Created at:1/13/2025
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Ko te Umeclidinium me te vilanterol he rongoā whakakotahi i roto i te inhaler e āwhina ana i te hunga e mate ana i te mate aukati pūkahukahu mau tonu (COPD) kia māmā ake te hā i ia rā. Kei roto i tēnei rongoā i runga i te whakahaunga e rua ngā momo bronchodilators rerekē e mahi ngātahi ana kia tuwhera tonu ō rātou ara rererangi me te whakaiti i ngā uaua o te hā.
Mēnā kua whakahaungia tēnei rongoā ki a koe, tērā pea kei te raru koe i ngā tohumate COPD e hiahia ana kia āta whakahaere i ia rā. Kua hangaia tēnei inhaler whakakotahi kia whakamahia kotahi i te rā hei rongoā tiaki, kaua mō ngā ohorere o te hā.
Ko te Umeclidinium me te vilanterol he whakakotahitanga o ngā bronchodilators e rua e puta mai ana i roto i te pūrere inhaler kotahi. Ko te Umeclidinium he kaiwhakatūtū muscarinic roa (LAMA), i te mea ko te vilanterol he kaiwhakatūtū beta2-roa (LABA).
Whakaarohia ēnei rongoā e rua hei tīma e mahi ana i roto i ō pūkahukahu. Ka āwhina te Umeclidinium ki te whakangāwari i ngā uaua huri noa i ō ara rererangi mā te aukati i ētahi tohu io, i te mea ka whakangāwari tika te vilanterol i te uaua maeneene i roto i ō ara rererangi. Ngātahi, ka whai wāhi rātou ki te 24-haora te whakawātea i ngā tohumate COPD.
Kua hangaia tēnei rongoā mō te hunga e mate ana i te COPD e hiahia ana ki te rongoā tiaki i ia rā. Kāore i te tikanga mō te huangō, mō te rongoā rānei i ngā whakaeke ohorere o te hā.
Ka whakahaungia tēnei inhaler whakakotahi mō te rongoā tiaki wā-roa o te mate aukati pūkahukahu mau tonu (COPD). Ka āwhina ki te whakaiti i te aukati i te rere o te hau me te māmā ake te hā i ia rā mō te hunga e mate ana i tēnei āhuatanga.
Tērā pea ka whakahaunga tō tākuta i tēnei rongoā mēnā he tohumate COPD ō koe pērā i te mare mau tonu, te poto o te hā, te whē rānei e raru ana i ō mahi o ia rā. He tino āwhina mō te hunga e hiahia ana i te nui atu i te kotahi bronchodilator hei whakahaere i ā rātou tohumate.
Kāore tēnei rongoā i whakaaetia mō te rongoā i te huangō, ā, kaua rawa e whakamahia hei inhaler whakaora i ngā ohorere manawa ohorere. Ki te mea he COPD me te huangō tōu, me whakaaro tō tākuta i tēnei mea i te wā e whakarite ana i tō rongoā.
E mahi ana tēnei rongoā whakakotahi mā ngā tikanga e rua rerekē engari e whakakī ana i a rāua, hei āwhina i te whakatuwhera i ō rātou ara rererangi. E aukati ana te Umeclidinium i ngā kaiwhiwhi acetylcholine, e ārai ana i ngā uaua huri noa i ō ara rererangi mai i te whāiti, i te wā e whakahohe ana te vilanterol i ngā kaiwhiwhi beta2, e whakangāwari ana i ngā uaua ara rererangi.
E whakarato ana te mahi rua i te whakatuwheratanga ara rererangi whānui atu i te rongoā kotahi. Nā tēnei ka waiho hei whakakotahitanga bronchodilator kaha, e whai hua ana mō ngā tāngata he COPD āhua ki te kaha.
He roa te mahi o ngā rongoā e rua, ko te tikanga e mahi tonu ana mō te 24 haora i muri i ia horopeta. E āhei ana tēnei i te horopeta kotahi ia rā, e kitea ana e te nuinga o te tangata he pai ake i ngā inhaler maha ia rā.
Tangohia tēnei rongoā i te mea i whakaritea e tō tākuta, te tikanga kotahi te whakauru i te rā kotahi i te wā kotahi ia rā. Ko te horopeta tino noa ko te kotahi te whakauru o te 62.5 mcg umeclidinium me te 25 mcg vilanterol.
Ka taea e koe te tango i tēnei rongoā me te kore kai rānei, engari he mea nui te rite tonu. He maha ngā tāngata e kite ana he āwhina ki te tango i te wā kotahi i ia ata ki te whakatū i tētahi tikanga me te whakarite kia kaua e ngaro ngā horopeta.
I mua i te whakamahi i tō inhaler, me mōhio koe ki te whakamahi tika i te pūrere. Me whakaatu tō kai rongoā, tākuta rānei i te tikanga tika, i te mea he mea nui te whakauru tika mō te rongoā kia tae pai ki ō pūkahukahu.
I muri i te tango i tō horopeta, horoia tō waha ki te wai ka tuwha atu. Ka taea e tēnei mahi ngāwari te āwhina i te ārai i te thrush, he mate harore ka puta i tō waha mai i ngā rongoā whakauru.
Ko te tikanga ka tohua tenei rongoa hei rongoa tiaki mo te wa roa mo te COPD, ko te tikanga ka hiahia koe ki te tango tonu. He mate tawhito te COPD e hiahia ana ki te whakahaere tonu hei aukati i nga tohu kia kino ake.
Ka aroturukihia e to taakuta to urupare ki te rongoa, ka whakatika pea i to mahere maimoatanga i te wa. Ko etahi tangata ka kite i te pai ake o te manawa i roto i nga ra tuatahi, ko etahi ka roa pea etahi wiki ki te wheako i nga painga katoa.
Kaua rawa e mutu te tango i tenei rongoa ohorere me te kore e korero tuatahi ki to taakuta. Ko te whakamutu ohorere ka kaha ake nga tohu o to COPD, ka uaua ake te manawa me te arahi ki nga raruraru nui.
Pērā i ngā rongoā katoa, ka taea e te umeclidinium me te vilanterol te whakaputa i nga paanga taha, ahakoa he maha nga tangata e pai ana ki a ia. Ko te nuinga o nga paanga taha he ngawari, ka pai ake i te wa e urutau ana to tinana ki te rongoa.
Anei nga paanga taha noa ka pa ki a koe:
Ko enei paanga taha he wa poto noa iho, he ngawari te whakahaere. Mena ka mau tonu, ka raru ranei, korero ki to taakuta mo nga huarahi hei whakaiti i a raatau.
Ko nga paanga taha iti noa iho engari he nui ake te kino ka puta, ahakoa he onge. Kei roto i enei:
Mēnā ka pā mai ētahi o ēnei pānga kino, me rapu tonu i te āwhina hauora. Ahakoa he mea kāore i te pāpā, me rongoā wawe ēnei urupare.
Kāore tēnei rongoā i te tika mō te katoa, ā, mā ētahi āhuatanga hauora ka kore e haumaru mōu te whakamahi. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei whakakotahitanga inhaler.
Kāore koe e whakamahi i tēnei rongoā mēnā he huangō tōu kāore he COPD, nā te mea ka taea e ngā rongoā LABA pēnei i te vilanterol te whakanui i te tūponotanga o te mate e pā ana ki te huangō i te wā e whakamahia ana anake mō te rongoā huangō.
Me mātakitaki motuhake ngā tāngata e pā ana ki ētahi āhuatanga hauora, ā, me karo rānei i tēnei rongoā:
Mēnā kei te hapū koe, kei te whāngai ū rānei, kōrerohia ngā painga me ngā tūponotanga ki tō tākuta. Ahakoa he mea tika tēnei rongoā mō tō hauora, ka hiahia tō tākuta ki te mātakitaki i a koe me tō pēpi.
Kei te wātea tēnei rongoā whakakotahi i raro i te ingoa waitohu Anoro Ellipta i te United States. Ko te pūrere Ellipta he inhaler paura maroke e tuku ana i ngā rongoā e rua i roto i te horopeta kotahi.
Ka rerekē pea te ingoa waitohu i ngā whenua rerekē, nō reira me tirotiro tonu ki tō kai rongoā mēnā kei te haere koe, kei te tiki rānei i ngā rongoā i ngā wāhi rerekē. E noho tonu ana ngā whakauru kaha ahakoa te ingoa waitohu.
Kāore anō kia wātea whānuitia ngā putanga whānui o tēnei whakakotahitanga, nō reira ka whiwhi te nuinga o te tāngata i te rongoā ingoa waitohu. Ka pā pea tō inihua ki te utu, nō reira me tirotiro ki tō kaiwhakarato mō ngā kōwhiringa inihua.
He maha atu ngā whakakotahitanga rongoā whakauru mō te rongoā COPD e wātea ana, he rerekē ngā whakakotahitanga o ngā bronchodilators. Ka whakaaro pea tō tākuta ki ētahi atu rongoā mēnā kāore tēnei rongoā e pai ana mōu, e pā ana rānei ngā pānga kino.
Ko ētahi atu whakakotahitanga LAMA/LABA ko te tiotropium me te olodaterol, te glycopyrronium me te indacaterol, me te aclidinium me te formoterol. He rerekē paku te hōtaka inenga me ngā pānga kino o ia whakakotahitanga.
Ka whai hua pea ētahi tāngata i ngā rongoā whakauru toru e whakakotahi ana i te LAMA, LABA, me te corticosteroid whakauru. Ko te tikanga, e rāhui ana ēnei mō ngā tāngata e kaha ake ana te COPD, e maha ana rānei ngā whakawātea.
Ka whiriwhiri tō tākuta i te kōwhiringa pai rawa atu i runga i ō tohumate motuhake, te kaha o tō COPD, tō urupare ki ngā rongoā o mua, me tō kaha ki te whakamahi tika i ngā pūrere whakauru rerekē.
He whai hua ngā rongoā e rua mō te rongoā COPD, engari he rerekē paku te mahi. He bronchodilator LAMA kotahi te Tiotropium, i te mea ko te umeclidinium me te vilanterol e whakakotahi ana i te LAMA me te LABA mō te bronchodilation rua.
Ka pai pea te whakakotahitanga ki te whakahaere i ngā tohumate mō ētahi tāngata nā te mea e aro ana ki ngā ara rerekē e rua i ō rātou ara rererangi. E whakaatu ana ngā rangahau ka pai ake te bronchodilation rua i ngā rongoā kotahi mō te whakapai ake i te mahi o te pūkahukahu me te whakaiti i ngā tohumate.
Heoi, "pai ake" e whakawhirinaki ana ki tō urupare takitahi, ngā pānga kino, me ō hiahia. He pai te mahi a ētahi tāngata i runga i te tiotropium anake, i te mea e hiahia ana ētahi atu ki te bronchodilation atu mai i te rongoā whakakotahitanga.
Ka whakaaro tō tākuta ki ngā āhuatanga pēnei i ō tohumate o nāianei, te pai o tō whakahaere i runga i tō rongoā o nāianei, me tō tūponotanga ki ngā pānga kino i te wā e whakatau ana i waenga i ēnei kōwhiringa.
He maha ngā tāngata e mate ana i te ngākau ka taea te whakamahi i tēnei rongoā, engari me mātakitaki tata atu. Ko te wāhanga vilanterol i ētahi wā ka pāngia e te huringa o te manawa, te whakanui rānei i te tere o te manawa, ina koa i te wā tuatahi ka tīmata koe ki te tango.
Mēnā he mate ngākau tō, tō tākuta pea ka tīmata koe ki tēnei rongoā mena ka nui ake ngā painga i ngā tūponotanga. Ka hiahia pea rātou ki te mātakitaki tata atu i tō manawa, ina koa i ngā wiki tuatahi o te rongoā.
Me kōrero tonu ki tō tākuta mō ngā raruraru ngākau katoa e pā ana ki a koe, tae atu ki te manawa kōaro, te toto tiketike, te pānga ngākau o mua rānei. Ka taea e rātou te āwhina i te whakatau mēnā he haumaru tēnei rongoā mō tō āhuatanga motuhake.
Mēnā ka tango koe i te nui atu i tō horopeta kua tohua, kaua e mataku, engari whakapā atu ki tō tākuta, ki te kaimātai rongoā rānei mō te ārahitanga. Ko te tango i ngā horopeta atu ka whakanui i tō tūponotanga ki ngā pānga taha pēnei i ngā raruraru o te manawa, i te wiri rānei o ngā uaua.
Mātakitaki mō ngā tohumate pēnei i te tere o te manawa, te mamae o te uma, te wiri, te pōuri rānei, te wiri rānei. Ko ēnei pea ngā tohu kua tango koe i te nui rawa o te rongoā, ā, me hiahia pea koe ki te āwhina hauora.
Hei aukati i te horopeta nui ohorere, kia mōhio ki te wā ka tango koe i tō horopeta o ia rā. E kitea ana e ētahi tāngata he āwhina te whakamahi i te kaiwhakarite pire, i te whakamaharatanga waea rānei kia kore ai e tango i ngā horopeta atu i te hē.
Mēnā ka ngaro koe i tō horopeta o ia rā, tangohia i te wā ka mahara koe, engari mena kāore i te tata ki te wā mō tō horopeta e whai ake nei. Mēnā kua tata te wā mō tō horopeta e whai ake nei, waiho te mea i ngaro, ka haere tonu ki tō hōtaka auau.
Kaua rawa e tango i ngā horopeta e rua i te wā kotahi hei utu mō te horopeta i ngaro. Ka taea e tēnei te whakanui i tō tūponotanga ki ngā pānga taha me te kore e whai hua atu mō tō manawa.
Mēnā he maha ō wareware i ngā horopeta, kōrerohia ki tō tākuta mō ngā rautaki hei āwhina i a koe ki te mahara. He mea nui te whakamahi i ia rā, i ia rā kia whiwhi ai koe i te painga nui mai i tēnei rongoā.
Me mutu anake tō tango i tēnei rongoā i raro i te tirotiro a tō tākuta. He mate tawhito te COPD e hiahia ana ki te rongoā tonu hei ārai i ngā tohumate kia kaua e kino haere i te wā.
Ka whakaaro pea tō tākuta ki te whakamutu, ki te huri rānei i tō rongoā mēnā ka pā ki a koe ngā pānga taha nui, mēnā ka huri nui tō āhua, mēnā ka wātea mai ngā rongoā hou ka pai ake pea mōu.
Ahakoa te pai o tō tū mai i te wā e tango ana koe i tēnei rongoā, ko te whakamutu ohorere ka hoki wawe mai pea ō tohumate COPD. Kōrerohia tonu ngā āwangawanga mō te haere tonu o te rongoā ki tō kaiwhakarato hauora.
Āe, me haere tonu koe ki te mau me te whakamahi i tō whakauaua whakaora (pēnei i te albuterol) mō ngā uaua manawa ohorere. He rongoā tiaki te Umeclidinium me te vilanterol e mahi ana i roto i te 24 haora, engari kāore i hangaia mō te āwhina tonu i ngā ohorere manawa.
Ka whakahoki tere tō whakauaua whakaora i te wā e tino hiahia ana koe, i te wā e ārai ana tō whakauaua tiaki i ia rā i ngā tohumate kia puta i te tuatahi. He mea nui ngā rongoā e rua engari he rerekē ngā mahi i roto i tō whakahaere COPD.
Mēnā ka kite koe i a koe e whakamahi ana i tō whakauaua whakaora i te nuinga o te wā, whakapā atu ki tō tākuta. He tohu tēnei kei te kino haere tō COPD, kei te hiahia rānei tō rongoā tiaki kia whakatikatikaina.