An asthma inhaler is a modern means of treatment and control over the course of the disease. Inhalation therapy has been used for the treatment of diseases of the bronchopulmonary system for a long time. With the development of medical knowledge and technical capabilities, inhalers for bronchial asthma are improving and becoming more accessible to patients of any age. The article describes the types of inhalers that can be used for asthma.

Asthma is characterized by the occurrence of asthma attacks of varying severity, which occur due to edema and spasm of the bronchi. The damage to the respiratory system is caused by the effect of a pathological agent on the walls of the bronchi and their hyperreactivity, which are provoked by a set of internal characteristics of the body and the influence of external factors.

• cough that occurs in the morning or at night;
• separation of a small amount of "vitreous" sputum;
• forced position of the body;
• difficult short deep breath;
• prolonged exhalation;
• slowing down or increasing the rhythm of respiratory movements;
• wheezing in both lungs;
• pallor of the skin with perioral acrocyanosis.

In the absence of timely assistance, the manifestations of an attack may increase with increased shortness of breath and the appearance of severe respiratory failure.

This disease significantly impairs the quality of life of patients, and a severe attack of suffocation can be fatal. Therefore, control over the disease should be sufficient and independently carried out by the patient.

For stepwise therapy, various drugs are used that have an effect on the links of the pathogenesis of the disease. Inhalers for the treatment of bronchial asthma are the main and effective way of delivering active substances to the lungs. A wide range of devices allows you to carry out treatment activities in any convenient place.

In order to stop an attack of asthmatic bronchial obstruction, stationary inhalers can be used. Their therapeutic effect is based on the creation of an aerosol containing a medicinal substance.

The undoubted advantage of inhalation is the delivery of the drug directly to the site of injury - to the lungs. At the same time, the required concentration of the substance is achieved and the systemic effect is significantly reduced.

• heat;
• hemoptysis;
• children's age (for independent use);
• inflammatory diseases of the oral mucosa, lips, perioral region;
• depletion of the body;
• hysteria;
• epilepsy with frequent seizures;
• inflammation of the middle ear;
• bacterial inflammation of the respiratory tract.

The disadvantage of using such devices is their relative bulkiness, dependence on the power supply network, long preparation for the procedure, and duration.

The modern market of medical equipment for home use offers a significant list of stationary devices for inhalation therapy, different by the type of action. There are nebulizer and steam inhalers.

The principle of operation of a nebulizer is to create a "cloud" containing a medicinal substance.

• compressor rooms;
• ultrasonic;
• electronic mesh.

Compression systems are very popular among the population. With the help of a special device, compressed air is fed through a narrow nozzle into a reservoir with a medicine, where, passing through a baffle, an aerosol is created. Further, entering through the deflector, the medicine is crushed into smaller particles and enters through the tube through the mouthpiece or mask to the patient. Almost any medicinal liquid can be used in a compressor nebulizer.

The ultrasonic apparatus creates a fine aerosol using high-frequency ultrasonic vibrations. Some models are portable and rechargeable for convenient travel. Such devices work almost silently, which makes them indispensable for the treatment of young children. One disadvantage is that ultrasound can destroy some drugs and render them ineffective.

Electronic mesh or mesh nebulizers are one of the modern devices for the treatment of respiratory organs. The medicinal "cloud" is created by pushing through the smallest holes in the special mesh of the device. The advantages of such nebulizers are the absence of drug destruction, its low consumption and noiselessness.

Among the disadvantages are the cost and the need for careful, thorough care.

Modern steam inhalers are a reservoir with a heating element and a mask. In it, the medicinal liquid heats up (not higher than 40 °) and evaporates together with water vapor, which is inhaled by the patient. The particles are very large and cannot reach the lower respiratory tract. Therefore, the use of such devices in bronchial asthma is impractical.

Pocket inhalers are easy to use. They are a dosing device and the drug itself, which can be in the form of a powder or an aerosol spray. Portable devices are lightweight, fit in the palm of your hand, they can be put in a purse or pocket, which is an undoubted advantage over stationary devices. And the ability to provide emergency care in the development of an attack allows for proper control of the disease.

The device of such devices consists of a dispenser, a container for storing a capsule and a desiccant (a chemical substance that absorbs moisture), a mouthpiece with a lid. These inhalers come in a variety of shapes, delivery modes, and indicators.

• Turbuhaler;
• Dishaler;
• Breezhaler;
• Handichaler;
• Multidisk;
• Twistheiler;
• Aerolizer;
• Spinkhaler;
• Cyclohaler.

The advantage of such inhalers is that there is no need to coordinate inhalation and delivery of medication. The entry into the lungs is accompanied by various sound effects (clicks, whistling, buzzing), which inform about the correct use of the apparatus.

Aerosol

The device of these inhalers is even simpler than that of powder inhalers, and they represent a balloon containing an aerosol with a medicine and a valve dispenser. A simple push on the bottom of the can, inserted into the dispensing device, delivers the aerosol to the lungs.

• Ventolin;
• Berotek;
• Serevent;
• Atrovent;
• Atimos;
• Salamol;
• Salbutamol.

The main difficulty in using such forms of drugs lies in coordinating the simultaneous pressing of the inhaler trigger and inhalation. This is especially true for children and the elderly.

In order to maintain the required dosage and facilitate the technique of drug administration, spacers have been created for supplying anti-asthma aerosols. They are an oblong reservoir with a dispenser opening and a mask or mouthpiece at the other end. The medicinal substance is evenly distributed over the spacer, and the patient has the opportunity to calmly inhale it in a rhythm convenient for himself.

At the heart of therapy for asthma is the need to achieve two goals - control over the disease and the rapid relief of an attack of suffocation. Therefore, two groups of drugs are used: for basic (maintenance) therapy and for emergency care in an attack.

The basic funds are used constantly and daily. They help relieve inflammation and prevent the occurrence of an attack of suffocation.

• hormonal inhalers (Asmanex, Budesonid, Beklazon, Klenil, Pulmicort);
• beta 2 - long-acting agonists (Foradil, Formoterol, Salgim, Cybutol);
• cromones (Tayled, Intal).

The most effective drugs for controlling the course of the disease are glucocorticosteroids. Pulmonologists recommend a combination of local hormones with non-hormonal agents, for example, theophylline of prolonged action, antileukotrienes, antiallergic.

Rapid-onset medications should be used to relieve the symptoms of choking. For this, agents are used for intravenous and inhalation administration.

• short-acting beta 2-agonists (Salbutamol, Berotek, Terbutalin);
• anticholinergics (Atrovent, Ipratropium bromide);
• a complex preparation containing Fenoterol and Ipratropium bromide - Berodual.

There is no cure for bronchial asthma, but with the help of effective inhalation drugs you can achieve good control over the disease and minimize the occurrence of asthma attacks.

A pocket inhaler for bronchial asthma is an effective means of delivering drugs to the lungs. But the important point is that for the necessary distribution of dry or liquid aerosol, the technique of how to use the inhaler must be followed.

Each device comes with instructions for use, which clearly describe how to use it. In some cases, you have to make repeated attempts before learning how to use the apparatus. For this, the attending physician or at the school of bronchial asthma, as a rule, has special simulators on which patients are trained.

1. Make sure there is medication in the inhaler.
2. If necessary, insert a capsule or blister with a dose of the drug into the body.
3. Remove the lid from the mouthpiece (the part of the inhaler that is inserted into the mouth);
4. Exhale.
5. Position the inhaler depending on the design (indicated in the annotation).
6. Some inhalers require a powder capsule to be pierced first.
7. Grasp the mouthpiece tightly with your lips (if required by the instruction, then with your teeth).
8. Inhale deeply through your mouth while pressing the bottom of the can or the release button.
9. Hold your breath for about 10 seconds and exhale smoothly.
10. When using powder capsules, make sure that all the medicine has been used, if there is a residue in the capsule, then inhale it completely.

In order to determine whether the medicine has run out in an aerosol can, you need to disconnect it from the inhaler and place it in a container with water. If the balloon floats up, then it is empty and must be replaced. If it surfaced partially and the bottom is at an angle to the surface of the water, then it is пол full, if in parallel, then half. In the event that the can is completely sunk, you can be sure that there is a sufficient amount of medicine.

In powder inhalers there are special scales and indicators, where you can see the amount of the remaining medicine.

It is important not to forget that all types of inhalers require weekly maintenance. So, aerosols should be washed with warm water and dried in air (the can is first disconnected from the dispenser). Powdered ones should not be treated with any liquids; to care for them, it is enough to wipe the mouthpiece and internal parts with a dry cloth.

When diagnosed as bronchial asthma, inhalers are an effective means of delivering essential medications to the respiratory system. The list of devices and drugs for the treatment of this chronic disease is wide. The selection and training on how to use them correctly is carried out individually.

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Are you worried about a strong and excruciating cough?

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   Do you have a cough when you are in cold air?

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   Are you worried about shortness of breath in which it becomes difficult to exhale and breathing constraints?

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   Have you noticed wheezing wheezing during breathing?

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The use of a nebulizer for bronchial asthma has the following advantages:

• It helps very quickly eliminate the onset of an attack, as it delivers the drug directly to the bronchi.
• Regular use allows you to completely get rid of dangerous symptoms.
• The device is easy to use for both adults and children.
• A nebulizer, unlike an inhaler, can even be used to treat babies.
• You do not need to regulate your breathing - you can just breathe in and out, as if you were just breathing air.
• The use of a nebulizer does not affect any organs other than the bronchi.
• Various drug combinations can be used.
• Asthma nebulizer allows for dosage adjustment.
• Can be used with a ventilator.
• The inhaler can be used both at home and always with you. For this, many manufacturers, for example, the Italian Med2000 or the British company B. Well, produce portable nebulizers that can be carried in a bag.

What are nebulizers?

Inhalers can be divided into two types: compressor and ultrasonic.

Compressor can spray any medicine. A special compressor forms a cloud of aerosol, due to which the medicine easily penetrates into all parts of the bronchi and lungs and settles on the mucous membrane. The main disadvantage of such models is their loud enough work. This can scare the child when inhaling or interfere with inhalation at night. However, many manufacturers of compressor nebulizers produce special models for children. For example, the Italian company Flaem Nuova produces ladybug nebulizers that “hum” and don’t frighten babies.

The ultrasonic nebulizer is much quieter. In addition, the lighter weight makes it more convenient to use. It creates an aerosol cloud using ultrasound, but it can only act on oil solutions.

If you want to combine the use of all types of drugs, you can purchase the Little Doctor or Omron U22 mesh nebulizer, which combine both compressor and ultrasonic principles of operation.

How to choose a nebulizer for asthmatics?

Buying a nebulizer is not an easy task. It is important to take into account all the features of each model and choose the most suitable one for those drugs and the disease for which it will be used.

A nebulizer for bronchial asthma should be selected according to the following criteria:

Where to buy a nebulizer for asthmatics

Unfortunately, the sale of nebulizers is not yet as widespread as we would like. Undoubtedly, you can buy a nebulizer at a pharmacy, but not all of them may be available, and many of them will not be in stock at all. It is much easier to buy a nebulizer from an online store.

Nebulizers for asthma save a person's life. This is a serious and often incurable disease. It occurs due to the effect of allergens on the respiratory organs. With the help of antihistamines and other drugs, good treatment results can be achieved. Inhalers help control disease progression and prevent worsening of the disease.

Inhaler types and use for asthmatics

Such drugs have a great advantage, since they deliver the drug to the site of irritation. Another attack can be provoked by: nervous tension, stress, cold air. Therefore, inhalers are very different, even pocket ones. After all, people with asthma should always carry this device with them. It should be noted that they are very convenient for children to use.

Inhaler types:

• Powder - the agent enters the body as a dry powder. This device is very convenient and easy to use. The disadvantages include the high price.
• Spacers - these are small metal (sometimes plastic) cameras. They are attached to the inhaler. Their principle of action is that when inhaling, drugs enter the lungs, and when exhaling, the inhaler valve closes. This allows you to save the drug and maximize its delivery to the site of irritation. It is recommended. At different ages, they do not always understand how to breathe correctly when inhaled. In this case, this device is just a godsend.
• Nebulizers are a modern type of inhaler. With their help, it is possible to ensure the maximum dispersion of the drug on a small area of \u200b\u200bthe bronchi. They are very effective and maximize the effects of medication. Among the disadvantages is not a small size. Therefore, it is impossible to carry them with you as well as to use in case of an accidental attack of suffocation. They are suitable for inpatient or home treatment. Nebulizers are divided into compressor and ultrasonic. The latter, with the help of vibrations, distributes the substance even to the distant parts of the respiratory tract. Therefore, when choosing which one is better, you should pay attention to the effectiveness of the treatment. Among the unusual nebulizers are pocket ones. They appeared on sale not so long ago. They work thanks to batteries, but they are very expensive. Therefore, they are not as popular.
• Liquid aerosols - with their help, you can use cans with various drugs and doses. Their price is quite cheap. They are also easy to use. But they have a significant drawback - drugs enter the respiratory organs only when inhaled. Training is required to use this asthma inhaler. It is important to take into account that when aerosol is used, medicines settle in the mouth, albeit in small quantities. But then they enter the digestive system and cause negative consequences. More often this happens from an overdose of medication.
• Hormonal - designed for treatment with glucocorticosteroids. Among such inhalers are well-known: Symbicort and Salbutamol. Such inhalers for bronchial asthma and not only, relieve swelling and inflammation of the mucous membranes. This is influenced by the well-known hormone - adrenaline. It should be noted that such inhalations do not cause side effects, since steroids do not enter the bloodstream. They are prescribed after treatment with drugs for internal use. For asthmatics, these inhalers are one of the best. They not only provide inspiratory drug delivery, but also control the air that enters the lungs. Thus, the required amount of medicine is determined. All this is done by the inhaler, not the person.

What inhalers are used for asthma?

Usually, inhalers have one or the other drug in their content. They are designed for use in exacerbations of asthma and asthma attacks. They can be prescribed both for long-term treatment of the disease, and for one or more applications. The contents of the inhaler can be changed and a cartridge with the necessary medicines can be placed. Among them are often prescribed:

• Symbicort, Salbutamol;
• Becotide, Beclomethasone;
• Ingacort, Fluticasone.

It should be noted that inhalers for bronchial asthma can be used against inflammation and as a bronchodilator. Thus, they relieve asthma attacks and eliminate the causes of inflammation. To do this, use the following drugs: Salbutamol, Terbutaline, Levalbuterol. You can relax the bronchi with drugs such as Ipratropium and Atrovent.

A doctor should prescribe inhalation for asthma. At the same time, taking into account the peculiarity of allergy and the factors that contribute to its exacerbation. Each can of a drug must be carefully examined before use. One drug in its content is intended to address the specific cause of an attack or inflammation.

What medicines are used in inhalers?

Despite the fact that in modern medicine there is a large assortment of medicines, Salbutamol and Symbicort are most often used in inhalers. Such inhalations for bronchial asthma are done for adults and children. They are the most effective because they relieve the symptoms of the disease in a short time. To avoid undesirable consequences, it is necessary to undergo training before use.

There are other medications that are prescribed for inhalers. They have the following names:

• Magnesium sulfate;
• Lazolvan;
• Dekasan;
• Atrovent;
• Berotek.

In addition to medicines, inhalations with mineral water (Borjomi) and saline can be prescribed. They help to treat bronchitis initially.

In what cases it is impossible to do inhalation

Any drug has contraindications and cannot be used by every person. At the same time, the very type and model of inhalers do not matter at all. It all depends only on medications. An inhaler for asthma can only be used after being prescribed by an allergist.

Contraindications for use:

• Hemorrhage in the lungs (with blood visible during the expectoration process);
• Pneumothorax;
• Diseases of the heart and vascular system;
• Disorders in blood coagulation and circulation;
• Acute stage of hypertension;
• The period after suffering strokes and heart attacks;
• Hypersensitivity to certain drugs;
• The increase in body temperature is more than 38 °.

Some inhalers cannot be used for diabetes. This information is indicated in the instructions for use. Inhalers, including asthma inhalers, should not be used immediately after physical exertion. It is necessary to do a time interval of at least 2 hours. Smoking is prohibited after inhalation. Breathing in nicotine is also not recommended. After such a procedure, it is better for the patient to be under the supervision of a specialist for at least 20 minutes.

How to use inhalers?

Before using the inhaler for asthma or other diseases, you should read the instructions for use. Then the treatment will be effective and the risk of side effects will decrease.

The following recommendations will help you to use the inhaler correctly:

1. Before use, it is necessary to clean the oral cavity from food debris (you can just rinse it);
2. Shake the can and remove the lid;
3. After exhaling deeply, squeeze the tip of the spray can with your lips;
4. It is important to consider that the medicine is delivered with inhalation and pressing on the aerosol. This must be done at the same time;
5. After removing the tip and holding your breath (10-15 seconds);
6. The last stage of use will be exhalation. Then the can must be closed.

It is worth noting that if there is no effective treatment with inhalers for bronchial asthma, then you should consult a doctor. He must make changes in treatment and find more effective drugs. This will help avoid serious consequences that arise from improper treatment. Every patient should be trained before using any inhaler. Improper use can be the reason for ineffective treatment. The attending physician conducts training.

What should you pay attention to when choosing an inhaler?

This issue must be approached with the utmost seriousness. After examination and diagnosis, the doctor determines whether the patient needs inhalation or not. It is forbidden to use any kind of inhaler on your own. But you can express your wishes to the doctor about the comfortable and convenient use of this device. The following information will help with this:

• The most convenient inhaler is the pocket one;
• The device should be simple and straightforward to use so that you can use it yourself during an attack;
• It is very convenient if the inhaler independently controls the dose of the medication;
• Affordable price.

Inhalers for children

The name nebulizer has become popular not so long ago. Previously, steam inhalation was used to treat children from various diseases. For a child, this process is a real test. Modern inhalers make the treatment as comfortable as possible. Spacers are recommended for children. They independently distribute and control the medicine, no matter how the child breathes. Most children are afraid of such devices because they do not know how to breathe correctly.

If a child is afraid of a couple, then adults can show that it does not hurt. Children should not be forced to do such procedures if they are accompanied by hysteria, fear and tears. The child should feel comfortable. Stress can trigger an extra asthma attack. And also it is impossible for the child to scream during inhalation.

Treatment with inhalers is prescribed by a doctor. This also applies to medicines for such procedures and their dosage. There are different types of medicines that are used to treat children. The most famous of them:

• Steroid drugs - Busedonide, Beclomethasone;
• Drugs that have a direct effect on the respiratory organs and can stop attacks of suffocation;
• The best drugs are Salbutamol, Terbutaline.

It occurs against the background of allergies and certain consequences. Do not self-medicate children and put it off. This can cause serious complications. Adults and children who suffer from asthma are advised to always carry inhalers with them. You can have several. For example: one pocket - to have it always nearby, and the other - for home use. Nebulizers should be in every home, especially if there are children. They help to quickly cure colds and various respiratory diseases.

Inhalers for the treatment of bronchial asthma are available in different types and forms. They stop an attack of suffocation, prevent its occurrence when exposed to negative factors. They are produced in the form of cans with special nozzles that ensure the maximum penetration of active components into the lungs and bronchi. Inside are medicines in liquid, powder form. The mechanism of drug administration is the same for all types of inhalers for bronchial asthma.

Drugs for treatment, elimination of seizures

Some medicines work quickly, others gradually. The effect appears after a few days, or even weeks.

With this diagnosis, the following types of drugs are prescribed for nebulizer therapy:

The list of drugs is quite large. Medicines are selected individually for each patient... The choice depends on the severity of the disease, age, individual characteristics of the organism. Mesh nebulizers, ultrasonic and compressor devices are used to administer large doses of medicines.

Inhalation for bronchial asthma for quick relief of attacks is carried out using metered-dose inhalers. They are produced in the form of spray cans. They are compact in size. Easily fit into your purse, pocket. There are non-hormonal inhalers, the action of which is aimed at relieving bronchospasm, improving breathing, hormonal ones - to ensure stable remission. Used at home.

Types of inhalers for bronchial asthma

Each nebulizer has certain advantages and disadvantages. There are no perfect products.

Inhalation aerosols

Inside the can is a liquid medicine. When you press the bottle, a certain dose of active substances enters the respiratory tract, providing a quick therapeutic effect. These are the most common devices. They are distinguished by an affordable price, compact size. Of the shortcomings, it is noted that it enters the digestive tract, since some of the drugs settle in the oral cavity, with saliva enters the stomach.

Powder

Inside the bottle there is a preparation in the form of a powder. When you press the cartridge, the active ingredients in a certain dosage enter the respiratory tract. The likelihood of developing side effects is reduced. The drug in the maximum amount enters the respiratory organs, bypassing the digestive tract. Among the shortcomings, the high cost is noted.

Hormonal

Available in liquid, powder form. Not used to relieve asthma attacks. Medication is designed to reduce the number of relapses. They act gradually. The effect can be seen at least after 10-14 days of daily use. The duration of the course is determined by the doctor. Continuous use for up to 6 months is possible.

Hormonal inhalers for the treatment of bronchial asthma in large doses are administered using compressor nebulizers. The procedure is carried out at home. A solution for a nebulizer for bronchial asthma is made immediately before breathing procedures. The medicine loses its properties within 30 minutes. The prepared solution is not intended for storage. Medicines stop the inflammatory process, relieve swelling, strengthen the immune system, and reduce the effect of histamines. Hormonal agents are combined with bronchodilators, antispasmodics.

Hormonal drugs, antibiotics are administered using compressor devices. It is allowed to use mesh nebulizers, ultrasonic devices only in some cases. If they are filled with bronchodilators, mucolytics.

Nebulizer therapy is carried out with hormonal, non-hormonal agents. The duration of the procedure for children is on average 5 minutes, for adults - 10 minutes. It is used when it is necessary to administer large doses of drugs.

Rules for using the inhaler for bronchial asthma

To carry out inhalation using a nebulizer, it is necessary to pour the prescribed dose of medication into the chamber, take a comfortable sitting position, take a mouthpiece in your mouth, and clasp it tightly with your lips. The breathing procedure is carried out until the solution disappears in the chamber.

How to use the inhaler for bronchial asthma, the specialist making the appointment should tell. The procedure is extremely simple, but it requires certain skills, so it is not always possible to do everything right at once.

Algorithm of actions

1. shake the can, turn it upside down;
2. exhale;
3. insert the mouthpiece into your mouth, wrap your lips tightly;
4. press the can to release a dose of medication;
5. take a simultaneous breath;
6. hold the medicine for a couple of seconds;
7. exhale through the nose;
8. if necessary, repeat the procedure within 5 minutes.

If inhalation for bronchial asthma is given to a child, it is recommended to use a special nozzle. The spacer is called. Put on the mouthpiece, holds the dose of the drug inside until the person takes a deep breath. The attachment is also suitable for adults. It is not always possible to control inhalation and exhalation well with severe attacks. With a spacer, you can inhale the medication at the moment when the person is ready.

Inhaled drugs

They are selected individually. The procedure is done at home, in places where the next attack will overtake. Medicine for inhalation for bronchial asthma eliminates the next attack, prevents its occurrence, reduces the number of relapses. What drug to use should be determined by a specialist. The appointment depends on the severity of the disease.

Inhalation with a nebulizer for bronchial asthma is done using:

• Salbutamol;
• Ipratropium Bromide;
• Berodual.

The prescribed amount of the drug is poured into the bowl of the nebulizer for the treatment of bronchial asthma, and saline is added. The maximum amount of the finished solution should not exceed 5 ml. It is recommended to inhale the medicine through the mouth using a mouthpiece. After the procedure, you should rinse your mouth with a soda solution. This procedure is done to reduce side effects. When hormonal agents are inhaled, stomatitis develops, a sore throat appears.

Metered-dose aerosol inhalers:

• Easy breath;
• Autohaler;
• Respimat.

Powder: capsule, blister, reservoir:

• Spinkhaler;
• Cyclohaler;
• Rothaler;
• Aerolizer;
• HandiHaler;
• Turbu-Haler;
• Easyhailer;
• Novolizer;
• Multidisk.

A nebulizer for bronchial asthma should be available for every patient.

Soda inhalation

Baking soda acts as an antiseptic, mucolytic. When it enters the respiratory tract, it destroys microbes, moisturizes the mucous membrane, stimulates the outflow of mucus, and stops an asthmatic attack. Inhalation can be done through steam devices, nebulizers. In the first case, 1 teaspoon of soda is added to 1 liter of boiled warm water. Inhale the vapors for 10 minutes, covering the head with a towel.

When using a compressor apparatus, a ready-made pharmaceutical solution is recommended - soda-buffer. One ampoule contains 3-5 ml. Breathing is allowed to eliminate an attack, prophylaxis under the influence of negative factors. Inhalation procedures are carried out three times a day for 10 minutes.

Inhalers for bronchial asthma: names and prices

There are medicines on sale with the same active substance, at different prices. Usually, domestic drugs are always cheaper... However, the issue of replacing one agent with another should be discussed with a specialist.

The list can be continued endlessly. The prices for metered-dose inhalers are quite high. The can contains from 50 to 200 doses. The shelf life of the medicine is 2 years from the date of manufacture, 1 year - after the first use. Store in a dry place away from direct sunlight.

An asthma inhaler is used for the main treatment with hormonal drugs (Flixotide, Aldecin, Pulmicort in aerosol and for a nebulizer). Cans with bronchodilators are used to relieve an attack (Berodual, Salbutamol). Combined medicines (Symbicort, Seretide) are considered effective.

For the introduction of solutions, a nebulizer is used, the best for an asthmatic is MESH. In his absence, a compressor device is used at home. Improper inhalation of aerosol or self-change in the treatment regimen leads to the fact that the inhaler stops working.

For the treatment of asthma, drugs are used for basic therapy - these are inhalations with hormones through a nebulizer (of any type), a powder or metered-dose inhaler (balloon). Symptomatic therapy includes the use of medication to dilate the bronchi during an asthma attack.

Such medicines should always be with you, so you need pocket options - a MESH inhaler (liquid breathing apparatus), powder or spray. The main characteristics of these devices are shown in the table.

Which nebulizer is better

A nebulizer is a device that sprays liquid, the MESH inhaler is recognized as the best for bronchial asthma. It can transform any preparation intended for inhalation into a fine aerosol (droplets up to 3 microns). This means that the resulting drug cloud will penetrate deep into the respiratory tract.

The second important advantage is portability. The liquid breathing apparatus can be used on the road or at night without getting out of bed. It can be used to treat a child, since there is no noise effect (like a compressor device).

What dosage is used

Dosed aerosols are used in the form of:

• liquid cartridges;
• powder inhalers.

Aerosols for relieving seizures are not used in such conditions:

• increased heart rate;
• an allergic reaction to components;
• glaucoma;
• hypertonic disease;
• severe diseases of the heart and blood vessels (atherosclerosis, heart attack, angina pectoris, defects, myocarditis, cardiomyopathy, vasculitis and others);
• diabetes mellitus with high blood sugar levels, coma;
• violation of the outflow of urine due to an increase in the prostate gland;
• pregnancy, lactation;
• increased thyroid function;
• adrenal gland tumor (pheochromocytoma);
• cystic fibrosis (violation of the formation of mucus in the bronchi).

Watch this video about the benefits of nebulizer treatment for asthma in adults and children:

When to use an inhaler for asthmatics

An inhaler for asthmatics is used for all forms of the disease, at any stage for:

• reducing the frequency and severity of attacks upon contact with an allergen;
• getting rid of shortness of breath;
• expansion of the bronchi;
• relief breathing when choking;
• prevention of allergic reactions;
• prevention of irreversible changes in the bronchi (thickening of the walls, impaired patency);
• improving physical activity and quality of life.

There is a way to treat asthmatics with pills. It is recognized as less effective because:

• hormonal drugs have a systemic effect - there may be growth retardation in children, sexual dysfunctions in adults, blood pressure and blood sugar increase, vision is impaired, the skeletal system and gastric mucosa are destroyed;
• with attacks, pills begin to act much later than inhalers, while their side effects are more pronounced.

Medication for bronchial asthma: a list of the best

The list of the best medicines for bronchial asthma includes the drugs indicated in the table.

Name	Group	Active substance	Treatment result	average price
	Hormones	Beclomethasone	Less frequent and less severe attacks	100 mg 420 rubles, 180 hryvnia
during the procedure, clothes should not squeeze the chest and neck, interfere with breathing; the session takes place in a sitting position, there should be good support for the back; inhales and exhales do not need to be accelerated or try to breathe deeper, as this causes a reflex spasm of the bronchi; the medicinal solution is heated to body temperature before being poured into the nebulizer container, this requires hot water, you cannot use a microwave oven; at the end of inhalation, rinse your mouth, do not drink, eat, smoke, try not to talk for an hour; after the procedures, the device is disconnected from the mains. How to take care of your asthmatics device Devices for asthmatics should be cleaned at least once a week. This applies to both the nebulizer and aerosol nozzles. For this, all plastic parts and removable connecting tubes are disconnected and washed with warm water and soap, then rinsed thoroughly. It is recommended to immerse nebulizer parts in an antiseptic solution (Chlorhexidine, Miramistin) for 30 minutes. Which nebulizer to buy an asthmatic child For an asthmatic child, it is best to buy a portable nebulizer - MESH inhaler. For daily use, inhalation of aerosols through a compressor device is suitable, and to stop (relieve) an attack in the absence of a MESH device, a metered canister is needed. Aerosols for daily use Daily aerosols are best obtained with a MESH inhaler. It is the most versatile device for treating children from bronchial asthma. Spraying is possible as hormonal drugs for basic anti-inflammatory therapy, and medicines that dilate the bronchi. These devices are portable, quiet and can be used outside the home. It is important for the child that when inhaling, it is not required to adjust to the pressure on the can, to inhale with force. If there is no financial opportunity to purchase this inhaler, then a compressor nebulizer would be an alternative option for daily treatment. They are produced in modifications for children, they look like toys, as well as special masks. Compressor nebulizer for children Inhaler for relief of an attack The MESH inhaler can be filled with Berodual, Beroteka solution and used to relieve an asthma attack. For this purpose, other types of nebulizers are not suitable, since preparation for the procedure takes a lot of time. Therefore, children in the absence of a portable device are advised to always have an aerosol can or a powder inhaler with them. Often, bronchospasm and asthma attacks occur in those who exercise for a long time in cold air or in chlorinated pool water. In such situations, it is necessary to have a spasm reliever on hand. Inhalers for cardiac asthma Inhalers, which are used to relieve suffocation in bronchial asthma, worsen the condition of patients with heart disease. They can even provoke a spasm of the vessels of the heart with the subsequent development of an attack of angina pectoris, myocardial infarction. Therefore, it is very important to be able to distinguish the symptoms of these diseases. They also have a lot in common - chest pain, cough, shortness of breath, heart palpitations. Name Bronchial asthma Cardiac asthma Past or current illnesses Pneumonia, bronchitis, allergies Heart attack, angina pectoris, hypertension, arrhythmia Attack position Sitting or standing with support on hands Sitting with lowered legs Labored breathing It is difficult to exhale, exhalation is long Difficulty breathing in and out Blue skin Spilled Nails, lips Rib cage Emphysematous (swollen) Regular Sputum Mucous, scanty, discharged at the end of an attack Foamy, pink Tablets for bronchial asthma: names, brief characteristics Tablets for bronchial asthma are used less often than inhalers. Their doctor may prescribe in case of contraindications to the main inhalation medications. The characteristics and names of the most common medicines are shown in the table. Name What is it used for Child dose Dose for an adult Contraindications Relieves bronchospasm 65-125 mg 3-4 times a day 125-250 mg 3-4 times a day Pulmonary edema, low or high blood pressure, heart failure, heart attack, epilepsy, kidney, liver failure Ketotifen Reduces reaction to allergens 25 mcg / kg 2 times a day 1 mg 2 times a day Pregnancy Singular Reduces the frequency and severity of attacks 4 mg 10 mg Individual intolerance Prednisalone Reduces inflammation 1-2 mg / kg 20-30 mg followed by a decrease Infection, stomach ulcer, heart attack, diabetes, hypertension, kidney and liver failure Why the inhaler doesn't work for asthma If the inhaler does not help with asthma, then the reasons may be: refusal to use hormones, since it is drugs with corticosteroids that treat asthma, and inhalers for expanding the bronchi act only on the symptom (airway spasm, choking); in the absence of anti-inflammatory and antiallergic treatment, each time an increasing dose of bronchodilator drugs is required, which means an aggravation of the course of bronchial asthma; the patient does not know how to use the inhaler correctly, the main part of the medication settles in the oral cavity, trachea and does not reach the bronchi (it is necessary to purchase a spacer or nebulizer); drugs for therapy are used chaotically, appointments change independently; there is no control over the results of treatment - rare visits to the doctor, there are no regular laboratory and instrumental examinations; risk factors have not been eliminated - contact with allergens, smoking, viral infections, being in a smoky space, living in a cold climate. An inhaler for bronchial asthma is needed for anti-inflammatory (main) treatment. For this, hormonal drugs are prescribed. Aerosol cans and MESH nebulizers help relieve asthma attacks. It is important to follow the doctor's recommendations exactly, not to use asthmatics for cardiac asthma. Useful video See in this video on how to use an inhaler for bronchial asthma: