Mlembi: Randy Alexander
Tsiku La Chilengedwe: 25 Epulo 2021
Sinthani Tsiku: 27 Okotobala 2024
Anonim
COPD exacerbation - Treatment with corticosteroids
Kanema: COPD exacerbation - Treatment with corticosteroids

Zamkati

Chidule

Matenda osokoneza bongo (COPD) ndi mawu omwe amagwiritsidwa ntchito pofotokoza za mapapo owopsa. Izi zimaphatikizapo emphysema, bronchitis yanthawi yayitali, ndi mphumu yosasinthika.

Zizindikiro zazikulu za COPD ndi izi:

  • kupuma movutikira, makamaka mukamagwira ntchito
  • kupuma
  • kukhosomola
  • ntchofu zambiri mumlengalenga mwanu

Ngakhale kulibe mankhwala a COPD, mitundu ingapo ya mankhwala ilipo yomwe imatha kuchepetsa kuopsa kwa zizindikilo.

Steroids ndi ena mwamankhwala omwe amaperekedwa kwa anthu omwe ali ndi COPD. Amathandizira kuchepetsa kutupa m'mapapu anu komwe kumadza chifukwa cha kuphulika.

Steroids amabwera pakamwa komanso kupumira. Palinso mankhwala osakaniza omwe amaphatikizapo steroid ndi mankhwala ena. Mtundu uliwonse wa steroid imagwira ntchito mosiyanako pakulamulira kapena kupewa kufalikira kwa zizindikilo.

Steroids pakamwa

Mudzagwiritsa ntchito ma steroids m'mapiritsi kapena mawonekedwe amadzimadzi kuti mukhale ochepa kapena owopsa, omwe amadziwikanso kuti kukulirakulira.


Mankhwalawa akumwa mwachangu nthawi zambiri amaperekedwa kuti agwiritsidwe ntchito kwakanthawi, nthawi zambiri masiku asanu kapena asanu ndi awiri. Mlingo wanu umadalira kuopsa kwa zizindikilo zanu, mphamvu ya mankhwalawo, ndi zina.

Mwachitsanzo, kuchuluka kwa prednisone wamkulu kumatha kukhala pafupifupi 5 mpaka 60 milligrams (mg) tsiku lililonse.

Mankhwala azamankhwala komanso zosankha zina ziyenera kuchitidwa payekha payekha.

Zina mwazomwe zimaperekedwa pakamwa pa steroids ya COPD ndi izi:

  • mphepo (Prednisone Intensol, Rayos)
  • hydrocortisone (Cortef)
  • prednisolone (Prelone)
  • methylprednisolone (Medrol)
  • dexamethasone (Dexamethasone Intensol)

Prednisone ndi prednisolone amawerengedwa kuti ndi mankhwala osokoneza bongo pochiza COPD.

Kugwiritsa ntchito mankhwala osokoneza bongo

Kugwiritsa ntchito mankhwala osokoneza bongo kumatanthauza kuti mankhwala omwe avomerezedwa ndi FDA pacholinga chimodzi amagwiritsidwa ntchito pazinthu zina zomwe sizinavomerezedwe. Komabe, dokotala amatha kugwiritsabe ntchito mankhwalawa pazifukwa izi. Izi ndichifukwa choti a FDA amayang'anira kuyesa ndi kuvomereza mankhwala, koma osati momwe madotolo amagwiritsira ntchito mankhwala pochizira odwala awo. Chifukwa chake, adotolo amatha kukupatsani mankhwala ngakhale akuganiza kuti ndi bwino kuti musamalire. Dziwani zambiri zakugwiritsa ntchito mankhwala osokoneza bongo.


Ubwino

Kafukufuku akuwonetsa kuti ma steroids amkamwa amakuthandizani kuti muyambe kupuma mosavuta.

Amaperekedwanso kuti agwiritsidwe ntchito kwakanthawi kochepa. Izi zimakupangitsani kuti musakhale ndi zovuta zokhudzana ndi kugwiritsa ntchito mankhwala kwa nthawi yayitali.

Zotsatira zoyipa

Zotsatira zoyipa zakugwiritsa ntchito kwakanthawi kwa steroids nthawi zambiri zimakhala zazing'ono, ngati zingachitike konse. Zikuphatikizapo:

  • kusunga madzi
  • kutupa, nthawi zambiri m'manja ndi m'miyendo
  • kuwonjezeka kwa kuthamanga kwa magazi
  • kusinthasintha

Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kumatha kubweretsa chiopsezo chanu:

  • matenda ashuga
  • ng'ala
  • kufooka kwa mafupa, kapena kuchepa kwa mafupa
  • matenda

Kusamalitsa

Steroids pakamwa imatha kuchepetsa chitetezo chamthupi. Samalirani makamaka kusamba m'manja ndikuchepetsa kupezeka kwanu kwa anthu omwe ali ndi matenda omwe amatha kufalikira mosavuta.

Mankhwalawa amathanso kuthandizira kufooka kwa mafupa, chifukwa chake dokotala angakulimbikitseni kuti muwonjezere vitamini D komanso kudya kashiamu kapena kuyamba kumwa mankhwala osokoneza bongo.


Steroids pakamwa ayenera kumwedwa ndi chakudya.

Steroids yosakanikirana

Mutha kugwiritsa ntchito inhaler kuti mupereke ma steroids m'mapapu anu. Mosiyana ndi ma steroids amlomo, ma steroid opumira amakhala abwino kwa anthu omwe zizindikiritso zawo ndizokhazikika.

Muthanso kugwiritsa ntchito nebulizer. Awa ndimakina omwe amasintha mankhwalawa kukhala nkhungu yabwino ya erosol. Kenako amapopa nkhungu kudzera mu chubu chosinthasintha ndikukhala chigoba chomwe mumavala pamphuno ndi pakamwa.

Steroid yosakanizidwa imagwiritsidwa ntchito ngati mankhwala osamalira kuti zizindikilo zizitha kuwongoleredwa kwa nthawi yayitali. Mlingo umayesedwa mu micrograms (mcg). Mlingo wamba umachokera ku 40 mcg pa kuwomba kuchokera ku inhaler mpaka 250 mcg pa kuwomba.

Steroids ena opumira amakhala okhazikika komanso amphamvu kuti athe kuthandizira kuwongolera zizindikiritso zapamwamba za COPD. Mitundu yovuta kwambiri ya COPD imatha kuyang'aniridwa ndi kuchepa kwa mankhwala.

Zitsanzo za ma steroids osakanikirana a COPD ndi awa:

  • beclomethasone dipropionate (Qvar Redihaler)
  • budesonide (Pulmicort Flexhaler)
  • Ciclesonide (Alvesco)
  • flunisolide (Aerospan)
  • fluticasone propionate (Flovent)
  • mometasone (Asmanex)

Steroids awa sakuvomerezeka ndi FDA kuti athetse COPD koma atha kugwiritsidwa ntchito ngati gawo lamankhwala ena. Zophatikiza zomwe zafotokozedwa pansipa ndizogwiritsidwa ntchito kwambiri.

Ubwino

Ngati zizindikiro zanu zikukulirakulira, steroids yopuma imatha kuwathandiza kuti asamapite patsogolo mwachangu. Kafukufuku akuwonetsa kuti amathanso kuchepetsa kuchuluka kwakuwonjezeka koopsa komwe mumakumana nako.

Ngati mphumu ndi gawo la COPD yanu, inhaler ikhoza kukhala yothandiza kwambiri.

Zotsatira zoyipa

Zotsatira zoyipa zomwe zimayambitsidwa ndi ma steroids zimaphatikizira zilonda zapakhosi ndi chifuwa, komanso matenda mkamwa mwanu.

Palinso chiopsezo chowonjezeka cha chibayo chogwiritsa ntchito mankhwala opatsirana kwakanthawi.

Kusamalitsa

Steroids yosakanizidwa sikutanthauza kupulumutsidwa mwachangu ku COPD flare-up. Muzochitika izi, mankhwala opumira omwe amatchedwa bronchodilator atha kuthandiza kutsokomola ndikuthandizani kuti mupume.

Kuti muchepetse matenda opatsirana mkamwa, tsukutsani pakamwa panu ndikutsuka ndi madzi mutagwiritsa ntchito inhaler.

Kuphatikiza inhalers

Steroids amathanso kuphatikizidwa ndi ma bronchodilator. Awa ndi mankhwala omwe amathandizira kupumula minofu yoyandikira njira yanu yampweya. Mankhwala osiyanasiyana omwe amagwiritsidwa ntchito pophatikiza inhaler amatha kuwongolera mayendedwe akulu kapena ang'onoang'ono.

Zina mwazomwe zimagwirizanitsidwa ndi inhalers ndizo:

  • albuterol ndi ipratropium bromide (Combivent Respimat)
  • fluticasone-salmeterol inhalation ufa (Advair Diskus)
  • budesonide-formoterol inhalation ufa (Symbicort)
  • fluticasone-umeclidinium-vilanterol (Trelegy Ellipta)
  • fluticasone-vilanterol (Breo Ellipta)
  • mometasone-formoterol inhalation powder (Dulera), yomwe imalembedwa kuti igwiritsidwe ntchito

Ubwino

Ma inhalers osakanikirana amachita mwachangu kuti asiye kupumira komanso kutsokomola, ndikuthandizira kutsegula ma airways kuti apume mosavuta. Ena mwa ma inhaler ophatikizika adapangidwa kuti apereke maubwino kwa nthawi yayitali mutagwiritsa ntchito.

Zotsatira zoyipa

Zotsatira zoyipa zophatikiza ma inhalers ndi monga:

  • kutsokomola ndi kupuma
  • kugunda kwa mtima
  • manjenje
  • nseru
  • mutu
  • chizungulire
  • matenda pakhosi panu kapena mkamwa

Itanani ofesi ya dokotala mukakumana ndi izi kapena zovuta zina mutayamba kuphatikiza inhaler (kapena mankhwala aliwonse). Ngati mukuvutika kupuma kapena kupweteka pachifuwa, itanani 911 kapena pitani kuchipatala mwachangu.

Kusamalitsa

Zotsatira zabwino zimapezeka mukamamwa mankhwala osakaniza tsiku lililonse, ngakhale matenda anu akuyang'aniridwa. Kuyimilira mwadzidzidzi kumatha kubweretsa zovuta.

Monga momwe zimakhalira ndi steroid inhaler, kugwiritsa ntchito kuphatikiza inhaler kuyenera kutsatiridwa ndikutsuka mkamwa kuti muteteze matenda mkamwa mwanu.

Zowopsa ndi machenjezo

Steroids amtundu uliwonse amakhala pachiwopsezo ngati agwiritsidwa ntchito kwakanthawi.

Steroids amathanso kulumikizana ndi mankhwala ena. Kusakaniza prednisone ndi mankhwala opha ululu monga aspirin (Bayer) kapena ibuprofen (Advil, Midol), kumatha kubweretsa chiopsezo chanu cha zilonda zam'mimba komanso kutuluka magazi m'mimba.

Kutenga ma NSAID ndi ma steroids palimodzi kwa nthawi yayitali kungayambitsenso kusamvana kwa ma electrolyte, komwe kumayika pachiwopsezo cha mavuto amtima ndi impso.

Muyenera kudziwitsa adotolo mankhwala onse ndi zowonjezera zomwe mumamwa kuti athe kukudziwitsani za momwe mungachitire ndi zomwe mungachite. Izi zimaphatikizaponso mankhwala omwe mungatengeko kangapo pamutu.

Mankhwala ena a COPD

Kuphatikiza pa ma steroids ndi ma bronchodilator, mankhwala ena atha kukhala othandiza pochepetsa ziwopsezo ndikuwongolera zizindikilo.

Ena mwa iwo ndi phosphodiesterase-4 inhibitors. Amathandizira kuchepetsa kutupa ndikupumitsanso njira zowuluka. Zimathandiza makamaka kwa anthu omwe ali ndi bronchitis.

Muthanso kupatsidwa maantibayotiki ngati muli ndi kachilombo ka bakiteriya komwe kumapangitsa kuti matenda anu a COPD awonjezeke. Maantibayotiki amathanso kuthandizira kuwongolera kowopsa, koma sanapangidwe kuti azitha kuwongolera zizindikiritso zazitali.

Ndondomeko yanu yothandizira COPD

Steroids ndi mankhwala ena ndi mbali chabe ya njira yochizira COPD. Mwinanso mungafune chithandizo cha oxygen.

Mothandizidwa ndi akasinja onyamula komanso opepuka a oxygen, mutha kupuma mpweya kuti muonetsetse kuti thupi lanu likukwanira. Anthu ena amadalira chithandizo cha oxygen akagona. Ena amagwiritsa ntchito akagwira ntchito masana.

Kukonzanso kwamapapo

Ngati mwalandira posachedwa matenda a COPD, mungafunike kukonzanso mapapu. Iyi ndi pulogalamu yamaphunziro yomwe imakuthandizani kuphunzira za masewera olimbitsa thupi, zakudya zopatsa thanzi, komanso zosintha zina pamoyo wanu zomwe mungachite kuti mukhale ndi thanzi lam'mapapo.

Kusiya kusuta

Chimodzi mwazinthu zofunika kwambiri ngati mungasute ndikusiya kusuta. Kusuta ndichomwe chimayambitsa COPD, chifukwa chake kusiya chizolowezi ndikofunikira kuti muchepetse zizindikilo ndikuchepetsa kupita patsogolo kwa chiopsezo ichi.

Lankhulani ndi dokotala wanu za mankhwala ndi mankhwala omwe angakuthandizeni kusiya.

Moyo wathanzi

Kuchepetsa thupi komanso kuchita masewera olimbitsa thupi tsiku lililonse kumalimbikitsidwanso kuti muchepetse zizindikilo.

Kukhala ndi moyo wathanzi komanso wogwira ntchito sikungachiritse COPD, koma kukuthandizani kuti mukhale ndi thanzi lam'mapapo ndikuwonjezera mphamvu zanu.

Mfundo yofunika

COPD ndi vuto lalikulu lathanzi. Komabe, ngati mutsatira malangizo a dokotala wanu ndikusintha zina pamoyo wanu, mutha kuwonjezera thanzi lanu la kupuma komanso moyo wanu wabwino.

Tikukulangizani Kuti Muwone

Adalgur N - Thandizo Lopumulira Minyewa

Adalgur N - Thandizo Lopumulira Minyewa

Adalgur N ndi mankhwala omwe amawonet edwa kuti azitha kupweteka pang'ono, monga cholumikizira pochiza kupweteka kwa minofu kapena munthawi zovuta zokhudzana ndi m ana. Izi mankhwala ali kapangidw...
Njira Zapamwamba Zotetezera Panyumba Mimba

Njira Zapamwamba Zotetezera Panyumba Mimba

Zithandizo zapakhomo zothet a chifuwa panthawi yoyembekezera zimathandiza kuthet a mavuto, ndikupangit a kuti mayi akhale ndi moyo wabwino. Chifukwa chake, atha kulimbikit idwa ndi adotolo kuti adye a...