COPD Inhalers uye Mishonga

Bhuku Rekurapa KwaCOPD

Paunenge uine kupfupisa kwemweya, chimwe chezvizivo zviratidzo zveCOPD , chinhu chekutanga chaunogona kutarisa kune COPD yako inhaler. Uye icho chinhu chakanaka, nokuti COPD inhaler, kana yakashandiswa zvakanaka, inogona kuzarura mhepo inopfigirwa, inopa rubatsiro rwekukurumidzirwa nokukurumidza, uye mune dzimwe nguva, kubvisa kupisa.

Mishonga inogona kuva yakavhiringidza, zvisinei, sezvo kune mishonga yakasiyana inoshandiswa mu inhalers pamwe nemhando dzakasiyana dzezvinyorwa zvekudzivirira. Wedzera kune icho ichocho kuti mamwe mishonga ine mazita emhando dzakasiyana-siyana uye mamwe inhalers ane mishonga inopfuura imwe chete, uye iwe unganzwa sokuda iwe unoda chiremba mune zvemishonga kuti utarisire hutano hwako.

Asi, chero mishonga yaunorayirwa uye iwe unoshandisa nebulizer kana kuti inereder-dose inhaler, zvinotevera zvinotevera kuCOPD inhalers nemishonga zvinobatsira kuita kuti chirongwa chako cheCOPD chisanyanya kunyatsogadziriswa.

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Rwendo rweMagariro eCOPD Mishonga

Kana uri kurarama neCOPD kana mutarisiri kune mumwe munhu ane COPD, kudzidza zvose zvaunogona pamusoro pemishonga inowanzodiwa yeCOPD kunogona kukubatsira kunzwa uwedzerwa simba mune rwendo rwako.

Mimwe yemishonga iyi inoshandiswa kuburikidza ne inhalers kana nebulizers, imwe inotorwa mufomu yemapiritsi, uye imwe inogonawo kupiwa mukati. Mhando huru yemishonga inoshandiswa mukurapa inosanganisira:

• Mishonga inorwisa mabhakitiriya: Mishonga inobata zvirwere zvechipiri apo dzinobva
• Bronchodilators: Mishonga inoshandura mafambiro enyu kumhepo inovandudza mweya.
• Corticosteroids: Mishonga inoderedza kupisa mumhepo yako.
• Phosphodiesterase-4 (PDE4) Inhibitor: Mishonga inodzivisa kuputika uye kubatsira kubvisa kusvibiswa kwemaviri mumhepo.

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Kunyatsoongorora Bronchodilators

Bronchodilators ndiyo inonyanya kushandiswa kweCOPD uye inoshanda nekuzorodza mafambiro enyu ekuvandudza kubuda kwemhepo kumapapu enyu.

Iko kune mitatu yemarudzi ehurumende, anosanganisira:

• Beta-agonists: Beta-agonists inogona kushandiswa mune imwe inhaler kana inopiwa nehwendefa kana IV. Izvo zvose zviri pfupi-kuita uye kwenguva yakareba-beta-agonists (LABAs). Nenguva-maitiro beta-agonists inosanganisira Proventil / Ventolin / ProAir / AccuNeb (albuterol), Xopenex (levalbuterol), Maxair (pirbuterol), uye metaproterenol. LABA inosanganisira Performomist (formoterol), bambuterol, indacaterol, uye Brovana (arformoterol).
• Anticholinergics: Anticholinergics inongowanikwa nehutachiona uye inosanganisira mishonga Atrovent (ipratropium), Spiriva (tiotropium), uye aclidinium.
• Methylxanthines: Methylxanthines haisipo mune fomu inopfigirwa.

Bronchodilator inogona kusanganiswa nemamwe mishonga, yakadai seyomuInhaler Symbicort iyo inobatanidza kwenguva yakareba beta-agonist ne corticosteroid.

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Glucocorticoids

Kana iwe wakagara neCOPD kwekanguva, iwe unogona kunge uchiziva zvimwe zvezvinowedzera uye zvinopfurikidza ne glucocorticoids.

Glucocorticoids inogona kuderedza kupisa, kunyange zvazvo glucocorticoid inhalers isingakurudzirwi kuvanhu vane COPD yakasimba. Izvi zvinoratidzwa kuti zvideredze huwandu hwekuwedzera kweCOPD nekuvandudza hupenyu hwevanhu vane COPD yakakura, asi haashanduki kufa. Mukuwedzera, kubvisa kubva pamishonga iyi kunogona kukonzera kuwedzera.

Izvo zvakati, kuburitsa corticosteroids kunogona kubatsira kune avo vari mumatanho akapfuura echirwere uye kuwedzera kweCOPD.

Mienzaniso yezvinonzi inhalers mune izvi zvinosanganisira Flovent (fluticasone), Beclovent / Qvar (beclomethasone), Aerobid / Aerospan (flunisolide), uye Pulmicort (budesonide).

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Rwendo rweCommunity COPD Inhalers

COPD inhalers inowanzoonekwa mukurapwa kweCOPD. Asi, kunzwisisa chii-icho-icho uye chii-chino-chingave chinogona kuvhiringidza dzimwe nguva. Kuti ugadzirise hurukuro iyi, unogona kutora nguva kuti udzidze zvakawanda pamusoro pemhando dzakawanda dzeCOPD inhalers pamusika muUnited States.

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Kusiyana pakati peMetered-dose Inhalers uye Nebulizers Mvura

Kwete chete kune huwandu hwakasiyana-siyana mumishonga inogona kuvhiringidzika kubata chirwere cheCOPD asi kune kusiyana kwekuti vanogona sei kuvharidzirwa zvakare.

Zviri nani here kugamuchira mishonga kuburikidza nemvura inerer inhaler kana nebulizer?

Nhoroondo, kazhinji inofungidzirwa kuti nebulizer inoshanda zviri nani kudarika miviri inorema inhaler, asi pane humwe uchapupu hunopesana. Kakawanda, hondo yeiner inerers inhalers nebulizers iyo ichiri kusimba.

Iko kune basa rezvizvi zvose. Mvura inhalisa inhalers haina mari shoma uye inokonzera kuderera mashoma (zvakadai sekuzvidya mwoyo). Zvinogonawo kuguma nekuvandudza nokukurumidza mune imwe nzvimbo yekutambudzika. Izvozvo zvakati, kune nzvimbo yakawanda yekukanganisa neine inerer doer inhaler uye nhamba huru yevanhu vakagadzirirwa aya maishandisi anoshandisa zvisina kururama. Kuwedzerwa kwepakati kunogona kuderedza zvimwe zvekanganiso iyi.

Nebuladzirapa inorapwa inowanzoshandiswa munzvimbo yezvipatara uye inonyanya kushandiswa sezvo inogona kupiwa kuburikidza nechigunwe kana kuti endotracheal tube. Vanoda kudyidzana zvishoma kuderedza kubudirira.

Zvichida kuti vamwe vanhu vachawana chimwe chigadzirwa kana chimwe chichiri nani pane zviratidzo zvavo, uye zvinogona kuwira kune mumwe munhu zvaanoda.

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Nzira Yokushandisa Nayo Metered-Dose Inhaler

Kushandisa metered-dose inhaler (MDI) inogona kuratidza zvakaoma kupfuura kushandisa nebulizer, kunyanya kana kuwirirana kwako kusati kwave kwaimbova. Asi kunyange kana iwe uine hutano hwakanaka uye uchitevera mazano acho zvakakwana, iwe haungagoni kuwana zvakakwana kubhadhara. Zvidzidzo zvakawana kuti vazhinji vevanhu vanoshandisa inhalers yavo zvisina kunaka.

Zvichida iwe wakangobva kuudzwa kuti inerer dose inhaler kana musikana wekare akashandisa izvi kwemakore, tora nguva yekuongorora kuti ungashandisa sei inhaler yako zvakanaka .

Pasi Pepamusoro Pamishonga Inhaled yeCOPD

Inhaled mishonga ndiyo inowanikwa nevanhu vazhinji vane COPD. Iyi mishonga inogona kusanganisira imwe yemhando dze bronchodilators, corticosteroid, kana kusanganiswa kwemaviri. Panewo kusiyana kwekudzivirira kwemaitiro ne inhalers, nebulizers, uye marudzi mazhinji ega ega angasarudza kubva. Kutora nguva yekudzidza nezvemishonga yako inhanho huru pakuve chikamu chinoshanda chekuchengetedza kwako kweCOPD.

> Sources:

> DePietro, M., Gilbert, I., Millette, L., naMer Riebe. Inhalation Zvimwe Zvigadzirwa zveChirangaridzo zveHurumende yeHurumende Inopedza Kuvhara Dambudziko rePulmonary Disease. Postgraduate Medicine . 2018. 130 (1): 83-97.

> Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill yembudzi, 2015. Print.

> Tashkin, D. Kudzokorora kwaNebulized Drug Delivery muCOPD. International Journal of Chronic Obstructive Pulmonary Disease . 2016. 11: 2585-2596.