Dhiyabhorosi rimwechete akanyevera kuti raigona, ndokudzoka zvakare
IU.S. Food and Drug Administration yakabudisa nyevero zvakare muna 2008 inotaura kuti pane humwe humwe hupupuriro hwekutanga Spiriva inogona kukonzera ngozi yechirwere , uye pamwe pamwewo panjodzi yekurova kwemoyo kana kufa. Zvisinei, sangano rakadzorera zvakare nyevero muna 2010, richiti uchapupu hwava kuratidza iye zvino kuti Spiriva haana kuwedzera ngozi idzi.
Nhau ipi pano?
Ihwo huno uchapupu hunowanikwa kubva mumakiriniki epanguva pfupi yekuchirapa hunoratidza kuti Spiriva haingowedzera ngozi yako yekurohwa, kurwadziwa kwemoyo, kana kufa.
Spiriva inoshandiswa muCOPD kurapa bronchospasms - zvinokonzerwa kamwe-kamwe mumhepo yako inoita kuti zvive nyore kwauri kupema. Mishonga inotorwa kamwe chete zuva nezuva kuburikidza ne inhaler. Hazvifananidzi kumira zviratidzo zvinguva pfupi se "mishonga yokununura" -kudaro, unofanira kuitora nguva dzose kuti ikubatsire.
Dhiyabhorosi yekutanga yeAIDS kuSpiriva, yakabudiswa musi waMarch 18, 2008, yakakonzera mibvunzo pamusoro pemishonga nokuti kuongorora kwekutanga kwekuchengetedzwa kwemashoko kubva kumakemikari makumi maviri nemakumi mashanu anosanganisira Spiriva yakaratidza kuti vamwe vanhu vane COPD vanotora Spiriva vane zvirwere kupfuura vanhu vanotora placebo vasina basa.
Kunyanya, iyo yekutanga yekare yakaratidza kuti vanhu vasere kubva kune chiuru chimwe chete vachitora Spiriva vane marwadzo, vachienzanisa nevanhu vatanhatu kubva kune chiuru chimwe chete vachitora nzvimbobo. I-FDA yakabvuma kuti ruzivo rwakanga rwava kutanga, asi rakati rwaida kuratidza vanachiremba nevarwere pamusoro payo. Munguva yakapfuura, sangano racho rave richipomerwa kuti rinonoka zvikuru kuderedza kuchengetedzwa kwekuchengetedza nezvemishonga.
Panguva imwecheteyo, FDA yakakumbira Spiriva, mishonga yemakambani Boehringer Ingelheim Pharmaceuticals, Inc., kuti adzokere uye aongorore nyaya zvakare. Sangano rezvematongerwo enyika rakaudzawo vanhu vane COPD avo vakanga varairwa Spiriva kuti varege kurega kutora mishonga, uye kuzokurukura zvinetso zvavaiva nazvo navanachiremba.
Zvimwe Zvinyorwa Ongororo yeSpiriva Haana Kuratidza Dambudziko
Apo kamwe mahofisi eDFA nevamwe vavo paBoehringer Ingelheim vakanga vadzokorora nhoroondo yose yakaunganidzwa paSpiriva, FDA yaJan 14, 2010 yakadzorera nyevero yayo yekuchengetedzwa kwa2008 pamishonga:
"FDA yakagumisa kugadzirisa kwayo uye inofunga kuti ruzivo rwakakosha harisi kutsigira sangano pakati pekushandiswa kweSpiriva HandiHaler uye kuwedzera kwekuda kwezviitiko izvi zvakaipa zvakakomba FDA inokurudzira vashandi vezvehutano kuti varambe vachiraira Spiriva HandiHaler sezvavanokurudzirwa murapa yezvinodhaka . "
Saka nyanzvi dzezvehutano dzakagumisa kuti nyevero yekutanga ye FDA pamusoro peSpiriva uye kushungurudzwa yakanga isina nguva, uye kuongororwa kwakajeka kwehuchapupu kunoratidza kuti mishonga haina kukonzera njodzi yekurohwa, kurwadziwa kwemoyo kana kufa.
Spiriva Side Effects
Spiriva, iyo ikozvino inotengeswa mumitauro miviri - Spiriva HandiHaler uye Spiriva Respimat - ine mikana yemigumisiro, dzimwe dzingave dzakaoma.
Zvipembenene zvinowanzozivikanwa neSpiriva zvinosanganisira kuputika kwepamusoro kwehutachiona , kuoma muromo, uye kurwadziwa kwehuro. Utsivi kana zviratidzo zvakashata zvinogonawo kuitika naSpiriva, zvinogona kureva kuti unoda kushandiswa nekuchenjerera kutyaira kana kushandiswa kwemichina.
Mukuwedzera, Spiriva inogona kuwedzera kukanganisa mumaziso ako, zvichiita kuti ione yakaoma-angle-angle glaucoma , mamiriro ezvinhu anogona kutyisidzira chiratidzo chako.
Kana ukashandisa Spiriva uye uine marwadzo eziso, maziso asingaoneki kana maziso akatsvuka, uye kana ukatanga kuona halos panopenya magetsi, dana chiremba wako pakarepo.
Pakupedzisira, Spiriva inogona kukonzera iwe kuoma kunopfuura urin uye kunorwadza kunyorera. Kana izvi zvichiitika kwauri, rega kutora mishonga uye kudana chiremba wako.
Sources:
Global Strategic for the diagnosis, Management, and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2016.
US Food and Drug Administration Safety Alert. Tiotropium (inotengeswa seSpiriva HandiHaler). Yakabudiswa Jan. 14, 2010.