Chii chinonzi Umeclidinium uye Vilanterol: Zvinoshandiswa, Mishonga, Migumisiro Yemuviri uye Zvimwe

Umeclidinium uye vilanterol mushonga unovhuvhuta mweya unosanganisa uyo unobatsira vanhu vane chirwere chekufema chinodzivirira (COPD) kufema zviri nyore zuva rega rega. Mushonga uyu unopiwa nemishonga une bronchodilators mbiri dzakasiyana dzinoshanda pamwe chete kuchengetedza nzira dzako dzemhepo dzakavhurika uye kuderedza matambudziko ekufema.

Kana wapiwa mushonga uyu, unogona kunge uri kubata nezviratidzo zveCOPD zvinoda manejimendi ezuva nezuva. Iyi inhaler inosanganiswa yakagadzirirwa kushandiswa kamwe chete pazuva sechinhu chekuchengetedza, kwete nekuda kwematambudziko ekufema kamwe kamwe.

Chii chinonzi Umeclidinium uye Vilanterol?

Umeclidinium uye vilanterol musanganiswa webronchodilators mbiri inouya mumudziyo mumwe chete wekufema. Umeclidinium ndeye long-acting muscarinic antagonist (LAMA), nepo vilanterol iri long-acting beta2-agonist (LABA).

Funga nezve mishonga miviri iyi sechikwata chinoshanda mumapapu ako. Umeclidinium inobatsira kuzorodza tsandanyama dzakatenderedza nzira dzako dzemhepo nekudzivisa zviratidzo zveimwe tsinga, nepo vilanterol ichizorodza zvakananga tsandanyama yakatsetseka munzira dzako dzemhepo. Pamwe chete, vanopa zororo remaawa makumi maviri nemana kubva kuzviratidzo zveCOPD.

Mushonga uyu wakagadzirirwa zvakanyanya vanhu vane COPD vanoda kurapwa kwezuva nezuva. Haina kuitirwa asthma kana kurapa kurwisa kwekufema kamwe kamwe.

Chii chinonzi Umeclidinium uye Vilanterol Inoshandiswa Kunei?

Iyi inhaler inosanganiswa inopiwa zvakanyanya kurapwa kwenguva refu kwechirwere chekufema chinodzivirira (COPD). Inobatsira kuderedza kuvharika kwemhepo uye inoita kuti kufema kwezuva nezuva kuve nyore kune vanhu vane mamiriro aya.

Chiremba wako anogona kukupa mushonga uyu kana uine zviratidzo zveCOPD zvakaita sekukosora kusingaperi, kufema, kana kuchema kunokanganisa mabasa ako ezuva nezuva. Inobatsira zvikuru kune vanhu vanoda bronchodilator imwe chete kuti vakwanise kudzora zviratidzo zvavo zvinobudirira.

Mushonga uyu hauna kubvumirwa kurapa asthma, uye haufaniri kushandiswa semushonga wekununura panguva yekukurumidza kufema. Kana uine zvese COPD ne asthma, chiremba wako achafanirwa kufunga izvi zvakanyatsonaka paanokurudzira kurapwa kwako.

Umeclidinium na Vilanterol Zvinoshanda Sei?

Mishonga iyi inoshanda nenzira mbiri dzakasiyana asi dzinoenderana kuti dzivhure nzira dzako dzemhepo. Umeclidinium inodzivisa acetylcholine receptors, iyo inodzivirira tsandanyama dzakatenderedza nzira dzako dzemhepo kubva pakusungana, nepo vilanterol ichishandisa beta2 receptors, iyo inozorodza tsandanyama dzemhepo zvakananga.

Chiito kaviri chinopa kuvhurika kwakanyanya kwemhepo kupfuura mishonga yega yega yaigona kuita yega. Izvi zvinoita kuti ive musanganiswa webronchodilator une simba zvishoma unoita kuti ushande zvakanaka kune vanhu vane moderate kusvika severe COPD.

Mishonga yese iri miviri inoshanda kwenguva refu, zvinoreva kuti inoramba ichishanda kwemaawa anenge makumi maviri nemana mushure meimwe dose. Izvi zvinobvumira dosing kamwe chete pazuva, iyo vanhu vazhinji vanowana iri nyore kupfuura ma inhalers akawanda ezuva nezuva.

Ndingatora Sei Umeclidinium na Vilanterol?

Tora mushonga uyu sezvakanyorwa nachiremba wako, kazhinji imwe inhalation kamwe chete pazuva panguva imwe chete zuva rega rega. Dose inowanzoitika ndeye imwe inhalation ye 62.5 mcg umeclidinium uye 25 mcg vilanterol.

Unogona kutora mushonga uyu uine kana usina chikafu, asi kuenderana kwakakosha. Vanhu vazhinji vanozviwana zvichibatsira kuzvitora panguva imwe chete mangwanani ega ega kuti vagadzire tsika uye vave nechokwadi chekuti havapotsi madosi.

Usati washandisa inhaler yako, ita shuwa kuti unonzwisisa mashandisiro emudziyo chaiwo. Murapi wako kana chiremba anofanira kuratidza nzira chaiyo, sezvo inhalation yakakodzera yakakosha kuti mushonga usvike muma lungs ako nemazvo.

Mushure mekutora dose yako, sukurudza muromo wako nemvura uye udzipfuure. Nhanho iyi iri nyore inogona kubatsira kudzivirira thrush, hutachiona hwefungal hunogona kukura mumuromo mako kubva kumishonga inofemwa.

Ndingatora Umeclidinium na Vilanterol kwenguva yakareba sei?

Mishonga iyi inowanzo rongerwa semushonga wenguva refu weCOPD, zvinoreva kuti ungangoda kuitora kwenguva isingagumi. COPD chirwere chisingaperi chinoda kurapwa nguva dzose kudzivirira zviratidzo kubva pakuipa.

Chiremba wako achatarisa mhinduro yako kumushonga uye anogona kuchinja chirongwa chako chekurapa nekufamba kwenguva. Vamwe vanhu vanoona kuvandudzwa mukufema kwavo mukati memazuva mashoma ekutanga, nepo vamwe vachigona kutora mavhiki mashoma kuti vawane mabhenefiti akazara.

Usambomira kutora mushonga uyu kamwe kamwe usati wataura nachiremba wako kutanga. Kumira kamwe kamwe kunogona kukonzera zviratidzo zvako zveCOPD kuipa nekukurumidza, zvichiita kuti zvive zvakaoma kufema uye zvinogona kutungamira kumatambudziko akakomba.

Ndezvipi Zvakaipa zveUmeclidinium na Vilanterol?

Semishonga yese, umeclidinium na vilanterol zvinogona kukonzera mhedzisiro, kunyangwe vanhu vazhinji vachizvitsungirira zvakanaka. Mazhinji emhedzisiro idiki uye anowanzoita nani sezvo muviri wako uchigadzirisa kumushonga.

Heano mhedzisiro yakajairika yaungasangana nayo:

• Kutapukirwa kwepamusoro kwemhepo (zviratidzo zvakaita sechando)
• Muscle spasms kana cramps
• Kurwadziwa kwemutsipa
• Kurwadziwa muchipfuva
• Diarhea
• Leg cramps

Mhedzisiro iyi inowanzoitika kwenguva pfupi uye inogoneka. Kana vakapfuurira kana kuva dambudziko, taura nachiremba wako nezve nzira dzekuderedza.

Mhedzisiro isingawanzoitiki asi yakakomba inogona kuitika, kunyangwe isingawanzoitiki. Izvi zvinosanganisira:

• Paradoxical bronchospasm (kuwedzera kamwe kamwe kwekufema)
• Allergic reactions yakakomba nekuzvimba kwechiso, miromo, kana huro
• Matambudziko emoyo rhythm kana kuwedzera kwemoyo
• Kuwedzera kwe narrow-angle glaucoma
• Kutambudzika kuita weti (urinary retention)

Kana uine chero chimwe chezviratidzo izvi zvakakomba, tsvaga rubatsiro rwekurapa nekukasira. Izvi zvinokonzeresa, kunyangwe zvisingawanzoitiki, zvinoda kurapwa nekukurumidza.

Ndiani Asingafaniri Kutora Umeclidinium uye Vilanterol?

Mishonga iyi haina kukodzera munhu wese, uye mamwe mamiriro ehutano anogona kukuitira njodzi kuti uishandise. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akuraira iyi inhaler yemusanganiswa.

Haufaniri kushandisa mushonga uyu kana uine asthma isina COPD, sezvo mishonga yeLABA senge vilanterol inogona kuwedzera njodzi yerufu rwakakomba rwakabatana neasthma kana ichishandiswa yega kurapa asthma.

Vanhu vane mamiriro ehutano anoda kuongororwa kwakakosha kana vangada kudzivisa mushonga uyu zvachose:

• Kurwara zvakanyanya nemukaka
• Narrow-angle glaucoma
• Kuchengetwa kweweti kana prostate yakakura
• Chirwere chemoyo chakakomba kana rhythm yemoyo isina kujairika
• Seizure disorders
• Chirwere cheshuga (kuongororwa kweshuga yeropa kungadiwa)

Kana uine pamuviri kana kuyamwisa, kurukurai zvakanakira nenjodzi nachiremba wako. Kunyangwe mushonga uyu ungave wakakosha kuhutano hwako, chiremba wako achada kukutarisa iwe nemwana wako zvakanyanya.

Umeclidinium uye Vilanterol Mazita eBrand

Mishonga iyi yemusanganiswa inowanikwa pasi pezita rebrand Anoro Ellipta muUnited States. Iyo Ellipta mudziyo i inhaler yepowder yakaoma iyo inopa mishonga yese mune imwechete dose.

Zita rebrand rinogona kusiyana munyika dzakasiyana, saka gara uchiongorora nemupharmacist wako kana uchifamba kana kuwana mishonga yakazadzwa munzvimbo dzakasiyana. Zvinhu zvinoshanda zvinoramba zvakafanana zvisinei nezita rebrand.

Mhando dzemishonga iyi dzemusanganiswa hadzisati dzichiwanzowanikwa, saka vanhu vazhinji vachagamuchira mushonga wezita rebrand. Inishuwarenzi yako inogona kukanganisa mutengo, saka ongorora nemupi wako nezve sarudzo dzekuvhara.

Umeclidinium uye Vilanterol Zvimwe Zvinhu

Mamwe ma inhaler akawanda akabatanidzwa anowanikwa kurapa COPD, imwe neimwe iine misanganiswa yakasiyana ye bronchodilators. Chiremba wako angatarisa dzimwe nzira kana mushonga uyu usingashande zvakanaka kwauri kana kukonzera mhedzisiro inonetsa.

Mamwe maLAMA/LABA akabatanidzwa anosanganisira tiotropium ine olodaterol, glycopyrronium ine indacaterol, uye aclidinium ine formoterol. Imwe neimwe yemusanganiswa ine zvishoma zvakasiyana dosing schedules uye side effect profiles.

Vamwe vanhu vangabatsirwa ne triple therapy inhalers inobatanidza LAMA, LABA, uye inhaled corticosteroid. Izvi zvinowanzo chengeterwa vanhu vane COPD yakanyanya kana exacerbations kazhinji.

Chiremba wako achasarudza sarudzo yakanakisa zvichienderana nezviratidzo zvako zvakajeka, kuoma kweCOPD yako, mhinduro yako kumishonga yapfuura, uye kugona kwako kushandisa akasiyana inhaler devices nemazvo.

Ko Umeclidinium neVilanterol Zviri Nani Pane Tiotropium?

Mishonga yese iri miviri inoshanda kurapa COPD, asi inoshanda zvishoma zvakasiyana. Tiotropium i single LAMA bronchodilator, nepo umeclidinium uye vilanterol ichibatanidza LAMA ne LABA ye dual bronchodilation.

Kubatanidzwa kungapa kutonga kuri nani kwezviratidzo kune vamwe vanhu nekuti inotarisa nzira mbiri dzakasiyana mumhepo yako. Zvidzidzo zvinoratidza kuti dual bronchodilation inogona kushanda zvakanyanya pane single agents yekuvandudza basa remapapu uye kuderedza zviratidzo.

Zvisinei,

Vanhu vane chirwere chemoyo vanogona kushandisa mushonga uyu, asi vanoda kutarisiswa zvakanyanya. Chikamu chevilanterol dzimwe nguva chinogona kukonzera shanduko dzerhythm yemoyo kana kuwedzera kumhanya kwemoyo, kunyanya kana uchitanga kutora mushonga uyu.

Kana uine chirwere chemoyo, chiremba wako anogona kukutanga pamushonga uyu chete kana mabhenefiti achipfuura njodzi. Vanogona kuda kutarisa rhythm yemoyo wako zvakanyanya, kunyanya mumavhiki mashoma ekutanga ekurapa.

Nguva dzose udza chiremba wako nezve chero matambudziko emoyo aunayo, kusanganisira kurova kwemoyo kusingaite, high blood pressure, kana kurwisa kwemoyo kwakamboitika. Vanogona kubatsira kuona kana mushonga uyu wakachengeteka kune mamiriro ako chaiwo.

Ndoita Sei Kana Ndikashandisa Umeclidinium neVilanterol Zvakanyanya Netsaona?

Kana netsaona ukatora zvakawanda kupfuura chiyero chawakanyorerwa, usavhunduka, asi taura nachiremba wako kana muzvinemishonga kuti uwane gwara. Kutora zviyero zvakawanda kunogona kuwedzera njodzi yako yemigumisiro yakaita se matambudziko erhythm yemoyo kana kutetemera kwemhasuru.

Tarisa zviratidzo zvakaita sekurova kwemoyo nekukurumidza, kurwadziwa muchipfuva, kutetemera, kana kunzwa kusanzwa zvakajairika kana kunetseka. Izvi zvinogona kunge zviri zviratidzo zvekuti wakatora mushonga wakawandisa uye unogona kuda kutariswa kwekurapa.

Kuti udzivise overdoses netsaona, chengeta rekodhi yekuti unotora riini chiyero chako chezuva nezuva. Vamwe vanhu vanozviwana zvichibatsira kushandisa chirongwa chemapiritsi kana chirangaridzo chefoni kudzivirira kutora zviyero zvakawanda netsaona.

Ndoita Sei Kana Ndikakanganwa Chiyero cheUmeclidinium neVilanterol?

Kana ukakanganwa chiyero chako chezuva nezuva, chitore pakarepo paunorangarira, asi chete kana chisiri pedyo nenguva yechiyero chako chinotevera. Kana yava nguva yechiyero chako chinotevera, rega icho chawakakanganwa uye uenderere mberi nechirongwa chako chetsika.

Usambofa wakatora zviyero zviviri panguva imwe chete kuti ugadzirise chiyero chawakakanganwa. Izvi zvinogona kuwedzera njodzi yako yemigumisiro pasina kupa mabhenefiti ekuwedzera ekufema kwako.

Kana uchikanganwa mishonga kakawanda, taura nachiremba wako nezve nzira dzekukubatsira kuyeuka. Kushandisa zuva nezuva nguva dzose kwakakosha kuti uwane zvakanakisa kubva kumushonga uyu.

Ndingamira Rini Kutora Umeclidinium uye Vilanterol?

Unofanira kungomira kutora mushonga uyu pasi pekutariswa kwachiremba wako. COPD chirwere chisingaperi chinowanzoita kuti urambe uchirapwa kudzivirira zviratidzo kubva pakuwedzera nekufamba kwenguva.

Chiremba wako angangofunga kumisa kana kuchinja mushonga wako kana ukaona mhedzisiro yakakomba, kana mamiriro ako akachinja zvakanyanya, kana kana kurapwa kutsva kuchiwanzika kungashanda zviri nani kwauri.

Kunyange kana ukanzwa zviri nani paunenge uchitora mushonga uyu, kuumisa kamwe kamwe kungaita kuti zviratidzo zvako zveCOPD zvidzoke nekukurumidza. Nguva dzose kurukura chero zvinokunetsa nezvekupfuurira kurapwa nemupi wehutano wako.

Ndingashandisa Rescue Inhaler naUmeclidinium uye Vilanterol here?

Hongu, unofanira kuramba uine uye uchishandisa rescue inhaler yako (senge albuterol) kana uine matambudziko ekufema kamwe kamwe. Umeclidinium uye vilanterol mushonga wekuchengetedza unoshanda kwemaawa makumi maviri nemana, asi hauna kugadzirirwa rubatsiro rwekukurumidza panguva dzekukurumidzira kufema.

Rescue inhaler yako inopa rubatsiro rwekukurumidza kana uchiruda zvakanyanya, nepo inhaler yako yekuchengetedza zuva nezuva ichibatsira kudzivirira zviratidzo kuti zvisaitike pakutanga. Mishonga yese miviri inotamba mabasa akakosha asi akasiyana mukutungamira kwako COPD.

Kana ukawana uchishandisa rescue inhaler yako kakawanda kupfuura zvakajairika, taura nachiremba wako. Izvi zvinogona kuva chiratidzo chekuti COPD yako iri kuwedzera kana kuti kurapwa kwako kwekuchengetedza kunoda kugadziriswa.