Varwere vane chirwere chisingaperi chinoparadza chirwere cheplm (COPD) vanowanzodikanwa mishonga yekuchengetedza zuva nezuva inoderedza kuchema kwemhepo, zorora miviri mumhepo uye kubatsira mapapu kuti aite zviri nani. Spiriva, iyo yakareba-inoshanda, anticholinergic bronchodilator imishonga yekuchengetedza inogona kukubatsira kuti uchengetedze zviratidzo zvako zveCOPD .
Kutanga kugamuchirwa neRDA sekuchengeteka uye kubudirira kwekushandiswa kwezuva nezuva muna 2004, Spiriva ndiro zita rekugadzirwa kwetiotropium bromide.
Mishonga inouya nenzira mbiri dzakasiyana-Spiriva Handihaler, pfu, uye Spiriva Respimat, spray. Zvose izvi zvinoshandiswa kuburikidza nemuromo wekunyatsoputika sechiitiko chekugadzirisa kwemazuva ose. Muenzaniso wevarwere vane COPD ndeye 2.5 mcg, kunyange zvazvo chirwere chepasi chiripo uye chinogamuchirwa kuti chishandiswe mukudzora mweya.
Pane zvakawanda zvinogona kuitika migumisiro yekushandisa Spiriva kuti iwe unofanirwa kuziva kubva kune imwechete kusvika kune yakaoma. Zvimwe zvikanganiso zveSpiriva Handihaler uye Spiriva Respimat zvinowanzofanana, kunyange zvazvo vamwe varwere vane mararamiro asina kufadza nekugadzirisa kumwe chete vanoona kuoma kwakaoma kune imwe.
Kusiyana nezvidzidzo zvekare, Spiriva haina kuwedzera njodzi yekurohwa kana zvimwe zviitiko zvepfungwa. Izvi zvinotevera urongwa hwezvinogona kuitika pakushandisa zvinodhaka nemigumisiro, kunyange zvazvo mamwe matambudziko asina kutaurirwa angave akabatanidzwa nekushandiswa. Iva nechokwadi chekutaura nemutarisiri wako wehutano kana iwe uchitora izvi, kana imwe mimwe mishonga, usati watora Spiriva, kana kana ukawana mamwe matambudziko asina kutaurwa pano.
Migumisiro Yechiri
Izvi zvinotevera zvipembenene zvinowanzobatana neSpiriva iyo kazhinji haifaniri kurapwa:
- Constipation
- Kukosora
- Dry mouth
- Headache
- Uturu hunorwadza
- Huro inorwadza
- Kushungurudza mudumbu
Izvi zvinotevera zvakakomba migumisiro yakave yakataurwa pashure pokushandisa Spiriva. Taura nehutano hwehutano hwako nokukurumidza kana zvichiitika kana ukawana:
- Chero mhando ipi neipi yezvinokonzera kugadzirisa zvakadai sekuputika kweganda, mikoko, kuzvimba kwechiso, miromo, kana rurimi
- Kuoma kufema kufema
- Kuchinja pane zvakaratidzwa
- Chipfuva chepfu
- Rapid moyo kana moyo palpitations
- Utachiona kana zviratidzo zvakadai sechirwere
- Dambudziko rinopfuvura urini kana kuchinja muwandu wemuyo
Kuwirirana
Spiriva inogona kuwirirana nemishonga inotevera:
- Atropine
- Hyoscyamine
- Ipratropium
- Mimwe mishonga inonzi antimuscarinics (zvinodhaka zvinodzivirira zvipembenene) kana anticholinergics
Iyi inongori rutivi rutsva rwekugona kushandiswa kwemishonga. Iva nechokwadi chekutaura nemutarisiri wako wehutano kana iwe uchitora izvi, kana chero mimwe mishonga, usati watora Spiriva.
Precautions
Spiriva haisi yevanhu vose. Usati washandisa Spiriva, zivisa mutarisiri wako wehutano kana uine chero chezvinhu zvinotevera:
- Glaucoma
- Zvinetso zvechirwere kana dambudziko rinodarika urini
- Chirwere chepoyo
- Zvinetso zveprostate
- Chinhu chisingawanzogadziriswa kana chirwere chinokonzerwa netiotropium, ipratropium, atropine, lactose, dhayi yezvokudya, mishonga kana mamwe mishonga
- Ane pamuviri, kana kuedza kuva nepamuviri
- Kuberekwa
Nzira Yokushandisa Izvo
Kuti uite izvi, unoda mushonga weSpiriva kubva kunechiremba wako, Spiriva HandiHaler, uye Spiriva capsules rine mishonga.
- Vhura guru guru guru reSpiriva HandiHaler.
- Vhura denga rakachena reSpiriva HandiHaler mumuromo. Izvozvo zvinofanira kuzarura slot duku apo capsule (inozivikanwawo se capsule reservoir) ichaiswa.
- Bvisa capsule kubva kuSpiriva capsule package. CHINOKOSHA: MUDZIMA WEMWIMI HAKANAKA KUTI UFUNGIDWE!
- Isai capsule muSpiriva capsule reservoir.
- Dzvitsai muchena mutsvuku wechipfuva paSpiriva HandiHaler chikwata.
- Shandisa bhatani riri kurutivi rweHandiHaler. Izvi zvinonzi Spiriva capsule uye inobvumira kuti mishonga isunungurwe uye inogadziriswa.
- Isa Spiriva HandiHaler kumuromo wako uye usimbise zvakasimba miromo yako kumativi ose. Fema nokukurumidza uye zvakadzama kuburikidza neSpiriva HandiHaler. Iwe unofanirwa kunzwa kurira kunzwika sezvaunotora kufema kwakadzika. Izvi zvinoratidza mishonga iri kugoverwa nenzira yakarurama kubva pane capsule.
- Kana iwe usinganzwi kutinhira inzwi, edza mazano anotevera: Tarisa kuti uone kuti muromo wako paSpiriva Handihaler yako yakavharwa. Tora HandiHaler wako wakarurama uye uiise panyoro patafura yepamusoro, pakatarisana kana imwe nzvimbo yakaoma. Edza kudhonza zvakare. Kana iwe usingadi kunzwa kana kunzwa mushutura, taura nachiremba wako kana mhizimisi nokukurumidza.
- Kana zvichibvira, tora mweya wako kwemaminitsi mashanu kusvika gumi, uye fema kunze kazhinji.
- Shenesa muromo wako nemvura kana kushambidza meno ako mushure mekushandisa imwe neimwe.
- Vhura muchena mutsvavha uye bvisa capsule kubva ku capsule reservoir.
- Dzvitsai chichena chakavhara mumuromo uye guru guru guru reSpiriva HandiHaler. Kandai capsule kure mumarara.
- Shamba yako Spiriva Handihaler kamwe pamwedzi pamusana pemurayiridzi wegadziri.
Mazano Okushandisa Zvakakodzera
- Usamboshandisa chero ani zvake Spiriva HandiHaler kana kugovera imwe yako chipfeti kune ani zvake. Chengetedza iyi nemamwe mishonga yose kure navana.
- Usashandisa zvinopfuura chirongwa cheSpiriva. Kushandisa mishonga yakawanda kudarika chiremba wako akaraira hakuzobatsiri COPD kurapa, uye kunogona kukonzera migumisiro.
- Usachengeta kapsules yakashandiswa kana kusashandiswa mukati meSpiriva HandiHaler.
- Usabvisa capsule kubva muhomwe kusvikira yakagadzirira kushandiswa, sezvo kuita kudaro kunogona kuderedza kubudirira kwayo.
- Dzivisa kuwana pfupa kubva muSpiriva capsule mumaziso ako.