Do you/your baby need help using an inhaler? Let's learn about this 'spacer'!

Does your child have a breathing problem like asthma? Or do you suffer from one yourself? If so, the doctor may have told you or your child to use an inhaler. Using this inhaler can sometimes be a bit of a challenge, especially for young children. That's when this little device called a 'spacer' comes to our rescue. Today, let's talk about what a spacer is, what it does, and how to use it properly.

Why do we use this inhaler? Let's understand a little!

Simply put, in conditions like asthma, the bronchi, or airways that lead to our lungs, become a little blocked. Then it becomes difficult to breathe, and we feel like we're choking. So what this inhaler does is send the necessary medicine directly to the lungs. Then the medicine works quickly, and the blocked bronchi open up a little, making it easier to breathe.

This inhaler releases the medicine in the form of a small 'spray'. It is called a ``Metered Dose Inhaler - MDI''. This means that a specific amount of medicine comes out each time.

So, what is this 'spacer'?

Imagine that you put the inhaler in your mouth and 'press' it once. At that moment, you should inhale properly. What happens if you don't do that? The medicine can settle in your mouth and throat rather than reaching your lungs. Then you don't get the full benefit of the medicine. This can be difficult for young children, and sometimes even adults, to do right away.

That's where this spacer comes in. The spacer is simply a small tube made of plastic. One end of it can be attached to the inhaler. On the other end, there is a mouthpiece or a small 'mask' that can be placed on the face.

When you press the inhaler, the medicine is collected inside this spacer. Then you can breathe in slowly, or as if you were a child, a few times and get the medicine into your lungs. No need to worry. This means that the difficult task of having to breathe in as soon as you press the inhaler is made easier.

To be precise, the spacer is like a "helper" that holds the medicine from the inhaler in place, helping it to pass through to the lungs.

What are the benefits of using a spacer?

There are many benefits to using this.

• More medicine goes to the lungs: This is the most important thing. Since the medicine stays in the mouth and throat less, more medicine goes directly to the lungs. Then the symptoms are controlled faster.
• Reduces mouth and throat side effects: Some inhalers, especially corticosteroids, can cause things like oral thrush. Using a spacer greatly reduces this risk.
• The inhaler is easy to use: This is especially convenient for young children, the elderly, or those who have difficulty coordinating the inhaler and breathing at the same time.
• Conditions like asthma can be better controlled: Because the medication goes directly to the lungs, it is more effective in controlling the disease.

Who is this spacer especially important to?

In fact, anyone who uses an inhaler can benefit from a spacer. However, for some people, it is essential.

• Young children: It is difficult to teach children under 5 years of age, especially infants and young children, to use an inhaler properly. A spacer that comes with a mask is essential for them.
• Older children: Some older children may have difficulty timing their inhaler and breath. A spacer can be very helpful for them as well.
• Some adults: Some adults may also have coordination problems. They may also benefit from using a spacer.
• People using corticosteroid inhalers: This is very important to reduce side effects in the mouth.

How to use a spacer correctly?

It's not that difficult to use. Your doctor or nurse will show you how to do it properly. But here's the general procedure:

1. Preparation: First, check that there is no dust or other debris inside the spacer. Remove the mouthpiece from the inhaler.

2. Shake the inhaler: Shake the inhaler well up and down (about 5 seconds). This will mix the medicine well.

3. Attach the inhaler: Attach the inhaler securely to the corresponding end of the spacer.

4. Hold it to your mouth/face:

• If the spacer has a mouthpiece, place it in your mouth and hold it tightly with your lips. Do not stick your tongue out between your teeth.
• If it's a spacer with a mask (used for small children), hold it over the child's face so that it covers their nose and mouth well. There should be no gaps.

5. Press the inhaler: While holding the spacer in place, press the inhaler once . The medicine will then enter the spacer.

6. Breathe:

• If it's a part of your mouth, take a slow, deep breath in. Then, if possible, hold your breath for 5-10 seconds and exhale slowly.
• If using a mask, let the child breathe normally. Keep the mask on the child's face until he or she has taken 5-6 breaths.

7. If you need another dose: If your doctor has told you to take two doses, wait about a minute and then repeat step 2 to the end.

8. Rinse your mouth (if using a steroid inhaler): If you are using a corticosteroid inhaler, rinse your mouth thoroughly with water after using the medication. If you are a small child, wipe their face with a slightly damp cloth and give them a little water to drink. This will reduce the risk of oral side effects.

Imagine if it were a small baby, you could treat it like a game, or you could sing a song you like. Then, they would support it without fear.

How do you keep the spacer clean?

It is very important to keep the spacer clean, otherwise germs can build up on it and the medication may not work properly.

• How often should I clean it? It's usually best to clean it at least once a week, or as directed by your doctor.
• How do you clean?

1. First, remove the removable parts of the spacer (like the rubber part that attaches the inhaler).

2. Then wash these parts in lukewarm water with a little soapy liquid (like dishwashing liquid).

3. Rinse thoroughly with clean water.

4. Most importantly: Do not wipe the spacer with a cloth and let it dry. Doing so can cause static electricity to build up inside the spacer and cause the medication particles to stick to it. Therefore, let the parts air dry. It is best to let them air dry overnight.

5. After it dries thoroughly, reassemble the parts.

When should a spacer be replaced?

You can't use a spacer forever.

• If there is any damage, breakage, or breakage, buy a new one.
• If, even after cleaning it thoroughly, there are stains on the inside, or if it looks milky, it's best to replace it.
• Doctors usually recommend changing your lenses every 6 months or once a year. Ask your doctor about this.

Common mistakes and things to remember

• Don't forget to shake the inhaler well before using it.
• Check that the mask or the part that holds your mouth is sealed properly . There should be no gaps.
• You should only press the inhaler once for one breath. Do not press it several times in a row and breathe.
• Clean the spacer regularly .
• Don't think, "This is just for little kids." Adults can benefit from this too .
• If you or your child have any questions about how to use the spacer, don't be shy about asking your doctor, pharmacist, or asthma nurse . They will be able to help you.

Summary: The most important things you need to remember

Okay, so from what we've discussed, I hope you've gained a better understanding of a spacer.

In short, a spacer is a very valuable device that helps deliver the medication from the inhaler to the lungs in a precise, effective manner.

• Makes the inhaler more effective: The spacer ensures that the medicine goes directly to the lungs without being wasted.
• Fewer side effects: Things like infections, especially in the mouth, are reduced.
• Easy for everyone: The inhaler is very easy to use for young children, the elderly, and those with coordination difficulties.
• Use it properly, clean it properly: To get the most out of it, you need to learn how to use it properly, and you also need to clean it regularly.
• Follow your doctor's advice: Always follow your doctor's instructions. Don't be afraid to ask if you have any questions.

Wishing you and your baby good health!

` Spacer, inhaler, asthma, breathing difficulties, child health, medicine, lungs