Odwala omwe ali ndi matenda osokoneza bongo (COPD) nthawi zambiri amafunika mankhwala opatsirana tsiku ndi tsiku omwe amachepetsa kutupa kwa mphepo, kuchepetsa minofu mumlengalenga ndikuthandiza mapapu kukhala bwino. Spiriva, wautali kwambiri, anticholinergic bronchodilator ndi mankhwala osamalira omwe angakuthandizeni kusamalira zizindikiro za COPD .
Choyamba kuvomerezedwa ndi FDA kukhala kotetezeka komanso yogwira ntchito tsiku ndi tsiku mu 2004, Spiriva ndi dzina lachidziwitso cha tiotropium bromide.
Mankhwalawa amapangidwa mosiyana-Spiriva Handihaler, ufa, ndi Spiriva Respimat, spray. Zonsezi zimaperekedwa kudzera m'kamwa kotsekemera ngati chithandizo chokhazikika tsiku ndi tsiku. Mlingo wa mlingo wa odwala omwe ali ndi COPD ndi 2.5 mcg, ngakhale kuti mlingo wapansi ulipo ndipo umavomerezedwa kuti ugwiritsidwe ntchito poletsa mphumu.
Pali zotsatira zambiri zogwiritsidwa ntchito pogwiritsa ntchito Spiriva kuti muzindikire kuyambira pazokhazikika mpaka zovuta. Zotsatira zoyipa za Spiriva Handihaler ndi Spiriva Respimat zimakhala zofanana, ngakhale kuti odwala ena omwe ali ndi zotsatira zovuta ndi maumboni amodzi amakumana ndi zovuta kwambiri ndi wina.
Mosiyana ndi maphunziro apitalo, Spiriva saonjezera chiopsezo cha matenda a stroke kapena zochitika zina za mtima. Zotsatirazi ndi mndandanda wa zovuta zothandizira mankhwala ndi zotsatirapo, ngakhale mavuto ena osaneneka angagwirizane ndi ntchito. Onetsetsani kuti mukulankhulana ndi wothandizira zaumoyo wanu ngati mutenga izi, kapena mankhwala ena, musanayambe kutenga Spiriva, kapena ngati muli ndi zotsatira zina zomwe simunatchule pano.
Zotsatira Zotsatira
Zotsatirazi ndizo zotsatira zowopsa zokhudzana ndi Spiriva zomwe kawirikawiri sizikusowa kuchipatala:
- Kutsekedwa
- Kukuda
- Mlomo wouma
- Mutu
- Kupweteka kwa minofu
- Chikhure
- Zimakhumudwa m'mimba
Zotsatirazi ndizo zotsatira zoyipa zomwe zafotokozedwa pambuyo pogwiritsa ntchito Spiriva. Lankhulani ndi wothandizira zaumoyo mwamsanga momwe mungathere:
- Mitundu iliyonse yowonongeka monga khungu, ming'oma, kutupa kwa nkhope, milomo, kapena lilime
- Kuvuta kupuma
- Kusintha kwa masomphenya
- Kupweteka pachifuwa
- Kupweteka kwamtima mwamsanga kapena pamtima
- Matenda kapena zizindikiro zofanana ndi chimfine
- Kutsekula mkodzo kapena kusintha kwa mkodzo
Kuyanjana
Spiriva angagwirizane ndi mankhwala otsatirawa:
- Atropine
- Hyoscyamine
- Ipratropium
- Mankhwala okhudzana ndi matenda otchedwa antimuscarinics (mankhwala omwe amachititsa kuti chikhodzodzo chisamveke) kapena anticholinergics
Ili ndi mndandanda wa tsankho la mankhwala omwe angatheke. Onetsetsani kuti mukulankhulana ndi wothandizira zaumoyo wanu ngati mutenga izi, kapena mankhwala ena, musanatenge Spiriva.
Kusamala
Spiriva si aliyense. Musanagwiritse ntchito Spiriva, dziwitsani wothandizira zaumoyo wanu ngati muli ndi izi:
- Glaucoma
- Matenda a chikhodzodzo kapena vuto lopitirira mkodzo
- Matenda a impso
- Mavuto a prostate
- Chosazolowereka kapena chosemphana ndi tiotropium, ipratropium, atropine, lactose, dyes, chakudya, mankhwala ena onse
- Oyembekezera, kapena kuyesera kutenga pakati
- Kuyamwitsa
Mmene Mungagwiritsire Ntchito
Kuti muchite izi, mukufunikira mankhwala a Spiriva kuchokera kwa dokotala, Spiriva HandiHaler, ndi makapulisi a Spiriva omwe ali ndi mankhwala.
- Tsegulani phulusa lakuda la chipangizo cha Spiriva HandiHaler.
- Tsegulani pamwamba pa mutu wa Spiriva HandiHaler. Izi ziyenera kuwonetsa kachidutswa kakang'ono komwe kapsule (yemwe amadziwika kuti capsule reservoir) adzaikidwa.
- Chotsani capsule mu phukusi la Spiriva capsule. ZOFUNIKA KWAMBIRI: MZIMU WOYERA SIDZAKHALIDWE!
- Ikani kapsule mu spiriva capsule reservoir.
- Tsekani chovala choyera choyera pa Spiriva HandiHaler chipangizo.
- Ikani batani kumbali ya HandiHaler. Izi zimapangidwa ndi kapule ya Spiriva ndipo imalola mankhwala kuti amasulidwe ndikutsitsimutsidwa.
- Ikani HandiHaler ya Spiriva pakamwa panu ndipo mwamphamvu muzisindikiza milomo yanu pamlomo. Kupuma mofulumira kwambiri kudzera mu HandiHaler wa Spiriva. Muyenera kumveketsa phokoso pamene mutenga mpweya wabwino. Izi zikusonyeza kuti mankhwala akuperekedwa molondola kuchokera ku capsule.
- Ngati simukumva kulira, yesetsani nsonga izi: Onetsetsani kuti wotchulidwa pa Spiriva Handihaler wanu watsekedwa mwamphamvu. Gwiritsani ntchito HandiHaler wanu wowongoka ndi kuupaka mokhazikika patebulo, pompano kapena wina wolimba. Yeserani kuyambitsanso. Ngati simukumva kapena kumva kampule, kambiranani ndi dokotala kapena wamasitolo mwamsanga.
- Ngati n'kotheka, gwiritsani mpweya wanu kwa masekondi asanu kapena khumi, kenako pumani kunja mwachizolowezi.
- Pukuta pakamwa pako ndi madzi kapena kutsuka mano pambuyo pa ntchito iliyonse.
- Tsegulani chovala choyera chotsani chotsani ndi kuchotsa kapsule kuchokera ku capsule reservoir.
- Tsekani chivundikiro choyera chokhala ndi chovala choyera komanso chofufumitsa cha Spiriva HandiHaler. Ikani kapsule kutali ndi zinyalala.
- Sambani Spiriva Handihaler kamodzi pamwezi pa malangizo a wopanga.
Malangizo Oyenera Kugwiritsa Ntchito
- Musagwiritse ntchito Spiriva HandiHaler wina aliyense kapena kugawa chipangizo chanu ndi wina aliyense. Sungani mankhwala awa ndi mankhwala ena onse kwa ana.
- Musagwiritse ntchito mlingo woyenera wa Spiriva. Kugwiritsa ntchito mankhwala ambiri kuposa momwe adokotala amalembera sikungathandize chithandizo chanu cha COPD, ndipo chingayambitse zotsatira.
- Musasunge kapsules omwe amagwiritsidwa ntchito kapena osagwiritsidwa ntchito mkati mwa HandiHaler wa Spiriva.
- Musachotse capsule mu phukusiyo mpaka itakonzeka kugwiritsidwa ntchito, popeza kutero kungachepetse mphamvu.
- PeĊµani kupeza ufa kuchokera ku capsule ya Spiriva m'maso mwanu.