Kev Xaiv Thiab Siv Cov Me Nyuam Nebulizers

Aerosol inhalation drug therapy yog ib txoj kev kho mob rau cov menyuam yaus uas muaj kab mob hawb pob lossis mob hawb pob, thiab nws cov nyhuv curative yog sai thiab txhim khu kev qha. Cov menyuam yaus uas muaj mob hawb pob tuaj yeem tau txais kev kho mob aerosol rau lub sijhawm luv luv yog tias hawb pob tshwm sim dua tom qab kev kho mob ntev ntev raug txiav tawm.

Ua ntej, lub hauv paus ntsiab lus ntawm atomization inhalation

Atomization inhalation yog qhov decompression ntawm cov pa los ntawm qhov qhib nqaim, thiab lub siab tsis zoo uas tsim tawm hauv zos nqus cov tshuaj ua kua thiab ua cov hmoov av. Direct inhalation los ntawm lub qhov ncauj thiab qhov ntswg mus rau hauv lub pa system yog zoo tshaj li qhov ncauj / txhaj tshuaj. Qhov loj ntawm cov tshuaj pos huab yog 2-5um, uas tuaj yeem muab tso rau hauv cov pa me me thiab ua lub luag haujlwm kho mob.

Qhov thib ob, hom atomizer

Tam sim no muaj peb hom atomizers ntawm lub khw: ultrasonic atomizers, compression atomizers, thiab micro-mesh atomizers. Lawv qhov txawv tsuas yog nyob rau hauv atomized particle loj.

Ultrasonic atomizer: Tus nqi ntawm atomization loj, tab sis cov atomized hais kuj tseem loj. Feem ntau, MMD (qhov nruab nrab particle loj) yog li 9 microns. Nws tsis tuaj yeem nkag mus rau hauv cov hlab ntsws qis, yog li nws feem ntau haum rau kev kho mob ua pa sab saud.

Compression nebulizer: Cov atomized hais me me, thiab MMD feem ntau yog nyob rau hauv 5 microns, uas tuaj yeem muab tso rau hauv qhov chaw ua pa, thiab feem ntau tsim nyog rau kev kho mob ntawm cov hlab ntsws.

Micro-mesh nebulizer: Cov atomized hais me me, feem ntau nyob rau hauv 3 microns ntawm MMD, thiab tuaj yeem tso rau hauv cov hlab ntsws qis, peripheral bronchi, thiab alveoli. Yog li ntawd, rau cov menyuam yaus, nws raug nquahu kom siv micro-mesh nebulizer. Txoj kev ua pa ntawm cov menyuam yaus yog qhov nqaim, yog li txhawm rau xa cov tshuaj mus rau hauv lub bronchi, kev siv lub micro-mesh nebulizer yog qhov kev xaiv zoo dua.

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3. Yuav ua li cas xaiv lub atomizer

Thaum xaiv lub atomizer, nco ntsoov xav txog ntau yam teeb meem:

1. Saib qhov loj ntawm cov khoom atomized: yog tias cov khoom loj dhau lawm, lawv tsis tuaj yeem nkag mus rau hauv cov hlab ntsws thiab tsis tuaj yeem muaj kev kho mob.

2. Suab nrov: Lub suab nrov ntawm lub atomizer yog ib qho tseem ceeb qhia txog nws qhov zoo. Cov me nyuam uas nrov heev yuav tsis txais.

3. Kev vibration: kev vibration yog nrog lub suab nrov. Feem ntau hais lus, yog lub suab nrov loj, qhov kev vibration yuav tsum tsis txhob me me.

4. Kev tsim hluav taws xob: Cov tshuab uas muaj suab nrov thiab kev co yuav tsum ua kom muaj cua sov ntau, ua rau lub zog poob. Lub zog nominal ntawm compression atomizer tsis loj npaum li qhov ua tau. Lub tshuab uas muaj zog heev tab sis muaj suab nrov ntau (kev co, cua sov), feem ntau ntawm nws lub zog yog nkim.

5. Portability: Thaum siv hauv tsev, qhov loj ntawm lub atomizer kuj yog ib qho tseem ceeb uas cov neeg siv hauv tsev yuav tsum xav txog. Qhov me me txhais tau tias yooj yim dua portable.

6. Atomizing khob: Tom qab lub compressor ua tau raws li qhov yuav tsum tau ua, qhov zoo ntawm lub khob atomizing yog qhov tseem ceeb heev. Cov ntaub ntawv no feem ntau tuaj yeem tau txais los ntawm cov khoom ntim khoom.

Plaub, kev xaiv ntawm cov tshuaj rau aerosol inhalation

Muaj plaub hom tshuaj uas siv tau rau nebulization:

Beta2-agonists, xws li salbutamol tov (los yog terbutaline nebulized ncua);

Anticholinergic tshuaj: ipratropium bromide nebulizer tov;

Nto corticosteroids: budesonide nebulized ncua;

Kev sib xyaw ua ke: Compound ipratropium bromide (ipratropium bromide thiab albuterol).

Rau cov laj thawj ntawm kev ua tau zoo thiab kev nyab xeeb, kev nqus aerosol tsis pom zoo rau lwm cov tshuaj. Txij li qee cov tshuaj uas nqus tau cov tshuaj uas tsis muaj dej tsis txaus hauv cov dej, ultrasonic nebulizers tsis tuaj yeem siv rau kev nqus cov tshuaj.

5. Kev siv tshuaj aerosol inhalation

Nebulized inhalation tshuaj tuaj yeem ua rau lub ntsws sai thiab ncaj qha ntawm qhov siab, nrog rau cov tshuaj hauv zos siab thiab cov teebmeem sai thiab txhim khu kev qha. Vim tias cov menyuam yaus metabolize tshuaj sai dua li cov neeg laus, thiab cov menyuam yaus metabolize tshuaj sai dua cov menyuam yaus, cov tshuaj uas nqus tau rau hauv lub ntsws yog cuam tshuam ncaj qha rau hnub nyoog. Lub hnub nyoog qis dua, tsawg dua cov tshuaj uas nqus tau rau hauv lub ntsws. Yog li ntawd, nws tsis yog feem ntau yuav tsum tau suav cov koob tshuaj inhaled therapeutics raws li lub cev hnyav. Nyob rau hauv cov ntaub ntawv ntawm inhalation, salbutamol tov (2.5-5mg) thiab budesonide ncua kev kawm ntawv (0.5-1mg) feem ntau yog siv tib lub sij hawm rau ib tug zoo curative nyhuv. Nws tuaj yeem ncaj qha atomized thiab nqus tau yam tsis muaj dilution, lossis nws tuaj yeem diluted nrog 2ml ntawm physiological saline raws li qhov xwm txheej. Feem ntau, nws tuaj yeem ua rau atomized thiab nqus tau 2 mus rau 3 zaug hauv ib hnub.

Cov kev ceev faj

Thaum atomizing inhalation, koj yuav tsum tau ua tib zoo ntxuav koj txhais tes kom huv si ua ntej npaj los yog noj cov tshuaj. Tom qab tau txais cov atomization, yaug lub qhov ncauj, daim npog qhov ncauj, thiab qee cov khoom siv ntawm kev txhaj tshuaj nrog dej huv, thiab siv ib rab koob tshwj xeeb kom tsis txhob thaiv lub nozzle.

Tom qab ntxuav thiab tshem tawm lub nozzle, nws tuaj yeem txau nrog cov tshuaj ntsev ib txwm siv li 5 feeb, thiab lub qhov ncauj, lub ntsej muag lub ntsej muag, thiab lwm yam, tuaj yeem tsau rau hauv cov tshuaj tua kab mob rau kev tua kab mob.

Cov me nyuam mos thiab cov me nyuam yaus tau muab tshuaj nrog daim npog qhov ncauj. Lub npog ntsej muag yuav tsum raug kaw rau lub qhov ncauj thiab qhov ntswg. Cov menyuam yaus hnub nyoog tshaj 3 xyoos yuav tsum sim siv lub qhov rooj kom nqus tau cov tshuaj.