Vanhu vanoramba vachitsvaga vanowanzoshandisa maviri emishonga yekurapa zvirwere zvavo uye zviratidzo. Rudzi rwekutanga nderokurumidza-kubvisa bronchodilator, iyo inowanzoshandiswa kubatsira kubvisa kurwiswa kwepifema yatotanga. Rudzi rwechipiri ndir corticosteroid, iyo inoshandiswa kubatsira kubvisa uye kudzivirira kushaya mweya.
Rudzi rwekutanga rwemishonga inoshandiswa mukukurumidza kusunungurwa kwezvirwere zvakakomba zvinounzwa nekurwiswa kwechirwere chirwere chinoputika, zvakadai sechinguvana-acting beta agonist kana bronchodilator , chakadai se albuterol, icho chinodzosera mitsipa yakakomba mumhepo.
Mhando yechipiri yemishonga inoshandiswa kwenguva yakareba yekudzora chirwere chemafi inonzi corticosteroid, iyo inonzi steroid inorapwa kurapwa. Mushonga uyu unoshanda zvakafanana kune cortisol, hormone inogadzirwa mumuviri wemunhu neadrenal glands.
Corticosteroids inoderedza kuvhuvhuta kwemhepo kuti ibatsire kudzivirira zviratidzo zvekusimba nekurwisa. Corticosteroids inowanzonzi nezita rakadudzirwa re "steroid" uye harifaniri kusanganiswa nemishonga inoshungurudzwa nevamwe vatambi, iyo iyo yakasiyana-siyana yemakemikari inowanzobatanidza yakagadzirwa mahomoni evanhu.
Steroid Side Effects Inogona Kuva Nehanya
Nokuti corticosteroids inoshandiswa pamusoro penguva refu, migumisiro yemhando iyi yemishonga inogona kuva nehanya. Mimwe migumisiro inogona kuitika kubva pakushandiswa kweiyo steroid inosanganisira zvinotevera:
- Fungal Infections. Kushungurudza, chirwere chinokonzera fungal yemuromo, ndicho chinowanzosvibiswa nehutachiona hwekristicosteroids. Kushambira kunogona kurapwa nyore nyore uye kunyange kudzivirirwa nekushambidza muromo mushure mokunge mishonga inoputirwa, kana dzimwe nguva nekushandura maitiro ekudzivirira. Kumbira mupi wehutano wehutano kuti akupe mazano. Inhaled corticosteroids haiti kukonzera zvirwere zvefungal mumapapu.
- Hoarseness. Vamwe vanhu vanowana manzwi avo vanova husky kana kuputika pavanoshandisa corticosteroid inoputika. Kazhinji, izvi zvinogona kugadziriswa nekuita kuti chiremba aderedze chiremba, asi kana kukanganisa kunopfuurira, kurapwa kunogona kubviswa.
- Kudzora. Dzimwe nguva kuputika kunogona kuitika kubva pakushandiswa kwekarticosteroid inhaled, asi sekutonga, migumisiro mumuviri wose kubva pamishonga yakadaro yakawanda kudarika iyo inobva ku-steroid inotorwa mufomu yepiritsi.
- Weight Gain. Steroidzi pachavo haibvumi kuwedzera, asi zvinogona kukonzera kuwedzera kwechido. Vanhu vanotora steroidzi vanofanira kungwarira pamusoro pekutonga zvokudya zvavo zvekudya. Taura nemutarisiri wako wehutano kana uremu hunova hunova nehanya.
Dzimwe mimwe migumisiro inobva kune izvi steroid inogona kusanganisira kutya, kusuruvara, kukurumidza kutsamwa kwomwoyo, kurasikirwa kana kuwana chido chekudya. Izvi zvinokonzerwa nemigumisiro hazviwanzozivi uye zvinowanzoonekwa nekuine mazinga akawanda emakemikari anonzi inhaled steroids. Vanogona kugadziriswa kuburikidza nekuita kuti chiremba achinje chiremba kana kupa chirongwa chakasiyana chechirwere chephma.
Nezviyero zvakakodzera uye kushandiswa kwemhando yakakodzera yekurapa inonzi corticosteroid mishonga, migumisiro inogona kuchengetwa kusvika padiki. Ikozvino ndiyo ndiyo nzira yakanakisisa yokurapa kune munhu anoramba achitsvaga.
Hapana huchapupu hwezvesayenzi hunoratidza kuti dzimwe nzira dzokurapa dzakadai semishonga yemakwenzi nemishonga inowedzera inoshanda mukurapa chirwere chepimma. Ichokwadi, zvimwe zvezvimwe izvi zvingatombobatana nemishonga yekurapa inonzi asthma mishonga kana kukonzera mishonga, izvo zvinogona kutungamirira mukurwisa kwepifma . Usati watora chero mishonga yemishonga kana utachiona hwekudya, an asthmatic inofanira kuva nechokwadi chekukurukura nevanopa utano hwavo pakutanga.
Sources:
American Lung Association. Kunzwisisa Mishonga Yako. Lung.org.
National Heart, Lung uye Blood Institute. Nzira yei Asthma Inotarirwa uye Inodzorwa?
Asthma Initiative yeMichigan. FAQ: Steroids & Kukura.