Ngakhale kuchepa, ntchito ya inhaler imakali yofunika kwambiri
Steroids yapeza vuto lopweteka chifukwa cha ntchito yawo yosavomerezeka mwa akatswiri ochita masewera olimbitsa thupi. Pamapeto pake, steroids ndi mankhwala okhaokha, omwe amachititsa kuti thupi lanu lizikhala mwachibadwa kuti lizikula kukula ndikuthandiza ziwalo zanu kugwira bwino ntchito.
Ma steroid ambiri lerolino ndi opangidwa ndi anthu ndipo amakhala ndi mitundu iwiri ikuluikulu: corticosteroids ndi anabolic steroids.
Mwa izi, corticosteroids amapezeka kawirikawiri kuti azichiza mphumu ndi mitundu ina ya matenda opuma.
Inhaling steroid imathandiza kuthetsa kukaniza kupuma mwa kulandira mankhwala kumene kuli kofunikira kwambiri. Ntchito yaitali, komabe, ikhoza kukhala ndi zotsatira zochepa, kuyambira zofatsa ndi zosakhalitsa zomwe zingawonongeke.
Nazi zotsatira zinayi zofala zomwe muyenera kuzidziwa:
Kutentha (Dysphonia)
Anthu ena ogwiritsira ntchito steroids odzitetezera adzapeza mawu odziwika ngati dysphonia. Izi zimagwirizana kwambiri ndi zotsatira za mankhwalawa pamene amapitirira zingwe zamtunduwu ndipo amapezeka ndi anthu opitirira 30 peresenti ya steroid inhalers. Pachifukwachi, dysphonia sichionedwa kuti ndi vuto lalikulu ndipo nthawi zambiri amadzikonza yekha pakadutsa mphindi zisanu kapena 20.
Kugwiritsiridwa ntchito kwa inhalers (MDI) yamtundu wotchedwa Flovent, QVAR , ndi Azmacort kungachititse kuti munthu asamve mawu ochepa monga poizoni, Pulmicort, Asmanex, kapena Advair.
Mphindi angathandizenso koma kulola kugawanika kwakukulu kwa inhalant.
Kuthamanga (Oral Candidiasis)
Anthu omwe amatenga steroid osakanizidwa ali pangozi yothamanga, matenda opatsirana omwe amatchulidwa kuti oral candidiasis. Zizindikiro zikhoza kuphatikizapo pakhosi, malingaliro a lilime kapena pakamwa, ndi kukula kwa mabala oyera m'milomo.
Kwa omwe amagwiritsira ntchito steroid inhalers, mapulumulo, othandizira amaonekera makamaka padenga la pakamwa kapena kumbuyo kwa mmero (ngakhale amatha kuonekera pa lilime, m'kamwa, ndi m'masaya).
Kuthamanga kungaletsedwe poyeretsa pakamwa panu ndi pakamwa pakumwa mowa mukatsuke ndi / kapena kutsuka mwamsanga mutatha kugwiritsa ntchito. Ngati thrush imawoneka, imatha kuchiritsidwa ndi pakamwa pakumwa (monga nystatin pakamwa) kapena mapiritsi a Diflucan (fluconazole) pa milandu yambiri.
Kutaya kwa Matenda (Osteoporosis)
Steroids opangidwa ndi mavitamini amadziwika kuti amaika akuluakulu pa chiopsezo chachikulu cha matenda a osteoporosis (kuperewera kosalekeza ndi kufooka kwa fupa). Ngakhale kuti matenda otupa mafupa ndi ovuta kwambiri powagwiritsa ntchito pamlomo , mankhwala amtundu wambiri amathandizanso kuwonjezereka kwa mafupa. Mliri waukulu umatanthawuza kukhala woposa 2000 micrograms pa tsiku pazaka zingapo.
Zakudya zopatsa mphamvu za calcium (zakudya zina za mkaka patsiku kapena pafupifupi 1500mg ya calcium) zimalimbikitsidwa kwa omwe ali pachiopsezo chachikulu. Zochita zolimbitsa thupi (monga kuyenda) ndi kusintha kwa mlingo wa steroid kungathandizenso ngati kupweteka kwa mafupa kuli koopsa kwambiri.
Masomphenya Mavuto (Cataracts ndi Glaucoma)
Steroids yosakanizidwa amakhulupirira kuti ikuwonjezeka pa kukula kwa matenda a cataract ndi glaucoma mwa anthu oposa 60.
Ngakhale kuti zochitika zenizeni za izi sizidziwika (makamaka chifukwa cha mavuto omwe anthu amawaonera), timadziwa kuti steroids yapamwamba kwambiri imatha kuwonjezera mphamvu ya diso kwa anthu omwe ali ndi glaucoma ndi oposa 40 peresenti.
Zofukufuku zomwezo zinayambanso pakukula kwa nthendayi, momwe mlingo wa moyo wa mamiliyoni awiri a micrograms wa steroid yosakanizidwa (kutanthauza kuti mlingo wazitali, kugwiritsa ntchito nthawi yayitali) unkagwirizanitsidwa ndi makina owonjezera a lens.
Kwa achikulire omwe ali ndi steroid yosakaniza, nthawi zonse mayesero a maso a optometrist kapena ophthalmologist akulimbikitsidwa.
Mawu Ochokera
Ngakhale kuti zotsatira zina zokhudzana ndi mavitamini otchedwa steroids amatha kuoneka, ndizofunika nthawi zonse kufufuza ubwino wopuma kupuma motsutsana ndi zotsatira za ntchito.
Kawirikawiri, akagwiritsidwa ntchito moyenera, steroid yosakanizidwa imabwereranso njira ya thanzi labwino kusiyana ndi kukhala opanda iwo (makamaka poyerekeza ndi zotsatira za m'kamwa ndi jekeseni wa steroids ).
Ngati zovuta zimakukhudzani, kambiranani ndi dokotala za njira zina zomwe zingakuthandizeni. Musasinthe nthawi zambiri kapena kugwiritsa ntchito mankhwala anu popanda kupeza choyamba kuchokera kwa wothandizira zaumoyo wanu.
> Chitsime:
> Pandya, D; Puttanna, A .; ndi Balagopal, V. "Zotsatira zowonongeka za Corticosteroids: Mwachidule." Tsegulani zozizira zamankhwala. 2014; 8; 59-65.
> Walljee, A .; Rogers, M ;; Lin, P. et al. "Kugwiritsidwa ntchito kwa kanthawi kochepa kwa corticosteroids ndi ziwawa zofanana pakati pa anthu akuluakulu ku United States: maphunziro a kagulu ka anthu." BMJ. 2017; 357: j1415.