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Imiphumela emibi ye-Symbicort nokuthi ungayibalekela kanjani

Imininingwane Yezidakamizwa

Imiphumela emibi ye-Symbicort | Imiphumela emibi ihlala isikhathi esingakanani? | Izexwayiso | Ukusebenzisana | Ungayigwema kanjani imiphumela emibi

I-Symbicort (izithako ezisebenzayo: i-budesonide / formoterol) umuthi odonswa yi-brand-name odonswa yi-brand welapha i-asthma futhi ulawula izimpawu zesifo samaphaphu esingapheliyo (COPD), isimo sezokwelapha esifaka phakathi i-emphysema ne-bronchitis engapheli. I-Symbicort ihlanganisa izithako ezimbili ezisebenzayo: i-steroid (budesonide) kanye ne-bronchodilator esebenza isikhathi eside (formoterol fumarate). Lapho uhogela, zombili izithako zisebenza ndawonye ukunciphisa ukuvuvukala nokuphumula imisipha yomoya. Imiphumela emibi nokuhlangana kwezidakamizwa kungenzeka, futhi iSymbicort ingahle ingalungeli abanye abantu abanezimo esezivele zikhona.

OKUSHIWO: Funda kabanzi ngeSymbicort | Thola izaphulelo ze-Symbicort

Imiphumela emibi ejwayelekile ye-Symbicort

Imiphumela emibi kakhulu ye-Symbicort yile:

Umphimbo obuhlungu
Ukucasuka komqala
Ukutheleleka okuphezulu okuphefumulayo
Izono ezivuvukile (sinusitis)
Ukuminyana emakhaleni
Ubuhlungu bekhanda
Umkhuhlane
Ukuhlanza
Ukuhlungu obusemhlane
Ukungakhululeki esiswini
Ukutheleleka ngemvubelo (thrush) emlonyeni nasemphinjeni

Kube khona imibiko ye-Symbicort edala ukuphazamiseka kokulala. Ngakolunye uhlangothi, izifundo zikhombisile lokhoi-formoterol, esinye sezithako ezimbili ezisebenzayo eSymbicort, singathuthukisa ukulala. Uhogele budesonide ingaphinde ithuthukise ukulala ngokunciphisa izimpawu zesifuba somoya ebusuku. Ukuthatha iSymbicort eningi kakhulu, noma kunjalo, kungadala ukuqwasha noma izinkinga ngokulala.

Imiphumela emibi ye-Symbicort

Imiphumela emibi kakhulu ye-Symbicort ifaka phakathi:

I-pneumonia nezinye izifo zamaphaphu
Amasosha omzimba abuthakathaka kanye nengozi eyengeziwe yokutheleleka
Izinkinga zokuphefumula (i-bronchospasm eyindida)
Ukusabela okweqile komzimba kufaka phakathi isifuba, ukuvuvukala, nokuqubuka
Ukwehla kwamathambo amaminerali (osteoporosis)
Ukukhula kancane kubantwana
I-Glaucoma
Isifo senkwethu
Kuvuvukele imithambo yegazi
Amazinga we-potassium aphansi (i-hypokalemia)
Amazinga aphezulu kashukela egazini (i-hyperglycemia)

Eminye imiphumela emibi kakhulu kungenzeka kakhulu uma kuthathwa iSymbicort eningi kakhulu. Lokhu kufaka phakathi:

Izinkinga zezindlala ze-Adrenal : I-Hypercorticism ingakhula lapho umzimba uvezwa amazinga aphezulu we-corticosteroids isikhathi eside. Ngemuva kokuthatha imithamo ephezulu ye-corticosteroids isikhathi eside, izindlala ze-adrenal nazo zingaqala ukwehlisa ukukhiqizwa kwe-steroid yemvelo emzimbeni (ukungasebenzi kahle kwe-adrenal).
Izinkinga zenhliziyo nokusakazwa kwegazi: IFormoterol ngemithamo emikhulu ingadala umfutho wegazi ophakeme, ubuhlungu besifuba, ukushaya kwenhliziyo okusheshayo, nokushaya kwenhliziyo okungajwayelekile. Kubikwa abantu abashonile kubantu abathatha imithamo eyeqile yemithi efanayo.

Ukugwema ukufa okuhlobene nesifuba somoya, i-FDA kanye nomenzi wayo, i-AstraZeneca, bancoma ukuthi ugcine amanani we-Symbicort ephansi ngangokunokwenzeka uma i-asthma isilawulwa.

Ihlala isikhathi esingakanani imiphumela emibi ye-Symbicort?

Imiphumela emibi ye-Symbicort imane ibe yesikhashana futhi ingahlala usuku noma ezimbili ngemuva kokutholwa komthamo wokugcina we-Symbicort. Eminye imiphumela engemihle, efana nokuvuthwa noma i-bronchospasms, izodinga ukungenelela ngokushesha futhi ingafuna ukuthi iSymbicort imiswe ngokuphelele. Imiphumela emibi kakhulu efana nokutheleleka, izinkinga zenhliziyo, i-glaucoma, noma ukwehla kokuqina kwethambo kungadinga ukwelashwa nesikhathi esithe xaxa sokuxazulula ngisho nangemva kokumiswa kwe-Symbicort.

Ukuphikisana nezixwayiso ze-Symbicort

I-Symbicort inemiphumela ebanzi ebanzi, ngakho-ke akuwona wonke umuntu oyilungu elifanelekile le-Symbicort. Ngenhlanhla, izidakamizwa eziseSymbicort azikwenzi ukuncika, kepha ukusetshenziswa ngokweqile noma ngokweqile komuthi kungadala izinkinga ezinkulu noma ezisongela impilo.

Ukungezwani komzimba

Noma ngubani onenkinga yokungezwani komzimba nobunzima ku-budesonide, formoterol, noma ezinye izithako ezise-Symbicort akufanele athathe umuthi.

Ukuhlaselwa yi-asthma noma i-COPD flare-ups

I-Symbicort akufanele isetshenziselwe ukwelapha ukuhlaselwa yisifuba somoya okungazelelwe noma ukuqhuma kwe-COPD. Abantu abasebenzisa iSymbicort kufanele bahlale begcina i-inhaler yokutakula iseduze ukuze ihlaselwe ngokuzumayo.

Isifo somoya noma i-COPD esiwohlokayo

I-Symbicort ngeke iqalwe kubantu abane-asthma noma i-COPD eqhubeka iba yimbi. Kuhloselwe ukusetshenziselwa ukulawula isikhathi eside i-asthma noma ukunakekelwa kwe-COPD kubantu abanezimo ezizinzile.

Ezinye izimo zezokwelapha

I-Symbicort inemiphumela engemihle ehlukahlukene engahle ibe yimbi kakhulu izimo zezokwelapha ezikhona. Iziguli ezinalezi zimo zezokwelapha zingathatha iSymbicort, kepha kuphela ngokuqapha nokuqapha. Tshela udokotela wakho uma unomlando wanoma ikuphi kokulandelayo ngaphambi kokusebenzisa iSymbicort:

Izinkinga zenhliziyo
Ukuquleka
Ukukhubazeka kwesibindi
Isifo sikashukela
I-Ketoacidosis
Umfutho wegazi ophezulu
Izinkinga ze-thyroid
Ingcindezi ephakeme esweni
Izinkinga zesistimu yomzimba
Izifo ezisebenzayo ezifana nesifo sofuba
Ukuvezwa yingxibongo noma isimungumungwane
I-osteoporosis

Izingane

I-Symbicort ivunyelwe i-FDA ukuthi isetshenziswe ezinganeni ezineminyaka engu-6 nangaphezulu ukulawula izimpawu ze-asthma. I-Symbicort ayinqunyelwe ukuthi iphephe noma isebenze ezinganeni ezingaphansi kweminyaka engu-6.

Abadala

Ezivivinyweni zokwelashwa , I-Symbicort ikhonjisiwe ukuthi iyasebenza futhi iphephile ezigulini ezindala kuneminyaka engama-65. I-FDA iyakutusa, noma kunjalo, ukuthi noma yisiphi isiguli esinezinkinga zenhliziyo siqashwe ngenkathi sithatha i-Symbicort.

Ukukhulelwa

Akukho lucwaningo olwanele lokunquma ukuthi ngabe i-Symbicort iphephile yini ukuthi ingathathwa ngesikhathi sokukhulelwa. Ezifundweni zezilwane, i-Symbicort ehogelwe ngaphakathi idale ukukhubazeka kokuzalwa, kepha lokhu akukakhonjiswa kubantu. IFormoterol nayo ingaphazamisa ukuphambana kwemisipha yesibeleko ngesikhathi sokubeletha noma sokubeletha. Ngasikhathi sinye, i-asthma engalawulwa ingakhuphula ubungozi obuthile ngesikhathi sokukhulelwa, njenge-preeclampsia nesisindo sokuzalwa esiphansi. Abesifazane abakhulelwe noma abacabanga ukukhulelwa kuzodingeka baxoxe ngobungozi kanye nezinzuzo zokuthatha i-Symbicort nodokotela oqokiwe noma omunye umhlinzeki wezokunakekelwa kwempilo.

Ukuncelisa ibele

Akukho lucwaningo olwanele lokunquma ukuthi ngabe i-Symbicort iphephile yini ukuyithatha ngenkathi unesi. Ngenkathi i-budesonide idlulela ebisini lwebele, akukho datha enqume ukuthi ngabe i-formoterol, nayo, idlula ibisi lwebele. Omama abahlengikazi kufanele bafune izeluleko kudokotela oqeqeshiwe ngaphambi kokuthatha iSymbicort ngenkathi uncelisa.

Ukusebenzisana kwe-Symbicort

Njengomuthi wezidakamizwa ezimbili onemiphumela engemihle ehlukahlukene, iSymbicort inesethi eyinkimbinkimbi yokuxhumana nezinye izidakamizwa.

Symbonort kanye ne-LABA bronchodilators

IFomoterol, enye yezithako ezisebenzayo eSymbicort, ingeyesigaba sama-bronchodilators abizwa nge-beta esebenza isikhathi esideezimbili-adonergic agonists, noma i-LABA ngamafuphi. I-beta esebenza isikhathi esideezimbiliama-agonists asebenza ngokuxegisa imisipha ebushelelezi esezindleleni zomoya amahora amaningana, enikeza indawo eyengeziwe yokudlula komoya. Ngenxa yobungozi bemiphumela emibi yenhliziyo, i-Symbicort akufanele isetshenziswe namanye ama-LABA bronchodilators nganoma yisiphi isizathu. Le mithi ifaka phakathi:

I-Serevent (i-salmeterol)
I-Albuterol (salbutamol)
I-Brovana (arformoterol)

Symbicort kanye ne-desmopressin

I-Desmopressin iphatha ukuchama ngokweqile, ukuchama ebusuku, nokoma. Ayisoze yahlanganiswa ne-corticosteroid efana ne-budesonide, esinye sezithako ezisebenzayo eSymbicort. Ukuhlanganisa i-corticosteroid ehogelwe njenge-Symbicort ne-desmopressin kwandisa ubungozi bokugcinwa kwamanzi kanye ne-sodium ephansi yegazi.

I-Symbicort ne-beta-blockers

Ama-beta blockers ngokuvamile ayinkinga ezigulini ezine-asthma ne-COPD. Le mithi, ejwayele ukusetshenziselwa ukwelapha umfutho wegazi ophakeme nezinkinga zenhliziyo, inomphumela ohlukile wama-beta agonists afana ne-formoterol. Uma laba bobabili behlangene, empeleni bayakhanselana ngezinga elithile. Ama-beta blockers nawo anganciphisa imiphumela ye-formoterol futhi abangele ukuqiniswa kwemigwaqo yomoya kubantu abane-asthma. Ngenkathi amanye ama-beta-blocker aphephile kunamanye kubantu abane-asthma noma i-COPD, ama-beta-blockers ngokuvamile agwenywa lapho ethatha iSymbicort.

I-Symbicort, i-MAO inhibitors, kanye ne-tricyclic antidepressants

Ukuhlanganisa i-Symbicort ne-tricyclic antidepressant (efana ne-amitriptyline) noma i-MAO inhibitor (efaka ezinye izidambisi zengqondo, ama-antibiotic, kanye nemithi yokuwa) kungakhuphula ubungozi be-hypertension nezinye izinkinga zenhliziyo. Le mithi akumele igwenywe ngqo, kepha i-FDA incoma ukuthi iSymbicort isetshenziswe ngokuqapha ngale mithi. Abantu abathatha le mithi kungadingeka bayeke okungenani amasonto amabili ngaphambi kokuthatha iSymbicort.

I-Symbicort ne-diuretics

Kuthathwe ngama-diuretics angasebenzisi i-potassium-sparing, njenge-thiazide ne-loop diuretics, i-Symbicort iphakamisa ubungozi bamazinga aphansi e-potassium egazini. Ama-diuretics we-potassium-sparing angahle anqunywe esikhundleni salokho.

Izidakamizwa ezikhulisa imiphumela emibi ye-Symbicort

Eminye imishanguzo kadokotela ibambezela ukonakala komzimba kwe-budesonide, ikhuphule ukugxila kwayo emzimbeni kanye nengozi yemiphumela emibi ye-steroidal, efana nomfutho wegazi ophakeme, ingozi eyengeziwe yokutheleleka, kanye nokucindezelwa kwezindlala ze-adrenal. I-FDA incoma ukuthi i-Symbicort isetshenziswe ngokuqapha ngalezi zidakamizwa, kufaka phakathi:

Izinhlobo ezithile zama-antibiotic e-macrolide njenge-clarithromycin
Imithi ethile elapha ukutheleleka kwefungal (izidakamizwa ze-azole) njenge ketoconazole kanye ne-itraconazole
Izinhlobo ezithile zemithi elwa namagciwane njenge-ritonavir ne-saquinavir

Ukuthatha i-Symbicort nezinye izidakamizwa eziqukethe i-steroids, njenge-fluticasone, nakho kungakhuphula ubungozi bemiphumela emibi ye-corticosteroid.

Ungayigwema kanjani imiphumela emibi ye-Symbicort

Yonke imishanguzo ingadala imiphumela emibi, kepha imishanguzo efana ne-Symbicort ifaka phakathi ukukala imiphumela emibi ngokuqhamuka nezinzuzo zokuphuza umuthi. Ngenhlanhla, kunezindlela zokugwema noma zokunciphisa imiphumela emibi:

1. Thatha i-Symbicort njengoba kuqondisiwe

Izinzuzo zokuthatha i-Symbicort zikhuliswa ngokuthatha umuthi njengoba kunqunyiwe: imvamisa, ukuhogela kabili ngosuku, kanye ekuseni kanye kanye ebusuku. Ungaphuthelwa umthamo noma uthathe imithamo eyengeziwe.

2. Ungathathi iSymbicort eningi kakhulu

Qaphela ukuthi ungadluli. Ukuthatha kakhulu iSymbicort kuphakamisa ubungozi bemiphumela emibi kuyo yomibili le mithi — futhi leyo miphumela emibi ingaba mibi. Uma uthatha i-Symbicort eningi kakhulu, ungaqaphela izimpawu ezifana nokuthi:

Ubuhlungu besifuba
Umfutho wegazi ophakeme
Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
Ubuhlungu bekhanda
Ukuthuthumela
Ukwesaba

Funa iseluleko sezokwelapha uma ubona imiphumela emibi ejwayelekile yokusebenzisa ngokweqile noma ngokweqile. Uchwepheshe wezempilo angakusiza ukuthi wakhe isu lokuthatha umuthi ngendlela efanele.

3. Ungathathi umthamo ongabanjwanga

Ngokungafani neminye imithi eminingi, isilinganiso esilahlekile seSymbicort kufanele hhayi kuthathwe lapho kukhunjulwa. I-Symbicort isebenza emzimbeni cishe amahora angu-12 ngasikhathi. Uma umthamo ungabanjwanga, ke linda uthathe umthamo olandelayo ngesikhathi. Ukuthatha umthamo we-Symbicort ngokushesha kungakhuphula ubungozi bemiphumela emibi.

4. Sebenzisa i-actuation counter

Ikhawunta ye-actuation ku-Symbicort inhaler izokusiza ukulandela umkhondo wawo wonke amanani owathathayo. Kusebenza njengesikhumbuzo somuthi omusha. I-inhaler iqukethe imithamo eyanele izinsuku ezingama-30, okungukuthi, ukukhukhumeza okungu-120, futhi kubalwa kuye eqandeni ngokukhwehlela ngakunye. Yize i-counter inganembile, gcina umkhondo wentuthuko yayo ukuze ubone ukuthi usebenzisa umuthi omncane noma omningi.

3. Gcina idayari yemithi noma ikhalenda

Ukugwema ukuphuthelwa umthamo noma ngephutha ukuthatha imithamo eyengeziwe, idayari yemithi, ikhalenda lodonga, noma uhlelo lokusebenza lwe-smartphone kungasiza ukulandelela ngokunembile imithamo yansuku zonke. Hlela imithamo yemicimbi emikhulu osukwini, njengangaphambi kokudla kwasekuseni noma ngemuva nje kokudla kwakusihlwa. Noma setha i-alamu kuwashi, ifoni, ithebhulethi, noma i-smartwatch ukuze icime lapho kudingeka umthamo.

6. Tshela udokotela ngazo zonke izimo zezokwelapha

Ngeshwa, i-Symbicort kungenzeka ingabi umuthi ofanele kuwo wonke umuntu. Ukugwema imiphumela engemihle engaba khona, yabelana nodokotela onika umlando umlando ophelele wezimo zezokwelapha ezedlule nezamanje, ikakhulukazi:

Izinkinga zenhliziyo
Izinkinga zesibindi
Izinkinga ze-thyroid
Izinkinga zesistimu yomzimba
Umfutho wegazi ophezulu
Isifo sikashukela
I-osteoporosis
Ukuquleka
Izinkinga zamehlo
Izifo ezikhona ezifana nesifo sofuba
Ukuvezwa yingxibongo noma isimungumungwane

Udokotela kufanele futhi azi ngokukhulelwa noma ukuncelisa, kufaka phakathi izinhlelo zokukhulelwa noma ukuncelisa usana. Akunjalo nokuthi kungakhishwa i-Symbicort, kepha udokotela uzobuyekeza ubungozi nesiguli ngaphambi kokunikeza noma aqhubeke nomuthi.

7. Tshela udokotela ngayo yonke imithi oyiphuzayo

Kuyasiza ukugcina uhlu lwayo yonke imithi ethathwa nguwe noma umuntu omnakekelayo. Lolu hlu kufanele lubandakanye noma iziphi izidakamizwa ezingekho emthethweni, izithasiselo zokudla, namakhambi athathwa njalo noma ngezikhathi ezithile. Gcina lolu hlu lusebenza futhi lukulungele ukwabelana nanoma yimuphi udokotela, usokhemisi, noma umhlinzeki wezokunakekelwa kwempilo. Qiniseka ukuthi udokotela okuchazayo uyayazi yonke imishanguzo nezithasiselo ezithathwa ngaphambi kokubekwa kwe-Symbicort.

8. Gcina i-inhaler yokutakula ikusiza

I-Symbicort akuyona i-inhaler yokutakula . Esikhundleni salokho, i-Symbicort iyi-inhaler yesondlo esetshenziselwa ukulawulwa kwesikhathi eside kwezimpawu ze-asthma ne-COPD. Ayikwazi ukusetshenziselwa ukwelapha ukuqubuka okungazelelwe kwezimpawu ze-asthma noma i-COPD flare-up. Futhi, izimpawu ze-asthma ezinjenge-wheezing zingaba nzima ngemuva kokuthatha iSymbicort. Gcina i-inhaler yokutakula ikusiza uma kwenzeka ushaywa umoya ngokungalindelekile ngemuva nje kokuhogela i-Symbicort.

9. Hlela izivivinyo zamehlo ezijwayelekile

Ukusetshenziswa kwe-Symbicort kungakhuphula ubungozi be-glaucoma kanye ne-cataract. Noma umbono wakho umuhle, hlela izivivinyo zamehlo ezijwayelekile ukubamba izinkinga ngomfutho weso lengqondo ngaphambi kokuba zibe zimbi kakhulu. Khuluma nodokotela, udokotela wamehlo, noma udokotela wamehlo mayelana nohlelo olufanele lokuhlolwa kweso olususelwa engcupheni yezinkinga zamehlo. Vele, noma yikuphi ukuguqulwa kombono okufana nombono ofiphele kufanele kukhuthaze ukuvakashelwa ngokushesha kochwepheshe bezokunakekelwa kwempilo.