Neefsashada Afka Arformoterol

Qanacsan

• Si aad u isticmaasho neefsashada arformoterol, raac talaabooyinkan:
• Kahor intaadan isticmaalin neefsashada arformoterol,
• Arformoterol wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac dhakhtarkaaga isla markiiba:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Neefsashada Arformoterol waxaa loo isticmaalaa in lagu xakameeyo xiiq, neefta oo ku qabata, qufac, iyo xabadka oo ceshada oo ay keento cudur sambabaha oo joogsada (COPD; koox cudurada sambabada ah, oo ay ku jiraan boronkiitada daran iyo emphysema) Arformoterol waxay ku jirtaa nooc daawooyin ah oo loo yaqaan 'beta agonists' oo waqti dheer shaqeynaya. Waxay ku shaqeysaa nasashada iyo furitaanka marinnada hawada ee sanbabada, taasoo sahleysa in la neefsado.

Arformoterol wuxuu u yimaadaa xalka (dareeraha) in afka lagu neefsado iyadoo la isticmaalayo nebulizer (mashiinka daawada u beddela ceeryaamo la neefsan karo). Waxaa badanaa la neefsadaa laba jeer maalintii subaxdii iyo fiidkii. Ku neefso arformoterol qiyaastii isla wakhtiyadan maalin kasta, oo meel u dhig qiyaasahaaga 12 saacadood oo kala fog. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. U isticmaal arformoterol si sax ah sida lagu faray. Ha u isticmaalin wax ka yar ama ka yar ama u isticmaal si ka badan inta dhakhtarku kuu qoray.

Ha liqin ama ha isku durin neefsashada arformoterol.

Ha u isticmaalin neefsashada arformoterol si aad u daweyso weerarada kediska ah ee COPD. Dhakhtarkaagu wuxuu kuu qori doonaa daawada beta agonist-ka ah ee jilitaanka yar sida albuterol (Accuneb, Proair, Proventil, Ventolin) oo loo isticmaalo inta lagu jiro weerarada. Haddii aad u isticmaali jirtay daawada noocan ah si joogto ah ka hor intaadan bilaabin daaweynta arformoterol, dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad joojiso isticmaalkiisa si joogto ah, laakiin inaad sii waddo isticmaalkiisa si aad u daweyso weerarrada.

Haddii calaamadahaaga COPD ay ka sii daraan, haddii neefta arformoterol ay noqoto mid aan waxtar lahayn, haddii aad u baahan tahay qiyaaso ka badan inta caadiga ah ee daawada aad u isticmaasho daaweynta weerarada kediska ah, ama haddii daawada aad u isticmaasho daaweynta weerarada aysan kaa yareynin calaamadahaaga, xaaladdaadu waxay ka sii daraya. Ha u isticmaalin qiyaasta dheeraadka ah ee 'arformoterol'. Isla markiiba wac dhakhtarkaaga.

Arformoterol wuxuu xakameynayaa astaamaha cudurada sambabaha ee xanibaada ee joogtada ah laakiin ma daaweeyo xaalada. Sii wad inaad isticmaasho arformoterol xitaa haddii aad caafimaad qabtid. Ha joojin isticmaalka arformoterol adigoon lahadlin dhaqtarkaaga. Haddii aad si lama filaan ah u joojiso isticmaalka arformoterol, astaamahaaga ayaa ka sii dari kara.

Si aad u isticmaasho neefsashada arformoterol, raac talaabooyinkan:

1. Fur boorsada xaashida adiga oo ka jeexjeexay darafka geeskiisa oo ku yaal jeebka oo ka saar weelka. Fiiri xalka weelka ku jira si aad u hubiso inuusan midab lahayn. Haddii aysan midab lahayn, wac dhakhtarkaaga ama farmashiistaha oo ha u isticmaalin xalka.
2. Ka leexo dusha weelka dhalada oo ku tuuji dhamaan dareeraha kaydka nebulizer-gaaga. Ha ku darin wax daawoyin ah nebulizer maxaa yeelay waxaa laga yaabaa inaysan amaan aheyn in lagu daro arformoterol. Si gooni gooni ah u isticmaal dhammaan daawooyinka nebulized loo yaqaan haddii uusan takhtarkaagu si gaar ah kuu sheegin inaad isku darto mooyee.
3. Ku xir kaydka nebulizer qalabkaaga afka ama shaashadda.
4. Ku xir mashiinka nebulizer kombaresarada.
5. Si qumman u fadhiiso oo qeybta afka geli afkaaga ama ku dheji wajiga wajiga.
6. Daar kombaresarada.
7. Si deggan u neefso, qoto dheer, iyo si siman illaa inta ceeryaantu ka joogsanayso samaynta nebulizer-ka. Tani waa inay qaadataa inta udhaxeysa 5 ilaa 10 daqiiqo.
8. Nadiifi nebulizer sida ku cad tilmaamaha soo saaraha.

Weydii farmashiistahaaga ama dhakhtarkaaga nuqul ka mid ah macluumaadka soo saaraha ee bukaanka.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor intaadan isticmaalin neefsashada arformoterol,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay arformoterol, formoterol (Perforomist, Bevespi, Dulera, Symbicort), dawooyin kale oo kasta, ama mid ka mid ah waxyaabaha ku jira xalka arformoterol. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga haddii aad isticmaasho LABA kale sida formoterol (Perforomist, Bevespi Aerosphere, Duaklir Pressair, Dulera, Symbicort), indacaterol (Arcapta), olodaterol (Striverdi Respimat, Stiolto Respimat), salmeterol (Serevent, Advair), ama vilanterol (gudaha Anoro Ellipta, Breo Ellipta, Trelegy Ellipta). Daawooyinkan looma isticmaali karo arformoterol. Dhakhtarkaaga ayaa kuu sheegi doona daawada ay tahay inaad isticmaasho iyo daawada ay tahay inaad joojiso.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: aminophylline; amiodarone (Nexterone, Pacerone); dawooyinka lidka diiqadda sida amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), iyo trimipramine (Surmon); beta beta blockers sida atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL, kuwa kale), nadolol (Corgard), propranolol (Inderal), iyo sotalol (Betapace, Sorine, Sotylize, Betapace AF); kaniiniyada cuntada; sibibramramide (Norpace); durayaasha ('kaniiniyada biyaha'); dofetilide (Tikosyn); epinephrine (Primatene Mist); erythromycin (EES, E-Mycin, Erythrocin); dawooyinka hargabka sida phenylephrine (Sudafed PE), iyo pseudophedrine (Sudafed); monoamine oxidase (MAO) inhibitors, oo ay ku jiraan isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Zelapar), iyo tranylcypromine (Parnate); moxifloxacin (Avelox); steroids sida dexamethasone, methylprednisolone (Depo-Medrol, Medrol, Solu-Medrol), iyo prednisone (Rayos); pimozide (Orap); procainamide; quinidine (oo ku taal Nuedexta); theophylline (Theochron, Theo-24); iyo thioridazine. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca. Daawooyin kale oo badan ayaa sidoo kale la macaamili kara arformoterol, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
• u sheeg dhakhtarkaaga haddii aad qabto neef. Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan isticmaalin arformoterol ilaa aad isticmaalayso mooyee iyo dawada steroid ee la neefsado.
• u sheeg dhakhtarkaaga haddii aad qabtid ama waligaa wadno garaac aan caadi ahayn kugu dhacay; QT kordhinta (wadna garaac aan caadi ahayn oo u horseedi kara suuxdin, miyir beelid, suuxdin, ama dhimasho lama filaan ah); dhiig kar; suuxdinta; sonkorowga; ama wadnaha, beerka, ama cudurka thyroid.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad isticmaaleyso arformoterol, wac dhakhtarkaaga.
• waa inaad ogaataa in neefsashada arformoterol ay mararka qaar keento xiiq iyo dhibaato neefsashada isla marka la neefsado. Haddii tani dhacdo, wac dhakhtarkaaga isla markiiba. Ha u isticmaalin neefsashada arformoterol mar labaad ilaa dhakhtarkaagu kuu sheego mooyee.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Ka gudub qiyaasta la seegay oo sii wad jadwalkaaga qiyaasta daawada ee caadiga ah. Ha ku neefsan qaadasho laba jibbaar ah si aad u dhammaystirto mid kaa baaqday.

Arformoterol wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• gariirid
• gariir aan la koontarooli karin qayb ka mid ah jirka
• madax xanuun
• dawakhaad
• daallan
• tamar la’aan
• aan fiicnayn
• calaamadaha ifilada
• bararka gacmaha ama lugaha
• dhibaato xagga hurdada ama hurdada ah
• xanuun, gaar ahaan dhabar xanuun
• shuban
• lallabbo
• matagid
• casiraad
• afka qalalan

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac dhakhtarkaaga isla markiiba:

• dhakhso ama garaac wadnaha garaacis
• xabad xanuun
• finan
• finan
• barar indhaha, wejiga, carrabka, dibnaha, afka, gacmaha, cagaha, anqawyada, ama lugaha hoose
• neefsashada ama liqitaanka oo adkaada

Arformoterol wuxuu sababi karaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleyso daawadan.

Daawadan ku hayso boorsada xaashida ee ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ka ilaali daawada kuleylka iyo iftiinka. Waxaad ku keydin kartaa daawada qaboojiyaha illaa iyo inta uu dhacayo taariikhda uu dhacayo ee ku daabacan xirmada, ama waxaad ku keydin kartaa daawada heerkulka qolka illaa 6 toddobaad. Tuur wixii daawo ah ee lagu kaydiyay heerkulka qolka in ka badan 6 toddobaad, ama laga saaray kiishka waraaqaha oo aan isla markiiba la isticmaalin.

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

• xabad xanuun
• dhakhso, garaacid, ama wadno garaac aan caadi ahayn
• gariirid
• madax xanuun
• gariir aan la koontarooli karin qayb ka mid ah jirka
• afka qalalan
• murqo xanuun
• lallabbo
• dawakhaad
• daal fara badan
• daciifnimo
• dhibaato xagga hurdada ama hurdada ah

Dhammaan ballamaha la dhig dhakhtarkaaga.

Kahor baaritaanka shaybaarka (gaar ahaan kuwa ku lugta leh methylene blue), u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad isticmaaleyso arformoterol.

Ha u ogolaan qof kale inuu isticmaalo daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

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