Yiba Nokwazi Ngomuthi Wakho We-Asthma
Ukwelashwa kwezifo zofuzo kunezinketho eziningi okufanele uxoxe nodokotela wakho. Phakathi kwalawo ma-corticosteroids akhumuziwe noma omlomo. Nakuba bobabili bangakwazi ukukhulula kahle izimpawu ze-asthma, kufanele wazi ukuthi ngamunye uhlukile kanjani komunye.
Izinhlobo ze-Corticosteroids yokuLawula i-Asthma
I-corticosteroids yomlomo , noma i-steroids yomlomo, yiqembu lemithi enamandla kakhulu yokulwa nokuvuvukala okusiza ukuba u-asthma wakho ulawulwe uma une-asthma attack noma ukuwohloka okuphawulekayo kwezimpawu zakho ze- asthma .
Kubalulekile ukuqonda umehluko phakathi kwaleli qembu le-steroids kanye ne-steroids engatholakali.
Uma udinga i-corticosteroids yomlomo izikhathi ezingaphezu kwesisodwa ngonyaka, ukulawula kwakho nge- asthma cishe akunjalo okufanele kube khona. Qinisekisa ukuthi ukhuluma nodokotela wakho mayelana nohlelo lwakho lwesenzo se-asthma futhi uqinisekise ukuthi azikho ezinye izizathu zokuthi i-asthma yakho ayilawulwa kahle. Yilungiselele ingxoxo ngemibuzo emihlanu yokubuza nge-asthma engalawulwa kahle nokuthi ngabe imvelo yakho ingase ibe yingozi yini ku-asthma yakho .
I-corticosteroids engenayo ivame ukuphathwa nge-inereder-dose inhaler. I-corticosteroids yomlomo iyatholakala njengamaphilisi kanye nokubunjwa kwamanzi. Okuvamile kakhulu kulawa yi-Prednisone, i-Prednisolone, ne-Methylprednisolone.
I-Coralosteroids yama-Oral ne-Corticosteroids enganyelwe kanjani?
Umehluko omkhulu phakathi kwalezi zindlela ezimbili zokwelapheka nge-asthma yizona zindlela ezenziwa ngayo:
- I-steroids engenayo ifakwe ngqo emaphashini.
- I-steroid yomlomo igwinya futhi igayiwe.
Ngaphandle kwaleli phasi elicacile, kunezinye umehluko ophawulekayo.
1. Izingxenye zomzimba ezithintekayo. I-corticosteroids yomlomo iyanciphisa ukuvuvukala kulo lonke umzimba ngenkathi i-steroid engenayo isenzo ikakhulukazi emaphashini.
2. Imiphumela emibi engaba khona. Ngenxa yokufinyelela kwabo kwesistimu, i-corticosteroids yomlomo inekhono elikhulu lemiphumela emibi.
Lezi zingabandakanya ukulahlekelwa kwamathambo, ama- cataracts , nokucindezela kwegazi eliphezulu. Ngakolunye uhlangothi, i-steroids engabhalisiwe, ayifuni neze ukuthi yenze le miphumela emibi. Imiphumela emibi ejwayelekile ye-corticosteroids ekhonjelwe ifaka phakathi i-thrush nokukhwehlela.
3. Ukusebenzisana kwezidakamizwa okungenzeka. Kunezinhlobo ezimbalwa kakhulu zokusebenzisana kwezidakamizwa nama-steroids angenayo, kodwa okufanayo akunakutsholwa nge-corticosteroids yomlomo.
Kukhona ukusebenzisana okuningi okungaba khona kwe-corticosteroids yomlomo ngezidakamizwa zokwelapha isifo sikashukela, ukucindezeleka kwegazi (ukucindezeleka okukhulu) kanye nobuhlungu.
- I-corticosteroids yomlomo iyancipha ukuphumelela kwezidakamizwa eziningana eziphezulu, ngaphezu kokuholela ekucindezeni kwegazi eliphezulu nokusebenzisa isikhathi eside.
- I-corticosteroids yomlomo ingandisa ingozi yokuphuma kwegazi ehambisana nemithi ethile yobuhlungu, njenge-ibuprofen.
- I-corticosteroids yomlomo ingathinta ukukhula kwezingane futhi iholele ekutheni i-osteoporosis ikhuphuke.
- I-Corticosteroids inqanda umphumela wezinye izidakamizwa ezisetshenziselwa ukwelapha isifo sikashukela .
Ngokuvamile, kunemiphumela emibi kakhulu futhi engaphansi kakhulu nge-corticosteroids ekhonjisiwe uma kuqhathaniswa ne-corticosteroids yomlomo. Kodwa-ke, abantu abadala abathwala kakhulu ama-Becloforte, uPulmicort, noma i-Flovent kufanele babe nokucindezelwa kwe-eyeball yabo njalo bese bethola ukuhlolwa kwamathambo abanesisindo se-osteoporosis.
Izingane ezithatha amanani aphezulu alawo ma-steroid akhulelwe kufanele zikwazi ukuphakama kwazo njalo futhi zihanjiswe kudokotela.
Imithombo:
> Umhlahlandlela wePilisi wokuNakekela i-Asthma Care. Isikhungo Sokwazisa Isifo Sokuzifola Kwegazi http://aaia.ca/en/patients_guide_to_asthma_care.htm
> Inhliziyo kaZwelonke, iLung, ne-Blood Institute. Imihlahlandlela Yokuthola Ukuphathwa Nokuphathwa Kwe-Asthma (EPR-3 Izikhungo Zempilo Zikazwelonke. Https://www.nhlbi.nih.gov/health-pro/guidelines/current/asthma-guidelines/full-port.