Icyo Guhumeka Corticosteroid Aricyo: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'ibindi

Imiti yo guhumeka ya Corticosteroid ni imiti yandikirwa na muganga uhumeka mu buryo butaziguye mu muhogo wawe kugira ngo igabanye umubyimbirwe no kubyimba mu nzira zawe z'umwuka. Izi steroid zihumekwa zikora ahantu hato mu rwego rwawe rw'ubuhumekero, zigafasha kugenzura indwara nka asima na indwara y'umwuka ituma umuntu ababara igihe kirekire (COPD) hamwe n'ingaruka nke kurusha steroid zinyobwa. Zitekereze nk'ubuvuzi bugamije kujya ahantu ukeneye cyane - mu muhogo wawe.

Icyo Guhumeka Corticosteroid Aricyo?

Guhumeka Corticosteroid bivuga imiti ya steroid itangwa mu buryo butaziguye mu muhogo wawe binyuze mu gihumeka cyangwa nebulizer. Izi ni verisiyo z'ubukorano bwa cortisol, umusemburo umubiri wawe ukora mu buryo busanzwe kugira ngo urwanye umubyimbirwe. Iyo uhumeka iyi miti, ikora neza aho ikibazo kiri - mu nzira zawe z'umwuka n'imitsi y'umuhogo.

Icyiza cy'ibiyobyabwenge bihumekwa ni uko bitanga imiti neza aho ikenewe cyane. Bitandukanye na steroid zinyobwa zikora ku mubiri wawe wose, verisiyo zihumekwa zishyira imbaraga zazo zirwanya umubyimbirwe ku rwego rwawe rw'ubuhumekero. Ubu buryo bugamije busobanura ko ubona ubuvuzi bwiza hamwe n'ingaruka nke ziterwa n'umubiri wose.

Corticosteroid zihumekwa zisanzwe zirimo fluticasone, budesonide, beclomethasone, na mometasone. Buri kimwe kiza mu mbaraga zitandukanye n'ibikoresho bitanga, bituma muganga wawe ahindura ubuvuzi bwawe hashingiwe ku byo ukeneye n'ibyo ukunda.

Icyo Guhumeka Corticosteroid Bikoreshwa?

Corticosteroid zihumekwa zikoreshwa cyane cyane kugenzura no gukumira ibimenyetso by'indwara z'ubuhumekero zidakira. Zifatwa nk'urugero rwiza rwo gucunga asima igihe kirekire kandi zikagira uruhare runini mu kuvura COPD. Iyi miti ifasha kugumisha inzira zawe z'umwuka zituje kandi ntizikore ku bintu bitera indwara.

Ibi nibyo bibazo by'ingenzi bifashisha imiti y'ubwoko bwa corticosteroid ihumekwa, kandi kubisobanukirwa birashobora kugufasha kumenya impamvu muganga wawe ashobora kugusaba ubu buvuzi:

• Asthma: Irinda ibitero bya asthma kandi igabanya ibimenyetso bya buri munsi nk'umwuka mubi no guhumeka bigoranye
• COPD: Ifasha mu gucunga umubyimbire muri bronchitis ihoraho na emphysema
• Allergic rhinitis: Imiti yo mu mazuru ya corticosteroid igabanya ibimenyetso bya allergie byo mu gihembwe n'umwaka wose
• Inkorora ihoraho: Rimwe na rimwe itangwa iyo inkorora iterwa no kubyimba mu nzira y'umwuka
• Eosinophilic asthma: Ubwoko bwihariye bwa asthma aho uturemangingo tw'amaraso twera dutera umubyimbire

Muganga wawe azemeza niba imiti ya corticosteroid ihumekwa ikwiriye kuri wewe bitewe n'ibimenyetso byawe, amateka yawe y'ubuvuzi, n'uburyo izindi miti zakoze neza. Iyi miti ikoreshwa cyane cyane mu kugenzura igihe kirekire aho gufasha vuba mugihe cyo kurwara cyane.

Ni gute guhumeka corticosteroid bikora?

Imiti ya corticosteroid ihumekwa ikora yigana uburyo umubiri wawe urwanya umubyimbire, ariko itanga iyi ngaruka mu nzira yawe y'umwuka. Iyo uhumeka umuti, ushyira ku murongo w'inzira yawe y'umwuka kandi ugabanya umubyimbire n'uburakari bituma guhumeka bigorana.

Iyi miti ifatwa nk'imiti ikomeye yo kurwanya umubyimbire. Ntabwo ikomeye nka steroid yo kunywa, ariko irakomeye cyane kurusha imiti yo kurwanya umubyimbire itangwa nta cyemezo. Inyungu y'ingenzi ni uko ikora ahantu honyine mu muhaha wawe itagize ingaruka zigaragara ku bindi bice by'umubiri wawe.

Ibikorwa byo kurwanya ububyimbirwe bibera ku rwego rw'uturemangingo two mu nzira yawe y'ubuhumekero. Uyu muti ugabanya umubare w'imiti itera ububyimbirwe kandi ugatuma inzira yawe y'ubuhumekero itagira ubworoherane ku bintu bitera ibibazo nko kurwara allergie, umuyaga ukonje, cyangwa imyitozo ngororamubiri. Ibi bifata igihe – ushobora kutabona inyungu zose mu minsi mike cyangwa mu byumweru byinshi byo gukoresha uyu muti buri gihe.

Ni ngombwa gusobanukirwa ko imiti ya corticosteroid ihumekwa ari imiti igenzurwa, atari imiti y'ubutabazi. Ikora buhoro buhoro kugira ngo yirinde ibimenyetso aho gutanga ubufasha bwihuse mu gihe cyo gufatwa n'astma cyangwa ibibazo byo guhumeka.

Nkwiriye gufata gute corticosteroid ihumekwa?

Gufata neza corticosteroid yawe ihumekwa ni ingenzi kugira ngo ubone inyungu zose z'uyu muti. Uburyo nyabwo buterwa n'igikoresho cyawe cyihariye cyo guhumeka, ariko ihame rusange ni ukujyana umuti mu matama yawe aho ushobora gukora neza cyane.

Ubu ni uburyo bukurikizwa intambwe ku yindi bukoreshwa ku bihuma byinshi, nubwo umuganga wawe azaguha amabwiriza yihariye y'igikoresho:

1. Tegura igihumeka cyawe: Kura umupfundikizo kandi unyeganyeze niba ari igihumeka gifite urugero
2. Humeka ugasohora rwose: Vuga umwuka wawe mbere yo gufata umuti
3. Kora ikimenyetso: Shyira iminwa yawe ku kanwa kandi ukore ikimenyetso gikomeye
4. Humeka buhoro buhoro kandi cyane: Kanda ku gihumeka mugihe uhumeka buhoro buhoro, cyane
5. Fata umwuka: Guma umuti mu matama yawe iminota 10 niba bishoboka
6. Kogereza umunwa wawe: Kora gargle hanyuma ucire amazi hanze kugirango wirinde indwara yo mu kanwa

Buri gihe kogereza umunwa wawe neza nyuma yo gukoresha igihumeka cyawe – iyi ntambwe yoroshye irinda ingaruka nyinshi zo mu kanwa no mu muhogo. Ntabwo ukeneye gufata iyi miti hamwe n'ibiryo, ariko guhora ukoresha mu gihe kimwe bifasha kugumana urwego ruzigama mu mubiri wawe.

Niba ukoresha igikoresho cyo gushyiramo umuti hamwe n'icyuma cyawe cyo guhumeka, bishobora gufasha cyane umuti kugera mu muhaha wawe. Abaganga benshi basaba gukoresha ibikoresho byo gushyiramo umuti, cyane cyane ku bana cyangwa umuntu wese ufite ikibazo cyo guhuza guhumeka kwe n'icyuma cyo guhumeka.

Nzagenda nte nkoresha imiti yo guhumeka ya Corticosteroid?

Igihe cyo kuvura hamwe na corticosteroid yo guhumeka gitandukanye cyane bitewe n'uburwayi bwawe n'uburyo umubiri wawe ubyakira. Kubera asima, abantu benshi bakeneye kuvurwa igihe kirekire buri munsi kugira ngo bagumane ubuzima bwiza, rimwe na rimwe imyaka cyangwa ndetse ubuzima bwose. Ibi birashobora kumvikana nk'ikintu giteye impungenge, ariko wibuke ko asima ifashwe neza ifite umutekano kurusha asima ifashwe nabi.

Muganga wawe akenshi azagutangiza ku gipimo runaka kandi akurikirane uko ubyakira mu byumweru byinshi kugeza ku mezi. Niba ibimenyetso byawe bigenda neza kandi bigakomeza kugenzurwa neza, barashobora kugabanya buhoro buhoro urugero rwawe kugira ngo babone urugero ruto rugaragara. Ubu buryo, bwitwa step-down therapy, bufasha kugabanya ingaruka zose zishobora kubaho mugihe cyo kugenzura neza ibimenyetso.

Kubera COPD, corticosteroid yo guhumeka akenshi itangwa nk'igice cy'icyuma gihuza n'ibitera gufunguka by'igihe kirekire. Igihe cyo kuvura giterwa n'ibimenyetso byawe, imikorere y'umuhaha, n'uburyo uhura kenshi n'ibibazo. Abantu bamwe bafite COPD bakoresha iyi miti imyaka myinshi nk'igice cy'umugambi wabo wo kuyobora.

Ntuzigere uhagarika gufata corticosteroid yawe yo guhumeka ako kanya utabanje kugisha inama muganga wawe, kabone niyo wumva umeze neza. Guhagarika ako kanya bishobora gutuma ibimenyetso bisubira cyangwa ndetse bikongera uburwayi bwawe. Umuganga wawe azakuyobora mu kugabanya urugero urwo arirwo rwose cyangwa guhindura uburyo bwo kuvura mu buryo bwizewe.

Ni izihe ngaruka ziterwa no guhumeka corticosteroid?

Imiti ikoreshwa mu guhumeka ikoreshwa neza, kandi ingaruka zayo nyinshi ziba zoroheje kandi zishobora gucungwa. Uburyo bwo kuyikoresha butuma udashobora guhura n'ingaruka zikomeye ziterwa n'imiti ikoreshwa mu kanwa. Ariko, ni ngombwa kumenya icyo ugomba kwitaho kugira ngo ushobore gukemura ibibazo byose hakiri kare.

Ingaruka zikunze kugaragara cyane zibera mu kanwa no mu muhogo, kandi nyinshi muri zo zirashobora kwirindwa hakoreshejwe uburyo bukwiye no gukaraba akanwa:

• Thrush yo mu kanwa: Udukoko dutera indwara mu kanwa dutera ibibara byera
• Ijwi ryumvikana nabi: Guhinduka kw'ijwi ry'agateganyo bikunze gukemuka iyo ukarabye akanwa
• Umuhogo urya: Uburibwe buke bukunda kwirindwa hakoreshejwe uburyo bukwiye
• Inkorora: Abantu bamwe bagira inkorora nyuma yo gukoresha iyo miti yo guhumeka
• Uburibwe mu kanwa: Uburibwe bw'agateganyo cyangwa guhinduka kw'uburyohe

Ingaruka zitagaragara cyane ariko zikomeye zirashobora kubaho iyo umuti ukoreshejwe igihe kirekire mu bipimo byinshi. Izi ngaruka zikwirakwira ntizikunze kubaho ariko birakwiye kuzikurikirana:

• Kubura kw'abana: Gukurikirana buri gihe bifasha kubona ibi hakiri kare
• Guhinduka kw'ubucucike bw'amagufa: Bikunda kubaho iyo imiti ikoreshejwe mu bipimo byinshi mu gihe kirekire
• Kugabanuka kwa adrenal: Birashoboka ariko ntibikunze kubaho iyo umuti ukoreshejwe mu bipimo byinshi igihe kirekire
• Cataracts cyangwa glaucoma: Ntibikunze kubaho, cyane cyane iyo umuti ukoreshejwe mu bipimo byinshi igihe kirekire
• Kuzamuka kw'icyorezo: Gusa ibyago byinshi byo kwandura indwara z'ubuhumekero

Abantu benshi bafata imiti ikoreshwa mu guhumeka neza iyo ikoreshejwe nk'uko byategetswe. Inyungu zo kugenzura neza asima cyangwa COPD ziruta cyane ibyago by'iyi miti ku barwayi benshi.

Ninde utagomba gufata imiti ikoreshwa mu guhumeka ya corticosteroid?

Imiti ikoreshwa mu guhumeka irinda umubiri, irakoreshwa ku bantu benshi, ariko hariho ibihe bidasanzwe bisaba kwitonda cyangwa gukoresha izindi miti. Muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugutera iyi miti. Ibintu byinshi bituma umuti udakoreshwa ni ibintu bifitanye isano aho kuba ibintu bidashoboka, bivuze ko inyungu ziracyaruta ibyago mu bihe bimwe.

Ugomba kuganira n'umuganga wawe ku bindi bisubizo niba ufite kimwe muri ibi biranga, kuko bishobora kugira ingaruka ku buryo ukoresha imiti ikoreshwa mu guhumeka irinda umubiri:

• Indwara zandura zo mu myanya y'ubuhumekero: Igituntu cyangwa izindi ndwara zikomeye zo mu muhogo
• Allergie ikomeye ya poroteyine y'amata: Ibyuma bimwe bikoreshwa mu guhumeka bifite ifu birimo lactose
• Impungenge z'inda: Nubwo muri rusange ari amahoro, muganga wawe azahitamo uburyo bwizewe
• Osteoporose ikomeye: Ishobora gusaba gukurikiranwa cyane cyangwa izindi miti
• Diyabete: Gukurikirana isukari mu maraso bishobora gukenera guhindurwa
• Glaucoma cyangwa cataracts: Igenzura ry'amaso risanzwe rirushaho kuba ingenzi

Abana bashobora gukoresha imiti ikoreshwa mu guhumeka irinda umubiri bayobowe n'abaganga, ariko bakeneye gukurikiranwa buri gihe. Inyungu zo guhangana neza na asima ku bana mubisanzwe ziruta cyane ibyago bito byo gutinda gukura by'igihe gito.

Niba utwite cyangwa uteganya gutwita, ntukahagarike imiti ikoreshwa mu guhumeka irinda umubiri utabanje kuvugana n'umuganga wawe. Asima idakorerwa neza mu gihe cyo gutwita itera ibyago bikomeye ku mubyeyi no ku mwana kurusha imiti ikoreshwa neza.

Amazina y'ubwoko bw'imiti ikoreshwa mu guhumeka irinda umubiri

Amazina menshi y'ubwoko araboneka ku miti ikoreshwa mu guhumeka irinda umubiri, buri rimwe rifite ibikoresho bitandukanye byo gutanga imiti n'uburyo bwo kuyikora. Kumenya amazina y'ubwoko birashobora kugufasha gusobanukirwa umuti wandikiwe kandi ukanaganira neza n'ikipe yawe y'ubuzima ku bijyanye n'imiti yawe.

Dore hano ibicuruzwa byinshi bikoreshwa cyane bya corticosteroid bihumeka, byateguwe hakurikijwe ibikoresho byabo bikora:

• Fluticasone: Flovent HFA, Flovent Diskus, ArmonAir
• Budesonide: Pulmicort Flexhaler, Pulmicort Respules
• Beclomethasone: Qvar RediHaler, Qvar HFA
• Mometasone: Asmanex Twisthaler, Asmanex HFA
• Flunisolide: Aerospan HFA
• Ciclesonide: Alvesco

Abantu benshi kandi bakoresha ibihumeka bifatanye birimo byombi corticosteroid bihumeka na bronchodilator ikora igihe kirekire. Ibicuruzwa bifatanye bizwi cyane birimo Advair, Symbicort, Breo Ellipta, na Dulera.

Imiterere rusange iraboneka kuri imwe muri iyi miti, ibyo bishobora gufasha kugabanya ibiciro mugihe bitanga ibikoresho bikora kimwe. Farumasi yawe irashobora kugufasha gusobanukirwa uburyo bwo guhitamo rusange bushobora kuboneka kubyo wandikiwe byihariye.

Izindi nzira zo guhumeka za Corticosteroid

Mugihe corticosteroid bihumeka akenshi ari uburyo bwa mbere bwo kuvura asima na COPD, hariho izindi nzira kubantu badashobora kuzihanganira cyangwa bakeneye uburyo bwo kuvura bwongereweho. Muganga wawe ashobora gutekereza izi nzira zindi ashingiye ku burwayi bwawe bwihariye, ibimenyetso, n'uburyo uvurwa.

Kugirango ucunge asima, izi nzira zindi zirashobora gukora zonyine cyangwa zifatanyije na corticosteroid bihumeka:

• Abahindura leukotriene: Imiti yo mu kanwa nka montelukast (Singulair) ituma inzira zifungana
• Bronchodilator ikora igihe kirekire: Imiti ifungura inzira zo mu kirere amasaha 12-24
• Theophylline: Umuti ushaje wo mu kanwa ufungura inzira zo mu kirere kandi ugabanya umubyimbire
• Uburyo bwa biologique: Imiti mishya iterwa inshinge ya asima ikomeye
• Cromolyn sodium: Umutuzo wa selile ya mast utuma ibimenyetso bya allergie bitabaho

Ku ndwara ya COPD, uburyo bwo kuvura bushingiye ku gufungura inzira z'ubuhumekero no kugabanya ibibazo:

• Imiti ikora igihe kirekire igabanya imitsi: Imiti nka tiotropium ifungura imitsi yo mu nzira z'ubuhumekero
• Imiti ivura ifatanyije: Inhalers zikora ibintu bibiri nta steroid
• Ibiyobyabwenge bigabanya phosphodiesterase-4: Imiti yo kunywa igabanya ububyimbirwe
• Mucolytics: Imiti ifasha gucisha ururenda

Muganga wawe azakorana nawe kugira ngo abone gahunda yo kuvura neza, ishobora kuba irimo kimwe cyangwa byinshi muri ibi bisubizo aho gukoresha cyangwa kongera ku miti ya corticosteroid ihumekwa.

Ese guhumeka corticosteroid biruta steroid yo kunywa?

Corticosteroid ihumekwa muri rusange iruta cyane steroid yo kunywa ku ndwara z'ubuhumekero zirambye nka asima na COPD. Inyungu y'ingenzi ni uko steroid ihumekwa itanga imiti mu buryo butaziguye mu muhaha wawe aho ikenewe, mu gihe steroid yo kunywa igira ingaruka ku mubiri wawe wose kandi ishobora gutera ingaruka zikomeye.

Iyo ufata steroid yo kunywa buri gihe, ishobora gutera ingaruka zikomeye ku mubiri wawe wose. Izi zirimo kongera ibiro, guhinduka kw'amarangamutima, kongera ibyago byo kwandura, kugabanya amagufa, kuzamuka k'isukari mu maraso, no guhinduka mu isura yawe. Steroid ihumekwa irinda cyane izi ngaruka z'umubiri kuko imiti myinshi iguma mu muhaha wawe.

Ariko, steroid yo kunywa ifite umwanya wayo mu kuvura indwara z'ubuhumekero. Akenshi birakenewe ku gitero gikomeye cya asima cyangwa ibibazo bya COPD iyo ukeneye ingaruka zikomeye, zihuta zo kurwanya ububyimbirwe mu mubiri wawe wose. Muganga wawe ashobora kugusaba gukoresha steroid yo kunywa igihe gito mugihe urimo guhura n'ikibazo ukomeza imiti yawe isanzwe ihumekwa.

Kugenzura buri munsi, igihe kirekire cya asima cyangwa COPD, imiti ya corticosteroid ihumeka hafi ya byose ni yo ihitwamo. Itanga ingaruka nziza zo kurwanya umubyimbirwe mu nzira zawe z'umwuka mu gihe igabanya ibyago by'ingaruka zikomeye ziterwa no gukoresha steroid yo mu kanwa igihe kirekire.

Ibikunze Kubazwa Ku Guhumeka kwa Corticosteroid

Ese guhumeka corticosteroid biratekanye kuri diyabete?

Yego, imiti ya corticosteroid ihumeka muri rusange iratekanye ku bantu barwaye diyabete, ariko bashobora gukenera gukurikiranwa cyane isukari yo mu maraso. Bitandukanye na steroid yo mu kanwa, ishobora kuzamura cyane urugero rwa glucose mu maraso, steroid ihumeka ntigira ingaruka nyinshi ku isukari yo mu maraso ku bantu benshi. Ariko, abantu bamwe bashobora kubona izamuka rito, cyane cyane iyo batangira kuvurwa cyangwa bakoresha doze nyinshi.

Niba urwaye diyabete, korana na pulmonologiste yawe na endocrinologiste kugira ngo ukurikirane urugero rwa isukari yo mu maraso yawe iyo utangira cyangwa uhindura doze yawe ya corticosteroid ihumeka. Abantu benshi barwaye diyabete bashobora gukoresha imiti yabo neza nta bibazo bikomeye, kandi inyungu zo kugenzura neza asima cyangwa COPD mubisanzwe ziruta ingaruka ntoya za isukari yo mu maraso.

Nigira iki niba nanyweye cyane imiti ya corticosteroid ihumeka?

Niba uteye doze yinyongera ya corticosteroid yawe ihumeka, ntugahagarike – ibi mubisanzwe ntibiteje akaga. Kora mu kanwa neza n'amazi hanyuma uyacire kugira ngo ugabanye ibyago byo kurwara indwara yo mu kanwa. Ushobora guhura n'uburibwe bw'agateganyo mu kanwa cyangwa ijwi rito, ariko izi ngaruka mubisanzwe zikemuka vuba.

Vugana na muganga wawe cyangwa umufarumasiti niba ufite impungenge kubera kunywa cyane cyangwa niba uhuye n'ibimenyetso bidasanzwe. Bashobora gutanga ubuyobozi bwihariye bushingiye ku muti wawe n'umubare wanyoye. Mu gihe kizaza, ukurikirane doze yawe ukoresheje idiyari y'imiti cyangwa porogaramu ya terefone kugira ngo ifashe kwirinda kunywa kabiri ku buryo butunguranye.

Nigira iki niba ntasibye doze ya corticosteroid ihumeka?

Niba wibagiwe urugero rwawe rw'umuti w'umwuka wa corticosteroid, uwufate uko wibukije vuba, keretse igihe cyegereye urugero rwawe ruteganyijwe. Muri urwo rubanza, reka urugero wibagiwe ukomeze gahunda yawe isanzwe. Ntukigere ufata urugero rurenzeho kugirango usubize urugero wibagiwe.

Kutagera ku rugero rimwe na rimwe ntizatera ibibazo ako kanya, ariko guhora ukoresha ni ingenzi kugirango ugumane kugenzura neza ibimenyetso. Niba ukunda kwibagirwa urugero, tekereza gushyiraho ibyibutso kuri terefone, gukoresha umuteguro w'imiti, cyangwa guhuza ikoreshwa ryawe ry'umuti w'umwuka n'ibikorwa bya buri munsi nko kumesa amenyo. Ganira na muganga wawe niba ugira ikibazo cyo kwibuka gahunda yawe y'imiti.

Ni ryari nshobora guhagarika gufata corticosteroid inhalation?

Ntabwo wagombye guhagarika gufata corticosteroid yawe y'umwuka ako kanya utabanje kubaza muganga wawe, kabone niyo wumva umeze neza cyane. Iyi miti ikora kugirango irinde ibimenyetso aho kubivura gusa, bityo guhagarara ako kanya bishobora gutuma umubiri wongera kubyimba kandi bikongera ubuzima bwawe kuba bubi.

Muganga wawe azakuyobora mu kugabanya urugero urwo arirwo rwose cyangwa impinduka z'ubuvuzi zishingiye ku kugenzura ibimenyetso byawe, ibizamini by'imikorere y'ibihaha, n'ubuzima bwawe muri rusange. Abantu benshi bafite asima bakeneye kuvurwa igihe kirekire, ariko muganga wawe ashobora kugabanya buhoro urugero rwawe niba ibimenyetso byawe bikomeza kugenzurwa neza uko igihe kigenda. Ubu buryo busaba gukurikiranwa neza kugirango byemeze ko ubuzima bwawe butiyongera kuba bubi.

Nshobora gukoresha corticosteroid inhalation mu gihe cyo gutwita?

Yego, corticosteroid z'umwuka muri rusange zifatwa nkizitunganye mu gihe cyo gutwita kandi akenshi zikoreshwa ku bagore batwite bafite asima. Asima igenzurwa neza ni ingenzi ku buzima bw'umubyeyi n'umwana uri mu nda, kuko asima idagenzurwa neza ishobora gutera ibibazo nk'amavuko mbere y'igihe n'uburemere buke bw'umwana uvutse.

Budesonide akenshi ni umuti ukoreshwa cyane mu gihe cyo gutwita kuko ufite amakuru menshi y'umutekano, ariko n'izindi steroids zihumekwa zifatwa nk'izifite umutekano. Muganga wawe azakorana nawe kugirango abone umuti mwiza ufite urugero ruto rushoboka. Ntukigere uhagarika imiti yawe ya asima mu gihe utwite utabihuje n'abaganga - ibyago bya asima idafashwe neza biruta cyane ibyago bya steroids zihumekwa zikoreshwa neza.