Yini i-Fluticasone ne-Salmeterol: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Fluticasone ne-salmeterol kuyinhlanganisela yomuthi wokuphefumula osiza ukulawula isifuba somoya kanye nesifo sokuvinjelwa kwamaphaphu esingamahlalakhona (COPD). Lokhu kwelapha okusebenza kabili kuhlanganisa i-corticosteroid (fluticasone) ne-bronchodilator esebenza isikhathi eside (salmeterol) ukunciphisa ukuvuvukala nokugcina imigudu yakho yomoya ivulekile ukuze kube lula ukuphefumula.

Kucabange njengokuba nabasizi ababili abahlukene abasebenzisana emaphashini akho. I-fluticasone isebenza njenge-ejenti elwa nokuvuvukala elithambile, ithulisa izicubu ezivuvukele emoyeni wakho. Okwamanje, i-salmeterol isebenza njengomrelaxer wemisipha, isiza imisipha emincane ezungeze imigudu yakho yomoya ukuthi ihlale ivulekile futhi ivuleke amahora angafika kwangu-12.

Yini i-Fluticasone ne-Salmeterol Esetshenziselwa Yona?

Lo muthi ohlanganisiwe ngokuyinhloko unqunyelwe ukulawulwa kwesikhathi eside kwesifuba somoya kubantu abadala kanye nezingane ezineminyaka engaphezu kwengu-4 ubudala. Iphinde isetshenziselwe ukuphatha izimpawu ze-COPD kubantu abadala, isiza ukuvimbela ubunzima bokuphefumula ngaphambi kokuthi buqale kunokuthi buphathe ukuhlaselwa okungazelelwe.

Udokotela wakho angase ancome lo muthi uma usebenzisa i-inhaler yokuhlenga kaningi ngaphezu kwamasonto amabili, uvuka ebusuku ngenxa yezinkinga zokuphefumula, noma uma imithi enesithako esisodwa inganikezi ukulawula okwanele. Ilusizo ikakhulu kubantu abanezimpawu zesifuba somoya eziphazamisa imisebenzi yansuku zonke njengokuzivocavoca, umsebenzi, noma ukulala.

Lokhu akuyona imithi yokuhlenga ezimweni eziphuthumayo zokuphefumula. Kunalokho, isebenza njengokwelashwa kokugcinwa okuthathayo njalo ukuvimbela izimpawu ukuthi zingenzeki endaweni yokuqala. Usazodinga ukugcina i-inhaler yakho yokukhulula ngokushesha eduze ngezinkinga zokuphefumula ezingalindelekile.

Isebenza Kanjani i-Fluticasone ne-Salmeterol?

Le ndlela yokusebenza isebenza ngezindlela ezimbili ezihambisanayo ohlelweni lwakho lokuphefumula. Ingxenye ye-fluticasone ingeyeqembu lemithi ebizwa ngokuthi ama-corticosteroids, anciphisa ukuvuvukala nokuvuvukala emoyeni wakho ngokuhamba kwesikhathi.

Ingxenye ye-salmeterol iyi-beta2-agonist esebenza isikhathi eside ekhulula imisipha ebushelelezi ezungeze imigudu yakho yomoya. Lesi senzo esiphindwe kabili sibhekana nokuqubuka okuyisisekelo kanye nokuqina kwemisipha okungenza ukuphefumula kube nzima.

Njengomuthi wokugcinwa, le nhlanganisela ithathwa njengemodareyithi eqinile. Ngokuvamile ibhalwa lapho ukwelashwa okuncane kungazange kunikeze ukulawula okwanele, kodwa akuyona inketho eqine kakhulu etholakalayo. Imiphumela yakha kancane kancane ezinsukwini eziningana kuya emavikini okusetshenziswa okuqhubekayo, ngakho ungase ungaboni ngcono ngokushesha.

Kufanele Ngiyithathe Kanjani I-Fluticasone ne-Salmeterol?

Ngokuvamile uzothatha lo muthi kabili ngosuku, cishe ngamahora ayi-12 ahlukene, usebenzisa i-inhaler yomuthi owomile noma i-inhaler elinganiselwe. Isikhathi esiqondile asidingi ukuba siqine, kodwa ukuqina kusiza ukugcina amazinga emithi aqinile ohlelweni lwakho.

Ngaphambi kokusebenzisa i-inhaler yakho, hlambulula umlomo wakho ngamanzi uma usanda kudla, kodwa akudingeki ukuthi ugweme ukudla ngokuphelele. Ngemva kokuphefumula umthamo wakho, hlambulula umlomo wakho ngamanzi njalo bese uwakhipha ukuze uvimbele i-thrush yomlomo, umphumela ovamile we-corticosteroids ephefumulwayo.

Nawa amasu abalulekile okufanele uwalandele njalo uma usebenzisa i-inhaler yakho:

1. Susa ikepisi bese unyakazisa i-inhaler (uma inguhlobo olulinganiselwe) noma lungisa i-inhaler yomuthi owomile ngokwemiyalelo
2. Khipha umoya ngokuphelele, kude ne-inhaler
3. Beka izindebe zakho ngomlomo bese udala uphawu oluqinile
4. Qala ukuphefumula kancane futhi ujule ngenkathi usebenzisa i-inhaler
5. Bamba umoya wakho imizuzwana eyi-10 noma isikhathi eside njengoba ukhululekile
6. Khipha umoya kancane bese uhlanza umlomo wakho ngamanzi

Uma udinga ukuthatha ama-puffs amabili, linda imizuzwana engaba ngu-30 phakathi kwemithamo. Lokhu kuvumela umthamo wokuqala ukuthi usize ukuvula imigudu yakho yomoya, okwenza umthamo wesibili usebenze kangcono.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Fluticasone ne-Salmeterol?

Abantu abaningi badinga ukuthatha lo muthi izinyanga noma iminyaka njengengxenye yokuqhubeka nokuphathwa komoya noma i-COPD. Ubude besikhathi buxhomeke esimweni sakho esithile, ukuthi usabela kanjani emuthini, nokuthi izimpawu zakho zihlala zilawulwa yini.

Udkt wakho ngokuvamile uzobuyekeza inqubekela phambili yakho njalo emavikini angu-3 kuya kwangu-6 ukuze ahlulele ukuthi usadinga yini amandla afanayo noma ngabe ukulungiswa kuyadingeka. Abanye abantu bangase bagcine behlele umthamo ophansi noma bashintshele emuthini ohlukile uma izimpawu zabo zithuthuka kakhulu.

Ungayeki ukuthatha lo muthi ngokuzumayo, ngisho noma uzizwa ungcono. Ukuyeka ngokuphazima kungaholela ekubuyeni kwezimpawu noma ngisho nokwenza isimo sakho sibe sibi kakhulu. Uma ufuna ukuyeka umuthi, udkt wakho uzokwenza uhlelo lokunciphisa kancane ukuze akudlulisele ngokuphepha ekwelashweni.

Yiziphi Izimo Ezingezinhle Ze-Fluticasone ne-Salmeterol?

Njengayo yonke imithi, le nhlanganisela ingabangela imiphumela emibi, nakuba abantu abaningi bengabi nazinkinga eziningi. Imiphumela emibi evame kakhulu ngokuvamile ithambile futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.

Nansi imiphumela emibi ongase uyithole, iqala ngaleyo evame kakhulu:

• Ukucasuka komphimbo noma ukuminyana
• I-thrush yomlomo (ama-patches amhlophe emlonyeni wakho)
• Ikhanda
• Isicanucanu noma isisu esibuhlungu
• Ama-cramps emisipha noma ama-tremors
• Isiyezi
• Ukukhwehlela noma izifo eziphezulu zokuphefumula

Le miphumela emibi evamile ngokuvamile ayidingi ukunakekelwa kwezokwelapha ngaphandle kwalapho iba yisicefe noma iqhubeka amasonto angaphezu kwambalwa. Ukugeza umlomo wakho ngemva komthamo ngamunye kunciphisa kakhulu ingozi yokucasuka komphimbo kanye ne-thrush yomlomo.

Ezinye iziphumela ezingavamile kodwa ezingathi sína zidinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kwenzeka ngesilinganiso esincane sabasebenzisi kodwa akufanele zishaywe indiva:

• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• Ubuhlungu besifuba noma ukuqina
• Isiyezi esikhulu noma ukuquleka
• Ushintsho olungajwayelekile lwemizwa noma ukukhathazeka
• Ubuhlungu obuqhubekayo emathanjeni noma emalungeni
• Ushintsho embonweni noma ubuhlungu emehlweni
• Izimpawu zokutheleleka ezinganyamalali

Imiphumela engavamile kodwa ebucayi ingabandakanya ukucindezelwa kwe-adrenal (lapho umzimba wakho ungakhiqizi ama-steroid emvelo anele), ukwanda kwengozi yokutheleleka, nemiphumela engaba khona ekuminyaneni kwamathambo ngokusebenzisa isikhathi eside. Udokotela wakho uzoqapha lokhu ngokuhlolwa okuvamile nokuhlolwa kwegazi uma kufanelekile.

Ubani Ongafanele Athatha i-Fluticasone ne-Salmeterol?

Lo muthi awulungelwe wonke umuntu, futhi izimo ezithile zempilo noma izimo zingakwenza kungafaneleki kuwe. Udokotela wakho uzozihlola ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela le nhlanganisela.

Akufanele usebenzise lo muthi uma unokungezwani komzimba ne-fluticasone, salmeterol, noma yiziphi izithako ezingasebenzi ngaphakathi kwe-inhaler. Ngaphezu kwalokho, akunconywa ukwelapha ukuhlaselwa komoya okungazelelwe noma izimo eziphuthumayo zokuphefumula, njengoba kuthatha isikhathi eside ukusebenza kulezi zimo.

Izimo eziningi zempilo zidinga ukucatshangelwa okukhethekile noma ukuqapha lapho usebenzisa lo muthi:

• Izinkinga zenhliziyo, okuhlanganisa ukushaya kwenhliziyo okungajwayelekile noma umfutho wegazi ophezulu
• Isifo sikashukela, njengoba umuthi ungathinta amazinga kashukela egazini
• Izifo ze-Thyroid
• Isifo sesibindi
• Izinkinga zokuminyana kwamathambo noma i-osteoporosis
• Izinkinga zamehlo, ikakhulukazi i-glaucoma noma i-cataracts
• Ukutheleleka kwamanje, ikakhulukazi ukutheleleka nge-fungal

Abesifazane abakhulelwe nabancelisayo bangasebenzisa imithi enjalo, kodwa udokotela wakho uzohlola izinzuzo ngokumelene nezingozi ezingaba khona. Umuthi ungangena obisini lwebele ngamanani amancane, nakuba ngokuvamile kubhekwa njengophephe ngesikhathi sokuncelisa.

Amagama Omkhiqizo we-Fluticasone ne-Salmeterol

Lo muthi ohlanganisiwe utholakala ngaphansi kwamagama amaningi omkhiqizo, i-Advair iyona eyaziwa kakhulu. I-Advair iza ngezindlela ezimbili eziyinhloko: i-Advair Diskus (i-inhaler yomuthi owomile) ne-Advair HFA (i-inhaler yokulinganisa umthamo).

Amanye amagama omkhiqizo afaka i-AirDuo RespiClick nezinhlobo ezivamile eziqukethe izithako ezifanayo ezisebenzayo. Umkhiqizo othile odokotela bakho abawubhala kungase kuncike ekuhlinzekweni komshuwalense wakho, uhlobo lwe-inhaler ozizwa ukhululekile ukulusebenzisa, namandla atholakalayo.

Wonke lawo mikhiqizo aqukethe izithako ezifanayo ezisebenzayo kodwa ingase ibe nezithako ezingasebenzi noma izindlela zokulethwa ezihlukene. Uma udinga ukushintsha imikhiqizo, udokotela wakho uzoqinisekisa ukuthi ukwakheka okusha kunikeza ukulethwa komuthi okulinganayo.

Ezinye izindlela ze-Fluticasone ne-Salmeterol

Imithi eminingi ehlukile inganikeza izinzuzo ezifanayo uma le nhlanganisela ingasebenzi kahle kuwe. Ezinye izinhlanganisela ze-inhalers zifaka i-budesonide ne-formoterol (Symbicort), i-mometasone ne-formoterol (Dulera), ne-fluticasone ne-vilanterol (Breo Ellipta).

Ezinye izindlela ezinomuthi owodwa zingase zifake ukusebenzisa ama-inhalers ahlukene ama-corticosteroids (njenge-fluticasone yodwa) kanye nama-bronchodilators asebenza isikhathi eside (njenge-salmeterol yodwa). Abanye abantu futhi basebenzisa ama-leukotriene modifiers, i-theophylline, noma imithi emisha ye-biologic ye-asthma enzima.

Udokotela wakho uzocabangela izinto ezinjengezimpawu zakho ezithile, indlela yokuphila, ukuhlinzekwa komshuwalense, nokuthi ukubekezelela kanjani imithi ehlukene lapho nixoxa ngezindlela ezingezinye. Ngezinye izikhathi, ukuzama indlela ehlukile yokulethwa noma isimiso sokulinganisa kungenza umehluko omkhulu empumelelweni yokwelashwa.

Ingabe i-Fluticasone ne-Salmeterol ingcono kune-Albuterol?

Le mithi isebenzela izinjongo ezihlukene futhi ayiqhathaniseki ngqo. I-Fluticasone ne-salmeterol iyimithi yokulawula yesikhathi eside, kanti i-albuterol iyisiphefumulisi esisheshayo sokusiza ukukhulula izimpawu ngokushesha.

Kungenzeka udinga yomibili le mithi njengengxenye yohlelo lwakho lokuphatha isifuba somoya. Isiphefumulisi esihlanganisiwe sisebenza ukuvimbela izimpawu ukuthi zingenzeki, kuyilapho i-albuterol inikeza ukukhululeka okusheshayo lapho izimpawu ziqhamuka ngaphandle komuthi wakho wokulawula.

Cabanga ngakho kanje: umuthi ohlanganisiwe unjengokuthatha ivithamini yansuku zonke ukuze ugcine impilo yakho, kuyilapho i-albuterol injengokuthatha umuthi wokudambisa ubuhlungu lapho unekhanda. Zombili zinezindima ezibalulekile, kodwa zisebenza ngezindlela ezihlukene nangohlaka lwesikhathi.

Imibuzo Evame Ukubuzwa Mayelana ne-Fluticasone ne-Salmeterol

Ingabe i-Fluticasone ne-Salmeterol iphephile ezigulini zenhliziyo?

Lo muthi ungasetshenziswa kubantu abanezifo zenhliziyo, kodwa kudinga ukuqapha ngokucophelela. Ingxenye ye-salmeterol ingase ithinte izinga lokushaya kwenhliziyo nomfutho wegazi, ngakho udokotela wakho uzohlola impilo yakho yenhliziyo nemithambo yegazi ngaphambi kokuyibhala.

Uma unesifo senhliziyo, udokotela wakho angase aqale ngomthamo ophansi noma akuqaphe eduze emasontweni ambalwa okuqala okwelashwa. Bangase futhi bancomise ukuqapha njalo kwenhliziyo noma balungise eminye imithi yenhliziyo ukuze baqinisekise ukuhambisana.

Abantu abaningi abanezifo zenhliziyo ezinzile bangawusebenzisa ngokuphepha lo muthi uma uqashwe kahle. Kodwa-ke, kufanele ubike noma yibuphi ubuhlungu obusha besifuba, ukushaya kwenhliziyo okungavamile, noma ukukhathala okungavamile kudokotela wakho ngokushesha.

Ngingenzani uma ngiphuzile i-Fluticasone ne-Salmeterol ngengozi?

Uma ngengozi uthatha ngaphezu komthamo obekiwe, ungangeni ekuvalekeni. Ukweqisa okukodwa akunakwenzeka ukuthi kubangele izinkinga ezinkulu, kodwa kufanele uzihlolele izimpawu futhi uthinte umhlinzeki wakho wezempilo ukuze uthole isiqondiso.

Izimpawu zokuthatha okuningi zingabandakanya ukushaya kwenhliziyo okusheshayo, ukuthuthumela, ukukhathazeka, ikhanda, noma isicanucanu. Uma uhlangabezana nezimpawu ezinzima njengobuhlungu besifuba, ubunzima bokuphefumula, noma ukuquleka, funa ukunakekelwa kwezimo eziphuthumayo ngokushesha.

Ukuze uvimbele esikhathini esizayo, cabangela ukusetha izikhumbuzi zocingo noma usebenzise uhlelo lokulandela imithi ukukusiza ukhumbule ukuthi usuvele uthathe umthamo wakho nini. Gcina i-inhaler yakho endaweni efanayo nsuku zonke ukuze usungule isimiso.

Ngingenzani Uma Ngingaphuthelwa Umthamo We-Fluticasone kanye ne-Salmeterol?

Uma uphuthelwa umthamo, wuthatha ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho esivamile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, khuluma nodokotela wakho ngamasu okuthuthukisa ukunamathela, njengokushintsha isimiso sakho sokulinganisa noma ukusebenzisa izinhlelo zesikhumbuzi.

Ukuphuthelwa imithamo ngezikhathi ezithile ngeke kubangele izinkinga ngokushesha, kodwa ukuphuthelwa imithamo njalo kungaholela ekulawuleni okungahlelekile kwezimpawu kanye nokwanda kwengozi yokuhlaselwa yisifuba noma ukuqubuka kwe-COPD.

Ngingayeka nini Ukuthatha i-Fluticasone kanye ne-Salmeterol?

Kufanele uyeke kuphela ukuthatha lo muthi ngaphansi kwesiqondiso sikadokotela wakho. Noma ngabe uzizwa ungcono kakhulu, ukuyeka kungazelelwe kungaholela ekubuyeni kwezimpawu noma ukwanda kwesimo sakho.

Udkt wakho ngokuvamile uzofuna ukubona izinyanga eziningana zokulawulwa okuhle kwezimpawu ngaphambi kokucabangela noma yiziphi izinguquko ohlelweni lwakho lokwelashwa. Bangase banciphise kancane umthamo wakho noma bakushintshele emuthini ohlukile kunokuyeka ngokuphelele.

Isinqumo sokuyeka sincike ezintweni ezifana nokuthi usunesikhathi esingakanani ungenazo izimpawu, impilo yakho yonke, izinto eziqalisayo zemvelo, kanye nengozi yakho yokuqubuka esikhathini esizayo. Abanye abantu bangase badinge ukwelashwa kwesikhathi eside, kanti abanye bangase bagcine bedlulela ekwelashweni okungajuli kangako.

Ngingasebenzisa i-Fluticasone ne-Salmeterol ngesikhathi sokukhulelwa?

Lo muthi ngokuvamile uthathwa njengophephe ngesikhathi sokukhulelwa lapho izinzuzo zidlula izingozi. Isifuba esingalawuleki ngesikhathi sokukhulelwa sibeka izingozi ezinkulu kumama nomntwana kunezinto ezingase zibe khona zomuthi.

Udokotela wakho uzokuhlola ngokucophelela ngesikhathi sokukhulelwa futhi angashintsha umthamo wakho ngokusekelwe ekutheni izimpawu zakho zishintsha kanjani. Abanye besifazane bathola ukuthi isifuba sabo siyathuthuka ngesikhathi sokukhulelwa, kanti abanye baba nezimpawu eziqhubekayo.

Uma uhlela ukukhulelwa noma uthola ukuthi ukhulelwe ngenkathi usebenzisa lo muthi, xoxa ngohlelo lwakho lokwelashwa nodokotela wakho. Bangasiza ekuqinisekiseni ukuthi isifuba sakho siqhubeka silawulwa kahle ngesikhathi sokukhulelwa kwakho ukuze kube nempilo yakho nomntwana wakho.