ʻO nā mea e pono ai ʻoe e ʻike e pili ana i nā bronchodilators no nā pilikia hanu

Ke paʻakikī koke nei ʻoe i ka hanu ʻana i kekahi manawa? Ke paʻa nei kou umauma a me ka hanu ʻole? He ʻike maʻamau loa kēia a he ʻoluʻolu ʻole hoʻi, ʻoiai no kekahi me ka maʻi hanu lōʻihi e like me ka hānō a i ʻole COPD (Chronic Obstructive Pulmonary Disease). No laila, ma kēia ʻatikala, e kamaʻilio maʻalahi mākou e pili ana i ka inhaler e kōkua mai iā mākou i nā manawa e like me kēia a e maʻalahi ai ka hanu ʻana. ʻO ka inoa lapaʻau no kēia mau mea ʻo 'Bronchodilators'.

I ka ʻōlelo maʻalahi, he aha kēia Bronchodilator?

He mea paʻakikī paha kēia inoa, akā he maʻalahi loa kāna hana. E hoʻomaopopo kākou penei.

E noʻonoʻo he pūnaewele kāu o nā ʻōmole liʻiliʻi e lawe ana i ka ea i kou mau māmā. Ua kapa ʻia kēia mau mea he bronchi. ʻO ka maʻamau, neʻe maʻalahi ka ea ma o kēia mau ʻōmole. Akā i nā kūlana e like me ka hānō, ʻo nā ʻiʻo palupalu a puni kēia mau ʻōmole e paʻa ana, e hoʻohaiki ana i nā puka i loko o nā ʻōmole. Ua like ia me kekahi e ʻomi ana i kahi paipu wai. He aha ka mea e hana ʻia a laila? ʻAʻohe wahi lawa no ka ea e hele ai. ʻO ka hopena, he paʻakikī ka hanu ʻana, ka wheezing, a me ka paʻa o ka umauma.

Hoʻomaha nā Bronchodilators i nā ʻiʻo paʻa a hoʻonui i nā ala ea i haiki. ʻAe kēia i ka ea e hele maikaʻi a maʻalahi ka hanu ʻana. ʻO ia ke ʻano o ka inoa. ʻO 'Broncho' ke ʻano o ke ala ea, a ʻo 'dilator' ke ʻano o kahi mea e hoʻonui ai.

Aia kekahi pōmaikaʻi ʻē aʻe i kēia mau lāʻau lapaʻau. Ke ākea nā ala ea, e maʻalahi ka puka ʻana o nā mea e like me ka mucus i paʻa i loko o lākou. A laila e maʻalahi ka hoʻokuʻu ʻana i ka mucus.

Loaʻa nui kēia mau lāʻau lapaʻau iā mākou ma ke ʻano he inhalers a me nā nebulizer solutions. He mīkini ka nebulizer e hoʻololi i ka lāʻau lapaʻau i noe liʻiliʻi, e maʻalahi ai ka hanu ʻana.

ʻElua mau ʻano nui o nā bronchodilators:

Hiki ke hoʻokaʻawale ʻia kēia mau lāʻau lapaʻau i ʻelua mau māhele nui ma muli o ko lākou wikiwiki a me ka lōʻihi o ka hana. He mea nui loa ka hoʻomaopopo ʻana i ka ʻokoʻa ma waena o nā mea ʻelua no kāu mālama ʻana.

He aha nā ʻano nui o nā bronchodilators?

Ua māhele hou ʻia kēia mau lāʻau lapaʻau i 3 mau ʻano nui e pili ana i kā lākou hana.

1. Nā Beta 2-agonists

ʻO kēia nā ʻano i hoʻohana nui ʻia. Loaʻa lākou i nā ʻano hana pōkole a me nā ʻano hana lōʻihi.

• Nā beta 2-agonists hana pōkole (SABAs): ʻO kēia nā "Rescue Inhalers" a mākou i ʻōlelo ai ma mua. Kōkua kēia i ka hāʻawi ʻana i ka hōʻoluʻolu wikiwiki ke hiki mai nā hōʻailona hānō. Hana lākou i loko o 15-20 mau minuke a hāʻawi i ka hōʻoluʻolu no kahi o 4-6 mau hola. Inā hoʻohana ʻia ma mua o ka hoʻoikaika kino, hiki iā lākou ke pale aku i ka hānō i hoʻoulu ʻia e ka hoʻoikaika kino.
• Nā Laʻana: Albuterol (Ventolin®), Levalbuterol (Xopenex®)

• Nā agonists beta-2 hana lōʻihi (LABAs): Hoʻohana ʻia kēia mau mea e kāohi i ka maʻi no ka manawa lōʻihi, ʻelua mau manawa i ka lā. He mea nui e hoʻomanaʻo ʻaʻole hoʻohana wale ʻia nā LABA i ka wā e mālama ai i ka hānō. Hāʻawi mau ʻia lākou me ka hui pū ʻana me kahi inhaler corticosteroid. Hana nā steroids ma ka hōʻemi ʻana i ka mumū ma nā alaloa ea.
• Nā Laʻana: Salmeterol (Serevent®), Formoterol (Foradil®)
• Nā lāʻau lapaʻau i hui pū ʻia me nā steroid: Fluticasone a me Salmeterol (Advair®), Budesonide a me Formoterol (Symbicort®)

2. Nā lāʻau anticholinergic

Hana kēia mau lāʻau lapaʻau ma ke ālai ʻana i kekahi mau hōʻailona mai kā mākou ʻōnaehana nerve e hoʻopili ai i nā alaloa ea. Kōkua pū lākou i ka hoʻonui ʻana i nā alaloa ea. ʻAʻole kēia he mau lāʻau lapaʻau e hoʻomaha koke. Akā hiki iā lākou ke kōkua i ka kaohi ʻana i ka hānō, ʻoiai hoʻi i ka poʻe me nā hōʻailona koʻikoʻi.

• Nā Laʻana: Ipratropium bromide (Atrovent®), Tiotropium bromide (Spiriva Respimat®)

3. ʻO ka Theophylline

He lāʻau lapaʻau kēia i loaʻa ma ke ʻano he pila. Ua hoʻohana nui ʻia i ka wā ma mua e kāohi i ka hānō koʻikoʻi. Akā, ʻaʻole hoʻohana pinepine ʻia i kēia manawa. ʻO kēia no ka mea, i ka wā e hoʻohana ai i kēia lāʻau lapaʻau, pono ʻoe e loaʻa nā hoʻāʻo koko maʻamau e nānā i ka pae o ka lāʻau lapaʻau i loko o kou kino. Loaʻa iā ia kekahi mau hopena ʻaoʻao ʻē aʻe.

Aia kekahi mau hopena ʻaoʻao i kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i kēia mau bronchodilator ke hana i kekahi mau hopena ʻaoʻao. Akā i ka hapa nui o ka manawa, ʻaʻole koʻikoʻi kēia mau mea. ʻOkoʻa nā hopena ʻaoʻao ma muli o ke ʻano o ka lāʻau lapaʻau.

Inā loaʻa iā ʻoe kahi maʻi ʻōpū mimi, e like me ka benign prostatic hyperplasia (BPE), he mea nui e hoʻomaopopo i kāu kauka i ka wā e lawe ai i nā lāʻau anticholinergic.

He ʻano steroid anei ka bronchodilator?

ʻAʻole. He wahi kēia e huikau ai nā kānaka he nui.ʻAʻole he steroid ka bronchodilator. He ʻokoʻa loa nā hana a nā mea ʻelua.

• Bronchodilator: Hoʻonui i nā ala ea i paʻa, e maʻalahi koke ai ka hanu ʻana.
• ʻO ka Steroid hanu (Steroid Inhaler): Hoʻemi i ka pehu a me ka mumū i loko o nā alaea. Kōkua kēia i ka kaohi ʻana i ka maʻi i ka wā lōʻihi .

Hoʻomaopopo pinepine nā kauka i ka hoʻohana ʻana i nā ʻano ʻelua e kaohi i nā maʻi e like me ka hānō.

Pehea e hoʻohana pono ai i ka inhaler?

I mea e loaʻa ai ka hopena maikaʻi loa mai kāu lāʻau lapaʻau, he mea nui e ʻike pehea e hoʻohana pono ai i kāu inhaler. Hana hewa ka nui o ka poʻe i kēia, ʻo ia hoʻi, ʻaʻole i komo pono ka lāʻau lapaʻau i loko o ko lākou mau māmā. Eia ke ala kūpono e hana ai:

1. E lūlū maikaʻi: E pani pono i ke poʻi o ka mea hoʻoheheʻe a lūlū maikaʻi ma kahi o 10-15 mau manawa.

2. Wehe i ke poʻi: Wehe i ke poʻi a waiho ʻia ma ka ʻaoʻao.

3. E hanu i waho: E hanu hohonu a hanu i waho i ka nui o ka hiki. E hoʻokahe i kou mau māmā.

4. Hoʻokomo i loko o ka waha: E kau i ka waha o ka mea hoʻoheheʻe i loko o kou waha a pani pono me kou mau lehelehe.

5. E hanu i loko a hanu i loko: ʻOiai e kaomi ana i ka piko o ka mea hoʻoheheʻe i hoʻokahi manawa, e hanu hohonu i loko ma kou waha. (Inā lohe ʻoe i kahi leo kani, ke hanu wikiwiki nei ʻoe. E hanu hohonu i loko.)

6. E paʻa i kou hanu: Ma hope o ka hanu ʻana, e paʻa i kou hanu no kahi o 10 kekona. E helu a hiki i ka 10 i kou noʻonoʻo. E hāʻawi kēia i ka lāʻau i ka manawa e hiki ai i ke aʻa o nā māmā.

7. E hoʻokuʻu i waho: E hoʻokuʻu i waho, ke ʻoluʻolu.

8. E kali i hoʻokahi minute: Inā ua haʻi aku kāu kauka iā ʻoe e lawe i hoʻokahi puhi o ka lāʻau lapaʻau, e kali ma kahi o hoʻokahi minute ma mua o ka lawe ʻana i ka puhi aʻe. A laila e hoʻomaka hou mai ka hana 3.

9. E pani i ke poʻi: Ke pau kāu hoʻohana ʻana, e pani hou i ke poʻi.

10. Holoi i kou waha: Inā ʻoe e hoʻohana ana i kahi inhaler corticosteroid, he mea pono kēia. Ma hope o ka hoʻohana ʻana i ka lāʻau lapaʻau, holoi pono i kou waha me ka wai a i ʻole ka wai holoi waha a hoʻolei aku. Hiki i kēia ke kōkua i ka pale ʻana i nā maʻi fungal i loko o ka waha.

He mea maikaʻi anei ka hoʻohana ʻana i ka inhaler ma mua o ka mea e pono ai?

Ua ʻōlelo ʻia ʻaʻole maikaʻi ka nui o kekahi mea. ʻAʻole ʻokoʻa kēia inhaler. Inā hoʻohana nui ʻoe, ʻoiai he "Rescue Inhaler" pōkole, ʻaʻole paha e pane pono kou kino i ka lāʻau lapaʻau ma hope o kekahi manawa. Hiki nō hoʻi i kou ʻōnaehana hanu ke lilo i mea ʻoi aku ka maʻalahi i nā mea e like me ka uahi a me ka lepo. No laila , e hoʻohana mau i ka lāʻau lapaʻau ma ka nui a me ke kauoha a kāu kauka .

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻaʻole ʻoe i ʻike mua ʻia he maʻi hanu, akā ke ʻike nei ʻoe i nā hōʻailona e like me ka paʻakikī o ka hanu ʻana, ka ʻū mau, a me ka hanu ʻana, he mea nui loa ia e ʻike koke i ke kauka a loaʻa i ka hoʻāʻo kūpono.

Inā ʻoe e hoʻohana nei i kahi bronchodilator, e ʻike pono i kāu kauka ma nā kūlana aʻe:

• Inā pono ʻoe e hoʻohana i kāu mea hoʻoheheʻe hoʻopakele (SABA/Rescue Inhaler) ma mua o ʻelua manawa i ka pule, he hōʻailona nui kēia ʻaʻole i kaohi pono ʻia kou maʻi.
• Inā manaʻo ʻoe ʻaʻole lawa ka nui o ka lāʻau lapaʻau e kāohi ai i kāu mau hōʻailona.
• Inā ʻo nā hopena ʻaoʻao o ka lāʻau lapaʻau ke kumu o ka ʻoluʻolu ʻole iā ʻoe.

Ma ke kamaʻilio ʻana me kāu kauka a me ka hoʻomohala ʻana i kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe, e hiki iā ʻoe ke ola i kahi ola ʻoluʻolu.