ICorticosteroids: Ziyini?

-Delile

• Yini ama-corticosteroids?
• Kunqunywa nini?
• Izinhlobo ze-corticosteroids
• Ama-corticosteroids ajwayelekile
• Iyini imiphumela emibi?
• Ukucatshangelwa okwengeziwe
• Ukusebenzisana
• Amathiphu okunciphisa imiphumela emibi
• Okubalulekile

Yini ama-corticosteroids?

ICorticosteroids isigaba somuthi owehlisa ukuvuvukala emzimbeni. Futhi banciphisa ukusebenza kwamasosha omzimba.

Ngoba i-corticosteroids inciphisa ukuvuvukala, ukulunywa, ukubomvu, kanye ne-allergen reaction, odokotela bavame ukubanikeza ukuthi basize ukwelapha izifo ezinjenge:

• isifuba somoya
• isifo samathambo
• lupus
• komzimba

ICorticosteroids ifana ne-cortisol, i-hormone ekhiqizwa ngokwemvelo yizindlala zomzimba ze-adrenal. Umzimba udinga i-cortisol ukuze uhlale uphilile. UCortisol ungumdlali omkhulu ezinqubweni eziningi zomzimba, kufaka phakathi imetabolism, ukuphendula komzimba, kanye nengcindezi.

Kunqunywa nini?

Odokotela banquma i-corticosteroids ngezizathu eziningi, kufaka phakathi:

• Isifo i-Addison. Lokhu kwenzeka lapho umzimba wakho ungenzi i-cortisol eyanele. AmaCorticosteroids angawenza umehluko.
• Ukufakelwa komzimba. ICorticosteroids isiza ukucindezela amasosha omzimba futhi inciphise namathuba okwaliwa komzimba.
• Ukuvuvukala. Ezimweni lapho ukuvuvukala kubangela ukulimala ezithweni ezibalulekile, ama-corticosteroids angasindisa izimpilo. Ukuvuvukala kwenzeka lapho amangqamuzana amhlophe egazi lomzimba ehlanganiswa ukuvikela ekuthelelekeni nakwizinto zangaphandle.
• Izifo ezizimele. Kwesinye isikhathi amasosha omzimba awasebenzi kahle, futhi abantu baba nezimo zokuvuvukala ezidala ukulimala esikhundleni sokuvikelwa.Corticosteroids inciphisa ukuvuvukala futhi ivimbele lo monakalo. Ziphinde zithinte nokuthi amaseli amhlophe asebenza kanjani futhi anciphise ukusebenza kwamasosha omzimba.

Zivame ukusetshenziselwa ukuphatha lezi zimo futhi:

• isifuba somoya
• imfiva ethimulisayo
• isifuba
• isifo esingapheliyo sokuvimbela kwamaphaphu (COPD)
• lupus
• ukuvuvukala kwamathumbu
• i-multiple sclerosis

Izinhlobo ze-corticosteroids

I-Corticosteroids ingaba nge-systemic noma yendawo. Ama-steroids asendaweni abhekise engxenyeni ethile yomzimba. Lokhu kungasetshenziswa ngokusebenzisa:

• okhilimu besikhumba
• amaconsi wamehlo
• izindlebe ziyawa
• ama-inhalers ukukhomba amaphaphu

Ama-steroids asistimu ahamba egazini ukusiza izingxenye eziningi zomzimba. Zingalethwa ngemithi yomlomo, nge-IV, noma ngenaliti emsipheni.

Ama-steroids asendaweni asetshenziselwa ukwelapha izimo ezifana nesifuba somoya kanye nesifuba. Ama-systemic steroids alapha izimo ezifana ne-lupus ne-multiple sclerosis.

Ngenkathi i-corticosteroids ingabizwa ngokuthi i-steroids, ayifani ne-anabolic steroids. Lokhu kubizwa nangokuthi abathuthukisi bokusebenza.

Ama-corticosteroids ajwayelekile

Kunezinombolo ze-corticosteroids ezitholakalayo. Amanye amagama aziwa kakhulu afaka:

• I-Aristocort (isihloko)
• I-decadron (ngomlomo)
• I-Mometasone (edonse umoya)
• I-Cotolone (umjovo)

Iyini imiphumela emibi?

Eminye imiphumela emibi ingavela nge-topical, inhaled, ne-injected steroids. Kodwa-ke, imiphumela eminingi emibi ivela ku-steroids yomlomo.

Imiphumela emibi evela kuma-corticosteroids adonsa ngaphakathi angafaka:

• ukukhwehlela
• Umphimbo obuhlungu
• kunzima ukukhuluma
• ukuphuma kwamakhala okuncane
• i-thrush yomlomo

Ama-topical corticosteroids angaholela esikhunjeni esincane, izinduna, kanye nezilonda ezibomvu zesikhumba. Lapho ijojowe, ingadala:

• ukulahleka kombala wesikhumba
• ukuqwasha
• ushukela ophakeme wegazi
• ukuqhuma ebusweni

Imiphumela emibi evela ku-steroids yomlomo ingafaka:

• induna
• ukungaboni kahle
• ukugcinwa kwamanzi
• ukwanda kwesifiso sokudla nokuzuza kwesisindo
• ukucasuka kwesisu
• ubunzima bokulala
• ukushintsha kwemizwelo nokushintsha kwemizwelo
• i-glaucoma
• isikhumba esincane nokulimala okulula
• umfutho wegazi ophakeme
• ubuthakathaka bemisipha
• ukukhula okwandayo kwezinwele zomzimba
• ukutholakala kokutheleleka
• ukwanda kwesifo sikashukela
• ukuphulukiswa kwesilonda
• izilonda zesisu
• I-Cushing syndrome
• ukukhumuzeka kwamathambo
• ukudana
• ukukhula okungakhuli ezinganeni

Akuwona wonke umuntu ozoba nemiphumela engemihle. Ukuba khona kwemiphumela emibi kuyehluka kuye ngomuntu. Ukweqiwa okuphezulu isikhathi eside kukhulisa amathuba okuba nemiphumela engemihle.

Ukucatshangelwa okwengeziwe

Kubalulekile ukukhuluma nodokotela wakho mayelana nobuhle nobubi bokusebenzisa lo muthi. Uma zisetshenziselwa isikhathi esifushane (kusuka ezinsukwini ezimbalwa kuya emavikini ambalwa), kungenzeka ukuthi kungabi nemiphumela emibi.

ICorticosteroids ingaba yimithi eguqula impilo noma esindisa impilo, kepha ukusetshenziswa kwesikhathi eside kungadala ubungozi bezempilo. Ngaphandle kwemiphumela emibi, ezinye izimo zidinga ukusetshenziswa kwesikhathi eside. Nazi izinto ezimbalwa okufanele uzicabangele:

• Abantu abadalakungaba sethubeni lokuthuthukisa izingqinamba ngomfutho wegazi ophakeme kanye ne-osteoporosis. Abesifazane banethuba eliphakeme lokuthola lesi sifo samathambo.
• Izingane angathola ukukhula okumile. I-Corticosteroids nayo ingadala ukutheleleka kwesimungumungwane noma kwenkukhu okuyingozi kakhulu kunalezo ezinganeni ezingazithathi.
• Omama abancelisayo kufanele isebenzise i-steroids ngokuqapha. Kungadala izingqinamba ngokukhula noma eminye imiphumela enganeni.

Qiniseka ukuthi wazisa udokotela wakho uma uke waba nokusabela okungekuhle emithini ngaphambilini.Futhi tshela udokotela wakho nganoma yikuphi ukungezwani komzimba ongaba nakho.

Ukusebenzisana

Izimo ezithile zezokwelapha zingathinta ukusetshenziswa kwalo muthi. Tshela udokotela wakho uma unezimo ezithile zempilo.

Kubaluleke kakhulu ukubatshela uma ngabe:

• I-HIV noma i-AIDS
• ukutheleleka kwe-herpes simplex kweso
• isifo sofuba
• izinkinga zesisu noma zamathumbu
• isifo sikashukela
• i-glaucoma
• umfutho wegazi ophakeme
• ukutheleleka kwefungal noma yikuphi okunye ukutheleleka
• isifo senhliziyo, isibindi, i-thyroid, noma izinso
• ngike ngahlinzwa muva nje noma ngalimala kanzima

ICorticosteroids nayo ingashintsha imiphumela yeminye imithi. Kodwa-ke, amathuba okuhlangana okwenzeka ngezifutho ze-steroid noma imijovo aphansi.

Qaphela ukuthi udlani uma uthatha lo muthi, futhi. Ama-steroids athile akufanele athathwe nokudla, njengoba ukuhlangana kungenzeka. Gwema ukuthatha lesi sidakamizwa ngejusi lamagilebhisi.

Ugwayi notshwala nakho kungadala ukuxhumana nemithi ethile. Qiniseka ukuthi ukhuluma nodokotela wakho ngomphumela lokhu okungaba nawo kuma-corticosteroids.

Amathiphu okunciphisa imiphumela emibi

Ukusetshenziswa kwalo muthi kungaba yindlela engcono kakhulu esimweni sakho. Ngenkathi kunezingozi ezihambisana ne-corticosteroids, kunezindlela zokunciphisa imiphumela yakho emibi. Nawa amanye amathiphu okufanele uwacabangele:

• Khuluma nodokotela wakho mayelana nomthamo ophansi noma ophakathi.
• Yenza izinqumo zokuphila okunempilo, njengokudla okunempilo nokuzivocavoca umzimba kaningi kunalokho.
• Thola isongo lesaziso sokwelashwa.
• Thola ukuhlolwa njalo.
• Sebenzisa i-steroids yendawo uma kungenzeka.
• Nciphisa kancane umthamo lapho umisa ukwelashwa uma ngabe ubusebenzisa lo muthi isikhathi eside. Lokhu kuvumela izindlala zakho ze-adrenal isikhathi sokuzivumelanisa.
• Yidla ukudla okunosawoti omncane kanye / noma okunothe nge-potassium.
• Bheka umfutho wegazi nokuxinana kwamathambo akho, bese uthola ukwelashwa uma kudingeka.

Okubalulekile

I-Corticosteroids yimithi enamandla yokulwa nokuvuvukala engaphatha izifo ezifana ne-asthma, i-arthritis ne-lupus. Bangaza nemiphumela emibi ethile.

Qiniseka ukuthi ukhuluma nodokotela wakho ngobuhle nobubi be-corticosteroids, ezinye izimo noma izifo onazo, nezindlela zokunciphisa imiphumela emibi.