I-corticosteroids engenayo (i-ICS), eyaziwa nangokuthi i-steroids e-inhaled, yiyona imithi elula kakhulu yokulwa nokuvuvukala etholakalayo namuhla ukuthola ukwelashwa kwe-asthma futhi isetshenziselwa ukunciphisa imvamisa nokuqina kwempawu ze-asthma. Ziyizinsizakalo zamanje zokwelapha lapho umuntu onesifo se-asthma adinga izinga eliphakeme lokunakekelwa kune- inhaler yokusindisa .
I-corticosteroids evame ukuxilongwa ihlanganisa:
- I-Flovent (i-fluticasone)
- I-Pulmicort (i-budesonide)
- I-Azmacort (triamcinolone)
- I-aerobid (flunisolide)
- I-Qvar (beclomethasone)
I-corticosteroids engenayo ifaka ukulawula i-asthma ngokuphumelelayo kunanoma iyiphi enye i-ejenti esetshenziselwa ukwelashwa okulodwa. Kodwa-ke, kubalulekile ukuqaphela ukuthi i-corticosteroids engatholakali ayikwazi ukukhulula ukuhlasela kwe-asthma sekuvele kuqhubeka futhi inhaler yokutakula isadingeka kulezi zimo.
I-corticosteroids enganyakaliyo isiza ukuvimbela izimpawu ezingapheli ze-asthma ezifana nalezi:
- Ukushisa
- Ukuqina kwesifuba
- Ukuphelelwa umoya
- Ukukhwehlela okungapheliyo
Yeka ukuthi umsebenzi owakhiwe kanjani nge-Corticosteroids Umsebenzi
I-corticosteroids engenalutho ivikela izimpawu ze-asthma ngokunciphisa ukuvuvukala emhubheni ye-bronchial, noma e-airways, ethwala umoya-mpilo emaphashini. Ngaphezu kwalokho, bancishisa inani lemfucumfucu ekhiqizwa yizibhubhu ezinobuthi. Lokhu kutholakala ngokuvimbela ukusabela kwamagciwane okuphefumula kwesigaba sekwephuzile ekudleni kwe-allergen, ekunciphiseni ukungahambi kahle kwe-airway, nokunciphisa ukuvuvukala nokuvimbela amaseli avuthayo njengama-mast cell, ama-eosinophil, nama- basophil .
Njengoba i-corticosteroids ephazamisekile yenza isendaweni yendawo emoyeni, inani elincinci lemithi lingena emzimbeni wonke. Ngakho-ke, ingozi yemiphumela emibi engase ibe yingozi kakhulu evame ukuzwa abantu abasebenzisa imishanguzo ye-steroid ye-systemic kakhulu. Ngokuvamile, izingozi ezihlobene ne-corticosteroids engenazo ziphansi kakhulu, kodwa kunezinto eziningana ongazenza ukuze unciphise ingozi yemiphumela emibi .
Wena nodokotela wakho ungase ucabange ukucubungula i-corticosteroids uma kukhona okulandelayo okusebenzayo:
- Usebenzisa ukuhlengwa kwe-β-agonist, njenge-Albuterol, izinsuku ezingaphezu kwezinsuku ezimbili ngesonto.
- Unezimpawu ze-asthma ngaphezu kokuphindwe kabili ngesonto.
- Uhlangabezana nezinqubo ezithile kwi-spirometry.
- I-asthma yakho iphazamisa imisebenzi yakho yansuku zonke.
- Udinga i- oral steroids 2 noma izikhathi eziningi ngonyaka odlule.
I-Corticosteroids Ehlanganisiwe Kanjani?
Ngokuvamile, i-corticosteroids ekhonjiwe isetshenziselwa ukwelashwa kwe-asthma yesikhathi eside kubantu bazo zonke ubudala abadinga ukuphathwa kwansuku zonke. Zisebenza kahle ekuvimbeleni ukuhlaselwa yisifo se-asthma kodwa zidinga ukusetshenziswa nsuku zonke ngezilinganiso ezihleliwe ezivamile ukuze ziphumelele. Ngaphezu kwalokho, angeke aphumelele kuze kube amasonto ayisithupha ngemuva kokuqala ukusebenzisa i-corticosteroids, futhi izinyanga eziningana zokusetshenziswa okuvamile kungadingeka ukuba ubone ukuthi imiphumela egcwele. I-inhaler yokuhlengwa ingase isadingekile ukuphulukisa ukuhlasela kwe-asthma uma kwenzeka.
Nakuba kungezona zonke iziguli eziphendula ngokufanayo nge-corticosteroids engatholakali, zitholakale zithuthukisa imiphumela eminingi ye-asthma ebalulekile njenge:
- Ikhwalithi yokuphila
- Imvamisa yokuhlasela i-asthma
- Izimpawu ze-asthma
- Ukulawula i-asthma
- Ukungaqondakali kwemikhumbi yakho yomoya (wehla)
- Udinga ama-steroids omlomo
- Ukuphindaphinda kokuvakashelwa kwe-ER nokuvakasha
- Ukufa
Imithombo:
I-National Heart, Lung, ne-Blood Institute. Kufinyelelekile: Agasti 16, 2009. Umbiko wePhaneli wezobuchwepheshe 3 (EPR3): Izikhombandlela zokuHlola nokuPhathwa kwe-Asthma