Nā Inhalers no COPD

Anter

• Mīkini hoʻomeamea Metered-dose
• Inhaler pauka maloʻo
• Inhaler ʻohu palupalu
• Lawe aku
• A:

Hōʻike Overview

ʻO ka maʻi pulmonary obstructive maʻi (COPD) kahi hui o nā maʻi pūpū - e like me ka bronchitis mau, ka hānō, a me nā ʻōpikopiko - paʻakikī e hanu. Lawe ʻia nā lāʻau e like me nā bronchodilators a me nā steroid inhaled i ka pehu ʻana a wehe i kāu mau kahawai e kōkua iā ʻoe e hanu maʻalahi.

ʻO kahi inhaler kahi mīkini paʻa lima e lawe i kahi puff a i ʻole ʻehu o kēia mau lāʻau i loko o kāu mau māmā ma o ka waha waha. Hana wikiwiki nā Inhalers ma mua o nā pila, pono e hele ma waena o kou kahe o ke koko e hele i ka hana.

Hele mai nā Inhalers i ʻekolu mau ʻano nui:

• inhaler-mahele lāʻau inhaler (MDI)
• inhaler pauka maloʻo (DPI)
• mehana inhaler (SMI)

Mīkini hoʻomeamea Metered-dose

ʻO kahi inhaler-dose inhaler (MDI) kahi mea lawelima e lawe i ka lāʻau hānō i kou mau māmā i ke ʻano aerosol. Hoʻopili ka kini i kahi waha waha. Ke kāomi ʻoe i ka pahu kini, hoʻolei kahi propellant kemika i kahi puff o ka lāʻau i loko o kou mau māmā.

Me kahi MDI, pono ʻoe i ka manawa i kou hanu ʻana me ka hoʻokuʻu ʻia o ka lāʻau. Inā pilikia ʻoe i ka hana ʻana i kēia, hiki iā ʻoe ke hoʻohana i kahi hāmeʻa i kapa ʻia he spacer. Hiki i kahi spacer ke kōkua i ka hoʻopili ʻana i kou hanu inhaled me ka hoʻokuʻu ʻia o ka lāʻau.

ʻO nā lāʻau COPD i hele mai i MDI me nā steroid e like me Flovent HFA a me ka hui pū steroid / bronchodilators e like me Symbicort.

Hele mai kēlā me kēia MDI me kāna mau kuhikuhi ponoʻī. Ma ka laulā, eia pehea e hoʻohana ai i hoʻokahi:

• Wehe i ka pāpale mai ka inhaler.
• Me ka waha e alo ana i lalo, hoʻoluliluli i ka mea inhaler ma kahi o ʻelima mau kekona e kāwili ai i ka lāʻau.
• A laila e hoʻohana i kekahi o kēia mau ʻenehana:
  • ʻEnehana hamama waha: Paʻa i ka waha waha 1 1/2 a 2 ʻīniha mai kou waha.
  • Pāʻina pani waha: E kau i ka waha waha ma waena o kou mau lehelehe a hoʻopaʻa paʻa i kou mau lehelehe a puni.
  • Me kahi spacer: E kau i ka MDI i loko o ka spacer a pani i kou mau lehelehe a puni ka spacer.
• Hanu mālie.
• Kaomi i ka inhaler a, i ka manawa like, e huki i ka hanu hohonu ma o kou waha. E hoʻomau i ka hanu ʻana no 3 a 5 kekona.
• Paʻa i kou hanu no 5 a 10 mau kekona e kiʻi i ka lāʻau i loko o kāu airways.
• Hoʻomaha a hanu mālie.
• E hana hou i ke kaʻina hana inā pono ʻoe i nui nā puffs o ka lāʻau.

Pros: Maʻalahi ka hoʻohana ʻana o MDI a hiki ke hoʻohana ʻia me nā ʻano like ʻole o nā lāʻau COPD, e like me nā steroid, bronchodilators, a me nā lāʻau hoʻohui. Loaʻa iā ʻoe ka lāʻau like o ka lāʻau i kēlā me kēia manawa āu e hoʻohana ai iā lākou.

Con: Koi ʻo MDI iā ʻoe e laulima ma waena o ka hoʻoulu ʻana i ka lāʻau a me ka hanu ʻana iā ia i loko. Pono pū ia e hanu me ka mālie a hohonu. Inā ʻoe e hanu wikiwiki, e kū ka lāʻau i ka hope o kou puʻu, a ʻaʻole hiki ka hapa nui i kou mau māmā. Pono paha ʻoe e hoʻohana i kahi spacer e kiʻi i ka lāʻau i loko o kou māmā.

Inhaler pauka maloʻo

Hāʻawi kahi inhaler pauma maloʻo (DPI) i ka lāʻau i kou mau māmā ke hanu ʻoe i loko o ka hāmeʻa. ʻAʻole like me MDI, ʻaʻole hoʻohana kahi DPI i kahi propellant e pahu i ka lāʻau i loko o kou mau māmā. Ma kahi o ka hanu o loko e hoʻoulu ai i ka lāʻau.

Hele mai nā DPI i hoʻokahi hāmeʻa a me nā hāmeʻa he nui. Loaʻa i nā hāmeʻa hāpana he 200 a ʻoi paha.

ʻO nā pauka maloʻo COPD i hiki ke hoʻohana ʻia me kahi DPI me nā steroid e like me Pulmicort a me nā bronchodilators e like me Spiriva:

Hele mai kēlā me kēia DPI me kāna mau kuhikuhi ponoʻī. Ma ka laulā, eia pehea e hoʻohana ai i hoʻokahi:

• Wehe i ka pāpale.
• Huli i kou poʻo mai ka hāmeʻa a hanu i nā ala āpau. Mai hoʻokuʻu i ka hāmeʻa. Hiki iā ʻoe ke hoʻopuehu i ka lāʻau.
• E hoʻokomo i ka waha i loko o kou waha a pani i kou mau lehelehe a puni.
• E hanu nui i loko o kahi mau kekona a hiki i kou wā e hoʻopiha ai i kāu mau māmā.
• Lawe i ka hāmeʻa mai kou waha a paʻa i kou hanu a 10 mau kekona.
• Hanu mālie.

Pros: E like me MDI, maʻalahi hoʻi nā DPI e hoʻohana. ʻAʻole pono ʻoe e hoʻohui i ke kaomi ʻana i ka hāmeʻa a me ka hanu ʻana i ka lāʻau, a ʻaʻole pono ʻoe e hoʻohana i kahi spacer.

Con: I kekahi ʻaoʻao, pono ʻoe e hanu i ka ʻoi aku ka paʻakikī ma mua o kāu me MDI. Eia kekahi, paʻakikī e kiʻi i ka mahele lāʻau like i kēlā me kēia manawa ke hoʻohana ʻoe i ka inhaler. Hiki ke hoʻopili ʻia kēia ʻano inhaler e ka wai mānoanoa a me nā kumu kaiapuni ʻē aʻe.

Inhaler ʻohu palupalu

ʻO ka inhaler palupalu (SMI) kahi ʻano hou o ka hāmeʻa. Hoʻokumu ia i kahi ao o ka lāʻau āu e hanu ʻole ai me ke kōkua ʻole o kahi propellant. Ma muli o ka noe i nā ʻāpana he nui aku ma mua o MDI a me DPI a haʻalele ka ʻehu i ka inhaler me ka lohi, ʻoi aku ka nui o ka lāʻau i loko o kou māmā.

ʻO nā lāʻau lapaʻau bronchodilator tiotropium (Spiriva Respimat) a me olodaterol (Striverdi Respimat) i hele mai i kahi ʻohu palupalu. Hoʻohui ʻo Stiolto Respimat i nā lāʻau tiotropium a me olodaterol.

Lawe aku

Inā hoʻohana pololei ʻoe ia, e hoʻomaha kāu mea hoʻopili i kāu mau hōʻailona COPD. E noi i kāu kauka e hōʻike iā ʻoe pehea e hoʻohana ai. E mālama i nā lā palena pau i kāu lāʻau, a kiʻi i kahi palapala hou inā pau kāu lāʻau.

Lawe i kāu lāʻau e like me ke kuhikuhi a kāu kauka. Inā makemake ʻoe i kahi lāʻau hoʻomalu i kēlā me kēia lā, lawe i kēlā me kēia lā - ʻoiai inā ʻoe e ʻoluʻolu. E hoʻomaopopo i kāu kauka inā ʻike ʻoe i nā hopena ʻaoʻao, akā ʻaʻole loa e hōʻoki i ka lawe ʻana i ka lāʻau ke ʻōlelo aʻoaʻo ʻole ʻia

A:

ʻO HFA kahi pōkole no hydrofluoroalkane, kahi mea mālama palekana no ke ʻano o ka lewa ma mua o nā propellants i hoʻohana ʻia i MDI kumu. ʻO Diskus kahi inoa inoa e kōkua i ka wehewehe ʻana i ke ʻano o ka lawe ʻana a me ke kaʻina hana e hoʻohana ai e hoʻoneʻe i kahi pahu lāʻau maloʻo maloʻo i loko o ke keʻena. He inoa inoa ʻo Respimat e kōkua i ka wehewehe ʻana i ka hana SMI i hoʻomohala ʻia e ka ʻoihana lāʻau Boehringer Ingelheim.