Ukuphefumula ama-steroid: Okufanele Ukwazi

-Delile

• Yini ama-inhaled steroids?
• Ama-steroids atholakala ngaphakathi
• Kungani kunqunyelwe?
• Okuqhamuka uma udla imishanguzo
• I-thrush yomlomo
• Ama-steroids omlomo
• Imikhuba emihle kakhulu
• Izindleko
• Okubalulekile

Yini ama-inhaled steroids?

I-steroids engatholakali, ebizwa nangokuthi i-corticosteroids, inciphisa ukuvuvukala emaphashini. Zisetshenziselwa ukwelapha i-asthma nezinye izimo zokuphefumula njengezifo ezingapheli ze-pulmonary disease (COPD).

Lezi steroid ngamahomoni akhiqizwa ngokwemvelo emzimbeni. Azifani ne-anabolic steroids, abanye abantu abazisebenzisayo ukwakha imisipha.

Ukuze usebenzise ama-steroids, phefumulela phezulu kancane ngenkathi ucindezela i-canister enamathiselwe ku-inhaler yakho. Lokhu kuzoqondisa umuthi ngqo emaphashini akho. Udokotela wakho uzokweluleka ukuthi usebenzise i-inhaler nsuku zonke.

I-steroids engatholakali ivame ukusetshenziselwa ukwelashwa kwesikhathi eside. Zisiza ukuvikela ukuhlaselwa yisifuba somoya esizayo ngokugcina amaphaphu ephilile futhi ekhululekile. Ama-steroids angeniswayo nawo kwesinye isikhathi asetshenziswa kanye ne-oral steroids.

Ama-steroids atholakala ngaphakathi

Ama-steroids ajwayelekile kakhulu adonswe ngezansi:

Abanye abantu abane-asthma basebenzisa inhalers yokuhlanganisa. Kanye nama-steroids, ama-inhalers wokuhlanganisa aqukethe ama-bronchodilators. Lezi zikhomba imisipha ezungeze imigwaqo yakho yomoya ukuze ibasize baphumule.

Ama-inhalers okuhlanganiswa kakhulu afakwe kuhlu ngezansi:

Kungani kunqunyelwe?

I-steroids ehogelwayo inciphisa ukuvuvukala emaphashini, ikuvumela ukuthi uphefumule kangcono. Kwezinye izimo, banciphisa nokukhiqizwa kwe-mucus.

Kungathatha amasonto ambalwa ukubona imiphumela evela kuma-steroids adonsa ngaphakathi. Ngeke zisetshenziselwe ukwelapha ukuhlaselwa yisifuba somoya uma kwenzeka, kepha zingavimbela ukuhlaselwa okuzayo. Ezimweni eziningi, uma usebenzisa i-steroids isikhathi eside, kuzodingeka uncike kakhulu ku-inhaler yokutakula.

I-steroids engatholakali i-corticosteroids. Ziyafana ne-cortisol, eyi-hormone ekhiqizwa ngokwemvelo emzimbeni. Njalo ekuseni, izindlala ze-adrenal zikhipha i-cortisol egazini, ekunika amandla.

I-steroids engatholakali isebenza ngokufana ne-cortisol. Umzimba wakho awukwazi ukusho ukuthi i-cortisol ivela emzimbeni wakho noma i-inhaler, ngakho-ke izinzuzo ziyefana.

Okuqhamuka uma udla imishanguzo

Imiphumela emibi ngokuvamile imnene ngama-steroid adonsa ngaphakathi, yingakho odokotela bavame ukuyinikeza ukuthi isetshenziswe. Ezimweni eziningi, izinzuzo ze-steroids zidlula noma yimiphi imiphumela emibi engaba khona.

Imiphumela emibi ejwayelekile ye-steroids ephethwe ihlanganisa:

• ukushaqeka
• ukukhwehlela
• Umphimbo obuhlungu
• i-thrush yomlomo

Ngenkathi kunobufakazi obuphikisanayo, izifundo zikhombisile ukuthi i-inhaled steroids ingakhubaza ukukhula ezinganeni.

Uma uthatha umthamo ophakeme noma usebenzise i-inhaled steroids isikhathi eside, ungahle uthole isisindo somzimba ngenxa yokwanda kwesifiso sokudla.

Labo abathatha i-steroids emuncu yokuphathwa kwesikhathi eside banengozi eyengeziwe ye-.

Ngokuvamile, i-steroids ehogelwayo inemiphumela emibi kakhulu ngoba umuthi ungena ngqo emaphashini.

I-thrush yomlomo

I-Oral thrush ingumphumela ojwayelekile ohlangothini lwe-steroids emuncwe. I-Thrush yenzeka lapho ukutheleleka kwemvubelo kukhula emlonyeni wakho noma emphinjeni, bese kuvela ifilimu emhlophe olimini lwakho.

Ezinye izimpawu ze-thrush yomlomo zifaka:

• uhlevane olimini lwakho, esihlathini, emathangeni, noma ezinsinini
• ukopha uma amaqhubu esuliwe
• ubuhlungu bendawo kumaqhubu
• inkinga yokugwinya
• isikhumba esiqhekekile nesomile emakhoneni omlomo wakho
• ukunambitheka okubi emlonyeni wakho

Ukuvimbela i-thrush yomlomo, odokotela bancoma ukuthi ugeze umlomo wakho ngamanzi ngemuva kokuthatha ama-steroids. Ukusebenzisa idivayisi ye-spacer ne-inhaler yakho nakho kungasiza.

Ama-Spacers akufanele asetshenziswe ne:

• I-Advair Diskus
• Asmanex Twisthaler
• I-Pulmicort Flexhaler

Uma uba ne-thrush, shayela udokotela wakho ukwelashwa. Bazonquma ukwelashwa ngomlomo okungahle kube ngendlela yethebhulethi, i-lozenge, noma i-mouthwash. Ngemithi, i-thrush yakho yomlomo kungenzeka ixazululwe cishe emasontweni amabili.

Ama-steroids omlomo

I-Oral steroids, ethathwe kuphilisi noma ifomu eliketshezi, inezinye imiphumela ezingeziwe. Lokhu kungenxa yokuthi umuthi uthwalwa emzimbeni wonke.

Nge-steroids yomlomo, ungahlangabezana:

• ukushintsha kwemizwelo
• ukugcinwa kwamanzi
• ukuvuvukala ezandleni nasezinyaweni zakho
• umfutho wegazi ophakeme
• shintsha ekudleni

Uma ithathwa isikhathi eside, i-oral steroids ingadala:

• isifo sikashukela
• ukukhumuzeka kwamathambo
• ingozi eyengeziwe yokutheleleka
• ngamehlo

Imikhuba emihle kakhulu

Ngenkathi i-steroids emuncwe kulula ukuyisebenzisa, umhlinzeki wakho wezokunakekelwa kwempilo angaqiniseka ukuthi ulandela inqubo efanele.

Imikhuba emihle engezansi izokusiza ukuthi ugweme ukugcotshwa ngomlomo futhi ugcine izimpawu zakho ze-asthma zingabuyi.

• Sebenzisa ama-steroids wakho ahogelwayo nsuku zonke, noma ngabe ungazitholi izimpawu ze-asthma.
• Sebenzisa idivaysi ye-spacer enomthamo we-metered, uma uyalelwa ukuthi wenze njalo ngudokotela wakho.
• Hlanza umlomo wakho ngamanzi ngokushesha ngemuva kokusebenzisa i-inhaler.
• Bheka udokotela wakho uma uthuthukisa i-thrush yomlomo.

Uma ungasadingi ileveli efanayo ye-steroids, udokotela wakho angalungisa umthamo wakho. Ukwehlisa umthamo noma ukucisha ama-steroids kufanele kwenziwe kancane.

Izindleko

Izindleko ze-steroids ezihogelwayo ziyahlukahluka unyaka nonyaka futhi zisekelwe kakhulu kumshuwalense wakho. Ukusesha okusheshayo ku-GoodRx.com kukhombisa ukuthi izindleko zokuphuma ephaketheni zisukela ku- $ 200 kuye ku- $ 400.

Buza umhlinzeki wakho womshuwalense ukubona ukuthi bahlanganisa ini. Uma udinga usizo lokukhokhela imithi yakho yesifuba somoya, ungakwazi ukubhalisela uhlelo losizo lweziguli olunikezwa inhlangano engenzi nzuzo noma inkampani eyenza imithi.

Okubalulekile

Kuvamile kakhulu ukuthi odokotela banikeze ama-steroids adonswayo kubantu abane-asthma nezinye izimo zokuphefumula. Ukusetshenziswa kwe-steroids ehogelwayo kunganciphisa inani lokuhlaselwa yisifuba somoya nokuya esibhedlela ngenxa yezehlakalo ezihlobene nesifuba somoya.

Ama-steroids aphephe ngokwedlulele futhi abangela imiphumela emibi emincane, engabekezelelwa noma yelashwe. Zingasetshenziselwa ukukhululeka kwesikhathi eside.

Ama-steroids adonswayo alingisa i-cortisol, ekhiqizwa ngokwemvelo emzimbeni. Umzimba uzuza kulezi steroid ngendlela efanayo ne-cortisol yemvelo.

Uma uba ne-thrush, noma uhlangabezana neminye imiphumela emibi enezinkinga, bheka udokotela wakho ukuze athole ukwelashwa.