He aha ke Corticosteroid (Ala Waha/Ala Parenteral): Nā Hoʻohana, Ka Laʻau, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

He mau lāʻau lapaʻau anti-inflammatory ikaika nā Corticosteroids e like me ka cortisol, he hormone a kou kino e hana maoli ai i loko o kou mau ʻāʻa adrenal. Ke lawe ʻia ma ka waha (ala waha) a i ʻole ma ka injection (ala parenteral), hiki i kēia mau lāʻau lapaʻau ke hōʻemi pono i ka mumū a kāohi i kou ʻōnaehana pale ke hana nui. Ua kauoha ʻia lākou no nā ʻano maʻi like ʻole, mai nā hopena maʻi maʻi koʻikoʻi a i nā maʻi autoimmune, a ʻoiai hiki iā lākou ke kōkua nui, pono lākou i ka nānā pono ʻana a me ka hoʻoponopono ʻana i ka dosage.

He aha ke Corticosteroid?

He mau mana synthetic nā Corticosteroids o ka cortisol, i kapa pinepine ʻia ʻo ka

• Nā hopena maʻi koʻikoʻi: Me ka anaphylaxis, nā hōʻeha hānō koʻikoʻi, a me nā maʻi maʻi lāʻau
• Nā maʻi autoimmune: E like me ka rheumatoid arthritis, lupus, a me ka maʻi ʻōpū mumū
• Nā maʻi hanu: Me ka hānō koʻikoʻi, ka maʻi pulmonary obstructive maʻi (COPD) flares, a me ka pneumonia
• Nā maʻi ʻili: E like me ka eczema koʻikoʻi, psoriasis, a me ka dermatitis maʻi
• Nā maʻi mumū: Me ka bursitis, tendonitis, a me ka mumū hui
• Nā maʻi neurological: E like me nā flares sclerosis lehulehu a me kekahi mau ʻano o nā hopu

ʻAʻole maʻamau, kuhikuhi nā kauka i nā corticosteroids no kekahi mau maʻi maʻi, ka pale ʻana i ka hōʻole ʻana i ka transplant organ, a me nā maʻi koʻikoʻi kahi e hoʻoweliweli ai ka mumū i ka hana o nā ʻōpū. E noʻonoʻo pono kāu kauka i nā pōmaikaʻi e kūʻē i nā pilikia hiki ke loaʻa i ka wā e noʻonoʻo ai i kēia mau lāʻau lapaʻau no kāu kūlana.

Pehea e hana ai ʻo Corticosteroid?

Manaʻo ʻia nā Corticosteroids he mau lāʻau lapaʻau waena a ikaika e hana ma ka hoʻohālike ʻana a me ka hoʻonui ʻana i nā hana anti-inflammatory kūlohelohe o kou kino. ʻAʻole lākou nā lāʻau lapaʻau ikaika loa i loaʻa, akā ʻoi aku ka ikaika ma mua o nā lāʻau anti-inflammatory over-the-counter.

Hana kēia mau lāʻau lapaʻau ma ka hoʻopaʻa ʻana i nā mea hoʻokipa kikoʻī i loko o kāu mau cell, e hāʻawi ana i kāu mau cell i nā ʻōlelo aʻo hou e pili ana i ka pane ʻana i ka mumū. Hōʻike lākou i kāu ʻōnaehana pale e mālie a hoʻemi i ka hana ʻana o nā mea mumū e hoʻoulu ai i ka pehu, ka ʻeha, a me ka pōʻino o ka ʻiʻo.

ʻO ka ikaika o nā corticosteroids e ʻokoʻa ana ma muli o ke ʻano kikoʻī a me ke ana. ʻO kekahi, e like me ka prednisone, ua manaʻo ʻia he ikaika waena, ʻoiai ʻo nā mea ʻē aʻe e like me ka dexamethasone ʻoi aku ka ikaika. E koho kāu kauka i ka ikaika kūpono e pili ana i ka paʻakikī o kou maʻi a me ka pane ʻana o kou kino i ka lāʻau lapaʻau.

Pehea e lawe ai au i ka Corticosteroid?

He mea nui ka lawe ʻana i nā corticosteroids me ka pololei no ka pono a me ka palekana. E hāʻawi kāu kauka i nā ʻōlelo kikoʻī, akā aia nā alakaʻi maʻamau e pili ana i ka hapa nui o nā kānaka.

No nā corticosteroids waha, e lawe me ka meaʻai a i ʻole ka waiū e pale i kou ʻōpū. Hiki i kēia mau lāʻau lapaʻau ke hoʻonāukiuki i kāu ʻōnaehana digestive, no laila, ʻo ka loaʻa ʻana o kekahi mea i loko o kou ʻōpū e kōkua i ka pale ʻana i ka nausea a me ka ʻōpū. He maikaʻi ke aniani waiū a i ʻole ka ʻai māmā.

E lawe i kāu mahele i ke kakahiaka inā hiki, ma waena o 6 a me 8 AM. Hoʻohālikelike kēia manawa i ke ʻano o ka hana ʻana o kou kino i ka cortisol a hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o ka hiamoe. Inā ʻoe e lawe ana i nā mahele he nui i kēlā me kēia lā, e hoʻokaʻawale iā lākou i ka lā a pau e like me ka ʻōlelo a kāu kauka.

No nā corticosteroids parenteral (injection), hāʻawi ʻia kēia mau mea e nā poʻe loea mālama ola i nā wahi lapaʻau. Aia ka wahi injection a me ke ʻano i kāu kūlana kikoʻī - hiki ke komo i loko o ka ʻiʻo, vein, a i ʻole pololei i loko o kahi hui i hoʻopilikia ʻia.

Pehea ka lōʻihi e lawe ai au i ka Corticosteroid?

He ʻokoʻa loa ka lōʻihi o ka mālama ʻana i ka corticosteroid ma muli o kou kūlana a me ke ʻano o ka pane ʻana o kou kino. ʻO ka hoʻohana ʻana i ka wā pōkole e mau ana mai kekahi mau lā a i kekahi mau pule, ʻoiai ʻo kekahi mau maʻi maʻi e koi ana i nā manawa lōʻihi.

No nā kūlana koʻikoʻi e like me nā hopena maʻi maʻi koʻikoʻi a i ʻole nā ​​puʻupuʻu hānō, hiki iā ʻoe ke lawe i nā corticosteroids no 3-7 mau lā. Hiki i kēia mau papa pōkole, i kapa pinepine ʻia ʻo

Mai hooki koke i ka lawe ʻana i nā corticosteroids, ʻoiai inā ua lawe ʻoe iā lākou no nā pule ʻoi aku. Pono kou kino i ka manawa e hoʻoponopono hou a hoʻomaka e hana hou i kāna cortisol ponoʻī. E hana kāu kauka i kahi papa hana hoʻemi e hōʻemi mālie i kāu mahele i ka manawa.

He aha nā hopena ʻaoʻao o Corticosteroid?

Hiki i nā Corticosteroids ke hana i nā hopena ʻaoʻao, ʻoiai me ka hoʻohana lōʻihi a i ʻole nā mahele kiʻekiʻe. ʻO ka hoʻomaopopo ʻana i kēia mau hopena e kōkua iā ʻoe e ʻike i ka mea e nānā ai a i ka manawa e hoʻokaʻaʻike aku ai i kāu kauka.

ʻO nā hopena ʻaoʻao maʻamau i ʻike ʻia e nā poʻe he nui, ʻo ia:

• Hoʻonui i ka ʻai a me ka loaʻa kaumaha: Hiki iā ʻoe ke ʻoi aku ka pōloli ma mua o ka maʻamau a ʻike i ka loaʻa kaumaha, ʻoiai a puni kou waena
• Nā loli o ka naʻau: Me ka hoʻonui ʻia o ka ikehu, ka maluhia ʻole, ka hopohopo, a i ʻole nā loli o ka naʻau
• Nā pilikia hiamoe: He paʻakikī ke hiamoe a i ʻole e hiamoe, ʻoiai inā lawe ʻia ma hope o ka lā
• Hoʻopilikia ʻōpū: Nausea, heartburn, a i ʻole ka huhū o ka ʻōpū
• Hoʻonui i ke kō koko: He mea nui loa inā he maʻi diabetes a i ʻole pre-diabetes kāu
• ʻO ka pehu māmā: ʻOiai i kou mau lima, wāwae, a i ʻole ka maka ma muli o ka paʻa wai

Me ka hoʻohana lōʻihi, hiki i kekahi poʻe ke ʻike i nā hopena koʻikoʻi e pono ai ka nānā pono ʻana:

• Ka lahilahi o ka iwi (osteoporosis): Hoʻonui i ka pilikia o nā haʻi, ʻoiai i ka iwi kuamoʻo a me nā pūhaka
• Hoʻonui i ka pilikia o ka maʻi: ʻAʻole hiki i kāu ʻōnaehana pale ke pale aku i nā maʻi
• Ke koko kiʻekiʻe: Lilo ka nānā mau ʻana i mea nui
• Nāwaliwali o ka ʻiʻo: ʻOiai i kou mau lima a me nā wāwae
• Nā loli o ka ʻili: Me ka maʻalahi o ka ʻeha, ka lohi o ka hoʻōla ʻana i ka ʻeha, a me nā kaha kikoo

ʻO nā hopena ʻaoʻao kakaʻikahi akā koʻikoʻi e komo pū ana me nā loli nui o ka naʻau, nā pilikia o ka ʻike, a me ka hoʻopaʻa ʻana o ka adrenal gland. E kelepona koke i kāu kauka inā loaʻa iā ʻoe ke kaumaha nui, nā manaʻo e hōʻeha iā ʻoe iho, nā loli koke o ka ʻike, a i ʻole nā hōʻailona o ka maʻi e like me ke kuni a i ʻole ka ʻū mau.

ʻO wai ka mea pono ʻole e lawe i ka Corticosteroid?

Pono kekahi poʻe e pale i nā corticosteroids a i ʻole e hoʻohana iā lākou me ka akahele loa. E loiloi pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana i kēia mau lāʻau.

ʻAʻole pono ʻoe e lawe i nā corticosteroids inā loaʻa iā ʻoe:

• Nā maʻi hana: ʻOi loa nā maʻi fungal, no ka mea, hiki i nā corticosteroids ke hoʻopaʻa i kāu ʻōnaehana pale a hoʻonui i nā maʻi
• Nā lāʻau lapaʻau virus ola i hoʻonohonoho ʻia: E kali a pau kāu lapaʻau corticosteroid
• ʻIke ʻia ka maʻi: I ka corticosteroid kikoʻī a i ʻole kekahi o kāna mau meaʻai

E hoʻohana i nā corticosteroids me ka akahele inā loaʻa iā ʻoe:

• Diabetes: Hiki i kēia mau lāʻau lapaʻau ke hoʻonui nui i nā pae kōpaʻa koko
• Ke koko kiʻekiʻe: Hiki i nā Corticosteroids ke hoʻonui i ke koko
• Osteoporosis: Ka pilikia o ka nāwaliwali hou o ka iwi
• Glaucoma: Hiki ke hoʻonui i ke kaomi maka
• Nā ʻōpū ʻōpū: Ka pilikia o ke kahe ʻana a i ʻole ka perforation
• Nā kūlana olakino noʻonoʻo: Me ke kaumaha, hopohopo, a i ʻole ka maʻi bipolar

Pono nā wahine hāpai a me nā wahine e hānai ana i ka umauma i ka noʻonoʻo kūikawā. ʻOiai hiki ke hoʻohana ʻia nā corticosteroids i ka wā hāpai ke ʻoi aku ka maikaʻi ma mua o nā pilikia, pono lākou i ka nānā pono. E kūkākūkā kāu kauka i nā koho palekana loa no kāu kūlana kikoʻī.

Nā inoa inoa Corticosteroid

Loaʻa nā Corticosteroids ma lalo o nā inoa inoa like ʻole, ma muli o ka lāʻau lapaʻau a me ka hoʻopili ʻana. ʻO ka ʻike ʻana i kēia mau inoa e kōkua iā ʻoe e ʻike i kāu lāʻau lapaʻau a hoʻomaopopo i kāu mea e lawe nei.

ʻO nā inoa inoa corticosteroid waha maʻamau e komo pū ana:

• Prednisone: Deltasone, Rayos, Prednisone Intensol
• Prednisolone: Orapred, Prelone, Pediapred
• Methylprednisolone: Medrol, Medrol Dosepak
• Dexamethasone: Decadron, DexPak
• Hydrocortisone: Cortef

ʻO nā corticosteroids injectable e komo pū ana me Solu-Medrol (methylprednisolone), Solu-Cortef (hydrocortisone), a me Decadron (dexamethasone). Hoʻohana pinepine ʻia kēia mau mea i nā wahi mālama ola a loaʻa paha nā inoa inoa like ʻole ma muli o ka mea hana.

Nā Koho ʻē aʻe o Corticosteroid

Nui nā koho ʻē aʻe i nā corticosteroids, ma muli o kou kūlana. Hiki i kāu kauka ke noʻonoʻo i kēia mau koho inā ʻaʻole kūpono nā corticosteroids iā ʻoe a i ʻole ke loaʻa nei iā ʻoe nā hopena ʻaoʻao nui.

Hiki i nā lāʻau anti-inflammatory non-steroidal (NSAIDs) e like me ibuprofen, naproxen, a me celecoxib ke kōkua i ka mumū a me ka ʻeha. ʻOiai ʻaʻole ikaika e like me nā corticosteroids, lawa paha lākou no nā kūlana mumū māmā a maʻalahi.

Hāʻawi nā lāʻau lapaʻau antirheumatic e hoʻololi i ka maʻi (DMARDs) e like me methotrexate a me sulfasalazine i ka mana lōʻihi no nā kūlana autoimmune. Hana ʻokoʻa kēia mau lāʻau lapaʻau ma mua o nā corticosteroids akā hiki ke like ka maikaʻi no nā maʻi mumū maʻi.

Hōʻike nā lāʻau lapaʻau biologic i nā koho lapaʻau hou no nā kūlana e like me ka rheumatoid arthritis a me ka maʻi ʻāʻī ʻāʻī. Hiki i kēia mau lāʻau lapaʻau i manaʻo ʻia ke maikaʻi loa akā pono e nānā pono ʻia a ʻoi aku ke kumukūʻai ma mua o nā lāʻau lapaʻau kuʻuna.

ʻOi aku ka maikaʻi o Corticosteroid ma mua o Prednisone?

He ʻano corticosteroid maoli nō ka Prednisone, no laila, ʻo ka hoʻohālikelike ʻana i nā corticosteroids me ka prednisone e like me ka hoʻohālikelike ʻana i nā kaʻa me ka Honda – he lālā hoʻokahi ka prednisone o ka ʻohana corticosteroid. ʻO ka nīnau maoli nō, ʻo ia ke corticosteroid e hana maikaʻi loa no kou kūlana kikoʻī.

Ua manaʻo pinepine ʻia ka Prednisone ʻo ia ka

Inā ua lawe ʻoe i ka nui loa o ka corticosteroid me ka manaʻo ʻole, e kelepona koke i kāu kauka a i ʻole ke kikowaena mana ʻawa. ʻO ka lawe ʻana i ka nui loa hiki ke hana i nā hopena ʻaoʻao koʻikoʻi, ʻoi loa ka hopena i kou puʻuwai, ke koko, a me nā pae kō kō.

ʻO nā hōʻailona o ka overdose corticosteroid e komo paha i ka nausea koʻikoʻi, ka luaʻi, ka wili, ke poʻo, ka nāwaliwali o ka ʻiʻo, a i ʻole nā loli i ka puʻuwai. Hiki nō hoʻi iā ʻoe ke ʻike i nā loli nui o ka naʻau, ka huikau, a i ʻole ka pilikia o ka hanu.

Mai hoʻāʻo e

E hana kāu kauka i kahi papa hana e hoʻemi mālie i kāu mahele lāʻau i nā lā, nā pule, a i ʻole nā mahina, ma muli o ka lōʻihi o kou lawe ʻana i ka lāʻau a me kāu pane pilikino. Pale kēia i nā hōʻailona haʻalele a hiki i kāu mau ʻāpana adrenal ke hoʻomau i ka hana maʻamau.

ʻO nā hōʻailona e mākaukau paha ʻoe e hooki, ʻo ia nā hōʻailona i kāohi ʻia, ke kūlana paʻa, a me ka hoʻopau maikaʻi ʻana i kāu hoʻolālā lapaʻau. E nānā kāu kauka i kāu holomua a hoʻoponopono i ka papa hana hoʻemi ma muli o ke ʻano o kāu pane ʻana i ka hoʻemi ʻana i ka mahele lāʻau.

Hiki iaʻu ke inu i ka waiʻona i ka wā e lawe ana i ka Corticosteroid?

ʻOi aku ka maikaʻi e kaupalena a pale paha i ka waiʻona i ka wā e lawe ana i nā corticosteroids. Hiki i ka waiʻona a me nā corticosteroids ke hoʻonāukiuki i ka uhi ʻana o kou ʻōpū, e hoʻonui ana i ka pilikia o nā ʻōpū ʻōpū a me ke kahe ʻana o ke koko ke hui pū ʻia.

Hiki i ka waiʻona ke hoʻonui i kekahi mau hopena ʻaoʻao corticosteroid, me nā loli o ke ʻano, nā pilikia hiamoe, a me nā loli o ke kō koko. Inā loaʻa iā ʻoe ka maʻi diabetes, hiki i ka waiʻona ke paʻakikī i ka mālama ʻana i ke kō koko i ka wā e lawe ana i nā corticosteroids.

Inā koho ʻoe e inu i ka waiʻona, e hana me ke ana a me ka meaʻai mau. E kūkākūkā i kāu ʻai ʻana i ka waiʻona me kāu kauka, no ka mea, hiki iā lākou ke ʻōlelo e pale loa iā ia ma muli o kou kūlana kikoʻī a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.