Icyo Fluticasone na Salmeterol ari cyo: Ibikoreshwa, Uburyo Bwo Gukoresha, Ingaruka Ziterwa n'ibindi

Fluticasone na salmeterol ni umuti uvuzwa mu guhumeka uhuza imiti ifasha kugenzura asima na indwara y'umwuka mubi (COPD). Ubu buvuzi bufite ibikorwa bibiri buhuza umuti wa corticosteroid (fluticasone) n'umuti w'igihe kirekire wo gufungura imiyoboro y'umwuka (salmeterol) kugira ngo ugabanye umubyimbirwe kandi ugumane imiyoboro yawe ifunguye kugira ngo uhumeke neza.

Tekereza nk'aho ufite abafasha babiri batandukanye bakorera hamwe mu muhaha wawe. Fluticasone ikora nk'umuti woroshye urwanya umubyimbirwe, ukagabanya ibice byabyimbye mu miyoboro yawe y'umwuka. Hagati aho, salmeterol ikora nk'umuti woroshya imitsi, ifasha imitsi mito ikikije imiyoboro yawe y'umwuka kuguma yoroshye kandi ifunguye mu gihe kingana n'amasaha 12.

Fluticasone na Salmeterol bikoreshwa mu iki?

Uyu muti uhuza imiti cyane cyane wandikirwa kugenzura asima igihe kirekire ku bantu bakuru n'abana bafite imyaka irenga 4. Ikoreshwa kandi mu gucunga ibimenyetso bya COPD ku bantu bakuru, bifasha kwirinda ingorane zo guhumeka mbere yuko zitangira aho kuvura ibitero bitunguranye.

Muganga wawe ashobora kugusaba uyu muti niba ukoresha inhaler yo gutabara inshuro zirenga ebyiri mu cyumweru, ukanguka nijoro kubera ibibazo byo guhumeka, cyangwa niba imiti ikora ku kintu kimwe itatanga ubufasha buhagije. Bifasha cyane cyane abantu bafite ibimenyetso bya asima bibuza ibikorwa bya buri munsi nk'imyitozo, akazi, cyangwa gusinzira.

Uyu si umuti wo gutabara mu gihe cy'ibibazo byo guhumeka bitunguranye. Ahubwo, ikora nk'ubuvuzi bwo kubungabunga ukoresha buri gihe kugira ngo wirinde ibimenyetso bitaraba. Uzakenera gukomeza kugira inhaler yawe yo gufasha vuba hafi yawe kubera ingorane zo guhumeka zitunguranye.

Fluticasone na Salmeterol bikora gute?

Ubu buryo bukorera mu buryo bubiri bufatanye mu myanya yawe y'ubuhumekero. Igice cya fluticasone kigize umuryango w'imiti yitwa corticosteroids, igabanya ububyimbirwe no kubyimba mu nzira zawe z'ubuhumekero uko igihe kigenda.

Igice cya salmeterol ni beta2-agonist ikora igihe kirekire irekura imitsi yoroshye ikikije inzira zawe z'ubuhumekero. Iki gikorwa cyombi kivura ububyimbirwe bw'ibanze n'imitsi ifatanye bishobora gutuma guhumeka bigorana.

Nka umuti wo gukoresha buri gihe, ubu buryo bufatanye bufatwa nk'ubufite imbaraga ziringaniye. Akenshi wandikirwa iyo imiti yoroheje itatanze umusaruro uhagije, ariko si wo muti ufite imbaraga nyinshi zihari. Ibyo bikorwa bigenda byiyongera buhoro buhoro mu minsi mike cyangwa mu byumweru byo gukoresha buri gihe, bityo ntushobora kubona impinduka ako kanya.

Nkwiriye gufata gute Fluticasone na Salmeterol?

Ubusanzwe uzajya ufata uyu muti kabiri ku munsi, mu masaha nka 12, ukoresheje icyuma gihumeka gifite ifu yumye cyangwa icyuma gihumeka gifite urugero. Igihe nyacyo ntigomba kuba gihamye, ariko gukoresha buri gihe bifasha kugumana urugero rwawo mu mubiri wawe.

Mbere yo gukoresha icyuma gihumeka, sukura umunwa wawe n'amazi niba umaze kurya, ariko ntugomba kwirinda kurya rwose. Nyuma yo guhumeka urugero rwawe, jya usukura umunwa wawe neza n'amazi hanyuma uracire hanze kugira ngo wirinde oral thrush, ingaruka zisanzwe ziterwa na corticosteroids ihumekwa.

Dore intambwe z'ingenzi zo gukurikiza buri gihe ukoresha icyuma gihumeka:

1. Kura umupfundikizo hanyuma unyeganyeze icyuma gihumeka (niba ari ubwoko bufite urugero) cyangwa utegure icyuma gihumeka gifite ifu yumye ukurikije amabwiriza
2. Humeka cyane, uvuye ku cyuma gihumeka
3. Shyira iminwa yawe ku kanwa hanyuma ukore ikimenyetso gikomeye
4. Tangira guhumeka buhoro buhoro kandi cyane mugihe ukoresha icyuma gihumeka
5. Fata umwuka wawe iminota 10 cyangwa igihe kirekire gishoboka
6. Humeka buhoro buhoro hanyuma usukure umunwa wawe n'amazi

Niba ukeneye gufata ibihumeka bibiri, tegera iminota nka 30 hagati y'ibipimo. Ibi bituma urugero rwa mbere rufasha gufungura inzira z'umwuka wawe, bigatuma urugero rwa kabiri rugira akamaro kurushaho.

Nzamara Igihe Kingana Iki Ndafashe Fluticasone na Salmeterol?

Abantu benshi bakeneye gufata uyu muti mu mezi cyangwa imyaka nk'igice cyo gukomeza kwita ku asthma cyangwa COPD. Igihe biterwa n'uburwayi bwawe bwihariye, uko witwara neza ku buvuzi, niba ibimenyetso byawe bikomeza kugenzurwa.

Muganga wawe akenshi azasuzuma iterambere ryawe buri mezi 3 kugeza kuri 6 kugirango amenye niba ukikeneye imbaraga zimwe cyangwa niba hari ibikenewe guhindurwa. Abantu bamwe bashobora gukora intambwe yo kugabanya urugero cyangwa guhindurira ku muti utandukanye niba ibimenyetso byabo bigenda neza cyane.

Ntuzigere uhagarika gufata uyu muti ako kanya, n'iyo wumva umeze neza. Guhagarara ako kanya bishobora gutuma ibimenyetso bisubira cyangwa ndetse bikongera uburwayi bwawe. Niba ushaka guhagarika umuti, muganga wawe azakora gahunda yo kugabanya buhoro buhoro kugirango agushyire mu buryo bwiza bwo kuva mu buvuzi.

Ni Ibihe Bikorwa Bigaragara Byo Ku Ruhande rwa Fluticasone na Salmeterol?

Kimwe n'imiti yose, iyi mvange ishobora gutera ibikorwa bigaragara ku ruhande, nubwo abantu benshi bahura n'ibibazo bicye cyangwa nta bibazo. Ibikorwa bigaragara cyane ku ruhande muri rusange biroroshye kandi bikunda gukomera uko umubiri wawe wimenyereza umuti.

Dore ibikorwa bigaragara ku ruhande ushobora guhura nabyo, dutangiriye ku bya kenshi:

• Kuribwa mu muhogo cyangwa ijwi riranguruye
• Thrush yo mu kanwa (uduce twera mu kanwa kawe)
• Umutwe
• Isesemi cyangwa inda itameze neza
• Gucika intege kw'imitsi cyangwa guhinda umushyitsi
• Urugero
• Inkorora cyangwa indwara zo mu nzira yo hejuru y'ubuhumekero

Ibi bikorwa bisanzwe bigaragara ku ruhande akenshi ntibisaba ubufasha bwa muganga keretse bibayeho cyangwa bikomeza mu byumweru birenga bike. Gukaraba umunwa wawe nyuma ya buri dose bigabanya cyane ibyago byo kuribwa mu muhogo na thrush yo mu kanwa.

Ingaruka zimwe zitamenyerewe ariko zikomeye zisaba ubufasha bwihuse bw'abaganga. Zigaragara ku gice gito cy'abazikoresha ariko ntizagombye kwirengagizwa:

• Umutima utera cyane cyangwa utajegajega
• Urubavu rubabaza cyangwa rugasa nk'urufunze
• Urugero rwo kuribwa cyane cyangwa kugwa igihumure
• Impinduka zidasanzwe z'imitekerereze cyangwa guhangayika
• Kubabara kw'amagufa cyangwa ingingo bihoraho
• Impinduka mu mbono cyangwa kubabara kw'amaso
• Ibimenyetso by'ubwandu bitagenda

Ingaruka zikunda kubaho ariko zikomeye zirimo guhagarika imikorere y'imisemburo ya adrenal (iyo umubiri wawe utabyara imisemburo ihagije ya steroidi), kongera ibyago byo kwandura indwara, n'ingaruka zishobora kugira ku magufa iyo bikoreshejwe igihe kirekire. Muganga wawe azabikurikirana binyuze mu bizami bisanzwe n'ibizamini by'amaraso igihe bikwiye.

Ninde utagomba gufata Fluticasone na Salmeterol?

Uyu muti ntukwiriye buri wese, kandi ibibazo by'ubuzima runaka cyangwa ibihe bishobora gutuma bitakwiriye kuri wowe. Muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugusaba uyu muti.

Ntugomba gukoresha uyu muti niba ufite allergie kuri fluticasone, salmeterol, cyangwa ibindi bice bitagira akamaro biri mu gipimo. Byongeye kandi, ntibisabwa kuvura ibitero bya asima bya hato na hato cyangwa ibibazo byihutirwa byo guhumeka, kuko bitinda gukora muri ibyo bihe.

Ibibazo byinshi by'ubuzima bisaba kwitonderwa cyangwa gukurikiranwa mugihe ukoresha uyu muti:

• Ibibazo by'umutima, harimo umutima utajegajega cyangwa umuvuduko ukabije w'amaraso
• Diyabete, kuko umuti ushobora kugira ingaruka ku rugero rw'isukari mu maraso
• Indwara z'imitsi ya thyroïde
• Indwara y'umwijima
• Ibibazo by'amagufa cyangwa osteoporosis
• Ibibazo by'amaso, cyane cyane glaucoma cyangwa cataracts
• Ubuwandu buriho, cyane cyane ubwandu bwa fungus

Abagore batwite n'abonsa, ubusanzwe bashobora gukoresha uyu muti, ariko muganga wawe azagereranya inyungu n'ibishobora guteza akaga. Uyu muti ushobora kujya mu mata mu bwinshi buto, nubwo akenshi bifatwa nk'ibidateje akaga mu gihe cyo konsa.

Amazina y'ubwoko bwa Fluticasone na Salmeterol

Uyu muti uvanga ibintu bitandukanye uboneka mu mazina y'ubwoko butandukanye, Advair ikaba ariyo izwi cyane. Advair iboneka mu buryo bubiri bukuru: Advair Diskus (igikoresho gihumeka gifite ifu yumye) na Advair HFA (igikoresho gihumeka gifite urugero ruzwi).

Andi mazina y'ubwoko arimo AirDuo RespiClick n'ubwoko bwa rusange burimo ibintu bikora kimwe. Ubwoko bwihariye muganga wawe ashobora kugusabira bushobora guturuka ku bwishingizi bwawe, ubwoko bw'igikoresho gihumeka ukunda gukoresha, n'imbaraga zihari.

Aya mazina yose arimo ibintu bikora kimwe ariko bishobora kugira ibindi bintu bitagira akamaro cyangwa uburyo bwo gutanga imiti. Niba ukeneye guhindura ubwoko, muganga wawe azemeza ko uburyo bushya butanga imiti ingana.

Uburyo bwa Fluticasone na Salmeterol

Imiti myinshi isimbura ishobora gutanga inyungu zisa niba uru ruvange rutagukundiye. Ibindi bikoresho bihumeka bivanga imiti birimo budesonide na formoterol (Symbicort), mometasone na formoterol (Dulera), na fluticasone na vilanterol (Breo Ellipta).

Uburyo busimbura burimo ikintu kimwe bushobora kuba burimo gukoresha ibikoresho bihumeka bitandukanye kuri corticosteroids (nka fluticasone yonyine) na long-acting bronchodilators (nka salmeterol yonyine). Abantu bamwe kandi bakoresha leukotriene modifiers, theophylline, cyangwa imiti mishya ya biologic kuri asima ikaze.

Muganga wawe azatekereza ibintu nk'ibimenyetso byawe byihariye, imibereho yawe, ubwishingizi bwawe, n'uko wihanganira imiti itandukanye mugihe baganira kubindi bisimbura. Rimwe na rimwe, kugerageza uburyo butandukanye bwo gutanga imiti cyangwa gahunda yo kuyifata bishobora gutuma habaho itandukaniro rikomeye mu gutsinda kw'imiti.

Ese Fluticasone na Salmeterol biruta Albuterol?

Izi miti zikora ibintu bitandukanye kandi ntizigereranywa mu buryo bweruye. Fluticasone na salmeterol ni umuti ukoreshwa igihe kirekire, mu gihe albuterol ikoreshwa mu gufasha vuba mu gihe cy'ibimenyetso.

Ushobora gukenera imiti yombi nk'igice cy'umugambi wawe wo kuvura asima. Uyu muti uvura asima uvura ibimenyetso mbere y'uko biba, mu gihe albuterol itanga ubufasha bwihuse iyo ibimenyetso bigaragara nubwo ukoresha umuti uvura asima.

Tekereza kuri ibi: umuti uvura asima ni nko gufata vitamine ya buri munsi kugira ngo ugumane ubuzima bwiza, mu gihe albuterol ni nko gufata umuti uvura ububabare iyo ufite umutwe. Byombi bifite uruhare rwingenzi, ariko bikora mu buryo butandukanye kandi mu gihe gitandukanye.

Ibibazo bikunze kubazwa kuri Fluticasone na Salmeterol

Ese Fluticasone na Salmeterol birakwiriye ku bantu bafite indwara z'umutima?

Uyu muti ushobora gukoreshwa ku bantu bafite indwara z'umutima, ariko bisaba gukurikiranwa neza. Igice cya salmeterol gishobora kugira ingaruka ku mutima wawe n'umuvuduko w'amaraso, bityo muganga wawe azasuzuma ubuzima bwawe bw'umutima mbere yo kubandikira uyu muti.

Niba ufite indwara z'umutima, muganga wawe ashobora gutangira n'urugero ruto cyangwa akagukurikiranira hafi mu byumweru bya mbere by'imiti. Bashobora kandi kugusaba gukurikiranwa umutima buri gihe cyangwa guhindura indi miti y'umutima kugira ngo barebe ko ihuye.

Abantu benshi bafite indwara z'umutima zidakuka bashobora gukoresha uyu muti neza iyo bakurikiranwa neza. Ariko, ugomba kumenyesha muganga wawe ububabare bushya mu gituza, umutima utera cyane, cyangwa umunaniro udasanzwe.

Nigute nakora niba nifashishije Fluticasone na Salmeterol nyinshi ku buryo butunganye?

Niba uteyeho umuti mwinshi kuruta urugero rwanditswe, ntugire ubwoba. Urugero rumwe ntirushobora guteza ibibazo bikomeye, ariko ugomba kwisuzuma ibimenyetso kandi ukavugana n'umuganga wawe kugira ngo aguhe ubuyobozi.

Ibimenyetso byo gufata byinshi birimo umutima wihuta, guhinda umushyitsi, kwiheba, kubabara umutwe, cyangwa isesemi. Niba ubonye ibimenyetso bikomeye nk'ububabare mu gituza, guhumeka bigoye, cyangwa guta ubwenge, shakisha ubufasha bwihutirwa bw'ubuvuzi ako kanya.

Mu rwego rwo kwirinda mu gihe kizaza, tekereza gushyiraho ibyibutso kuri terefone cyangwa gukoresha porogaramu ikurikirana imiti kugirango igufashe kwibuka igihe umaze gufata urugero rwawe. Bika inhaler yawe ahantu hamwe buri munsi kugirango ushyireho gahunda.

Nkwiriye gukora iki niba nciwe urugero rwa Fluticasone na Salmeterol?

Niba waciwe urugero, rwifate uko wibuka vuba, keretse igihe kigeze cyo gufata urugero rwawe ruteganyijwe. Muriyo mbonerahamwe, reka urugero rwaciwe ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugirango usubize urugero rwaciwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'imiti. Niba ukunda kwibagirwa urugero, ganira na muganga wawe kubijyanye n'uburyo bwo kunoza imikorere, nko guhindura gahunda yawe yo gufata imiti cyangwa gukoresha sisitemu y'ibyibutso.

Kutagira urugero rimwe na rimwe ntizitera ibibazo ako kanya, ariko kutagira urugero buri gihe bishobora gutuma ibimenyetso bitagenzurwa neza kandi bikongera ibyago byo kurwara asima cyangwa kwiyongera kwa COPD.

Nshobora guhagarika ryari gufata Fluticasone na Salmeterol?

Ugomba guhagarika gufata uyu muti gusa ukurikiza ubuyobozi bwa muganga wawe. Niyo wumva umeze neza cyane, guhagarika ako kanya bishobora gutuma ibimenyetso bisubira cyangwa bikongera uburwayi bwawe.

Muganga wawe akenshi azashaka kubona amezi menshi yo kugenzura ibimenyetso neza mbere yo gutekereza impinduka zose kuri gahunda yawe yo kuvura. Bashobora kugabanya buhoro buhoro urugero rwawe cyangwa bakaguherereza undi muti aho guhagarika rwose.

Umwanzuro wo guhagarika biterwa n'ibintu nk'igihe umaze udafite ibimenyetso, ubuzima bwawe muri rusange, ibitera ibibazo by'ibidukikije, n'ibyago byawe byo kongera ibibazo mu gihe kizaza. Abantu bamwe bashobora gukenera kuvurwa igihe kirekire, mugihe abandi bashobora gukomereza ku buvuzi butavuna cyane.

Nshobora gukoresha Fluticasone na Salmeterol mu gihe cyo gutwita?

Uyu muti muri rusange ufatwa nk'umutekano mu gihe cyo gutwita igihe inyungu ziruta ibyago. Asima idafashwe neza mu gihe cyo gutwita itera ibyago bikomeye ku mubyeyi no ku mwana kurusha ingaruka zishobora guterwa n'umuti.

Muganga wawe azagukurikiranira hafi mu gihe cyose cyo gutwita kandi ashobora guhindura urugero rw'umuti ukurikije uko ibimenyetso byawe bihinduka. Abagore bamwe basanga asima yabo irushaho gukira mu gihe cyo gutwita, mu gihe abandi bahura n'ibimenyetso birushaho kuba bibi.

Niba uteganya gutwita cyangwa uvumbuye ko utwite ukoresha uyu muti, ganira na muganga wawe ku bijyanye n'uburyo uvurwa. Bashobora gufasha kumenya neza ko asima yawe ikomeza kugenzurwa neza mu gihe cyose cyo gutwita ku buzima bwawe n'ubw'umwana wawe.