Corticosteroid - ndichiyani? ndi zizindikiro ndi zotsatira za corticosteroids chiyani?

Mmodzi wa anazindikira mkulu-ntchito mankhwala odana ndi yotupa ndi corticosteroids. Koma pamaso pangano dokotala ayenera kuonanso bwino chifukwa kuyembekezera kwa mankhwala ndi mavuto amene angakumane ndi mavuto.

terminology Basic

Kuyesera kuchita ndi mankhwala dokotala, odwala ambiri achidwi kupeza phindu mfundo corticosteroid a. Ndi wochokera mfundo chithandizo cha, wokhoza kufotokoza m'thupi yemwenso iliyonse. Izo zinabala mu kotekisi wa timadzi adrenal, umene ndi yang'anira a kagayidwe mu thupi. Komanso ndi udindo munthu amene chokwanira nkhawa, inflammations zosiyanasiyana kapena matenda.

Kuwaona ku malo pharmacist mu corticosteroid fanizo ili adzakhala penapake zovuta. Ndi kupanga timadzi ndi chilinganizo zovuta kumathandiza thupi mongoyembekezera kubisa kutupa. Koma matenda ambiri popanda zida izi sangachite, ndi madotolo, potaya mavuto onse, ntchito corticosteroids kutumikiridwa odwala.

zikuonetsa

Corticosteroids anatengedwa matenda osiyanasiyana yotupa, mavuto ndi dongosolo kupuma, ndi angapo njira autoimmune. Madokotala amalangiza iwo kwa psoriasis, zokhudza zonse lupus erythematosus, atopic dermatitis, chikanga, mphumu. Komanso, kugwiritsa pamene limba kupatsa, kuteteza zotheka minofu kukanidwa. anthu ambiri sakudziwa kalikonse za mankhwala mankhwala, monga corticosteroid a. Kuti amenewa, chifukwa iwo si bwino. Koma atamva oyandikana nawo nyumba kapena anzawo kuti ntchito iwo akhoza kuchiza chikanga, chifuwa kapena mphumu, iwo mofulumira kupita kwa ogulitsa mankhawala a. Ndipotu, kukhala-medicate ntchito gulu ili singakhale mankhwala. ntchito zawo ziyenera kuchitika moyang'aniridwa okhwima zachipatala. Ichi ndi chifukwa kuthekera zikamera wa zochita zosiyanasiyana chokhwima kapena pakutchulidwa a matenda ena. M'pofunikanso osati kusankha mankhwala bwino, komanso kupeza mlingo woyenera.

Malinga mavuto anayambika corticosteroids angathe kuperekedwa mu mawonekedwe a mapiritsi, jakisoni, inhalations kapena mafuta chifukwa ntchito kunja.

Kusankhidwa kwa mankhwala

Kupewa mavuto osiyanasiyana, ndipo pakutchulidwa mosiyanasiyana chowawa, madokotala mankhwala corticosteroids mosamala. Choyamba m'pofunika kuti atsimikizire matenda ndi kuonetsetsa kuti mankhwala zimathandiza kudziwa vuto. Ndi bwino kuti perekani ndalama poyambirira mu osachepera mlingo ogwira, kusintha akamavutika pa mankhwala.

Imodzi mwa mfundo zina zabwino zofunika kuti muyenera kudziwa odwala onse, ndi nthawi ya kumwa mankhwala awa. Monga ulamuliro, iwo amaikidwa kwa zosaposa 5-7 masiku. Ngati mukufuna zambiri yaitali mankhwala ndi corticosteroids, ntchito zawo pa tsiku. Kuwonjezera apo, kugwiritsa ntchito nthawi yaitali chofunika kuti tione mtima kupewa khungu, maso, kufooka kwa mafupa kapena gastritis.

Mwadzidzidzi kuletsa kugwiritsa ntchito ndalama izi, ngati zagwiritsidwa ntchito pa nthawiyo ndikoletsedwa.

Mbali

Panopa nkhani zambirimbiri za kuopsa corticosteroids ndipo mankhwala awa ndi zotsatira zambiri mbali, iwo nzomwerekeretsa, ndipo pambuyo achire awo pa wodwala yekha kukulitsa matenda. Komabe, ambiri kuiwala kuti anthu ambiri akanakhoza kuchiritsidwa kudzera izi. Motero, zochita za corticosteroids kuchotsa kutupa. Zitatha izi, ululu chitadutsa, kutupa kuchepa. Pambuyo kuwonongedwa kwa gwero la kutupa akhoza chinkhoswe mankhwala ndi zina.

Ndi ntchito moyenera mankhwala m'thupi, kuphatikizapo corticosteroids, palibe choopsa si. Iwo okha kuthandiza kusonkhanitsa thupi, yotithandiza chitetezo cha m'thupi. Koma ntchito zawo nthawi yaitali zinadzala ndi zikamera wa nambala mavuto, mmodzi amene angakhale m'thupi kulephera. Iwo akhoza kuwachititsa kusintha kulemera kwa wodwalayo. Koma musanayambe kusiya ntchito zawo, tiyenera kukumbukira kuti zimene corticosteroids kuchotsa kutupa, ndipo popanda kuchiza matenda ambiri sangathe. Komanso, matenda ambiri sangathe anawachiritsa popanda mwadongosolo, yaitali ntchito ndalama izi.

Kuopsa ntchito

Pamaso poika dokotala mankhwala tiyenera kuchenjedzana wodwala analemba kuti ndikuuzeni zimene njira osavomerezeka, ndipo kodi mankhwalawo iwo amayambitsa. Kumbukirani kuti nthawi zambiri vuto lagona awononge anthu okhawo amene amasonyeza ntchito nthawi yaitali mankhwala.

Zikatero, ngozi za mankhwala osokoneza bongo. zopangitsa m'thupi Zoterozo akusokera nazo ndipo anasiya paokha kubala corticosteroids. Kukonzekera mongoyembekezera m'malo ntchito zopangitsa kwa adrenal. Koma pamapeto zimenezi zikhoza imbalances timadzi ta m'thupi mwa thupi, chifukwa zopangitsa zogwirizana kuyamba kugwira ntchito mu mawonekedwe osiyana. Zimenezi zimabweretsa zochitika zosiyanasiyana chokhwima mwa amene kwambiri kunenepa, yatsoka chizolowezi edema, kuthamanga kwa magazi, pakutchulidwa wa ziphuphu zakumaso, utachepa chitetezo chokwanira, ndi ena ambiri.

Njira odziwika bwino kwambiri

Ngakhale ngozi kukula, mankhwala gulu ali otchuka kwambiri. dokotala chokwanira liyang'anire alili ndipo tisalole iye kuti tipeze zonse za corticosteroid zawo. Kodi mtundu wa mankhwala, adokotala kufotokoza yekha. Iye alankhula za momwe ziriri ndi kangati ayenera kugwiritsidwa ntchito.

Yotchuka kwambiri anthu zikutanthauza kuti gulu monga "Dexamethasone" mankhwala "Diprospan", "Flosteron", "prednisone", "Methylprednisolone," "Kortef", "Triamcinolone" "Kenalog" ndi zina zambiri njira zofanana.

Malinga ndi malo kutupa ndi matenda dokotala ayenera kusankha ngati mlingo zofunika ndi maonekedwe a corticosteroid kumasulidwa. Mwachitsanzo, chifukwa mavuto dermatological zambiri zotchulidwa mafuta, kutupa mu maso - dontho matenda enaake ophwanya, zotupa zimfundo ndi zimakhala ozungulira - jekeseni mwachindunji mu matumba a kutupa. Ngati connective matenda wodwalayo minofu, pachimake ziwengo, nyamakazi, mphumu, kumene n'zosatheka kuchotsa mwa njira ina, hemorrhagic diathesis kapena mavuto ena zofuna kudzudzulidwa m'thupi, ndalama akhoza allocated mu mawonekedwe a mapiritsi.

Dongosolo apakhungu a corticosteroids

Ngati kutupa si m'thupi, ndipo Tingaone pakhungu, anthu amakonda Kwalamulidwa mankhwala mu mawonekedwe a mafuta ndi. Ngati dotolo aipeza zofunika kuchita mankhwala ndi njira m'thupi, ndiye ntchito corticosteroids apakhungu. Iwo apangidwa kuthana ndi dermatoses osiyanasiyana, zipangizo kuthandiza pa nthawi imene thupi kale sangathe kulimbana ndi vuto palokha. N'zoona kuti kukonzekera ntchito kunja ndi chabwino, koma kuchepetsa chiopsezo cha ntchito zawo kusalankhula ndiponso sikuthandiza.

Ngati m'thupi mafuta inu yoikidwiratu dokotala, m'pofunika molondola kukumbukira kapena kulemba zonse malangizo okhudza pafupipafupi ndi nthawi ya ntchito, m'pofunikanso kupeza zimene kuchuluka kwa mafuta iyenera kugwiritsidwa ntchito kwa zinkakhala m'dera. mfundo izi zonse ziri zofunika kwambiri, chifukwa tisunga malamulo onse, mukhoza kupewa mavuto ndi kulepheretsa chitukuko cha khungu kukakala kuti njira zina.

Corticosteroids, ntchito timitu, anawagawa m'magulu anayi, malingana ndi zotsatira za polojekiti. Kuti monga ofooka mankhwala "hydrocortisone" omwe amapangidwa mu mawonekedwe a mafuta kapena kirimu. njira makezana za ntchito - ndi mankhwala "prednisolone", "Dermatop", "Emoveyt", "deperzolon", "Lorinden", "Sinalar", "flutsinar" ndi ena ambiri. Mwa mankhwala amphamvu monga "Diproderm", "Advantan", "Latikort", "Sikorten", "Esperson." Bwino kwambiri ndi mafuta "Dermoveyt" ndi "Haltsiderm".

corticosteroids zokhudza zonse

matenda khungu - uwu si umboni okha njira m'thupi. Pa matenda osiyanasiyana enaake ophwanya, mavuto kupuma, khansa, mononucleosis, matenda awo sagwirizana ambiri zotchulidwa corticosteroids zokhudza zonse. Iwo agawidwa mu chilengedwe (zipangizo Izi zikuphatikizapo "Cortisone" kukonzekera "Hydrocortisone") ndi kupanga ( "Dexamethasone" mankhwala "Prednizol", "Methylprednisolone"). Iwo odziwika mu nthawi, amene ukhoza kwa maola 8-12 mpaka 54. nthawi iyi zimadalira mlingo mawonekedwe lokonzekera, njira oyendetsa mlingo.

Ngati cholinga chawo zofunika kuyesera kuti tikwaniritse zotsatira pogwiritsa ntchito osachepera mlingo njira. Izi amaganizira ayi zaka, kulemera kwa wodwalayo, komanso matenda, ndi kupempha thandizo la munthu.

Inhalations ndi wothandizila mahomoni

Njira imodzi yothandiza kwambiri kuchitira bronchial mphumu, aakulu chibayo, interstitial matenda a m'mapapo ndi aakulu obstructive matenda m'mapapo mwanga mu pachimake ndi ntchito corticosteroids. Zikuphatikizapo zipangizo monga "furoate", "Budesonit" "Beclomethasone", "Triamcinolone" "Fluticasone". corticosteroids Mpweya msanga ziletsa njira yotupa zimene zimachitika mu mapapo ndi bronchi, kuchepetsa katulutsidwe awo. Komanso, ntchito wothandizila m'thupi la mtundu umenewu kumachepetsa kufunika mapiritsi zotsatira ofanana.

Ntchito zawo zofunika zipangizo wapadera - odwala ufa kapena nebulizers. M'pofunikanso kudziwa pamene formulations amenewa amathanso kusonyeza mavuto. Mwachitsanzo, ntchito yaitali nthawi zambiri anati zosayembekezereka wa candidiasis oropharyngeal, kupatula - ofanana mafangasi matenda a kum'mero, dysphonia (zosayembekezereka wa mavuto ndi mawu, izo zimakhala ofooka ndi mawu), chifuwa.

Mawonekedwe m'mphuno glyukosteroidov

Mahomoni odana ndi yotupa wothandizila ndi amapatsidwa vuto la mavuto ndi m'mphuno. Iwo ntchito osati kuthana ndi rhinitis, kuphatikizapo awo sagwirizana ndi mawonekedwe ake, komanso kuteteza zosayembekezereka tizilombo ting'onoting'ono pambuyo kuchotsa awo, hemorrhagic diathesis (chizolowezi magazi, kuphatikizapo mphuno).

kugwiritsa ntchito kwambiri corticosteroids mu otorhinolaryngology chifukwa chakuti amatha kudzagwira zizindikiro za matenda kapena kuti kwambiri kuwonjezera nthawi ya pakati exacerbations. Kugwiritsa ntchito njira apakhungu kumathandiza kuchepetsa zotsatira zotheka mbali ndi imodzi kuonjezera mphamvu ya mankhwala ntchito.

Childs, corticosteroids m'mphuno bwino zimachitikira, koma odwala ena oyambirira mankhwala anati dryness wa mphuno, kuyabwa, zikhoza nosebleeds. Musanayambe kuwatengera, muyenera kukonzekera chakuti iwo ndi mochedwa kuyamba kugwira ntchito. Zotsatira zikuoneka monga ulamuliro, koma tsiku lachitatu, amayesetsa palibe kale kuposa pazipita pa wachisanu, ndipo pa tsiku lachisanu ndi chiwiri. corticosteroids Intranasal ntchito mitundu monga "Budesonide" mankhwala, "BDP" "Fluticasone", "furoate momenazona".