Ama-steroid angenayo akuyona kuphela i-steroids ye-asthma: i-oral steroids, ebizwa nangokuthi i-systemic corticosteroids, ivame ukusetshenziswa lapho uhlakulela ukuqhuma noma ukuhlasela kwe- asthma . Leli fomu le-steroids le-asthma lihluke kwi-steroids engatholakali ngoba lichaphazela umzimba wonke. Ngakolunye uhlangothi, i-steroids engenalutho, ifakwa ngqo emaphashini, lapho inomphumela onomphumela omncane we-systemic (umzimba wonke).
I-steroid yesistimu ingavimbela isigaba sokugcina se- pathophysiology ye-asthma .
Ama-steroids omlomo kufanele asetshenziswe kancane. Ukwelapha i-corticosteroids ehlelekile ngaphezu kwe-1 isikhathi ngonyaka kuyisibonakaliso sokuthi ukulawula kwakho nge- asthma akusikho okufanele kube khona. Ama-steroids omlomo asetshenziselwa ukuthuthukisa izimpawu ze-asthma uma ungasheshe uphendule ukwelashwa. Abanye odokotela bangaphinda bahlanganise i-oral steroids njengengxenye yecebo lakho lesenzo se-asthma.
Indlela I-Oral Steroids Yomsebenzi Wokuphefumula Nge-Asthma
I-corticosteroids yesistimu inciphisa ukuvuvukala kuwo wonke umzimba wakho. Emaphashini akho, i-oral steroids yehlisa ukuvuvukala, ukuvuvukala, kanye nokukhiqizwa kwe-mucus . Ngenxa yalokho, i-steroids yomlomo izokwehlisa izimpawu ze-asthma ezifana nalezi:
I-corticosteroid esebenzayo isebenza ezinhlobonhlobo zezinhlobo zamaseli ahilelekile ekuguleni kwe-asthma, kuhlanganise:
Ama-steroids omlomo, noma kunjalo, akenzi njenge- bronchodilator .
Izibonelo zeCorticosteroids ejwayelekile
Ezinye ze-steroid zomlomo ezitholakalayo zihlanganisa:
- I-Prednisone
- I-Prednisolone
- I-Methylprednisolone
Ama-steroids omlomo ayatholakala njengamaphilisi, ukubunjwa kwamakhemikhali, nangomugqa oqhamukayo uma unomnyango ophuthumayo noma esibhedlela.
Imiphumela emibi yeSteroids yesistimu
Ngenxa yokuthi i-steroid yesistimu ithinta umzimba wonke, akumangazi ukuthi kunengozi eyengeziwe yemiphumela uma kuqhathaniswa ne-steroids engatholakali. Umngcipheko we-Side Side uhlobene kakhulu nokuthi udinga kangakanani le mithi. Uma udinga i-steroids ngomlomo kaningi kanye ngonyaka, udokotela wakho cishe uzocabangela ukushintsha umuthi wakho wezokwelapha. Okubaluleke kakhulu, i-steroids engatholakali ihlotshaniswa nemiphumela emibi kakhulu embalwa.
Imiphumela emibi engase ibe khona esikhathini esifushane ihlanganisa:
- Imodi iyashintsha
- Ukwandisa ukudla
- Inzuzo yesisindo
- I-acne
- Ukulawulwa kwe-ushukela ezigulini zesifo sikashukela
Iminye imiphumela yecala uma i-oral steroids isetshenziselwa isikhathi eside ihlanganisa:
- I-bone thinning kanye ne-osteoporosis
- Ukunciphisa ukukhula kwabantwana
- I-cataract
- Umfutho wegazi ophezulu
- Ukunciphisa ikhono lokulwa nezifo
- I-Cushing syndrome
Iningi lala miphumela emibi iyokwenzeka kuphela uma udinga ukuthatha i-corticosteroids yesistimu isikhathi eside. Uma udinga i-steroids yomlomo izikhathi ezingaphezu kwesisodwa ngonyaka qiniseka ukuthi ukhuluma nodokotela wakho mayelana nokuhlelwa kwesenzo sakho se-asthma. Kodwa-ke, yonke imithi ingaba nemiphumela emibi. Wena nodokotela wakho kudingeka nilinganise izingozi nezinzuzo zanoma yikuphi ukwelashwa okungase kube khona nge-asthma yakho.
Imiphumela emibi idinga ukubhekwa, kodwa kungaba nzima ukwazi ukuthi uzoba nemiphumela emibi noma cha. Ngakolunye uhlangothi, imiphumela engaba khona yokungasebenzisi le mithi uma udokotela wakho ecabanga ukuthi uyayidinga ibalulekile. Uma ungayithathi le mithi futhi uyayidinga, ingakusiza esibhedlela noma into embi nakakhulu.
Kubaluleke kakhulu ukuthi uthathe i-systemic steroids njengoba nje kunqunywe udokotela wakho. Ukwehluleka ukwenza kanjalo kungaholela ezinkingeni ezibalulekile kanye ne-asthma elawulwa kahle. Uma uhluleka ukuthatha imithi njengoba iqondiswe ukulawulwa kwe-asthma yakho ingaba yingozi nakakhulu noma ingaholela eminye imiphumela emibi futhi inciphise ukukhiqizwa kwemizimba yakho ye-hormone yemvelo yemvelo.
Imithombo:
I-American Academy Yokuguqulwa Kwesifo Sokuzivocavoca Ne-Immunology. Ishidi Lolwazi Lomthengi. Amagciwane.
I-National Heart, Lung, ne-Blood Institute. Umbiko wePhaneli Wabachwepheshe 3 (EPR3): Izinkombandlela Zokuthola Ukuhlolwa Nokuphathwa Kwe-Asthma
I-asthma. In Medicine Medicine: Izidingo ZePulmonary And Medicinal Care Medicine . Abahleli: URonald B. George, uRichard W. Light, uRichard A. Matthay, uMichael A. Matthay. May 2005, edition 5.
Amasevisi Okulawula Nokuvimbela Izifo. Ulwazi lomthengi. I-asthma: Imininingwane Ejwayelekile