Fufuzani tebulo ili kuti mutsimikizire kuti mungagwiritse ntchito COPD inhalers pamodzi
Odwala ambiri omwe ali ndi COPD ayenera kutenga inhaler tsiku ndi tsiku kuti athetse zizindikiro za kupuma pang'ono. Ngakhale pali mitundu yambiri ya inhalers , pali inhalers yomwe imatanthauza kutengedwa kamodzi kapena kawiri patsiku mosasamala kanthu za zizindikiro (mwachitsanzo Spiriva) ndi zina zotchedwa inhalers zimatanthauza kutengedwa "ngati pakufunikira" , mwachitsanzo, nthawi zonse mukakhala ndi chizindikiro kapena choyenera musanayambe kuchita masewera olimbitsa thupi (albuterol, Combivent, Ventolin, etc.).
Chotsatira chake, odwala ambiri omwe ali ndi COPD amagwiritsa ntchito mitundu yosiyanasiyana ya inhalers.
Nthawi zina izi zingakhale zosokoneza kwambiri, makamaka chifukwa inhalers nthawi zambiri amasinthidwa chifukwa cha chithandizo chamankhwala, inshuwalansi, kapena zifukwa zina. Choncho, nthawi zina, odwala amatha kugwiritsa ntchito mankhwala osokoneza bongo mosayenera kapena kuphatikizapo mankhwala omwe sayenera kukhala nawo.
M'munsimu tikuyesera kumvetsetsa zomwe inhalers zingathe ndipo ziyenera kugwiritsidwa ntchito palimodzi, ndi zomwe siziyenera kugwiritsidwa ntchito palimodzi. Magulu osiyanasiyana a mankhwala angagwiritsidwe ntchito pamodzi (mwachitsanzo, kuphatikizapo beta agonist ndi anti-muscarinic inhaler), koma nthawi zambiri, odwala sayenera kumwa mankhwala omwewo m'zinthu zosawerengeka. Chithunzi chotsatira chimathandiza kufotokoza izi:
| Nthawi zambiri zimatengedwa | Maphunziro a Mankhwala | Zofunika kuzizindikira | |
|---|---|---|---|
| Mankhwala olamulira | |||
| Spiriva (tiotropium) | Tsiku lililonse | Anti-muscarinic | Taonani mankhwala awa sayenera kutengedwa ndi Combivent |
| Turdoza | Kawiri kawiri | Anti-muscarinic | Taonani mankhwala awa sayenera kutengedwa ndi Combivent |
| Monga momwe amafunikira inhalers (kapena nebulizers) | |||
| Albuterol (Ventolin, mpweya wambiri, ena) | Monga pakufunikira | Agentist-beta yochepa | Dziwani kuti ndibwino kuti mutenge izi ndi agonists omwe amagwira nthawi yaitali |
| Ambiri, Duoneb | Monga pakufunikira | Beta-agonist ndi anti-muscarinic | Dziwani kuti mankhwalawa sayenera kutengedwa ndi Spiriva. |
| Shalaids Yowonjezera | |||
| Advair, Symbicort | inhaled glucocorticoid ndi agonist yachitali yaitali | Zindikirani kuti ndibwino kuti mutenge izi ndi agonists afupiafupi omwe amagwira ntchito | |
| Flovent, Q-Var | inhaled glucocorticoid | Zindikirani kuti nthawi zina, mu COPD yoopsa, odwala angagwiritse ntchito inhaler iyi kupatula Advair kapena Symbicort | |
Poonetsetsa kuti inhalers ndi okonzeka kutenga pamodzi, yang'anani kalasi ya mankhwala. Mukawona kuti mutenga mankhwala oposa limodzi m'kalasi yomweyi, funsani dokotala wanu kuti awerenge zomwe mwalembazo. Ndikofunika kwambiri kudziwa kuti zomwe zili pa tsambali zimatanthawuza kukhala 'mwachilendo' ndipo nthawi zonse zimakhala zosiyana ndi "malamulo" onse - makamaka mankhwala.