Yini i-Budesonide kanye ne-Formoterol Inhalation: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Budesonide kanye ne-formoterol inhalation kuyinhlanganisela yemithi esiza ukulawula isifuba somoya kanye nesifo sokuvinjelwa kwamaphaphu esingamahlalakhona (COPD). Le inhaler iqukethe imithi emibili esebenza ndawonye - i-budesonide, enciphisa ukuvuvukala emoyeni wakho, kanye ne-formoterol, ekhulula imisipha ezungeze imigudu yakho yomoya ukukusiza ukuthi uphefumule kalula. Cabanga ngayo njengendlela yokusebenza ngendlela emibili eyodwa evimbela izinkinga zokuphefumula futhi inikeze usizo uma zenzeka.

Yini i-Budesonide kanye ne-Formoterol?

Le mithi ihlanganisa izinhlobo ezimbili ezihlukene zemithi ku-inhaler eyodwa elula. I-Budesonide ingeyeqembu elibizwa ngokuthi ama-corticosteroids, asebenza njengamahomoni emvelo umzimba wakho owenza ukulwa nokuvuvukala. I-Formoterol iyi-long-acting beta-agonist (LABA) esiza ukuvula imigudu yakho yomoya ngokukhulula imisipha ezungezile.

Inhlanganisela isebenza kangcono kunanoma iyiphi imithi yodwa ngoba ibhekana nezinkinga zokuphefumula ngamakhona amabili. Ngenkathi i-budesonide ivimbela ukuvuvukala okubangela ukuthi imigudu yomoya ivuvuke futhi inciphe, i-formoterol igcina imigudu yomoya ivulekile amahora angafika kwangu-12. Lesi senzo esiphindwe kabili sikusiza ukuthi uphefumule kalula usuku lonke nobusuku.

Yini i-Budesonide kanye ne-Formoterol Esetshenziselwa Yona?

Le inhaler iphatha izimo ezimbili eziyinhloko zokuphefumula: isifuba somoya kanye ne-COPD. Ngesifuba somoya, sisiza ukuvimbela izimpawu ezinjengokuphefumula, ukuqina kwesifuba, nokuphefumula kanzima. Nge-COPD, ehlanganisa i-emphysema kanye ne-chronic bronchitis, isiza ukuphatha ubunzima obuqhubekayo bokuphefumula futhi inciphise ukuqubuka.

Udokotela wakho angase akubhalele le mithi uma udinga ukulawulwa kwansuku zonke kwezimpawu zakho zokuphefumula. Ilusizo ikakhulukazi kubantu abanesifuba somoya esingalawulwa kahle ngeminye imithi noma abane-COPD ephakathi nendawo kuya kokukhulu. Indlela yokusebenza ngokuhlanganisa isho ukuthi uthola kokubili ukukhululeka okusheshayo nokuvikelwa kwesikhathi eside ku-inhaler eyodwa.

Lo muthi usetshenziselwa nokuvimbela izimpawu ze-asthma ezibangelwa ukuzivocavoca. Uma uzithola uphefumula kanzima ngesikhathi sokuzivocavoca, le inhaler ingasiza ukugcina imigudu yakho yomoya ivulekile futhi inciphise ukuvuvukala okungase kubangele izinkinga zokuphefumula ngesikhathi sokuzivocavoca.

Isebenza Kanjani I-Budesonide ne-Formoterol?

Lo muthi usebenza ngezindlela ezimbili ezihambisanayo ukuthuthukisa ukuphefumula kwakho. I-Budesonide isebenza njenge-ejenti elwa nokuvuvukala, inciphisa ukuvuvukala nokucasuka emoyeni wakho okwenza kube nzima ukuphefumula. Ithathwa njenge-corticosteroid enamandla aphakathi nendawo esebenza ngqo emaphashini akho kunokuthi isebenze emzimbeni wakho wonke.

I-Formoterol isebenza njenge-bronchodilator, okusho ukuthi ivula imigudu yakho yomoya ngokukhulula imisipha ebushelelezi ezizungezile. Lapho le misipha iqina, imigudu yakho yomoya iba mncane futhi ukuphefumula kuba nzima. I-Formoterol isiza ukugcina le misipha ikhululekile amahora angafika kwangu-12, ikunikeza ukukhululeka okuhlala isikhathi eside.

Ngokubambisana, le mithi idala inhlanganisela enamandla evimbela izinkinga zokuphefumula futhi izelaphe uma zenzeka. I-budesonide isebenza kancane ngokuhamba kwesikhathi ukunciphisa ukuvuvukala, kuyilapho i-formoterol inikeza ukukhululeka okusheshayo ngokuvula imigudu yakho yomoya. Le ndlela ephindwe kabili isiza ukugcina ukulawula okungcono kokuphefumula usuku lonke.

Kufanele Ngiyithathe Kanjani I-Budesonide ne-Formoterol?

Thatha lo muthi ngendlela eqondile udokotela wakho ayala ngayo, ngokuvamile kabili ngosuku - kanye ekuseni kanye nakusihlwa. Isikhathi kufanele sibe ngamahora angaba ngu-12 ngaphandle ukuze kugcinwe amazinga aqhubekayo ohlelweni lwakho. Ungayithatha ngaphandle kokudla noma ngaphandle kokudla, kodwa ukuqina ngesikhathi kubaluleke kakhulu kunalokho okudlayo.

Ngaphambi kokusebenzisa i-inhaler yakho, hlanza umlomo wakho ngamanzi uma kungenzeka. Lokhu kusiza ukuvimbela i-thrush, isifo se-fungal esingathuthuka emlonyeni wakho esivela ku-corticosteroid. Ngemva kokuphefumula umthamo wakho, hlanza umlomo wakho futhi uphumele amanzi - ungawagwinyi.

Nansi indlela yokusebenzisa i-inhaler yakho ngendlela efanele:

1. Susa isivalo bese unyakazisa i-inhaler kahle imizuzwana engu-5
2. Khipha umoya ngokugcwele, kude ne-inhaler
3. Beka izindebe zakho ngomlomo bese wenza uphawu oluqinile
4. Cindezela i-inhaler ngenkathi uphefumula kancane futhi ujule
5. Bamba umoya wakho imizuzwana eyi-10 noma uma uzizwa ukhululekile
6. Khipha umoya kancane bese ufaka isivalo

Uma udokotela wakho ekunikeza ama-puff amabili, linda imizuzwana engaba ngu-30 phakathi kwawo. Lokhu kuvumela umthamo wokuqala ukuvula imigudu yakho yomoya, okwenza umthamo wesibili usebenze kahle. Njalo qaphela ukuthi usebenzise imithamo emingaki ukuze wazi ukuthi uzothola nini ukugcwaliswa.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Budesonide kanye ne-Formoterol?

Lo muthi uvame ukunikezwa ukusetshenziswa kwesikhathi eside, okusho ukuthi cishe uzodinga ukuwuthatha izinyanga noma iminyaka. Ngokungafani nama-inhaler okusindisa owasebenzisa kuphela lapho kuvela izimpawu, lo muthi ohlanganisiwe usebenza kahle uma usetshenziswa njalo nsuku zonke, ngisho nalapho uzizwa ulungile.

Udokotela wakho uzobuyekeza inqubekela phambili yakho njalo, ngokuvamile njalo emavikini angu-3-6, ukuze abone ukuthi umuthi usebenza kahle kangakanani. Bangase balungise umthamo wakho noma bacabange ukushintsha imithi ngokusekelwe ekutheni izimpawu zakho zilawulwa kanjani. Abanye abantu bangagcina behlele umthamo ophansi, kanti abanye bangase badinge ukuqhubeka nomthamo ofanayo isikhathi eside.

Ungayeki ukuthatha lo muthi ngokuzumayo, ngisho noma uzizwa ungcono. Izimpawu zakho zokuphefumula zingase zibuye noma zibe zimbi uma uyeka ngokuphazima kweso. Uma ufuna ukuyeka noma ukushintsha umuthi wakho, sebenzisana nodokotela wakho ukuze udale uhlelo olunciphisa kancane umthamo wakho ngenkathi uqapha izimpawu zakho.

Yiziphi Imiphumela Eceleni ye-Budesonide kanye ne-Formoterol?

Abantu abaningi bayayithanda kahle le mithi, kodwa njengayo yonke imithi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela emibi engathi sína ayivamile uma imithi isetshenziswa njengoba kunqunyiwe. Ukuqonda okukulindele kungakusiza ukuthi uzizwe uqiniseka ngokwengeziwe ngemithi yakho.

Imiphumela emibi ejwayelekile abantu abaningi abayitholayo ihlanganisa:

• Ukucabana kwekhanda nokuzizwa unesiyezi okuncane
• Ukuqubuka komphimbo noma ukuminyana
• Ukukhwehlela noma umlomo owomile
• Ukucasuka kwesisu noma isicanucanu
• Ukuthuthumela noma ukuthuthumela okuncane ezandleni
• Ukwanda kwesilinganiso senhliziyo

Lezi zimpawu zivame ukuba mnene futhi zivame ukuthuthuka njengoba umzimba wakho ujwayela imithi. Ukugeza umlomo wakho ngemva kokusebenzisa ngakunye kungasiza ekuvikeleni ukucasuka komphimbo futhi kunciphise ingozi ye-oral thrush.

Imiphumela emibi engavamile kodwa engathi sína idinga ukunakekelwa kwezokwelapha:

• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Ukucabana kwekhanda okukhulu noma izinguquko embonweni
• Izimpawu zokutheleleka njengomkhuhlane noma ukukhwehlela okuqhubekayo
• Ushintsho olungajwayelekile lwemizwa noma ukukhathazeka
• Ubunzima bokulala noma ukungazinzi
• Ubuthakathaka bemisipha noma ubuhlungu bamathambo

Imiphumela emibi engavamile kodwa engathi sína edinga ukunakekelwa kwezokwelapha ngokushesha ihlanganisa ukusabela okukhulu komzimba, okungase kubangele ukuvuvukala kobuso bakho, izindebe, ulimi, noma umphimbo, kanye nobunzima bokuphefumula noma ukugwinya. Abanye abantu bangase babe nokwanda okukhulu kwengcindezi yegazi noma amazinga kashukela egazini, ikakhulukazi uma isetshenziswa isikhathi eside.

Ngokuvamile, ukusetshenziswa kwesikhathi eside kwama-corticosteroids kungathinta ukuminyana kwamathambo noma kunciphise ukukhula ezinganeni. Udokotela wakho uzoqapha le miphumela ngesikhathi sokuhlolwa okuvamile futhi angase ancome ama-calcium kanye nezithasiselo zikavithamini D uma kudingeka.

Ubani Ongafanele Athathwe i-Budesonide ne-Formoterol?

Lo muthi awufanele wonke umuntu, futhi udokotela wakho uzocabangela ngokucophelela umlando wakho wezokwelapha ngaphambi kokuwunika. Abantu abanezifo ezithile zokungezwani komzimba nezinto ezithile, ikakhulu i-budesonide, i-formoterol, noma yiziphi izithako ezikuyi-inhaler, akufanele basebenzise lo muthi.

Kufanele utshele udokotela wakho ngazo zonke izimo zakho zezokwelapha, ikakhulukazi uma une:

• Izinkinga zenhliziyo, okuhlanganisa ukushaya kwenhliziyo okungajwayelekile noma umfutho wegazi ophezulu
• Isifo sikashukela noma ushukela ophezulu egazini
• Izifo ze-thyroid
• Izifo zokugula noma isithuthwane
• Isifo sesibindi
• I-Osteoporosis noma ukuminyana kwamathambo okuphansi
• Izinkinga zamehlo njenge-glaucoma noma ama-cataract
• Izifo zamanje noma ezedlule, okuhlanganisa umkhuhlane wamathambo

Abesifazane abakhulelwe nabancelisayo badinga ukucatshangelwa okukhethekile. Ngenkathi lo muthi ungase udingeke ngoba isifuba esibi kakhulu ngesikhathi sokukhulelwa, udokotela wakho uzoqondanisa izinzuzo nezingozi ezingaba khona. Umuthi ungangena obisini lwebele, ngakho-ke omama abancelisayo kufanele baxoxe ngezindlela ezingezinye nodokotela wabo.

Izingane nabantu abadala bangase badinge ukulungiswa komthamo noma ukuqashwa okuseduze. Izingane ezisebenzisa ama-corticosteroids isikhathi eside zingase zithole ukukhula okuhamba kancane, kanti abadala bangase bazwe kalula imiphumela emibi efana nokwanda komfutho wegazi noma izinguquko zikashukela egazini.

Amagama e-Budesonide ne-Formoterol Brand

Lo muthi ohlanganisiwe utholakala ngaphansi kwamagama amaningi ebhrendi, i-Symbicort iyona eyaziwa kakhulu. Amanye amagama ebhrendi afaka i-Dulera, equkethe ukwakheka okuhlukile kancane, kanye nezinhlobo ezahlukahlukene ezivamile ezinikeza izithako ezifanayo ezisebenzayo ngezindleko ezingase zibe ngaphansi.

Ibhrendi ngayinye ingase ibe namadivayisi e-inhaler ahlukile kancane, ngakho-ke kubalulekile ukufunda ukuthi ungayisebenzisa kanjani i-inhaler yakho ngendlela efanele. Umuthi wakho we-pharmacist angakukhombisa inqubo efanele futhi anikeze izinto zokufundisa. Uma ushintsha phakathi kwamabhrendi, qiniseka ukuthi uyaqonda noma yikuphi ukungafani endleleni yokusebenzisa i-inhaler entsha.

Izinhlobo ezivamile zivame ukubiza ngaphansi kwemithi enegama lomkhiqizo kodwa ziqukethe izithako ezifanayo ezisebenzayo. Umshwalense wakho ungase ukhethe uhlobo olulodwa ngaphezu kolunye, ngakho hlola nomhlinzeki wakho womshwalense mayelana nezinketho zokukhava uma izindleko ziyinkinga.

Ezinye izindlela ze-Budesonide kanye ne-Formoterol

Ezinye izinhlanganisela zokuphefumula zisebenza ngendlela efanayo ne-budesonide kanye ne-formoterol, ngasinye sinezithako ezihlukile noma izindlela zokuletha. I-Advair ihlanganisa i-fluticasone kanye ne-salmeterol, kuyilapho i-Breo Ellipta iqukethe i-fluticasone kanye ne-vilanterol. Lezi ezinye izindlela zingase zisebenze kangcono kwabanye abantu noma zibangele imiphumela emibi embalwa.

Imithi enesithako esisodwa ingenye inketho, lapho ungasebenzisa khona iziphefumulo ezihlukene zezingxenye ze-corticosteroid kanye ne-bronchodilator. Le ndlela ivumela ukulinganisa okunembile kodwa idinga ukusebenzisa iziphefumulo ezimbili ezihlukene, okuthile abantu bakuthola kungalula.

Imithi emisha ehlanganisiwe efana ne-Trelegy Ellipta ingeza isithako sesithathu (i-anticholinergic) kubantu abane-COPD eqinile. Udokotela wakho angase acabangele lezi ziphefumulo ezihlanganiswe kathathu uma izimpawu zakho zingalawulwa kahle ngemithi emibili.

Ezinye izindlela ezingezona imithi zihlanganisa ukuzivocavoca ukuphefumula, izinhlelo zokuvuselela amaphaphu, kanye nezinguquko zokuphila njengokugwema izimbangela nokugcina isisindo esinempilo. Lezi zindlela zisebenza kangcono kanye nemithi kunokuthi zibe yizithako.

Ingabe i-Budesonide kanye ne-Formoterol ingcono kune-Albuterol?

Le mithi isebenzela izinjongo ezihlukene futhi ayiqhathaniswa ngokuqondile. I-Budesonide kanye ne-formoterol iyimithi yokugcina oyithatha nsuku zonke ukuvimbela izinkinga zokuphefumula, kuyilapho i-albuterol iyimithi yokuhlenga oyisebenzisayo lapho izimpawu zenzeka. Abantu abaningi abane-asthma noma i-COPD badinga zombili izinhlobo zemithi.

I-Albuterol isebenza ngokushesha ukuze kutholakale usizo oluphuthumayo - ngemizuzu nje - kodwa imiphumela yayo ihlala amahora angu-4-6 kuphela. I-Budesonide ne-formoterol kuthatha isikhathi eside ukubonisa imiphumela ephelele kodwa inikeza ukuvikeleka kwamahora angu-12 futhi kunciphisa ukuvuvukala ngokuhamba kwesikhathi. Cabanga nge-albuterol njethuluzi lakho eliphuthumayo kanye ne-budesonide-formoterol njengokuvikeleka kwakho kwansuku zonke.

Udokotela wakho angase akubhalele imithi yomibili, ngesiphefumulisi esihlanganisiwe sokusetshenziswa kwansuku zonke kanye ne-albuterol yezimpawu eziphuthumayo. Le ndlela inikeza ukumbozwa okuphelele - ukuvimbela kwansuku zonke kanye nosizo olusheshayo uma kudingeka. Abanye abantu bathola ukuthi badinga isiphefumulisi sabo sokuhlenga kaningi uma sebeqala ukusebenzisa umuthi wokugcina njalo.

Imibuzo Evame Ukubuzwa Mayelana ne-Budesonide ne-Formoterol

Ingabe i-Budesonide ne-Formoterol iphephile ezigulini zenhliziyo?

Abantu abanezifo zenhliziyo bangasebenzisa lo muthi, kodwa badinga ukuqashwa okuseduze. Ingxenye ye-formoterol ingakhuphula izinga lokushaya kwenhliziyo nomfutho wegazi, okungase kube ngukukhathazeka kulabo abanezinkinga zenhliziyo ezikhona. Udokotela wakho uzoqapha ngokucophelela isimo senhliziyo yakho futhi angase aqale ngomthamo ophansi.

Uma unesifo senhliziyo, udokotela wakho angase afune ukuhlola umfutho wegazi lakho nezinga lokushaya kwenhliziyo kaningi uma uqala lo muthi. Bangase futhi bancomise i-electrocardiogram (EKG) ukuze baqaphe ukushaya kwenhliziyo yakho. Iningi labantu abanezifo zenhliziyo ezinzile lingawusebenzisa ngokuphepha lo muthi ngaphansi kokuqashwa kwezokwelapha.

Ngingenzani uma ngiphuthelwa ngisebenzisa i-Budesonide ne-Formoterol eningi?

Uma ngengozi uthatha okuningi kunokubhaliwe, ungangeni ekuqhumeni - izimpawu ezimbi kakhulu zokweqisa azivamile ngemithi yokuphefumula. Kodwa-ke, ungase uhlangabezane nokwanda kwenani lokushaya kwenhliziyo, ukuthuthumela, ikhanda, noma ukuzizwa unovalo. Lezi zimpawu zivame ukuzixazulula zodwa phakathi namahora ambalwa.

Xhumana nodokotela wakho noma usokhemisi ukuze uthole isiqondiso, ikakhulukazi uma uhlangabezana nobuhlungu besifuba, ikhanda elibuhlungu kakhulu, noma izinguquko ezinkulu ekushayeni kwenhliziyo. Uma unenkinga yokuphefumula noma ezinye izimpawu ezinzima, funa ukunakekelwa kwezempilo eziphuthumayo. Gcina umbhalo wokuthi ungakanani umuthi owengeziwe owuthathile nokuthi nini, njengoba lolu lwazi lusiza abahlinzeki bezempilo ukuthi bahlole isimo sakho.

Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Budesonide kanye ne-Formoterol?

Uma uqaphela ukuthi uphuthelwe umthamo kungakapheli amahora ambalwa ngesikhathi obufanele uwuthatha ngaso, qhubeka uwuthathe. Kodwa-ke, uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe, weqa umthamo ophuthelwe bese uqhubeka nohlelo lwakho olujwayelekile. Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe.

Zama ukusungula isimiso esikusiza ukuthi ukhumbule imithi yakho, njengokuyithatha ngezikhathi ezifanayo nsuku zonke noma ukusetha izikhumbuzi zocingo. Abanye abantu bakuthola kuwusizo ukugcina i-inhaler yabo endaweni ebonakalayo noma basebenzise umhleli wamaphilisi onezici zesikhumbuzi.

Ngingayeka Nini Ukuthatha I-Budesonide kanye ne-Formoterol?

Isinqumo sokuyeka lo muthi kufanele senziwe ngaso sonke isikhathi nodokotela wakho, ngisho noma uzizwa ungcono kakhulu. Ukuyeka kungazelelwe kungabangela ukuthi izimpawu zakho zibuye noma zibe zimbi, okungenzeka kuholele ezinkingeni ezinzima zokuphefumula. Udokotela wakho uzocabangela izinto ezinjengokuthi usunesikhathi esingakanani ungenazo izimpawu nokuthi yini ebangela isidingo sakho sokuqala somuthi.

Uma wena nodokotela wakho ninquma ukunciphisa noma ukuyeka umuthi, ngokuvamile uzokwenza kanjalo kancane kancane emasontweni noma ezinyangeni. Lokhu kungase kuhlanganise ukunciphisa umthamo noma imvamisa kancane kancane ngenkathi uqapha izimpawu zakho. Abanye abantu bangakwazi ukuyeka umuthi ekugcineni, kanti abanye badinga ukwelashwa kwesikhathi eside ukuze balondoloze ukulawula okuhle kokuphefumula.

Ngingasebenzisa I-Budesonide kanye ne-Formoterol Ngesikhathi Sokukhulelwa?

Ukukhulelwa kudinga ukucatshangelwa ngokucophelela kwezinzuzo zemithi uma iqhathaniswa nezingozi. Isifuba esingalawuleki ngesikhathi sokukhulelwa singaba yingozi enkulu kumama nomntwana kunomuthi uqobo. Udokotela wakho uzokuhlola lokhu futhi angase ancome ukuqhubeka nomuthi uma isifuba sakho sibi kakhulu.

Uma uhlela ukukhulelwa noma uthola ukuthi ukhulelwe ngenkathi usebenzisa lo muthi, khuluma nodokotela wakho ngokushesha. Bangase balungise umthamo wakho, bashintshele komunye umuthi, noma bancomela ukuqapha okwengeziwe. Ungayeki ukuthatha umuthi ngaphandle kwesiqondiso sezokwelapha, ngoba lokhu kungase kubhebhethekise ukuphefumula kwakho futhi kulimaze wena nomntwana wakho.