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নেবুলাইজেচন কি?

নেবুলাইজেচন হৈছে এনে এক প্ৰক্ৰিয়া যিয়ে তৰল ঔষধক এক সূক্ষ্ম এৰ’ছল বা বাষ্পলৈ ৰূপান্তৰ কৰে, যাৰ ফলত উশাহৰ জৰিয়তে সেইবোৰ পোনপটীয়াকৈ শ্বসনতন্ত্ৰত প্ৰৱেশ কৰাব পাৰি। এই পদ্ধতিটো হাপানী আৰু COPD (ক্ৰনিক অবষ্ট্ৰাক্টিভপালম’নেৰী ডিজিজ)ৰ দৰে তীব্ৰ আৰু দীৰ্ঘদিনীয়া শ্বসনজনিত সমস্যা দুয়োটাৰে চিকিৎসাৰ বাবে ব্যাপকভাৱে প্ৰয়োগ কৰা হয়।

নেবুলাইজাৰৰ প্ৰকাৰসমূহ

বিভিন্ন কাৰ্যপদ্ধতি বা নেবুলাইজাৰৰ প্ৰকাৰৰ জৰিয়তে তৰল ঔষধক এৰ’ছল ৰূপলৈ সলনি কৰিব পাৰি, যিবোৰক তলত উল্লেখ কৰা প্ৰকাৰসমূহত শ্ৰেণীভুক্ত কৰা হৈছে:

Jet Nebulisers

In a jet nebuliser, pressurised gas or air draws liquid medication from the nebuliser cup through a narrow capillary.
This action transforms the liquid medication into a mist that contains both small and large particles. When inhaled, smaller particles are absorbed, while larger particles may hit the inner wall of the medication cup before re-entering the chamber.
Advantages
  • Cost-effective
  • Compatible with various types of liquid medications.
Disadvantages
  • Limited portability.
  • Inconsistent aerosol output.
  • Setup may be challenging for patients with physical or cognitive impairments.

Mesh Nebulisers

Mesh nebulisers create an aerosol or mist by forcing liquid through small holes in apertures or a plate.
Advantages
  • Mesh nebulisers generally produce more aerosol and deposit more medication in the lungs compared to jet nebulisers, both per unit of time and total lung deposition.
  • They operate with greater efficiency, enabling the administration of higher drug doses to patients.
  • Mesh nebulisers are quick, quiet, and portable, equipped with self-contained power sources.
Disadvantages
  • Relatively more expensive as compared to jet nebulisers.
  • Cleaning can be challenging.
  • Medication dosage may require adjustment.
  • Not suitable for viscous liquids or those prone to crystallisation on drying.

Ultrasonic Nebulisers

আল্ট্ৰাছ’নিক নেবুলাইজাৰে এৰ’ছল সৃষ্টি কৰিবলৈ উচ্চ কম্পনাংকত কম্পিত হোৱা এটা পাইজোইলেকট্ৰিক ক্ৰিষ্টেল ব্যৱহাৰ কৰে।
Advantages
  • Ideal for nebulising large volumes, such as administering hypertonic saline for sputum inductions.
Disadvantages
  • Tend to have large residual volumes.
  • Hard to use with viscous solutions.
  • Not recommended for suspensions and proteins due to heat sensitivity.

Steps to use your Nebuliser

কোনো ঔষধ জমা হোৱা দেখা নাপালেও সপ্তাহত এবাৰ ইনহেলাৰটো পৰিষ্কাৰ কৰাটো এক বুদ্ধিমত্তাৰ কাম। ই আপোনাৰ ইনহেলাৰটো বন্ধ হৈ পৰাৰ পৰা ৰক্ষা কৰে আৰু ই সঠিকভাৱে কাম কৰাটো নিশ্চিত কৰে। মূল নিয়মটো হ’ল ধাতুৰ কণ্টেইনাৰটো কেতিয়াও পানীত ধুব বা ডুবাব নালাগে; কেৱল প্লাষ্টিকৰ অংশবোৰহে পৰিষ্কাৰ কৰিব লাগে। যদিও আপোনাৰ ইনহেলাৰত নিৰ্দিষ্ট পৰিষ্কাৰ কৰাৰ নিৰ্দেশনা অন্তৰ্ভুক্ত থাকিব, তথাপিও ইয়াক পৰিষ্কাৰ কৰাৰ মূল পদক্ষেপসমূহ ইয়াত দিয়া হৈছে।

1

Clean your hands: Make sure your hands are thoroughly washed before touching the nebuliser components.

2

Assemble the nebuliser: Follow the instructions to put together the nebuliser machine, medicine cup, tubing, and the mask or mouthpiece as indicated.

3

Load the medicine cup: Put the recommended amount of medicine into the nebuliser cup.

4

Mouthpiece or the mask: When using a mouthpiece, place it securely in your mouth, closing your lips tightly around it for a firm seal. For children using a mask, make sure it fits snugly over their nose and mouth.

5

Activate the nebuliser: Switch on the nebuliser machine. Watch for a light mist to come out from the tube near the mouthpiece or the mask.

6

Breathe normally: Breathe in steadily through your mouth while the medication cup empties, or until the mist stops. This usually takes about 10 minutes.

7

Turn off the machine: After the nebuliser has delivered the medication, take the mouthpiece out of your mouth (or remove your child’s mask) and turn off the machine.

8

Rinse (if necessary): After using an inhaled corticosteroid, rinse your mouth (or your child’s mouth) with water and then spit it out to prevent mouth infections. If a mask is used, make sure to wash your child’s face as well.

Maintaining a Nebuliser

Washing Frequency
It is strongly advised to clean the different components of your nebuliser after each use. These parts include the mouthpiece or mask, top piece, and medicine cup.
Disassembly
Start by taking apart the nebuliser, disconnecting the tubing, and placing it aside. (Note: Avoid submerging the tubing in water).
Cleaning Options
Take off the mouthpiece or the mask and the medicine cup from the top piece. Keep these parts separate for cleaning. Alternatively, you can wash them in warm, soapy water and rinse thoroughly.
Drying
After cleaning, shake off any extra water and let the parts air-dry in a cool, dry place until your next use.
Weekly Deep Cleaning
Aside from daily cleaning, conduct a thorough cleaning once a week. Simply soak the mouthpiece or the mask, top piece, and medicine cup in a mild detergent and water solution for about 30 minutes, or follow the recommendations from your device manufacturer. Then, rinse and let them air-dry in a cool, dry location.
Cleaning the Compressor
Wipe the surface of the compressor and the outer part of the tubing with a cloth dampened with soapy water or a disinfectant wipe. Remember, neither the compressor nor the tubing should be submerged in water.
Filter Replacement
Finally, keep in mind that the majority of compressors have an air filter that should be changed every six months or as per the manufacturer's guidelines.
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