Fahimtar Asthma Yara
Masu haɗarin asthma hanya ne mai dacewa don samun magungunan ashu zuwa ƙwayar jaririn. Duk da yake mai yiwuwa nebulizer yayi amfani da shi, iyaye da yara da yawa ba sa son tsawon lokacin da suke ɗauka don magance asibiti.
Turarrun ƙwararru
Abin baƙin ciki, yayin da ya dace, dole ne a yi amfani da masu hawan ƙwayar ƙwayar ƙwayoyi yadda ya kamata, yana buƙatar matakai masu yawa, idan sun kasance masu tasiri.
Hakanan za'a iya sauƙaƙe ta hada haɗin mai kwakwalwa tare da mai sakawa ko kuma mai sakawa tare da masoya, amma mai amfani da spacer dole ne a yi amfani da shi daidai.
Kila ba za ku iya samun damar yin amfani da inhaler ƙwararru ba, ko da yake, kamar yadda wasu magungunan asiri suka samo a matsayin mai sihiri. Alal misali, yayin da akwai siffofin albuterol , levalbuterol (Xopenex), da Pulmicort (budesonide), mafi yawan magunguna don magance magungunan fuka ne kawai suna zama a matsayin masu haɗuwa.
Nau'in Harkokin Harshen Asthma
Akwai manyan magunguna guda biyu na masu tayar da fuka, ciki har da masu ƙaddamar da ƙwararrun magunguna (MDI) waɗanda mutane da yawa suka saba da, da kuma sabon mai cutarwa mai shayarwa (DPI). Bugu da ƙari, yawancin mutane suna tunanin cewa ƙwayoyin masu shayarwa sun fi sauki don amfani saboda sune numfashi (maganin ba zai fito ba har sai kun dauki numfashi), yayin da masu haɗari masu haɗari suka buƙatar mai amfani don hadewa da yin zurfin numfashi ta hanyar kunna inhaler.
- masu ƙwayar cuta (CFC) - masu haɗaka da chlorofluorocarbons an kawar da su saboda damuwa da muhalli
- masu ƙwayar cuta (HFA) - wanda ya zama sabon kamfanonin CFC-free hydro fluoroalkene.
- Masu hawan motsi da aka yi amfani da numfashi (HFA) - mafi tsada fiye da sauran MDIs
- Yanke masu shayar da ƙwayar wuta - yawanci ba za a iya amfani dashi ba har sai yara sun kai kimanin shekaru 5 zuwa 6 kuma zasu iya yin zurfi, mai karfi. Yara yara sukan yi kokari su busawa a cikin mahaukaci, maimakon numfashi.
Lokacin yin amfani da mai kwaskwarimar busassun bushe, yara da yawa suna yin kuskuren:
- matsar da mai ɓatarwa ba daidai ba
- manta manta don exhale gaba daya kafin amfani da inhaler
- ba shan zurfi, mai karfi ba
- ba rike su numfashi ba game da 10 seconds
- manta manta don numfasawa sannu a hankali bayan haka
Hakika, yana da kuskure don yin kuskure tare da masu haɗaka da ƙwayoyi mai mahimmanci, ma. Hanyar kuskure shine ga yara su manta da yin jinkiri, zurfin haushi, numfashi a cikin sauri.
Inhalers tare da Spacers
Ko da yake yaro zai iya yin amfani da inhaler-dose inhaler sau ɗaya a game da 6 years, zai iya zama mai kyau ra'ayin yin amfani da spacer don tabbatar da cewa yana samun cikakken kashi zuwa ga huhu.
Tsakanin wani ƙananan na'ura ne wanda za'a iya haɗuwa da wani mai yin amfani da shi kuma zai iya hada da maso na jarirai, masu jariri, da masu kula da kwarewa waɗanda ke da shekaru 4 ko ƙananan. Sun haɗa da ɗakin ɗakin da ke kula da maganin a cikin wuri har sai yaro ya dauki numfashi don haka ba ya buƙatar daidaitawa ya dauki numfashi tare da kunna mai yin amfani da shi.
Ma'aikata Harshen Asthma Inhalers
Masu haɗarin fuka-fuka sun hada da beta-agonists da za su iya ba da taimako mai sauƙi lokacin da jaririnka ke samun ciwon fuka-fuka:
- ProAir HFA (albuterol inhaler)
- HFA (Proposil HFA) (albuterol inhaler)
- Ventolin HFA (albuterol inhaler)
- Ventolin HFA 60 (albuterol inhaler)
- Hopinx HFA (levalbuterol inhaler)
- ProAir RespicClick (albuterol inhaler) - furotin inhalation
Wadannan masu kashewa masu ceto suna yawanci ne kawai a amfani dasu amma ba kowace rana ba. Yi magana da likitancinka idan yaro ya kamata ya yi amfani da magungunan asibiti mai sauƙi fiye da sau biyu a mako.
Maxair AutoHaler (pirbuterol inhaler), an cire MDI mai kwakwalwa daga kasuwa a shekarar 2013 domin suna dauke da CFCs.
Masu Harkokin Harshen Tsira na Harshen Tsira
Magunguna masu ciwo da ƙwayoyin cuta masu ciwo da ƙwayar cuta sune ainihin magungunan ƙwayar fuka .
Sabanin masu tayar da ceto, wanda zai iya ba da taimako mai sauri don bayyanar cututtukan fuka, masu amfani da steroid suna amfani dasu kullum don taimakawa ya hana yaro daga bayyanar cututtukan fuka.
Kodayake yana iya zama kamar masu ciwon sukari, dukkansu, nauyin ƙwayar miyagun ƙwayoyi na iya rinjayar yadda ake tunawa. Gaba ɗaya, waɗanda suke da ƙananan ƙwayar ƙwayoyin jiki, kamar Aerobid, Alvesco, da Qvar, ana kamata su ajiye mafi kyau a cikin huhu.
Zai yiwu mafi mahimmanci fiye da nauyin barbashi shine kawai samun samfurin steroid kuma yin amfani dashi daidai kowace rana:
- Aerobid (flunisolide) - MDI da aka yarda da ita ga yara waɗanda akalla 6
- Alvesco (ciclesonide) - wani MDI wanda aka yarda da yaran da ke akalla 12
- Asmanex Twisthaler (mometasone) - DPI da aka yarda ga yara waɗanda akalla 12
- Diskus Flovent (fluticasone) - DPI da aka yarda da yara waɗanda akalla 4
- HFA (flouticasone) Flovent - wani MDI da aka yarda ga yara waɗanda akalla 4
- Pulmicort Flexhaler (budesonide) - DPI da aka yarda ga yara waɗanda akalla 6
- Qvar (beclomethasone) - wani MDI wanda aka yarda da yara wanda akalla 5
Kowace mai sihiri yana samuwa a cikin ƙarfin ƙarfin don taimakawa yarinya yaro a karkashin iko mai kyau. Idan mai rageccen inhaler ba ya aiki, to, tafiya zuwa kashi mafi girma, misali, motsi daga Qvar 40 zuwa Qvar 80.
Ga yara da matsananciyar fuka mai tsanani wanda ba a sarrafa su tare da steroid, wanda mai hadewa wanda ya hade da steroid tare da mai yin bita-agonist mai tsawo zai iya taimakawa. Wadannan masu haɗaka sun hada da:
- Shawarar HAU - (Dandalin Dama + Dama) - wani MDI wanda aka yarda da yara waɗanda akalla 4
- Advair Diskus - hanyar DPI na Advair - yarda ga yara waɗanda suke akalla 4
- Dulera - (Asmanex + Foradil) - wani MDI wanda aka yarda da yaran da ke akalla 12
- Symbicort - (Pulmicort + Foradil) - wani MDI da aka yarda ga yara waɗanda akalla 12
Da zarar injin yaronka yana da kyau a sarrafa shi yayin amfani da haɗuwa mai haɗari, magana da dan jaririn ku gani lokacin da zai iya zama lokaci don sauka zuwa farfadowar yaro don ya yi amfani da magunguna kawai.
Abin da Don Sanu game da Masu Harkokin Harsarin Asthma ga Kids
Mai yiwuwa abu mafi mahimmanci ya san game da ƙwaƙwalwar ƙwayar ƙwayar jariri shine ya kamata ka ci gaba da yin amfani da su har sai dan jaririn ka gaya maka ka dakatar da su. Tsarin aikin tarin fuka zai iya taimakawa wajen tabbatar da sanin lokacin da za ku yi amfani da ƙwaƙwalwar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayarku da kuma biyan bukatun yau da kullum.
- Sauko da ƙwararrun ƙwararrun mahaifa tare da ku idan kun ga dan jaririn ku san abin da yaronku ke dauka da kuma yadda yaronku zai iya nuna yadda ya dace (ko matalauta) dabararsa tare da masu haɗari.
- Masu ƙwaƙwalwar ƙwararraɗi na iya zama tsada kuma biyan kuɗin ku da kuɗin ku ta kamfanin inshora zai iya zama dalilai masu tasirin abin da ɗan jaririn ya amfani. Idan kamfanin inshora ya yi amfani da maganin miyagun ƙwayoyi, yi la'akari da kawo jerin wadanda suka fi sowa ƙwararrun asibiti zuwa ziyararka tare da dan jaririn.
- Bugu da ƙari, kasancewa mai sauƙi da šaukuwa, ta yin amfani da mai kwantar da ƙwayar ƙwayar ƙwayar cuta ya fi sauri fiye da jiyya daga wani nebulizer.
- Ana amfani da masu amfani da fuka-fuka da dama a kan-lakabin (a kan jagororin da aka ba da shawarar) a cikin yara waɗanda suka fi girma fiye da shekarun da suka amince da su.
Yi magana da likitancin ku idan baza ku iya biyan ƙwayar magungunan asiri ba. Kwararrun yara suna da samfurori da takardun shaida don masu tayar da fuka-fuka ko kuma zasu iya taimaka maka tare da shirye-shiryen tallafin takardu da yawancin kamfanonin ƙwayoyi suka bayar.
Sources:
Adkinson: Mutuwar Middleton: Ka'idoji da Ɗabi'a, 7th ed .;
Dolovich MB, Ahrens RC, Hess DR, et al: Zaɓin na'urar da sakamakon sakamakon farfadowa: Bayanan shaidun shaida: Cibiyar Kwalejin Kasuwancin Amirka / Kwararrun Kwararru na Asthma, Allergy, da Immunology. Chest 2005; 127: 335-371.
Haughney, John. Zaɓin na'urorin haɓakawa ga mutanen da ke fama da ciwon sukari: Ilimin da ke yanzu da kuma binciken da aka yi a cikin bincike. Magani na CME, Volume 3, Issue 3, 2010, Shafuka na 125-131.
Lavorini, Federico. Ɗaukaka yin amfani da ƙananan foda a cikin kula da marasa lafiya da ciwon fuka da kuma COPD. Maganin Raunin Cutar, Volume 102, Issue 4, Afrilu 2008, Shafuka 593-604.
NIH. Ka'idojin Harkokin Gudanar da Harkokin Gizon Asthma. Sharuɗɗa don ganewar asali da Gudanar da ƙari. 2007