Mmene Mungagwiritsire ntchito Nebulizer ya Asthma

by Pat Bass, MD; Yofotokozedwa ndi Sanja Jelic, MD

Ma Nebulizers kapena "makina opuma," monga momwe amachitira kawirikawiri ndi odwala, ndi zipangizo zomwe zimakulolani kutsitsimutsa mankhwala a asthma amadzimadzi ndi kuziyika m'mapapu anu mwachindunji monga mphutsi. Izi zimathandiza kuti mankhwala apite kumapapu anu mwachindunji kumene akufunikira kwambiri. Kuonjezera apo, mukamapereka njirayi, mukhoza kuona mankhwala akuyamba kugwira ntchito mwamsanga ndipo mukhoza kukhala ndi zovuta zochepa. Mankhwala ochepetsa ma ARV (DPIs) ndi njira zina zoyambirira zothandizira odwala.

Pamene odwala ena amawona kuti mphumu yawo imakhala yabwino kwambiri ndi nebulizer poyerekeza ndi inhaler yokhala ndi spacer, izi sizinatsimikizidwepo.

Mitundu ya nebulizers yogwiritsidwa ntchito pa mankhwala a mphumu ndi awa:

jet nebulizers
nebulizers akupanga
mesh nebulizers

Chiwerengero cha zinthu zosiyanasiyana kuphatikizapo mtengo, zokonda zanu, ndi zomwe mukufuna kuti dokotala azisankhe zidzakuthandizani kuti ndi nebulizer iti yabwino kwa inu. Mitundu ya mankhwala a mphumu yotchulidwayo imathandizanso kuti nebulizer ikhale yogwiritsidwa ntchito. Lankhulani ndi dokotala wanu za momwe mulili ndi zosowa zanu, ndiye sankhani makina omwe akuyenera kuti mukhale abwino.

Sankhani Nebulizer Yolondola kwa Inu

mixxeto / E + / Getty Images

Ndi Nebulizer Yoyenera Yanji Kwa Ine?

Izi zikhoza kutsimikiziridwa ndi zomwe ndondomeko yanu ya inshuwalansi idzaphimbitsa, koma mfundo zingapo zikufotokozedwa pansipa. Mankhwala ena, monga budesonide, amatha kuperekedwa mu mitundu ina ya nebulizer.

Mankhwalawa amathandiza kupereka mankhwala kudzera mu mpweya wamadzi wa mankhwala womwe umatulutsa mankhwala. Mphepete mwa madzi imapangidwa pogwiritsa ntchito mpweya wodetsedwa ndipo mankhwalawo amalowetsedwa m'mapapu. Nebulizers awa akhoza kukhala aakulu, amphamvu ndipo amafuna magetsi a magetsi.

Nebulazers akupanga ntchito mafunde akupanga kuti apange mankhwala anu a mphumu mu nkhungu yomwe imaperekedwa m'mapapo. Nebulizers awa safuna madzi ena osaphatikizapo mankhwala anu a mphumu kotero nthawi yothandizira nthawi zambiri imakhala yochepa kusiyana ndi jet nebulizer. Nebulizers awa nthawi zambiri, ang'onoang'ono, ophatikizana, othandizira komanso opangira mavitamini opanga mankhwala ndi kuyenda mosavuta.

Zitsanzo za nebulizers akupanga zikuphatikizapo:

Neb
Lumiscope
Minibreeze

Nbulibuliza zamtundu ndizofulumira komanso zotsika mtengo kwambiri pa nebulizers onse. Nebulizers amachititsa mphamvu yanu ya mphumu kupyolera mu pulogalamu yamtundu kuti muwononge nkhungu yomwe mungathe kuikamo m'mapapo. Ngakhale kuti ma nebulizerswa amapereka mwayi wambiri wa nebulizers omwe akupanga, mesh nthawi zina imatha kutsekedwa kapena kupuma-kuika mphumu yanu pachiopsezo. Ziphuphu zabwino zimapangitsa iwo kukhala opambana kwambiri popereka mankhwala.

Zitsanzo za ma nebulizers zimaphatikizapo (zonsezi ndizogwiritsidwa ntchito ndipo zimatha kugwira ntchito ya batri):

eFlow (Pari)
Aeroneb Solo (Aerogen)
Yambani Kupita (Aerogen)
MicroAIR / NE-U22 (OMRON)
I-neb (Respironics)

Zojambula zina zimakhala zikupezekabe. Pari LC yapangidwa kuti ikamasulire particles kwambiri panthawi yofufuzira poyerekeza ndi kutuluka kwa mpweya. Momwemonso, mankhwala ocheperako amamwapa ndipo zina zimalowa m'mapapu anu. Nebuliza ya Circular ndi AeroTee imachepetsanso chitetezo chokhala ndi mankhwala omwe amasonkhanitsidwa m'thumba lomwe mumapuma ndi kutuluka. Potsirizira pake, AeroEclipse nebulizer mpweya umagwiritsidwa ntchito kotero kuti puloteni imatulutsidwa panthawi yomwe inhalation.

Nebulizers zingakhale zovuta pang'ono ndipo mudzafuna kuganizira zomwe zili zabwino kwa inu.

Tsegulani mu Nebulizer Yanu

Kuti mugwiritse ntchito nebulizer yanu , yambani kuika compressor pamalo otsetsereka ndikuyikamo mu magetsi. Onetsetsani kuti nebulizer yanu imakhala pamalo omwe mudzakhale omasuka kuyambira pamene mudzakhala pano kwa kanthawi pang'ono malinga ndi mtundu wa nebulizer omwe muli nawo.

Onjezerani Mankhwala kwa Nebulizer Yanu

Mutatha kutsuka manja anu kuti muteteze matenda, onjezerani mankhwala anu a nebulizer monga momwe adanenera ndi dokotala wanu wa mphumu.

Kawirikawiri, dokotala wanu amapereka mankhwala anu a mphumu mwa njira imodzi.

Muyenera kuwonjezera chiwerengero cha madontho a mankhwala ku chikho cha nebulizer. Kapena, dokotala wanu angapereke mankhwala anu monga gawo kapena mlingo umodzi wa mankhwala omwe amabwera mwazitsulo zapadera, zokonzedweratu, ndi zotayika.

Mukawonjezera mankhwala, onetsetsani kuti mwatseka chikho cha nebulizer kuti muteteze mankhwala anu kuti asatuluke.

Tsegulani Zina zonse za Nebulizer

Kenaka, gwirizanitsani zonse za nebulazer yanu.

Tsukani ma nebulizer tubing yanu.
Mapeto amodzi a tubing adzagwirizanitsidwa ndi magetsi a compressor.
Mapeto ena a tubing adzalumikizidwa pansi pa kapu yako ya nebulizer.
Onetsetsani kuti mathero onsewa ndi ogwirizana.

Gwiritsani ntchito Nebulizer Yanu

Mutatha kulumikiza nebulizer yanu, tsatirani izi kuti mugwiritse ntchito bwino.

Onetsetsani kuti muli pamalo abwino, mwakhala pansi. Ngati mumagwiritsa ntchito mawu, muziike pakati pa mano anu ndi lilime kuti milomo yanu ikhale yabwino kwambiri. Ngati chigoba, chiyike pamilomo ndi mphuno.
Pambuyo poika nebulizer, yambani.
Onetsetsani kuti mukuwona nkhungu yabwino yochokera ku nebulizer. Ngati simukutero, fufuzani kuti muwonetsetse kuti zolumikizana zonse zasindikizidwa bwino.
Pumulani ndi kupuma mwamphamvu mkati ndi kunja mpaka mankhwala onse apita.
Mudzadziwa kuti ndi nthawi yoti muyimitse pamene nebulizer imayamba kukwapula. Mutha kuwona madzi ena mumtsuko mutatha kumwa mankhwala. Zimatengera mankhwala ndi mtundu wa nebulizer, koma mankhwala ambiri amatenga pafupifupi 10 mpaka 15 mphindi.

Sambani Nebulizer Yanu

Pambuyo pa chithandizo chilichonse chamankhwala , chotsani nebulizer (chidutswa kapena chigoba) kuchokera ku tubing ndikuchipatula. Sungani kapu ya nebulizer ndi madzi ofunda, kenako sungani madzi ochulukirapo ndikusiya mpweya wouma. Musati muyeretse tubing; ngati madzi alowa mkati, onetsetsani kuti mutenge.

Pamapeto pa tsiku lirilonse, onetsetsani kuti mumatsuka mbali zonse za nebulizer mu sopo ofunda, madzi ndikutsuka bwino. Monga kale, sungani madzi ochulukirapo ndipo muwalole kuti aziumitsa bwino pamphika kapena chovala chopatulika. Mukamauma, kambiranani ndi kusunga malo ozizira.

Mbali zina za nebulizer ndi zotsekemera zimakhala zotetezeka, koma onetsetsani kuti muwerenge malangizo omwe anabwera ndi nebulizer yanu kapena muyang'ane ndi wogulitsa amene mwamugula kale.

_Zotsatira:

_{American Academy of Allergy Chifuwa & Immunology.} _{Malangizo Oyenera Kukumbukira: Mankhwala Opatsirana Opatsirana.} _{http://www.aaaai.org/conditions-and-treatments/library/at-a-glance/inhaled-asthma-medications.}

_{Malangizo a NHLBI otsogolera ndi chithandizo cha mphumu.} _{Lipoti la Panja la akatswiri 3: Malangizo Othandiza Kuzindikira ndi Kusamalira Khunyu.} _{https://www.nhlbi.nih.gov/files/docs/guidelines/asthgdln.pdf.}

_{Tashkin DP.} _{Udindo Wa Nebulizers Mu Kugonjetsa kwa Mliri wa Airways.} _{http://www.touchrespiratory.com/articles/role-nebulizers-airways-disease-management.}