Kunzwisisa Kubwinya kwevana
Nemafu inhalers inzira yakanakisisa yekuwana mishonga yeAIDS kumapapu emwana. Kunyange zvazvo nebulizer inogona kunge iri nyore kushandisa, vabereki vazhinji nevana havadi kuti vanozotora nguva yakareba sei kuti vanorapwa.
Asthma Inhalers
Zvinosuruvarisa, kana zvingave zvakanaka, asthma inhalers inofanira kushandiswa zvakanaka, ichida matanho akawanda, kana ichange ichishanda.
Izvozvo zvingave zviri nyore nekubatanidza meta-dose inhaler nekwakatsvaga kana kuti spacer nemasikisi, asi inhaler ne spacer inofanira kushandiswa zvakanaka.
Iwe unogona kunge usingakwanisi kurega kushandisa smafu inhaler, zvisinei, semimwe mishonga yemidzimu inowanikwa chete se inhaler. Somuenzaniso, nepo nebulized forms dze albuterol , levalbuterol (Xopenex), uye Pulmicort (budesonide), mamwe mimwe mishonga yekurapa chirwere inowanika chete se inhalers.
Mitauro yeAhmalma Inhalers
Kune miviri miviri mikuru yeAhma inhalers, kusanganisira yakareba metered-dose inhalers (MDI) iyo vanhu vakawanda vanoziva, uye itsva inowanika yakaoma inhaler inhalers (DPI). Muzhinji, vanhu vazhinji vanofunga kuti yakaoma yehuta inhalers inoshandiswa nyore kushandisa nokuti iyo mweya inofemerwa (mishonga haibvi kunze kusvikira iwe uchitora mweya), asi iner-dose inhalers inoda kuti mushandisi aratidze kutora mweya wakadzika nekuita inhaler.
- inerers-dose inhalers (CFC) - inhalers ine chlorofluorocarbons yakabviswa nekuda kwekunyanyisa kwezvakatipoteredza
- metered-dose inhalers (HFA) - itsva yeCFC-isina hydro fluoroalkene propellant inhalers
- Kufema kunobata metered dose inhalers (HFA) - inodhura kupfuura dzimwe MDIs
- mishonga yakaoma inhalers - kazhinji haigoni kushandiswa kusvikira vana vakura makore mashanu kusvika ku6 uye vanogona kutora zvakadzika, zvine simba yekudzivirira. Vana vaduku vanowanzoedza kuedza kupinda mukati, panzvimbo yekufema mukati.
Apo pavanoshandisa yakaoma yehuta inhaler, vana vakawanda vaduku vanoita chikanganiso che:
- kuisa iyo inhaler zvisina kururama
- kukanganwa kubhadhara zvakakwana vasati vashandisa iyo inhaler
- kwete kutora yakadzika, simba rinoputika
- kwete kubata mweya wavo kwemaminitsi anenge gumi
- kukanganwa kufema kunze zvishoma pashure
Zvechokwadi, zvakajairika kuita zvikanganiso nematare-dose inhalers, zvakare. Chikanganiso chakakonzerwa ndechekuti vana vakanganwe kutora zvishoma nezvishoma, zvakanyanyisa kufungidzira, kufema mukukurumidza pane.
Inhalers ne Spacers
Kunyange zvazvo mwana wako angave akwanisa kushandisa metered-dose inhaler kana ava nemakore anenge matanhatu, inogona kunge iri pfungwa yakanaka kushandisa shambani kuti ave nechokwadi chokuti anowana chirwere chakazara pamapapu ake.
A spacer chinhu chiduku chinogona kuiswa kune inhaler uye chinogona kusanganisira maski kune vacheche, vaduku, uye vaduku vane makore 4 kana kuti vaduku. Dzinosanganisira kamuri yekuchengetedza iyo inochengeta mishonga iri mucheche kusvikira mwana wako atora mweya kuitira kuti asadi kuratidzira kutora mweya nekuita inhaler.
Kununura Simba reApmma Inhalers
Kununura mweya wepimma inosanganisira nguva shoma-kuita beta-agonists iyo inogona kukupa ruregerero nokukurumidza apo mwana wako ane zviratidzo zvechirwere:
- ProAir HFA (albuterol inhaler)
- Proventil HFA (albuterol inhaler)
- Ventolin HFA (albuterol inhaler)
- Ventolin HFA 60 (albuterol inhaler)
- Xopenex HFA (levalbuterol inhaler)
- ProAir RespicClick (albuterol inhaler) - inhalation powder
Izvi zvinoponesa inhalers zvinowanzoshandiswa chete pane zvinodiwa-uye kwete zuva rega rega. Taura nevana vako kana mwana wako achiita seanoda kushandisa mishonga yake yekukurumidza kusunungura mafivha makumi maviri nevhiki.
Maxair AutoHaler (pirbuterol inhaler), MDI yakafuridzirwa nemhepo yakabviswa kubva pamusika muna 2013 nokuti yakanga ine CFCs.
Kuchengetedza Asthma Inhalers
Inhaled corticosteroid inhalers inonyanya kushandiswa nehutachiona hwekudzivirira .
Kusiyana nekudzikinura, izvo zvinogona kupa kukurumidza kununurwa kwezviratidzo zvechirwere, steroid inhalers inowanzoshandiswa zuva rega rega kuti ibatsire kudzivirira mwana wako kubva pakuita zviratidzo zvechirwere.
Kunyange zvazvo zvingaita sokuti steroid inhalers ndeye, zvose zvakafanana, hukuru hwehutachiona hwechirwere hunogona kuchinja maitiro ayo. Nenzira yakawanda, avo vane uwandu hwemadiki, seAerobid, Alvesco, uye Qvar, vanofanirwa kuiswa zviri nani pamapapu.
Zvichida zvakakosha kudarika huwandu hwemazana ari kungowana steroid inhaler uye kuishandisa zvakanaka zuva rega rega:
- Aerobid (flunisolide) - MDI yakagamuchirwa kuvana vane makore matanhatu
- Alvesco (ciclesonide) - MDI yakagamuchirwa kuvana vane makore 12
- Asmanex Twisthaler (mometasone) - DPI inogamuchirwa kuvana vana 12
- Flovent Diskus (fluticasone) - DPI inogamuchirwa kune vana vanenge 4
- Flovent HFA (fluticasone) - MDI inogamuchirwa kuvana vana vanopfuura 4
- Pulmicort Flexhaler (budesonide) - DPI inogamuchirwa kune vana vanopfuura 6
- Qvar (beclomethasone) - MDI yakagamuchirwa kuvana vanove vashanu
Nhengo imwe neimwe inowanika inowanikwa mune simba rakawanda kuti ubatsire kuwana mwana wepamu pachirwere zvakanaka. Kana chirwere chakaderera chisina kushanda, zvino kutamira kusvika kumusero wakakwirira kunogona, semuenzaniso, kutama kubva kuQvar 40 kusvika kuQvar 80.
Kune vana vane muongorori kuti vave nechirwere chinonzi smaid isingagoni kurongerwa nesteroid inhared, inhaler iyo inosanganisira steroid ne-long-acting beta-agonist inogona kubatsira. Aya inhalers anosanganisira:
- Advair HFA - (Flovent + Serevere) - MDI yakagamuchirwa kuvana vana vanopfuura 4
- Advair Diskus - fomu yeDPI yeAdvair - yakagamuchirwa kune vana vane zvingasara 4
- Dulera - (Asmanex + Foradil) - MDI yakagamuchirwa kuvana vane makore 12
- Symbicort - (Pulmicort + Foradil) - MDI inogamuchirwa kuvana vane makore 12
Kana imwe nguva mwana wako aine chirwere chepamusoro achinyatsogadziriswa paanenge achishandisa musanganiswa muhutachiwana, taura nevana vako kuti uone kana inguva yakafanira yekuderedza chirwere chemwana wako kuitira kuti iye achingoshandisa steroid inhaler.
WhatTo Know About Asthma Inhalers for Kids
Zvichida chinhu chakakosha kuziva pamusoro pemwana wako wehma inhalers ndechokuti iwe unofanira kuramba uchishandisa kusvikira iwe uudzwa nevana vako kuti uvadzivise. Chirongwa chechirongwa chekusimudza chinogona kubatsira kuti uve nechokwadi chokuti unoziva nguva yekushandisa mwana wako wehma inhaler uye nguva dzose dzekutsvaga kukwidzwa.
- Ita kuti mwana wako wese ave nechirwere chepamu inhalers newe kana iwe uchiona mwana wako wevana kuitira kuti vazive mishonga ipi iyo mwana wako ari kutora uye kuitira kuti mwana wako aratidze kuratidza kuti zvakanaka (kana kuti murombo) nzira yake ndeyeye inhalers.
- Nhengo yehutachi inha inogona kudhura uye zvose zvinodhura uye kubhadharwa nekambani yeinishuwarenzi inogona kuva zvinhu zvinoita kuti inhaler mwana wako ashandise. Kana kambani yako ye inshuwarisi iine mushonga wezvinodhaka, funga kuunza runyora rwekunakidzwa nehma inhalers kusvika kushanya kwako nevana vako.
- Mukuwedzera pakugadzirisa uye kushandiswa, kushandisa smafu inhaler yakakurumidza kupfuura mushonga kubva kuNebulizer.
- Nyaya dzakawanda dzemafi inhaler dzinoshandiswa kure-tekisi (zvinopesana nemitemo yakarongedzwa) muvana vanove vaduku kudarika makore avanotenderwa.
Taura nechiremba wevana vako kana iwe usingakwanisi kutenga mwana wako wehma inhalers. Vanachiremba vanowanzotora zvinyorwa uye mapikoni ekusimbisa asthma inhalers kana kuti vanogona kukubatsira nemapurogiramu ekugadzirisa manyore ayo makambani mazhinji ezvinodhaka zvino anopa.
Sources:
Adkinson: Middleton's Allergy: Principles and Practice, 7th ed .;
Dolovich MB, Ahrens RC, Hess DR, et al: Kusarudzwa kwezvibvumirano nemigumisiro yeaerosol therapy: Evidence-based guidelines: American College of Chest Physicians / American College of Asthma, Allergy, uye Immunology. Chest 2005; 127: 335-371.
Mudiwa, John. Kusarudza mafungiro emhando yevanhu vane astmma: Zivo yemazuva ano uye zvakakosha zvido zvekutsvaga. Respiratory Medicine CME, Bhuku 3, Nyaya 3, 2010, Mapeji 125-131.
Lavorini, Federico. Migumisiro yekushandisa kusina kunaka kwehupfu hwakapetwa inhalers pakuchengeta varwere vane asthma neCOPD. Respiratory Medicine, Bhuku 102, Nyaya 4, April 2008, Mapeji 593-604.
NIH. Chirongwa chekunyora kwepamuviri yekurapa. Mirayiridzo yeKutsvaga uye Kutungamirirwa kweAphma. 2007