Kugadzirisa Kurwiswa Kuvandudza Basa reLung
Pakupedzisira, vanhu vazhinji vane chirwere chipi nechipi chechirwere chirwere chemapapu vanozviwana ivo pachavo vachitora mishonga inopesana nekuputira pane imwe nguva panguva yekurapa kwavo. Anti-inflammatory medication inovandudza kufema kuburikidza nekuderedza kuzvimba kwemhepo ndima. Mimwe mishonga inopesana nokuputira inotorwa kwenguva pfupi kuti ibatsire kukurumidza kugadzirisa apo murwere ane chirwere chekufema kana chimwe chinetso chinokonzera kupera kwekufema kunonetsa.
Mimwe mishonga inopesana nokuputira inotorwa nguva yakareba kuti ibatsire kudzivirira kuputika kwemavara emhepo nekuvandudza mapapu ekushanda.
Corticosteroids vs. Anabolic Steroids
Tisati tamboenda mberi, regai tinyatsojekesa mhirizhonga iyo vanhu vazhinji vane izwi rokuti "steroids." Steroid inoshandiswa mukurapwa kwemapapu chirwere inonzi corticosteroids , izvo zvakasiyana zvakanyanya pane izvo vanabolic steroid iyo dzimwe nguva tinonzwa nezvevashandi vanoshungurudza .
Corticosteroids: Mishonga inotevedzera migumisiro yehomoni inoberekwa mu "adrenal gland" inonzi "cortisol," iyo ine mabasa mazhinji mumuviri kusanganisira kurwisana kunetseka uye kuderedza kuputika.
Anabolic steroids: Synthetic shanduro dzevarume vemadhimoni ehurume dzinoita kuti varume vave nemafungiro. Vatambi dzimwe nguva vanoshandisa izvo zvisiri pamutemo kuwedzera musimba uye simba. Pane mishonga yepamutemo yehutano iyo vanabolic steroid inogona kurongerwa, asi chirwere chemapapu hachisi chimwe chazvo.
Oral Corticosteroids
Oral steroids, yakadai sa prednisone , prednisolone kana methylprednisone, dzimwe nguva inopiwa kuvanhu vane cystic fibrosis (CF) yekurapa kwenguva pfupi. Havasi kukurudzirwa kwenguva yakareba kurapwa nekuda kwezvingaita zviitiko zvakakomba zvakakomba zvinosanganisira zvinotevera:
- Kuwedzera kukura muvana
- Chirwere cheshuga
- Cataracts
- Osteoporosis
- Kuderedza simba rekurwisana nemapapu ekutapukisa, zvakadai sevangangouraya Pseudomonas aeruginosin
Inhaled Steroids
Inhaled steroids, yakadai seQvar (beclomethasone), Pulmicort (budesonide) uye Flovent (fluticasone), inopihwa zvakananga mumapapu uye ine zvishoma zvinokanganisa zvinokonzerwa nemuromo westeroid. Kunyange zvakadaro, zvidzidzo hazvina kuratidza chero rubatsiro rwemakore akawanda kwenguva refu inhaled steroids kuvanhu vane cystic fibrosis; saka, Cystic Fibrosis Foundation inopa zano pamusoro pekushandiswa kwemaitiro ekurohwa steroid kune vanhu vane CF kunze kwekuti ivo vane asthma .
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
Sezvo zita racho rinoreva, NSAIDs iboka remishonga inopesana nekuputira iyo isina steroid. NSAIDs hadzina kutakura mungozi imwechete yemigumisiro yakaipa steroidal anti-inflammatory medication. Zvisinei, nekushandisa kwenguva refu NSAIDs inogona kukonzera kubuda kweropa kana zvinetso zvepvo.
Ibuprofen, iyo inotengeswa pamusoro pekambani uye nemishonga, ndiyo NSAID yakaratidzwa kunonoka kurasikirwa kwemapapu nekushandiswa kwenguva refu kuvanhu vane cystic fibrosis. Nemhaka yekuti kubatsirwa kweibuprofen kwakawanda kudarika mungozi yemigumisiro yakaipa, Cystic Fibrosis Foundation inokurudzira kushandiswa kwemishonga kwenguva refu-simba ibuprofen senzira yekurapa kune vanhu vane cystic fibrosis vane makore anenge matanhatu uye vane FEV1 kubva pa60% kana kupfuura.
Zvinokosha: Usatora i-profesa ibuprofen kwenguva refu yekurapa kwe cystic fibrosis usingatauri chiremba wako.
Kunobva:
Flume, P., et al. "Cystic Fibrosis Pulmonary Guidelines: Mishonga isingaperi yekuchengetedza mishonga yemaperembudzi." Am. J. Respir.