Inhalers yeCOPD

Zvemukati

• Metered-dose inhaler
• Poda yakaoma inhaler
• Nyoro nyoro inhaler
• Tora woenda nazvo
• A:

Mhedziso

Chisingaperi obstructive pulmonary chirwere (COPD) iboka rezvirwere zvemapapu - zvinosanganisira chisingaperi bronchitis, asthma, uye emphysema - izvo zvinoita kuti zvive zvakaoma kufema. Mishonga yakadai seye bronchodilators uye inhaled steroids inodzikisa kuzvimba uye kuvhura yako yemhepo nzira kuti ikubatsire iwe kufema nyore.

Inhaler chishandiso chakabata ruoko chinoburitsa furo kana pfapfaidzo yemishonga iyi yakanangana nemapapu ako kuburikidza nemuromo. Inhalers inoshanda nekukurumidza kupfuura mapiritsi, ayo anofanirwa kufamba neropa rako kuti uwane kushanda.

Inhalers inouya mumhando mitatu mikuru:

• metered-dose inhaler (MDI)
• poda yakaoma inhaler (DPI)
• nyoro mhute inhaler (SMI)

Metered-dose inhaler

Inonzi metered-dose inhaler (MDI) chishandiso chakabata ruoko chinopa mushonga weasth mumapapu ako mune eerosol fomu. Iyo gaba inosungirirwa pamuromo. Paunodzvanya pamudziyo, kemikari inokachidza inosundira pfupa remushonga mumapapu ako.

Uine MDI, iwe unofanirwa kutora nguva yako kufema pamwe nekuburitswa kwemushonga. Kana uchinetseka kuita izvi, unogona kushandisa chishandiso chinonzi spacer. Spacer inogona kubatsira kurongedza mweya wako wekufema pamwe nekuburitswa kwemushonga.

COPD zvinodhaka zvinouya mune MDI zvinosanganisira steroid dzakadai seFlovent HFA uye mubatanidzwa steroid / bronchodilators senge Symbicort.

Yese MDI inouya nemirairo yayo. Kazhinji, heino maitiro ekushandisa imwe:

• Bvisa kapu kubva muinhaler.
• Nemuromo wakatarisana pasi, zunza inhaler kwemaminitsi mashanu kuti usanganise mushonga.
• Wobva washandisa imwe yeaya matekinoroji:
  • Nzira yekuvhura-muromo: Bata muromo 1 1/2 kusvika 2 inches kubva pamuromo wako.
  • Yakavharwa-muromo maitiro: Isa muromo pakati pemiromo yako uye uvhare miromo yako zvakasimba pairi.
  • Iine spacer: Isa iyo MDI mukati meiyo spacer uye uvhare miromo yako kutenderedza iyo spacer.
• Zvinyoro kufema kunze.
• Dhinda inhaler uye, panguva imwechete, tora mweya wakadzika mukati memuromo wako. Ramba uchifema mukati memasekonzi matatu kusvika mashanu.
• Bata mweya wako kwemasekonzi mashanu kusvika kugumi kuti upinze mushonga uyu mumhepo dzako.
• Zorora uye ufeme kunze zvishoma nezvishoma.
• Dzokorora maitiro kana iwe uchida kumwe kuzvitutumadza kwemushonga.

Zvayakanakira: MDIs iri nyore kushandisa uye inogona kushandiswa nemhando dzakasiyana dzakasiyana dzeCOPD zvinodhaka, kusanganisira steroids, bronchodilators, uye mishonga inosanganiswa. Iwe zvakare unowana iwo iwo muyero mumwe wemishonga nguva imwe neimwe yaunoshandisa iwo.

Nezvayakaipira: MDIs inoda kuti iwe uratidze pakati pekumisikidza mushonga nekuufemera mukati. Zvakare zvakakosha kuti ufemere mukati zvishoma nezvishoma uye zvakadzama. Kana iwe ukafemera mukati nekukurumidza, mushonga unorova kumashure kwehuro yako, uye yakawanda yacho haizosvika pamapapu ako. Iwe unogona zvakare kuda kushandisa spacer kupinza mushonga mumapapu ako.

Poda yakaoma inhaler

Poda yakaoma inhaler (DPI) inoendesa mushonga kumapapu ako kana iwe uchifemera mukati kuburikidza nechishandiso. Kusiyana neMDC, DPI haishandisi chinokachidzira kupurudzira mushonga mumapapu ako. Pane kudaro, mweya wako wemukati unomutsa mushonga.

DPIs inouya mune imwechete-dhiza uye akawanda-madhizaidhi madhizaini. Multiple-dhizaini madhizaina anosvika mazana maviri emadhi.

COPD yakaoma mapoda ayo anogona kushandiswa neDPI anosanganisira steroid dzakadai sePulmicort uye bronchodilators senge Spiriva:

Yese DPI inouya neyayo mirairo. Kazhinji, heino maitiro ekushandisa imwe:

• Bvisa chivharo.
• Dzorera musoro wako kure nechigadzirwa uye ufeme kunze nzira yese. Usabudise mweya mumudziyo. Unogona kumwaya mushonga.
• Isa muromo mumuromo wako uye uvhare miromo yako uchitenderedza.
• Femera mukati zvakadzama kwemasekondi mashoma kusvika iwe wazadza mapapu ako.
• Bvisa chishandiso mumuromo mako uye bata mweya wako kusvika pamasekonzi gumi.
• Fema kunze zvishoma nezvishoma.

Zvayakanakira: Kunge MDIs, DPIs zvakare nyore kushandisa. Iwe haufanire kuratidzira uchimanikidza mudziyo uye kufema mumushonga, uye haufanire kushandisa spacer.

Nezvayakaipira: Kune rimwe divi, iwe unofanirwa kufema mune zvakaoma kupfuura zvaungaita neMDC. Zvakare, zvakaoma kuwana iyo chaiyo dosi nguva imwe neimwe iwe yaunoshandisa inhaler. Iyi mhando yeinhaler inogona zvakare kukanganiswa nehunyoro uye zvimwe zvakatipoteredza zvinhu.

Nyoro nyoro inhaler

Iyo yakapfava mhute inhaler (SMI) mhando nyowani yechishandiso. Iyo inogadzira gore remushonga iwe raunofemereka pasina rubatsiro rweinofambisa. Nekuti mhute ine zvakawanda zvakapfuurika kupfuura MDIs uye DPIs uye pfapfaidzo inosiya inhaler zvishoma nezvishoma, mishonga yakawanda inopinda mumapapu ako.

Iyo bronchodilator zvinodhaka tiotropium (Spiriva Respimat) uye olodaterol (Striverdi Respimat) ese anouya mumhute nyoro. Stiolto Respimat inosanganisa mishonga tiotropium uye olodaterol.

Tora woenda nazvo

Kana iwe ukaishandisa nemazvo, yako inhaler ichabvisa ako COPD zviratidzo. Kumbira chiremba wako kuti akuratidze kuti ungashandise sei. Chengetedza mazuva ekupera kwemushonga wako, uye tora mushonga mutsva kana mushonga wako ukapera.

Tora mushonga wako chaizvo sekurairwa nachiremba wako. Kana iwe uchida zuva nezuva mushonga wekurapa, tora iwo mazuva ese - kunyangwe iwe uchinzwa zvakanaka. Rega chiremba wako azive kana iwe ukava nemhedzisiro, asi usazombomira kutora mushonga kunze kwekunge wakarairwa neimwe nzira.

A:

HFA ipfupiso yehydrofluoroalkane, inova inodzivirira yakachenesa yemuchadenga pane ekare ma propellants anoshandiswa mune yekutanga MDIs. Diskus chiziviso chinobatsira kutsanangura dhizaini yekuendesa uye kutenderera mashandiro anoshandiswa kufambisa yakaoma-hupfu dhizaini mukamuri. Respimat mucherechedzo unobatsira kutsanangura iyo SMI michina yakagadzirwa nekambani yemishonga Boehringer Ingelheim.