Yini i-Ciclesonide: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Ciclesonide iyimithi ye-corticosteroid oyiphefumulayo ukusiza ukulawula isifuba somoya nokunciphisa ukuvuvukala emoyeni wakho. Yilokho odokotela abakubiza ngokuthi "i-prodrug," okusho ukuthi iba esebenzayo kuphela ngemva kokuyiphefumulela emaphashini akho, okwenza kokubili kusebenze kahle futhi kube mnene emzimbeni wakho.

Cabanga nge-ciclesonide njengomsizi oqondiwe osebenza ngqo lapho uyidinga khona kakhulu. Ngokungafani neminye imithi yesifuba somoya esebenza kuwo wonke umzimba wakho, le iyodwa igxila emandleni ayo okulwa nokuvuvukala ngqo emaphashini akho nasemoyeni wakho.

Yini i-Ciclesonide Esetshenziselwa Yona?

I-Ciclesonide ikakhulukazi inikezwa ukugwema ukuhlaselwa yisifuba somoya nokuphatha izimpawu zesifuba somoya eziqhubekayo kubantu abadala kanye nezingane ezineminyaka engaphezu kwengu-12 ubudala. Akuyona i-inhaler yokuhlenga oyisebenzisayo ngesikhathi sokuhlaselwa yisifuba somoya, kodwa kunalokho imithi yokunakekela yansuku zonke esiza ukugcina imigudu yakho yomoya izolile futhi ivulekile.

Udokotela wakho angase akunikeze i-ciclesonide uma unesifuba somoya esiqhubekayo esidinga ukulawulwa njalo. Le mithi isebenza kahle kakhulu uma uyisebenzisa njalo nsuku zonke, ngisho nalapho uzizwa kahle. Ilusizo ikakhulukazi kubantu abadinga ukuphathwa kwesifuba somoya kwesikhathi eside kodwa abafuna ukunciphisa imiphumela engemihle engaba khona evela kuma-corticosteroids.

Abanye odokotela baphinda banikeze i-ciclesonide ngezinhlobo ezithile ze-allergic rhinitis, nakuba lokhu kungavamile. Imithi isiza ukunciphisa ukusabela okuvuvukalayo okubangela ubunzima obuningi bokuphefumula.

Isebenza Kanjani i-Ciclesonide?

I-Ciclesonide isebenza ngokuba esebenzayo kuphela uma ifinyelela emaphashini akho, lapho iguquka khona ibe yifomu layo elisebenzayo elibizwa ngokuthi des-ciclesonide. Lo mklamo ohlakaniphile usho ukuthi imithi iqondisa ukuvuvukala ngqo lapho uyidinga khona kakhulu ngenkathi inciphisa imiphumela kwenye indawo emzimbeni wakho.

Uma isivuliwe emoyeni wakho, i-ciclesonide inciphisa ukuvuvukala, ukuqubuka, nokukhiqizwa kwamafinyila. Empeleni ithulisa ukusabela ngokweqile komzimba wakho wokuzivikela ezintweni ezibangela ukungezwani komzimba, ukuzivocavoca, noma izinto ezicasulayo ezingenza ukuthi imigudu yakho yomoya iqine futhi ikhiqize amafinyila amaningi.

Lo muthi ubhekwa njengomuthi onamandla aphakathi nendawo phakathi kwama-corticosteroids aphefumulwayo. Unamandla kunezinye izinketho kodwa uthambile kunezinye, okwenza kube yisinqumo esihle esiphakathi nendawo kubantu abaningi abanesifuba somoya.

Kufanele Ngiyithathe Kanjani I-Ciclesonide?

Ngokuvamile uzothatha i-ciclesonide kanye ngosuku, ngokuvamile kusihlwa, nakuba udokotela wakho ezokunikeza imiyalelo ethile esekelwe ezidingweni zakho. Umuthi uza nge-inhaler elinganiswayo elinikeza inani eliqondile ngokuphuma ngakunye.

Nansi indlela yokusebenzisa i-inhaler yakho ye-ciclesonide ngendlela efanele:

1. Susa ikepisi bese unyakazisa i-inhaler kahle imizuzwana engu-5
2. Khipha umoya ngokuphelele, kude ne-inhaler
3. Beka izindebe zakho ngomlomo bese wenza uphawu oluqinile
4. Qala ukuphefumula kancane futhi ujule ngenkathi ucindezela ithangi
5. Bamba umoya wakho imizuzwana eyi-10, bese ukhipha umoya kancane
6. Geza umlomo wakho ngamanzi bese ukhafula

Isinyathelo sokugeza umlomo sibalulekile ngoba sisiza ekuvikeleni i-thrush, isifo se-fungal esingathuthuka emlonyeni wakho kuma-corticosteroids aphefumulwayo. Akudingeki ukuthi uthathe i-ciclesonide nokudla, kodwa ukuqina ngesikhathi kusiza ukugcina amazinga aqinile ohlelweni lwakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Ciclesonide?

I-Ciclesonide ngokuvamile iyimithi yesikhathi eside ozoyisebenzisa izinyanga noma iminyaka, kuye ngokuthi ukulawulwa kwesifuba somoya sakho. Abantu abaningi badinga ukuyithatha ngokuqhubekayo ukuze bagcine izinzuzo zokulwa nokuvuvukala futhi bavimbele izimpawu zesifuba somoya ukuthi zingabuyi.

Ungase uqale ukuqaphela ukuthuthuka ekuphefumuleni kwakho ezinsukwini ezimbalwa, kodwa izinzuzo eziphelele zivame ukuthuthuka phakathi neviki elingu-1-2 lokusebenzisa njalo. Abanye abantu babona ukuqhubeka nokuthuthuka kuze kube amasonto angu-4-6 njengoba umuthi wakha imiphumela yawo yokuvikela emoyeni wakho.

Udokotela wakho uzobuyekeza njalo ukulawulwa kwakho komoya ukuze anqume ukuthi unganciphisa yini umthamo noma imvamisa. Ungayeki ukuthatha i-ciclesonide ngokuzumayo ngaphandle kwesiqondiso sezokwelapha, ngoba lokhu kungaholela ekubhebhethekeni kwezimpawu zomoya.

Ziyini Imiphumela Eceleni ye-Ciclesonide?

Abantu abaningi bayayibekezelela kahle i-ciclesonide ngoba yenzelwe ukusebenza ikakhulukazi emaphashini akho kunokuba emzimbeni wakho wonke. Kodwa-ke, njengayo yonke imithi, ingabangela imiphumela emibi kwabanye abantu.

Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa:

• Ikhanda
• Ukuvuvukala komphimbo noma ukuminyana
• Ukhwehlela
• Izifo eziphezulu zokuphefumula
• Ukuvaleka kwamakhala
• Ubuhlungu emhlane

Le miphumela ivame ukuba mnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi. Ukuvuvukala komphimbo nokuminyana kuvame ukuvinjelwa ngokuwasha umlomo wakho ngemva kokusebenzisa ngakunye.

Imiphumela emibi engavamile kodwa engathi sína ingahlanganisa i-thrush (ukumbozwa okumhlophe, okufana noshizi okhanyayo emlonyeni wakho), izinguquko embonweni, noma izimpawu zokucindezelwa kwe-adrenal njengokukhathala okungavamile noma ubuthakathaka. Nakuba lokhu kungavamile nge-ciclesonide ngenxa yesenzo sayo esiqondiwe, kubalulekile ukubika noma yiziphi izimpawu ezikhathazayo kudokotela wakho.

Ngokungavamile kakhulu, abanye abantu bangase babe nokusabela komzimba, izinguquko ezinzima zemizwa, noma ukucindezelwa kokukhula ezinganeni. Uma uqaphela noma yiziphi izimpawu ezingavamile, ikakhulukazi ubunzima bokuphefumula, ukuqubuka, noma izinguquko ezinkulu zemizwa, xhumana nomhlinzeki wakho wezempilo ngokushesha.

Ubani Ongafanele Athathwe I-Ciclesonide?

I-Ciclesonide ayifanele wonke umuntu, futhi udokotela wakho uzocabangela ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Akufanele usebenzise i-ciclesonide uma unokungezwani komzimba emuthini uqobo noma kunoma iyiphi yezingxenye zawo.

Abantu abanezimo ezithile badinga ukucatshangelwa okukhethekile noma ukuqashwa lapho besebenzisa i-ciclesonide:

• Ukutheleleka ngamathambo okuphefumula okusebenzayo noma kwakamuva
• Isifo sofuba noma ezinye izifo ze-mycobacterial
• Ukutheleleka ngesikhunta emaphapheni
• Ukutheleleka ngegciwane njengembiwa noma isifo somkhuhlane
• Isifo sesibindi esibi kakhulu
• Ama-Cataracts noma i-glaucoma
• I-Osteoporosis noma izinkinga zokuminyana kwamathambo

Izingane ezingaphansi kweminyaka engu-12 ubudala ngokuvamile akufanele zisebenzise i-ciclesonide, njengoba ukuphepha nokusebenza kungakahlolwa kulolu hlu lweminyaka. Abesifazane abakhulelwe nabancelisa ibele kufanele baxoxe ngobungozi nezinzuzo nodokotela wabo, nakuba i-ciclesonide ngokuvamile ithathwa njengephephile kunezinye izinhlobo eziningi ze-corticosteroids ngesikhathi sokukhulelwa.

Uma usebenzisa eminye imithi, ikakhulukazi imithi elwa nesikhunta noma imithi ye-HIV, udokotela wakho uzodinga ukukuqapha eduze njengoba lokhu kungathinta indlela i-ciclesonide esebenza ngayo emzimbeni wakho.

Amagama e-Ciclesonide Brand

I-Ciclesonide iyatholakala ngaphansi kwegama lomkhiqizo elithi Alvesco emazweni amaningi, okuhlanganisa i-United States neCanada. Lolu wuhlobo oluvamile oluzohlangana nalo lapho udokotela wakho enikeza i-ciclesonide inhalation.

Amanye amazwe angase abe namagama omkhiqizo ahlukene noma izinhlobo ezivamile ezitholakalayo. Njalo sebenzisa umkhiqizo othile odokotela bakho abaku-oda, njengoba ama-inhalers ahlukene angase abe nezinhlelo zokulethwa ezihlukene noma ukugxila.

Ezinye izindlela ze-Ciclesonide

Uma i-ciclesonide ingasebenzi kahle kuwe noma ibangela imiphumela emibi, udokotela wakho unezinye izindlela eziningi ze-corticosteroids ezihogelwayo okufanele azicabangele. Ngayinye inezinzuzo zayo nezici ezingase zivumelane kangcono nezidingo zakho.

Ezinye izindlela ezivamile zihlanganisa:

• I-Fluticasone (Flovent) - ngokuvamile ibhekwa njengamandla amancane
• I-Budesonide (Pulmicort) - ifundwe kahle futhi itholakala ngezinhlobo eziningi
• I-Beclomethasone (Qvar) - umuthi omdala onedatha ebanzi yokuphepha
• I-Mometasone (Asmanex) - ukulinganisa kanye ngosuku njenge-ciclesonide

Udkt wakho angase futhi acabangele ama-inhaler ahlanganisiwe afaka kokubili i-corticosteroid kanye ne-bronchodilator esebenza isikhathi eside, njenge-fluticasone/salmeterol (Advair) noma i-budesonide/formoterol (Symbicort).

Ukukhetha kuncike kuphethini yakho ethile yesifuba somoya, iminyaka, eminye imithi, nokuthi usabela kanjani ekwelashweni okuhlukene. Okusebenza kahle kakhulu kuyahlukahluka kumuntu nomuntu.

Ingabe i-Ciclesonide ingcono kune-Fluticasone?

Kokubili i-ciclesonide ne-fluticasone bangama-corticosteroids aphefumulwayo asebenzayo, kodwa banezici ezihlukene ezingenza enye ilungele wena kunenye. Akukho noyedwa ovamile "ongcono" - kuncike ezidingweni zakho zomuntu ngamunye nokusabela.

I-Ciclesonide ingase ibe nezinto ezinhle mayelana nemiphumela emibi yendawo embalwa efana ne-thrush nokuminyana ngezwi ngoba yakhelwe ukuthi isebenze emaphashini akho kuphela. Futhi ivame ukuba nomthelela omncane ekukhuleni ezinganeni nemiphumela emincane yesistimu iyonke.

I-Fluticasone, ngakolunye uhlangothi, isitholakale isikhathi eside futhi inedatha yocwaningo oluningi. Itholakala ngamandla amaningi kanye namafomula, futhi abantu abaningi bafinyelela ukulawulwa okuhle kakhulu kwesifuba somoya ngayo. Ezinye izifundo zikhomba ukuthi ingase ibe namandla amancane ngemithamo elinganayo.

Udkt wakho uzocabangela izinto ezifana neminyaka yakho, ukulawulwa kwesifuba somoya kwamanje, umlando wemiphumela emibi ngeminye imithi, nezintandokazi zomuntu siqu lapho ekhetha phakathi kwalezi zinketho.

Imibuzo Evame Ukubuzwa Mayelana ne-Ciclesonide

Ingabe i-Ciclesonide iphephile ezigulini zenhliziyo?

I-Ciclesonide ngokuvamile ithathwa njengephephile kubantu abanezifo zenhliziyo ngoba inokumuncwa okuncane ohlelweni uma isetshenziswa njengoba kuqondiswe. Ngokungafani nama-corticosteroids omlomo, i-ciclesonide ephefumulwayo ayithinti kakhulu izinga lenhliziyo yakho, umfutho wegazi, noma ukugcinwa kwamanzi.

Noma kunjalo, kufanele usazise udokotela wakho nganoma yiziphi izimo zenhliziyo onazo. Bangase bafune ukukuqapha eduze, ikakhulu uma usebenzisa imithamo ephezulu noma unezifo zenhliziyo ezinzima. Izinzuzo ze-asthma elawulwa kahle ngokuvamile zidlula izingozi ezincane zenhliziyo nemithambo evela kuma-corticosteroids aphefumulwayo.

Kufanele Ngenzeni Uma Ngisebenzisa I-Ciclesonide Eningi Ngengozi?

Uma ngengozi uthatha i-ciclesonide eningi kunaleyo ebekiwe, ungangeni ekuqhumeni. Ngenxa yokuthi yenzelwe ukusebenza endaweni emaphapheni akho, ukweqisa ngezikhathi ezithile mancane amathuba okuthi kubangele izinkinga ezinzima uma kuqhathaniswa nama-corticosteroids omlomo.

Ungase uhlangabezane nokwanda kokucasuka komphimbo, ukuminyana, noma ikhanda. Geza umlomo wakho kahle ngamanzi bese uthintana nodokotela wakho noma usokhemisi ukuze uthole isiqondiso. Bangakwazi ukweluleka ukuthi ngabe udinga yikuphi ukuqapha okuthile noma ngabe kufanele ulungise umthamo wakho olandelayo.

Uma ubulokhu usebenzisa njalo okuningi kakhulu kunalokho okubekiwe, udokotela wakho angase afune ukuhlola izimpawu zokucindezelwa kwe-adrenal noma eminye imiphumela yesistimu, nakuba lokhu kungavamile nge-ciclesonide.

Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Ciclesonide?

Uma uphuthelwa umthamo wakho wansuku zonke we-ciclesonide, wuthatha ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe. Lokhu ngeke kunikeze inzuzo eyengeziwe futhi kungakhuphula ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, cabanga ukusetha isikhumbuzi sefoni noma ukuthatha imithi yakho ngesikhathi esifanayo nsuku zonke njengengxenye yomsebenzi wakho.

Ukuphuthelwa imithamo ngezikhathi ezithile ngeke kuqale kubhebhethekise isifuba sakho, kodwa ukusetshenziswa okuqhubekayo kubalulekile ekulondolozeni ukuvikeleka okuvimbela ukuvuvukala emoyeni wakho.

Ngingayeka nini ukuthatha i-Ciclesonide?

Kufanele uyeke kuphela ukuthatha i-ciclesonide ngaphansi kwesiqondiso sikadokotela wakho, ngisho noma uzizwa ungcono kakhulu. Isifuba somoya yisimo esingapheli esidinga ukuphathwa okuqhubekayo, futhi ukuyeka umuthi wakho wokulawula kungaholela ekubuyeni kwezimpawu kanye nokwanda kwengozi yokuhlaselwa yisifuba somoya.

Udkt wakho ngokuvamile uzonciphisa umthamo wakho kancane kancane kunokuthi uyeke kungazelelwe. Lokhu kungenzeka uma isifuba sakho somoya silawulwe kahle izinyanga eziningana, noma uma ushintshela emuthini ohlukile.

Isinqumo sokuyeka noma ukunciphisa i-ciclesonide sincike ezintweni ezifana nokuthi usunesikhathi esingakanani uzinzile, ukuchayeka kwakho okubangela isifuba somoya, amaphethini esizini, kanye nobukhulu besifuba sakho somoya. Ukuqokwa okulandelayo njalo kusiza udokotela wakho ukuthi enze lezi zinqumo ngokuphepha.

Ngingayisebenzisa i-Ciclesonide ngesikhathi sokukhulelwa?

I-Ciclesonide ngokuvamile ithathwa njengenye yama-corticosteroids aphefumulwayo aphephe kakhulu ngesikhathi sokukhulelwa. Isifuba somoya esilawulwe kahle sibalulekile empilweni yakho nasentuthukweni yengane yakho, futhi izingozi zesifuba somoya esingalawulwa ngokuvamile zidlula izingozi ezingaba khona ezivela kuma-corticosteroids aphefumulwayo.

Ucwaningo luphakamisa ukuthi i-ciclesonide inokumuncwa okuncane kwesistimu, okusho ukuthi kuncane okufinyelela emjondolo wakho wegazi futhi okuncane kakhulu okwela ngaphesheya kwe-placenta kuya enganeni yakho. Kodwa-ke, kufanele njalo uxoxe ngemithi yakho yesifuba somoya nodokotela wakho wezifo zabesifazane kanye ne-pulmonologist.

Bangase bafune ukukuqapha eduze ngesikhathi sokukhulelwa futhi bangase balungise uhlelo lwakho lokwelashwa njengoba umzimba wakho ushintsha. Umgomo uwukugcina ukulawulwa okuhle kakhulu kwesifuba somoya ngenkathi usebenzisa imithi ephephe kakhulu.