Imithi ye-steroid ithathwa ngezimo eziningi zezokwelapha ezahlukene. Abantu abaningi bacabanga nge-steroids bese bacabanga ngokushesha ngemiphumela emibi efana nesisindo somzimba, ukukhanya kwenyanga (ukuvuvukala komzimba) nokuguquka kwemizwelo. Abantu abaningi abanemiphumela emibi kakhulu lapho befunda ngezifundo ezincane ze-steroids ezinsukwini ezingu-10-14 noma ngaphezulu. Kodwa-ke, uma kuthathwa isikhathi eside, kungaba nemiphumela emibi kakhulu.
Uma sidonsa i-steroids noma imuphi imithi, ikakhulukazi ngomlomo, lesi sidakamizwa sisuke sisuka esiswini sibe sisimiso sethu semisipha futhi siyaya kuzo zonke izingxenye zomzimba wethu, kufaka phakathi amehlo ethu. Ngenxa yalokho, odokotela baqaphela kakhulu lapho bebeka ama-steroids. Kulotshwe kahle ukuthi ama-steroids omlomo athathwe isikhathi esingeziwe angandisa ingozi yakho yokuthuthukisa i- cataracts .
Iyini iCataract?
I- cataract i-clouding ye-lens yeso. I-cataracts yiyona imbangela ehamba phambili yobumpumputhe phakathi kwabantu abadala kunama-55. I-lens itholakala ngemuva kwe-iris. Inesibopho sokugxila ekukhanyeni kwe-retina, nokukhiqiza izithombe ezicacile, ezibukhali. I-lens inamandla okuguqula isimo. Uma ishintsha isimo, ingakhuphula noma yehle emandleni, eyaziwa ngokuthi indawo yokuhlala. Nokho, ngokuhamba kwesikhathi, i-lens iyanzima futhi ilahlekelwe ikhono layo lokubamba.
I-lens yonke iqukethe ngaphakathi kwe-capsule lens. Njengoba amehlo ekhula, amangqamuzana afile aqoqa i-capsule lens, okwenza ukuba lens ibe kancane.
Ukukhanya okuvame ukuba kugxilwe yi-lens kuhlakazeke nxazonke ngenxa ye-Cloudiness, ngakho umbono awusekho ocacile futhi obukhali.
Kunezinhlobo ezintathu eziyinhloko ze-cataracts , nuclear, cortical kanye posterior subcapsular. Singahlakulela eyodwa noma zonke ezintathu zalezi zinkinga njengoba sikhula. Noma kunjalo, izifo ezingaphansi kwe-subcapsular ezingasemuva zingabonakala zibhubhisa kakhulu.
Eqinisweni, i-subcapsular engaphansi ivame ukuvame kakhulu kubantu abasha. I-posterior subatars cataracts ingabangelwa izimo ezihlukahlukene ezifana nesifo sikashukela. Abanye abantu bazalwa benesifo se-subcapsular posterior. Esinye isizathu esaziwayo salezi zinhlobo ze-cataracts yisisetshenziswa eside se-steroids yomlomo njenge-prednisone. Uma usuqala ukuthatha i-prednisone, uma usengozini kakhulu usuhlakulela i-posterior subcapsular cataracts.
Imithi ye-Steroid
Imithi ye-steroid ithathwa ngezimo eziningi zezokwelapha ezahlukene. Abantu abaningi bacabanga nge-steroids futhi ngokushesha bacabanga ngemiphumela emibi efana nesisindo somzimba, ukukhanya kwenyanga (ukuvuvukala komzimba), nokushintsha kwemizwelo. Abantu abaningi abanemiphumela emibi kakhulu lapho befunda ngezifundo ezincane ze-steroids ezinsukwini ezingu-10-14 noma ngaphezulu. Kodwa-ke, uma kuthathwa isikhathi eside, kungaba nemiphumela emibi kakhulu. Uma sidonsa i-steroids noma imuphi imithi, ikakhulukazi ngomlomo, lesi sidakamizwa singena esimisweni sethu semisipha futhi sihamba kuzo zonke izingxenye zomzimba wethu, kufaka phakathi amehlo ethu. Ngenxa yalokho, odokotela baqaphela kakhulu lapho bebeka ama-steroids. Kulotshwe kahle ukuthi ama-steroids omlomo athathwe isikhathi esingeziwe angandisa ingozi yakho yokuthuthukisa i-cataracts.
I-Steroids engenayo kanye ne-Cataracts
Odokotela futhi banikezela i-steroids ngendlela yemithi eline-inhaled, njenge-inhaler ye-asthma. Abanye abantu basebenzisa i-steroids e-inhaled nsuku zonke. Ngokwemvelo, odokotela babekhathazekile ngokuthi ingozi enkulu engayifaka i-steroids ingaba nobangela obunzima kubantu abawasebenzisa ngoba siyazi ukuthi i-oral steroids ingandisa ingozi kancane.
Ucwaningo lwezocwaningo olugxile kuma-steroid engatholakali litholakala ukuthi kunengozi enkulu ye-cataract ne-dosage ephezulu ye-steroid. Baphinde bathola ukuthi ubungozi obuncane obubhekene neziguli ezithatha isilinganiso se-steroid nsuku zonke esiphansi kakhulu, cishe ama-500 mcg (micrograms).
Kodwa bathola ukuthi ingozi yanda kuma-70% kulabo abathatha umthamo ophakeme kakhulu, kufika ku-1600 mcg. Ingozi nayo yanda isikhathi eside lapho umuntu ethatha isterodi engatholakali. Ingozi yokuthuthukisa lezo zinhlobo ze-cataracts nayo yanda uma phakathi kweziguli ezindala. Izinguquko ezenzeka lens iso ezenza sikwazi ukuhlakulela izinhlobo ezijwayelekile zokugaya izidakamizwa zisenza senzeke kakhulu ekuthuthukiseni i-cataract posterior subcarsular uma sithatha amazinga aphezulu we-steroids.
Okufanele Ukwazi
Into enhle mayelana nokucwaninga ukuthi kubonise ukuthi kuzodingeka uthathe okungaphezulu kakhulu kunani eliphakanyisiwe lokukhwabanisa okwedlulele usuku lonke ukwandisa ingozi yakho yokuthuthukisa i-posterior subcapsular cataracts. I-steroid engenalutho iyahlukahluka kancane emalini wemithi ngayinye. Iningi labantu lithatha ama-1-2 amahloni ngosuku. Kuye ngesilinganiso, kungase kudingeke ukuthi uthathe okungenani ukukhukhumeza okungu-6 ngosuku noma ukuphakama okungama-36 ngosuku ukukhulisa ingozi yakho.
Abaningi abacwaningi bakholelwa ukuthi kufanele kwenziwe olunye ulwazi ukuze kuqinisekiswe ukuthi le nengozi ikhuphuka, njengoba kunezici eziningi ezithinta ezithinta ukuthuthukiswa kwe-cataract.
Umthombo
USmeeth, uL. British Journal of Ophthalmology, vol 87: iphe 1247-1251. "Ingozi ye-cataracts ne-glaucoma ene-steroid esebenzayo ebantwaneni." Okthoba 2003.