COPD Inhalers le Meriana

Tataiso ea Phekolo ea COPD

Ha u e-na le phefumoloho e khutšoanyane, e 'ngoe ea matšoao a khethollang COPD , ntho ea pele eo u ka' nang ua e mathela ke COPD ea hau ea inhaler. Hona ke ntho e ntle, hobane COPD inhaler, ha e sebelisoa ka nepo, e ka bula lifofane tse thibeloang, e fana ka phomolo ea matšoao hang-hang, 'me maemong a mang, tlosa ho ruruha.

Kalafo e ka fetoha e ferekanyang, leha ho le joalo, kaha ho na le meriana e fapaneng e sebelisoang ka inhalers hammoho le mefuta e sa tšoaneng ea lisebelisoa tsa ho inhalation. Ho phaella moo taba ea hore meriana e meng e na le mabitso a mangata a fapaneng 'me a mang a inhalers a na le meriana e fetang e le' ngoe, 'me u ka ikutloa eka u hloka tekanyo ea ho ea ka lithethefatsi ho hlokomela bophelo ba hau.

Leha ho le joalo, meriana leha e le efe eo ue fuoeng le hore na u sebelisa nebulizer kapa inerer-dose inhaler, tataiso e latelang ho inhalers le meriana ea COPD e tla thusa ho etsa hore phekolo ea hau ea COPD e be e laoloang haholoanyane.

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Lethathamo la Meriana e tloaelehileng ea COPD

Haeba o lula le COPD kapa mohlokomeli ho motho ea nang le COPD, ho ithuta sohle seo u ka se khonang ka meriana e tloaelehileng ea COPD ho ka u thusa hore u ikutloe u le matla haholo tseleng ea hau.

Tse ling tsa meriana ena li sebelisoa ka inhalers kapa nebulizers, tse ling li nkoa ka foromo ea pilisi, 'me tse ling li ka boela tsa fuoa intravenously. Likarolo tse kholo tsa meriana e sebelisoang kalafo e kenyeletsa:

• Likokoana-hloko: Meriana e alafatsang mafu a mabeli ha e tsoa
• Lisebelisoa tsa litšepe: Meriana e fokolisang lifofane tsa hau ho ntlafatsa moea oa moea.
• Corticosteroids: Meriana e fokotsang ho ruruha ka litsela tsa hau tsa moea.
• Phosphodiesterase-4 (PDE4) Inhibitors: Meriana e thibelang ho ruruha le ho thusa ho khatholla mesifa e tsitsitseng.

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Ho Batla ka ho Fetisisa Li-bronze

Li-burner ke liholo tsa phekolo bakeng sa COPD 'me li sebetsa ka ho phomola lifofane tsa hau ho ntlafatsa phallo ea moea matšoafong a hau.

Ho na le mefuta e meraro ea bronchodilator, ho akarelletsa:

• Beta-agonists: Beta-agonists e ka sebelisoa ka inhaler kapa e fanoa ke letlapa kapa IV. Ho na le li-beta-agonists (LABAs) tse khutšoanyane le tsa nako e telele tse sebetsang. Li-agonists tse khutšoanyane tsa liketso li akarelletsa Proventil / Ventolin / ProAir / AccuNeb (albuterol), Xopenex (levalbuterol), Maxair (pirbuterol), le metaproterenol. LABA e kenyelletsa Performomist (formoterol), bambuterol, indacaterol, le Brovana (arformoterol).
• Anticholinergics: Anticholinergics e fumanoa feela ka ho inhalation 'me e akarelletsa meriana ea Atrovent (ipratropium), Spiriva (tiotropium), le aclidinium.
• Methylxanthines: Methylxanthines ha e fumanehe ka foromo e tsitsitsoeng.

Li-broncholator li ka kopanngoa le meriana e meng, joalo ka Symbicort ea inhaler e kopantseng beta-agonist ea nako e telele e sebetsang ka corticosteroid.

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Glucocorticoids

Haeba u kile ua lula le COPD ka nako e itseng, mohlomong u tseba tse ling tsa melemo le boiketlo ba glucocorticoids.

Glucocorticoids e ka fokotsa ho ruruha, le hoja glucocorticoid inhalers e sa kgothaletswa bakeng sa batho ba nang le COPD e tsitsitseng. Li-inhalers tsena li 'nile tsa bontšoa ho fokotsa palo ea liketso tse mpe tsa COPD le ho ntlafatsa boleng ba bophelo bakeng sa batho ba nang le COPD e tsoetseng pele, empa ha ba fetole lefu. Ho phaella moo, ho tlohela meriana ena ho ka fella ka ho feta.

Seo se boletse hore ho kenyelletsa corticosteroids ho ka ba thusa ho ba boemong bo tsoetseng pele ba lefu le bakeng sa ho fokotsa matla a COPD.

Mehlala ea li-inhalers karolong ena e kenyelletsa Flovent (fluticasone), Beclovent / Qvar (beclomethasone), Aerobid / Aerospan (flunisolide), le Pulmicort (budesonide).

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Lethathamo la Tloaelehileng ea COPD Inhalers

Li-inhalers tsa COPD li tloaelehile ho phekola COPD. Empa, ho utloisisa seo e leng sona-ke sefe le sefe-seo se ka 'nang sa ferekanya ka linako tse ling. E le ho nolofatsa puisano ena, u ka nka nakoana ho ithuta ho eketsehileng ka mefuta e tloaelehileng haholo ea inhaler ea COPD 'marakeng US

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Phapang pakeng tsa meter-dose Inhalers le Nebulizers e Metsi

Hase feela hore na ho na le phapang e mengata ea meriana e ka tšoaetsanoang ho tšoara COPD empa ho na le phapang ea hore na e ka koetlisoa joang hape.

Na ho molemo ho fumana meriana ka inhaler e nang le meter kapa nebulizer?

Nakong ea histori, hangata ho nahanoa hore nebulizer e sebetsa hantle ho feta e nang le methapo ea methapo ea methapo, empa ho na le bopaki bo bong bo fapaneng. Ka kakaretso, ntoa ea li- inhaler ea methapo ea li-nebulizers e ntse e le matla.

Ho na le karolo bakeng sa lisebelisoa tsena ka bobeli. Meriana e mengata ea inhalers e theko e tlase 'me e baka liphello tse seng kae (tse kang ho tšoenyeha). Li ka 'na tsa etsa hore ho ntlafatsoe ka potlako setsing sa maemo a tšohanyetso. Eo e boletse, ho na le sebaka se ngata sa phoso ka tekanyo ea methapo e nang le meter le palo e kholo ea batho ba behiloeng lisebelisoa tsena ba e sebelisa ka tsela e fosahetseng. Ho eketsoa ha spacer ho ka fokotsa tse ling tsa phoso ena.

Hangata mekhoa ea phekolo ea li-nebuli e sebelisoa sebakeng sa sepetlele 'me e na le mekhoa e metle haholoanyane kaha e ka fanoa ka mask kapa esita le litotracheal tube. Ba hloka ts'ebetso e nyenyane ho ntlafatsa katleho.

Ho ka etsahala hore batho ba bang ba tla fumana sesebelisoa se le seng kapa se seng se molemo bakeng sa matšoao a bona, 'me se ka theohela ho motho ka mong.

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Mokhoa oa ho Sebelisa Metered-Dose Inhaler

Ho sebelisa di-meter-dose inhaler (MDI) e ka ba phephetso ho feta ho sebelisa nebulizer, haholo-holo haeba ts'ebetsong ea hau e se ea pele. Leha ho le joalo le haeba u sebelisana hantle 'me u latela litaelo hantle, u ka' na ua se ke ua fumana melemo e feletseng ea inhaler. Liphuputso li fumane hore boholo ba batho ba sebelisa li-inhalers tsa bona ka phoso.

Ho sa tsotellehe hore na u sa tsoa ngolloa hore na ho na le methapo e fokolang ea methapo kapa setsebi sa khale se sebelisitseng sena ka nako e telele, iphe nako ea ho hlahloba hore na u ka sebelisa inhaler ea hau hantle joang .

Tlhaloso ea Meriana e Inhaled bakeng sa COPD

Meriana ea ho kenya letsoho ke setsi sa batho ba bangata ba nang le COPD. Meriana ena e ka kenyelletsa e 'ngoe ea mefuta ea bronchodilator, corticosteroid, kapa tse ling tsa tse peli. Hape ho na le phapang pakeng tsa mekhoa ea ho inhalla ka ho inhalers, nebulizers, le mefuta e sa tšoaneng ea e 'ngoe le e' ngoe eo u lokelang ho e khetha. Ho ipha nako ea ho ithuta ka meriana ea hau ke mohato o moholo oa ho ba karolo e mafolofolo ea tlhokomelo ea hau ea COPD.

> Mehloli:

> DePietro, M., Gilbert, I., Millette, L., le M. Riebe. Khetho ea lisebelisoa tsa lisebelisoa bakeng sa Tlhokomelo ea mafu a sa foleng a ho thibela mafu. Meriana ea Postgraduate . 2018. 130 (1): 83-97.

> Kasper, Dennis L .., Anthony S. Fauci, le Stephen L .. Hauser. Melao-motheo ea Harrison ea Meriana ea ka Hare. New York: Thuto ea Mc Graw Hill, 2015. Print.

> Tashkin, D. Tlhahlobo ea Tšebeliso ea Lithethefatsi e sa Tšoaneng ho COPD. International Journal of Chronic Obstructive Pulmonary Disease . 2016. 11: 2585-2596.