Nebulizer Yezokwelapha

Uma kuqhathaniswa nendlela yendabuko yokuphuza umuthi ukwelapha i-asthma nezinye izifo zokuphefumula, i-nebulizer yezokwelapha igxilisa uketshezi lomuthi lube izinhlayiya ezincane, futhi umuthi ungena emgudwini wokuphefumula nasemaphashini ngokuphefumula ukuphefumula, ngaleyo ndlela kutholakale ukwelashwa okungenabuhlungu, okusheshayo nokusebenzayo.

Izizathu ezi-5 zokusebenzisa i-Nebulizer Yezokwelapha

  1. Iziguli ezandisiwe ezinezifo zokuphefumula, ikakhulukazi izingane ezinokuzilimaza okuzenzakalelayo, njengezingane ezihlala zikhwehlela, ziphathwa ngemithi yendabuko noma imijovo, izingane zinenkinga yokuphuza imithi, ziyesaba imijovo, futhi zimunca izidakamizwa ngemisipha noma ngegazi kancane, izingane zihlupheka isikhathi eside isikhathi;
  2. Kuyinkinga ukuya esibhedlela ukuyolayini ukuze ubhaliswe, ulinde isikhathi eside, futhi kunengozi yokutheleleka ngokweqile emvelweni wesibhedlela uqobo;
  3. Uma umuthi ugeleza emzimbeni, ungaba nemiphumela engemihle, engakulungeli ukukhula okunempilo kwezingane.
  4. Ukugula okuphindaphindiwe, imijovo ejwayelekile kasawoti; Inkinga yokuphuza umuthi ekhaya, ukusebenza kancane; ngasikhathi sinye, lesi sidakamizwa sinobuthi obuthathu, futhi ukusetshenziswa kwesikhathi eside kungenzeka ukuthi kuncike
  5. Kunezibhedlela eziningi ezenze ukwelashwa kwe-aerosol, okungezinhlungu futhi okusebenzayo ngokuqhathaniswa nokwelashwa kwendabuko noma ukwelashwa ngomjovo.

ukukhethaMMed Medical Nebulizer Izici

I-ChoiceMMed Medical Nebulizer ibambisana noketshezi olwelaphayo ngokusebenzisa i-atomizer, isebenzisa umgomo wegesi jet ukuthinta uketshezi lokwelapha lube izinhlayiya ezincane, lumiswe ekuhambeni komoya, futhi lufake emgudwini wokuphefumula ngokusebenzisa ithubhu yokuxhuma, kucindezela izinhlayiya ezine-atomized ezikhiqizwa yi-atomizer i-atomizer. Futhi akulula ukushayisana nokuhlangana, umzimba womuntu ukhululekile ukuphefumula, bese ungena kuyi-bronchus, emaphashini nakwezinye izitho, ezilungele ikakhulukazi ukwelashwa kwezifo ezisezingeni eliphansi zokuphefumula.

  • Umsebenzi wokhiye owodwa
  • Inkomishi yokuguqula i-atomizing
  • Izinhlayiya ezinhle ze-atomizing
  • Idizayini ethule
  • Izinsalela zezidakamizwa eziphansi
  • Ukusebenza kahle kwe-atomizing

Kunezinhlobo ezintathu zama-atomizer ezokwelapha, izinhlobo ezijwayelekile ngama-compression atomizers (i-gas compression air compression atomizers) kanye nama-atomizers e-ultrasonic, kanti enye i-atomizer ye-mesh (yomibili ene-compression atomizer nezici ze-Ultrasonic atomizer, usayizi omncane, okulula ukuthwala)

I-Ultrasonic Medical Nebulizer Technology

I-nebulizer ye-atomizer ye-ultrasonic ayinakho ukukhetha kwezinhlayiya zenkungu, ngakho-ke iningi lezinhlayiya zezidakamizwa ezikhiqizwayo zingafakwa kuphela endaweni ephezulu yokuphefumula njengomlomo nomphimbo, futhi ngoba inani lokufakwa emaphashini lincane, ayikwazi ukwelapha ngempumelelo izifo ezingezansi zokuphefumula. Ngasikhathi sinye, ngenxa yezinhlayiya ezinkulu zenkungu ezikhiqizwa yi-atomizer ye-ultrasonic kanye ne-atomization esheshayo, isiguli sakhipha umhwamuko omningi kakhulu wamanzi ukuze kufiphaze umgudu wokuphefumula. Uketshezi olomile emkhakheni wokuphefumula obevimbele kancane i-bronchus yanda ngemuva kokumunca umswakama futhi yenyusa indawo yokuphefumula Ukumelana kungadala i-hypoxia, kanti i-nebulizer ye-ultrasonic izobangela isisombululo sezokwelapha ukwakha amaconsi amanzi bese ilenga odongeni lwangaphakathi lwangaphakathi, okuyi ayisebenzi ezifweni zomgudu wokuphefumula eziphansi, futhi inesidingo esikhulu semithi, idala udoti.

Ukucindezelwa Kwezobuchwepheshe Nebulizer Technology

Indlela Esebenza

I-atomizer yokucindezelwa komoya esebenzisa umoya onomfutho ukwenza ukugeleza komoya okushesha kakhulu ngombhobho omncane. Uqhoqhoqho lwagobhoza.

Ubuchwepheshe beMesh Medical Nebulizer

Indlela Esebenza

Ngokudlidliza phezulu naphansi kwesidlidlizi, uketshezi luyakhishwa ngezimbobo zekhanda lohlobo lwemilomo lokufutha, bese lufuthwa kusetshenziswa ukudlidliza okuncane kwe-ultrasonic kanye nesakhiwo senhloko se-mesh spray. Iluhlobo lwakamuva lwe-atomizer futhi ine-compression. Izici ze-atomizer kanye ne-atomizer ye-ultrasonic, indlela yokufafaza ukusebenzisa i-ultrasonic vibration encane kanye nesakhiwo sekhanda lokufafaza, yi-atomizer yezokwelapha yomndeni yezingane ezine-asthma, okulula ukuyiphatha noma ikuphi.

Imikhiqizo Related

Ama-nebulizers wezokwelapha asetshenziswa kakhulu ekwelapheni izifo ezahlukahlukene zezinhlelo zokuphefumula ezingaphezulu nezingezansi, ezinjengamakhaza, umkhuhlane, ukukhwehlela, isifuba somoya, umphimbo obuhlungu, i-pharyngitis, i-rhinitis, i-bronchitis, i-pneumoconiosis nezinye izifo zetrachea, i-bronchi, i-alveoli, nesifo sesifuba.


Kwezokwelapha, i-nebulizer (American English) noma nebuliser (iBritish English) iyithuluzi lokuhambisa izidakamizwa elisetshenziselwa ukuphatha umuthi ngesimo sephutha elifaka emaphashini. Ama-Nebulizer asetshenziselwa kakhulu ekwelapheni i-asthma, cystic fibrosis, COPD nezinye izifo zokuphefumula noma ukuphazamiseka. Basebenzisa i-oksijini, umoya ocindezelwe noma amandla e-ultrasonic ukuze bahlukanise izixazululo nokumiswa kube ngamaconsi amancane we-aerosol angangena ngaphakathi ngokuqondile emthonjeni womshini. I-aerosol ingxube yegesi nezinhlayiya eziqinile noma eziwuketshezi.

Ukusetshenziswa kwezokwelapha

Olunye uhlobo lwe-nebulization

izinkombandlela

Imihlahlandlela eyahlukahlukene ye-asthma, efana ne-Global Initiative for Asthma Guidlines [GINA], Izinkombandlela ZaseBrithani ngokuphathwa kwe-Asthma, I-Canadian Pediatric Asthma Consensus Guidlines, kanye Nezinkombandlela Zase-United States Zokuxilongwa kanye Nokwelapha Isifo Somoya (asthma) ngayinye zincoma i-metered inhalers esikhundleni se zokwelapha zilethwe yi-nebulizer. I-European Respiratory Society iyavuma ukuthi yize ama-nebulizer esetshenziswa ezibhedlela nasekhaya baphakamisa ukuthi ukusetshenziswa kwalokhu kungenzeka kungabi bufakazi.

Ngempumelelo

Ubufakazi bamuva bukhombisa ukuthi ama-nebulizers awasebenzi kangcono kunama-inhalers we-metered-dose inhalers (MDIs) anezikhala. I-MDI ene-spacer inganikeza izinzuzo ezinganeni ezine-asthma enamandla. Lokho okutholakele kubhekisa ngqo ekwelapheni i-asthma hhayi ekusebenzeni kwama-nebuliser ngokuvamile, njenge-COPD ngokwesibonelo.Ngokwe-COPD, ikakhulukazi lapho kuhlolwa ukukhushulwa noma ukuhlaselwa kwamaphaphu, abukho ubufakazi obukhombisa ukuthi i-MDI (nge-spacer) ithumele umuthi iphumelela kakhulu kunokulawulwa komuthi ofanayo nge-nebulizer. I-European Respiratory Society iqhakambise ubungozi obuhlobene nokukhiqiza usayizi wamaconsi okubangelwa ukuthengisa amadivayisi we-nebulizer ngokuhlukile kusisombululo se-nebulized. Bathola ukuthi lo mkhuba ungahluka ngosayizi wamaconsi ephindwe ka-10 noma ngaphezulu ngokushintsha ukusuka ohlelweni olungasebenzi kahle lwe-nebulizer kuye kolusebenza kahle kakhulu. isilinganiso esisheshayo, ikakhulukazi ku-asthma enamandla; kodwa-ke, imininingwane yakamuva ikhombisa ukuthi amanani wangempela wamaphaphu ayafana. Ngaphezu kwalokho, olunye uvivinyo lwathola ukuthi i-MDI (ene-spacer) yayinomthamo ophansi odingekayo wemiphumela yomtholampilo ngokuqhathaniswa ne-nebulizer (bheka uClark, et al. Ezinye izinkomba). Ngaphandle kokusetshenziswa kwezifo ezingalapheki zamaphaphu, ama-nebulizers nawo angasetshenziswa ukwelapha izingqinamba ezinzima njengokufuthwa kwezinto ezinobuthi. Esinye sezibonelo ezinjalo ukwelashwa kokuhogela umoya onomphunga we-hydrofluoric acid (HF). I-calcium gluconate iyindlela yokwelashwa yokuqala yokuchayeka kwe-HF esikhunjeni. Ngokusebenzisa i-nebulizer, i-calcium gluconate ingahanjiswa emaphashini njenge-aerosol yokulwa nobuthi bemiphunga ye-HF ehogelwayo.

Ukukhishwa kwe-Aerosol

Izici zokuvezwa kwamaphaphu nokusebenza kwe-aerosol kuncike kakhulu kunhlayiya noma usayizi wamaconsi. Ngokuvamile, ukuncipha kuyizinhlayiyana kukhulu amathuba ayo okuthola ukungena nokuphathelene nokugcina. Kodwa-ke, ngezinhlayiya ezinhle kakhulu ezingaphansi kuka-0.5 μm ubukhulu kunethuba lokugwema ukufakwa ngokuphelele futhi uxoshwe. Ngo-1966 iTask Group on Lung Dynamics, eyayithinta kakhulu izingozi zokuphefumula ubuthi bemvelo, yahlongoza imodeli yokufakwa kwezinhlayiya emaphashini. Lokhu kuphakamise ukuthi izinhlayiya ezingaphezulu kwe-10 μm ubukhulu zingabeka kakhulu emlonyeni nasemphinjeni, ngoba lezo zingu-5- 10 μm ububanzi zinguquko zisuka emlonyeni ziye ekubunjweni komoya zenzeka, futhi izinhlayiya ezincane kune-5 μm ubukhulu zediphozithi ephindwe kaningi. emigwaqweni yomoya ephansi futhi kufanelekile kuma-aerosols emithi.

Izinhlobo zama-nebulizer

I-jet nebulizer yesimanje

I-vial ye-0.5% ye-albuterol sulfate inhalation solution ye-nebulizing Pneumatic Jet nebulizer Ama-nebulizer asetshenziswa kakhulu ama-nebetizer jet, abizwa nangokuthi “ama-atomizer”. [10] AmaJet nebulizer axhumeka ngeshubhu ekuhlinzekweni kwegesi ecindezelwe, kuvame ukucindezela umoya noma umoya-mpilo ukuba ugeleze ngesivinini esikhulu ngokusebenzisa umuthi owuketshezi ukuwuguqula ube yi-aerosol, bese ihlaselwa yisiguli. Njengamanje kubukeka sengathi kunenkambiso phakathi kodokotela yokuncamela ukunikezwa kwemithi ye-Metered Dose Inhaler (pMDI) yengcindezi yeziguli zabo, esikhundleni se-jet nebulizer ekhipha umsindo omningi kakhulu (imvamisa i-60 dB ngenkathi isetshenziswa) futhi ingasaphatheki kalula ngenxa ye isisindo esikhudlwana. Kodwa-ke, ama-jet nebulizer asetshenziswa kakhulu ezigulini ezibhedlela ezinobunzima bokusebenzisa i-inhalers, njengezimo ezimbi kakhulu zesifo sokuphefumula, noma ukuhlaselwa kanzima kwesifuba somoya. Inzuzo enkulu ye-jet nebulizer ihlobene nezindleko zayo zokusebenza eziphansi. Uma isiguli sidinga ukufaka umuthi nsuku zonke ukusetshenziswa kwe-pMDI kungabiza kakhulu. Namuhla abakhiqizi abaningana bakwazile ukwehlisa isisindo se-jet nebulizer beya kuma-grig angama-635 (22.4 oz), ngaleyo ndlela baqala ukuyibiza ngokuthi yithuluzi elithandekayo. Uma kuqhathaniswa nawo wonke ama-inhalers ancintisanayo nama-nebulizer, umsindo nesisindo esindayo nokho nokho kungukudonsela okukhulu kakhulu emuva kwe-jet nebulizer. Amagama okuhweba ama-jet nebulizer afaka iMaxin. Isoft mist inhaler Inkampani yezokwelapha iBoehringer Ingelheim nayo yasungula umshini omusha obizwa nge-Respimat Soft Mist Inhaler ngo-1997. Lobu buchwepheshe obusha buhlinzeka ngomthamo olinganiselwe kumsebenzisi, njengoba phansi kwe-inhaler ijikeleziswa ngokudlule ngamadigri ayi-180 ngesandla, engeza ukungezwani kube isiphethu esizungeze isitsha esiguqukayo soketshezi. Lapho umsebenzisi asebenza ngaphansi kwe-inhaler, kuphuma amandla avela entwasahlobo futhi afake ingcindezi esitsheni esiguquguqukayo soketshezi, okwenza ukuthi uketshezi lufafaze emabalaxeni angama-2, ngaleyo ndlela kwakheka inkungu ethambile ukuba inwebe. Idivaysi ayinasici esihlanganayo segesi futhi asikho isidingo sebhethri / amandla okusebenza. Ubungako obujwayelekile bamaconsi emgodini kulinganiswa kuma-microseter angama-5.8, okungakhombisa ezinye zezinkinga ezisebenzayo zomuthi obilingene ukufinyelela emaphashini. Ukuhlolwa okulandelayo kufakazele ukuthi lokhu bekungenjalo. Ngenxa yokushesha okungatheni kwenkungu, i-Soft Mist Inhaler eqinisweni inokusebenza okuphezulu kakhulu uma kuqhathaniswa ne-pMDI evamile. Ngo-2000, kwaqalwa ukungezwani ku-European Respiratory Society (ERS) ukuze kucaciswe / kunwekwe incazelo yabo ye-nebulizer, njengoba iSoft Mist Inhaler entsha ngemibandela yezobuchwepheshe ingahlukaniswa njenge- "nebulizer eqhutshwa ngesandla" kanye "ne-pMDI eqhutshwa ngesandla." ”. I-elektroniki ye-Ultrasonic wave nebulizer I-ultrasonic wave nebulizers yasungulwa ngo-1965 njengohlobo olusha lwe-nebulizer ephathekayo. Ubuchwepheshe obukhona ngaphakathi kwe-nebulizer wave nebulizer ukuthi kube ne-oscillator kagesi ikhiqize amaza amaningi e-ultrasonic, okubangela ukudlidliza kwento yento ye-piezoelectric. Le nto edlidlizelayo ixhumana nedamu lamanzi kanye nokudlidliza kwawo okuphezulu kwanele ukukhiqiza i-vapor mist.Nxa bekhiqiza ama-aerosols kusuka ku-vibration vibtr esikhundleni sokusebenzisa umshini womoya osindayo, banesisindo esingama-gramu ayi-170 (6.0 oz) . Enye inzuzo ukuthi le vibrate ye-ultrasonic icishe ithule. Izibonelo zalolu hlobo lwesimanje kakhulu lwe-nebulizer yile: I-Omron NE-U17 neBeurer Nebulizer IH30. I-Vibrating mesh technology Kwenziwa okusha okusha okuphawulekayo emakethe ye-nebulizer ngonyaka we-2005, ngokwakhiwa kwe-ultrasonic Vibrating Mesh Technology (VMT). Ngalobu buchwepheshe, isisetshenziswa / ulwelwesi olunezimbobo ezi-1000-7000 zemishini egcwele i-laser luyanyakaza ngenhla kwesiqheqhezi esiwuketshezi, ngaleyo ndlela sicindezela inkungu yamaconsi amahle kakhulu emigodini. Lobu buchwepheshe busebenza kangcono kunokuthola into ephihlizayo ye-piezoelectric ezansi kwendawo yokugcina uketshezi, futhi ngaleyo ndlela izikhathi zokwelashwa ezimfushane nazo ziyafezeka. Izinkinga zakudala ezitholakala nge-nebulizer ye-ultrasonic wave, inemfucumfucu ngokweqile kanye nokushisa okungafuneki koketshezi lwezokwelapha, nazo zixazululwe ngabathengisi abasha be-mesh. Ama-nebulizer atholakalayo e-VMT afaka: I-Pari eFlow, i-Respironics i-Neb, Beurer Nebulizer IH50, ne-Aerogen Aeroneb.

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