Pasinei nematambudziko, kushandisa inhaler kuchiri kuonekwa sekukosha
Steroid yakawana rap yakaipa mumusangano nekuda kwechikamu chikuru kumashandisirwo avo asingabvumirwi mumitambo yevashandi nevatambi. Pakupedzisira, steroids inongova makemikari emakemikari, kazhinji mahomoni, ayo muviri wako unobereka zvakasununguka kutonga kukura uye kubatsira nhengo dzako kuita basa zvakakodzera.
Nhasi steroid dzakawanda dzinogadzirwa nevanhu uye dzinoumbwa nemaviri makuru: corticosteroids uye anabolic steroid.
Pakati peizvi, corticosteroids inowanzo mupepa inhalant kubata chirwere chepimha nemamwe marudzi ezvirwere zvekupemesa.
Inhaling steroids inobatsira kugadzirisa kuvharidzira kupfurikidza nokuendesa mushonga wepamusoro kune iyo inonyanya kudiwa. Kushandiswa kwenguva refu, zvisinei, kunogona kuguma nemigumisiro yakasiyana-siyana, kubva pane zvinyoro uye zvishoma zvekuti zvinogona kukanganisa.
Hezvino zvinhu zvina zvinowanzovhiringidzika iwe unofanirwa kuziva:
Hoarseness (Dysphonia)
Vamwe vanhu vachishandisa steroid inhaled vachawana hoarseness yezwi inozivikanwa saDysphonia. Izvi zvakabatana zvakananga nemigumisiro yemishonga sezvavanopfuura pamusoro pemaketani ezwi uye inoitika kune vanopfuura 30 muzana yevanhu vane steroid inhalers. Muchirevo ichi, dysphonia haifungi sechimiro chakakomba uye inowanzogadzirisa pachayo mumaminitsi mashanu kusvika kumakumi maviri.
Kushandiswa kwemvura inerers inhalers (MDI) yakafanana neColdvent, QVAR , uye Azmacort inogona kuita kuti zvinyoronyoro zvisingatauri zvisingatauri zvakadai sePulmicort, Asmanex, kana Advair.
A spacer inogonawo kubatsira asi kubvumira kupararira kukuru kweiyo inhalant.
Thrush (Oral Candidiasis)
Vanhu vanotora steroid inoputika vari panjodzi yekuputika, chirwere chinotapira chemuromo chinowanzonzi muromo candidiasis. Zviratidzo zvinogona kusanganisira chironda chepfungwa, rurimi kana muromo kunotsamwisa, uye kukurudzirwa kwemashoko machena mumuromo.
Mune avo vanoshandisa steroid inhalers, iyo yakasimudzwa, micheka inobviswa inowanzoonekwa padenga remuhuro kana kumashure kwehuro (kunyange zvazvo inogona kuonekwawo mumutauro, mazino, uye mukati merama).
Kushambira kunogona kudziviswa nekushambidza muromo wako newaini-yakagadzirwa nemuromo inosuka uye / kana kupwanya mushure mekushandisa. Kana tsrush inoratidzika, inogona kurapwa nemushonga untifungal rinosuka (zvakadai se nystatin muromo kusimwa) kana kuti Diflucan (fluconazole) mahwendefa ematambudziko akaoma.
Bone Loss (Osteoporosis)
Inhaled steroids inozivikanwa kuisa vanhu vakwegura pangozi yakawanda yeasteoporosis (kurasikirwa kunofambira mberi uye kuderera kwepafu). Kunyange zvazvo chirwere chinonzi osteoporosis chiri kunyanya kuipa kana uchitaura steroid oral , high-dose inhalants inogonawo kuita kuti kuwedzera brittleness. Mvura yakanyanya inorondedzerwa seyo inopfuura 2000 micrograms pazuva pane imwe nguva yemakore akawanda.
Zvokudya zvepalcium-rich or supplements (zvitatu zvinoshandiswa zvezizi pazuva kana zvinenge 1500mg ye calcium) zvinokurudzirwa kune avo vari pangozi yakanyanya. Kurema kunobata maitiro (zvakadai sokufamba) uye kugadziriswa kwechirotero steroid kunogona kubatsirawo kana kurasikirwa kwenyama kuchikurira zvikuru.
Maonero Matambudziko (Cataracts uye Glaucoma)
Inhaled steroids inotendwa inokonzera kuwedzera kwekugadzirwa kwemakemikari uye glaucoma mune vanhu vanopfuura 60.
Kunyange zvazvo chiitiko chaicho chezvizvi chisingazikamwi (kunyanya nokuti zvinetso zvinoonekwa zvinojairika kune vanhu vakwegura), tinoziva kuti high-dose inhaled steroids inogona kuwedzera kukurumidza kweziso kune vanhu vane glaucoma nevanopfuura 40 muzana.
Zvimwe zvakawanikwa zvakaratidzwa mukurudzirwa kwehutachiona, umo muhupenyu hupenyu hwemamiriyoni maviri emakiromita emuviri we steroid inhared (kureva kuti-high-dose, kushandiswa kwenguva refu) yaibatanidzwa kune kuwedzera kwechiganda chemukoko.
Kune vanhu vakwegura pane steroid inharedzwa, nguva dzose yemaziso ekuongororwa nemunhu anoziva maitiro kana ophthalmologist inokurudzirwa.
Shoko Rinobva
Kunyange zvazvo mamwe emigumisiro inobatanidza ne-slideid inhaled inogona kuonekwa, inogara ichikosha kuongorora kubatsirwa kwekunatsiridza kuporesa basa maererano nemigumisiro yekushandisa.
Muzviitiko zvakawanda, kana yakashandiswa zvakanaka, inhaled steroids ichadzoka zvakare munzira yekuvandudza hutano kupfuura kugara pasina ivo (kunyanya kana ichienzaniswa nemigumisiro yemuromo uye injected steroids ).
Kana ukava nemigumisiro inokutambudza zvechokwadi, taura nachiremba wako pamusoro pezvimwe zvinhu kana kuchinja kunogona kubatsira. Usambochinja huwandu kana kushandiswa kwemishonga yako pasina kutanga kuwana mazano kubva kumutano wako wehutano.
> Kwakabva:
> Pandya, D; Puttanna, A .; naBalagopal, V. "Migumisiro yeMagadzirirwo eKorticosteroids akafuridzirwa: Anokurudzira." Vhura Kufuridzirwa Kwemishonga Inodhaka. 2014; 8; 59-65.
> Walljee, A .; Rogers, M .; Lin, P. et al. "Kushandiswa kwenguva pfupi kwemukanwa corticosteroids uye zvinetso zvakafanana pakati pevanhu vakuru muUnited States: chidzidzo chevanhu vanoverenga cohort." BMJ. 2017; 357: j1415.