Kuenzanisa Kubatsira uye Kukanganisika kweVose
Pakave nekutenda kwenguva refu kune vamwe kuti nebulizers yakanyoro inoshanda zviri nani kudarika mishonga-dose inhalers (MDIs) pazvinouya mukurapa zvirwere zvemapapu seCOPD . Zvingaita sokufungidzira kwakanaka kwakapiwa kuti iwe unogona kushandisa nebulizers kwenguva refu, asi zvinoreva kureva zviri nani?
Maitiro Ayo Kushandura Kwose Kwose
I MDI ipurasitiki nemidziyo inopinza iyo inopa mimwe yemishonga inoshandiswa neaerosolized iyo inhaled directly into mapapu.
Nhengo dzezvirwere dzinowanzoshandiswa kurapa chirwere chemuviri, COPD, uye dzimwe zvirwere zvokufema. Chigadzirwa chinonzi spacer chinobata mhutu sezvainosiya chigadzirwa uye ichikubvumira kutora mishonga yakawanda. Uye nechisimbiso chakasiyana, haufaniri kunetseka nezvekubatanidza kufema kwako nemhepo yose, uye pane zvakasara zvakasara zvakasara zvakasara mumuromo.
Kusiyana neizvi, nebulizer iyi inogadzirwa zvemagetsi inoshandura mvura mumhutu wakanaka zvikuru iyo inobva yanyonganiswa mumapapu. Sezvakaita MDI, nebulizers inoshandiswa kuporesa mamiriro ekufema zvakadai seAsphma neCOPD. Izvi zvinoda kuti iwe uone kuwanda kwemishonga inodiwa inozoidururira mukapu yakanamatirwa nebulibuli tubing.
Kubatsirwa kweNebulizer
Inofananidzwa neMDC, nebulizers inowanzoita sechigadziro chekusarudza muzvipatara uye nekuda kwezvikonzero zvakanaka. Izvo zviri nyore kushandisa, zvinogona kukurumidza kugadziriswa (kugadzirisa muromo, mask, tracheostomy collar, kana endotracheal tube ), uye inogona kununura mishonga yakasiyana yakasiyana nekudururira mushonga muchigadzirwa.
Uye, nepo nzira yakakodzera yakakosha kune zvose zvigadzirwa, kubvumirana kwakawanda ndechokuti kune nzvimbo yakawanda yekukanganisa kana zvasvika pakushandisa MDI. Kutaura zvazviri, kumwe kuongorora kwakaratidza kuti zvikamu zvishanu pazana zvevarwere vakashandisa MDI zvakarurama .
Kuona kwakanyanya kwekuti nebulizers inoshanda zviri nani kudarika MDIs inogona kufanana nekureba kwenguva inhalation.
Iwe unogona, semuenzaniso, shandisa nebulizer kwemaminitsi makumi maviri nemashanu uchifananidzwa neMDC iyo iwe unongogamuchira zvishomanana, kunyanya kunetseka pamusoro pemakore mashoma. Sezvo zvakadaro, zvingaita sezvinonzwisisika kuti uri kuwana mishonga yakawanda ne nebulizer. Uye zviri nani zviri nani, zvakarurama?
Kubatsirwa kweMDC
Muna 2002, nebulizers emvura yakatarwa semutambo wekutanga wekusarudzwa kwevanhu vane chirwere chinonzi achma pachipatara muzvipatara zvinotyisa. Izvi zvakashandurwa muna 2003 apo zvidzidzo zvakatanga kuratidza kuti MDI inoshandisa nekubatanidzwa nekuderedza kukuru kwehurefu hwemukana wekukurumidzira unogara.
Mukutsvakurudza kwekutsvakurudza kwakanyatsotsigira izvi zvakawanikwa, kugumisa kuti vanhu vaibata ne MDI vaiwanzobudiswa mukati maawa maviri ekutanga kurapwa. Kunyange zvazvo chikamu chekubudirira muimba yepamhanho inoputika yakange yakafanana mumapoka ose maviri, vanhu vanorapwa neMDC vanoonekwa kuti vanovandudza nekukurumidza kana vachienzaniswa nevarwere vanonyara.
Imwe nyanzvi yakaratidza kuti ma MDIs ane magadziro akabatanidzwa nehuwandu hwemigumisiro, zvakare, iyo inodhaka-induced anxiety and tremors. Kubva pakatarisana nevatengi, maikirwo anozivikanwawo asingadhuri. Saka vamwe vachigona kutaura kuti nebulizers inopa mishonga yakawanda, tsvakurudzo inoratidza kuti haibatsiri kuwedzera kliniki kubatsirwa kana ichienzaniswa neMDC.
Mhedziso: Usagadzikana Chii Chisingarambidzwi
Vose nebulizers uye MDI vane zvikomborero zvavo uye kukanganisa, zvose zvechokwadi uye zvinonzwisisika. Kana imwe chipikicha ichikushandira iwe chakanaka uye iwe wakanyatsoziva nzira yakakodzera, hapana chazvinodikanwa chekushandura kunze kwemari.
Uye kunyange kana mutengo uri dambudziko, kazhinji zviri nani kutsvaga nzira dzokuderedza mari yekurapa nebulizer (kuburikidza nemapurogiramu-maira ezvigadziriswa zvirongwa uye mapurogiramu emishonga emishonga ) zvino kuchinja kune imwe chinhu chisingashande iwe mumwe munhu.
Uyezve, kana iwe usiri kuwana rubatsiro rwaunofunga kuti iwe unofanirwa kubva pane yako ikozvino, usafungidzira kuti ndicho chigadzirwa chakanganisa.
Taura nechiremba wako uone kana pane zvinhu zvaunogona kuita kuti uvandudze kuti unoshandisa sei chigadzirwa. Izvi zvinonyanya kukosha kune maMDC anowanzotadza kukanganisa.
> Sources:
> Alhaider, S ;; Alshehri, H ;; uye Al-Eid, K. "Kudzorera nebulizers ne MDI-spacers ye bronchodilator uye inhaled corticosteroid administration: Zvinoshandiswa pakushandiswa kwezvipatara zvigadzirwa." International Journal of Pediatrics uye Adolescent Medicine. 2014; 1 (1): 236-240.
> Camargo, C .; Rachelefsky, G; uye Schatz, M. "Kutarisira Kuwedzera kweApmma muDhipatimendi Emergency: Chidimbu cheNational Asthma Education and Prevention Program Expert Panel Report 3 Nhungamiro yekutungamirirwa kweAphma Exacbbations." ATS Journals. 2009; 6 (4): 57-366.