Ke ʻeha nei ʻoe i ka hanu pōkole ma muli o ka COPD? E aʻo kākou e pili ana i kēia mea hoʻoheheʻe (Tiotropium; Olodaterol Inhaler)

ʻO kēlā me kēia mea i loaʻa i ka COPD (Chronic Obstructive Pulmonary Disease) ua ʻike i ka paʻakikī o ke ola me ka pōkole o ka hanu. I kekahi manawa, ʻoiai ka hanu maʻamau hiki ke manaʻo ʻia he hakakā. Akā aia nā lāʻau lapaʻau kūpono e hiki ke kōkua iā ʻoe e hoʻokele i ke kūlana a hoʻomaʻalahi i kou ola. I kēia lā, e kamaʻilio mākou e pili ana i kekahi o ia ʻano lāʻau lapaʻau, kahi inhaler kūikawā a kāu kauka e kuhikuhi ai nou.

He aha kēia mea hoʻoheheʻe? (Tiotropium; Olodaterol)

I ka ʻōlelo maʻalahi, he inhaler kēia e loaʻa ana ka hui pū ʻana o ʻelua mau lāʻau lapaʻau. ʻO nā lāʻau lapaʻau ʻelua ʻo Tiotropium lāua ʻo Olodaterol . Hiki iā ʻoe ke ʻike iā ia ma ka mākeke ma lalo o nā inoa e like me STIOLTO RESPIMAT . Hana pū nā lāʻau lapaʻau ʻelua e hoʻonui i nā ala ea i loko o kou mau māmā, e hōʻemi i ke kūpikipikiʻana, a e maʻalahi ai ka hanu ʻana. Ua like ia me ka hoʻomaʻemaʻe ʻana i kahi paipu i paʻa a me ka ʻae ʻana i ka wai e kahe maʻalahi.

Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau

Ma mua o kou hoʻohana ʻana i kēia mea hoʻoheheʻe, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. Hiki i kēia lāʻau lapaʻau ke launa pū me kekahi mau kūlana olakino. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e haʻi iā lākou e pili ana i ia mea.

Pehea e hoʻohana pono ai i ka inhaler?

He mea nui loa ke ʻano āu e hoʻohana ai i kēia inhaler.

• I ka manawa like i kēlā me kēia lā: E lawe i kēia lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, e like me ke kauoha a kāu kauka. Pēlā e hiki ai iā ʻoe ke loaʻa nā pono nui loa mai ka lāʻau lapaʻau.
• E heluhelu i ka pepa kuhikuhi: E heluhelu pono i ka pepa kuhikuhi e hele mai ana me ka lāʻau lapaʻau. Aia i loko nā kuhikuhi no ka hoʻohana pono ʻana i ka mea hoʻoheheʻe.
• E hoʻolohe a ʻike:Inā he kānalua kou e pili ana i ka hoʻohana ʻana i kēia, mai hilahila a nīnau i kāu kauka . E hōʻike maopopo ʻo ia iā ʻoe pehea e hana ai.
• Mai hoʻohana ʻoi aku ma mua o ka nui i kuhikuhi ʻia: Mai hoʻohana ʻoi aku a ʻoi aku paha ma mua o ka mea a kāu kauka e ʻōlelo nei.
• Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau: ʻOiai inā ua ʻoi aku kou maikaʻi i kēia manawa, mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka.

He aha kāu e hana ai inā e poina ʻoe i kahi lāʻau?

Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i poina.

He aha inā lawe nui wau i ka lāʻau lapaʻau?

Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e hele koke i ka ʻOihana Pilikia (ETU) . A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.

Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau

Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke launa pū me kēia mea hoʻoheheʻe. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui). He mea nui loa ia e hoʻomaopopo i kāu kauka inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau:

• ʻO kekahi mau lāʻau lapaʻau no ke kaumaha (e.g., MAOIs)
• ʻO kekahi mau lāʻau lapaʻau no ka maʻi puʻuwai
• Nā lāʻau lapaʻau no nā pilikia o ka ʻōpū mimi (e like me Oxybutynin, Tolterodine)
• ʻO kekahi mau lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu
• Nā lāʻau lapaʻau no nā maʻi fungal (e like me Ketoconazole)
• Kekahi mau lāʻau antibiotic (e.g. Clarithromycin, Erythromycin)
• Nā lāʻau lapaʻau no ka maʻi o Parkinson
• Nā lāʻau diuretic (nā lāʻau e wehe ai i ka wai mai ke kino)
• Nā lāʻau lapaʻau ʻano steroid (e like me Prednisone)
• ʻO nā ʻano inhaler ʻē aʻe, e like me Ipratropium

Nā mea e hoʻomanaʻo ai i ka wā e hoʻohana ai i ka inhaler

• ʻAʻole no nā pilikia: E like me kā mākou i ʻōlelo ai ma mua, mai hoʻohana i kēia inā loaʻa ka pōkole o ka hanu. Pono ʻoe e hoʻohana i kāu "mea hoʻopakele inhaler" i ia mau hihia. Inā pono ʻoe e hoʻohana i kāu mea hoʻopakele i nā manawa a pau, ʻo ia hoʻi, ʻaʻole i kaohi ʻia kou kūlana. E ʻike koke i kāu kauka.
• Inā pilikia ʻoe i ka hanu ʻana ma hope o ka hoʻohana ʻana i ka inhaler: I kekahi manawa, kākaʻikahi loa, pilikia paha ʻoe i ka hanu ʻana ma hope o ka hoʻohana ʻana i kēia inhaler. Inā hana ʻia kēia,E hoʻōki koke i ka hoʻohana ʻana i kēia inhaler. E hoʻohana i kāu inhaler hoʻomaha a kāhea koke aku i kāu kauka.
• Pōniuniu: Hiki i kēia lāʻau lapaʻau ke hoʻopīuniu i kekahi poʻe. No laila, e pale i nā hana e pono ai ka makaʻala, e like me ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini, a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. E pale i ke ala ʻana a i ʻole ka noho ʻana i lalo me ka wikiwiki, ʻoiai inā he ʻelemakule ʻoe.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka āpau.

Pehea e mālama ai i ka lāʻau lapaʻau?

• E mālama i kahi hiki ʻole i nā keiki liʻiliʻi a me nā holoholona ke kiʻi aku.
• E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius). E mālama mai ka wela nui, ke anu, a i ʻole ka makū.
• He mea nui loa: I loko o 3 mau mahina o ka wehe ʻana i ka inhaler mai loko mai o kāna ʻeke pepa kiniE hoʻolei aku ma hope o ka hoʻohana ʻana. Eia kekahi, e hoʻolei aku i ka wā e hiki ai ka helu lāʻau ma luna o ia mea i ka "0" a i ʻole i ka wā i hala ai ka lā palena pau. Inā hana mua kekahi o kēia mau mea ʻekolu, mai hoʻohana hou i ka inhaler.