I-Corticosteroids Imiphumo Yecala Imiphumo ye-Asthma Izigulane kufuneka ziqaphele
Ingozi yokuphuhlisa i- corticosteroids (ICS) iziphumo ezincinci zizinto ezincinci kodwa kukho iingozi nangona kunjalo. Ukongezelela, ngeendlela ezintle, ukusetyenziswa kwe-spacer, kunye nemigaqo elandelayo malunga nendlela yokusebenzisa i-corticosteroids yakho, ininzi yemiphumo emibi nayo inokuthintelwa kwakhona.
Ziziphi iimpembelelo eziqhelekileyo?
Iimpembelelo ze-corticosteroids ezichaphazelekayo zingaphulwa zibe zimbini iintlobo:
- Imiphumo emibi yendawo (kwindawo eyodwa kuphela yomzimba)
- Imiphumo yenkqubo (kuwo wonke umzimba)
Iimpawu zecala zaseCorticosteroids zangaphakathi
- I-Oral Candidiasis okanye iTrush : I- Thrush enye yezona ziphumo eziqhelekileyo ze-ICS; kunye neyesithathu sezigulane ezikhulayo kweli phulo. Ukunciphisa umyinge, usebenzisa i-spacer, kwaye uhlambulule ngokufanelekileyo umlomo wakho emva kokufakela konke ukunciphisa umngcipheko we-thrush. I-Thrush nayo iyakwazi ukuphathwa nge-orical antifungals yomlomo, njenge-nystatin. Ukucaphukisa okuphumela ngokukhawuleza kubonakala ngathi kwenzeka ngenxa yonyango oluhanjiswa kumlomo nomlomo, okwenza ubuchule obufanelekileyo kubaluleke kakhulu.
- I-Dysphonia: I-steroid engabonakaliyo inokuchaphazela ilizwi lakho, elibizwa ngokuba yi-dysphonia. Inokuthi ithintelwe ngokusebenzisa ulwahlulo kwaye uphathwe ngokunciphisa i-ICS dose okwesikhashana kwaye unike iindawo zakho zokuzimela.
- I-Reflex Cough kunye neBronchospasm : Le miphumo yecala inokuthintelwa ngokusebenzisa i-spacer kunye ne-inhaling ngokukhawuleza. Ukuba kuyimfuneko, ukubethelwa kwangaphambili kunye ne- rescue inhaler kunokuthintela le mpawu.
Iimpembelelo zeCorticosteroids eziPhakathi
Ngexesha elingaqhelekanga, uninzi lweempembelelo zenkqubo zingenzeka nge-corticosteroids enganyangekiyo. Ngokuqhelekileyo, kukho umngcipheko ophezulu ngokunyuka kwamazinga e-corticosteroids esebenzayo. Iziphumo ezichaphazelekayo zibandakanya:
Ukukhula okubi : Nangona ukukhula okubi kungabangela ukuba i-ICS, i-asthma engalawulwa kakuhle ingakhokelela ekukhuleni okubi kwabantwana. Ngokubanzi, amanani aphantsi kunye aphakathi kwe-ICS anokunxulumene nokunciphisa okuncinci, okungaqhubekiyo kodwa okuguqulwayo ekukhuleni kwabantwana. Ngenxa yoko, wena kunye nomboneleli wakho we-asthma akufanele nje ubeke iliso ngokukhawuleza ukukhula, kodwa zama ukusebenzisa i-dose ephantsi kakhulu ekwazi ukulawula kakuhle isifuba somntwana wakho. Kufuneka uqikelele iinjongo ezinokubakho zolawulo lwe- asthma oluhle kunye nomphumo omncinci kodwa ongenakwenzekayo wokukhula okucothayo.
I-Bone Ukunyaniseka: Ixabiso elincinci le-ICS alibonakali lichaphazela ukuxinwa kwethambo, kodwa kukho imiphumo eninzi njengoko amanani ayanda. Ukuba unomngcipheko we-osteoporosis okanye sele unesisindo esiphantsi seethambo, unokufuna ukucinga ukuthatha i-calcium kunye ne-vitamin D okanye i-anti-protective treatment efana ne- bisphosphonate .
Ukusasazwa kwe-Varicella: Yilapho intsholongwane yenkukhu isasazeka kuwo wonke umzimba wakho. Nangona kukho umngcipheko weengqinisiso, akukho majelo ase-varicella asasazwayo kunye ne-ICS. Abantwana abangenayo inkukhu yenkukhu ngexesha lokuqala lokuphila kwabo kufuneka bafumane i-varicella vaccine.
I-Bruise elula: Ukuqhayisa kunye nokucuthwa kwesikhumba kwenzeka kwizigulane zisebenzisa i-ICS. Isiphumo sixhomekeke kumthamo ukuze ukunciphisa idosi kunokuba luncedo.
I-Cataracts kunye ne-Glaucoma: Izilwanyana eziphantsi kunye eziphakathi kwe-ICS azidibaniswanga ne-cataracts kwiintsana, kodwa i-accumulation, impembelelo yexesha lokuphila ehambelana nomngcipheko ophezulu we-cataract uye wabonwa ngabantu abadala. Izigulane ezineenkcukacha zentsapho ye-glaucoma (ukunyamezela kwamehlo okuphakanyisiweyo) zibonakala zinomngcipheko ophezulu we-glaucoma kunye nokusetyenziswa kwe-ICS. Ngenxa yoko, izigulane kwi-ICS kufuneka zibe neemviwo zamehlo, ngokukodwa xa uthatha amanani aphezulu okanye unembali yentsapho yexinzelelo lemehlo ephakamileyo.
Ukunciphisa i-Adrenal Gland: Eli phumeli elingalindelekanga lincinci kakhulu, kodwa linokuthi lenzeke kwabanye abantu kwaye ngokuqhelekileyo kumazinga aphezulu e-ICS.
Ukuphakanyiswa kweSety Sugar: I- ICS ayikho nto ibangela ukuphakama kwishukela yegazi, kwaye, ukuba le nxalenye yecala iyenzeka phantse rhoqo kwizinga eliphezulu ze-ICS.
Imithombo:
I-Heart Heart, i-Lung, ne-Blood Institute. Ingxelo yePhaneli yeNgcali 3 (EPR3): Izikhokelo zoLwazi kunye noLawulo lwe-Asthma