Jeegaree jadwalka si aad u hubiso inaad isticmaali karto daawooyinka daaweynta COPD
Badanka bukaanka qaba COPD waa in ay maalin walba qaadaan daawada neefsashada si ay u xakameyaan astaamaha neefta. Inkastoo ay jiraan noocyo badan oo neef-qaadayaasha ah , waxaa jira dhowr naf-gooye ah oo loo maleynayo in la qaato hal mar ama laba jeer maalintii iyada oo aan loo eegin calaamadaha (tusaale ahaan Spiriva) iyo qaar daawooyinka loo isticmaalo in lagu qaado "sida loo baahdo" , tusaale ahaan, mar kasta oo aad qabto calaamado ama xaq kahor jimicsiga (Albuterol, Combivent, Ventolin, iwm).
Natiijo ahaan, bukaanada qaba COPD badankooda waxay isticmaalaan dhowr daawooyinka kala duwan.
Mararka qaarkood tani waxay noqon kartaa mid aad u jahwareersan, gaar ahaan sababtoo ah daawada neefsashada badanaaba waa isbedeshaa sababtoo ah doorbididda takhtarka, caymiska, ama sababo kale. Sidaas daraadeed, marmarka qaarkood, bukaanku wuxuu ku dhammaan karaa isticmaalka daawada neefsashada si aan habbooneyn ama la wadaagin daawooyinka aysan ahayn.
Hoos waxaa ku yaal isku daygeena inaan kaa caawinno in aan fahamno nuxurka daaweynaha iyo waa in la wada isticmaalo, iyo kuwa aan la isticmaali karin. Noocyada kala duwan ee daawooyinka waxaa loo isticmaali karaa isku-dhafan (tusaale ahaan, isku-darka beta-boogo-yare) oo leh daawo ka-hortagga anti-muscarinic), laakiin xaaladaha badankood, bukaanku waa inaysan qaadan daawada isku mid ah hal daawo oo ka badan. Shaxda soo socota waxay ka caawineysaa sharraxaadda:
| Immisa jeer baa la qaadaa | Fasalka Daawada | Muhiim u ah inaad ogaato | |
|---|---|---|---|
| Dawooyinka xakamaynta | |||
| Spiriva (tiotropium) | Daily | Anti-muscarinic | Ogsoonow daawadan waa in aan la qaadin Combivent |
| Turdoza | Maalin kasta laba jeer | Anti-muscarinic | Ogsoonow daawadan waa in aan la qaadin Combivent |
| Sida loo baahan yahay daawada neefta (ama nebulizers) | |||
| Albuterol (Ventolin, hawada sare, kuwa kale) | Sida loo baahdo | Beta-agonist oo gaabis ah | Ogsoonow in ay tahay arrin caadi ah oo la qaado iyada oo la socota dulmiga beta-dheer ee beta-ga |
| Combivent, Duoneb | Sida loo baahdo | Beta-agonist iyo anti-muscarinic | Ogsoonow daawooyinkaan waa in aan lagu qaadin Spiriva. |
| Steroids oo la cabo | |||
| Advair, Symbicort | glucocorticoid ee neefsiga iyo agagaaraha beta-beta-dheer | Ogsoonow in ay habboon tahay inaad tan ku qaadato dulucda beta-ga ah | |
| Qulqulka, Q-Var | glucocorticoid neefsiga | Ogow in marmarka qaarkood, COPD-da daran, bukaanku wuxuu isticmaali karaa neefsashadan marka lagu daro Advair ama Symbicort | |
Si loo hubiyo in daawadaada daaweyntu ay wanaagsan tahay si ay u wada qaataan, fiiri fasalka daawada. Haddii aad ogaato inaad qaadato wax ka badan hal daawo oo isku mid ah, weydii dhakhtarkaaga inuu dib u eego daawooyinkaaga. Waxaa runtii muhiim ah in la ogaado in macluumaadka ku yaal boggani uu yahay 'guud ahaan' iyo in ay jiraan had iyo jeer ka reeban 'xeer' - gaar ahaan daawada.