Inhaled corticosteroids (ICS), inozivikanwa seyoti steroids inhaled, ndiyo inonyanya kupesana nemapurisa anovhiringidza mishonga inowanikwa nhasi mukurapa kwechirwere uye inoshandiswa kuderedza kuwandisa uye kuoma kwezviratidzo zvechirwere. Icho chiripo chemazuva ano chekurapa kamwechete kana munhu ane astmma achida kutarisirwa kwepamusoro pane kuponesa inhaler .
Kazhinji inhaled corticosteroids inosanganisira:
- Flovent (fluticasone)
- Pulmicort (budesonide)
- Azmacort (triamcinolone)
- Aerobid (flunisolide)
- Qvar (beclomethasone)
Inhaled corticosteroids inovandudza kupora kwechirwere zvakanakisisa kupfuura chero imwe sarudzo inoshandiswa sechirwere chimwe chete. Zvisinei, zvakakosha kuona kuti inhaled corticosteroids haikwanise kugadzirisa kurwisa kwechirwere ichi chave ichienderera mberi uye kuponesa inhaler kuchiri kudiwa kune iyo mamiriro ezvinhu.
Inhaled corticosteroids inobatsira kudzivirira zvirwere zvisingaperi zvechirwere zvakadai se:
- Wheezing
- Chest tightness
- Kupfupika kwemhepo
- Kuora mwoyo kusingaperi
Kurwiswa Kwakaitwa Sei Corticosteroids Basa
Inhaled corticosteroids inodzivirira zviratidzo zve asthma kuburikidza nekuderedza kuputika mumabhoniki, kana kuti airways, anotakura okisijeni kumapapu. Mukuwedzera, vanoderedza huwandu hwehutu hunoburitswa nebronchial tubes. Izvi zvinogadziriswa nekuvhara maitiro ekupedzisira-immune reaction kune anoregen, kugadzirisa mhepo inokonzera hyperresponsiveness, nekuderedza kuputika uye kudzivisa masero ekuvhiringidza akadai semamiti masero, eosinophils, uye basophils .
Sezvo inhaled corticosteroids inoshanda munharaunda mumugwagwa, zvishoma zvishoma zvemishonga inoita nzira yayo kupinda mumuviri wose. Nokudaro, njodzi yemigumisiro yakakomba yakawanda inowanikwa nevanhu vanotora systemic steroid mishonga inonyanya kuderera. Pasi pose, njodzi dzinobatanidza ne-corticosteroid inhaled dzakawanda kwazvo, asi pane zvinhu zvakawanda zvaungaita kuti kuderedza dambudziko rako remigumisiro .
Iwe newachiremba wako ungada kufunga nezvekugadziriswa korticosteroids kana chero ipi zvayo inotevera inoshanda:
- Iwe unosunungura β-agonist mishonga, yakadai seAluteruterol, kupfuura mazuva maviri pavhiki.
- Iwe une zviratidzo zvechirwere zvinopfuura kaviri vhiki imwe neimwe.
- Iwe unosangana nedzimwe tsanangudzo pa spirometry.
- Huru yako yepamu inovhiringidza mabasa ako ezuva nezuva.
- Iwe wakada steroid oral 2 kana kupfuura dzimwe nguva mugore rapera.
Kubudirira Kunobatanidza Sei Corticosteroids?
Kazhinji, inhaled corticosteroids inoshandiswa kwenguva yakareba kurapwa kwechirwere muvanhu vemazera ose vanoda kutarisira zuva nezuva. Izvo zvinobudirira mukudzivirira kurwisa kwechirwere asi zvinoda kushandiswa zuva rega rega mumatare ega ega kuitira kuti ibudirire. Mukuwedzera, vangave vasina kubudirira kwemasvondo masere mushure mekutanga kushandisa chirwere chekristicosteroids, uye mwedzi yakawanda yekushandiswa nguva dzose inogona kuonekwa kuti ione zvakazara. Kuponesa inhaler kunogona kuve kwakakosha kurapwa nekurwiswa kwechirwere pavanoitika.
Kunyange zvazvo vasiri vose varwere vanopindura zvakafanana kuti vashandise corticosteroids, vakawanikwa vachivandudza huwandu hunokosha hwehutachiona hwehutano hwakadai se:
- Unhu hwehupenyu
- Chirwere cheputi chinokanganisa
- Zviratidzo zvechirwere
- Kudzora nyuchi
- Kunyatsotadza kwemhepo yako (yakaderera)
- Inoda yemuromo steroid
- Kakawanda kwekushanyira kweE ER uye kutarisirwa
- Rufu
Sources:
National Heart, Lung, uye Blood Institute. Inosvika: August 16, 2009. Mushumo weGenzura reZviro 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweHIV