Methylprednisolone 4 mg ni urukingo rw'ibirwanya cyane rwagenewe guhagarika ububabare vuba mu ndwara yihariye yamenyekanye: gutwika ibihaha (asthma flare), kurwara ububabare bukabije bw'amagufa (gout attack), kwiyongera kw'indwara yo kuvunika kudasanzwe (rheumatoid arthritis flare), ubwoko bw'ubwoko bw'ibirwanya cyane bw'ibirwanya, gutwika ibihaha (poison ivy). Medrol Dosepak itanga imiti 21 mu minsi 6, igabanya kuva kuri 24 mg kugeza kuri 4 mg. Ntabwo ivura ibitotsi, grippe, cyangwa kubabara mu muhogo.
\n\nTL;DR: Ibintu by'ingenzi byakwigishwa
\n- \n
- Iroroshya ububabare mu ndwara yamenyekanye. Ntabwo ivura indwara iterwa n'ubwo bubabare. \n
- Agasanduku gisanzwe gafite imiti 21 mu minsi 6: imiti 6 ku munsi wa 1, kumanuka kugeza ku muti 1 ku munsi wa 6. \n
- Ntabwo ari umuti w'ibitotsi, grippe, COVID-19, indwara y'amazuru, cyangwa kubabara mu muhogo, nubwo 11.8% by'abakuze bafite indwara zidasanzwe zo mu gikoresho cy'ubuhumekero mu bushakashatsi bunini bwo muri Amerika bagenerwa urukingo rusanzwe kubw'impamvu zitari zo. \n
- Iminsi 6 ni igihe gito ku buryo kugabanuka kw'imitsi itera imisemburo mu mubiri bidakunda kubaho, ariko ntuzigere ukora ibyo wenyine ku muti wateshutse mu gihe ugabanuka. \n
- Banza ubanze ubwire uwagupfumbatse niba ufite diyabeti, indwara y'ibirwanya iriho, amateka y'ibisebe, glaucoma, cyangwa utwite. \n
Methylprednisolone 4 mg ivura ububabare, atari indwara iriho
\n\nMethylprednisolone 4 mg ikoreshwa mu kintu kimwe: kurwanya ububabare, bivuze kwiyongera, ubushyuhe, gutukura n'ububabare inyuma y'ububabare. Inyandiko za FDA zivuga ku gukoresha igihe gito mu byiciro by'indwara zigera kuri cumi n'ibiri, harimo kurwara ububabare bukabije bw'amagufa, allergies zikomeye zo mu mazuru, astma, indwara ya gout ikaze, n'ibibazo bikomeye by'umubiri byinshi (multiple sclerosis exacerbations). Bwica ububabare. Ntabwo ivura indwara ibiteza.
\n\nItawe ku izina rya Medrol Dosepak, kandi ikazenguruka ku masanduku amwe n'amwe y'ibiyobyabwenge no mu bushakashatsi kugera kuri methylprednisolone 4 mg dosepk, iki gicuruzwa ni ikarito yanditseho imiti ya 4 mg. MedlinePlus ivuga methylprednisolone nk'urukingo rw'ibirwanya rushyiraho ububabare, ubushyuhe, gutukura n'ububabare, n' inyandiko ya MEDROL yemejwe na FDA irerekana ibikoresho byayo ku bwoko bw'umubiri kuruta uko yagenewe indwara, ni nayo mpamvu inyandiko za methylprednisolone yo mu kanwa isoma nk'urubugenwa.
\n\nImpamvu imwe isanzwe mu buzima bwo kwiruka ishingiye ku minsi 6 irimo iribanza muri icyo kibazo cy'urubugenwa: sciatica ikaze n'ububabare bukabije mu mugongo. Kugenera umuti wa steroid kuri ibyo ni ukuyikoresha mu buryo butari bwagenewe, ariko ni legal kandi ni akazi, ariko bivuga ko ibimenyetso by'umuti wawe ari bito kuruta uko byaba byifuzwa kugira ngo uhabwe gout cyangwa astma. Birakwiriye kumenya mbere yo kwemera ko umuyobozi wayihisemo.
\n\nAgasanduku k'imiti ntikareba ibitotsi, grippe, cyangwa imuhogo ibabaza
\n\nAgasanduku k'imiti ya methylprednisolone 4 mg ni urugendo rugufi, rugabanya rugabanya kugira ngo ruhagarike ububabare mu ndwara yamenyekanye, atari umuti rusange wo kwumva nabi. Icyo gitandukaniro gikunze gushira. Mu gukusanya ibihumbi 9.8 by'abakuze bafite indwara zidasanzwe zo mu mikorere y'umwuka wo guhumeka muri Amerika, abafite imyaka 18 kugeza 64, 11.8% bagenerwa urukingo rusanzwe nubwo amabwiriza atabyemeza (PLOS Medicine, Yao et al., 2020). JAMA Internal Medicine yasanze imikoreshereze ihagije y'ubuvuzi bwo mu rwego rwo hejuru ku ndwara zidasanzwe zo mu gikoresho cy'ubuhumekero (Dvorin et al., 2018).
\n\nIkibazo ni cyo gikoreshwa, atari icyo gikomeye. Urutirigizo rwo kurwanya ububabare rukora mu guhagarika imikorere y'ubwirinzi bw'umubiri, kandi hamwe n'ibitotsi, grippe, COVID-19, indwara y'amazuru cyangwa indwara yo mu muhogo, imikorere y'ubwirinzi bw'umubiri ni yo isukura indwara. Ushobora kumva neza iminsi ibiri kandi ntuzegere gusubirana. MedlinePlus yabwiye abarwayi kwirinda ibicurane, kubabara mu muhogo n'ububabare mu ngingo vuba mu gihe bayikoresha, kuko urukingo rugabanya ubwirinzi, kandi nanone bishobora guhisha ibimenyetso byambere by'indwara iri kwiyongera. Gukorora gutagira imitsi ni byiza kuruta umuti wo gukorora wanditse nka benzonatate kuruta urukingo rwo guhagarika.
\n\nAgasanduku karimo kari: gutwika ibihaha, ibibembe by'uruyuki, gutwika k'umuyaga, indwara y'ibirwanya ikomeye, kurwara amagufa. Indwara aho ububabare ari cyo gihe, atari ubwirinzi.
\n\nGusubira hasi ku munsi wa 6 ni urukingo: imiti 6 ku munsi wa 1 kugeza ku 1 ku munsi wa 6
\n\nAgasanduku k'imiti ya methylprednisolone ni urukingo ubwarwo, atari igitekerezo cyongeyeho. Hano hari gahunda isanzwe yo gusubira hasi mu agasanduku k'imiti ya methylprednisolone kuva ku rupapuro rwa FDA MEDROL, ukoresheje imiti ya 4 mg:
\n\n| Umurimo | Imiti (ya 4 mg buri imwe) | Umubare wose ku munsi |
|---|---|---|
| Umurimo wa 1 | Imiti 6 | 24 mg |
| Umurimo wa 2 | Imiti 5 | 20 mg |
| Umurimo wa 3 | Imiti 4 | 16 mg |
| Umurimo wa 4 | Imiti 3 | 12 mg |
| Umurimo wa 5 | Imiti 2 | 8 mg |
| Umurimo wa 6 | Umwe | 4 mg |
Ibyo ni imiti 21 yose. Igishushanyo mbonera ni urukingo, ni nayo mpamvu \"fata uko byagenewe\" bifite agaciro kuruta n'umuti wa buri munsi.
\n\nAmabwiriza asanzwe yo gufata methylprednisolone 4 mg adashyiramo ko imiti yose y'umunsi ikwirakwira ku munsi aho kuyihererekanya, kandi ikarita yanditseho inshuro nyinshi hagati y'umugoroba, ku murimo, nimugoroba no kuryama. Binywe hamwe n'ibiryo cyangwa amata kugira ngo bice igifu cy'umwijima. Ibintu bibiri bikomeye: bamwe bagenera urukingo rwihariye rutandukanye n'ikaratasi, kandi niba ikarita y'ibiyobyabwenge n'ikaratasi y'ibiyobyabwenge bitandukanye, ikarita y'ibiyobyabwenge ni yo yatsinda.
\n\nAgasanduku k'iminsi 6 n'umuti wa buri munsi wa 4 mg byagenewe ibintu bitandukanye
\n\nMedrol dose pack ikoreshwa mu kintu cyo kwiruka kandi gikomeza kwiruka: kurwara allergies, ibibembe by'uruyuki cyangwa indwara yo kwirakara, indwara ya gout ikaze, gutwika ibihaha cyangwa indwara y'amazuru, sciatica mu buryo butari bwo. Iminsi, atari amezi.
\n\nUmuti wa 4 mg wa mbere, wafashwe buri munsi kandi utagereranywa, ukora akazi katandukanye. MedlinePlus n'inyandiko za FDA zivuga ku bwoko bwa lupus n'izindi ndwara zidasanzwe zo mu masuni, indwara yo kuvunika kudasanzwe, indwara z'ubwoko bw'ibirwanya n'izindi ndwara, hamwe n'amaraso, amaso, impyiko, ibinyabano (harimo colitis) n'indwara za kanseri. Ni nayo mpamvu umusomyi ufite agasanduku k'iminsi 6 ku kibembe cy'uruyuki afungura inyandiko kandi asoma ku kanseri n'indwara z'ubwoko bw'ibirwanya. Ntabwo ari ikosa, kandi ntabwo ari kubw'inyungu zawe. Urugo rumwe, ubuvuzi bubiri bwihariye. Niba ushaka kumenya uko urukingo wawe wagenwe kandi kuki, reba uko methylprednisolone ihagaze na prednisone.
\n\nIminsi 6 ni ngufi, ariko ibindi bibazo biracyariho
\n\nIbikoresho bya Medrol dose pack mu minsi 6 bifite ingorane aho kuba ibyago, ntabwo bivuze ko ntacyo. Ibyo abantu bavuga:
\n\n- \n
- Kutaryama, cyane cyane ku muti wafashwe nimugoroba \n
- Guhirwa, kwizirika ku bihangano, kwishyira, cyangwa kumva wazonzwe \n
- Kubika amazi no kuzana umubiri \n
- Kuvugurura amaraso no kuvugurura isukari \n
- Guhurura cyangwa gutwika ku gifu \n
Ibikorwa bikomeye byo kwirinda steroid, harimo impinduka za Cushingoid, potasiyumu nke, ibibazo byo mu mutwe no guhagarika gukura ku bana, bikomoka ku rugendo rurerure cyangwa rugaruka aho kuba urugendo rumwe. Ingamba zo kwirinda indwara zikoreshwa mu gihe cyose. Inyandiko ya FDA ivuga ku kwiyongera kw'ubushoboke bwo kurwara indwara y'ibirwanya, indwara y'ibirwanya, indwara y'ibirwanya n'indwara zidasanzwe, kugaruka kwa kimwe gikomeye cyangwa hepatitis B, n'indwara zikomeye cyangwa z'urupfu z'ibicurane cyangwa chickenpox ku bantu batari abafite ubwirinzi.
\n\nMbere y'umuti wa mbere, MedlinePlus yasabye kuvuguruza uwagupfumbatse kubyerekeye imiti yose ukoresha, cyane aspirin, no kwirinda inkingo zidafite ubuzima zidafite uburenganzira bw'umuganga. Birakwiriye kuvuga cyane: abafata amaraso, NSAIDs, abafata ibirwanya indwara, n'imiti myinshi yo kwirinda indwara zidasanzwe.
\n\nKwitaba hagati ni byiza, ariko gusiba imiti bihisha agasanduku
\n\nInama zo gusiba imiti wanditse ku muti wa buri munsi ntishobora gukoreshwa hano, kuko imiti y'umunsi ari umubare utandukanye w'imiti. Ntube uzuza umunsi wibeshe ku kwiyongera ku munsi ukurikira. Hamagara uwagupfumbatse cyangwa umuhanga mu kuvura kandi ubamure aho uzatangirira.
\n\nInyandiko ya FDA ivuga ko kwishimira kw'imiterere y'imitsi itera imisemburo mu mubiri bishobora kubaho nyuma yo kuvura steroid, ko kugabanya umubare gahoro bihinduka, kandi ko kwishimira kw'imitsi itera imisemburo mu mubiri bishobora kwiyongera mu mezi nyuma yo guhagarara. Icyo kigeragezo kiganisha ku gihe wari ufite umuti.
\n\nIbi nibyo inyandiko nyinshi zitasobanura: iminsi 6 ni ngufi ku buryo kwishimira kw'imitsi itera imisemburo mu mubiri bidakunda kubaho, kandi impamvu nyamukuru yo gusoza agasanduku ni uko ububabare bugaruka igihe umuti wahagarara kare, atari uko gusubira hasi ari imigenzo y'umutekano. Nyamara, menya uko gusubira hasi MedlinePlus isobanura: kwanga kurya, kuruka, gusinzira, kwirakara, ububabare mu mutwe, ibicurane, ububabare mu ngingo n'amaboko, kugabanya ibiro. Kandi iyi mpamvu irimo agasanduku k'iminsi 6 gusa. Niba wari ufite steroid mu byumweru cyangwa amezi, ntuzahagarike utabajije umuganga.
\n\nIgihe uhamagara 911, wohereza ikizamini, cyangwa usabwa mbere yo gutangira
\n\nHama 911 cyangwa ujye mu cyumba cy'ubutabazi ubu niba:
\n- \n
- Urubyoto rwawe, iminwa, ururimi cyangwa umuhogo byarabyimbye, ugorwa no guhumeka cyangwa kumeza, cyangwa utangira kwirakara hose \n
- Ufite amaraso yijimye, afite umwotsi cyangwa amaraso mu musa, cyangwa uruka amaraso \n
- Ubona impinduka zidasanzwe mu kubona cyangwa ububabare bukomeye mu maso \n
- Ufite impinduka zikomeye mu mutwe, ibitekerezo byo kwiyahura, ibitekerezo byo mu mutwe cyangwa kwirakara cyane \n
- Ufite ububabare mu gatuza, umutwe ukomeye utunguranye, intege nke ku ruhande rumwe cyangwa kugorwa no kuvuga \n
- Ufite intege nke cyane, kwirakara, gupfa cyangwa kuruka kudasanzwe, bishobora kugaragaza igitero cy'ibirwanya \n
Wohereza ikizamini mu cyumweru gitaha niba:
\n- \n
- Ibibazo byawe ntibihinduka nyuma yo gusoza agasanduku \n
- Ubona ibicurane, cyangwa gutukura no gushyuha kw'uruhu, ibyo urukingo rushobora guhisha \n
- Isukari y'amaraso yawe iragenda yiyongera kandi ufite diyabeti \n
- Ubona agasanduku k'imiti yo gusubira ku kibazo kimwe cyagarutse, bivuze ko ikibazo cyariho gikenera gahunda, atari urugendo rwo gusubira inyuma \n
Vugana n'umuhanga mu kuvura mbere yo gutangira niba:
\n- \n
- Ufite diyabeti, amaraso adafite urugero, glaucoma, cyangwa amateka y'ibisebe by'umwijima cyangwa amaraso mu gifu \n
- Ufite indwara y'ibirwanya cyangwa yashize, cyangwa amateka ya tuberkulozi cyangwa hepatitis B \n
- Utwite cyangwa ureze, cyangwa ufite inkingo zidafite ubuzima zigiye gutangwa vuba \n
- Ufata aspirin, NSAIDs, urukingo rw'amaraso, urukingo rw'ibirwanya indwara cyangwa imiti yo kwirinda indwara \n
Niba ububabare bwawe butari mu cyiciro cy'ubutabazi ariko ubushaka kwisuzumisha iki cyumweru, ubuvuzi bw'ubutabazi kuri murandasi buriho burakubona mu muganga wemewe wo muri Amerika wagenzura ibimenyetso byawe kandi akemeza niba urukingo ruzabaho. Ubuvuzi kuri murandasi ntibushobora gucunga ibimenyetso byo mu rwego rwa 911 haruguru, kandi ntabwo ari uburyo bwo gusaba agasanduku k'urukingo: niba umuganga yumva ko urukingo ari igikoresho kitari cyo kubyo ufite, kubivuga ni byo.
\n\nBikunze kwibazwa
\n\nBirashoboka kunywa inzoga n'agasanduku k'imiti ya methylprednisolone?
\nNtabwo bikunze. Nta gukoresha bikomeye, ariko inzoga n'inkingo zombi zirakaza igifu, kandi icyo kigeragezo kiriyongera niba nanone ukoresha NSAIDs. Inzoga nanone zikoresha gusinzira ko umuti wa steroid utera kandi bikaba bigoye kumenya isukari yo mu maraso. Iminsi 6 ni igihe gishoboka cyo kubyirenganya, kandi abantu benshi bumva barushaho kuba beza.
\n\nMethylprednisolone 4 mg irakinguka cyangwa irakinguka mu gihe cyo gutwita cyangwa kare?
\nRimwe na rimwe. Inkingo zikoreshwa mu gihe cyo gutwita igihe ububabare bukwiriye kuvurwa, kandi ibice bito bishobora kujya mu mazi y'amashereka. Ikibazo nyacyo ni uko kimeze nk'ibyo methylprednisolone 4 mg ikoreshwa mu buryo rusange kuruta ko ububabare bwawe bwihariye bwakenera steroid ubu, ku rugero rwa kabiri, ku gihe cy'iminsi ngufi. Ni ikiganiro na muganga wawe utwite mbere y'umuti wa mbere, atari nyuma.
\n\nAgasanduku k'imiti y'iminsi 6 kazazamura isukari y'amaraso yanjye niba mfite diyabeti?
\nYego, bizaba. Kwiyongera kwa steroid kugaragara mu gitondo no nimugoroba kandi bishobora kwiyongera iminsi myinshi, harimo iminsi ibiri cyangwa imwe nyuma yo gusoza agasanduku. Suzuma igipimo cyawe cyane kuruta bisanzwe mu gihe cyose, werekane uko bihagaze, kandi ubwire muganga wawe wa diyabeti mbere yo gutangira kugira ngo amadage cyangwa imiti byakorwa ahubwo bikorwa.
\n\nMethylprednisolone itangira gukora igihe cyane, kandi igihe kiranira mu mubiri?
\nRimwe na rimwe mu masaha, nubwo abantu benshi babona ko ari ku mpera y'umunsi wa mbere cyangwa uwa kabiri. 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rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugendaRugendaRugendaRugenda
Ibiherezo bikomeye byo mu rugo
\n- \n
- Iroroshya ububabare mu ndwara yamenyekanye. Ntabwo ivura indwara iterwa n'ubwo bubabare. \n
- Agasanduku kamwe gafite imiti 21 mu minsi 6: imiti 6 ku munsi wa 1, kumanuka kugeza ku muti 1 ku munsi wa 6. \n
- Ntabwo ari umuti w'ibitotsi, grippe, COVID-19, indwara y'amazuru, cyangwa kubabara mu muhogo, nubwo 11.8% by'abakuze bafite indwara zidasanzwe zo mu gikoresho cy'ubuhumekero mu bushakashatsi bunini bwo muri Amerika bagenerwa urukingo rusanzwe kubw'impamvu zitari zo. \n
- Iminsi 6 ni igihe gito ku buryo kugabanuka kw'imitsi itera imisemburo mu mubiri bidakunda kubaho, ariko ntuzigere ukora ibyo wenyine ku muti wateshutse mu gihe ugabanuka. \n
- Banza ubanze ubwire uwagupfumbatse niba ufite diyabeti, indwara y'ibirwanya iriho, amateka y'ibisebe, glaucoma, cyangwa utwite. \n
Methylprednisolone 4 mg ivura ububabare, atari indwara iriho
\n\nMethylprednisolone 4 mg ikoreshwa mu kintu kimwe: kurwanya ububabare, bivuze kwiyongera, ubushyuhe, gutukura n'ububabare inyuma y'ububabare. Inyandiko za FDA zivuga ku gukoresha igihe gito mu byiciro by'indwara zigera kuri cumi n'ibiri, harimo kurwara ububabare bukabije bw'amagufa, allergies zikomeye zo mu mazuru, astma, indwara ya gout ikaze, n'ibibazo bikomeye by'umubiri byinshi (multiple sclerosis exacerbations). Bwica ububabare. Ntabwo ivura indwara ibiteza.
\n\nItawe ku izina rya Medrol Dosepak, kandi ikazenguruka ku masanduku amwe n'amwe y'ibiyobyabwenge no mu bushakashatsi kugera kuri methylprednisolone 4 mg dosepk, iki gicuruzwa ni ikarito yanditseho imiti ya 4 mg. MedlinePlus ivuga methylprednisolone nk'urukingo rw'ibirwanya rushyiraho ububabare, ubushyuhe, gutukura n'ububabare, n' inyandiko ya MEDROL yemejwe na FDA irerekana ibikoresho by'umubiri kuruta uko yagenewe indwara, ni nayo mpamvu inyandiko za methylprednisolone yo mu kanwa isoma nk'urubugenwa.
\n\nImpamvu imwe isanzwe mu buzima bwo kwiruka ishingiye ku minsi 6 irimo iribanza muri icyo kibazo cy'urubugenwa: sciatica ikaze n'ububabare bukabije mu mugongo. Kugenera umuti wa steroid kuri ibyo ni ukuyikoresha mu buryo butari bwagenewe, ariko ni legal kandi ni akazi, ariko bivuga ko ibimenyetso by'umuti wawe ari bito kuruta uko byaba byifuzwa kugira ngo uhabwe gout cyangwa astma. Birakwiriye kumenya mbere yo kwemera ko umuyobozi wayihisemo.
\n\nAgasanduku k'imiti ntikareba ibitotsi, grippe, cyangwa imuhogo ibabaza
\n\nAgasanduku k'imiti ya methylprednisolone 4 mg ni urugendo rugufi, rugabanya kugira ngo ruhagarike ububabare mu ndwara yamenyekanye, atari umuti rusange wo kwumva nabi. Icyo gitandukaniro gikunze gushira. Mu gukusanya ibihumbi 9.8 by'abakuze bafite indwara zidasanzwe zo mu mikorere y'umwuka wo guhumeka muri Amerika, abafite imyaka 18 kugeza 64, 11.8% bagenerwa urukingo rusanzwe nubwo amabwiriza atabyemeza (PLOS Medicine, Yao et al., 2020). JAMA Internal Medicine yasanze imikoreshereze ihagije y'ubuvuzi bwo mu rwego rwo hejuru ku ndwara zidasanzwe zo mu gikoresho cy'ubuhumekero (Dvorin et al., 2018).
\n\nIkibazo ni cyo gikoreshwa, atari icyo gikomeye. Urutirigizo rwo kurwanya ububabare rukora mu guhagarika imikorere y'ubwirinzi bw'umubiri, kandi hamwe n'ibitotsi, grippe, COVID-19, indwara y'amazuru cyangwa indwara yo mu muhogo, imikorere y'ubwirinzi bw'umubiri ni yo isukura indwara. Ushobora kumva neza iminsi ibiri kandi ntuzegere gusubirana. MedlinePlus yabwiye abarwayi kwirinda ibicurane, kubabara mu muhogo n'ububabare mu ngingo vuba mu gihe bayikoresha, kuko urukingo rugabanya ubwirinzi, kandi nanone bishobora guhisha ibimenyetso byambere by'indwara iri kwiyongera. Gukorora gutagira imitsi ni byiza kuruta umuti wo gukorora wanditse nka benzonatate kuruta urukingo rwo guhagarika.
\n\nAgasanduku karimo kari: gutwika ibihaha, ibibembe by'uruyuki, gutwika k'umuyaga, indwara y'ibirwanya ikomeye, kurwara amagufa. Indwara aho ububabare ari cyo gihe, atari ubwirinzi.
\n\nGusubira hasi ku munsi wa 6 ni urukingo: imiti 6 ku munsi wa 1 kugeza ku 1 ku munsi wa 6
\n\nAgasanduku k'imiti ya methylprednisolone ni urukingo ubwarwo, atari igitekerezo cyongeyeho. Hano hari gahunda isanzwe yo gusubira hasi mu agasanduku k'imiti ya methylprednisolone kuva ku rupapuro rwa FDA MEDROL, ukoresheje imiti ya 4 mg:
\n\n| Umurimo | Imiti (ya 4 mg buri imwe) | Umubare wose ku munsi |
|---|---|---|
| Umurimo wa 1 | Imiti 6 | 24 mg |
| Umurimo wa 2 | Imiti 5 | 20 mg |
| Umurimo wa 3 | Imiti 4 | 16 mg |
| Umurimo wa 4 | Imiti 3 | 12 mg |
| Umurimo wa 5 | Imiti 2 | 8 mg |
| Umurimo wa 6 | Umwe | 4 mg |
Ibyo ni imiti 21 yose. Igishushanyo mbonera ni urukingo, ni nayo mpamvu \"fata uko byagenewe\" bifite agaciro kuruta n'umuti wa buri munsi.
\n\nAmabwiriza asanzwe yo gufata methylprednisolone 4 mg adashyiramo ko imiti yose y'umunsi ikwirakwira ku munsi aho kuyihererekanya, kandi ikarita yanditseho inshuro nyinshi hagati y'umugoroba, ku murimo, nimugoroba no kuryama. Binywe hamwe n'ibiryo cyangwa amata kugira ngo bice igifu cy'umwijima. Ibintu bibiri bikomeye: bamwe bagenera urukingo rwihariye rutandukanye n'ikaratasi, kandi niba ikarita y'ibiyobyabwenge n'ikaratasi y'ibiyobyabwenge bitandukanye, ikarita y'ibiyobyabwenge ni yo yatsinda.
\n\nAgasanduku k'iminsi 6 n'umuti wa buri munsi wa 4 mg byagenewe ibintu bitandukanye
\n\nMedrol dose pack ikoreshwa mu kintu cyo kwiruka kandi gikomeza kwiruka: kurwara allergies, ibibembe by'uruyuki cyangwa indwara yo kwirakara, indwara ya gout ikaze, gutwika ibihaha cyangwa indwara y'amazuru, sciatica mu buryo butari bwo. Iminsi, atari amezi.
\n\nUmuti wa 4 mg wa mbere, wafashwe buri munsi kandi utagereranywa, ukora akazi katandukanye. MedlinePlus n'inyandiko za FDA zivuga ku bwoko bwa lupus n'izindi ndwara zidasanzwe zo mu masuni, indwara yo kuvunika kudasanzwe, indwara z'ubwoko bw'ibirwanya n'izindi ndwara, hamwe n'amaraso, amaso, impyiko, ibinyabano (harimo colitis) n'indwara za kanseri. Ni nayo mpamvu umusomyi ufite agasanduku k'iminsi 6 ku kibembe cy'uruyuki afungura inyandiko kandi asoma ku kanseri n'indwara z'ubwoko bw'ibirwanya. Ntabwo ari ikosa, kandi ntabwo ari kubw'inyungu zawe. Urugo rumwe, ubuvuzi bubiri bwihariye. Niba ushaka kumenya uko urukingo wawe wagenwe kandi kuki, reba uko methylprednisolone ihagaze na prednisone.
\n\nIminsi 6 ni ngufi, ariko ibindi bibazo biracyariho
\n\nIbikoresho bya Medrol dose pack mu minsi 6 bifite ingorane aho kuba ibyago, ntabwo bivuze ko ntacyo. Ibyo abantu bavuga:
\n\n- \n
- Kutaryama, cyane cyane ku muti wafashwe nimugoroba \n
- Guhirwa, kwizirika ku bihangano, kwishyira, cyangwa kumva wazonzwe \n
- Kubika amazi no kuzana umubiri \n
- Kuvugurura amaraso no kuvugurura isukari \n
- Guhurura cyangwa gutwika ku gifu \n
Ibikorwa bikomeye byo kwirinda steroid, harimo impinduka za Cushingoid, potasiyumu nke, ibibazo byo mu mutwe no guhagarika gukura ku bana, bikomoka ku rugendo rurerure cyangwa rugaruka aho kuba urugendo rumwe. Ingamba zo kwirinda indwara zikoreshwa mu gihe cyose. Inyandiko ya FDA ivuga ku kwiyongera kw'ubushoboke bwo kurwara indwara y'ibirwanya, indwara y'ibirwanya, indwara y'ibirwanya n'indwara zidasanzwe, kugaruka kwa kimwe gikomeye cyangwa hepatitis B, n'indwara zikomeye cyangwa z'urupfu z'ibicurane cyangwa chickenpox ku bantu batari abafite ubwirinzi.
\n\nMbere y'umuti wa mbere, MedlinePlus yasabye kuvuguruza uwagupfumbatse kubyerekeye imiti yose ukoresha, cyane aspirin, no kwirinda inkingo zidafite ubuzima zidafite uburenganzira bw'umuganga. Birakwiriye kuvuga cyane: abafata amaraso, NSAIDs, abafata ibirwanya indwara, n'imiti myinshi yo kwirinda indwara zidasanzwe.
\n\nKwitaba hagati ni byiza, ariko gusiba imiti bihisha agasanduku
\n\nInama zo gusiba imiti wanditse ku muti wa buri munsi ntishobora gukoreshwa hano, kuko imiti y'umunsi ari umubare utandukanye w'imiti. Ntube uzuza umunsi wibeshe ku kwiyongera ku munsi ukurikira. Hamagara uwagupfumbatse cyangwa umuhanga mu kuvura kandi ubamure aho uzatangirira.
\n\nInyandiko ya FDA ivuga ko kwishimira kw'imiterere y'imitsi itera imisemburo mu mubiri bishobora kubaho nyuma yo kuvura steroid, ko kugabanya umubare gahoro bihinduka, kandi ko kwishimira kw'imitsi itera imisemburo mu mubiri bishobora kwiyongera mu mezi nyuma yo guhagarara. Icyo kigeragezo kiganisha ku gihe wari ufite umuti.
\n\nIbi nibyo inyandiko nyinshi zitasobanura: iminsi 6 ni ngufi ku buryo kwishimira kw'imitsi itera imisemburo mu mubiri bidakunda kubaho, kandi impamvu nyamukuru yo gusoza agasanduku ni uko ububabare bugaruka igihe umuti wahagarara kare, atari uko gusubira hasi ari imigenzo y'umutekano. Nyamara, menya uko gusubira hasi MedlinePlus isobanura: kwanga kurya, kuruka, gusinzira, kwirakara, ububabare mu ngingo n'amaboko, kugabanya ibiro. Kandi iyi mpamvu irimo agasanduku k'iminsi 6 gusa. Niba wari ufite steroid mu byumweru cyangwa amezi, ntuzahagarike utabajije umuganga.
\n\nIgihe uhamagara 911, wohereza ikizamini, cyangwa usabwa mbere yo gutangira
\n\nHama 911 cyangwa ujye mu cyumba cy'ubutabazi ubu niba:
\n- \n
- Urubyoto rwawe, iminwa, ururimi cyangwa umuhogo byarabyimbye, ugorwa no guhumeka cyangwa kumeza, cyangwa utangira kwirakara hose \n
- Ufite amaraso yijimye, afite umwotsi cyangwa amaraso mu musa, cyangwa uruka amaraso \n
- Ubona impinduka zidasanzwe mu kubona cyangwa ububabare bukomeye mu maso \n
- Ufite impinduka zikomeye mu mutwe, ibitekerezo byo kwiyahura, ibitekerezo byo mu mutwe cyangwa kwirakara cyane \n
- Ufite ububabare mu gatuza, umutwe ukomeye utunguranye, intege nke ku ruhande rumwe cyangwa kugorwa no kuvuga \n
- Ufite intege nke cyane, kwirakara, gupfa cyangwa kuruka kudasanzwe, bishobora kugaragaza igitero cy'ibirwanya \n
Wohereza ikizamini mu cyumweru gitaha niba:
\n- \n
- Ibibazo byawe ntibihinduka nyuma yo gusoza agasanduku \n
- Ubona ibicurane, cyangwa gutukura no gushyuha kw'uruhu, ibyo urukingo rushobora guhisha \n
- Isukari y'amaraso yawe iragenda yiyongera kandi ufite diyabeti \n
- Ubona agasanduku k'imiti yo gusubira ku kibazo kimwe cyagarutse, bivuze ko ikibazo cyariho gikenera gahunda, atari urugendo rwo gusubira inyuma \n
Vugana n'umuhanga mu kuvura mbere yo gutangira niba:
\n- \n
- Ufite diyabeti, amaraso adafite urugero, glaucoma, cyangwa amateka y'ibisebe by'umwijima cyangwa amaraso mu gifu \n
- Ufite indwara y'ibirwanya cyangwa yashize, cyangwa amateka ya tuberkulozi cyangwa hepatitis B \n
- Utwite cyangwa ureze, cyangwa ufite inkingo zidafite ubuzima zigiye gutangwa vuba \n
- Ufata aspirin, NSAIDs, urukingo rw'amaraso, urukingo rw'ibirwanya indwara cyangwa imiti yo kwirinda indwara \n
Niba ububabare bwawe butari mu cyiciro cy'ubutabazi ariko ubushaka kwisuzumisha iki cyumweru, ubuvuzi bw'ubutabazi kuri murandasi buriho burakubona mu muganga wemewe wo muri Amerika wagenzura ibimenyetso byawe kandi akemeza niba urukingo ruzabaho. Ubuvuzi kuri murandasi ntibushobora gucunga ibimenyetso byo mu rwego rwa 911 haruguru, kandi ntabwo ari uburyo bwo gusaba agasanduku k'urukingo: niba umuganga yumva ko urukingo ari igikoresho kitari cyo kubyo ufite, kubivuga ni byo.
\n\nBikunze kwibazwa
\n\nBirashoboka kunywa inzoga n'agasanduku k'imiti ya methylprednisolone?
\nNtabwo bikunze. Nta gukoresha bikomeye, ariko inzoga n'inkingo zombi zirakaza igifu, kandi icyo kigeragezo kiriyongera niba nanone ukoresha NSAIDs. Inzoga nanone zikoresha gusinzira ko umuti wa steroid utera kandi bikaba bigoye kumenya isukari yo mu maraso. Iminsi 6 ni igihe gishoboka cyo kubyirenganya, kandi abantu benshi bumva barushaho kuba beza.
\n\nMethylprednisolone 4 mg irakinguka cyangwa irakinguka mu gihe cyo gutwita cyangwa kare?
\nRimwe na rimwe. Inkingo zikoreshwa mu gihe cyo gutwita igihe ububabare bukwiriye kuvurwa, kandi ibice bito bishobora kujya mu mazi y'amashereka. Ikibazo nyacyo ni uko kimeze nk'ibyo methylprednisolone 4 mg ikoreshwa mu buryo rusange kuruta ko ububabare bwawe bwihariye bwakenera steroid ubu, ku rugero rwa kabiri, ku gihe cy'iminsi ngufi. Ni ikiganiro na muganga wawe utwite mbere y'umuti wa mbere, atari nyuma.
\n\nAgasanduku k'imiti y'iminsi 6 kazazamura isukari y'amaraso yanjye niba mfite diyabeti?
\nYego, bizaba. Kwiyongera kwa steroid kugaragara mu gitondo no nimugoroba kandi bishobora kwiyongera iminsi myinshi, harimo iminsi ibiri cyangwa imwe nyuma yo gusoza agasanduku. Suzuma igipimo cyawe cyane kuruta bisanzwe mu gihe cyose, werekane uko bihagaze, kandi ubwire muganga wawe wa diyabeti mbere yo gutangira kugira ngo amadage cyangwa imiti byakorwa ahubwo bikorwa.
\n\nMethylprednisolone itangira gukora igihe cyane, kandi igihe kiranira mu mubiri?
\nRimwe na rimwe mu masaha, nubwo abantu benshi babona ko ari ku mpera y'umunsi wa mbere cyangwa uwa kabiri. Urukingo rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda rugenda 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