Chii chinonzi Fluticasone uye Vilanterol: Zvavanoshandiswa, Mishonga, Mhedzisiro uye Zvimwe

Fluticasone uye vilanterol imishonga inosanganiswa inobatsira kudzora asthma uye chronic obstructive pulmonary disease (COPD). Mushonga uyu une zviito zviviri unosanganisa corticosteroid (fluticasone) ne long-acting bronchodilator (vilanterol) kuderedza kuzvimba uye kuchengeta nzira dzako dzemhepo dzakavhurika kuti kufema kuve nyore.

Ungangoziva mushonga uyu nezita rawo rekuti Breo Ellipta. Yakagadzirirwa semushonga wekuchengetedza unotorwa kamwe chete pazuva unoshanda nguva dzese kubatsira kudzivirira matambudziko ekufema asati atanga.

Chii chinonzi Fluticasone uye Vilanterol chinoshandiswa?

Mushonga uyu unosanganiswa unovaka zvirwere zviviri zvikuru zvekufema: asthma muvanhu vakuru nevechidiki vane makore 18 zvichikwira, uye COPD muvanhu vakuru. Yeasthma, inobatsira kudzivirira kurwisa uye inoderedza kakawanda kwezviratidzo zvakaita sekufema, kupfupika kwekufema, uye kusimba muchipfuva.

Muvashandi veCOPD, fluticasone uye vilanterol inobatsira kubata zviratidzo zve chronic bronchitis uye emphysema. Mushonga unoderedza flare-ups uye unoita kuti mabasa ezuva nezuva ave nyore nekuchengeta nzira dzako dzemhepo dzakavhurika uye dzisina kuzvimba.

Zvakakosha kunzwisisa kuti uyu mushonga wekuchengetedza, kwete inhaler yekununura. Uchaishandisa zuva rega rega kudzivirira zviratidzo, asi iwe uchiri kuda inhaler yekukurumidza-kununura senge albuterol yezvinhu zvekufema zvekukurumidzira.

Fluticasone uye Vilanterol inoshanda sei?

Mushonga uyu unoshanda kuburikidza nemaitiro maviri akasiyana asi anozadzisana. Fluticasone i corticosteroid inoderedza kuzvimba munzira dzako dzemhepo, zvakanyanya sekuti mushonga unopesana nekuzvimba unoderedza kuzvimba mune dzimwe nhengo dzemuviri wako.

Vilanterol i long-acting beta2-agonist (LABA) iyo inozorodza tsandanyama dzakatenderedza nzira dzako dzemhepo. Funga nezvazvo sekubatsira nzira dzako dzekufema kuti dzirambe dzakavhurika zvakanyanya, zvichiita kuti mhepo iyerere mukati nekubuda mumapapu ako.

Pamwe chete, zvinosanganiswa zviviri izvi zvinogadzira musanganiswa une simba unogadzirisa kuzvimba uye kusungika kwemhasuru kunoita kuti kufema kuomere. Mhedzisiro yacho inogara kwemaawa makumi maviri nemana, ndicho chikonzero nei uchida kungochishandisa kamwe chete pazuva.

Iri rinotariswa semushonga une simba repakati. Rine simba kupfuura kushandisa corticosteroid yega asi haina kusimba kupfuura mamwe marapirwo akasiyana anoda madosi akawanda ezuva nezuva.

Ndingatora sei Fluticasone uye Vilanterol?

Tora mushonga uyu kamwe chete zuva rega rega panguva imwe chete, zvichidikanwa mangwanani. Haufaniri kuitora nechikafu, uye unogona kuishandisa mudumbu risina chinhu pasina matambudziko.

Mishonga inouya mune dry powder inhaler inonzi Ellipta. Mushure mekuvhura dose yako, sukurudza muromo wako zvakakwana nemvura uye udzipfure. Nhanho iyi iri nyore inobatsira kudzivirira thrush, hutachiona hwefungal hunogona kukura mumuromo mako kubva mukushandiswa kwecorticosteroid.

Usati washandisa inhaler yako, ita shuwa kuti unonzwisisa nzira yakakodzera. Bata inhaler yakatwasuka, tsvedza chivharo pasi kusvikira wanzwa kudzvanya, fema zvizere, wobva waisa miromo yako pamuromo uye tora kufema kumwe kwakasimba, kwakadzama.

Usambofa wakashandisa mushonga uyu kanopfuura kamwe chete mumaawa makumi maviri nemana, kunyangwe ukanzwa sekunge unoda rubatsiro rwakawedzerwa. Kana uine matambudziko ekufema asingadzorwe nedosi yako yezuva nezuva, shandisa inhaler yako yekununura uye bata mupi wako wehutano.

Ndingatora Kwenguva Yakareba Sei Fluticasone uye Vilanterol?

Uyu unowanzoita mushonga wenguva refu waunozoshandisa kwemwedzi kana makore, zvichienderana nemamiriro ako. Vanhu vazhinji vane asthma kana COPD vanoda kurapwa kuri kuenderera mberi kuti vachengetedze zviratidzo zvavo zvichidzorwa zvakanaka uye kudzivirira mamiriro avo kubva pakuipa.

Chiremba wako achagara achiongorora kuti mushonga uri kukushandira sei. Vanogona kugadzirisa mushonga wako kana kukuchinjira kune mumwe mushonga kana zviratidzo zvako zvisiri kudzoreka zvakanaka kana uri kusangana nemigumisiro inokunetsa.

Usambofa wakamira kutora mushonga uyu kamwe kamwe usina kutanga wataura nachiremba wako. Zviratidzo zvako zvekufema zvinogona kudzoka, uye kumira kamwe kamwe kunogona kukonzera kuparara kwakanyanya kwechirwere chako.

Vamwe vanhu vanogona kukwanisa kudzikisa mushonga kana kuchinjira kune mumwe mushonga nekufamba kwenguva, asi sarudzo iyi inofanirwa kugara ichiitwa nehutungamiri hwekurapa zvichibva pakuti mamiriro ako akatsiga sei.

Ndezvipi Zvipingamupinyi zveFluticasone neVilanterol?

Semishonga yese, fluticasone nevilanterol zvinogona kukonzera migumisiro, kunyangwe vanhu vazhinji vachizvigamuchira zvakanaka. Kunzwisisa zvekutarisira kunogona kukubatsira kuti unzwe wakavimbika pamusoro pekurapa kwako.

Migumisiro yakajairika inowanzoita nyoro uye inowanzovandudzika muviri wako paunojaira mushonga:

• Kutemwa nemusoro
• Kutsamwa kwehuro kana kurwadziwa kwehuro
• Zvirwere zvekufema zvepamusoro senge dzihwa
• Oral thrush (mavara machena mumuromo mako)
• Kukakama kana shanduko yezwi
• Kukosora
• Kurwadziwa kwemusana
• Dhayareya

Izvi zvinowanzoitika migumisiro kazhinji hazvidi kutariswa kwekurapa kunze kwekunge zvava zvakanyanya kana kuramba. Kushambidza muromo wako mushure mekuishandisa kunoderedza zvakanyanya njodzi yako yekuvandudza thrush.

Migumisiro isingawanzoitiki asi yakakomba inoda kutariswa kwekurapa nekukurumidza. Izvi zvinosanganisira zviratidzo zvekugadzirisa allergic senge rash, kuita ganda, kuzvimba, dzungu rakanyanya, kana matambudziko ekufema.

Vamwe vanhu vanogona kusangana nemigumisiro yemoyo kubva kuchikamu chevilanterol, kusanganisira kuwedzera kwemoyo, kurwadziwa muchipfuva, kana kutetereka. Kunyangwe izvi zvisingawanzoitiki, zvakakosha kuzivisa chiremba wako.

Kushandisa corticosteroids kwenguva refu dzimwe nguva kunogona kutungamira kune zvakanyanya kukomba zvinhu zvakaita sekuwedzera njodzi yekutapukirwa, kuonda kwemapfupa, kana matambudziko e adrenal gland. Chiremba wako achakutarisa iwe kune izvi zvisingawanzoitiki asi zvakakosha matambudziko panguva yekutarisa nguva dzose.

Ndiani Asingafaniri Kutora Fluticasone uye Vilanterol?

Mishonga iyi haina kukodzera munhu wese, uye mamwe mamiriro ehutano kana mamiriro anoita kuti isakodzere kana kuva nenjodzi. Kuchengeteka kwako ndiko kutanga paunenge uchiziva kana kurapwa uku kwakakunakira.

Haufaniri kushandisa mushonga uyu kana uine allergic ku fluticasone, vilanterol, kana chero zvimwe zvinoshandiswa mumushonga. Vanhu vane zvakanyanya milk protein allergies vanofanirawo kudzivisa mushonga uyu sezvo uine lactose.

Mubatanidzwa uyu hauna kubvumidzwa vana vari pasi pemakore gumi nemasere ekurapa asthma. Kune COPD, yakagadzirirwa kushandiswa kwevakuru chete. Pamuviri nekuyamwisa zvinoda kufunga kwakakosha, uye chiremba wako achayerera mabhenefiti achipesana nenjodzi dzinogona kuitika.

Vanhu vane mamwe mamiriro emoyo vanoda kungwarira zvakanyanya nekuti vilanterol inogona kukanganisa rhythm yemoyo uye blood pressure. Izvi zvinosanganisira avo vane irregular heartbeats, high blood pressure, kana coronary artery disease.

Kana uine zvirwere zvinoshanda, kunyanya fungal infections, chiremba wako anogona kuda kurapa izvi usati watanga mushonga uyu. Chikamu che corticosteroid chinogona kuita kuti muviri wako urwise zvirwere zvakaoma.

Matambudziko ekuvhiya anogona kukanganisa kuti muviri wako unogadzirisa sei mushonga uyu, saka vanhu vane hepatic impairment vanogona kuda kugadzirisa dose kana mamwe marapirwo.

Fluticasone uye Vilanterol Mazita eBrand

Zita rekutanga remhando yemushonga uyu mubatanidzwa ndiBreo Ellipta, inogadzirwa neGlaxoSmithKline. Iyi ndiyo fomu inowanikwa zvakanyanya uye iyo iwe yaunonyanya kusangana nayo pamuchina wako.

Breo Ellipta inouya muchishandiso chakasiyana chebhuruu yakajeka uye tsvuku yekuputira poda yakaoma. Mushonga uyu unowanikwa musimba rakasiyana, chiremba wako achisarudza muyero wakakodzera zvichienderana nemamiriro ako chaiwo uye kuoma kwezviratidzo.

Nepo shanduro dzakajairika dzinogona kuwanikwa mune ramangwana, parizvino Breo Ellipta ndiyo mhando huru inowanikwa mumisika yakawanda. Inishuwarenzi yako uye mushonga wemishonga zvinogona kukanganisa chigadzirwa chaunowana, asi zvinoshanda zvinoramba zvakafanana.

Zvimwe Zvinhu zveFluticasone uye Vilanterol

Dzimwe nzira dzakawanda dzemishonga dziripo kana fluticasone uye vilanterol isiri iyo yakakunakira iwe. Chiremba wako anogona kukubatsira kuti uongorore idzi nzira zvichienderana nezviratidzo zvako zvakananga, nhoroondo yako yekurapa, uye zvinangwa zvekurapa.

Zvimwe zvinosanganisira zvinosanganisira fluticasone ine salmeterol (Advair), budesonide ine formoterol (Symbicort), uye mometasone ine formoterol (Dulera). Imwe neimwe yezvisanganiswa izvi inoshanda zvakafanana asi inogona kuve nemarongero akasiyana ekuyera kana mativi emhedzisiro.

Kune vanhu vanosarudza mishonga yakaparadzana, unogona kushandisa corticosteroid inhaler senge fluticasone (Flovent) pamwe chete neiyo yakareba-inoshanda bronchodilator. Iyi nzira inobvumira kuyera kwakanyanya kwemunhu asi inoda kushandisa maviri akasiyana inhalers.

Vamwe vanhu vanoita zvakanaka nekungorapwa kwecorticosteroid, kunyanya kana mamiriro avo ari ekutanga anopisa panzvimbo yekubatanidza kukonana kwakakosha kwemhasuru. Vamwe vangabatsirwa nemakirasi matsva emishonga senge leukotriene modifiers kana biologic therapies.

Imwe nzira yakanakisa inoenderana nerudzi rwako rweasthma kana COPD, zvaunofarira mararamiro, uye kuti wakanaka sei kune kurapwa kwakapfuura. Mupi wako wehutano achashanda newe kuti uwane sarudzo inonyanya kushanda.

Ko Fluticasone uye Vilanterol Zviri Nani Pane Advair?

Zvese fluticasone/vilanterol (Breo Ellipta) uye fluticasone/salmeterol (Advair) zvinoshanda pamwechete kurapa, asi zvine misiyano mikuru inogona kuita kuti imwe yakakunakira kupfuura imwe.

Chinhu chikuru chinobatsira cheBreo Ellipta ndiyo nguva yekumwa mushonga kamwe chete pazuva, ichienzaniswa neAdvair inoda kumwa kaviri pazuva. Izvi zvinogona kuvandudza zvakanyanya kutevedzwa kwemishonga uye kuita kuti maitiro ako ekurapa ave nyore uye akasununguka.

Breo Ellipta inouyawo mune inhaler yakaoma yefoda isingade kubatana pakati pekutsikirira nekufema, kusiyana neAdvair HFA. Vanhu vazhinji vanowana mudziyo weEllipta uri nyore kushandisa nemazvo, izvo zvinogona kuvandudza kuti mishonga yakawanda sei inosvika mumapapu ako.

Zvisinei, Advair yanga iripo kwenguva refu uye ine data rakawanda rekuchengetedza kwenguva refu. Vamwe vanhu vanopindura zviri nani kune salmeterol (muAdvair) kupfuura vilanterol (muBreo Ellipta), kunyangwe zvese zviri zvinoshanda zvinoshanda bronchodilators.

Sarudzo pakati pemishonga iyi inowanzobva pane zvaunofarira muhupenyu, inishuwarenzi, uye kuti unopindura sei kune imwe neimwe sarudzo. Chiremba wako anogona kukubatsira kuona kuti ndechipi chibatanidzo chingashanda zvakanyanya kune mamiriro ako chaiwo.

Mibvunzo Inowanzo Bvunzwa Nezve Fluticasone uye Vilanterol

Fluticasone uye Vilanterol Zvakachengeteka Here Kune Zvirwere Zvemoyo?

Vanhu vane chirwere chemoyo vanogona kazhinji kushandisa mushonga uyu zvakachengeteka, asi zvinoda kunyatso tarisa uye kufunga nezve mamiriro ako chaiwo emoyo. Chikamu chevilanterol chinogona kukanganisa kurova kwemoyo uye rhythm, ndosaka chiremba wako achifanira kuziva nezve chero matambudziko emoyo.

Kana uine chirwere chemoyo chinodzorwa zvakanaka, chiremba wako anogona kuona kuti mabhenefiti ekudzora kufema zviri nani anopfuura njodzi dzemoyo. Vanogona kukutanga pane yakaderera dose inoshanda uye vachakutarisa zvakanyanya kune chero mhedzisiro ine chekuita nemoyo.

Asi, kana uine chirwere chemoyo chisina kugadzikana, kurwisa kwemoyo kwemazuva ano, kana arrhythmias yakakomba, chiremba wako anogona kukurudzira kurapwa kwakasiyana-siyana kusina bronchodilators inoshanda kwenguva refu. Nguva dzose kurukura nhoroondo yako yakazara yemoyo nemupi wako wehutano.

Ndoita Sei Kana Ndikashandisa Zvakawandisa Fluticasone uye Vilanterol?

Kana ukangoerekana watora zvakawanda kupfuura chiyero chako chakatemwa, usavhunduka, asi zviite zvakanaka kuti uone mhedzisiro. Bata chiremba wako kana pharmacy kuti uwane gwara, kunyanya kana wakashandisa zvakanyanya kupfuura zvakakurudzirwa.

Tarisa zviratidzo zvekuwandisa, izvo zvinogona kusanganisira kurova kwemoyo nekukurumidza, kuzununguka, kurwadziwa nemusoro, kana kunzwa uchinetseka. Zviratidzo izvi zvinowanika nekuti vilanterol yakawandisa inogona kukurudzira sisitimu yako yemoyo.

Usaedze "kusvetuka" chiyero chako chinotevera kuti ugadzirise mushonga wakawedzerwa. Pane kudaro, dzokera kuchirongwa chako chekushandisa nguva dzose uye kurukura chiitiko ichi nemupi wako wehutano panguva yako inotevera.

Ndoita Sei Kana Ndikakanganwa Chiyero cheFluticasone uye Vilanterol?

Kana ukakanganwa chiyero chako chezuva nezuva, chitora paunorangarira, asi chete kana richiri zuva rimwe chete. Kana yave nguva yechiyero chako chinotevera kana ukayeuka zuva rinotevera, svetuka chiyero chakarasika uye dzokera kuchirongwa chako chetsika.

Usambofa wakatora zviyero zviviri muzuva rimwe chete kuti ugadzirise chiyero chakarasika. Izvi zvinogona kukonzera zviratidzo zvekuwandisa uye hazvizopa kutonga kuri nani kwezviratidzo zvako zvekufema.

Kukanganwa zviyero dzimwe nguva hakuzokonzeri matambudziko nekukasira, asi edza kuchengetedza kuenderana kuti uwane kutonga kwakanaka kwezviratidzo. Funga nezvekuseta chiyeuchidzo chezuva nezuva pafoni yako kana kubatanidza mushonga wako kune tsika yezuva nezuva senge kukwesha mazino ako.

Ndingamira Rini Kutora Fluticasone uye Vilanterol?

Unofanira kungomira kutora mushonga uyu pasi pekutariswa kwechiremba, kunyangwe uchinzwa zviri nani. Asthma neCOPD mamiriro echronic anowanzoita kuti kurapwa kuenderere mberi kuti uchengetedze kutonga kwakanaka.

Chiremba wako angangofunga kuderedza mushonga wako kana kuchinja mishonga kana zviratidzo zvako zvakadzorwa zvakanaka kwenguva yakareba. Iyi nzira, inonzi "kudzika pasi," inoitwa zvishoma nezvishoma kuti uve nechokwadi chekuti zviratidzo zvako hazvidzoki.

Vamwe vanhu vanogona kukwanisa kumira mushonga uyu kana mamiriro avo achivandudza zvakanyanya kana vachichinja kune imwe nzira yekurapa. Zvisinei, chisarudzo ichi chinofanira kugara chichiitwa pamwe chete nemupi wako wehutano zvichibva pamiedzo yako yekushanda kwemapapu uye maitiro ezviratidzo.

Ndingashandisa Mushonga Uyu Panguva Yekuzvitakura Here?

Kuzvitakura kunoda kufunga kwakakosha kana uchishandisa chero mushonga, kusanganisira fluticasone uye vilanterol. Nepo asthma isingadzorwi ichiisa njodzi kumumweya nemwana, mhedzisiro yemishonga inodawo kuongororwa zvakanyatsonaka.

Chiremba wako achayerera mabhenefiti ekuchengetedza kutonga kwakanaka kweasthma pamusoro penjodzi ipi neipi kumwana wako ari kukura. Muzviitiko zvakawanda, mabhenefiti ekudzivirira kurwiswa kwakanyanya kweasthma anopfuura njodzi dzemishonga.

Kana uri kuronga kuva nepamuviri kana kuona kuti une pamuviri uchitora mushonga uyu, kurukura chirongwa chako chekurapa nemupi wako wehutano nekukasira. Vanogona kugadzirisa mushonga wako, kukuchinjira kune imwe mushonga, kana kuenderera mberi nekurapa kwako kwazvino nekutarisa pedyo.