Created at:1/13/2025
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Salmeterol mushonga unovhura mhepo unogara kwenguva refu unobatsira kuchengeta nzira dzako dzemhepo dzakavhurika kwemaawa gumi nemaviri. Imushonga unopiwa nachiremba unoshanda nekuzorodza tsandanyama dzakatenderedza nzira dzako dzemhepo, zvichiita kuti kufema kuve nyore. Mushonga uyu unofemwa unowanzo shandiswa kudzivirira kurwiswa kweasthma uye kubata chirwere chemapapu chinodzivirira (COPD), asi haina kuitirwa rubatsiro rwekukurumidza panguva dzekukurumidzira dzekufema.
Salmeterol ndeyeboka remishonga inonzi long-acting beta2-agonists (LABAs). Fungidzira semushonga wekuchengetedza unoshanda kumashure kuti uchengetedze nzira dzako dzemhepo dzakazorora uye dzakavhurika. Kusiyana ne rescue inhalers inopa rubatsiro rwekukurumidza, salmeterol inoshanda zvishoma nezvishoma uye inopa dziviriro yakasimba kubva kumatambudziko ekufema.
Mushonga uyu unouya se dry powder inhaler uye wakagadzirirwa kushandiswa kaviri pazuva. Inotanga kushanda mukati memaminitsi gumi-20 asi inosvika pakukwana kwayo mushure meawa rimwe chete. Mhedzisiro yekudzivirira inogona kugara kusvika kumaawa gumi nemaviri, ndosaka ichiwanzo kurairwa kuti ishandiswe mangwanani nemanheru.
Salmeterol inonyanya kurairwa kudzivirira zviratidzo zveasthma uye COPD flare-ups. Inobatsira zvikuru kune vanhu vanowana matambudziko ekufema panguva yekurovedza muviri kana husiku. Chiremba wako angakuraira salmeterol kana uri kuwana zviratidzo zveasthma kakawanda pasinei nekushandisa mamwe mishonga yekudzora.
Mushonga uyu unobatsira zvikuru kune exercise-induced bronchospasm, uko basa remuviri rinokonzera kudzikira kwemhepo. Kana ichishandiswa maminitsi makumi matatu vasati vaitisa maekisesaizi, salmeterol inogona kubatsira kudzivirira matambudziko ekufema panguva uye mushure mebasa remuviri. Inowanzo kurairwawo kune vanhu vane COPD vanoda rutsigiro rwemhepo kwenguva refu.
Zvakakosha kuziva: salmeterol haifaniri kumboshandiswa semushonga wekununura panguva yekurwisa asthma. Inoshanda zvishoma nezvishoma kuti ipe rubatsiro rwechinguvana rwaunoda panguva yekukurumidzira kwekufema. Nguva dzose chengeta inhaler inokurumidza kushanda iripo yezviratidzo zvemhere-mhere.
Salmeterol inoshanda nekunangana nemareceptors chaiwo mumhasuru dzako dzemhepo dzinonzi beta2-adrenergic receptors. Kana mushonga wacho wabatana nemareceptors aya, unoudza mhasuru dzakatenderedza nzira dzako dzemhepo kuti dzizorore uye dzirambe dzakazorora kwenguva yakareba. Izvi zvinogadzira nzvimbo yakawanda yemhepo kuti iyerere zvakasununguka mukati nekubuda mumapapu ako.
Mushonga uyu unoonekwa seune simba zvine mwero pakati pebronchodilators inoshanda kwenguva refu. Yakagadzirirwa kupa kuvhurika kwemhepo yakagadzikana, inoenderana pane rubatsiro rwakanyanya, rwenguva pfupi. Izvi zvinoita kuti ive yakanaka pakudzivirira matambudziko ekufema pane kuarapa kana aonekwa.
Kusiyana nebronchodilators inoshanda kwenguva pfupi inogara maawa 4-6, mhedzisiro ye salmeterol inogara kwemaawa gumi nemaviri. Mushonga uyu zvakare une anti-inflammatory properties dzinogona kubatsira kuderedza kuzvimba kwemhepo nekufamba kwenguva, kunyangwe izvi zvisiri basa rayo rekutanga.
Salmeterol inofanira kufemwa sezvakanyorwa nachiremba wako, kazhinji kaviri pazuva maawa gumi nemaviri akaparadzana. Iyo yakajairika purogiramu ndeye imwe dose mangwanani uye imwe manheru. Edza kutora zvikamu zvako panguva imwechete zuva rega rega kuti uchengetedze mazinga anoenderana muhurongwa hwako.
Unogona kutora salmeterol uine kana usina chikafu, sezvo zvekudya zvisinganyanyi kukanganisa mashandiro emushonga. Zvisinei, vamwe vanhu vanoona zvichibatsira kusuka muromo wavo nemvura mushure mekutora inhaler kudzivirira kutsamwa kwehuro. Usamedze mvura yekugezesa - ingo swish uye kuidyira kunze.
Usati washandisa inhaler yako, ita shuwa kuti unonzwisisa nzira yakakodzera. Bata inhaler yakatwasuka, fema zvizere, wobva waisa miromo yako pamuromo wemukanwa wotora mweya wakadzama, wakatsiga uchidzvanya pa inhaler. Bata mweya wako kwemasekonzi gumi kana zvichibvira, wobva wafema zvishoma nezvishoma.
Kana uchishandisa mamwe mishonga inofemwa, kazhinji pane kurongeka kwakatarwa kwekuita. Kazhinji, uchashandisa inhaler yako yekununura kutanga kana zvichidiwa, womirira maminitsi mashoma, wobva washandisa salmeterol. Nguva dzose bvunza chiremba wako nezvekurongeka kwakakodzera kwemishonga yako chaiyo.
Salmeterol inowanzo kurairwa semushonga wekuchengetedza kwenguva refu, zvinoreva kuti unogona kuiita kwemwedzi kana makore kwete kwemavhiki mashoma chete. Kureba chaiko kunoenderana nemamiriro ako ezvinhu uye kuti unopindura sei kurapwa. Vanhu vazhinji vane asthma kana COPD vanoda kurapwa kwebronchodilator kuti vatarise zviratidzo zvavo zvinobudirira.
Chiremba wako achatarisa kurapwa kwako nguva dzose kuti ave nechokwadi chekuti salmeterol ichiri sarudzo yakakunakira. Izvi zvinogona kusanganisira bvunzo dzebasa remapapu, kuongororwa kwezviratidzo, uye hurukuro pamusoro pehupenyu hwako. Kana kufema kwako kwave kwakagadzikana kwemwedzi yakati wandei, chiremba wako anogona kufunga nezvekugadzirisa chirongwa chako chekurapa.
Usambomira kutora salmeterol kamwechete usina kubvunza chiremba wako. Kumira kamwechete kungaita kuti zviratidzo zvawedzere kana kuwedzera njodzi yematambudziko akakomba ekufema. Kana uchida kumisa mushonga, chiremba wako achagadzira chirongwa chekuderedza zvishoma nezvishoma muyero wako kana kuchinjira kune dzimwe nzira dzekurapa.
Vanhu vazhinji vanotsungirira salmeterol zvakanaka, asi semishonga yese, inogona kukonzera mhedzisiro. Kunzwisisa zvekutarisira kunogona kukubatsira kuti unzwe wakavimbika nezvekurapa kwako uye kuziva kuti ungabatana riini nechiremba wako.
Zvinokonzeresa zvakajairika zvinowanzoita zvishoma uye zvinowanzoita nani muviri wako paunojaira mushonga:
Zviratidzo izvi zvinowanzoitika paunotanga kurapwa uye zvinowanzoita nani mukati memavhiki mashoma. Kana zvikaramba kana kuva zvinonetsa, taura nachiremba wako nezvekugadzirisa kurapwa kwako.
Zvimwe zvinokonzera zvakanyanya hazviwanzoitiki asi zvinoda kutariswa kwekurapa nekukurumidza:
Zvisingawanzoitiki asi zvakakomba zvinogona kusanganisira paradoxical bronchospasm, uko mushonga unotoita kuti kufema kuwedzere kuipa panzvimbo yekuvandudza. Izvi zvinogona kuitika nekutanga dose uye zvinoda kutariswa kwekurapa nekukurumidza.
Vamwe vanhu vanogona kusangana nemhedzisiro yepfungwa senge kushushikana, kusagadzikana, kana shanduko yemanzwiro. Izvi hazviwanzoitiki asi zvinogona kuva zvinoshungurudza kana zvikaitika. Mupi wako wehutano anogona kubatsira kuona kana mhedzisiro iyi ichienderana nemushonga wako.
Salmeterol haina kukodzera munhu wese, uye mamwe mamiriro ehutano kana mamiriro anogona kukuitira kuti usashandise. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa usati wanyora mushonga uyu.
Haufaniri kutora salmeterol kana uine allergic ku salmeterol pachayo kana chero zvinhu zviri mu inhaler. Zviratidzo zve allergy zvinogona kusanganisira rash, itching, kuzvimba, kana kuoma kufema mushure mekutora mushonga. Vanhu vane allergy inozivikanwa kumishonga yakafanana (mamwe maLABA) vanofanirawo kudzivisa salmeterol.
Mamiriro akati wandei ezvokurapa anoda kungwarira kwakakosha kana anogona kukutadzisa kushandisa salmeterol zvakachengeteka:
Kuzvitakura nekuyamwisa zvinoda kufunga kwakakosha. Kunyange salmeterol ingave yakakosha panguva yekuzvitakura kana mabhenefiti achipfuura njodzi, chiremba wako achada kukutarisa zvakanyanya. Mushonga unogona kupinda mumukaka wemazamu, saka vanaamai vanoyamwisa vanofanira kukurukura njodzi nemabhenefiti nachiremba wavo.
Vana vari pasi pemakore mana havafaniri kushandisa salmeterol, sezvo kuchengeteka nekushanda kwavo zvisina kumiswa muvana vadiki. Vakuru vangave vanonyanya kukanganiswa nemigumisiro uye vangangoda kugadzirisa dose kana kuongororwa kakawanda.
Salmeterol inowanikwa pasi pemazita akati wandei emhando, neSerevent ndiyo yakajairika imwe-ingredient formulation. Izvi zvinouya se dry powder inhaler inopa dose ye salmeterol yakayerwa nekushandiswa kwega kwega. Zvimwe zvirongwa zveinishuwarenzi zvinogona kuvhara mamwe mabhurendi zviri nani pane mamwe, saka zvakakosha kukurukura sarudzo nemu pharmacist wako.
Uchawanawo salmeterol yakasanganiswa nemimwe mishonga yeasthma muzvinhu zvakaita seAdvair (salmeterol pamwe chete nefluticasone). Zvinofema izvi zvakasanganiswa zvinogona kuva zvakanaka kana uchida bronchodilator inoshanda kwenguva refu uye inhaled corticosteroid. Chiremba wako achasarudza kana chigadzirwa chimwe chete kana chakasanganiswa chiri nani pazvido zvako zvakananga.
Mhando dzakajairika dzesalmeterol dziripo uye dzinoshanda zvakanyanya semhando dzemhando. Chinhu chinoshanda chakafanana, kunyangwe mudziyo wekufema ungataridzika zvishoma zvakasiyana. Kana mutengo uchinetesa, bvunza chiremba wako kana muzvinabhuku wemishonga nezve sarudzo dzakajairika dzinogona kuva dzakachipa.
Zvimwe zvinhu zvakawanda zvekutsiva salmeterol zviripo kana mushonga uyu usiri wako kana usingape kutonga kwakakwana kwezviratidzo. Zvimwe zvinosanganisira formoterol, iyo inoshanda zvakafanana asi ine kutanga kwechiito kunokurumidza zvishoma. Chiremba wako angakurudzira kuchinja kana uchida rubatsiro rwekukurumidza kana kuona mhedzisiro nemhedzisiro ye salmeterol.
Kune vanhu vane asthma, inhaled corticosteroids senge fluticasone kana budesonide inogona kurudzirwa panzvimbo kana kuwedzera kune salmeterol. Mishonga iyi inoshanda zvakasiyana nekuderedza kuzvimba mumhepo yako panzvimbo yekungozorodza tsandanyama dzakavapoteredza.
Mishonga mitsva yakaita setiotropium (inonyanya kushandiswa yeCOPD) kana zvinofema zvakasanganiswa zvinosanganisira mhando dzakasiyana dzebronchodilators zvinogona kukodzera zvichienderana nemamiriro ako chaiwo. Vamwe vanhu vanobatsirwa kubva kune leukotriene modifiers senge montelukast, iyo inoshanda kuburikidza nemaitiro akasiyana zvachose.
Chiremba wako achafunga nezvezviratidzo zvako, nhoroondo yezvokurapa, uye mararamiro paanokurudzira dzimwe nzira. Dzimwe nguva kuwana mushonga wakarurama kunosanganisira kuyedza sarudzo dzakasiyana kuti uone kuti chii chinoshanda zvakanyanya mumamiriro ako chaiwo.
Salmeterol na albuterol vanoshanda zvakasiyana uye havafananidzwi zvakananga sezvo vachishandiswa mumamiriro akasiyana. Albuterol mushonga unokurumidza kushanda unopa rubatsiro rwekukurumidza panguva yekurwisa asthma kana matambudziko ekufema kamwe kamwe. Salmeterol mushonga unogara uchishanda unodzivirira zviratidzo kuti zvisaitike pakutanga.
Funga nezve albuterol semushonga wako wekukurumidzira - unoshanda mukati memaminitsi asi unongogara maawa 4-6. Salmeterol yakafanana nekudzivirirwa kwako kwezuva nezuva - zvinotora nguva yakareba kuti itange kushanda asi inopa kusvika maawa gumi nemaviri ekudzivirira. Vanhu vazhinji vane asthma vanoda mhando mbiri dzemishonga kuti vadzore zvakanaka.
Panyaya yekushanda, mishonga yese miviri yakanaka pane zvavanogadzirirwa kuita. Albuterol yakanyanya kukosha pakubatsira nekukurumidza nekuti inoshanda nekukurumidza. Salmeterol iri nani pakudzivirira zviratidzo nekuda kwenguva yayo refu yekushanda. Chiremba wako anowanzo kunyora zvese kana uine asthma yepakati kusvika yakanyanya.
Sarudzo pakati pekushandisa salmeterol yega kana pamwe chete nemimwe mishonga inoenderana nekukomba uye kakawanda kwezviratidzo zvako. Kana iwe uchishandisa albuterol kanopfuura kaviri pasvondo, chiremba wako angakurudzira kuwedzera salmeterol kana imwe mishonga inoshanda kwenguva refu kuronga kwako kurapwa.
Salmeterol inoda kufungwa zvakanyanya kana uine chirwere chemoyo, asi haina kuchengeteka otomatiki. Mushonga unogona kukanganisa kurova kwemoyo wako uye kudzvinyirirwa kweropa, saka chiremba wako achafanirwa kuyera mabhenefiti achipesana nenjodzi dzinogona kuitika. Vanhu vane mamiriro emoyo akadzorwa zvakanaka vanogona kushandisa salmeterol zvakachengeteka nekutarisa kwakakodzera.
Chiremba wako wezve mwoyo uye chiremba wezve mapapu vanofanira kushanda pamwechete kuti vaone kana salmeterol yakakodzera kwauri. Vanogona kukurudzira kutanga nedosi yakaderera kana kushandisa mishonga imwe zvichienderana nemamiriro ako emoyo. Kuongorora nguva dzose kwemaitiro emoyo wako uye ropa rinofanira kuve rinodiwa.
Kana netsaona ukatora salmeterol yakawanda kupfuura yakarairwa, taura nachiremba wako kana wezve mishonga nekukasira kuti uwane gwara. Zviratidzo zvekuwandisa zvinogona kusanganisira kudedera zvakanyanya, kurwadziwa muchipfuva, kukurumidza kwemoyo, dzungu, kana kusvotwa. Usamirira kuti uone kana zviratidzo zvichivapo - zviri nani kuwana zano nekukasira.
Muchiitiko chezviratidzo zvakanyanya zvakaita sekurwadziwa muchipfuva, kurova kwemoyo kusingaenderane, kana kuoma kufema, tsvaga rubatsiro rwekurapa nekukasira. Uya ne inhaler yako newe kuitira kuti vanopa hutano vazive chaizvo kuti ndechipi mushonga uye dosi yawakatora. Mazhinji ekuwandisa netsaona ne inhalers akapfava, asi zvinogara zviri nani kuve wakachengeteka.
Kana ukakanganwa dosi ye salmeterol, itore nekukasira sezvaunorangarira, kunze kwekunge yava nguva ye dosi yako inotevera yakarongwa. Muchiitiko ichocho, skip the missed dose uye uenderere mberi nehurongwa hwako hwenguva dzose. Usambofa wakatora madosi maviri panguva imwe chete kuti ugadzirise dosi yakakanganwa, sezvo izvi zvinogona kuwedzera njodzi yako yemigumisiro.
Edza kuchengetedza nguva dzose nemadosi ako kuti uwane mhedzisiro yakanaka. Kugadzira maalarm efoni kana kuchengeta inhaler yako munzvimbo inooneka kunogona kukubatsira kurangarira. Kana iwe uchikanganwa madosi kazhinji, taura nachiremba wako nezve nzira dzekuvandudza maitiro ako emishonga.
Unofanira kungomira kutora salmeterol pasi pekutungamirirwa nachiremba wako, kunyange kana uchinzwa zviri nani. Asthma neCOPD mamiriro ekusingaperi anoda kurapwa nguva dzose, uye kumisa mushonga wako kamwe kamwe kungaita kuti zviratidzo zvidzoke kana kuipa. Chiremba wako achaongorora kushanda kwemapapu ako nekudzora zviratidzo usati wachinja chero chinhu.
Kana usina zviratidzo kwenguva yakareba, chiremba wako angangofunga kuderedza kurapwa kwako zvishoma nezvishoma. Iyi nzira inosanganisira kunyatso tarisa kuti uone kuti zviratidzo zvako hazvidzoki. Vamwe vanhu vanogona kuderedza chiyero chavo kana kuchinjira kune mamwe mishonga, nepo vamwe vachifanira kuramba vachirapwa kwenguva refu.
Salmeterol inogona kushandiswa panguva yekuzvitakura kana mabhenefiti achipfuura njodzi dzinogona kuitika, asi sarudzo iyi inofanirwa kugara ichiitwa nemupi wehutano wako. Asthma isina kudzora panguva yekuzvitakura inogona kuva nenjodzi kumumwe nemwana kupfuura mushonga wacho pachako. Chiremba wako achakunyatsotarisisa kana salmeterol yakarairwa panguva yekuzvitakura.
Kana uri kuronga kuva nepamuviri kana kuona kuti une pamuviri uchitora salmeterol, taura izvi nachiremba wako nekukurumidza sezvinobvira. Vanogona kuda kugadzirisa chirongwa chako chekurapa kana kuwedzera kutarisisa kuti uve nechokwadi chekuchengeteka kwako uye hutano hwemwana wako panguva yekuzvitakura.