I-COPD Inhalers kunye neMedication

Isikhokelo soNyango kwiCOPD

Xa unokuphefumula okufutshane, enye yeempawu eziphawulekayo zeCOPD , into yokuqala oya kusebenza kuyo yi-COPD yakho inhaler. Yaye yinto enhle, kuba i-COPD inhaler, xa isetyenziswe ngokuchanekileyo, inokuvula ii-airways ezikhuselekile, ukubonelela ngokukhawuleza kweempawu zonyango, kwaye kwezinye iimeko, kukhulula ukuvutha.

Unyango lunokudideka, nangona kunjalo, njengoko kukho amayeza ahlukeneyo asetyenziswayo kwii-inhalers kunye neentlobo ezahlukeneyo zezixhobo zokubhala. Yongeza kwinto yokuba amanye amayeza anamagama amanqaku ahlukeneyo kwaye ezinye i-inhalers ziqulethe iyeza ezingaphezu kweyodwa, kwaye unokuvakalelwa ukuba ufuna idigri kwi-pharmacy ukunyamekela impilo yakho.

Nangona kunjalo, nayiphi na imishishini oyalelwe kwaye nokuba usebenzisa i-nebulizer okanye i-inhaler ye-metered-dose inhaler, isikhokelo esilandelayo kwi-COPD ye-inhalers kunye nemichiza iya kunceda ukuba unyango lwakho lweCOPD lulawulwe kangako.

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Uludwe lweMivama yeCOPD

Ukuba uhlala neCOPD okanye unonophelo kumntu onokwenza iCOPD, ukufunda konke unokukwazi malunga neyeza ezifanayo zeCOPD kunokukunceda uzive unamandla ngakumbi ohambweni lwakho.

Ezinye zala mayeza asebenzisa i-inhalers okanye i-nebulizers, ezinye zithathwa kwifomu yepilisi, kwaye ezinye zingaphinde zinikezwe nge-intravenously. Iindidi eziphambili zamachiza asetyenziswa unyango zibandakanya:

• Amayeza omzimba: Amachiza aphethe unyango lwesibini xa bevela
• Iibronchodilators: Imithi eyanciphisa i-airways yakho ukuphucula ukuhamba komoya.
• I-Corticosteroids: Imithi eyanciphisa ukuvuvukala kwindlela ohamba ngayo.
• I-Phosphodiesterase-4 (PDE4) Ama-inhibitors: Imithi evimbela ukuvuvukala kwaye inokunceda ukuphucula imisipha epholileyo kwi-airways.

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Khangela ngakumbi iiBronchodilators

I-bronchodilators yinto ephambili yonyango ye-COPD kwaye isebenze ngokuphumlisa i-airways yakho ukuphucula ukuhamba komoya kwimiphunga yakho.

Kukho iintlobo ezintathu ze-bronchodilators, eziquka:

• I-Beta-agonists: I-Beta-agonists ingasetyenzwa kwi-inhaler okanye inikezwe yi-tablet okanye IV. Kukho amabini-agonists abambalwa kunye nabakwi-agonists abasebenza ixesha elide (i-LABAs). I-beta-agonists e-short-acting agonists iquka iProventil / Ventolin / ProAir / AccuNeb (albuterol), i-Xopenex (levalbuterol), i-Maxair (i-pirbuterol) kunye ne-metaproterenol. I-LABA iquka i-Performomist (formoterol), i-bambuterol, i-indacaterol kunye ne-Brovana (arformoterol).
• I-Anticholinergics: I-Anticholinergics ifumaneka kuphela nge-inhalation kwaye iquka amayeza e-Atrovent (ipratropium), i-Spiriva (tiotropium), ne-aclidinium.
• I-Methylxanthini: I-Methylxanthines ayitholakali kwifom evulekileyo.

Iibronchodilators zinokudibaniswa nezinye iyeza, ezifana ne-inhaler Symbicort edibanisa i-beta-agonist esebenza ixesha elide kunye ne-corticosteroid.

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Glucocorticoids

Ukuba uhlala neCOPD kwithuba elithile, mhlawumbi uyazi ezinye zezibonelelo kunye nexhala le-glucocorticoids.

I-Glucocorticoids inokunciphisa ukuvuvukala, nangona i-glucocorticoid inhalers ayikhuthazwa kubantu abaneCOPD. Ezi zixhobo ze-inhalers ziye zaboniswa ukunciphisa inani le-COPD ukukhushulwa nokuphucula umgangatho wobomi kubantu abaneCOPD ephezulu, kodwa abagugu ukufa. Ukongezelela, ukurhoxisa kula mayeza kunokubangela ukugqithisa.

Oko kwathiwa, ukukhupha i-corticosteroids kunokuba luncedo kulabo abakwizinga eliphambili lesi sifo kunye ne-COPD exacerbations.

Imizekelo ye-inhalers kule ndawo ibandakanya i-Flovent (fluticasone), i-Beclovent / Qvar (beclomethasone), i-Aerobid / i-Aerospan (flunisolide) kunye ne-Pulmicort (budesonide).

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Uluhlu lwee-Common COPD Inhalers

I-COPD inhalers yindawo eqhelekileyo kunyango lweCOPD. Kodwa, ukuqonda oko-yintoni-kwaye yintoni-ingaba-yintoni na maxa wambi ingadideka. Ukuze wenze lula le ngxoxo, ungathatha isikhashana ufunde kabanzi malunga neentlobo eziqhelekileyo ze-COPD kwiimarike e-US

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Umehluko phakathi kwe-Meter-dose Inhalers kunye ne-Nebulizers emanzi

Akukhona nje kuphela ukuba kukho inani lolwahlukileyo kwimithi enokukhatyathwa ukuphatha i-COPD kodwa kukho ukungafani kwindlela yokunyangwa ngayo.

Ngaba kungcono ukufumana iyeza ngokusebenzisa i-inhaler yesilinganiso semitha okanye i-nebulizer?

Ngokomlando, kudla ukuba kucinga ukuba i-nebulizer isebenza bhetele kune-inhaler yesilinganiso semitha, kodwa kukho ubungqina obuchasene noko. Ngokubanzi, imfazwe ye- inhalers ye-doer vs nebulizers isasomelela .

Kukho indima kuzo zombini ezi zixhobo. I-inhalers yamanani emitha ayabizi kakhulu kwaye kubangele imiphumo emibini (njengexhala). Zingakhokelela ekuphuculeni ngokukhawuleza kwimeko yegumbi loxakeka. Oko kwathiwa, kukho indawo engakumbi yephutha kunye ne-inhaler ye-doer emitha kunye nenani elikhulu labantu elibekwe ezi zixhobo zisebenzisa ngokungafanelekileyo. Ukongezwa kwe-spacer kunokunciphisa enye yale mpazamo.

Ukunyanga kwe-nebulization kusetyenziswa rhoqo kwisibhedlele kwaye kukho izinto eziphathekayo kangangoko zinokunikezwa nge-mask okanye kwiphubhu yokugqibela. Bafuna ukulungelelanisa okuncinci ukuphucula ukusebenza.

Kusenokwenzeka ukuba abanye abantu baya kufumana esinye isixhobo okanye esinye silungele iimpawu zabo ezithile, kwaye kungase kube nokukhethwa komntu ngamnye.

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Indlela yokusebenzisa i-Metered-Dose Inhaler

Ukusebenzisa i-inhaler ye-metered-dose inerer (MDI) ingabonisa ubunzima kunokuba isebenzise i-nebulizer, ngakumbi ukuba ukulungelelaniswa kwakho akuyiyo into eyayiqhelekileyo. Kodwa nangona ulungelelaniso olufanelekileyo kwaye ulandele ngqo i-directions, awukwazi ukufumana inzuzo epheleleyo ye-inhaler. Izifundo ziye zafumanisa ukuba uninzi lwabantu basebenzisa i-inhalers ngokungalunganga.

Ingaba usandulwanga nje nje nge-inhaler yesilinganiso semitha okanye umsebenzisi wasesigxina esebenzise le minyaka, thabatha umzuzu ukuhlaziya indlela yokusebenzisa i-inhaler yakho ngokufanelekileyo .

Ngaphantsi kweMiyeza yokuThengiswa kwe-COPD

Amachiza angeniswayo ayingundoqo kubantu abaninzi abaneCOPD. La mayeza angabandakanya enye yeentlobo ze-bronchodilators, i-corticosteroid, okanye udibaniso lwababini. Kukho neendlela ezahlukileyo zokungabonakali nge-inhalers, nebulizers, kunye neentlobo ezininzi ezikhethiweyo. Ukuthatha ixesha lokufunda malunga neyeza lakho kuyinyathelo elikhulu ekubeni yinxalenye ekhutheleyo yokunyamekela kweCOPD.

> Imithombo:

> DePietro, M., Gilbert, I., Millette, L., noMnu Riebe. Izinketho zezixhobo ze-Inhalation zoLawulo lweZifo eziPhezulu zokuVimbela izifo. I-Postgraduate Medicine . 2018. 130 (1): 83-97.

> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.

> Tashkin, D. Ukuhlaziywa kwee-ADDs kwiDVD. I-International Journal ye-Pulmonary Disease . 2016. 11: 2585-2596.