'O ke lā'au lapa'au "Spiriva": like ana. Spiriva: kuhikuhi no ka ho'ohana a me ka pane

Uluwehi O "Flomax" analogs a e e ho'ākāka 'ia i loko o keia' atikala, mea hiki ia i ike loea kākoʻo no nā mea maʻi me ka maʻi (COPD) obstructive pulmonary maʻi ma ka huʻi, aʻaʻole wale. Ke huahana he kiʻekiʻe ka hoʻokōʻana, ho'ēmi i kā pokole o ka hanu, o ka oi aku i loko o ka poʻeʻelemākule, a kōkua ai i nā hanu kaʻina. Ka lapaʻauʻia mea ole nike, a me ia e koho i kekahi pulmonologist ma hope o akahele study spirography.

'Ole a me ka haku mele' ana

Ka lāʻau 'Ua loa pipiʻi, pela no oe i ke' ae 'ia e hoʻohana kona analogs. "Spiriva" (he makaukau he kaʻeleu waiwai tiotropium) pili i ka bronchodilator M nicotinic acetylcholine mea loaʻa blockers. I dragee kekahi ma kahi o 5.5 mg lactose monohydrate.

Ka lāʻau 'Ua loaʻa i loko o ka palapala o ka capsules no inhalation. Hard gelatin dragees he omaomao ikiʻeleʻele opaque, a i engraving la 01. He mea hōʻikeʻikeʻuʻuku mea he keʻokeʻo ka pauka. Ka Aluminum blister - 10 dragees, a ma ka carton hiki ke i loko iho mai 1 a hiki i 6 blisters. I ka lāʻau i pili kūikawā inhaler HandiHaler a me ka olelo ao no ka hoʻohana. A like palapala o ke kalaʻana aku, a i na mea like.

"Flomax" ua hoʻohana 'ia e nā mea maʻi me ka COPD, hanaʻia pākōlea, kākoʻoi ka hana, a ua ālai' he hiki worsening o ka maʻi. ka lapaʻauʻia e like me ka hoakaka ana i nā mea maʻi me ka maʻi bronchitis a me kanaka e loaa ana mai ka emphysema.

"Flomax": kauoha no ka hoʻohana

An mea like o ka lāʻau i loko o ka haku mele 'ana mea ole, akā, manaʻo huhū keia, he poe ai' i mea like i loko o kā lākou mau kanawai ma ke kino a me ka hiki ana o ke kūapoʻana i ka lāʻau i mea e pale aku mea hōʻemi o ke ahonui o ka moku'āina o ke ola.

Inā loaʻa nāʻaʻohe'ē aʻe koho, i ka lāʻau ua hoʻohana 'ia i kekahi manawa, i ka lā i loko o ka palapala o ke ana ohe., I loaʻa i ka hana me ka kūikawā inhaler HandiHaler. Mai Mai ale capsules, a hoʻohana 'ia i oi ma mua o koke no ka lā. Inā ka lāʻau ua aole ia e pono no kekahi kumu paha i kekahi, i ka pulmonologist koho i counterparts. "Flomax" (ka mahele lāʻau i kohoʻia pākahi no kēlā me kēia hoomanawanui, ke kaumaha ma muli o kona noho ana o ke ola kino) - i ka lapaʻauʻia e hiki ke hoakaka ia wale nō ke kauka, akā, ina e pono ia, i ka manawa kūpono i kekahi kauka e e hiki ke ana paha e puku i ka laau lapaau.

Ke kūpuna, nā mea maʻi me kaʻole hakuʻala papa, e like me nā mea maʻi i ake e loaa medicament ua lawelawe wale i ka paipaiʻia nā māhele. Ka wā kaumaha a me ka waena kahuaʻaʻa puʻuwai hoʻokō 'ole' pono a eia i 'inikua hooponopono. Capsules "Flomax" Ua hoʻolauna wale lima kūlana kiʻekiʻe HandiHaler. Ua ua hōʻike hewa papahana no keia k, a mea hiki ole hoolako i ke kino 'ē aʻe ai'.

HandiHaler inhaler ninoieo o:

• lepo chap;
• kikowaena ke keʻena;
• kumu;
• waha'ōlelo;
• hou pihi.

Initially, ke noi wehe i ka lepo chap, a ua kaomi ke pihi hooki i ka hou ana i, ma hope i ka mea, ua hookuu. A laila, ua weheia, a ua hoala hou i ka lepo chap. Lawe mai no hoi i loko o ke keʻena ma kulana waha'ōlelo. Mea hōʻikeʻikeʻuʻuku "Flomax" ua wehe 'ia mai ka Aluminum'ōpala, a hoonoho iho la i loko o ka kikowaena keena. Ua paa i ka waha'ōlelo a ka mea clicks, a me ka lepo chap mai e hoopa - ia mea ma ke kaʻina hana e noho hamama.

Ke inhaler waha'ōlelo pono e mālama mai. Wale koke oe i, e holo ikaika aku nei i ka holo ana pihi e hou ana i, a, e hana i ka puka no ka kala ana o ka lāʻau, mai ka mea hōʻikeʻikeʻuʻuku ma ka manawa o ka inhalation. Ke hoomanawanui laila ka hopena o ka make mau lehelehe, a malama i kou poo pololei. Inhale lohi, a nui iho la ia e ia. Ma inhalation e haha aku i ke kuekueni o ka mea hōʻikeʻikeʻuʻuku. Ana hoʻomau a piha saturation o ka malamalama. Noho i ka meaʻoi e hiki manawa e pono e paa i kou hanu, a wehe i ka HandiHaler mai o ka waha, a hoomau i ka hanu smoothly a malau akula. Pēlā nōʻoe Pono e hana 6-7 hoʻokokoke mai i lōʻihi e like me ka mea hōʻikeʻikeʻuʻuku mea nele. Ma ka hopena o ka hanana hōʻike i ka waha'ōlelo, a hoolei i ka nele mea hōʻikeʻikeʻuʻuku.

Once i ka mahina, ai ka inhaler e e ua holoiʻia. No keia mea, ua weheʻia ka waihona ipu noiʻi, a me ka waha'ōlelo a me ka lepo chap. E koho i ka pihi, i ka puka nō ia i ka mea hōʻikeʻikeʻuʻuku. holoi ihola lākou i nā māhele o ka inhaler i me ka mehana ka wai a piha nalowale o ka pepe loa. Ka mea ua holoi maloʻo me ka pepa pepa, a maloo i loko o ka haumāna i loko o ka lā. Mawaho o inhaler holoi maloo me ka lole pulu.

A e hoomaemae ia o ka mea hōʻikeʻikeʻuʻuku ua kaʻawale ma ka perforated laina. Dragees wehe pono ma mua o ka inhalation ina hana. Ka mea hōʻikeʻikeʻuʻuku kekahi me ka pauka, iki, a nana mai i ka hopena hakahaka. Accidentally wehe i ka mea hōʻikeʻikeʻuʻuku ua kāpaeʻia, mai ka lapaʻau ua ma lalo o ka aoao o ka lewa, hiki ole ke hoʻohana.

Oia pākōlea hoʻokokoke mai e noi mai manaʻo maiʻoe i nā mea a pau counterparts. "Flomax" (ano o ka hoʻohana 'ana i kēia k ua i ho'ākāka' ia i loko o au mamuli o na kuhikuhi) mea ole loa i ka pono 'ano o ke kalaʻana aku, a me na mea he nui nā mea maʻi i koke mea hiki ole ke hanu pono. Other lapaʻauʻia no ka COPD hoʻomanawanui iki mai i ka nui kupono ano o: na papa, kulu, he lepo lā.

e hoike

Manao e pili ana i ka lapaau "Flomax" me ka "Spiriva Respimat 'specimen, ka hapanui maikaʻi. E hoomanawanui i olelo hou me ka bronchospasm, e pono ai i ke kaʻina hana o ka ha i loko o nā mea maʻi me ka COPD. Kekahi mau hana kōkua hoola maʻi bronchitis. People kamailio e pili ana i ka ka hoʻokōʻana kiʻekiʻe o ka lāʻau, i mea e hiki ke haawi analogs. "Flomax" (kūmole hoʻokūpaʻa i ka mea e like ai o ka lāʻau) ua oi maliuia no keia waeʻano o nā mea maʻi.

Reviews o ka poe e loaa ana mai ka COPD, olelo e pili ana i ka hopena maikai i haawi i ka lāʻau, akā, i ka nui o kona pololei pono ole wale. E noke i nā mea a pau breaths e e lohi a me ka laumania, a me ka kokololio, a drastic manipulation hiki wale keʻeha a hele loa i like me ia.

Mawaena o ka hopena maikaʻi, ao ke ano o ka noi o ka lāʻau "Flomax" (analogues o ka lāʻau i ole mau i na mea o ka hana ana), kanaka olelo i ka kiʻekiʻe lilo a me ka hana a he leo o ke kaʻina hana. I kekahi manawa nā mea maʻi mai e kiʻi i ka Inhale i ka lāʻau 'like kākau i loko o ka olelo.

A uuku hapa o ka poʻe hoʻolohe manaʻo negatively e pili ana i ka laau lapaau. Kekahi e olelo aku i ka lāʻau mea lapuwale, a 'aʻole i kōkua. 'Ē aʻe mai i ike i ka wahi o ka haawi ia ia i ke kala a me ka makemake ho'ēmi counterparts. Nō 'ē aʻe hoʻopaʻapaʻa mea, hoʻowahāwahā a pau kona hewa, i ka lāʻau o ke kumukuai o ke kala pau keia la.

"Flomax": analogues, nōhie

Ke k mea ole nike, a me kekahi manawa i ka hailona o ke kanaka e hana eha iaʻi mai COPD, hoʻomaka e kakali ana no ka hope. Ua loaʻa ka mea like o "Spiriva"? Analogs ua like ka hookahi haku mele 'ana, akā, ma laila nō ai' ana me ka 'ole ia ma ka kino a me ka nui kōkua ai i nā keʻano o nā mea maʻi. Mau mea i ka poʻe i hoakaka ia ma ka kauka ina "Flomax" no kekahi kumu i ole kupono i ka hoʻomanawanui.

• "Daxas";
• "ARIS Brizhaler";
• "Troventol";
• "Ultibro";
• "Spiolto Respimat";
• "Anora elliptic";
• "Atrovent"
• "Foradil Combi";
• "Truvent";
• "Ipravent";
• "Ipratropium".

Mau a me nā analogs i like i loko o kā lākou waiwai. Lākou kāki mea,ʻaʻole nui okoa mai kekahi i kekahi. He nui no ia, he loaʻa no ka inhalation kūlana kanaka. Akā, he mea'ē aʻe ano o ke kalaʻana aku i loko o ka palapala o ka papa, pāʻoihana, paka ua a me ka mea e like. D.

Uluwehi O "Daxas"

Ma luna o mākou i heluʻia o ka loa mahalo no ka lāʻau i kapaia "Spiriva Respimat" counterparts. Alakai kūlana i waena o kēia mau mea i ka lāʻau "Daxas." Ke lapaau mea i loaʻa i loko o na papa, a e lawe koke aku i ka lā, a, ma ka Akä naÿe i ka "Flomax" ka loa pono.

Ua Ua hoʻohana 'ia e malama i ka napoo moku'āina i loko o nā mea maʻi me ka COPD me ka loa mai ka poe i prone i ka pinepine exacerbations. Ho'ēmi i kā neutrophils ma sputum a inhibits ka influx o neutrophils a me eosinophils ma ka naehana nenoaiu.

E hoomanawanui i hiki ke lawe laau me ka haʻahaʻa ma ka makahiki.

Ua loaʻa he ano Anati-hoʻoʻino hana. He, e like "Flomax" 'Aʻole i höʻike aku bronchoconstriction - hana ia pointless no kēia mau hana. Ua contraindicated i loko o nā kamaliʻi, a me ka hapai lactating wahine. Ma kēlā me kēia papa, he 500 mgʻeleu waiwai - roflumilast.

E hoike aku nei au i ka lāʻau 'ka loa a me ka ikaika efficient, no laila, ma hope o hooloihi ae i ana, he nui loa nā mea maʻi hoʻomaka e hōʻikeʻaoʻao ole. Mawaena o ka loa, he pono ole symptoms: Kanikani'āʻula, nausea, diarrhea, poʻe noʻonoʻoʻole, ulia kulu i loko o ke koko,.

Kēia lāʻau 'Ua hoʻohana pololei pāpā me ke kuhikuhi, e like me kū kaʻawale hoʻonui a emi i ka mahele lāʻau. Me ka malama nui ia e lawe i ke kanaka ma hope o 65 makahiki.

Laau no ka COPD nā mea maʻi "ARIS Brizhaler"

Kēia lapaau i kekahi waleʻeleu ke keʻena o ka "Spiriva Respimat" lāʻau. Analogs, a me kēia kekahi, mea i ole pela, aneane'ālike. Uluwehi O "ARIS Brizhaler" mea i loaʻa i loko o capsules me he lepo lā no ka inhalation hoʻokahi. Ma kēlā me kēia AEeAaOA ua i loko iho kūikawā inhaler e fits wale i ka waiʻona.

Kēlā me kēia mea hōʻikeʻikeʻuʻuku he 63 mg glycopyrronium bromide. I ka lāʻau, e like kona counterpart, i ke komo pū o loko o ka luna 'malama Inc i loko o nā mea maʻi me ka COPD. 'Aʻole i manaoia no ke kokua ana i huʻi Episode o bronchospasm. Ua pono tolerated a kākaʻikahi ke kumuʻaoʻao ole. Ua hana wale nō no ka inhalation hooloihi ae i hana.

Inhalation o kēia 'o ia hoʻi nā mea maʻi Pono e e lawe koke i ka lā a me ka pololei e like me ka olelo. Inā malamaia lakou nei, "ARIS Brizhalerom" i loko o kaʻaeʻana i nā rula paipai, ka lāʻau e i ole ia ma ka naau i kela a me ke koko,. Ua hiki e ia i loko o nā mea maʻi mai ka 75 makahiki o ka makahiki a 'oi.

Reviews o "ARIS Brizhalere" wale maikaʻi. Hoʻomanawanui iki mai ma hope o kekahi mau inhalations keia manawa, e manao ana nui hana ma ka akemāmā hana, a ua hoike ia ma ke kuokoa a me ka maʻalahi hanu. Kekahi hoʻopaʻapaʻa e hiki hoʻopoina e pili ana i ke alo o ka maʻi. Wale i ka noho kaʻawale hihia i ua malamaia e loaa ana i mau pahi oi kulu i loko o ke koko,.

I ka lāʻau, he contraindications nui, no laila, me ke kauka o ka kuhikuhi, keia ka lapaʻauʻia hiki ole ke hoʻohana.

Uluwehi O "Troventol"

Kekahi mea like "Flomax" 'ia ua hōʻike hewa i nā mea maʻi me ka obstructive akemāmā maʻi, i kapaia "Troventol". Ka lapaʻauʻia Hoʻonui i ka pono o ka lumen o na maʻiʻaʻai, a, e like kā lākou mau mua, e lawe aku oe a relieves bronchospasm.

Nā mea i loaʻa i loko o kūikawā aerosol la e hiki ai no inhalation 12,5 ml a me 25 ml. I kekahi ua e pa alima mahele lāʻau he "troventola" - 40 micrograms a me 80 micrograms, ina o ka ipu ka leo o ka 25 ml. ʻO kā mākou kela la i keia mahele lāʻau o 160 micrograms. Inhalation E e hana mai ka 4 a hiki i 6 manawa i ka lā.

Bronchodilation kanawai ua malama ma hope o 15-30 minuke ma hope o ka inhalation a me ka mau no 4-5 hola.

Ka lāʻau 'Ua tolerated maikaʻi i loko o ka papa, e like me nā analogs. "Spiriva", no kekahi laʻana, e i undesiredʻike manaʻo i loko o ka palapala o ka dryness i ku una ha i ka lua, nīnūnē loa puʻu, maʻiʻaʻai noho mana hoʻokō 'ole' - e like meʻaoʻao 'ole i kekahi manawa, malama i? Eaia "troventola". Ke kaumaha ma muli o ka kulana, ka mahele lāʻau ua like paha hooloihi i ka wā mawaena ma waena o puapua, ma hope a, e like me ka rula, o kaʻaoʻao waiwai i. Inā undesirable symptoms maoli, ka hoʻohana 'ana i ka lāʻau' ua ahulau.

Ka lāʻau 'E ole e lawe me ka huina-panina glaucoma, na wahine i hāpai keiki, a me ka hihia o hypersensitivity i ka "troventola".

Ma lapaʻau, aole e ia i undesirable lehulehu o ka sputum. Ma keia hihia, no ka mea hou o ka mahele lāʻau paha i kekahi 'lapaʻauʻia, e nīnau aku i ke kauka.

"Ultibro"

A hou lāʻau no nā mea maʻi COPD a kaahele lakou ma lapaʻau o na hoao ana he nui, a me nā mea a pau lahui hae.

Ua kekahi mau hana eiiiiiaiou: he mahele lāʻau indacaterol a me ka glycopyrronium 110 mg o 50 micrograms. Hua mai la i ka capsules, i pihaʻi me he kākoʻo pāʻoihana no inhalation. Ua hele mai ia me ka kūikawā inhaler papahana no ka 30 noi. I ka lā ua pono, e hana i kekahi inhalation.

Inhalation ke kaʻina hana no E e hana i ka mea i ua ho'ākāka 'ia ma loko o ka olelo. Hiki ole e ia ma ka oi ma mua o kekahi lā o ka inhalation. Ka lōʻihi like 'ole o ka lapaʻau kaulua mai 1 a hiki i 15 mahina.

Ka lāʻau 'ua hana, e malama i ka napoo moku'āina ma ka COPD hoʻomanawanuiʻana ma luna o ka lōʻihi manawa, a emi exacerbations. Ua ua i manao e höʻike aku huʻi bronchospasm. Ua loaʻa he ikaika anticholinergic hopena. Inā ke kāʻei kua o ka pono o ka lāʻau e hoʻomōhala ana i paradoxical bronchospasm, laila, e hele koke i ka waiʻona.

Hooloihi ae i lapaʻau kānāwaiʻaoʻao reactions. Loa pinepine hoikeia cough a me ka nui puʻu.

Ka lāʻau 'E e hoʻohana no ka lapaʻau Consulting me kou kauka wale nō ma hope.

Ka makamake nui «Spiolto respimata"

Kekahi mea like o ka "Flomax" ka "Spiolto respimat". Kēia lāʻau i hoʻopuka mai i ka hana o ka hana nā mea hoʻohui elua: tiotropium bromide a me ka olodaterola. Hele mai ana ma ka palapala o ka heihei 'auʻau-mahele lāʻau inhalation pāʻoihana, ua pili ia ia inhaler. Ka pūpanapana o kekahi AEeAaOA ua papahana no ka 60 nā māhele.

I ka hana o keia k me ka nui loa ho'ēmi i kā ka likelihood o exacerbations i loko o nā mea maʻi me ka COPD. Ua kōkua nā mea maʻi e loaa ana mai ka maʻi bronchitis a me ka emphysema, hanu hope hoʻohana hoopuni a me ka uku ole ia mai. Maoli nona iho o ka inhalation a me ka exhalation holo, o ka oi aku i loko o ke kakahiaka a me ke ahiahi hola. E kū'ē i ke kāʻei kua o ka lōʻihi-makahiki Inc i loko o nā mea maʻi ulu nui bronchodilator kanawai. Hoemiia naehana iaʻi, dyspnea. Ho'ēmi i kā ka helu o exacerbations. Ka lāʻau, piʻi pū physical hoomanawanui, me ka nui loa EUIAaIN ka qualitative ke keʻena ola.

Ka lāʻau 'Ua pono ia e lawe koke i ka lā ma luna o ka manawa lōʻihi ma kekahi, a me ka ia manawa. Ua i loko o ka mua elima minuke ma hope o ka inhalation kaʻina hana, aia no he nui hana i loko o ka functioning o ka pulmonary nenoaiu.

Ka lapaʻauʻia ai e haawiia mai wale ma kekahi kauka. I 'ano like me ka "Flomax" i loko o kona iaea ooieoeiiaeuiiai hookoia, ke kala palapala.

Mea like "Flomax" "Anora elliptic"

'O kēia kekahi mea paahana mea e puku ina e pono ai lāʻau "Flomax". "Anora elliptic" e like me kona, hoʻokomo, mea i loaʻa i loko o ka lepo no ka inhalation. Ka lāʻau i ka kūikawā inhaler, a iloko ona i kakauia i ka hookahi-mahele lāʻau kanakolu 22 + 55 .mu.g / mahele lāʻau. Ka i hoʻomākaukauʻia Ua hoolako ia me ka loan, a me ka waha'ōlelo no ka inhalation.

Ke medicament kekahi i loko o kona haku mele 'ana mau hana eiiiiiaiou: vilanterol a me umeklidiniya bromide. "Anor elliptic"'ōlelo nā mea maʻi, e malama i ka bronchodilator kanawai. I kekahi hana nui kōkua ai i nāʻano ma ka COPD nā mea maʻi.

Ka lāʻau 'Ua ia ma ka mahele lāʻau o 22 mg + 55 mg hookahi kela la i keia. Kekahi e hoomanawanui i hoakaka ia lāʻau i loko o ka nui o ka 22 .mu.g + 113 ug / mahele lāʻau. Oia ka laʻau heluna kanawai ma kekahi nā mea maʻi, i ka loa maikaʻi ala: ka mea, i laila mea he nui hana i loko o ka functioning o ka pulmonary'ōnaehana, a hoemi paha o exacerbation o ka maʻi.

Ka lāʻau 'Ua hoʻohana wale ma kuhikuhi, a me ka pono eʻoiaʻiʻo e nānā mua ana, me he kūpono hanu i inhalation hiki i bronchospasm a me aggravation o ka maʻi i ka olelo.

Ke lapaau Ua i paipai no ka hoʻohana no ka poʻe loaʻa mai asthma. Ua hoʻi 'o ia hoʻi,ʻaʻole ia no ka kokua o bronchospasm ho'āhewa wale.

Kēia hoʻomanaʻo i ka hookuu inhalable palapala a me ka mea no laila, hiki ke i paradoxical bronchospasm, e like me na analogues. "Flomax" (hua'ōlelo o ka hoʻohana 'ana i kēia k E e akahele malama i mea e pale akuʻaoʻao' ole) ole e hoʻohana 'ina keia symptom ua hoikea mai oia, - e ike koke ana i ka lapaau, no ka mea, ke kākoʻo mau' ana o ke kālā hiki e ola-na olelo hooweliweli au. Kou kauka mea e huli pono counterparts.

"Spiriva" (pūnaewele ma ke ana wela o wale i ka lāʻau hiki ke loaʻa i loko o ka ua hoʻololiʻia palapala + 25 ° C a emi) mea like i loko o kona waiwai ma luna o ke kino a me na mea he nui ai 'akā, hoʻowahāwahā i kēia, i ka hope o ka lāʻau e wale e lawe mai ma ke kauka. mau ai 'a pau i paʻa' ole ma ka kino, a kōkua kanaka me COPD, e hoʻoikaika i ka pono o ke ola. Akā, ia mea nui, e hoomanao i ka pakiko-ka lapaʻauʻia e ke käpae '.