Ngā mea e hiahia ana koe ki te mōhio mō ngā rongoā bronchodilator mō ngā uauatanga manawa

He uaua ki a koe te manawa i ētahi wā? He pēpi tō uma, he whakamomori hoki? He wheako tino noa tēnei, ā, he tino whakamā, inā koa mō te tangata he mate manawa roa pēnei i te mate huango, te mate pūkahukahu aukati mau tonu rānei. Nō reira, i roto i tēnei tuhinga, ka kōrerohia e mātou he mea ngāwari noa iho mō te mea whakangā e āwhina ana i a tātou i ēnei wā, ā, e whakangāwari ana i te manawa. Ko te ingoa hauora mō ēnei ko 'Bronchodilators'.

He aha te tikanga o tēnei Bronchodilator?

Ahakoa te ahua uaua o tēnei ingoa, he tino māmā noa iho tana mahi. Kia mārama tātou i tēnei ara.

Whakaarohia kei a koe tētahi whatunga o ngā ngongo iti e kawe ana i te hau ki ō pūkahukahu. Ko ēnei e kiia ana ko ngā pūkahukahu. I te nuinga o te wā, ka ngāwari te neke o te hau mā roto i ēnei ngongo. Engari i roto i ngā āhuatanga pēnei i te mate huango, ka whakawhāitihia ngā uaua ngawari e karapoti ana i ēnei ngongo, ka whakawhāitihia ngā pūaha o ngā ngongo. He rite ki te tangata e pēhi ana i tētahi paipa wai. Ka ahatia i muri mai? Kāore e ranea te wāhi mō te hau ki te haere. Ko te mutunga iho he uaua ki te manawa, he wheezing, me te kikī o te uma.

Ka whakangāwari ngā uaua piri, ka whakawhanui hoki i ngā ara manawa kua whaiti ngā rongoā bronchodilator. Mā tēnei ka pai ake te haere o te hau, ā, ka māmā ake te manawa. Koinei tonu te tikanga o te ingoa. Ko te tikanga o 'Broncho' ko te ara manawa, ā, ko te tikanga o 'dilator' ko te mea e whānui ake ana.

Tērā tētahi atu painga o ēnei rongoā. Ina whānui haere ngā ara manawa, ka māmā ake te puta mai o ngā mea pēnei i te hūpē e piri ana ki roto. Kātahi ka māmā ake te maremare i te hūpē.

Ko te nuinga o ēnei rongoā e wātea ana hei mea manawa me ngā wai whakapūngao hau. He mīhini te whakapūngao hau e huri ana i te rongoā hei kohu angiangi, kia māmā ake ai te manawa.

E rua ngā momo matua o ngā rongoā whakapūngao:

Ka taea te wehewehe i ēnei rongoā kia rua ngā wāhanga matua i runga i te tere me te roa o te mahi. He mea tino nui te mārama ki te rerekētanga i waenga i ngā rongoā e rua mō tō maimoatanga.

He aha ngā momo matua o ngā rongoā whakawhanui i te manawa?

E toru ngā momo matua o ēnei rongoā, i runga anō i te āhua o tā rātou mahi.

1. Ngā Beta 2-agonists

Koinei ngā momo e whakamahia whānuitia ana. E wātea ana i roto i ngā momo mahi poto me ngā momo mahi roa.

• Ngā beta 2-agonists mahi poto (SABAs): Koinei ngā "Rescue Inhalers" i kōrerotia i mua ake nei. Ka āwhina ēnei ki te whakaora tere ina puta mai ngā tohumate huango. Ka mahi i roto i te 15-20 meneti, ā, ka whakaora mō te 4-6 hāora pea. Ki te whakamahia i mua i te whakakori tinana, ka taea hoki e rātou te ārai i te huango i puta mai i te whakakori tinana.
• Tauira: Albuterol (Ventolin®), Levalbuterol (Xopenex®)

• Ngā rongoā beta-2 agonists roa-mahi (LABA): Ka whakamahia ēnei hei whakahaere i te mate mō te wā roa, e rua ngā wā i te rā. He mea nui kia maumahara kāore ngā LABA e whakamahia ko rātou anake i te wā e rongoā ana i te mate huango. Ka hoatu ngātahitia ēnei me te rongoā manawa corticosteroid. Ka mahi ngā steroids mā te whakaiti i te mumura i roto i ngā ara manawa.
• Tauira: Salmeterol (Serevent®), Formoterol (Foradil®)
• Ngā rongoā whakakotahi me ngā steroids: Fluticasone me Salmeterol (Advair®), Budesonide me Formoterol (Symbicort®)

2. Ngā rongoā ārai-kōrini

Ka mahi ēnei rongoā mā te aukati i ētahi tohu mai i tō tātou pūnaha io e whakawhāiti ana i ngā ara manawa. Ka āwhina hoki rātou ki te whakawhanui i ngā ara manawa. Ehara ēnei i te rongoā whakaora tere. Engari ka taea e rātou te āwhina ki te whakahaere i te mate huango, inā koa mō te hunga he nui ngā tohu.

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

3. Teofilina

He rongoā tēnei e puta mai ana i te ahua o te pire. I whakamahia nuitia i mua hei whakahaere i te mate huango kino. Engari kāore i te whakamahia pinepine i ēnei rā. Nā te mea me whai whakamātautau toto auau koe ina whakamahia ana tēnei rongoā hei tirotiro kei te tika te taumata o te rongoā i roto i tō tinana. He iti noa atu hoki ngā pānga taha.

He pānga taha kei tēnei rongoā?

Pērā i ngā rongoā katoa, ka pā mai ētahi pānga taha ki ēnei rongoā whakawhanui i te manawa. Engari i te nuinga o te wā, kāore ēnei i te kino. Ka rerekē ngā pānga taha i runga i te momo rongoā.

Mena he mate tōngāmimi tōu, pērā i te benign prostatic hyperplasia (BPE), he mea nui kia whakamōhio koe ki tō tākuta ina tango ana koe i ngā rongoā anticholinergic.

He momo steroid te rongoā whakawhanui i te manawa?

Kāo. He wāhi tēnei e pōhēhē ai te tini o te tangata.Ehara te rongoā whakawhanui i te steroid. He rerekē rawa ngā mahi a ngā mea e rua.

• Rongoā whakawhanui i te manawa: Ka whānui ake i ngā ara manawa kua kuiti, ka māmā ake te manawa i taua wā tonu.
• Te Steroid e manawahia ana (Steroid Inhaler): Ka whakaiti i te pupuhi me te mumura i roto i ngā ara manawa. Ka āwhina tēnei ki te whakahaere i te mate mō te wā roa .

He maha ngā tākuta e taunaki ana kia whakamahia ngātahi ngā momo e rua hei whakahaere i ngā mate pēnei i te mate huango.

Me pēhea te whakamahi tika i te inhaler?

Hei whakamahi pai i tō rongoā, he mea nui kia mōhio koe ki te whakamahi tika i tō inhaler. He maha ngā tāngata e hē ana i tēnei mahi, arā, kāore te rongoā e uru tika ki roto i ō rātou pukahukahu. Anei te huarahi tika ki te mahi:

1. Rūrūtia kia pai: Katia te taupoki o te pūwero kia piri, ka rūrūtia kia pai kia 10-15 ngā wā.

2. Tangohia te taupoki: Tangohia te taupoki ka waiho ki tahaki.

3. Puha: Tangohia te manawa hōhonu ki roto, ka pupuhi i te manawa kia nui rawa atu. Whakakorehia ō pukahukahu.

4. Whakauruhia ki te waha: Whakanohoia te waha o te mea whakapūngao ki roto i tō waha, ka katia kia mau ki ō ngutu.

5. Manawa ki roto, ka manawa ki roto: I a koe e pēhi ana i te tihi o te manawa kotahi, manawa hohonu mā roto i tō waha. (Ki te rongo koe i te tangi o te pū, he tere rawa tō manawa ki roto. Manawa hohonu ki roto.)

6. Pupuri i tō manawa: Whai muri i te manawa, pupuri i tō manawa mō te 10 hēkona. Tatauhia ki te 10 i roto i tō hinengaro. Mā tēnei ka whai wā te rongoā ki te tae atu ki ngā pūtake o ngā pukahukahu.

7. Puha: Puha mai, koa.

8. Taria mō tētahi meneti: Mena kua kī atu tō tākuta kia neke atu i te kotahi te manawa o te rongoā ki a koe, tatari mō tētahi meneti pea i mua i te tango i te manawa e whai ake nei. Kātahi ka tīmata anō mai i te taahiraa 3.

9. Katia te taupoki: Kia mutu te whakamahi, me kati anō te taupoki.

10. Horoia tō waha: Mena kei te whakamahi koe i te rongoā corticosteroid, he mea nui tēnei. I muri i te whakamahinga o te rongoā, horoia tō waha ki te wai, ki te wai horoi waha rānei, ka maka atu. Ka āwhina tēnei ki te ārai i ngā mate harore i roto i te waha.

He pai te whakamahi i te inhaler i ngā wā e tika ana?

E kīia ana, kāore e pai te nui rawa o tētahi mea. Kāore tēnei i te rerekē. Ki te nui rawa te whakamahinga, inā koa he "Rescue Inhaler" poto noa iho, kāore pea tō tinana e aro tika ki te rongoā i muri i tētahi wā. Tērā pea ka nui ake te aro o tō pūnaha manawa ki ngā mea pēnei i te paoa me te puehu. Nō reira , me whakamahi tonu te rongoā i te nui me te mea i tohua e tō tākuta .

Āhea koe me toro atu ki te tākuta?

Mena kāore anō kia tāpaetia he mate manawa mōu i mua, engari kei te pāngia koe e ngā tohu pēnei i te uaua ki te manawa, te maremare tonu, me te wheezing, he mea tino nui kia kite tonu koe i te tākuta me te whiwhi whakamātautau tika.

Mena kei te whakamahi kē koe i te rongoā whakawhanui i te manawa, me toro atu ki tō tākuta i roto i ēnei āhuatanga:

• Mena me whakamahi koe i tō mīhini manawa whakaora (SABA/Rescue Inhaler) neke atu i te rua i te wiki, he tohu nui tēnei kāore tō mate e whakahaeretia tikatia ana.
• Ki te whakaaro koe kāore e ranea te horopeta rongoā o nāianei hei whakahaere i ō tohumate.
• Mena kei te whakararuraru koe i ngā pānga taha o te rongoā.

Mā te kōrero ki tō tākuta me te whakawhanake i tētahi mahere maimoatanga e tino pai ana ki a koe, ka taea e koe te noho i tētahi oranga whakamarie.