I-Corticosteroids Side Side Effects Iziguli Zomzimba Izifo Kufanele Ziqaphele
Izingozi zokukhula komzimba we-corticosteroids (i-ICS) ngokuvamile zizincane kepha kunezingozi nanoma kunjalo. Ukwengeza, ngekhono elihle, ukusetshenziswa kwe-spacer, nokulandela imilayezo yokuthi ungasebenzisa kanjani i-corticosteroids yakho engatholakali, iningi lemiphumela emibi ingavinjelwa futhi.
Yiziphi Imiphumela Ezingavamile?
Imiphumela engabonakaliyo ye-corticosteroids ingaphulwa ibe yizinhlobo ezimbili:
- Imiphumela emibi yasendaweni (endaweni eyodwa kuphela yomzimba)
- Imiphumela yesistimu (kuwo wonke umzimba)
Ama-side Effects we-Corticosteroids wangaphakathi
- I-Oral Candidiasis noma iTrush : I- thrush ingenye yemiphumela emibi kakhulu ye-ICS; kanye nesithathu sesiguli esithuthukisa lesi sici shlangothi. Ukunciphisa umthamo, usebenzisa i-spacer, futhi uhlanza ngokufanele umlomo wakho emva kokuphulukiswa wonke usizo kusiza ingozi ye-thrush. I-thrush nayo ingaphathwa nge-antifungals ye-topical noma yomlomo, njenge-nystatin. Ukucasuka okuphumela cishe kubonakala sengathi kwenzeka ngenxa yemithi ekhululwa emlonyeni nasemphinjeni, okwenza inqubo efanele ibaluleke kakhulu.
- I-Dysphonia: I-steroids engabhalisiwe ingathinta izwi lakho, elaziwa ngokuthi i-dysphonia. Kungavinjelwa ngokusebenzisa i- spacer futhi uphathwe ngokunciphisa umthamo we-ICS okwesikhashana futhi unikeze izinketho zakho zamagama ukuphumula.
- I-Reflex Cough ne- brronchospasm : Le miphumela emibi ingavinjelwa ngokusebenzisa isikhala esincane futhi ivuselele kancane kancane. Uma kudingekile, ukuxoshwa kwangaphambili nge- rescue inhaler kungavimbela lezi zimpawu.
I-Corticosteroids Side Side Effected Systemic
Ngenkathi engavamile, iningi lemiphumela yesistimu ingenzeka nge-corticosteroids engatholakali. Ngokuvamile, kunengozi ephakeme ngokukhula kwe-corticosteroids engatholakali. Imiphumela emibi engaba khona ihlanganisa:
Ukukhula okubi: Nakuba ukukhula okubi kungabangelwa yi-ICS, i-asthma elawulwa kabi ingaholela ekukhuleni okuncane ezinganeni. Ngokuvamile, ukulinganisa okuphansi nokuphakathi kwe-ICS kungase kuhlotshaniswe nokunciphisa okuncane, okungaqhubeki kodwa okuguquguqukayo ekukhuleni kwezingane. Ngenxa yalokho, wena nomhlinzeki wakho we-asthma akufanele nje ukuqapha ngokucophelela ukukhula, kodwa zama ukusebenzisa umthamo ophansi kunazo zonke othola ukulawula okuhle kwengqondo yengane yakho. Kufanele ulinganise izinzuzo ezikhona zokulawulwa kwe-asthma okuhle nomphumela omncane kodwa wangempela osebenzayo wokukhula okunciphise.
I-Bone Density: Amanani aphansi e-ICS awabonakali athinte ubukhulu besitembu, kodwa kunezimo eziningi njengoba amanani akhulisiwe. Uma unezici eziyingozi zokugula i-osteoporosis noma usuvele unesisindo esiphansi, ungase uthande ukucabangela ukuthatha i-calcium ne-vitamin D noma isifo sokuvikela amathambo njenge- bisphosphonate .
I-Varicella yasakaza: Yilapho igciwane le-inkukhu lihlakazeka emzimbeni wakho wonke. Ngenkathi kunengozi yokuziphendulela, akukho ma-varicella asetshenziselwa ukusakaza nge-ICS. Izingane ezingenayo inkukhu yenkukhu phakathi nonyaka wokuqala wokuphila kufanele zithole umuthi wokugoma we-varicella.
I-Bruise elula: Ukukhwabanisa nokwehlisa isikhumba kwenzeka ezigulini ezisetshenziswa i-ICS. Umphumela ukuxhomeka kwe-dose ukunciphisa umthamo kungasiza.
Ama-cataracts kanye ne-Glaucoma: Ukulinganisa okuphansi nokuphakathi kwe-ICS akuzange kuhlotshaniswe ne-cataracts ezinganeni, kepha umphumela wokuphila, owenza ukuphila okuhlobene nengozi enkulu ye-cataract kuye kwaphawulwa kubantu abadala. Iziguli kuphela ezinomlando womndeni we-glaucoma (ukucindezeleka kweso eliphakeme) zibonakala zinengozi enkulu ye-glaucoma nge-ICS. Ngenxa yalokho, iziguli ze-ICS kufanele zibe nezivivinyo zamehlo ngezikhathi ezithile, ikakhulukazi uma uthatha amanani aphakeme noma unomlando womndeni we-pressure ye-eye ephezulu.
Ukunciphisa kwe-Grenal Adrenal: Le mphumela engase ibe yinto engavamile kakhulu, kepha ingenzeka kwabanye abantu futhi ngokuvamile ephakeme kuma-ICS.
I-Blood Sugar ephakanyisiwe: I- ICS ayibangele ukuthi iphakethe liketshukela egazini, kanti, uma le mphumela yecala iyenzeka cishe njalo kumazinga aphezulu we-ICS.
Imithombo:
I-National Heart, Lung, ne-Blood Institute. Umbiko wePhaneli Wabachwepheshe 3 (EPR3): Izinkombandlela Zokuthola Ukuhlolwa Nokuphathwa Kwe-Asthma