Shin Amfanin Amfani da Rashin Ƙari?
Idan kana da COPD , likitanka na iya sanya takardun glucocorticoids (wanda aka fi sani da corticosteroids, ko steroids) a matsayin ɓangare na shirin kulawa . Duk da yake glucocorticoids suna da amfani da yawa, suna da hatsari mai tsanani da kuma illa da za su iya haifar da ku.
Bisa ga shirin Global Initiative for Disease Lung Disease (GOLD), rawar da glucocorticoids da maganin da suke ciki a cikin maganin barga COPD yana da tsayayya da iyakance ga wasu lokuta.
Ta yaya Glucocorticoids aiki?
Yayinda suke da alaka da COPD, glucocorticoids na aiki ta rage ragewa da ƙumburi a cikin hanyoyi na huhu.
Gida da Jakadancin Glucocorticoids Inhaled
An yi amfani da magani na yau da kullum tare da glucocorticoids wanda aka ƙaddara ya rage yawan ƙarfin COPD da kuma inganta yanayin kiwon lafiya a marasa lafiya tare da Stage III (mai tsanani) zuwa Stage IV (mai tsanani) COPD. Duk da haka, yin amfani da su baya hana dakatarwar ƙararrawar tilasta ƙarfin (FEV1) ko rage yawan mutuwa da aka hade da COPD. Bugu da ƙari, janyewa daga glucocorticoids mai ƙwaƙwalwa zai iya haifar da ƙwaƙwalwar COPD a cikin wasu marasa lafiya kuma ya ƙara yawan yiwuwar bunkasa ciwon huhu.
Dangane da wannan bayani, ba a nuna magungunan glucocorticoids a cikin marasa lafiya da COPD, amma ana iya ba da shawarar ga marasa lafiya a cikin matakai mafi girma na COPD kuma daidai ne ga COPD.
Mafi yawan glucocorticoids sun haɗa da wadannan:
- Beclomethasone
- Triamcinolone
- Fluticasone
- Flunisolide
Hadin Farko
Yin amfani da glucocorticosteroid wanda aka haɗu da shi wanda aka hade tare da mai maganin beta mai tsawon lokaci ya nuna ya rage yawan ƙarfin COPD , ya inganta aikin sutura da kuma cikakken lafiyar marasa lafiya tare da COPD, amma kuma, zai iya ƙara yawan rashin lafiya.
Oral Glucocorticoids
Akwai sharuɗɗa da yawa waɗanda ke ci gaba da bada shawarar yin amfani da gajeren lokaci na glucocorticoid a cikin gudanarwa na COPD. Bisa ga GOLD, duk da haka, wannan aikin ba shi da shawarar saboda rashin cikakkiyar shaida na amfana da jerin jerin abubuwan da ke cikin tasiri. Yakamata su ne wasu glucocorticoids na al'ada da za su iya sani da su:
- Prednisone
- Dexamethasone
- Methylprednisolone
- Cortisone
Hanyoyi na gefen Glucocorticoids
Yayinda illa masu tasiri na glucocorticoids na da yawa da kuma rubuce-rubuce, abubuwan da ke cikin halayen glucocorticoids basu da yawa kuma basu da tsanani. Ƙungiyar da aka haɗa a ƙasa sune wasu alamun da aka sani na glucocorticoids na baki:
- An rage tsarin rigakafi (Immunosuppression)
- Babban jini sugar
- Amfanin nauyi
- Ƙarfafawa mai sauki
- Rage kashi mai yawa
- Raunuka, rashin ƙarfi
- Cataracts
- Glaucoma
- Adrenal insufficiency (idan amfani da dogon lokaci kuma tsaya nan da nan)
Glucocorticoids inhaled sun fi yawan hade da:
- Skin bruising
- Kwayar yisti na baki da pharynx
- Girmawan murya
Maganar Ƙarshe Game da Glucocorticoids
Abu mafi mahimmanci na kowane tsari na shirin yana da ci gaba da bin sa. Idan baza ku iya bin tsarin kulawa ba, likitanku na kiwon lafiya ya kamata ku gwada abin da za a iya tsayawa a hanya.
Dukkan tsare-tsaren kulawa ya kamata su zo tare da cikakken bayani game da manufar su da kuma sakamakonsu. Idan likita ba ya samar da wannan bayani a gare ku, ya kamata ku bayyana shi kafin ku bar ofisoshin su.
Source:
> Tsarin Duniyar Duniya don Bincike, > Gudanarwa > , da Rigakafin COPD , Gudun Duniya na Gwanin Tsuntsauran Kwayoyin cuta na Gida (GOLD) 2006. Daga: http://www.goldcopd.org.