Icyo Dexamethasone ari cyo: Ibyo ikoreshwa, urugero rwayo, ingaruka zayo n'ibindi

Dexamethasone ni umuti ukomeye wa corticosteroid ukorwa mu buryo bwa gihanga wigana cortisol, umusemburo kamere umubiri wawe ukora. Uyu muti wandikirwa na muganga ukora ugabanya umubyimbire kandi ugahagarika imikorere y'ubudahangarwa bw'umubiri wawe igihe burenze urugero.

Tekereza dexamethasone nk'uburyo umubiri wawe wihanganira umubyimbire, ariko bukomeye cyane. Abaganga barayandika igihe umubiri wawe ukeneye ubufasha bwihariye mu gucunga umubyimbire ukabije, ibimenyetso by'uburwayi bwo kwivumbura ku bintu runaka, cyangwa indwara ziterwa n'ubudahangarwa bw'umubiri bwihariye butashobora kwifashisha ubwoko bwawo bwonyine.

Dexamethasone ikoreshwa mu iki?

Dexamethasone ivura indwara nyinshi ziterwa n'umubyimbire n'izifitanye isano n'ubudahangarwa bw'umubiri. Muganga wawe ashobora kuyandika igihe izindi nshuti zitatanze ubufasha buhagije cyangwa igihe ukeneye uburyo bwihuse kandi bukomeye bwo kurwanya umubyimbire.

Dore indwara zisanzwe cyane aho dexamethasone ifasha gutanga ubufasha:

• Ibimenyetso bikabije by'uburwayi bwo kwivumbura ku bintu runaka n'ibitero bya asima
• Rheumatoid arthritis n'izindi ndwara ziterwa n'ubudahangarwa bw'umubiri zifata ingingo
• Indwara zifata amara zirimo indwara ya Crohn n'indwara ya ulcerative colitis
• Indwara zikabije zifata uruhu zirimo eczema na psoriasis
• Ubwo bwoko bw'indwara ya kanseri nk'igice cy'imiti ivura kanseri
• Ukubyimba kw'ubwonko guterwa na tumor cyangwa ibikomere
• Uburwayi bukabije bw'amaso n'indwara zayo

Muganga wawe azemeza niba dexamethasone ikwiriye kuri icyo kibazo cyawe gishingiye ku bimenyetso byawe n'amateka yawe y'ubuvuzi.

Mu bice bikeya bitari bisanzwe, dexamethasone ishobora kwandikwa ku ndwara nka adrenal insufficiency, aho umubiri wawe utakora cortisol ihagije, cyangwa nk'igice cy'ibizamini byo gupima kugirango hasuzumwe imikorere y'imisemburo.

Dexamethasone ikora ite?

Dexamethasone ifatwa nk'umuti ukomeye wa corticosteroid, bivuze ko ukomeye cyane ugereranije n'indi miti igabanya ububyimbirwe. Ukora winjira mu ntsinga zawe ugahagarika ikorwa ry'ibintu bitera ububyimbirwe n'ibisubizo by'umubiri.

Iyo ububyimbirwe bubaye mu mubiri wawe, bimeze nk'aho umubiri wawe urimo gutanga impuruza. Dexamethasone mu by'ukuri igabanya urusaku rw'iyo mpuruza, igabanya ububyimbirwe, umutuku, ubushyuhe, n'ububabare.

Uwo muti kandi ugira ingaruka ku buryo umubiri wawe uhangana n'umunaniro kandi ukagumana urugero rw'isukari mu maraso. Ibi nibyo bituma muganga wawe azakugenzura neza, cyane cyane niba ukeneye kuwufata mu gihe kirenga iminsi mike.

Nkwiriye gufata Dexamethasone nte?

Fata dexamethasone nk'uko muganga wawe abikwandikiye, akenshi rimwe ku munsi mu gitondo hamwe n'ibiryo cyangwa amata. Kuwufata hamwe n'ibiryo bifasha kurinda igifu cyawe kandi bigabanya amahirwe yo kurwara igifu.

Igihe cyo mu gitondo ni ingenzi kuko gihura n'imiterere y'umubiri wawe ya cortisol. Umubiri wawe usanzwe ukora cortisol nyinshi mu gitondo kare, bityo kuwufata icyo gihe bikorana n'imiterere yawe isanzwe.

Urashobora gufata ibinini hamwe n'amazi, amata, cyangwa umutobe. Niba ugira ikibazo cyo kumira ibinini, urashobora kubisakura ukabivanga na applesauce cyangwa yogurt, ariko banza ubaze umufarimasi wanyu.

Gerageza gufata urugero rwawe ku gihe kimwe buri munsi kugirango ugumane urugero ruzigama mu mubiri wawe. Gushyiraho umwibutso wa buri munsi kuri terefone yawe birashobora kugufasha kuguma ukomeza.

Nkwiriye gufata Dexamethasone igihe kingana iki?

Igihe cyo kuvurwa gitandukanye cyane bitewe n'uburwayi bwawe n'uburyo witwara ku muti. Abantu bamwe barawukeneye iminsi mike gusa, mu gihe abandi bashobora gukenera ibyumweru cyangwa amezi yo kuvurwa.

Kubijyanye n'indwara zikomeye nk'uburwayi bukomeye bwo kwivumbura, ushobora gukenera dexamethasone iminsi 3-7 gusa. Kubijyanye n'indwara zidakira nk'indwara ya rheumatoid arthritis, kuvurwa birashobora kumara ibyumweru byinshi cyangwa amezi.

Muganga wawe ashobora gutangira akoresha urugero rwo hejuru kugira ngo agabanye ibimenyetso, hanyuma agabanye urugero buhoro buhoro uko igihe kigenda. Ubu buryo bwo kugabanya urugero ni ingenzi kuko guhagarara ako kanya bishobora gutera ibimenyetso byo kuva mu miti.

Ntuzigere uhagarika gufata dexamethasone ako kanya utabanje kuvugana na muganga wawe. Umubiri wawe ukeneye igihe cyo kumenyera no kongera gutangira gukora cortisol yayo.

Ni Ibihe Bikorwa Bigaragara bya Dexamethasone?

Kimwe n'imiti yose ikomeye, dexamethasone ishobora gutera ibikorwa bigaragara, nubwo atari buri wese ubyumva. Inkuru nziza ni uko ibikorwa byinshi bigaragara bishobora gucungwa kandi akenshi bikagenda neza uko umubiri wawe umenyera.

Dore ibikorwa bigaragara bisanzwe ushobora kubona, cyane cyane mu byumweru bya mbere:

• Ubukana bwo kurya no kongera ibiro
• Kugorana gusinzira cyangwa kumva utuje
• Impinduka z'amarangamutima nk'uburakari cyangwa impungenge
• Inyota yiyongereye no kunyara
• Urubavu rw'inda cyangwa kuribwa mu gituza
• Umutwe
• Urugero

Ibi bikorwa akenshi biba byoroheje kandi by'agateganyo. Kurya amafunguro mato, akenshi bishobora gufasha mu mpinduka z'ubushake bwo kurya, kandi gufata urugero rwawe mu gitondo bishobora kugabanya ibibazo byo gusinzira.

Abantu bamwe bashobora guhura n'ibikorwa bigaragara bikomeye bisaba ubufasha bw'ubuvuzi bwihuse. Nubwo ibi bitaba kenshi, ni ingenzi kubimenya:

• Ibimenyetso byo kwandura nk'umuriro, imbeho, cyangwa inkorora ihoraho
• Impinduka zikomeye z'amarangamutima cyangwa ibitekerezo byo kwangiza
• Urubavu rukomeye rw'inda cyangwa imyanda yirabura, y'ibitaka
• Kongera ibiro vuba cyangwa kubyimba mu maso, mu ntoki, cyangwa mu birenge
• Kureba nabi cyangwa kuribwa mu jisho
• Kugabanuka kw'imbaraga z'imitsi cyangwa kuribwa mu magufa

Vugana na muganga wawe ako kanya niba uhuye n'ikimenyetso icyo aricyo cyose muri ibi bikorwa bikomeye. Bashobora guhindura urugero rwawe cyangwa bakaguha undi muti niba bibaye ngombwa.

Ninde Utagomba Gufata Dexamethasone?

Dexamethasone ntabwo ari nziza kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kukwandikira. Kuba umunyakuri ku bijyanye n'ubuzima bwawe bifasha kumenya neza ko uyu muti ari mwiza kuri wowe.

Ntabwo ukwiye gufata dexamethasone niba ufite ibibazo cyangwa ibihe runaka:

• Infesiyo zikora, zitavurwa (bakteri, virusi, cyangwa fungus)
• Allergie izwi kuri dexamethasone cyangwa izindi corticosteroid
• Urukingo rwa vuba rwakoreshejwe
• Infesiyo zimwe na zimwe za fungus mu mubiri wawe wose

Muganga wawe azakoresha ubushishozi bwihariye kandi akugenzure neza niba ufite kimwe muri ibi bibazo:

• Diyabete (dexamethasone irashobora kuzamura urugero rw'isukari mu maraso)
• Umubyimba mwinshi cyangwa ibibazo by'umutima
• Osteoporose cyangwa indwara z'amagufa
• Ibibazo by'igifu cyangwa ibibazo byo mu gifu
• Ibibazo by'ubuzima bwo mu mutwe nk'agahinda gakabije cyangwa guhangayika
• Indwara y'umwijima cyangwa impyiko
• Glaucoma cyangwa cataracts

Niba utwite cyangwa wonka, muganga wawe azagereranya inyungu n'ibishobora guteza akaga. Dexamethasone irashobora kwambuka placenta ikinjira mu mata y'ibere, bityo gukurikiranwa byihariye bishobora kuba ngombwa.

Amazina ya Dexamethasone

Dexamethasone iboneka munsi y'amazina menshi y'ubwoko, nubwo verisiyo rusange ikora neza. Farumasi yawe ishobora kugira ubwoko butandukanye, ariko byose birimo ibikoresho bimwe bikora.

Amazina asanzwe y'ubwoko arimo Decadron, DexPak, na Baycadron. Verisiyo rusange yitwa gusa dexamethasone kandi akenshi ihendutse kuruta verisiyo y'izina ry'ubwoko.

Niba wakira dexamethasone rusange cyangwa y'izina ry'ubwoko ntigira icyo ihindura ku buryo ikora neza. Ubwishingizi bwawe bushobora gukunda kimwe kuruta ikindi, gishobora kugira ingaruka ku mafaranga yawe.

Uburyo bwo gusimbuza Dexamethasone

Niba dexamethasone itagukorera neza cyangwa itera ingaruka zikomeye, muganga wawe afite izindi mpuzire. Imiti myinshi isimbura irashobora gutanga inyungu zisa n'izirwanya umubyimba.

Izindi corticosteroids umuganga wawe ashobora gutekereza zirimo:

• Prednisone (steroid ikoreshwa cyane mu kanwa)
• Prednisolone (byorohereza abantu bamwe kubyinjiza)
• Methylprednisolone (iboneka mu buryo bwo kunywa no gutera)
• Hydrocortisone (uburyo bworoshye kubibazo bitari bikomeye cyane)

Kubibazo bimwe na bimwe, izindi nzira zitari za steroid zishobora gukwiriye, nk'imiti ivura indwara ihindura (DMARDs) kubibazo byo kwivumbura cyangwa biologics kubibazo bikomeye byo kubyimbirwa.

Umuganga wawe azatekereza ikibazo cyawe cyihariye, uburyo wabyitwayemo ku zindi nshuti, n'ubuzima bwawe muri rusange mugihe uhitamo izindi nzira.

Ese Dexamethasone iruta Prednisone?

Dexamethasone na prednisone zombi ni corticosteroids zikora neza, ariko zifite itandukaniro rikomeye rituma imwe iruta indi mumiterere imwe. Guhitamo hagati yazo biterwa nibyo ukeneye byihariye nibibazo byawe.

Dexamethasone ifite imbaraga zikubye 6-7 za prednisone, bivuze ko ukeneye urugero ruto kugirango ugere ku ngaruka zimwe. Ibindi biramara igihe kirekire mumubiri wawe, bityo ukeneye gusa kuyifata rimwe kumunsi.

Prednisone akenshi ikundwa gukoreshwa igihe kirekire kuko yegereye umuvuduko wa cortisol wumubiri wawe. Iboneka kandi mumitangire myinshi, bigatuma byoroha guhindura urugero buhoro buhoro.

Umuganga wawe azahitamo hashingiwe kubintu nkuko ukeneye ubufasha vuba, igihe uzakenera kuvurwa, n'umuti umubiri wawe wihanganira neza.

Ibikunze Kubazwa Kuri Dexamethasone

Ese Dexamethasone irakwiriye kubantu barwaye diyabete?

Dexamethasone irashobora gukoreshwa kubantu barwaye diyabete, ariko bisaba gukurikiranwa neza kandi birashoboka ko uhindura imiti yawe ya diyabete. Uyu muti ushobora kuzamura cyane isukari yo mumaraso yawe, rimwe na rimwe mumasaha make nyuma yo kuwufata.

Muganga wawe ashobora gusaba ko ukora isuzuma ry'isukari mu maraso yawe kenshi igihe uri gufata dexamethasone. Ushobora gukenera kongera imiti ya diyabete cyangwa insuline by'agateganyo kugira ngo isukari yawe mu maraso igume mu rugero rwiza.

Ntukemere impungenge za diyabete zikubuza gufata dexamethasone niba uyikeneye. Hamwe no gukurikiranwa neza no guhindura imiti, abantu benshi barwaye diyabete bashobora gukoresha neza uyu muti igihe bibaye ngombwa mu buvuzi.

Nkwiriye gukora iki niba mfashe dexamethasone nyinshi mu buryo butunganye?

Niba ufata dexamethasone nyinshi mu buryo butunganye kurusha uko byategetswe, vugana n'umuganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya. Gufata nyinshi bishobora gutera ingaruka zikomeye, nubwo urugero rumwe rurenzeho akenshi ntirugira akaga.

Ibimenyetso byo gufata nyinshi bishobora kuba harimo guhinduka gukomeye kw'imitekerereze, urujijo, umuvuduko mwinshi w'amaraso, cyangwa kubabara cyane mu gifu. Ntugerageze "kuringaniza" urugero rurenzeho ukoresha imiti itazaza.

Bika icupa ry'umuti hamwe nawe igihe uhamagaye kugira ngo ufashwe, bityo ushobore gutanga amakuru nyayo yerekeye icyo wafashe n'ingano yacyo.

Nkwiriye gukora iki niba nciwe urugero rwa dexamethasone?

Niba wibagiwe urugero rwa dexamethasone, rufate ako kanya wibuka, keretse igihe cyo gufata urugero rukurikira kigeze. Muri icyo gihe, reka urugero wibagiwe ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugira ngo wuzuze urugero wibagiwe. Ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'imiti itagira akamaro kiyongereye.

Niba ukunda kwibagirwa urugero, gerageza gushyiraho ibyibutso kuri terefone cyangwa ukoreshe umuteguro w'imiti. Gufata imiti buri gihe bifasha kugumisha urugero rwawo ruhamye mu mubiri wawe.

Nshobora guhagarika ryari gufata dexamethasone?

Ugomba guhagarika gufata dexamethasone gusa igihe umuganga wawe abikubwiye, kandi akenshi ibi bikubiyemo kugabanya buhoro buhoro urugero rwawe aho guhagarara ako kanya. Igihe biterwa n'uburwayi bwawe, igihe umaze uyifata, n'uko urimo witwara.

Niba umaze iminsi myinshi ukoresha dexamethasone, guhagarika kuyikoresha ako kanya bishobora gutera ibimenyetso byo kuva mu miti nk'umunaniro, kubabara imitsi, no kuruka. Imitsi yawe ikora cortisol isanzwe ikeneye igihe cyo kongera gutangira kuyikora.

Muganga wawe azagushyiriraho gahunda yo kugabanya urugero rwawe rwa imiti buhoro buhoro mu minsi cyangwa mu byumweru. Ibi bituma umubiri wawe ubasha guhinduka kandi bigafasha kwirinda ibimenyetso byo kuva mu miti.

Nshobora kunywa inzoga nkorera dexamethasone?

Ni byiza kugabanya cyangwa kwirinda inzoga mugihe ukoresha dexamethasone, kuko byombi bishobora kongera ibyago byo kurwara inda no kugira ingaruka ku mikorere y'ubudahangarwa bwawe. Inzoga kandi irashobora gutuma ibindi bimenyetso birushaho kuba bibi nk'imihindagurikire y'amarangamutima n'ibibazo byo gusinzira.

Niba uhisemo kunywa rimwe na rimwe, jya ku gipimo gito kandi ujye unywa inzoga hamwe n'ibiryo. Menya ko inda yawe ishobora kurushaho kubabara, imihindagurikire y'amarangamutima, cyangwa ibibazo byo gusinzira.

Ganira na muganga wawe ku byo bikwiye kuri wowe. Abantu bamwe bashobora gukenera kwirinda inzoga burundu, mu gihe abandi bashobora kunywa gake rimwe na rimwe.