala

Kutulutsa (kutulutsa) kulikonse kwa Combivent Respimat kumakhala ndi 20 mcg ya ipratropium ndi 100 mcg ya albuterol. Pali zotupa 120 mu katiriji iliyonse.

Kuwomba kulikonse kwa Symbicort kumakhala ndi 160 mcg ya budesonide ndi 4.5 mcg ya formoterol yochizira COPD. Pali zotumphukira 60 kapena 120 m'bokosi lililonse.

Kwa Combivent Respimat, momwe mlingo wa COPD umakhalira kamodzi, kanayi patsiku. Mlingo waukulu ndi kuwomba kamodzi, kasanu ndi kamodzi patsiku.

Kwa Symbicort, kuchuluka kwa COPD ndimatumba awiri, kawiri patsiku.

Zotsatira zoyipa ndi zoopsa

Combivent Respimat ndi Symbicort onse ali ndi mankhwala amtundu wofanana wamankhwala. Chifukwa chake, mankhwala onsewa amatha kuyambitsa zovuta zina. M'munsimu muli zitsanzo za zotsatirazi.

Zotsatira zofala kwambiri

Mndandandawu muli zitsanzo za zovuta zoyipa zomwe zimatha kuchitika ndi Combivent Respimat, ndi Symbicort, kapena ndi mankhwala onse awiri (akawatenga payekhapayekha).

• Zitha kuchitika ndi Mgwirizano Wophatikiza:
  • chifuwa
• Zitha kuchitika ndi Symbicort:
  • kupweteka m'mimba, kumbuyo, kapena kummero
• Zitha kuchitika ndi Combivent Respimat ndi Symbicort:
  • kupuma movutikira kapena kupuma movutikira
  • kupweteka mutu
  • Matenda omwe angakhudze kupuma kwanu monga chifuwa chachikulu kapena chimfine

Zotsatira zoyipa

Mndandandandawu muli zitsanzo za zovuta zoyipa zomwe zingachitike ndi Combivent Respimat, ndi Symbicort, kapena ndi mankhwala onse awiri (akamwedwa payekhapayekha).

• Zitha kuchitika ndi Mgwirizano Wophatikiza:
  • kuvuta kukodza kapena kupweteka mukakodza
  • hypokalemia (potaziyamu otsika)
• Zitha kuchitika ndi Symbicort:
  • chiopsezo chachikulu chotenga matenda, monga matenda mkamwa mwako obwera chifukwa cha bowa kapena kachilombo
  • Mavuto a adrenal gland, kuphatikizapo cortisol yochepa
  • kufooka kwa mafupa kapena kutsika kwa mafupa
  • kuchepa kukula kwa ana
  • misinkhu ya potaziyamu m'munsi
  • shuga wambiri wamagazi
• Zitha kuchitika ndi Combivent Respimat ndi Symbicort:
  • bronchospasm yodabwitsa (kupuma kapena kupuma movutikira komwe kumakulirakulira)
  • thupi lawo siligwirizana
  • mavuto amtima, monga kuthamanga kwa mtima kapena kupweteka pachifuwa
  • mavuto amaso, monga kuipiraipira kwa glaucoma

Kuchita bwino

Combivent Respimat ndi Symbicort ali ndi ntchito zosiyanasiyana zovomerezeka ndi FDA, koma zonsezi zimagwiritsidwa ntchito pochiza COPD.

Mankhwalawa sanayerekezeredwe mwachindunji m'maphunziro azachipatala, koma kafukufuku apeza kuti Combivent Respimat ndi Symbicort ndizothandiza pochiza COPD.

Mtengo

Combivent Respimat ndi Symbicort onse ndi mankhwala osokoneza bongo. Pakadali pano palibe mitundu yabwinobwino ya mankhwalawa.

Komabe, a FDA avomereza ipratropium ndi albuterol (zomwe zimagwira ntchito mu Combivent Respimat) ngati mankhwala omwe amagwiritsidwa ntchito pochizira COPD. Mankhwalawa amabwera mosiyana ndi Combivent Respimat. Mankhwala achibadwa amabwera ngati yankho (kusakaniza kwamadzi) komwe kumagwiritsidwa ntchito mu chipangizo chotchedwa nebulizer. Nebulizer iyi imasinthira mankhwalawa kukhala nkhungu yomwe mumalowetsa m'maso kapena pakamwa.

Malinga ndi kuyerekezera kwa GoodRx.com, Symbicort imawononga ndalama zochepa kuposa Combivent Respimat. Mankhwala achibadwa a ipratropium ndi albuterol nthawi zambiri amakhala otsika mtengo kuposa Combivent Respimat kapena Symbicort. Mtengo weniweni womwe mudzalipire mankhwalawa umadalira dongosolo lanu la inshuwaransi, komwe mumakhala, komanso mankhwala omwe mumagwiritsa ntchito.

Mgwirizano wophatikiza motsutsana ndi Spiriva Respimat

Mutha kudabwa momwe Combivent Respimat ikufananirana ndi mankhwala ena omwe amaperekedwa kuti agwiritse ntchito chimodzimodzi. Apa tikuwona momwe Combivent Respimat ndi Spiriva Respimat alili ofanana komanso osiyana.

Ntchito

Food and Drug Administration (FDA) yavomereza onse a Combivent Respimat ndi Spiriva Respimat kuti athetse matenda opatsirana a m'mapapo (COPD) mwa akulu. COPD ndi gulu la matenda am'mapapo omwe amaphatikizapo bronchitis ndi emphysema.

Musanapereke mankhwala a Combivent Respimat, muyenera kuti mumagwiritsa ntchito bronchodilator mu mawonekedwe a aerosol. Uwu ndi mtundu wa mankhwala omwe amathandizira kutsegula njira zopumira m'mapapu anu, ndipo mumapumira. Komanso, mukuyenerabe kukhala ndi bronchospasms (kumangitsa minofu mumayendedwe anu) ndikusowa bronchodilator yachiwiri.

Spiriva Respimatis adavomerezanso kuchiza mphumu mwa akulu ndi ana azaka 6 kapena kupitilira apo.

Combivent Respimat kapena Spiriva Respimat sichiyenera kugwiritsidwa ntchito ngati mankhwala opulumutsa a COPD kupuma mwachangu.

Mafomu azamankhwala ndi makonzedwe

Combivent Respimat ili ndi mankhwalawa ipratropium ndi albuterol. Spiriva Respimat ili ndi tiotropium ya mankhwala.

Onse Combivent Respimat ndi Spiriva Respimat amabwera magawo awiri:

• inhaler chipangizo
• katiriji kuti muli mankhwala

Kutulutsa (kutulutsa) kulikonse kwa Combivent Respimat kumakhala ndi 20 mcg ya ipratropium ndi 100 mcg ya albuterol. Pali zotupa 120 mu katiriji iliyonse.

Kuwomba kulikonse kwa Spiriva Respimat kumakhala ndi 2.5 mcg ya tiotropium yochizira COPD. Makatiriji amabwera ndikudzitukumula 60.

Kwa Combivent Respimat, momwe mlingo wa COPD umakhalira kamodzi, kanayi patsiku. Mlingo waukulu ndi kuwomba kamodzi, kasanu ndi kamodzi patsiku.

Kwa Spiriva Respimat, momwe mlingo wa COPD umakhalira kawiri, kamodzi patsiku.

Zotsatira zoyipa ndi zoopsa

Combivent Respimat ndi Spiriva Respimat onse ali ndi mankhwala munthawi yomweyo ya mankhwala. Chifukwa chake, mankhwala onsewa amatha kuyambitsa zovuta zina.M'munsimu muli zitsanzo za zotsatirazi.

Zotsatira zofala kwambiri

Mndandandandawu muli zitsanzo za zovuta zoyipa zomwe zimatha kuchitika ndi Combivent Respimat, ndi Spiriva, kapena ndi mankhwala onse awiri (akatengedwa payekhapayekha).

• Zitha kuchitika ndi Mgwirizano Wophatikiza:
  • zotsatira zochepa wamba wamba
• Zitha kuchitika ndi Spiriva Respimat:
  • pakamwa pouma
• Zitha kuchitika ndi Combivent Respimat ndi Spiriva Respimat:
  • chifuwa
  • kupuma movutikira kapena kupuma movutikira
  • kupweteka mutu
  • Matenda omwe angakhudze kupuma kwanu, monga bronchitis pachimake kapena chimfine

Zotsatira zoyipa

Mndandandandawu muli zitsanzo za zovuta zoyipa zomwe zingachitike ndi Combivent Respimat, ndi Spiriva, kapena ndi mankhwala onse awiri (akamwedwa payekhapayekha).

• Zitha kuchitika ndi Mgwirizano Wophatikiza:
  • mavuto amtima, monga kuthamanga kwa mtima kapena kupweteka pachifuwa
  • hypokalemia (potaziyamu otsika)
• Zitha kuchitika ndi Spiriva Respimat:
  • zotsatira zoyipa zingapo zoyipa
• Zitha kuchitika ndi Combivent Respimat ndi Spiriva Respimat:
  • bronchospasm yodabwitsa (kupuma kapena kupuma movutikira komwe kumakulirakulira)
  • thupi lawo siligwirizana
  • mavuto amaso, monga glaucoma yatsopano kapena yowonjezereka
  • kuvuta kukodza kapena kupweteka mukakodza

Kuchita bwino

Combivent Respimat ndi Spiriva Respimat ali ndi ntchito zosiyanasiyana zovomerezeka ndi FDA, koma mankhwala awiriwa amagwiritsidwa ntchito pochiza COPD.

Mankhwalawa sanayerekezeredwe mwachindunji m'maphunziro azachipatala, koma kafukufuku apeza kuti Combivent Respimat ndi Spiriva Respimat kukhala othandiza pochiza COPD.

Mtengo

Combivent Respimat ndi Spiriva Respimat onse ndi mankhwala osokoneza bongo. Pakadali pano palibe mitundu yabwinobwino ya mankhwalawa.

Komabe, a FDA avomereza ipratropium ndi albuterol (zomwe zimagwira ntchito mu Combivent Respimat) ngati mankhwala omwe amagwiritsidwa ntchito pochizira COPD. Mankhwalawa amabwera mosiyana ndi Combivent Respimat. Mankhwala achibadwa amabwera ngati yankho (kusakaniza kwamadzi) komwe kumagwiritsidwa ntchito mu chipangizo chotchedwa nebulizer. Nebulizer iyi imasinthira mankhwalawa kukhala nkhungu yomwe mumalowetsa m'maso kapena pakamwa.

Malinga ndi kuyerekezera kwa GoodRx.com, Combivent Respimat ndi Spiriva nthawi zambiri amawononga chimodzimodzi. Mankhwala achibadwa a ipratropium ndi albuterol nthawi zambiri amakhala otsika mtengo kuposa Combivent Respimat kapena Spiriva. Mtengo weniweni womwe mudzalipire mankhwalawa umadalira dongosolo lanu la inshuwaransi, komwe mumakhala, komanso mankhwala omwe mumagwiritsa ntchito.

Zogwiritsira ntchito Respimat

Food and Drug Administration (FDA) imavomereza mankhwala akuchipatala monga Combivent Respimat kuti athetse mavuto ena. Combivent Respimat itha kugwiritsidwanso ntchito ngati yopanda chizindikiro pazinthu zina. Kugwiritsa ntchito mankhwala osokoneza bongo ndi pamene mankhwala omwe amavomerezedwa kuti athetse vuto limodzi amagwiritsidwa ntchito kuthana ndi vuto lina.

Kuyankha koyanjana kwamatenda am'mapapo

A FDA avomereza Combivent Respimat kuti athetse matenda opatsirana a m'mapapo (COPD) mwa akulu. COPD ndi gulu la matenda am'mapapo omwe amaphatikizapo bronchitis ndi emphysema.

Matenda a bronchitis amachititsa kuti machubu am'mapapu anu akhale ochepa, otupa komanso amatola ntchofu. Izi zimapangitsa kuti zikhale zovuta kuti mpweya udutse m'mapapu anu.

Emphysema imawononga matumba amlengalenga m'mapapu anu pakapita nthawi. Ndiketi zochepa za mpweya, kumakhala kovuta kupuma.

Matenda onse a bronchitis ndi emphysema amabweretsa kupuma movutikira, ndipo ndizofala kukhala ndimikhalidwe yonseyi.

Musanapereke mankhwala a Combivent Respimat, muyenera kuti mumagwiritsa ntchito bronchodilator mu mawonekedwe a aerosol. Uwu ndi mtundu wa mankhwala omwe amathandizira kutsegula njira zopumira m'mapapu anu, ndipo mumapumira. Komanso, mukuyenerabe kukhala ndi bronchospasms (kumangitsa minofu mumayendedwe anu) ndikusowa bronchodilator yachiwiri.

Kuchita bwino

Pakafukufuku wamankhwala, Combivent Respimat adagwira ntchito bwino kuposa ipratropium yokha (chimodzi mwazomwe zimaphatikizidwa mu Combivent Respimat). Anthu omwe adatenga Combivent Respimat amatha kutulutsa mpweya mwamphamvu pamphindikati umodzi (wotchedwa FEV1) poyerekeza ndi anthu omwe adatenga ipratropium.

FEV1 yodziwika bwino kwa munthu yemwe ali ndi COPD ndi pafupifupi 1.8 malita. Kuwonjezeka kwa FEV1 kumawonetsa mpweya wabwino m'mapapu anu. Phunziroli, anthu adasintha mu FEV1 yawo mkati mwa maola anayi atamwa mankhwala amodzi. Koma FEV1 ya anthu omwe adatenga Combivent Respimat adasintha mamililita 47 kuposa FEV1 ya anthu omwe adatenga ipratropium yokha.

Kugwiritsa ntchito kopanda chizindikiro kwa Combivent Respimat

Kuphatikiza pa kugwiritsa ntchito komwe kwatchulidwa pamwambapa, Combivent Respimat itha kugwiritsidwa ntchito ngati chizindikiro pazochita zina. Kugwiritsa ntchito mankhwala osokoneza bongo ndi pamene mankhwala omwe amavomerezedwa kuti agwiritsidwe ntchito kamodzi amagwiritsidwa ntchito mosiyana ndi omwe savomerezedwa.

Kuyanjana Koyanjana kwa mphumu

A FDA sanavomereze Combivent Respimat kuti athetse matenda a mphumu. Komabe, dokotala wanu angakupatseni mankhwalawo ngati mankhwala ena ovomerezeka sakukuthandizani. Mphumu ndimapapu momwe mpweya wanu umalimbikira, kutupa, ndikudzaza ntchofu. Izi zimabweretsa kupuma ndipo zimapangitsa kuti zikhale zovuta kupuma.

Kugwiritsa ntchito njira yothandizirana ndi mankhwala ena

Combivent Respimat imagwiritsidwa ntchito limodzi ndi mankhwala ena osachiritsika a m'mapapo mwanga (COPD) kuti athetse COPD. Ngati mankhwala anu apano a COPD sakuchepetsa zizindikiritso zanu, dokotala wanu akhoza kukupatsani Combivent Respimat ngati mankhwala owonjezera.

Zitsanzo za mankhwala a bronchodilator omwe atha kugwiritsidwa ntchito ndi Combivent Respimat ndi awa:

• bronchodilators ochepa, monga levoalbuterol (Xopenex)
• bronchodilators omwe akhala akutalika, monga salmeterol (Serevent)

Mankhwalawa atha kukhala ndi zinthu zofananira ndi zomwe zili mu Combivent Respimat. Chifukwa chake kutenga izi ndi Combivent Respimat kumatha kupangitsa zovuta zanu kukhala zowopsa kwambiri. (Chonde onani gawo la "Combivent Respimat side effects" gawo pamwambapa kuti mumve zambiri.) Dokotala wanu amatha kuyang'anira zovuta zanu kapena kukusinthani ku mankhwala ena a COPD ngati kungafunike.

Momwe mungagwiritsire ntchito Combivent Respimat

Muyenera kutenga Combivent Respimat malinga ndi malangizo a dokotala kapena wothandizira zaumoyo.

Mgwirizano wa Respimat umabwera mu zidutswa ziwiri:

• inhaler chipangizo
• katiriji kuti muli mankhwala

Mukutenga Respive ya Combivent poipumira. Kuti mudziwe momwe mungakonzekerere inhaler yanu ndikuigwiritsa ntchito tsiku lililonse, onerani makanema awa patsamba la Combivent Respimat. Muthanso kutsatira mwatsatanetsatane malangizo ndi zithunzi kuchokera patsamba lino.

Nthawi yoti mutenge

Mlingo wake wonse umapumira kamodzi, kanayi patsiku. Mlingo waukulu kwambiri ndi kupuma kamodzi, kasanu ndi kamodzi patsiku. Mlingo wa Mgwirizano Wophatikiza uyenera kukhala kwa maola osachepera anayi kapena asanu. Pofuna kupewa kudzuka usiku kuti mutenge mlingo, ikani mlingo wanu masana mukadzuka.

Pofuna kuthandizira kuti musaphonye mlingo, ikani chikumbutso pafoni yanu. Muthanso kupeza nthawi yowerengera mankhwala.

Mtengo Wophatikiza Poyankha

Monga mankhwala onse, mtengo wa Combivent Respimat umasiyana.

Mtengo weniweni womwe mudzalipira umadalira dongosolo la inshuwaransi yanu, komwe mumakhala, komanso malo ogulitsira mankhwala omwe mumagwiritsa ntchito.

Thandizo lazachuma komanso inshuwaransi

Ngati mukufuna thandizo lazachuma kuti mulipire Combivent Respimat, kapena ngati mukufuna thandizo kuti mumvetsetse inshuwaransi yanu, thandizo lilipo.

Boehringer Ingelheim Pharmaceuticals, Inc, omwe amapanga Combivent Respimat, amapereka khadi yosungira yomwe ingathandize kutsitsa mtengo wamankhwala anu. Kuti mumve zambiri komanso kuti mudziwe ngati mukuyenera kuthandizidwa, imbani 800-867-1052 kapena pitani patsamba lino.

Mgwirizano Wophatikizana ndi mowa

Pakadali pano, mowa sikudziwika kuti ungagwirizane ndi Combivent Respimat. Komabe, kumwa mowa pafupipafupi kumatha kubweretsa matenda osokoneza bongo (COPD). Mukamamwa kwambiri, mapapu anu amakhala ndi nthawi yovuta kuti mayendedwe anu awonekere.

Ngati muli ndi mafunso okhudzana ndi kumwa mowa komanso kutenga Combivent Respimat, lankhulani ndi dokotala wanu.

Kuyanjana kwa Respimat

Combivent Respimat imatha kulumikizana ndi mankhwala ena angapo. Itha kulumikizananso ndi zowonjezera zowonjezera komanso zakudya zina.

Kuyanjana kosiyanasiyana kumatha kubweretsa zovuta zosiyanasiyana. Mwachitsanzo, kulumikizana kwina kumatha kusokoneza momwe mankhwala amagwirira ntchito. Kuyanjana kwina kumatha kukulitsa zovuta zina kapena kuwapangitsa kukhala owopsa.

Mgwirizano wophatikizira ndi mankhwala ena

M'munsimu muli mndandanda wa mankhwala omwe amatha kuyanjana ndi Combivent Respimat. Mndandandawu mulibe mankhwala onse omwe atha kuyanjana ndi Combivent Respimat.

Musanapange Combivent Respimat, lankhulani ndi dokotala komanso wamankhwala. Auzeni zamankhwala onse omwe mumalandira, pa-pakauntala, ndi mankhwala ena omwe mumamwa. Auzeni za mavitamini, zitsamba, ndi zowonjezera zilizonse zomwe mumagwiritsa ntchito. Kugawana izi kungakuthandizeni kupewa kuyanjana komwe kungachitike.

Ngati muli ndi mafunso okhudzana ndi mankhwala omwe angakukhudzeni, funsani dokotala kapena wamankhwala.

Combivent Respimat ndi ma anticholinergics ena ndi / kapena beta-adrenergic agonists

Kutenga Mgwirizano Wophatikizana ndi ma anticholinergics ena ndi / kapena beta2-adrenergic agonists kumatha kupangitsa mavuto anu kukhala ovuta kwambiri. (Chonde onani gawo la "Zolimbana ndi Zotsatira Zowononga" pamwambapa kuti mumve zambiri.)

Zitsanzo za ma anticholinergics ndi beta2-adrenergic agonists ndi awa:

• anticholinergics, monga diphenhydramine (Benadryl), tiotropium (Spiriva)
• beta2-adrenergic agonists, monga albuterol (Ventolin)

Musanatenge Combivent Respimat, uzani dokotala ngati mukumwa mankhwalawa. Amatha kukuwunikirani mukamalandira mankhwala a Combivent Respimat kapena kukusinthanitsani ndi mankhwala ena.

Mgwirizano wa Respimat ndi mankhwala ena othamanga magazi

Kutenga Mgwirizano wa Mgwirizano ndi mankhwala ena othamanga magazi kumachepetsa potaziyamu mthupi lanu kapena kulepheretsa Combivent Respimat kuti isagwire bwino ntchito.

Zitsanzo zamankhwala am'magazi omwe amatha kulumikizana ndi Combivent Respimat ndi awa:

• diuretics, monga hydrochlorothiazide, furosemide (Lasix)
• beta-blockers, monga metoprolol (Lopressor), atenolol (Tenormin), propranolol (Inderal)

Musanatenge Combivent Respimat, uzani dokotala ngati mukumwa mankhwalawa. Amatha kukusinthani kuti mukhale ndi magazi osiyana kapena mankhwala a COPD, kapena kuwunika potaziyamu wanu.

Mgwirizano wa Respimat ndi mankhwala ena opondereza

Kutenga Mgwirizano wa Mgwirizano ndi mankhwala ena opatsirana pogonana kungapangitse zotsatira zanu kukhala zovuta kwambiri. (Chonde onani gawo la "Zolimbana ndi Zotsatira Zowononga" pamwambapa kuti mumve zambiri.)

Zitsanzo za antidepressants zomwe zingagwirizane ndi Combivent Respimat ndizo:

• tricyclic antidepressants, monga amitriptyline, nortriptyline (Pamelor)
• monoamine oxidase inhibitors (MAOIs), monga phenelzine (Nardil), selegiline (Emsam)

Musanatenge Combivent Respimat, uzani dokotala ngati mukumwa mankhwalawa. Amatha kukusinthani kuti musinthe matenda osiyanasiyana pakadutsa milungu iwiri musanayambe kugwiritsa ntchito Combivent Respimat. Dokotala wanu amathanso kukupatsani mankhwala ena a COPD.

Mgwirizano wophatikizira ndi zitsamba ndi zowonjezera

Palibe zitsamba zilizonse kapena zowonjezera zomwe zimadziwika kuti zimayanjana ndi Combivent Respimat. Komabe, mukuyenerabe kukaonana ndi dokotala kapena wamankhwala musanagwiritse ntchito zitsamba zilizonse kapena zowonjezera mukamamwa Combivent Respimat.

Kuphatikiza pazoyeserera kophatikizana

Kugwiritsa ntchito mopitilira muyeso woyenera wa Combivent Respimat kumatha kubweretsa zovuta zoyipa.

Zizindikiro zambiri za bongo

Zizindikiro za bongo zingaphatikizepo:

• kupweteka pachifuwa
• kuthamanga kwambiri kwa mtima
• kuthamanga kwa magazi
• zotsatira zamphamvu zamankhwala zoyipa (Chonde onani gawo la "Combivent Respimat zoyipa" pamwambapa kuti mumve zambiri.)

Zomwe muyenera kuchita mukamagwiritsa ntchito bongo

Ngati mukuganiza kuti mwamwa kwambiri mankhwalawa, itanani dokotala wanu. Muthanso kuyitanitsa American Association of Poison Control Center ku 800-222-1222 kapena kugwiritsa ntchito chida chawo pa intaneti. Koma ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.

Momwe Combivent Respimat imagwirira ntchito

Matenda osokoneza bongo (COPD) ndi gulu la matenda am'mapapo omwe amaphatikizapo bronchitis ndi emphysema.

Matenda a bronchitis amachititsa kuti machubu am'mapapu anu akhale ochepa, otupa komanso amatola ntchofu. Izi zimapangitsa kuti zikhale zovuta kuti mpweya udutse m'mapapu anu.

Emphysema imawononga matumba amlengalenga m'mapapu anu pakapita nthawi. Ndiketi zochepa za mpweya, kumakhala kovuta kupuma.

Matenda onse a bronchitis ndi emphysema amabweretsa kupuma movutikira, ndipo ndizofala kukhala ndimikhalidwe yonseyi.

Mankhwala omwe amagwiritsidwa ntchito mu Combivent Respimat, ipratropium ndi albuterol, amagwira ntchito m'njira zosiyanasiyana. Mankhwala onsewa amatsitsimutsa minofu panjira yanu. Ipratropium ndi ya gulu la mankhwala otchedwa anticholinergics. (Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi.) Mankhwala omwe ali mkalasi amathandiza kuti minofu m'mapapu anu isamange.

Albuterol ali mgulu la mankhwala omwe amatchedwa beta-agonists (SABAs). Mankhwala omwe ali mkalasi muno amathandizira kupumula minofu m'mapapu anu. Albuterol imathandizanso kukhetsa ntchofu m'mpweya wanu. Izi zimathandizira kutsegula njira zanu zopumira kuti kupuma kuzikhala kosavuta.

Zimatenga nthawi yayitali bwanji kuti zigwire ntchito?

Mukatenga mlingo wa Combivent Respimat, mankhwalawa ayenera kuyamba kugwira ntchito pafupifupi mphindi 15. Mankhwala akayamba kugwira ntchito, mutha kuyamba kuzindikira kuti ndikosavuta kupuma.

Mgwirizano wophatikizira komanso kutenga pakati

Palibe chidziwitso chokwanira kudziwa ngati kuli kotheka kutenga Combivent Respimat mukakhala ndi pakati. Komabe, chowonjezera mu Combivent Respimat chotchedwa albuterol chawonetsedwa kuti chovulaza makanda m'maphunziro a nyama. Kumbukirani kuti maphunziro azinyama samaneneratu nthawi zonse zomwe zidzachitike mwa anthu.

Ngati muli ndi pakati kapena mukukonzekera kutenga pakati, lankhulani ndi dokotala wanu. Amatha kukuwuzani zaubwino komanso kuopsa kogwiritsa ntchito mankhwalawa muli ndi pakati.

Mgwirizano wophatikizira ndi kulera

Sidziwika ngati Combivent Respimat ndi yabwino kutenga panthawi yoyembekezera. Ngati inu kapena mnzanuyo mutha kutenga pakati, lankhulani ndi dokotala wanu zakufunika kwanu poletsa kugwiritsa ntchito Combivent Respimat.

Mgwirizano wophatikizana ndi kuyamwitsa

Palibe chidziwitso chokwanira kudziwa ngati kuli kotheka kugwiritsa ntchito Combivent Respimat mukamayamwitsa.

Combivent Respimat ili ndi chinthu china chotchedwa ipratropium, ndipo gawo lina la ipratropium limadutsa mkaka wa m'mawere. Koma sizikudziwika momwe izi zimakhudzira ana omwe amayamwitsa.

Chida china mu Combivent Respimat chotchedwa albuterol chawonetsedwa kuti chovulaza makanda m'maphunziro a nyama. Komabe, maphunziro a nyama samaneneratu nthawi zonse zomwe zidzachitike mwa anthu.

Ngati mukuyamwitsa kapena mukukonzekera kuyamwitsa, lankhulani ndi dokotala wanu. Amatha kukuwuzani zaubwino komanso kuopsa kogwiritsa ntchito mankhwalawa mukamayamwitsa.

Mafunso wamba a Combivent Respimat

Nawa mayankho pamafunso omwe amafunsidwa zambiri za Combivent Respimat.

Kodi ndidzafunikirabe kugwiritsa ntchito inhaler yanga yopulumutsa pafupipafupi ndi Combivent Respimat?

Mutha. Rescue inhaler ndi chida chomwe mumagwiritsa ntchito pokhapokha mukavutika kupuma ndipo mukufuna mpumulo nthawi yomweyo. Combivent Respimat, mbali inayo, ndi mankhwala omwe mumamwa pafupipafupi kuti akuthandizeni kupitiliza kupuma bwino. Koma pakhoza kukhala nthawi zina pomwe muli ndi vuto la kupuma, chifukwa chake mungafunikire kupulumutsa inhaler.

Lankhulani ndi dokotala wanu za momwe mumagwiritsira ntchito kupulumutsa inhaler. Ngati mumagwiritsa ntchito pafupipafupi, dongosolo lanu la chithandizo cha COPD liyenera kusinthidwa.

Kodi Combivent Respimat ndiyabwino kuposa chithandizo cha albuterol chokha?

Zitha kukhala, malinga ndi kafukufuku wazachipatala wa anthu omwe ali ndi matenda osokoneza bongo (COPD). Anthuwo adatenga ipratropium ndi albuterol (mankhwala omwe amagwiritsidwa ntchito mu Combivent Respimat), ipratropium yokha, kapena albuterol yokha.

Kafukufukuyu anapeza kuti kuphatikiza kwa ipratropium ndi albuterol kumapangitsa kuti njira zapaulendo zizikhala zotseguka kuposa albuterol. Anthu omwe amamwa mankhwala osakanizawa adatsegula njira zowuluka kwa maola anayi kapena asanu. Izi zimafanizidwa ndi maola atatu kwa anthu omwe adangotenga albuterol.

Zindikirani: Pakafukufukuyu, anthu omwe adatenga kuphatikiza kwa ipratropium ndi albuterol adagwiritsa ntchito chida china chopumira kuposa chida cha Combivent Respimat.

Ngati muli ndi mafunso okhudza albuterol kapena mankhwala ena a COPD, lankhulani ndi dokotala wanu.

Kodi pali katemera aliyense yemwe ndingapeze kuti ndichepetse chiopsezo cha ziphuphu za COPD?

Inde. Centers for Disease Control and Prevention (CDC) imalimbikitsa kuti anthu omwe ali ndi COPD atenge katemera wa chimfine, chibayo, ndi Tdap. Kupeza katemera kungathandize kuchepetsa chiopsezo chanu pa COPD flare-ups.

Izi ndichifukwa choti matenda am'mapapo monga chimfine, chibayo, ndi chifuwa chokhwima zimatha kukulitsa COPD. Ndipo kukhala ndi COPD kumatha kukulitsa chimfine, chibayo, ndi kutsokomola.

Mungafunenso katemera wina, inunso, funsani dokotala wanu ngati mwatsala pang'ono kuwombera.

Kodi Combivent Respimat imasiyana bwanji ndi DuoNeb?

Combivent Respimat ndi DuoNeb onse adavomerezedwa ndi Food and Drug Administration (FDA) kuti athetse COPD. Komabe, DuoNeb sikupezeka pamsika. DuoNeb tsopano amabwera mu mawonekedwe achibadwa monga ipratropium / albuterol.

Onsewa Combivent Respimat ndi ipratropium / albuterol ali ndi ipratropium ndi albuterol, koma mankhwalawa amabwera mosiyanasiyana. Combivent Respimat imabwera ngati chida chotchedwa inhaler. Mumalowetsa mankhwalawo ngati opanikizika (aerosol) kudzera mu inhaler. Ipratropium / albuterol imabwera ngati yankho (madzi osakaniza) omwe amagwiritsidwa ntchito mu chipangizo chotchedwa nebulizer. Chipangizochi chimasandutsa mankhwalawa kukhala nkhungu omwe mumawatsegula m'maso kapena pakamwa.

Ngati muli ndi mafunso okhudza Combivent Respimat, ipratropium / albuterol, kapena mankhwala ena a COPD, lankhulani ndi dokotala wanu.

Zoyeserera zophatikizira za Respimat

Musanapange Combivent Respimat, lankhulani ndi dokotala wanu za mbiri yanu. Mgwirizano wa Respimat mwina sungakhale woyenera kwa inu ngati muli ndi zovuta zina zamankhwala kapena zina zomwe zimakhudza thanzi lanu. Izi zikuphatikiza:

• Thupi lawo siligwirizana. Ngati muli ndi matupi awo sagwirizana ndiCombivent Respimat, chilichonse mwa zinthu zake, kapena mankhwala osokoneza bongo, simuyenera kutenga Combivent Respimat. (Atropine ndi mankhwala omwe amafanana ndi mankhwala mwazipangizo za Combivent Respimat.) Ngati simukudziwa ngati muli ndi vuto lililonse la mankhwalawa, lankhulani ndi dokotala wanu. Amatha kupereka chithandizo china ngati pakufunika kutero.
• Mikhalidwe ina yamtima. Mgwirizano woyankha ungayambitse mavuto amtima ngati muli ndi vuto linalake pamtima. Izi zikuphatikiza arrhythmia, kuthamanga kwa magazi, kapena kuperewera kwamitsempha (kuchepa kwa magazi kulowa mumtima). Mankhwalawa amatha kuyambitsa kusintha kwa kuthamanga kwa magazi, kugunda kwa mtima, komanso kuthamanga kwa mtima. Ngati muli ndi vuto la mtima, funsani dokotala ngati Combivent Respimat ili yoyenera kwa inu.
• Glaucoma yopapatiza. Mgwirizano wa Respimat ukhoza kukulitsa kupanikizika m'maso, komwe kumatha kubweretsa khungu latsopano kapena kukulirakulira. Ngati muli ndi mtundu uwu wa glaucoma, dokotala wanu adzakuyang'anirani mukamalandira mankhwala a Combivent Respimat.
• Mavuto ena amkodzo. Mgwirizano wa Respimat ungayambitse kusungidwa kwa mkodzo, vuto lomwe chikhodzodzo chanu sichitha kwathunthu. Ngati muli ndi mavuto ena okodzetsa mkodzo monga kukula kwa prostate kapena kutseka khosi la chikhodzodzo, funsani dokotala ngati Combivent Respimat ili yoyenera kwa inu.
• Matenda olanda. Albuterol, imodzi mwa mankhwala mu Combivent Respimat, itha kukulitsa zovuta zolanda. Ngati muli ndi vuto lakomoka, funsani dokotala ngati Combivent Respimat ili yoyenera kwa inu.
• Hyperthyroidism. Albuterol, imodzi mwa mankhwala mu Combivent Respimat, imatha kukulitsa hyperthyroidism (milingo yayikulu ya chithokomiro). Ngati muli ndi hyperthyroidism, funsani dokotala ngati Combivent Respimat ili yoyenera kwa inu.
• Matenda a shuga. Albuterol, imodzi mwa mankhwala mu Combivent Respimat, imatha kukulitsa matenda ashuga. Ngati muli ndi matenda ashuga, funsani dokotala ngati Combivent Respimat ili yoyenera kwa inu.
• Mimba ndi kuyamwitsa. Sizikudziwika ngati Combivent Respimat ili yovulaza panthawi yapakati komanso yoyamwitsa. Kuti mumve zambiri, chonde onani magawo a "Combivent Respimat ndi mimba" ndi "Combivent Respimat ndi kuyamwitsa" pamwambapa.

Zindikirani: Kuti mumve zambiri paza zotsatira zoyipa za Combivent Respimat, onani gawo la "Zotsatira Zoyeserera za Ophatikiza" pamwambapa.

Kutha kwa gawo limodzi la Respimat, kusunga, ndi kutaya

Mukalandira Combivent Respimat kuchokera ku pharmacy, wamankhwala adzawonjezera tsiku lotha ntchito pazolemba zomwe zili botolo. Tsikuli limakhala chaka chimodzi kuchokera tsiku lomwe adapereka mankhwalawo.

Tsiku lothera ntchito limathandizira kutsimikizira kuti mankhwalawa ndi othandiza panthawiyi. Maganizo apano a Food and Drug Administration (FDA) ndikupewa kugwiritsa ntchito mankhwala omwe atha ntchito. Ngati mwagwiritsa ntchito mankhwala omwe sanadutse tsiku lomaliza, lankhulani ndi wamankhwala wanu ngati mungakwanitse kuugwiritsabe ntchito.

Mukangoyika katiriji wamankhwala mu inhaler, ponyani chilichonse Combivent Respimat chomwe chatsala pambuyo pa miyezi itatu. Izi zimagwira ntchito ngati mwalandira mankhwala aliwonse kapena ayi.

Yosungirako

Kutalika kwa nthawi yayitali kumadalira mankhwala, kuphatikiza momwe mungasungire mankhwalawo.

Muyenera kusunga Combivent Respimat kutentha. Osazizira mankhwalawo.

Kutaya

Ngati simufunikiranso kumwa Combivent Respimat ndikukhala ndi mankhwala otsalira, ndikofunikira kuwataya mosamala. Izi zimathandiza kupewa ena, kuphatikiza ana ndi ziweto, kuti amwe mankhwalawo mwangozi. Zimathandizanso kuti mankhwalawa asawononge chilengedwe.

Tsamba la FDA limapereka malangizo angapo othandiza pakutha mankhwala. Muthanso kufunsa wamankhwala wanu kuti mumve momwe mungathere mankhwala anu.

Zambiri zamaphunziro a Combivent Respimat

Zotsatirazi zimaperekedwa kwa azachipatala ndi ena othandizira azaumoyo.

Zisonyezero

Combivent Respimat imawonetsedwa ngati mankhwala owonjezera a matenda osokoneza bongo (COPD) omwe wodwala alibe yankho lokwanira (ma bronchospasms opitilira) kwa bronchodilator wawo wapano.

Njira yogwirira ntchito

Combivent Respimat ndi bronchodilator yomwe ili ndi ipratropium bromide (anticholinergic) ndi albuterol sulfate (beta2-adrenergic agonist). Akaphatikizidwa, amapereka mphamvu yolimbitsa thupi powonjezera bronchi ndi minofu yotsitsimula kuposa momwe amagwiritsidwira ntchito payekha.

Pharmacokinetics ndi metabolism

Hafu ya moyo wa ipratropium bromide pambuyo popumitsa kapena kulowetsa mtsempha pafupifupi maola awiri. Hafu ya moyo wa Albuterol sulphate ndi maola awiri kapena asanu mutapuma komanso maola 3.9 pambuyo poyendetsa IV.

Zotsutsana

Combivent Respimat imatsutsana ndi odwala omwe adakumana ndi hypersensitivity reaction ku:

• ipratropium, albuterol, kapena chinthu china chilichonse mu Combivent Respimat
• atropine kapena chilichonse chochokera ku atropine

Yosungirako

Combivent Respimat iyenera kusungidwa pa 77 ° F (25 ° C), koma 59 ° F mpaka 86 ° F (15 ° C mpaka 30 ° C) ndizovomerezeka. Osazizira.

Chodzikanira: Medical News Today yachita kuyesetsa konse kuti zitsimikizidwe kuti zowona zonse ndizolondola, zonse, komanso zaposachedwa. Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala, kusokonezeka, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.