

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
Ukuphefumula kwe-Fluticasone ngumuthi kadokotela osiza ukunciphisa ukuvuvukala emoyeni wakho, okwenza kube lula ukuphefumula. Lo muthi we-steroid uza ngesimo se-inhaler futhi usebenza ngqo emaphashini akho ukuvimbela ukuhlaselwa kwe-asthma nokuphatha izimo zokuphefumula ezingapheli. Abantu abaningi bathembele ekuphefumuleni kwe-fluticasone njengengxenye yomsebenzi wabo wansuku zonke ukuze bagcine izindlela zabo zomoya zizolile futhi zivulekile.
Ukuphefumula kwe-Fluticasone wuhlobo lomuthi we-corticosteroid owuphefumulela ngqo emaphashini akho nge-inhaler. Kungokwesigaba semithi ebizwa ngokuthi ama-corticosteroids aphefumulwayo, aklanyelwe ukunciphisa ukuvuvukala nokucasuka emgudwini wakho wokuphefumula. Ngokungafani nama-steroid omlomo athinta umzimba wakho wonke, lo muthi usebenza endaweni emaphashini akho lapho uwudinga kakhulu.
Umuthi uza njengempushana eyomile noma i-aerosol oyiphefumulayo ngomlomo wakho usebenzisa idivayisi ekhethekile. Uma isifinyelela emoyeni wakho, i-fluticasone isiza ukuthulisa ukusabela komzimba okubangela ukuvuvukala nobunzima bokuphefumula. Le ndlela eqondiwe isho ukuthi uthola izinzuzo zokwelashwa nge-steroid ngemiphumela emincane eceleni emzimbeni wakho wonke.
Ukuphefumula kwe-Fluticasone okokuqala kusetshenziselwa ukuvimbela nokulawula izimpawu ze-asthma kubantu abadala nezingane ezineminyaka engaphezu kwengu-4 ubudala. Udokotela wakho angase futhi akubhalele ukugula kwamaphaphu okungapheli (COPD) ukusiza ukunciphisa ukuqubuka nokuthuthukisa ukuphefumula kwakho ngokuhamba kwesikhathi. Lo muthi usebenza njengomuthi wokulawula, okusho ukuthi uvimbela izinkinga kunokuthi welaphe izimo eziphuthumayo zokuphefumula.
Umuthi ulusizo ikakhulukazi kubantu abahlangabezana nezimpawu zomoya eziphikelelayo njengokukhwehlela, ukuphefumula kanzima, ukuqina kwesifuba, noma ukukhwehlela okuqhubekayo. Kungazuza futhi kulabo abanezifo zokungezwani komzimba nezinto ezithile ezibangela izinkinga zokuphefumula. Odokotela abathile bayawubhala ukuthi usetshenziswe kwezinye izimo zokuvuvukala kwamaphaphu lapho ukwelashwa okujwayelekile kungahlinzeki ngosizo olwanele.
Kubalulekile ukuqonda ukuthi ukuhogela i-fluticasone ngeke kusize ngesikhathi sokuhlaselwa komoya okungazelelwe noma esimweni esiphuthumayo sokuphefumula. Kulezo zimo, uzodinga i-inhaler esheshayo evula imigudu yakho yomoya ngokushesha. Cabanga nge-fluticasone njengokuvikela kwakho kwansuku zonke, kuyilapho ama-inhaler osizo eyisipele sakho esiphuthumayo.
Ukuhogela i-Fluticasone kusebenza ngokulingisa i-cortisol, i-hormone yemvelo umzimba wakho oyenzayo ukuze ulawule ukuvuvukala. Uma uhogela umuthi, uhamba ngqo emangqamuzaneni aqhuba imigudu yakho yomoya futhi unciphisa ukuthambekela kwawo ekuvuvukaleni nasekukhiqizeni amafinyila amaningi. Lokhu kudala imvelo ezolile emaphashini akho lapho ukuphefumula kungenzeka kalula.
Umuthi uthathwa njenge-steroid enamandla aphakathi nendawo ethambile ngokwanele ukusetshenziswa nsuku zonke kodwa enamandla ngokwanele ukuhlinzeka ngosizo olukhulu. Ngokuvamile kuthatha izinsuku eziningana kuya emavikini okusetshenziswa njalo ngaphambi kokuthi uqaphele izinzuzo ezigcwele. Ngokungafani nama-steroid aqinile, ukuhogela i-fluticasone kubangela imiphumela emincane emzimbeni wakho wonke ngoba iningi lalo lihlala emaphashini akho.
Imigudu yakho yomoya iba ngaphansi kokusabela ezintweni ezibangela njengempova, uthuli, umoya obandayo, noma ukuzivocavoca lapho usebenzisa lo muthi njalo. Lo mphumela wokuvimbela usho ukuthi mancane amathuba okuthi uhlangabezane nezinkinga zokuphefumula ezingazelelwe noma udinge i-inhaler yakho yosizo njalo. Umuthi empeleni ufundisa amasosha akho omzimba ukuthi aphendule ngokuzola ezintweni ezazivame ukubangela ubunzima bokuphefumula.
Thatha ukuhogela kwe-fluticasone ngendlela eqondile njengoba udokotela wakho ekunqumele, ngokuvamile kanye noma kabili ngosuku ngezikhathi ezifanayo nsuku zonke. Abantu abaningi bakuthola kuwusizo ukusebenzisa i-inhaler yabo ekuseni nakusihlwa, bakhe isimiso okulula ukusikhumbula. Hlala ugeza umlomo wakho ngamanzi bese uwakhipha ngemva kokusebenzisa i-inhaler ukuvimbela imiphumela engemihle engase yenzeke emlonyeni nasemphinjeni wakho.
Akudingeki ukuthi uthathe lo muthi nokudla, kodwa abanye abantu bakhetha ukuwusebenzisa ngaphambi noma ngemva kokudla ukuze basize ukukhumbula imithamo yabo. Okubalulekile ukuqina kunokuhlela isikhathi sokudla. Qiniseka ukuthi i-inhaler yakho isezingeni lokushisa legumbi ngaphambi kokuyisebenzisa, njengoba amazinga okushisa abandayo angathinta ukuthi umuthi usebenza kahle kangakanani.
Nakhu okwenza ukuhogela kwe-fluticasone kusebenze kahle kakhulu uma ukusebenzisa:
Lezi zinyathelo zisiza ekuqinisekiseni ukuthi umuthi ufika ezindaweni ezifanele emaphashini akho kunokumane umboze umlomo nomphimbo wakho. Udokotela wakho noma usokhemisi angabonisa indlela efanele futhi akubukele uziqeqesha uze uzizwe uqinisekile.
Abantu abaningi badinga ukusebenzisa ukuhogela kwe-fluticasone izinyanga eziningana kuya eminyakeni njengengxenye yokuphathwa kwabo isikhathi eside kwe-asthma noma i-COPD. Udokotela wakho cishe uzoqala ngomthamo othile neshejuli, bese uyilungisa ngokusekelwe ekutheni izimpawu zakho zithuthuka kangakanani nokuthi ukumelana kanjani nomuthi. Abanye abantu bangagcina behlisa umthamo wabo noma imvamisa, kanti abanye bayazuza ekusebenziseni kwansuku zonke okuqhubekayo.
Ngokuvamile uzoqaphela ukuthuthuka kokuphefumula kwakho ezinsukwini ezimbalwa zokuqala, kodwa izinzuzo eziphelele zivame ukuthatha amasonto angu-1-2 okusetshenziswa njalo. Ungadangali uma ungezwa ngcono ngokushesha. Imigudu yakho yomoya idinga isikhathi sokuzola nokuphendula emiphumeleni elwa nokuvuvukala yomuthi.
Ungayeki ukuthatha i-fluticasone inhalation ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala, ngisho noma uzizwa ungcono kakhulu. Izimpawu zakho zingase zibuye noma zibe zimbi uma uyeka umuthi ngokushesha kakhulu. Udokotela wakho angakusiza ukuthi udale uhlelo lokunciphisa kancane kancane umthamo wakho uma kufanelekile, uqinisekisa ukuthi ukuphefumula kwakho kuhlala kuzinzile kuyo yonke izinguquko.
Abantu abaningi bayakwazi ukumelana ne-fluticasone inhalation kahle, kodwa njengayo yonke imithi, ingabangela eminye imiphumela emibi. Izindaba ezinhle ukuthi ngenxa yokuthi lo muthi usebenza ngqo emaphashini akho, ubangela izinkinga ezimbalwa emzimbeni wakho wonke uma kuqhathaniswa namaphilisi e-steroid. Imiphumela eminingi emibi imnene futhi iyathuthuka njengoba umzimba wakho ujwayela umuthi.
Nansi imiphumela emibi evame kakhulu ongase uyithole, ikakhulukazi emasontweni akho ambalwa okuqala okwelashwa:
Le miphumela evamile ivame ukuncipha njengoba uqhubeka nokwelashwa futhi uthuthukisa indlela engcono yokusebenzisa i-inhaler. Ukuwasha umlomo wakho kahle ngemuva kokusebenzisa ngakunye kungavimbela lezi zinkinga eziningi.
Nakuba kungavamile, abanye abantu bangase babe nemiphumela emibi ekhathazayo edinga ukunakekelwa kwezokwelapha. Kufanele uthinte udokotela wakho uma uba nobuhlungu bomlomo noma bomphimbo obuqhubekayo, ukukhathala okungajwayelekile, noma izimpawu zokutheleleka njengomkhuhlane. Ngokuvamile, abanye abantu bangase babe nezinguquko zemizwa, ubunzima bokulala, noma izinguquko ezwini labo ezingathuthuki ngokuhamba kwesikhathi.
Ukusetshenziswa kwesikhathi eside kwemithamo ephezulu kungase kuthinte ukuminyana kwamathambo noma ukukhula ezinganeni, kodwa udokotela wakho uzoqapha lezi zinto ezingenzeka ngesikhathi sokuhlolwa okuvamile. Izinzuzo zokuphefumula okulawulwa kahle ngokuvamile zidlula lezi zingozi ezingaba khona, ikakhulukazi uma umuthi usetshenziswa njengoba uqokiwe.
Ukuphefumula kwe-Fluticasone akulungelwe wonke umuntu, futhi udokotela wakho uzocabangela ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuchazela. Abantu abangaphandle kwe-fluticasone noma ama-corticosteroids afanayo kufanele bagweme lo muthi ngokuphelele. Akufanele futhi uwusebenzise uma okwamanje uhlangabezana nokuhlaselwa okukhulu kwesifuba noma isimo esiphuthumayo sokuphefumula, njengoba ngeke kunikeze ukukhululeka okusheshayo okudingayo.
Udokotela wakho uzofuna ukwazi ngezimo eziningana ezingase zithinte ukuthi ungayisebenzisa kanjani ngokuphepha ukuphefumula kwe-fluticasone. Abantu abanezifo eziqhubekayo, ikakhulukazi ohlelweni lokuphefumula, bangase badinge ukulinda kuze kube yilapho ukutheleleka kuphela ngaphambi kokuqala lo muthi. Labo abanomlando we-tuberculosis noma ezinye izifo zamaphaphu ezingathi sína badinga ukuqapha okwengeziwe.
Nawa amanye amaphuzu lapho udokotela wakho angase akhethe indlela yokwelapha ehlukile:
Udokotela wakho angasiza ekulinganiseni lezi zinto ngokumelene nezinzuzo zokulawula kangcono ukuphefumula. Ngokuvamile, ukuqapha ngokucophelela kuvumela abantu abanezimo ezinjalo ukuthi basebenzise i-fluticasone inhalation ngokuphepha lapho izinzuzo zicacile ukwedlula izingozi.
I-Fluticasone inhalation itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Flovent iyona eyaziwa kakhulu e-United States. I-Flovent HFA iza njenge-metered-dose inhaler ekhulula inani elilinganisiwe lomuthi ngokuphuma ngakunye. Kukhona futhi i-Flovent Diskus, eletha umuthi njengempushana eyomile ngohlobo oluhlukile lwedivayisi ye-inhaler.
Amanye amagama omkhiqizo afaka i-ArmonAir kanye nezinguqulo ezahlukene ze-generic eziqukethe isithako esifanayo esisebenzayo. Ezinye izinhlanganisela ze-inhalers ezifana ne-Advair ziqukethe i-fluticasone kanye nomunye umuthi obizwa nge-salmeterol. Udokotela wakho noma usokhemisi angakusiza ukuthi uqonde ukuthi yimuphi umkhiqizo othile owusebenzisayo nokuthi usebenza kanjani.
Umkhiqizo ngamunye ungase ube nemiyalelo ehlukile kancane noma amadivayisi e-inhaler, ngakho kubalulekile ukufunda imininingwane eza nomkhiqizo wakho othile. Umuthi ngokwawo usebenza ngendlela efanayo kungakhathaliseki igama lomkhiqizo, kodwa indlela yokulethwa ingase ihluke kancane phakathi kwezinhlobo ezahlukene ze-inhaler.
Uma ukuhogela kwe-fluticasone kungasebenzi kahle kuwe noma kubangela imiphumela engathandeki, imithi eminingi ehlukile inganikeza izinzuzo ezifanayo. Ezinye izidakamizwa ezihogelwayo ze-corticosteroid ezifana ne-budesonide (Pulmicort) noma i-beclomethasone (Qvar) zisebenza ngendlela efanayo kodwa zingase zibekezelelwe kangcono ngabanye abantu. Udokotela wakho angakusiza ukuthi uzame izinketho ezihlukene ukuze uthole okusebenzela kangcono isimo sakho esithile.
Abanye abantu benza ngcono ngama-inhaler ahlanganisiwe aqukethe kokubili i-corticosteroid kanye ne-bronchodilator esebenza isikhathi eside. Le mithi, efana ne-fluticasone/salmeterol (Advair) noma i-budesonide/formoterol (Symbicort), inganikeza kokubili imiphumela elwa nokuvuvukala nokuvulwa komoya owodwa ku-inhaler eyodwa. Le ndlela ingase ibe lula futhi isebenze kahle kubantu abanesifuba esiphakathi nendawo kuya kwesibi.
Ezinye izindlela ezingezona ze-steroid zihlanganisa imithi efana ne-montelukast (Singulair), evimba izindlela ezithile zokuvuvukala, noma ukwelashwa okusha kwe-biologic kwesifuba esibi. Udokotela wakho angase futhi ancome imithi yokungezwani komzimba, izinguquko zokuphila, noma ukuzivocavoca ukuphefumula njengengxenye yohlelo lwakho lokwelapha olujwayelekile. Okubalulekile ukuthola inhlanganisela efanele egcina ukuphefumula kwakho kuzinzile ngemiphumela emincane.
Ukuhogela kwe-Fluticasone kanye ne-albuterol kusebenzela izinjongo ezihlukene ngokuphelele ekuphathweni kwesifuba somoya kanye ne-COPD, ngakho ukuqhathanisa ngokuqondile akulungile. I-Albuterol iyisidakamizwa esisebenza ngokushesha esivula ngokushesha imigudu yakho yomoya ngesikhathi sezimo eziphuthumayo zokuphefumula, kuyilapho i-fluticasone iyisithuthukisi sesikhathi eside esivimbela izinkinga ukuthi zenzeke endaweni yokuqala. Abantu abaningi abanesifuba somoya badinga zombili izinhlobo zemithi ukuze balawule kahle.
Cabanga nge-albuterol njengendlela yakho yokusekela eziphuthumayo kanye ne-fluticasone njengokuvikela kwakho kwansuku zonke. I-Albuterol isebenza ngemizuzu ukukhulula izimpawu ezingazelelwe njengokuphefumula noma ukuphefumula kanzima, kodwa imiphumela yayo ihlala amahora ambalwa kuphela. I-Fluticasone ithatha izinsuku kuya emavikini ukukhombisa izinzuzo ezigcwele, kodwa inikeza ukuvikelwa okuqhubekayo, kwesikhathi eside ekuthuthukiseni ukuvuvukala nezinkinga zokuphefumula.
Ukusetshenziswa kwe-fluticasone inhalation njalo kuvame ukunciphisa ukuthi udinga kangaki i-albuterol rescue inhaler yakho. Lokhu empeleni kuyisibonakaliso esihle sokuthi isifuba sakho somoya siba ngcono. Udokotela wakho uzokusiza ukuthi uqonde ukuthi ungayisebenzisa nini imithi ngayinye nokuthi isebenza kanjani ndawonye ukugcina ukuphefumula kwakho kuzinzile usuku lonke nobusuku.
I-Fluticasone inhalation ngokuvamile ithathwa njengephephile kubantu abanezifo zenhliziyo ngoba isebenza ikakhulukazi emaphashini kunokuthinta uhlelo lwakho lwe-cardiovascular. Ngokungafani neminye imithi yesifuba somoya, i-fluticasone ngokuvamile ayibangeli ukushaya kwenhliziyo noma ukunyuka kwengcindezi yegazi. Kodwa-ke, udokotela wakho uzofuna ukukuqapha ngokucophelela, ikakhulukazi uma unezifo zenhliziyo ezinzima.
Umuthi empeleni ungase usize inhliziyo yakho ngokuqondile ngokuthuthukisa amazinga akho omoya-mpilo nokunciphisa ukucindezeleka okubangelwa ubunzima bokuphefumula ohlelweni lwakho lwe-cardiovascular. Ukulawulwa okungcono kokuphefumula kuvame ukusho ukuthi inhliziyo yakho akudingeki isebenze kanzima ukuze ipompe igazi emzimbeni wakho wonke. Noma kunjalo, ngaso sonke isikhathi yazisa udokotela wakho nganoma yiziphi izimo zenhliziyo ngaphambi kokuqala i-fluticasone inhalation.
Uma ngabe uthatha umthamo owengeziwe noma emibili we-fluticasone inhalation ngengozi, ungesabi. Ngokungafani neminye imithi, ukweqisa okuncane kwe-fluticasone inhalation akunakwenzeka ukuthi kubangele izinkinga ezingathi sína ngokushesha. Geza umlomo wakho kahle ngamanzi bese uwakhipha ukuze ususe noma iyiphi imithi eyengeziwe, bese uqhubeka nohlelo lwakho olujwayelekile lokuthatha imithi.
Xhumana nodokotela wakho noma usokhemisi uma uthathe okuningi kakhulu kunokunqunywe noma uma uba nezimpawu ezingavamile njengokucasuka okukhulu komphimbo, ubunzima bokugwinya, noma ukukhwehlela okuqhubekayo. Bangakunikeza iseluleko sokuthi ngabe udinga yini ukuqashwa okuthile noma ukwelashwa. Ukuze uvikeleke esikhathini esizayo, cabanga ukusebenzisa uhlelo lokukhumbuza imithi noma ukugcina irekhodi lomthamo ukuze ulandelele ukuthi uyithathe nini imithi yakho.
Uma uphuthelwa umthamo we-fluticasone inhalation, yithathe ngokushesha lapho ukhumbula, ngaphandle kokuthi sekuseduze nesikhathi somthamo wakho olandelayo. Kulokho, weqa nje umthamo ophuthelwe bese uqhubeka nohlelo lwakho olujwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise okungathathiwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi.
Ukuphuthelwa umthamo ngezikhathi ezithile ngeke kubangele izinkinga zokuphefumula ngokushesha, kodwa zama ukugcina ukuqina ukuze uthole imiphumela engcono kakhulu. Uma uvame ukukhohlwa imithamo, cabanga ukusetha ama-alamu ocingweni, usebenzise umhleli wamaphilisi, noma uthathe i-inhaler yakho ngesikhathi esifanayo nomunye umsebenzi wansuku zonke njengokuxubha amazinyo akho. Ukusetshenziswa kwansuku zonke okuqhubekayo kuyisihluthulelo sokuthola izinzuzo ezigcwele zokuvikela zale mithi.
Kufanele uyeke kuphela ukuthatha i-fluticasone inhalation ngaphansi kwesiqondiso sikadokotela wakho, ngisho noma uzizwa ungcono kakhulu. Abantu abaningi badinga ukusebenzisa le mithi isikhathi eside ukuze bagcine i-asthma enhle noma ukulawula i-COPD. Udokotela wakho uzoqonda izimpawu zakho, izivivinyo zomsebenzi wamaphaphu, nempilo yonke ukuze anqume ukuthi kuphephile yini ukunciphisa noma ukuyeka imithi nokuthi nini.
Abanye abantu bangagcina behlisa umthamo noma ukusebenzisa kaningi, kanti abanye bayazuza ekusebenziseni nsuku zonke. Isinqumo sincike ezintweni ezifana nokuthi isimo sakho sibi kangakanani, yini ebangela izimpawu zakho, nokuthi usabela kahle kangakanani emithini. Udokotela wakho angase akwenze uzame ukunciphisa umthamo kancane kancane ngenkathi eqapha izimpawu zakho eduze ukuze aqinisekise ukuthi ukuphefumula kwakho kuhlala kuzinzile.
I-Fluticasone inhalation ngokuvamile ithathwa njengephephile ngesikhathi sokukhulelwa, futhi odokotela abaningi batusa ukuqhubeka nokuyisebenzisa ukuze kugcinwe ukulawulwa okuhle komoya. Umoya ongalawulwa ngesikhathi sokukhulelwa ungozi kakhulu kumama nomntwana kunezingozi ezincane ezihambisana nama-corticosteroids aphefumulwayo. Ukulawulwa okuhle kokuphefumula kusiza ekuqinisekiseni ukuthi umoya-mpilo owanele ufinyelela kumntwana wakho okhulayo.
Noma kunjalo, kufanele ngaso sonke isikhathi uxoxe nganoma yikuphi ukusetshenziswa kwemithi nodokotela wakho wezifo zabesifazane kanye nodokotela wamaphaphu ngaphambi nangesikhathi sokukhulelwa. Bangakusiza ukuthi ulinganise izinzuzo nezingozi ezithile esimweni sakho futhi bangase balungise umthamo wakho noma isimiso sokuqapha. Abanye besifazane bathola ukuthi izimpawu zabo zomoya ziyashintsha ngesikhathi sokukhulelwa, ngakho uhlelo lwakho lokwelashwa lungase ludinge izinguquko ukuze wena nomntwana wakho nihlale ninempilo.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.