Umeclidinium uye Vilanterol Oral Inhalation

Zvemukati

• Kuti ushandise inhaler, tevera nhanho idzi:
• Usati washandisa umeclidinium uye vilanterol,
• Umeclidinium uye vilanterol zvinogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi, rega kushandisa umeclidinium uye vilanterol uye dana chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Iko kusanganiswa kwe umeclidinium uye vilanterol inoshandiswa kudzora kufema, kupfupika kwekufema, kukosora, uye chipfuva kuomarara kunokonzerwa nechirwere chisingaperi chinodzivirira pulmonary chirwere (COPD; boka rezvirwere zvinokanganisa mapapu nemumhepo, izvo zvinosanganisira chisingaperi bronchitis uye emphysema). Umeclidinium iri mukirasi yemishonga inonzi anticholinergics. Vilanterol iri mukirasi yemishonga inonzi yakareba-inoshanda beta-agonists (LABAs). Iyi mishonga inoshanda nekuzorora uye kuvhura mamhepo mweya mumapapu, zvichiita kuti zvive nyore kufema.

Iko kusanganiswa kwe umeclidinium uye vilanterol kunouya sehupfu hwekufema nemuromo uchishandisa yakakosha inhaler. Inowanzo kufemerwa kamwe chete pazuva. Inhale umeclidinium uye vilanterol panguva dzakatenderedza nguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa umeclidinium uye vilanterol chaizvo sezvakarairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.

Usashandise umeclidinium uye vilanterol inhalation kurapa nekukurumidza kurwisa kweCOPD. Chiremba wako achapa mushonga wepfupi-inoshanda beta agonist senge albuterol (Accuneb, Proair, Proventil, Ventolin) yekushandisa panguva yekurwiswa. Kana iwe wainge uchishandisa rudzi urwu rwemishonga nguva nenguva usati watanga kurapwa ne umeclidinium uye vilanterol, chiremba wako angangokuudza kuti urege kuishandisa nguva dzose asi kuti urambe uchishandisa kurapa kurwisa.

Umeclidinium uye vilanterol inhalation haifanire kushandiswa kurapa COPD iri kukurumidza kuwedzera. Dana chiremba wako kana kuwana rubatsiro rwekukurumidzira rwehutano kana matambudziko ako ekufema achiwedzera, kana iwe uchifanira kushandisa yako pfupi-inhaler kurapa kurwisa kweCOPD kazhinji, kana kana yako pfupi-inhaler isingadzikise zviratidzo zvako.

Umeclidinium uye vilanterol inhalation inodzora COPD asi hairape. Ramba uchishandisa umeclidinium uye vilanterol kunyangwe iwe uchinzwa zvakanaka. Usarega kushandisa umeclidinium uye vilanterol usina kutaura nachiremba wako. Kana iwe ukarega kushandisa umeclidinium uye vilanterol inhalation, zviratidzo zvako zvinogona kuwedzera.

Usati washandisa umeclidinium uye vilanterol inhalation kekutanga, bvunza chiremba wako, wemishonga, kana wekufema kukuratidzira mashandisiro einhaler. Dzidzira kushandisa inhaler yako iye achiona.

Kuti ushandise inhaler, tevera nhanho idzi:

1. Kana iwe uchizenge uchishandisa nyowani nyowani kekutanga, bvisa kubva mubhokisi uye iyo foil tray. Zadza "Tray yakavhurwa" uye "Rasa" zvisipo pane inhaler chitaridzi nemusi wawakavhura tray uye nemusi masvondo matanhatu gare gare paunofanira kutsiva iyo inhaler.
2. Paunenge wagadzirira kufema dhizaini yako, tsvedza iyo chifukidziro pasi kuti uburitse muromo wemuromo kusvikira wabaya. Kana iwe ukavhura nekuvhara iyo inhaler usingashandisi yako dosi, iwe uchaparadza mushonga.
3. Iyo counter ichaverenga pasi ne1 pese paunovhura iyo butiro. Kana kaunda ikasaverenga pasi, yako inhaler haizopa mushonga. Kana yako inhaler isingaverenge pasi, fonera wemishonga kana chiremba.
4. Bata iyo inhaler kure nemuromo wako uye kufemera kunze kure sezvaunogona zvakanaka. Usafemera kunze mumuromo.
5. Isa muromo pakati pemiromo yako, uye vhara miromo yako wakakomberedza. Tora mweya wakareba, wakadzikama, wakadzika mukati memuromo wako. Usafemera mukati nemhino dzako. Ive nekuchengera kuti urege kuvharidzira mweya mweya neminwe yako.
6. Bvisa inhaler kubva mumuromo mako, uye bata mweya wako kwemasekondi angangoita matatu kana mana kana sekureba sekugona kwako zvakanaka. Fema kunze zvishoma nezvishoma.
7. Unogona kana kusaravira kana kunzwa mushonga wakaburitswa neiyo inhaler. Kunyangwe ukasadaro, usapinze imwe dosi. Kana iwe usina chokwadi kuti uri kuwana yako dosi ye umeclidinium uye vilanterol, fonera chiremba wako kana wemishonga.
8. Iwe unogona kuchenesa muromo neyakaoma nyama, kana zvichidikanwa. Svetera chifukidziro pamusoro pemuromo kusvika kwachizoenda kunovhara inhaler.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

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

Usati washandisa umeclidinium uye vilanterol,

• udza chiremba wako uye wemishonga kana uri weergoria kune umeclidinium, vilanterol, chero mimwe mishonga, mukaka mapuroteni, kana chero chinhu chinogadzirwa mu umeclidinium uye vilanterol inhalation. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako kana ukashandisa imwe LABA senge arformoterol (Brovana), formoterol (Perforomist, muBevepi Aerosphere, Duaklir Pressair, Dulera, Symbicort), indacaterol (Arcapta), olodaterol (Striverdi Respimat, muStiolto Respimat), kana salmeterol (Serevent, muAdvair). Chiremba wako anokuudza kuti ndeupi mushonga waunofanirwa kushandisa uye ndeupi mushonga waunofanirwa kurega kushandisa.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemiti yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: antifungals senge itraconazole (Onmel, Sporanox, Tolsura), ketoconazole, uye voriconazole (Vfend); antihistamines; atropine; beta-blockers senge atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), uye propranolol (Inderal, Innopran); clarithromycin; conivaptan (Vaprisol); diuretics ('mapiritsi emvura'); HIV protease inhibitors senge indinavir (Crixivan), lopinavir (muKaletra), nelfinavir (Viracept), ritonavir (Norvir), uye saquinavir (Invirase); mimwe mishonga yeCOPD inosanganisira aclidinium (Tudorza Pressair), ipratropium (Atrovent HFA), uye tiotropium (Spiriva); mishonga yezvirwere zvinokanganisa ura, kufamba kwechirwere, chirwere cheParkinson, maronda, kana matambudziko eweti; uye nefazodone. Uyezve udza chiremba wako uye wemishonga kana uri kutora mishonga inotevera kana kuti warega kuinwa mukati memasvondo maviri apfuura: mishonga yekudzvinyirira yakadai seamitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine ( Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), uye trimipramine (Surmontil); amiodarone (Nexterone, Pacerone); anagrelide (Agrylin); chloroquine; chlorpromazine; cilostazol; ciprofloxacin (Cipro); citalopram (Celexa); clarithromycin; disopyramide (Norpace); dofetilide (Tikosyn); donepezil (Aricept); dronedarone (Multaq); escitalopram (Lexapro); flecainide (Tambocor); fluconazole (Diflucan); haloperidol (Haldol); ibutilide (Corvert); levofloxacin; methadone (Dolophine, Methadose); moxifloxacin (Avelox); ondansetron (Zuplenz, Zofran); pentamidine (Pentam); pimozide (Orap); procainamide; quinidine (muNuedexta); sotalol (Betapace, Sorine, Sotylize); thioridazine; uye monoamine oxidase (MAO) inhibitors senge isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Zelapar), uye tranylcypromine (Parnate). Mimwe mishonga yakawanda inogona zvakare kubatana ne umeclidinium uye vilanterol, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe une asthma. Chiremba wako anokuudza kuti usashandise umeclidinium uye vilanterol kunze kwekunge urikuishandisa pamwe nemushonga unodhonzwa wemishonga.
• udza chiremba wako kana iwe wakambove neakakwira BP, kusagadzikana kwemwoyo, QT kuwedzerwa (irregular moyo rhythm iyo inogona kutungamira mukufenda, kurasikirwa kwekuziva, kugumbuka, kana kufa kamwe kamwe), kufenda, chirwere cheshuga, glaucoma (chirwere cheziso ), kuchengetedza weti (kunetseka kuita weti), prostate kana chinetso chedundira, kana moyo, thyroid, kana chirwere chechiropa.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa umeclidinium uye vilanterol, danaidza chiremba wako.
• iwe unofanirwa kuziva kuti umeclidinium uye vilanterol inhalation dzimwe nguva zvinokonzeresa kufema uye kunetseka kufema nekukurumidza mushure mekunge yafemerwa. Kana izvi zvikaitika, dana chiremba wako pakarepo. Usashandise umeclidinium uye vilanterol inhalation zvakare kunze kwekunge chiremba wako akuudza kuti iwe unofanirwa.

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. Usashandise inopfuura imwechete dhizaini pazuva uye usafemese iyo yakapetwa kaviri dhizaini yekushaya imwe.

Umeclidinium uye vilanterol zvinogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kuzunza chikamu chemuviri wako chausingakwanise kudzora
• huta
• inoyerera mhino, huro inorwadza
• kuvimbiswa
• manyoka
• kurwadziwa mumaoko ako kana makumbo
• mhasuru
• kurwadziwa kwemutsipa
• kurwadziwa shure
• kurwadza kwemajoini
• marwadzo emudumbu
• musoro
• kusvotwa
• dzungu
• kurwadziwa nemazino

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi, rega kushandisa umeclidinium uye vilanterol uye dana chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

• mapundu
• mikoko
• kuvava
• kuzvimba kwechiso, muromo, kana rurimi
• kurova, kukurumidza, kana kusagadzikana kwemoyo
• kurwadziwa pachipfuva
• kurwadziwa kweziso, kutsvuka, kana kusagadzikana; kusaona zvakanaka; kuona halos kana mavara akajeka akatenderedza mwenje, dzimwe nguva pamwe nesvoto uye kurutsa
• kunetseka kuita weti kana kuita weti mune isina simba rukova kana kudonha
• kazhinji kana kurwadza kuita weti

Umeclidinium uye vilanterol zvinogona 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 mune iyo foil tray iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nezuva, kupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Dzinga inhaler mushure memavhiki matanhatu wabvisa iyo kubva kune iyo foil tray kana mushure mekunge blister yega yega yashandiswa (kana iyo counter counter ikaverenga 0), chero ipi inouya kutanga.

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 zvinotevera:

• pfari
• kurwadziwa pachipfuva
• mweya wekufema
• dzungu
• nekukurumidza, kurovera, kana kurova kwemoyo zvisina kujairika
• huta
• musoro
• kuzunza chikamu chemuviri wako chausingakwanise kudzora
• mhasuru kana kushaya simba
• muromo wakaoma
• inopisa, yakaoma, ganda rakatsetseka
• kusvotwa
• kuneta zvakanyanya
• kunetseka kurara kana kuramba wakarara
• kusaona zvakanaka
• vakawedzeredzwa vadzidzi
• kuona zvinhu kana kunzwa manzwi zvisipo (kufungidzira)

Chengetedza zvese zvakagadzwa nachiremba wako.

Usati waita chero bvunzo ye laboratori (kunyanya iyo inosanganisira methylene bhuruu), udza chiremba wako nevashandi veirabhoritari kuti urikushandisa umeclidinium uye vilanterol.

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.

• Anoro Ellipta^® (iine umeclidinium, vilanterol)