Ukuqhathanisa Izinzuzo Nezimo Zombili
Kuye kwaba nenkolelo emide phakathi kwabanye ukuthi i- nebulizers emanzi isebenza kangcono kunama-inhalers we-metered-dose (MDIs) uma kuziwa ekuphatheni izifo zamaphaphu njengeCOPD . Kungase kubonakale sengathi ukucabanga okulungile kunikezwe ukuthi ungasebenzisa i-nebulizers isikhathi esiningi, kepha ingabe kusho ukuthi kungcono kakhulu?
Indlela idivayisi ngayinye isebenza ngayo
I-MDI iyidivayisi yepulasitiki neyensimbi ehlinzeka ngemithi ethize yemithi ebizwa ngokuthi i- aerosolized imithi ehlanganiswa ngqo emaphashini.
Ama-MDIs asetshenziselwa ukuphatha i-asthma, i-COPD, nezinye izifo zokuphefumula. Idivaysi ebizwa ngokuthi i-spacer ibamba inkungu uma iphuma kudivayisi futhi ikuvumela ukuthi ungene eminye imithi. Futhi nge-okunamathiselwe okuyingxenye, akudingeki ukhathazeke ngokuqondisa umoya wakho ngokuphefumula ngalunye, futhi kukhona okusele okuncane okucasulayo okusele emlonyeni.
Ngokuphambene nalokho, i-nebulazer iyisidingo se-elekthronikhi eguqula amanzi ibe ngumbhobho omuhle kakhulu bese ufakwa emaphashini. Njenge-MDI, i-nebulizers isetshenziselwa ukuphatha izimo zokuphefumula ezifana ne-asthma ne-COPD. Lolu hlobo lwedivaysi ludinga ukuba ulinganise inani lemithi edingekayo eliyithengisela ekomishini elihlanganiswe ne-tubing nebulizer.
Izinzuzo ze-Nebulizer
Uma kuqhathaniswa nama-MDI, ngokuvamile ama-nebulizers abonakala sengathi iyisetshenziswa sokuzikhethela ezibhedlela kanye nezizathu ezinhle. Kulula ukuyisebenzisa, ingahle ishintshwe ngokushesha (ukuze ihambisane nomlomo, imaski, i-tracheostomy collar, noma i- endotracheal tube ), futhi ingakwazi ukuletha imithi ehlukahlukene ngokumthulisela isidakamizwa kudivayisi.
Futhi, ngenkathi inqubo efanelekile kubalulekile kokubili amadivaysi, ukuvumelanisa jikelele ukuthi kukhona indawo engaphezulu yephutha uma kuziwa ekusebenziseni i-MDI. Eqinisweni, ucwaningo olulodwa lwabonisa ukuthi iziguli eziyizingamaphesenti amahlanu kuphela ezisebenzisa i-MDI ngendlela efanele .
Umbono ovelele wokuthi ama-nebulizers asebenza kangcono kunama-MDIs angalingana nobude bokungena.
Ungakwazi, isibonelo, sebenzisa i-nebulizer imizuzu engama-20 uma kuqhathaniswa ne-MDI owamukela kuphela ambalwa, ukukhukhumeza okusheshayo ngokuhamba kwesikhathi. Ngenxa yalokho, kubonakala kunengqondo ukuthi uthola imithi eminingi nge-nebulizer. Futhi okuningi kungcono, akunjalo?
Izinzuzo ze-MDI
Ngo-2002, ama-nebulizers amanzi ayebhekwa njengendlela yokwelapha yokuqala yokukhetha abantu abane-asthma enzima emakamelweni okuphuthumayo esibhedlela. Lokhu kwashintsha ngo-2003 lapho izifundo ziqala ukukhombisa ukuthi ukusetshenziswa kwe-MDI kuhambisana nokunciphisa okukhulu ubude bekamelo lokuphuthumayo.
Ucwaningo oluqhubekayo lwalusekela kakhulu lokhu okutholwe, okuphetha ngokuthi abantu abaphathwa nge-MDI bavulwa ngokukhipha amahora amabili okuqala ukwelashwa. Nakuba iphesenti yokuphumula ekamelweni eliphuthumayo ekamelweni eliphuthumayo lalifana nalawo maqembu amabili, abantu abaphathwa nge-MDIs baboniswa ukuthuthukisa ngokushesha uma kuqhathaniswa neziguli ezingezansi.
Olunye ucwaningo lwaluveza ukuthi ama-MDIs anezikhala ezihlangene ahlotshaniswa nemiphumela emibi kakhulu, kanye nokukhathazeka okubangelwa yizidakamizwa nokuthuthumela. Kusuka kumbono wabathengi, amadivayisi aziwa ukuthi ayabiza kakhulu. Ngakho nakuba abanye bengase bathi ama-nebulizers ahambisa imithi eminingi, ucwaningo lubonisa ukuthi alunikeza inzuzo yomtholampilo eyengeziwe uma kuqhathaniswa nama-MDIs.
Isiphetho: Musa ukulungisa lokho okungavunyelwanga
Bobabili i-nebulizers kanye ne-MDI banezinzuzo zabo nokungaphumeleli, kokubili kwangempela futhi kubonakala. Uma ngabe idivaysi eyodwa isebenzele wena nje futhi ufunde indlela efanele, akudingeki ngempela ushintsho ngaphandle kwezindleko.
Futhi noma ngabe intengo iyinkinga, kuvame ukuba ngcono ukuhlola izindlela zokunciphisa izindleko zezokwelapha ze-nebulizer (nge-imeyili-oda yokubhalisa izinhlelo kanye nezinhlelo zokusiza izidakamizwa ) bese ushintshela kudivayisi engase ingasebenzi kahle ngawe umuntu.
Ngaphezu kwalokho, uma ungayitholi inzuzo ocabanga ukuthi kufanele uvela kudivayisi yakho yamanje, ungacabangi ukuthi ngumkhiqizo ongenaphutha.
Khuluma nodokotela wakho ubone ukuthi kukhona yini ongayenza ukuze uthuthukise indlela osebenzisa ngayo idivayisi. Lokhu kuyiqiniso ikakhulukazi kuma-MDIs afaneleke ukuphutha komsebenzisi.
> Imithombo:
> Alhaider, S .; I-Alshehri, H .; kanye ne-Al-Eid, K. "Ukuguqula ama-nebulizers ngama-MDI-spacers we-bronchodilator nokufakwa kwe-corticosteroid administration: Impact ekusetshenzisweni kwezibonelelo zesibhedlela." I-International Journal of Pediatrics and Medicine Adolescent . 2014; 1 (1): 236-240.
> Camargo, C .; U-Rachelefsky, G; no-Schatz, M. "Ukulawula Ukuqhuma Kwe-Asthma Exacerbations eMnyangweni Wezimo Eziphuthumayo: Ukufingqwa koMbiko Wezinhlelo Zomphakathi Wezemfundo Nezivivinyo Zokuvimbela I-Asthma National Guidelines 3 Izinkombandlela Zokulawulwa Kwezimo Eziphuthumayo Zomqondo We-Asthma Exacerbations." Imibiko ye-ATS. 2009; 6 (4): 57-366.