Icyo Fluticasone na Vilanterol ari cyo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Fluticasone na vilanterol ni umuti uvura ukoreshwa mu guhumeka ufasha kugenzura asima n'indwara y'umwuka mubi (COPD). Uyu muti ukoreshwa mu buryo bubiri buhuriweho uvanga umuti wa corticosteroid (fluticasone) n'umuti utinda gukora wo gufungura imiyoboro y'ubuhumekero (vilanterol) kugira ngo ugabanye umuvumo kandi ufungure imiyoboro yawe y'ubuhumekero kugira ngo byorohereze guhumeka.

Ushobora kumenya uyu muti ku izina ry'ubucuruzi rya Breo Ellipta. Yagenewe gukoreshwa rimwe ku munsi nk'umuti ugomba gukoreshwa buri gihe ufasha gukumira ibibazo byo guhumeka mbere y'uko bitangira.

Fluticasone na Vilanterol bikoreshwa mu kuvura iki?

Uyu muti uvanga uvura indwara ebyiri z'ingenzi zo mu myanya y'ubuhumekero: asima mu bantu bakuru n'urubyiruko rw'imyaka 18 n'abarenzeho, na COPD mu bantu bakuru. Ku bijyanye na asima, ifasha gukumira ibitero kandi igabanya kenshi ibimenyetso nk'umwuka mubi, guhumeka bigoranye, no kumva umutwaro mu gituza.

Mu barwayi ba COPD, fluticasone na vilanterol bifasha gucunga ibimenyetso bya bronchitis ihoraho na emphysema. Uyu muti ugabanya ibitero kandi worohereza imirimo ya buri munsi mu gufungura imiyoboro yawe y'ubuhumekero kandi igabanya umuvumo.

Ni ngombwa gusobanukirwa ko uyu ari umuti ugomba gukoreshwa buri gihe, atari umuti wo gutabara. Uzawukoresha buri munsi kugira ngo wirinde ibimenyetso, ariko uzakenera umuti wo gutabara wihuse nka albuterol mu gihe cy'ibibazo byo guhumeka byadutse mu buryo butunguranye.

Fluticasone na Vilanterol bikora gute?

Uyu muti ukora ukoresheje uburyo bubiri butandukanye ariko bwuzuzanya. Fluticasone ni corticosteroid igabanya umuvumo mu miyoboro yawe y'ubuhumekero, kimwe n'uko imiti igabanya umuvumo igabanya kubyimba mu bindi bice by'umubiri wawe.

Vilanterol ni long-acting beta2-agonist (LABA) irekura imitsi ikikije imiyoboro yawe y'ubuhumekero. Tekereza ko ifasha imiyoboro yawe y'ubuhumekero kuguma ifunguye cyane, bigatuma umwuka winjira no gusohoka mu muhaha wawe byoroha.

Ibi bintu byombi iyo bishyize hamwe, bitanga imbaraga zikomeye zikemura ibibazo byombi byo kubyimba no guhagarika imitsi bituma guhumeka bigorana. Ibyo bikorwa mu masaha 24, niyo mpamvu ugomba kubikoresha rimwe gusa ku munsi.

Ibi bifatwa nk'umuti ukomeye ku rugero ruciriritse. Birakomeye kurusha gukoresha corticosteroid yonyine ariko ntibikabije nk'ubundi buvuzi buvanga imiti busaba doze nyinshi ku munsi.

Nkwiriye Gufata Nte Fluticasone na Vilanterol?

Fata uyu muti rimwe gusa buri munsi ku gihe kimwe, cyane cyane mu gitondo. Ntabwo bisaba kuwufata hamwe n'ibiryo, kandi urashobora kuwukoresha igifu cyuzuye nta kibazo.

Uyu muti uza mu gipimo cy'ifu y'umwuka yitwa Ellipta. Nyuma yo guhumeka doze yawe, karaba umunwa wawe neza n'amazi maze uyacire. Iki gikorwa cyoroshye gifasha kwirinda thrush, indwara y'imvubura ishobora kuza mu kanwa kawe bitewe no gukoresha corticosteroid.

Mbere yo gukoresha inhaler yawe, menya neza ko usobanukiwe neza uburyo bwo kuyikoresha. Fata inhaler uyihagaritse, manura igifuniko kugeza wumvise akajwi, humeka neza, hanyuma ushyire iminwa yawe ku kanwa maze uhumeke umwuka umwe muremure kandi wimbitse.

Ntuzigere ukoresha uyu muti inshuro zirenze imwe mu masaha 24, kabone niyo wumva ukeneye ubufasha bwiyongereye. Niba ufite ibibazo byo guhumeka bitagenzurwa na doze yawe ya buri munsi, koresha inhaler yawe yo gutabara maze uvugishe umuganga wawe.

Nkwiriye Gufata Fluticasone na Vilanterol Igihe Kingana Gite?

Uyu ni umuti ukoreshwa igihe kirekire ukoresha mu mezi cyangwa imyaka, bitewe n'uburwayi bwawe. Abantu benshi bafite asima cyangwa COPD bakeneye ubuvuzi buhoraho kugirango bagumane ibimenyetso byabo bigenzurwa neza kandi birinde ko uburwayi bwabo burushaho kuba bubi.

Muganga wawe azajya asuzuma buri gihe uko umuti ukora kuri wowe. Ashobora guhindura urugero rw'umuti ukoresha cyangwa akaguha undi muti niba ibimenyetso byawe bitagabanuka uko bikwiye cyangwa niba ufite ingaruka zikubangamiye.

Ntuzigere uhagarika gufata uyu muti ako kanya utabanje kuvugana n'umuganga wawe. Ibimenyetso byo guhumeka birashoboka ko bizagaruka, kandi guhagarika ako kanya bishobora gutera ikibazo gikomeye cy'uburwayi bwawe.

Abantu bamwe bashobora kugabanya urugero rw'umuti bakoresha cyangwa bagahindura undi muti nyuma y'igihe, ariko iki cyemezo kigomba gufatwa buri gihe hakurikijwe ubujyanama bw'abaganga bushingiye ku buryo ubuzima bwawe bumeze.

Ni izihe ngaruka ziterwa na Fluticasone na Vilanterol?

Kimwe n'indi miti yose, fluticasone na vilanterol bishobora gutera ingaruka, nubwo abantu benshi babasha kuyihanganira neza. Kumva icyo witegura bishobora kugufasha kumva ufite icyizere cyinshi ku buvuzi bwawe.

Ingaruka zisanzwe zikunze kuba zoroshye kandi zikagenda zikemuka uko umubiri wawe umenyera umuti:

• Umutwe
• Uburibwe mu muhogo cyangwa kuribwa mu muhogo
• Indwara zo mu myanya yo hejuru yo mu guhumeka nka ibicurane
• Thrush yo mu kanwa (udupande twera mu kanwa kawe)
• Ijwi ryumvikana nabi cyangwa guhinduka kw'ijwi
• Inkorora
• Uburibwe mu mugongo
• Impiswi

Izi ngaruka zisanzwe akenshi ntizisaba ubufasha bw'abaganga keretse ziramutse zikomeye cyangwa zikomeje. Gukaraba umunwa nyuma yo gukoresha umuti bikurura cyane ibyago byo kurwara thrush.

Ingaruka zitabaho cyane ariko zikomeye zisaba ubufasha bw'abaganga ako kanya. Izi zirimo ibimenyetso byo kwibasirwa n'umubiri nk'uruhu rurya, kuribwa, kubyimba, kuribwa cyane, cyangwa guhumeka nabi.

Abantu bamwe bashobora kugira ingaruka ku mutima ziterwa na vilanterol, harimo umuvuduko w'umutima wiyongera, kuribwa mu gituza, cyangwa guhinda umushyitsi. Nubwo ibi bitabaho cyane, ni ngombwa kubibwira muganga wawe.

Gukoresha imiti ya corticosteroid igihe kirekire rimwe na rimwe bishobora gutera ingaruka zikomeye nk'uko kwiyongera kw'ibibazo by'indwara, kugabanuka kw'amagufa, cyangwa ibibazo by'ingingo zikora imisemburo. Muganga wawe azakugenzura kuri izo ngaruka zitabaho ariko z'ingenzi mu gihe cyo kugenzurwa kwawe buri gihe.

Ninde utagomba gufata Fluticasone na Vilanterol?

Uyu muti ntukwiriye buri wese, kandi ibibazo by'ubuzima runaka cyangwa ibihe bituma bidakwiriye cyangwa bishobora guteza akaga. Umutekano wawe ni wo wa mbere mu gushyiraho niba ubu buvuzi bukugirira akamaro.

Ntugomba gukoresha uyu muti niba ufite allergie kuri fluticasone, vilanterol, cyangwa izindi ngingo zose zikoreshwa muri uyu muti. Abantu bafite allergie ikomeye ku byo mu mata bagomba kwirinda uyu muti kuko urimo lactose.

Ubu buryo ntibwemerewe abana bari munsi y'imyaka 18 yo kuvura asima. Muri COPD, igenewe gukoreshwa n'abantu bakuru gusa. Gutwita no konsa bisaba kwitonderwa byihariye, kandi muganga wawe azagereranya inyungu n'ibishobora guteza akaga.

Abantu bafite ibibazo by'umutima runaka bakeneye kwitonda cyane kuko vilanterol ishobora kugira ingaruka ku mutima n'umuvuduko w'amaraso. Ibi birimo abafite umutima utera nabi, umuvuduko mwinshi w'amaraso, cyangwa indwara y'imitsi y'umutima.

Niba ufite indwara zikomeye, cyane cyane indwara ziterwa na fungus, muganga wawe ashobora gushaka kuvura izi ndwara mbere yo gutangira uyu muti. Igice cya corticosteroid gishobora gutuma umubiri wawe utabasha kurwanya indwara.

Ibibazo by'umwijima bishobora kugira ingaruka ku buryo umubiri wawe ukoresha uyu muti, bityo abantu bafite ikibazo cy'umwijima bashobora gukenera guhindura urugero rw'umuti cyangwa ubundi buvuzi.

Amazina y'ubwoko bwa Fluticasone na Vilanterol

Izina ry'ibanze ry'uyu muti uhuza ni Breo Ellipta, ukorwa na GlaxoSmithKline. Iyi ni yo ifite uboneka cyane kandi ni yo ushobora guhura nayo muri farumasi yawe.

Breo Ellipta iza mu gikoresho cyihariye cyo guhumeka gifite ibara ry'ubururu n'umutuku. Uyu muti uboneka mu ngufu zitandukanye, muganga wawe agahitamo urugero rukwiye rishingiye ku burwayi bwawe bwihariye n'uburemere bw'ibimenyetso.

Nubwo ubwoko bwa generic bushobora kuboneka mu gihe kizaza, ubu Breo Ellipta nicyo gicuruzwa nyamukuru kiboneka ku isoko. Ubwishingizi bwawe n'ubuvuzi bushobora kugira uruhare ku gicuruzwa wahawe, ariko ibikoresho bikora birasa.

Izindi nzira zishobora gukoreshwa aho gukoresha Fluticasone na Vilanterol

Hariho izindi nzira nyinshi zishobora gukoreshwa niba fluticasone na vilanterol bidakwiriye kuri wowe. Muganga wawe ashobora kugufasha gushakisha izi nzira zindi zishobora gukoreshwa zishingiye ku bimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'intego z'ubuvuzi.

Izindi nzitiramubu zihuriza hamwe harimo fluticasone hamwe na salmeterol (Advair), budesonide hamwe na formoterol (Symbicort), na mometasone hamwe na formoterol (Dulera). Buri kimwe muri ibi bihuzwe gikora kimwe ariko gishobora kugira gahunda zitandukanye zo gutanga imiti cyangwa ingaruka ziterwa n'imiti.

Ku bantu bakunda imiti itandukanye, ushobora gukoresha inzitiramubu ya corticosteroid nka fluticasone (Flovent) hamwe na bronchodilator ikora igihe kirekire. Ubu buryo butuma habaho urugero rwa buri muntu ku giti cye ariko bisaba gukoresha inzitiramubu ebyiri zitandukanye.

Abantu bamwe babaho neza bafite imiti ya corticosteroid gusa, cyane cyane niba uburwayi bwabo ahanini buturuka ku kuvurwa aho kugira uruhare runini mu guhagarika imitsi. Abandi bashobora kungukirwa n'ibindi byiciro bishya by'imiti nka leukotriene modifiers cyangwa ubuvuzi bwa biologic.

Uburyo bwiza bwo kuvura buterwa n'ubwoko bwawe bwihariye bwa asima cyangwa COPD, uburyo bwawe bwo kubaho, n'uburyo wubahirije imiti yabanje. Umuganga wawe azakorana nawe kugirango abone uburyo bwiza.

Ese Fluticasone na Vilanterol biruta Advair?

Fluticasone/vilanterol (Breo Ellipta) na fluticasone/salmeterol (Advair) zombi ni imiti ivura neza, ariko zifite itandukaniro rishobora gutuma imwe ikugirira akamaro kurusha iyindi.

Inyungu ya mbere ya Breo Ellipta ni uko ifatwa rimwe ku munsi, ugereranije na Advair ifatwa kabiri ku munsi. Ibi bishobora gufasha cyane mu kunywa imiti uko bikwiye kandi bigatuma gahunda yawe yo kwivuza yoroha kandi ikaba myiza.

Breo Ellipta kandi iza mu gipimo cyumye kitagomba guhuzwa no gukanda no guhumeka, bitandukanye na Advair HFA. Abantu benshi basanga igikoresho cya Ellipta cyoroshye gukoresha neza, ibi bishobora gufasha umuti kugera mu muhogo wawe.

Ariko, Advair imaze igihe kinini iboneka kandi ifite amakuru menshi yerekeye umutekano mu gihe kirekire. Abantu bamwe kandi bitwara neza kuri salmeterol (muri Advair) kurusha vilanterol (muri Breo Ellipta), nubwo byombi ari imiti ikora igihe kirekire yo gufungura imiyoboro y'ubuhumekero.

Gu hitamo hagati yiyi miti akenshi biterwa n'uburyo ubaho, ubwishingizi bwawe, n'uburyo witwara kuri buri kimwe. Muganga wawe ashobora kugufasha kumenya uburyo buzatuma ubuzima bwawe bukora neza.

Ibibazo bikunze kubazwa kuri Fluticasone na Vilanterol

Ese Fluticasone na Vilanterol birinzwe ku ndwara z'umutima?

Abantu bafite indwara z'umutima akenshi bashobora gukoresha uyu muti neza, ariko bisaba gukurikiranwa neza no gusuzuma uko umutima wawe umeze. Igice cya vilanterol gishobora kugira ingaruka ku mutima n'umuvuduko wawo, niyo mpamvu muganga wawe agomba kumenya ibibazo byose by'umutima.

Niba ufite indwara y'umutima ifashwe neza, muganga wawe ashobora gufata icyemezo cyuko inyungu zo kugenzura neza ubuhumekero zirenga ibyago byo ku mutima. Bashobora gutangira bakoresha urugero ruto ruzana umusaruro mwiza kandi bakagukurikiranira hafi ingaruka zose zijyanye n'umutima.

Ariko, niba ufite indwara y'umutima idahagaze neza, wigeze kugira umutima utera cyane, cyangwa indwara zikomeye z'umutima, muganga wawe ashobora kugusaba izindi miti itarimo imiti ikora igihe kirekire yo gufungura imiyoboro y'ubuhumekero. Buri gihe ganira ku mateka yose y'umutima wawe n'umuganga wawe.

Nkwiriye gukora iki niba nanyweye fluticasone na vilanterol nyinshi ku buryo butunguranye?

Niba unyweye imiti irenze urugero rwanditswe, ntugahungabane, ariko wigenzure neza urebe niba hari ingaruka zikwerekeyeho. Vugana na muganga wawe cyangwa farumasi kugira ngo bagufashe, cyane cyane niba wanyweye imiti irenze urugero rwasabwe.

Reba ibimenyetso byo kurenza urugero, bishobora kuba harimo umutima utera cyane, guhinda umushyitsi, kubabara umutwe, cyangwa kumva uhungabanye. Ibi bimenyetso bibaho kuko vilanterol nyinshi ishobora guhagarika umubiri wawe w'imitsi n'imitsi y'umutima.

Ntugerageze "kureka" urugero rwawe rukurikira kugira ngo wishyure imiti yinyongera. Ahubwo, garuka ku gihe cyo kunywa imiti yawe isanzwe kandi uvugane n'umuganga wawe kuri icyo kibazo mu gihe cyo gusuzumwa kwawe gukurikira.

Nkwiriye gukora iki niba nirengagije urugero rwa fluticasone na vilanterol?

Niba wibagiwe urugero rwawe rwa buri munsi, unywe ako kanya wibuka, ariko niba ari uwo munsi. Niba igihe cyo kunywa urugero rwawe rukurikira cyageze cyangwa wibuka umunsi ukurikira, reka urugero wibagiwe hanyuma usubire ku gihe cyawe gisanzwe.

Ntunyweho urugero ebyiri ku munsi umwe kugira ngo wishyure urugero wibagiwe. Ibi bishobora gutera ibimenyetso byo kurenza urugero kandi ntibizatanga uburyo bwiza bwo kugenzura ibimenyetso byo guhumeka kwawe.

Kutanywa imiti rimwe na rimwe ntizitera ibibazo ako kanya, ariko gerageza kugira ubwizerwe kugira ngo ugere ku buryo bwiza bwo kugenzura ibimenyetso. Tekereza gushyiraho umwibutso wa buri munsi kuri terefone yawe cyangwa guhuza imiti yawe n'ibikorwa bya buri munsi nko kumenagura amenyo yawe.

Nshobora kureka kunywa fluticasone na vilanterol ryari?

Ugomba guhagarika gufata uyu muti ari uko ubisabwe na muganga, n'iyo waba wumva umeze neza cyane. Asima na COPD ni indwara zihoraho zisaba ko uvurwa buri gihe kugira ngo zigenzurwe neza.

Muganga wawe ashobora gutekereza kugabanya urugero rw'umuti ukoresha cyangwa akaguherereza undi muti niba ibimenyetso byawe byaragenzurwaga neza igihe kirekire. Iyi nzira, yitwa "kugabanya urugero rw'umuti," ikorwa buhoro buhoro kugira ngo ibimenyetso byawe bitagaruka.

Abantu bamwe bashobora guhagarika uyu muti niba indwara yabo igenda neza cyane cyangwa niba bagiye mu buryo bwo kuvurwa butandukanye. Ariko, iki cyemezo kigomba gufatwa buri gihe hamwe na muganga wawe hashingiwe ku bizami by'imikorere y'ibihaha byawe n'uburyo ibimenyetso byawe bigaragara.

Nshobora gukoresha uyu muti mu gihe ntwise inda?

Gutwita bisaba ko hazirikanwa by'umwihariko igihe hakoreshwa umuti uwo ari wo wose, harimo fluticasone na vilanterol. N'ubwo asima itagenzurwa iteza ibibazo ku mubyeyi no ku mwana, ingaruka z'imiti na zo zigomba gusuzumwa neza.

Muganga wawe azagereranya akamaro ko kugenzura neza asima n'ibishobora guteza ibibazo ku mwana wawe ukiri mu nda. Mu bihe byinshi, akamaro ko kwirinda ibitero bikomeye bya asima karuta ibibazo bishobora guterwa n'imiti.

Niba uteganya gutwita cyangwa ukaba wamenye ko utwite ukoresha uyu muti, ganira na muganga wawe ako kanya ku bijyanye n'uburyo uvurwa. Ashobora guhindura urugero rw'umuti ukoresha, akaguherereza undi muti, cyangwa agakomeza uburyo uvurwamo ubu ariko akagukurikiranira hafi.