Chii chinonzi Insulin yeVanhu Inofemwa: Zvayinoshandiswa, Dosages, Migumisiro, nezvimwe

Insulin yevanhu inofemwa iinsulin inokurumidza kuita yaunofema mumapapu ako panzvimbo yekudzora netsono. Yakagadzirirwa kubatsira vanhu vane chirwere cheshuga kudzora mazinga avo eshuga yeropa nenzira iri nyore, kunyanya panguva dzemadyiro.

Mishonga iyi inopa imwe nzira kune avo vanosarudza kusashandisa majekiseni kana vachida kuchinjika mukuita kwavo chirwere cheshuga. Kunyange zvichishanda zvakafanana neinjectable rapid-acting insulin, nzira yekutumira kuburikidza nemapapu ako inoita kuti ive yakasiyana pakati pekurapa chirwere cheshuga.

Chii chinonzi Insulin yeVanhu Inofemwa?

Insulin yevanhu inofemwa imhando yeinsulin yakapfava yaunofemera zvakananga mumapapu ako uchishandisa mudziyo wekufemera wakakosha. Insulin inotorwa kuburikidza nemasaga madiki emhepo mumapapu ako uye inopinda muropa rako kuti ibatsire kudzora mazinga eshuga yeropa.

Rudzi urwu rweinsulin rwakafanana neinsulin inogadzirwa nemuviri wako pachisikirwo, asi inogadzirwa murabhoritari uye inogadziriswa kuita poda yakanaka. Poda iyi inowanikwa mumakartridge emadosi ega ega anokodzera mumudziyo wekufemera wakagadzirirwa mishonga iyi.

Mhando inozivikanwa zvakanyanya yeinsulin inofemwa iAfrezza, iyo yakatenderwa neFDA muna 2014. Inomiririra kufambira mberi kukuru mutekinoroji yekuchengeta chirwere cheshuga, ichipa vanhu vane chirwere cheshuga imwe sarudzo kunze kwemajekiseni echinyakare.

Chii chinonzi Insulin yeVanhu Inofemwa Inoshandiswa Kunei?

Insulin yevanhu inofemwa inonyanya kushandiswa kudzora kuwedzera kweshuga yeropa kunoitika mushure memadyiro muvanhu vakuru vane chirwere cheshuga chetype 1 kana type 2. Inoshanda seinsulin yenguva yemadyiro, ichibatsira muviri wako kugadzirisa makabhohaidhireti aunodya.

Kune vanhu vane chirwere cheshuga chetype 1, mushonga uyu unoshanda sechikamu chehurongwa hwakazara hweinsulin pamwe chete neinsulin inotora nguva refu. Pancreas yako haigadziri insulin yega, saka unoda mhando dzese dziri mbiri kuti utevedzere zvinoitwa nepancreas ine hutano pachisikirwo.

Kana uine chirwere cheshuga che mhando 2, chiremba wako angakupa mushonga we insulin inofemwa kana mamwe mishonga asiri kupa kutonga kwakakwana kweshuga yeropa. Inogona kushanda yega kana pamwe chete nemimwe mishonga yechirwere cheshuga, zvichienderana nezvaunoda uye maitiro eshuga yeropa.

Mushonga uyu unobatsira zvikuru vanhu vanowana matambudziko nenguva yekujova kana avo vanowanzova nezviitiko zvishoma zve shuga yeropa nemishonga ye insulin inokurumidza kushanda. Maitiro akasiyana ekutora kuburikidza nemapapu ako dzimwe nguva anogona kupa mhedzisiro inotarisirwa.

Insulin Yemunhu Inofemwa Inoshanda Sei?

Insulin yemumunhu inofemwa inoshanda nekupinda muropa rako kuburikidza nemahomwe madiki emhepo mumapapu ako, kwaanotorwa nekukurumidza. Kana yanga iri muropa rako, inoshanda sema insulin anogadzirwa nemuviri wako, ichibatsira glucose kubva muropa rako ichienda mumasero ako kuti awane simba.

Mushonga uyu unoonekwa se insulin inokurumidza kushanda, asi une nguva yakasiyana zvishoma kana ichienzaniswa ne insulin inojovwa inokurumidza kushanda. Inowanzo kutanga kushanda mukati memaminitsi gumi nemaviri kusvika gumi nemashanu mushure mekuifema, izvo zvakafanana ne insulin inokurumidza kushanda inojovwa.

Zvisinei, insulin inofemwa inowanzoita nguva shoma yekushanda, kazhinji inogara kwemaawa anenge 1.5 kusvika 3 muhurongwa hwako. Izvi zvinoita kuti zvikwanise kufukidza chikafu pasina kukonzera zviitiko zvakareba zve shuga yeropa yakaderera gare gare.

Simba remushonga uyu rinoonekwa se repakati kana richienzaniswa nemamwe marudzi e insulin. Haisina simba semamwe ma insulin akasungwa, asi inoshanda zvakakwana kubata kusimuka kweshuga yeropa mushure mekudya kana ichishandiswa pamadosi akakodzera.

Ndingatora Sei Insulin Yemunhu Inofemwa?

Unofanira kutora insulin yemumunhu inofemwa pakutanga kwechikafu chimwe nechimwe, zvakanaka mukati memaminitsi makumi maviri usati watanga kudya. Nguva iyi inobatsira kuona kuti insulin iripo muhurongwa hwako apo shuga yeropa rako inotanga kukwira kubva muchikafu.

Kuti ushandise mushonga nemazvo, unofanirwa kuisa katiriji rimwe chete muchigadzirwa chako chekufema uye uteedzere nzira yekufema chaiyo inoratidzwa nachiremba wako. Fema zvakadzama nemuchina wekufema, ubatirire kwemasekonzi gumi, wobva waburitsa mweya zvishoma nezvishoma.

Haufaniri kutora mushonga uyu nemvura kana mukaka, asi unofanirwa kudzivisa kudya kana kunwa chero chinhu kunze kwemvura kwemaminitsi gumi usati watora uye mushure meimwe dose. Izvi zvinobatsira kuona kuti mushonga unotorwa nemazvo nemapapu ako.

Usati wadyisa, tarisa shuga yeropa rako kuti ubatsire kuona kana uchida kugadzirisa nguva yako kana kutaurirana nachiremba wako. Chengeta chigadzirwa chako chekufema chakachena uye chengeta makatiriji asina kuvhurwa mufiriji kusvikira wava kuda kuashandisa.

Ndingatora Insulin Yemunhu Inofemwa Kwenguva Yakareba Sei?

Kazhinji uchada kutora insulin yemumunhu inofemwa kwenguva yakareba sezvaunenge uine chirwere cheshuga, sezvo iri mamiriro echronic anoda kurapwa kwenguva refu. Mushonga unova chikamu chetsika yako yezuva nezuva, sekungofanana nemamwe maitiro akakosha ekuchengeta chirwere cheshuga.

Chiremba wako achatarisa nguva dzose mazinga eshuga yeropa rako, basa remapapu, uye manejimendi ese echirwere cheshuga kuti ave nechokwadi chekuti mushonga unoramba uchishanda zvakanaka kwauri. Izvi zvekutarisa zvinowanzoitika mwedzi mitatu kusvika kumatanhatu, kana kakawanda kana zvichidikanwa.

Vamwe vanhu vangangoda kuchinjira kune mamwe marudzi e insulin kana nzira dzekutumira nekufamba kwenguva zvichibva pakuchinja kwehutano hwavo, mararamiro, kana kuti chirwere chavo cheshuga chinodzorwa sei. Chikwata chako chehutano chichashanda newe kuti chigadzirise chero zvichidikanwa.

Usambomira kutora insulin yemumunhu inofemwa kamwe kamwe usina kutanga wataurirana nachiremba wako. Kumisa insulin kamwe kamwe kunogona kukonzera mazinga eshuga yeropa akanyanya kukwirisa uye matambudziko akakomba anoda kutariswa kwekurapa nekukurumidza.

Ndezvipi Zvakaipa Zve Insulin Yemunhu Inofemwa?

Zvikonzero zvinowanzoitika zve insulin yemumhepo yevanhu zvinowanzoita zvinyoro uye zvinodzoreka, kunyangwe zvakakosha kuziva zvekutarisa. Muviri wako ungada mavhiki mashoma kuti ujairire iyi nzira itsva yekupa insulin.

Hezvino zvikonzero zvaungasangana nazvo sezvo muviri wako uchijaira insulin yemumhepo:

• Kukosora, kunobata vanhu vanenge 15-20% uye kazhinji kunovandudzika nekufamba kwenguva
• Kutsamwa kwehuro kana muromo wakaoma, kunyanya mumavhiki mashoma ekutanga
• Shuga yakaderera yeropa (hypoglycemia) kana chiyero chakanyanya kukwirisa kana nguva yekudya isiri iyo
• Kuwedzera uremu zvishoma, izvo zvakajairika nemamwe marapirwo e insulin
• Kutemwa nemusoro kana dzungu, kunyanya pakutanga mushonga

Izvi zvikonzero zvinowanzoitika zvinowanzoita zvishoma sezvo muviri wako uchijaira mushonga. Vanhu vazhinji vanowana kuti kukosora, kana zvikaitika, kwakapfava uye hakukanganisi mabasa ezuva nezuva.

Zvikonzero zvakakomba hazviwanzoitiki asi zvinoda kutariswa kwekurapa nekukurumidza. Hezvino zviratidzo zvekuyambira zvinoda kutarisirwa nekukurumidza:

• Shuga yakaderera yeropa yakakomba nekukanganiswa, kutetereka, kana kurasikirwa nekuziva
• Kukosora kunoramba kuchiwedzera nekufamba kwenguva kana kukanganisa kufema
• Kufema kwemhepo kana kuchema kutsva kana kuwedzera
• Kurwadziwa muchipfuva kana kusungirirwa, kunyanya panguva kana mushure mekuisa
• Maitiro akakomba ekuita allergic ane rash, kuzvimba, kana kuoma kufema

Kana iwe ukasangana nechero zviratidzo izvi zvakakomba, taura nemupi wako wehutano nekukurumidza kana kutsvaga rubatsiro rwekurapa rwekukurumidza. Izvi zviitiko hazviwanzoitiki asi zvinogona kuva zvakakomba kana zvikasiyiwa zvisina kurapwa.

Kune zvakare zvimwe zvisingawanzoitiki asi zvakakosha zvikonzero zvekuziva, kunyanya zvine chekuita nebasa remapapu. Sezvo mushonga uchifemwa, chiremba wako achatarisa hutano hwemapapu ako nguva dzose kuburikidza nemiedzo yekufema.

Matambudziko asingawanzoitiki angasanganisira:

• Kuderera kwebasa remapapu nekufamba kwenguva, ndosaka kuongorora nguva dzose kuchikosha
• Zvirwere zvemapapu kana kuzvimba, kunyangwe izvi zvisingawanzoitiki
• Diabetic ketoacidosis kana zvinodiwa zve insulin zvisingazadzikiswe zvakakwana
• Maitiro akakomba ekugutsikana kune insulin kana zvikamu zve inhaler

Izvi zvisingawanzoitiki zvinoratidza kukosha kwekuongororwa nguva dzose nachiremba wako. Vachabatsira kuona kuti mushonga unoramba uri wakachengeteka uye unoshanda kune mamiriro ako chaiwo.

Ndiani Asingafaniri Kutora Inhaled Human Insulin?

Inhaled human insulin haina kukodzera munhu wese, uye mamwe mamiriro ehutano anoita kuti isachengeteke kana kushanda zvishoma. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akurudzira mushonga uyu.

Haufaniri kushandisa inhaled human insulin kana uine chero zvirwere zvemapapu kana matambudziko ekufema. Mushonga unoda tishu yemumapapu ine hutano kuti ushande nemazvo, uye mamiriro ekufema anogona kukanganisa kunyudzwa kana kuwedzera kufema kwako.

Heano mamiriro makuru anowanzoita kuti vanhu vasashandise inhaled insulin:

• Asthma, kunyangwe kana ichidzoreka zvakanaka, nekuda kwekushanda kwemapapu kusingafungidzike
• Chronic obstructive pulmonary disease (COPD) kana emphysema
• Zvirwere zvemapapu zvinoshanda kana nhoroondo yezvirwere zvekufema zvakawanda
• Kenza yemumapapu kana zvimwe zvirwere zvemapapu zvinokanganisa kufema
• Allergies akakomba kune insulin kana chero zvikamu zve inhaler system

Izvi zvinogona kuita kuti inhaled insulin ive njodzi kana isashande, saka dzimwe nzira dzekutumira insulin dzaizove dzakakodzera kumanejimendi yako echirwere cheshuga.

Mukuwedzera, mamiriro akati wandei uye zvinhu zvehutano zvinoda kungwarira kwakawanda kana kuita kuti inhaled insulin isanyanya kukodzera:

• Kusvuta kana kurega kusvuta nguva pfupi yadarika (mukati memwedzi mitanhatu)
• Kuzvitakura kana kuyamwisa, sezvo ruzivo rwekuchengeteka ruchishoma
• Vana vari pasi pemakore gumi nemasere, sezvo isingabvumirwi kushandiswa nevana
• Kuwanda kwezviitiko zve diabetic ketoacidosis
• Kutadza kutevera mishonga yakaoma

Mupi wako wehutano achakurukura zvinhu izvi newe uye achakubatsira kuona kana insulin inofemwa iri sarudzo yakakodzera chirongwa chako chekugadzirisa chirwere cheshuga.

Mazita eBrand eInhaled Human Insulin

Zita guru rebrand re inhaled human insulin rinowanikwa muUnited States ndeye Afrezza. Mushonga uyu unogadzirwa neMannKind Corporation uye wakabvumirwa neFDA muna 2014.

Afrezza inouya mumasimba akasiyana (4, 8, uye 12 units) mumakartridge ekushandisa kamwe chete anokodzera muchina wekufemera. Muchina wekufemera unogona kushandiswa zvakare, asi uchafanirwa kuutsiva mumasvondo maviri ega ega kana sezvinotaurwa nemupi wako wehutano.

Parizvino, Afrezza ndiyo chete sarudzo ye insulin inofemwa inowanikwa mumusika weU.S. Dzimwe kambani dzakagadzira zvigadzirwa zvakafanana munguva yakapfuura, asi Afrezza inoramba iri iyo chete FDA-yakabvumirwa inhaled insulin therapy.

Inishuwarenzi yako yeAfrezza inogona kusiyana, saka zvakakosha kuti uongorore nemupi wako weinishuwarenzi nezve mari yekubhadhara uye ruzivo rwekuvhara usati watanga mushonga uyu.

Inhaled Human Insulin Alternatives

Kana inhaled human insulin isiri yakakunakira, pane dzimwe sarudzo dze insulin dzinokurumidza kuita dzinogona kupa kutonga kweshuga yeropa kwakafanana. Dzimwe nzira idzi dzese dzinopihwa nejekiseni asi dzinopa kuvimbika uye kwakagadzwa zvakanaka chirwere cheshuga.

Dzimwe nzira dzakajairika dzinosanganisira rapid-acting injectable insulins senge insulin lispro (Humalog), insulin aspart (Novolog), uye insulin glulisine (Apidra). Izvi zvinoshanda zvakafanana ne inhaled insulin asi zvinopihwa kuburikidza netsono diki pasi peganda rako.

Heano ako makuru mamwe sarudzo e insulin yenguva yekudya:

• Insulin lispro (Humalog) - inotanga kushanda mumaminitsi gumi nemashanu, inosvika pakakwirira mumaawa 1-2
• Insulin aspart (Novolog) - nguva yakafanana ne lispro ine kunyudzwa kwakavimbika
• Insulin glulisine (Apidra) - sarudzo inokurumidza kuita, yakanakira zvikafu zvisingafungidzike
• Regular human insulin - inononoka kuita asi sarudzo isingadhuri
• Insulin pumps - inopa kuendeswa kwe insulin nguva dzose ine meal boluses

Imwe neimwe yesarudzo idzi ine zvainobatsira uye inogona kushanda zviri nani kune mararamiro akasiyana uye zvinangwa zvekurapa chirwere cheshuga. Mupi wako wehutano anogona kukubatsira kuwana sarudzo yakanakisa zvichienderana nezvido zvako uye zvaunofarira.

Vamwe vanhu vanobatsirwawo kubva kumishonga yekubatanidza inosanganisira mishonga isiri ye insulin pamwe chete ne insulin yavo yezvokudya. Izvi zvinogona kusanganisira metformin, GLP-1 agonists, kana mamwe mishonga yechirwere cheshuga inoshanda nenzira dzakasiyana.

Ko Inhaled Human Insulin iri nani pane Injectable Rapid-Acting Insulin?

Kana inhaled human insulin iri nani pane injectable options zvinoenderana nezvido zvako, zvaunofarira, uye mamiriro ako ehutano. Mhando mbiri dze insulin dzinoshanda pakudzora post-meal blood sugar spikes kana dzichishandiswa nemazvo.

Inhaled insulin inopa zvimwe zvakanakira zvakasiyana izvo vanhu vazhinji vanowana vachifadza. Haufaniri kubata nenyaya dzetsono, izvo zvinogona kubatsira kana uine phobia yetsono kana matambudziko ekudzivirira jekiseni.

Heano mabhenefiti makuru e inhaled insulin achienzaniswa nemajekiseni:

• Hapana tsono inodiwa, zvichiita kuti zvive nyore kune vanhu vane tsono-phobic
• Kukurumidza kutanga kwechiito kune vamwe vanhu, nemhedzisiro inotanga mukati memaminitsi gumi nemaviri-15
• Nguva shoma yekuita, zvichideredza shuga yeropa yakaderera
• Zvakanyanya nyore kune mamiriro ekugarisana apo majekiseni anganzwa achinyadzisa
• Hapana jekiseni rekuisa rinodiwa, kudzivirira lipodystrophy concerns

Asi, ma insulin anokurumidza kushanda anoiswa mumuviri ane zvakanakira zvawo zvinoita kuti ave akanaka kune vanhu vazhinji vane chirwere cheshuga.

Ma insulin anoiswa mumuviri anopa mabhenefiti aya pamusoro pezvinofemwa:

• Kushanduka kwakawanda kwekushandisa nemagadzirirwo chaiwo eyuniti
• Nhoroondo refu yekuchengeteka nekushanda zvakanaka
• Kazhinji mutengo wakaderera uye kuvharwa kwakanaka kweinishuwarenzi
• Inokodzera vanhu vane chero mamiriro emapapu kana nhoroondo yekusvuta
• Inogona kushandiswa mumapoka ese ezera, kusanganisira vana

Sarudzo pakati peinsulin inofemwa uye inoiswa mumuviri inowanzouya pasi pehupenyu hwako, mamiriro ehutano, uye zvaunofarira. Mupi wako wehutano anogona kukubatsira kuyera izvi uye kuita sarudzo yakanakisa yekutarisira chirwere chako cheshuga.

Mibvunzo Inowanzo Bvunzwa Nezve Insulin Yemunhu Inofemwa

Ko Insulin Yemunhu Inofemwa Yakachengeteka Kune Vanhu Vane Asthma Yakareruka?

Insulin yemumuviri inofemwa kazhinji haikurudzirwi kune vanhu vane chero rudzi rweasthma, kunyangwe iri nyoro kana kudzora zvakanaka. Asthma inokonzera shanduko dzisingatarisirwi mukushanda kwemapapu izvo zvinogona kukanganisa kuti insulin inotorwa sei.

Kunyange asthma yakareruka inogona kuparara zvisingatarisirwi, izvo zvinogona kuita kuti kutora kwako insulin kusagadzikane uye kutungamira kumazinga eshuga yeropa asingatarisirwi. Chiremba wako anogona kukurudzira sarudzo dzeinsulin dzinoiswa mumuviri dzisingatsamiri pakushanda kwemapapu kuti dzitorwe.

Kana uine asthma yakareruka, inodzorwa zvakanaka uye unofarira insulin inofemwa, chiremba wako angaiisa mupfungwa nekutarisa zvakanyanya. Zvisinei, izvi zvinoda bvunzo dzakawanda dzemabasa emapapu uye kuongorora kwepedyo kweshuga yeropa kuti uve nechokwadi chekuchengeteka kwako.

Ndoita Sei Kana Ndikashandisa Zvakanyanya Insulin Yemunhu Inofemwa Netsaona?

Kana netsaona ukafemera insulin yakawanda, chinhu chakakosha ndechokuzviongorora zvakanyanya kuti uone zviratidzo zve shuga yeropa yakaderera uye kuita nekukurumidza. Insulin yakawanda inogona kukonzera kuti shuga yako yeropa idonhe zvakanyanya.

Kutanga, tarisa shuga yako yeropa nekukasira kana zvichibvira. Kana iri pasi pe 70 mg/dL kana uri kusangana nezviratidzo zvakaita sekudedera, kutukirwa, kuvhiringidzika, kana dzungu, kurapa shuga yakaderera yeropa nekukasira nemakabhohaidhireti anokurumidza kushanda.

Idya 15-20 magiramu emakabhohaidhireti anokurumidza kushanda akadai semahwendefa eglucose, muto wemichero, kana soda yakajairika. Mirira maminitsi gumi nemashanu, wobva wadzokorora kuyera shuga yako yeropa. Kana ichiri yakaderera, dzokorora kurapwa uye taura nemupi wako wehutano kana kutsvaga rubatsiro rwekukurumidzira kana zviratidzo zvawedzera.

Kunyange kana uchinzwa zvakanaka pakutanga, ramba uchitarisa shuga yako yeropa maminitsi makumi matatu ega ega kwemaawa mashoma anotevera. Mhedzisiro ye insulin yakawandisa inogona kugara maawa akati wandei, saka gara wakangwarira zviratidzo zvakazara zve shuga yakaderera yeropa.

Ndingaita Sei Kana Ndikakanganwa Dose yeInhaled Human Insulin?

Kana ukakanganwa kutora insulin yako yakafemwa usati wadyisa, unogona kuitora chero bedzi uri mukati memaminitsi makumi maviri ekutanga ekudya. Insulin ichiri kubatsira kudzora kukwira kweshuga yeropa kubva mukudya kwako.

Zvisinei, kana wapedza kudya kana zvapfuura maminitsi makumi maviri kubva pawakatanga kudya kwako, zviri nani kusvetuka dose iyoyo. Kutora insulin nguva refu mushure mekudya kunogona kukonzera shuga yakaderera yeropa gare gare apo insulin ichiri kushanda asi chikafu chako chisisina kugayiwa.

Tarisa shuga yako yeropa kakawanda zuva rese kana ukakanganwa dose. Shuga yako yeropa inogona kukwira kupfuura zvakajairika mushure mekudya kwawakakanganwa, asi inofanira kudzoka kune zvakajairika nekudya kwako kunotevera.

Usawedzere dose yako inotevera kuti ugadzirise iyo yakakanganwa. Ingoenderera mberi nehurongwa hwako hwenguva dzose uye taura nemupi wako wehutano kana uchinetseka nezvekuti kukanganwa dose kwakakanganisa sei kudzora shuga yako yeropa.

Ndingamira Rini Kutora Inhaled Human Insulin?

Haufaniri kumbomira kutora insulin yemunhu inofemwa usati watanga kukurukura nachiremba wako. Kumisa insulin kamwe kamwe kunogona kukonzera mazinga eshuga yeropa akanyanya uye matambudziko akakomba se diabetic ketoacidosis.

Kana uine chirwere cheshuga che rudzi rwe 1, uchada imwe mhando ye insulin yehupenyu hwese nekuti pancreas yako haigadziri insulin yega. Unogona kuchinjira kumhando dzakasiyana dze insulin kana nzira dzekuendesa, asi iwe uchagara uchida insulin replacement therapy.

Kune vanhu vane chirwere cheshuga che rudzi rwe 2, panogona kuve nemamiriro ezvinhu apo iwe unogona kuderedza kana kuchinja insulin yako regimen. Izvi zvinogona kuitika kana iwe ukaderedza uremu hwakawanda, kuita shanduko huru dzemararamiro, kana chiremba wako akawedzera mamwe mishonga inovandudza kutonga kweshuga yeropa rako.

Chero shanduko kune yako insulin regimen inofanirwa kuitwa zvishoma nezvishoma uye pasi pekutariswa kwechiremba. Mupi wako wehutano achatarisa mazinga eshuga yeropa rako uye hutano hwese kuti ave nechokwadi chekuti chero shanduko dzakachengeteka uye dzinoshanda.

Ndingafamba neInhaled Human Insulin here?

Hongu, unogona kufamba ne inhaled human insulin, asi zvinoda kuronga kuti uve nechokwadi chekuti mushonga wako unogara uchishanda uye uchisvikika. Makatuni e insulin anofanirwa kuchengetwa pakushisa kwakakodzera uye uchada kuunza zvinhu zvekuchengetera.

Paunenge uchibhururuka, takura insulin yako inofemwa mubhegi rako rekutakura panzvimbo yemutoro wakaongororwa. Kupisa kwakanyanya mumakomba emutoro kunogona kukuvadza mushonga. Uya netsamba kubva kuna chiremba wako ichitsanangura kudiwa kwako mushonga uye inhaler device.

Paka makatuni ekuwedzera uye backup inhaler device kana paine kurasikirwa kana kukuvadzwa panguva yekufamba. Chengeta makatuni asina kuvhurwa achitonhodzwa kana zvichibvira, asi anogona kugara pakupisa kwemumba kwenguva pfupi pasina kurasikirwa nekushanda.

Kana muchienda kunzvimbo dzine nguva dzakasiyana, shandai nachiremba wenyu vasati vaenda rwendo rwenyu kuti mugadzirise nguva yekutora mishonga yenyu. Izvi zvinobatsira kuona kuti munochengeta huwandu hwakanaka hweshuga yeropa pasinei nekuchinja kwenguva yekudya uye nguva dzekurara.