Inshinge ya Cortisone ni iki? Intego, Uburyo & Ibivamo

Inshinge ya cortisone ni urushinge rwihariye rw'umuti wa steroid wa sintetike mu gice cyabyimbye cy'ingingo, umubiri, cyangwa igice cyoroshye. Ubu buvuzi bukomeye burwanya umubyimbire bugereranya imisemburo kamere y'umubiri wawe cortisol, ifasha kugabanya umubyimbire n'ububabare mu duce twihariye dufite ibibazo. Abaganga bakunze gusaba izi nshinge iyo izindi nshinge zitatanze ubufasha buhagije ku ndwara nka arthrite, tendinite, cyangwa bursite.

Inshinge ya cortisone ni iki?

Inshinge ya cortisone itanga urugero rwinshi rw'umuti wa corticosteroid mu gice cyateje umubyimbire. Uyu muti ni verisiyo yakorewe muri laboratori ya cortisol, umusemburo umubiri wawe ukora mu buryo kamere kugira ngo urwanye umubyimbire mu mubiri wawe wose.

Bitandukanye n'imiti yo kunywa igira ingaruka ku mubiri wawe wose, inshinge ya cortisone yibanda ku gice cyihariye kigutera ibibazo. Ubu buryo bwihariye busobanura ko ubona ingaruka zikomeye zo kurwanya umubyimbire aho uzikeneye cyane, akenshi ufite ingaruka nke ugereranyije no gufata steroid mu kanwa.

Urushinge ubwarwo rukubiyemo umuti wa steroid uvangavanze n'umuti waho wo gutera igihunga kugira ngo ufashishe guta ubwenge igice mugihe cyo gukora urushinge no nyuma yarwo. Uku guhuza gufasha gutanga ihumure ryihuse n'ubufasha burambye bwo kurwanya umubyimbire.

Kuki inshinge ya cortisone ikorwa?

Abaganga basaba inshinge ya cortisone iyo umubyimbire mu gice cyihariye utera ububabare bukomeye cyangwa bugabanya ibikorwa byawe bya buri munsi. Izi nshinge zikora neza ku ndwara aho umubyimbire ari wo mutungo nyamukuru, aho kuba kwangirika kw'imiterere cyangwa gushiririza.

Umuvuzi wawe ashobora gutanga inama yo gufata inshinge ya cortisone niba urimo guhangana n'ububabare bw'ingingo buturutse kuri arthrite butaravurwa no kuruhuka, kuvurwa mu buryo bw'umubiri, cyangwa imiti itangwa idakeneye uruhushya. Urushinge rushobora gutanga ubufasha bumara ibyumweru byinshi kugeza ku mezi, bikaguha umwanya wo gukomeza igice cyangwa kugerageza izindi nshinge.

Indwara zisanzwe zivurwa neza n'inkingo za cortisone zirimo ibibazo byinshi by'uburwayi.

Reka nkubwire impamvu zisanzwe abaganga basaba izi nkingo:

• Osteoarthritis cyangwa rheumatoid arthritis mu mavi, mu bitugu, cyangwa mu ntugu
• Tennis elbow cyangwa golfer's elbow biturutse ku bikorwa bikomeza
• Bursitis mu bitugu, mu ntugu, cyangwa mu nkokora
• Tendinitis mu ngingo zitandukanye
• Carpal tunnel syndrome itera kubabara mu kuboko
• Plantar fasciitis itera kubabara mu gitsitsi
• Urutoki cyangwa igikumwe

Izi nkingo zigira akamaro cyane iyo uburwayi buvangira gusinzira, akazi, cyangwa ubushobozi bwo kwishimira ibikorwa bya buri munsi. Muganga wawe azatekereza ku miterere yawe yihariye n'ubundi buryo bwo kuvura mbere yo gusaba urukingo.

Ni iki gikorerwa urukingo rwa cortisone?

Uburyo bwo gutera urukingo rwa cortisone mubisanzwe burihuta kandi butagoye, mubisanzwe bifata iminota 10-15 gusa mu biro bya muganga wawe. Ntabwo uzakenera gutegura ibintu byihariye mbere, kandi abantu benshi barashobora gusubira mu bikorwa byabo bisanzwe umunsi umwe.

Umutanga serivisi z'ubuzima azatangira asukura ahantu hazaterwa urukingo akoresheje umuti wica udukoko kugirango birinde indwara. Barashobora kugaragaza ahantu nyabwo urushinge ruzajya, cyane cyane ku ngingo zikomeye zisaba gushyirwa neza.

Ibi nibyo ushobora kwitega mugihe cyo guterwa urukingo:

1. Muganga wawe azagushyira ahantu heza, akenshi uryamye cyangwa wicaye
2. Bazasukura uruhu neza bakoresheje umuti wica udukoko
3. Urushinge ruto ruzashyirwa ahantu hagaragaye ikibazo
4. Ushobora kumva umuvuduko cyangwa kutoroherwa gato mugihe umuti uterwa
5. Urushinge rukurwaho hanyuma hagashyirwa agapfuko gato

Ku ngingo zikomeye nk'ikibuno cyangwa urutugu, muganga wawe ashobora gukoresha ultrasound cyangwa fluoroscopy (X-ray y'igihe nyacyo) kugira ngo ayobore urushinge ahantu nyabwo. Iyi shusho ifasha kumenya neza ko imiti igera neza aho ikenewe cyane.

Urusyo ubwarwo akenshi bifata amasegonda make, nubwo gahunda yose ishobora kumara iminota 15-30 harimo gutegura no gutanga amabwiriza yo kwitabwaho nyuma y'urukingo.

Ni gute witegura urukingo rwa cortisone?

Kwitegura urukingo rwa cortisone biroroshye, kandi abantu benshi ntibakeneye gukora impinduka zikomeye ku buryo bakora ibintu byabo. Muganga wawe azaguha amabwiriza yihariye, ariko muri rusange, urashobora kurya uko bisanzwe kandi ugafata imiti yawe isanzwe mbere yo guhura na muganga.

Niba ufata imiti igabanya amaraso nka warfarin cyangwa clopidogrel, bimenyeshe muganga wawe mbere y'igihe. Bashobora kukubwira guhagarika iyi miti by'agateganyo kugira ngo bagabanye ibyago byo kuva amaraso, ariko ntuzigere uyihagarika utabanje kubisaba muganga.

Hariho intambwe zifatika zishobora gufasha gahunda yawe kugenda neza:

• Wambare imyenda yoroshye, yoroshye yemerera kwinjira byoroshye ahantu hakorerwa urukingo
• Zana urutonde rw'imiti yawe yose ya none na supplement
• Bwira muganga wawe ibyerekeye allergie iyo ari yo yose, cyane cyane ku miti ituma umubiri utagira ubwenge
• Vuga niba ufite diyabete, kuko steroid zishobora guhindura isukari mu maraso by'agateganyo
• Saba umuntu kukugendera akakugeza mu rugo niba uteye ubwoba kubera ubu buryo

Abantu benshi bumva bameze neza kwitwara mu rugo nyuma yo guhabwa urukingo rwa cortisone, ariko kugira ubufasha birashobora gutera icyizere. Ubu buryo ubwabwo ntibukunda gutera ibibazo bikomeye byabangamira ibikorwa bisanzwe.

Ni gute usoma ibisubizo byawe by'urukingo rwa cortisone?

Kumva uburyo umubiri wawe witwara ku rukingo rwa cortisone ntibireba gusoma ibisubizo bya laboratori, ahubwo ni ukumenya uko ibimenyetso byawe bihinduka uko igihe kigenda. Imiti ikora buhoro buhoro, rero ntugategereze impinduka zikomeye ako kanya nyuma yo guterwa urukingo.

Abantu benshi batangira kumva uburibwe bugabanuka mu masaha 24-48, nubwo ingaruka zose zo kurwanya ububyimbirwe zishobora gutwara icyumweru kugirango zigaragare. Umuti w'agace muri urwo ruterwa rishobora gutanga ubumuga bw'igihe gito, ariko ibyo birashira nyuma y'amasaha make.

Ibi nibyo byitezwe mugihe cyo gukira:

• Amasaha make ya mbere: Ubumuga bw'igihe gito buturutse ku muti w'agace
• Amasaha 24-48: Kugabanyuka kw'uburibwe bwa mbere mugihe ububyimbirwe butangira kugabanuka
• Icyumweru: Ingaruka zose zo kurwanya ububyimbirwe zigomba kugaragara
• 2-6 amezi: Igihe cyo kugabanyuka kw'uburibwe gitandukanye bitewe n'umuntu n'uburwayi

Umuti wa cortisone ugenda neza ubusanzwe utanga kugabanyuka kw'uburibwe bukomeye no kunoza imikorere bimara ibyumweru byinshi kugeza kumyaka. Ugomba gushobora kwimuka ahantu hakomeretse neza kandi ugakora imirimo ya buri munsi utagira ibibazo byinshi.

Niba utabonye impinduka muminsi ibiri, cyangwa niba uburibwe bwawe bugarutse vuba, bimenyeshe muganga wawe. Ibi bishobora kugaragaza ko ububyimbirwe atari bwo butera ibimenyetso byawe, cyangwa ko ukeneye uburyo bwo kuvurwa butandukanye.

Ni gute wakwitwara nyuma yo guterwa umuti wa cortisone?

Kwitwara nyuma yo guterwa umuti wa cortisone bikubiyemo gukurikiza amabwiriza make kugirango wongere inyungu kandi ugabanye ibibazo byose bishoboka. Abantu benshi bashobora gusubira mumirimo isanzwe mumunsi umwe cyangwa ibiri, ariko kwitaho ubuzima bwawe bifasha kumenyereza ibisubizo byiza bishoboka.

Mumasaha 24-48 ya mbere nyuma yo guterwa urushinge, ni ngombwa kuruhura ahantu havuriwe utareka rwose kwimuka. Ibikorwa byoroheje mubisanzwe birakora, ariko irinda imyitozo ikabije cyangwa kuzamura ibintu biremereye bishobora gushyira igitutu kumurongo w'urushinge.

Muganga wawe ashobora gusaba izi ntambwe zo kwita ku nyuma yo guterwa urushinge:

• Shyira urubura ku gice cyateweho urushinge mu gihe cy'iminota 15-20 niba wumva ububabare
• Fata imiti igurishwa itagomba kwandikwa na muganga niba bibaye ngombwa, ariko wirinde imiti irwanya umubyimbirwe
• Gira isuku ku gice cyateweho urushinge kandi ukomeze kigume cyumye mu gihe cy'amasaha 24
• Irinda imirimo ivunanye mu gihe cy'amasaha 24-48
• Genzura ibimenyetso byose by'ubwandu nk'ukwiyongera kw'umutuku cyangwa ubushyuhe

Abantu bamwe barwara ububabare bw'agateganyo mu munsi umwe cyangwa ibiri nyuma yo guterwa urushinge. Ibi ni ibisanzwe kandi mubisanzwe byerekana ko umuti ukora kugira ngo ugabanye umubyimbirwe muri ako gace.

Niba utangiye kumva urushijeho, garuka buhoro buhoro mu bikorwa byawe bisanzwe. Intego ni ukoresha igihe kitarimo ububabare kugira ngo ukomeze ako gace unyuze mu myitozo yoroheje cyangwa kuvurwa mu buryo bw'umubiri, bishobora gufasha kwirinda kongera kurwara.

Ni ibihe bintu byongera ibyago byo kugira ibibazo byatewe no guterwa urushinge rwa cortisone?

Nubwo guterwa urushinge rwa cortisone muri rusange bifite umutekano, ibintu bimwe na bimwe bishobora kongera ibyago byo kugira ibibazo cyangwa bigatuma urushinge rudakora neza. Kumva ibyo bintu byongera ibyago bifasha wowe na muganga wawe gufata icyemezo cyiza cyerekeye niba ubu buvuzi bukugirira akamaro.

Abantu barwaye diyabete bahura n'ibyago byinshi byo kuzamuka k'isukari mu maraso by'agateganyo nyuma yo guterwa urushinge rwa cortisone. Umuti wa steroid ushobora kuzamura urwego rwa glucose mu gihe cy'iminsi myinshi, bisaba kugenzura neza kandi bishobora gusaba guhindura imiti ya diyabete.

Uburwayi n'ibihe byinshi bishobora kongera ibyago byo kugira ibibazo:

• Ubwoko bw'ubwandu bwose mu mubiri wawe
• Uburwayi butuma amaraso ava cyangwa gukoresha imiti ituma amaraso atavura vuba
• Diyabete cyangwa diyabete itaratera
• Urukingo rwagabanutse kubera imiti cyangwa uburwayi
• Uko byahoze bimeze byo kwibasirwa n'imiti ya steroid cyangwa imiti y'ububabare bw'agace
• Gusama (nubwo inkingo zishobora gukoreshwa mu bihe byihariye)

Kugira inshuro nyinshi za cortisone mu gice kimwe nabyo byongera ibyago. Abaganga benshi bashyiraho umupaka wo gutera inshinge zitarenze 3-4 mu mwaka mu gice kimwe cy'umubiri kugira ngo birinde kwangirika cyangwa gucika kw'imitsi.

Imyaka yawe n'ubuzima bwawe muri rusange ntibisobanura ko bituma utabona inshinge za cortisone, ariko bigira uruhare mu buryo umuganga wawe avura kandi akagenzura uko urimo gukira.

Ni izihe ngaruka zishobora guterwa n'inshinge za cortisone?

Abantu benshi bahabwa inshinge za cortisone nta kibazo gikomeye bahuye nacyo, ariko nk'uko biba ku buryo ubwo aribwo bwose bwo kuvura, ingaruka zirashobora kubaho rimwe na rimwe. Kumva ibi bibazo bishobora gutuma umenya icyo ugomba kwitaho n'igihe ugomba kuvugana n'umuganga wawe.

Ingaruka zisanzwe zikunda kuba ntoya kandi zikamaraho igihe gito. Ushobora kumva ububabare ahantu batera urushinge, nk'uko wenda wumva nyuma yo guterwa urukingo. Ubu bubabare busanzwe buvaho nyuma y'umunsi umwe cyangwa ibiri.

Ingaruka zisanzwe, zikunda kuba ntoya zirimo:

• Ububabare bw'agateganyo cyangwa kubabara ahantu batera urushinge
• Kuva amaraso gake cyangwa gukora ibibara aho urushinge rwashyizwe
• Kongera ububabare by'agateganyo (cortisone flare) bumara amasaha 24-48
• Ukubura gake ahantu batera urushinge
• Kuzamuka by'agateganyo kw'isukari mu maraso, cyane cyane niba urwaye diyabete

Izi ngaruka zisanzwe zikunda gucungwa neza no kuruhuka, gukoresha urubura, no gufata imiti igurishwa idasabye uruhushya. Zigaragaza ko umubiri wawe ukora neza ku nshinge.

Ingaruka zitabaho kenshi ariko zikomeye zisaba ubufasha bwihuse bw'abaganga. Nubwo bidasanzwe, ibi bishobora kuba birimo:

• Udukoko ahantu batera urushinge hamwe no kwiyongera kw'umutuku, ubushyuhe, cyangwa ibishyitsi
• Urugero rwo kwibasirwa n'umubiri rutera guhumeka nabi cyangwa gusa uruhu hose
• Ukwangirika kw'imitsi gutera ubumuga cyangwa intege nke (bidasanzwe cyane)
• Gucika kw'imitsi niba byatewe mu gice cy'imitsi
• Guhinduka kw'ibara ry'uruhu cyangwa gucika kw'uruhu ahantu batera urushinge

Vugana na muganga wawe ako kanya niba urwaye umuriro, ububabare bukomeye burushaho kwiyongera aho kugabanuka, cyangwa ibimenyetso byose byo kwandura. Ibi bibazo bikomeye ntibisanzwe ariko bisaba isuzuma ryihuse ry'ubuvuzi.

Ni ryari nkwiriye kubona umuganga ku bijyanye n'inkingo za cortisone?

Kumenya igihe cyo kuvugana n'umuganga wawe nyuma yo guterwa urukingo rwa cortisone bifasha kumenya ko ibibazo byose bikemurwa vuba. Abantu benshi barakira neza, ariko ibimenyetso bimwe na bimwe bisaba ubufasha bw'ubuvuzi bwihuse.

Hamagara umuganga wawe ako kanya niba ugaragaje ibimenyetso byo kwandura, bishobora kubaho mu minsi mike nyuma yo guterwa urukingo. Ibimenyetso byo kwandura birimo umutuku wiyongera, ubushyuhe, cyangwa kubyimba ahaterwa urukingo, cyane cyane niba biherekejwe n'umuriro cyangwa ibishishwa.

Dore ibihe byihariye bisaba isuzuma ryihuse ry'ubuvuzi:

• Umuriro uri hejuru ya 101°F (38.3°C) mu minsi mike nyuma yo guterwa urukingo
• Ububabare bukomeye burushaho kwiyongera aho kugabanuka nyuma y'amasaha 48
• Ibishishwa cyangwa ibintu bidasanzwe biva ahaterwa urukingo
• Imirongo itukura iva ahaterwa urukingo
• Kugorana guhumeka cyangwa uruhu rurimo amabara menshi rugaragaza allergie
• Kutagira ubwumve bushya cyangwa intege nke mu gice cyavuwe

Ugomba kandi kuvugana n'umuganga wawe niba utabonye impinduka nziza mu bimenyetso byawe mu byumweru bibiri nyuma yo guterwa urukingo. Ibi bishobora kugaragaza ko ububyimbirwe atari bwo butera ikibazo cyawe, cyangwa ko ukeneye uburyo bwo kuvurwa butandukanye.

Ku bantu barwaye diyabete, genzura urugero rw'isukari mu maraso yawe neza mu minsi mike nyuma yo guterwa urukingo. Vugana n'umuganga wawe niba urugero rwa glucose rukomeje kuzamuka cyane cyangwa niba ugoranye kuyicunga n'imiti yawe isanzwe.

Ibikunze kubazwa ku bijyanye n'inkingo za cortisone

Q.1 Ese urukingo rwa cortisone rufitiye akamaro abarwayi ba arthrite?

Yego, inshinge za cortisone zishobora kugira akamaro kanini ku kubabara kw'ibinya, cyane cyane iyo kubyimbirwa ari igice kinini cy'ibimenyetso byawe. Ubu buvuzi bukora neza cyane cyane kuri osteoarthritis mu ngingo nini nk'amavi, ikibuno, n'ibitugu, aho ingaruka zirwanya kubyimbirwa zishobora gutanga ubufasha bukomeye.

Ku bijyanye na rheumatoid arthritis, inshinge za cortisone zishobora gufasha kugenzura ibibazo mu ngingo zimwe na zimwe mugihe uhindura izindi miti. Ubufasha busanzwe bumara amezi 2-6, bikaguha umwanya wo gukomeza urugingo ukoresheje imiti ivura cyangwa ugashaka izindi nzira zo kuvura.

Q.2 Ese inshinge za cortisone zongera ibiro?

Inshinge za cortisone ntizikunda gutera kongera ibiro kuko umuti uguma ahantu hagarukira mu gice kivurwa aho kuzenguruka mu mubiri wawe wose. Bitandukanye na steroids yo kunywa ishobora gutera gufata amazi no kongera ubushake bwo kurya, steroids yatewe ifite ingaruka ntoya ku mubiri wose.

Abantu bamwe bashobora kubona gufata amazi byoroheje cyane, ariko ibi ntibisanzwe kandi bikunda gukemuka muminsi mike. Imiterere y'urukingo rugarukira bivuga ko bishoboka cyane ko utazagira ingaruka ziterwa n'imiti ya steroid yo kunywa.

Q.3 Ni kangahe nshobora guterwa inshinge za cortisone?

Abaganga benshi basaba ko inshinge za cortisone zitarenza inshinge 3-4 kumwaka mu rugingo rumwe cyangwa ahantu hamwe. Iki gihe gituma birinda ibibazo bishobora kuvuka nk'imvune mu gice, gusenya cartilage, cyangwa kunanuka kw'ibice byegeranye.

Igihe nyacyo giterwa n'uburwayi bwawe bwihariye n'uburyo wumva neza ubuvuzi. Muganga wawe azatekereza ibintu nk'imyaka yawe, ubuzima muri rusange, n'uburwayi burimo kuvurwa mugihe cyo gushyiraho uburyo bukwiye bw'imikorere y'ubuzima bwawe.

Q.4 Ese inshinge za cortisone zirababaza?

Abantu benshi basobanura inshinge za cortisone nk'izitari nziza cyane kurusha uko zibabaza cyane. Kumva bimeze nk'ukubona urukingo rurerure, hamwe n'umuvuduko n'umwuka muto wo kuruma igihe urushinge rwinjira kandi umuti uterwa.

Urukingo rurimo umuti waho ufasha guhuma ahantu, kandi uburyo bwose busanzwe bufata amasegonda make gusa. Abantu benshi batungurwa nuko uburyo bworoshye kurusha uko babyiteze, cyane cyane ugereranije n'ububabare burambye bari bafite mbere.

Q.5 Ese inshinge za cortisone zirashobora gukiza indwara yanjye burundu?

Inshinge za cortisone zitanga ubufasha bw'igihe gito kurusha gukira burundu indwara nyinshi. Zikora zigabanya umuvumo, ushobora guca uruziga rw'ububabare kandi ukemerera umubiri wawe gukira neza, ariko ntizikemura ibibazo by'imiterere y'ibanze cyangwa ngo zihindure rwose impinduka zangiza.

Ariko, igihe cyo kugabanya ububabare gishobora kuba ingirakamaro mugutanga uruhare muri terapiya y'umubiri, gukora impinduka mumibereho, cyangwa kwemerera inzira zisanzwe zo gukira. Abantu bamwe basanga guhuza inshinge za cortisone n'izindi nshinge bituma ibimenyetso byabo birushaho kumara igihe kirekire.