I-COPD ye-Inhalers neMithi

Umhlahlandlela Wokulashwa I-COPD

Uma unomoya wokuphefumula, esinye sezibonakaliso eziphawulekayo ze-COPD , into yokuqala ongase uyigijime ku-inhaler yakho ye-COPD. Futhi lokho kuyinto enhle, ngoba i-COPD inhaler, uma isetshenziswe kahle, ingavula imimoya evinjiwe, ihlinzeke ngokukhululeka kokuphazamiseka kwesibonakaliso, futhi kwezinye izimo, ukukhulula ukuvuvukala.

Ukwelapha kungaba yinto edidekayo, noma kunjalo, njengoba kunemithi ehlukene esetshenziselwa inhalers kanye nezinhlobo ezahlukene zamadivaysi okufaka inhalation. Ukwengeza kulokho ukuthi imithi ethile inegama lamagama ahlukahlukene amaningana kanti amanye ama-inhalers aqukethe imithi engaphezu kweyodwa, futhi ungase uzizwe sengathi udinga i-pharmacy ukunakekela impilo yakho.

Noma kunjalo, noma yikuphi imithi oyimisiwe nokuthi ngabe usebenzisa i-nebulazer noma i-metered-dose inhaler, isiqondiso esilandelayo ku-COPD ye-inhalers nemithi izosiza ukwenza ukwelashwa kwakho kwe- COPD kube nokuphathwa okuncane.

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Uhlu lwemithi ejwayelekile ye-COPD

Uma uhlala neCOPD noma umnakekeli kumuntu onesi-COPD, ukufunda konke ongakwenza mayelana nemithi ejwayelekile ye-COPD kungakusiza uzizwe unamandla kakhulu ohambweni lwakho.

Eminye yale mithi isetshenziswa ngokusebenzisa i-inhalers noma i-nebulizers, ezinye zithathwa ifomu lepilisi, kanti ezinye zingabuye zinikezwe ngaphakathi. Izigaba ezinkulu zemithi esetshenziswa ekwelapheni zifaka:

• Ama-antibiotics: Imithi ephethe ukwelashwa kwesibili uma ivela
• I-bronchodilators: Imithi ehlanza umoya wakho ukuze kuthuthukiswe ukuhamba kwamanzi.
• I-Corticosteroids: Imithi eyanciphisa ukuvuvukala emoyeni wakho womoya.
• I-Phosphodiesterase-4 (i-PDE4) Inhibitors: Imithi evimbela ukuvuvukala nokusiza ukuphumula imisipha epholile emoyeni.

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Ukubheka ngokucophelela ama-bronchodilators

I-bronchodilators yindlela yokwelashwa eqondile ye-COPD futhi isebenza ngokuphumula imimoya yakho ukuze kuthuthukiswe ukugeleza komoya emaphashini akho.

Kunezinhlobo ezintathu zama-bronchodilators, kufaka phakathi:

• I-Beta-agonists: I-Beta-agonists ingasetshenziswa ku-inhaler noma inikezwe yi-tablet noma i-IV. Kukhona kokubili i-beta-agonists (i-LABAs) esheshayo futhi esebenza isikhathi eside. Ama-beton-agonists abambalwa abambalwa afaka i-Proventil / Ventolin / ProAir / AccuNeb (albuterol), i-Xopenex (levalbuterol), i-Maxair (i-pirbuterol), ne-metaproterenol. I-LABA ihlanganisa i-Performomist (formoterol), i-bambuterol, i-indacaterol, ne-Brovana (i-arformoterol).
• I-Anticholinergics: I-Anticholinergics itholakala kuphela nge-inhalation futhi ifaka imithi i-Atrovent (ipratropium), i-Spiriva (tiotropium), ne-aclidinium.
• Ama-Methylxanthini: Ama-Methylxanthini ayitholakali efomu elingafakiwe.

Ama-bronchodilators angahlanganiswa neminye imithi, njenge-inhaler Symbicort ehlanganisa i-beta-agonist ende esebenza isikhathi eside nge-corticosteroid.

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Glucocorticoids

Uma ngabe uhlala neCOPD okwesikhashana, cishe uyazi ezinye zezinzuzo nezingozi ze-glucocorticoids.

I-glucocorticoids inganciphisa ukuvuvukala, nakuba i-inhalers ye-glucocorticoid ayinconywa kubantu abane-COPD esinqabile. Lawa ma-inhalers aboniswe ukunciphisa inani lezinkinga ze-COPD futhi athuthukise izinga lokuphila kubantu abane-COPD ephakeme, kodwa abaguquli ukufa. Ngaphezu kwalokho, ukuhoxiswa kule mithi kungaholela ekukhuleni.

Lokho kusho ukuthi ukukhipha ama-corticosteroids kungaba usizo kulabo abasesiteji esiphambili sesifo kanye nokukhushulwa kwe-COPD.

Izibonelo ze-inhalers kulesi sigaba zihlanganisa i-Flovent (fluticasone), i-Beclovent / Qvar (beclomethasone), i- Aerobid / Aerospan (flunisolide), ne-Pulmicort (budesonide).

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Uhlu lwe-COPD ejwayelekile ye-Inhalers

I-COPD inhalers yindawo evamile ekwelapheni kwe-COPD. Kodwa, ukuqonda okungukuthi-yikuphi nokuthi yini-ingabe-ngezinye izikhathi kungadideka. Ukuze wenze le ngxoxo ibe lula, ungathatha isikhashana ufunde kabanzi ngezinhlobo ezivame kakhulu ze-COPD emakethe e-US

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Umehluko Phakathi kwe-metered-dose Inhalers ne-Nebulizers Emanzi

Akukhona nje kuphela ukuthi kukhona ukungafani emithini engaxilongwa ukuze aphathe i-COPD kodwa kunemibono yokuthi ingaxhunyiwe kanjani.

Kungcono ukuthola imithi ngokusebenzisa i-inhaler ye-metered dose noma nebulizer?

Ngokomlando, kuvame ukucatshangwa ukuthi i-nebulizer isebenza kangcono kune-inhaler ye-metered, kodwa kukhona ubufakazi obuhlukile. Ngokuvamile, impi ye- inhalers ye- metered dose ne-nebulizers isasebenza.

Kukhona indima kokubili la madivayisi. Ama-inhalers we-doered amanani ayabiza kakhulu futhi abangela imiphumela emibi kakhulu (njengokukhathazeka). Kungase futhi kubangele ukuthuthukiswa okusheshayo esimweni segumbi lokuphuthumayo. Lokho kusho ukuthi kukhona indawo engaphezulu yephutha nge-inhaler yesilinganiso semitha kanye nenani elikhulu labantu elibekiwe la madivaysi awasebenzisayo ngokungalungile. Ukwengezwa kwe-spacer kunganciphisa ezinye zephutha.

Izindlela zokwelashwa ze-Nebulization zivame ukusetshenziselwa ukubeka esibhedlela futhi zinezindlela eziningi ezihlukahlukene njengoba zinganikwa nge-mask noma ngisho ne-tube endotracheal. Badinga ukubambisana okungenani ukuze kukhuliswe ukusebenza.

Kungenzeka ukuthi abanye abantu bazothola idivaysi eyodwa noma enye ibe ngcono ngezimpawu zabo ezithile, futhi ingase ifike ekuthandweni ngabanye.

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Indlela yokusebenzisa i-Metered-Dose Inhaler

Ukusebenzisa i-methal-dose inhaler (i-MDI) ingaba inselele kunokuba isebenzise i-nebulizer, ikakhulukazi uma ukuxhumana kwakho akuyona into eyayijwayele. Kodwa noma ngabe unobungozi obuhle futhi ulandela izinkomba ngokugcwele, ungase uthole inzuzo egcwele ye-inhaler. Ucwaningo luye lwabona ukuthi iningi labantu lisebenzisa i-inhalers ngokungalungile.

Kungakhathaliseki ukuthi usanda kunqunywa ukuthi inhaler ye-metered noma umsebenzisi we-veteran esebenzise lokhu iminyaka, thatha isikhashana ukuthi ubuyekeze ukuthi ungasebenzisa kanjani i-inhaler yakho ngokufanele .

Ngezansi Emidlalweni Engabhalisiwe ye-COPD

Imithi yokwelapha iyisisekelo esiyinhloko kubantu abaningi abane-COPD. Le mithi ingafaka enye yezinhlobo ze-bronchodilators, i-corticosteroid, noma inhlanganisela yalezi zibili. Kukhona futhi umehluko ezindleleni zokwephulwa nge-inhalers, nebulizers, nezinhlobonhlobo eziningi ezizokhethwa kuzo. Ukuthatha isikhathi sokufunda ngemithi yakho kuyisinyathelo esikhulu sokuba yingxenye esebenzayo yokunakekelwa kwe-COPD yakho.

> Imithombo:

> DePietro, M., Gilbert, I., uMillette, uL., noMnu Riebe. Izinketho Zedivayisi Ye-Inhalation ye-Management of Chronic Obstructive Pulmonary Disease. Imithi ye-Postgraduate . 2018. 130 (1): 83-97.

> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.

> Tashkin, D. Ukubukezwa kwe-Nebulized Drug Delivery ku-COPD. I-International Journal ye-Chronic Obstructive Pulmonary Disease . 2016. 11: 2585-2596.