Iziguli ezine-chronic obstructive pulmonary disease (COPD) zivame ukudinga imithi yesondlo nsuku zonke eyanciphisa ukuvuvukala kwe-airway, ukhululeke imisipha emoyeni futhi usize amaphaphu asebenze kangcono. I-Spiriva, i- bronchodilator esebenza isikhathi eside, i-anticholinergic imithi yokondla engakusiza ukuphatha izimpawu zakho ze- COPD .
Okokuqala kuvunywe yi-FDA njengokuphephile nokuphumelelayo kokusetshenziswa kwansuku zonke ngo-2004, i-Spiriva yindlela yokwakha igama le-tiotropium bromide.
Le mithi ivela ezinhlobonhlobo ezimbili ezahlukene-i-Spiriva Handihaler, i-powder, ne-Spiriva Respimat, i-spray. Bobabili banikezwa nge-inhalation ngomlomo njengendlela yokwelashwa yansuku zonke. Umthamo ojwayelekile weziguli ezine-COPD yi-2.5 mcg, nakuba umthamo ophansi utholakala futhi uvunyelwe ukusetshenziswa ekulawuleni i-asthma.
Kunemiphumela emibi eminingi engenzeka yokusebenzisa i-Spiriva okumele uyiqaphele kusukela kokujwayelekile kuya kanzima. Imiphumela emibi kokubili i-Spiriva Handihaler ne-Spiriva Respimat ngokuvamile iyafana, nakuba ezinye iziguli ezinemiphumela emibi engathandeki ngokubunjwa okulodwa zihlangabezana nobunzima obukhulu komunye.
Ngokuphambene nezifundo zangaphambili, u-Spiriva akwandise ingozi yokushaywa yisifo noma isinye isenzakalo se- cardiovascular. Okulandelayo uhlu lokusebenzisana kwezidakamizwa nemiphumela emibi, nakuba izinkinga ezingeziwe ezingeziwe zingase zihlotshaniswe nokusetshenziswa. Qinisekisa ukuthi ukhuluma nomhlinzeki wakho wezempilo uma uthatha lezi, noma ezinye izidakamizwa, ngaphambi kokuthatha i-Spiriva, noma uma uhlangabezana nemiphumela engezansi engakhulunywa lapha.
Okuqhamuka uma udla imishanguzo
Okulandelayo yimiphumela emibi ejwayelekile ehlobene neSpiriva ukuthi ngokuvamile ayidingi ukunakekelwa kwezokwelapha:
- Ukuqokwa
- Isikhukhula
- Umlomo omile
- Izinwele
- Ubuhlungu besisu
- Umphimbo obuhlungu
- Isisu esibuhlungu
Okulandelayo yimiphumela emibi kakhulu eyabika emva kokusebenzisa i-Spiriva. Xhumana nomhlinzeki wakho wokunakekela impilo ngokushesha ngangokunokwenzeka uma uhlangabezana nalokhu:
- Noma yiluphi uhlobo lwe-reactional asergic efana nokukhwabanisa isikhumba, imihlathi, ukuvuvukala kobuso, izindebe noma ulimi
- Ukuphefumula okunzima
- Izinguquko embonweni
- Ubuhlungu besifuba
- Ukushaya kwenhliziyo okusheshayo noma izinhliziyo zenhliziyo
- Izimpawu zokutheleleka noma izifo
- Ukuhlukumeza umchamo odlulayo noma ushintsho ngobuningi bomchamo
Ukusebenzisana
I-Spiriva ingaxhumana nemithi elandelayo:
- Atropine
- Hyoscyamine
- Ipratropium
- Imithi ehlobene ebizwa ngokuthi i-antimuscarinics (izidakamizwa ezivimbela izitho zangasese) noma anticholinergics
Lena kuphela uhlu oluthile lwezingxoxo zokusetshenziswa kwezidakamizwa. Qinisekisa ukuthi ukhuluma nomhlinzeki wakho wezempilo uma uthatha lezi, noma imiphi imithi, ngaphambi kokuthatha i-Spiriva.
Ukuqapha
Spiriva akuwona wonke umuntu. Ngaphambi kokusebenzisa i-Spiriva, yazise umhlinzeki wakho wezempilo uma uneminye yale mibandela elandelayo:
- I-glaucoma
- Izinkinga zesibindi noma umchamo odlulayo odlulayo
- Isifo sezinso
- Izinkinga zeprostate
- Ukusabela okungavamile noma okubangelwa ukwelashwa ku-tiotropium, ipratropium, i-atropine, i-lactose, ama-dyes okudla, ama-preservative noma enye imithi
- Ukukhulelwa, noma ukuzama ukukhulelwa
- Ukubeletha
Ungayisebenzisa kanjani
Ukuze wenze lokhu, uzodinga imithi ye-Spiriva evela kudokotela wakho, i-Spiriva HandiHaler, ne-Spiriva capsules ephethe imithi.
- Vula i-gray cap cap ye-Spiriva HandiHaler.
- Vula phezulu kobucwebe bomlomo we-Spiriva HandiHaler. Lokho kufanele kudalulwe i-slot encane lapho i-capsule (eyaziwa nangokuthi i-capsule reservoir) izofakwa.
- Susa i-capsule kusuka kwiphakheji ye-Spiriva capsule. OKUBALULEKILE: INKOSI YOMKHAYA YAKHO AKAFUNEKA YIQONDE!
- Beka i-capsule engxenyeni ye-Spiriva capsule.
- Vala ikhava elimhlophe ngomlomo kudivayisi ye-Spiriva HandiHaler.
- Cindezela inkinobho eceleni koHandiHaler. Lokhu kuphazamisa i-capsule ye-Spiriva futhi ivumela ukuthi imithi ikhululwe bese ihanjiswa.
- Faka iHandiHaler ye-Spiriva emlonyeni wakho bese uqinisa izindebe zakho eduze komlomo. Philisa ngokushesha futhi ngokujulile ngeHandiHaler ye-Spiriva. Kufanele uzwe umsindo wokuqhuma njengoba uthatha umoya ojulile. Lokhu kubonisa ukuthi imithi ihanjiswa ngendlela efanele kusukela ku-capsule.
- Uma ungayizwa umsindo wokuzulazula, zama amathiphu alandelayo: Hlola ukuqinisekisa ukuthi umlomo womlomo wakho ku-Spiriva Handihaler wakho uvaliwe. Bamba i-HandiHaler yakho ngokuqondile bese uyiphonsa ngokucophelela esiteji setafula, counter noma enye indawo enzima. Zama ukuvuselela futhi. Uma ungakalizwa noma uzizwa i-capsule rattle, khuluma nodokotela wakho noma ummithi ngokushesha ngangokunokwenzeka.
- Uma kungenzeka, ubambe umoya wakho imizuzwana emihlanu kuya kweyishumi, bese uphefumula ngokuvamile.
- Hlanza umlomo wakho ngamanzi noma uqhube amazinyo emva kokusetshenziswa kwakho.
- Vula ikhava elimhlophe ngomlomo bese ususa i-capsule kusukela ku-capsule reservoir.
- Vala ikhava elimhlophe elimhlophe kanye ne-grey dust cap we-Spiriva HandiHaler. Phonsa capsule kude kudoti.
- Hlanza i-Spiriva Handihaler yakho ngenyanga ngenyanga ngemfundo yomkhiqizi.
Amathiphu Okusetshenziswa Okufanele
- Ungalokothi usebenzise omunye umuntu we-Spiriva HandiHaler noma wabelane ngedivayisi yakho nanoma ubani. Gcina lokhu kanye nayo yonke imithi ngaphandle kwezingane.
- Ungasebenzisi okungaphezu kwenani eliphakanyisiwe le-Spiriva. Ukusebenzisa imithi eminingi kunokuba udokotela wakho enqunyiwe ngeke akusize ukwelashwa kwakho kwe-COPD, futhi kungabangela imiphumela emibi.
- Ungagcini ama-capsules asetshenzisiwe noma angasetshenziswanga ngaphakathi kwe-Spiriva HandiHaler.
- Ungasusi i-capsule kusukela kuphakheji kuze kube yilapho isilungele ukusetshenziswa, ngoba ukwenza lokho kunganciphisa ukusebenza kwayo.
- Gwema ukuthola i-powder ku-capsule ye-Spiriva emehlweni akho.