Yu gɛt prɔblɛm fɔ blo lɛk asma? Ɔ yu dɔn si sɔmbɔdi na yu famili de yuz inhala? Tide wi go tɔk bɔt dɛn mɛrɛsin ya we de mek i izi fɔ blo, dat na di wan dɛn we de mek di brɔnkodilayt. Bɔku pipul dɛn kin fred dɛn tin ya, bɔt if yu ɔndastand ɛn yuz dɛn kɔrɛkt wan, dɛn tin ya kin rili ɛp yu na layf.
Fɔ tɔk am simpul wan, wetin na brɔnkodilaytɔ?
Tink bɔt di aywe dɛn we de kɛr di briz go na yu lɔng dɛn lɛk tiub dɛn. we di dilik mכsul dεm we de rawnd dεn tiub dεm ya tayt, di spεs insay di tכb dεm kin sכm εn i kin at fכ mek di briz pas. Dis na wetin kin apin pan tin dɛm lɛk asma ɛn COPD (Chronic Obstructive Pulmonary Disease). Na da tɛm de yu kin fil lɛk se yu de chok ɛn yu chɛst kin kɔnstrikt.
So, wetin dis mεdisin we dεn kכl brכnkodilayt de du na fכ rilaks dεn tayt mכsul dεm de wansεm εn mek di kכnstrikt aywe dεm (bronchi) big. Dɔn i kin izi fɔ mek di lɔng dɛn tek ɛn kɔmɔt na di briz, ɛn yu kin ebul fɔ blo izi wan.
Wan ɔda bɛnifit de fɔ dɛn mɛrɛsin ya. we di say dεm we di briz de blo big, ivin di mכkus we sכk insay de bigin fכ muv fri wan. Dɔn yu kin kɔf izi wan ɛn pul di mucus.
Dɛn mɛrɛsin ya kin kam mɔ insay di fɔm fɔ inhala ɛn as wata we dɛn kin gi tru wan mashin we dɛn kɔl nebulizer.
Tu men kayn brכnkodilayt dεm de:
Dɛn kin sheb dɛn tin ya to tu men kayn we bay aw lɔng dɛn kin tek fɔ wok. Yu dɔktɔ go tɛl yu fɔ yuz wan pan dɛn tin ya, ɔ sɔntɛm dɛn ɔl tu.
| Fɔm fɔ Mɛdisin | Tɔk bɔt |
|---|---|
| Bronchodilators we de wok fɔ shɔt tɛm | Dis na mɛrɛsin wae dɛn kin gi fɔ kɔntrol kwik kwik wan wae pɔrsin kin gɛt asma wantɛm wantɛm, lɛk wae pɔrsin kin swɛt. Dɛn kin kɔl dɛn bak "rescue inhalers." Dɛn kin las fɔ lɛk 3-6 awa so. |
| Bronchodilators we de wok fɔ lɔng tɛm | Dɛn nɔ kin yuz dɛn tin ya we ɛnitin apin we nɔ izi fɔ du. Dɛn kin yuz dɛn ɔltɛm ɛvride, fɔ mek di say dɛn we di briz de blo opin fɔ lɛk 12 awa so, ɛn fɔ mek di asma atak nɔ kam bak. Dɛn tin ya kin fɔdɔm insay di kategori we dɛn kɔl "preventers." |
Wetin na di men kayn brכnkodilayt dεm?
tri men kayn brכnkodilayt dεm de: beta 2-agonist, anticholinergics, εn tiofilin.
1. Beta 2-agonist dɛn
dis dεm kin kam insay כl tu di tכp dεm we de akt sכt (SABA) εn we de akt lכng (LABA).
- Short-acting beta 2-agonists (SABA): Dis na di "rescue" mεdikeshכn dεm we dεn kin yus fכ asma atak dεm we de kam wantɛm wantɛm. Dɛn kin wok insay 15-20 minit ɛn gi rilif fɔ lɛk 4-6 awa. Dɛn kin yuz dɛn bak bifo yu du ɛksɛsayz fɔ mek yu nɔ gɛt asma we yu de du ɛksɛsayz. Ɛgzampul dɛn: `Albuterol (Ventolin®)`, `Lɛvalbuterol (Xopenex®)`.
- Long-acting beta-2 agonists (LABA): Dɛn kin tek dɛn tin ya lɛk tu tɛm insay di de ɛn dɛn kin ɛp fɔ kɔntrol di sik. Dɛn kin gi dɛn togɛda wit kɔtikosterɔyd, we na wan kayn mɛrɛsin we de ridyus di swɛlin na di say dɛn we di briz de blo. Ɛgzampul dɛn: `Salmɛtɛrɔl (Sɛrivɛnt®)`, `Fɔmɔtɛrɔl (Fɔradil®)`. inhala dεm de bak we de kam togεda כl tu, lεk `Advair®` εn `Symbicort®`.
2. Antikolinɛrijik dɛn
Dɛn tin ya de mek di asɛtilkolin, we na wan kemikal we wi nervɔs sistɛm de mek, nɔ de du wetin i want. dis asetilkolin na in de mek di mכsul dεm we de rawnd di aywe dεm tayt. Dɛn kin yuz dɛn mɛrɛsin ya fɔ kɔntrol asma we nɔ kin izi fɔ kɔntrol fɔ lɔng tɛm, pas fɔ mek pɔsin fil fayn kwik kwik wan. εgzampl: `Ipratropium bromid (Atrovent®)`, `Tiotropium bromid (Spiriva Respimat®)`.
3. Tiofilin we dɛn kɔl
I de kam insay di fכm fכ wan pil (`Uniphyl®`). Pan ɔl we i kin ɛp fɔ kɔntrol di bad bad asma atak dɛn, dɛn nɔ de yuz am bɔku bɔku wan igen. We yu de tek dis mɛrɛsin, yu go nid fɔ du blɔd tɛst ɔltɛm fɔ mek shɔ se yu gɛt di rayt mɛrɛsin na yu blɔd.
Wetin na di sayd ɛfɛkt dɛm we dis kin gɛt?
Di sayd ɛfɛkt dɛn kin difrɛn difrɛn wan bay di kayn we aw dɛn yuz am. Bɔt dɛn nɔ kin apin to ɔlman, ɛn if dɛn apin, dɛn kin go afta sɔm dez.
| Tayp fɔ Mɛdisin | Sɔm Sayd Ɛfɛkt dɛn we pɔsin kin gɛt |
|---|---|
| Beta 2-agonist dɛn we dɛn kin yuz | Fɔ fil se yu de shek shek, yu nɔ de rɛst, yu at de bit mɔ ɛn mɔ, yu bɛlɛ de pwɛl, yu nɔ de slip. |
| Antikolinɛrijik dɛn | Dray mɔt, yay, ɛn nos, strenj teist na di mɔt, nɔs, ɛn fɔ sɔm tɛm we yu nɔ de si fayn if di mɛrɛsin go insay di yay. (Sɔm pipul dɛn kin gɛt prɔblɛm fɔ pis). |
| Tiofilin we dɛn kɔl | Nɔs, bɛlɛ at, dayarɛa, ed we de at, at bit we nɔ de bit ɔltɛm, mɔsul dɛn de twitch. |
Yu tink se brɔnkodilɛta na wan kayn stɛroyd?
Nɔ, dis na tu kayn mɛrɛsin dɛn we rili difrɛn.
Fɔ tɔk am simpul wan, di wan dɛn we de mek di brɔnkodilayt dɛn de mek di mɔsul dɛn we de na yu aywe dɛn rilaks. Stɛroyd dɛn kin ridyus di inflamɛns na yu aywe dɛn. Bikɔs dɛn tu tin ya kin apin pan sik dɛn lɛk asma, yu dɔktɔ kin tɛl yu fɔ yuz dɛn tu mɛrɛsin ya togɛda.
Aw fɔ yuz di inhala kɔrɛkt wan?
Fɔ gɛt di ful bɛnifit fɔ di mɛrɛsin, i rili impɔtant fɔ yuz di inhala kɔrɛkt wan. Fɔ fala dɛn step ya.
1. Klos di inhala kap tayt wan ɛn shek am fayn fayn wan lɛk 10-15 tɛm.
2. Opin di lid.
3. Tek dip briz ɛn pul di briz ɔltogɛda.
4. Put yu lip rawnd di mɔt ɛn ol am tranga wan.
5. Pres di inhala dɔŋ wan tɛm. Na di sem tɛm, tek dip briz insay yu mɔt.
6. If yu yɛri wispa sawnd we yu de blo, i min se yu de blo tu fast. Tek sɔm dip briz.
7. Hol yu briz fo lek 10 sekond. Dis na we di mɛrɛsin kin rich ɔlsay na yu lɔng.
8. Ripit dɛn step ya fɔ di nɔmba fɔ di puf we yu dɔktɔ tɛl yu fɔ du. Lɛf lɛk wan minit bitwin ɛni pɔf.
9. We yu dɔn, lɔk di lid bak.
10. Impɔtant tin:If yu de yuz inhala we gɛt stɛroyd (kɔtikosterɔyd), was yu mɔt fayn fayn wan wit wata afta yu dɔn yuz am. Dis kin ridyus di sayd ɛfɛkt dɛn bad bad wan.
Ustɛm a fɔ go to mi dɔktɔ?
If yu gɛt nyu sayn dɛn lɛk fɔ blo shɔt, fɔ kɔf, ɔ fɔ swɛt, mek shɔ se yu go to dɔktɔ. I kin du tɛst fɔ no if yu gɛt di rayt we aw yu de fil.
Ɛn wan ɔda impɔtant tin de.
If yu nid fɔ yuz yu rescue inhaler (SABA) pas tu tɛm insay di wik , dat min se yu nɔr de kɔntrol yu asma fayn fayn wan.
If dis apin, nɔ ignore am. Si yu dɔktɔ wantɛm wantɛm fɔ tɔk bɔt if yu nid fɔ chenj di doz ɔ di kayn mɛrɛsin we yu de tek fɔ kɔntrol yu sik fɔ lɔng tɛm. Ɔltɛm fala yu dɔktɔ in mɛrɛsin plan di rayt we.
Mɛsej we dɛn kin kɛr go na os
- Bronchodilator na wan kayn mɛrɛsin we de rilaks di mɔsul dɛm we de rawnd di aywe dɛm, we de mek i izi fɔ blo.
- Tu men kayn dɛn de: fɔ rilif kwik kwik wan (rɛskɔ) ɛn fɔ mek dɛn nɔ gɛt am fɔ lɔng tɛm (prɛvɛnt).
- I rili impɔtant fɔ yuz yu inhala jɔs lɛk aw yu dɔktɔ tɛl yu, di rayt tɛm, ɛn wit di rayt doz.
- If yu nid fɔ yuz yu "rescue inhaler" pas tu tɛm insay di wik, na sayn fɔ se yu sik nɔr de kɔntrol. Si yu dɔktɔ wantɛm wantɛm.
- Bronchodilators nɔto stɛroyd, bɔt dɛn kin yuz dɛn tu kayn mɛrɛsin ya togɛda bɔku tɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt yu mɛrɛsin ɔr kɔndishɔn, tɔk to yu dɔktɔ ɔltɛm.
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