He aha te Fluticasone me te Vilanterol: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te fluticasone me te vilanterol he rongoā whakakotahi i roto i te inhaler e āwhina ana ki te whakahaere i te huango me te mate pukupuku aukati i te pūkahukahu (COPD). Ko tēnei rongoā mahi-rua e whakakotahi ana i te corticosteroid (fluticasone) me te bronchodilator roa-mahi (vilanterol) hei whakaiti i te mumura me te pupuri i ō ara rererangi kia tuwhera mō te manawa ngāwari ake.

Ka mōhio pea koe ki tēnei rongoā i tōna ingoa waitohu Breo Ellipta. I hangaia hei rongoā tiaki kotahi-i-te-rā e mahi ana i te wā katoa hei āwhina i te aukati i ngā raruraru manawa i mua i te tīmatanga.

He aha te Fluticasone me te Vilanterol e whakamahia ana mō?

Ko tēnei rongoā whakakotahi e rongoā ana i ngā āhuatanga manawa nui e rua: te huango i roto i ngā pakeke me ngā taiohi 18 tau me te pakeke ake, me te COPD i roto i ngā pakeke. Mō te huango, e āwhina ana ki te aukati i ngā whakaeke me te whakaiti i te auau o ngā tohumate pēnei i te wheehi, te poto o te manawa, me te pōkae o te uma.

I roto i ngā tūroro COPD, ka āwhina te fluticasone me te vilanterol ki te whakahaere i ngā tohumate bronchitis tawhito me te emphysema. Ka whakaiti te rongoā i ngā mura-ake me te ngāwari ake i ngā mahi o ia rā mā te pupuri i ō ara rererangi kia tuwhera ake, kia iti ake te mumura.

He mea nui kia mārama ko tēnei he rongoā tiaki, ehara i te inhaler whakaora. Ka whakamahi koe i tēnei i ia rā hei aukati i ngā tohumate, engari ka hiahia tonu koe ki tētahi inhaler tere-whakaora pēnei i te albuterol mō ngā ohorere manawa ohorere.

Me pēhea te mahi a te Fluticasone me te Vilanterol?

E mahi ana tēnei rongoā mā ngā tikanga e rua rerekē engari e whakakī ana i a rātou anō. Ko te Fluticasone he corticosteroid e whakaiti ana i te mumura i roto i ō ara rererangi, pērā i te rongoā anti-inflammatory e whakaiti ana i te pupuhi i ētahi atu wāhanga o tō tinana.

Ko te Vilanterol he beta2-agonist roa-mahi (LABA) e whakangāwari ana i ngā uaua huri noa i ō ara rererangi. Whakaarohia he āwhina i ō ara manawa kia tuwhera ake, kia ngāwari ake te rere o te hau ki roto, ki waho hoki o ō pūkahukahu.

Ka mahi tahi ēnei mea e rua, ka hangaia he huinga kaha e whakatika ana i te mumura me te kōpeketanga o ngā uaua e uaua ai te manawa. E 24 hāora te roa o ngā pānga, koinei te take me whakamahi anake i te kotahi i te rā.

E kiia ana he rongoā kaha tēnei. He kaha ake i te whakamahi i te corticosteroid anake engari he iti ake te kaha i ētahi atu rongoā whakakotahi e hiahia ana kia maha ngā horopeta i ia rā.

Me pēhea taku tango i te Fluticasone me te Vilanterol?

Tangohia tēnei rongoā kotahi anake i ia rā i te wā kotahi, he pai ake i te ata. Kāore koe e hiahia ki te tango me te kai, ā, ka taea e koe te whakamahi i runga i te puku kau, kāore he raruraru.

Ka tae mai te rongoā i roto i te inhaler paura maroke e kiia ana ko Ellipta. Whai muri i te whakauru i tō horopeta, horoia tō waha ki te wai, ka tuwha atu. Mā tēnei mahi ngāwari e ārai te thrush, he mate harore ka puta i tō waha mai i te whakamahi corticosteroid.

I mua i te whakamahi i tō inhaler, kia mōhio koe ki te tikanga tika. Puritia te inhaler ki runga, pahekehia te uhi ki raro kia rongo ra ano koe i te pāwhiri, whakaputaina te hau katoa, kātahi ka whakatakoto i ō ngutu ki te waha, ka tango i te manawa kaha, hōhonu.

Kaua rawa e whakamahi i tēnei rongoā neke atu i te kotahi i roto i te 24 hāora, ahakoa e pēnei ana koe me te mea e hiahia ana koe ki te āwhina atu. Ki te raru koe i te manawa kāore i te whakahaeretia e tō horopeta o ia rā, whakamahia tō inhaler whakaora, me te whakapā atu ki tō kaiwhakarato hauora.

Kia Pēhea te Roa o taku tango i te Fluticasone me te Vilanterol?

Ko te tikanga he rongoā wā-roa tēnei ka whakamahia e koe mō ngā marama, tau rānei, i runga i tō āhua. Ko te nuinga o te hunga e mate ana i te huangō, i te COPD rānei e hiahia ana ki te rongoā tonu hei pupuri i ō rātou tohu kia pai te whakahaere, me te ārai i tō rātou āhua kia kaua e kino ake.

Ka arotakehia e tō tākuta i ngā wā katoa te pai o te rongoā mōu. Ka whakatikahia pea tō inenga, ka huri rānei koe ki tētahi atu rongoā mēnā kāore anō kia pai te whakahaere i ō tohumate, ki te pāngia rānei e koe ngā pānga taha e whakararuraru ana.

Kaua rawa e mutu te tango i tēnei rongoā ohorere noa iho me te kore e kōrero tuatahi ki tō kaiwhakarato hauora. Ka hoki mai pea ō tohumate manawa, ā, ko te whakamutu ohorere ka puta pea he pūremu nui o tō āhuatanga.

Ka taea e ētahi tāngata te heke ki te inenga iti ake, te huri rānei ki tētahi atu rongoā i roto i te wā, engari me whakatau tonu tēnei whakatau me te ārahitanga hauora i runga i te pūmau o tō āhuatanga.

He aha ngā pānga taha o te Fluticasone me te Vilanterol?

Pērā i ngā rongoā katoa, ka taea e te fluticasone me te vilanterol te pānga taha, ahakoa he maha ngā tāngata e pai ana ki te tango. Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina koe ki te whai māia ki tō rongoā.

Ko ngā pānga taha e tino kitea ana he ngawari noa iho, ā, ka pai ake i te wa e urutau ana tō tinana ki te rongoā:

• Te ānini
• Te riri o te korokoro, te korokoro mamae rānei
• Ngā mate o te ara rererangi o runga pērā i te makariri
• Te harore waha (ngā pāti mā i tō waha)
• Te reo hōhā, te huringa reo rānei
• Te mare
• Te mamae o te tuara
• Te korere

Ko ēnei pānga taha noa iho kāore e hiahia ana kia aro mai te rongoā, ki te kaha rawa atu, ki te mau tonu rānei. Mā te horoi i tō waha i muri i ia whakamahinga ka tino whakaiti i tō tūponotanga ki te whakawhanake i te harore.

Ko ngā pānga taha kāore i te kitea noa engari he nui ake te kino e hiahia ana kia aro mai te rongoā tonu. Kei roto i ēnei ngā tohu o ngā tauhohenga pānga pērā i te pāwera, te mōmiti, te pūhi, te whanoke nui, te uaua rānei ki te manawa.

Ka pāngia pea e ētahi tāngata ngā pānga ngākau mai i te wāhanga vilanterol, tae atu ki te piki o te tere o te ngākau, te mamae o te uma, te wiri rānei. Ahakoa kāore i te kitea noa, he mea nui kia pūrongo ki tō tākuta.

Ko te whakamahi mo te wā roa o ngā corticosteroids ka puta i ētahi wā ngā pānga nui ake, pērā i te piki o te tūponotanga o te mate, te angiangi o ngā wheua, te raruraru rānei o te repe adrenal. Ka aroturukihia koe e tō tākuta mō ēnei raruraru onge engari nui i ngā arowhai auau.

Ko wai kāore e tika kia tango Fluticasone me Vilanterol?

Kāore tēnei rongoā i te tika mō te katoa, ā, ko ētahi āhuatanga hauora, ā, ko ētahi tūāhuatanga ka kore e tika, ka mōrearea rānei. Ko tō haumaru te mea matua i te whakatau mēnā he tika tēnei rongoā mōu.

Kāore koe e whakamahi i tēnei rongoā mēnā he pānga koe ki te fluticasone, vilanterol, ki ētahi atu whakauru rānei i roto i te hanganga. Me karo hoki e ngā tāngata e tino pānga ana ki te pūmua miraka tēnei rongoā nā te mea kei roto te lactose.

Kāore tēnei huinga i te whakaaetia mō ngā tamariki kei raro i te 18 tau mō te rongoā huangō. Mō te COPD, e tika ana mō te whakamahi a te pakeke anake. E hiahia ana te hapū me te whāngai ū i te whakaaro motuhake, ā, ka whakataurite tō tākuta i ngā painga ki ngā tūponotanga pea.

E hiahia ana ngā tāngata e whai ana i ētahi āhuatanga ngākau kia tūpato ake nā te mea ka pā te vilanterol ki te manawataki me te pēhanga toto. Kei roto i tēnei ko te hunga e whai ana i te manawataki kōaro, te pēhanga toto tiketike, te mate rānei o te uaua coronary.

Mēnā he mate kaha tōu, otirā ngā mate harore, tērā pea ka hiahia tō tākuta ki te rongoā i ēnei i mua i te tīmatanga o tēnei rongoā. Ka uaua ake te wāhanga corticosteroid ki tō tinana ki te whawhai i ngā mate.

Ka pā te raruraru ate ki te āhua o te tukatuka o tō tinana i tēnei rongoā, nō reira tērā pea ka hiahia ngā tāngata e whai ana i te ngoikoretanga hepatic ki te whakatika i te horopeta, ki ētahi atu rongoā rānei.

Ngā Ingoa Waitohu Fluticasone me Vilanterol

Ko te ingoa waitohu tuatahi mō tēnei rongoā huinga ko Breo Ellipta, i hangaia e GlaxoSmithKline. Koinei te āhua e wātea whānuitia ana, ā, ko te mea ka kitea e koe i tō whare rongoā.

Ka tae mai a Breo Ellipta i roto i tētahi pūrere whakauru paura maroke he kikorangi marama me te whero. E wātea ana te rongoā i roto i ngā kaha rerekē, ā, ka whiriwhiria e tō tākuta te horopeta tika i runga i tō āhuatanga me te kaha o ngā tohu.

Ahakoa ka wātea pea ngā putanga whānui ā muri ake nei, i tēnei wā ko Breo Ellipta te waitohu matua e wātea ana i te nuinga o ngā mākete. Ka pā pea tō inihua me te whare rongoā ki te hua motuhake ka whiwhi koe, engari ko ngā whakauru kaha tonu te rite.

Ngā Kōwhiringa kē mō Fluticasone me Vilanterol

He maha atu anō ngā kōwhiringa rongoā mēnā kāore a fluticasone me vilanterol i te pai mōu. Ka taea e tō tākuta te āwhina i a koe ki te tūhura i ēnei kōwhiringa kē i runga i ō tohu motuhake, hītori hauora, me ngā whāinga maimoatanga.

Ko ētahi atu whakauru whakauru ko te fluticasone me te salmeterol (Advair), te budesonide me te formoterol (Symbicort), me te mometasone me te formoterol (Dulera). E mahi ana ia o ēnei whakakotahitanga i te rite engari he rerekē pea ngā hōtaka horopeta, ngā pūkete pānga taha rānei.

Mō te hunga e pai ana ki ngā rongoā motuhake, ka whakamahi pea koe i tētahi whakauru corticosteroid pēnei i te fluticasone (Flovent) me tētahi bronchodilator roa-whakaari motuhake. Mā tēnei huarahi ka taea te horopeta takitahi ake engari me whakamahi e rua ngā whakauru rerekē.

He pai te haere o ētahi tāngata ki ngā maimoatanga corticosteroid-anake, ina koa ki te mea he mumura te āhuatanga i te tuatahi, kaua ki te whai wāhi ki te kōpeketanga uaua nui. Ka whai hua pea ētahi atu i ngā akomanga rongoā hou pēnei i ngā whakarerekē i te leukotriene, i ngā rongoā koiora rānei.

Ko te kōwhiringa kē pai rawa atu ka whakawhirinaki ki tō momo huangō, COPD rānei, ō hiahia noho, me te pai o tō urupare ki ngā maimoatanga o mua. Ka mahi tahi tō kaiwhakarato hauora ki a koe ki te kimi i te kōwhiringa tino whai hua.

He Pai Ake a Fluticasone me Vilanterol i te Advair?

He pai ngā rongoā whakakotahi o te fluticasone/vilanterol (Breo Ellipta) me te fluticasone/salmeterol (Advair), engari he rerekētanga nui ō rāua, ā, tērā pea ka pai ake tētahi mō tō tūnga i tētahi atu.

Ko te painga nui o Breo Ellipta ko tōna horopeta kotahi i te rā, he rerekē ki te hiahia a Advair kia rua ngā horopeta i te rā. Ka taea e tēnei te whakapai ake i te piri ki te rongoā, me te whakangāwari i tō tikanga rongoā, me te watea ake.

Ka tae mai hoki a Breo Ellipta i roto i te pūwhiwhi paura maroke kāore e hiahia ki te whakatūpato i waenga i te pēhi me te whakauru, he rerekē ki te Advair HFA. He tokomaha ngā tāngata e kite ana he māmā ake te whakamahi tika i te pūrere Ellipta, ka taea e tēnei te whakapai ake i te nui o te rongoā ka tae ki ō pūkahukahu.

Heoi, kua roa kē a Advair e wātea ana, ā, he nui ake ngā raraunga haumaru mō te wā roa. Ka pai ake hoki te urupare a ētahi tāngata ki te salmeterol (i Advair) i te vilanterol (i Breo Ellipta), ahakoa he pai ngā mea e rua hei whakawātea i ngā pūkahukahu mō te wā roa.

Ko te whiriwhiri i waenga i ēnei rongoā ka heke iho ki ō hiahia oranga, te inihua, me te pai o tō urupare ki ia kōwhiringa. Ka taea e tō tākuta te āwhina i a koe ki te whakatau ko tēhea whakakotahitanga ka pai ake mō tō tūnga motuhake.

Ngā Pātai Auau mō te Fluticasone me te Vilanterol

He Haumaru te Fluticasone me te Vilanterol mō te Mate Ngākau?

Ka taea e ngā tāngata e mate ana i te ngākau te whakamahi i tēnei rongoā i te nuinga o te wā, engari me mātakitaki pai, me te whakaaro ki tō tūnga ngākau motuhake. Ka taea e te wāhanga vilanterol te pā ki te tere me te manawataki o te ngākau, koinei te take me mōhio tō tākuta mō ngā raruraru ngākau.

Mēnā he pai te whakahaere i tō mate ngākau, tērā pea ka whakatau tō tākuta he nui ake ngā painga o te whakahaere manawa pai ake i ngā tūponotanga ngākau. Tērā pea ka tīmata rātou i te horopeta whai hua iti rawa, me te mātakitaki tata i a koe mō ngā pānga taha e pā ana ki te ngākau.

Heoi anō, ki te he mate ngākau tō, he pānga ngākau tata nei, he raruraru manawa nui rānei, tō tākuta pea e tūtohu ana i ngā rongoā kē atu kāore he bronchodilators roa te mahi. Me kōrero tonu i tō hītori ngākau katoa ki tō kaiwhakarato hauora.

Me pēhea taku mahi mēnā ka whakamahi au i te nui rawa o te Fluticasone me te Vilanterol?

Mēnā ka inu koe i te nui atu i tō horopeta i whakaritea, kaua e mataku, engari me mātakitaki i a koe anō mō ngā pānga taha. Whakapā atu ki tō tākuta, ki te whare rongoā rānei mō te āwhina, ina koa i whakamahi koe i te nui atu i te mea i tūtohutia.

Mātakitaki mō ngā tohu o te horopeta nui, pea ko te tere o te manawa, te wiri, te ānini, te pōuri rānei. Ka puta ēnei tohu nā te mea ka nui rawa te vilanterol ka whakaohooho i tō pūnaha ngākau.

Kaua e ngana ki te "kāore" i tō horopeta e whai ake nei hei utu mō te rongoā atu. Engari, hoki ki tō hōtaka horopeta auau, me te kōrero i te pānga ki tō kaiwhakarato hauora i tō tūpono e whai ake nei.

Me pēhea taku mahi mēnā ka ngaro au i tētahi horopeta o Fluticasone me Vilanterol?

Mēnā ka wareware koe i tō horopeta o ia rā, tangohia i te wā ka mahara koe, engari mēnā kei te rā tonu. Mēnā kua tae kē te wā mō tō horopeta e whai ake nei, ka mahara rānei koe i te rā e whai ake nei, kāore i te horopeta i ngaro, me te hoki ki tō hōtaka auau.

Kaua rawa e tango i ngā horopeta e rua i te rā kotahi hei utu mō tētahi horopeta i ngaro. Ka taea e tēnei te arahi ki ngā tohu horopeta nui, e kore hoki e pai ake te whakahaere i ō tohu manawa.

Ko te ngaro i ngā horopeta i ētahi wā e kore e puta he raruraru tonu, engari ngana ki te pupuri i te rite mō te whakahaere tohu pai rawa atu. Whakaarohia te whakatakoto i tētahi whakamaharatanga o ia rā i runga i tō waea, te hono rānei i tō rongoā ki tētahi mahi o ia rā pēnei i te parai i ō niho.

Āhea ka taea e au te whakamutu i te tango i te Fluticasone me te Vilanterol?

Me whakamutu anake koe i te tango i tēnei rongoā i raro i te tirotiro hauora, ahakoa kei te pai ake koe. Ko te huangō me te COPD he mate tawhito e hiahia ana ki te rongoā tonu hei pupuri i te mana pai.

Ka whakaaro pea tō tākuta ki te whakaiti i tō horopeta, ki te huri rānei i ngā rongoā mēnā kua pai te whakahaere i ō tohu mō te wā roa. Ko tēnei tukanga, e kiia ana ko te "whakaheke," ka mahia āta kia kore ai ō tohu e hoki mai.

Ka taea e ētahi tāngata te whakamutu i tēnei rongoā mēnā ka tino pai ake tō rātou āhua, mēnā rānei kei te huri rātou ki tētahi atu huarahi rongoā. Heoi, me whakatau tonu tēnei whakatau i te mahi tahi me tō kaiwhakarato hauora i runga i ō whakamātautau mahi pūkahukahu me ngā tauira tohu.

Ka taea e au te whakamahi i tēnei rongoā i te wā e hapū ana?

E hiahia ana te hapūtanga ki te whakaaro motuhake i te wā e whakamahi ana i ngā rongoā katoa, tae atu ki te fluticasone me te vilanterol. Ahakoa te huangō kāore i te whakahaere e raru ana ki te whaea me te pēpi, me āta arotake hoki ngā pānga o te rongoā.

Ka whakataurite tō tākuta i ngā painga o te pupuri i te mana huangō pai ki ngā tūponotanga pea ki tō pēpi e tipu ana. I te nuinga o ngā wā, ka nui ake ngā painga o te aukati i ngā whakaeke huangō nui i ngā tūponotanga rongoā.

Mēnā kei te whakamahere koe ki te hapū, ki te kite rānei koe kei te hapū koe i te wā e tango ana koe i tēnei rongoā, kōrerohia tō mahere rongoā ki tō kaiwhakarato hauora tonu. Ka whakatika pea rātou i tō horopeta, ka huri rānei i a koe ki tētahi atu rongoā, ka haere tonu rānei i tō rongoā o nāianei me te aroturuki tata atu.