Izigulane ezinezifo ezingapheliyo zokuphazamiseka kwezifo (COPD) zidla ixesha elide zifuna amayeza alondolozo lwamaxesha onke anciphisa ukuvuvukala kwe-airway, ukhulule izihlunu kwi-airways kwaye uncede imiphunga isebenze kangcono. I-Spiriva, i-long-acting, i-anticholinergic bronchodilator yinkonzo yokugcina engakunceda ukulawula iimpawu zakho zeCOPD .
Okokuqala kuvunywe yi-FDA njengekhuselekile kwaye isebenza ngokusetyenziswa kwansuku zonke ngo-2004, i-Spiriva yindlela yokwenza igama lomtshini we-tiotropium bromide.
Amachiza aya kwiifom ezimbini ezahlukeneyo-i-Spiriva Handihaler, ipowder, kunye ne-Respindi ye-Spiriva, i-spray. Zomibini zithunyelwa nge-inhalation yomlomo njengonyango lohlaziyo lwexesha elilodwa. Umlinganiselo osemgangathweni wezigulane ezine-COPD yi-2.5 mcg, nangona umthamo ophantsi ukhona kwaye uvunyelwe ukusetyenziswa ekulawuleni i-asthma.
Kukho imiphumo emininzi eyenzekayo yokusebenzisa i-Spiriva ukuba kufuneka uqaphele ukususela kwizinto eziqhelekileyo ukuya kunzima. Imiphumo emibi ye-Spiriva Handihaler kunye ne-Spiriva Respimat ngokuqhelekileyo ifana, nangona ezinye izigulane ezineemiphumo ezingathandekiyo ziphumo zodwa zifumana ubunzima obunzima komnye.
Ngokuchasene nezifundo zangaphambili, uSpiriva ayinyuli umngcipheko wesifo okanye isiganeko somoya. Oku kuluhlu lweendlela zokusebenzisana kwezidakamizwa kunye nemiphumo emibi, nangona iingxaki ezingaphezulu ezingenakuchazwa zidibene nokusetyenziswa. Qiniseka ukuthetha nomniki-nkonzo wakho wezempilo ukuba uthatha le, okanye nayiphina imithi, ngaphambi kokuba uthathe i-Spiriva, okanye ukuba unemiphumo engaphezulu yecala engakhankanyiwe apha.
Imiphumela
Ezi zilandelayo ziphumo eziqhelekileyo ezichaphazelekayo kunye ne-Spiriva ukuba ngokubanzi ayifuni unyango:
- Ukutyunjwa
- Isiqhamo
- Umlomo omile
- Intloko
- Ubuhlungu besisu
- Umqala obuhkungu
- Isisu esimoshakele
Ezi zilandelayo ziphumo ezibi kakhulu eziye zabikwa emva kokusebenzisa i-Spiriva. Nxibelelana nomboneleli wakho wonyango ngokukhawuleza ukuba unako:
- Naluphina uhlobo olusabelayo olunjenge-skin shash, imisipha, ukuvuvukala ubuso, imilomo, okanye ulwimi
- Ukuphefumula okunzima
- Iinguqu kwimibono
- Iintlungu zesifuba
- Intliziyo yokukhawuleza okanye intliziyo yokubetha
- Ukugula okanye iimpawu ezifana nezifo
- Ingxaki yokudlula umchamo okanye utshintsho kwimali yomchamo
Ukusebenzisana
I-Spiriva inokusebenzisana namachiza alandelayo:
- Atropine
- IHyoscyamine
- Ipratropium
- Amachiza afana nawo abizwa ngokuthi i-antimuscarinics (iziyobisi ezithintela izicatshulwa ze-bladder) okanye i-anticholinergics
Olu luhlu oluthile lusetyenziso lweziyobisi. Qiniseka ukuba uthethe nomboneleli wakho wezempilo ukuba uthathe oku, okanye nayiphina imithi, ngaphambi kokuthatha i-Spiriva.
Ukuqapha
I-Spiriva ayikho wonke umntu. Ngaphambi kokusebenzisa i-Spiriva, kwazisa umniki-nkonzo wakho wezempilo ukuba unayo na le miqathango ilandelayo:
- Glaucoma
- Iingxaki zesantya okanye inkinga yokudlula umchamo
- Izifo zesifo
- Iingxaki zeprostate
- Impendulo engavamile okanye yokumelana ne-tiotropium, ipratropium, i-atropine, i-lactose, idayisi yokutya, i-conservatives okanye nayiphina imithi
- Ukukhulelwa, okanye ukuzama ukukhulelwa
- Ukuncelisa
Indlela yokuSebenzisa ngayo
Ukwenza oku, uzakufuna umyalelo we-Spiriva kumgqirha wakho, i-HandiHaler ye-Spiriva kunye nee-capsules ze-Spiriva eziqulethe iyeza.
- Vula i-cap gray grey ye-Spiriva HandiHaler ifowuni.
- Vula umgca omhlophe we-Spiriva HandiHaler ngomlomo. Oko kufuneka kutyhile i-slot encinane apho i-capsule (eyaziwa nangokuthi i-capsule reservoir) iya kufakwa.
- Susa i capsule kwiphakheji ye-Spiriva capsule. KUBALULEKILE: UKUPHUMA KWENKCAZO YOMOYA KUFANELE KUFUNYWE!
- Faka i-capsule kwi-spiriva capsule reservoir.
- Vala ikhava emhlophe yomlomo kwisixhobo se-Spiriva HandiHaler.
- Chukumisa iqhosha kwicala leHandiHaler. Le nto ihlutha i-capsule ye-Spiriva kwaye ivumela ukuba amayeza akhululwe aze ahanjiswe.
- Beka iHandiHaler ye-Spiriva emlonyeni wakho kwaye uqine umlomo wakho ngomlomo. Ukuphefumula ngokukhawuleza nangokugqithiseleyo ngokusebenzisa i-Spiriva HandiHaler. Kufuneka uve ukuvakala kwengxolo njengoko uthatha umoya ophefumlelweyo. Oku kubonisa ukuba unyango luhanjiswa ngokufanelekileyo kwi-capsule.
- Ukuba awuyiva isandi sokukhwaza, zama amagosa alandelayo: Hlola ukuqinisekisa ukuba umlomo wakho kwi-Spiriva Handihaler uvalwe ngokuqinile. Gcina iHandiHaler yakho ngokuthe tye kwaye uyiphononise ngobumnene kwisitrato setafile, umgca okanye enye indawo enzima. Zama ukuvuselela kwakhona. Ukuba ungasayiva okanye uziva i-capsule rattle, xela ugqirha okanye ukhemisti ngokukhawuleza.
- Ukuba kunokwenzeka, gcina ukuphefumula kwakho imizuzwana emihlanu ukuya kweyishumi, uze uphefumule ngokuqhelekileyo.
- Gcoba umlomo wakho ngamanzi okanye utyhoboze amazinyo emva kokusetyenziswa ngalunye.
- Vula ikhava yomlomo omhlophe kwaye ususe i-capsule kwi-capsule reservoir.
- Vala ikhava emhlophe yomlomo kunye ne-gray cap cap ye-Spiriva HandiHaler. Phonsa i-capsule kude kwinqwelo.
- Hlaziya i-Spiriva Handihaler kanye ngenyanga kwimiyalelo yomenzi.
Iingcebiso zokusetyenziswa okufanelekileyo
- Ungalokothi usebenzise omnye umntu u-Spiriva HandiHaler okanye wabelane ngefowuni yakho nabani na. Gcina oku kunye nawo onke amanye amayeza kude nabantwana.
- Ungasebenzisi ngaphezu kwe-dose ephakanyisiweyo ye-Spiriva. Ukusebenzisa amayeza amaninzi kunokuba ugqirha wakho omiselweyo awunakunceda unyango lwakho lweCOPD, kwaye lunokubangela iziphumo zecala.
- Musa ukugcina iipsulesi ezisetyenzisiweyo okanye ezingasetyenziswa ngaphakathi kwe-Spiriva HandiHaler.
- Musa ukususa i-capsule kwiphakheji ide ikulungele ukusetyenziswa, ekubeni ukwenza njalo kunokunciphisa ukusebenza kwayo.
- Gwema ukufumana i powder kwi-capsule ye-Spiriva emehlweni akho.