He aha ka Corticosteroid Inhalation: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO nā lāʻau lapaʻau inhalation corticosteroid he mau lāʻau lapaʻau i kau ʻia e ʻoe e hanu pololei i loko o kou mau māmā e hōʻemi i ka mumū a me ka pehu ʻana i kou mau ala ea. Hana kēia mau steroid i hoʻokomo ʻia ma kou ʻōnaehana hanu, e kōkua ana i ka mālama ʻana i nā kūlana e like me ka maʻi hānō a me ka maʻi pulmonary obstructive maʻi (COPD) me nā hopena ʻaoʻao liʻiliʻi ma mua o nā steroid waha. E noʻonoʻo iā lākou he lāʻau lapaʻau i manaʻo ʻia e hele pololei i kahi āu e pono ai – kou mau māmā.

He aha ka Corticosteroid Inhalation?

ʻO ka inhalation corticosteroid e pili ana i nā lāʻau steroid i hāʻawi pololei ʻia i kou mau māmā ma o ka inhaler a i ʻole nebulizer. He mau mana synthetic kēia o ka cortisol, he hormone i hana maoli ʻia e kou kino e hakakā i ka mumū. Ke hanu ʻoe i kēia mau lāʻau lapaʻau, hana lākou ma kahi o ka pilikia – i kou mau ala ea a me ka ʻiʻo māmā.

ʻO ka nani o nā corticosteroids i hoʻokomo ʻia, ʻo ia ka hāʻawi ʻana i ka lāʻau lapaʻau ma kahi e pono ai. ʻAʻole like me nā steroid waha e pili ana i kou kino holoʻokoʻa, hoʻokomo nā mana i hoʻokomo ʻia i kā lākou mana anti-inflammatory ma kāu ʻōnaehana hanu. ʻO kēia ala i manaʻo ʻia, ʻo ia ka loaʻa ʻana o ka lāʻau lapaʻau maikaʻi me nā hopena ʻaoʻao systemic liʻiliʻi.

ʻO nā corticosteroids i hoʻokomo ʻia e pili ana i ka fluticasone, budesonide, beclomethasone, a me mometasone. Hele mai kēlā me kēia me nā ikaika like ʻole a me nā mea hana hāʻawi, e ʻae ana i kāu kauka e hana i kāu lāʻau lapaʻau e pili ana i kāu mau pono a me nā makemake.

No ke aha e hoʻohana ʻia ai ka Corticosteroid Inhalation?

Hoʻohana nui ʻia nā corticosteroids i hoʻokomo ʻia e kāohi a pale i nā hōʻailona o nā maʻi hanu maʻi. Manaʻo ʻia lākou ke kūlana gula no ka mālama ʻana i ka maʻi hānō lōʻihi a he kuleana koʻikoʻi i ka mālama ʻana i ka COPD. Kōkua kēia mau lāʻau lapaʻau i ka mālama ʻana i kou mau ala ea a me ka liʻiliʻi o ka hana ʻana i nā mea hoʻoulu.

Eia nā maʻi nui e pōmaikaʻi ai mai nā corticosteroids i hoʻokomo ʻia, a ʻo ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e ʻike i ke kumu e ʻōlelo ai kāu kauka i kēia lapaʻau:

• Asthma: Kāohi i nā hōʻeha asthma a hoʻemi i nā hōʻailona i kēlā me kēia lā e like me ka wheezing a me ka pōkole o ka hanu
• COPD: Kōkua i ka mālama ʻana i ka mumū i ka bronchitis maʻi a me ka emphysema
• Allergic rhinitis: Hoʻemi nā sprays corticosteroid nasal i nā hōʻailona allergy kau a me ka makahiki
• ʻUho maʻi: I kekahi manawa i kuhikuhi ʻia ke kumu o ka ʻuho ma muli o ka mumū o ka ea
• Eosinophilic asthma: He ʻano asthma kūikawā kahi e hoʻoulu ai kekahi mau keʻokeʻo keʻokeʻo i ka mumū

E hoʻoholo kāu kauka inā kūpono nā corticosteroids i hoʻokomo ʻia iā ʻoe e pili ana i kāu mau hōʻailona, ​​ka mōʻaukala olakino, a me ka maikaʻi o nā lāʻau lapaʻau ʻē aʻe. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau no ka mālama lōʻihi ma mua o ka hoʻomaha wikiwiki ʻana i ka wā o ka hōʻeha nui.

Pehea e hana ai ka Corticosteroid Inhalation?

Hana nā corticosteroids i hoʻokomo ʻia ma ka hoʻohālike ʻana i ka pane anti-inflammatory maoli o kou kino, akā hāʻawi lākou i kēia hopena pololei i kou mau ala ea. Ke hoʻokomo ʻoe i ka lāʻau lapaʻau, e noho ana ia ma ka laina o kou mau ala ea a hoʻemi i ka pehu a me ka huhū e paʻakikī ai ka hanu.

Manaʻo ʻia kēia mau lāʻau lapaʻau he mau mea anti-inflammatory ikaika. ʻAʻole lākou i ka ikaika e like me nā steroids waha, akā ʻoi aku ka ikaika ma mua o nā lāʻau anti-inflammatory ma luna o ka counter. ʻO ka pōmaikaʻi nui ʻo ia ka hana kūloko i kou mau māmā me ka hoʻopilikia ʻole ʻana i ke koena o kou kino.

Hana ʻia ka hana anti-inflammatory ma ke kiʻekiʻe cellular i loko o kou mau ala ea. Hoʻemi ka lāʻau lapaʻau i ka hana ʻana o nā kemika inflammatory a hoʻolilo i kou mau ala ea i mea liʻiliʻi i nā mea hoʻoulu e like me nā allergens, ka ea anuanu, a i ʻole ka hoʻoikaika kino. Lawe kēia kaʻina hana i ka manawa – ʻaʻole paha ʻoe e ʻike i nā pōmaikaʻi piha no kekahi mau lā a i ʻole mau pule o ka hoʻohana mau ʻana.

He mea nui e hoʻomaopopo i nā corticosteroids i hoʻokomo ʻia he mau lāʻau hoʻomalu, ʻaʻole nā inhalers hoʻopakele. Hana lākou i ka lohi e pale i nā hōʻailona ma mua o ka hāʻawi ʻana i ka hoʻomaha koke ʻana i ka wā o ka hōʻeha asthma a i ʻole ka pilikia hanu.

Pehea e lawe ai au i ka Corticosteroid Inhalation?

ʻO ka lawe pololei ʻana i kāu inhaled corticosteroid he mea nui ia no ka loaʻa ʻana o ka pōmaikaʻi piha o ka lāʻau lapaʻau. Aia ke ʻano pololei i kāu mea inhaler kikoʻī, akā ʻo ke kumu nui e hoʻokomo i ka lāʻau lapaʻau i loko o kou mau māmā kahi e hana maikaʻi ai.

Eia ke kaʻina hana i kēlā me kēia ʻanuʻu e hana ana no ka hapa nui o nā inhalers, akā e hāʻawi kāu mea mālama ola iā ʻoe i nā ʻōlelo kikoʻī:

1. E hoʻomākaukau i kāu inhaler: Wehe i ka pāpale a lulu inā he inhaler metered-dose
2. E hanu loa i waho: E hakahaka i kou mau māmā ma mua o ka lawe ʻana i ka lāʻau lapaʻau
3. E hana i kahi sila: E kau i kou mau lehelehe a puni ka waha a hana i kahi sila paʻa
4. E hanu mālie a hohonu: E kaomi i lalo ma ka inhaler i ka wā e hanu mālie a hohonu
5. E paʻa i kou hanu: E mālama i ka lāʻau lapaʻau i loko o kou mau māmā no 10 kekona inā hiki
6. E holoi i kou waha: E gargle a kuha i ka wai e pale ai i ka thrush waha

E holoi mau i kou waha ma hope o ka hoʻohana ʻana i kāu inhaler – pale kēia ʻanuʻu maʻalahi i ka hapa nui o nā hopena ʻaoʻao o ka waha a me ka ʻāʻī. ʻAʻole pono ʻoe e lawe i kēia mau lāʻau lapaʻau me ka meaʻai, akā ʻo ka hoʻomau ʻana i ka manawa e kōkua ai i ka mālama ʻana i nā pae paʻa i kāu ʻōnaehana.

Inā ʻoe e hoʻohana ana i kahi mea hoʻokaʻawale me kāu mea hanu, hiki iā ia ke hoʻomaikaʻi nui i ka hāʻawi ʻana i ka lāʻau i kou mau māmā. Nui nā kauka e ʻōlelo aku i nā mea hoʻokaʻawale, ʻoiai no nā keiki a i ʻole kekahi mea i pilikia i ka hoʻohui ʻana i ko lākou hanu me ka mea hanu.

Pehea ka lōʻihi e pono ai au e lawe i ka hanu ʻana i ka Corticosteroid?

ʻO ka lōʻihi o ka mālama ʻana i ka corticosteroid i hanu ʻia e ʻokoʻa loa ma muli o kou kūlana a me ka pane pilikino. No ka maʻi hānō, nui ka poʻe e pono i ka mālama lōʻihi i kēlā me kēia lā e mālama i ka mana maikaʻi, i kekahi manawa no nā makahiki a i ʻole ke ola. He mea hopohopo paha kēia, akā e hoʻomanaʻo i ka maʻi hānō i mālama maikaʻi ʻia he palekana loa ia ma mua o ka maʻi hānō i mālama maikaʻi ʻole ʻia.

E hoʻomaka maʻamau kāu kauka iā ʻoe ma kahi mahele kikoʻī a nānā i kāu pane i nā pule a i nā mahina. Inā hoʻomaikaʻi kou mau hōʻailona a noho maikaʻi, hiki iā lākou ke hōʻemi mālie i kāu mahele e ʻimi i ka nui kūpono haʻahaʻa. ʻO kēia kaʻina hana, i kapa ʻia ʻo step-down therapy, e kōkua i ka hōʻemi ʻana i nā hopena ʻaoʻao i ka wā e mālama ana i ka mana hōʻailona maikaʻi.

No ka COPD, ua kauoha pinepine ʻia nā corticosteroids i hanu ʻia ma ke ʻano he ʻāpana o kahi mea hanu hui me nā bronchodilators lōʻihi. Aia ka lōʻihi o ka mālama ʻana i kāu mau hōʻailona, ​​ka hana o ka māmā, a me ka pinepine o kou ʻike ʻana i nā flare-ups. Hoʻohana kekahi poʻe me ka COPD i kēia mau lāʻau no nā makahiki he nui ma ke ʻano he ʻāpana o kā lākou hoʻolālā hoʻokele holoʻokoʻa.

Mai hooki i ka lawe ʻana i kāu mau corticosteroids i hanu ʻia me ka ʻole e kūkākūkā i kāu kauka, ʻoiai inā ʻoe e manaʻo maikaʻi ana. Hiki i ka hoʻōki koke ʻana ke alakaʻi i ka hoʻi ʻana mai o nā hōʻailona a i ʻole e hoʻonui i kou kūlana. E alakaʻi kāu mea mālama ola iā ʻoe ma nā hoʻemi ʻana i ka mahele a i ʻole nā ​​hoʻololi ʻana i ka mālama ʻana me ka palekana.

He aha nā hopena ʻaoʻao o ka hanu ʻana i ka Corticosteroid?

Ua ʻae maikaʻi ʻia nā corticosteroids i hoʻokomo ʻia, me ka hapa nui o nā hopena ʻaoʻao he maʻalahi a hiki ke mālama ʻia. ʻO ke ala kūloko ke manaʻo nei ʻaʻole ʻoe e ʻike i nā hopena ʻaoʻao koʻikoʻi e pili ana me nā steroids waha. Eia naʻe, he mea nui e ʻike i ka mea e nānā ai i hiki iā ʻoe ke hoʻoponopono i nā pilikia i ka wā mua.

ʻO nā hopena ʻaoʻao maʻamau e kū mai ana i loko o kou waha a me kou ʻāʻī, a hiki ke pale ʻia ka hapa nui me ka ʻenehana kūpono a me ka holoi ʻana i ka waha:

• ʻO ka thrush waha: He maʻi fungal i loko o kou waha e hana ai i nā pā keʻokeʻo
• Leo ʻāʻī: Nā loli leo manawa e hoʻoponopono maʻamau me ka holoi ʻana i ka waha
• ʻEha ʻāʻī: ʻO ka huhū maʻalahi i hiki ke pale ʻia me ka ʻenehana kūpono
• ʻUho: ʻIke kekahi poʻe i ka ʻuho maʻalahi ma hope o ka hoʻohana ʻana i ka inhaler
• Hoʻonāukiuki waha: ʻO ka hōʻoluʻolu manawa a i ʻole ka ʻono i hoʻololi ʻia

ʻO nā hopena ʻaoʻao maʻamau ʻole akā ʻoi aku ka koʻikoʻi e hiki ke hana me ka hoʻohana lōʻihi o nā mea kiʻekiʻe. He mea maʻamau kēia mau hopena systemic akā pono ke nānā ʻia:

• Hoʻolohi i ka ulu ʻana i nā keiki: Kōkua ka nānā mau ʻana i ka hopu ʻana i kēia ma mua
• Nā loli o ka iwi iwi: ʻOi aku ka nui me nā mea kiʻekiʻe loa i nā makahiki he nui
• Hoʻopau adrenal: He mea maʻamau akā hiki me ka hoʻohana ʻana i ka nui o ka lāʻau lōʻihi
• Cataracts a i ʻole glaucoma: He mea maʻamau loa, ʻo ka mea nui me ka mālama ʻana i ka nui o ka lāʻau lōʻihi
• Hoʻonui i ka pilikia o ka maʻi: ʻOi aku ka nui o ka maʻi hanu

ʻO ka hapa nui o nā kānaka e ʻae maikaʻi i nā corticosteroids i hoʻokomo ʻia ke hoʻohana ʻia e like me ke kauoha. ʻOi aku ka maikaʻi o ka asthma a i ʻole COPD i mālama maikaʻi ʻia ma mua o nā pilikia o kēia mau lāʻau no ka hapa nui o nā maʻi.

ʻO wai ka mea ʻaʻole pono e lawe i ka Corticosteroid Inhalation?

He palekana nā corticosteroids i hoʻokomo ʻia no ka hapa nui o nā kānaka, akā pono kekahi mau kūlana i ka mālama keu a i ʻole nā lāʻau lapaʻau ʻē aʻe. E loiloi pono kāu kauka i kāu moʻolelo olakino ma mua o ka kau ʻana i kēia mau lāʻau. ʻO ka hapa nui o nā kūʻē ʻana he pili, ʻaʻole he mea maoli, ʻo ia hoʻi, hiki nō i nā pōmaikaʻi ke ʻoi aku i nā pilikia i kekahi mau hihia.

Pono ʻoe e kūkākūkā i nā koho ʻē aʻe me kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau maʻi, no ka mea, hiki iā lākou ke hoʻopilikia i ka palekana o kāu hoʻohana ʻana i nā corticosteroids i hoʻokomo ʻia:

• Nā maʻi hanu ikaika: Tuberculosis a i ʻole nā maʻi māmā koʻikoʻi ʻē aʻe
• ʻAlekia protein waiū koʻikoʻi: Aia i loko o kekahi mau mea hoʻokomo pauka maloʻo ka lactose
• Nā hopohopo hāpai: ʻOiai he palekana maʻamau, e koho kāu kauka i ke koho palekana loa
• Osteoporosis koʻikoʻi: Pono paha i ka nānā ʻana a i ʻole nā lāʻau lapaʻau ʻē aʻe
• Diabetes: Pono paha ka hoʻoponopono ʻana i ka nānā ʻana i ke kō koko
• Glaucoma a i ʻole cataracts: Lilo nā hoʻokolohua maka maʻamau i mea nui

Hiki i nā keiki ke hoʻohana palekana i nā corticosteroids i hoʻokomo ʻia ma lalo o ka mālama ʻana i ka lāʻau lapaʻau, akā pono lākou i ka nānā ʻana i ka ulu maʻamau. ʻO nā pōmaikaʻi o ka maʻi asthma i mālama maikaʻi ʻia i nā keiki e ʻoi aku ka nui ma mua o ka pilikia liʻiliʻi o ka lohi ʻana o ka ulu ʻana.

Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, mai hooki i kāu corticosteroids i hoʻokomo ʻia me ka ʻole e kamaʻilio mua me kāu kauka. ʻO ka maʻi asthma i mālama ʻole ʻia i ka wā hāpai e hōʻike ana i nā pilikia nui aʻe i ka makuahine a me ka pēpē ma mua o nā steroids i hoʻokomo ʻia i hoʻohana pono ʻia.

Nā inoa inoa o ka Corticosteroid Inhalation

Loaʻa nā inoa inoa like ʻole no nā corticosteroids i hoʻokomo ʻia, kēlā me kēia me nā mea hana hāʻawi like ʻole a me nā formulations. ʻO ka ʻike ʻana i nā inoa inoa hiki ke kōkua iā ʻoe e hoʻomaopopo i kāu kauoha a kamaʻilio maopopo me kāu hui mālama ola e pili ana i kāu lapaʻau.

Eia nā inoa inoa o nā lāʻau lapaʻau inhaled corticosteroid i kauoha pinepine ʻia, i hoʻonohonoho ʻia e kā lākou mea hana:

• Fluticasone: Flovent HFA, Flovent Diskus, ArmonAir
• Budesonide: Pulmicort Flexhaler, Pulmicort Respules
• Beclomethasone: Qvar RediHaler, Qvar HFA
• Mometasone: Asmanex Twisthaler, Asmanex HFA
• Flunisolide: Aerospan HFA
• Ciclesonide: Alvesco

Nui nā kānaka e hoʻohana pū i nā inhalers hui pū i loaʻa nā inhaled corticosteroid a me kahi bronchodilator lōʻihi. ʻO nā inoa hui pū ʻia e pili ana iā Advair, Symbicort, Breo Ellipta, a me Dulera.

Loaʻa nā mana generic no kekahi o kēia mau lāʻau lapaʻau, hiki ke kōkua i ka hoʻemi ʻana i nā kumukūʻai me ka hāʻawi ʻana i nā mea hana like. Hiki i kāu hale kūʻai lāʻau lapaʻau ke kōkua iā ʻoe e hoʻomaopopo i nā koho generic i loaʻa no kāu kauoha kikoʻī.

Nā Koho ʻē aʻe no ka Inhalation Corticosteroid

ʻOiai ʻo nā inhaled corticosteroids ka lāʻau lapaʻau mua no ka maʻi hānō a me ka COPD, aia kekahi mau koho ʻē aʻe no ka poʻe i hiki ʻole ke ʻae iā lākou a i ʻole pono i nā koho lapaʻau hou. Hiki i kāu kauka ke noʻonoʻo i kēia mau koho ʻē aʻe e pili ana i kāu kūlana kikoʻī, nā hōʻailona, ​​a me ka pane ʻana i ka lāʻau lapaʻau.

No ka mālama ʻana i ka maʻi hānō, hiki i kēia mau koho ʻē aʻe ke hana wale a i ʻole i hui pū ʻia me nā inhaled corticosteroids:

• Leukotriene modifiers: Nā lāʻau lapaʻau waha e like me montelukast (Singulair) e ālai i nā ala inflammatory
• Long-acting bronchodilators: Nā lāʻau lapaʻau e mālama i nā ala ea e hāmama ana no 12-24 mau hola
• Theophylline: He lāʻau lapaʻau waha kahiko e wehe i nā ala ea a hoʻemi i ka mumū
• Biologic therapies: Nā lāʻau lapaʻau injectable hou no ka maʻi hānō koʻikoʻi
• Cromolyn sodium: He mea hoʻopaʻa cell mast e pale ai i nā hopena maʻi

No COPD, e nānā nā koho lapaʻau i ka bronchodilation a me ka hōʻemi ʻana i nā exacerbations:

• Nā mea pale muscarinic lōʻihi: Nā lāʻau lapaʻau e like me tiotropium e hoʻomaha ai i nā ʻiʻo o ka ea
• Nā bronchodilators hui pū ʻia: Nā inhalers hana pālua me ka ʻole o nā steroids
• Nā mea pale Phosphodiesterase-4: Nā lāʻau lapaʻau anti-inflammatory waha
• Mucolytics: Nā lāʻau lapaʻau e kōkua i ka lahilahi ʻana o ka mucus

E hana pū kāu kauka me ʻoe e ʻimi i ka hoʻolālā lapaʻau maikaʻi loa, e komo pū ana i hoʻokahi a ʻoi aku paha o kēia mau koho ma kahi o, a i ʻole e hoʻohui ʻia i nā corticosteroids inhaled.

Ua ʻoi aku ka maikaʻi o ka inhalation Corticosteroid ma mua o nā steroids waha?

ʻOi aku ka maikaʻi o nā corticosteroids inhaled ma mua o nā steroids waha no nā maʻi hanu lōʻihi e like me ka asthma a me COPD. ʻO ka pōmaikaʻi nui ʻo ia ka hāʻawi ʻana o nā steroids inhaled i ka lāʻau lapaʻau pololei i kou mau māmā kahi e pono ai, ʻoiai e pili ana nā steroids waha i kou kino holoʻokoʻa a hiki ke hana i nā hopena ʻaoʻao koʻikoʻi.

Ke lawe mau ʻoe i nā steroids waha, hiki iā lākou ke hana i nā hopena ʻaoʻao nui ma kou kino. Aia kēia mau mea i ka loaʻa ʻana o ke kaumaha, nā loli o ke ʻano, ka piʻi ʻana o ka pilikia o ka maʻi, ka lahilahi o ka iwi, ka piʻi ʻana o ke kō koko, a me nā loli i kou helehelena. Hōʻalo nui nā steroids inhaled i kēia mau hopena systemic no ka mea, noho ka hapa nui o ka lāʻau lapaʻau i kou mau māmā.

Eia naʻe, loaʻa i nā steroids waha ko lākou wahi i ka lapaʻau hanu. Pono pinepine lākou no nā hōʻeha asthma koʻikoʻi a i ʻole nā exacerbations COPD ke pono ʻoe i nā hopena anti-inflammatory ikaika a wikiwiki i kou kino. Hiki i kāu kauka ke kuhikuhi i kahi papa pōkole o nā steroids waha i ka wā o ka flare-up i ka wā e hoʻomau ai ʻoe i kāu mau lāʻau lapaʻau inhaled maʻamau.

No ka mālama ʻana i ka maʻi hānō a i ʻole COPD i kēlā me kēia lā, no ka wā lōʻihi, ʻo ka inhaled corticosteroids ka mea i makemake nui ʻia. Hāʻawi lākou i nā hopena anti-inflammatory maikaʻi loa i loko o kou mau ala ea me ka hōʻemi ʻana i ka pilikia o nā hopena ʻaoʻao koʻikoʻi e hele mai me ka hoʻohana ʻana i ka steroid waha no ka wā lōʻihi.

Nā Nīnau i Nīnau pinepine ʻia e pili ana i ka Corticosteroid Inhalation

He palekana anei ka inhalation corticosteroid no ka maʻi diabetes?

ʻAe, palekana ka inhaled corticosteroids no ka poʻe me ka maʻi diabetes, akā pono lākou e nānā pono i ke kō koko. ʻAʻole like me nā steroids waha, hiki ke hoʻonui nui i nā pae glucose koko, he liʻiliʻi nā hopena o nā steroids inhaled i ke kō koko no ka hapa nui o nā kānaka. Eia naʻe, hiki i kekahi poʻe ke ʻike i ka piʻi iki ʻana, ʻoiai ke hoʻomaka lākou i ka lāʻau a i ʻole ka hoʻohana ʻana i nā mea kiʻekiʻe.

Inā loaʻa iā ʻoe ka maʻi diabetes, e hana pū me kāu pulmonologist a me ka endocrinologist e nānā i kāu pae kō koko i ka wā e hoʻomaka ai a i ʻole e hoʻololi i kāu inhaled corticosteroid dose. Hiki i ka hapa nui o ka poʻe me ka maʻi diabetes ke hoʻohana palekana i kēia mau lāʻau me ka ʻole o nā pilikia nui, a ʻoi aku ka maikaʻi o ka maʻi hānō a i ʻole COPD i hoʻomalu maikaʻi ʻia ma mua o nā hopena kō koko liʻiliʻi.

He aha kaʻu e hana ai inā hoʻohana hewa wau i ka nui o ka inhalation corticosteroid?

Inā lawe hewa ʻoe i kahi mahele hou o kāu inhaled corticosteroid, mai hopohopo – ʻaʻole pilikia kēia. E holoi pono i kou waha me ka wai a kuha i waho e hōʻemi i ka pilikia o ka oral thrush. Hiki iā ʻoe ke ʻike i ka huhū waha no ka manawa pōkole a i ʻole ka leo ʻāwīwī iki, akā e hoʻoponopono koke kēia mau hopena.

E kelepona i kāu kauka a i ʻole ka mea kūʻai lāʻau lapaʻau inā hopohopo ʻoe e pili ana i ka overdose a i ʻole ʻoe e ʻike i nā hōʻailona maʻamau. Hiki iā lākou ke hāʻawi i ke alakaʻi kikoʻī e pili ana i kāu lāʻau a me ka nui āu i lawe ai. I ka wā e hiki mai ana, e mālama i kāu mau mahele me ka hoʻohana ʻana i ka diary lāʻau a i ʻole ka polokalamu kelepona e kōkua i ka pale ʻana i ka pālua ʻana.

He aha kaʻu e hana ai inā haʻalele wau i kahi mahele o ka inhalation corticosteroid?

Inā poina iā ʻoe ka lāʻau o kāu inhaled corticosteroid, e lawe koke iā ia ke hoʻomanaʻo ʻoe, ke ʻole kokoke ka manawa no kāu lāʻau i hoʻonohonoho ʻia. I kēlā hihia, e lele i ka lāʻau i poina a hoʻomau me kāu papa maʻamau. Mai lawe i ka lāʻau pālua e pani ai i ka mea i poina.

ʻAʻole e hoʻopilikia koke ka poina ʻana i nā lāʻau i kekahi manawa, akā he mea nui ka hoʻomau ʻana no ka mālama ʻana i ka mana maikaʻi o nā hōʻailona. Inā poina pinepine ʻoe i nā lāʻau, e noʻonoʻo e hoʻonohonoho i nā mea hoʻomanaʻo kelepona, e hoʻohana i ka mea hoʻonohonoho pila, a i ʻole e hoʻopili i ka hoʻohana ʻana i kāu inhaler i nā hana maʻamau i kēlā me kēia lā e like me ka palaki ʻana i kou mau niho. E kamaʻilio me kāu kauka inā pilikia ʻoe i ka hoʻomanaʻo ʻana i kāu papa lāʻau.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka corticosteroid inhalation?

ʻAʻole pono ʻoe e hooki i ka lawe ʻana i kāu inhaled corticosteroid me ka ʻole e kūkākūkā me kāu kauka, ʻoiai inā ʻoe e manaʻo maikaʻi loa. Hana kēia mau lāʻau lapaʻau e pale i nā hōʻailona ma mua o ka mālama ʻana iā lākou, no laila hiki i ka hooki ʻana i ka hopena ke alakaʻi i ka hoʻi ʻana o ka mumū a me ka hōʻino ʻana o kou kūlana.

Na kāu kauka e alakaʻi iā ʻoe ma nā hoʻemi ʻana i ka lāʻau a i ʻole nā ​​hoʻololi ʻana i ka lāʻau lapaʻau e pili ana i kāu mana hōʻailona, ​​nā hoʻokolohua hana māmā, a me ke olakino holoʻokoʻa. Nui ka poʻe me ka maʻi asthma e pono i ka lāʻau lapaʻau lōʻihi, akā hiki i kāu kauka ke hōʻemi mālie i kāu lāʻau inā maikaʻi ka mālama ʻana i kāu mau hōʻailona i ka manawa. Pono kēia kaʻina hana i ka nānā pono ʻana e hōʻoia ʻaʻole e ʻino kou kūlana.

Hiki iaʻu ke hoʻohana i ka corticosteroid inhalation i ka wā hāpai?

ʻAe, ua manaʻo ʻia nā corticosteroids inhaled he palekana i ka wā hāpai a ua ʻōlelo pinepine ʻia no nā wahine hāpai me ka maʻi asthma. He mea nui ka maʻi asthma i mālama maikaʻi ʻia no ke olakino o ka makuahine a me ka fetal, no ka mea, hiki i ka maʻi asthma i mālama ʻole ʻia ke alakaʻi i nā pilikia e like me ka hānau mua ʻana a me ke kaumaha hānau haʻahaʻa.

ʻO Budesonide ka mea i makemake nui ʻia i ka wā e hāpai ai no ka mea he nui ka ʻikepili palekana, akā ua manaʻo ʻia nā steroid i hoʻokomo ʻia he palekana nō hoʻi. E hana pū kāu kauka me ʻoe e ʻimi i ka lāʻau lapaʻau maikaʻi loa me ka haʻahaʻa haʻahaʻa. Mai hooki i kāu mau lāʻau asthma i ka wā e hāpai ai me ka nānā ʻole ʻia e ke kauka – ʻoi aku ka nui o nā pilikia o ka asthma i hoʻomalu ʻole ʻia ma mua o nā pilikia o nā steroid i hoʻokomo ʻia i hoʻohana pono ʻia.