Jagora don Kulawa Don COPD
Lokacin da kake da numfashi na numfashi, daya daga cikin alamun bayyanar COPD , abu na farko wanda za ka iya gudu shi ne mai kwantar da hankali na COPD. Kuma wannan abu ne mai kyau, saboda mai amfani da COPD, lokacin da aka yi amfani da shi daidai, zai iya bude kullun da aka katange, samar da kyautar saurin bayyanar, kuma a wasu lokuta, taimakawa ƙonewa.
Jiyya zai iya zama rikice, duk da haka, yayin da akwai magunguna daban-daban da aka yi amfani da su a cikin masu ƙyama da kuma nau'ikan na'urorin inhalation. Ƙara zuwa cewa gaskiyar cewa wasu magunguna suna da nau'o'in alamun daban-daban kuma wasu masu ƙuƙwalwa sun ƙunshi fiye da ɗaya magani, kuma zaka iya jin kamar kana bukatar digiri a kantin magani don kula da lafiyarka.
Duk da haka, kowace magunguna da aka umurce ku da kuma koda kuka yi amfani da nebulizer ko mai amfani da metered-inhaler, jagora mai zuwa ga masu ƙwaƙwalwar COPD da magunguna za su taimaka wajen yin amfani da COPD kuɗi kaɗan.
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Jerin Magungunan COPD guda dayaIdan kana zaune tare da COPD ko mai kulawa ga wanda ke da COPD, koyon duk abin da zaka iya game da magunguna na COPD na yau da kullum zai iya taimaka maka ka ji daɗin ƙarfin tafiya a tafiya.
Wasu daga cikin wadannan magunguna suna amfani da su ta hanyar masu ƙwaƙwalwa ko masu amfani da su, wasu ana daukar su a siffar kwaya, wasu kuma ana iya ba da su cikin intravenously. Babban magungunan magunguna da aka yi amfani da su a cikin magani sun hada da:
- Magunguna masu guba: Magunguna waɗanda ke magance cututtuka na biyu idan sun zo
- Bronchodilators: Magunguna waɗanda ke dilantar da hanyoyi don inganta iska.
- Corticosteroids: Magunguna wanda rage ƙonawa a cikin iska.
- Phosphodiesterase-4 (PDE4) Masu hanawa: Magunguna waɗanda ke hana kumburi da kuma taimakawa wajen dakatar da tsoka a cikin hanyoyi.
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Binciken Bincike akan BronchodilatorsBronchodilators ne mafi mahimmanci na magani ga COPD kuma yin aiki ta wurin yin hanzarin hanyoyi don bunkasa iska zuwa ga huhu.
Akwai nau'o'i guda uku na masarufi, ciki har da:
- Beta-agonists: Beta-agonists za a iya amfani da su a cikin mai asibiti ko aka ba ta kwamfutar hannu ko IV. Akwai masu aiki da gajeren lokaci da beta-agonists (LABAs). Ayyukan beta-agonists a takaice sun hada da Proventil / Ventolin / ProAir / AccuNeb (albuterol), Xopenex (levalbuterol), Maxair (pirbuterol), da metaproterenol. LABA ya hada da aikin kwaikwayo (formoterol), bambuterol, indacaterol, da Brovana (arformoterol).
- Anticholinergics: Anticholinergics kawai suna samuwa ta hanyar inhalation kuma sun hada da magunguna Atrovent (ipratropium), Spiriva (tiotropium), da aclidinium.
- Methylxanthines: Methylxanthines ba su samuwa a cikin takarda mai shafe.
Ana iya haɗuwa da ƙwararrun magunguna tare da wani magani, irin su a cikin Symbicort wanda ke haɗuwa da beta-agonist mai tsayi da corticosteroid.
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GlucocorticoidsIdan kun kasance tare da COPD na wani ɗan lokaci, kuna iya saba da wasu daga cikin wadata da kaya na glucocorticoids.
Glucocorticoids zai iya rage kumburi, kodayake masu hawan glucocorticoid ba a ba da shawarar ga mutanen dake da COPD ba. Wadannan masu ƙuƙwalwa sun nuna su rage yawan adadin COPD da inganta yanayin rayuwa ga mutanen da ke da COPD mai ci gaba, amma ba sa canza mace-mace. Bugu da ƙari, kaucewa daga waɗannan magunguna na iya haifar da haɗari.
Wancan ya ce, ciwon corticosteroids zai iya taimakawa wadanda ke cikin ci gaba da cutar da kuma matsalolin COPD.
Misalan masu ɓoye a cikin wannan rukuni sun hada da Flovent (fluticasone), Beclovent / Qvar (beclomethasone), Aerobid / Aerospan (flunisolide), da Pulmicort (budesonide).
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Jerin masu haɗaka COPD masu yawaMasu hawan COPD suna sananne ne a kula da COPD. Amma, fahimtar abin da-yake-abin da abin da-ya-abin da wani lokaci zai rikice. Don sauƙaƙe wannan tattaunawa, zaku iya ɗaukar lokaci don ƙarin koyo game da nau'in COPD masu yawan gaske a kasuwa a Amurka.
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Bambanci tsakanin Magunguna masu ƙwaƙwalwa da Wet NebulizersBa wai kawai akwai wasu bambance-bambance a cikin magungunan da za a iya kwantar da su don magance COPD amma akwai bambance-bambance game da yadda za a iya kwashe su.
Shin yafi kyau don karɓar magani ta hanyar yin amfani da ƙwararren ƙwayoyi ko mai ɗaukar hoto?
A tarihin tarihi, an yi tunanin cewa nebulizer yayi aiki fiye da yadda aka yi amfani da shi na metered, amma akwai wasu shaidu da akasin haka. Gaba ɗaya, yakin da aka yi wa masu tayar da hankali da mabulbura har yanzu yana ci gaba.
Akwai tasiri ga duka waɗannan na'urori. Masu bincike masu ƙaddamar da ƙaddara ba su da tsada kuma suna haifar da ƙananan sakamako (irin su tashin hankali). Hakanan zasu iya haifar da cigaba da sauri a cikin saiti na gaggawa. Wannan ya ce, akwai kuskure mafi kuskure tare da ƙwaƙwalwar ƙwararrun ƙwararru kuma yawancin mutanen da aka tsara wadannan na'urori suna amfani da su ba daidai ba. Bugu da ƙari na mai ɗakawa zai iya rage wasu daga cikin wannan kuskure.
Ana yin amfani da maganin nebulization sau da yawa a asibiti da wuri kuma suna da yawa kamar yadda za'a iya ba su ta hanyar mask ko ko da magungunan endotracheal. Suna buƙatar ƙananan daidaito don inganta tasiri.
Wataƙila wasu mutane za su sami na'urar ɗaya ko ɗayan mafi kyau don alamun su na musamman, kuma zai iya sauko ga zaɓi na mutum.
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Yadda za a yi amfani da Matured-Doha InhalerAmfani da meterred dose inhaler (MDI) zai iya tabbatar da ƙalubale fiye da amfani da nebulizer, musamman ma idan ka daidaito ba abin da ya kasance. Duk da haka ko da kuna da kyakkyawar daidaituwa kuma ku bi sharuɗɗan daidai, bazai iya samun cikakken amfanar mai amfani ba. Nazarin bincike sun gano cewa mafi yawan mutane suna amfani da masu ƙyamar su ba daidai ba.
Ko dai kayi kwanan nan an ba da izinin yin amfani da shi ko kuma mai amfani da tsofaffi bayan sun yi amfani da su har tsawon shekaru, ɗauki lokaci don sake nazarin yadda za a yi amfani da mai amfani da kyau sosai .
Lashin Ƙasa akan Magungunan Inhaled don COPD
Magunguna masu shan magani sune mahimmanci ga mutane da yawa tare da COPD. Wadannan magunguna na iya haɗawa da nau'o'in magunguna, corticosteroid, ko haɗuwa na biyu. Akwai kuma bambance-bambance a cikin hanyoyi masu haɓakawa tare da masu tayar da hankali, masu amfani da mabul, da kuma yawancin iri iri ɗaya don zaɓa daga. Samun lokacin da za a koyi game da magunguna naka shine babban mataki na kasancewa ɓangare na kulawar COPD naka.
> Sources:
> DePietro, M., Gilbert, I., Millette, L., da M. Riebe. Yanayin Inhalation Na'ura don Gudanarwa na Kwayar Kwayar Kwayoyin cuta. Medicine Postgraduate . 2018. 130 (1): 83-97.
> Kasper, Dennis L .., Anthony S. Fauci, da Stephen L .. Hauser. Ka'idodin Magungunan Hoto na Harrison. New York: Ilimin Mc Graw Hill, 2015. Print.
> Tashkin, D. A Binciken Nebulized Drug Delivery a COPD. Wallafe-wallafe na kasa da kasa na cutar cututtuka . 2016. 11: 2585-2596.