Ephefumula Berodualom izifo iguliswa futhi obstructive kohlelo bronchopulmonary

Emashumini eminyaka amuva, izifo njalo zokuphefumula ezinganeni, kuhlotshaniswa ingxenye nomzimba. Lokhu kungafaka ukugujwa ukucinana kwemigudu yokuphefumula oyingozi futhi ezingalapheki, rhinitis iguliswa, ukucinana kwemigudu yokuphefumula ne ikhomponethi somoya, isifuba somoya bronchial.

Ukucinana kwemigudu yomoya emaphashini Allergic, isifuba somoya bronchial, kuyinto ukubonakaliswa lomthethosisekelo kwezinso sokugembula ungalokothi uphuze umzimba nomzimba. Ukucinana kwemigudu yokuphefumula, nemvelo iguliswa libhekene ukuvela komzimba kanye ukuvuvukala kule bronchi. Izifo ephelezelwa lesion izinhlelo zokuphefumula ngenxa ukuchayeka ingxenye nomzimba, ngokuthi hypersensitivity kwemigudu yokuphefumula ipheshana. Diffusely kuthinta ipheshana zokuphefumula, noma izigaba zomuntu ngamunye.

Izimpawu zokuqala zalesi sifo uqale masinyane ngemva kokungenwa isici causative. Ukucinana kwemigudu yomoya emaphashini Allergic kubonakala paroxysmal isifuba esomile siba sibi ebusuku. Emaphashini kukhona kwesifuba ezomile. Amazinga umzimba ngokuvamile kushintsha, kodwa ngezinye izikhathi kungaba ifike subfebrile. isimo sekukonke akashintshi okuningi futhi uhlala kobukhulu egculisayo noma okusesilinganisweni.

Ngo somoya bronchial ukuqala ngokushesha lesi sifo kuhambisana kufushane okunzima umoya kanye somoya ukuhlaselwa. Kungase kube harbingers zokuhlasela.
Lezi zimo ezinzima udinga usizo ngokushesha. Ngokuvamile inikezwa inamba izidakamizwa kabani isinyathelo sibhekiswe somoya omnene, ukuvuvukala, nokususwa ngcono isikhwehlela khulula.

inhalation berodualom

Ukuze kususwe kuhlasela iphika, esetshenzisiwe ngamunye akhethiwe Isikali bronchodilator izidakamizwa. Lezi zihlanganisa iqembu evuselela beta-adrenergic. Lokhu kuhlanganisa nokulungiselela ithengiswe ngesimo ephefumula - "Flomax". Ezinganeni-ke ikhiqizwa ngesimo isixazululo inhalation. Ngo ngezithako zawo yakhiwa fenoterol berodual futhi bromide ipratropium. Umuthi kungokwalabo iqembu bronchodilators. Fenoterol kubangela ukuphumula imisipha bronchi, izitsha yamaphaphu, ukuvimbela bronchospasm, kuvusa isikhungo zokuphefumula. Kwandisa kwenhliziyo ngenxa ukukhuthazwa receptor adrenergic of imisipha yenhliziyo. Ipratropium, ingxenye izidakamizwa, m sokuvimbela cholinergic receptor, aqede bronchospasm, kunciphisa ukukhiqizwa uketshezi bronchial. Njengoba lo mshini wezenzo yezingxenye beroduala ezahlukene, okhulisa kufinyelelwa kanye nobukhulu izidakamizwa, ngempumelelo yaso ephezulu yezifo ezihlukahlukene emaphashini.

Inhalation berodualom imbangela Ukuvuleka komlomo amashubhu bronchial ngesikhathi ngokuhlasela Ukuphelelwa at kwezimo somoya, ezingamahlalakhona obstructive izifo yamaphaphu uhlelo. Phakathi berodualom ephefumula, isimo ngcono kwenzeka cishe ngokushesha futhi uyaqhubeka amahora ambalwa. Lapho izifo obstructive inhlanganisela berodual + ukulungiselela hormone ( "prednisolone", "Dexamethasone"), ahlinzeke ukuthuthukiswa dyspnea nokususwa ezimeni exacerbation.

Umuthi ephumula imisipha bushelelezi, kuvimbela ukukhululwa kwe balamuli ukuvuvukala kanye nokuthuthukiswa a spasm nomzimba isinyathelo umoya abandayo.
Inhalation berodualom esetshenziselwa esiqoshiwe ukuhlaselwa kwakhe isifuba somoya kanye nokuvinjelwa nesenzakalo yesifuba somoya, COPD, ukucinana kwemithambo yomoya emaphashini.
Umuthi umthamo yayo inikezwa kuphela udokotela, ikhumbula izici ngamunye umzimba. Itholakala amabhodlela kanye isetshenziswa enamathiselwe ngoba ephefumula.

Uma usebenzisa izidakamizwa ku umthamo edingekayo of saline buhlanjululwe yesiminyaminya nge 4 ml futhi imuncwe usebenzisa nebulizer. Inhalation bachithe cishe kane ngosuku.

Lapho usebenzisa i-berodualom aerosol, isiguli kumele bafake izidakamizwa kancane futhi ngokujulile. Gilazi kumele ibheke phansi. Ngemva ephefumula kudingeka imizuzwana embalwa ukubamba umoya wakho bese uphefumule kancane kancane. Isenzo uphinda. Isiguli kufanele wazi ukuthi aerosol iqondiswa inhalations emibili kuya kwemithathu, uma kungekho umphumela ngemva ngemithamo ezine, kufanele kudokotela. Omunye ibhodlela yakhelwe umoya, anamakhulu mabini.

Ukwamukelwa izidakamizwa is contraindicated uma yokungezwani komzimba ukuze izingxenye ingxenye, engxenyeni yokuqala yokukhulelwa.