ICorticosteroids: Zintoni zona?

Umxholo

• Zithini ii-corticosteroids?
• Imiselwa nini?
• Iindidi zecorticosteroids
• Iicorticosteroids eziqhelekileyo
• Zithini iziphumo ebezingalindelekanga?
• Uqwalaselo olongezelelekileyo
• Unxibelelwano
• Iingcebiso zokunciphisa iziphumo ebezingalindelekanga
• Umgca wezantsi

Zithini ii-corticosteroids?

ICorticosteroids ludidi lweziyobisi olwehlisa ukudumba emzimbeni. Banciphisa nomsebenzi wamajoni omzimba.

Ngenxa yokuba i-corticosteroids inciphisa ukudumba, ukurhawuzelela, ukuba bomvu, kunye neempendulo ezingafunekiyo, oogqirha bahlala bebanika ukuba bancede ukunyanga izifo ezinje:

• umbefu
• isifo samathambo
• ilupus
• Ukungabikho komzimba

ICorticosteroids ifana necortisol, ihomoni ngokwemvelo eveliswa ngamadlala omzimba adrenal. Umzimba ufuna icortisol ukuze uhlale usempilweni. ICortisol ngumdlali ophambili kuluhlu olubanzi lweenkqubo emzimbeni, kubandakanya imetabolism, impendulo yomzimba, kunye noxinzelelo.

Imiselwa nini?

Oogqirha bamisela i-corticosteroids ngezizathu ezininzi, kubandakanya:

• Isifo iAddison. Oku kwenzeka xa umzimba wakho ungenzi ngokwaneleyo i-cortisol. ICorticosteroids inokwenza umahluko.
• Ukufakelwa komzimba. ICorticosteroids inceda ukucinezela amajoni omzimba kunye nokunciphisa amathuba okwaliwa komzimba.
• Ukudumba. Kwiimeko apho ukudumba kubangela ukonakala kumalungu abalulekileyo, ii-corticosteroids zinokubusindisa ubomi. Ukudumba kwenzeka xa iiseli ezimhlophe zegazi lomzimba zihlanganiswa ukukhusela ngokuchasene nosulelo kunye nezinto zangaphandle.
• Izifo ezizenzekelayo. Ngamanye amaxesha amajoni omzimba awasebenzi ngokuchanekileyo, kwaye abantu bahlakulela iimeko zokudumba ezibangela ukonakala endaweni yokuzikhusela.Corticosteroids inciphisa ukudumba kwaye ithintele lo monakalo. Ziye zichaphazele nendlela iiseli ezimhlophe zegazi ezisebenza ngayo kunye nokunciphisa ukusebenza kwamajoni omzimba.

Zihlala zisetyenziselwa ukunyanga le meko:

• umbefu
• yewena mkhuhlane
• urhwebo
• isifo esinganyangekiyo semiphunga (COPD)
• ilupus
• isifo sokudumba
• isifo sokugubhuka

Iindidi zecorticosteroids

ICorticosteroids inokuba yinkqubo okanye yekhaya. Ii-steroids zalapha ekhaya zijolise kwinxalenye ethile yomzimba. Ezi zinokusetyenziswa ngoku:

• izithambiso zolusu
• wamehlo
• indlebe iyehla
• inhalers ukujolisa kwimiphunga

Ii-systemic steroids zihamba egazini ukunceda amalungu omzimba. Banokuhanjiswa ngamayeza omlomo, nge-IV, okanye ngenaliti kwisihlunu.

Ii-steroids zalapha ekhaya zisetyenziselwa ukunyanga iimeko ezifana nesifuba kunye nemingci. Inkqubo ye-steroids inyanga iimeko ezinje nge-lupus kunye ne-multiple sclerosis.

Ngelixa ii-corticosteroids kunokuthiwa zi-steroids, azifani ne-anabolic steroids. Aba babizwa ngokuba ngabaphuculi bokusebenza.

Iicorticosteroids eziqhelekileyo

Kukho inani le-corticosteroids ezikhoyo. Amanye amagama egama aqhelekileyo aquka:

• I-Aristocort (umxholo)
• I-Decadron (ngomlomo)
• IMometasone (inhaled)
• Cotolone (inaliti)

Zithini iziphumo ebezingalindelekanga?

Ezinye iziphumo ebezingalindelekanga zinokubakho ngesihloko somoya, inhaled, kunye ne-injected steroids. Nangona kunjalo, uninzi lweziphumo ebezingalindelekanga zivela kwi-steroids yomlomo.

Iziphumo ezivela kwi-inhalled corticosteroids zingabandakanya:

• ukukhohlela
• umqala obuhkungu
• kunzima ukuthetha
• impumlo encinci
• thrush yomlomo

Izihloko ze-corticosteroids zingakhokelela kulusu olucekeceke, amabala, kunye nezilonda ezibomvu kulusu. Xa kutofelwe, kunokubangela:

• ukulahleka kwebala lolusu
• ukuphuthelwa
• iswekile ephezulu yegazi
• ukugungxula ubuso

Imiphumo emibi evela kwi-steroids yomlomo ingabandakanya:

• induna
• ukungaboni kakuhle
• ukugcinwa kwamanzi
• ukwanda kwesidlo kunye nokuzuza ubunzima
• isisu esiswini
• ubunzima bokulala
• ukutshintsha kwemood kunye nokutshintsha kwemood
• iglaucoma
• ulusu olucekeceke kunye nokugruzuka ngokulula
• igazi elonyukayo
• ubuthathaka bemisipha
• ukwanda kokunyuka kweenwele zomzimba
• ubungozi bosulelo
• ukwanda kwesifo seswekile
• ukulibaziseka kokuphola kwenxeba
• izilonda zesisu
• Isifo seCushing
• osteoporosis
• ukudakumba
• ukukhula okungaginyisi mathe ebantwaneni

Asinguye wonke umntu oya kuba neziphumo ebezingalindelekanga. Ubukho beziphumo ebezingalindelekanga buyahluka kuye ngomntu. Iidosi eziphezulu zexesha elide zonyusa amathuba okuba neziphumo ebezingalindelekanga.

Uqwalaselo olongezelelekileyo

Kubalulekile ukuthetha nodokotela wakho malunga neenzuzo kunye neengxaki zokusebenzisa le mayeza. Ukuba zisetyenziselwa ixesha elifutshane (ukusuka kwiintsuku ezimbalwa ukuya kwiiveki ezimbalwa), kunokwenzeka ukuba kungabikho miphumo emibi.

ICorticosteroids inokuba lutshintsho kubomi okanye lusindise ubomi, kodwa ukusetyenziswa kwexesha elide kunokubangela umngcipheko empilweni. Ngaphandle kwemiphumo emibi, ezinye iimeko zifuna ukusetyenziswa kwexesha elide. Nazi izinto ezimbalwa ekufuneka ziqwalaselwe:

• Abantu abadalainokubanakho ukukhula imiba noxinzelelo lwegazi oluphezulu kunye ne-osteoporosis. Abasetyhini banethuba eliphezulu lokuphuhlisa esi sifo samathambo.
• Abantwana unokufumana ukukhula okumileyo. I-Corticosteroids inokubangela nosuleleko kwimasisi okanye kwinkukhu ekukho nzulu kunaleyo yabantwana abangayithathiyo.
• Oomama abancancisayo kufuneka usebenzise i-steroids ngononophelo. Banokubangela imiba ngokukhula okanye ezinye iziphumo kusana.

Qiniseka ukuba wazise ugqirha wakho ukuba ngaba kukho naziphi na iimpendulo ezingalunganga kwiyeza ngaphambili. Xelela ugqirha wakho nangayiphi na into ebangelwa kukungabikho komzimba kuwe.

Unxibelelwano

Iimeko ezithile zonyango zinokuchaphazela ukusetyenziswa kweli yeza. Tshela ugqirha wakho ukuba unayo nayiphi na imeko yempilo.

Kubaluleke ngakumbi ukubaxelela ukuba unayo:

• Intsholongwane kaGawulayo okanye uGawulayo
• Usulelo lwe-herpes simplex lweliso
• isifo sephepha
• iingxaki zesisu okanye amathumbu
• isifo seswekile
• iglaucoma
• igazi elonyukayo
• usulelo lokungunda okanye naluphi na olunye usulelo
• isifo sentliziyo, isibindi, idlala lengqula, okanye izintso
• Ndenziwe utyando okanye wenzakele kakhulu

ICorticosteroids inokutshintsha iziphumo zamanye amayeza. Nangona kunjalo, amathuba okunxibelelana okwenzekayo kunye ne-steroid sprays okanye iinaliti ziphantsi.

Lumka into oyityayo xa usela la mayeza, nawo. I-steroids ethile ayifanele ithathwe kunye nokutya, njengoko ukusebenzisana kunokwenzeka. Kunqande ukuthatha eli chiza ngejusi yeziqhamo.

Icuba kunye notywala kunokubangela unxibelelwano namanye amayeza. Qinisekisa ukuba uthethe nogqirha wakho malunga nefuthe elinokuba nalo kwiicorticosteroids.

Iingcebiso zokunciphisa iziphumo ebezingalindelekanga

Ukusetyenziswa kwala mayeza kunokuba lolona khetho lufanelekileyo kwimeko yakho. Ngelixa kukho umngcipheko onxulunyaniswa ne-corticosteroids, kukho iindlela zokunciphisa iziphumo zakho ebezingalindelekanga. Nazi ezinye iingcebiso ekufuneka uziqwalasele:

• Thetha nogqirha wakho malunga nomthamo ophantsi okanye ophakathi.
• Yenza ukhetho lokuphila ngendlela esempilweni, njengokutya okusempilweni kunye nokuzilolonga rhoqo kunoko.
• Fumana isongo sokulumkisa kwezonyango.
• Fumana uvavanyo rhoqo.
• Sebenzisa i-steroids yendawo ukuba kunokwenzeka.
• Cothisa kancinci umthamo xa uyeka unyango ukuba kudala usebenzisa eli yeza. Oku kuvumela ixesha lakho le-adrenal ixesha lokuhlengahlengisa.
• Yitya ukutya okunetyuwa encinci kunye / okanye ukutya okune-potassium.
• Jonga uxinzelelo lwegazi kunye nokuxinana kwethambo, kwaye ufumane unyango xa kufuneka njalo.

Umgca wezantsi

ICorticosteroids ngamayeza anamandla okulwa nokudumba anokunyanga izifo ezinje nge-asthma, i-arthritis kunye ne-lupus. Banokuza neziphumo ebezingalindelekanga ezimandundu.

Qinisekisa ukuba uthethe nogqirha wakho malunga neenzuzo kunye neengxaki ze-corticosteroids, ezinye iimeko okanye izifo onayo, kunye neendlela zokunciphisa imiphumo emibi.