I-corticosteroids engabonakaliyo (ICS), eyaziwa nangokuthi i-steroids e-inhaled, iyona miyeza enamandla kakhulu yokulwa nokuvuvukala ekhoyo namhlanje ukwenzela unyango lwe-asthma kwaye isetyenziselwa ukunciphisa ubukhulu kunye nobukhulu beempawu ze-asthma. Ziyindlela yokuqala yonyango xa umntu onesifo se-asthma efuna inqanaba eliphezulu lokunyamekela kunokukhusela i- inhaler .
I-corticosteroids ekholiswa ngokuqhelekileyo iquka:
- I-Flovent (i-fluticasone)
- Pulmicort (budesonide)
- I-Azmacort (triamcinolone)
- Aerobid (flunisolide)
- Qvar (beclomethasone)
I-corticosteroids enganyanzelwangayo inokuphucula ukulawula isifo se-asthma ngempumelelo kunanoma yiphina i-arhente esetyenziswa njengonyango olulodwa. Nangona kunjalo, kubalulekile ukuba uqaphele ukuba i-corticosteroids ekhuselweyo ayikwazi ukukhulula ukuhlaselwa kwesifuba se-asthma esele iqhubekileyo kwaye ukukhululwa kwe-inhaler kusadingeka kulezo zimo.
I-corticosteroids enganyakaliyo inceda ukukhusela iimpawu ezingapheliyo ze-asthma ezifana:
- Ukugubha
- Ubungqina bebhokisi
- Ukuqhawukelwa ngumphefumlo
- Ukukhwehlela okungapheliyo
Indlela yokuxhatshazwa kweCorticosteroids Umsebenzi
I-corticosteroids engabonakaliyo ikhusela iimpawu ze-asthma ngokunciphisa ukuvuvukala kwiibhubhu zomoya, okanye i-airways, ezithwala i-oksijini kwimiphunga. Ukongezelela, banciphisa inani le-mucus eveliswa zizibhabhu ze-bronchial. Oku kuphunyezwe ngokuthintela ukuphendula kwamagciwane omzimba emva kwexesha lokugqibela , ukunciphisa ukuhamba ngokungahambi kakuhle, nokunciphisa ukuvuvukala kunye nokuvimbela amaseli avuthayo njengama-mast cell, i-eosinophil, kunye ne- basophil .
Ekubeni i-corticosteroids ekhuselekileyo yenzeke kwindawo yangaphandle, inani elincinci lonyango lenza indlela yalo lonke umzimba. Ngoko ke, umngcipheko weempembelelo ezinobungozi eziqhelekileyo eziqhelekileyo kubantu abazithatha imishanguzo ye-steroid ye-systemic kakhulu. Ngokubanzi, izingozi ezihambisana ne-corticosteroids ezifakwe ngaphakathi ziphantsi kakhulu, kodwa kukho izinto ezininzi ongayenza ukuze unciphise umngcipheko wemiphumo emibi .
Wena kunye nodokotela wakho unokufuna ukuqwalasela ii-corticosteroids ezifakwe kwi-inhaled if any of the following applies:
- Usebenzisa i-β-agonist yonyango, njenge-Albuterol, ngaphezulu kweentsuku ezimbini ngeveki.
- Unempawu ze-asthma ngaphezu kwesibini ngeveki.
- Uhlangabezana nemigangatho ethile kwi-spirometry.
- I-asthma yakho iphazamisa imisebenzi yakho yemihla ngemihla.
- Uye wafuna i- oral steroids 2 okanye amaxesha angaphezulu kunyaka ophelileyo.
I-Corticosteroids ifakwe ngempumelelo njani?
Ngokuqhelekileyo, ii-corticosteroids ezifakwe kwikhompyutha zisetyenziselwa unyango lwexesha elide kwi-people of ages abafuna ukuphathwa kwimihla ngemihla. Ziyakwazi ukukhusela ukuhlaselwa yi-asthma kodwa zifuna ukusetyenziswa kwimihla ngemihla ngokulandelelana kwamanani ukuze kusebenze. Ukongeza, azinakusebenza kwiiveki ezintandathu emva kokuba uqale ukusebenzisa ii-corticosteroids ezikhuselweyo, kunye neenyanga ezininzi zokusetyenziswa rhoqo kufuneka ufune ukuphawula iziphumo ezipheleleyo. Ukukhusela i-inhaler kusenokuba kuyimfuneko ukunyanga ukuhlasela kwe-asthma xa kwenzeka.
Ngelixa zonke izigulane ziphendula ngokufanayo kwi-corticosteroids, zifunyenwe ukuphucula isibalo semiphumo ebalulekileyo ye-asthma njenge:
- Umgangatho wobomi
- Ukuhlaselwa kwesifo se-asthma
- Izimpawu ze-asthma
- Ulawulo lwe-Asthma
- Ukungaqondakali kweendlela zakho zokuhamba nge-airways (kwehla)
- Kufuneka i-steroid yomlomo
- Ukuphindaphinda kwe-ER ukutyelela kunye nezibhedlele
- Ukufa
Imithombo:
I-Heart Heart, i-Lung, ne-Blood Institute. Ukufikeleleka: Ngo-Agasti 16, 2009. Ingxelo yePhaneli yeNgcali 3 (EPR3): Izikhokelo zoLwazi kunye nolawulo lwe-Asthma