Kuchepetsa Kutentha Kwambiri Kulimbitsa Ntchito Yokwiya
Pambuyo pake, anthu ambiri omwe ali ndi matenda ammapapu amatha kupeza okha mankhwala othandiza kutsutsa-kutupa panthawi ina. Mankhwala otsutsa-kutupa amapindula kupuma mwa kuchepetsa kutupa kwa mavesi. Mankhwala ena odana ndi kutupa amatengedwa kwa kanthawi kochepa kuti athandize kuchira pamene wodwala ali ndi matenda opuma kupuma kapena vuto lina lomwe limayambitsa vuto lopuma.
Mankhwala ena odana ndi yotupa amatengedwa nthawi yaitali kuti ateteze mavoti a mpweya wotupa ndikupangitsani mapapu kugwira ntchito.
Corticosteroids vs. Anabolic Steroids
Tisanapite patsogolo, tiyeni tione chisokonezo chomwe anthu ambiri ali nacho ponena kuti "steroids." Steroids yogwiritsidwa ntchito pochiza matenda a m'mapapo ndi corticosteroids , zomwe ndizosiyana kwambiri ndi mankhwala a anabolic steroids omwe nthawi zina timamva za othamanga akuzunza .
Corticosteroids: Mankhwala omwe amatsanzira zotsatira za mahomoni opangidwa mu adrenal gland wotchedwa "cortisol," yomwe ili ndi ntchito zambiri mu thupi kuphatikizapo kumenyana ndi kupanikizika ndi kuchepa kutupa.
Saboids Anabolic: Mabaibulo a mahomoni ogonana omwe amawonjezera makhalidwe a amuna. Nthawi zina ochita masewera amawagwiritsa ntchito mosavomerezeka kuti aziwonjezera minofu ndi mphamvu. Pali zifukwa zomveka zochiritsira zomwe anabolic steroid angaperekedwe, koma matenda a mapapo si mmodzi wa iwo.
Oral Corticosteroids
Mankhwala otchedwa oralal steroids, monga prednisone , prednisolone kapena methylprednisone, nthawi zina amaperekedwa kwa anthu omwe ali ndi cystic fibrosis (CF) ya mankhwala ochepa. Iwo sakulimbikitsidwa kuti athandizidwe kwa nthawi yaitali chifukwa cha zomwe zingayambitse mavuto akuluakulu kuphatikizapo zotsatirazi:
- Kulepheretsa kukula kwa ana
- Matenda a shuga
- Zozizira
- Osteoporosis
- Kuchepetsa kuthetsa kulimbana ndi matenda a mapapu, monga Pseudomonas aeruginosin omwe angawonongeke
Shalaids Yowonjezera
Shalaids yosafalikira, monga Qvar (beclomethasone), Pulmicort (budesonide) ndi Flovent (fluticasone), imaperekedwa kwa mapapo ndipo imakhala ndi zotsatira zochepa kusiyana ndi mankhwala opatsirana. Komabe, kafukufuku sadapindulepo phindu linalake la steroid ya nthawi yaitali kwa anthu omwe ali ndi cystic fibrosis; Choncho, Cystic Fibrosis Foundation imalangiza kuti asagwiritse ntchito mankhwala osokoneza bongo nthawi zonse kwa anthu omwe ali ndi CF pokhapokha atakhala ndi mphumu .
Mankhwala Osagwiritsa Ntchito Steroidal Anti-Inflammatory (NSAIDs)
Monga dzina limatanthawuzira, ma NSAID ndi gulu la mankhwala odana ndi kutupa omwe alibe steroids. NSAIDs sichiti chiopsezo chimodzimodzi cha zotsatira zovuta monga mankhwala a steroidal anti-inflammatory. Komabe, pogwiritsa ntchito NSAID nthawi yayitali zingayambitse magazi m'magazi kapena mavuto a impso.
Ibuprofen, yomwe imagulitsidwa pa pepala ndi mankhwala, ndi NSAID yomwe yawonetsedwa kuti ichepetse kutaya kwa mapapo ndi ntchito ya nthawi yaitali kwa anthu omwe ali ndi cystic fibrosis. Chifukwa chakuti kupindula kwa ibuprofen kuli kwakukulu kusiyana ndi chiopsezo chachikulu, Cystic Fibrosis Foundation imalimbikitsa kugwiritsa ntchito mankhwala a ibuprofen nthawi yayitali monga chithandizo cha mankhwala kwa anthu omwe ali ndi cystic fibrosis omwe ali ndi zaka zisanu ndi chimodzi ndipo ali ndi FEV1 60% kapena kuposa.
Chofunika: Musati mutenge mankhwala a ibuprofen chifukwa cha mankhwala a cystic fibrosis nthawi yaitali musanafunse dokotala wanu.
Chitsime:
Flume, P., et al. "Njira Zowonetsera Zokwanira za Cystic Fibrosis: Mankhwala Osakaniza Mavuto a Matenda a Mphungu." Am. J. Respir. Crit. Care Med 2007. 176: 957-969.