Ibyo Uburyo bwa Corticosteroid bwo mu Rukenyerero: Ibikoreshwa, Uburyo bwo Gukoresha, Ingaruka, n'ibindi

Imiti ya corticosteroid ikoreshwa mu rukenyerero ni imiti irwanya ububyimbirwe ushyira mu rukenyerero rwawe kugira ngo uvure indwara zifata urugingo rwawe rwo hasi n'urukenyerero. Iyi miti ikora igabanya ububyimbirwe, guhaga, no kurakara mu bice bikorerwamo.

Tekereza iyi miti nk'abafasha bagenewe aho bakiza neza aho ukeneye cyane. Ziza mu buryo butandukanye nk'ibisubizo, enemas, cyangwa urubura, bituma kuvura biba byoroshye kandi akenshi bikagira akamaro kurusha imiti yo kunywa ku ndwara zimwe na zimwe.

Icyo Uburyo bwa Corticosteroid bwo mu Rukenyerero Bukoreshwa?

Imiti ya corticosteroid ikoreshwa mu rukenyerero ikoreshwa cyane cyane mu kuvura indwara zifata urugingo rw'amara zifata urukenyerero rwawe n'igice cyo hasi cy'amara. Indwara isanzwe bafasha gucunga ni ulcerative colitis, cyane cyane iyo ifata urukenyerero n'amara ya sigmoid.

Iyi miti ifasha cyane iyo urimo guhura n'ibibazo by'indwara zifata urugingo rw'amara. Irashobora kugabanya ububyimbirwe bubabaza, kuva amaraso, no kwihutisha akenshi biza hamwe n'izi ndwara. Muganga wawe ashobora no kuyandika ku mpiswi zibyimbye cyane cyangwa ku zindi ndwara zifata agace kawe k'urukenyerero.

Rimwe na rimwe, iyi miti ikora nk'ubuvuzi bwo kubungabunga kugira ngo ifashe kwirinda kongera kubaho. Zifite agaciro cyane kuko zitanga imiti mu buryo butaziguye ahantu hagaragaye ikibazo hatagaragaza umubiri wawe wose ku bipimo byinshi bya corticosteroids.

Uburyo Uburyo bwa Corticosteroid bwo mu Rukenyerero Bukora?

Imiti ya corticosteroid ikoreshwa mu rukenyerero ikora yigana cortisol, umusemburo w'umubiri wawe ukora kugira ngo urwanye ububyimbirwe. Iyo ushyize iyi miti mu rukenyerero, igenda itaziguye mu bice byabyimbye mu rukenyerero rwawe no mu gice cyo hasi cy'amara.

Iyo uhageze, bagabanya imikorere y'ubudahangarwa bwawe muri ako gace. Ibi bifasha gutuza umuvumo utera ibimenyetso byawe nk'ububabare, kuva amaraso, no kwituma kenshi. Umuti mu by'ukuri ubwira ubudahangarwa bwawe guhagarika gutera imitsi y'ubuzima bwiza mu mara yawe.

Izi zifatwa nk'imiti ikomeye ku rugero ruringaniye, ariko zagenewe gukora cyane cyane mu gace gakorerwamo. Ubu buryo bugamije butuma ubona ubuvuzi bwiza bufite ingaruka nke ku mubiri wose ugereranije na steroidi zinyobwa.

Nkwiriye Gufata Nte Corticosteroid Rectal Route?

Uburyo ufata corticosteroid ya rectal biterwa n'ubwoko bwihariye umuganga wawe yaguhaye. Imisemburo ishyirwa mu kibuno cyawe, mugihe enemas na foams zitangwa hakoreshejwe ibikoresho byihariye biza hamwe n'umuti.

Kubera ibisubizo byiza, gerageza kugira urugendo rwo mu mara mbere yo gukoresha umuti niba bishoboka. Ibi bifasha umuti kuguma mu mitsi yawe ya rectal igihe kirekire. Oza intoki zawe neza mbere na nyuma yo gutanga, kandi ukurikize amabwiriza yihariye aza hamwe n'umuti wawe.

Igihe gishobora gutuma umuti ukora neza. Abantu benshi basanga bifasha gukoresha umuti mbere yo kuryama, kuko ibi bituma uguma ahantu igihe kirekire mugihe uryamye. Niba ukoresha enema, gerageza kuyigumana byibuze iminota 15, nubwo umuganga wawe azaguha ubuyobozi bwihariye.

Abantu bamwe basanga byoroshye kuryama kuruhande rwabo rw'ibumoso mugihe no nyuma yo gutanga. Uku guhagarara birashobora gufasha umuti kugera ahantu hagaragaye neza, cyane cyane niba umuvumo wawe urenga gusa mu kibuno.

Nkwiriye Gufata Igihe Kingana Iki Corticosteroid Rectal Route?

Igihe cyo kuvura ukoresheje imiti ya corticoïdes ikoreshwa mu kibuno bitandukanye cyane bitewe n'uburwayi ufite n'uburyo umubiri wawe wakiriye imiti. Ku birebana no kwiyongera kw'indwara ya ulcerative colitis, ubuvuzi busanzwe bumara ibyumweru 2 kugeza kuri 8.

Muganga wawe akenshi azagutangiza gahunda yihariye hanyuma agahindura bitewe n'uburyo ibimenyetso byawe bigenda bikira. Abantu bamwe babona impinduka mu minsi mike, mu gihe abandi bashobora gukenera ibyumweru byinshi kugira ngo babone impinduka zigaragara. Ikintu cy'ingenzi ni ugukomeza kuvurwa nk'uko byategetswe, kabone n'iyo utangiye kumva urushijeho.

Ku bijyanye n'ubuvuzi bwo gukomeza, abantu bamwe bashobora gukoresha iyi miti igihe kirekire, ariko akenshi bakoresha bike. Muganga wawe azagenzura neza uko urimo urwanya indwara hanyuma agabanye buhoro buhoro urugero rw'imiti cyangwa inshuro ukoresha uko ubuzima bwawe bujya mu buryo.

Ntuzigere uhagarika gufata iyi miti ako kanya utabanje kuvugana na muganga wawe. Guhagarika ako kanya rimwe na rimwe bishobora gutera gusubira mu bimenyetso cyangwa izindi ngorane. Umuganga wawe azakora gahunda yo kugabanya imiti ikwiriye uko ubuzima bwawe bumeze.

Ni izihe ngaruka ziterwa no gukoresha corticoïdes mu kibuno?

Abantu benshi bakira neza imiti ya corticoïdes ikoreshwa mu kibuno kuko ikora ahantu hato aho kugira ingaruka ku mubiri wawe wose. Ariko, nk'imiti yose, ishobora gutera ingaruka zishobora kukubaho kandi ukwiye kuzimenya.

Dore ingaruka zisanzwe ushobora guhura nazo, kandi ni ngombwa kwibuka ko abantu benshi badafite ingaruka nke cyangwa nta ngaruka na mba:

• Uburibwe cyangwa gushya mu gihe cyangwa nyuma yo kuyikoresha
• Kongera icyifuzo cyo kwituma mu ntangiriro
• Uburibwe buke mu kibuno cyangwa kuribwa
• Impinduka z'agateganyo mu buryo bwo kwituma
• Umutwe cyangwa isereri ku bantu bamwe

Izi ngaruka zisanzwe akenshi zigabanuka uko umubiri wawe wimenyereza imiti. Niba zikomeje cyangwa zikaba zikubangamiye, ntugatinye kubiganiraho n'umuganga wawe.

Nubwo bitajyenda kenshi, hari ingaruka zimwe na zimwe zishobora kwitabwaho cyane, cyane cyane niba ukoresha umuti igihe kirekire:

• Ibimenyetso byo kwandura nko kuribwa, gusohoka bidasanzwe, cyangwa ibimenyetso bikomeza
• Urubavu rukabije cyangwa kuribwa mu nda
• Gusohoka amaraso bidasanzwe cyangwa impinduka mu buryo amaraso asohokamo
• Impinduka ku ruhu ruzenguruka mu gice cy'impyisi
• Impinduka mu myitwarire cyangwa imbogamizi zo gusinzira

Kubera ko imiti imwe n'imwe ishobora kwinjira mu maraso yawe, kuyikoresha igihe kirekire rimwe na rimwe bishobora gutera ingaruka zisa n'iza steroid zinyobwa, nubwo ibi bidakunze kubaho ku miti ikoreshwa mu mpinduka.

Ninde utagomba gufata Corticosteroid mu mpinduka?

Abantu bamwe na bamwe bagomba kwirinda gukoresha corticosteroid mu mpinduka cyangwa bakazikoresha gusa bayobowe na muganga witonze cyane. Muganga wawe azasuzuma amateka yawe yose y'ubuzima mbere yo kwandika iyi miti.

Ntugomba gukoresha corticosteroid mu mpinduka niba wanduye indwara ikora mu mpinduka cyangwa mu mara manini, kuko umuti ushobora kubuza umubiri wawe ubushobozi bwo kurwanya iyo ndwara. Ibi bikubiyemo indwara ziterwa na bagiteri, virusi, cyangwa imyungu mu gice kivurwa.

Abantu bafite ibibazo bimwe na bimwe bakeneye kwitabwaho by'umwihariko no gukurikiranwa igihe bakoresha iyi miti:

• Ubukana bwa tuberculosis cyangwa amateka ya tuberculosis
• Indwara ikabije y'umwijima
• Osteoporosis cyangwa ibibazo byo gukomera kw'amagufa
• Diyabete, kuko steroid zishobora kugira ingaruka ku isukari yo mu maraso
• Umubyimba mwinshi cyangwa ibibazo by'umutima
• Kubagwa mu mara vuba aha
• Uruhara rwavunitse cyangwa imbogamizi ikabije mu mara

Gusama no konsa bisaba kuganira by'umwihariko n'umuganga wawe. Nubwo corticosteroid zikoreshwa mu mpinduka zifatwa nk'iziteje umutekano kurusha izinyobwa mu gihe cyo gutwita, muganga wawe azagereranya inyungu n'ibishobora kuba byateza akaga kuri wowe n'umwana wawe.

Niba ufata izindi miti, cyane cyane izindi steroid cyangwa imiti igabanya ubudahangarwa bw'umubiri, muganga wawe azakenera guhindura imipimo y'imiti yitonze kugira ngo wirinde guhura kw'imiti cyangwa kugabanya cyane ubudahangarwa bw'umubiri.

Amazina y'ubwoko bwa Corticosteroid ikoreshwa mu kibuno

Amazina menshi y'ubwoko aratandukanye aboneka kuri corticosteroid ikoreshwa mu kibuno, buri rimwe rifite uburyo butandukanye gato n'imbaraga zitandukanye. Amazina asanzwe y'ubwoko arimo Cortifoam, Proctofoam-HC, na Anusol-HC ku buryo bwa foam.

Ku buryo bwa suppository, ushobora guhura n'ubwoko nk'Anusol-HC, Procto-Pak, cyangwa Hemorrhoidal HC. Imitegurire ya enema akenshi iza munsi y'amazina nka Cortenema cyangwa Procto-Med HC. Ubwoko bwihariye muganga wawe yandika buzaterwa n'uburwayi bwawe n'ibyo ukeneye.

Ubwoko rusange buraboneka kandi bukora neza nk'imiti y'amazina y'ubwoko. Umufarmasi wanyu ashobora kugufasha gusobanukirwa itandukaniro riri hagati y'ibishoboka kandi ashobora gutanga ibisubizo byiza by'ikiguzi cyishyurwa n'ubwishingizi bwawe.

Uburyo bwo gusimbuza Corticosteroid ikoreshwa mu kibuno

Niba corticosteroid ikoreshwa mu kibuno itagukwiriye cyangwa itatanga ubufasha buhagije, hariho uburyo bwinshi bwo kuvura. Muganga wawe ashobora gutekereza ku miti yo kurwanya ububyimbirizi yo kunywa, nubwo ibi bigira ingaruka ku mubiri wawe wose aho kugirira ingaruka ahantu runaka.

Ibindi byo mu kibuno birimo imitegurire ya mesalamine (5-ASA), iyo ikaba ari imiti irwanya ububyimbirizi yagenewe cyane cyane indwara zifata urwungano rw'igifu. Iyi miti akenshi igira ingaruka nke kurusha steroid kandi irashobora gukoreshwa igihe kirekire.

Ku ndwara zimwe na zimwe, muganga wawe ashobora kugusaba imiti igabanya ubudahangarwa bw'umubiri, uburyo bwo kuvura bwa biologiya, cyangwa uburyo bushya bwo kuvura. Guhitamo biterwa n'icyo warwaye, ubukana bw'ibimenyetso, n'uburyo wakiriye neza izindi miti.

Uburyo butavura nk'imihindagurikire y'imirire, gucunga umunabi, n'imihindukire y'imibereho na bwo bushobora kugira uruhare rwo gufasha mu gucunga indwara zifata urwungano rw'igifu.

Ese inzira yo gukoresha imiti ya corticosteroid mu mpuzankorano iruta mesalamine?

Imiti ya corticosteroid ikoreshwa mu mpuzankorano na mesalamine ikoreshwa mu mpuzankorano zombi zigira akamaro mu kuvura indwara zifata urwungano rw'igifu, ariko zikora mu buryo butandukanye kandi zifite uruhare rutandukanye mu kuvura. Guhitamo hagati yazo biterwa n'uko ubuzima bwawe buhagaze ndetse n'uburemere bw'ibimenyetso byawe.

Corticosteroids muri rusange ni imiti ikomeye irwanya umubyimbirwe kandi akenshi ikora vuba ku gihe indwara yongeye kwaduka. Zifasha cyane iyo ukeneye guhumurizwa vuba ku mubyimbirwe ukabije, kuva amaraso, cyangwa kuva mu rugingo. Ariko, akenshi zikoreshwa mu gihe gito kubera ingaruka zishobora kubaho.

Mesalamine, ku rundi ruhande, yagenewe by'umwihariko indwara zifata urwungano rw'igifu kandi irashobora gukoreshwa mu gihe kirekire. Akenshi ikoreshwa mu kuvura kugira ngo birinde ko indwara yongeye kwaduka. Nubwo bishobora gutwara igihe kirekire kugira ngo bigaragare, ifite ingaruka nke ku mubiri wose.

Abaganga benshi bakoresha uburyo buhuriweho, batangira na corticosteroids ku bimenyetso bikomeye hanyuma bagahindukirira mesalamine mu gucunga igihe kirekire. Umuganga wawe azagufasha kumenya umuti cyangwa uruvange rukora neza ku ndwara yawe yihariye.

Ibikunze kubazwa ku nzira yo gukoresha imiti ya corticosteroid mu mpuzankorano

Ese inzira yo gukoresha imiti ya corticosteroid mu mpuzankorano irakwiriye ku barwayi ba diyabete?

Corticosteroids ikoreshwa mu mpuzankorano ishobora kugira ingaruka ku kigero cy'isukari mu maraso, ariko akenshi ntibirenze steroid zinyobwa kuko imiti mike yinjira mu maraso yawe. Niba urwaye diyabete, umuganga wawe azashaka gukurikirana isukari yo mu maraso yawe cyane igihe ukoresha iyi miti.

Ushobora gukenera guhindura imiti ya diyabete cyangwa urugero rwa insuline by'agateganyo mugihe ukoresha imiti ya corticosteroid ikoreshwa mu kibuno. Ni ngombwa kugenzura isukari yo mu maraso yawe kenshi, cyane cyane mugihe utangiye kuvurwa cyangwa guhindura urugero. Abantu benshi barwaye diyabete barashobora gukoresha neza imiti ya corticosteroid ikoreshwa mu kibuno hamwe no gukurikiranwa neza.

Nigute nzakora niba nkoresheje imiti ya corticosteroid ikoreshwa mu kibuno nyinshi?

Niba ukoresheje imiti nyinshi kuruta urugero rwanditswe, ntugahagarike. Nubwo bitari byiza, gukoresha imiti ya corticosteroid ikoreshwa mu kibuno nyinshi rimwe na rimwe ntibigira akaga kuko imiti mike yinjira mu mubiri wawe ugereranije n'uburyo bwo kunywa.

Vugana na muganga wawe cyangwa umufarimasi kugirango umenyeshe icyabaye. Barashobora kukugira inama niba ukeneye kureka urugero rukurikira cyangwa gufata izindi ngamba. Niba ubonye ibimenyetso bidasanzwe nk'imitsi ikomeye, kuva amaraso menshi, cyangwa ingaruka zikomeye nk'imihindagurikire y'amarangamutima, shakisha ubufasha bw'ubuvuzi vuba.

Nigute nzakora niba nciwe urugero rwa corticosteroid ikoreshwa mu kibuno?

Niba uciwe urugero, urufate ako kanya wibuka, keretse igihe cyegereye urugero rukurikira rwatanzwe. Muricyo gihe, reka urugero waciwe ukomeze gahunda yawe isanzwe. Ntukigere wongera urugero kugirango usubize urugero waciwe.

Gucikwa urugero rimwe na rimwe ntibiba ikibazo gikomeye, ariko gerageza kugumana uburyo bumwe kugirango ubone ibisubizo byiza. Niba ukunda kwibagirwa urugero, tekereza gushyiraho ibyibutsa kuri terefone yawe cyangwa kubika imiti ahagaragara kugirango bigufashe kwibuka.

Nshobora guhagarika ryari gufata imiti ya corticosteroid ikoreshwa mu kibuno?

Ugomba guhagarika gusa gufata imiti ya corticosteroid ikoreshwa mu kibuno ukurikije ubuyobozi bwa muganga wawe. Nubwo iyi miti ikora ahantu hato, kuyihagarika ako kanya rimwe na rimwe bishobora gutuma ibimenyetso bisubira cyangwa icyo bita

Muganga wawe akenshi azakora gahunda yo kugabanya urugero rw'umuti, agabanya buhoro buhoro inshuro cyangwa imbaraga z'umuti uko igihe kigenda gihita. Ibi bifasha umubiri wawe kumenyera kandi bigafasha kwirinda ko ibimenyetso bisubira vuba. Uburyo bwo kugabanya urugero rw'umuti butandukana ku muntu ku muntu bitewe n'igihe umaze ukoresha umuti n'uburyo uburwayi bwawe bwitwaye.

Nshobora gukoresha imiti ya Corticosteroid ikoreshwa mu kibuno mu gihe cyo gutwita?

Imiti ya Corticosteroid ikoreshwa mu kibuno muri rusange ifatwa nk'itegura kurusha imiti ya steroid ikoreshwa mu kanwa kuko imiti mikeya yinjira mu maraso yawe. Ariko, gukoresha umuti uwo ari wo wose mu gihe cyo gutwita bisaba kwitondera no kuganira n'umuganga wawe.

Muganga wawe azagereranya inyungu zo kugenzura uburwayi bwawe bwo mu mara butera ububyimbirizi n'ibishobora kuba byatera umwana wawe utaravuka. Ububyimbirizi butagenzurwa bushobora kandi guteza ibyago mu gihe cyo gutwita, bityo kuvurwa bikunze kuba ngombwa. Itsinda ryawe ry'ubuvuzi rizakugenzura neza kandi rishobora guhindura gahunda yawe yo kuvura uko bikwiye mu gihe cyo gutwita kwawe.