Icyo Deflazacort ari cyo: Ibyo ikoreshwa, urugero rwa dose, ingaruka zayo n'ibindi

Deflazacort ni umuti wa corticosteroid ufasha kugabanya umubyimbirwe kandi ukabuza umubiri wawe kwirinda iyo ukabije. Tekereza nk'umuvandimwe woroshye wa prednisone abaganga bakunda cyane kuko akenshi bitera ingaruka nkeya, cyane cyane iyo ukeneye kuwufata igihe kirekire.

Uyu muti ukora yigana cortisol, imisemburo umubiri wawe ukora mu buryo bwa kamere kugenzura umubyimbirwe. Iyo umubiri wawe wirinda ugaba ibitero ku bice by'umubiri bifite ubuzima bwiza cyangwa bitera kubyimba bikabije, deflazacort irinjira kugirango ituze ibintu kandi iheshe umubiri wawe ubufasha ukeneye.

Deflazacort ikoreshwa mu iki?

Deflazacort ivura indwara nyinshi aho umubyimbirwe ari ikibazo gikomeye. Muganga wawe ashobora kuwandika iyo umubiri wawe wirinda ukabije cyangwa iyo ibice by'umubiri wawe byabyimbye kandi bitera ububabare cyangwa kutagira akamaro.

Uyu muti ufasha cyane indwara ziterwa n'umubiri wirinda aho umubiri wawe wibeshya ugatera ibitero ku ngirangingo zawo zifite ubuzima bwiza. Ikoreshwa kandi iyo ibindi bice by'umubiri wawe byabyimbye bitewe n'imvune, indwara, cyangwa indwara zidakira.

Dore indwara nyamukuru deflazacort ishobora gufasha kuvura:

• Duchenne muscular dystrophy (DMD) - ifasha kubungabunga imikorere y'imitsi no gutinda iterambere
• Rheumatoid arthritis - igabanya umubyimbirwe w'amagufi n'ububabare
• Indwara z'amara zifite umubyimbirwe - ituza umubyimbirwe w'amara
• Asthma n'uburwayi bukomeye bwo kwirinda - ifungura inzira z'umwuka kandi igabanya kubyimba
• Lupus n'izindi ndwara ziterwa n'umubiri wirinda - igenzura imikorere ikabije y'umubiri wirinda
• Indwara z'uruhu nka eczema ikabije cyangwa psoriasis - igabanya umubyimbirwe no kuribwa
• Indwara zimwe na zimwe z'amaraso - ifasha iyo umubiri wirinda utera ibitero ku ngirangingo z'amaraso
• Gukumira kwangwa kw'ingingo ziterwa - birinda umubiri wirinda gutera ibitero ku ngingo nshya

Umuganga wawe azemeza niba deflazacort ikwiriye kuri wowe bitewe n'ibimenyetso byawe, amateka yawe y'ubuvuzi, n'uko izindi nshuti zikora kuri wowe.

Deflazacort ikora ite?

Deflazacort ikora ibuza umubiri wawe gukora ibintu bitera umubiri kubyimba no gusubiza inyuma imikorere y'umubiri. Ifatwa nk'umuti ukomeye wo hagati, bivuze ko ifite akamaro ariko akenshi itera ingaruka nke ugereranije n'izindi nshuti zikomeye nka prednisone.

Iyo ufata deflazacort, ihinduka mu mwijima wawe ikaba ifite akamaro hanyuma ikagenda mu mubiri wawe wose. Iyi nshuti ifite akamaro ifatana n'ibice byihariye mu ntsinga zawe ikababwira guhagarika gukora imiti itera kubyimba nka prostaglandins na leukotrienes.

Uyu muti kandi ubangamira imikorere y'umubiri wawe, ibi bifasha iyo umubiri wawe ukora cyane ariko bivuze ko ushobora kwibasirwa n'indwara iyo uyafata. Iyi mikorere y'umubiri igabanuka akenshi iba ntoya cyangwa yo hagati ugereranije n'izindi nshuti.

Nkwiriye gufata deflazacort nte?

Fata deflazacort nk'uko umuganga wawe abitegeka, akenshi rimwe ku munsi mu gitondo hamwe n'ibiryo. Kuyifata hamwe na safto bifasha kugabanya umujinya mu gifu kandi bigasa n'umubiri wawe w'umwimerere wa cortisol, ugera ku rwego rwo hejuru mu gitondo.

Urashobora gufata ibinini bya deflazacort byose hamwe n'ikirahuri cyuzuye cy'amazi, cyangwa urashobora kubikanda ukabivanga n'ibiryo byoroshye nka applesauce niba kubyara bigoye. Umuti wo kunywa ugomba kunyeganyezwa neza mbere ya buri dose kandi ugapimwa hamwe n'igikoresho cyo gupima cyatanzwe.

Gerageza gufata dose yawe ku gihe kimwe buri munsi kugirango ugumane urwego rwo hejuru mu mubiri wawe. Niba uyifata kubera indwara nka asima, guhora ukora ni ngombwa cyane cyane mu kwirinda ibibazo.

Ntufate deflazacort ku gifu cyambaye ubusa kuko ibi byongera ibyago byo kuribwa mu gifu. Ifunguro ryoroheje cyangwa ifunguro rito akenshi birahagije, ariko irinde kuyifata hamwe na kawa cyangwa umutobe.

Nzamara Mfite Deflazacort Igihe Kingana Gite?

Igihe uvura na deflazacort biterwa n'uburwayi bwawe n'uko witwara ku muti. Abantu bamwe bawukenera iminsi mike gusa mu gihe cyo kurwara cyane, mu gihe abandi bawukenera igihe kirekire kubera indwara zidakira.

Ku gukoresha igihe gito (munsi y'ibyumweru 2), ushobora guhagarika umuti ako kanya ibimenyetso byawe byoroheje. Ariko, niba umaze gufata deflazacort mu byumweru birenga 2-3, muganga wawe ashobora kugusaba kugabanya buhoro buhoro kugirango wirinde ibimenyetso byo kuva ku muti.

Abantu barwaye indwara zidakira nka Duchenne muscular dystrophy cyangwa indwara zikomeye ziterwa n'ubwirinzi bw'umubiri bishobora gukenera gufata deflazacort amezi cyangwa imyaka. Muri ibi bihe, muganga wawe azakugenzura buri gihe kugirango arebe ingaruka ziterwa n'umuti kandi ahindure urugero rwawe uko bikwiye.

Ntuzigere uhagarika gufata deflazacort ako kanya niba umaze kuyifata mu byumweru birenga bibiri, kuko ibi bishobora gutera ibimenyetso byo kuva ku muti biteye akaga. Muganga wawe azakora gahunda yo kugabanya urugero rwawe buhoro buhoro uko igihe kigenda.

Ni Iyihe Ngaruka Ziterwa na Deflazacort?

Kimwe n'ibindi byose bya corticosteroid, deflazacort ishobora gutera ingaruka, nubwo abantu benshi bayihanganira neza, cyane cyane ku rugero ruto. Inkuru nziza ni uko deflazacort muri rusange itera ingaruka nkeya kurusha izindi corticosteroid nka prednisone.

Ingaruka nyinshi ziterwa n'urugero rwawe, bivuze ko urugero rwo hejuru n'igihe kirekire cyo kuvura byongera ibyago byawe. Ingaruka nyinshi kandi zishobora gukira umaze guhagarika umuti cyangwa ukagabanya urugero.

Dore ingaruka zisanzwe ushobora guhura nazo:

• Ubwoba bwinshi no kongera ibiro - cyane cyane ku gice cyo hagati cy'umubiri no mu maso
• Imyitwarire ihinduka - kumva urakaye cyane, guhangayika, cyangwa kugira ibibazo byo gusinzira
• Kongera ibyago byo kwandura indwara - urwego rwawe rw'ubwirinzi ruragabanuka
• Urubu mu nda cyangwa kuribwa mu gituza - gufata imiti hamwe n'ibiryo bifasha kubikumira
• Umutwe cyangwa isereri - akenshi byoroheje kandi by'igihe gito
• Ibimeme cyangwa impinduka z'uruhu - uruhu rwawe rushobora koroha cyangwa gukomereka byoroshye
• Isukari nyinshi mu maraso - ni ngombwa kubikurikirana niba ufite diyabete

Ingaruka zikomeye zirashobora kubaho iyo umuti umaze igihe kinini ukoreshwa cyangwa doze ndende. Nubwo ibi bitaba kenshi, ni ngombwa kubimenya:

• Uruhu rw'amagufa (osteoporose) - cyane cyane bikwiye kwitabwaho ku bantu bakuze
• Umubyimba mwinshi w'amaraso - gukurikirana buri gihe ni ngombwa
• Ibibazo by'amaso (cataractes cyangwa glaucome) - ibibazo by'amaso bigenda byiyongera buhoro buhoro
• Ubugwari bw'imitsi - bitandukanye n'ubugwari buterwa n'uburwayi bwawe bw'ibanze
• Gukira kw'ibikomere bitinda - ibikomere birinda gukira vuba
• Guhagarika gukura ku bana - impamvu doze z'abana zikurikiranwa neza

Vugana n'umuganga wawe ako kanya niba ubonye impinduka zikomeye mu myitwarire, ibimenyetso byo kwandura nka umuriro, ibibazo by'amaso, cyangwa kuribwa cyane mu nda. Ibi bisaba ubufasha bwihuse bw'abaganga.

Ninde utagomba gufata Deflazacort?

Deflazacort ntabwo ari umutekano kuri buri wese, kandi ibibazo by'ubuzima runaka cyangwa ibihe bituma bitakwemerwa cyangwa bisaba ingamba zidasanzwe. Umuganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kwandika uyu muti.

Ntabwo ugomba gufata deflazacort niba ufite indwara zimwe zikora, cyane cyane indwara ziterwa n'ibihumyo, kuko umuti ushobora kugabanya urwego rwawe rw'ubwirinzi no gutuma indwara zirushaho kuba mbi. Inkingo zizima na zo ntizemerewe mugihe ufata deflazacort.

Dore ibibazo bishobora kukubuza gufata deflazacort cyangwa bisaba gukurikiranwa byihariye:

• Uburwayi bukomeye bw’umubiri - cyane cyane indwara ziterwa n’imvune, bagiteri, cyangwa virusi
• Allergie izwi kuri deflazacort cyangwa izindi corticosteroid
• Ukingirwa vuba na inkingo zifite virusi nzima - tega nibura ibyumweru 2 umaze guhagarika deflazacort
• Uburwayi bukomeye bw’umwijima - bigira ingaruka ku buryo umubiri wawe ukoresha imiti
• Uburwayi bw’amaso bumwe nk’indwara z’amaso ziterwa na virusi cyangwa imvune

Ibyo ugomba kwitondera cyane kandi ukanagenzurwa harimo:

• Diyabete - deflazacort ishobora kuzamura isukari mu maraso
• Umubyibuho ukabije cyangwa indwara z’umutima - umuti ushobora gutuma izo ndwara zirushaho kuba mbi
• Osteoporose cyangwa amateka yo kuvunika - corticosteroid ishobora guca intege amagufa
• Ibizu byo mu gifu cyangwa ibibazo byo mu nzira y’igogora - kongera ibyago byo kuva amaraso
• Indwara zo mu mutwe - corticosteroid ishobora kugira ingaruka ku myitwarire n’imitekerereze
• Ibibazo by’impyiko cyangwa umwijima - bishobora gukenera guhindura urugero rw’umuti
• Gusama cyangwa konsa - bisaba isesengura ryitondewe ry’ibyiza n’ibibi

Niba ufite izo ndwara zose, muganga wawe ashobora kugutera deflazacort ariko azagukurikiranira hafi kandi ashobora guhindura urugero rw’umuti cyangwa gahunda yo kuvura.

Amazina y’ubwoko bwa Deflazacort

Deflazacort iboneka mu mazina y’ubwoko butandukanye, Emflaza ikaba ari yo isanzwe ikoreshwa cyane muri Leta Zunze Ubumwe z’Amerika. Ubu bwoko bw’izina ry’ubwoko bwemerejwe by’umwihariko na FDA mu kuvura Duchenne muscular dystrophy mu 2017.

Andi mazina y’ubwoko ushobora guhura nayo harimo Calcort, ikoreshwa cyane mu bindi bihugu. Amavuriro amwe ashobora kugira ubwoko bwa deflazacort, bufite ikintu kimwe gikora ariko gishobora kuba gito.

Bitewe n’izina ry’ubwoko, imiti yose ya deflazacort ikora kimwe. Umufarumasiti wawe ashobora kugufasha gusobanukirwa niba urimo kubona izina ry’ubwoko cyangwa ubwoko busanzwe, kandi muganga wawe ashobora kugusaba niba ubwoko bwihariye bukwiye indwara yawe.

Uburyo bwo gusimbuza Deflazacort

Niba deflazacort itagukwiriye cyangwa idakora neza, imiti myinshi isimbura iyi ishobora gutanga ingaruka nk'izo zo kurwanya umubyimbirwe no kugabanya ubudahangarwa. Muganga wawe azahitamo imiti isimbura iyi bitewe n'uburwayi bwawe bwihariye n'amateka yawe y'ubuvuzi.

Izindi corticosteroids zirimo prednisone, prednisolone, na methylprednisolone. Izi zikora kimwe na deflazacort ariko zishobora kugira ingaruka zitandukanye cyangwa gahunda yo gufata imiti ituma bikwira neza ibyo ukeneye.

Umuti usimbura corticosteroids utegereye ku burwayi bwawe bwihariye:

• Kuburwayi bwo kwibasirwa n'uturemangingo twawe - methotrexate, hydroxychloroquine, cyangwa imiti mishya ya biyoloji
• Kuburwayi bwo mu mara bwo kubyimbirwa - aminosalicylates, immunomodulators, cyangwa imiti irwanya TNF
• Kuburwayi bwa asima - corticosteroids ihumekwa, bronchodilators, cyangwa leukotriene modifiers
• Kuburwayi bwa rheumatoid arthritis - imiti igabanya uburwayi bwa antirheumatic (DMARDs)
• Kuburwayi bwa muscular dystrophy - izindi corticosteroids cyangwa uburyo bushya bwo kuvura

Muganga wawe azakorana nawe kugirango abone umuti ukora neza ufite ingaruka nke kubuzima bwawe bwihariye.

Ese Deflazacort iruta Prednisone?

Deflazacort na prednisone zombi ni corticosteroids zikora neza, ariko deflazacort akenshi ifite inyungu, cyane cyane mugihe ikoreshwa igihe kirekire. Abaganga benshi bakunda deflazacort kuko akenshi itera kongera ibiro bike, gutakaza amagufa, no guhagarika imikurire kubana.

Ubushakashatsi bwerekana ko deflazacort igira ingaruka nkeya kumagufa n'imikurire ugereranije na prednisone kumipimo ingana yo kurwanya umubyimbirwe. Ibi bituma bifite agaciro cyane kubana bafite uburwayi nka Duchenne muscular dystrophy bakeneye kuvurwa igihe kirekire na corticosteroid.

Deflazacort bigaragara ko itagira ingaruka nyinshi ku mikorere ya glucose, bivuze ko bidashoboka cyane ko yatera diyabete cyangwa ngo yongere iyari isanzweho ugereranyije na prednisone. Ibyago byo kugira "isura y'ukwezi" cyangwa kongera ibiro mu gice cyo hagati nabyo muri rusange biri hasi kuri deflazacort.

Ariko, prednisone imaze igihe kinini kandi ihendutse cyane kurusha deflazacort. Mu gihe cyo kuyikoresha igihe gito cyangwa igihe ikiguzi ari ikintu gikomeye, prednisone ishobora kuba ariyo nziza. Muganga wawe azatekereza ibyo ukeneye byihariye, igihe cyo kuvurwa, n'imibereho yawe y'imari mu gihe ahitamo hagati y'iyo miti.

Ibikunze Kubazwa Kuri Deflazacort

Ese Deflazacort irakwiriye abafite diyabete?

Deflazacort irashobora gukoreshwa ku bantu bafite diyabete, ariko bisaba gukurikiranwa neza kandi bishobora gusaba guhindura imiti yawe ya diyabete. Kimwe n'izindi corticosteroid, deflazacort irashobora kuzamura urugero rwa isukari mu maraso, nubwo muri rusange igira ingaruka nkeya kuri glucose kurusha prednisone.

Niba ufite diyabete, muganga wawe ashobora gushaka gupima isukari yo mu maraso yawe kenshi iyo utangiye gufata deflazacort. Ushobora gukenera guhindura imiti yawe ya diyabete cyangwa doze ya insuline by'agateganyo mu gihe ufata corticosteroid.

Abantu bafite diyabete ifashwe neza akenshi bashobora gufata deflazacort neza hamwe no gukurikiranwa neza. Abafite diyabete idafashwe neza bashobora gukenera kunoza imikorere y'isukari yo mu maraso yabo mbere yo gutangira gufata deflazacort, cyangwa gukoresha ubundi buryo bwo kuvura niba bishoboka.

Nigira iki niba nifashishije deflazacort nyinshi ku buryo butunguranye?

Niba ufashishije deflazacort nyinshi ku buryo butunguranye, vugana na muganga wawe cyangwa urwego rushinzwe ubumara ako kanya, cyane cyane niba wafashe nyinshi cyane kurusha doze wahawe. Gufata nyinshi cyane bishobora gutera ibimenyetso nk'imihindagurikire ikabije y'amarangamutima, isukari yo mu maraso iri hejuru, cyangwa umuvuduko w'amaraso wiyongera.

Urushinge rumwe rurenzeho ntirushobora guteza ingaruka zikomeye, ariko ntukongere urushinge rwawe rukurikira kugira ngo urihereze. Ahubwo, garuka ku gahunda yawe isanzwe yo gufata imiti kandi ubwire muganga wawe amakosa yakoze mu gihe cyo gusuzumwa ubutaha.

Ibimenyetso byo kurenza urugero rw'umuti bishobora kuba birimo guhindagurika cyane kw'amarangamutima, urujijo, kubabara umutwe cyane, umutima utera cyane, cyangwa kugorwa no gusinzira. Niba ubonye kimwe muri ibi bimenyetso nyuma yo kunywa deflazacort nyinshi cyane, shakisha ubufasha bw'ubuvuzi vuba.

Nigomba gukora iki niba nciwe urushinge rwa Deflazacort?

Niba wibagiwe urushinge rwa deflazacort, rufate uko wibuka, keretse igihe cyo gufata urushinge rukurikira kigeze. Muri icyo gihe, reka urushinge wibagiwe ukomeze gahunda yawe isanzwe - ntukigere ufata imiti ibiri icyarimwe.

Kugira ngo ufate umuti rimwe ku munsi, urashobora gufata urushinge wibagiwe nyuma y'amasaha 12 utagize ingaruka zikomeye ku buvuzi bwawe. Niba hashize amasaha arenga 12, mubisanzwe biruta kureka urwo rushinge ukanafata urushinge rwawe rukurikira ku gihe gisanzwe.

Niba ukunda kwibagirwa imiti, tekereza gushyiraho alarme kuri terefone cyangwa gukoresha umuteguro w'imiti kugira ngo ugufashe kwibuka. Guhora ufata imiti ni ngombwa kugira ngo ucunge neza uburwayi bwawe kandi wirinde ibimenyetso byo kwiyongera.

Nshobora kureka gufata Deflazacort ryari?

Urashobora kureka gufata deflazacort mugihe muganga wawe yemeje ko ari byiza kubikora, ibyo biterwa n'uburwayi bwawe, igihe umaze uyifata, n'urugero rwawe rwa none. Ntukigere uhagarika deflazacort ako kanya niba umaze kuyifata mu gihe kirenga ibyumweru 2-3.

Kugirango ukoreshe igihe gito (munsi y'ibyumweru 2), urashobora guhagarara ako kanya nta kibazo. Ariko, gukoresha igihe kirekire bisaba gahunda yo kugabanya buhoro buhoro kugirango wirinde ibimenyetso byo gukurwaho nk'umunaniro, kubabara mu ngingo, cyangwa kwiyongera kw'uburwayi bwawe bw'ibanze.

Muganga wawe azakora gahunda yo kugabanya urugero rw'umuti buhoro buhoro mu byumweru cyangwa amezi. Ibi bituma umubiri wawe usubirana ubushobozi bwo gukora cortisol kandi birinda ibimenyetso byo kuva mu muti biteye akaga. Kurikiza iyi gahunda neza, n'iyo wumva umeze neza.

Nshobora gufata Deflazacort mu gihe cyo gutwita?

Gufata Deflazacort mu gihe cyo gutwita bisaba gusuzuma neza inyungu n'ibibazo. Nubwo atari wo muti wa mbere wo gufata mu gihe cyo gutwita, bishobora kuba ngombwa ku bibazo bikomeye aho inyungu ziruta ibibazo bishobora kuba ku mubyeyi no ku mwana.

Imiti ya Corticosteroids nka deflazacort ishobora kwambuka placenta kandi igashobora kugira ingaruka ku mikurire y'umwana uri mu nda, cyane cyane iyo ikoreshwa mu gihembwe cya mbere. Ariko, indwara zitagenzurwa zifata umubiri zirashobora no kwangiza umubyeyi n'umwana, bityo kuvurwa rimwe na rimwe biba ngombwa.

Niba uteganya gutwita cyangwa uvumbuye ko utwite ukoresha deflazacort, ganira n'umuganga wawe ako kanya. Bashobora guhindura urugero rw'umuti, guhindura undi muti, cyangwa gukomeza deflazacort niba ari ngombwa ku buzima bwawe. Gukurikiranwa hafi mu gihe cyo gutwita bizaba ngombwa.