Kubantu abaningi asebekhulile kuneminyaka engu-2 abanezimpawu ezilula kuya kwezimaphakathi, i-inhaler esetshenziswe kahle ne-spacer iletha i-albuterol njengoba kwenza ne-nebulizer. Isinqumo sokuthi i-albuterol inhaler vs nebulizer siphakathi kokulethwa, hhayi amandla. I-nebulizer yenza indawo yayo lapho ubudala, ubuchwepheshe, noma ukuntula umoya kwenza i-inhaler ephathwayo ingathembeki.

TL;DR: Izinto Ezibalulekile

  • Zombili izinto zikhipha imithi efanayo. Indlela yokulethwa kuphela ehlukile.
  • Kubantu abaningi abaneminyaka engu-2 nangaphezulu, i-inhaler nge-spacer ihambisana ne-nebulizer ngemiphumela.
  • Izinkambiso zobudala: isisombululo se-nebulizer kusukela eminyakeni engu-2, ama-inhaler aerosol kusukela eminyakeni engu-4, ama-inhaler empuphu eyomile kusukela eminyakeni engu-12.
  • Ngaphambi kokuba uphethe ngokuthi i-inhaler yehlulekile, engeza i-spacer bese ubukwa ubuchwepheshe bakho.
  • Izindebe eziluhlaza noma ezimpunga, ukuntula umoya uphumule, noma ukungatholi usizo ngemuva komthamo kusho ukunakekelwa okuphuthumayo, kungakhathaliseki ukuthi yini oyihambayo.

I-Albuterol inhaler neqelana ne-nebulizer: umuthi ofanayo, uhanjiswe ngezindlela ezimbili ezihlukene

I-Albuterol inhaler neqelana ne-nebulizer iveza iqiniso elilodwa: kubantu abaningi asebekhulile kuneminyaka engu-2 abanezimpawu ezilula kuya kwezimaphakathi, i-inhaler enomthamo ophucuziwe esetshenziswe kahle, ngokufanele ne-spacer, iletha i-albuterol njengoba i-nebulizer. Inzuzo yangempela ye-nebulizer akuyona amandla. Ukuthi umshini akudingi lutho kuwe ngaphandle kokuphefumula njengokujwayelekile ngenkathi usebenza.

I-Albuterol iyimithi yokusindisa, ebizwa nangokuthi i-reliever. Iphumula imisipha ezungeze imigudu yakho yokuphefumula ngezikhathi zezimpawu. Imithi esesikhwameni kanye nemithi esesikhwameni sepulasitiki kuyimolekyuli efanayo kumandla kadokotela. Ukupakisha kuphela okuguqukayo.

Umthamo ukukhombisa lokho. I-i-FDA egunyazwe i-ProAir HFA label ichaza imithamo emibili njalo emahoreni amane kuya kwayisithupha kubantu abadala kanye nezingane ezineminyaka engu-4 nangaphezulu, kanti i-MedlinePlus ichaza isisombululo se-nebulizer njengokusetshenziswa izikhathi ezintathu kuya kwezine ngosuku njengoba kudingeka.

Umehluko ongokoqobo yisikhathi nomzamo. Imithamo emibili ye-albuterol rescue inhaler ithatha ngaphansi komzuzu, ayidingi umthombo, futhi ayishiyi lutho lokugeza. Ukuphathwa kwe-nebulizer kusho ukulayisha umthamo, ukuhlala uzolile nomshini usebenza, nokuhlanza imaski nenkomishi ngemuva kwalokho. Lolo mehluko ubaluleke kakhulu empilweni yansuku zonke kunemithi ngokwayo, okufanele kugcinwe engqondweni lapho ulawula izimpawu zokuphefumula futhi uthola ukugcwaliswa kwama-inhaler online.

I-nebulizer ayiyona imithi eqinile, ingumsebenzi wokubhekana nobuchwepheshe

Ukuqhathaniswa kwe-nebulizer ne-inhaler kwe-asthma kuvame ukwenziwa njengobudlelwane bezikhali ezinkulu neyokusebenzisa ephaketheni, futhi izivivinyo azisekeli lokho. I-meta-analysis yemidlalweni engu-39 elawulwa ngezibalo ehlanganisa izingane ezingu-1,897 nabantu abadala abangu-729 ayizange ithole umehluko ezingeni lokungeniswa ezibhedlela ngenxa yokugula okubukhali phakathi kwabantu abelashwa nge-inhaler nge-spacer nabantu abelashwa nge-nebulizer.

Izingane zazibonakala zibheke kwi-inhaler. Izinga lokudlidliza nokwanda kokushaya kwenhliziyo kwakuncane kakhulu nge-inhaler ne-spacer, futhi lezo zingane zichithe cishe imizuzu engu-30 ngaphansi esigcawini sezimo eziphuthumayo. Ukubuyekezwa okufanayo kusekela ukukhetha i-spacer kunokuba i-nebulizer kubantu abaneminyaka engu-2 nangaphezulu abanezinkinga ezilula kuya kwezimaphakathi.

Nansi into iningi lamakhasi elingeke likutshele yona: le midlalo yasetshenziswa ezindaweni ezingaphansi kokugadwa, lapho umuntu okhokhelwa khona ebheka i-inhaler ingena emlonyeni. Ukufana kuxhomeke emthamo ofika emaphashini. Lokho, hhayi ukuthi yimuphi umshini ozwakala njengemithi yangempela, yikho okubalulekile.

Ngaphambi kokuba uphethe ngokuthi i-inhaler yehlulekile, engeza i-spacer

Ukufunda ukuthi ungasebenzisa kanjani i-albuterol inhaler ne-spacer kuyinqamuzana elishibhile etholakalayo, futhi kufanele kube khona ngaphambi kwanoma yisiphi isinqumo sokushintshela emshinini. I-spacer iyimishini yepulasitiki ehlezi phakathi kwe-inhaler nomlomo wakho. Iyisusa isinyathelo sokudidiyela isandla nokuphefumula, okuyisinyathelo esenza i-inhaler eyodwa yehluleke.

Landela imiyalelo eza nenkomishana yakho, ngoba izimfene ziyahlukahluka. Umjikelezo ojwayelekile ubukeka kanje:

  • Shake i-inhaler, bese udubula umthamo owodwa emshinini ngesikhathi. Ungalokothi ulayishe ezimbili.
  • Vala izindebe zakho ezungeze umlomo, noma vala imaski ebusweni ngaphandle kwesikhala emgodini noma emhlathini.
  • Phephetha kancane nangokujulile, bese ubamba ukuphefumula kwakho cishe imizuzwana engu-10 uma ukwazi.
  • Izingane ezincane nanoma ubani osebenzisa imaski uphefumula izikhathi ezinhlanu noma eziyisithupha njengokujwayelekile ngomthamo ngamunye.
  • Linda, uphinde ushake, bese uphinda okomthamo wesibili.

Ezinye izinkomba zokuthi ubuchwepheshe yibo obuyinkinga kunomshini: unokunambitheka kwemithi, uyizwe yehla emhlathini wakho noma engxenyeni engemuva yomphimbo wakho, ukhala, noma i-spacer ikhala, okusho ukuthi uphefumule kakhulu. Cela umeluleki noma usokhemisi ukuba akubuke wena noma umntanakho ukuba ubame. Ungadumazi ukwehluleka komshini usekhaya.

Ubudala yisizathu esicacile kunazo zonke sokuba ne-nebulizer, ukubaluleka akuvamile

I-albuterol rescue inhaler ayimvumeleki kuwo wonke iminyaka, futhi yilapho umbuzo womshini unempendulo enzima khona. I-MedlinePlus ithi isisombululo se-nebulizer sivunyelwe kubantu abadala nezingane ezincane njengeminyaka engu-2, ama-inhaler aerosol kusukela eminyakeni engu-4, nama-inhaler empuphu eyomile kuphela kusukela eminyakeni engu-12.

Ngaphansi kwezinkambiso, umshini akuyona okhethwayo. Izinsana nezingane ezincane kakhulu zivame ukudinga i-nebulizer, noma i-inhaler ne-spacer nemaski yobuso eboshwe ngokuqinile, ngoba azikwazi ukuhambisa umshini ophathwayo. Kufundweni olulodwa olushiwo ku-ukubuyekezwa kwe-2023 kobuchwepheshe bokuphefumula, kuphela u-37% wezinsana ezincane ezingakwazi ukukhiqiza ingcindezi eyanele yokuvula i-valve ye-spacer zodwa.

Izingane ziyathuthuka kusuka kumaski kuya kumlomo lapho zingavala izindebe zazo futhi zilalele umyalelo wokuphefumula nokubamba, ngokuvamile ezimweni zesikole. Thatha lokho njengekhono umeluleki wakho aqinisekisa, hhayi njengesikhathi esithile.

Phakathi kwabantu abadala, uhlu oluqotho lwabantu abadinga ngempela ukulethwa komusi lufushane: ukubamba okubuthakathaka noma i-arthritis enzima, ukuphazamiseka kwengqondo, nokuphefumula kakhulu ukuthatha nokubamba umoya onzima. Lokho kokugcina yikho abantu abaningi abahlala ne-COPD abagcina i-nebulizer ekhaya.

Yimuphi umshini ongcono futhi yimuphi umshini ofanelana nempilo yakho kuyimibuzo emibili ehlukene

Ubuze bomsebenzi buqediwe kubantu abaningi abaneminyaka engu-2. Umbuzo wezinto ongokwengqondo awuqedwanga, futhi unempendulo ehlukile ezimpilweni ezahlukene.

I-inhaler incane ephaketheni, isebenza emotweni noma esiteshini, ayidingi amandla, futhi ayidingi ukuhlanza, kodwa ifuna ubuchwepheshe obulungile njalo. I-nebulizer idinga ugesi noma amabhethri, imizuzu embalwa yokuhlala uzolile, nokugeza imaski nemibhobho ngemuva kokusebenzisa ngakunye, kodwa ayidingi lutho kumsebenzisi ngaphandle kokuphefumula okujwayelekile. Kukhona ama-nebulizer anikwe amandla amabhethri futhi angakhokhiswa kabusha abantu abadinga ukulethwa komusi kodwa abahamba, abasebenza kude nasekhaya, noma abahambela kude.

Izindlu eziningi zigcina zombili ngokufanele: i-inhaler njengomshini wokusindisa ohlala uphathwa njalo, i-nebulizer ekhaya wezingane ezincane noma izinsuku ezimbi.

Uma ungaqiniseki ukuthi yini efanelekile, ukuBuka okuPhuthumayo ku-inthanethi kwe-August okungu-R39 kukuxhumanisa nodokotela ogunyaziwe wase-US ongabuyekeza ubuchwepheshe bakho ngekhamera, uxoxe ukuthi yimuphi umshini ofanele isimo sakho, futhi ubhale iresiphi uma ubatshela ukuthi kulungile. Udokotela uyanquma. Ukubukwa ngevidiyo akukwazi ukulalela amaphaphu akho mathupha, akukwazi ukukala ukusebenza kwamaphaphu, futhi akuyona indawo efanele yokuphazamiseka okubucayi.

Nini ukuyeka ukushintsha imishini nokuthola usizo

Ngesikhathi esithile umshini uyayeka ukuba umbuzo. Lezi zindimbane zivela kumiyalo ye-MedlinePlus ngezigameko eziphuthumayo ze-asthma kanye ne-ProAir HFA label.

Shayela ku-911 noma uye egumbini lezimo eziphuthumayo manje uma:

  • Umfutho wakho ophezulu uphansi kuka-50% wezinga lakho elihle kakhulu.
  • Uyaphelelwa umoya kakhulu uphumule, noma uphelelwa umoya kakhulu ukuba usho imisho ephelele.
  • Izindebe, ubuso, noma izinzipho zizacisi ngombala oluhlaza okwesibhakabhaka noma onsundu.
  • Kukhona ukulala kakhulu noma ukudideka, noma ukuphefumula kuyama noma kuyayeka.
  • Awutholi usizo ngemuva kokusebenzisa i-inhaler yakho yokusindisa noma i-nebulizer njengoba ulayiswe.
  • Ukukhwehlela noma ukuphefumula kuyabonakala ngokushesha ngemuva komthamo. I-ProAir HFA label ibiza lokhu ngokuthi i-bronchospasm paradox futhi ikuyala ukuba uyeke imithi ngokushesha futhi ufune ukwelashwa okuhlukile.

I-asthma action plan yakho ebhalwe kufanele ikutshele ukuthi mingaki imithamo okufanele uyithathe nokuthi kufanele ulinde isikhathi esingakanani ngaphambi kokuba uphinde noma uhambise. Sebenzisa izinombolo zeplan yakho, hhayi inombolo esuka ku-inthanethi. Uma ulandela izinyathelo zokusindisa zeplan yakho futhi ungazithuthukisi ngokusobala ngesikhathi esivumela iplan yakho, lokho kuyisignali yakho yokufuna usizo kunokuba ubambelele komunye umshini.

Bhukha ukuvakasha phakathi nesonto elilandelayo uma:

  • Udinga i-albuterol yokusindisa kaningi kunokuba yaliwe, noma ngabe isasebenza. Bobabili i-ProAir label ne-MedlinePlus babheka lokhu njengesibonakaliso sokuthi i-asthma iyashelela.
  • Awunayo i-action plan ebhalwe.
  • Akekho owake wakubuka ubame.
  • Ukugcwaliswa kwakho kuyaphela.

Ezinye izimo zifanelwe ingxoxo ngaphambi kokuba noma yini iguquke.

Khuluma nodokotela ngaphambi kokuba uqale uma:

  • Uyasondela ukuthenga umshini we-nebulizer wedwa.
  • Ucabanga ukushintsha ingane kusuka ku-nebulizer kuya ku-inhaler.
  • Unezinkinga zokushaya kwenhliziyo, umfutho wegazi ophakeme, isifo samathumbu, isifo sikashukela, noma i-potassium ephansi, konke lokhu MedlinePlus iluhlu njengezimo okufanele uzitshele umqeqeshi wakho ngaphambi kokusebenzisa i-albuterol.

Uma ungakhululekile ngempela ukuthi isimo sakho sibucayi kangakanani, isivivinyo samahhala se-August AI Symptom Checker singakusiza ukuba uhlunge ubusuku obubi kusukela ekuphumuleni nokubuka. Kuyi-triage, hhayi imithi, futhi ayithathi indawo yokubiza u-911.

Imibuzo ejwayelekile

Ngabe i-albuterol iyimithi yokusindisa, noma iyimithi yokulawula yansuku zonke?

Yebo, i-albuterol iyimithi yokusindisa. Ivula imigudu yokuphefumula ngemizuzu kodwa ayenzi lutho ngokuqubuka okungaphansi, ngakho-ke ayenzelwe ukuthathwa njalo ukuze kuxenywa. Imithi yokulawula, ngokuvamile ama-corticosteroids aphefumulayo, yenza lowo msebenzi. Ukudinga imithamo yokusindisa ngokuvamile kusho ukuthi uhlangothi lokulawula lweplan yakho ludinga ukubuyekezwa.

Ngidinga iresiphi yomshini we-nebulizer kanye nesisombululo se-albuterol?

Yebo. Isisombululo se-albuterol nebulizer siyimithi yokufakwa kadokotela e-United States, futhi iziqalisi ngokuvamile zihanjiswa njengemishini yezokwelapha eqinile, abahlinzeki nezinkampani zomshwalense bavame ukufuna iresiphi ukuze bakhokhe. Eminye imishini ingathengwa ngqo ngaphandle kokuthola umshwalense. Qinisekisa amaphepha nomgomo wakho noma uhlelo ngaphambi kokucabanga nganoma iyiphi indlela.

Ngabe i-nebulizer ishibhile kunomshini wokugoma unyaka?

Kwesinye isikhathi, kodwa izindleko zakhiwe ngendlela ehlukile kunokuba zibe ngaphezulu noma ngaphansi. I-inhaler iyimithi yokugcwalisa yokuphindaphinda. I-nebulizer ithengwa ngomshini kanye nemibhobho yesisombululo eqhubekayo, futhi umshini nemithi kuvame ukukhokhiswa ngaphansi kwezinhlobo ezahlukene zomshwalense. Yenza kube izindleko zombili ngokumelene nohlu lwakho.

Ngingakwazi ukubamba imaski ye-nebulizer eduze nobuso bomntanakho elele kunokuba uyibophe?

Hhayi ngokuvamile. Ukubamba imaski kude nobuso, kwesinye isikhathi kubizwa ngokuthi ukubuka ngaphandle, kuvumela inkungu ukuba iphume igcwele emoyeni, ngakho-ke umthamo wokulethwa uyancipha ngokungalindeleki. Ingane ekhalayo noma ekhandlekayo iphinde iphefumule kancane. Cela udokotela wakho ukuthi wenzeni lapho umntanakho engakwamukeli imaski kunokuba uzihlelele.

Ngabe i-albuterol isebenza ngendlela efanayo ku-COPD njengoba yenza ku-asthma?

Yebo. I-albuterol iphumuza imisipha yokuphefumula ngendlela efanayo ezimweni zombili futhi isetshenziselwa ukusiza ngokushesha kuzo zombili. Umehluko uhlelo oluzungezile: ukunakekelwa kwe-COPD ngokuvamile kugxila kuma-inhaler esikhathi eside, ne-albuterol njengesekelo. Ingqondo yomshini esihlokweni sethu isasebenza.

Okubaluleke Kakhulu: khetha umshini ongawusebenzisa kahle ngempela

Umshini awuyona imithi. Ukulethwa okulungile kuyikho. Uma umbuzo we-nebulizer ne-inhaler kwe-asthma usazwakala uvulekile, sebenza ngokulandelana: buza ubuchwepheshe bakho kuqala, engeza i-spacer yesibili, futhi uhambele ku-nebulizer kuphela uma umuntu oyisebenzisayo engakwazi ukuphatha i-inhaler kahle noma ehlelwa yisikhathi esingezansi kwesivinini. Lona wonke umsebenzi wesinqumo se-albuterol inhaler neqelana ne-nebulizer ezindlini eziningi. Akukho kulokhu okudlula izibani ezibomvu ezingenhla, okusho ukunakekelwa okuphuthumayo kungakhathaliseki ukuthi yini esekhabetheni lakho lemithi.

Isitatimende: Lesi sihloko siyeyezinjongo zolwazi kuphela futhi asihambisani nezeluleko zezokwelapha. Njalo thintana nomhlinzeki wezempilo oneziqu ukuze uthole izinqumo zokuxilonga nokwelapha. Uma uhlangabezana nesimo esiphuthumayo sezokwelapha, shayela u-911 noma uye egumbini lezimo eziphuthumayo eliseduze kakhulu ngokushesha.