Neefsashada Afka Fluticasone iyo Salmeterol

Qanacsan

• Kahor intaadan isticmaalin neefta afka laga qaato ee fluticasone iyo salmeterol,
• Fluticasone iyo salmeterol 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, isla markiiba wac dhakhtarkaaga:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Isku-darka fluticasone iyo salmeterol (Advair Diskus, Advair HFA, AirDuo Respiclick) waxaa loo isticmaalaa in lagu daaweeyo neefsashada oo dhib ku ah, xiiq, neef-qabad, qufac, iyo xabadka oo ku adkeeya neefta. Isku darka fluticasone iyo salmeterol (Advair Diskus) ayaa sidoo kale loo isticmaalaa in looga hortago loona daaweeyo xiiqda, neefta oo ku qabata, qufac, iyo laabta oo ceshato oo ay keento xanuun sambabada oo joogsada (COPD; koox cudurada sambabada ah oo ay ku jiraan boronkiitada iyo emphysema daba dheeraatay). Isku darka fluticasone iyo salmeterol (Advair Diskus) waxaa loo isticmaalaa dadka waaweyn iyo carruurta 4 sano jirka ah ama ka weyn. Isku darka fluticasone iyo salmeterol (Advair HFA, AirDuo Respiclick) waxaa loo isticmaalaa carruurta jirta 12 sano iyo wixii ka weyn. Fluticasone wuxuu ku jiraa fasal dawooyin ah oo loo yaqaanno steroids. Waxay ku shaqeysaa yareynta bararka marinnada hawada. Salmeterol waxay ku jirtaa nooc daawooyin ah oo loo yaqaan 'beta-agonists oo waqti dheer shaqeynaya' (LABAs). Waxay ku shaqeysaa nasashada iyo furitaanka marinnada hawada ee sanbabada, taasoo sahleysa in la neefsado.

Isku darka fluticasone iyo salmeterol waxay u yimaadaan sidii budo iyo xalka neefsashada in afka lagu neefsado iyadoo la isticmaalayo neefsasho si gaar ah loo qorsheeyay. Waxaa badanaa la isticmaalaa laba jeer maalintii, subaxdii iyo fiidkii, oo u dhexeeya 12 saacadood. Isticmaal fluticasone iyo salmeterol qiyaastii isla waqtiyada 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. U isticmaal fluticasone iyo salmeterol sida saxda ee lagu faray. Ha u isticmaalin wax ka yar ama ka yar ama u isticmaal si ka badan inta dhakhtarku kuu qoray.

Kala hadal dhakhtarkaaga sida aad u qaadan lahayd dawooyinkaaga kale ee afka ama neefta loogu qaado ee neefta inta lagu jiro daweyntaada salmeterol iyo neefta fluticasone. Haddii aad si joogto ah u isticmaali jirtey neef-qabe beta agonist ah sida albuterol (Proventil, Ventolin) si joogto ah, dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad joojiso isticmaalkiisa si joogto ah laakiin aad u sii waddo adeegsiga si loo daweeyo weerarada degdegga ah ee calaamadaha neefta. Raac tilmaamahan si taxaddar leh. Ha beddelin habka aad u isticmaasho wax ka mid ah daawooyinkaaga ama ha u joojin qaadashada mid ka mid ah daawooyinkaaga adiga oo aan la hadlin dhakhtarkaaga.

Ha isticmaalin fluticasone iyo salmeterol inta lagu jiro weerarka xiiqda ama COPD. Dhakhtarkaagu wuxuu kuu qori doonaa neef-qaadasho gaaban oo la isticmaalo si loo isticmaalo inta lagu jiro weerarrada.

Fluticasone iyo neefsashada salmeterol waxay xakameysaa astaamaha cudurada sanbabada qaarkood laakiin ma daaweyso xaaladahaan. Waxay qaadan kartaa toddobaad ama kabadan kahor intaadan dareemin faa iidada buuxda ee fluticasone iyo salmeterol. Sii wad inaad isticmaasho fluticasone iyo salmeterol xitaa haddii aad caafimaad qabtid. Ha u joojin isticmaalka fluticasone iyo salmeterol adigoon la hadlin dhakhtarkaaga. Haddii aad joojiso isticmaalka fluticasone iyo neefsashada salmeterol, astaamahaagu way soo noqon karaan.

Kahor intaadan isticmaalin fluticasone iyo salmeterol inhalation (Advair Diskus, Advair HFA, ama AirDuo Respiclick) markii ugu horeysay, aqri tilmaamaha qoraalka ee la socda. U fiirso jaantusyada iyo tilmaamaha xirmada si taxaddar leh oo hubi inaad garato dhammaan qaybaha neefta. Weydiiso dhakhtarkaaga, farmashiistaha, ama daaweeyaha neefsashada inuu ku tuso sida loo isticmaalo qalabka neefta. Ku tababar inaad isticmaasho qalabka neefta bixiya inta ay daawanayaan, markaa waad hubtaa inaad si sax ah u samaynayso.

Haddii cunuggaagu isticmaali doono neefta loo yaqaan 'fluticasone iyo salmeterol', waa inaad hubisaa inuu isagu ama iyadu yaqaaniin sida loo isticmaalo. La soco cunugaaga markasta oo ay isticmaalaan qalabka neefta si aad u hubiso inay si sax ah u isticmaalayaan.

Weligaa ha ku neefsan neefta, ha kala qaadin qalabka wax lagu neefsado, ama ha ku dhaqin qalabka afka lagu xidho ama qayb ka mid ah qalabka neefta lagu neefsado. Daawada neefta ku hay qalalan. Ha u isticmaalin dawada neefta dawada leh baakidh.

Weydiiso farmashiistahaaga ama dhakhtarkaaga nuqul ah infekshanka fluticasone iyo salmeterol (Advair Diskus, Advair HFA, ama AirDuo Respiclick) macluumaadka soo saaraha bukaanka.

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

Kahor intaadan isticmaalin neefta afka laga qaato ee fluticasone iyo salmeterol,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay fluticasone (Flonase, Flovent), salmeterol (Serevent), dawooyin kale oo kasta, borotiinka caanaha, cuntooyin kasta, ama mid ka mid ah waxyaabaha ku jira fluticasone iyo neefsashada afka ee salmeterol. Weydii farmashiistahaaga ama ka hubi Macluumaadka Bukaanka liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga haddii aad isticmaasho LABA kale sida formoterol (Perforomist, in Dulera, in Symbicort) ama salmeterol (Serevent, Advair). Daawooyinkan looma isticmaali karo fluticasone iyo neefsashada salmeterol. 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 qaarkood sida itraconazole (Onmel, Sporanox) iyo ketoconazole; beta-blockers sida atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), iyo propranolol (Inderal); clarithromycin (Biaxin, gudaha Prevpac); durayaasha ('kaniiniyada biyaha'); Kahortagayaasha 'protease inhibitors' sida atazanavir (Reyataz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), iyo saquinavir (Invirase); daawooyinka kale ee neefta ama COPD; daawooyinka qalalka; metronidazole (Flagyl); nefazodone; iyo telithromycin (Ketek; hadda 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), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), iyo tranylcypromine (Parnate). Daawooyin kale oo badan ayaa sidoo kale la falgeli kara fluticasone iyo salmeterol, 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, qallal, hyperthyroidism (tayroodh saa'id ah) ), sonkorow, qaaxada (TB), cataracts (daruuraha muraayada indhaha), glaucoma (cudur indhaha ah), xaalad kasta oo saameysa nidaamkaaga difaaca, ama beerka ama cudurka wadnaha. Sidoo kale u sheeg dhakhtarkaaga haddii aad qabto infakshanka indhaha ee herpes ama nooc kasta oo infakshan ah iyo haddii aad sigaar cabto ama aad isticmaasho waxyaabaha tubaakada laga sameeyo.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad isticmaaleysid fluticasone iyo salmeterol, wac dhakhtarkaaga.
• haddii aad qalliin ku jirto, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarkaaga ama dhakhtarkaaga ilkaha inaad isticmaaleyso fluticasone iyo salmeterol.
• 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.

Kala hadal dhakhtarkaaga wax ku saabsan cunitaanka canab-gacmeedka ama cabitaanka casiir canab ah adoo qaadanaya dawadan.

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.

Fluticasone iyo salmeterol waxay sababi karaan waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• sanka oo dareera
• hindhiso
• cune xanuun
• cun cun cun cun
• xanuunka sanka
• madax xanuun
• lallabbo
• matagid
• shuban
• calool xanuun
• murqaha iyo lafaha
• dawakhaad
• daciifnimo
• daallan
• dhidid
• ilig xanuun
• ruxista qayb ka mid ah jirkaaga oo aadan xakamayn karin
• dhibaatooyinka hurdada

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

• qufac, xiiq, ama ciriiri xabadka oo bilaabmaya isla marka aad neefsatid fluticasone iyo salmeterol
• finan
• finan
• barar wejiga, cunaha, carrabka, bushimaha, gacmaha, cagaha, anqawyada, ama lugaha hoose
• ku mergasho ama liqitaan dhib
• xabeeb
• buuq, neefsasho sarre leh
• garaaca wadnaha, ama garaaca wadnaha oo aan joogto ahayn
• miyir beelid
• xabad xanuun
• qufac
• gubashada ama xanaaqa gacmaha ama cagaha
• balastarro cadcad oo afka ah
• qandho, dhaxan, iyo calaamadaha kale ee infekshanka

Fluticasone iyo salmeterol waxay sababi karaan inay caruurtu si tartiib ah u koraan. Dhakhtarka ilmahaaga ayaa si taxaddar leh ula socon doona koritaanka ilmahaaga. Kala hadal dhakhtarka ilmahaaga halista ay leedahay in daawadan la siiyo ilmahaaga.

Fluticasone iyo salmeterol waxay kordhin karaan halista ah inaad kudhasho glaucoma ama indha beel. Waxaa laga yaabaa inaad u baahato inaad si joogto ah baaritaanno indho ugu sameyso inta lagu jiro daweyntaada fluticasone iyo salmeterol. U sheeg dhakhtarkaaga haddii aad leedahay mid ka mid ah kuwan soo socda: xanuun, casaan, ama raaxo la'aan indhaha; aragga daciifka ah; ama wixii isbeddel ah ee aragga ku dhaca. Kala hadal dhakhtarkaaga khataraha isticmaalka daawadan.

Fluticasone iyo salmeterol waxay kordhin karaan halista ah inaad ku dhacdo lafo-beel. Kala hadal dhakhtarkaaga khataraha isticmaalka daawadan.

Fluticasone iyo salmeterol waxay sababi karaan waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleyso daawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hay weelka 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). Farmashiistahaaga kala hadal sida saxda ah ee daaweynta looga takhalusi karo.

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
• dawakhaad
• miyir beelid
• aragga oo xumaada
• 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
• tamar la’aan
• dhibaato xagga hurdada ama hurdada ah

Dhammaan ballamaha la dhig dhakhtarkaaga iyo dhakhtarka indhaha.

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.

• Advair^® Diskus
• Advair^® HFA
• AirDuo^® Jawaab