Yaraynta Inflammation si loo Hagaajiyo Waxqabadka Sanbabada
Ugu dambeyntii, badiba dadka qaba nooc kasta oo ah cudurrada sambabada dabadheeraad ah waxay heli doonaan iyagoo qaadanaya dawo ka hortag ah muddada qaarkood muddada daaweynta. Daawooyinka ka hortagga nabarrada ayaa sii wanaajiya neefsiga iyagoo yareynaya bararka marinnada hawada. Qaar ka mid ah dawooyinka ka hortagga anti-inflammatory waxaa la qaataa muddo gaaban si ay uga caawiso dhakhso u soo kabashada marka bukaanku qabo infekshin xagga neefsashada ah ama dhibaatooyin kale oo keenaya in uu ku adkaado neefsashada.
Qaar ka mid ah daawooyinka anti-bararka ayaa la qaataa muddo dheer si looga caawiyo ka hortagga marinnada hawada oo bararaya iyo hagaajinta shaqooyinka sanbabada.
Corticosteroids vs. Steroids Anabolic
Ka hor intaanan sii dhaafin, waxaynu nadiifinnaa qaar jahawareer ah in dad badani ay leeyihiin ereyga "steroids." Isticmaalka steroids ee loo isticmaalo daaweynta cudurada sanbabadu waa corticosteroids , kuwaas oo ah walxo kala duwan oo ka badan anteriskiska steroids oo aan mararka qaarkood maqal ku saabsan ciyaaraha .
Corticosteroids: Daawooyinka ku dayda waxyeellada hoormoonka lagu sameeyay qanjirrada adrenal oo la yiraahdo "cortisol," oo leh shaqooyin badan oo jidhka ah oo ay ka mid yihiin dagaalka kadeedka iyo yaraynta caabuqa.
Cudurrada anabolic Anabolic: versions of synthetic of hormoonada rag lab ah kuwaas oo kordhiya sifooyinka lab ah. Cayaartooyinku mararka qaar waxay u isticmaalaan si sharci darro ah si ay u kordhiyaan xajinta muruqyada iyo xoogga. Waxaa jira xaalado caafimaad oo sharci ah oo loogu talagalay astaamaha anabolic steroids laga yaabo in la qoro, laakiin cudurka sambabku maaha mid ka mid ah.
Afka Corticosteroids
Lafaha afka, sida prednisone , prednisolone ama methylprednisone, ayaa mararka qaarkood loo qoraa dadka qaba cystic fibrosis (CF) daaweynta muddada gaaban. Laguma talinayo daaweynta muddada-dheer sababtoo ah suurtagalnimada dhibaatooyinka halista ah ee ay ka mid yihiin kuwa soo socda:
- Hoosudhaca koritaanka ee carruurta
- Sonkorowga
- Cataracts
- Osteoporosis
- Awoodda hoos udhaca infakshanka sanbabada, sida Pseudomonas aeruginosin oo aad u liita
Steroids oo la cabo
Isticmaalida sterids, sida Qvar (beclomethasone), Pulmicort (budesonide) iyo Flutent (fluticasone), ayaa si toos ah loogu gudbiyaa sambabada waxayna leeyihiin saameyn waxyeello ka yar inta lagu sameeyo steroids. Hase yeeshee, daraasaduhu ma muujin wax faa'iido gaar ah oo ah steroids mudo dheer ah oo loogu talagalay dadka qaba cystic fibrosis; Sidaa daraadeed, Foundation Foundation Cystic Fibrosis waxay ka talisaa ka hortagga Isticmaalka joogtada ah ee steroids ee dadka qaba CF marka laga reebo inay qabaan neef .
Maandooriyeyaasha Lidka-Xakamaynta ee Aan Cudurka ahayn (NSAIDs)
Sida magaca loola jeedo, NSAIDs waa koox ka mid ah daawooyinka anti-bararka oo aan ku jirin steroids. NSAID-yadu ma qaadaan hal isku mid ah saameyn xun oo ah daawooyinka anti-inflammatory steroid. Si kastaba ha ahaatee, isticmaalka muddada dheer NSAIDs waxay keeni kartaa dhiig-baxa gudaha ama dhibaatooyinka kelyaha.
Ibuprofen, oo laga iibsado miiska iyo rijeetada, waa NSAID oo loo arkay in lagu yareeyo luminta sambabada iyadoo adeegsaneysa waqti dheer dadka qaba cystic fibrosis. Sababtoo ah faa'idada ka iman karta ibuprofen waxay ka weyn tahay halista dhibaatooyinka halista ah, Foundation Foundation Cystic Fibrosis ayaa ku talineysa isticmaalka muddada-dheer ee dawada ibuprofen sida daaweyn loogu talagalay dadka qaba cystic fibrosis kuwaasoo ugu yaraan 6 jir ah oo leh FEV1 oo ah 60% ama ka weyn.
Muhiim: Ha u qaadan daawada ibuprofen-ka ee daaweynta muddada-dheer ee faybriska cysticis la'aanteed marka hore la tasho dhakhtarkaaga.
Xigasho:
Flume, P., et al. "Tilmaamaha Qanjidhka Dhiigga ee 'Cystic Fibrosis': Daawooyinka Mustaqbalka ee loogu talagalay ilaalinta Sambabka Caafimaadka" Am. J. Respir Crit Care Care 2007 2007: 176: 957-969 31 Ogost 2008.