!"#$$%#& (")&*+ ,#-&.&/+ 0$ 1&/+2#&. *&3& 4#&5 !"#$% '()* +
'$,- (,., /0%- /0%-1 2)(, 3)4,5 ., 3%-6
7"0,5) 8$*,9,()
7"8%.+/")
Jet Neb
6!,
Mesh Neb UltraSonic Neb
MDI
• Turbuhaler • Discus
Spacer (+)
Spacer (-)
extension dv
holding ch
• Swinghaler
!")("0 :1 ;,0$"0 :< 8$*,9,=%$ #0",#>"$# ?%0 ,(#*>,< '0@( %? A)( )$ B*)93< CDEFGFCHEEIDJ<
M%-%- 2,*,(,$ H • • • •
M0)$()5 3,(,0 #"0,5) )$*,9,() 74^4,$ #"0,5) )$*,9,() 8$3)-,() #"0,5) )$*,9,() M)Z,99 #"0,5) )$*,9,()
'5,-,* #"0,5) )$*,9,() 6 • B,0, 5">2"0),$ %2,# 3,9,> 2"$#4- ,"0%(%9 >"9,94) (,940,$ $,?,( • _2,# 3)*)045 %9"* 5,()"$ 2,)- ("@,0, ,-=? >,454$ 5,()? S5,()"$ =3,- (,3,0U • _2,# 9,$/(4$/ >"$@,5,) (,940,$ $,?,(1 ("*)$//, *,$., 3)5"094-,$ 3%()( .,$/ -"@)9 S>)-0%/0,>U • +"2,/),$ -"@)9 >,(4- -" ()(#">)-
(")&*+ +#-&.&/+ 9/ :")&*+ 2)&. ,#-&.&/+
;)&.
A%()(
!"$3,*
a%0>,9
`?"- (,>5)$/
+"3)-)#
b,$.,-
7">5,# -"0^,
N,$/(4$/
7)3,9,$/(4$/
Y49, -"0^,
B"5,#
N,>2,#
B,0, 5">2"0),$
M"094 )$(#04-() 3,$ 3">%
Y43,*
(%G% *"H8")+ 28&: /">&)& +#-&.&/+ 6+&$#2/+/
(")&*+
• c^) 50%P%-,()
• '$= )$\,>,()
• 7"( ?,,9 5,04
• b0%$-%3)9,#%0
• +@)$=/0,d
• M"$/"$@"0 3,*,-
• 8$34-() (54#4>
• '$"(#"() 9%-,9
• B9",0,$@" >4-%()9),0
• '$=2)%=- SP)04(U
;8&: 0$ 3&*&: 3+8")+5 /">&)& +#-&.&/+ • b0%$-%3)9,#%0 S+'b' ,#,4 N'b'U • e%0=-%(#"0%)3 • e%0=-%(#"0%)3 f b0%$-%3)9,#%0 SN'b'U • B0%>%9.$ g a"3%@0%>)9 • '/%$)(# 2"#,IQ • '$=-%9)$"0/)• '$=P)04( Sh,$,>)P)0U • +,9)$"
<":")"3 62/" ,#-&.") • _2,# 3)-"94,0-,$ 3"$/,$ >"$"-,$ g >"$.">50%#-,$$., 3,0) B,$)(#"0 • B,$)(#"0 2"0)() %2,# 3,$ 50%5"99,$# .,$/ 3)>,>5,#-,$ S2"0#"-,$,$U • Y"#"0"3 3%(" ,0=$., 3%()( #"04-40 4$#4- ("=,5 (">50%#,$ S3),#40 %9"* >"#"0)$/ P,9P"U
<":")"3 62/" ,#-&.") • M"094 -%%03)$,() Q ,-=P)#,( H >"$"-,$ B,$)(#"0 i >"$/*)045 $,?,( 3,9,> • c$#4- %0,$/ #4, 3,$ ,$,-I,$,- 3)2,$#4 3"$/,$ +5,@"0 ,#,4 O%94>,=@
Kombinasi spacer dan masker
Spacer tanpa masker
B,0, 5"$//4$,,$ YA8
B,0, 5"$//4$,,$ YA8 f (5,@"0
5. Hold your breath for at least 5 to 10 seconds. Breathe out slowly
Y"$)9,) )() %2,# 3,9,> @,$)(#"0
7"8%.+I") • '9,# .,$/ >"$/42,* 9,04#,$ %2,# >"$^,3) ,"0%(%9 .,$/ 2)(, 3)*)045 5,()"$ • '9,# #"03)0) 3,0) 2"2"0,5, 2,/),$1 %2,# 3,$ ,9,# #"05)(,* • a"249)]"0 ^"# >"$/42,* %2,# >"$^,3) ,"0%(%9 3"$/,$ /,( 2"0#"-,$,$ =$//) • a"249)]"0 49#0,(%$)- >"$/42,* >"$^,3) ,"0%(%9 3"$/,$ /"#,0,$ "9"-#0)- S(4,0, 9"2)* *,94( 3)2,$3)$/ a"249)]"0 ^"#U
a"249)]"0 :"# • '"0%(%9 -"94,0 #"04( >"$"04( • c-40,$ 5,0=-"9 QIT >)-0%$ • A"5%()() 3) 5,04 QICRj 3%()( • `?"- (,>5)$/ >)$)>,9
a"249)]"0 49#0,(%$)-
6)0 !2J3") ,#-&.") ?6!,C • 7)3,- >"$//4$,-,$ ],# -)>), S50%5"99,$#U 4$#4- >"$3%0%$/ %2,# -"94,0 • Y"$/,$3,9-,$ -"-4,#,$ *)045,$ $,5,( 5,()"$ S*,04( >"$/*)045 9"2)* @"5,# 3,$ 3,9,>U • 7)3,- >">24#4*-,$ -%%03)$,() S0"9,=? 9"2)* >43,*U • 7)3,- 5"094 (5,@"0
B,0, 5"$//4$,,$ 74024*,9"0 • b4-, #4#45$., 3"$/,$ @,0, >"$/49)0 • M"/,$/ 3"$/,$ !"#$%&'()( >"$/,0,* -",#,( • M4#,0 2,/),$ 2,[,*$., -",0,* -,$,$ (,>5,) >,-()>,91 -">43),$ -">2,9)-,$ -",0,* -)0)< '-,$ #"03"$/,0 24$.) -9)• M"/,$/ #4024*,9"0 3) 3"5,$ >494#< e"94,0-,$ $,?,( 5"9,$I5"9,$ (,>5,) >,-()>,9< • N"#,--,$ #4024*,9"0 5,3, >494#< e"34, 2"9,* 2)2)0 >"$/,#45 0,5,# 5,3, >%4#*5)"@" >%4#*5)"@"<< k)045 $,?,( 3,9,> >"9,94) >494# ("@,0, @"5,#< • b"0$,?,(9,* -">2,9) ("5"0= 2),(,< c9,$/) 9,/) 2)9, 3)5"094-,$ 3%()( 9"2)* 3,0) C -,9) *)045,$ “
”
KL"5M9+:&/ (")&*+ ,#-&.&/+ *&3& 4#&5 '< M,()"$ 4#&:2H+N 3),>"#"0 (,9<$,5,( (">5)#1 5"0@,2,$/,$ 20%$-4( 2"94> 2,$.,O"#M.&/+N $,5,( *)34$/1 P%9<=3,9 -"@)91 ?0"-4"$() $,5,( @"5,#1 5%9, $,5,( =3,- #"0,#40 !"#0&5+: H 5,3, 20%$-%549>%$,0) 3)59,(), 3"5%()() 5,0=-"9 lQj P&5:2) 5"H&:$ = 5"*&:%- 5"*&:%- 3 *"#")+H& Q2." QRS T*">+&. *)28."H/ +# &")2/2. 3".+9")0N #"2#&:&. *"3+&:)+> >2#/+3")&M2#S 1"/*+) Q&)" @AAAUVWNDVDXWBS @AAAUVWNDVDXWBS
KL"5M9+:&/ (")&*+ ,#-&.&/+ *&3& 4#&5 b< '9,# 8$*,9,()H I Y"#+/ &.&: +#-&.&/+ 4-40,$1 ^4>9,* 3,$ 3)(#0)24() 5,0=-"9 I !)2/"3%) *"H&5&+ >43,*1 -%%03)$,() >)$)>,9 I 4.&: 8:% ?!"#$%&'()(* ,-)( !-./ C +"#$%&'()( 9"2)* 2,)-
Z"J+/ 1 >2#/+3")&M2#S 6&.&HN P+#5 Y[= R%#: \K= *"#0%#M#$S Q.+#+>&. *)&>M>" +# )"/*+)&:2)0 >&)"S !-+.&3".*-+&N Z+**+#>2] ^+..+&H/ _ ^+.5+#/U B```NVaFXWES
(")&*+ ,#-&.&/+ *&3& ()&5:%/ 1"/*+)&:2)+5 _0/,$ (,(,0,$ I k)34$/ I L,0)$/ I N,0)$/ I 70,-", I b0%$-4( I b0%$-)%9) I '9P"%9)
'9,# 8$*,9,() I 8$#0,$,(,9 #"#"(g (">50%# I a"249)("0 I +($(,(- ."/( 01%23(, I .,4 5"6-(, 01%23(,
1&% YZS 43H+#+/:)&M2# 2L &")2/2.+I"3 &$"#:/S 6&.&HN 1&% YZ= *"#0%#M#$S 1"/*+)&:2)0 >&)"
,#3+5&/+ (")&*+ ,#-&.&/+ BS ,#b&H&/+ ()&5:%/ 1"/*+)&:2)+5 ,< '(>, +"0,$/,$ ,(>, S20%$-%3)9,#%0U M"$/"$3,9),$ ,(>, S,$= )$\,>,()U 2< !)$)=( ,9"0/) @< !)$%()$4()=(
7"J-2%/" <(= 62.29+>- -+.3)"#S 6&.&HN Q-")#+>5 O= <"..+#/ 1[= *"#0%#M#$S [&/+> H">-+/H 2L *"3+&:)+> )"/*+)&:2)0 3+/"&/"N >"..%.&) +#:"$)&M9"S !-+.&3".*-+&N 6">5")U B``BN VA`XBFS
,#3+5&/+ (")&*+ ,#-&.&/+ @< ,#L"5/+ ()S 1"/*+)&:2)+5 I +)$30%>, B0%45 I b0%$-)%9)=( I 8$?"-() -0%$)( Sd20%()( -)(=-1 20%$-)"-#,()(U I 8$?"-() :,>40 I 8$?"-() O)04( Z&%8" [Z= Y//"#/ R<= 6" Y2#$- PRQ= 6"9&3&/2# T\= 6- 1= 6+2: != 355S ^-&: :-" *%.H2#&)0 /*">+&.+/: /-2%.3 5#2J &82%: :-" #"J +#-&.&M2# :-")&*+"/S K%) 1"/*+) Y @ABBUaFNBaAEXaBS
,#3+5&/+ (")&*+ ,#-&.&/+ aS <"H*")8&+5+ 8")/+- H%52/+.+") I d20%()( -)(=I 20%$-)"-#,()( I 5"$.,-)# $"40%>4(-49"0
S@"0"20,9 5,9(.U I k)5"00",-=P)#,( 20%$-4(
R"// 61S 4+)J&0 >."&)>"N *-0/+2.2$0= *-&)H&>2.2$0= :">-#+c%"/ *)&>M>"S 1"/*+) Q&)" @AAFUW@NBa`@XD
0'1-22. *&3& 0'1-22. *&3& (")&*+ ,#-&.&/+ !
8$3)-,() o
!
!
'9,# 8$*,9,()H o
YA8 #,$5, (5,@"0 5,3, 2,.) 3,$ ,$,- -"@)9
o
Y"$//4$,-,$ >%4#* 5)"@" 5,3, 2,.)
o
c-40,$ >,(-"0 =3,- ("(4,)
o
a"249)("0 49#0,(%$)- 4$#4- %2,# (#"0%)3
o
_2,# )$^"-() 1 %2,# %0,9 4$#4- )$*,9,()
_2,# 8$*,9,() o
!
a"249)(,() 5,3, 0)$%?,0)$/)=( ,#,4 0)$%()$4()=(
e%>2)$,() !I,/%$)(#1 (#"0%)31 >4-%9)=- ("@,0, 04=$
7"*$)- 8$*,9,()
0'1-22. +#3+5&/+ (")&*+ ,#-&.&/+ a"249)(,() 4$#4- 0)$%?,0)$/)=( ,#,4 0)$)=( 6 a"249)("0 >">50%34-() 5,0=-"9 .,$/ 2"0#4^4,$ >"$@,5,) (,(,0,$ 20%$-4( (,>5,) ,9P"%9) !)$%?,0)$/)=( ,#,4 0)$)=( 0)$)=( H %2,# )$*,9,() )$#0,$,(,9 S30%5 ,#,4 (50,. U
0'1-22. 7"8%.+/") I :4>9,* @,)0,$ 3,9,> 9,24 =3,- #"5,# I N"2)* ("0)$/ >">,-,) 72)(!2/8 I 92)(!2/8 =3,- #"5,# 4-40,$ I +#"0%)3( >"$//4$,-,$ $"249)("0 49#0,(%$)^+.3-&8") YRS 7"8%.+/") :-")&*0 +# >-+.3)"#S
+@*4"55 em1 "# ,959)>"$#,0. @%>2)$,=%$ %? 3"9)P"0. 3"P)@" ,$3 304/ ?%0>49,=%$ ?%0 )$*,9,=%$ #*"0,5. )$ 50"(@*%%9 @*)930"$ +[)(( Y"3 ;""-9. QRRJGCVJHCDEIQRR
VQ
Not tightly fitting face mask
Lung deposition of 0.1%
Not tightly fitting face mask
Crying during inhalation
Lung deposition of 1%
Crying during inhalation
Quietly inhaling with a tightly fitting face mask
Lung deposition of 8%
Quietly inhaling with a tightly fitting face mask
Inhaling quietly with a tightly fitting face mask from a perforated vibrating membrane nebuliser
Lung deposition of 36%
Inhaling quietly with a tightly fitting face mask from a perforated vibrating membrane nebuliser
0'1-22. 3($(4(5 6".( 78%-2(4 9367: 78%-2(4 9367: I e,$)(#"0 945, 3)-%@%I 7)3,- "-(5)0,() >,-()>,9 I 7)3,- )$(5)0,() 3,9,> 3,$ 5"09,*,$ SJF1JjU I 7)3,- >"$,*,$ $,5,( CR 3"=- STQ1QjU I 7)3,- 2"0-4>40 ("#"9,* )$*,9,() (#"0%)3 4.&H2%3+ ;TS !+e&../ 2L +#-&.&M2# :">-#+c%" +# >-)2#+> &/:-H&M>S
0'1-22. 64; 0"<5(4 78%-2(4 9607: I 7)3,- >">5"0(),5-,$ 3%()( SQV1CjU I 8$(5)0,() -40,$/ -4,# 3,$ @"5,# SJF1JjU I 7)3,- >"$,*,$ $,5,( CR 3"=STQ1QjU I 7)3,- 2"0-4>40 ("#"9,* )$*,9,() (#"0%)3
4.&H2%3+ ;TS !+e&../ 2L +#-&.&M2# :">-#+c%" +# >-)2#+> &/:-H&M>S
;8&: ,#-&.&/+ Y"#+/ ;8&: ,#-&.&/+
KL"5
!"#$$%#& h.+#+/
'/%$)( bQ '$=-%9)$"0/)-
b0%$-%3)9,#%0
+"0,$/,$ '(>,
+#"0%)3
'$=)$\,>>,()
M"$/"$3,9) ,(>,1 0)$)=( ,9"0/)1 0)$%()$4()=(
`5)$"?0)$
O,(%-%$(#0)-#%0
+)30%>, B!_cM
'/%$)( bQ 0/"$"1') /23'1( :'&(,$"1') /23'1( ,%.;(
Y4-%9)=-
b"0()*,$ Y4-%()9)"0
0'1-22. 62/+/ (")&*+ ,#-&.&/+ A%()( _2,# 8$*,9,() >"$404# 4(), 6 I _2,# 8$*,9,() ,3,9,* %2,# #%5)-,9 M"$,>2,*,$ a,B9 R2,*,$ a,B9 R">"$4*) =33 >"3#!( ? ,5,2)9, #"9,* >">"$4*) =33 >"3#!(1 =3,- 5"094 3)#,>2,* a,B9 R
='22 >"2#!( 3 6(-5 >"2#!(
0'1-22. Y"#+/ 0'1-22. Y"#+/ _ 62/+/ ;8&: ,#-&.&/+ +#"0%)3 )$*,9,() 3%()( 0"$3,* QRRI QRRI JRR 4/ SCgQIC SCgQIC 0"(549"U 4$#4- ("0,$/,$ ,(>, ("3,$/I2"0,# h;7(1;OK1T,
I b"02,/,) 5,$34,$ ,(>, 9%-,9 SMa''U 3,$ 8$#"0$,()%$,9 Sm8a'1 b7+U =3,- >"0"-%>"$3,() I b4-= .,$/ >"$34-4$/ >,$?,,#$., +#"0%)3 *)045,$ 3%()( =$//) ERRIQRRR 4/ SQIJ 0"(5U
Benar Atau Salah ?
Benar Atau Salah ?
?@AB CD3B 3BEE@FB M"9,-(,$,,$ 7"0,5) )$*,9,() >">"094-,$ 5"$/"#,*4,$ #"$#,$/ )$3)-,() #"0,5) )$*,9,() 5"$"$#4,$ %2,# )$*,9,() 5">)9)*,$ ,9,# )$*,9,() 3,$ #"*$)- )$*,9,()< M">)9)*,$ ,9,# )$*,9,() *,04( >">5"0=>2,$/-,$ 4(), ,$,-1 -">,>54,$ -%%03)$,() ("0#, 5"$.,-)# .,$/ >"$3,(,0)