Inobatsira Zvikuru Kupfuura Zvimwe Ngozi?
Kana uine COPD , chiremba wako angangodaro akarayira glucocorticoids (inozivikanwawo seye corticosteroids, kana steroids) sechikamu cherongwa hwekurapa kwako. Kunyange zvazvo glucocorticoids ine zvikomborero zvakawanda, ivo vanewo njodzi dzakakomba uye migumisiro yaunofanira kuziva.
Maererano neGlobal Initiative for Obstructive Lung Disease (GOLD), basa iro remuromo uye rakagadzirisa glucocorticoids rinoshandiswa mukurapa kweCOPD rakagadzikana pane kukakavara uye kukwana kune dzimwe nguva.
Glucocorticoids Inoshanda Sei?
Sezvavanosangana neCOPD, glucocorticoids inoshanda nekuderedza kuputika nekuputika mumhepo yekumapapu.
Pros uye Cons weInhaled Glucocorticoids
Nguva dzose kurapwa neyakagadziriswa glucocorticoids kwave kuchiratidzwa kuderedza kuwandisa kweCOPD kukura uye kunatsiridza hutano hwehutano kune varwere vane Stage III (yakanyanya) kuGweta IV (rakaoma kwazvo) COPD. Zvisinei, kushandiswa kwavo hakuregi kupera kwekumanikidzirwa kwemazuva ekufema (FEV1) kana kuderedza kushaya kwehuwandu hunobatanidza neCOPD. Mukuwedzera, kurega kubva kune glucocorticoid inoputika kunogona kutungamirira kuCOPD kuwedzera kune vamwe varwere uye kuwedzera mukana wekuvandudza pneumonia.
Mune ruzivo rwemashoko aya, kurapwa nehutachiona hweglucocorticoids hakuratidziri kune varwere vane COPD yakagadzikana, asi inogona kukurudzirwa kune varwere mune zvikamu zvepamusoro zveCOPD uye inowanikwa yeCOPD kukura.
Kazhinji inhaled glucocorticoids inosanganisira zvinotevera:
- Beclomethasone
- Triamcinolone
- Fluticasone
- Flunisolide
Therapy Therapy
Kushandisa glucocorticosteroid inhaled iyo inosanganiswa ne-long-acting beta agonist yakaratidzwa kuderedza kuwandisa kwekuwedzera kweCOPD , kuvandudza basa remapapu uye hutano hwehutano kune varwere vane COPD, asi zvakare, inogonawo kuwedzera mukana wepineumonia.
Oral Glucocorticoids
Iko kune mazano akawanda aripo anoramba achitsigira kushandiswa kwenguva pfupi kana kwenguva refu yemuromo glucocorticoid therapy mune kutungamirirwa kweCOPD. Maererano neGOLD, zvisinei, mutsika uyu haugamuchirwi nekuda kwekushayikwa kwehumwe uchapupu hunokwana hwekubatsirwa uye rurefu rwemigumisiro yakaipa. Kuitevera ndezvimwe zvinowanikwa mumuromo glucocorticoids iwe ungave uchiziva:
- Prednisone
- Dexamethasone
- Methylprednisolone
- Cortisone
Migumisiro Yakashata yeGlucocorticoids
Kunyange zvazvo migumisiro yemuromo weglucocorticoids yakawanda uye yakanyatsoratidzwa, zvinokanganisa zvinokonzerwa nehutachiona glucocorticoids zvishoma nezvishoma zvakanyanya. Zvinosanganisira pasi apa zvinowanzozivikanwa nemigumisiro yemuromo glucocorticoids:
- Kurambidza immune system (Immunosuppression)
- Huru shuga yeropa
- Kuwedzera kwehuwandu
- Zviri nyore kupwanya
- Yakaderedza bone
- Kuputsika kwemisumbu, kusava nesimba
- Cataracts
- Glaucoma
- Adrenal insufficiency (kana yakashandiswa kwenguva refu uye yakamira pakarepo)
Inhaled glucocorticoids inowanzobatanidzwa ne:
- Ganda rinopwanya
- Chirwere chetsva mumuromo uye pharynx
- Hoarseness yezwi
Mashoko Okupedzisira Pamusoro peGlucocorticoids
Chinonyanya kukosha pane chirongwa chekurapa ndechekuda kuitevera. Kana iwe usingakwanisi kuomerera pane chirongwa chako chekuchengeta, mutapi wako wehutano anofanira kuedza kuziva kuti zvipingamupinyi zvingave zvakamira sei munzira.
Zvose zvirongwa zvekurapa dzinofanira kuuya ne tsanangudzo yakajeka yechinangwa chavo nemigumisiro inogoneka. Kana chiremba wako asingakupei ruzivo urwu kwauri, unofanira kuchijekesa usati wasimuka pahofisi yavo.
Kunobva:
> Global Strategy for Diagnosis, > Management > , uye Kudzivirira kweCOPD , Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2006. Inowanikwa kubva kune: http://www.goldcopd.org.