Ukuthelekisa iiNzuzo kunye neziNzuzo zoBini
Kukho ikholo elide phakathi kwamanye ama- nebulizers amanzi asebenza kangcono kunama-inhalers e-meter-dose (MDIs) xa kufikelele ekuphatheni izifo zemiphunga njengeCOPD . Kungathi kubonakale kungenangqiqo yokuba unako ukusebenzisa i-nebulazers ixesha elide, kodwa akuthethi ukuba yinto engcono?
Indlela nganye iSebenza ngayo
I-MDI yiplastiki kunye nesisitye somnxeba esinikela isixa esithile semithi e- aerosolized e-inhaled ngqo kwimiphunga.
Ii-MDI zisetyenziselwa ukuphatha i-asthma, iCOPD kunye nezinye izifo zokuphefumula. Ifowuni ebizwa ngokuba yindawo yokubamba ibamba impazamo njengoko ishiya ifowuni kwaye ikuvumela ukuba uthathe amayeza amaninzi. Kwaye kunye nesinamathiselo esicacileyo, akufanele ukhathazeke malunga nokulungelelanisa ukuphefumla kwakho kunye nokukhupha, kwaye kukho ntsalela encinci kakhulu ephumayo emlonyeni.
Ngokwahlukileyo, i-nebulizer iyisistim ekhompyutheni eguqula umbane ibe yimpuma enhle kakhulu leyo leyo ifakwe kwimiphunga. Njenge-MDI, i-nebulizers isetyenziselwa ukuphatha izimo zokuphefumula ezifana ne-asthma kunye ne-COPD. Olu hlobo lwesicingo ludinga ukuba ulinganise inani lemithi efunekayo elaliyithululela kwikhobe efakwe kwi-tubing nebulizer.
Izinzuzo ze-Nebulizer
Xa kuthelekiswa ne-MDIs, i-nebulizers ibonakala ikhethi yokuzikhethela kwizibhedlele kunye nezizathu ezifanelekileyo. Zilula ukuyisebenzisa, ziyakwazi ukulungiswa ngokukhawuleza (ukulungiselela umlomo, umaski, i-tracheostomy collar, okanye i- endotracheal tube ), kwaye unokuhambisa imithi ehlukeneyo ngokumthulisela isilwanyana kwisixhobo.
Kwaye, ngelixa ubuchule obufanelekileyo kubaluleke kuzo zombini izixhobo, ukuvumelana ngokubanzi kukuba kukho indawo engakumbi yokuphambuka xa kufikelelwe ekusebenziseni i-MDI. Enyanisweni, olunye uphando lubonisa ukuba kuphela iipesenti ezintlanu zezigulane zisebenzisa i-MDI ngokuchanekileyo .
Umbono ogqithiseleyo wokuthi i-nebulizers isebenze kangcono kune-MDIs ingahambelana nobude be-inhalation.
Unokwenza, umzekelo, sebenzisa i-nebulizer ukufikelela kwimida engama-20 xa kuthelekiswa ne-MDI apho ufumana khona ambalwa nje, ukukhawuleza ngokukhawuleza kwimizuzu yesibini. Ngaloo ndlela, kubonakala kunengqiqo ukuba ufumana amayeza amaninzi nge-nebulizer. Kwaye kukhona okungcono, kulungile?
Izinzuzo ze-MDI
Ngo-2002, i-nebulizers emanzi yayithathwa njengonyango wokuqala wokukhetha abantu abantu abane-asthma ekhulayo kwizibhedlele eziphuthumayo zesibhedlele. Oku kwatshintsha ngo-2003 xa uphando lwaqala ukubonisa ukuba i-MDI isebenzisana kunye nokunciphisa okukhulu ubude begumbi lokuphucula.
Uphando olulandelayo luxhase kakhulu ezi ziphumo, ekugqibeleni ukuba abantu baphathwa nge-MDI bavulwa ngokugqithisileyo kwiinyanga ezimbini zokuqala unyango. Nangona ipesenti yegumbi lokuphucula iimeko eziphuthumayo zifana namabini omabili, abantu abaphathwa nge-MDIs baboniswa ukuba bathuthuke ngokukhawuleza xa kuthelekiswa nezigulane ezingabonakaliyo.
Olunye uphando lubonise ukuba ii-MDIs kunye nezikhalazo zidibene neempembelelo ezimbalwa, ngokunjalo, ezibandakanya uxinzelelo lweziyobisi kunye nokudandatheka. Ukusuka kumbono wabathengi, amacebo ayaziwa nangokungabibizi. Nangona abanye besenokuthi i-nebulizers inikezela ngamachiza amaninzi, uphando lubonisa ukuba aluboneli ngenzuzo yeeklinikhi xa kuthelekiswa ne-MDI.
Isiphelo: Musa ukulungisa okokungafihli
Bobabini be-nebulizers kunye ne-MDI baneenzuzo zabo kunye nokusilela, bobabini bokwenene kwaye baqonda. Ukuba ifowuni enye isebenzela wena kakuhle kwaye uye wayilungisa inkqubo efanelekileyo, akukho nto imfuneko yokutshintsha ngaphandle kweendleko.
Kwaye nangona ixabiso liyinkinga, kudla ukuba kuhlolisise iindlela zokunciphisa iindleko zonyango lwe-nebulizer (ngokusebenzisa iiprogram zokurhoxisa i-mail kunye neenkqubo zoncedo lweziyobisi ) ngoko utshintshe kwisixhobo esingenakusebenza nawe umntu.
Ngaphezu koko, ukuba awuzukufumana inzuzo ocinga ukuba kufuneka uvela kwisixhobo sakho sangoku, ungacingi ukuba ngumkhiqizo ophosakeleyo.
Thetha nogqirha uze ubone ukuba kukho izinto onokuzenza ukuphucula indlela osebenzisa ngayo isixhobo. Oku kuyinyani ngokukodwa kwi-MDI ejongene nephutha lomsebenzisi.
> Imithombo:
> Alhaider, S .; Alshehri, H .; kunye ne-Al-Eid, K. "Ukutshintshela i-nebulazers nge-MDI-spacers ye-bronchodilator kunye nokunyangwa kolawulo lwe-corticosteroid: Impembelelo ekusebenziseni izibonelelo zesibhedlele." I-International Journal ye-Pediatrics kunye ne-Adolescent Medicine. 2014; 1 (1): 236-240.
> Camargo, C .; Rachelefsky, G; kunye neSchatz, M. "Ukulawula ukunyuka kwe-Asthma Exacerbations kwiSebe leNgxamisekileyo: Isishwankathelo seNkcazo yeNkcazo yeNkcazo yeSizwe kunye neNkqubo yokuLungisa iNkcazo 3 Izikhokelo zoLawulo lwe-Asthma Exacerbations." Ii-ATS Journals. 2009; 6 (4): 57-366.