Ingabe Izinzuzo Ziyadlula Izingozi?
Uma une- COPD , udokotela wakho kungenzeka ukuthi wayememezele i-glucocorticoids (eyaziwa nangokuthi i-corticosteroids, noma i-steroids) njengengxenye yocwaningo lwakho lwezokwelapha . Nakuba i-glucocorticoids inenzuzo eminingi, nayo inezingozi ezinkulu nemiphumela emibi okufanele uyiqaphele.
Ngokusho kwe-Global Initiative for Obstructive Lung Disease (GOLD), indima eyenziwa ngomlomo kanye ne-inhalated glucocorticoids ekwelapheni kwe- COPD ezinzile inokuphikisana futhi ilinganiselwe ezimweni ezithile.
I-Glucocorticoids isebenza kanjani?
Njengoba ziphathelene ne-COPD, i-glucocorticoids isebenza ngokunciphisa ukuvuvukala nokuvuvukala emoyeni wamaphaphu.
I-Pros and Cons of Glucocorticoids engenayo
Ukwelapha njalo nge-glucocorticoids ekhonjiwe kuye kwaboniswa ukunciphisa imvamisa ye- COPD ukukhushulwa nokuthuthukisa isimo sezempilo ezigulini ezineSite III (esinzima) kuya ku-Stage IV (kakhulu kakhulu) i-COPD. Noma kunjalo, ukusetshenziswa kwabo akuvimbeli ukuncipha kwevolumu yokuphefumula (FEV1) noma ukunciphisa izinga lokufa elihlobene ne-COPD. Ngaphezu kwalokho, ukuhoxiswa kwe-glucocorticoids kungaholela ekwenzeni ukwelashwa kwe-COPD kwezinye iziguli futhi kwandise amathuba okuthuthukisa i-pneumonia.
Ngenxa yalolu lwazi, ukwelashwa nge-glucocorticoids engathintiwe akukhonjisiwe kuziguli ezine-COPD esinqinile, kodwa kunganconywa iziguli eziteshini eziphambili kakhulu ze-COPD futhi kuyinto ejwayelekile yokukhushulwa kwe-COPD.
I-glucocorticoids evame ukuhlanganiswa ihlanganisa lokhu okulandelayo:
- I-Beclomethasone
- I-Triamcinolone
- I-Fluticasone
- Flunisolide
Ukwelapha Ukuhlanganiswa
Ukusebenzisa i-glucocorticosteroid ehambelanisiwe ehlangene ne-agaist ye-beta ende esebenza isikhathi eside iboniswe ukunciphisa imvamisa ye- COPD ukukhushulwa , ngcono ukusebenza kwemaphaphu kanye nesimo sezempilo esiphezulu kwiziguli ezine-COPD, kepha futhi, kungase kwandise amathuba okuba nomoya wokuba nomoya.
I-Glucocorticoids yomlomo
Kunemikhombandlela eminingi ekhona eqhubeka nokukhuthaza ukusetshenziswa kwethempulethi ye-glucocorticoid yomlomo omfushane noma yesikhathi eside ekuphathweni kwe-COPD. Ngokusho kwe-GOLD, noma kunjalo, lo mkhuba awunconywa ngenxa yokuntuleka kobufakazi obanele bokuhlomula kanye nohlu olude lwemiphumela emibi. Ukulandela kukhona ezinye ze-glucocorticoids zomlomo ezivamile ongazijwayele:
- I-Prednisone
- Dexamethasone
- I-Methylprednisolone
- I-Cortisone
Imiphumela emibi ye-Glucocorticoids
Ngenkathi imiphumela emibi ye-glucocorticoids yomlomo iningi futhi ibhalwe kahle, imiphumela emibi ehambisana ne-glucocorticoids etholakalayo ingaphansi kokuncane kakhulu. Kuzo ngezansi kukhona eminye imiphumela emibi eyaziwayo ye-glucocorticoids yomlomo:
- Kuncishiswe isimiso somzimba wokuzivikela (Immunosuppression)
- Ushukela ophezulu wegazi
- Inzuzo yesisindo
- Ukulimala kalula
- Ukuncipha kwamathambo
- Ukuphazamiseka kwesisu, ubuthakathaka
- I-cataract
- I-glaucoma
- Ukungafinyeleleki kwe-adrenal (uma isetshenziselwa isikhathi eside futhi imise kungazelelwe)
I-glucocorticoids engathintiwe ivame ukuhlotshaniswa nalokhu:
- Ukuqhwaza isikhumba
- Ukutheleleka kwesisindo somlomo ne-pharynx
- I-hoarseness yezwi
Amazwi Okugcina NgeGlucocorticoids
Isici esibaluleke kakhulu kunoma yiluphi uhlelo lwezokwelapha luzimisele ukulilandela. Uma ungakwazi ukunamathela ohlelweni lwakho lokunakekelwa, umhlinzeki wakho wokunakekela impilo kufanele azame ukunquma ukuthi yiziphi izithiyo ezingase zibe khona endleleni.
Zonke izinhlelo zokwelashwa kufanele zize zichazwe ngokucacile ngenhloso yazo kanye nemiphumela ebonakalayo. Uma udokotela wakho engakuhlinzeki ngalolu lwazi, kufanele ulicacise ngaphambi kokuba ushiye ihhovisi lakhe.
Umthombo:
> Isu Lomhlaba Wonke Lokuthola Ukuxilongwa, > Ukuphathwa > , nokuvimbela i-COPD , Global Initiative for Chronic Acstructive Lung Disease (GOLD) 2006. Itholakala ku: http://www.goldcopd.org.