He aha ka Fluticasone a me Salmeterol: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

ʻO Fluticasone a me salmeterol he lāʻau lapaʻau hui pū e kōkua ana i ka mālama ʻana i ka maʻi asthma a me ka maʻi pulmonary obstructive maʻi (COPD). Hoʻohui kēia lapaʻau hana pālua i kahi corticosteroid (fluticasone) me kahi bronchodilator hana lōʻihi (salmeterol) e hōʻemi i ka mumū a e wehe i kou mau ala ea no ka hanu maʻalahi.

E noʻonoʻo e like me ka loaʻa ʻana o ʻelua mau mea kōkua like ʻole e hana pū ana i kou mau māmā. Hana ka fluticasone e like me ka mea anti-inflammatory mālie, e hoʻomaha ana i nā ʻiʻo pehu i kou mau ala ea. I kēia manawa, hana ka salmeterol ma ke ʻano he mea hoʻomaha ʻiʻo, e kōkua ana i nā ʻiʻo liʻiliʻi a puni kou mau ala ea e noho paʻa a hāmama no 12 mau hola.

No ke aha e hoʻohana ʻia ai ka Fluticasone a me Salmeterol?

Hoʻonohonoho mua ʻia kēia lāʻau lapaʻau hui pū no ka mālama lōʻihi ʻana i ka maʻi asthma i nā pākeke a me nā keiki ma luna o 4 mau makahiki. Hoʻohana ʻia nō hoʻi e mālama i nā hōʻailona COPD i nā pākeke, e kōkua ana i ka pale ʻana i nā pilikia hanu ma mua o ka hoʻomaka ʻana ma mua o ka mālama ʻana i nā hōʻeha koke.

Hiki i kāu kauka ke ʻōlelo aku i kēia lāʻau lapaʻau inā ʻoe e hoʻohana ana i kahi inhaler hoʻopakele ma mua o ʻelua manawa i ka pule, e ala ana i ka pō ma muli o nā pilikia hanu, a i ʻole inā ʻaʻole e hāʻawi nā lāʻau lapaʻau hoʻokahi i ka mana kūpono. He mea kōkua nui ia no ka poʻe nona nā hōʻailona asthma e hoʻopilikia i nā hana i kēlā me kēia lā e like me ka hoʻoikaika kino, ka hana, a i ʻole ka hiamoe.

ʻAʻole kēia he lāʻau lapaʻau hoʻopakele no nā pilikia hanu koke. Akā, hana ia ma ke ʻano he lāʻau lapaʻau mālama āu e lawe mau ai e pale i nā hōʻailona mai ka hana ʻana i ka wahi mua. Pono ʻoe e mālama i kāu inhaler hoʻopakele wikiwiki ma kahi kokoke no nā pilikia hanu i manaʻo ʻole ʻia.

Pehea ka hana ʻana o Fluticasone a me Salmeterol?

Hana kēia hui ʻana ma o nā hana ʻelua e pili ana i kāu ʻōnaehana hanu. No ka fluticasone i kahi papa o nā lāʻau i kapa ʻia he corticosteroids, e hōʻemi ana i ka mumū a me ka pehu ʻana i loko o kou mau ala ea i ka wā.

ʻO ka salmeterol he beta2-agonist lōʻihi e hoʻomaha ai i nā ʻiʻo maʻemaʻe e pili ana i kou mau ala ea. Hoʻoponopono kēia hana pālua i ka mumū a me ka paʻa ʻana o ka ʻiʻo e hiki ke paʻakikī ka hanu ʻana.

Ma ke ʻano he lāʻau lapaʻau mālama, ua manaʻo ʻia kēia hui ʻana he ikaika. Hoʻonohonoho pinepine ʻia ia i ka wā i hāʻawi ʻole ai nā lāʻau lapaʻau māmā i ka mana kūpono, akā ʻaʻole ia ka koho ikaika loa i loaʻa. Hoʻonui mālie nā hopena i nā lā a i ʻole nā ​​pule o ka hoʻohana mau ʻana, no laila ʻaʻole paha ʻoe e ʻike i ka hoʻomaikaʻi koke ʻana.

Pehea e lawe ai au i ka Fluticasone a me Salmeterol?

E lawe pinepine ʻoe i kēia lāʻau lapaʻau ʻelua i ka lā, ma kahi o 12 mau hola kaawale, me ka hoʻohana ʻana i ka mea hanu pauka maloʻo a i ʻole ka mea hanu ana. ʻAʻole pono ka manawa kūpono e paʻa, akā kōkua ka hoʻohālikelike ʻana i ka mālama ʻana i nā pae lāʻau paʻa i kāu ʻōnaehana.

Ma mua o ka hoʻohana ʻana i kāu mea hanu, holoi i kou waha me ka wai inā ua ʻai ʻoe i kēia manawa, akā ʻaʻole pono ʻoe e pale i ka meaʻai. Ma hope o ka hanu ʻana i kāu mahele, holoi mau i kou waha me ka wai a kuha aku e pale ai i ka thrush waha, kahi hopena ʻaoʻao maʻamau o nā corticosteroids inhaled.

Eia nā ʻanuʻu nui e hahai ai i kēlā me kēia manawa āu e hoʻohana ai i kāu mea hanu:

1. Wehe i ka pāpale a lulu i ka mea hanu (inā he ʻano ana) a i ʻole e hoʻomākaukau i ka mea hanu pauka maloʻo e like me nā ʻōlelo aʻo
2. E hanu loa i waho, mai ka mea hanu
3. E kau i kou lehelehe a puni ka waha a hana i kahi sila paʻa
4. E hoʻomaka e hanu mālie a hohonu i ka wā e hoʻāla ai i ka mea hanu
5. E paʻa i kou hanu no 10 kekona a i ʻole ka lōʻihi e like me ka ʻoluʻolu
6. E hanu mālie i waho a holoi i kou waha me ka wai

Inā pono ʻoe e lawe i ʻelua puffs, e kali ma kahi o 30 kekona ma waena o nā doses. Hāʻawi kēia i ka dose mua e kōkua i ka wehe ʻana i kou mau ala ea, e hana ana i ka dose lua i ʻoi aku ka maikaʻi.

Pehea ka lōʻihi e lawe ai au i ka Fluticasone a me Salmeterol?

Pono ka hapa nui o nā kānaka e lawe i kēia lāʻau lapaʻau no nā mahina a i ʻole nā makahiki ma ke ʻano he mālama ʻana i ka maʻi hānō a i ʻole COPD. Aia ka lōʻihi i kou kūlana kikoʻī, pehea ka maikaʻi o kou pane ʻana i ka lāʻau lapaʻau, a inā paha e hoʻomau ʻia kāu mau hōʻailona.

E nānā maʻamau kāu kauka i kāu holomua i kēlā me kēia 3 a 6 mau mahina e loiloi inā pono ʻoe i ka ikaika like a i ʻole pono nā hoʻoponopono. Hiki i kekahi poʻe ke iho i lalo i kahi mahele haʻahaʻa a i ʻole e hoʻololi i kahi lāʻau lapaʻau ʻē aʻe inā e hoʻomaikaʻi nui kā lākou mau hōʻailona.

Mai hooki i ka lawe ʻana i kēia lāʻau lapaʻau i ka wā koke, ʻoiai inā ʻoe e manaʻo maikaʻi ana. ʻO ka hooki ʻana i ka wā koke hiki ke alakaʻi i ka hoʻi ʻana mai o nā hōʻailona a i ʻole e hoʻonui i kou kūlana. Inā makemake ʻoe e hooki i ka lāʻau lapaʻau, e hana kāu kauka i kahi hoʻolālā hoʻemi mālie e hoʻololi palekana iā ʻoe mai ka lāʻau lapaʻau.

He aha nā hopena ʻaoʻao o Fluticasone a me Salmeterol?

E like me nā lāʻau lapaʻau a pau, hiki i kēia hui ke hana i nā hopena ʻaoʻao, ʻoiai he nui ka poʻe i ʻike i nā pilikia liʻiliʻi a i ʻole. ʻO nā hopena ʻaoʻao maʻamau he maʻalahi a maʻamau e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau.

Eia nā hopena ʻaoʻao āu e ʻike ai, e hoʻomaka ana me nā mea maʻamau:

• Hoʻonāukiuki ʻana i ka ʻāʻī a i ʻole ka ʻū
• Oral thrush (nā pā keʻokeʻo i kou waha)
• Poʻo
• Nausea a i ʻole ka ʻōpū
• Nā ʻiʻo ʻiʻo a i ʻole nā haʻalulu
• ʻO ka ʻūlū
• ʻO ka ʻū a i ʻole nā maʻi hanu luna

ʻAʻole pono kēia mau hopena ʻaoʻao maʻamau i ka lāʻau lapaʻau ke ʻole lākou e lilo i mea hoʻonāukiuki a i ʻole e mau no nā pule ʻoi aku. ʻO ka holoi ʻana i kou waha ma hope o kēlā me kēia dose e hōʻemi nui i ka pilikia o ka hoʻonāukiuki ʻana i ka ʻāʻī a me ka oral thrush.

ʻO kekahi mau hopena ʻaoʻao i ʻike ʻole ʻia akā ʻoi aku ka koʻikoʻi e pono ai ka mālama olakino wikiwiki. Hiki kēia mau mea i kahi pākēneka liʻiliʻi o nā mea hoʻohana akā ʻaʻole pono e mālama ʻole ʻia:

• Ka puʻuwai wikiwiki a i ʻole ka puʻuwai ʻole
• ʻEha umauma a i ʻole ka paʻa
• ʻO ka wili nui a i ʻole ka hāʻule
• Nā loli ʻano ʻē a i ʻole ka hopohopo
• ʻEha iwi a i ʻole hui mau
• Nā loli ʻike a i ʻole ka ʻeha maka
• Nā hōʻailona o ka maʻi ʻaʻole e hele

ʻO nā hopena ʻaoʻao laha akā koʻikoʻi hiki ke komo i ka hoʻopaʻa ʻana i ka adrenal (ke hana ʻole kou kino i nā steroids maoli), ka piʻi ʻana o ka pilikia o nā maʻi, a me nā hopena i ka iwi iwi me ka hoʻohana lōʻihi. E nānā kāu kauka i kēia mau mea ma o nā loiloi maʻamau a me nā hoʻokolohua koko ke kūpono.

ʻO wai ka mea ʻaʻole pono e lawe iā Fluticasone a me Salmeterol?

ʻAʻole kūpono kēia lāʻau lapaʻau no nā mea a pau, a hiki i kekahi mau maʻi olakino a i ʻole nā ​​kūlana ke hana ʻole iā ʻoe. E nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana i kēia hui.

ʻAʻole pono ʻoe e hoʻohana i kēia lāʻau lapaʻau inā he maʻi ʻoe iā fluticasone, salmeterol, a i ʻole kekahi mea hana ʻole i loko o ka inhaler. Eia kekahi, ʻaʻole ia i ʻōlelo ʻia no ka mālama ʻana i nā hōʻeha hānō koke a i ʻole nā ​​pilikia hanu nui, no ka mea, lōʻihi loa ka hana ʻana i kēia mau kūlana.

Pono kekahi mau maʻi olakino i ka noʻonoʻo kūikawā a i ʻole ka nānā ʻana i ka wā e hoʻohana ai i kēia lāʻau lapaʻau:

• Nā pilikia o ka puʻuwai, me ka puʻuwai ʻole a i ʻole ke koko kiʻekiʻe
• Diabetes, no ka mea hiki i ka lāʻau lapaʻau ke hoʻopilikia i nā pae kōpaʻa koko
• Nā maʻi thyroid
• Maʻi ate
• Nā pilikia iwi iwi a i ʻole osteoporosis
• Nā pilikia maka, ʻo ka glaucoma a i ʻole cataracts
• Nā maʻi o kēia manawa, ʻo nā maʻi fungal

Hiki i nā wāhine hāpai a me nā wāhine e hānai ana i ka waiū ke hoʻohana i kēia lāʻau, akā e loiloi kāu kauka i nā pōmaikaʻi e kūʻē i nā pilikia hiki ke loaʻa. Hiki i ka lāʻau lapaʻau ke hele i loko o ka waiū umauma i nā mea liʻiliʻi, ʻoiai ua manaʻo ʻia he palekana i ka wā e hānai ai i ka waiū.

Nā inoa inoa o Fluticasone a me Salmeterol

Loaʻa kēia hui pū ʻana o ka lāʻau lapaʻau ma lalo o nā inoa inoa like ʻole, ʻo Advair ka mea i ʻike nui ʻia. Loaʻa ʻo Advair i ʻelua mau ʻano nui: Advair Diskus (he inhaler pauka maloʻo) a me Advair HFA (he inhaler ana ʻia).

ʻO nā inoa inoa ʻē aʻe e pili ana iā AirDuo RespiClick a me nā mana generic i loaʻa nā mea hana like. Hiki i ka inoa inoa kikoʻī a kāu kauka e kuhikuhi ai ke hilinaʻi i kāu ʻinikua, ke ʻano inhaler āu e ʻoluʻolu ai, a me nā ikaika i loaʻa.

Loaʻa i kēia mau hōʻailona a pau nā mea hana like akā loaʻa paha nā mea hana ʻole a i ʻole nā ​​hana hāʻawi like ʻole. Inā pono ʻoe e hoʻololi i nā hōʻailona, ​​e hōʻoia kāu kauka e hāʻawi ka formulation hou i ka hāʻawi ʻana i ka lāʻau lapaʻau like.

Nā koho ʻē aʻe o Fluticasone a me Salmeterol

Hiki i kekahi mau lāʻau lapaʻau ʻē aʻe ke hāʻawi i nā pōmaikaʻi like inā ʻaʻole hana maikaʻi kēia hui pū ʻana iā ʻoe. ʻO nā inhalers hui pū ʻē aʻe e pili ana i ka budesonide a me ka formoterol (Symbicort), mometasone a me ka formoterol (Dulera), a me ka fluticasone a me ka vilanterol (Breo Ellipta).

Hiki i nā koho ʻē aʻe i hoʻokahi mea hana ke komo i ka hoʻohana ʻana i nā inhalers kaʻawale no nā corticosteroids (e like me ka fluticasone wale nō) a me nā bronchodilators hana lōʻihi (e like me ka salmeterol wale nō). Hoʻohana kekahi poʻe i nā mea hoʻololi leukotriene, theophylline, a i ʻole nā ​​lāʻau lapaʻau biologic hou no ka hānō koʻikoʻi.

E noʻonoʻo kāu kauka i nā mea e like me kāu mau hōʻailona kikoʻī, ke ʻano o ke ola, ka ʻinikua, a me ka maikaʻi o kou ʻae ʻana i nā lāʻau lapaʻau like ʻole i ke kūkākūkā ʻana i nā koho ʻē aʻe. I kekahi manawa, ʻo ka hoʻāʻo ʻana i kahi ʻano hāʻawi like ʻole a i ʻole ka hoʻonohonoho ʻana i ka dosage hiki ke hana i kahi ʻokoʻa nui i ka holomua o ka mālama ʻana.

He ʻoi aku anei ka maikaʻi o ka Fluticasone a me Salmeterol ma mua o Albuterol?

He mau hana like ʻole kēia mau lāʻau a ʻaʻole hiki ke hoʻohālikelike pololei ʻia. He lāʻau hoʻomalu lōʻihi ka Fluticasone a me salmeterol, ʻoiai ʻo albuterol he mea hoʻopakele wikiwiki no ka hōʻoluʻolu koke ʻana i nā hōʻailona.

Pono paha ʻoe i nā lāʻau ʻelua ma ke ʻano he ʻāpana o kāu hoʻolālā mālama maʻi asthma. Hana ka mea hoʻohuihui e pale i nā hōʻailona mai ka hana ʻana, ʻoiai ʻo albuterol e hāʻawi i ka hōʻoluʻolu wikiwiki ke hiki mai nā hōʻailona breakthrough me ka nānā ʻole i kāu lāʻau hoʻomalu.

E noʻonoʻo e like me kēia: ʻo ka lāʻau hui e like me ka lawe ʻana i ka huaora i kēlā me kēia lā e mālama i kou olakino, ʻoiai ʻo albuterol e like me ka lawe ʻana i ka mea hōʻoluʻolu ʻeha ke loaʻa iā ʻoe ke poʻo. He mau hana nui ko lāua ʻelua, akā hana lāua ma nā ʻano like ʻole a me nā manawa.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Fluticasone a me Salmeterol

He palekana anei ka Fluticasone a me Salmeterol no ka maʻi puʻuwai?

Hiki ke hoʻohana ʻia kēia lāʻau i nā poʻe me ka maʻi puʻuwai, akā pono ka nānā pono ʻana. Hiki i ka mea salmeterol ke hoʻopilikia i kou puʻuwai a me ke koko, no laila e loiloi kāu kauka i kou olakino cardiovascular ma mua o ke kau ʻana.

Inā loaʻa iā ʻoe ka maʻi puʻuwai, hiki i kāu kauka ke hoʻomaka me ka haʻahaʻa haʻahaʻa a i ʻole e nānā pono iā ʻoe i nā pule mua o ka mālama ʻana. Hiki iā lākou ke paipai i ka nānā ʻana i ka puʻuwai maʻamau a i ʻole e hoʻoponopono i nā lāʻau lapaʻau puʻuwai ʻē aʻe e hōʻoia i ka hoʻohālikelike.

Hiki i ka hapa nui o nā poʻe me ka maʻi puʻuwai paʻa ke hoʻohana palekana i kēia lāʻau ke nānā pono ʻia. Eia naʻe, pono ʻoe e hōʻike i nā ʻeha o ka umauma hou, nā palpitations, a i ʻole ka luhi maʻamau i kāu kauka.

He aha kaʻu e hana ai inā hoʻohana hewa au i ka nui o ka Fluticasone a me Salmeterol?

Inā lawe hewa ʻoe i ka nui ma mua o kāu maʻi i kauoha ʻia, mai hopohopo. ʻAʻole paha e hoʻopilikia nui ka overdose hoʻokahi, akā pono ʻoe e nānā iā ʻoe iho no nā hōʻailona a e hoʻokaʻaʻike i kāu mea mālama ola no ke alakaʻi.

ʻO nā hōʻailona o ka lawe ʻana i ka nui, hiki ke komo i ka puʻuwai wikiwiki, nā haʻalulu, ka hopohopo, ke poʻo, a i ʻole ka nausea. Inā ʻike ʻoe i nā hōʻailona koʻikoʻi e like me ka ʻeha o ka umauma, ka pilikia o ka hanu ʻana, a i ʻole ka ʻūlū ʻana, e ʻimi koke i ka lāʻau lapaʻau.

No ka pale ʻana i ka wā e hiki mai ana, e noʻonoʻo e hoʻonohonoho i nā mea hoʻomanaʻo kelepona a i ʻole e hoʻohana i kahi polokalamu hoʻopaʻa lāʻau e kōkua iā ʻoe e hoʻomanaʻo i ka wā i lawe mua ai ʻoe i kāu mahele. E mālama i kāu inhaler ma kahi hoʻokahi i kēlā me kēia lā e hoʻokumu i kahi hana maʻamau.

He aha kaʻu e hana ai inā e poina iaʻu kahi mahele o Fluticasone a me Salmeterol?

Inā poina iā ʻoe kahi mahele, e lawe koke iā ia ke hoʻomanaʻo ʻoe, ke ʻole kokoke ka manawa no kāu mahele i hoʻonohonoho ʻia. I kēlā hihia, e lele i ka mahele i poina a e hoʻomau me kāu papa manawa maʻamau.

Mai lawe i ʻelua mahele i ka manawa hoʻokahi e hoʻopiha ai i kahi mahele i poina, no ka mea, hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao. Inā poina pinepine ʻoe i nā mahele, e kamaʻilio me kāu kauka e pili ana i nā hoʻolālā e hoʻomaikaʻi ai i ka pili ʻana, e like me ka hoʻololi ʻana i kāu papa manawa dosing a i ʻole ka hoʻohana ʻana i nā ʻōnaehana hoʻomanaʻo.

ʻAʻole e hoʻopilikia koke ka poina ʻana i nā mahele i kekahi manawa, akā ʻo ka poina mau ʻana i nā mahele hiki ke alakaʻi i ka maikaʻi ʻole o ka mana o nā hōʻailona a me ka hoʻonui ʻia ʻana o ka pilikia o ka hōʻeha ʻana o ka maʻi asthma a i ʻole COPD.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Fluticasone a me Salmeterol?

Pono ʻoe e hooki i ka lawe ʻana i kēia lāʻau lapaʻau ma lalo o ke alakaʻi a kāu kauka. ʻOiai inā ʻoe e manaʻo maikaʻi loa, ʻo ka hooki ʻana i ka wā e hiki mai ana hiki ke alakaʻi i ka hoʻi ʻana mai o nā hōʻailona a i ʻole ka hōʻino ʻana o kou kūlana.

Makemake kāu kauka e ʻike i kekahi mau mahina o ka mana maikaʻi o nā hōʻailona ma mua o ka noʻonoʻo ʻana i nā loli i kāu hoʻolālā lapaʻau. Hiki iā lākou ke hōʻemi mālie i kāu mahele a i ʻole e hoʻololi iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe ma mua o ka hooki ʻana.

ʻO ka hoʻoholo e hooki e pili ana i nā mea e like me ka lōʻihi o kou ʻole ʻana i nā hōʻailona, ​​kou olakino holoʻokoʻa, nā mea hoʻouluulu kaiapuni, a me kou pilikia o nā hōʻeha e hiki mai ana. Pono paha kekahi poʻe i ka lāʻau lapaʻau lōʻihi, a ʻo nā mea ʻē aʻe e hiki ke hoʻololi i ka therapy liʻiliʻi.

Hiki iaʻu ke hoʻohana i ka Fluticasone a me Salmeterol i ka wā e hāpai ana?

Ua manaʻo ʻia kēia lāʻau lapaʻau he palekana i ka wā e hāpai ana ke ʻoi aku ka maikaʻi ma mua o nā pilikia. ʻO ka hānō i ka wā e hāpai ana me ka ʻole o ka mana e hōʻike ana i nā pilikia nui aʻe i ka makuahine a me ka pēpē ma mua o nā hopena o ka lāʻau lapaʻau.

E nānā pono kāu kauka iā ʻoe i ka wā e hāpai ana a hiki ke hoʻoponopono i kāu mahele ma muli o ka loli ʻana o kāu mau hōʻailona. ʻIke kekahi mau wahine i ka maikaʻi ʻana o kā lākou hānō i ka wā e hāpai ana, aʻo nā mea ʻē aʻe e ʻike i ka ʻino o nā hōʻailona.

Inā ʻoe e hoʻolālā nei e hāpai a i ʻole e ʻike ʻoe e hāpai ana ʻoe i ka wā e lawe ana i kēia lāʻau lapaʻau, e kūkākūkā i kāu hoʻolālā lapaʻau me kāu kauka. Hiki iā lākou ke kōkua i ka hōʻoia ʻana e mālama maikaʻi ʻia kāu hānō i ka wā e hāpai ana no ke olakino o ʻoe a me kāu pēpē.