Unoda kushandisa nebulizer? Kudzokorora mushonga waanoita zvokufema vagadziri zvose. Tsvaka chii mishonga inodiwa uye sei kushandisa nebulizer

To musi, inhalation ARV zvikuru kushandiswa pakurapa zvirwere zvokufema siyana. Uye kana vaviri emakore apfuura, zvakanga zvakakodzera kuti tipinde kushandiswa mumakirasi ari kurapwa Zvivako, asi ikozvino zvose zviri nyore zvikuru. Enough kutenga nebulizer uye kurapa ichinyaradzwa kumba kwako.

A Nhoroondo shoma

Kwakatangira inhalation mishonga shure kune vekare, kuti chaiyo munguva yekare dzomunyika India, China, Egypt uye kuMiddle East. Kunyange ipapo Kufema pamwando Eucalyptus, menthol, uye zvimwe zvirimwa somushonga yaishandiswa kurapa zvirwere zvakasiyana-siyana pamusoro kufema turakiti. Uchapupu simbi iyi mabasa Galen uye Hippocrates, kuti kutaurwa kunhuhwirira utsi inhalation miti. Kana toreva nebulizers, okutanga rakavambwa Seles-Gironsom kuFrance muna 1859. Nheyo nokushanda midziyo kwaiva kushandisa kumanikidzwa kuti spraying imvura zvinodhaka Pfungwa.

Gare gare, muna 1874, ari mudziyo nokuda inhalation iyi mhando inowana zita rayo yepamutemo, rinobva muchiLatin shoko "nebula" (gore, bvungapfunga). Externally, mudziyo haasi chaisvika akafanana nebulizer ano, kudzokorora izvo tine nhasi anogona kuverenga chero nzvimbo ine wezvokurapa dingindira, asi nezvezvisikwa chigadzirwa - pfapfaidzo emura mushonga hahurambiki. Zvakatora anopfuura zana uye rimwe nehafu, tiri kwedu musha mushonga cabinet akazviratidza chiine simba mano kuti inhalation. Munguva iyi yakareba, iye vagadziri vaifanira kushanda nesimba kuti ribude kunyange vanhuwo chando kurapwa aiva nyore uye dzakanaka.

kukura

Chinangwa chikuru inhalation mano ichi mhando ndiyo zvashata kurapwa panguva exacerbation zvirwere zvakadai Árbol asima. Panguva yokurwiswa breathlessness, hunhu chirwere, kuderedza bronchospasm murwere vanofanira kuwana dose zvinodhaka kupfuura kurapa nezuva. Nokukurumidza anunure zvinodhaka zvakananga Formação de ndiyo chete inokwanisa ane nebulizer, dzokorora murwere kunoratidza kuti mamiriro kuvandudzika kunoonekwa mushure maminitsi 2-3. Kungofanana muna asima, uye kuti zvinobudirira kushandisa mudziyo mu COPD apo zvakakodzera-refu kushandiswa expectorants uye bronchodilator zvinodhaka. Kugamuchira medicaments zvakadaro piritsi chimiro kana kuturika aigona kukanganisa murwere mamiriro dzimwe nhengo, semuenzaniso, chiropa uye dumbu. Zvinokosha kucherechedza kuti nebulizer, pediatricians pakudzokorora inosimbisa izvi, zviri nyore irreplaceable pakurapa zvirwere zvokufema zhinji, kusanganisira netsika Mabatirwo asima muvana. Navanaamai vakawanda vane vana kazhinji kutambura SARS, mudziyo uyu wava chinhu chinokosha chokufunga pamba Kit. To musi ndiyo chete nzira kununura mushonga zvakananga chirwere nzvimbo.

Uchishandisa nebulizer pa tembiricha yakakwirira

Munhu wose anoziva kuti kakawanda zvirwere kufema achiperekedzwa fivha. Zvakaitwa kwakadaro mumuviri inoratidza zvirwere tirwise nomutorwa tusingaoneki - causative vaishandira chirwere, rubatsiro umo tinofanira kushandisa zvinodhaka. Naizvozvo, varwere vakawanda kugadzwa mubvunzo inhalation kurapa nokuti zvichibvira kushandisa nebulizer tembiricha. Zvisinei, vanachiremba vari kuedza kwete kukuvadza utano murwere uye mukurumbira wake, kazhinji sei zvakaipa uye kukanzura nzira iyi kunyange apo murwere kurapwa. Uye vanogona kunzwisiswa, nekuti zvinoitwa murwere kungamutsawo kuratidzwa zvikuru nezvimwewo siyana. Kana pfungwa Vagadziri mano, vanonyatsokurukura akavimbika nyaya iyi. General kurumbidza mu vakawanda anodawo mirairo azivise irambidzwe nzira varwere vane muviri tembiricha pamusoro 37.5 ^o. Uye zviri pachena, zvakanaka, asi tsika uye ruzivo haukwanisi nharo. Kune dzinonetsa ezvinhu, apo nebulizer nokuda inhalation ndiro chete ruponeso haisi chete utano murwere, asiwo hwake.

Somuenzaniso, panguva yokurwiswa breathlessness mu asima murwere zvokuita inhalation "Flomax" mushonga, kunyange kana ake tembiricha muviri kwakasiyana yekudyidzana kubva kwose kwose. Mienzaniso yakadaro inogona kupa zvakawanda, asi varege kubatwa somunhu categorical mukusiyana zvokurapa audzwa. By zvinofungwa nyanzvi kunodiwa kuteerera, kunyanya kana totaura pakurapa vana uye kurwara. Izvi Mapato evanhu havangagoni vakazvimiririra kuongorora mamiriro utano hwavo, achitungamirirwa manzwiro, uye saka havakwanisi kuita chisarudzo pamusoro kana unogona kushandisa nebulizer ari tembiricha neimwe nyaya.

Inhaled mushonga

The pamazita zvinodhaka yaishandiswa inhalation kurapa, yakafara. Iye aigara achiudza zvinodhaka idzva saka here ichi yose pamazita zvinodhaka vaiona kuti farmakogruppam. Saka, nokuti liquefaction pakati sputum, vari rakachengetedzwa pamusoro mucous membranes ari kufema turakiti, uye kuvandudza expectoration anoshandisa mukoregulyatory uye mucolytics. boka iri zvinosanganisira mishonga yakadaro nebulizer se "Lasolvan", "ambrogeksal", "Fluimucil" uye vamwe. Sezvo bronchodilators, vachibvisa Árbol spasm uye kufambisa kuwedzera kwavo, ivo anowanzoshandiswa zvinodhaka "Ventolin", "Berodual", "Salamol" uye "Berotek". Chimwe farmakogruppoy mishonga kuti rinowanzoshandiswa inhalation marapirwo vari glucocorticoids. Izvi mishonga hormone akadai mushonga "Pulmokort", ive yakanaka Anti edema uye Anti-anogumbura chiito. Uyezve, nokuda nzira makurukuriro yezviri fuma zvakananga kupinda pakati chirwere, sezvo mushonga nokuda nebulizer angashandiswa uye mushonga unorwisa. The yokupedzisira chinzvimbo pamazita zvinodhaka nokuda inhalation kurapa kugara munyu uye alkali mapedzero akadai chicherwa mvura "Borjomi" uye sesaline. Mumwe nomumwe yenhengo izvi angava ave chikuru nzira yokurapa, uye solvent mamwe mishonga.

How kugadzirira mhinduro inhalation?

Chokwadi, taurira uye kupa zano hwakadzama pamusoro mitemo yavo kushandiswa anofanira kuva chiremba zvakananga. Asi kana akadaro kukurukurirana ane mashoko, nokuti chero nezvikonzero, haana kutora nzvimbo, tinofanira kutanga mumaoko avo.

Chokutanga, iva nechokwadi kuyeuka kuti mishonga yakawanda iripo nebulizers nokuda vaburitsi muchimiro chaiwo akagadzirira kushandisa dambudziko. Kana inonyorwa nachiremba zvakarurama chimiro asipo, unofanira kubvunza mishonga nezvomukana nokushandisa inhalation kuti pfungwa zvinodhaka. Kazhinji, Pakadaro pamwe zvinodhaka Wana sesaline, iro vakabva kushandiswa senzira solvent. Hazvina zvakafanira kuti chinangwa ichi dira mvura kwakadonhera kupinda nebulizer, kudzokorora vakawanda vanobvuma chikanganiso chakadaro, kunoratidza mukana panowanikwa bronchospasm.

Chechipiri, tevedzera mirayiridzo kushandiswa anofanira kuva pachena mishonga, uye chero nyaya kwete kusapfuudza yamunenge chipimo chemushonga. Saka, asati atanga kuti inhalation ari nebulizer mukamuri Dururirai 2-4 ml solvent uye chete ipapo wedzera runodiwa chitsama chikuru medicament. The zvachose Vhoriyamu kuitwa chirongwa chete anofanira kuva kubva 2 kusvika 5 ML, asi pano vanofanira kufunga munhu zvechadenga murwere. Somuenzaniso, kana kurapa kunodiwa mwana uye vabereki vasiri chokwadi kuti pipsqueak anogona kuita refu inhalation vanofanira yakadereresa dose kuti solvent - 2 Rine mamiririta. Izvi achapa mwana wako zvakakodzera uwandu zvinodhaka pasina pakusika zvimwe kusanzwa.

Chechitatu, pasinei fomu umo zvinodhaka dzakanga yakatengwa nokuda nebulizer, kana iri mhinduro dzichiitika madonhwe zvichiguma, zvinofanira kuchengetwa nenzira firiji. Kamwe kavha wakashamira kemisiti, zvinodhaka inofanira kushandiswa mukati memazuva 14. Pose vasati kushandiswa, vanofanira kudziyirwa mumba tembiricha.

Chii mishonga hazvigoni kushandiswa?

Pavanhu vari kazhinji kuita kuzvidzora kurapwa, pane maonero kuti kukuvadza haagoni kuva inhalation kuti mafuta anonhuhwirira chero chirwere. Asi hazvina kudaro. Mirayiridzo The mugadziri wacho rinotaura zvakajeka kuti kana uri kushandisa nebulizer, shandisa sechinhu mushonga inhalation kwemafuta uye kugadzirira, kunobva izvo zvavari zvachose wairambidza. Kutendeutsa zvinhu akadaro hwemvura aerosol mano angashandiswa iyo pave zvinonyadzisa inoramba kuti uchagara kuti mucous membranes ari kufema turakiti. Kana kusateerera yambiro iyi uye kuti inhalation yakadaro achishandisa nebulizer muviri zvinogona kuva nezvimwewo. The yakaisvonaka inoramba iri aerosol anogona kupinda mumapapu uye kuzadza ndima. Mhedzisiro hanya kwakadaro kunogona kuva mafuta nemabayo, rinoda refu uye zvinodhura kurapwa. Haufaniri kuona, uye nomukana kuoneka neutachiona pashure muitiro wakadaro, doro zvinodhaka pamusoro Kamudzira ari principales nemapapu.

Kubudirira inhalation mishonga kuti ODS uye chikosoro

The inonyanya chikanganiso chakaitwa varwere vakawanda vanoshandisa nebulizer nokuda kukosora, zvakakodzera vachiwirirana zvinodhaka, dzokuzvirapa kana somugumisiro yakakanganiswa nechirwere. Kazhinji, asi "muparanzvongo" kurapwa kukundikana anova Zvechokwadi, imwe inhaler, uye chirwere kuramba kupararira mumuviri uye kukonzera zvakakomba matambudziko. Kuti tidzivise mamiriro ezvinhu aya, vasati vatanga kurapwa vanofanira kuona chiremba uye kumisa yakarurama zvokuongorora kuti kufema chirwere. Kana zvakakodzera, murwere achada zvakaitika CBC, izvo nyanzvi achakwanisa zvakarurama rokuongorora kuti etiology chirwere uye mishonga yakarurama.

Saka, Somuenzaniso, imwe noutachiona inogona kurumbidzwa yaunodya inorwisa mabhakitiriya, izvo hazvina maturo kwazvo nokuda nemavhairasi kuti vanoziva chete kune antiviral nezvinodhaka. Nokuda kwechikonzero ichi, mumwe nebulizer pamusangano chando, zvakare, unogona kuva isashande. Chokwadi, kushandisa vasoconstrictor zvinodhaka kwenguva pfupi kunogona kunatsiridza mamiriro asi kwenguva refu mugumisiro havagoni kutarisira pasina yakarurama pakurapa zvezvinokonzera chirwere. Saka, kutanga kurapwa kuti SARS kana chakasimba kufema chirwere inokurudzirwa chete pashure wezvokurapa kubvunza uye kuongorora murwere, ndiyo chete nzira kukurumidza kurapwa.

Basic nemitemo oparesheni

Kunorapwa kuti vabudirire, hazvina kukwana chete kutenga imwe inhaler nemishonga. Zvakakosha kuziva kuti tiite nzira iyi uye chii zvokungwarira zvinofanira kuchengetwa kuti varege achiipa murwere ezvinhu. Chokwadi, mumwe nomumwe mhando inhaler ine nomumwe maitiro ayo, saka vasati kurishandisa, unofanira kuverenga waishanda mirayiridzo yacho mugadziri. Zvisinei, pane zvakawanda zvavo vanorumbidza kuteverwa, pasinei norudzi mudziyo.

Chekutanga, panguva inhalation vanofanira kugara panokwanisika sezvinobvira, saka sezvo kusatsauswa nokuda zvakanaka. Back zvinofanira kuchengetwa kururamiswa, izvozvo vachawana yakawanda chiedza mune zvokurapa aerosol, uye, chokwadi, kwete kuzoposhera pasi mweya yenyu vachitaura.

Chechipiri, unofanira kushandisa chete zvigadzirwa avo akapiwa chiremba. Asati rokuzadza kamera, mishonga yose inofanira kumisa musi wazvinenge, zvimwe ari nebulizer kurapwa basa kwete chete, asi vanogonawo kukuvadza utano murwere.

Chechitatu, hazvina zvakakodzera kuedza uye somunhu solvent kushandisa chero mvura, sarudzo dzinofanira kupiwa sesaline. Uyezve, anogara achidira inhalation mudziyo inofanira kuva chena dosing (kuraswa Majekiseni netsono zvinoshandiswa nevane), hapana kupfuura maminitsi 5 pamberi kushandiswa nebulizer.

Wechina, kushanda gasi rukova inokurudzirwa mu kuwanda 6 kusvika 10 litres paminiti pane pangozi anofanira kuderedzwa panguva inhalation pachirongwa. The compressor mushonga waanoita zvokufema, pfungwa iyi kare yakaiswa.

Chechishanu, panguva nzira, vainyatsotarisirwa zvinofanira nezvezvandaifanira kufema zvishoma nezvishoma uye Kufema zvakadzama imwe aerosol achishandisa muromo. The kuchirapa mugumisiro nzira yaizova nani kana mumwe nedzinovengwa vasati vanoedza kubatirira mweya wako masekonzi mashoma. Kana ukashandisa nebulizer vana, ndizvo zvinodiwa kushandisa chifukidzo, izvo zvinofanira kukodzera naka kukakomana chiso mafufu, zvichava aivabatsira zvikuru inhalation. Izvi ndezvechokwadi kunyanya nokuda duku Vyakula.

Kuvimbika nebulizer uye okuchengetera zvinhu

kirasi imwe neimwe ine nebulizers anobatsira upenyu, uye kuti mudziyo ushande zvakanaka kumwedzi nguva ino, kukurairisai unofanira kuomerera kuti zvinhu chekuchengeta zvekudya. Naizvozvo, pashure mumwe inhalation bvisika Hardware mudziyo anofanira wosukurudzwa nemvura yakachena uye waoma. Mitemo yakadaro noutsanana kuchaita kudzivisa crystallization kwezvinodhaka uye kwemabhakitiriya kusvibiswa iri romukati hukawanika ari nebulizer. Uyezve, kana ari inhalation mhuri kuti vanhu vashoma, pashure mumwe kushandiswa anofanira kuva mamwe kuchenesa uye disinfection. Kuchengeta mudziyo zvinganaka disassembled, kuwedzera kuchengetedza zvinoriumba dzakabatana. Attention inofanira kubhadharwa chokuti kunyange yakanakisisa nebulizers zvinoda nenguva yaitsiva mhepo filters. Uye kana izvi hazvina kuitwa mukati nguva puranga zvaitaurwa kurayirwa, functionality uye mukurumari pamusoro mudziyo iri yekudyidzana ipfupi. Naizvozvo, zvakakosha kusaregeredza pamusoro audzwa, nekuti vachakwanisa kuwedzera nguva kushandiswa mudziyo.

Izvo nebuliser kusarudza?

Kutaura sei yakanaka nebulizer, uye haana chakanaka chaizvo, hazvina chaizvo kwakarurama, sezvo mumwe muenzaniso ine zvakanakira nekuipira. Saka, kusarudza kuti dzavo inhaler, vanofanira kuteerera zvinokosha nokurondedzerwa, izvo vachaedza kutsvaka zvizere. Saka, chokuratidza wokutanga, izvo zvinoda kufunga Chokwadi, mhando mudziyo. Izvi zvinogona kuva ultrasonic, imwe compressor uye Erekitironi-pajira riya (pajira riya) nebulizer. Mumwe nomumwe wavo ane zvakasiyana mwero nokunaka chokuendesa mushonga kuna Airways.

Nokutenga wokutanga, zvinofanira kucherechedzwa kuti pasi pokudzora ultrasonic mafungu zvinodhaka zvakawanda vaparadzwa. Naizvozvo, kana nebulizer anosarudzwa kuti hurongwa mumhuri kushandiswa, nani kupa zvinodiwa kuti compressor uye naMashi mushonga waanoita zvokufema. Chechipiri vakasarudzwa chokuratidza ndiyo nechiidzo akadai residual chitsama zvinodhaka mhinduro. Pamberi kushandisa nebulizer, zvose zvachose metered dose zvinodhaka, asi kwete mano ose vanokwanisa kutendeutsa mvura ive pfapfaidzo zvakazara. Kazhinji, Mudzimba ultrasonic uye compressor nebulizers chikamu mishonga, kunyange pashure inhalation. The chitsva pajira riya mano havasi matambudziko akadaro, saka dzinonzi inonyatsobudirira mushonga waanoita zvokufema ano. mumwe nebulizer sokuti chakanakisisa uye hazvina zvakafanira Zvisinei funga dzimwe pfungwa, uye ine chinokosha drawback - kwemitengo.

An nzira iri compression inhaler, riri substantially isingadhuri uye mabasa uye unhu rokutendeutsa mura mushonga chete zvishoma akaderera. Asi iyi, kusarudza mano kuti inhalation zvinokosha kusvika rinokosha, anoteerera mhando nebuliser. In Namano convection (co-richidzidzwa) inokwana 65-70% anoshanda somushonga aerosol kurasika mumhepo uye kwete kusvika kwauri kuenda. Kana kushandiswa michina nebulizer mukamuri, kusashanda nokuda inhalation, zvinodhaka kurasikirwa chete 10%.

Izvo mugadziri mushonga waanoita zvokufema anofanira kuvimbwa?

Nebulizers kare inoshandiswa mukurapa ano, vagadziri vakawanda kare akakwanisa kuwana kuremekedzwa vatengi. Imwe kambani kwakadaro, mubasa kugadzirwa zvokurapa zvokushandisa, kusanganisira mushonga waanoita zvokufema, ndiye "Omron". Kuwedzera kuvimbika, rikaratidzwa kwemakore, mugadziri ichi mano vanoonekwa ne okuwedzera zvinhu zvakawedzera nyaradzo. Somuenzaniso, imwe nebulizer, "Omron" ane yakaderera ruzha pamwero, izvo zvinoita kuti fema kunyange vachangoberekwa. Uyezve, vanenge vose yemashoko muchiso uyu zviduku, saka havana nyore kuchengeta pamba. With Panyaya kuwanda mishonga ingashandiswa uchishandisa nebulizer "Omron", zviri rakafara zvakakwana, ndiro imwe mukana mudziyo hombe.

Imwe kambani ane inhalation mano vari kucherechedza, ndiye kambani "Microlife". Products pefiyumu ichi rinoshandiswa zvikuru mukurumbira makiriniki muEurope, uye pamisi ichangobva kupfuura iripo uye dzedu vatengi. Zvisinei, munguva pfupi kubatsira nebulizer "Microlife", akakwanisa kuwana ruremekedzo uye anoonga kugamuchira dzinovaka. Compact, nyore kushandisa uye inobudirira mushonga waanoita zvokufema kuti mugadziri ichi nhasi riri kumusoro kudiwa. Zvisinei, kunze unhu uye mamwe mamiriro zvakawedzera kunyaradzwa izvi vagadziri maviri yezvokurapa midziyo rinobatanidza mumwe mukana - mukana wekuti mutengo. Mhuri dzakawanda vakaziva kuti kutenga mudziyo uyu, vari yekudyidzana kuponesa mhuri bhajeti. Nekuti kazhinji asingakwanisi kumisa tanga zvirwere zvakawanda. Kudiwa kutenga mishonga dzinodhura kungorega nokupera.