Inhalers uye nebulisers

Inhalers uye nebulisers midziyo yekurapa inoshandura mishonga yemvura kuita mhute yakanaka ine madonhwe madiki anogona kufemerwa mumapapu. Izvi zvinobatsira kuisa pfungwa pamushonga paunofanirwa kunge uri, uchidzikisa huwandu hwemhedzisiro yaunosangana nayo.

Inhalers

Inhalers inobatwa nemaoko inowanzoshandiswa kune yakapfava kusvika pakati nepakati asima. Mushonga (kazhinji bhuruu) une Ventolin, iyo inovhura nzira dzemhepo panguva yekurwisa asima. Mudziviriri (kazhinji shava) ane corticosteroid (eg beclomethasone), inotorwa zuva nezuva kuderedza kuzvimba mumapapu uye kuderedza njodzi yekurwiswa kunoitika. Inhalers idiki uye inotakurika, asi vamwe vanhu vanoiwana iine fiddly uye vanosarudza kushandisa spacer cylinder.

Bvunza chiremba wako kana wemishonga kuti akuratidze kuti ungashandisa sei inhaler yako zvinobudirira. Kuti utarise kana inhaler inoda kutsiviwa, buritsa chigaba chesimbi uye zunza - unofanirwa kunzwa mvura ichiyerera mukati mayo.

mufananidzo we inhalers

Nebulisers

Nebulisers midziyo yemagetsi inoendesa yakakwira dosi yemishonga mumapapu ako kuburikidza nemasiki, iyo inobatsira kana varwere vachirwara zvakanyanya kana vasingakwanise kushandisa handheld inhalers, kana kana mushonga usingawanikwe mune inhaler fomu. Manebulisers anogona kuendesa mishonga yakaita seVentolin, saline (kusunungura mucus), mishonga inorwisa mabhakitiriya (eg colicin) kana mishonga inorwisa fungal, kunyange zvazvo imwe ichifanirwa kupihwa nemumuromo nekuti inogona kudhuza yakatenderedza mask uye kupinda mumaziso.

mufananidzo nebulisers

Nebulisers anoshandiswa paNational Aspergillosis Center:

Jet nebulisers shandisa gasi rakamanikidzwa (mhepo kana okisijeni) kuti atomise mushonga kana saline, uye akakodzera mishonga inonamira. Izvi zvinofambiswa necompressor (eg. Medix Econoneb), iyo inokwevera mweya (kana oxygen) mukati uye inoisundira kuburikidza nesefa uye mukamuri yenebuliser. Mhando mbiri dzejet nebuliser dzinoshandiswa paNational Aspergillosis Center dziri nyore jet nebulisers (eg. Microneb III) uye nebulisers inofema (eg. Pari LC sprint).

Zviri nyore jet nebulisers endesa mishonga nguva dzose kusvika yapera, ungave uri kufema mukati kana kunze - saka haisi mishonga yese ichaendeswa kunzira dzako dzemhepo . Saizi yekudonhedza inogadzirwa neyakapusa jet nebulisers zvakare yakakura pane iyo inogadzirwa nekufema-inobatsira nebulisers, saka mushonga hauunzwe kusvika pasi mumapapu ako. Izvi zvinobatsira kumishonga yakadai sebronchodilators (eg. Ventolin), iyo inotarisa tsandanyama yakatsetseka mumhepo yako, uye naizvozvo haifaniri kusvika kusvika pasi sealveoli yako.

Nebulisers inobatsira kufema Iva nevhavha inovhara paunofuridzira, kumisa mishonga inobuda mu nebuliser paunenge uchifema mukati, saka mishonga shoma inoparara. Madonhwe anogadzirwa zvakare madiki, zvichireva kuti anogona kusvika pasi penzira dzako dzemhepo. Naizvozvo iyo inofema-inobatsira nebuliser inoshandiswa pamishonga inorwisa mabhakitiriya uye antifungal mishonga, saka vanogona kusvika kune diki, kure kure kwenzira dzako dzemhepo.

Zvimwe nebulizers:

Vibrating mesh nebulisers shandisa kristaro inokurumidza kubvunda kubvunda ndiro yesimbi ine maburi mukati (zvakaita sesefa diki). Kudengenyeka kunomanikidza mushonga kuburikidza nemaburi mundiro, zvichiita mhute yemadonhwe maduku. Madiki, anotakurika mavhezheni evibrating mesh nebulisers anowanikwa, zvisinei iwo haashandiswe neNAC sezvo asingagone kushandiswa nemishonga yakawanda inonyorerwa varwere vedu, uye haigari yakasimba.

Kufanana nekudedera mesh nebulisers, ultrasonic nebulisers shandisa kristaro inokurumidza kudengenyeka; zvisinei, panzvimbo yekusundira madonhwe kuburikidza nemapores mundiro yesimbi, kristaro inodedera mishonga zvakananga. Izvi zvinotsemura mvura kuita madonhwe pamusoro payo, uye mhute iyi inogona kufemerwa nemurwere. Ultrasonic nebulisers haikodzeri mimwe mishonga uye haisati yashandiswa mumagariro epamba.

Kuti uwane mamwe mashoko,

Kana chiremba wako akakurudzira kuti ushandise mushonga wenebulised ipapo timu yako yekuchengeta inogona kuronga kuti ukwerete pasina muripo kubva kuchipatara uye kukuratidza mashandisiro aungaita. Nekudaro, kana izvi zvisingaite saka ungangofanira kutenga yako. Zvakakosha kutevedzera mirairo yekuchenesa iyo nebuliser inouya nayo, uye kutsiva masks uye tubing mwedzi mitatu yega yega.

Heino inobatsira vhidhiyo inogadzirwa nemudzidzi wezvekurapa, inokuratidza mashandisiro e nebulised amphotericin B:

https://www.youtube.com/watch?v=PasfGkrkBR4

 

Yakapedzisira Kuvandudzwa munaNovember 1, 2020 na Megan