Tiotropium Oral Kufema

Zvemukati

• Kuti ushandise inhaler, tevera nhanho idzi:
• Usati washandisa tiotropium,
• Tiotropium inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Zviratidzo zvinotevera hazvina kujairika, asi kana ukasangana nechimwe zvacho, dana chiremba wako nekukasika:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

Tiotropium inoshandiswa kudzivirira kufema, kupfupika kwemweya, kukosora, uye chipfuva kuomarara kune varwere vane chirwere chisingaperi chisingabvumirwe chemapapu (COPD, boka rezvirwere zvinokanganisa mapapu nemunzira dzemumhepo) senge chisingaperi bronchitis (kuzvimba kwemipasi yemweya inotungamira kune mapapu) uye emphysema (kukuvara kwemweya masaga mumapapu). Tiotropium iri mukirasi yemishonga inonzi bronchodilators. Inoshanda nekuzorora uye kuvhura nzira dzemhepo kumapapu kuti kufema kuve nyore.

Tiotropium inouya sekapuleti yekushandisa neyakagadzirirwa inhaler. Iwe unoshandisa inhaler kufema mupfu yakaoma iyo iri mumacapsule. Tiotropium inowanzo kufemerwa kamwe chete pazuva mangwanani kana manheru. Kuti ikubatsire kuyeuka kupuruzira tiotropium, inhale mukati meiyo nguva yakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa tiotropium chaizvo sezvakarairwa. Usapinze yakawanda kana shoma yazvo kana kuifemera mukati kazhinji pane zvakatemwa nachiremba wako.

Usamedze tiotropium capsules.

Tiotropium inongoshanda chete kana iwe ukashandisa iyo inhaler inouya nekukweva iyo poda mumacapsule. Usambofa wakaedza kuvaburitsa vachishandisa chero imwe inhaler. Usambofa wakashandisa yako tiotropium inhaler kutora chero imwe mishonga.

Usashandise tiotropium kurapa kamwe kamwe kurwisa kwekufema kana kufema kwekufema. Chiremba wako angangodaro anyore imwe mishonga yekushandisa kana iwe uchinge uchinetseka zvakanyanya kufema.

Tiotropium inodzora COPD asi hairape. Zvinogona kutora mavhiki mashoma usati wanzwa mabhenefiti akazara e tiotropium. Ramba uchitora tiotropium kunyangwe iwe uchinzwa zvakanaka. Usarega kutora tiotropium usina kutaura nachiremba wako.

Ngwarira kuti usawane tiotropium upfu mumaziso ako. Kana tiotropium upfu ukapinda mumaziso ako, chiono chako chingave chisina kujeka uye unogona kunge uine hanya nechiedza. Dana chiremba wako kana izvi zvikaitika.

Kuti ushandise inhaler, tevera nhanho idzi:

1. Shandisa dhayagiramu mune ruzivo rwemurwere rwakauya nemushonga wako kuti ubatsire iwe kudzidza mazita ezvikamu zveyako inhaler. Iwe unofanirwa kukwanisa kuwana guruva chivharo, muromo, chigadziko, kuboora bhatani, uye yepakati kamuri.
2. Tora kamwe blister kadhi retiotropium capsules uye uribvarure pamwe nekuzara. Iwe unofanirwa kuve nemitsetse miviri iyo yega yega ine matatu macapsule.
3. Isa chimwe chezvipenga zvekuzotevera. Shandisa iyo tabu kunyatso nyatso kudzosera iyo foil pane imwe blister tambo kusvika iyo STOP mutsara. Izvi zvinofanirwa kuburitsa zvakazara one capsule. Iwo mamwe maviri macapsule ari pamutsara anofanira achiri kuiswa mucherechedzo mumapakeji avo. Ronga kushandisa iwo macapuleti pane anotevera mazuva maviri.
4. Dhonza kumusoro kumusoro muguruva chivharo cheyako inhaler kuti uvhure.
5. Vhura muromo weiyo inhaler. Bvisa iyo tiotropium capsule kubva mupakeji uiise mukamuri repakati reiyo inhaler.
6. Vhara muromo wacho zvine mutsindo kusvikira wadzvanya, asi usavha chivharo cheguruva.
7. Bata inhaler kuitira kuti muromo uri pamusoro. Dhinda bhatani rekuboora girini kamwe, wobva warega.
8. Femera kunze zvachose pasina kuisa chero chikamu cheiyo inhaler mukati kana padyo nemuromo wako.
9. Uya neiyo inhaler kumusoro kwako uye uvhare miromo yako zvine simba kutenderedza muromo.
10. Bata musoro wako wakamira uye ufeme mukati zvishoma nezvishoma uye zvakadzama. Iwe unofanirwa kufema nekukurumidza zvakakwana kuti unzwe iyo capsule ichidedera. Ramba uchifemera mukati kusvikira mapapu ako azere.
11. Bata mweya wako kwenguva yakareba sekugona kwaunogona kuita kudaro. Tora inhaler kubva mumuromo mako iwe uchinge wakabata mweya wako.
12. Kufema kazhinji kwenguva pfupi.
13. Dzokorora nhanho 8-11 kuti ufuridzire chero mishonga ingangosiiwa mune yako inhaler.
14. Vhura muromo uye tenderedza iyo inhaler kuti ubudise iyo yakashandiswa capsule. Rasa kapubule yakashandiswa kunze kwekusvika kwevana nezvipfuyo. Unogona kuona hushoma hupfu hwakasara mupasule. Izvi zvakajairika uye hazvireve kuti iwe hauna kuwana yako yakazara dosi.
15. Vhara muromo uye guruva chivharo uye chengetera inhaler munzvimbo yakachengeteka.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati washandisa tiotropium,

• udza chiremba wako uye wemishonga kana uri weergoria kune tiotropium, atropine (Atropen, Sal-Tropine, Ocu-Tropine), ipratropium (Atrovent), kana chero mimwe mishonga.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemakwenzi yauri kutora. Ive neshuwa yekutaura chero yeanotevera: amiodarone (Cordarone); antihistamines; atropine (Atropen, Sal-Tropine, Ocu-Tropine); cisapride (Propulsid); disopyramide (Norpace); dofetilide (Tikosyn); erythromycin (E.E.S, E-Mycin, Erythrocin); madonhwe eziso; ipratropium (Atrovent); mishonga yezvirwere zvinokanganisa ura, kufamba kwechirwere, chirwere cheParkinson, maronda, kana matambudziko eweti; moxifloxacin (Avelox); pimozide (Orap); procainamide (Procanbid, Pronestyl); quinidine (Quinidex); sotalol (Betapace); sparfloxacin (Zagam); uye thioridazine (Mellaril). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe kana wakambove neglaucoma (chirwere cheziso chinogona kukonzera kurasikirwa kwemaonero), matambudziko eweti, kurova kwemoyo zvisina kujairika, kana prostate (nhengo yekubereka yemurume) kana chirwere cheitsvo.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora tiotropium, dana chiremba wako.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora tiotropium.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Inhale dhesiki rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usapinze dhizaini yakapetwa kuti uwane imwe yakarasika.

Tiotropium inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• muromo wakaoma
• kuvimbiswa
• kurwadziwa nemudumbu
• kurutsa
• kugaya
• kurwadziwa kwemhasuru
• mumhino
• dzihwa
• Kuhotsira
• maronda machena anorwadza mumuromo

Mimwe mhedzisiro inogona kuve yakakomba. Zviratidzo zvinotevera hazvina kujairika, asi kana ukasangana nechimwe zvacho, dana chiremba wako nekukasika:

• mikoko
• kuputika kweganda
• kuvava
• kunetseka kufema kana kumedza
• kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi
• hoarseness
• kurwadziwa pachipfuva
• huro, fivha, kutonhora, uye zvimwe zviratidzo zvehutachiona
• kutemwa nemusoro kana zvimwe zviratidzo zvehutachiona hwechivi
• kunorwadza kana kuoma kuita weti
• kukurumidza moyo kurova
• kurwadziwa kweziso
• kusaona zvakanaka
• kuona halos dzakakomberedza mwenje kana kuona mifananidzo ine mavara
• maziso matsvuku

Tiotropium inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchishandisa mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Usavhure blister package yakatenderedza capsule kusvikira usati wagadzirira kuishandisa. Kana iwe netsaona ukavhura pasuru yecapsule yausingakwanise kushandisa ipapo, rasa iyo capsule. Usambofa wakachengeta macapsule mukati meiyo inhaler.

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

• muromo wakaoma
• kurwadziwa nemudumbu
• kuvimbiswa
• kukwazisana maoko ausingakwanise kudzora
• kuchinja mukufunga
• kusaona zvakanaka
• maziso matsvuku
• kukurumidza kurova kwemoyo
• kunetseka kuita weti

Chengetedza zvese zvakagadzwa nachiremba wako.

Iwe uchagamuchira inhaler nyowani nega yega 30 mazuva ekupa mishonga. Kazhinji, haufanire kuchenesa inhaler yako mukati memazuva makumi matatu aunoshandisa. Nekudaro, kana iwe uchida kuchenesa yako inhaler, iwe unofanirwa kuvhura iyo guruva chivharo uye yekutaura uye wobva wadzvanya iyo kuboora bhatani kuti uvhure base. Wobva wasukurudza yose inhaler nemvura inodziya asi usina kana sipo kana sipo. Zano kunze kwemvura yakawandisa uye siya iyo inhaler kumhepo yakaoma kwemaawa makumi maviri nemaviri neguruva chivharo, muromo, uye base yakavhurika. Usageze inhaler yako mudhishi rekuwachira uye usashandise mushure mekuigeza kusvikira yatenderwa kuoma kwemaawa makumi maviri nemana. Iwe unogona zvakare kuchenesa kunze kwekutaura nemuromo une hunyoro (husina kunyorova).

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• Spiriva^® HandiHaler^®

• Stiolto ^® Respimat^® (iine olodaterol uye tiotropium)