Kana kufema kwakaoma zvishoma, kana chipfuva chakaoma, kana kana mumwe munhu aine chirwere cheasthma, mushonga wekufemesa unenge wakafanana neshamwari yepamwoyo. Asi vamwe vanhu vanotya kushandisa mushonga wekufemesa, vamwe vanonyara. Kutaura zvazviri, mushonga wekufemesa unoshandisa mushonga unobatsira zvikuru kuponesa hupenyu hwedu uye kudzora matambudziko ekufema. Saka nhasi, ngatitsvagei mhinduro dzemibvunzo yese nezve mushonga uyu.
Zvichitaurwa zviri nyore, chii chinonzi inhaler?
Chinhu chinofefetera mudziyo mudiki waunogona kubata muruoko rwako. Basa rawo guru nderekuendesa mishonga zvakananga mumapapu ako. Basa guru remishonga iyi nderekuvhura nzira dzekufema dzakavharika uye kuderedza kuzvimba mumapapu ako. Inogona kuuya sehupfu hwakaoma, spray inoyerwa, kana mhute yakapfava.
Ndeupi musiyano uripo pakati peinhaler nenebulizer?
Kunyangwe zvese izvi zvichiendesa mushonga kumapapu, pane musiyano mukuru pakati pezviviri izvi. Funga nezvazvo, mushonga wekufemesa chinhu chaunogona kutora chero kupi, chidiki, uye chiri nyore kushandisa. Asi mushonga wekufemesa wakakura zvishoma, uye unoda magetsi kana mabhatiri. Ngatitarisei musiyano uyu zvakajeka.
| Chinhu | Muchina wekufema | Nebulizer |
|---|---|---|
| Saizi uye kutakura | Diki, rinotakurika. | Yakakura, inowanzo shandiswa kumba kana kuchipatara. |
| Simba | Hapana magetsi kana mabhatiri anodiwa. | Inoshanda nemagetsi kana bhatiri. |
| Nzira yekutonga | Inopa mushonga nekukurumidza, nekufema kamwe chete kana kaviri. | Mushonga uyu unounzwa kuburikidza nemasiki kana muromo kwemaminitsi akati wandei. |
Ndiani anofanira kushandisa inhaler?
Zvinofema zvinowanzo shandiswa nevanhu vane zvirwere zvemapapu zvenguva refu zvakaita seasthma uye chirwere chemapapu chinogara kwenguva refu (COPD) . Pano tichataura nezvemhando mbiri huru dzezvinofema:
1. Zvinofema Zvinodzivirira/Zvinodzora: Izvi zvinoshandiswa zuva nezuva kudzivirira zviratidzo kuti zvisaitike uye kudzora chirwere.
2. MaInhalers eReliever/Rescue: Aya anoshandiswa kupa zororo ipapo ipapo kana uine asthma kana COPD yako ikanyanya kuipa, kureva kuti, paunoerekana wava nedambudziko rekufema.
Chinhu chakakosha ndechekuti kunyangwe usina asthma, chiremba wako anogona kukupa mushonga wekufema wemamwe hutachiona hwekufema, hwakadai sebronchitis. Zvisinei, haufanirwe kushandisa mushonga wekufema wakanyorerwa mumwe munhu.
Mhando dzemainhaler nemishonga yadzinayo
Kune mhando dzakasiyana dzemidziyo yekufema uye mishonga iri mairi. Ngatitarisei imwe neimwe zvakasiyana.
Mhando huru dzemidziyo yekufema
- MaInhalers eMetered-Dose (MDI): Aya ndiwo marudzi e "puffer" atinoziva tese. Ane mushonga uri mubhokisi rine pressurized. Paunodzvanya izvi, mushonga chaiwo unoburitswa.
- Dry Powder Inhalers (DPI): Izvi zvine mushonga uri muchimiro cheupfu. Mushonga wacho unounzwa kumapapu ako kana ukafema zvakadzika uye nekukurumidza.
- Zvinofema Zvinyoro-nyoro: Izvi zvinoshandura mushonga wemvura kuita mhute yakapfava uye zvinouendesa kumapapu.
Mhando huru dzemishonga dziri muinhaler
Ngatinzwisisei mhando dzemishonga iyi, mashandiro ayo, uye mienzaniso iri patafura ino.
| Rudzi rwemushonga | Basa guru | Makesi ekushandisa |
|---|---|---|
| Mishonga yeBronchodilator Inoshanda Nenguva Pfupi (SABA/SAMA) | Inozorodza tsandanyama dzenzira yekufema uye inopa zororo nekukurumidza. | Kana paine emergency (Rescue Inhaler). Semuenzaniso: Albuterol |
| Mishonga Inofema yeCorticosteroids (ICS) | Kuderedza kuzvimba mumapapu. | Kudzora chirwere kwenguva refu (Preventer). Semuenzaniso: Budesonide |
| Mishonga yeBronchodilator Inoshanda Nguva Refu (LABA/LAMA) | Kuchengetedza nzira yekufema yakavhurika kwemaawa gumi nemaviri kusvika makumi maviri nemana. | Kudzora zviratidzo zvezuva nezuva (kwete panguva dzenjodzi). Semuenzaniso: Salmeterol |
| Mishonga Yakasanganiswa | Mishonga miviri kana mitatu iri pamusoro apa inosanganiswa pamwe chete. | Kuti utonge zviri nani. Semuenzaniso: Fluticasone/Salmeterol (Advair®) |
Nzira yekushandisa sei inhaler nemazvo?
Kuti uwane zvakawanda kubva muchinhu chako chekufemesa, zvakakosha kuziva mashandisirwo acho nemazvo. Pane musiyano mudiki pakati pemhando yega yega yechinhu chekufemesa, saka iva nechokwadi chekubvunza chiremba wako kana mukoti akadzidziswa kuti akuratidze mashandisirwo acho uye akuratidze mashandisirwo acho.
Heano matanho akajairika:
1. Kugadzirira: Bvisa chivharo kubva muchinhu chinofema. Kana chiri MDI, chizunze zvakanaka. Mamwe marudzi eDPI anoda kuti uise mushonga.
2. Kufema: Fema mweya wakawanda sezvinobvira kubva mumapapu ako.
3. Kuisa chinhu chinopinzwa mumuromo mako: Bata muromo wechinhu chinopinzwa mumuromo zvakasimba pakati pemiromo yako.
4. Kutora mushonga mukati:
- PaMDI (puffer): Dzvanya kanisita uchifema zvishoma nezvishoma. Kutora nguva kwakakosha zvikuru. Unogona kushandisa mudziyo unonzi ``spacer'' kuti izvi zvive nyore. Bvunza chiremba wako nezvazvo.
- Kuti uwane DPI (upfu): Fema nekukurumidza, zvakadzama. Unofema upfu hwacho nekufema kwako.
5. Kubata mweya: Mushure mekutora mushonga, bata mweya wako kwemasekonzi gumi kana zvichibvira. Izvi zvinopa mushonga nguva yekusvika kumapapu zvakanaka.
6. Shamba muromo wako (zvakakosha!): Kana uchishandisa mushonga wekufema une steroid (ICS), geza muromo wako zvakanaka nemvura mushure mekuushandisa wobva wausvipa. Izvi zvinogona kubatsira kudzivirira thrush kuti isaumbe mumuromo mako.
Njodzi nezvinhu zvekuziva
Kunyange zvazvo mishonga yekufemesa iri mushonga wakachengeteka, pane zvinhu zvishoma zvaunofanira kuziva.
- Zvine njodzi kushandisa mushonga wekufema we bronchodilator (LABA) wega weasthma usina mushonga we steroid (ICS).
- Panogona kunge paine mukana wekuwedzera zvishoma wekubata pneumonia kana uchishandisa ICS inhaler yeCOPD. Taura nachiremba wako nezveizvi.
- Kazhinji, njodzi dzinomuka kana munhu akashandisa mushonga wekufema zvisizvo , saka zvakakosha kudzidza nzira chaiyo.
- Kana uchishamisika kuti, "Mapundu mangani emushonga wako wekufemesa akawandisa?", mhinduro ndeyekuti , "Usashandise zvinopfuura huwandu hwawakanyorerwa nachiremba wako." Kana uchinzwa sekunge hausi kuwana huwandu hwakakwana hwemushonga wawakanyorerwa, zvinogona kureva kuti mamiriro ako haana kudzorwa zvakanaka. Enda kuna chiremba wako nekukasika.
Ndinofanira kuona chiremba zvakare rini?
Kana zviratidzo zvako zvisina kudzorwa zvakanaka, iva nechokwadi chekuona chiremba. Ndeipi nguva idzodzo?
- Kana uchida kushandisa `Rescue Inhaler` yako kanopfuura kaviri pasvondo.
- Kana ukamuka husiku nekuda kwekunetseka kufema.
- Kana zvichikuomera kushandisa mushonga wekufemesa wawakapihwa.
- Kana mushonga usingaderedzi zviratidzo.
Usatya kana kunyara kukurukura zvese izvi nachiremba wako. Pamwe imwe mhando yemushonga wekufema kana mushonga wakasiyana ingave iri nani kwauri.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yekufemesa mushonga wakachengeteka uye unoshanda kana ikashandiswa nemazvo. Usatye.
- Kana wakapihwa mhando mbiri dzemishonga yekufemesa (Preventer neReliever), ziva musiyano uripo pakati pezviviri izvi uye nguva yekuishandisa.
- Gara uchibvunza chiremba wako kuti ungashandisa sei mushonga wako wekufema.
- Mushure mekushandisa mushonga wekufema une steroid (ICS), iva nechokwadi chekusuka muromo wako wosvipa mvura.
- Kana uchinzwa kuti zviratidzo zvako hazvisi kudzorwa, usachinje mushonga wako wega, asi ona chiremba wako.
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