Chii chinonzi Corticosteroid (Nzira Yemuromo/Nzira Yemuviri): Zvinoshandiswa, Madosi, Migumisiro Yemativi uye Zvimwe

Corticosteroids mishonga ine simba inorwisa kuzvimba inotevedzera cortisol, hormone inogadzirwa nemuviri wako pachisikigo muzvinyama zvako zveadrenal. Kana zvatorwa nemuromo (nzira yemuromo) kana kuburikidza nejekiseni (nzira yemuviri), mishonga iyi inogona kuderedza kuzvimba nekudzora immune system yako kana ichishanda zvakanyanya. Zvinorairwa kune huwandu hwakawanda hwemamiriro, kubva kune akanyanya allergic reactions kusvika kune autoimmune zvirwere, uye nepo zvichigona kubatsira zvakanyanya, zvinoda kunyatso tarisa uye kugadzirisa madosi zvishoma nezvishoma.

Chii chinonzi Corticosteroid?

Corticosteroids ndiyo synthetic shanduro dze cortisol, kazhinji inonzi

• Kusagadzikana kwakanyanya kwemuviri: Kusanganisira anaphylaxis, kurwisa kwakanyanya kweasthma, uye kusagadzikana kwemishonga
• Zvirwere zvemuviri zvinorwisa muviri: Zvakaita se rheumatoid arthritis, lupus, uye inflammatory bowel disease
• Mamiriro ekufema: Kusanganisira asthma yakanyanya, chronic obstructive pulmonary disease (COPD) flares, uye pneumonia
• Mamiriro eganda: Semuenzaniso eczema yakanyanya, psoriasis, uye allergic dermatitis
• Mamiriro ekuzvimba: Kusanganisira bursitis, tendonitis, uye kuzvimba kwemajoini
• Mamiriro ekuongorora: Zvakaita se multiple sclerosis flares uye mamwe marudzi ekubata

Kazhinji, vanachiremba vanonyora corticosteroids kune mamwe marudzi ekenza, kudzivirira kurambwa kwenhengo, uye zvirwere zvakanyanya uko kuzvimba kunotyisidzira kushanda kwenhengo. Chiremba wako achanyatso kuyera mabhenefiti achipesana nenjodzi dzinogona kuitika paanenge achifunga nezve mishonga iyi yemamiriro ako chaiwo.

Corticosteroid Inoshanda Sei?

Corticosteroids inoonekwa semishonga yepakati nepakati inoshanda nekutevedzera uye kuwedzera maitiro ako echisikigo ekurwisa kuzvimba. Havasi mishonga yakasimba iripo, asi zvechokwadi vane simba kupfuura mishonga yekurwisa kuzvimba inowanikwa pasina mushonga.

Mishonga iyi inoshanda nekubatanidza kune mamwe ma receptors mukati memaseru ako, zvichipa maseru ako mirairo mitsva yekuti ingaite sei kuzvimba. Vanoudza immune system yako kuti idzikame uye ideredze kugadzirwa kwezvinhu zvinokonzera kuzvimba zvinokonzera kuzvimba, kurwadziwa, uye kukuvadzwa kwetishu.

Simba re corticosteroids rinosiyana zvichienderana nerudzi rwakati uye dose. Vamwe, vakaita se prednisone, vanoonekwa sevanosimba zvine mwero, nepo vamwe vakaita se dexamethasone vane simba rakawanda. Chiremba wako achasarudza simba rakakodzera zvichienderana nekukomba kwemamiriro ako uye mhinduro yemuviri wako kumishonga.

Ndinofanira Kutora Sei Corticosteroid?

Kutora corticosteroids nemazvo kwakakosha kune zvese kushanda zvakanaka uye kuchengeteka. Chiremba wako achapa mirairo chaiyo, asi kune gwara rakajairika rinoshanda kune vanhu vazhinji.

Kune oral corticosteroids, tora izvo nekudya kana mukaka kudzivirira dumbu rako. Mishonga iyi inogona kutsamwisa hurongwa hwako hwekugaya, saka kuva nechinhu mudumbu rako kunobatsira kudzivirira kusvotwa uye dumbu rinogumbuka. Girazi remukaka kana chikafu chakareruka chinoshanda zvakanaka.

Tora chiyero chako mangwanani kana zvichibvira, zvakanaka pakati pa6 na8 AM. Iyi nguva inoenderana nemaitiro ako emuviri ekugadzira cortisol uye inogona kubatsira kuderedza kukanganiswa kwekurara. Kana iwe uchitora madosi akawanda zuva rega rega, apara iwo zvakaenzana zuva rese sezvinokurudzirwa nachiremba wako.

Kune parenteral (jekiseni) corticosteroids, izvi zvinowanzo kupihwa nevanachiremba munzvimbo dzekurapa. Nzvimbo yekujekiseni uye nzira inoenderana nemamiriro ako chaiwo - inogona kuva mumhasuru, tsinga, kana zvakananga mujoini rinobatwa.

Ndinofanira Kutora Corticosteroid Kwenguva Yakareba Sei?

Kureba kwecorticosteroid kurapwa kunosiyana zvakanyanya zvichienderana nemamiriro ako uye kuti muviri wako unoita sei. Kushandiswa kwenguva pfupi kunowanzo gara kubva kumazuva mashoma kusvika kumavhiki mashoma, nepo mamwe mamiriro echronic angangoda nguva yakareba yekurapa.

Kune mamiriro akakomba seakanyanya allergic reactions kana asthma flares, unogona kutora corticosteroids kwemazuva 3-7 chete. Iyi nzira pfupi, inowanzo kunzi

Usambomira kutora corticosteroids kamwe kamwe, kunyanya kana wanga uchizvitora kwemavhiki anopfuura mashoma. Muviri wako unoda nguva yekugadzirisa uye kutanga kugadzira cortisol yayo zvakare. Chiremba wako achagadzira chirongwa chekuderera chinoderera zvishoma nezvishoma chiyero chako nekufamba kwenguva.

Ndezvipi Zvakaipa zveCorticosteroid?

Corticosteroids inogona kukonzera mhedzisiro, kunyanya nekushandiswa kwenguva refu kana madosi akakwirira. Kunzwisisa izvi zvinogona kukonzera mhedzisiro kunokubatsira kuti uzive zvekutarisa uye kana uchifanira kubata chiremba wako.

Mhedzisiro yakajairika iyo vanhu vazhinji vanowana inosanganisira:

• Kuwedzera chido chekudya uye kuwedzera uremu: Unogona kunzwa uine nzara kupfuura zvakajairika uye woona kuwedzera uremu, kunyanya kutenderedza pakati pemuviri wako
• Kuchinja kwemafungiro: Kusanganisira kuwedzera simba, kusagadzikana, kushushikana, kana kuchinja kwemafungiro
• Matambudziko ekurara: Kuoma kurara kana kuramba wakarara, kunyanya kana zvatorwa gare gare muzuva
• Kusagadzikana mudumbu: Kusvotwa, heartburn, kana kutsamwa mudumbu
• Kuwedzera shuga yeropa: Zvakakosha kunyanya kana uine chirwere cheshuga kana pre-diabetes
• Kuzvimba kudiki: Kunyanya mumaoko ako, tsoka, kana kumeso nekuda kwekuchengetwa kwemvura

Nekushandiswa kwenguva refu, vamwe vanhu vanogona kusangana nemhedzisiro yakakomba iyo inoda kutarisa pedyo:

• Kutetepa kwemapfupa (osteoporosis): Kuwedzera njodzi yekutyoka, kunyanya mumusana nemagaro
• Kuwedzera njodzi yekutapukirwa: Immune system yako inogona kunge isingakwanisi kurwisa zvirwere
• High blood pressure: Kutarisa nguva dzose kunova kwakakosha
• Kushaya simba kwemhasuru: Kunyanya mumaoko ako nemakumbo
• Kuchinja kweganda: Kusanganisira kuoma nyore, kupora kwemavanga kunonoka, uye zviratidzo zvekuwedzera

Zvisingawanzoitika asi zvakakomba zvinosanganisira shanduko huru dzemafungiro, matambudziko ekuona, uye kudzvinyirirwa kwegland ye adrenal. Bata chiremba wako nekukasira kana ukaona kuora mwoyo kwakanyanya, pfungwa dzekuzvikuvadza, shanduko dzisingatarisirwi dzekuona, kana zviratidzo zveutachiona zvakaita sefivha kana kukosora kunoramba kuripo.

Ndiani Asingafaniri Kutora Corticosteroid?

Vanhu vakati wandei vanofanira kudzivisa corticosteroids kana kuzvishandisa nekuchenjerera kukuru. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akurudzira mishonga iyi.

Haufaniri kutora corticosteroids kana uine:

• Zvirwere zviripo: Kunyanya zvirwere zvefungal, sezvo corticosteroids inogona kudzvinyirira immune system yako uye kuwedzera zvirwere
• Majekiseni e-virus mhenyu akarongwa: Mirira kusvika wapedza kurapwa kwako kwe corticosteroid
• Allergy inozivikanwa: Kune iyo corticosteroid chaiyo kana chero chimwe chezvinhu zvayo

Shandisa corticosteroids nekuchenjerera kana uine:

• Chirwere cheshuga: Mishonga iyi inogona kukwidza zvakanyanya mazinga eshuga yeropa
• High blood pressure: Corticosteroids inogona kuwedzera blood pressure zvakare
• Osteoporosis: Njodzi yekukanganiswa kwemapfupa
• Glaucoma: Kuwedzera kumanikidzwa kwemaziso kunogoneka
• Stomach ulcers: Njodzi yekubuda ropa kana kuboora
• Mamiriro ehutano hwepfungwa: Kusanganisira kuora mwoyo, kushushikana, kana bipolar disorder

Vakadzi vane pamuviri nevanooyamwisa vanoda kutariswa zvakakosha. Nepo corticosteroids inogona kushandiswa panguva yekuzvitakura kana mabhenefiti achipfuura njodzi, vanoda kunyatsoongororwa. Chiremba wako achakurukura sarudzo dzakachengeteka dzemamiriro ako chaiwo.

Mazita eCorticosteroid Brand

Corticosteroids inowanikwa pasi pemazita akasiyana-siyana emhando, zvichienderana nemushonga chaiwo uye kugadzirwa. Kuziva mazita aya kunokubatsira kuti uzive mushonga wako uye unzwisise zvauri kutora.

Mazita akajairika emhando ye corticosteroid yemuromo anosanganisira:

• Prednisone: Deltasone, Rayos, Prednisone Intensol
• Prednisolone: Orapred, Prelone, Pediapred
• Methylprednisolone: Medrol, Medrol Dosepak
• Dexamethasone: Decadron, DexPak
• Hydrocortisone: Cortef

Corticosteroids inojekeswa inosanganisira Solu-Medrol (methylprednisolone), Solu-Cortef (hydrocortisone), uye Decadron (dexamethasone). Izvi zvinowanzoitwa munzvimbo dzekutarisira hutano uye zvinogona kuva nemazita akasiyana emhando zvichienderana nemugadziri.

Zvimwe Zvinhu Zvokushandisa Pane Corticosteroid

Zvimwe zvinhu zvakawanda zvekushandisa pane corticosteroids zviripo, zvichienderana nemamiriro ako chaiwo. Chiremba wako angangofunga nezvezvisarudzo izvi kana corticosteroids dzisina kukodzera iwe kana kana uri kusangana nemigumisiro yakakosha.

Mishonga isiri ye-steroidal anti-inflammatory drugs (NSAIDs) senge ibuprofen, naproxen, uye celecoxib inogona kubatsira nekuputika uye kurwadziwa. Kunyange zvazvo isina simba kupfuura corticosteroids, inogona kukwana kune mamiriro ekupisa akapfava kusvika pakati nepakati.

Mishonga inochinja chirwere-modifying antirheumatic drugs (DMARDs) senge methotrexate uye sulfasalazine inopa kutonga kwenguva refu kune autoimmune conditions. Mishonga iyi inoshanda zvakasiyana ne corticosteroids asi inogona kuva inobudirira zvakaenzana kune zvirwere zvisingaperi zvinopisa.

Mishonga yeBiologic inomiririra nzira itsva dzekurapa mamiriro akaita se rheumatoid arthritis uye inflammatory bowel disease. Aya marapirwo akatarwa anogona kubudirira zvikuru asi anoda kutariswa zvakanyanya uye anowanzoita mari yakawanda kupfuura mishonga yechinyakare.

Ko Corticosteroid iri nani pane Prednisone?

Prednisone ndechimwe chezvinhu zve corticosteroid, saka kuenzanisa corticosteroids ne prednisone zvakafanana nekuenzanisa mota neHonda - prednisone ndechimwe chezvinhu zve corticosteroid. Mubvunzo unova ndechipi corticosteroid chinoshanda zvakanaka pachinhu chako chaicho.

Prednisone inowanzofungidzirwa se

Kana ukatora corticosteroid yakawanda netsaona, fonera chiremba wako kana nzvimbo inobatsira kana uine chepfu nekukasika. Kutora yakawanda kunogona kukonzera matambudziko akakomba, kunyanya kukanganisa moyo wako, ropa, uye shuga yeropa.

Zviratidzo zvekuwandisa kwecorticosteroid zvinogona kusanganisira kusvotwa kwakanyanya, kurutsa, dzungu, kurwadziwa nemusoro, kusava nesimba mumhasuru, kana shanduko mumoyo. Unogonawo kuona shanduko huru dzemanzwiro, kuvhiringika, kana kuoma kufema.

Usaedze "kugadzirisa" nekutora yakawanda nekusvetuka mushonga wako unotevera. Pane kudaro, tevera mirairo yachiremba wako yekudzokera panguva yako yekurapa. Chengeta mushonga wako mumudziyo wakanyatsojekeswa uye funga kushandisa chirongwa chemapiritsi kudzivirira kusanganiswa mune ramangwana.

Ndingaita Sei Kana Ndikakanganwa Kutora Corticosteroid?

Kana ukakanganwa kutora corticosteroid, tora nekukasika paunorangarira, kunze kwekunge yava nguva yekutora mushonga wako unotevera. Muchiitiko ichocho, svetuka mushonga wakakanganwa uye ramba uchienderera mberi nechirongwa chako chemazuva ese - usaite kaviri pamishonga.

Kukanganwa mishonga dzimwe nguva kazhinji hakuna njodzi, asi edza kuchengetedza kuenderana kuti uwane mhedzisiro yakanaka. Kana uri kutora corticosteroids kune chimwe chirwere chakakomba senge asthma yakakomba kana chirwere chemuviri, kukanganwa mishonga kunogona kubvumira zviratidzo kudzoka.

Isa zviyeuchidzo zvefoni kana kushandisa chirongwa chemapiritsi kubatsira kurangarira mishonga yako. Kana iwe uchikanganwa mishonga kazhinji, taura nachiremba wako nezve nzira dzekuvandudza kutevedzera kana kana imwe nguva yekurapa ingashanda zviri nani kwauri.

Ndingamira Rini Kutora Corticosteroid?

Usambomira kutora corticosteroids kamwechete pasina kutungamirirwa nachiremba wako, kunyanya kana wanga uchivatora kwemavhiki anopfuura mashoma. Muviri wako unoda nguva yekugadzirisa uye kutanga kugadzira cortisol yayo zvakare.

Chiremba wako achagadzira chirongwa chekuderera chinoderera zvishoma nezvishoma mushonga wako mumazuva, mavhiki, kana kunyange mwedzi, zvichienderana nekuti wanga uchitora mushonga kwenguva yakareba sei uye maitiro ako ega. Izvi zvinodzivirira zviratidzo zvekusiya uye zvinobvumira adrenal glands yako kuti itangezve kushanda zvakajairika.

Zviratidzo zvekuti ungave wakagadzirira kumira zvinosanganisira zviratidzo zvakadzorwa, mamiriro akagadzikana, uye kupedzwa kwakabudirira kwechirongwa chako chekurapa. Chiremba wako achatarisa kufambira mberi kwako uye achagadzirisa chirongwa chekuderera zvichienderana nekuti uri kupindura sei kuderedzwa kwemadosi.

Ndinganwe Doro Ndiri Kutora Corticosteroid?

Zvinowanzoita zvakanaka kuderedza kana kudzivirira doro uchitora corticosteroids. Zvese doro uye corticosteroids zvinogona kutsamwisa mudumbu rako, zvichikwidza njodzi yezvinyoro zvemudumbu uye kubuda ropa kana zvichibatanidzwa.

Doro rinogonawo kuwedzera mamwe maitiro eCorticosteroid, kusanganisira shanduko dzemanzwiro, matambudziko ekurara, uye shanduko yeshuga yeropa. Kana uine chirwere cheshuga, doro rinogona kuita kuti kudzora shuga yeropa kuve kwakaoma paunenge uchitora corticosteroids.

Kana ukasarudza kunwa doro, ita kudaro zvine mwero uye nguva dzose uine chikafu. Kurukura kunwa kwako doro nachiremba wako, sezvo vachigona kukurudzira kudzivirira zvachose zvichienderana nemamiriro ako chaiwo uye mamwe mishonga yaunotora.