Nangona uhla lwe-downsides, ukusetyenziswa kwe-inhaler kusabonwa njengento ebalulekileyo
I-Steroids ifumene i-rap embi kwi-press ngenxa yokuba inxalenye enkulu ekusebenziseni kwayo engekho mthethweni kubadlali bezakhono kunye nabadlali bamatye. Ekugqibeleni, i-steroids yimizimba yamakhemikhali, ngokuqhelekileyo i-hormonal, ukuba umzimba wakho uvelise ngokwemvelo ukulawula ukukhula nokukunceda amalungu akho asebenze ngokuqhelekileyo.
Uninzi lwe-steroids namhlanje luyenziwe ngabantu kwaye luqulethwe iindidi ezibalulekileyo: i-corticosteroids kunye ne-anabolic steroids.
Kulezi zixhobo, i-corticosteroids ixhaphaka ngokuqhelekileyo kwimeko yokungafihlayo isifo se-asthma kunye nezinye izifo zesifo sokuphefumula.
I-inhaling steroids inceda ukunciphisa ukuphefumula ukuphefumula ngokuhambisa isilwanyana ngokufanelekileyo apho kufuneka khona kakhulu. Ukusetyenziswa ixesha elide, nangona kunjalo, kunokukhokelela kwimiphumo emibini, ukususela kwimimandla emfutshane kunye nexesha elide ukuze kube nzima.
Nazi iziphumo ezine eziqhelekileyo ezichaphazelekayo kufuneka uqaphele:
Ukuphazamiseka (iDysphonia)
Abanye abantu abasebenzisa i-steroids engabonakaliyo baya kuba neengxaki zezwi elibizwa ngokuba yi-dysphonia. Oku kuhambelana ngqo nemiphumo yezidakamizwa njengoko zidlulela iintambo zezwi kwaye zenzeka kuma-30 ekhulwini abantu kwi-inhalers ye-steroid. Ngaloo mongo, i-dysphonia ayiqwalaselwe yimeko ebalulekileyo kwaye iya kulungiswa ngokwayo kwiminyaka emihlanu ukuya kweyimizuzu engama-20.
Ukusetyenziswa kwe-dohal inerers (i-MDI) ye-doer (i-MDI) efana ne-Flovent, i- QVAR , ne-Azmacort inokubangela ukuba kungabikho ukuhlambalaza okungaphantsi kwe-powder version efana nePulmicort, Asmanex, okanye i-Advair.
I-spacer inokunceda kwakhona kodwa ivumela ukusabalalisa okukhulu kwe-inhalant.
Thrush (Oral Candidiasis)
Abantu ababethatha i-steroids abangenayo imingcipheko be-thrush, intsholongwane yefungal yomlomo obizwa ngokuba yi-candidiasis yomlomo. Iimpawu zingabandakanya intlungu yomlomo, ulwimi okanye umlomo othukutheleyo, kunye nophuhliso lwee-patches ezimhlophe emlonyeni.
Kulabo basebenzisa i-steroid inhalers, eziphakanyisiweyo, iipliti ezikhutshwayo ziza kubonakala ngokubanzi phezu kophahla lomlomo okanye umva womlomo (nangona ziyakwazi ukubonakala ngolwimi, iinsini, nangaphakathi kwezihlathi).
Ukutshitshiswa kunokuthintelwa ngokuhlambulula umlomo wakho ngomlomo otywala utywala kunye / okanye ukuxubha emva kokusetyenziswa. Ukuba i-thrush iyabonakala, inokuphathwa ngokususa umlomo (njengokwenyuswa komlomo we-nystatin) okanye kunye ne-Diflucan (fluconazole) amacwecwe kwiimeko ezininzi.
I-Bone Loss (i-Osteoporosis)
I-steroids engabonakaliyo iyaziwa ngokubeka abantu abadala abadala engozini yokunyuka kwe-osteoporosis (ukulahleka okuqhubekayo nokuncipha kwethambo). Nangona i-osteoporosis iyona nto ibaluleke kakhulu xa i- oral steroids , i-high-dose inhalants inokubangela ukunyusa isisindo somzimba. I-dose ephezulu isichazwa njengokuba i-micrograms engaphezulu kwe-2000 ngosuku malunga neminyaka emininzi.
Izidlo eziphathekayo ze-calcium okanye izongezo (ezintathu iinkonzo zobisi ngosuku okanye malunga ne-1500mg ye-calcium) zinconywa kulabo bafumana ingozi enkulu. Isisindo sokuthwala umzimba (njengokuhamba) kunye nokuhlengahlengiswa kwenzalo ye-steroid kunokukunceda nokuba ukulahleka kwethambo kunzima kakhulu.
Umbono weengxaki (iCataracts kunye neGlaucoma)
I-steroids ye-inhaled ikholelwa ukuba ibangela ukwanda kwintsebenzo ye-cataracts kunye ne-glaucoma kubantu abangaphezu kwama-60.
Nangona iziganeko eziziwayo zezi zinto aziwazanga (ikakhulu ngenxa yokuba iingxaki ezibonakalayo ziqhelekileyo kubantu abadala), siyazi ukuba i-high-dose inhaled steroids inokunyusa uxinzelelo lwamehlo kubantu abanama-glaucoma ngama-40 ekhulwini.
Iziphumo ezifanayo zibonwe ekuphuhliseni i-cataracts, apho i-dose yokuphila yezigidi ezimbini ze-steroid yezibilini (ezibonisa ukuba i-dose ephezulu, ukusetyenziswa kwexesha elide) zaxhunyelelwa kwi-clouding eyandisiweyo yelensi.
Kubantu abadala asetyenziswayo i-steroids, ukuhlolwa kwamehlo yonyaka kweso-optometrist okanye ophthalmologist.
ILizwi
Nangona ezinye iziphumo ezichaphazelekayo ezinxulumene ne-steroids ezifakwe kwi-inhaled zingabonakala zichaphazelekayo, kubalulekile ukuba uqikelele izibonelelo zokuphucula umsebenzi wokuphefumula ngokuphathelele kwimiphumo yokusetyenziswa.
Kwiimeko ezininzi, xa zisetyenziswe kakuhle, i-steroid inhayile iya kubuya ngaphezulu kwindlela yokuphucula impilo kunokuhlala ngaphandle kwabo (ngakumbi xa kuthelekiswa nemiphumo emibi yomlomo kunye ne-injection steroids ).
Ukuba ufumana imiphumo ebangela ukuba uyakhathalela ngokwenene, thetha nodokotela wakho malunga nezinye iindlela okanye utshintsho olunokunceda. Ungalokothi utshintshe ubukhulu okanye ukusetyenziswa kwonyango lwakho ngaphandle kokufumana okokuqala umnikezeli wezempilo.
> Umthombo:
> Pandya, D; Puttanna, A .; kunye noBalagopal, V. "Iimpawu zendlela ezikhuselekileyo zeCorticosteroids: Ingqwalasela." Vula i-Respiratory Medical Journal. 2014; 8; 59-65.
> Walljee, A .; Rogers, M .; Lin, P. et al. "Ukusetyenziswa kwexesha elifutshane le-corticosteroids yomlomo kunye neziyobisi ezinxulumene nabantu abadala eMelika. BMJ. 2017; 357: j1415.