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ʻO Umeclidinium a me vilanterol he lāʻau lapaʻau hui pū e kōkua ana i ka poʻe me ka maʻi pulmonary obstructive maʻi (COPD) e hanu maʻalahi i kēlā me kēia lā. Aia i loko o kēia lāʻau lapaʻau i kauoha ʻia he ʻelua mau bronchodilators like ʻole e hana pū ana e mālama i kou mau ala ea e hāmama a e hōʻemi i nā pilikia hanu.
Inā ua kauoha ʻia kēia lāʻau lapaʻau iā ʻoe, e hana ana paha ʻoe me nā hōʻailona COPD e pono ai ka mālama ʻana i kēlā me kēia lā. Hoʻolālā ʻia kēia inhaler hui pū e hoʻohana ʻia i hoʻokahi manawa i ka lā ma ke ʻano he lāʻau lapaʻau mālama, ʻaʻole no nā pilikia hanu koke.
ʻO Umeclidinium a me vilanterol kahi hui pū ʻana o ʻelua bronchodilators e hele mai ana i loko o kahi mea inhaler hoʻokahi. ʻO Umeclidinium he mea hoʻokūkū muscarinic lōʻihi (LAMA), ʻoiai ʻo vilanterol he beta2-agonist lōʻihi (LABA).
E noʻonoʻo i kēia mau lāʻau lapaʻau ʻelua ma ke ʻano he hui e hana ana i kou mau māmā. Kōkua ʻo Umeclidinium i ka hoʻomaha ʻana i nā ʻiʻo a puni kou mau ala ea ma ka ālai ʻana i kekahi mau hōʻailona nerve, ʻoiai ʻo vilanterol e hoʻomaha pololei i ka ʻiʻo maʻemaʻe i kou mau ala ea. Hana pū lākou, hāʻawi lākou i ka hoʻomaha 24-hola mai nā hōʻailona COPD.
Hoʻolālā kūikawā ʻia kēia lāʻau lapaʻau no ka poʻe me COPD e pono ai ka lāʻau lapaʻau mālama i kēlā me kēia lā. ʻAʻole ia i manaʻo ʻia no ka hānō a i ʻole no ka mālama ʻana i nā hōʻeha hanu koke.
Ua kauoha ʻia kēia inhaler hui pū no ka mālama ʻana i ka maʻi pulmonary obstructive maʻi (COPD) no ka wā lōʻihi. Kōkua ia i ka hōʻemi ʻana i ka ālai ʻana i ke kahe ʻana o ka ea a maʻalahi ka hanu ʻana i kēlā me kēia lā no ka poʻe me kēia maʻi.
Hiki i kāu kauka ke kauoha i kēia lāʻau lapaʻau inā loaʻa iā ʻoe nā hōʻailona COPD e like me ka ʻūlū mau, ka pōkole o ka hanu, a i ʻole ka wheezing e keakea i kāu mau hana i kēlā me kēia lā. He mea kōkua nui ia no ka poʻe e pono ai ma mua o hoʻokahi bronchodilator e mālama pono i kā lākou mau hōʻailona.
ʻAʻole i ʻae ʻia kēia lāʻau lapaʻau no ka mālama ʻana i ka maʻi hānō, a ʻaʻole pono e hoʻohana ʻia ma ke ʻano he inhaler hoʻopakele i ka wā o nā pilikia hanu koke. Inā loaʻa iā ʻoe ka COPD a me ka maʻi hānō, pono i kāu kauka e noʻonoʻo pono i kēia i ka wā e kuhikuhi ai i kāu lapaʻau.
Hana kēia hui pū ʻana i nā lāʻau lapaʻau ma o nā ʻano hana ʻelua like ʻole akā e kōkua ana e wehe i kou mau ala ea. Pale ʻo Umeclidinium i nā mea hoʻokipa acetylcholine, e pale ana i nā ʻiʻo a puni kou mau ala ea mai ka paʻa ʻana, ʻoiai ʻo vilanterol e hoʻāla i nā mea hoʻokipa beta2, e hoʻomaha pololei ana i nā ʻiʻo ala ea.
Hāʻawi ka hana pālua i ka wehe ʻana i ka ea ʻoi aku ka maikaʻi ma mua o ka hiki i kekahi lāʻau lapaʻau ke hoʻokō wale. ʻO kēia ka mea e lilo ai i hui bronchodilator ikaika, kūpono no ka poʻe me ka COPD maʻalahi a koʻikoʻi.
He hana lōʻihi nā lāʻau lapaʻau ʻelua, ʻo ia hoʻi e hoʻomau lākou i ka hana no kahi o 24 mau hola ma hope o kēlā me kēia mahele. Hiki i kēia ke hoʻohana i hoʻokahi manawa i ka lā, kahi e ʻike ai ka poʻe he nui ka maʻalahi ma mua o nā inhalers i kēlā me kēia lā.
E lawe i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, maʻamau hoʻokahi inhalation i hoʻokahi manawa i ka lā i ka manawa like i kēlā me kēia lā. ʻO ka mahele maʻamau he hoʻokahi inhalation o 62.5 mcg umeclidinium a me 25 mcg vilanterol.
Hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau me ka ʻole o ka meaʻai, akā he mea nui ka kūlike. ʻIke ka poʻe he nui he mea kōkua ke lawe iā ia i ka manawa like i kēlā me kēia kakahiaka e hoʻokumu i kahi hana maʻamau a hōʻoia ʻaʻole lākou e poina i nā mahele.
Ma mua o ka hoʻohana ʻana i kāu inhaler, e hōʻoia ua maopopo iā ʻoe pehea e hoʻohana pono ai i ka mea hana. Pono kāu kauka lāʻau a i ʻole ke kauka e hōʻike i ke ʻano kūpono, no ka mea, he mea nui ka inhalation kūpono no ka lāʻau lapaʻau e hiki pono i kou mau māmā.
Ma hope o ka lawe ʻana i kāu mahele, holoi i kou waha me ka wai a kuha aku. Hiki i kēia hana maʻalahi ke kōkua i ka pale ʻana i ka thrush, kahi maʻi fungal e hiki ke ulu i loko o kou waha mai nā lāʻau lapaʻau i hoʻokomo ʻia.
Hoʻohana pinepine ʻia kēia lāʻau lapaʻau ma ke ʻano he lapaʻau mālama lōʻihi no ka COPD, ʻo ia hoʻi, pono paha ʻoe e lawe mau. He maʻi maʻi ka COPD e pono ai ka mālama mau ʻana e pale ai i ka hōʻailona mai ka ʻino.
E nānā kāu kauka i kāu pane ʻana i ka lāʻau lapaʻau a hiki ke hoʻololi i kāu hoʻolālā lapaʻau i ka manawa. ʻIke kekahi poʻe i ka hoʻomaikaʻi ʻana i ko lākou hanu ʻana i loko o nā lā mua, ʻoiai e pono ana kekahi mau pule e ʻike i nā pōmaikaʻi piha.
Mai hooki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole e kamaʻilio mua me kāu kauka. ʻO ka hooki koke ʻana hiki ke hoʻonui koke i kāu mau hōʻailona COPD, e paʻakikī ai ka hanu ʻana a hiki ke alakaʻi i nā pilikia koʻikoʻi.
E like me nā lāʻau lapaʻau a pau, hiki i ka umeclidinium a me ka vilanterol ke hana i nā hopena ʻaoʻao, ʻoiai he nui ka poʻe e ʻae maikaʻi iā ia. ʻO ka hapa nui o nā hopena ʻaoʻao he maʻalahi a maʻa mau e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau.
Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike:
He manawa pōkole a hiki ke mālama ʻia kēia mau hopena ʻaoʻao. Inā mau lākou a lilo i mea hoʻonāukiuki, e kamaʻilio me kāu kauka e pili ana i nā ala e hōʻemi ai iā lākou.
Hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi, ʻoiai he kakaikahi lākou. Aia kēia mau mea:
Inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻaoʻao koʻikoʻi, e ʻimi koke i ka lāʻau lapaʻau. ʻO kēia mau hopena, ʻoiai ʻaʻole maʻamau, pono e mālama koke ʻia.
ʻAʻole kūpono kēia lāʻau lapaʻau no nā mea a pau, a hiki i kekahi mau maʻi olakino ke palekana ʻole iā ʻoe ke hoʻohana. E nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ke kau ʻana i kēia mea hoʻokomo hui.
ʻAʻole pono ʻoe e hoʻohana i kēia lāʻau lapaʻau inā loaʻa iā ʻoe ka maʻi hānō me ka ʻole o ka COPD, no ka mea, hiki i nā lāʻau LABA e like me ka vilanterol ke hoʻonui i ka pilikia o ka make e pili ana i ka maʻi hānō ke hoʻohana ʻia no ka mālama ʻana i ka maʻi hānō.
Pono ka poʻe me kekahi mau maʻi olakino i ka nānā ʻana a i ʻole pono e pale i kēia lāʻau lapaʻau:
Inā hāpai ʻoe a i ʻole e hānai ana i ka umauma, e kūkākūkā i nā pōmaikaʻi a me nā pilikia me kāu kauka. ʻOiai he mea pono paha kēia lāʻau lapaʻau no kou olakino, makemake kāu kauka e nānā pono iā ʻoe a me kāu pēpē.
Loaʻa kēia lāʻau lapaʻau hui ma lalo o ka inoa brand Anoro Ellipta ma ʻAmelika Hui Pū ʻIa. ʻO ka mea hana Ellipta he mea hoʻokomo pauka maloʻo e hāʻawi ana i nā lāʻau ʻelua i hoʻokahi mahele.
Hiki ke ʻokoʻa ka inoa brand ma nā ʻāina like ʻole, no laila e nānā mau me kāu kauka lāʻau inā ʻoe e hele ana a i ʻole e kiʻi ana i nā palapala kauoha ma nā wahi like ʻole. Noho mau nā mea hana ikaika like me ka inoa brand.
ʻAʻole i loaʻa nā mana generic o kēia hui ʻana, no laila e loaʻa i ka hapa nui o nā kānaka ka lāʻau lapaʻau inoa inoa. Hiki i kāu ʻinikua ke hoʻopilikia i ke kumukūʻai, no laila e nānā me kāu mea lawelawe e pili ana i nā koho uhi.
He nui nā mea hoʻohuihui inhalers ʻē aʻe i loaʻa no ka mālama ʻana i ka COPD, me nā hui like ʻole o nā bronchodilators. Hiki i kāu kauka ke noʻonoʻo i nā koho ʻē aʻe inā ʻaʻole hana maikaʻi kēia lāʻau lapaʻau iā ʻoe a i ʻole ke kumu o nā hopena ʻaoʻao pilikia.
ʻO nā hui LAMA/LABA ʻē aʻe e komo pū ana me ka tiotropium me ka olodaterol, glycopyrronium me ka indacaterol, a me ka aclidinium me ka formoterol. He ʻokoʻa iki nā papa hana dosing a me nā ʻaoʻao hopena o kēlā me kēia hui.
Hiki i kekahi poʻe ke pōmaikaʻi mai nā inhalers therapy triple e hui pū ana i ka LAMA, LABA, a me kahi corticosteroid i hoʻokomo ʻia. Hoʻopaʻa ʻia kēia mau mea no ka poʻe me ka COPD ʻoi aku ka koʻikoʻi a i ʻole nā exacerbations pinepine.
E koho kāu kauka i ke koho maikaʻi loa e pili ana i kāu mau hōʻailona kikoʻī, ke koʻikoʻi o kāu COPD, kāu pane ʻana i nā lāʻau lapaʻau ma mua, a me kou hiki ke hoʻohana pono i nā mea hana inhaler like ʻole.
He kūpono nā lāʻau lapaʻau ʻelua no ka mālama ʻana i ka COPD, akā hana lākou i nā mea ʻokoʻa iki. He bronchodilator LAMA hoʻokahi ʻo Tiotropium, ʻoiai ʻo umeclidinium a me vilanterol e hui pū i ka LAMA me ka LABA no ka dual bronchodilation.
Hiki i ka hui ke hāʻawi i ka mana hōʻailona maikaʻi aʻe no kekahi poʻe no ka mea e kālele ana i ʻelua mau ala like ʻole i kou mau ala ea. Hōʻike nā haʻawina e hiki ke ʻoi aku ka maikaʻi o ka dual bronchodilation ma mua o nā mea hoʻokahi no ka hoʻomaikaʻi ʻana i ka hana o ka māmā a me ka hōʻemi ʻana i nā hōʻailona.
Eia naʻe,
Hiki i nā kānaka me ka maʻi puʻuwai ke hoʻohana pinepine i kēia lāʻau lapaʻau, akā pono lākou e nānā pono ʻia. Hiki i ka mea vilanterol ke hoʻololi i ka puʻuwai a i ʻole e hoʻonui i ka helu o ka puʻuwai, ʻoi loa i ka wā e hoʻomaka ai ʻoe e lawe.
Inā loaʻa iā ʻoe ka maʻi puʻuwai, e hoʻomaka paha kāu kauka iā ʻoe i kēia lāʻau lapaʻau inā ʻoi aku ka maikaʻi ma mua o nā pilikia. Hiki iā lākou ke makemake e nānā pono i kāu puʻuwai, ʻoi loa i nā pule mua o ka mālama ʻana.
E haʻi mau i kāu kauka e pili ana i nā pilikia puʻuwai āu i loaʻa, me nā puʻuwai puʻuwai ʻole, ke koko kiʻekiʻe, a i ʻole nā puʻuwai puʻuwai ma mua. Hiki iā lākou ke kōkua i ka hoʻoholo inā palekana kēia lāʻau lapaʻau no kāu kūlana.
Inā lawe hewa ʻoe i ka nui o kāu lāʻau i kauoha ʻia, mai hopohopo, akā e hoʻokaʻaʻike i kāu kauka a i ʻole ka mea kūʻai lāʻau no ke alakaʻi. ʻO ka lawe ʻana i nā lāʻau hou aʻe hiki ke hoʻonui i kou pilikia o nā hopena ʻaoʻao e like me nā pilikia o ka puʻuwai a i ʻole nā haʻalulu ʻiʻo.
E nānā i nā hōʻailona e like me ka puʻuwai wikiwiki, ka ʻeha o ka umauma, nā haʻalulu, a i ʻole ka manaʻo ʻole a i ʻole ka jittery. Hiki i kēia mau mea ke hōʻailona ua lawe nui ʻoe i ka lāʻau lapaʻau a pono paha i ka lāʻau lapaʻau.
No ka pale ʻana i ka overdoses ulia pōpilikia, e mālama i ka manawa e lawe ai ʻoe i kāu lāʻau i kēlā me kēia lā. Manaʻo kekahi poʻe he mea kōkua ke hoʻohana i ka mea hoʻonohonoho pila a i ʻole ka hoʻomanaʻo kelepona e pale aku i ka lawe ʻana i nā lāʻau hou aʻe.
Inā hala ʻoe i kāu lāʻau i kēlā me kēia lā, e lawe iā ia i ka wā e hoʻomanaʻo ai ʻoe, akā inā ʻaʻole kokoke i ka manawa no kāu lāʻau i hoʻonohonoho ʻia. Inā kokoke ka manawa no kāu lāʻau e hiki mai ana, e lele i ka mea i hala a e hoʻomau me kāu papa manawa maʻamau.
Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi e hana i kahi lāʻau i hala. Hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao me ka ʻole o ka hāʻawi ʻana i nā pōmaikaʻi hou no kou hanu.
Inā poina pinepine ʻoe i nā lāʻau, e kamaʻilio me kāu kauka e pili ana i nā hoʻolālā e kōkua iā ʻoe e hoʻomanaʻo. He mea nui ka hoʻohana ʻana i kēlā me kēia lā no ka loaʻa ʻana o ka pōmaikaʻi nui mai kēia lāʻau.
Pono ʻoe e hooki i ka lawe ʻana i kēia lāʻau ma lalo o ka mālama ʻana a kāu kauka. He maʻi maʻi ʻo COPD e koi pinepine i ka mālama mau ʻana e pale ai i nā hōʻailona mai ka ʻino ʻana i ka manawa.
Hiki i kāu kauka ke noʻonoʻo e hooki a hoʻololi paha i kāu lāʻau inā loaʻa iā ʻoe nā hopena ʻaoʻao koʻikoʻi, inā loli nui kou maʻi, a i ʻole inā loaʻa nā lāʻau lapaʻau hou e hana maikaʻi ai iā ʻoe.
ʻOiai inā manaʻo ʻoe ua maikaʻi loa ʻoe i ka lawe ʻana i kēia lāʻau, ʻo ka hooki ʻana i ka lāʻau koke hiki ke hoʻi koke mai nā hōʻailona COPD. E kūkākūkā mau i nā hopohopo e pili ana i ka hoʻomau ʻana i ka mālama ʻana me kāu mea mālama ola.
ʻAe, pono ʻoe e hoʻomau i ka lawe ʻana a hoʻohana i kāu inhaler hoʻopakele (e like me albuterol) no nā pilikia hanu koke. He lāʻau mālama ʻo Umeclidinium a me vilanterol e hana ana ma luna o 24 mau hola, akā ʻaʻole i hoʻolālā ʻia no ka hoʻomaha koke ʻana i ka wā pilikia hanu.
Hāʻawi kāu inhaler hoʻopakele i ka hoʻomaha wikiwiki ke pono ʻoe, ʻoiai ke kōkua nei kāu inhaler mālama i kēlā me kēia lā e pale i nā hōʻailona mai ka hana ʻana i ka wahi mua. He mea nui nā lāʻau ʻelua akā he mau hana like ʻole i kāu hoʻokele COPD.
Inā ʻike ʻoe e hoʻohana ana ʻoe i kāu inhaler hoʻopakele pinepine ma mua o ka maʻamau, e hoʻokaʻaʻike i kāu kauka. He hōʻailona paha kēia e ʻino nei kāu COPD a i ʻole pono e hoʻoponopono ʻia kāu mālama mālama.