COPD - xakamaynta mukhaadaraadka

Xakamaynta daawooyinka loogu talagalay cudurrada sambabaha ee joogtada ah (COPD) waa daawooyin aad u qaadato si aad u xakameyso ama aad uga hortagto astaamaha COPD. Waa inaad u isticmaashaa daawooyinkan maalin kasta si ay si fiican ugu shaqeeyaan.

Daawooyinkaan looma isticmaalo in lagu daaweeyo waxyaabaha qarxa. Dab-damisyada waxaa lagu daaweeyaa daawooyin deg-deg ah (badbaadin).

Waxay kuxirantahay daawada, xakameynta daawooyinka waxay kaa caawinayaan inaad si fudud u neefsato adoo:

• Nasashada murqaha marinnada hawada
• Yaraynta barar kasta oo ku dhaca marin-haweedkaaga
• Caawinta sambabaha inay si fiican u shaqeeyaan

Adiga iyo daryeel bixiyahaaga caafimaadba waxaad qorshe u samayn kartaan daroogada xakamaynta ee ay tahay inaad isticmaashaan. Qorshahan waxaa ku jiri doona goorta aad qaadanaysid iyo inta ay tahay inaad qaadato.

Waxaa laga yaabaa inaad u baahato inaad qaadato daawooyinkan ugu yaraan hal bil kahor intaadan bilaabin inaad ladnaan dareento. Qaado xitaa markaad caafimaad qabtid.

Weydii daryeel bixiyahaaga waxyeellooyinka daawooyin kasta oo laguu qoro. Hubso inaad ogtahay dhibaatooyinka soo raaca ee daran ee aad ugu baahan tahay inaad wacdo dhakhtarkaaga isla markiiba.

Raac tilmaamaha ku saabsan sida loogu isticmaalo dawooyinkaaga habka saxda ah.

Hubso inaad dawadaada dib u buuxiso ka hor intaadan dhamaan.

Neefsashada Anticholinergic waxaa ka mid ah:

• Aclidinium (Tudorza Pressair)
• Glycopyrronium (Seebri Neohaler)
• Ipratropium (Atrovent)
• Tiotropium (Spiriva)
• Umeclidinium (Incruse Ellipta)

Isticmaal dawadaada dawada lidka ku ah dawada xinjirowga lidka ku ah maalin kasta, xitaa haddii aadan lahayn astaamo.

Neefsashadayaasha beta-agonist waxaa ka mid ah:

• Arformoterol (Brovana)
• Formoterol (Foradil; Perforomist)
• Indacaterol (Arcapta Neohaler)
• Salmeterol (Serevent)
• Olodaterol (Jawaabta Striverdi)

HA ku isticmaalin wax baabaya leh neefsashada beta-agonist.

Corticosteroids la neefsaday waxaa ka mid ah:

• Beclomethasone (Qvar)
• Fluticasone (Flovent)
• Ciclesonide (Alvesco)
• Mometasone (Asmanex)
• Budesonide (Pulmicort)
• Flunisolide (Aerobid)

Ka dib markaad isticmaasho daroogooyinkaas, afkaaga ku luqluqo biyo, luqluqo, oo tuf.

Daawooyinka isku dhafka ah waxay isku daraan laba daawo waana la neefsadaa. Waxaa ka mid ah:

• Albuterol iyo ipratropium (Respimat Combivent; Duoneb)
• Budesonide iyo formoterol (Symbicort)
• Fluticasone iyo salmeterol (Advair)
• Fluticasone iyo vilanterol (Breo Ellipta)
• Formoterol iyo mometasone (Dulera)
• Tiotropium iyo olodaterol (Stiolto Respimat)
• Umeclidinium iyo vilanterol (Anoro Ellipta)
• Glycopyrrolate iyo formoterol (Bevespi Aerosphere)
• Indacaterol iyo glycopyrrolate (Utibron Neohaler)
• Fluticasone iyo umeclidinium iyo vilanterol (Trelegy Ellipta)

Daawooyinkaan oo dhan, noocyada magaca guud ayaa hadda noqday ama la heli doono mustaqbalka dhow, sidaas darteed magacyo kaladuwan ayaa sidoo kale jiri kara.

Roflumilast (Daliresp) waa kiniin la liqay.

Azithromycin waa kiniin la liqay.

Daawooyinka xakamaynta cudurrada sambabaha ee joogtada ah; Bronchodilators - COPD - daawooyinka la xakameeyo; Beta agonist inhaler - COPD - daawooyinka xakamaynta; Neefsashada cudurka Anticholinergic - COPD - daawooyinka la xakameeyo; Neefsashada muddada dheer - COPD - daroogooyinka xakamaynta; Dawooyinka lagu xakameeyo "Corticosteroid inhaler" - COPD -

Anderson B, Brown H, Bruhl E, iyo al. Machadka shabakadaha hagaajinta nidaamka caafimaadka. Tilmaamaha Daryeelka Caafimaadka: Ciladda iyo Maareynta Cudurka Sambabka ee Cudurka Joogtada ah (COPD). Daabacaadii 10aad. www.icsi.org/wp-content/uploads/2019/01/COPD.pdf. La cusbooneysiiyay Janaayo 2016. Waxaa la helay Janaayo 23, 2020.

Han MK, Laasaros SC. COPD: ogaanshaha iyo maaraynta caafimaad. Gudaha: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray iyo Nadel Buugga Buugga Caafimaadka Neefsashada. 6aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 44.

Website-ka Global Initiative ee Cudurrada Sambabka ee Halista ah (GOLD). Istaraatiijiyad caalami ah oo loogu talagalay baaritaanka, maaraynta, iyo ka hortagga cudurrada sambabaha ee joogtada ah: warbixinta 2020. goldcopd.org/wp-content/uploads/2019/12/GOLD-2020-FINAL-ver1.2-03Dec19_WMV.pdf. La helay Janaayo 22, 2020.

• Cudurka sanbabada ee joogtada ah (COPD)
• Cudurka sambabka

• Cudurka sanbabada ee xannibaadda - dadka waaweyn - dheecaan
• COPD - waxa aad weydiiso dhakhtarkaaga
• Cunista kalooriyada dheeraadka ah markaad jiran tahay - dadka waaweyn
• Sidee loo neefsadaa marka neefta kugu gaabiyo
• Sida loo isticmaalo nebulizer
• Sida loo isticmaalo qalabka neef-nuugista - ma aha wax kabaxsan
• Sida loo isticmaalo qalabka neefta neefta ku neefsada - oo leh spacer
• Sida loo isticmaalo mitirka socodkaaga ugu sarreeya
• Nabdoonaanta ogsijiinta
• Ku safridda dhibaatooyinka neefsashada
• Isticmaalka oksijiinta guriga
• Isticmaalka oksijiinta guriga - waxa aad weydiiso dhakhtarkaaga

• COPD