Tiotropium, ufa wopumira

Zamkati

• Machenjezo ofunikira
• Kodi tiotropium ndi chiyani?
• Chifukwa chimagwiritsidwa ntchito
• Momwe imagwirira ntchito
• Zotsatira za tiotropium
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Tiotropium imatha kulumikizana ndi mankhwala ena
• Mankhwala ena anticholinergic
• Machenjezo a Tiotropium
• Chenjezo la ziwengo
• Machenjezo kwa anthu omwe ali ndi matenda ena
• Machenjezo kwa magulu ena
• Momwe mungatengere tiotropium
• Mlingo wa matenda opatsirana am'mapapo
• Tengani monga mwalamulidwa
• Zofunikira pakumwa tiotropium
• Zonse
• Yosungirako
• Zowonjezeranso
• Kuyenda
• Kudziyang'anira pawokha
• Kuwunika kuchipatala
• Chilolezo chisanachitike
• Kodi pali njira zina?

Mfundo zazikulu za tiotropium

1. Tiotropium inhalation powder imapezeka ngati dzina lodziwika. Sipezeka ngati mankhwala achibadwa. Dzinalo: Spiriva.
2. Tiotropium imabwera m'njira ziwiri: ufa wa inhalation ndi utsi wa inhalation.
3. Tiotropium inhalation powder imagwiritsidwa ntchito pochiza matenda osokoneza bongo (COPD).

Machenjezo ofunikira

• Chenjezo lakuchepa kwa mpweya: Mankhwala opatsirana ngati mankhwalawa akhoza kupititsa patsogolo mpweya mosayembekezereka. Zitha kuchititsanso mavuto ena kupuma. Izi zikachitika, itanani dokotala wanu ndipo siyani kugwiritsa ntchito mankhwalawa.
• Chenjezo la kuwonongeka kwa diso: Mankhwalawa akhoza kuwononga maso anu. Itanani dokotala wanu ngati muli ndi vuto ili m'maso:
• kupweteka kwa diso kapena kusapeza bwino
• kusawona bwino
• kuwona zithunzi za halos kapena zamitundu
• Chenjezo posunga mkodzo: Mankhwalawa amatha kukupangitsani kuti musunge mkodzo. Itanani dokotala wanu ngati mukuvutika kudutsa mkodzo, kapena ngati mukumva kuwawa mukakodza.
• Chenjezo la chizungulire: Mankhwalawa amatha kuyambitsa chizungulire. Samalani kwambiri mukamayendetsa galimoto kapena kugwiritsa ntchito makina mukamamwa mankhwalawa.

Kodi tiotropium ndi chiyani?

Tiotropium ndi mankhwala omwe mumalandira. Imabwera ngati ufa wopumira kapena utsi wopumira.

Tiotropium inhalation powder imapezeka ngati dzina lodziwika mankhwala Spiriva. Sipezeka ngati mankhwala achibadwa. Ufa, womwe umabwera mu kapisozi, umapumira pogwiritsa ntchito chida chotchedwa HandiHaler.

Tiotropium inhalation powder itha kugwiritsidwa ntchito ngati njira imodzi yophatikizira. Izi zikutanthauza kuti mungafunike kumwa mankhwala ena.

Chifukwa chimagwiritsidwa ntchito

Tiotropium inhalation powder imagwiritsidwa ntchito pochiza matenda a pulmonary (COPD) a nthawi yayitali. Amagwiritsidwa ntchito kuchepetsa kuphulika kwa matenda.

Tiotropium inhalation ufa sayenera kugwiritsidwa ntchito pochiza msanga mpweya kapena mavuto ena opuma.

Momwe imagwirira ntchito

Tiotropium inhalation powder ndi ya gulu la mankhwala omwe amatchedwa anthemolinergic mankhwala. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Mafuta otsekemera a Tiotropium amatsitsimutsa minofu yamapapu anu. Izi zimathandiza kuchepetsa ndikupewa kupuma pang'ono.

Zotsatira za tiotropium

Tiotropium inhalation powder sichimakutopetsani. Komabe, zimatha kukupangitsani kukhala ozunguzika. Zitha kupanganso zovuta zina.

Zotsatira zofala kwambiri

Zina mwa zovuta zoyipa zomwe zimatha kuchitika pogwiritsa ntchito tiotropium ndi monga:

• pakamwa pouma
• chikhure
• chifuwa
• mavuto a sinus
• kudzimbidwa
• kuthamanga kwa mtima
• kusawona bwino kapena masomphenya amasintha
• ululu pokodza

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

Zotsatira zoyipa

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:

• Kupuma pang'ono mwadzidzidzi komwe kungaike pangozi moyo
• Kuwonongeka kwa diso. Zizindikiro zimatha kuphatikiza:
• kupweteka kwa diso kapena kusapeza bwino
• kusawona bwino
• halos
• maso ofiira
• kuwona zithunzi zamitundu
• Mkodzo mavuto. Zizindikiro zimatha kuphatikiza:
• ululu pokodza
• kuvuta kukodza

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti izi zimaphatikizaponso zovuta zonse zomwe zingachitike. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse muzikambirana mavuto omwe angakhalepo ndi othandizira azaumoyo omwe amadziwa mbiri yanu yazachipatala.

Tiotropium imatha kulumikizana ndi mankhwala ena

Tiotropium inhalation powder imatha kulumikizana ndi mankhwala ena, mavitamini, kapena zitsamba zomwe mwina mukumwa. Kulumikizana ndi pamene chinthu chimasintha momwe mankhwala amagwirira ntchito. Izi zitha kukhala zowononga kapena kuletsa mankhwalawa kuti asagwire ntchito bwino.

Pofuna kupewa kuyanjana, dokotala ayenera kuyang'anira mankhwala anu onse mosamala. Onetsetsani kuuza dokotala wanu za mankhwala onse, mavitamini, kapena zitsamba zomwe mukumwa. Kuti mudziwe momwe mankhwalawa angagwirizane ndi china chake chomwe mumatenga, lankhulani ndi dokotala kapena wamankhwala.

Zitsanzo za mankhwala omwe angayambitse kulumikizana ndi tiotropium alembedwa pansipa.

Mankhwala ena anticholinergic

Kuopsa kwa zotsatirapo kumatha kukulirakulira pamene tiotropium imagwiritsidwa ntchito ndi mankhwala ena a anticholinergic. Musagwiritse ntchito tiotropium ndi mankhwala ena anticholinergic. Zitsanzo za mankhwalawa ndi monga:

• diphenhydramine
• alireza
• clomipramine
• olanzapine

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amagwirira ntchito mosiyanasiyana mwa munthu aliyense, sitingatsimikizire kuti izi zikuphatikizira kulumikizana kulikonse kotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi omwe amakuthandizani pa zaumoyo momwe mungachitire ndi mankhwala, mavitamini, zitsamba ndi zowonjezera, komanso mankhwala omwe mumamwa.

Machenjezo a Tiotropium

Mankhwalawa amabwera ndi machenjezo angapo.

Chenjezo la ziwengo

Mankhwalawa amatha kuyambitsa vuto lalikulu. Zizindikiro zimatha kuphatikiza:

• kuyabwa
• kutupa kwa milomo, lilime, kapena pakhosi
• zidzolo
• kuvuta kupuma

Mukakhala ndi zizindikilozi, itanani 911 kapena pitani kuchipinda chadzidzidzi chapafupi.

Musatengerenso mankhwalawa ngati munakhalapo ndi vuto linalake. Kutenganso kumatha kukhala koopsa (kuyambitsa imfa). Komanso, musamamwe mankhwalawa ngati munayamba mwakumana ndi vuto la ipratropium. Ndipo samalani kwambiri ngati mwayamba kudwala atropine kapena mapuloteni amkaka. Ufa wa inhalation uli ndi lactose, yomwe imatha kukhala ndi mapuloteni amkaka.

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi matenda a impso: Ngati muli ndi matenda a impso, simungathe kuchotsa mankhwalawa mthupi lanu bwino. Izi zitha kukulitsa kuchuluka kwa mankhwalawa mthupi lanu ndikupangitsa zovuta zina.

Kwa anthu omwe ali ndi khungu lochepetsetsa: Mankhwalawa akhoza kukulitsa vuto lanu. Lankhulani ndi dokotala wanu ngati mankhwalawa ndi abwino kwa inu.

Kwa anthu omwe ali ndi prostate yotukuka kapena kutsekeka kwa chikhodzodzo: Mankhwalawa amatha kuyambitsa mkodzo. Ngati mwakhala ndi mavuto okodza mukakumwa mankhwalawa, itanani dokotala wanu nthawi yomweyo.

Machenjezo kwa magulu ena

Kwa amayi apakati: : Kafukufuku wazinyama wasonyeza zovuta kwa mwana wosabadwa mayi atamwa mankhwalawo. Komabe, sipanapezeke maphunziro okwanira mwa anthu kuti atsimikizire momwe mankhwalawo angakhudzire mwana wosabadwayo.

Lankhulani ndi dokotala ngati muli ndi pakati kapena mukukonzekera kutenga pakati. Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha phindu lomwe lingakhalepo lingabweretse chiopsezo.

Mukakhala ndi pakati mukamamwa mankhwalawa, itanani dokotala wanu nthawi yomweyo.

Kwa amayi omwe akuyamwitsa: Mankhwalawa amatha kulowa mkaka wa m'mawere ndipo atha kubweretsa zovuta zoyipa kwa mwana yemwe akuyamwitsa. Lankhulani ndi dokotala ngati mukuyamwitsa mwana wanu. Muyenera kusankha kuti musiye kuyamwa kapena kusiya kumwa mankhwalawa.

Momwe mungatengere tiotropium

Mlingo uliwonse wotheka ndi mitundu ya mankhwala sizingaphatikizidwe pano. Mlingo wanu, mawonekedwe a mankhwala, komanso kuchuluka kwa momwe mumamwa mankhwalawo zimadalira:

• zaka zanu
• matenda omwe akuchiritsidwa
• momwe matenda anu alili
• Matenda ena omwe muli nawo
• momwe mumachitira ndi mankhwala oyamba

Mlingo wa matenda opatsirana am'mapapo

Mtundu: Spiriva

• Mawonekedwe: Makapisozi okhala ndi ufa wambiri pakamwa, kuti agwiritsidwe ntchito ndi chida cha HandiHaler
• Mphamvu: Kapisozi iliyonse imakhala ndi ma micrograms 18 a mankhwala.

Mlingo wachikulire (wazaka 18 kapena kupitirira)

• Tengani mpweya wokwanira kawiri wopezeka mu kapisozi kamodzi patsiku.
• Musatenge mpweya wopitilira kawiri m'maola 24.

Mlingo wa ana (zaka 0-17 zaka)

Sizinatsimikiziridwe kuti tiotropium ndiyotetezeka komanso yothandiza kugwiritsidwa ntchito kwa ana omwe ali ndi COPD omwe ali ochepera zaka 18.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala osokoneza bongo amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti mndandandawu umaphatikizira miyezo yonse yotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse kulankhula ndi dokotala kapena wamankhwala za mlingo woyenera kwa inu.

Tengani monga mwalamulidwa

Tiotropium inhalation powder imagwiritsidwa ntchito pochiza matendawa kwa nthawi yayitali. Sitiyenera kugwiritsidwa ntchito ngati chithandizo chapompopompo kapena mavuto ena opumira. Zimabwera ndi zoopsa ngati simukuzitenga monga mwalamulo.

Mukasiya kumwa mankhwalawa kapena osamwa konse: Mutha kukhala kuti mwakhala mukukumana ndi vuto la kupuma pang'ono kapena mavuto ena opuma.

Ngati mwaphonya Mlingo kapena osamwa mankhwalawo panthawi yake: Mankhwala anu mwina sagwira ntchito kapena akhoza kusiya kugwira ntchito kwathunthu. Kuti mankhwalawa agwire bwino ntchito, kuchuluka kwake kumayenera kukhala mthupi lanu nthawi zonse.

Ngati mutenga zochuluka kwambiri: Mutha kukhala ndimankhwala owopsa mthupi lanu. Ngati mukuganiza kuti mwamwa mankhwalawa mopitirira muyeso, itanani dokotala wanu kapena malo oletsa poyizoni kwanuko. Ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.

Zomwe muyenera kuchita mukaphonya mlingo: Tengani mlingo wanu mukangokumbukira. Koma ngati mukukumbukira kutangotsala maola ochepa kuti muyambe kumwa mankhwala, tengani mlingo umodzi wokha. Osayesa konse kutenga mwa kumwa miyezo iwiri nthawi imodzi. Izi zitha kubweretsa zovuta zoyipa.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Muyenera kukhala ndi mpweya wochepa kapena mavuto ena opuma.

Zofunikira pakumwa tiotropium

Pitirizani kuganizira izi ngati dokotala wanu akukulemberani tiotropium.

Zonse

• Osadula, kuphwanya, kapena kutsegula kapisozi. Itha kugwiritsidwa ntchito ndi chida cha HandiHaler.

Yosungirako

• Sungani makapisozi pa 77 ° F (25 ° C). Amatha kusungidwa kutentha kwa 59 ° F ndi 86 ° F (15 ° C ndi 30 ° C) kwakanthawi kochepa kwambiri.
• Musasunge mankhwalawa m'malo onyowa kapena onyowa, monga mabafa.
• Makapisozi amayenera kusungidwa mu phukusi lomwe amalowa ndikuchotsa musanagwiritse ntchito. Musasunge makapisozi mkati mwa chida cha HandiHaler.

Zowonjezeranso

Mankhwala a mankhwalawa amakonzanso. Simuyenera kusowa mankhwala atsopano kuti mudzazidwenso. Dokotala wanu adzalemba kuchuluka kwa mafuta obwezerezedwanso pamankhwala anu.

Kuyenda

Mukamayenda ndi mankhwala anu:

• Nthawi zonse muzinyamula mankhwala anu. Mukamauluka, musayikenso m'thumba lofufuzidwa. Sungani m'thumba lanu.
• Osadandaula za makina a x-ray pabwalo la ndege. Sangathe kuvulaza mankhwala anu.
• Mungafunike kuwonetsa ogwira ntchito ku eyapoti chizindikiro cha mankhwala anu. Nthawi zonse muzinyamula chidebe choyambirira cholembedwa ndi mankhwala.
• Musayike mankhwalawa m'galimoto yamagolovu amgalimoto yanu kapena siyani m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.

Kudziyang'anira pawokha

Tiotropium inhalation powder imabwera mu kapisozi. Osameza kapisozi. Mumayika kapisozi mu chida chapadera chotchedwa HandiHaler. Chipangizochi chimakupatsani mpweya wambiri kudzera pakamwa panu.

Dokotala wanu akuwonetsani momwe mungagwiritsire ntchito inhaler yanu. Muyeneranso kuwerenga malangizo omwe amabwera ndi mankhwala anu kuti mudziwe kugwiritsa ntchito chida chanu.

Kuwunika kuchipatala

Mukamamwa mankhwalawa, dokotala wanu amakufunsani mafunso nthawi ndi nthawi. Adzakufunsani za kupuma kwanu pang'ono komanso kuthekera kwanu kupirira zolimbitsa thupi komanso zochitika zina zakuthupi m'moyo wanu watsiku ndi tsiku.

Chilolezo chisanachitike

Makampani ambiri a inshuwaransi amafuna chilolezo choyambirira cha mankhwalawa. Izi zikutanthauza kuti dokotala wanu adzafunika kuvomerezedwa ndi kampani yanu ya inshuwaransi kampani yanu ya inshuwaransi isanakulipireni mankhwalawo.

Kodi pali njira zina?

Palinso mankhwala ena omwe amapezeka kuti athetse vuto lanu. Ena akhoza kukuyenererani kuposa ena. Lankhulani ndi dokotala wanu za mankhwala ena omwe angakuthandizeni.

Chodzikanira: Healthaline yayesetsa kwambiri kuti zidziwitso zonse zikhale zolondola, zokwanira, 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.