Kumvetsa Chisamaliro cha Ana
Mafupa a mphumu ndi njira yabwino yopatsira mankhwala a mphumu m'mapapu a mwana. Ngakhale kuti nebulizer ikhoza kukhala yosavuta kuigwiritsa ntchito, makolo ndi ana ambiri samakonda kuti atenge nthawi yayitali kuti apereke chithandizo cha mphumu.
Nthenda yotchedwa Asthma Inhalers
Mwamwayi, pamene kuli koyenera, mphumu zoyenera kuzigwiritsa ntchito ziyenera kugwiritsidwa bwino bwino, kufunikira njira zingapo, kuti zikhale zogwira mtima.
Izi zikhoza kukhala zosavuta pogwirizanitsa ndi insi-dose inhaler ndi spacer kapena spacer ndi maski, koma inhaler ndi spacer ayenera kugwiritsidwa ntchito molondola.
Mwina simungapewe kugwiritsa ntchito mphumu ya mphumu, komabe, monga mankhwala ena a mphumu amapezeka ngati inhaler. Mwachitsanzo, ngakhale pali albuterol ya nebulized, levalbuterol (Xopenex), ndi Pulmicort (budesonide), mankhwala ena ambiri ochizira mphumu amapezeka ngati ma inhalers.
Mitundu ya Asthma Inhalers
Pali mitundu iwiri ikuluikulu ya inhaler ya mphumu, kuphatikizapo okalamba omwe amawadziwa bwino kwambiri, omwe amadziwika bwino ndi omwe amadziwika bwino, komanso atsopano omwe ali otupa . Kawirikawiri, anthu ambiri amaganiza kuti madzi ouma amadzimadziwa ndi ovuta chifukwa amagwiritsa ntchito mpweya (mankhwala samatuluka mpaka mutapuma), pamene inhalers ya doer imafuna kuti wogwiritsira ntchito azitenga mpweya wozama ndi kuyambitsa inhaler.
- ma inhalers a doer (CFC) - inhalers okhala ndi chlorofluorocarbons akhala akuchotsedwa chifukwa cha nkhaŵa zachilengedwe
- iner-dose inhalers (HFA) - yatsopano ya CFC yopanda hydro fluoroalkene propellant inhalers
- Mpweya umene umapangidwira m'madzi otchedwa inhalers (HFA) - wodula kuposa ma MDIs
- Manyowa amadzimadzimadzimadzi - samatha kugwiritsidwa ntchito mpaka ana ali osachepera zaka zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu ndi chimodzi (6) ndipo akhoza kutenga mowa wamphamvu kwambiri. Ana aang'ono amayesera kuwombera mu inhaler, mmalo mopuma.
Pogwiritsira ntchito ufa wouma wouma, ana ambiri ang'onoang'ono amalakwa:
- kuika inhaler molakwika
- akuiwala kuti azigwiritsa ntchito bwino kwambiri asanayambe kugwiritsa ntchito inhaler
- osati kutenga mozama, mwamphamvu
- osasunga mpweya wawo kwa masekondi khumi
- Kuiwala kupuma pang'onopang'ono pambuyo pake
Inde, zimakhala zovuta kupanga zolakwitsa ndi doer-dose inhalers, nayenso. Kulakwitsa kwakukulu ndikuti ana aiwale kutenga pang'onopang'ono, kupweteka kwambiri, kupuma mofulumira m'malo mwake.
Inhalers ndi Spacers
Ngakhale kuti mwana wanu angathe kugwiritsa ntchito mlingo woyenera wa mankhwala omwe ali ndi zaka 6, zingakhale bwino kugwiritsira ntchito spacer kuti atsimikize kuti amapeza mankhwala okwanira m'mapapu ake.
Kachipangizo kakang'ono kamene kamatha kugwiritsidwa ntchito ndi inhaler ndipo ikhoza kuphatikizapo mask kwa ana, ana, ndi ana a sukulu omwe ali ndi zaka zinayi kapena zapang'ono. Amaphatikizapo chipinda chokhala ndi mankhwala omwe amasungira mankhwalawa mpaka mwana wanu atenge mpweya kuti asafunike kuyendetsa mpweya ndi kuyambitsa inhaler.
Kupulumutsa Asthma Inhalers
Kupulumutsa mphumu za mphumu zikuphatikizapo agonists omwe amachititsa nthawi yayitali yomwe imapereka chithandizo mwamsanga pamene mwana wanu akudwala zizindikiro za mphumu:
- ProAir HFA (albuterol inhaler)
- Proventil HFA (albuterol inhaler)
- Ventolin HFA (albuterol inhaler)
- Ventolin HFA 60 (albuterol inhaler)
- Xopenex HFA (levalbuterol inhaler)
- ProAir RespicClick (albuterol inhaler) - inhalation powder
Zopulumutsira zimenezi zimagwiritsidwa ntchito pokhapokha ngati zili zofunika komanso osati tsiku lililonse. Lankhulani ndi dokotala wanu wa ana ngati mwana wanu akuwoneka kuti akufunika kugwiritsa ntchito mankhwala ake ofulumira msanga kupitilira kawiri pa sabata.
Maxair AutoHaler (pirbuterol inhaler), MDI yokhala ndi mpweya inachotsedwa pamsika mu 2013 chifukwa inali ndi CFCs.
Zopeweratu Phumu Zambiri
Kuphatikizidwa kwa corticosteroid inhalers ndipopopayi mankhwala othandizira .
Mosiyana ndi kupulumutsidwa, komwe kumapereka mpumulo mwamsanga kwa zizindikiro za mphumu, steroid inhalers amagwiritsidwa ntchito tsiku ndi tsiku kuti ateteze mwana wanu kuti asachite zizindikiro za mphumu.
Ngakhale zikhoza kuwoneka ngati steroid inhalers ndi, chimodzimodzi, kukula kwa chidutswa cha mankhwala kungakhudze momwe iwo amathandizira. Kawirikawiri, iwo okhala ndi tinthu ting'onoting'ono tating'ono, monga Aerobid, Alvesco, ndi Qvar, amayenera kuperekedwa bwino m'mapapu.
Mwina chofunika kwambiri kuposa kukula kwa tinthu ndikungopeza steroid inhaler ndikugwiritsa ntchito bwino tsiku lililonse:
- Aerobid (flunisolide) - MDI yovomerezeka kwa ana omwe ali osachepera 6
- Alvesco (ciclesonide) - MDI yololedwa kwa ana omwe ali osachepera 12
- Asmanex Twisthaler (mometasone) - DPI yovomerezeka kwa ana omwe ali osachepera 12
- Flovent Diskus (fluticasone) - DPI yovomerezeka kwa ana omwe ali osachepera 4
- Flovent HFA (fluticasone) - MDI yovomerezeka kwa ana omwe ali osachepera 4
- Pulmicort Flexhaler (budesonide) - DPI yovomerezeka kwa ana omwe ali osachepera 6
- Qvar (beclomethasone) - MDI inavomereza ana omwe ali osachepera 5
Mankhwalawa amapezeka mu mphamvu zambiri kuti athandize mwanayo kukhala ndi mphumu yabwino. Ngati mlingo wochepa wotsekemera usagwire ntchito, ndiye kuti kusamukira ku mlingo wapamwamba kungakhale kusamuka kuchokera ku Qvar 40 mpaka Qvar 80.
Kwa ana omwe ali ndi mphumu yovuta kwambiri yomwe samayendetsedwa ndi steroid yosakanizidwa, inhaler yomwe imagwirizanitsa steroid ndi agonist yautali kwambiri ingakhale yothandiza. Izi zikuphatikizapo:
- Advair HFA - (Flovent + Serevent) - MDI inavomereza ana omwe ali osachepera 4
- Advair Diskus - mawonekedwe a DPI a Advair - ovomerezeka kwa ana omwe ali osachepera 4
- Dulera - (Asmanex + Foradil) - MDI inavomereza ana omwe ali osachepera 12
- Symbicort - (Pulmicort + Foradil) - MDI yololedwa kwa ana omwe ali osachepera 12
Pamene mphumu ya mwana wanu ikuyendetsedwa bwino pogwiritsira ntchito kuphatikizapo inhaler, lankhulani ndi dokotala wanu wa ana kuti muwone nthawi yothetsera chithandizo cha mwana wanu kuti agwiritse ntchito steroid inhaler.
WhatTo Know About Asthma Inhalers kwa Kids
Mwina chinthu chofunika kwambiri kudziwa za mphumu ya mwana wanu ndi chakuti muyenera kuigwiritsa ntchito mpaka mutauzidwa ndi ana anu kuti awaletse. Ndondomeko ya ntchito ya mphumu ingathandize kuti muzindikire nthawi yomwe mungagwiritsire ntchito mphumu ya mwana wa asthma komanso malo omwe mukutsatira.
- Bweretsani mphumu ya mwana wanu onse pamene mukuwona mwana wanu wamwamuna kuti adziwe mankhwala omwe mwana wanu akutenga kuti mwana wanu athe kusonyeza kuti njira yake ndi yabwino (kapena osauka) njira yake ndi inhalers yake.
- Nthenda yotchedwa asthma inhalers ikhoza kukhala yotsika mtengo ndipo zonse zomwe mtengo ndi kubwezeredwa ndi kampani yanu ya inshuwalansi zingakhale zokopa zomwe zimapangitsa ana anu kugwiritsira ntchito. Ngati kampani yanu ya inshuwalansi ili ndi mankhwala a mankhwalawa, ganizirani kulemba mndandanda wa mphumu yomwe imakonda kwambiri poyendera ndi dokotala wanu wa ana.
- Kuwonjezera pa kukhala chogwirana ndi chogwiritsidwa ntchito, kugwiritsa ntchito mphumu yothamanga kwambiri ndi mofulumira kuposa mankhwala a nebulizer.
- Mafupa ambiri a mphumu amayamba kugwiritsa ntchito-chizindikiro (motsutsana ndi malangizo othandizira) kwa ana omwe ali aang'ono kwambiri kuposa zaka zomwe amavomereza.
Lankhulani ndi ana anu ngati simungakwanitse kupeza mphumu ya asthma ya mwana wanu. Kawirikawiri ana am'mawa amakhala ndi zizindikiro za ma asthma inhalers kapena angathe kukuthandizani ndi mapulogalamu othandizira mankhwala omwe makampani ambiri osokoneza bongo akupereka.
Zotsatira:
Adkinson: Zovuta Zambiri Zozizira: Mfundo ndi Zochita, 7th Edition;
Dolovich MB, Ahrens RC, Hess DR, et al: Kusankhidwa kwadongosolo ndi zotsatira za mankhwala a aososol: Zolemba zochokera ku bungwe la American College of Chest Physicians / American College of Asthma, Chifuwa, ndi Immunology. Chifuwa cha 2005; 127: 335-371.
Chisomo, John. Kusankha zipangizo zowonjezera anthu omwe ali ndi mphumu: Kudziwa zamakono ndi zosowa zofunikira kwambiri zofufuza. Respiratory Medicine CME, Volume 3, Magazini 3, 2010, Masamba 125-131.
Lavorini, Federico. Zotsatira za kugwiritsidwa ntchito kosayenera kwa ufa wouma mu inhalers pa kayendetsedwe ka odwala omwe ali ndi mphumu ndi COPD. Respiratory Medicine, Voliyumu 102, Magazini 4, April 2008, masamba 593-604.
NIH. Malangizo Othandizira Otsogolera Odwala. Malangizo Othandizira Kuzindikira ndi Kusamalira Khunyu. 2007