Steroid mishonga inotorwa nenzira dzakawanda dzeutano hwakasiyana. Vanhu vazhinji vanofunga nezve steroid uye pakarepo vanofunga nezvemigumisiro yakaipa yakadai sekurema, mwedzi-chiso (kubwinya kwemaziso) uye mafungiro akachinja. Vanhu vazhinji havana migumisiro yakawanda pavanenge vari pfupi mapoka e-steroids mazuva gumi nemaviri kana kupfuura. Zvisinei, kana inotorwa kwenguva yakareba, zvinogona kuva nemamwe matambudziko makuru.
Apo tinonwisa steroids kana chero mishonga, kunyanya nemuromo, chirwere chacho chinoputika kubva mudumbu kusvika mumavhinga edu uye inoenda kumativi ose emitumbi yedu, kusanganisira maziso edu. Somugumisiro, vanachiremba vanongwarira zvikuru pavanorondedzera steroid. Zvakanyatsorongerwa kuti steroid yemuromo inotorwa kwenguva yakareba inogona kuwedzera mungozi yako yekudzivirira utachiona .
Chii Chinonzi Cataract?
Chirwere chetachiona ndechekuvhara kwemaziso emeso. Kusuruvara ndicho chikonzero chinotungamirira kupofu pakati pevanhu vakwegura kupfuura 55. Lens iri iri shure kweIris. Icho chinotarisirwa kuisa chiedza pa retina, uye nekugadzira mifananidzo yakajeka, yakajeka. Iyo lens inokwanisa kukwanisa maitiro. Kana ikashandura chimiro, inogona kuwedzera kana kuderera musimba, inozivikanwa sekugara . Nenguva, zvisinei, lens iri rakaoma uye rinotadza kukwanisa kwayo kugaramo.
Ikose iyo yose iri mukati memusoro we lens. Sezvo maziso aripo, masero akafa anounganidza mumuchuturo wechiri, zvichiita kuti lens iri zvishoma nezvishoma rive denga.
Chiedza chinowanzotariswa ne-lens chakapararira kumativi ose nekuda kwegore, saka maonero haasisiri akajeka uye akaoma.
Iko kune mitatu mikuru mikuru yemakata , nyukliya, cortical uye posterior subcapsular. Tinogona kukura imwe kana zvitatu zvehutachiona idzi sezvatinokura. Zvisinei, posterior subcapsular cataracts inogona kuva yakanyanya kuparadza.
Ichokwadi, posterior subcapsular inowanzova yakajairika kuvanhu vaduku. Posterior subcapsular cataract inogona kukonzerwa nekusiyana kwemamiriro ezvinhu akadai seshuga. Vamwe vanhu vanoberekwa vane cataract posterior subcapsular. Chimwe chinozivikanwa chinokonzera mhando idzi dzemakemikari ndiyo kushandiswa kwenguva refu kwemuromo steroid zvakadai sa prednisone. Kana iwe uchitora prednisone nguva refu, iwe unowedzera pangozi iwe uri wekuvandudza posterior subcapsular cataracts.
Steroid Mishonga
Steroid mishonga inotorwa nenzira dzakawanda dzeutano hwakasiyana. Vanhu vazhinji vanofunga nezve steroid uye pakarepo vanofunga nezvemigumisiro yakaipa yakadai sekurema, mwedzi-chiso (kubwinya kumeso), uye mafungiro akachinja. Vanhu vazhinji havana migumisiro yakawanda pavanenge vari pfupi mapoka e-steroids mazuva gumi nemaviri kana kupfuura. Zvisinei, kana inotorwa kwenguva yakareba, zvinogona kuva nemamwe matambudziko makuru. Apo patinonyanya steroids kana mishonga chero ipi zvayo, kunyanya nemuromo, chirwere chacho chinopinda mumavhinga edu uye chinofamba kuenda kumativi ose emitumbi yedu, kusanganisira maziso edu. Somugumisiro, vanachiremba vanongwarira zvikuru pavanorondedzera steroid. Zvakanyatsorongerwa kuti steroid yemuromo inotorwa kwenguva yakareba inogona kuwedzera mungozi yako yekudzivirira utachiona.
Inhaled Steroid and Cataracts
Vanachiremba vanorayirawo steroids nenzira yekurapa mishonga, yakadai se inhaler ye asthma. Vamwe vanhu vanoshandisa steroid inhaled zuva nezuva. Zvinonzwisisika, vanachiremba vainetseka nezvekuti yakawanda yehutachiona yakagadziriswa steroid inogona kuva neipi yekukonzera chirwere kuvanhu vakashandisa sezvo tichiziva kuti muromo steroid inogona kuwedzera njodzi.
Ongororo dzekutsvakurudza dzakarongedza steroid inoputika dzakawana kuti paive nehuwandu hwehutachiwana hwekataract nepamusoro yeiyo steroid. Vakatorawo kuti pakanga pasina zvishoma kune ngozi yakawedzerwa kune varwere vakatora chirwere chakanyanya kudarika zuva rega steroid, anenge 500 mcg (micrograms).
Asi vakaona kuti njodzi yakawedzera kusvika 70% kune avo vanotora chirwere chakakwirira, kusvika 1600 mcg. Dambudziko racho rakawedzerawo nguva refu munhu akatora steroid inopinza. Dambudziko rekukudziridza rudzi rwehutachiona rwakanyanya kuwedzera kana pakati pevakwegura vakura. Kuchinja kunowanikwa kune lens reziso rinoita kuti tive nekukudziridza hunoti "vakwegura" marudzi evanhu vane cataract vanoitawo kuti tive nechekuita kuti tive necheperior subcapsular cataracts patinotora mazinga akawanda e steroid.
Zvaunofanira Kuziva
Chinhu chakanaka pamusoro pekudzidza ndechekuti yakaratidza kuti iwe unofanirwa kutora zvinopfuura zvinotarisirwa kuti uwedzere kunyadziswa mukati mezuva kuti uwedzere njodzi yako yekuvandudza posterior subcapsular cataracts. Steroid inhaled inoparadzaniswa zvakanyanya muzviyero zvemishonga pese. Vanhu vazhinji vanotora 1-2 kuputira zuva nezuva. Zvichienderana neyero, iwe unogona kutora zvidzidzo zvitanhatu pamusi kana zvimwe zvinokonzera 36 pazuva kuti uwedzere ngozi yako.
Vazhinji vatsvakurudzi vanotenda kuti zvimwe zvidzidzo zvinofanira kuitwa kuti zvive nechokwadi chekuwedzera kwengozi, sezvo zvinhu zvakawanda zvinoita kuti zvive nehupenyu hunochinja hutachiona hwechirwere.
Chinhu
Smeeth, L. British Journal yeOphthalmology, vol 87: pp 1247-1251. "Njodzi yehutachiona uye glaucoma ine steroid inoputika inoshandiswa muvana." Oct 2003.