Ngaba Iingenelo Ziyongamela Imingcipheko?
Ukuba unayo i- COPD , ugqirha wakho unokumisela i-glucocorticoids (eyaziwayo njenge-corticosteroids, okanye i-steroids) njengenxalenye yesicwangciso sakho soonyango . Ngelixa i-glucocorticoids inezinzuzo ezininzi, nazo zineengozi ezinzulu kunye nemiphumo emibi omele uyiqaphele.
Ngokwe-Global Initiative ye-Lung Dungase (GOLD), indima eyenziwa ngumlomo kunye ne-inhaled glucocorticoids eyonyango kwi- COPD ezinzileyo inokuphikisana kwaye ihlawulwe kwiimeko ezithile.
I-Glucocorticoids isebenza njani?
Njengoko zibhekiselele kwiCOPD, i-glucocorticoids isebenza ngokunciphisa ukuvuvukala nokuvuvukala kwindlela yokuhamba emiphakeni.
Iimveliso kunye neNgcuthelelo ye-Glucocorticoids
Ukwelashwa rhoqo nge-inluled glucocorticoids kuye kwaboniswa ukunciphisa ubude be- COPD ukukhushulwa nokuphucula isimo sezempilo kwizigulane ezineSigaba III (esinzima) kwiSigaba IV (esibi kakhulu) COPD. Nangona kunjalo, ukusetyenziswa kwabo akuthinteli ukuncipha kwenani lokuphefumula (FEV1) okanye ukunciphisa izinga lokufa elidibene neCOPD. Ukongezelela, ukuhoxiswa kwi-glucocorticoids inokubangela ukunyuka kwama-COPD kwezinye izigulane kwaye kwandisa amathuba okuba i-pneumonia.
Ngenxa yalolu lwazi, unyango nge-inluled glucocorticoids alubonakalwanga kwizigulane ezine-COPD ezizinzile, kodwa zinokucetyiswa kwizigulane kwizigaba eziphambili zeCOPD kwaye ziyimfuneko yokukhushulwa kwe-COPD.
I-glucocorticoids ngokuqhelekileyo ifakwe kwi-glucocorticoids iquka oku kulandelayo:
- Beclomethasone
- Triamcinolone
- Fluticasone
- Flunisolide
Uluhlu lweNyango
Ukusebenzisa i-glucocorticosteroid ehambelanisiweyo edibene ne-agaist ye-beta ende ende ende iboniswe ukunciphisa ubude be- COPD ukukhushulwa , ukuphucula umsebenzi wemiphunga kunye nesimo sempilo esipheleleyo kwizigulane ezineCOPD, kodwa kwakhona, kunokwandisa amathuba okuba ne-pneumonia.
Glucocorticoids yomlomo
Kukho izikhokelo ezininzi ezikhoyo eziqhubekayo ukuxhasa ukusetyenziswa kwexesha elifutshane okanye elide lomlomo we-glucocorticoid unyango ekulawuleni iCOPD. Ngokutsho kweGOLD, nangona kunjalo, lo mkhuba awunconywa ngenxa yokungabikho kobungqina obaneleyo benzuzo kwaye uluhlu olude lweziphumo ezimbi. Ukulandela kukho enye ye-glucocorticoids yomlomo oqhelekileyo oya kukwazi ngayo:
- Prednisone
- Dexamethasone
- Methylprednisolone
- Cortisone
Iimpawu eziPhakathi zeGlucocorticoids
Nangona iziphumo zecala lomlomo we-glucocorticoids zininzi kwaye zibhalwe kakuhle, iziphumo ezimbi ezichaphazelekayo kunye ne-glucocorticoids zifakwe emancinci. Ezi zilapha ngezantsi ziyimiphumo emibi eyaziwa ngokuqhelekileyo yomlomo we-glucocorticoids:
- Ukunyuswa kwe-immune system (Immunosuppression)
- Ishukela ephezulu yegazi
- Ukutyeba kwakho
- Ukululaza
- Ukunciphisa amathambo
- Ukuphazamiseka kwemizimba, ubuthathaka
- Cataract
- Glaucoma
- Ukungafezeki kwe-Adrenal (ukuba isetyenziswe ixesha elide kwaye yima ngokukhawuleza)
Inhaled glucocorticoids zixhaphake kakhulu:
- Ukuqhawula isikhumba
- Usulelo lwesisu lwesomlomo kunye ne-pharynx
- Ukuthotywa kwezwi
Amazwi okugqibela malunga neGlucocorticoids
Inxalenye ebalulekileyo yiphina isicwangciso sonyango sinokuzimisela ukuyilandela. Ukuba awukwazi ukuhambelana nesicwangciso sakho sokunyamekela, umniki-nkonzo wakho wempilo kufuneka azame ukubona ukuba yiziphi izithintelo ezinokuma endleleni.
Zonke izicwangciso zonyango mazize zichazwe ngokucacileyo ngenjongo yazo kunye neziphumo ezinokwenzeka. Ukuba ugqirha awunikezeli le ngcaciso, kufuneka uyicacise ngaphambi kokushiya iofisi.
Umthombo:
> ISicwangciso soBuchule beSizwe soLwazi, > uLawulo > , kunye nokuKhuselwa kweCOPD , iNkqubo yokuHlaba i- Global Preventional Lung Disease (GOLD) 2006. Iyatholakala kwi: http://www.goldcopd.org.