Kuyini Ukuphefumula kwe-Corticosteroid: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

Imithi yokuphefumula ye-Corticosteroid iyimithi kadokotela oyiphefumulela ngqo emaphashini akho ukunciphisa ukuvuvukala nokuvuvukala emoyeni wakho. Lawa ma-steroid aphefumulwayo asebenza endaweni emathunjini akho okuphefumula, esiza ukulawula izimo ezinjenge-asthma kanye nesifo sokuvinjelwa kwamaphaphu esingapheli (COPD) ngemiphumela emincane eceleni kune-steroid yomlomo. Cabanga ngabo njengokwelashwa okuqondiwe okuqondiswe ngqo lapho okudingeka khona kakhulu - emaphashini akho.

Kuyini Ukuphefumula kwe-Corticosteroid?

Ukuphefumula kwe-Corticosteroid kubhekisela emithini ye-steroid elethwa ngqo emaphashini akho ngesiphefumulisi noma i-nebulizer. Lezi yizinhlobo ezenziwe nge-synthetic ze-cortisol, i-hormone umzimba wakho oyikhiqiza ngokwemvelo ukulwa nokuvuvukala. Uma uphefumula le mithi, isebenza ngqo lapho inkinga ikhona - emoyeni wakho nasethanjini lamaphaphu.

Ubuhle be-corticosteroids ephefumulwayo ukuthi ziletha imithi ngqo lapho idingeka kakhulu. Ngokungafani nama-steroid omlomo athinta wonke umzimba wakho, izinguqulo eziphefumulwayo zigxila emandleni azo okulwa nokuvuvukala ohlelweni lwakho lokuphefumula. Le ndlela eqondiwe isho ukuthi uthola ukwelashwa okuphumelelayo ngemiphumela emincane kakhulu eceleni.

Ama-corticosteroids aphefumulwayo ajwayelekile afaka i-fluticasone, budesonide, beclomethasone, kanye ne-mometasone. Ngamunye uza ngamandla ahlukene namadivayisi okulethwa, okuvumela udokotela wakho ukuthi enze ngendlela oyifisayo ukwelashwa kwakho ngokuya ngezidingo zakho ezithile nezintandokazi zakho.

Kusetshenziselwani Ukuphefumula kwe-Corticosteroid?

Ama-corticosteroids aphefumulwayo asetshenziswa ikakhulukazi ukulawula nokuvimbela izimpawu zezimo ezingapheli zokuphefumula. Zithathwa njengezinga legolide lokuphathwa kwe-asthma yesikhathi eside futhi zidlala indima ebalulekile ekwelapheni i-COPD. Le mithi isiza ukugcina izindlela zakho zomoya zizolile futhi zingasabeli ekuqaliseni.

Nawa amakhondishini amakhulu azuza kuma-corticosteroids aphefumulwayo, futhi ukuwaqonda lokhu kungakusiza ukuthi ubone ukuthi kungani udokotela wakho engase ancome lokhu kwelashwa:

• Isifuba: Sivimbela ukuhlaselwa yisifuba futhi sinciphisa izimpawu zansuku zonke njengokukhwehlela nokuphefumula kanzima
• I-COPD: Isiza ukuphatha ukuvuvukala ku-bronchitis engapheli kanye ne-emphysema
• I-Allergic rhinitis: Izifutho ze-nasal corticosteroid zinciphisa izimpawu zokungezwani komzimba nezinto ezithile zesizini nonyaka wonke
• Ukukhwehlela okungapheli: Ngezinye izikhathi kunqunywa lapho ukukhwehlela kubangelwa ukuvuvukala komgudu womoya
• Isifuba se-Eosinophilic: Uhlobo oluthile lwesifuba lapho amaseli amhlophe egazi athile abangela ukuvuvukala

Udokotela wakho uzoqaphela ukuthi ngabe ama-corticosteroids aphefumulwayo akulungele yini ngokuya ngezimpawu zakho, umlando wezokwelapha, nokuthi ezinye izindlela zokwelapha zisebenze kahle kangakanani. Le mithi ivame ukusetshenziselwa ukulawula isikhathi eside kunokukhululeka okusheshayo ngesikhathi sokuhlaselwa okukhulu.

Isebenza Kanjani Ukuphefumula Kwe-Corticosteroid?

Ama-corticosteroids aphefumulwayo asebenza ngokulingisa impendulo yomzimba wakho yemvelo yokulwa nokuvuvukala, kodwa aletha lo mphumela ngqo emgudwini wakho womoya. Uma uphefumula umuthi, uhlala emgqeni womgudu wakho womoya futhi unciphisa ukuvuvukala nokucasuka okwenza kube nzima ukuphefumula.

Le mithi ithathwa njengezinto eziphakathi nendawo zokulwa nokuvuvukala. Abanamandla njengama-steroid omlomo, kodwa banamandla kakhulu kunezithako zokulwa nokuvuvukala ezingaphezu kwe-counter. Inzuzo enkulu ukuthi basebenza endaweni emaphashini akho ngaphandle kokuthinta kakhulu wonke umzimba wakho.

Isenzo sokulwa nokuvuvukala senzeka ezingeni lamaselula emoyeni wakho. Umuthi unciphisa ukukhiqizwa kwamakhemikhali avuvukalisayo futhi wenza imigudu yakho yomoya ingazizwa ngokushesha ezintweni ezibangela ukungezwani komzimba, umoya obandayo, noma ukuzivocavoca. Le nqubo ithatha isikhathi - ungase ungaboni izinzuzo eziphelele izinsuku eziningi noma ngisho namasonto okusetshenziswa okuqhubekayo.

Kubalulekile ukuqonda ukuthi ama-corticosteroids aphefumulwayo ayimithi yokulawula, hhayi ama-inhalers okusindisa. Zisebenza kancane kancane ukuvimbela izimpawu kunokuhlinzeka ngokusheshisa ngesikhathi sokuhlaselwa yisifuba somoya noma inhlekelele yokuphefumula.

Ngingawuthatha kanjani umoya we-Corticosteroid?

Ukuthatha i-corticosteroid yakho ephefumulwayo ngendlela efanele kubalulekile ekutholeni inzuzo ephelele yomuthi. Indlela eqondile incike kudivayisi yakho ethile ye-inhaler, kodwa umgomo ojwayelekile ukuthola umuthi ujule emaphashini akho lapho ungasebenza ngempumelelo khona.

Nansi inqubo yesinyathelo ngesinyathelo esisebenzayo kuma-inhalers amaningi, nakuba umhlinzeki wakho wezempilo ezokunikeza imiyalelo ethile yedivayisi:

1. Lungisa i-inhaler yakho: Susa ikepisi bese unyakazisa uma kuyi-inhaler elinganiswe ngomlinganiso
2. Phefumula ngokuphelele: Khipha amaphaphu akho ngaphambi kokuthatha umuthi
3. Yakha uphawu: Beka izindebe zakho ngomlomo bese udala uphawu oluqinile
4. Phefumula kancane futhi ujule: Cindezela ku-inhaler ngenkathi uthatha umoya omuhle, ojulile
5. Bamba umoya wakho: Gcina umuthi emaphashini akho imizuzwana eyi-10 uma kungenzeka
6. Geza umlomo wakho: Hlanza futhi ukhiphe amanzi ukuvimbela i-thrush yomlomo

Njalo geza umlomo wakho ngokucophelela ngemuva kokusebenzisa i-inhaler yakho - lesi sinyathelo esilula sivimbela imiphumela eminingi emibi yomlomo nomphimbo. Akudingeki ukuthi uthathe le mithi nokudla, kodwa ukuqina ngesikhathi kusiza ukugcina amazinga aqinile ohlelweni lwakho.

Uma usebenzisa idivayisi ye-spacer ne-inhaler yakho, ingathuthukisa kakhulu ukulethwa kwemithi emaphashini akho. Odokotela abaningi batusa ama-spacer, ikakhulukazi ezinganeni noma kunoma ngubani onobunzima bokuhambisa ukuphefumula kwabo ne-inhaler.

Kufanele Ngithathe Isikhathi Esingakanani Ukuphefumula Kwe-Corticosteroid?

Ubude bokwelashwa nge-corticosteroid ephefumulwayo buhluka kakhulu ngokuya ngesimo sakho nokuphendula komuntu ngamunye. Nge-asthma, abantu abaningi badinga ukwelashwa kwansuku zonke kwesikhathi eside ukuze bagcine ukulawula okuhle, ngezinye izikhathi iminyaka noma impilo yonke. Lokhu kungase kuzwakale kukhathaza, kodwa khumbula ukuthi i-asthma elawulwa kahle iphephe kakhulu kune-asthma engalawulwa kahle.

Udkt wakho ngokuvamile uzoqala ngomthamo othile futhi aqaphe ukusabela kwakho emasontweni amaningana kuya ezinyangeni. Uma izimpawu zakho zithuthuka futhi zihlala zilawulwa kahle, bangase banciphise kancane umthamo wakho ukuze bathole inani eliphumelelayo eliphansi. Le nqubo, ebizwa ngokuthi i-step-down therapy, isiza ukunciphisa noma yimiphi imiphumela emibi engaba khona ngenkathi kugcinwa ukulawulwa okuhle kwezimpawu.

Nge-COPD, ama-corticosteroids aphefumulwayo avame ukunqunywa njengengxenye ye-inhaler ehlanganisiwe ene-bronchodilators esebenza isikhathi eside. Ubude bokwelashwa buxhomeke ezimpawini zakho, ukusebenza kwamaphaphu, nokuthi uvame kangakanani ukuzwa ukuqubuka. Abanye abantu abane-COPD basebenzisa le mithi iminyaka eminingi njengengxenye yohlelo lwabo lokuphatha olujwayelekile.

Ungayeki ukuthatha ama-corticosteroids akho aphefumulwayo ngokuzumayo ngaphandle kokubonisana nodokotela wakho, ngisho noma uzizwa ungcono. Ukuyeka kungazelelwe kungaholela ekubuyeni kwezimpawu noma ngisho nokwenza isimo sakho sibe sibi kakhulu. Umhlinzeki wakho wezempilo uzokuqondisa kunoma yikuphi ukuncishiswa komthamo noma izinguquko zokwelashwa ngokuphepha.

Yiziphi Imiphumela Emibi Yokuphefumula Kwe-Corticosteroid?

Ama-corticosteroids aphefumulwayo ngokuvamile ayamukeleka kahle, kanti imiphumela eminingi emibi iba mncane futhi ilawuleka. Ukulethwa kwendawo kusho ukuthi mancane amathuba okuthi uzothola imiphumela emibi ebucayi ehambisana nama-steroid omlomo. Kodwa-ke, kubalulekile ukwazi ukuthi yini okufanele uyibheke ukuze ukwazi ukubhekana nanoma yiziphi izinkinga ngokushesha.

Imiphumela emibi evame kakhulu yenzeka ngqo emlonyeni nasemphinjeni wakho, futhi eminingi ingavinjelwa ngetekhniki efanele nokuwasha umlomo:

• I-Oral thrush: Ukutheleleka nge-fungal emlonyeni wakho okubangela amabala amhlophe
• Izwi eliphansi: Ushintsho lwezwi lwesikhashana oluvame ukuxazululwa ngokuwasha umlomo
• Umphimbo obuhlungu: Ukucasuka okuncane okuvame ukuvikeleka ngetekhniki efanele
• Ukukhwehlela: Abanye abantu bathola ukukhwehlela okuncane ngemva kokusebenzisa i-inhaler
• Ukuvuvukala komlomo: Ukungakhululeki kwesikhashana noma ukunambitheka okuguquliwe

Imiphumela emibi engavamile kodwa ebucayi ingenzeka ngokusebenzisa imithamo ephezulu isikhathi eside. Le miphumela yesistimu ayivamile kodwa kufanelekile ukuyiqapha:

• Ukukhula okuhamba kancane ezinganeni: Ukuqapha njalo kusiza ukubamba lokhu ngokushesha
• Ushintsho lwamathambo: Kungenzeka kakhulu ngemithamo ephezulu kakhulu eminyakeni eminingi
• Ukucindezelwa kwe-adrenal: Kuyivelakancane kodwa kungenzeka ngokusebenzisa umthamo ophezulu isikhathi eside
• Ama-cataract noma i-glaucoma: Kuyivelakancane, ikakhulukazi ngemithi yomthamo ophezulu isikhathi eside
• Ukwanda kwengozi yokutheleleka: Ingozi ephezulu kancane yokutheleleka ngamaphaphu

Abantu abaningi bayawamukela kahle ama-corticosteroids aphefumulwayo uma esetshenziswa njengoba echaziwe. Izinzuzo ze-asthma noma i-COPD elawulwa kahle zidlula kakhulu izingozi zale mithi kwiziguli eziningi.

Ubani Ongafanele Athole Ukuphefumula Kwe-Corticosteroid?

Ama-corticosteroids aphefumulwayo aphephile kubantu abaningi, kodwa izimo ezithile zidinga ukuqapha okwengeziwe noma ukwelashwa okuhlukile. Udokotela wakho uzohlola ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela le mithi. Izinto eziningi ezingavumelekile zihlobene kunokuba ziqondile, okusho ukuthi izinzuzo zingase zibe ngaphezu kwezingozi kwezinye izimo.

Kufanele uxoxe ngezindlela ezingezinye nodokotela wakho uma unanoma yiziphi zalezi zimo, njengoba zingase zithinte ukuthi ungazisebenzisa kanjani ngokuphepha ama-corticosteroids aphefumulwayo:

• Ukutheleleka okuphefumulayo okusebenzayo: Isifo sofuba noma ezinye izifo ezingamathambo ezingathi sína
• Ukungezwani komzimba okukhulu namaprotheni obisi: Ezinye iziphefumulisi zepowuda elomile ziqukethe i-lactose
• Izinkathazo zokukhulelwa: Nakuba ngokuvamile ziphephile, udokotela wakho uzokhetha inketho ephephe kakhulu
• I-osteoporosis enkulu: Ingase idinge ukuqapha okwengeziwe noma ukwelashwa okuhlukile
• Isifo sikashukela: Ukuqapha ushukela wegazi kungase kudingeke ukulungiswa
• I-Glaucoma noma ama-cataracts: Ukuhlolwa kwamehlo okuvamile kuba kubaluleke kakhulu

Izingane zingawasebenzisa ngokuphepha ama-corticosteroids aphefumulwayo ngaphansi kokuqondisa kwezokwelapha, kodwa zidinga ukuqapha ukukhula njalo. Izinzuzo ze-asthma elawulwa kahle ezinganeni ngokuvamile zidlula kakhulu ingozi encane yokwehla kokukhula kwesikhashana.

Uma ukhulelwe noma uhlela ukukhulelwa, ungayeki ama-corticosteroids akho aphefumulwayo ngaphandle kokukhuluma nodokotela wakho kuqala. I-asthma engalawulwa kahle ngesikhathi sokukhulelwa ibeka izingozi ezinkulu kumama nomntwana kunezitshalo eziphefumulwayo ezisetshenziswe kahle.

Amagama Omkhiqizo Wokuphefumula Ama-Corticosteroid

Amagama amaningana omkhiqizo ayatholakala kuma-corticosteroids aphefumulwayo, ngalinye linamadivayisi ahlukene okulethwa kanye namafomula. Ukwazi amagama omkhiqizo kungakusiza ukuthi uqonde umuthi wakho futhi uxhumane ngokucacile nethimba lakho lezempilo mayelana nokwelashwa kwakho.

Nazi izinhlobo ezivame kakhulu zama-corticosteroid aphefumulwayo, ahlelwe ngezithako zawo ezisebenzayo:

• 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 abaningi futhi basebenzisa ama-inhaler ahlanganisiwe aqukethe kokubili i-corticosteroid ephefumulwayo kanye ne-bronchodilator esebenza isikhathi eside. Izinhlobo ezithandwayo ezihlanganisiwe zifaka i-Advair, Symbicort, Breo Ellipta, kanye ne-Dulera.

Izinhlobo ezivamile ziyatholakala kweminye yale mithi, engasiza ekunciphiseni izindleko ngenkathi inikeza izithako ezifanayo ezisebenzayo. Ikhemisi lakho lingakusiza ukuthi uqonde ukuthi yiziphi izinketho ezivamile ezingase zitholakale ekunikezweni kwakho okuthile.

Ezinye izindlela zokuphefumula ze-Corticosteroid

Ngenkathi ama-corticosteroid aphefumulwayo avame ukuba yindlela yokuqala yokwelashwa kwe-asthma kanye ne-COPD, kunezindlela eziningana ezitholakalayo kubantu abangakwazi ukuwathwala noma abadinga ezinye izinketho zokwelashwa. Udokotela wakho angase acabangele lezi zindlela ezinye ngokuya ngesimo sakho esithile, izimpawu, kanye nokuphendula kokwelashwa.

Ukuze kulawulwe i-asthma, lezi zindlela ezinye zingasebenza zodwa noma zihlangene nama-corticosteroid aphefumulwayo:

• Iziguquli ze-Leukotriene: Imithi yomlomo efana ne-montelukast (Singulair) evimba izindlela zokuvuvukala
• Ama-bronchodilator asebenza isikhathi eside: Imithi evula imigudu yomoya amahora angu-12-24
• Theophylline: Umuthi omdala womlomo ovula imigudu yomoya futhi unciphise ukuvuvukala
• Ukwelashwa kwe-Biologic: Imithi entsha ejovwayo ye-asthma enzima
• I-Cromolyn sodium: Isizinzisi seseli le-mast esivimbela ukusabela okungalungile

Nge-COPD, ezinye izindlela zokwelapha zigxila ekwandiseni amaphaphu nokunciphisa ukwanda:

• Ama-antagonists e-muscarinic asebenza isikhathi eside: Imithi efana ne-tiotropium ephumuzela imisipha yomoya
• Ama-bronchodilators ahlanganisiwe: Ama-inhalers anezinyathelo ezimbili ngaphandle kwama-steroids
• Ama-phosphodiesterase-4 inhibitors: Imithi yomlomo elwa nokuvuvukala
• Ama-Mucolytics: Imithi esiza ukunciphisa amafinyila

Udokotela wakho uzosebenza nawe ukuthola uhlelo lokwelapha olusebenza kahle kakhulu, olungase luhlanganise elinye noma ngaphezulu kwalawa manye esikhundleni noma ngaphezu kwama-corticosteroids aphefumulwayo.

Ingabe Ukuphefumula nge-Corticosteroid Kungcono Kune-Steroids Yomlomo?

Ama-corticosteroids aphefumulwayo ngokuvamile angcono kakhulu kune-steroids yomlomo ezimweni zokuphefumula zesikhathi eside njenge-asthma ne-COPD. Inzuzo enkulu ukuthi ama-steroids aphefumulwayo aletha imithi ngqo emaphashini akho lapho idingeka khona, kuyilapho ama-steroids omlomo ethinta umzimba wakho wonke futhi angabangela imiphumela emibi kakhulu.

Uma uthatha ama-steroids omlomo njalo, angabangela imiphumela emibi emzimbeni wakho wonke. Lokhu kufaka phakathi ukukhuluphala, izinguquko zemizwa, ukwanda kwengozi yokutheleleka, ukuncipha kwamathambo, ushukela wegazi ophakeme, kanye nezinguquko ekubukekeni kwakho. Ama-steroids aphefumulwayo agwema kakhulu le miphumela yesistimu ngoba iningi lemithi lihlala emaphashini akho.

Noma kunjalo, ama-steroids omlomo anendawo yawo ekwelapheni ukuphefumula. Avame ukudingeka ekuhlaselweni okukhulu kwe-asthma noma ukwanda kwe-COPD lapho udinga imiphumela enamandla, esheshayo elwa nokuvuvukala emzimbeni wakho wonke. Udokotela wakho angase akunikeze umuthi we-steroids omlomo ngesikhathi sokugqama ngenkathi uqhubeka nemithi yakho ejwayelekile ephefumulwayo.

Ukuze kulawulwe umoya omningi noma i-COPD nsuku zonke, isikhathi eside, ama-corticosteroids aphefumulwayo cishe ahlala eyindlela ekhethwayo. Anikeza imiphumela emihle yokulwa nokuvuvukala emoyeni wakho ngenkathi enciphisa ubungozi bemiphumela emibi engathi sína eza nokusetshenziswa kwama-steroid omlomo isikhathi eside.

Imibuzo Evame Ukubuzwa Mayelana Nokuphefumula Kwe-Corticosteroid

Ingabe ukuphefumula kwe-corticosteroid kuphephile ngesifo sikashukela?

Yebo, ama-corticosteroids aphefumulwayo ngokuvamile aphephile kubantu abanesifo sikashukela, kodwa bangase badinge ukuqapha ushukela wegazi eduze. Ngokungafani nama-steroid omlomo, angakwazi ukunyusa kakhulu amazinga kashukela egazini, ama-steroid aphefumulwayo anezinto ezincane kashukela egazini kubantu abaningi. Noma kunjalo, abanye abantu bangase baqaphele ukwanda okuncane, ikakhulukazi lapho beqala ukwelashwa noma besebenzisa imithamo ephezulu.

Uma unesifo sikashukela, sebenzisana nodokotela wakho we-pulmonologist kanye ne-endocrinologist ukuqapha amazinga akho kashukela egazini lapho uqala noma ushintsha umthamo wakho we-corticosteroid ophefumulwayo. Abantu abaningi abanesifo sikashukela bangawasebenzisa ngokuphepha le mithi ngaphandle kwezinkinga ezinkulu, futhi izinzuzo zomoya omningi noma i-COPD elawulwa kahle ngokuvamile zidlula noma yimiphi imiphumela emincane kashukela egazini.

Ngingenzani uma ngiphuthelwa ukusebenzisa ukuphefumula kwe-corticosteroid okuningi kakhulu?

Uma ngengozi uthatha umthamo owengeziwe we-corticosteroid yakho ephefumulwayo, ungangeni ekuqhumeni - lokhu ngokuvamile akuyona ingozi. Geza umlomo wakho kahle ngamanzi bese uwakhipha ukuze unciphise ubungozi be-thrush yomlomo. Ungase uzwe ukucasuka komlomo okwesikhashana noma izwi elincane elibuhlungu, kodwa le miphumela ngokuvamile ixazululwa ngokushesha.

Xhumana nodokotela wakho noma usokhemisi uma ukhathazekile ngokweqisa noma uma uba nanoma yiziphi izimpawu ezingavamile. Bangakunikeza isiqondiso esithile esisekelwe emuthini wakho kanye nenani olithathile. Esikhathini esizayo, gcina umkhondo wemithamo yakho usebenzisa idayari yemithi noma uhlelo lokusebenza lwe-smartphone ukusiza ukuvimbela ukuthatha imithamo emibili ngengozi.

Ngingenzani uma ngiphuthelwa umthamo wokuphefumula kwe-corticosteroid?

Uma uphuthelwa umthamo womuthi wakho wokuphefumula we-corticosteroid, wuthatha ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Uma kunjalo, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho esijwayelekile. Ungalokothi uthathe umthamo ophindwe kabili ukuze ulungise lowo ophuthelwe.

Ukuphuthelwa imithamo ngezikhathi ezithile ngeke kubangele izinkinga ngokushesha, kodwa ukuqina kubalulekile ekulawuleni izimpawu ezinhle. Uma uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi zocingo, usebenzise umhleli wamaphilisi, noma uhlobanise ukusetshenziswa kwakho kwe-inhaler nemisebenzi yansuku zonke efana nokuxubha amazinyo akho. Xhumana nodokotela wakho uma unenkinga yokukhumbula isimiso sakho semithi.

Ngingayeka nini ukuthatha i-corticosteroid inhalation?

Akufanele uyeke ukuthatha i-corticosteroid yakho yokuphefumula ngokuzumayo ngaphandle kokuxhumana nodokotela wakho, ngisho noma uzizwa ungcono kakhulu. Le mithi isebenza ukuvimbela izimpawu kunokuzelapha nje, ngakho ukuyeka kungazelelwe kungaholela ekubuyeni kokuvuvukala nokwanda kwesimo sakho.

Udokotela wakho uzokuqondisa kunoma yikuphi ukuncishiswa komthamo noma izinguquko zokwelashwa ngokusekelwe ekulawuleni kwakho izimpawu, izivivinyo zomsebenzi wamaphaphu, kanye nempilo yakho yonke. Abantu abaningi abanesifuba somoya badinga ukwelashwa kwesikhathi eside, kodwa udokotela wakho angase anciphise umthamo wakho kancane kancane uma izimpawu zakho zihlala zilawulwa kahle ngokuhamba kwesikhathi. Le nqubo idinga ukuqapha ngokucophelela ukuqinisekisa ukuthi isimo sakho asibi.

Ngingayisebenzisa i-corticosteroid inhalation ngesikhathi sokukhulelwa?

Yebo, ama-corticosteroids aphefumulwayo ngokuvamile athathwa njengaphephile ngesikhathi sokukhulelwa futhi avame ukunconywa kwabesifazane abakhulelwe abanesifuba somoya. Isifuba somoya esilawulwa kahle sibalulekile empilweni yomama neyengane, njengoba isifuba somoya esingalawulwa kahle singaholela ezinkingeni ezinjengokuzalwa ngaphambi kwesikhathi kanye nesisindo esiphansi sokuzalwa.

I-Budesonide ivame ukuba yiyo ekhethwayo uma kukhulunywa ngamakhambi okuhogela e-corticosteroid ngesikhathi sokukhulelwa ngoba inemininingwane eminingi yokuphepha, kodwa ezinye izidakamizwa ezihogelwayo nazo zithathwa njengeziphephile. Udokotela wakho uzosebenza nawe ukuthola ukwelashwa okuphumelela kakhulu ngomthamo ophansi ngangokunokwenzeka. Ungayeki imithi yakho yesifuba somoya ngesikhathi sokukhulelwa ngaphandle kokugadwa ngudokotela - izingozi zesifuba somoya esingalawulwa zinkulu kakhulu kunezingozi zama-steroid ahogelwayo asetshenziswe kahle.