We i at fɔ blo, we yu chɛst de fil tayt, ɔ we yu de fil lɛk yu ed de tɔn smɔl, bɔku pan wi kin tink bɔt wan tin we yu kin yuz fɔ blo wantɛm wantɛm. Dis smɔl tin we yu kin ol na yu an kin rili sev yu layf sɔntɛnde. Bɔt ɔmɔs pan wi rili no bɔt dis inhala? Ɔmɔs kayn dɛn de? Dɛn kin gi di sem kayn sik fɔ ɛni sik? Ɛn di tin we impɔtant pas ɔl na aw yu de yuz am fɔ rili? Okay, lɛ wi tɔk bɔt ɔl dis simpul ɛn klia wan tide.
Fɔ tɔk am simpul wan, wetin na inhala?
Inhala na smɔl tin we yu kin ol na yu an ɛn kɛr mɛrɛsin go dairekt na yu lɔng. I kin wok kwik kwik wan bay we i de kɛr di mɛrɛsin go dairekt na yu aywe, ɛn dis kin mek yu fil fayn. Dɛn kin yuz am mɔ fɔ opin yu aywe dɛn we dɔn blok ɔ fɔ ridyus di inflamɛns na yu lɔng dɛn. Dɛn mek dɛn inhala ya fɔ gi di mɛrɛsin lɛk dray paoda, sprɛy we dɛn dɔn mita, ɔ sɔft mist.
Wetin na di difrɛns bitwin inhala ɛn nebulayz?
Bɔku pipul dɛn kin mek dɛn tu pipul ya kɔnfyus. Dɛn kin yuz ɔl tu di inhala ɛn nɛbulayz fɔ gi mɛrɛsin fɔ sik dɛn we de na di lɔng. Bɔt big difrɛns de bitwin dɛn tu. Lɛ wi si wetin dɛn bi.
| Tin | Inhala | Nɛbulayza |
|---|---|---|
| Sayz ɛn shep | I smɔl, yu kin ivin kɛr am na yu pɔkit. (Dɛn kin ol am wit an) | I big ɛn dɛn kin yuz am na tebul. |
| Pawa | Nɔ kɔrɛnt ɔ batri nɔ nid. | I nid fɔ kɔnɛkt to di kɔrɛnt, ɔdasay i de rɔn wit batri. |
| Di we aw dɛn de gi am | Dɛn kin tek di mɛrɛsin insay wan pɔf. | Dɛn kin inhal di vapour tru mask ɔ mɔt fɔ sɔm minit. |
| I izi fɔ yuz | I izi fɔ yuz we yu de travul ɔ we yu gɛt ɛnitin fɔ du wit am. | I fayn fɔ yuz na os ɛn na ɔspitul. I fayn fɔ gi mɛrɛsin to yɔŋ pikin dɛn ɛn di wan dɛn we gɛt siriɔs sik. |
Udat nid fɔ gɛt inhala?
Bɔku tɛm, pipul dɛn we gɛt sik dɛn we kin tek lɔng tɛm na dɛn lɔng lɛk asma ɛn COPD (Chronic Obstructive Pulmonary Disorder) kin yuz inhala . Dɛn kin gi dɛn pipul ya mɔ tu kayn inhala.
1. Daily/Preventer Inhalers: Dɛn kin yuz dɛn tin ya ɛvride fɔ kɔntrol di simptom dɛm ɛn fɔ mek dɛn nɔ gɛt flare-up.
2. Fast-acting/Rescue Inhalers: Dɛn kin yuz dɛn tin ya fɔ gi rilif kwik kwik wan we yu gɛt asma atak ɔ we COPD de flay ɛn i nɔ izi fɔ blo. Dis na wetin wi kɔl "rescue inhaler."
Di tin we impɔtant pas ɔl na dat yu fɔ jɔs yuz di inhala we yu dɔktɔ dɔn tɛl yu. Nɔ ɛva yuz ɔda pɔsin in inhala.
Ivin fɔ pɔsin we nɔ gɛt asma, sɔntɛnde dɔktɔ kin gi am wan inhala fɔ sɔm tɛm fɔ infekshɔn dɛn we gɛt fɔ du wit di we aw pɔsin de blo lɛk brɔnkayt.
Men kayn inhala ɛn di mɛrɛsin dɛn we de insay
Dɛn kin sheb di tin dɛn we dɛn kin yuz fɔ inhala to tri men kayn dɛn. Ɛn di kayn mɛrɛsin dɛn we dɛn kin gi dɛnsɛf kin difrɛn. Lɛ wi tek tɛm luk dis.
Di kayn tin dɛn we dɛn kin yuz fɔ inhala
- Metered Dose Inhalers (MDI): Dis na wetin wi kin kɔl "puffers". Di mɛrɛsin de insay wan kanista we dɛn de prɛs am. We wi prɛs am, di mɛrɛsin kin kɔmɔt kwik kwik wan lɛk sprɛy. Da tɛm de, wi fɔ blo fayn fayn wan.
- Dry Powder Inhalers (DPI): Dɛn wan ya gɛt di mɛrɛsin we tan lɛk paoda. Di mɛrɛsin nɔ de kɔmɔt. We wi de blo kwik ɛn dip dip wan, .Dis na aw dɛn kin kɛr dɛn paoda ya go na di lɔng dɛn. Dɛn kin kam insay difrɛn shep dɛn, lɛk tiub ɔ rawnd disk (e.g. Diskus®, HandiHaler®).
- Soft Mist Inhalers: Dɛn divays ya kin chenj likwid mɛrɛsin to wan fayn fayn mist. Dis mist de travul sloslo pas di spray we de kɔmɔt frɔm MDI, we de mek i izi fɔ inhal.
Men kayn mɛrɛsin dɛn we de insay inhala
Wetin kin apin to inhala kin dipen pan di mɛrɛsin we de insay am. Lɛ wi ɔndastand dɛn kayn mɛrɛsin ya frɔm di tebul we de dɔŋ ya.
| Tayp fɔ mɛrɛsin | Fɔnkshɔn ɛn yus | Ɛgzampul dɛn |
|---|---|---|
| brכnkodilayt dεm we de wok fכ sכt (SABA/SAMA) . | Dɛn kin kɔl dɛn tin ya bak "Rescue Inhalers." Dɛn kin rilaks di mɔsul dɛn na di say dɛn we di briz de blo kwik kwik wan ɛn mek i izi fɔ blo. Dɛn kin yuse dɛn wae yu gɛt asma atak ɛn yu gɛt prɔblɛm fɔ blo. Dɛn kin wok fɔ lɛk 4-6 awa so. | Salbutamol (Ventolin®), Lɛvalbuterol (Xopenex®), Ipratropiɔm (Atrovent®) ɛn di ɔda wan dɛn we de na di wɔl. |
| Bronchodilators we de wok fɔ lɔng tɛm (LABA/LAMA) . | Dɛn kin yuse dɛn tin ya ɛvride fɔ kɔntrol di sayn dɛm. Dɛn kin ɛp fɔ mek di say dɛn we di briz de blo opin fɔ 12-24 awa. Dɛn nɔ fayn fɔ yuz dɛn kwik kwik wan. | Salmeterol (Serevent®), Tiotropium (Spiriva®), Fɔm ɔterol (Fɔradil®) . |
| Kɔtikosterɔyd dɛn we dɛn kin inhal (ICS) . | Dɛn tin ya de ridyus di swel ɛn inflamɛns na di say dɛn we di briz de blo. Dɛn kin yuse dɛn ɛvride fɔ mek yu nɔ gɛt asma atak. Dɛn kɔl dɛn tin ya "Preventer Inhalers". | Budesonide (Pulmicort®), Flutikason (Flovent®), Bɛklɔmɛtazɔn (Qvar®) . |
| Kɔmbayn Mɛdikeshɔn dɛn | Dis na kɔmbaynshɔn fɔ tu ɔ tri pan di mɛrɛsin dɛn we wi dɔn tɔk bɔt. Fɔ ɛgzampul, bɔku inhala dɛn de we de jɔyn wan LABA ɛn ICS. | Flutikason/Salmeterol (Advair®), Budesonide/Formoterol (Symbicort®), Flutikason/Umɛklidiniɔm/Vilanterol (Trelegy®) |
Di kɔrɛkt we fɔ yuz inhala
Dis na di pat we impɔtant pas ɔl. Fɔ mek yu gɛt di bɛst pan yu inhala, yu nid fɔ yuz am kɔrɛkt wan . If yu nɔ yuz am di rayt we, di mɛrɛsin go sidɔm na yu mɔt ɛn yu trot instead fɔ rich na yu lɔng. Di we aw yu de yuz ɛni kayn inhala difrɛn smɔl.
Ɔltɛm aks yu dɔktɔ ɔ nɔs di rayt we fɔ yuz di inhala we dɛn gi yu, ɛn yus to am.
Na sɔm step dɛn we dɛn kin fala.
Aw fɔ yuz MDI (puffer): .
1. Fɔs, pul di kap na di mɔt.
2. Shek di inhala fayn fayn wan (lɛk 5 sɛkɔn).
3. Put di briz dip dip wan ɛn ɛmti yu lɔng dɛn.
4. Put di mɔt fɔ di inhala na yu mɔt ɛn lɔk am tayt wit yu lip.
5. Naw, prɛs di kanista wan bay wan as yu bigin fɔ blo sloslo ɛn dip dip wan .
6. Kɔntinyu fɔ blo sloslo ɛn we yu dɔn, pul di inhala na yu mɔt.
7. Hol yu briz fɔ lɛk 10 sɛkɔn . Dis kin gi di mɛrɛsin tɛm fɔ rich na yu lɔng.
8. Dɔn, pul di briz nɔmal wan.
9. If di dokta don tel yu fo tek oda puf, wet laik wan minit and den du am bak.
Yuz spɛshal say: Sɔm pipul dɛn, mɔ di yɔŋ pikin dɛn, kin gɛt prɔblɛm fɔ no di tɛm we dɛn go blo. If na so i bi, dɛn kin yuz wan tin we dɛn kɔl spɛshal tiub. Dɛn kin kɔnɛkt di inhala to dis, dɛn kin injɛkt di mɛrɛsin insay di spɛshal say, dɔn di pɔsin kin blo smɔl smɔl tru am. Dis kin mek di mɛrɛsin we dɛn kin west nɔ bɔku.
Aw fɔ yuz DPI (pauda inhala): .
Dɛn tin ya difrɛn frɔm MDI dɛn.
1. Lod di doz fɔ mɛrɛsin akɔdin to di inhala in instrɔkshɔn dɛn (sɔm kin mek yu twist kɔta, sɔm kin mek yu klik).
2. Turn yu ed away frɔm di inhala ɛn blo as mɔ as yu ebul. Nɔ ɛva blo insay di inhala.If yu du dat, di paoda kin wet ɛn stɔp.
3. Put di mɔt insay yu mɔt ɛn lɔk am tayt wit yu lip.
4. Naw, inhal kwik kwik wan ɛn dip wan , lɛk se yu de yuz vaykum klin.
5. Put di inhala na yu mɔt ɛn ol yu briz fɔ lɛk 10 sɛkɔn .
6. Dɔn, pul di briz smɔl smɔl.
I rili impɔtant: If yu de yuz inhala we gɛt kɔtikosterɔyd (e.g. ICS), was yu mɔt fayn fayn wan wit wata afta ɛni tɛm we yu yuz am ɛn spit am . dis kin εp fכ mek fכn infεkshכn (thrush) nכ de na di mכt εn trot.
Ustɛm yu nid fɔ go to dɔktɔ?
If yu gɛt ɛni kwɛstyɔn bɔt yu inhala, tɔk to yu dɔktɔ. E fayn fɔ go to dɔktɔ, mɔr lɛk dis.
- If yu si am se i nɔ izi fɔ yuz di inhala we dɛn dɔn gi yu.
- If dɛn nɔr kɔntrol yu sik dɛn pan ɔl we yu de yuz mɛrɛsin.
- If yu wek na nɛt bikɔs yu gɛt kol.
- If yu nid fɔ yuz yu rɛskɔ inhala pas tu tɛm insay di wik, dis kin min se dɛn nɔ ebul fɔ kɔntrol yu sik fayn fayn wan.
Sɔntɛnde lɛk dis, yu dɔktɔ kin chenj di doz fɔ yu mɛrɛsin ɔ chenj yu to difrɛn kayn inhala.
Mɛsej we dɛn kin kɛr go na os
- Inhala na wan impɔtant tin we de gi mɛrɛsin dairekt to di lɔng fɔ sik dɛn we pɔsin kin gɛt we i de blo lɛk asma ɛn COPD.
- Bɔku kayn inhala dɛn de (MDI, DPI), ɛn di we aw dɛn kin yuz dɛn difrɛn.
- Fɔ mek yu gɛt di bɛst pan yu inhala, i impɔtant fɔ lan aw fɔ yuz am kɔrɛkt wan . If yu gɛt dawt, aks yu dɔktɔ ɔltɛm.
- Afta yu dɔn yuz stɛroyd (ICS) inhala, if yu was yu mɔt fayn fayn wan, dat kin ɛp fɔ mek yu nɔ gɛt fɛns infɛkshɔn na yu mɔt.
- If dɛn nɔ ebul fɔ kɔntrol yu sik ɔ yu fɔ yuz yu rɛskɔ inhala bɔku tɛm, go to yu dɔktɔ wantɛm wantɛm.
- Yu nɔ fɔ ɛva yuz ɔda pɔsin in inhala ɔ sheb yu inhala wit ɔda pipul dɛn.
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