Ina uaua te manawa, ina pēhia tō uma, ina pōuri rānei koe, ka whakaaro tonu te nuinga o tātou ki tētahi mea whakapūngao. Mā tēnei taputapu iti ka taea e koe te pupuri i roto i tō ringa ka taea te whakaora i tō ora i ētahi wā. Engari e hia o tātou e mōhio ana ki tēnei mea whakapūngao? E hia ngā momo? He rite tonu te momo e hoatu ana mō ia mate? Ā, ko te mea nui, me pēhea te whakamahi? Āe, me kōrero tātou mō ēnei mea katoa i tēnei rā, he māmā noa iho, he mārama hoki.
He aha te mea he inhaler?
He taputapu iti te mea ngongo ka puritia e koe i tō ringaringa, ka tukuna tika te rongoā ki roto i ō pukahukahu. Ka tere tana mahi mā te tuku tika i te rongoā ki roto i ō ara manawa, ka whakaora. Ko te nuinga o te wā ka whakamahia hei whakatuwhera i ō ara manawa kua āraia, hei whakaiti rānei i te mumura i roto i ō pukahukahu. Kua hangaia ēnei mea ngongo hei tuku i te rongoā hei paura maroke, hei rehu ine-ine, hei kohu ngawari rānei.
He aha te rerekētanga i waenga i te inhaler me te nebulizer?
He tokomaha te hunga e pōhēhē ana ki ēnei mea e rua. E whakamahia ana ngā inhaler me ngā nebulizer hei hoatu rongoā mō ngā mate pūkahukahu. Engari he rerekētanga nui kei waenganui i ngā mea e rua. Kia kite tātou he aha rāua.
| Āhuatanga | Pūwero manawa | Pūwero |
|---|---|---|
| Rahi me te āhua | He iti, ka taea e koe te kawe i roto i tō pēke. (Pūmau) | He nui, ā, e whakamahia ana i te nuinga o te wā ki runga i te tēpu. |
| Mana | Kāore e hiahiatia he hiko, he pākahiko rānei. | Me hono ki te hiko, ki te kore ka whakamahia he pākahiko hei whakahaere. |
| Tikanga whakahaere | Ka tangohia te rongoā i roto i te ngongo kotahi. | Ka hongia te kohu mā roto i tētahi kopare, i tētahi waha rānei, mō ētahi meneti. |
| Ngāwari o te whakamahi | He ngāwari te whakamahi i te wā e haere ana, i ngā wā ohorere rānei. | He pai mō te whakamahi i te kāinga, i ngā hōhipera hoki. He pai rawa atu mō te hoatu rongoā ki ngā tamariki nohinohi me te hunga e pāngia ana e te mate kino. |
Ko wai e hiahia ana ki te inhaler?
He maha ngā wā ka whakamahia ngā inhaler e te hunga e pāngia ana e ngā mate pūkahukahu roa pērā i te mate huango me te COPD (Chronic Obstructive Pulmonary Disorder) . E rua ngā momo inhaler e hoatu ana ki ēnei tāngata.
1. Ngā Inhaler o ia Rā/Ārai: Ka whakamahia ēnei i ia rā hei whakahaere i ngā tohu me te ārai i ngā putanga mai o te mate.
2. Ngā Inhaler Mahi Tere/Whakaora: Ka whakamahia ēnei hei whakaora wawe i te wā e pāngia ana e te mate huango, ina pāngia rānei e te COPD, ā, ka uaua te manawa. Koinei te mea e kiia nei e mātou he "inhaler whakaora".
Ko te mea nui ko te whakamahi noa i te mea inhaler kua tohua e tō tākuta māu. Kaua rawa e whakamahi i te mea inhaler a tētahi atu.
Ahakoa mō te tangata kāore he mate huango, ka tohua pea e te tākuta he manawa whakangote mō ngā mate manawa pēnei i te mate pūkahukahu.
Ngā momo matua o ngā inhaler me ngā rongoā kei roto
E toru ngā momo matua o ngā taputapu manawa. Ā, he rerekē anō hoki ngā momo rongoā e tukuna ana. Me titiro matatau atu tātou ki tēnei.
Ngā momo taputapu whakapūngao
- Ngā Inhaler Horomanga Ine (MDI): Koinei ngā mea e kiia nei e tātou he "puffers". Kei roto te rongoā i tētahi ipu i raro i te pēhanga. Ina pēhia e tātou, ka tukuna wawetia te rongoā hei rehu. I taua wā tonu, me manawa tika tātou ki roto.
- Ngā Inha Paura Maroke (DPI): Kei roto i ēnei te rongoā i te ahua o te paura. Kāore te rongoā e tukuna. Ina hoha tere, ina hoha hoki tātou,Koinei te huarahi e tukuna ai ēnei paura ki ngā pukahukahu. He rerekē ngā āhua, pērā i te ngongo, i te kōpae porowhita rānei (hei tauira, Diskus®, HandiHaler®).
- Ngā Manawa Kohu Ngāwari: Ka hurihia e ēnei taputapu te rongoā wai hei kohu tino angiangi. He puhoi ake te haere o tēnei kohu i te rehu mai i ngā MDI, ā, he māmā ake te manawa.
Ngā momo rongoā matua kei roto i ngā inhaler
Ko te mea ka pā ki te inhaler, kei te rongoā kei roto. Kia mārama tātou ki ēnei momo rongoā mai i te ripanga i raro nei.
| Momo rongoā | Te mahi me te whakamahinga | Ngā tauira |
|---|---|---|
| Ngā rongoā whakawhanui i te manawa poto (SABA/SAMA) | Ka karangatia hoki ēnei ko ngā "Rescue Inhalers." Ka tere te whakangāwari i ngā uaua o ngā ara manawa, ā, ka māmā ake te manawa. Ka whakamahia ēnei ina pāngia koe e te mate huango, ā, kei te uaua koe ki te manawa. Ka whai hua mō te 4-6 hāora pea. | Salbutamol (Ventolin®), Levalbuterol (Xopenex®), Ipratropium (Atrovent®) |
| Ngā Rongoā Whakawhānui i te Pūkahukahu Mahi Roa (LABA/LAMA) | Ka whakamahia ēnei i ia rā hei whakahaere i ngā tohumate. Ka āwhina ēnei ki te pupuri i ngā ara manawa kia tuwhera mō ngā haora 12-24. Kāore e pai mō te whakamahinga ohorere. | Salmeterol (Serevent®), Tiotropium (Spiriva®), Formoterol (Foradil®) |
| Ngā Corticosteroids e Manawahia ana (ICS) | Ka whakaitihia e ēnei te pupuhi me te mumura i roto i ngā ara manawa. Ka whakamahia i ia rā hei ārai i ngā whakaekenga huango. Ka kiia ēnei ko ngā "Preventer Inhalers". | Budesonide (Pulmicort®), Fluticasone (Flovent®), Beclomethasone (Qvar®) |
| Ngā Rongoā Whakakotahi | He huinga ēnei o ngā rongoā e rua, e toru rānei o runga ake nei. Hei tauira, he maha ngā rongoā manawa e whakakotahi ana i te LABA me te ICS. | Fluticasone/Salmeterol (Advair®), Budesonide/Formoterol (Symbicort®), Fluticasone/Umeclidinium/Vilanterol (Trelegy®) |
Te huarahi tika ki te whakamahi i te inhaler
Koinei te wāhanga tino nui. Kia tino whai hua ai tō inhaler, me whakamahi tika koe . Ki te whakamahia hē koe, ka tau te rongoā ki roto i tō waha me tō korokoro, kaua ki roto i ō pukahukahu. He rerekē te whakamahinga o ia momo inhaler.
Pātai atu ki tō tākuta, ki tō nēhi rānei me pēhea te whakamahi i te manawa i hoatu e rātou ki a koe, ā, kia taunga koe ki tēnā.
Anei ētahi o ngā mahi e whāia ana i te nuinga o te wā.
Me pēhea te whakamahi i te MDI (puffer):
1. Tuatahi, tangohia te taupoki i te waha.
2. Rūrūtia te manawa whakapūngao kia pai (mō te 5 hēkona).
3. Puhaina te manawa kia hōhonu rawa, ka whakawātea i ō pukahukahu.
4. Whakatakotoria te waha o te taputapu manawa ki roto i tō waha, ka katia kia piri ki ō ngutu.
5. Pēhia te ipu, takitahi i a koe e tīmata ana ki te manawa mārire, mārire hoki .
6. Me haere tonu te manawa mārire, ā, ina oti, tangohia te mea whakapūpū i tō waha.
7. Puritia tō manawa mō te 10 hēkona pea . Mā tēnei ka whai wā te rongoā ki te tae atu ki ō pukahukahu.
8. Kātahi ka whakapūha i te manawa i roto i te āhua noa.
9. Ki te mea kua kī atu te tākuta kia mimi anō koe, tatari mō te meneti, kātahi ka mimi anō.
Te Whakamahi i te Ārai Mokowā: He uaua ki ētahi tāngata, inā koa ngā tamariki nohinohi, te whakatau i te wā e manawa ana rātou. I ēnei wā, ka taea te whakamahi i tētahi taputapu e kiia nei ko te ngongo ārai mokowā . Ka honoa te inhaler ki tēnei, ka werohia te rongoā ki roto i te ārai mokowā, kātahi ka taea e te tūroro te manawa mārire mā roto. Mā tēnei ka tino whakaitihia te nui o te rongoā e maumauria ana.
Me pēhea te whakamahi i te DPI (whakapūngao paura):
He rerekē ēnei i ngā MDI.
1. Tāpirihia te horopeta o te rongoā kia rite ki ngā tohutohu a te kaiwhakaoho manawa (ko ētahi me huri te tapahi, ko ētahi me pāwhiri).
2. Tahurihia tō mahunga mai i te taputapu manawa , ka manawa atu ki waho i te nui e taea ana. Kaua rawa e manawa ki roto i te taputapu manawa.Ki te pērā koe, ka mākū pea te paura, ā, ka piri.
3. Whakatakotoria te waha ki roto i tō waha, ka katia kia mau ki ō ngutu.
4. Haere manawa hōhonu, tere tonu , me te mea kei te whakamahi koe i te mīhini horoi puehu.
5. Tangohia te mea whakapūngao i tō waha, ka pupuri i tō manawa mō te 10 hēkona pea .
6. Kātahi ka whakapūha mārire.
He mea tino nui: Mena kei te whakamahi koe i tētahi inhaler kei roto he corticosteroid (hei tauira, ICS), horoia tō waha ki te wai i muri i ia whakamahinga, ka tuwha ki waho . Ka āwhina tēnei ki te ārai i te whanaketanga o te mate harore (thrush) i roto i te waha me te korokoro.
Āhea koe me toro atu ki te tākuta?
Mena he pātai āu mō tō inhaler, kōrero ki tō tākuta. He mea nui kia rapu tohutohu hauora, inā koa i roto i ngā āhuatanga pēnei.
- Mena he uaua ki a koe te whakamahi i te manawa whakapūngao i hoatu ki a koe.
- Mena kāore ō tohumate e whakahaeretia ahakoa te whakamahi rongoā.
- Ki te ara ake koe i te pō nā te makariri.
- Mena me whakamahi koe i tō manawa whakaora neke atu i te rua i te wiki, ko te tikanga pea tēnei kāore tō mate i te tino whakahaerehia.
I ngā wā pēnei, ka huri pea tō tākuta i te horopeta o tō rongoā, ka whakawhiti rānei i a koe ki tētahi atu momo manawa.
Karere Tangohia ki te Kāinga
- He taputapu tino nui te mea whakapūngā e tuku tika ana i te rongoā ki ngā pukahukahu mō ngā mate manawa pērā i te huango me te COPD.
- He maha ngā momo inhaler (MDI, DPI), ā, he rerekē ngā tikanga whakamahi.
- Hei whakamahi pai i tō inhaler, he mea nui kia ako koe me pēhea te whakamahi tika . Ki te ruarua koe, pātai atu ki tō tākuta.
- I muri i te whakamahinga o te inhaler steroid (ICS), mā te horoi pai i tō waha ka āwhina i te ārai i ngā mate harore i roto i te waha.
- Mena kāore ō tohumate e taea te whakahaere, me whakamahi pinepine rānei koe i tō manawa whakaora, me toro atu ki tō tākuta tonu.
- Kaua rawa e whakamahia te inhaler a tētahi atu, kaua hoki e tohaina tō inhaler ki ētahi atu.
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