Ihe Ndị Bara Uru Ọ Na-ewepụ Ọdachi?
Ọ bụrụ na ị nwere COPD , dọkịta gị nwere ike ịdebe glucocorticoids (nke a makwaara dị ka corticosteroids, ma ọ bụ steroid) dịka akụkụ nke usoro atụmatụ gị. Ọ bụ ezie na glucocorticoids nwere ọtụtụ uru, ha nwekwara nnukwu ihe egwu na mmetụta ndị ị ga-ama.
Dị ka Global Initiative for Disease Lung Disease (GOLD) si kwuo, ọrụ nke glucocorticoids na oral inhaled na-agwọ ọrịa COPD bụ kama arụmụka na njedebe na ụfọdụ.
Kedu ka Glucocorticoids Na-arụ?
Ka ha na-etinye aka na COPD, glucocorticoids na-arụ ọrụ site na ibelata nzere na mbufụt na oghere nke ngụgụ.
Ọganihu na Mmanye nke Glucocorticoids Akpọrọ Obi
A gosipụtara ọgwụgwọ mgbe nile na glucocorticoid inhaled iji belata oge nke COPD exacerbation ma melite ọnọdụ ahụ ike na ndị ọrịa na Stage III (nke siri ike) na Stage IV (nnọọ njọ) COPD. Otú ọ dị, iji ha emeghị ka njedebe nke mpịakọta a na-agba ume (FEV1) belata ma ọ bụ belata ọnụ ọgụgụ ọnwu nke metụtara COPD. Tụkwasị na nke ahụ, nkwụsị si na glucocorticoids gwakọtara pụrụ iduga na ọrịa COPD na ụfọdụ ndị ọrịa na-eme ka ohere ịmalite ịmịnye oyi n'ahụ.
N'ihe ọmụma nke ozi a, a gaghị egosi ọgwụgwọ na glucocorticoids n'ime ndị ọrịa na-enwe COPD siri ike, ma enwere ike ịkwadoro maka ndị ọrịa nọ n'ọnọdụ dị elu nke COPD ma bụrụ ụkpụrụ maka COPD exacerbation.
Ihe glucocorticoids a na-ejikarị emetụta gụnyere ihe ndị a:
- Ihe na-ekpuchi ya
- Triamcinolone
- Fluticasone
- Flunisolide
Ngwakọta Ngwakọta
A gosipụtara iji glucocorticosteroid inhaled nke na-agwakọta agonist ogologo oge iji belata oge nke COPD exacerbation , melite ọrụ nchịkwa ma gbasaa ọnọdụ ahụ ike na ndị ọrịa nwere COPD, ma ọzọ, nwekwara ike ime ka enwekwuo oyi baa.
Glucocorticoids Oral
E nwere ọtụtụ ụkpụrụ nduzi dị ugbu a nke nọgidere na-akwado iji ọgwụ glucocorticoid gbụ ma ọ bụ ogologo oge gọọmentị na-elekọta nke COPD. Mana GOLD, Otú ọ dị, a gaghị akwado omume a n'ihi enweghị enweghị akaebe nke uru na ndepụta ogologo nke mmetụta mmetụta ọjọọ. Ndị na-esochi bụ ụfọdụ glucocorticoids ọnụ ọgụgụ nke ị nwere ike ịma:
- Prednisone
- Dexamethasone
- Methylprednisolone
- Cortisone
Mmetụta Akụkụ nke Glucocorticoids
Ọ bụ ezie na mmetụta dịgasị iche iche nke glucocorticoids ọnụ ọgụgụ dị ọtụtụ na nke ọma ederede, mmetụta ọjọọ ndị metụtara ọrịa glucocorticoid inhaled dị ole na ole ma dị njọ. N'okpuru ebe a bụ ụfọdụ mmetụta ndị a maara nke ọma na glucocorticoids gwọọ:
- Usoro nkwụsị nke ala kwụsịrị (Immunosuppression)
- Ọbara shuga
- Uru uru
- Ọkụ nfe
- Belata njupụta ọkpụkpụ
- Mgbaji obi, adịghị ike
- Cataracts
- Glaucoma
- Enweghi afọ ojuju (ma ọ bụrụ na eji ya ogologo oge wee kwụsị na mberede)
Glucocorticoids ndị na-adịghị mma nwere ihe jikọrọ ya na:
- Akpụcha ọnyá
- Yiri ọrịa nke ọnụ na pharynx
- Ịdị arọ nke olu
Okwu Ikpeazụ Banyere Glucocorticoids
Akụkụ kachasị mkpa nke usoro ọgwụgwọ ọ bụla bụ ịnwe njikere ịgbaso ya. Ọ bụrụ na ịnweghị ike ịgbaso nlekọta nke nlekọta gị, onye nlekọta ahụike gị kwesịrị ịnwa ịchọta ihe mgbochi nwere ike ịnọ na ụzọ.
Atụmatụ ọgwụgwọ niile kwesịrị ịkọwa nkọwa doro anya nke nzube ha na ihe ndị nwere ike ịpụta. Ọ bụrụ na dọkịta gị anaghị enye gị ozi a, ị ga-edozi ya tupu ịhapụ ọrụ ha.
Isi:
> Strategy Global for the Diagnosis, > Management > , na Mgbochi nke COPD , Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2006. Dị na: http://www.goldcopd.org.