Iwewo ungave wakaudzwa nachiremba wako kuti ushandise mushonga wekufema weasthma, fever yeuswa, kana mamwe matambudziko ekufema. Asi une dambudziko here nekushandisa kwacho chaizvo, riini, uye nei paine mhando mbiri kana nhatu? Vamwe vanhu vanofunga kuti vachapindwa muropa nemudziyo wekufema. Izvo hazvina kunaka. Usazvidya moyo, tichataura zvese zviri nyore nhasi.
Kune mhando mbiri dzeinhaler - ngatinzwisisei musiyano
Zvichitaurwa zviri nyore, kune mhando mbiri huru dzemishonga yekufemesa yauchapihwa nachiremba wako. Imwe ndeyekushandisa zuva nezuva kudzora asthma yako, uye imwe ndeyekushandisa kana wangoerekana wabatwa nechirwere. Kusanganisa zviviri izvi kunogona kuva nengozi.
| Rudzi rweInhaler | Chinangwa Chikuru | Nguva Yekushandisa |
|---|---|---|
| Chinofema Chekudzora (Kazhinji kacho ruvara rwebrown, pepuru, dzvuku) | Inodzora kuzvimba munzira dzekufema uye inodzivirira zviratidzo kuti zvisaitike kwenguva refu. | Sezvinotaurwa nachiremba, zuva nezuva panguva yakatarwa (kunyangwe pasina zviratidzo). |
| Muchina wekufema wekununura (kazhinji ruvara rwebhuruu) | Kurerukirwa kwezviratidzo zvinongoerekana zvaitika (fivha, kukosora, kusimba kwechipfuva). | Kana paine dambudziko, usati waita maekisesaizi, usati waita allergic reactions. |
1. Chinofema chezuva nezuva che'Control'
Mushonga uyu une mushonga unoderedza kuzvimba uye kunzwa kwekufema. Kungofanana nemushonga wechirwere cheshuga kana BP mazuva ese, unofanira kuushandisa mazuva ese zvichienderana nekakawanda kaunonyorerwa nachiremba.
- Unofanira kushandisa izvi kunyangwe kana usina matambudziko .
- Unofanira kushandisa izvi nekukurumidza kana wangonzwa zviri nani.
- Kana ukaudzwa kuti ushandise kaviri pazuva, chengeta mukaha wemaawa gumi nemaviri pakati pemushonga wega wega kana zvichibvira (semuenzaniso 7am na7pm).
Chinhu chinonyanya kukosha ndechekuti zvinogona kutora mavhiki maviri kusvika mana kuti uone mhedzisiro yemushonga uyu. Saka, usamira pakati, uchiti, "Hazvina basa." Ramba uchiushandisa.
2. Chinofema Chekununura (chinoshandiswa panguva dzenjodzi)
Uyu ndiwo "mushonga wehupenyu" wako. Mushonga uyu unopa zororo ipapo ipapo kana ukangoerekana waomerwa nekufema, uchinzwa sekunge chipfuva chako chavharika, uchikosora, kana kunzwa ruzha rwekuti "soo-soo" ruchibva muchipfuva chako.
- Gara uine mushonga uyu wekufemesa. Usambousiya kumba kana uchienda parwendo.
- Ishandise kana wakaneta .
- Shandisa usati wasangana nezvinhu zvinokukonzera allergy, zvakaita seguruva nemvere dzemhuka.
Yambiro: Kana uchida kushandisa mushonga wako wekudzivirira chirwere kwemazuva anopfuura maviri pasvondo kana kupfuura husiku huviri pamwedzi, zvinoreva kuti asthma yako haisi kudzorwa. Ona chiremba wako nekukasika . Anogona kuchinja mushonga wemushonga wako wekudzivirira chirwere kana kukupa imwe nzira yekurapa.
Muchina wekufema kuti maekisesaizi nemabasa zvive nyore
Vamwe vanhu vanofema kana vachiita maekisesaizi. Izvi zvinonzi " Exercise-induced Asthma ". Usarega kuita maekisesaizi nekuti uri kuzviita. Kuekisesaiza kunosimbisa mapapu ako, kunokubatsira kudzora huremu hwako, uye kunosimbisa masoja emuviri wako.
- Inwa mushonga we "rescue" (blue) kwemaminitsi gumi nemashanu kusvika makumi matatu usati waita maekisesaizi.
- Chengeta mushonga wako wekufemesa uri newe kunyangwe paunenge uchirovedza muviri.
- Kana zvakakuomera zvakanyanya, chinja kuita maekisesaizi akareruka akadai sekushambira kana kufamba.
Nzira chaiyo yekushandisa inhaler (MDI neDPI)
Kune mhando dzakasiyana dzemainhaler. Ngatitarisei mashandisirwo akajairika, ``Metered Dose Inhaler - MDI'' uye ``Dry Powder Inhaler - DPI''.
Mashandisirwo emushonga wekushandisa mushonga wekuyeresa (MDI)
Urwu ndirwo rudzi runouya sepfapfaidzo kana ukaidzvanya.
1. Kutanga gadzira mushonga wekufema (Priming):
Izvi zvinofanira kuitwa kana uchangobva kutenga mushonga wekufemesa kana usina kushandiswa kwemavhiki anopfuura maviri.
- Zunzai inhaler zvakanaka.
- Bvisa muromo wako wodzvanya kamwe chete pamusoro (pfapfaidzo).
- Ita izvi katatu zvakare. Muchina wekufemesa wagadzirira kushandiswa.
2. Mashandisirwo asina spacer:
'Spacer' mudziyo wakaita sechubhu yepurasitiki unobatanidza neinhaler. Kana ukaishandisa usina, heino maitiro.
- Bvisa chivharo kubva muchinhu chinopinza. Zunza zvakanaka kwemasekonzi mashanu.
- Bata chinhu chinopinza mweya zvakasimba nemunwe wako wekunongedza uri pamusoro uye chigunwe chako chiri pasi.
- Budisa mweya wese uri mumapapu ako.
- Isa muromo wemushonga wekufemesa pakati pemazino ako wouvhara zvakasimba nemiromo yako. Usarega rurimi rwako ruchivhara buri.
- Kana wangodzvanya chinhu chinopinza mweya, tora mweya zvishoma nezvishoma uye wakadzika mukati (anenge masekondi mana kusvika matanhatu).
- Bata mweya wako kwenguva yakareba sezvinobvira (masekondi mashanu kusvika gumi akanaka). Wobva wafema zvishoma nezvishoma.
- Kana uchida kukweva kechipiri, mirira kwemaminitsi angangoita makumi matatu, zunza mudziyo wekufema zvakare, wobva waita saizvozvo.
3. Mashandisirwo ekushandisa ne spacer:
Kushandisa ne spacer ndiyo nzira inoshanda zvikuru, kunyanya kuvana nevakwegura.
- Isa chinhu chinopinza mweya pa spacer. Zunza zvakanaka.
- Rega mweya wese uburuke.
- Isa muromo we spacer mumuromo mako wovhara nemiromo yako.
- Dzvanya chinhu chinopinza mweya kamwe chete. Mushonga wacho uchaungana mukati mechikamu.
- Zvino fema zvishoma nezvishoma, zvakadzama uchishandisa spacer.
- Bata mweya wako kwemasekonzi mashanu kusvika gumi wobva waburitsa mweya zvishoma nezvishoma.
Mashandisirwo eDry Powder Inhaler (DPI)
Rudzi urwu rwemushonga ihupfu. Mashandisirwo arwo akasiyana zvishoma.
- Bvisa chivharo (zvimwe zvinoda kapisi kuti zviiswe).
- Fema mweya wese , asi usafemere muchinhu chinofema mweya.
- Isa muromo wako wofemera mukati nekukurumidza uye zvakadzama .
- Bvisa chinhu chinofema mweya mumuromo mako, bata mweya wako kwemasekondi gumi, wobva waburitsa mweya zvishoma nezvishoma.
Zvakakosha kuchengetedza chinhu chinopinza mweya chakachena!
Kana ukasachenesa mushonga wako wekufemesa, hupfu hunogona kuvharika uye mushonga hauzounzwe zvakanaka. Saka chenesa kamwe chete pasvondo.
- MDI inhaler: Bvisa gaba woriisa parutivi. Geza chivharo chepurasitiki chete (muromo) nemvura inodziya. Shamba nemvura worega chiome zvakanaka. Usamboisa gaba mumvura.
- Mushonga weDPI: Usageze izvi nemvura. Pukuta muromo chete nejira rakaoma.
Zvakakosha: Kana uri kushandisa mushonga we'control' une steroid (semuenzaniso dzebrown, dzepepuru), iva nechokwadi chekusuka muromo wako nemvura zvakanaka wozoipukuta mushure mekushandisa kwega kwega.Kukundikana kuita izvi kunogona kukonzera hutachiona hwefungus mumuromo nemuhuro.
Mharidzo Yekuenda Nayo Kumba
- Sarudza mhando mbiri dzemainhaler aunawo ('control' yekushandisa zuva nezuva uye 'rescue' yekushandisa nekukurumidza).
- Kunyangwe pasina dambudziko nechinhu chinofema chinodzora, chishandise nguva dzose sezvakarairwa nachiremba wako.
- Gara uine mushonga wako wekununura.
- Kana uchifanira kushandisa mushonga wako wekununura nguva nenguva, chiratidzo chekunyevera. Ona chiremba wako nekukasika.
- Dzidza nzira chaiyo yekushandisa mushonga wekufema waunoda. Shandisa spacer kana zvichidikanwa.
- Mushure mekushandisa mushonga wekufemesa une steroid, gezai muromo wenyu nepahuro nemvura nguva dzose.
- Chenesa mushonga wako wekufema zvakanaka kanenge kamwe chete pasvondo.
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