He aha te Corticosteroid (Ara-waha/Ara-parenteral): Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

He rongoā kaha te corticosteroids e whawhai ana i te mumura, e rite ana ki te cortisol, he homoni e hangaia ana e tō tinana i roto i ō repe adrenal. Ina tangohia mā te waha (ara-waha) rānei mā te werohanga (ara-parenteral), ka taea e ēnei rongoā te whakaiti i te mumura me te aukati i tō pūnaha ārai mate ina kaha rawa atu. Ka tohua ēnei rongoā mō te whānuitanga o ngā āhuatanga, mai i ngā tauhohenga mate pāwera nui ki ngā mate ārai-aunoa, ā, ahakoa he tino whai hua, me mātua āta aroturuki me te whakatika i te inenga.

He aha te Corticosteroid?

Ko te corticosteroids he putanga waihanga o te cortisol, e mōhiotia ana ko te

• Ngā tauhohenga mate pāwera nui: Kei roto ko te anaphylaxis, ngā whakaeke huango nui, me ngā mate pāwera rongoā
• Ngā mate ā-ārai-a-tinana: Pērā i te rūmātiki, te lupus, me te mate puku mumura
• Ngā āhuatanga manawa: Kei roto ko te huango nui, te mate aukati pūkahukahu mau tonu (COPD) e pā ana, me te pūkahukahu
• Ngā āhuatanga kiri: Pērā i te eczema nui, te psoriasis, me te dermatitis pāwera
• Ngā āhuatanga mumura: Kei roto ko te bursitis, te tendonitis, me te mumura tahi
• Ngā āhuatanga neurological: Pērā i ngā mura o te sclerosis maha me ētahi momo hauhautanga

I te nuinga o te wā, ka tohua e ngā tākuta ngā corticosteroids mō ētahi momo mate pukupuku, te ārai i te whakakāhore i ngā okana, me ngā mate nui e whakatuma ana te mumura i te mahi okana. Ka āta whakatau e tō tākuta ngā painga ki ngā tūponotanga ka whakaarohia ēnei rongoā mō tō āhuatanga motuhake.

Me pēhea te mahi a te Corticosteroid?

E kiia ana he rongoā ngawari ki te kaha ngā corticosteroids e mahi ana mā te whai i ngā tukanga anti-mumura tūturu o tō tinana me te whakanui. Kāore rātou i te rongoā kaha rawa atu e wātea ana, engari he kaha ake rātou i ngā rongoā anti-mumura e hokona ana.

E mahi ana ēnei rongoā mā te here ki ngā kaiwhiwhi motuhake i roto i ō pūtau, e hoatu ana ki ō pūtau ngā tohutohu hou mō te pēhea te urupare ki te mumura. E kī ana rātou ki tō pūnaha ārai mate kia marino, kia whakaiti i te hanga o ngā matū mumura e pā ana ki te pupuhi, te mamae, me te kino o te kiko.

He rerekē te kaha o ngā corticosteroids i runga i te momo me te horopeta. Ko ētahi, pērā i te prednisone, e kiia ana he kaha ngawari, i te wā e kaha ake ana ētahi atu pērā i te dexamethasone. Ka whiriwhiria e tō tākuta te kaha tika i runga i te kaha o tō āhuatanga me te urupare o tō tinana ki te rongoā.

Me pēhea taku tango i te Corticosteroid?

He mea nui te tango tika i ngā corticosteroids mō te whai hua me te haumaru. Ka hoatu e tō tākuta ngā tohutohu motuhake, engari he aratohu whānui e pā ana ki te nuinga o te tangata.

Mō ngā corticosteroids waha, tangohia me te kai, te miraka rānei hei tiaki i tō puku. Ka pōraru pea ēnei rongoā i tō pūnaha kūnatu, nō reira mā te whai mea i tō puku ka ārai i te whakapairuaki me te pōraru puku. He pai te karaihe miraka, te kai māmā rānei.

Tangohia tō horopeta i te ata ka taea, i waenga i te 6 me te 8 AM. E taurite ana tēnei wā ki te tauira whakaputa cortisol tūturu o tō tinana, ā, ka āwhina pea ki te whakaiti i te raru moe. Ki te tango koe i ngā horopeta maha i ia rā, whakatakotoria kia ōrite puta noa i te rā e ai ki tā tō tākuta e kī ana.

Mō ngā corticosteroids parenteral (werohanga), ka hoatu ēnei e ngā tāngata hauora i ngā wāhi rongoā. E whakawhirinaki ana te wāhi werohanga me te tikanga ki tō āhuatanga motuhake – ka uru pea ki roto i te uaua, te uaua toto, te hononga rānei kua pā.

Kia Pēhea te Roa o taku tango i te Corticosteroid?

He rerekē te roa o te maimoatanga corticosteroid i runga i tō āhuatanga me te pēhea te urupare o tō tinana. Ko te whakamahi wā-poto te nuinga o te wā e roa ana mai i te rā torutoru ki te wiki torutoru, i te mea ka hiahia pea ētahi āhuatanga mau tonu i ngā wā maimoatanga roa ake.

Mō ngā āhuatanga koi pēnei i ngā tauhohenga mate pāwera nui, i ngā mura o te huangō rānei, ka tango pea koe i ngā corticosteroids mō te 3-7 rā noa iho. Ko ēnei akoranga poto, e mōhiotia ana ko te "steroid bursts," ka taea te whakahaere tere i te mumura me te kore e pānga nui ki te wā roa.

Ka hiahia pea ngā āhuatanga mau tonu pēnei i te rūmātiki, i te mate puku mumura rānei i ngā wā maimoatanga roa ake, i ētahi wā he marama, he tau rānei. I ēnei wā, ka whakamahi tō tākuta i te horopeta whai hua iti rawa, ā, ka mātakitaki tata i a koe mō ngā pānga taha.

Kaua rawa e mutu te tango i ngā corticosteroids ohorere, ina koa kua roa koe e tango ana i a rātou mō ngā wiki maha. Me whai wā tō tinana ki te whakatikatika anō, ki te tīmata anō te whakaputa i tana ake cortisol. Ka waihanga tō tākuta i tētahi hōtaka whakaheke e whakaheke haere ana i tō horopeta i roto i te wā.

He aha ngā Pānga taha o te Corticosteroid?

Ka pānga taha ngā corticosteroids, ina koa ki te whakamahi roa, ki ngā horopeta teitei rānei. Mā te māramatanga ki ēnei pānga ka mōhio koe ki ngā mea hei mātakitaki, ā, nō te wā e whakapā atu ai ki tō tākuta.

Ngā pānga taha noa e pā ana ki te nuinga o te tangata ko:

• Te piki o te hiahia me te pikinga o te taumaha: Ka nui ake pea tō hiakai i te tikanga, ka kite hoki koe i te pikinga o te taumaha, ina koa ki te taha o tō puku
• Ngā huringa o te ngākau: Kei roto ko te piki o te kaha, te noho tūkinotia, te āwangawanga, te huringa o te ngākau
• Ngā raruraru moe: Te uaua ki te moe, ki te noho moe rānei, ina koa ka tangohia i muri mai i te rā
• Te pōhara o te puku: Te whakapairuaki, te ngākau pāwera, te riri o te puku
• Te piki o te huka toto: He mea nui ina he mate huka tōu, he pre-diabetes rānei
• Te pūhi iti: Ina koa ki ō ringa, ō waewae, ki tō mata rānei nā te pupuri wai

Ki te whakamahi wā roa, ka pā pea ki ētahi tāngata ngā pānga nui ake e hiahia ana kia mātakitakihia:

• Te angiangi o ngā wheua (osteoporosis): Te piki o te tūponotanga o ngā whati, ina koa ki te tuarā me ngā hope
• Te piki o te tūponotanga o te mate: Kāore pea tō pūnaha ārai mate e kaha ki te whawhai i ngā mate
• Te toto tiketike: Ka nui te hiranga o te mātakitaki i ngā wā katoa
• Te ngoikore o ngā uaua: Ina koa ki ō ringa me ō waewae
• Ngā huringa kiri: Kei roto ko te ngāwari ki te pāmu, te puhoi o te whakaora i ngā patunga, me ngā tohu totoro

Ko ngā pānga taha onge engari he nui te kino ko ngā huringa nui o te wairua, ngā raruraru o te tirohanga, me te pēhitanga o te repe adrenal. Whakapā atu ki tō tākuta i te wā tonu mēnā ka pā ki a koe te pouri nui, ngā whakaaro ki te whara i a koe anō, ngā huringa ohorere o te tirohanga, ngā tohu rānei o te mate pērā i te kirika, te mare tonu rānei.

Ko wai kāore e tika kia tango i te Corticosteroid?

Me karo e ētahi tāngata ngā corticosteroids, me whakamahi rānei me te tino tūpato. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i ēnei rongoā.

Kāore koe e tika kia tango i ngā corticosteroids mēnā kei a koe:

• Ngā mate kaha: Inā rā ngā mate harore, i te mea ka pēhi ngā corticosteroids i tō pūnaha ārai mate, ka kino ake ngā mate
• Ngā werohanga huaketo ora kua whakaritea: Tatari kia oti i a koe te rongoā corticosteroid
• He mate pāwera e mōhiotia ana: Ki te corticosteroid motuhake, ki ētahi rānei o ōna kai

Whakamahia ngā corticosteroids me te tūpato mēnā kei a koe:

• Te mate huka: Ka taea e ēnei rongoā te whakanui i ngā taumata huka toto
• Te toto tiketike: Ka taea e ngā Corticosteroids te whakanui ake i te toto tiketike
• Osteoporosis: Te tūponotanga o te ngoikoretanga o te wheua
• Glaucoma: Ka taea te piki ake o te pēhanga o te kanohi
• Ngā whewhe puku: Te tūponotanga o te whakaheke toto, te poka rānei
• Ngā āhuatanga hauora hinengaro: Kei roto i tēnei te pouri, te āwangawanga, te mate bipolar rānei

Me whai whakaaro motuhake ngā wāhine hapū me te whāngai ū. Ahakoa ka taea te whakamahi i ngā corticosteroids i te wā e hapū ana, ina nui ake ngā painga i ngā tūponotanga, me āta aroturuki. Ka kōrero tō tākuta i ngā kōwhiringa haumaru mō tō āhuatanga motuhake.

Ngā Ingoa Waitohu Corticosteroid

Kei te wātea ngā corticosteroids i raro i ngā ingoa waitohu rerekē, i runga i te rongoā me te hanganga. Mā te mōhio ki ēnei ingoa ka āwhina koe ki te tautuhi i tō rongoā me te mārama ki ngā mea e inu ana koe.

Ko ngā ingoa waitohu corticosteroid waha noa ko:

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

Kei roto i ngā corticosteroids werohia ko Solu-Medrol (methylprednisolone), Solu-Cortef (hydrocortisone), me Decadron (dexamethasone). Ko te tikanga ka whakahaerehia ēnei i roto i ngā wāhi hauora, ā, he rerekē pea ngā ingoa waitohu i runga i te kaihanga.

Ngā Kōwhiringa kē mō te Corticosteroid

He maha ngā kōwhiringa kē mō ngā corticosteroids, i runga i tō āhuatanga motuhake. Ka whakaaro pea tō tākuta ki ēnei kōwhiringa mēnā kāore ngā corticosteroids e tika ana mōu, mēnā rānei kei te pā koe i ngā pānga taha nui.

Ka taea e ngā rongoā anti-inflammatory kore-steroidal (NSAIDs) pēnei i te ibuprofen, naproxen, me te celecoxib te āwhina i te mumura me te mamae. Ahakoa he iti ake te kaha i ngā corticosteroids, he nui pea mō ngā āhuatanga mumura ngawari ki te āhua.

Ko ngā rongoā whakarerekē i te mate (DMARDs) pēnei i te methotrexate me te sulfasalazine e tuku ana i te mana whakahaere wā-roa mō ngā āhuatanga autoimmune. He rerekē te mahi a ēnei rongoā i ngā corticosteroids engari ka whai hua ōrite mō ngā mate mumura tawhito.

Ko ngā rongoā koiora e tohu ana i ngā kōwhiringa maimoatanga hou mō ngā āhuatanga pēnei i te mate rūmātiki me te mate puku mumura. Ka whai hua rawa ēnei rongoā whāinga engari me āta aroturuki, ā, he nui ake te utu i ngā rongoā tuku iho.

He Pai Ake te Corticosteroid i te Prednisone?

He momo corticosteroid te prednisone, no reira ko te whakataurite i nga corticosteroids ki te prednisone he rite ki te whakataurite i nga motuka ki te Honda – he mema a prednisone no te whanau corticosteroid. Ko te patai ko tehea corticosteroid e pai ana mo to ahuatanga motuhake.

He maha nga wa e kiia ana ko Prednisone te

Mena ka inu koe i te nui rawa o te corticosteroid, whakapā atu ki tō tākuta, ki te pokapū whakahaere paitini rānei i te wā tonu. Ko te inu nui rawa ka pā mai ngā pānga kino, inā koa ka pā ki tō ngākau, te pēhanga toto, me ngā taumata huka toto.

Ko ngā tohumate o te nui rawa o te corticosteroid ka uru pea ko te whakapairuaki nui, te ruaki, te whanoke, te ānini, te ngoikore o te uaua, me ngā huringa o te manawataki. Ka pā mai pea ngā huringa nui o te ngākau, te rangirua, te uaua rānei ki te hā.

Kaua e ngana ki te "whakatika" i te nui rawa o te inu mā te karo i tō inenga e whai ake nei. Engari, whai i ngā tohutohu a tō tākuta mō te hoki ki tō hōtaka inenga auau. Puritia tō rongoā i roto i tētahi ipu kua tapaina mārama, me te whakaaro ki te whakamahi i tētahi kaiwhakarite pire hei aukati i ngā raruraru a muri ake nei.

Me aha au mēnā ka ngaro i ahau tētahi inenga o te Corticosteroid?

Mēnā ka ngaro i a koe tētahi inenga o te corticosteroid, tangohia i te wā tonu ka mahara koe, ki te kore e tata ana te wā mō tō inenga e whai ake nei. I tērā wā, karo i te inenga i ngaro, ka haere tonu ki tō hōtaka auau – kaua e rua ngā inenga.

Ko te ngaro i ngā inenga i ētahi wā kāore i te mōrearea, engari ngana ki te pupuri i te rite tonu mō ngā hua pai. Mēnā kei te inu koe i ngā corticosteroids mō tētahi āhuatanga nui pēnei i te huangō nui, i tētahi mate ārai-a-tinana rānei, ko te ngaro i ngā inenga ka tuku pea i ngā tohumate kia hoki mai.

Whakatūhia ngā whakamaharatanga waea, whakamahia rānei tētahi kaiwhakarite pire hei āwhina i te mahara ki ō inenga. Mēnā he maha ngā wā ka wareware koe ki ngā rongoā, kōrerohia ki tō tākuta mō ngā rautaki hei whakapai ake i te piri, mēnā rānei ka pai ake tētahi hōtaka inenga rerekē mōu.

Āhea ka taea e au te mutu te inu i te Corticosteroid?

Kaua rawa e mutu te inu i ngā corticosteroids ohorere, ki te kore he aratohu mai i tō tākuta, inā koa mēnā kua inu koe i a rātou mō te nui ake i ētahi wiki. E hiahia ana tō tinana ki te wā ki te whakatika anō, ka tīmata anō ki te whakaputa i tāna ake cortisol.

Ka hangaia e tō tākuta tētahi hōtaka whakaheke haere e whakaheke haere ana i tō horopeta i roto i ngā rā, wiki, ētahi marama rānei, i runga i te roa o tō whakamahi i te rongoā me tō urupare takitahi. Mā tēnei ka ārai i ngā tohumate whakawātea, ka āhei hoki ō repe adrenal ki te hoki ki te mahi noa.

Ngā tohu e tūpono ana kua rite koe ki te whakamutu ko ngā tohumate kua whakahaeretia, te āhua pūmau, me te otinga angitu o tō mahere maimoatanga. Ka aroturukihia e tō tākuta tō ahunga whakamua, ā, ka whakatikatikaina te hōtaka whakaheke haere i runga i tō urupare ki ngā whakahekenga horopeta.

Ka taea e au te inu waipiro i te wā e tango ana au i te Corticosteroid?

He pai ake te whakawhāiti, te karo rānei i te waipiro i te wā e tango ana i ngā corticosteroids. Ka taea e te waipiro me ngā corticosteroids te riri i te arai o tō puku, e whakanui ana i te tūponotanga o ngā whewhe puku me te whakaheke toto ina whakakotahitia.

Ka taea hoki e te waipiro te whakapōrearea i ētahi pānga taha o te corticosteroid, tae atu ki ngā huringa ā-wairua, ngā raruraru moe, me ngā rereketanga o te huka toto. Ki te whai mate huka koe, ka taea e te waipiro te uaua ake te whakahaere i te huka toto i te wā e tango ana i ngā corticosteroids.

Mēnā ka whiriwhiria e koe te inu waipiro, me mahi i runga i te āhua ngawari, me te kai tonu. Whakawhitiwhiti kōrero mō tō inu waipiro ki tō tākuta, nā te mea ka tūtohu pea rātou kia karo katoa i te waipiro i runga i tō āhua motuhake me ētahi atu rongoā e tango ana koe.