Kodi Mapindu Amaposa Zowopsa?
Ngati muli ndi COPD , dokotala wanu mwina adayankha glucocorticoids (amadziwika kuti corticosteroids, kapena steroid) monga gawo la dongosolo lanu la mankhwala . Ngakhale kuti glucocorticoids ili ndi phindu lalikulu, iwonso amakhala ndi ngozi zoopsa zomwe zimayenera kukudziwani.
Malingana ndi Global Initiative for Obstructive Lung Disease (GOLD), ntchito yomwe pamlomo ndi kuwonetsa glucocorticoids ikuthandizira kuchiza COPD yotsimikizika ndizovuta kutsutsana ndi zochitika zina.
Kodi Glucocorticoids Zimagwira Ntchito Motani?
Ponena za COPD, glucocorticoids amagwira ntchito pochepetsa kutupa ndi kutupa m'mapapo.
Ndalama ndi Zowonongeka za Glucocorticoids
Kuwonetsa nthawi zonse mankhwala opatsirana pogwiritsa ntchito glucocorticoids kwawonetseredwa kuti kuchepetsa kuchuluka kwa kuchulukitsidwa kwa COPD ndikupangitsanso thanzi labwino kwa odwala omwe ali ndi Stage III (yovuta) ku Cage IV (yoopsa) COPD. Komabe, kugwiritsa ntchito kwawo sikulepheretsa kuchepa kwa voliyumu yopuma (FEV1) kapena kuchepetsa chiwerengero cha imfa chokhudzana ndi COPD. Kuonjezera apo, kuchotsa ku glucocorticoids kungayambitse odwala ena ku COPD ndipo kumawonjezera chiwopsezo chotenga chibayo.
Malingana ndi mfundoyi, mankhwala okhudzana ndi glucocorticoids sagwiritsidwa ntchito kwa odwala omwe ali ndi khola lokhazikika, koma angalimbikitsidwe kwa odwala omwe ali ndi magawo apamwamba a COPD ndipo ali oyenerera COPD kuchulukitsa.
Zomwe zimapezeka mkati mwa glucocorticoids ndi izi:
- Beclomethasone
- Triamcinolone
- Fluticasone
- Flunisolide
Thandizo Labungwe
Kugwiritsira ntchito glucocorticosteroid yosakanizidwa yomwe ikuphatikizidwa ndi agonist ya beta yaitali yakhala ikuwonetsedwa kuti kuchepetsa kuchuluka kwa kuchulukitsidwa kwa COPD , kumapangitsa mapapu kugwira ntchito komanso kukhala ndi thanzi labwino kwa odwala omwe ali ndi COPD, koma kachiwiri, angakhalenso ndi mwayi wa chibayo.
Mlomo wa Glucocorticoids
Pali malangizo ambiri omwe alipo omwe amalimbikira kugwiritsa ntchito mankhwala ochepa kapena otha msinkhu a glucocorticoid m'mayendedwe a COPD. Malinga ndi GOLD, komabe, chizoloŵezi chimenechi sichirimbikitsidwa chifukwa cha kusowa kwa umboni wokwanira wa phindu ndi mndandanda wautali wa zotsatira zoyipa. Kuwatsatira ndi ena omwe amamwa pamlomo glucocorticoids kuti mudziwe bwino:
- Prednisone
- Dexamethasone
- Methylprednisolone
- Cortisone
Zotsatira Zotsatira za Glucocorticoids
Ngakhale zotsatira za m'kamwa mwa glucocorticoids ndi zambiri komanso zowonongeka, zotsatira zoyipa zomwe zimagwirizanitsidwa ndi mavitamini a glucocorticoids ndi ochepa komanso ochepa kwambiri. Zomwe zili m'munsizi ndizo zotsatira zofala zomwe zimapezeka pamlomo glucocorticoids:
- Kutsegula chitetezo cha mthupi (Immunosuppression)
- Mshuga wamagazi wambiri
- Kulemera kwalemera
- Kulira kosavuta
- Kuchulukitsidwa kwapafupa kwa mafupa
- Kusokonezeka kwa minofu, kufooka
- Zozizira
- Glaucoma
- Kulephera kwa adrenal (ngati kugwiritsidwa ntchito kwa nthawi yaitali ndikuima mwadzidzidzi)
Kuphatikizidwa kwa glucocorticoids kumagwirizanitsidwa ndi:
- Khungu lopweteka
- Matenda a yisiti mkamwa ndi pharynx
- Kuwopsya kwa liwu
Mawu Otsiriza Okhudza Glucocorticoids
Chofunika kwambiri pa dongosolo lililonse la mankhwala ndi kukhala ndi mtima wotsatira. Ngati simungathe kutsatira ndondomeko yanu ya chisamaliro, wothandizira zaumoyo wanu ayenera kuyesa kudziwa zomwe zingalephere kuyima panjira.
Ndondomeko zamankhwala zonse ziyenera kubwera ndi kufotokoza momveka bwino za cholinga chawo ndi zotsatira zowoneka. Ngati dokotala wanu sakukudziwani, muyenera kufotokozera musanachoke ku ofesi yawo.
Chitsime:
> Kukonzekera kwa dziko lonse, > Management > , ndi Kuletsa COPD , Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2006. Ipezeka kuchokera: http://www.goldcopd.org.