Iyo bigoye guhumeka, iyo igituza cyawe kimeze nk'ikidakomeye, cyangwa iyo wumva umeze nk'uzumva, abenshi muri twe duhita dutekereza ku gikoresho cyo guhumeka. Aka gakoresho gato ushobora gufata mu ntoki karashobora kurokora ubuzima bwawe rimwe na rimwe. Ariko se ni bangahe muri twe bazi neza iki gikoresho cyo guhumeka? Hari ubwoko bungana iki? Ese ubwoko bumwe butangwa kuri buri ndwara? Kandi ikiruta byose, ukoresha ute neza? Reka tuvuge kuri ibi byose mu buryo bworoshye kandi busobanutse uyu munsi.
Mu magambo make, inhaler ni iki?
Agakoresho ko guhumeka ni igikoresho gito ufata mu ntoki zawe kandi kikagushyira imiti mu bihaha byawe. Gikora vuba iyo ushyize imiti mu bihaha byawe, bigatuma uruhuka. Cyane cyane gakoreshwa mu gufungura inzira z'ubuhumekero zafunzwe cyangwa kugabanya ububyimbirwe mu bihaha byawe. Utu dukoresho two guhumeka twagenewe gutanga umuti nk'ifu yumye, spray ipima, cyangwa igihu cyoroshye.
Ni irihe tandukaniro riri hagati y'icyuma gihumeka n'icyuma gihumeka (nebulizer)?
Abantu benshi batera urujijo ibi byombi. Utwuma two guhumeka n'utwo gufunga umubiri twombi dukoreshwa mu gutanga imiti y'indwara z'ibihaha. Ariko hari itandukaniro rinini hagati yabyo. Reka turebe ibyo ari byo.
| Ikiranga | Uruhu rwo guhumeka | Nebulizer |
|---|---|---|
| Ingano n'imiterere | Ni nto, ushobora no kuyitwara mu mufuka wawe. (Ifite mu ntoki) | Ni nini kandi ikunze gukoreshwa ku meza. |
| Ingufu | Nta batiri cyangwa umuriro ukenewe. | Igomba guhuzwa n'amashanyarazi, bitabaye ibyo ikoresha batiri. |
| Uburyo bwo kuyobora | Umuti ufatwa mu kanya gato. | Uwo mwuka uhumekwa unyuze mu gapfukamunwa cyangwa mu kanwa mu gihe cy'iminota myinshi. |
| Byoroshye gukoresha | Biroroshye gukoresha iyo uri mu rugendo cyangwa mu gihe cy'impanuka. | Ikwiriye gukoreshwa mu rugo no mu bitaro. Ikwiriye cyane mu gutanga imiti ku bana bato n'abafite indwara zikomeye. |
Ni nde ukeneye inhaler?
Udukoresho two guhumeka dukunze gukoreshwa n'abantu bafite indwara z'ibihaha zimara igihe kirekire nka asima na COPD (Indwara y'ibihaha idakira) . Aba bantu bahabwa ubwoko bubiri bw'udukoresho two guhumeka.
1. Udukoresho two guhumeka buri munsi/dukingira: Dukoreshwa buri munsi mu kugenzura ibimenyetso no gukumira gushyuha.
2. Udukoresho two guhumeka twihuta/dukiza: Tukoreshwa mu gutanga ubutabazi bwihuse mu gihe cy'igitero cya asima cyangwa iyo COPD itangiye kugurumana no guhumeka bikagorana. Ibi ni byo twita "udukoresho two guhumeka twihuta."
Igikuru ni uko ugomba gukoresha inhaler gusa muganga wawe yakwandikiye. Ntukigere ukoresha inhaler y'undi muntu.
Ndetse no ku muntu udafite asima, hari igihe muganga ashobora kumwandikira umuti wo guhumeka by'agateganyo indwara z'ubuhumekero nka bronchitis.
Ubwoko bw'ingenzi bw'imiti ihumeka n'imiti irimo
Ibikoresho bihumeka bishobora kugabanywamo ubwoko butatu bw'ingenzi. Kandi ubwoko bw'imiti bitanga nabwo buratandukanye. Reka tubisuzume neza.
Ubwoko bw'ibikoresho byo guhumeka
- Udukoresho two guhumeka dupima (MDIs): Ibi ni byo dukunze kwita "udukoresho two guhumeka". Umuti uba uri mu gikapu kirimo igitutu. Iyo tuwukandagiye, umuti uhita urekurwa nk'umuti utera. Muri ako kanya, tugomba guhumeka neza.
- Udukoresho two guhumeka tw’ifu yumye (DPI): Utu dukoresho tuba turimo umuti mu buryo bw’ifu. Umuti ntusohoka. Iyo duhumeka vuba kandi mu buryo bwimbitse,Uku ni ko iyi fu igera mu bihaha. Iza mu buryo butandukanye, nk'umuyoboro cyangwa disiki izengurutse (urugero: Diskus®, HandiHaler®).
- Udukoresho two guhumeka tworoshye: Ibi bikoresho bihindura imiti y'amazi mo igihu gito cyane. Iki gihu kigenda buhoro kurusha spray ya MDI, bigatuma byoroha guhumeka.
Ubwoko bw'imiti y'ingenzi iri mu byuma bihumeka
Ibibera ku ihumeka biterwa n'umuti uri muri yo. Reka dusobanukirwe ubwoko bw'imiti nk'ubu mu mbonerahamwe iri hepfo.
| Ubwoko bw'umuti | Imikorere n'imikoreshereze | Ingero |
|---|---|---|
| Imiti igabanya ububabare bw'imitsi ikora vuba (SABA/SAMA) | Izi kandi zitwa "Inhalers zo Gutabara." Ziruhura vuba imitsi y'ubuhumekero kandi zikoroshya guhumeka. Zikoreshwa iyo ufite ikibazo cya asima kandi urimo ugorwa no guhumeka. Zigira akamaro mu gihe cy'amasaha agera kuri 4-6. | Salbutamol (Ventolin®), Levalbuterol (Xopenex®), Ipratropium (Atrovent®) |
| Imiti igabanya ububabare bw'amaraso ikora igihe kirekire (LABA/LAMA) | Ibi bikoreshwa buri munsi kugira ngo bigabanye ibimenyetso. Bifasha mu gutuma inzira z'ubuhumekero zifunguka amasaha 12-24. Ntibikwiriye gukoreshwa mu buryo bwihutirwa. | Salmeterol (Serevent®), Tiotropium (Spiriva®), Formoterol (Foradil®) |
| Imiti ya Corticosteroids ihumekwa (ICS) | Ibi bigabanya kubyimba no kubyimba mu nzira z'ubuhumekero. Bikoreshwa buri munsi mu gukumira indwara za asima. Ibi byitwa "Preventer Inhaler". | Budesonide (Pulmicort®), Fluticasone (Flovent®), Beclomethasone (Qvar®) |
| Imiti ivanze | Iyi ni imiti ibiri cyangwa itatu yavuzwe haruguru. Urugero, hari imiti myinshi ihumeka ivanga LABA na ICS. | Fluticasone/Salmeterol (Advair®), Budesonide/Formoterol (Symbicort®), Fluticasone/Umeclidinium/Vilanterol (Treregy®) |
Uburyo bwiza bwo gukoresha inhaler
Iki ni cyo gice cy'ingenzi cyane. Kugira ngo wungukire neza ku inhaler yawe, ugomba kuyikoresha neza . Iyo uyikoresheje nabi, umuti uzatuza mu kanwa no mu muhogo aho kugera mu bihaha byawe. Uburyo ukoresha buri bwoko bw'ihaler buratandukanye gato.
Buri gihe uzabaze muganga wawe cyangwa umuforomo uburyo bwo gukoresha inhaler baguhaye, hanyuma ubimenyere.
Dore intambwe zimwe na zimwe zikunze gukurikizwa.
Uburyo bwo gukoresha MDI (puffer):
1. Ubwa mbere, kura umupfundikizo ku kanwa.
2. Kungura neza imashini ihumeka (nk'amasegonda 5).
3. Humura cyane uko bishoboka kose hanyuma usukemo umwuka mu bihaha byawe.
4. Shyira akanwa k'icyuma gihumeka mu kanwa kawe hanyuma ufunge neza ukoresheje iminwa yawe.
5. Noneho kanda agasanduku kamwe kamwe uko utangira guhumeka buhoro buhoro kandi mu buryo bwimbitse .
6. Komeza guhumeka buhoro buhoro kandi nurangiza, ukuremo inhaler mu kanwa kawe.
7. Fata umwuka wawe mu gihe cy'amasegonda 10. Ibi biha umuti umwanya wo kugera mu bihaha byawe.
8. Hanyuma shyira umwuka mu kirere nk'uko bisanzwe.
9. Niba muganga yakubwiye kongera kunyunyuza umwuka, tegereza umunota umwe hanyuma wongere ubikore.
Gukoresha icyuma gikingira umwuka: Hari abantu bamwe, cyane cyane abana bato, bagira ingorane zo gushyira igihe cyo guhumeka. Muri ibyo bihe, igikoresho cyitwa spacer tube gishobora gukoreshwa. Igikoresho gikingira umwuka kiba gifatanye nacyo, umuti ugashyirwa muri spacer, hanyuma umurwayi agahumeka buhoro buhoro. Ibi bigabanya cyane ingano y'umuti upfa ubusa.
Uburyo bwo gukoresha DPI (ifu ihumeka):
Ibi bitandukanye na MDI.
1. Shyira ingano y'umuti ukurikije amabwiriza y'icyuma gihumeka (imwe igusaba kuzunguza agakoresho ko gukata, indi igusaba gukanda).
2. Hindura umutwe wawe kure y'icyuma gihumeka hanyuma uhumeke umwuka uko bishoboka kose. Ntuzigere uhumeka umwuka.Iyo ubikoze, ifu ishobora kunyagirwa ikagwa.
3. Shyira akanwa mu kanwa kawe hanyuma ufunge neza ukoresheje iminwa yawe.
4. Noneho humeka vuba cyane kandi mu buryo bwimbitse , nk'aho ukoresha icyuma gisukura umwuka.
5. Kuraho agakoresho ko guhumeka mu kanwa kawe hanyuma ufate umwuka wawe mu gihe cy'amasegonda 10 .
6. Hanyuma uhumeke buhoro buhoro.
Icy'ingenzi cyane: Niba ukoresha inhaler irimo corticosteroid (urugero: ICS), oza mu kanwa kawe neza n'amazi nyuma ya buri gukoresha hanyuma ukarase . Ibi bishobora gufasha gukumira kwandura indwara y'ibihumyo (thrush) mu kanwa no mu muhogo.
Ni ryari ugomba kujya kwa muganga?
Niba ufite ikibazo ku ihumeka ryawe, vugana na muganga wawe. Ni ngombwa gushaka inama kwa muganga, cyane cyane mu bihe nk'ibi.
- Niba bigoye gukoresha inhaler wahawe.
- Niba ibimenyetso byawe bitarakemurwa nubwo wakoresheje imiti.
- Niba ukangutse nijoro kubera ibicurane.
- Niba ukeneye gukoresha inhaler yawe yo gutabara inshuro zirenze ebyiri mu cyumweru, ibi bishobora gusobanura ko indwara yawe idacunzwe neza.
Mu bihe nk'ibi, muganga wawe ashobora guhindura ingano y'imiti yawe cyangwa akaguhindurira ubundi bwoko bw'imiti ihumeka.
Ubutumwa bwo kujyana mu rugo
- Igikoresho cyo guhumeka ni igikoresho cy'ingenzi cyane gitanga imiti mu bihaha mu buryo butaziguye ku ndwara z'ubuhumekero nka asima na COPD.
- Hari ubwoko butandukanye bw'imiti ihumeka (MDI, DPI), kandi uburyo bwo kuyikoresha buratandukanye.
- Kugira ngo wungukire neza ku inhaler yawe, ni ngombwa kumenya kuyikoresha neza . Niba ushidikanya, buri gihe uzabaze muganga wawe.
- Nyuma yo gukoresha umuti utera insomyo wa steroid (ICS), koza mu kanwa neza bishobora gufasha mu gukumira indwara z’ibihumyo mu kanwa.
- Niba ibimenyetso byawe bidakemutse cyangwa ukaba ugomba gukoresha inhaler yawe yo gutabara kenshi, hita ubonana na muganga wawe.
- Ntugomba gukoresha inhaler y'undi muntu cyangwa ngo usangire inhaler yawe n'abandi.

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