Opumira ma COPD

Zamkati

• Meta-inhaler ya mlingo
• Powuma wouma inhaler
• Nkhungu yofewa inhaler
• Tengera kwina
• Yankho:

Chidule

Matenda osokoneza bongo (COPD) ndi gulu la matenda am'mapapo - kuphatikiza bronchitis, mphumu, ndi emphysema - zomwe zimapangitsa kupuma kupuma. Mankhwala monga bronchodilators ndi ma inhaled steroids amachepetsa kutupa ndikutsegula mayendedwe anu kuti akuthandizeni kupuma mosavuta.

Inhaler ndi chida chonyamula m'manja chomwe chimapumira kapena kupopera mankhwalawa molunjika m'mapapu anu kudzera pakamwa. Ma inhalers amagwira ntchito mwachangu kuposa mapiritsi, omwe amayenera kudutsa mumwazi wanu kuti akagwire ntchito.

Inhalers amabwera m'mitundu itatu yayikulu:

• ineredr-dose inhaler (MDI)
• ufa wouma inhaler (DPI)
• zofewa nkhungu inhaler (SMI)

Meta-inhaler ya mlingo

Ineredr-inhaler (MDI) ndi chida chogwiritsira ntchito chomwe chimapereka mankhwala a mphumu m'mapapu anu mu mawonekedwe a aerosol. Bokosili limamangiriridwa pakamwa. Mukasindikiza pa canister, chopangira mankhwala chimakankhira kachilombo ka mankhwala m'mapapu anu.

Ndi MDI, muyenera kupuma ndikutulutsa mankhwala. Ngati mukuvutika kuchita izi, mutha kugwiritsa ntchito chida chotchedwa spacer. Spacer imatha kuthandizira kugwirizanitsa mpweya wanu ndikutulutsa mankhwala.

Mankhwala a COPD omwe amabwera mu MDI amaphatikizapo ma steroids monga Flovent HFA ndi kuphatikiza steroid / bronchodilators monga Symbicort.

MDI iliyonse imabwera ndi malangizo ake. Mwambiri, nayi momwe mungagwiritsire ntchito imodzi:

• Chotsani kapu kuchokera mu inhaler.
• Ndi cholankhulira choyang'ana pansi, sansani inhaler kwa masekondi pafupifupi asanu kuti musakanize mankhwalawo.
• Kenako gwiritsani ntchito imodzi mwanjira izi:
  • Njira yotseguka: Gwirani cholankhulira 1 1/2 mpaka 2 mainchesi kuchokera pakamwa panu.
  • Njira yotseka pakamwa: Ikani cholankhulira pakati pa milomo yanu ndikutseka milomo yanu molimba mozungulira icho.
  • Ndi spacer: Ikani MDI mkati mwa spacer ndikutseka milomo yanu mozungulira spacer.
• Pumani pang'ono pang'ono.
• Sakanizani inhaler ndipo, nthawi yomweyo, pumirani kwambiri pakamwa panu. Pitirizani kupuma kwa masekondi 3 mpaka 5.
• Gwirani mpweya wanu kwa masekondi 5 mpaka 10 kuti mutengere mankhwala panjira yanu.
• Pumulani ndikupuma pang'ono pang'ono.
• Bwerezani njirayi ngati mungafune zambiri mthupi lanu.

Ubwino: Ma MDIs ndiosavuta kugwiritsa ntchito ndipo atha kugwiritsidwa ntchito ndi mitundu yosiyanasiyana ya mankhwala a COPD, kuphatikiza ma steroids, ma bronchodilators, ndi mankhwala osakaniza. Mumalandiranso mankhwala omwewo nthawi iliyonse mukawagwiritsa ntchito.

Kuipa: Ma MDI amafuna kuti mugwirizane pakati pa kugwiritsa ntchito mankhwala ndikuwapumira. Ndikofunikanso kuti mupume pang'onopang'ono komanso mozama. Ngati mupuma mofulumira kwambiri, mankhwalawa adzagunda kumbuyo kwa mmero wanu, ndipo ambiri mwa iwo sangafike pamapapu anu. Muyeneranso kugwiritsa ntchito chopumira kuti mulowetse mankhwala m'mapapu anu.

Powuma wouma inhaler

Powuma wouma inhaler (DPI) amatumiza mankhwala m'mapapu anu mukamapumira kudzera pachipangizocho. Mosiyana ndi MDI, a DPI sagwiritsa ntchito chowonjezera kukankhira mankhwala m'mapapu anu. M'malo mwake, mpweya wanu wamkati umayambitsa mankhwala.

DPIs imabwera muyezo umodzi komanso zida zamagulu angapo. Zipangizo zamagulu angapo zimakhala ndi Mlingo wa 200.

COPD ufa wouma womwe ungagwiritsidwe ntchito ndi DPI umaphatikizapo ma steroids monga Pulmicort ndi bronchodilators monga Spiriva:

DPI iliyonse imabwera ndi malangizo ake. Mwambiri, nayi momwe mungagwiritsire ntchito imodzi:

• Chotsani kapu.
• Tembenuzani mutu wanu kutali ndi chipangizocho ndikupuma kunja. Osatulutsa mpweya mu chipangizocho. Mutha kumwaza mankhwala.
• Ikani cholankhulira pakamwa panu ndikutseka milomo yanu mozungulira icho.
• Pumirani kwambiri kwa masekondi pang'ono mpaka mutadzaza mapapu anu.
• Chotsani chipangizocho pakamwa panu ndikusunga mpweya wanu mpaka masekondi 10.
• Pumani pang'ono pang'ono.

Ubwino: Monga ma MDI, ma DPIs ndiosavuta kugwiritsa ntchito. Simusowa kuti mugwirizane ndi kukanikiza chipangizocho ndikupumira m'mankhwala, ndipo simuyenera kugwiritsa ntchito spacer.

Kuipa: Mbali inayi, muyenera kupumira movutikira kuposa momwe mungakhalire ndi MDI. Kuphatikiza apo, ndizovuta kupeza mlingo womwewo nthawi iliyonse mukamagwiritsa ntchito inhaler. Mtundu uwu wa inhaler amathanso kukhudzidwa ndi chinyezi komanso zinthu zina zachilengedwe.

Nkhungu yofewa inhaler

The soft mist inhaler (SMI) ndi mtundu watsopano wazida. Zimapanga mtambo wamankhwala womwe umapumira popanda thandizo la wowonjezera. Chifukwa chifunga chimakhala ndi tinthu tambiri kuposa ma MDI ndi ma DPIs ndipo utsi umasiya inhaler pang'onopang'ono, mankhwala ambiri amalowa m'mapapu anu.

Bronchodilator mankhwala a tiotropium (Spiriva Respimat) ndi olodaterol (Striverdi Respimat) onse amabwera mu nkhungu wofewa. Stiolto Respimat amaphatikiza mankhwala tiotropium ndi olodaterol.

Tengera kwina

Ngati mugwiritsa ntchito moyenera, inhaler yanu imathandizira matenda anu a COPD. Funsani dokotala wanu kuti akuwonetseni momwe mungagwiritsire ntchito. Onetsetsani masiku omwe mankhwala anu adzathe ntchito, ndipo pezani mankhwala atsopano ngati mankhwala anu atha.

Tengani mankhwala anu ndendende monga adanenera dokotala. Ngati mukufuna mankhwala owongolera tsiku lililonse, imwani tsiku lililonse - ngakhale mukumva bwino. Adziwitseni adotolo ngati mukukumana ndi zovuta, koma osasiya kumwa mankhwala pokhapokha atalangizidwa.

Yankho:

HFA ndichidule cha hydrofluoroalkane, chomwe chimakhala chotetezera bwino mlengalenga kuposa zoyeserera zakale zomwe zimagwiritsidwa ntchito m'ma MDIs oyambilira. Diskus ndi chizindikiritso chomwe chimathandiza kufotokoza mawonekedwe a zida zoberekera komanso makina osinthasintha omwe amagwiritsidwa ntchito kusunthira chipinda chokhala ndi ufa wouma mchipindacho. Respimat ndi chizindikiro chomwe chimathandiza kufotokoza makina a SMI opangidwa ndi kampani yopanga mankhwala Boehringer Ingelheim.