Inhaled Corticosteroids Nhengo Dzakasangana Nechirwere Chepfungwa Vatano Vanofanira Kuziva
Ngozi dzekudzivirira inonzi corticosteroids (ICS) migumisiro inowanzova duku asi kune njodzi zvisinei. Kuwedzerwa, nehutano hwakanaka, kushandiswa kwepakati, nekutevera mirayiridzo yekuti ungashandisa sei maratidziro ako emakristi, mazhinji emigumisiro inogona kudziviswa zvakare.
Chii Chiri Maitiro Akafanana?
Inhaled corticosteroids nemigumisiro inogona kuputsika mumarudzi maviri:
- Migumisiro yakaipa yemunharaunda (mune imwe nzvimbo yomuviri)
- Zvimwe zvinokonzera (mumuviri wose)
Local Inhaled Corticosteroids Side Side Effects
- Oral Candidiasis kana Thrush : Thrush ndeimwe yemigumisiro yakawanda ye ICS; uye kusvika kune chetatu chevarwere vanovandudza izvi. Kuderedza muyero, kushandiswa kwepakati, uye kuchenesa zvakakodzera muromo wako pashure pekunyorwa kwekubatsira zvose zvinoderedza ngozi yako yekuputika. Kusvetwa kunogona kurapwa nemapuropiki kana mumuromo zvinogadziriswa, zvakadai sa nystatin. Kuvhiringidzika kunowanzoita kuti nguva dzose inenge ichiita seinoitika semugumisiro wemishonga ichiendeswa kune rumwe rutivi rwomuromo uye nehuro, kuita nzira yakakodzera yakakosha zvikuru.
- Dhiphonia: Inhaled steroids inogona kuchinja inzwi rako, rinozivikanwa seDysphonia. Inogona kudziviswa kuburikidza kushandiswa kwepakati uye kurapwa nekuderedza ICS dose kwenguva pfupi uye kupa mazwi ako ezwi kuzorora.
- Chirwere Chisinganzwisisiki uye Bronchospasm : Iyi migumisiro inogona kudziviswa kuburikidza kushandiswa kwepakati uye kuburitsa zvishoma nezvishoma. Kana zvichidikanwa, kufungidzirwa nekununura mukati kunogona kudzivirira zviratidzo izvi.
Yakagadziriswa Corticosteroids Side Side Effects
Kunyange zvazvo zvisingawanzoitiki, nhamba yehutachiona hunoitika inogona kuitika nehutachiona hwechiroticosteroids. Kazhinji, kune ngozi yakakura nekuwedzerwa kweiyo inokonzerwa nekarticosteroids. Zvimwe zvinogona kukanganiswa zvinosanganisira:
Kukura Kwakashata: Kunyange zvazvo kuwedzera kukura kunogona kuitika kubva kuC ICS, kuraswa zvisina kunaka kweAsphma kunogonawo kutungamirira kukura kukura kwevana. Pakati pese, pasi uye pasi-kati yeCIs inogona kuenzaniswa nediki, kwete-progressive asi inoderedzwa inoderedzwa mukukura kwevana. Somugumisiro, iwe nemudzidzisi wako wepmma haufaniri kungocherechedza zvakanyanya kukura, asi edza kushandisa doro rinogona kuderera rinowanikwa zvakanaka kutora mwana weAhma. Iwe unofanirwa kuverenga zvingangove zvakabatsiro zvehutano hwakanaka hwehutori nehudiki asi chaihwo inogona kuitika yechirwere chekukura kwekukura.
Utachiona hwePfupa: Kuderera kwakanyanya kweCIs hakuratiki kunokanganisa kuwanda kwemapfupa, asi kune zvimwe zvinoshandiswa sezvo doses inowedzera. Kana uine mungozi yehutachiona kana uine hutachiona hwemapfupa, ungada kufunga kutora calcium uye vitamini D zvinowedzera kana chirwere chekuchengetedza mapfupa se- bisphosphonate .
Kuparadzirwa Varicella: Iyi ndiyo apo utachiona hwekuchipopo hunopararira mumuviri wako wose. Nepo kune chiitiko chekunetseka, hapana maitiro ekuparidzirwa varicella akataurwa ne ICS. Vana vasina chirwere chekudya mukati megore ravo rokutanga rehupenyu vanofanira kugamuchira varicella vaccine.
Kuramba Kunyoresa: Kukurumidza nekuonda kweganda kunoitika kune varwere vachishandisa ICS. Mhedzisiro inonzi inse inodarirwa kuderedza kuderedza chiremba inogona kubatsira.
Dambudziko uye Glaucoma: Kuderera uye kurema maitiro eCIs hazvina kusanganiswa nehutachiwana muvana, asi kuwedzerwa, hupenyu hwehupenyu hunobatanidza nehuwandu hwehutachiona hwave hwakaonekwa kuvanhu vakuru. Varwere bedzi vane nhoroondo yemhuri ye glaucoma (yakakwirira yeziso maziso) inoita seine ngozi yakawanda ye glaucoma neCIs kushandiswa. Somugumisiro, varwere veCIs vanofanira kuva nenguva yekuongorora maziso, kunyanya kana iwe uri kutora maitiro akareba kana iwe une mhemberero yemhuri yekudzvinyirira kweziso.
Adrenal Gland Kuregererwa: Izvi zvinogona kushanda zvakanyanya zvisingawanzoitiki, asi zvinogona kuitika kune vamwe vanhu uye kazhinji pane zvakakwirira zveCIs.
Yakawedzerwa ropa Sugar: ICS inowanzokonzera kukwirira mumushuga weropa, uye, kana iyi yechirwere inoguma ichiitika inenge nguva dzose iri kuwedzera kweiyo ICS.
Sources:
National Heart, Lung, uye Blood Institute. Gweta Rinoongorora Gweta 3 (EPR3): Mirayiridzo yeKutsvaga uye Kutungamirirwa kweApmma