Yini i-Corticosteroid Nasal Route: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

Izifutho zekhala ze-Corticosteroid ziyimithi kadokotela esiza ukunciphisa ukuvuvukala ngaphakathi ekhaleni lakho nasemigudwini yakho. Lokhu kwelashwa okuthambile kodwa okuphumelelayo kusebenza ngokuthulisa impendulo yamasosha omzimba emgudwini wakho wekhala, okwenza kube lula ukuthi uphefumule futhi uzizwe ukhululekile.

Uma ubhekene nekhala elivaliwe, ukuthimula, noma ukucindezela kwemigudu engapheli, udokotela wakho angase ancome enye yalezi zifutho zekhala. Zenzelwe ukuthi ziqondise ukuvuvukala lapho okudingeka khona kakhulu, ngaphandle kokuthinta wonke umzimba wakho ngendlela ama-steroid omlomo angase enze ngayo.

Yini i-Corticosteroid Nasal Route?

Izifutho zekhala ze-Corticosteroid ziyimithi elwa nokuvuvukala oyifutha ngqo emakhaleni akho. Zicabange njengosizo oluqondiwe oluqondana ngqo nomthombo wokuvuvukala kwekhala lakho, kunokuthi luqale luhambe emzimbeni wakho wonke.

Le mithi iqukethe izinguqulo ezenziwe ngamanye ze-cortisol, i-hormone umzimba wakho oyikhiqiza ngokwemvelo ukulwa nokuvuvukala. I-nasal route isho ukuthi umuthi usebenza endaweni ekhaleni lakho nasemigudwini, okusiza ukunciphisa imiphumela emibi ongase uyithole ngama-steroid omlomo.

Izibonelo ezivamile zihlanganisa i-fluticasone (Flonase), i-budesonide (Rhinocort), kanye ne-mometasone (Nasonex). Ngamunye usebenza ngendlela efanayo kodwa angase abe namandla ahlukile noma amashejuli okulinganisa.

Yini i-Corticosteroid Nasal Route Esizwa Ngayo?

Lezi zifutho zekhala zelapha izimo ezihlukahlukene ezibangela ukuvuvukala ekhaleni lakho nasemigudwini yakho. Udokotela wakho angase akubhalele zona uma imigudu yakho yekhala ivuvukala futhi ithukuthele, okwenza kube nzima ukuphefumula ngokukhululeka.

Izimo ezivamile le mithi esiza ngazo zihlanganisa izifo ezibangelwa ukungezwani komzimba nezinto ezithile zesizini, ukungezwani komzimba nezinto ezithile zonyaka wonke, kanye ne-sinusitis engapheli. Zisiza ikakhulukazi uma izimpawu zakho ziqhubeka ngaphandle kokuzama ama-antihistamines noma ezinye izindlela zokwelapha.

Nawa amakhondishini amakhulu lapho ama-corticosteroid nasal sprays anganikeza khona ukukhululeka:

• I-Allergic rhinitis (hay fever) evela ku-pollen, izimuncwana zothuli, noma izinwele zezilwane ezifuywayo
• I-Non-allergic rhinitis ebangwa yizinto ezicasulayo njengentuthu noma iphunga eliqinile
• I-Chronic sinusitis enokuvuvukala okuqhubekayo
• Ama-Nasal polyps (ukukhula okuncane emgudwini wamakhala)
• Ukunakekelwa kwamakhala ngemuva kokuhlinzwa ngemuva kokuhlinzwa kwe-sinus

Kwezinye izimo, odokotela bangase babhale lezi sprays zezimo ezingavamile njengezifo ezithile ze-autoimmune ezithinta ikhala. Umhlinzeki wakho wezempilo uzonquma ukuthi le mithi ilungile yini esimweni sakho esithile.

Isebenza Kanjani I-Corticosteroid Nasal Route?

Lezi sprays zamakhala zisebenza ngokunciphisa ukuvuvukala ezicutshini zakho zamakhala, njengoba nje iqhwa lisiza ukunciphisa ukuvuvukala eqakaleni elilimele. Umuthi uvimba amakhemikhali athile ohlelweni lwakho lomzimba oluvikela ezifweni abangela ukuvuvukala, ukuvuvukala, nokukhiqizwa kwama-mucus.

Uma ufutha umuthi ekhala lakho, ugcoba izicubu ezivuvukele ngqo. Le ndlela eqondiwe isho ukuthi umuthi uqala ukusebenza lapho uwudinga kakhulu, uthulisa impendulo evuthayo emgudwini wakho wamakhala nama-sinus.

Amandla ale mithi athathwa njengamaphakathi kuya aqinile emiphumeleni yendawo yokulwa nokuvuvukala. Kodwa-ke, ngenxa yokuthi zisebenza ikakhulukazi ekhala lakho kunokuthi emzimbeni wakho wonke, zithambile kakhulu kune-steroids yomlomo.

Ngeke uzizwe ukukhululeka ngokushesha njengoba ungakwenza nge-decongestant spray. Kunalokho, le mithi yakha imiphumela yayo yokulwa nokuvuvukala ezinsukwini eziningana kuya emavikini, inikeze ukukhululeka okuhlala isikhathi eside ezimpawini zakho.

Kufanele Ngiyithathe Kanjani I-Corticosteroid Nasal Route?

Ukusetshenziswa kahle kwe-nasal spray yakho kusiza ukuqinisekisa ukuthi uthola inzuzo ephelele yomuthi. Abantu abaningi bakuthola kusebenza kangcono uma beyisebenzisa ngesikhathi esifanayo nsuku zonke, ngokuvamile ekuseni.

Ngaphambi kokusebenzisa isifutho sakho, vungula ikhala lakho kancane ukuze ususe noma yimuphi umkhuhlane. Lokhu kusiza umuthi ukuthi ufinyelele izicubu ezivuvukile ngempumelelo enkulu. Nyakazisa ibhodlela uma imiyalelo ithi wenze njalo.

Nansi indlela yokusebenzisa isifutho sakho sekhala ngendlela efanele:

1. Thambekisa ikhanda lakho kancane phambili bese ufaka ithiphu yesifutho emgodini owodwa wekhala
2. Qondisa isifutho odongeni oluseceleni lwekhala lakho, hhayi emuva ngqo
3. Cindezela iphampu ngenkathi uphefumula ngobumnene ngekhala lakho
4. Khipha umoya ngomlomo wakho, bese uphinda kwenye indawo yekhala
5. Gwema ukuvungula ikhala lakho okungenani imizuzu engu-15 ngemuva kokusebenzisa isifutho

Akudingeki ukuthi uthathe lo muthi nokudla noma ubisi ngoba usebenza endaweni ekhaleni lakho. Kodwa-ke, uma usebenzisa eminye imithi yekhala, yihlukanise okungenani ngemizuzu engu-15 ukuze ugweme ukugeza i-corticosteroid.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Corticosteroid Nasal Route?

Ubude bokwelashwa buxhomeke esimweni sakho esithile nokuthi usabela kahle kangakanani emuthini. Ezintweni ezibangelwa ukungezwani komzimba okwenzeka ngezikhathi ezithile, ungase ukusebenzise ngesikhathi sonyaka wokungezwani komzimba, kuyilapho izimo ezingamahlalakhona zingase zidinge ukusetshenziswa isikhathi eside.

Abantu abaningi abanezinto ezibangelwa ukungezwani komzimba okwenzeka ngezikhathi ezithile baqala ukusebenzisa isifutho sabo sekhala cishe amasonto amabili ngaphambi kokuthi kuqale isizini yabo yokungezwani komzimba. Lokhu kunika umuthi isikhathi sokwakha imiphumela yawo yokulwa nokuvuvukala ngaphambi kokuba uveze ama-allergen.

Ezimweni ezingamahlalakhona njengokungezwani komzimba unyaka wonke noma ama-nasal polyps, ungase udinge ukusebenzisa isifutho ngokuqhubekayo izinyanga noma iminyaka. Lokhu kuvamile ukuthi kuphephe uma kusetshenziswa njengoba kunqunywe, ngoba umuthi usebenza endaweni kunokuthi uthinte umzimba wakho wonke.

Udokotela wakho uzohlola njalo ukuthi usabela kanjani ekwelashweni futhi angase alungise ubude ngokuya ngezimpawu zakho. Ungalokothi uyeke ukusebenzisa umuthi ngokuzumayo ngaphandle kokukhuluma nomhlinzeki wakho wezempilo, ikakhulukazi uma ubusuwusebenzisa isikhathi eside.

Ziyini Imiphumela Eceleni Yendlela Yekhala Ye-Corticosteroid?

Abantu abaningi bayakwazi ukumelana kahle nama-corticosteroids ekhaleni, behlangabezana nemiphumela emincane noma engekho eceleni. Uma imiphumela emibi yenzeka, ivamise ukuba mnene futhi ihlobene nemiphumela yendawo ekhaleni nasemphinjeni wakho.

Imiphumela emibi evame kakhulu ongase uyithole ngokuvamile incane futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi. Le miphumela yendawo yenzeka ngoba isifutho sithintana ngqo nezicubu zakho zekhala.

Nawa amanye emiphumela emibi ebikwa kaningi:

• Ukuphuma igazi ekhaleni noma ukukhipha igazi ekhaleni
• Ukomiswa noma ukucasuka ekhaleni
• Ukuthimula ngemva kokusebenzisa isifutho
• Ukuqaqamba komphimbo noma izwi eliphansi
• Ukunambitheka okungathandeki emlonyeni wakho
• Ukukhathwa yikhanda

Imiphumela emibi engavamile kodwa ebucayi ingenzeka, ikakhulukazi ngokusetshenziswa kwesikhathi eside noma imithamo ephezulu. Nakuba lokhu kungavamile, kubalulekile ukukwazi futhi uthintane nodokotela wakho uma zenzeka.

Imiphumela emibi engavamile kodwa engaba yingozi ihlanganisa:

• Ukuphuma igazi ekhaleni eliqinile elingami kalula
• Izimpawu zokutheleleka ekhaleni (ukwanda kobuhlungu, umkhuhlane, ukukhipha okukhulu okunombala)
• Ushintsho embonweni noma izinkinga zamehlo
• Ukukhula okuhamba kancane ezinganeni ezinokusetshenziswa kwesikhathi eside
• Ukwanda kokuzwela ezifweni

Ngokuvamile, abanye abantu bangase babe nokusabela komzimba emuthini ngokwawo, okubangela ukugcwala ekhaleni okwandayo, ukuqubuka, noma ubunzima bokuphefumula. Uma uqaphela ukuthi izimpawu zakho ziba zimbi ngemva kokuqala isifutho, xhumana nomhlinzeki wakho wezempilo.

Ubani Ongafanele Athathwe Indlela Yekhala Ye-Corticosteroid?

Nakuba ama-corticosteroids ekhaleni ephephile kubantu abaningi, abanye abantu kufanele bawagweme noma bawasebenzise ngokuqapha okwengeziwe. Udokotela wakho uzocabangela umlando wakho wezokwelapha ngaphambi kokunquma le mithi.

Abantu abanezifo zamakhala eziqhubekayo ngokuvamile kufanele balinde kuze kube yilapho leyo nkinga isinyamalala ngaphambi kokuqala ukusebenzisa isifutho samakhala se-corticosteroid. Umuthi ungase uqhubekise izifo ngokucindezela impendulo yakho yomzimba yangakini.

Kufanele uxoxe ngezindlela ezingezinye nodokotela wakho uma unesinye salezi zimo:

• Isifo samakhala noma se-sinus samanje
• Ukuhlinzwa noma ukulimala kwakamuva kwamakhala
• I-Tuberculosis noma ezinye izifo ezinzima
• Isifo sesibindi esibi kakhulu
• Ukungezwani okwaziwayo kuma-corticosteroids noma izithako zesifutho

Izinyathelo ezikhethekile ziyadingeka kumaqembu athile, yize umuthi ungase ungavunyelwe. Izingane, abesifazane abakhulelwe, kanye nabantu abanezinhlelo zomzimba ezibuthakathaka bangase badinge ukulungiswa kwemithamo noma ukuqashwa okuseduze.

Uma une-glaucoma, ama-cataracts, noma i-osteoporosis, udokotela wakho uzohlola izinzuzo nezingozi ngokucophelela okwengeziwe. Ngenkathi izifutho zamakhala zinemiphumela emincane yohlelo, ukusetshenziswa kwesikhathi eside kungase kuthinte lezi zimo.

Amagama Omkhiqizo Womzila Wasekhala We-Corticosteroid

Kutholakala ama-corticosteroids amaningana amagama omkhiqizo, ngalinye liqukethe izithako ezihlukene ezisebenzayo. Ezinye zitholakala ngaphandle kwe-counter, kanti ezinye zidinga incwadi kadokotela.

I-Fluticasone iyatholakala njenge-Flonase (ngaphandle kwe-counter) kanye ne-Flonase Sensimist, enikeza ukufinyelela okulula kubantu abaningi abanezifo zokungezwani komzimba. I-Budesonide iza njenge-Rhinocort, nayo etholakala ngaphandle kwencwadi kadokotela.

Izinketho zokuthola incwadi kadokotela kuphela zihlanganisa i-mometasone (Nasonex), i-triamcinolone (Nasacort), kanye ne-beclomethasone (Beconase). Udokotela wakho angase akhethe umkhiqizo othile ngokusekelwe ezimpawini zakho, umshwalense, noma ukuthi usabele kahle kangakanani kwezinye izindlela zokwelapha.

Izinhlobo ezivamile zemithi eminingi yalezi nazo ziyatholakala, zinikeza ukusebenza okufanayo ngezindleko eziphansi. Umuthi wakho wemithi angakusiza ukuthi uqonde umehluko phakathi kwamagama omkhiqizo nezinketho ezivamile.

Ezinye Izindlela Zomzila Wasekhala We-Corticosteroid

Uma ama-corticosteroids asekhala engakulungele, ezinye izindlela zokwelapha zingasiza ukuphatha ukuvuvukala kwamakhala nokuminyana. Udokotela wakho angase asikisela ukuzama lezi ezinye izindlela ngokusekelwe ezimpawini zakho ezithile kanye nomlando wakho wezokwelapha.

Ama-antihistamine nasal sprays afana ne-azelastine (Astelin) asebenza ngendlela ehlukile ngokuvimba ama-histamine receptors kunokunciphisa ukuvuvukala. Lokhu kungaba usizo olukhulu kubantu abane-allergic rhinitis abahlangabezana nokuthimula nokuluma.

Ezinye izindlela ezingase zicatshangelwe udokotela wakho zihlanganisa:

• Ukugeza noma ukufafaza ngamanzi olwandle ukuze kukhululeke ngobumnene, ngokwemvelo
• Ama-antihistamines omlomo okulawula i-allergy yesistimu
• Ama-decongestant nasal sprays okukhululeka okwesikhashana ekuminyaneni
• I-Cromolyn sodium nasal spray yokuvimbela i-allergy
• I-Ipratropium nasal spray yokukhala kwamakhala
• I-Immunotherapy (izithombe ze-allergy) zokuphatha i-allergy yesikhathi eside

Ezimweni ezinzima ezingaphenduli emithini, udokotela wakho angase axoxe ngezinketho zokuhlinzwa njenge-septoplasty noma ukuhlinzwa kwe-endoscopic sinus. Lezi zinqubo zingasiza ukuthuthukisa ukugeleza komoya wamakhala nokukhipha amanzi.

Ingabe i-Corticosteroid Nasal Route Ingcono Kune-Antihistamine Nasal Sprays?

Kokubili ama-corticosteroid kanye nama-antihistamine nasal sprays asebenza kahle, kodwa asebenza ngezindlela ezihlukene futhi angase abe ngcono ezinhlotsheni ezihlukene zezimpawu. Ukukhetha kuncike kulokho okubangela izinkinga zakho zamakhala nokuthi yiziphi izimpawu ezikukhathaza kakhulu.

Ama-corticosteroid nasal sprays ngokuvamile athathwa njengasebenza kahle ekulawuleni izimpawu eziphelele, ikakhulukazi ekuminyaneni nasekuvuvukeni. Zisebenza ezindleleni eziningi ezibangela izimpawu zamakhala, zinikeza ukukhululeka okubanzi kune-antihistamines kuphela.

Ama-antihistamine nasal sprays asebenza ngokushesha ezimpawini ezinjengokuthimula nokuluma, ngokuvamile enikeza ukukhululeka ngemizuzu. Kodwa-ke, angase angasebenzi kahle ekuminyaneni kwamakhala noma ezimpawini ezihlobene nokuvuvukala.

Udktela wakho angase ancome ama-corticosteroid nasal sprays uma unokuminyana okuqhubekayo, kanti ama-antihistamine sprays angase abe ngcono uma izikhalazo zakho eziyinhloko zikuthimula nokuluma. Abanye abantu bayazuza ekusebenziseni zombili izinhlobo zama-sprays ndawonye.

Imibuzo Evame Ukubuzwa Mayelana Ne-Corticosteroid Nasal Route

Ingabe i-Corticosteroid Nasal Route iphephile ngesikhathi sokukhulelwa?

Ama-corticosteroid nasal sprays amaningi abhekwa njengaphephile ngesikhathi sokukhulelwa, kodwa kufanele uhlale uxoxa ngalokhu nodokotela wakho kuqala. I-Budesonide nasal spray ivame ukukhethwa ngesikhathi sokukhulelwa ngoba inemininingwane yokuphepha eningi etholakalayo.

Izinzuzo zokwelapha izimpawu ezinzima zamakhala ngesikhathi sokukhulelwa zivame ukwedlula izingozi ezincane ezivela kuma-corticosteroids amakhala. Ukuminyana kwamakhala okungelashwanga kungathinta ukulala kwakho nekhwalithi yempilo, okungalungile kuwe noma kumntwana wakho.

Udktela wakho uzokusiza ukuthi ulinganise izinzuzo nezingozi ngokusekelwe esimweni sakho esithile. Bangase bancomise ukuqala ngomthamo ophansi osebenzayo futhi bakuqaphele eduze ngesikhathi sokwelashwa.

Ngingenzani Uma Ngisebenzisa Ngengozi I-Corticosteroid Nasal Route eningi kakhulu?

Ukusebenzisa ngengozi i-corticosteroid nasal spray eningi kakhulu ngezikhathi ezithile akunakwenzeka ukuthi kubangele ukulimala okukhulu, kodwa ungase uhlangabezane nemiphumela emibi yendawo eyandisiwe efana nokopha kwamakhala noma ukucasuka kwamakhala. Ungashayi uvalo uma lokhu kwenzeka kanye noma kabili.

Uma ubulokhu usebenzisa okuningi kakhulu kunokunqunywe izinsuku eziningana, xhumana nodokotela wakho ukuze uthole isiqondiso. Bangase bafune ukukuqapha ukuze uthole izimpawu zokumuncwa kwesistimu, ikakhulukazi uma usebenzisa imithamo ephezulu.

Ukuvimbela ukusetshenziswa okungahleliwe, gcina umkhondo wokuthi mangaki ama-sprays owasebenzisayo nsuku zonke futhi setha izikhumbuzi uma kudingeka. Uma ungaqiniseki ngomthamo wakho, cela usokhemisi wakho noma udokotela ukuthi abuyekeze imiyalelo nawe.

Ngingenzani Uma Ngedlula Umthamo We-Corticosteroid Nasal Route?

Uma uphuthelwa umthamo we-spray yakho ye-nasal corticosteroid, yithathe ngokushesha nje lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Ungaphindi kabili imithamo ukuze ulungise okungathathiwe.

Ukuphuthelwa umthamo ngezikhathi ezithile ngeke kukulimaze, kodwa zama ukugcina isimiso esiqhubekayo ukuze uthole imiphumela emihle. Le mithi isebenza kahle uma isetshenziswa njalo, njengoba yakha imiphumela yayo yokulwa nokuvuvukala ngokuhamba kwesikhathi.

Uma uvame ukukhohlwa imithamo, zama ukusetha isikhumbuzi sansuku zonke ocingweni lwakho noma ugcine i-spray endaweni ebonakalayo. Abanye abantu bakuthola kuwusizo ukusebenzisa i-spray yabo ye-nasal ngesikhathi esifanayo lapho bexubha amazinyo abo.

Ngingayeka nini ukuthatha i-Corticosteroid Nasal Route?

Ngokuvamile ungaqeda ukusebenzisa ama-spray e-nasal corticosteroid lapho izimpawu zakho zilawulwa kahle futhi udokotela wakho evumelana nokuthi kufanelekile. Ezintweni ezibangela ukungezwani komzimba ngesizini, ungaqeda ekupheleni kwesizini yokungezwani komzimba futhi uqale kabusha ngaphambi kokuthi kuqale isizini elandelayo.

Uma usebenzisa i-spray ngezimo ezingapheli, udokotela wakho angase asikisele ukunciphisa kancane kancane imvamisa kunokuyeka kungazelelwe. Lokhu kusiza ekuvikeleni izimpawu zakho ukuthi zingabuyi kungazelelwe.

Ungayeki ukusebenzisa i-spray yakho ye-nasal ngaphandle kokukhuluma nodokotela wakho kuqala, ikakhulukazi uma ubususebenzisa izinyanga noma iminyaka. Bangakusiza ukuthi udale uhlelo lokunciphisa ngokuphepha noma ukuyeka imithi ngokusekelwe ezimpawini zakho zamanje.

Ngingayisebenzisa i-Corticosteroid Nasal Route neminye imithi ye-Nasal?

Ngokuvamile ungasebenzisa ama-corticosteroids e-nasal neminye imithi ye-nasal, kodwa isikhathi kanye nekhono kubalulekile. Hlukanisa ama-spray ahlukene e-nasal okungenani ngemizuzu eyi-15 ukuwavimbela ukuthi angagezi omunye nomunye.

Uma usebenzisa ukuhlanza i-saline, yenza lokhu ngaphambi kokusebenzisa i-spray yakho ye-corticosteroid. I-saline ingasiza ekusuleni amafinyila kanye nemfucumfucu, ivumele imithi ukuthi ifinyelele izicubu ezivuvukele ngempumelelo.

Njalo hlola nodokotela wakho noma usokhemisi ngaphambi kokuhlanganisa imithi yamakhala. Bangakunika iseluleko ngoku-oda okungcono kakhulu nesikhathi sokusebenzisa ukwelashwa kwamakhala okuningi ngokuphepha nangempumelelo.