文‧胸腔內科 陳信志醫師
吸入型支氣管擴張劑是甚麼？
氣喘或慢性阻塞性肺病的病人都可能被處方這類的藥品，門診常發現病人拿到這類藥物後，因為使用方法不正確，藥物無法有效進入肺部，導致治療效果不佳。以下兩種常見藥品劑型向大家介紹：
1. MDI(Metered-Dose Inhaler)定量噴霧吸入器：像是藍色備勞喘(Berotec)，紫色使肺泰(Seretide Evohaler)都屬於此類。
使用時拿開蓋子，上下搖動，接上塑膠延伸管，慢慢呼氣後，將延伸管開口含在口中，緩慢吸氣同時壓下噴霧器，屏氣10秒鐘。
此類劑型常見問題有未接延伸管；病人力量不足未能壓下噴霧劑；或著是手口配合度差，下壓時不能同時有效吸入，這類病患有時需購買面罩式吸藥輔助器(Aero Chamber)，才能讓藥物達到最佳使用效果。
2. Turbuhaler定量粉狀吸入器：紅色吸必擴(Symbicort)，咖啡色可滅喘(Pulmicort)屬於此類。
旋開瓶蓋，向右轉到底在向左轉到底，聽到”喀喀”一聲，把氣吐光，深深吸一口藥，閉氣5-10秒鐘。
最常見的問題是忘記怎麼轉，隨便轉隨便吸；再來是新開瓶前兩下”喀喀”聲，都是沒藥的，第三下”喀喀”聲開始才有藥；吸入藥物時，穩定慢慢地深吸氣效果比短暫猛吸一口氣好。
最後提醒大家，紅色、紫色和咖啡色內含吸入型類固醇，幾乎沒有系統性副作用，可以安心使用，但是吸完後記得漱口，才不會產生口腔念珠菌感染、輕微咽喉刺激、聲音嘶啞等副作用。what makes husbands cheat
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