Na Melemo e Fetisitse Likotsi?
Haeba u na le COPD , ngaka ea hau e ka 'na eaba e laetse glucocorticoids (eo hape e tsejoang e le corticosteroids, kapa steroids) e le karolo ea morero oa hau oa phekolo . Le hoja li-glucocorticoids li na le melemo e mengata, li boetse li na le likotsi tse kholo le litla-morao tseo u lokelang ho li hlokomela.
Ho ea ka Mokhatlo oa Lefatše oa Mathata a Mangata a thibelang (GOLD), karolo eo molomo le ho kenyelletsa glucocorticoids e sebetsanang le phekolo ea COPD e tsitsitseng ho e-na le ho qabana le ho fokotsa maemo a mang.
Li-glucocorticoids li sebetsa joang?
Ha li bua ka COPD, li-glucocorticoids li sebetsa ka ho fokotsa ho ruruha le ho ruruha litseleng tsa moea tsa matšoafo.
Pros le Cons of Inhaled Glucocorticoids
Kalafo ea kamehla e entsoeng ka glucocorticoids e khotsofalitsoeng e bontšitsoe ho fokotsa lebelo la ho mpefatsa ha COPD le ho ntlafatsa boemo ba bophelo bo botle ho bakuli ba nang le Stage III (e matla) ho ea ho Stage IV (e matla haholo) COPD. Leha ho le joalo, tšebeliso ea bona ha e thibele ho fokotseha ha molumo oa ho qhoqhoa ka matla (FEV1) kapa ho fokotsa lebelo la ho shoa le amanang le COPD. Ho phaella moo, ho tlosoa ha glucocorticoids ho ka etsa hore ho be le ts'oaetso ea COPD ho bakuli ba bang 'me ho eketsa menyetla ea ho hlahisa pneumonia.
Ka lebaka la tlhahisoleseling ena, kalafo e nang le koetliso ea glucocorticoids ha e bontšoe ho bakuli ba nang le COPD e tsitsitseng, empa e ka buelloa ho bakuli ba mekhahlelo e tsoetseng pele ea COPD 'me ke tekanyo ea ho fokotsa ketsahalo ea COPD.
Hangata li-glucocorticoids tse kenyelletsoeng hangata li kenyeletsa tse latelang:
- Beclomethasone
- Triamcinolone
- Fluticasone
- Flunisolide
Therapy Combination
Ho sebelisa glucocorticosteroid e kenyelletsoeng e kopantsoeng le agonist ea nako e telele e sebetsanang le beta e bontšitsoe ho fokotsa lebelo la ho mpefatsa ha COPD , ho ntlafatsa mosebetsi oa matšoafo le maemo a bophelo bo botle ho bakuli ba nang le COPD, empa hape, e ka eketsa menyetla ea pneumonia.
Oral Glucocorticoids
Ho na le litaelo tse ngata tse teng tse ntseng li tsoela pele ho buella tšebeliso ea phekolo ea nakoana kapa e telele ea molomo oa glucocorticoid ho laola COPD. Ho ea ka GOLD, leha ho le joalo, mokhoa ona ha o khothaletsoe ka lebaka la ho haella ha bopaki bo lekaneng ba melemo le lethathamo le lelelele la litla-morao tse bohloko. Ho latela ke tse ling tse tloaelehileng tsa molomo oa glucocorticoids tseo u ka tloaelang ho li tseba:
- Prednisone
- Dexamethasone
- Methylprednisolone
- Cortisone
Litla-morao tsa Glucocorticoids
Le hoja litla-morao tsa molomo oa glucocorticoids li ngata 'me li ngotsoe hantle, liphello tse bohloko tse amanang le ho hatelloa ha glucocorticoids li fokotseha ebile li fokotseha haholo. Ho kenyelletsitsoe ka tlase ke litla-morao tse tloaelehileng tse tloaelehileng tsa molomo oa glucocorticoids:
- Ho theola tsamaiso ea 'mele ea ho itšireletsa mafung (Immunosuppression)
- Tšekere e phahameng ea mali
- Phaello ea mafura
- Ho lla habonolo
- Ho fokotseha ha masapo a masapo
- Ho senyeha ha mesifa, bofokoli
- Mahlaseli
- Glaucoma
- Ho se sebetse ha Adrenal (haeba e sebelisetsoa nako e telele mme e emisa ka tšohanyetso)
Ho kenyelletsa li-glucocorticoids hangata li amahanngoa le:
- Ho ruruha ha letlalo
- Matšoao a tomoso ea molomo le pharynx
- Hoarseness ea lentsoe
Mantsoe a ho Qetela ka Glucocorticoids
Karolo ea bohlokoa ka ho fetisisa ea lenaneo leha e le lefe la phekolo ke ho ikemisetsa ho e latela. Haeba u sa khone ho khomarela moralo oa tlhokomelo ea hau, mofani oa hao oa tlhokomelo ea bophelo o lokela ho leka ho tseba hore na ke lithako life tse ka emang tseleng.
Merero eohle ea phekolo e lokela ho tla ka tlhaloso e hlakileng ea morero oa bona le liphello tse ka etsahala. Haeba ngaka ea hau e sa u fane ka tlhahisoleseding ena, u lokela ho e hlakisa pele u tloha ofising ea eona.
Mohloli:
> Leano la Lefatše bakeng sa Tlhahlobo, > Tsamaiso > , le Thibelo ea COPD , Global Initiative bakeng sa Maloetse a Mokuli a sa Koaleng (GOLD) 2006. E fumaneha ho tsoa ho: http://www.goldcopd.org.