Ukunciphisa ukuvuvukala ukuphucula umsebenzi weLung
Ekugqibeleni, abaninzi abantu abanaluphi na uhlobo lwesifo esingapheliyo sesifo samaphaphu baya kufumana bethatha imishanguzo echasayo ngexesha elithile kunyango lwabo. Amachiza aphikisayo aphucula ukuphefumula ngokunciphisa ukuvuvukala kweendinyana zomoya. Amanye amayeza anxamnye nokuvuvukala athathwa ixesha elifutshane ukuze ancede ukukhawuleza ukubuyisela xa isiguli sinesifo sokuphefumula okanye enye ingxaki ebangela ukuphefumula kokuphefumula.
Amanye amayeza anxamnye nokuvuvukala athatyathwa ixesha elide ukukunceda ukukhusela iifayili zomoya kunye nokuphucula umsebenzi wamaphaphu.
I-Corticosteroids ne-Anabolic Steroids
Ngaphambi kokuba siphumelele, masicacise ukudideka okuninzi abantu abanalo malunga negama elithi "steroids." I-steroids esetyenziselwa ukonyango lwezifo zemiphunga ziyi- corticosteroids , ezizinto ezihluke kakhulu kune-anabolic steroids esizivayo ngamanye amaxesha ngabadlali abahlukumezayo .
I-Corticosteroids: Imithi exelisa imiphumo ye-hormone eveliswe kwi-adrenal gland ebizwa ngokuthi "i-cortisol," enemisebenzi eminingi emzimbeni kuquka ukuxilwa nokulwa nokunciphisa.
I-Anabolic steroids: Iinguqulelo zesininzi ze-hormone zesini zendoda ezandisa impawu zesilisa. Ngamanye amaxesha abadlali bezemidlalo bawasebenzisa ngokungekho mthethweni ukwandisa ubunzima bomzimba kunye namandla. Kukho imeko zezogulane ezisemthethweni ukuba i-anabolic steroids inokumiselwa, kodwa isifo somphunga asikho enye yazo.
Oral Corticosteroids
I-Oral steroids, njenge- prednisone , prednisolone okanye i-methylprednisone, ngamanye amaxesha inikwe abantu abane- cystic fibrosis (CF) yokwenza unyango olufutshane. Azinconywa ukuba zonyango lwexesha elide ngenxa yezinto ezinokubangelwa yimiphumo emibi ebandakanya ezi zilandelayo:
- Ukunciphisa ukukhula kwabantwana
- Sikashukela
- Cataract
- Osteoporosis
- Ukunciphisa amandla okulwa nezifo zamaphaphu, ezifana nokubulawa kwePseudomonas aeruginosin
I-Steroids engabonakaliyo
I-steroids ye-inhaled, njenge-Qvar (beclomethasone), i-Pulmicort (budesonide) kunye ne-Flovent (fluticasone), ihanjiswa ngqo kwimiphophu kwaye ibe nemiphumo embalwa embi kunokuba i-steroids yomlomo. Nangona kunjalo, uphando alubonisanga naluphi na uncedo oluthile lwe-steroids elide elidlulileyo kwi-cystic fibrosis; Ngaloo ndlela, iCystic Fibrosis Foundation icebisa malunga nokusetyenziswa ngokuqhelekileyo kwe-steroids kubantu abano-CF ngaphandle kokuba nabo bane- asthma .
Izidakamizwa ezingenzi-Steroidal Anti-Inflammatory (NSAIDs)
Njengoko igama lithetha, ii-NSAID ziqela leemithi ezichasayo ezingenalo i-steroids. I-SASA ayinayo ingozi efanayo yemiphumo emibi njengemithi ye-steroidal anti-inflammatory. Nangona kunjalo, ukusetyenziswa kwexesha elide ii-NSAID zingabangela ukuphuma kwegazi okanye iingxaki zeengso.
Ibuprofen, ethengiswa phezu kwe-counter kunye ne-prescription, yi-NSAID eboniswe ukuba iphose ukulahlekelwa ngumsebenzi wamaphaphu kunye nokusetyenziswa kwexesha elide kubantu abane-cystic fibrosis. Ngenxa yokuba inzuzo ye-ibuprofen inkulu kunomngcipheko weempembelelo ezibi kakhulu, i-Cystic Fibrosis Foundation icebisa ukusetyenziswa kwexesha elide-ibuprofen njengendlela yokonyango kubantu abane-cystic fibrosis abaneminyaka engama-6 ubudala kunye ne-FEV1 60% okanye ngaphezulu.
Kubalulekile: Musa ukuthatha ibuprofen ye-counter-counter-counter-ye-long-treatment ye-cystic fibrosis ngaphandle kokubonisana nodokotela wakho kuqala.
Umthombo:
Flume, P., et al. I-Cystic Fibrosis Guidelines Guidelines: IiMilesi ezingapheliyo zokuLondolozwa kweMpilo yeLung. "U.J. Respir.