Kuyerekeza Ubwino ndi Kuipa Kwawo Onse
Ena akhala akukhulupirira kuti zida zowononga bwino zimakhala bwino kuposa momwe zimakhalira ndi mankhwala ochepetsa matenda a m'mapapo monga COPD . Zingamveke ngati mukuganiza moyenera kuti mungagwiritse ntchito nebulizers kwa nthawi yaitali, koma kodi nthawi zambiri zimatanthauza bwino?
Momwe Dongosolo Lililonse Limagwirira Ntchito
MDI ndi chipangizo cha pulasitiki ndi chachitsulo chomwe chimapereka mankhwala enaake omwe amawotchera m'mapapo.
Matenda opatsirana pogonana amagwiritsidwa ntchito kwambiri pofuna kuchiza mphumu, COPD, ndi matenda ena opuma. Chipangizo chotchedwa spacer chimagwira nkhungu pamene chimachoka pa chipangizochi ndikukulolani kutenga mankhwala ena. Ndipo pogwiritsa ntchito chipangizo chophatikizana, simukusowa kudandaula za kugwirizanitsa mpweya wanu ndi thukuta lirilonse, ndipo pali zotsalira zochepa kwambiri zomwe zatsala pakamwa.
Mosiyana ndi zimenezi, nebulizer ndi chipangizo chamagetsi chimene chimasandutsa madzi mu nkhungu zabwino kwambiri zomwe zimaphatikiza m'mapapo. Monga MDI, nebulizers amagwiritsidwa ntchito pochiza matenda monga asthma ndi COPD. Mtundu wa chipangizochi umafuna kuti muyese kuchuluka kwa mankhwala omwe amawatsanulira m'kapu yomwe ili pamphepete mwa nebulizer.
Ubwino wa Nebulizer
Poyerekeza ndi ma MDIs, ma nebulizers amawoneka ngati osankhidwa muzipatala komanso chifukwa chabwino. Zili zosavuta kuzigwiritsa ntchito, zimatha kusinthidwa mofulumira (kuti zikhale ndi chovala, chigoba, tracheostomy collar, kapena endotracheal chubu ), ndipo zimatha kupatsa mankhwala osiyanasiyana mozunguza mankhwalawo.
Ndipo, ngakhale kuti njira yabwino ndi yofunika pazinthu zonsezi, chigwirizano chachikulu ndi chakuti pali malo ambiri olakwika pankhani yogwiritsira ntchito MDI. Ndipotu, kafukufuku wina wasonyeza kuti odwala asanu okha ndi amene amagwiritsira ntchito MDI molondola .
Malingaliro opambana omwe a nebulizers amagwira bwino kuposa MDIs akhoza kugwirizana ndi nthawi ya inhalation.
Mwachitsanzo, mungagwiritse ntchito nebulizer kwa mphindi 20 poyerekezera ndi MDI yomwe mumalandira pang'ono, ndikudandaula mwamsanga pamphindi. Choncho, zikuwoneka kuti mukupeza mankhwala ambiri ndi nebulizer. Ndipo zambiri ziri bwino, zolondola?
Madalitso a MDI
Mu 2002, ma nebulizers amchere ankawoneka ngati njira yoyamba ya kusankha kwa anthu omwe ali ndi mphumu yambiri m'mabwalo opatsirana kuchipatala. Izi zinasintha mu 2003 pamene kafukufuku anayamba kunena kuti MDI ikugwiritsidwa ntchito ndi kugwirizanitsa kwakukulu kwa kutalika kwa chipinda chosautsa.
Kafukufuku wotsatira anachirikiza zomwe adazipeza, poti anthu omwe amachitira ndi MDI amamasulidwa maola awiri oyambirira. Ngakhale kuti chiwerengero cha chipinda chodzidzimutsa chimakhala chofanana m'magulu onsewa, anthu omwe amachizidwa ndi mabungwe omwe ali ndi kachilombo ka HIV amawonetseratu kuti akupita patsogolo mofulumira poyerekeza ndi odwala omwe ali ndi vutoli.
Kafukufuku wina adawonetsa kuti zipangizo zamagetsi zokhala ndi matenda opatsirana pogonana zimakhala ndi zotsatira zochepetsetsa, kuphatikizapo kusokonezeka maganizo ndi kusokonezeka. Kuchokera kwa wogula, maluso amadziwikanso kuti ndi otsika mtengo. Tsono pamene ena anganene kuti nebulizers amapereka mankhwala ochulukirapo, kafukufuku amasonyeza kuti sichiperekanso phindu linalake poyerekeza ndi ma ARV.
Kutsiliza: Musati Mukhazikike Chimene Sichidulidwa
Ma nebulizers ndi MDI ali ndi ubwino ndi zofooka zawo, zonse zenizeni komanso zodziwika. Ngati chipangizo china chikukugwiritsani ntchito bwino ndipo mwadziŵa njira yoyenera, palibe chifukwa chenicheni cha kusintha kusiyana ndi mtengo.
Ndipo ngakhale mtengo wake uli ndi vuto, nthawi zambiri ndi bwino kufufuza njira zowonetsera mtengo wa mankhwala a nebulizer (kupyolera mu makalata olembetsa mankhwala ndi mapulogalamu othandizira mankhwala ) ndiye kusintha kwa chipangizo chomwe sichikugwirani ntchito ngati inu munthu.
Komanso, ngati simukupeza ubwino womwe mukuganiza kuti mukuyenera kuchokera ku chipangizo chanu, musaganize kuti ndizolakwika.
Lankhulani ndi dokotala wanu ndipo muwone ngati pali zinthu zomwe mungachite kuti musinthe momwe mumagwiritsira ntchito chipangizochi. Izi ndizofunikira makamaka kwa ma ARV omwe ali ovuta kugwiritsa ntchito.
> Zotsatira:
> Alhaider, S .; Alshehri, H ;; ndi Al-Eid, K. "Kubwezeretsa nebulizers ndi MDI-spacers kwa bronchodilator ndi kutsegula corticosteroid administration: Zotsatira pa ntchito za chipatala." Journal Journal of Matenda ndi Matenda a Achinyamata . 2014; 1 (1): 236-240.
> Camargo, C .; Rachelefsky, G; ndi Schatz, M. "Kusamalira Zochita Zachulukitso mu Dipatimenti Yofunika Kwambiri: Mwachidule cha Lipoti la Panja la Maphunziro a Ophunzira a Nthenda ya Nthenda ya Asayansi ndi Kupewa 3 Malangizo Othandiza Otsogolera Odwala Kukula kwa Nthenda." Zolemba za ATS. 2009; 6 (4): 57-366.