He aha ʻo Tiotropium: Nā Hoʻohana, Ka Laʻau, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

He bronchodilator lōʻihi ʻo Tiotropium e kōkua ana i ka wehe ʻana i kou mau ala ea e maʻalahi ai ka hanu ʻana. Ua hoʻolālā ʻia no ka poʻe me ka maʻi pulmonary obstructive maʻi (COPD) a me ka maʻi hānō, e hana ana i ka manawa a pau e mālama ai i kou mau ala hanu e hoʻomaha a wehe.

No ka papa o nā anticholinergics kēia lāʻau lapaʻau, ʻo ia hoʻi ke kāohi nei i kekahi mau hōʻailona nerve e hiki ke hoʻopaʻa i kou mau ala ea. E noʻonoʻo iā ia he mea kōkua mālie a paʻa e hana ana ma ke kua e kākoʻo i kou hanu ʻana i ka lā.

No ke aha e hoʻohana ʻia ai ʻo Tiotropium?

Hoʻonohonoho mua ʻia ʻo Tiotropium e mālama i ka COPD, kahi hui o nā maʻi māmā e pili ana i ka emphysema a me ka bronchitis maʻi. Kōkua ia i ka hōʻemi ʻana i ka hakakā o ka pōkole o ka hanu a maʻalahi hoʻi e noho ikaika i kou ola i kēlā me kēia lā.

Hiki i kāu kauka ke kuhikuhi iā tiotropium no ka maʻi hānō, ʻoiai ke hāʻawi ʻole nā ​​lāʻau lapaʻau ʻē aʻe i ka hōʻoluʻolu. ʻO ia kā mākou e kapa nei he lāʻau lapaʻau mālama, ʻo ia hoʻi e lawe ʻoe i ka manawa maʻamau e pale ai i nā pilikia hanu ma mua o ka hoʻohana ʻana i ka wā o nā flare-ups.

Hana maikaʻi ka lāʻau lapaʻau no ka poʻe e ʻike pinepine i ka exacerbations a i ʻole ka ʻino ʻana o kā lākou mau hōʻailona COPD. Hiki iā ia ke kōkua i ka hōʻemi ʻana i ka helu o nā manawa e piʻi ai kou maʻi a hiki ke hōʻemi i kou pono no nā inhalers hoʻopakele.

Pehea e hana ai ʻo Tiotropium?

Hana ʻo Tiotropium ma ka ālai ʻana i nā mea hoʻokipa acetylcholine i kou mau ala ea. ʻO kēia mau mea hoʻokipa, ke hoʻāla ʻia, e hoʻoulu i nā ʻiʻo maʻemaʻe a puni kou mau ala hanu e ʻaelike a paʻa, e paʻakikī ai ka hanu.

Ma ka ālai ʻana i kēia mau hōʻailona, ​​e ʻae ʻo tiotropium i kou mau ʻiʻo ala ea e hoʻomaha a wehe. Hoʻokumu kēia i kahi ākea no ka ea e kahe i loko a i waho o kou mau māmā, e maʻalahi a maʻalahi hoʻi i kēlā me kēia hanu.

ʻO ka mea e hana ai i ka tiotropium i mea maikaʻi loa, ʻo ia kona hana lōʻihi. ʻAʻole like me kekahi mau bronchodilators e hana ana no kekahi mau hola wale nō, hāʻawi ka tiotropium i ke kōkua no 24 mau hola me hoʻokahi wale nō lā. Kōkua kēia pale mau iā ʻoe e mālama i ka mana hanu maikaʻi aʻe i ka lā a me ka pō.

Pehea wau e lawe ai i ka Tiotropium?

Hele mai ka Tiotropium i ʻelua ʻano nui: he inhaler pauka maloʻo (e like me Spiriva HandiHaler) a me kahi inhaler noe palupalu (e like me Spiriva Respimat). E hōʻike aku kāu kauka iā ʻoe pehea e hoʻohana ai i ka mea hana āu e kauoha ai, no ka mea, he mea nui ka ʻenehana kūpono no ka loaʻa ʻana o ka lāʻau lapaʻau i loko o kou mau māmā.

E lawe i ka tiotropium i ka manawa like i kēlā me kēia lā, ʻoi aku ka maikaʻi i ke kakahiaka. Kōkua kēia i ka mālama ʻana i nā pae paʻa o ka lāʻau lapaʻau i loko o kāu ʻōnaehana a maʻalahi hoʻi e hoʻomanaʻo i kāu lāʻau i kēlā me kēia lā.

Hiki iā ʻoe ke lawe i ka tiotropium me ka ʻole o ka meaʻai. Eia naʻe, holoi i kou waha me ka wai ma hope o kēlā me kēia lāʻau a kuha aku i waho e pale ai i ka huhū o ka waha a i ʻole ka thrush, kahi maʻi fungal e hiki ke ulu i loko o kou waha.

Mai ale i nā capsules e hele mai me ka mea hana HandiHaler. Ua hoʻolālā ʻia kēia mau capsules e hou ʻia a hoʻokomo ʻia ma o ka mea hana inhaler kūikawā, ʻaʻole i lawe ʻia e ka waha e like me nā pills maʻamau.

Pehea ka lōʻihi e lawe ai au i ka Tiotropium?

ʻO ka Tiotropium ka mea maʻamau he lāʻau lapaʻau lōʻihi e pono ai ʻoe e lawe no nā mahina a i ʻole nā ​​makahiki. ʻO COPD a me ka hānō he mau maʻi maʻi e pono ai ka mālama mau ʻana, a ʻo ka hoʻōki ʻana i kāu lāʻau lapaʻau hiki ke alakaʻi i ka hōʻino ʻana o nā hōʻailona.

Hiki iā ʻoe ke hoʻomaka e ʻike i kekahi hoʻomaikaʻi ʻana i kou hanu ʻana i loko o kekahi mau lā, akā hiki ke lawe i 4-8 mau pule e ʻike i nā pōmaikaʻi piha. He mea maʻamau kēia hoʻomaikaʻi ʻana a ʻaʻole ia he manaʻo ʻaʻole e hana ana ka lāʻau lapaʻau.

E nānā mau kāu kauka i kāu lapaʻau e hōʻoia ana he koho kūpono ʻo tiotropium nāu. Hiki iā lākou ke hoʻoponopono i kāu mahele lāʻau a i ʻole e hoʻohui i nā lāʻau ʻē aʻe e pili ana i ka maikaʻi o kāu pane ʻana a me ka loli ʻana o kou kūlana i ka manawa.

He aha nā hopena ʻaoʻao o Tiotropium?

Hoʻomanawanui ka hapa nui o nā kānaka iā tiotropium, akā e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e manaʻoʻiʻo i kāu lapaʻau a ʻike i ka manawa e hoʻokaʻaʻike aku ai i kāu mea mālama ola.

He maʻalahi nā hopena ʻaoʻao maʻamau a maʻa mau e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau:

• Waha maloʻo - ʻo kēia ka hopena ʻaoʻao pinepine loa, e pili ana i kahi 1 i 10 mau kānaka
• Hoʻonāukiuki ʻana i ka ʻāʻī a i ʻole ka ʻuʻu ma hope koke o ka hanu ʻana
• Pōpilikia
• Paʻa
• Nā maʻi o ka ʻōnaehana mimi
• Ihu kahe a ihu paʻa paha

Hiki ke mālama ʻia kēia mau hōʻailona a lilo pinepine i mea ʻike ʻole ʻia i ka manawa. ʻO ka noho ʻana i ka wai a me ka holoi ʻana i kou waha ma hope o kēlā me kēia mahele lāʻau hiki ke kōkua i ka hōʻemi ʻana i ka waha maloʻo a me ka hoʻonāukiuki ʻana i ka ʻāʻī.

ʻAʻole maʻamau akā ʻoi aku ka koʻikoʻi o nā hopena ʻaoʻao e koi ai i ka lāʻau lapaʻau koke. ʻOiai e hana pinepine ʻia kēia mau mea, he mea nui e ʻike iā lākou:

• ʻO ka pōʻino koke o nā pilikia hanu a i ʻole ka hanu ʻana
• ʻEha o ka umauma a i ʻole ka puʻuwai wikiwiki
• He paʻakikī ke mimi a i ʻole ka hiki ʻole ke hoʻokahe i kou ʻōpū
• ʻEha o ka maka, ʻike ʻole, a i ʻole ka ʻike ʻana i nā halo a puni nā kukui
• Nā hōʻailona o ka hopena maʻi e like me ka ʻūhū, ka pehu ʻana, a i ʻole ka paʻakikī i ka ʻai ʻana

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona koʻikoʻi, e hoʻokaʻaʻike koke i kāu kauka a i ʻole e ʻimi i ka mālama olakino pilikia. ʻAʻole maʻamau kēia mau hopena, akā ʻo ka hopu ʻana iā lākou i ka wā mua e hōʻoiaʻiʻo ai e loaʻa iā ʻoe ke kōkua āu e pono ai.

ʻO wai ka mea pono ʻole e lawe iā Tiotropium?

ʻAʻole kūpono ʻo Tiotropium no nā mea a pau, a e nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ke kau ʻana. ʻO ka wehewehe ʻana e pili ana i kou mau maʻi olakino e kōkua i ka hōʻoia ʻana i ka palekana o kēia lāʻau lapaʻau iā ʻoe.

ʻAʻole pono ʻoe e lawe i ka tiotropium inā he maʻi ʻoe iā ia, atropine, a i ʻole kekahi mau lāʻau lapaʻau like. Inā ua loaʻa iā ʻoe nā hopena i nā lāʻau anticholinergic ʻē aʻe i ka wā ma mua, e hōʻoia e kūkākūkā i kēia me kāu mea mālama ola.

He nui nā maʻi olakino e koi ai i ka noʻonoʻo kūikawā a i ʻole e hiki ke hoʻolilo i ka tiotropium kūpono ʻole iā ʻoe:

• Glaucoma kihi haiki - hiki i ka tiotropium ke hoʻonui i ke kaomi i kou mau maka
• Hoʻonui ʻia ka prostate a i ʻole nā pilikia o ka ʻōpū - hiki i ka lāʻau lapaʻau ke paʻakikī i ka mimi
• Maʻi kīkī koʻikoʻi - ʻaʻole hiki i kou kino ke hoʻopau pono i ka lāʻau
• Moʻolelo o nā hopena maʻi koʻikoʻi i nā protein waiū (no kekahi mau formulations)

Inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, e kamaʻilio me kāu kauka e pili ana inā kūpono ka tiotropium iā ʻoe. ʻOiai ʻaʻole i hōʻike nā haʻawina i ka pōʻino, e kaupaona kāu mea mālama ola i nā pōmaikaʻi e kūʻē i nā pilikia hiki ke loaʻa iā ʻoe a me kāu pēpē.

Nā inoa inoa o Tiotropium

Loaʻa pinepine ʻia ʻo Tiotropium ma lalo o ka inoa inoa Spiriva, e hele mai ana i ʻelua ʻano inhaler like ʻole. Hoʻohana ʻo Spiriva HandiHaler i nā capsule pauka maloʻo, ʻoiai ʻo Spiriva Respimat e hāʻawi i ka lāʻau lapaʻau ma ke ʻano he noe maikaʻi.

Hiki nō hoʻi iā ʻoe ke hālāwai me nā mana generic o tiotropium, aia ka mea hana like akā hiki ke hele mai i nā mea hana inhaler like ʻole. ʻO ke kī e hōʻoia ana ua maopopo iā ʻoe pehea e hoʻohana ai i ka mea hana a kāu hale kūʻai lāʻau lapaʻau e hāʻawi ai.

E nānā mau me kāu kauka lāʻau inā ʻokoʻa kāu inhaler mai kāu mea i maʻa ai. Pono nā mea hana like ʻole i nā ʻenehana like ʻole, a ʻo ke aʻo kūpono e hōʻoiaʻiʻo iā ʻoe e loaʻa ka pōmaikaʻi piha o kāu lāʻau lapaʻau.

Nā koho ʻē aʻe o Tiotropium

Inā ʻaʻole maikaʻi ka tiotropium iā ʻoe a i ʻole e hana ana i nā hopena ʻaoʻao e hoʻopilikia ana, aia kekahi mau bronchodilators lōʻihi e kūpono ana i nā koho ʻē aʻe. Hiki i kāu kauka ke kōkua iā ʻoe e ʻimi i kēia mau koho e pili ana i kāu mau pono.

ʻO nā lāʻau anticholinergic ʻē aʻe e komo pū ana me ka aclidinium (Tudorza) a me ka umeclidinium (Incruse Ellipta). Hana like kēia mau mea me ka tiotropium akā he ʻokoʻa iki paha nā hopena ʻaoʻao a i ʻole nā papa hana.

ʻO nā beta-agonists lōʻihi e like me ka formoterol, salmeterol, a i ʻole indacaterol e hōʻike ana i kekahi papa o nā bronchodilators. Hana kēia mau lāʻau lapaʻau ma o kahi ʻano hana ʻokoʻa akā hiki ke hāʻawi i ke kōkua hanu like no ka nui o nā kānaka.

Loaʻa nō hoʻi nā lāʻau lapaʻau hui pū e komo pū ana me ka tiotropium me nā bronchodilators ʻē aʻe. Hiki ke kōkua kēia mau mea inā pono ʻoe i nā lāʻau lapaʻau he nui e mālama pono i kāu mau hōʻailona.

Ua ʻoi aku ka maikaʻi o ka Tiotropium ma mua o ka Ipratropium?

ʻO Tiotropium a me ipratropium nā bronchodilators anticholinergic, akā ʻokoʻa lākou i ka lōʻihi o kā lākou hana a me ka pinepine o kāu pono e lawe iā lākou. ʻO ka hoʻomaopopo ʻana i kēia mau ʻokoʻa hiki ke kōkua iā ʻoe e mahalo i ke kumu e koho ai kāu kauka i kekahi ma luna o kekahi.

ʻO ka pōmaikaʻi nui o ka tiotropium ʻo kona lōʻihi o ka hana. ʻOiai ʻo ka ipratropium e mau ana no 6-8 mau hola a pono e lawe i nā lāʻau he nui i kēlā me kēia lā, hāʻawi ka tiotropium i ka hoʻomaha 24-hola me hoʻokahi wale nō lāʻau i kēlā me kēia lā. ʻOi aku ka maʻalahi o kēia no ka mālama lōʻihi.

Hoʻohana pinepine ʻia ka Ipratropium ma ke ʻano he lāʻau lapaʻau no nā pilikia hanu koke, ʻoiai ua hoʻolālā ʻia ka tiotropium no ka lāʻau lapaʻau mālama i kēlā me kēia lā. E noʻonoʻo i ka ipratropium ma ke ʻano he mea kōkua wikiwiki no ka hoʻomaha koke ʻana, ʻoiai ʻo ka tiotropium kāu kākoʻo paʻa, i kēlā lā i kēia lā.

No ka poʻe me ka COPD, ua hōʻike ʻia ʻo tiotropium he ʻoi aku ka maikaʻi o ka hoʻomaikaʻi ʻana i ka hana o ka māmā a me ka hōʻemi ʻana i nā exacerbations i hoʻohālikelike ʻia me ka ipratropium. Eia naʻe, loaʻa i nā lāʻau lapaʻau ʻelua ko lākou wahi i ka mālama ʻana, a hiki i kekahi poʻe ke hoʻohana i nā mea ʻelua no nā kumu like ʻole.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Tiotropium

He Palekana ʻo Tiotropium no ka maʻi puʻuwai?

Manaʻo ʻia ʻo Tiotropium he palekana no ka poʻe me ka maʻi puʻuwai, a ua hōʻike nā haʻawina ʻaʻole ia e hoʻonui i ka pilikia o nā pilikia o ka puʻuwai i ka hapa nui o nā maʻi. Eia naʻe, makemake kāu kauka e nānā pono iā ʻoe, ʻoi aku hoʻi i ka wā e hoʻomaka ai ʻoe i ka lāʻau lapaʻau.

Inā he moʻolelo kou o nā pilikia o ka puʻuwai, nā puʻuwai puʻuwai, a i ʻole nā ​​maʻi cardiac ʻē aʻe, e hōʻoia i kāu kauka e pili ana i kēia ma mua o ka hoʻomaka ʻana i ka tiotropium. Makemake paha lākou e hana i ka nānā ʻana hou a i ʻole e hoʻoponopono i kāu hoʻolālā lapaʻau.

Hiki i kekahi poʻe ke ʻike i ka piʻi iki o ka puʻuwai i ka wā e hoʻomaka ai i ka tiotropium, akā hoʻoponopono maʻamau kēia i ka wā e hoʻoponopono ai kou kino. Inā ʻike ʻoe i ka ʻeha o ka umauma mau, ka puʻuwai ʻole, a i ʻole nā ​​hōʻailona e pili ana i ka puʻuwai, e hoʻokaʻaʻike koke i kāu mea mālama ola.

He aha kaʻu e hana ai inā hoʻohana hewa wau i ka nui o Tiotropium?

Inā lawe ʻoe i ka nui o kāu maʻi i kuhikuhi ʻia o tiotropium, mai hopohopo, akā e hoʻokaʻaʻike i kāu kauka a i ʻole ka mea kūʻai lāʻau lapaʻau no ke alakaʻi. He kakaikahi nā hōʻailona o ka overdose akā hiki ke komo i ka waha maloʻo nui, ka pilikia o ka mimi ʻana, ka ʻike ʻole, a i ʻole ka huikau.

ʻO ka mea nui ʻaʻole e lawe i kahi maʻi ʻē aʻe a hiki i kou kamaʻilio ʻana me kahi loea mālama ola. Hiki iā lākou ke aʻo iā ʻoe i ka manawa e hoʻomaka ai i kāu papa hana maʻamau a me nā hōʻailona e nānā ai.

Inā ʻoe e ʻike nei i nā hōʻailona koʻikoʻi e like me ka pilikia o ka hanu ʻana, ka ʻeha o ka umauma, a i ʻole nā ​​hōʻailona o ka hopena maʻi, e ʻimi koke i ka mālama olakino pilikia. Pono kēia mau kūlana i ka loiloi a me ka mālama ʻana i ka lāʻau lapaʻau.

He aha kaʻu e hana ai inā haʻalele wau i kahi maʻi o Tiotropium?

Inā ʻoe e poina i kāu lāʻau tiotropium i kēlā me kēia lā, e lawe koke ʻoe i ka wā e hoʻomanaʻo ai ʻoe, ke ʻole kokoke ka manawa no kāu lāʻau i hoʻonohonoho ʻia e hiki mai ana. I kēlā hihia, e lele i ka lāʻau i poina a e hoʻomau me kāu papa maʻamau i ka lā aʻe.

Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi e uku ai i ka lāʻau i poina. Hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao me ka hāʻawi ʻole ʻana i ka pōmaikaʻi hou. ʻO hoʻokahi lāʻau i kēlā me kēia lā ka mea āu e pono ai no ka mālama ʻana i nā hōʻailona.

E hoʻāʻo e hoʻokumu i kahi hana maʻamau e kōkua iā ʻoe e hoʻomanaʻo i kāu lāʻau i kēlā me kēia lā. ʻO ka lawe ʻana i ka tiotropium i ka manawa like i kēlā me kēia kakahiaka, malia paha me kekahi hana i kēlā me kēia lā e like me ka palaki ʻana i kou mau niho, hiki ke kōkua i ka hana maʻamau.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Tiotropium?

Pono ʻoe e hooki i ka lawe ʻana i ka tiotropium ma lalo o ka mālama ʻana a kāu kauka. ʻO COPD a me ka hānō nā maʻi maʻi e pono ai ka mālama mau ʻana, a ʻo ka hooki ʻana i kāu lāʻau lapaʻau hiki ke alakaʻi i ka hōʻino ʻana o nā hōʻailona a i ʻole nā exacerbations.

Inā ʻoe e ʻike nei i nā hopena ʻaoʻao a i ʻole ke manaʻo nei ʻaʻole kōkua ka lāʻau lapaʻau, e kamaʻilio me kāu mea mālama ola e pili ana i ka hoʻoponopono ʻana i kāu lapaʻau ma mua o ka hooki ʻana. Hiki iā lākou ke hoʻololi i kāu lāʻau, hoʻololi iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe, a i ʻole e hoʻohui i nā lāʻau lapaʻau ʻē aʻe.

E loiloi mau kāu kauka inā ʻo tiotropium ka lāʻau lapaʻau kūpono iā ʻoe. E noʻonoʻo lākou i ka maikaʻi o ka mālama ʻia ʻana o kāu mau hōʻailona, ​​nā hopena ʻaoʻao āu e ʻike nei, a me nā loli i kou kūlana olakino holoʻokoʻa.

Hiki iaʻu ke hoʻohana i ka Tiotropium i ka wā o ka Exacerbation COPD?

Pono ʻoe e hoʻomau i ka lawe ʻana i kāu lāʻau tiotropium maʻamau i ka wā o ka exacerbation COPD, akā ʻaʻole i hoʻolālā ʻia e hāʻawi i ka hoʻomaha koke i ka wā o nā hanana koʻikoʻi. E noʻonoʻo i ka tiotropium ma ke ʻano he kākoʻo kumu e hoʻomau nei i ka hana ʻana ʻoiai ʻoe e loaʻa nei kahi flare-up.

I ka wā e ʻoi aku ai, e kauoha paha kāu kauka i nā lāʻau lapaʻau hou e like me nā bronchodilators pōkole, corticosteroids, a i ʻole nā antibiotics e kōkua i ka mālama ʻana i nā hōʻailona acute. Hana kēia mau mea me kāu mālama tiotropium.

Inā pilikia ʻoe i ka hanu ʻana a i ʻole ʻaʻole kōkua kāu mau lāʻau lapaʻau hoʻopakele maʻamau, e ʻimi koke i ka lāʻau lapaʻau. Mai hooki i kāu tiotropium, akā e kiʻi i ka lāʻau lapaʻau hou e pono ai ʻoe e mālama pono i ka exacerbation.