COPD Inhalers ndi Mankhwala

Chitsogozo cha Chithandizo cha COPD

Mukakhala ndi mpweya wochepa, chimodzi mwa zizindikilo za COPD , chinthu choyamba chimene mungathe kuthamanga ndi COPD yanu inhaler. Ndipo icho ndi chinthu chabwino, chifukwa cha COPD inhaler, pamene imagwiritsidwa ntchito molondola, ikhoza kutsegulira mpweya wotsekedwa, kupereka mpumulo wozizira mwamsanga, ndipo nthawi zina, kuchotsa kutupa.

Chithandizo chingakhale chosokoneza, komabe, monga pali mankhwala osiyanasiyana omwe amagwiritsidwa ntchito mu inhalers komanso mitundu yosiyanasiyana ya zipangizo za inhalation. Powonjezerani kuti mankhwala ena ali ndi mayina angapo osiyanasiyana komanso ena amatha kukhala ndi mankhwala oposa limodzi, ndipo mukhoza kumverera ngati mukufunikira digiri ya mankhwala kuti musamalire thanzi lanu.

Komabe, mankhwala omwe mumapatsidwa komanso ngati mumagwiritsa ntchito nebulizer kapena doered-dose inhaler, zotsatirazi zotsatira za COPD inhalers ndi mankhwala zingathandize kuti chithandizo chanu cha COPD chikhale chotheka pang'ono.

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Mndandanda wa mankhwala a Common COPD

Ngati mukukhala ndi COPD kapena wothandizira munthu yemwe ali ndi COPD, kuphunzira zonse zomwe mungathe pa mankhwala ovomerezeka a COPD kungakuthandizeni kuti mukhale ndi mphamvu paulendo wanu.

Zina mwa mankhwalawa zimagwiritsidwa ntchito kudzera mu inhalers kapena nebulizers, zina zimatengedwa mu mawonekedwe a mapiritsi, ndipo zina zingaperekedwe mozemba. Magulu akuluakulu a mankhwala omwe amachiritsidwa ndi awa:

• Maantibayotiki: Mankhwala omwe amachiza matenda opatsirana ngati ali
• Zilonda zam'madzi: Mankhwala omwe amachititsa kuti mlengalenga ukhale ndi mpweya wabwino.
• Corticosteroids: Mankhwala omwe amachepetsa kutupa mu airways.
• Phosphodiesterase-4 (PDE4) Zizilombo: Mankhwala omwe amaletsa kutupa ndi kuthandiza kutaya minofu yowonongeka.

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Kuyang'anitsitsa Bronchodilators

Zilonda zamakono ndizofunikira kwambiri kwa mankhwala a COPD ndikugwira ntchito mwa kukondweretsa mpweya wanu kuti mupititse kutuluka kwa mpweya kumapapu anu.

Pali mitundu itatu ya bronchodilators, kuphatikizapo:

• Beta-agonists: Beta-agonists angagwiritsidwe ntchito mu inhaler kapena kuperekedwa ndi piritsi kapena IV. Pali zonse zochepa zomwe zimagwira ntchito-agonists (LABAs). Akatswiri a agonist omwe amagwiritsa ntchito mafupipafupi amakhala ndi Proventil / Ventolin / ProAir / AccuNeb (albuterol), Xopenex (levalbuterol), Maxair (pirbuterol), ndi metaproterenol. LABA ikuphatikizapo Performomist (formoterol), bambuterol, indacaterol, ndi Brovana (arformoterol).
• Anticholinergics: Anticholinergics imapezeka pokhapokha ngati inhalation ndipo imakhala ndi mankhwala a Atrovent (ipratropium), Spiriva (tiotropium), ndi aclidinium.
• Methylxanthini: Methylxanthini sichipezeka mu mawonekedwe osakanikirana.

Zojambulajambula zingakhale zophatikizidwa ndi mankhwala ena, monga Symbicort inhaler yomwe imagwirizanitsa agonist wautali ndi corticosteroid.

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Glucocorticoids

Ngati mwakhalapo ndi COPD kwa kanthawi, mwinamwake mukudziŵa zina mwa ubwino ndi kupweteka kwa glucocorticoids.

Glucocorticoids ikhoza kuchepetsa kutupa, ngakhale kuti glucocorticoid inhalers sivomerezedwa kwa anthu omwe ali ndi COPD yakhazikika. Izi zimawonetseratu kuchepetsa kuchuluka kwa kuchuluka kwa COPD komanso kusintha moyo wa anthu omwe ali ndi COPD yapamwamba, koma samasintha kufa. Kuonjezera apo, kuchotsa kumwa mankhwalawa kungapangitse kuwonjezereka.

Izi zati, kuzimitsa corticosteroids kungakhale kopindulitsa kwa omwe ali pachigawo choyamba cha matendawa ndi kuwonjezereka kwa COPD.

Zitsanzo za inhalers m'gulu ili ndi Flovent (fluticasone), Beclovent / Qvar (beclomethasone), Aerobid / Aerospan (flunisolide), ndi Pulmicort (budesonide).

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Mndandanda wa Common COPD Inhalers

COPD inhalers ndizofala pochiza COPD. Koma, kumvetsa chomwe chiri-ndi-ndi chi-chiani-chomwe nthawizina chingakhale chosokoneza. Kuti mukhale ophweka zokambiranazi, mutha kupeza mphindi kuti mudziwe zambiri za mitundu yambiri ya COPD inhalers pamsika ku US

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Kusiyanitsa pakati pa mlingo wa mlingo wa mlingo wamadzi ndi ma Nebulizers Wakuda

Sikuti pali kusiyana kochepa pa mankhwala omwe angapangidwe kuti athandize COPD koma pali kusiyana momwe angatithandizire.

Kodi ndi bwino kulandira mankhwala kudzera mu inhaler ya dose kapena nebulizer?

Zakale, nthawi zambiri zimaganiziridwa kuti nebulizer imagwira ntchito bwino kuposa inhaler ya mlingo, koma pali umboni wina wosiyana. Zonsezi, nkhondo yolimbana ndi nthendayi imakhala ikulimba .

Pali mbali ziwiri zonsezi. Mankhwalawa amatha kuchepa kwambiri ndipo amachititsa mavuto pang'ono (monga nkhawa). Zingathenso kukonzanso mofulumira mu malo osungira chipinda. Izi zinati, pali malo ambiri olakwika ndi inhaler ya mlingo wamtunduwu ndipo chiwerengero chachikulu cha anthu omwe amawagwiritsa ntchito amawagwiritsa ntchito molakwika. Kuwonjezerapo kwapacer kungachepetse zolakwika zina.

Mankhwala osokoneza bongo amagwiritsidwa ntchito kuchipatala ndipo amakhala opindulitsa kwambiri monga momwe angaperekere pogwiritsa ntchito chigoba kapena phokoso lamapeto. Amafuna kugwirizana kochepa kuti apindule bwino.

N'kutheka kuti anthu ena adzalandira chipangizo china kapena china chabwino pa zizindikiro zawo, ndipo zikhoza kufika payekha.

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Mmene Mungagwiritsire Ntchito Mitsempha Yambiri Yowonjezera

Kugwiritsa ntchito mlingo wa methal inhaler (MDI) kungakhale kovuta kwambiri kuposa kugwiritsa ntchito nebulizer, makamaka ngati kugwirizana kwanu sikunali kotere. Komabe ngakhale mutagwirizanitsa bwino ndikutsatira ndondomeko yabwino, simungapeze phindu lonse la inhaler. Kafukufuku apeza kuti anthu ambiri amagwiritsa ntchito inhalers molakwika.

Kaya mwangoyamba kumene kuti muzitha kugwiritsa ntchito mlingo wamtundu wa mankhwala kapena wamagwiritsa ntchito zaka zambiri, khalani ndi mphindi kuti muwone momwe mungagwiritsire ntchito inhaler yanu moyenera .

Pamunsi pa Mavitanidwe Opatsirana a COPD

Mankhwala opatsirana ndi opangira anthu ambiri omwe ali ndi COPD. Mankhwalawa angaphatikizepo mtundu umodzi wa bronchodilator, corticosteroid, kapena kuphatikiza ziwirizi. Palinso njira zosiyanitsira ndi inhalers, nebulizers, ndi mitundu yambiri yomwe aliyense angasankhe. Kupeza nthawi yophunzira za mankhwala anu ndi gawo lalikulu pokhala mbali yogwira ntchito ya chisamaliro chanu cha COPD.

> Zotsatira:

> DePietro, M., Gilbert, I., Millette, L., ndi M. Riebe. Zida Zogwiritsira Ntchito Zipangizo Zogwiritsira Ntchito Matenda Opatsirana Opatsirana Matenda Opatsirana. Mankhwala Osaphunzira . 2018. 130 (1): 83-97.

Kasper, Dennis L .., Anthony S. Fauci, ndi Stephen L .. Hauser. Mfundo za Harrison za Mankhwala a M'kati. New York: maphunziro a Mc Graw Hill, 2015. Print.

> Tashkin, D. Kufotokozera za Kutumiza Mankhwala Osokoneza Bongo ku COPD. Magazini Yachilendo Yopanda Kulepheretsa Matenda Opatsirana . 2016. 11: 2585-2596.