Amachiza e-Steroid athatyathwa kwiimeko ezininzi zezokwelapha ezahlukeneyo. Abantu abaninzi bacinga nge-steroids kwaye ngokukhawuleza bacinga ngemiphumo emibi njengobunzima bobunzima, ubuso benyanga (ukuvuvukala komzimba) kunye nokuguquka kwemizwelo. Uninzi lwabantu abanemiphumo emininzi kwimigangatho emfutshane ye-steroids yeentsuku ezili-10 okanye ngaphezulu. Nangona kunjalo, xa kuthathwa ixesha elide, kukho imiphumo emibi kakhulu.
Xa sitshisa i-steroids okanye nayiphina imithi, ngokukodwa ngomlomo, isicatshulwa sisisuka sisisu sisistim sethu se-vascular size sifike kuzo zonke iindawo zomzimba wethu, kuquka amehlo ethu. Ngenxa yoko, oogqirha baqaphele xa bechaza i-steroids. Kucaciswe kakuhle ukuba i-steroids yomlomo ethathelwa ixesha elide linokunyusa umngcipheko wokuhlakulela i- cataract .
Yintoni iCataract?
I- cataract i-clouding ye-lens eye. I-cataract iyona nto ibangela ukufama phakathi kwabantu abadala kunama-55. I-lens itholakala emva kwe-iris. Inoxanduva lokugxila ekukhanyeni kwi-retina, kunye nokuvelisa imifanekiso ecacileyo, ebukhali. I-lens inekhono lokutshintsha isimo. Xa liguqula umlo, linokunyuka okanye linciphise ngamandla, elibizwa ngokuba yindawo yokuhlala. Ngexesha, nangona kunjalo, i-lens iyanzima kwaye ilahlekelwe yikhono layo lokulungisa.
I-lens yonke iqulethwe ngaphakathi kwe-capsule lens. Njengoko amehlo abudala, amangqamuzana afile aqokelela kwi-capsule ye-lens, okwenza ukuba i-lens ibe yinto efutshane.
Ukukhanya okuqhelekileyo kugxininiswe yilensi yahlakazeka ngeenxa zonke ngenxa yokukhanya, umbono onjalo awusayi kucace kwaye ubukhali.
Kukho iintlobo ezintathu eziphambili ze-cataracts , nuclear, cortical and posterior subcapsular. Siyakwazi ukuhlakulela enye okanye zonke ezi zintathu ze-cataracts njengoko sikhula. Nangona kunjalo, i-cataracts engaphantsi kwe-subcapsular ingabonakaliswa kakhulu.
Enyanisweni, i-subcapsular yangasemva idla ngokuqhelekileyo kubantu abancinci. I-posterior subcapsular cataract ingabangela iintlobo ezahlukeneyo ezifana nesifo sikashukela. Abanye abantu bazalwa benama-cataract posterior subcapsular. Enye into eyaziwayo yolu hlobo lweentlobo ze-cataracts yindlela esetyenziswa ixesha elide le-steroids yomlomo njengale-prednisone. Ukuba sele uthabatha i-prednisone, ngaphezulu kokusemngciphekweni uyakha i-cataract posterior subcarsular.
Steroid Medication
Amachiza e-Steroid athatyathwa kwiimeko ezininzi zezokwelapha ezahlukeneyo. Abantu abaninzi bacinga nge-steroids kwaye bavele bacinge ngemiphumo emibi njengobunzima bobunzima, ubuso benyanga (ukuvuvukala ubuso), kunye nokuguquka kwemizwelo. Uninzi lwabantu abanemiphumo emininzi kwimigangatho emfutshane ye-steroids yeentsuku ezili-10 okanye ngaphezulu. Nangona kunjalo, xa kuthathwa ixesha elide, kukho imiphumo emibi kakhulu. Xa sitshisa i-steroids okanye nayiphina imithi, ngokukodwa ngomlomo, isicatshulwa singene kwi-system yethu ye-vascular kwaye sihamba kuzo zonke iindawo zomzimba wethu, kubandakanye amehlo ethu. Ngenxa yoko, oogqirha baqaphele xa bechaza i-steroids. Kucaciswe kakuhle ukuba i-steroids yomlomo ethathelwa ixesha elide linokunyusa umngcipheko wokuhlakulela i-cataract.
I-Steroids ye-Inhaled kunye neCataracts
Oogqirha banika kwakhona i-steroids ngendlela yemithi ekhuselweyo, njenge-inhaler ye-asthma. Abanye abantu basebenzisa ii-steroids ezifakwe kwimihla ngemihla. Ngokwemvelo, oogqirha babekhathazekile malunga nokuba ininzi yengozi ye-steroids eyayiyingozi yayingabangela ukuba i-cataracts kubantu baye bayisebenzisa kuba siyazi ukuba i-oral steroids inokunyusa umngcipheko.
Ucwaningo lophando olwalugxile kwi-steroids engabonakaliyo lubone ukuba kukho umngcipheko ophezulu we-cataract eneesisindo eziphezulu ze-steroid. Bakufumanisa ukuba akukho nto ingabikho kwingozi kwizigulana ezithatha umthamo we-steroid ngosuku oluphantsi kakhulu, malunga ne-500 mcg (micrograms).
Kodwa bafumanisa ukuba umngcipheko wenyuka waba ngama-70% kulabo bathabatha umthamo ophezulu, ukuya kwi-1600 mcg. Umngcipheko wandisa ukwanda komntu wathatha i-steroid engabonakaliyo. Ingozi ekuphuhliseni olo hlobo lweentlobo ze-cataracts lwandisiwe nokuba phakathi kwezigulane ezinde. Utshintsho olwenzeka kwi-lens yeso esenza sikwazi ukuhlakulela "uhlobo oluqhelekileyo" lweentlobo ze-cataracts lusenza sibe namandla ngakumbi ekuphuhliseni i-cataract emva kokuthatha i-steroids ephezulu.
Oko Okufanele Uyazi
Into enhle malunga nokufundiswa kukuba ibonise ukuba kufuneka uthathe okungaphezulu kwexabiso eliphakanyisiweyo lokukhukhumaza kwimihla ngemihla ukunyusa umngcipheko wakho wokuphuhlisa i-cataract posterior subcarsular. I-steroids ye-inhaled ihluke kakhulu kwiimali zonyango ngokukhupha. Uninzi lwabantu lithatha iingubo ezi-1-2 ngosuku. Ngokuxhomekeke kumyinge, unokufuneka uthathe ubuncinane ubuncwane besithandathu ngosuku okanye ubuninzi besikhuseli esingama-36 ngosuku ukuze ukwandise umngcipheko wakho.
Abaninzi abaphandi bakholelwa ukuba kufuneka kwenziwe izifundo ezininzi ukuze kuqinisekiswe le mngcipheko okhulayo, amaninzi amanqaku asebenzayo athinte uphuhliso lwe-cataract.
Umthombo
USmeeth, uL. British Journal of Ophthalmology, vol 87: iphe 1247-1251. "Ingozi ye-cataract kunye ne-glaucoma ngokusetyenziswa kwe-steroid kubantwana." Oktobha 2003.