Tiotropium oral inhal
Anter
- E hoʻohana ai i ka inhaler, e hāhai i kēia mau kaʻina hana:
- Ma mua o ka hoʻohana ʻana i ka tiotropium,
- Hoʻokumu paha ʻo Tiotropium i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike ʻia nā ʻōuli aʻe, akā inā ʻike ʻoe i kekahi o ia mau mea, e kāhea koke i kāu kauka:
- Pākuʻi ʻia paha nā ʻōuli o ka overdose:
Hoʻohana ʻia ʻo Tiotropium e pale aku ai i ka hū ʻana, ka pōkole o ka hanu, ke kahe ʻana, a me ka paʻa o ka umauma i nā mea maʻi me ka maʻi pulmonary obstructive maʻi (COPD, kahi hui o nā maʻi e pili ana i nā akemāmā a me nā alaloa) e like me ka bronchitis mau (ka pehu ʻana o nā ala ea e alakaʻi i nā mumū) a me ka emphysema (hōʻino i nā ʻeke ea i loko o nā akemāmā). Aia ʻo Tiotropium i kahi papa o nā lāʻau i kapa ʻia he bronchodilators. Hana ia me ka hoʻomaha a me ka wehe ʻana i nā ala ʻea i nā akemāmā e maʻalahi ai ka hanu.
Hele mai ʻo Tiotropium ma ke ʻano he capsule e hoʻohana me kahi inhaler hoʻolālā kūikawā. E hoʻohana ʻoe i ka mea inhaler e hanu i ka pauka maloʻo i loko o nā capsule. Hoʻokomo pinepine ʻia ʻo Tiotropium i hoʻokahi lā i ka lā i ke kakahiaka a i ʻole ke ahiahi. E kōkua iā ʻoe e hoʻomanaʻo i ka inhale tiotropium, inhale iā ia a puni ka manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E hoʻohana pono i ka tiotropium e like me ke kuhikuhi. Mai hanu i nā mea ʻoi aku a emi paha o ia mea a inhale iā ia i nā manawa hou aʻe ma mua o ka mea i kauoha ʻia e kāu kauka.
Mai ale i nā capsule tiotropium.
E holo wale ka Tiotropium inā ʻoe e hoʻohana i ka inhaler hele mai ia e inhale ka pauka i loko o nā capsule. Mai hoʻāʻo e hoʻōho iā lākou me ka hoʻohana ʻana i kekahi mea inhaler ʻē aʻe. Mai hoʻohana i kāu tiotropium inhaler e lawe i nā lāʻau ʻē aʻe.
Mai hoʻohana i ka tiotropium e mālama i ka hoʻouka kaua ʻana o ka wheezing a i ʻole ka liʻiliʻi o ka hanu. E kauoha paha kāu kauka i kahi lāʻau ʻokoʻa e hoʻohana ai ke loaʻa iā ʻoe kahi pilikia nui i ka hanu ʻana.
Mālama ʻo Tiotropium iā COPD akā ʻaʻole ia e hoʻōla iā ia. E hala paha i mau pule ma mua o kou ʻike i nā pono piha o ka tiotropium. E hoʻomau i ka lawe ʻana i ka tiotropium ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka tiotropium me ka walaʻau ʻole ʻana me kāu kauka.
E makaʻala i ka loaʻa ʻole o ka pauka tiotropium i kou mau maka. Inā komo ka pauka tiotropium i loko o kou mau maka, malia e ʻike maka a ʻike maka ʻoe i ka mālam. Kāhea i kāu kauka inā kū kēia.
E hoʻohana ai i ka inhaler, e hāhai i kēia mau kaʻina hana:
- E hoʻohana i ke kiʻikuhi i ka ʻike hoʻomanawanui i hele mai me kāu lāʻau e kōkua iā ʻoe e aʻo i nā inoa o nā ʻāpana o kāu inhaler. Hiki iā ʻoe ke loaʻa i ka pāpale lepo, ka waha waha, ke kumu, ke kī pihi, a me ke keʻena waena.
- E koho i hoʻokahi kāleka blister o nā capsule tiotropium a haehae iā ia ma ka perforation. ʻElua mau pā i loaʻa iā ʻoe i loko o kēlā me kēia me nā capsule ʻekolu.
- E waiho i kekahi o nā pā i hope. E hoʻohana i ka ʻaoʻao e ʻeli pono i hope i ka pepa i ka leʻo blister a hiki i ka laina STOP. E wehe piha kēia i hoʻokahi capsule. ʻO nā capsule ʻelua ʻē aʻe i ka lepe e hoʻopaʻa mau ʻia i kā lākou wahī. E hoʻolālā e hoʻohana i kēlā mau capsule i nā lā 2 e hiki mai ana.
- Huki i luna i ka pāpale lepo o kāu inhaler e wehe iā ia.
- E wehe i ka waha o ka mea inhaler. Wehe i ka capsule tiotropium mai ka pūʻolo a waiho iā ia i ke keʻena waena o ka mea inhaler.
- Pani paʻa ka waha waha a hiki i ke kaomi ʻana, akā mai hoʻopaʻa i ka pāpale lepo.
- Paʻa i ka mea hoʻōha i luna pono ka waha waha. E kaomi hoʻokahi i ke pihi ʻōmaʻomaʻo ʻōmaʻomaʻo, a laila e hoʻokuʻu.
- E hanu i waho me ka waiho ʻole i kahi ʻāpana o ka inhaler i loko a kokoke paha i kou waha.
- Lawe i ka mea inhaler i kou waha a paʻa paʻa i kou mau lehelehe a puni ka waha waha.
- E hoʻopaʻa i kou poʻo i luna a hanu i ka mālie a hohonu. E hanu ʻoe me ka wikiwiki e lohe ai i ka haʻalulu o ka capsule. E hoʻomau i ka hanu ʻana a piha kou mau māmā.
- E paʻa i kou hanu no ka mea hiki iā ʻoe ke ʻoluʻolu. Lawe i ka inhaler mai kou waha ʻoiai ʻoe e paʻa nei i kou hanu.
- E hanu maʻamau no kahi manawa pōkole.
- E hana hou i nā anuu 8-11 e hoʻopili i nā lāʻau āpau e waiho ʻia i kāu inhaler.
- E wehe i ka waha waha a hili i ka mea inhaler e ninini i ka capsule i hoʻohana ʻia. E hoʻolei i ka capsule i hoʻohana ʻia i waho o ke kiʻi o nā keiki a me nā holoholona. ʻIke paha ʻoe i kahi liʻiliʻi o ka pauka e waiho ana i ka capsule. He maʻamau kēia a ʻaʻole ia he manaʻo ʻaʻole ʻoe i loaʻa i kāu kaukana piha.
- Pani i ka waha waha a me ka pāpale lepo a mālama i ka mea inhaler i kahi wahi palekana.
Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.
Ma mua o ka hoʻohana ʻana i ka tiotropium,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka tiotropium, atropine (Atropen, Sal-Tropine, Ocu-Tropine), ipratropium (Atrovent), a i ʻole nā lāʻau ʻē aʻe.
- e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻowaiwai a me nā huahana lāʻau āu e lawe nei. E ʻōlelo pono i kekahi o kēia mau mea: amiodarone (Cordarone); antihistamines; atropine (Atropen, Sal-Tropine, Ocu-Tropine); cisapride (Propulsid); disopyramide (Norpace); dofetilide (Tikosyn); erythromycin (E.E.S, E-Mycin, Erythrocin); kulu ka maka; ipratropium (Atrovent); nā lāʻau no ka maʻi hanu huhū, ka neʻe ʻana o ka maʻi, ka maʻi ʻo Parkinson, nā maʻi ulcer, a me nā pilikia urinary; moxifloxacin (Avelox); pimozide (Orap); procainamide (Procanbid, Pronestyl); quinidine (Quinidex); sotalol (Betapace); sparfloxacin (Zagam); a me thioridazine (Mellaril). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
- e haʻi i kāu kauka inā loaʻa paha iā ʻoe ka glaucoma (kahi maʻi maka e hiki ai ke lilo i ka ʻike maka), nā pilikia urinary, ka puʻuwai puʻuwai ʻole, a i ʻole ka prostate (kahi kāne hānau hānau) a i ʻole nā maʻi puʻupaʻa.
- e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka tiotropium, e kāhea i kāu kauka.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe nei ʻoe i ka tiotropium.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
E hoʻopau i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai inhale i kahi lāʻau pālua e pani no kahi mea i hala.
Hoʻokumu paha ʻo Tiotropium i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- waha maloo
- kōpaʻa
- ʻeha ka ʻōpū
- ka luaʻi
- hoʻomālō
- ʻeha mākala
- ihu ihu
- ihu ihope
- ʻūlū
- ʻeha keʻokeʻo ʻeha ma ka waha
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike ʻia nā ʻōuli aʻe, akā inā ʻike ʻoe i kekahi o ia mau mea, e kāhea koke i kāu kauka:
- hives
- ʻāwīwī o ka ʻili
- ʻūlili
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
- ka pehu o ka maka, ka ʻāʻī, ke alelo, nā lehelehe, nā maka, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
- hulahula
- ʻeha ka umauma
- ʻeha ka ʻāʻī, ke kuni, ke anu, a me nā ʻōuli ʻē aʻe o ka maʻi
- ʻeha poʻo poʻo a i ʻole nā hōʻailona ʻē aʻe o kahi maʻi sinus
- ʻinoʻī paʻakikī a paʻakikī paha
- kuʻi ka puʻuwai wikiwiki
- ʻeha ka maka
- ʻike hihi
- ke ʻike ʻana i ka ʻāpana a puni nā kukui a i ʻole ke ʻike ʻana i nā kiʻi kala
- maka ʻulaʻula
Hoʻokumu paha ʻo Tiotropium i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka hoʻohana ʻana i kēia lāʻau.
Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).
E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua. Mai wehe i ka pūʻolo palolo e pili ana i kahi capsule a hiki i ka wā ma mua o kou mākaukau e hoʻohana. Inā wehe ʻole ʻoe i ka pūʻolo o ka capsule i hiki ʻole iā ʻoe ke hoʻohana koke, hoʻolei i kēlā capsule. Mai mālama i nā capsule i loko o ka inhaler.
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org
I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.
Pākuʻi ʻia paha nā ʻōuli o ka overdose:
- waha maloo
- ʻeha ka ʻōpū
- kōpaʻa
- lulu lima ʻaʻole hiki iā ʻoe ke kāohi
- nā hoʻololi i ka noʻonoʻo
- ʻike hihi
- maka ʻulaʻula
- puʻuwai wikiwiki
- pilikia urino
Mālama i nā manawa āpau me kāu kauka.
E loaʻa iā ʻoe kahi inhaler hou me kēlā me kēia lako o 30 lā o ka lāʻau. ʻO ka maʻamau, ʻaʻole pono ʻoe e hoʻomaʻemaʻe i kāu inhaler i nā lā 30 āu e hoʻohana ai. Eia nō naʻe, inā pono ʻoe e hoʻomaʻemaʻe i kāu inhaler, pono ʻoe e wehe i ka pāpale lepo a me ka waha waha a laila kaomi i ke pihi piercing e wehe i ke kumu. A laila holoi i ka inhaler holoʻokoʻa me ka wai mehana akā me ka ʻole o nā kopa a me nā mea holoi. E kuhi i ka nui o ka wai a waiho i ka mea inhaler e hoʻomaloʻo i ka ea no 24 mau hola me ka pāpale lepo, ka waha waha, a me ka hamama kumu. Mai holoi i kāu inhaler i ka mea holoi ipu a mai hoʻohana iā ia ma hope o kou holoi ʻana a ʻae ʻia e hoʻomaloʻo no 24 mau hola. Hiki iā ʻoe ke hoʻomaʻemaʻe i ka waho o ka waha waha me kahi mea pulu (ʻaʻole pulu).
Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.
He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.
- Spiriva® HandiHaler®
- ʻO Stiolto ® ʻO Respimat® (nona ka olodaterol a me ka tiotropium)