Kuphatikizidwa ku Corticosteroids Zotsatira Zovuta Odwala Akhanza Ayenera Kudziwa
Zowopsa za kukhala ndi ma corticosteroids (ICS) zowonongeka ndizochepa koma pali zovuta. Kuwonjezera pamenepo, pogwiritsa ntchito njira yabwino, kugwiritsa ntchito spacer, ndi kutsatira malangizo momwe mungagwiritsire ntchito mankhwala okhudzana ndi corticosteroids, zotsatira zake zambiri zingapezedwe.
Kodi Ndi Zotsatira Zotani Zomwe Zilipo?
Kuphatikizidwa kwa corticosteroids zotsatira zingathe kusweka mu mitundu iwiri:
- Zotsatira zovuta za m'deralo (mu gawo limodzi lokha la thupi)
- Zotsatira zovuta (thupi lonse)
Zowonongeka M'deralo za Corticosteroids
- Oral Candidiasis kapena Thrush : Thrush ndi imodzi mwa zotsatira zoyipa za ICS; ndi oposa atatu mwa odwala omwe akukhala mbali iyi. Kuchepetsa mlingo, pogwiritsira ntchito spacer, ndi kutsegulira pakamwa pakamwa pako pakuthandizira kumathandiza kuchepetsa chiopsezo chanu. Kuthamangira kungathenso kulandira mankhwala opatsirana pogwiritsa ntchito zam'mwamba kapena zamlomo, monga nystatin. Kupsa mtima komwe kumawoneka pafupifupi nthawizonse kumawoneka kuti kumachitika chifukwa cha mankhwala operekedwa kumbali ndi pakamwa ndi mmero, kupanga njira yoyenera ndi yofunika kwambiri.
- Dysphonia: Steroid yosakanizidwa ikhoza kukhudza mawu anu, otchedwa dysphonia. Zingadzitetezedwe pogwiritsira ntchito chipangizo chapacer ndipo chitetezedwe mwa kuchepetsa chiwerengero cha ICS kwa kanthawi ndikupatsanso mpumulo.
- Chifuwa cha Reflex ndi Bronchospasm : Zotsatirapozi zimatha kutetezedwa pogwiritsira ntchito spacer ndi kutsegula pang'onopang'ono. Ngati kuli kofunika, kupititsa patsogolo ndi kupulumutsira inhaler kungathe kuchepetsa zizindikiro izi.
Zowonongeka Mwachidule Corticosteroids Mbali Zotsatira
Nthawi zambiri, njira zambiri zowonongeka zimatha kuwonongeka ndi corticosteroids. Kawirikawiri, pali chiopsezo chochulukirapo ndi kuchuluka kwa mlingo wa mankhwala okhudzidwa ndi corticosteroids. Zotsatira zake zingakhalepo:
Kukula kosauka : Ngakhale kuti kuphuka kosauka kungayambitse ku ICS, mphumu yosagwidwa bwino imachititsanso kuti ana akule bwino. Kawirikawiri, kuchepa kwa mankhwala ochepa a ICS kungakhale kochepa ndi kuchepa kwapang'onopang'ono koma kusinthika kwakukula kwa ana. Zotsatira zake, inu ndi wopereka mphumu yanu musamangoyang'anitsitsa kukula, koma yesetsani kugwiritsa ntchito mlingo wotsika kwambiri umene umatha kuyendetsa bwino mphumu ya mwana wanu. Muyenera kulingalira zothandiza phindu labwino la mphumu ndi zochepa koma zenizeni zomwe zingatheke kuti pang'onopang'ono kukula.
Kuchulukitsa kwa mafupa: Kuchuluka kochepa kwa ICS sikukuwoneka kuti kumakhudza kuchulukana kwa mafupa, koma pali zotsatira ngati mlingo ukuwonjezeka. Ngati muli ndi chiopsezo cha matenda a osteoporosis kapena muli ndi phungu, mukhoza kuwona kutenga kalisiamu ndi vitamini D zowonjezera kapena mankhwala oteteza mafupa monga bisphosphonate .
Varicella: Ndi pamene kachilombo ka nkhuku kakufala m'thupi lanu lonse. Ngakhale kuti pali zovuta zowonjezereka, palibe milandu yofalitsa varicella yomwe yadziwika ndi ICS. Ana omwe alibe nkhuku m'zaka zawo zoyambirira za moyo ayenera kulandira katemera wa varicella.
Kudandaula kosavuta: Kudula ndi kupukuta khungu kumachitika kwa odwala pogwiritsa ntchito ICS. Zotsatira zake ndi kudalira kwa mlingo kotero kuchepetsa mlingo kungakhale kothandiza.
Matenda a Chilombo ndi Glaucoma: Mankhwala osakaniza ndi ocheperako a ICS sanawonongeke ndi ana, koma kuwonjezereka, zotsatira za moyo zomwe zimakhudzidwa ndi chiopsezo chochuluka cha matenda a chibwibwi wadziwika kale. Odwala okha omwe ali ndi mbiri ya banja la glaucoma (kuthamanga kwa diso lapamwamba) amawoneka kuti ali ndi chiopsezo chowonjezeka cha glaucoma ndi ntchito ya ICS. Chotsatira chake, odwala pa ICS ayenera kukhala ndi mayesero amodzi nthawi zonse, makamaka ngati mukuyesa mlingo waukulu kapena muli ndi mbiri ya banja lakumverera kwa maso.
Adrenal Gland Kudzudzulidwa: Izi zowonjezera zotsatira zimakhala zochepa kwambiri, koma zimachitika mwa anthu ena ndipo kawirikawiri zimakhala zapamwamba kwambiri za ICS.
Kuwonjezera Magazi a Magazi: ICS sichimayambitsa kukwera kwa shuga m'magazi, ndipo, ngati zotsatirazi zimachitika nthawi zambiri zimakhala zazikulu kwambiri za ICS.
Zotsatira:
National Heart, Lung, ndi Blood Institute. Report of Panel Panel 3 (EPR3): Malangizo Othandizira Kuzindikira ndi Kusamalira Khunyu