Iinhalers zeCOPD

Umxholo

• Inhaler yedosi emiselweyo
• I-inhaler eyomileyo yomgubo
• Inhaler ethambileyo
• Yise kude
• A:

Ushwankathelo

Isifo esinganyangekiyo semiphunga (COPD) liqela lezifo zemiphunga- kubandakanya isifo sebronchitis esingapheliyo, isifuba, kunye ne-emphysema- ezenza ukuba kube nzima ukuphefumla. Amayeza anje ngebronchodilators kunye ne-inhaled steroids yehlisa ukudumba kwaye avule iindlela zakho zokukunceda uphefumle lula.

I-inhaler sisixhobo esiphathwayo esihambisa ukukhupha okanye ukutshiza la mayeza ngqo kwimiphunga yakho ngomlomo. Ama-inhalers asebenza ngokukhawuleza kuneepilisi, ekufuneka zihambe kwigazi lakho ukuya emsebenzini.

Ama-inhalers angena kwiindidi ezintathu eziphambili:

• Inhaler yedosi yemitha (MDI)
• i-inhaler eyomileyo yomgubo (DPI)
• inhaler ethambileyo (SMI)

Inhaler yedosi emiselweyo

I-inhaler-dose inhaler (MDI) sisixhobo esiphathwayo esihambisa iyeza lesifuba kwimiphunga yakho kwifom ye-aerosol. Ibhokisi yebhokisi incanyathiselwe emlonyeni. Xa ucinezela kwi-canister, isixhobo sokuhambisa imichiza sityhala ukukhupha iyeza kwimiphunga yakho.

Nge-MDI, kuya kufuneka uphefumle ngokukhutshwa kweyeza. Ukuba unengxaki yokwenza oku, ungasebenzisa isixhobo esibizwa ngokuba sispacer. Ispacer sinokunceda ukulungelelanisa ukuphefumla kwakho okungafunekiyo kunye nokukhutshwa kweyeza.

Iziyobisi zeCOPD eziza kwi-MDI zibandakanya ii-steroids ezinje ngeFlovent HFA kunye nokudityaniswa kwe-steroid / bronchodilators ezinje ngeSymbicort.

Yonke i-MDI iza nemiyalelo yayo. Ngokubanzi, nantsi indlela yokusebenzisa enye:

• Susa ikepusi kwi-inhaler.
• Ngomlomo ojonge phantsi, gungqisa i-inhaler kangangemizuzwana emihlanu ukudibanisa iyeza.
• Emva koko sebenzisa enye yezi ndlela:
  • Inkqubo evulekileyo yomlomo: Bamba umlomo 1 1/2 ukuya kwi-2 intshi ukusuka emlonyeni wakho.
  • Inkqubo evaliweyo yomlomo: Beka umlomo phakathi kwemilebe yakho kwaye uvale imilebe yakho ngokuqinileyo.
  • Isithuba: Beka i-MDI ngaphakathi kwe-spacer kwaye uvale imilebe yakho ujikeleze isithuba.
• Phefumla kakuhle.
• Cinezela i-inhaler kwaye, kwangaxeshanye, thatha umoya ongena ngomlomo wakho. Qhubeka uphefumla imizuzwana emi-3 ukuya kwemi-5.
• Bamba umphefumlo wakho kangangemizuzwana emi-5 ukuya kweli-10 ukufumana iyeza kwindlela yakho yomoya.
• Khululeka kwaye uphefumlele ngaphandle kancinci.
• Phinda le nkqubo ukuba ufuna amanye amayeza akhukhumeleyo.

Eziluncedo: Ii-MDIs kulula ukuzisebenzisa kwaye zinokusetyenziswa ngeendlela ezahlukeneyo zamachiza e-COPD, kubandakanya i-steroids, i-bronchodilators, kunye namayeza adibeneyo. Ukwafumana idosi efanayo yamayeza ngalo lonke ixesha uzisebenzisa.

Bendlela: Ii-MDIs zifuna ukuba ulungelelanise phakathi kokusebenzisa iyeza kunye nokuphefumla kulo. Kuyimfuneko nokuba uphefumle kancinci kwaye ngokunzulu. Ukuba uphefumla ngokukhawuleza, iyeza liya kubetha emqaleni womqala wakho, kwaye uninzi lwayo aluyi kufikelela emiphungeni yakho. Kuya kufuneka usebenzise isicacisi ukufumana iyeza emiphungeni yakho.

I-inhaler eyomileyo yomgubo

I-inhaler eyomileyo yomgubo (DPI) ihambisa iyeza kwimiphunga yakho xa uphefumla ngesixhobo. Ngokungafaniyo ne-MDI, i-DPI ayisebenzisi i-propellant ukutyhala iyeza kwimiphunga yakho. Endaweni yokuphefumla kwakho ngaphakathi kusebenze iyeza.

Ii-DPIs ziza zedosi enye kunye nezixhobo zedosi ezininzi. Izixhobo zedosi ezininzi ziqulathe ukuya kwiidosi ezingama-200.

I-COPD powders eyomileyo enokusetyenziselwa i-DPI ibandakanya ii-steroids ezinje ngePulmicort kunye neebronchodilators ezinje ngeSpiriva:

Yonke i-DPI iza nemiyalelo yayo. Ngokubanzi, nantsi indlela yokusebenzisa enye:

• Susa isiciko.
• Jika intloko yakho kude nesixhobo kwaye uphefumle ngayo yonke indlela. Musa ukukhupha isixhobo. Ungasasaza iyeza.
• Beka umlomo emlonyeni wakho kwaye uvale imilebe yakho macala onke.
• Phefumla ngokunzulu imizuzwana embalwa de ugcwalise imiphunga.
• Thatha isixhobo emlonyeni wakho kwaye ubambe umphefumlo wakho kangangemizuzwana eli-10.
• Phefumlela ngaphandle kancinane.

Eziluncedo: Njenge-MDIs, ii-DPIs zikwalula ukuzisebenzisa. Awudingi ukulungelelanisa ucofa isixhobo kwaye uphefumle amayeza, kwaye awudingi ukusebenzisa indawo yokubeka.

Bendlela: Kwelinye icala, kuya kufuneka uphefumle nzima kunokuba ubune-MDI. Ngaphezu koko, kunzima ukufumana idosi efanayo ngqo ngalo lonke ixesha usebenzisa i-inhaler. Olu hlobo lwe-inhaler lunokuchaphazeleka kukufuma kunye nezinye izinto zokusingqongileyo.

Inhaler ethambileyo

I-inhaler ethambileyo ye-inhaler (i-SMI) luhlobo olutsha lwesixhobo. Idala ilifu lamayeza olirhalelayo ngaphandle koncedo lwepropellant. Ngenxa yokuba inkungu iqulethe amasuntswana amaninzi kunee-MDIs nee-DPIs kwaye ukutshiza kushiya i-inhaler kancinci kancinci, iyeza elingena kwimiphunga yakho.

Amachiza e-bronchodilator tiotropium (Spiriva Respimat) kunye ne-olodaterol (iStriverdi Respimat) zombini ziza kwinkungu ethambileyo. I-Stiolto Respimat idibanisa iziyobisi i-tiotropium kunye ne-olodaterol.

Yise kude

Ukuba uyisebenzisa ngokuchanekileyo, i-inhaler yakho iya kuzikhupha iimpawu zakho zeCOPD. Buza ugqirha wakho akubonise indlela yokuyisebenzisa. Gcina umkhondo wokuphelelwa lixesha kwiyeza lakho, kwaye ufumane iphepha elitsha ukuba amayeza akho ayaphelelwa.

Thatha amayeza akho ngokuchanekileyo njengoko ugqirha wakho ekuyalele. Ukuba ufuna amayeza olawulo lwemihla ngemihla, thatha yonke imihla-nokuba uziva uphilile. Yazisa ugqirha wakho ukuba uneziphumo ebezingalindelekanga, kodwa ungaze uyeke ukuthatha amayeza ngaphandle kokuba ucetyiswe ngenye indlela.

A:

I-HFA sisifinyezo se-hydrofluoroalkane, esikhuselekileyo sokuhambisa iatmosfera kunezixhobo ezindala ezisetyenziswa kwii-MDI zentsusa. I-Diskus luphawu lwentengiso olunceda ekuchazeni imilo yesixhobo sokuhambisa kunye neendlela ezijikelezayo ezisetyenziselwa ukuhambisa igumbi lomgubo owomileyo egumbini. I-Respimat luphawu lwentengiso olunceda ekuchazeni indlela ye-SMI ephuhliswe yinkampani yamayeza i-Boehringer Ingelheim.