Fluticasone, Umeclidinium, iyo Vilanterol Afka neefta
Qanacsan
- Kahor intaadan isticmaalin fluticasone, umeclidinium, iyo vilanterol,
- Fluticasone, umeclidinium, iyo vilanterol waxay sababi karaan 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 dhibaatooyinka soo socda, wac takhtarkaaga isla markiiba ama aad u hesho daaweyn caafimaad oo degdeg ah:
- Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:
Isku darka fluticasone, umeclidinium, iyo vilanterol waxaa loo isticmaalaa in lagu xakameeyo xiiqda, neefta oo ku qabata, qufaca, iyo xabadka oo ceshada oo ay keento sambabka sambabada oo joogsada (COPD; koox cuduro ah oo saameeya sambabaha iyo marinnada hawada, oo ay ku jiraan boronkiitada daran iyo emphysema) . Waxaa sidoo kale loo isticmaalaa dadka waaweyn si loo xakameeyo xiiqda, neefta oo ku qabata, qufac, iyo laabta oo isku xirta oo ay keento neefta. Fluticasone wuxuu ku jiraa fasal dawooyin ah oo loo yaqaanno steroids. Umeclidinium waxay ku jirtaa nooc daawo ah oo loo yaqaan 'anticholinergics'. Vilanterol waxay ku jirtaa nooc daawooyin ah oo loo yaqaan 'beta-agonists oo waqti dheer shaqeynaya' (LABAs). Isku darka fluticasone, umeclidinium, iyo vilanterol wuxuu ku shaqeeyaa nasashada iyo furitaanka marinnada hawada ee sambabaha, taasoo sahleysa in la neefsado.
Isku darka fluticasone, umeclidinium, iyo vilanterol waxay u timaadaa sidii budo afka looga neefsado iyadoo la isticmaalayo neefsade gaar ah. Badanaa waa la neefsadaa hal jeer maalintii. Inhale fluticasone, umeclidinium, iyo vilanterol waqti isku mid ah maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Ha u isticmaalin wax ka yar ama ka yar ama u isticmaal si ka badan inta dhakhtarku kuu qoray.
Ha isticmaalin fluticasone, umeclidinium, iyo vilanterol neefsashada inta lagu gudajiro COPD lama filaan ah ama cudurka neefta. Dhaqtarkaaga ayaa kuu qori doona qalliinka neefsashada ee gaaban (samatabbixin) oo la isticmaalo inta lagu jiro COPD ama weerarada neefta.
Fluticasone, umeclidinium, iyo vilanterol neefsashada waxay xakameysaa COPD ama neefta laakiin ma daaweyso. Sii wad inaad isticmaasho fluticasone, umeclidinium, iyo vilanterol xitaa haddii aad caafimaad qabtid. Ha u joojin isticmaalka fluticasone, umeclidinium, iyo vilanterol adigoon la hadlin dhakhtarkaaga. Haddii aad joojiso isticmaalka fluticasone, umeclidinium, iyo vilanterol neefsashada, astaamahaaga ayaa soo laaban kara.
Kahor intaadan isticmaalin fluticasone, umeclidinium, iyo vilanterol inhalation markii ugu horeysay, akhri tilmaamaha qoran ee la socda. Weydiiso dhakhtarkaaga, farmashiistaha, ama daaweeyaha neefsashada inuu ku tuso sida loo isticmaalo qalabka neefta. Ku tababar inaad isticmaasho qalabka neefta bixiya inta ay ku daawanayaan.
Neefsashada ka dib, afkaaga ku luqluqo biyo oo iska tufi biyaha; ha liqin biyaha.
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 fluticasone, umeclidinium, iyo vilanterol,
- u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay fluticasone (Flonase, Flovent), umeclidinium (Incruse Ellipta, in Anoro Ellipta), vilanterol (Anoro Ellipta, Breo Ellipta), daawooyin kale, borotiinka caanaha, ama waxyaabaha kale ee ku jira fluticasone, umeclidinium, iyo vilanterol neefsiga afka. Weydii farmashiistahaaga ama ka hubi Hagaha Daawada liiska waxyaabaha ay ka kooban yihiin.
- u sheeg dhakhtarkaaga haddii aad isticmaasho LABA kale sida arformoterol (Brovana), formoterol (Perforomist, in Dulera), indacaterol (Arcapta), ama salmeterol (Advair, Serevent). Daawooyinkan looma isticmaali karo fluticasone, umeclidinium, iyo vilanterol neefsashada. Dhakhtarkaaga ayaa kuu sheegi doona daawada ay tahay inaad isticmaasho iyo daawada ay tahay inaad joojiso.
- u sheeg dhakhtarkaaga haddii aad isticmaasho LABA kale sida arformoterol (Brovana), formoterol (Perforomist, in Dulera), indacaterol (Arcapta), ama salmeterol (Advair, Serevent). Daawooyinkan looma isticmaali karo fluticasone, umeclidinium, iyo vilanterol neefsashada. Dhakhtarkaaga ayaa kuu sheegi doona daawada ay tahay inaad isticmaasho iyo daawada ay tahay inaad joojiso.
- u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ee aad qaadaneyso. Hubso inaad sheegto mid ka mid ah kuwan soo socda: antifungals sida itraconazole (Onmel, Sporanox), ketoconazole, iyo voriconazole (Vfend); dawooyinka xasaasiyadda; atropine (gudaha Lomotil, Motofen); beta-blockers sida atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), iyo propranolol (Inderal, Innopran); clarithromycin (Biaxin); conivaptan (Vaprisol); durayaasha ('kaniiniyada biyaha'); Kahortagayaasha 'protease inhibitors' sida indinavir (Crixivan), lopinavir (Kaletra), nelfinavir (Viracept), ritonavir (Norvir), iyo saquinavir (Invirase); daawooyinka kale ee COPD oo ay ku jiraan aclidinium (Tudorza Pressair), ipratropium (Atrovent HFA), iyo tiotropium (Spiriva); daawooyinka cudurka mindhicirka xanaaqa, dhaqdhaqaaqa dhaqdhaqaaqa, cudurka Parkinson, boogaha, ama dhibaatooyinka kaadida; nefazodone; telithromycin (Ketek; mar dambe lagama heli karo Mareykanka); iyo troleandomycin (TAO; mar dambe lagama heli karo Mareykanka). Sidoo kale u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad qaadanaysid dawooyinka soo socda ama aad joojisay qaadashadooda 2dii usbuuc ee la soo dhaafay: antidepressants sida amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil) , nortriptyline (Pamelor), protriptyline (Vivactil), iyo trimipramine (Surmontil); iyo xakameeyayaasha monoamine oxidase (MAO), oo ay ku jiraan isocarboxazid (Marplan), linezolid (Zyvox), buluug methylene, phenelzine (Nardil), selegiline (Eldepryl, Emsam), iyo tranylcypromine (Parnate). Daawooyin kale oo badan ayaa sidoo kale la macaamili kara fluticasone, umeclidinium, iyo vilanterol, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
- u sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ah uu qabo ama uu weligiis ku dhacay lafo-beel (xaalad ay lafuhu daciif u noqdaan oo jilicsan yihiin), iyo haddii aad leedahay ama aad waligaa yeelatay dhiig kar, wadno garaac aan caadi ahayn, qalal, hyperthyroidism (xaalad ku jirta kaas oo ay kujiraan hormoon tayroodh aad u badan oo jirka kujira), sonkorow, glaucoma (cudur indhaha ah), cataracts (daruuraha muraayadaha indhaha), qaaxada (TB), xaalad kasta oo saameysa nidaamkaaga difaaca, dhibaatooyinka qanjirka 'prostate' ama kaadiheysta, ama cudurada wadnaha ama beerka. Sidoo kale u sheeg dhakhtarkaaga haddii aad qabto infakshanka indhaha ee herpes, oof-wareen, ama nooc kale oo infekshan ah.
- u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad isticmaaleysid fluticasone, umeclidinium, iyo vilanterol, wac dhakhtarkaaga.
- haddii aad qalliin tahay, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaaleyso fluticasone, umeclidinium, iyo vilanterol.
- u sheeg dhakhtarkaaga haddii aanad waligaa ku dhicin hablo-baasta ama jadeecada oo aan lagaa tallaalin cudurradan. Ka fogow dadka jiran, gaar ahaan dadka qaba busbuska ama jadeecada. Haddii aad la kulanto infekshannadan ama haddii aad isku aragto astaamaha cudurradan, wac takhtarkaaga isla markiiba. Waxaa laga yaabaa inaad u baahato inaad hesho tallaal (tallaal) si aad uga difaacdo cuduradaan.
Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.
Neefsato qiyaasta la seegay isla marka aad xusuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha u isticmaalin wax ka badan hal qaadasho maalintii hana ku nuugin laba jeer qaadasho si aad uhesho mid kaa maqnaa.
Fluticasone, umeclidinium, iyo vilanterol waxay sababi karaan waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- gariirid
- ruxista qayb ka mid ah jirkaaga oo aadan xakamayn karin
- sanka oo dareera ama cuna xanuun
- isbedelka dhadhanka
- dhabar xanuun
Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah dhibaatooyinka soo socda, wac takhtarkaaga isla markiiba ama aad u hesho daaweyn caafimaad oo degdeg ah:
- finan
- finan
- barar wejiga, cunaha, ama carrabka
- garaaca wadnaha, ama garaaca wadnaha oo aan joogto ahayn
- xabad xanuun
- qufac, xiiq, ama cidhiidhi laabta ah oo bilaabmaya ka dib marka aad neefsatid daawada
- dareemid daal, daciifnimo, lallabbo, matag, ama tamar la'aan
- dhibaatada kaadida ama kaadida ee durdur daciif ah ama dhibco ah
- kaadi badan ama xanuun badan
- balastarro cadcad oo afka ama cunaha ah
- qandho, dhaxan, ama calaamado kale oo infekshan ah
- qufac, neefsashada oo ku adkaata, ama midabka xaakada oo isbeddela (xabka aad qufaci karto)
Fluticasone, umeclidinium, iyo vilanterol ayaa kordhin kara halista ah inaad ku dhacdo glaucoma ama indho-beelka indhaha. Waxaad ubaahantahay inaad ubaahantahay in lagugu sameeyo baaritaano indho joogto ah inta lagugudaweynayo fluticasone, umeclidinium, iyo vilanterol. U sheeg dhakhtarkaaga haddii aad leedahay mid ka mid ah kuwan soo socda: xanuun, casaan, ama raaxo la'aan indhaha; aragga oo xumaada; arkay halos ama midabbo dhalaalaya oo ku wareegsan laydhadhka ama wixii isbeddel ah ee aragga ku dhaca. Waxaad ubaahantahay inaad ubaahantahay in lagugu sameeyo baaritaano indho oo joogto ah iyo baaritaano lafaha ah inta lagugu daweynayo fluticasone, umeclidinium, iyo vilanterol.
Fluticasone, umeclidinium, iyo vilanterol ayaa kordhin kara halista ah inaad ku dhacdo cudurka lafo-beelka. Kala hadal dhakhtarkaaga khataraha isticmaalka daawadan.
Fluticasone, umeclidinium, iyo vilanterol waxay sababi karaan waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleyso daawadan.
Daawadan ku hayso saxanka xaashida ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog qorraxda, kuleylka iyo qoyaanka badan (ha ku jirin musqusha). Tuur daawada neefta 6 toddobaad ka dib markaad ka soo saarto daboolka daboolan ama ka dib marka la isticmaalo khariidad kasta (marka qiyaasta tilmaamuhu akhriyayo 0), hadba kan ugu horreeya.
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
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.
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:
- qalal
- xabad xanuun
- neefta oo ku qabata
- dawakhaad
- dhakhso, garaacid, ama wadno garaac aan caadi ahayn
- gariirid
- madax xanuun
- ruxista qayb ka mid ah jirkaaga oo aadan xakamayn karin
- murqo xanuun ama daciifnimo
- afka qalalan
- lallabbo
- daal fara badan
- dhibaato xagga hurdada ama hurdada ah
Dhammaan ballamaha la dhig dhakhtarkaaga.
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.
- Trelegy Ellipta®