Chii chinonzi Corticosteroid Inhalation: Zvinoshandiswa, Dosage, Side Effects uye Zvimwe

Mishonga yeCorticosteroid inhalation mishonga inorayirwa nachiremba yaunofema zvakananga mumapapu ako kuti uderedze kuzvimba uye kuzvimba mumhepo yako. Aya ma inhaled steroids anoshanda munzvimbo yako yekufema, achibatsira kudzora mamiriro akadai se asthma uye chronic obstructive pulmonary disease (COPD) aine mashoma side effects kupfuura oral steroids. Funga nezvavo se targeted therapy inoenda zvakananga kwainonyanya kudiwa - mapapu ako.

Chii chinonzi Corticosteroid Inhalation?

Corticosteroid inhalation inoreva mishonga ye steroid inotumirwa zvakananga kumapapu ako kuburikidza ne inhaler kana nebulizer. Aya ndiwo ma synthetic versions e cortisol, hormone inogadzirwa nemuviri wako pachisikirwo kurwisa kuzvimba. Paunofema mishonga iyi, inoshanda chaipo panenge paine dambudziko - mumhepo yako uye tishu yemumapapu.

Runako rwe inhaled corticosteroids nderekuti vanopa mushonga chaipo panodiwa zvakanyanya. Kusiyana ne oral steroids inokanganisa muviri wako wese, inhaled versions inotarisa simba ravo rekudzivirira kuzvimba pane yako yekufema system. Iyi nzira yakatarwa zvinoreva kuti iwe unowana kurapwa kunoshanda aine zvishoma systemic side effects.

Inowanzo shandiswa inhaled corticosteroids zvinosanganisira fluticasone, budesonide, beclomethasone, uye mometasone. Imwe neimwe inouya mumasimba akasiyana uye maturusi ekutumira, zvichibvumira chiremba wako kuti agadzirise kurapwa kwako zvichienderana nezvido zvako zvakakosha uye zvaunofarira.

Chii chinonzi Corticosteroid Inhalation chinoshandiswa?

Inhaled corticosteroids inonyanya kushandiswa kudzora uye kudzivirira zviratidzo zve chronic respiratory conditions. Vanofungidzirwa se gold standard yekutarisira asthma kwenguva refu uye vanoita basa rakakosha mukurapa COPD. Mishonga iyi inobatsira kuchengeta mhepo yako yakadzikama uye isingashande kune zvinokonzeresa.

Hezvino zvirwere zvikuru zvinobatsirwa nemishonga yekufema ye corticosteroid, uye kunzwisisa izvi kunogona kukubatsira kuona kuti nei chiremba wako angakurudzira kurapwa uku:

• Asthma: Inodzivirira kurwiswa kwe asthma uye inoderedza zviratidzo zvemazuva ese zvakaita sekufema uye kufema kwemhepo
• COPD: Inobatsira kudzora kuzvimba mu chronic bronchitis uye emphysema
• Allergic rhinitis: Mvura yekupfapfaidza ye nasal corticosteroid inoderedza zviratidzo zve allergy zve mwaka nemwaka
• Kukosora kusingaperi: Dzimwe nguva inorairwa kana kukosora kuchikonzerwa nekuzvimba kwemhepo
• Eosinophilic asthma: Rudzi rwakati rwema asthma apo maseru machena eropa anokonzera kuzvimba

Chiremba wako achasarudza kana mishonga yekufema ye corticosteroid yakakunakira zvichienderana nezviratidzo zvako, nhoroondo yako yekurapa, uye kuti mamwe marapirwo akashanda sei. Mishonga iyi inowanzo shandiswa kudzora kwenguva refu panzvimbo yekukurumidza rubatsiro panguva yekurwisa kwakanyanya.

Kufema kweCorticosteroid kunoshanda sei?

Mishonga yekufema ye corticosteroid inoshanda nekutevedzera mhinduro yako yechisikigo yekurwisa kuzvimba, asi inopa mhedzisiro iyi zvakananga kumhepo yako. Paunenge uchifema mushonga, unogara pamutsara wemhepo yako uye unoderedza kuzvimba uye kutsamwa kunoita kuti kufema kuomere.

Mishonga iyi inoonekwa seyakati simba rekudzivirira kuzvimba. Havasimbi semishonga yemuromo, asi vakasimba zvakanyanya kupfuura mishonga yekurwisa kuzvimba isingatengwi. Mukana mukuru ndewekuti vanoshanda munzvimbo mumapapu ako vasina kukanganisa zvakanyanya muviri wako wese.

Maitiro ekurwisa kuzvimba anoitika pamwero wecellular mumhepo yako. Mushonga uyu unoderedza kugadzirwa kwemakemikari anokonzera kuzvimba uye unoita kuti mhepo yako isanyanye kuita kune zvinhu zvinokonzera sema allergens, mhepo inotonhora, kana kurovedza muviri. Maitiro aya anotora nguva - unogona kusaziva zvizere zvinobatsira kwemazuva akati wandei kana kunyange mavhiki ekushandisa nguva dzose.

Zvakakosha kunzwisisa kuti inhaled corticosteroids ndiyo mishonga yekudzora, kwete rescue inhalers. Vanoshanda zvishoma nezvishoma kudzivirira zviratidzo panzvimbo yekupa rubatsiro rwekamwe kamwe panguva yekurwisa asthma kana dambudziko rekufema.

Ndingatora Sei Corticosteroid Inhalation?

Kutora yako inhaled corticosteroid nemazvo kwakakosha kuti uwane zvizere zvinobatsira zvekurapa. Maitiro chaiwo anoenderana nemudziyo wako weinhaler, asi musimboti wekujairira ndewekuti uwane mushonga wakadzika mumapapu ako kwaunogona kushanda zvakanyanya.

Heino maitiro ekutevera anobatsira kune vazhinji inhalers, kunyangwe mupi wako wehutano achakupa mirairo yakatarwa nemudziyo:

1. Gadzirira inhaler yako: Bvisa chivharo uye uzununguse kana iri metered-dose inhaler
2. Fema zvizere: Bvisa mweya wako usati watora mushonga
3. Gadzira chisimbiso: Isa miromo yako pamuromo uye gadzira chisimbiso chakasimba
4. Fema zvishoma nezvishoma uye zvakadzama: Dhinda pasi pa inhaler uchifema zvishoma nezvishoma, kufema kwakadzama
5. Bata mweya wako: Chengeta mushonga mumapapu ako kwemasekonzi gumi kana zvichibvira
6. Geza muromo wako: Gargle uye spit out mvura kudzivirira oral thrush

Nguva dzose geza muromo wako zvakakwana mushure mekutora inhaler yako - danho iri riri nyore rinodzivirira zvakawanda zvemuromo nemutsipa mhedzisiro. Haufaniri kutora mishonga iyi nechikafu, asi kuenderana nenguva kunobatsira kuchengetedza mazinga akagadzikana muhurongwa hwako.

Kana uchishandisa mudziyo we spacer ne inhaler yako, zvinogona kuvandudza zvikuru kuendeswa kwemishonga kumapapu ako. Vanachiremba vazhinji vanokurudzira spacers, kunyanya kuvana kana chero munhu ane dambudziko rekubatanidza kufema kwavo ne inhaler.

Ndingatora Kwenguva Yakareba Sei Corticosteroid Inhalation?

Kureba kwekurapa kwe inhaled corticosteroid kunosiyana zvakanyanya zvichienderana nemamiriro ako uye mhinduro yemunhu. Kweasthma, vanhu vazhinji vanoda kurapwa kwenguva refu zuva nezuva kuti vachengetedze kutonga kwakanaka, dzimwe nguva kwemakore kana kunyange hupenyu hwese. Izvi zvingaita sezvinonetesa, asi rangarira kuti asthma inotungamirirwa zvakanaka yakachengeteka zvikuru kupfuura asthma isina kutungamirirwa zvakanaka.

Chiremba wako anowanzo kutanga iwe padosi chaiyo uye achatarisa mhinduro yako kwemavhiki akati wandei kusvika kumwedzi. Kana zviratidzo zvako zvikavandudzika uye zvikaramba zvichitungamirirwa zvakanaka, vanogona zvishoma nezvishoma kuderedza dosi yako kuti vawane huwandu hushoma hunoshanda. Iyi nzira, inonzi step-down therapy, inobatsira kuderedza chero mativi anogona kuitika apo vachichengetedza kutonga kwakanaka kwezviratidzo.

KweCOPD, inhaled corticosteroids inowanzo kurairwa sechikamu chekubatanidza inhaler ine long-acting bronchodilators. Kureba kwekurapa kunoenderana nezviratidzo zvako, basa remapapu, uye kakawanda iwe unowana flare-ups. Vamwe vanhu vane COPD vanoshandisa mishonga iyi kwemakore mazhinji sechikamu chechirongwa chavo chekutungamira.

Usambomira kutora inhaled corticosteroids yako kamwe kamwe usina kubvunza chiremba wako, kunyangwe uchinzwa zviri nani. Kumisa kamwe kamwe kunogona kutungamira mukudzoka kwezviratidzo kana kunyange kuwedzera mamiriro ako. Mupi wako wehutano achakutungamira kuburikidza nekuderedzwa kwedosisi kana shanduko yekurapa zvakachengeteka.

Ndezvipi Zviri Zvakaipa Zve Corticosteroid Inhalation?

Mishonga inofemwa ye corticosteroid inowanzoshivirirwa zvakanaka, nemigumisiro yakawanda iri nyoro uye inogoneka. Kuendeswa kwenzvimbo kunoreva kuti haungave uchiwana migumisiro yakakomba inobatanidzwa nemishonga yemuromo. Zvisinei, zvakakosha kuziva zvekutarisa kuti ugone kugadzirisa chero nyaya kare.

Migumisiro yakajairika inoitika mumuromo mako nehuro, uye yakawanda inogona kudzivirirwa nehunyanzvi hwakakodzera uye kugeza muromo:

• Oral thrush: Utachiona hwefungus mumuromo mako hunokonzera mapundu machena
• Inzwi rinopopoma: Shanduko dzeinzwi dzenguva pfupi dzinowanzo gadziriswa nekushambidza muromo
• Huro inorwadza: Kushatirwa kudiki kunowanzo dzivirirwa nehunyanzvi hwakakodzera
• Kukosora: Vamwe vanhu vanowana kukosora kudiki mushure mekushandisa inhaler
• Kutsamwa kwemuromo: Kusagadzikana kwenguva pfupi kana kuravira kwakachinjwa

Migumisiro isingawanzoitiki asi yakakomba inogona kuitika nekushandiswa kwenguva refu kwemadosi epamusoro. Izvi zvinokonzeresa systemic hazviwanzoitiki asi zvakakosha kutarisa:

• Kukura kwakaderera muvana: Kuongorora nguva dzose kunobatsira kubata izvi kare
• Shanduko dze density yemabhonzo: Zvimwe zvinogoneka nemadosi epamusoro kwemakore mazhinji
• Adrenal kudzvinyirirwa: Isingawanzoitiki asi inogoneka nekushandiswa kwenguva refu kwemadosi epamusoro
• Cataracts kana glaucoma: Isingawanzoitiki, kunyanya nekurapa kwenguva refu kwemadosi epamusoro
• Kuwedzera njodzi yekutapukirwa: Njodzi yakakwirira yekutapukirwa kwemweya

Vanhu vazhinji vanoshivirira inhaled corticosteroids zvakanaka kana vachishandiswa sezvakanyorwa. Zvakanakira asthma kana COPD inodzorwa zvakanaka zvinodarika njodzi yemishonga iyi kune varwere vazhinji.

Ndiani Asingafaniri Kutora Corticosteroid Inhalation?

Mishonga inofemwa ye corticosteroid yakachengeteka kune vanhu vazhinji, asi mamiriro akati wandei anoda kungwarira kwakanyanya kana dzimwe nzira dzekurapa. Chiremba wako achanyatsoongorora nhoroondo yako yezvokurapa asati akurudzira mishonga iyi. Zvizhinji zvezvinopesana zvinoreva zvakawanda pane zvakakwana, zvichireva kuti mabhenefiti angave achiri kukunda njodzi mune dzimwe nguva.

Unofanira kukurukura dzimwe nzira nachiremba wako kana uine chero imwe yemamiriro aya, sezvo angakanganisa kuti unogona sei kushandisa corticosteroids inofemwa zvakachengeteka:

• Zvirwere zvekufema zvinoshanda: Tuberculosis kana dzimwe hutachiona hwemapapu akakomba
• Kukwirisa kwakanyanya kweprotein yemukaka: Zvimwe zvinofemera poda yakaoma zvine lactose
• Kuzvitakura kunetseka: Kunyange zvazvo zvakachengeteka, chiremba wako achasarudza sarudzo yakachengeteka
• Osteoporosis yakakomba: Inogona kuda kuongororwa kwakanyanya kana dzimwe nzira dzekurapa
• Chirwere cheshuga: Kuongorora shuga yeropa kunogona kuda kugadziriswa
• Glaucoma kana cataracts: Kuongororwa kwemaziso nguva dzose kunova kwakakosha

Vana vanogona kushandisa zvakachengeteka corticosteroids inofemwa pasi pekutariswa kwechiremba, asi vanoda kuongororwa kukura nguva dzose. Mabhenefiti e asthma inodzorwa zvakanaka muvana anowanzo kukunda njodzi diki yekumira kukura kwenguva pfupi.

Kana iwe wakazvitakura kana kuronga kuva nepamuviri, usamira corticosteroids yako inofemwa usina kutaura nachiremba wako kutanga. Asthma isina kudzora panguva yekuzvitakura inounza njodzi huru kumumwe nemwana kupfuura ma steroids anofemwa anoshandiswa zvakanaka.

Mazita eCorticosteroid Inhalation Brand

Mazita akati wandei emhando anowanikwa e corticosteroids inofemwa, imwe neimwe iine zvishandiso zvakasiyana zvekutumira uye mafomula. Kuziva mazita emhando kunogona kukubatsira kunzwisisa mushonga wako uye kukurukura zvakajeka nechikwata chako chehutano nezvekurapa kwako.

Hezvino mhando dzakanyanya kunyorerwa dzemishonga inofemwa ye corticosteroid, yakarongwa zvichienderana nezvinhu zvavo zvinoshanda:

• 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

Vanhu vazhinji vanoshandisawo ma inhalers akabatanidzwa ane corticosteroid inofemwa uye bronchodilator inoshanda kwenguva refu. Mhando dzakakurumbira dzakabatanidzwa dzinosanganisira Advair, Symbicort, Breo Ellipta, uye Dulera.

Mhando dzegeneric dziripo dzemimwe yemishonga iyi, iyo inogona kubatsira kuderedza mari ichipa zvinhu zvakafanana zvinoshanda. Pharmacy yako inogona kukubatsira kunzwisisa kuti ndeapi sarudzo dzegeneric dzingave dziripo yeresipi yako chaiyo.

Zvimwe Zvinhu Zvokufema zveCorticosteroid

Nepo inhaled corticosteroids kazhinji iri yekutanga-mutsara kurapwa kweasthma uye COPD, kune dzimwe nzira dziripo kune vanhu vasingakwanise kuzvitsungirira kana vachida mamwe marapirwo. Chiremba wako angangofunga nezveimwe nzira idzi zvichienderana nemamiriro ako chaiwo, zviratidzo, uye kupindura kurapwa.

Kuti utarise asthma, dzimwe nzira idzi dzinogona kushanda dzoga kana pamwe chete ne inhaled corticosteroids:

• Leukotriene modifiers: Mishonga yemuromo yakaita se montelukast (Singulair) iyo inovhara nzira dzinopisa
• Long-acting bronchodilators: Mishonga inovhura nzira dzemhepo kwemaawa gumi nemaviri-24
• Theophylline: Mushonga wekare wemuromo inovhura nzira dzemhepo uye inoderedza kuzvimba
• Biologic therapies: Mishonga mitsva inojekeswa yeasthma yakakomba
• Cromolyn sodium: Mast cell stabilizer iyo inodzivirira maitiro e allergic

Pamusoro peCOPD, nzira dzekurapa dzinotarisa pakuvhura mhepo uye kuderedza kuwedzera:

• Vakakomba muscarinic antagonists: Mishonga yakaita se tiotropium inozorodza tsandanyama dzemhepo
• Mishonga yekubatanidza bronchodilators: Ma inhalers ane chiito kaviri asina steroids
• Phosphodiesterase-4 inhibitors: Mishonga yekurwisa kuzvimba yemuromo
• Mucolytics: Mishonga inobatsira kutetepa mucus

Chiremba wako achashanda newe kuti uwane chirongwa chekurapa chinoshanda zvakanyanya, icho chingasanganisire imwe kana akawanda eaya mamwe maitiro panzvimbo pe, kana kuwedzera kune, inhaled corticosteroids.

Ko Corticosteroid Inhalation Zviri Nani Pane Oral Steroids?

Inhaled corticosteroids kazhinji zviri nani kupfuura oral steroids kune mamiriro ekufema enguva refu se asthma uye COPD. Mukana mukuru ndewekuti inhaled steroids inopa mushonga zvakananga kumapapu ako kwaunodiwa, nepo oral steroids inokanganisa muviri wako wese uye inogona kukonzera matambudziko akakomba.

Paunotora oral steroids nguva dzose, inogona kukonzera matambudziko akakosha mumuviri wako wese. Izvi zvinosanganisira kuwedzera uremu, shanduko dzemafungiro, kuwedzera njodzi yekutapukirwa, kutetepa kwemapfupa, kuwedzera shuga yeropa, uye shanduko mukuonekwa kwako. Inhaled steroids inonyanya kudzivirira izvi zvinokanganisa systemic nekuti mushonga wakawanda unogara mumapapu ako.

Zvisinei, oral steroids ine nzvimbo yavo mukurapa kufema. Vanowanzodiwa pakurwisa asthma kwakanyanya kana COPD exacerbations paunoda simba, nekukurumidza-chiito anti-inflammatory effects mumuviri wako wese. Chiremba wako angaraira kosi pfupi ye oral steroids panguva yekutsvuka iwe uchiramba uchienderera mberi nemishonga yako yenguva dzose inhaled.

Kuti utonge asthma kana COPD zuva nezuva, kwenguva refu, inhaled corticosteroids dzinenge dzichiwanzosarudzwa. Dzinopa mhedzisiro yakanaka yekurwisa kuzvimba mumhepo yako uchideredza njodzi yemhedzisiro yakakomba inouya nekushandiswa kwenguva refu kwemishonga yemumuromo.

Mibvunzo Inowanzo Bvunzwa Pamusoro peCorticosteroid Inhalation

Ko corticosteroid inhalation yakachengeteka here kune chirwere cheshuga?

Hongu, inhaled corticosteroids dzinowanzova dzakachengeteka kune vanhu vane chirwere cheshuga, asi zvinogona kuda kuongororwa kwepedyo kweshuga yeropa. Kusiyana nemishonga yemumuromo, iyo inogona kukwidza zvakanyanya mazinga eshuga yeropa, inhaled steroids ine mhedzisiro shoma pashuga yeropa kune vanhu vazhinji. Zvisinei, vamwe vanhu vangacherechedza kukwira kudiki, kunyanya kana vachitanga kurapwa kana kushandisa madosi akakwirira.

Kana uine chirwere cheshuga, shanda pamwe chete ne pulmonologist yako uye endocrinologist kuti uongorore mazinga eshuga yeropa rako paunotanga kana kuchinja inhaled corticosteroid dose yako. Vanhu vazhinji vane chirwere cheshuga vanogona kushandisa mishonga iyi zvakachengeteka pasina matambudziko akakosha, uye mabhenefiti e-well-controlled asthma kana COPD anowanzo kukunda chero mhedzisiro diki yeshuga yeropa.

Ndoita sei kana ndikashandisa zvakawanda zve corticosteroid inhalation netsaona?

Kana netsaona ukatora imwe dose ye inhaled corticosteroid yako, usavhunduka - izvi zvinowanzoita hazvina njodzi. Geza muromo wako zvakakwana nemvura uye udzipfuure kuti uderedze njodzi ye oral thrush. Unogona kuona kutsamwa kwenguva pfupi kwemuromo kana izwi rinonzwika zvishoma, asi mhedzisiro iyi inowanzo gadzirisa nekukurumidza.

Bata chiremba wako kana pharmacist kana uchinetseka nezve overdose kana ukaona chero zviratidzo zvisingawanzoitiki. Vanogona kupa gwara rakatarwa zvichienderana nemushonga wako uye huwandu hwaakatora. Mune ramangwana, chengeta madosi ako uchishandisa diary yemishonga kana smartphone app kubatsira kudzivirira netsaona kaviri-dosing.

Ndoita sei kana ndikarasikirwa nedose ye corticosteroid inhalation?

Kana ukakanganwa mushonga wako wecorticosteroid unofemwa, utore paunorangarira, kunze kwekunge yava nguva yechirongwa chako chinotevera. Muchiitiko ichocho, siya mushonga wakakanganwa woenderera mberi nechirongwa chako chetsika. Usambofa wakatora mushonga kaviri kuti ugadzirise wakakanganwa.

Kukanganwa mishonga dzimwe nguva hakuzokonzeri matambudziko nekukasira, asi kuenderana kwakakosha kuchengetedza kutonga kwakanaka kwezviratidzo. Kana uchikanganwa mishonga kazhinji, funga nezvekuisa zviyeuchidzo zvefoni, kushandisa murongi wemishonga, kana kubatanidza kushandiswa kwako kweinhaler kumaitiro ezuva nezuva sekukwesha mazino ako. Taura nachiremba wako kana uine dambudziko rekuyeuka chirongwa chemishonga yako.

Ndingamira rini kutora corticosteroid inhalation?

Haufanire kumira kutora corticosteroid yako inofemwa kamwe kamwe usina kubvunza chiremba wako, kunyangwe ukanzwa zviri nani. Mishonga iyi inoshanda kudzivirira zviratidzo pane kungozvibata, saka kumira kamwe kamwe kunogona kutungamira kudzoka kwekuputika uye kuwedzera kwemamiriro ako.

Chiremba wako achakutungamira kuburikidza nekuderera kwemadosi kana shanduko dzekurapa zvichibva pakutonga kwako zviratidzo, bvunzo dzemabasa emapapu, uye hutano hwese. Vanhu vazhinji vane asthma vanoda kurapwa kwenguva refu, asi chiremba wako anogona kuderedza zvishoma nezvishoma dosi yako kana zviratidzo zvako zvichiramba zvichitongwa zvakanaka nekufamba kwenguva. Iyi nzira inoda kunyatso tarisa kuti uone kuti mamiriro ako haawedzere.

Ndingashandisa corticosteroid inhalation panguva yekuzvitakura here?

Hongu, inhaled corticosteroids inowanzofungidzirwa kuva yakachengeteka panguva yekuzvitakura uye inowanzokurudzirwa kuvakadzi vane asthma vane pamuviri. Asthma inotungamirirwa zvakanaka yakakosha kuhutano hwemumwe nemumwe uye hwemwana, sezvo asthma isina kutongwa zvakanaka inogona kutungamira kumatambudziko akadai sekuzvarwa kusati kwasvika uye uremu hwekuzvarwa huri pasi.

Budesonide inowanzosarudzwa se corticosteroid inofemwa panguva yekuzvitakura nekuti ine ruzivo rwakawanda rwekuchengeteka, asi mamwe ma inhaled steroids anofungidzirwawo akachengeteka. Chiremba wako achashanda newe kuti awane kurapwa kunoshanda zvakanyanya nemushonga wakaderera. Usambomira mishonga yako ye asthma panguva yekuzvitakura pasina kutariswa kwechiremba - njodzi dze asthma isingadzorwe dzakakura kupfuura njodzi dze steroids dzakafemerwa dzinoshandiswa nemazvo.