ICorticosteroids: ziyini, ziyini kanye nemiphumela engemihle

-Delile

• Izinhlobo ze-corticosteroids
• Imiphumela emibi engaba khona
• Ngubani ongafanele asebenzise
• Kuphephile ukusetshenziswa ngesikhathi sokukhulelwa?

ICorticosteroids, eyaziwa nangokuthi i-corticosteroids noma i-cortisone, ngamakhambi okwenziwa akhiqizwa elabhoratri ngokususelwa kumahomoni akhiqizwa yizindlala ze-adrenal, ezinesenzo esinamandla sokulwa nokuvuvukala.

Lolu hlobo lomuthi lusetshenziswa kakhulu ekwelapheni izinkinga ezingapheli zokuvuvukala njenge-asthma, i-allergies, i-rheumatoid arthritis, i-lupus noma i-dermatological problems, ukuqeda izimpawu. Kodwa-ke, uma isetshenziselwa isikhathi eside noma ngokungafanele, i-corticosteroids ingaholela emiphumeleni emibi eminingi, njengokunyuka kwesifiso sokudla, ukukhathala nokwesaba, isibonelo.

Izinhlobo ze-corticosteroids

Kunezinhlobo eziningana zama-corticosteroids, asetshenziswa ngokwenkinga ezolashwa futhi afaka phakathi:

• Izihloko ze-corticosteroids: okhilimu, ointments, gel noma lotions asetshenziselwa ukwelapha ukusabela okweqile noma izimo zesikhumba, njenge-seborrheic dermatitis, i-atopic dermatitis, isifuba noma i-eczema. Izibonelo: i-hydrocortisone, i-betamethasone, i-mometasone noma i-dexamethasone.
• Ama-corticosteroids omlomo: amaphilisi noma izixazululo zomlomo ezisetshenziswa ekwelapheni i-endocrine ehlukahlukene, imisipha, i-rheumatic, i-collagen, i-dermatological, i-allergen, i-ophthalmic, ukuphefumula, i-hematological, neoplastic nezinye izifo. Izibonelo: i-prednisone noma i-deflazacorte.
• Ama-corticosteroids anomjovo: kukhonjiswe ukwelapha amacala ezinkinga zemisipha, ukungezwani komzimba kanye nokwelashwa kwesikhumba, izifo ze-collagen, ukwelashwa okuncomekayo kwamathumba amabi, phakathi kokunye. Izibonelo: i-dexamethasone, i-betamethasone.
• I-corticosteroids emuncwe: amadivayisi asetshenziselwa ukwelapha isifuba somoya, isifo samaphaphu esingamahlalakhona kanye nezinye izinto ezingezwani nawe zokuphefumula. Izibonelo: i-fluticasone, i-budesonide.
• I-Corticosteroids ku-nasal spray: asetshenziselwa ukwelapha i-rhinitis nokucinana okukhulu kwamakhala. Izibonelo: i-fluticasone, i-mometasone.

Ngaphezu kwalokho, kukhona nama-corticosteroids emaconsi wamehlo, okusetshenziswa esweni, nge-prednisolone noma i-dexamethasone, ngokwesibonelo, engasetshenziswa ekwelapheni izinkinga zamehlo, njenge-conjunctivitis noma i-uveitis, ukunciphisa ukuvuvukala, ukucasuka nokubomvu.

Imiphumela emibi engaba khona

Imiphumela emibi ye-corticosteroids ivame kakhulu ezimweni lapho umuntu esebenzisa ama-corticosteroids isikhathi eside futhi afaka:

• Ukukhathala nokuqwasha;
• Ukwanda kwamazinga kashukela egazini;
• Izinguquko kumasosha omzimba, ezinganciphisa amandla omzimba okulwa nezifo;
• Ukuyaluzela nokwethuka;
• Ukwanda kwesifiso sokudla;
• Ukuqunjelwa;
• Isilonda esiswini;
• Ukuvuvukala kwamanyikwe nomphimbo;
• Ukusabela okweqile kwendawo;
• I-Cataract, ingcindezi yangaphakathi ye-intraocular namehlo aphumile.

Funda ngeminye imiphumela emibi ebangelwa ama-corticosteroids.

Ngubani ongafanele asebenzise

Ukusetshenziswa kwe-corticosteroids kuyaphikiswa ezigulini ezine-hypersensitivity to the substance kanye nezinye izinto ezikhona kumafomula nakubantu abane-systemic infection fungal noma izifo ezingalawulwa.

Ngaphezu kwalokho, ama-corticosteroids kufanele asetshenziswe ngokuqapha kubantu abane-hypertension, ukuhluleka kwenhliziyo, ukwehluleka kwezinso, i-osteoporosis, isithuthwane, i-gastroduodenal ulcer, isifo sikashukela, i-glaucoma, ukukhuluphala ngokweqile noma i-psychosis, futhi kufanele isetshenziswe kuphela ngaphansi kokuqondisa kukadokotela kulezi zimo.

Kuphephile ukusetshenziswa ngesikhathi sokukhulelwa?

Ukusetshenziswa kwama-corticosteroids ekukhulelweni akukhuthazwa, ngoba kungabeka ingane noma umama engozini. Ngakho-ke, ukusetshenziswa kwama-corticosteroids ekwelapheni izifo kwabesifazane abakhulelwe kufanele kwenziwe kuphela ngaphansi kokuqondiswa kukadokotela wokubeletha nalapho izinzuzo zidlula izingozi ezingaba khona.