The document is an instructional guide by the American Lung Association on how to properly use a metered-dose inhaler (MDI) with a valved holding chamber (spacer) and mask, specifically in Swahili. It provides step-by-step directions for preparing and using the inhaler to ensure effective medication delivery for conditions such as asthma. The guide includes practical tips, cleaning advice, and contact information for further support from respiratory professionals through the American Lung Association's helpline.