Chii chinonzi Hydrocortisone: Zvayinoshandiswa, Madosi, Migumisiro Yakaipa nezvimwe

Hydrocortisone imhando yekugadzirwa ye cortisol, hormone inogadzirwa nemuviri wako zvakasikwa mumagranzi e adrenal. Kana ichitorwa nemuromo, inoita semushonga une simba unodzivisa kuzvimba unobatsira kuderedza kuzvimba, kunyaradza immune system yako, uye kutsiva mahomoni asipo kana muviri wako usingakwanise kuzvigadzira wega. Mushonga uyu ndeweboka rinonzi corticosteroids, iro rakasiyana ne steroids vanomhanya vanogona kushandisa zvisizvo.

Chii chinonzi Hydrocortisone?

Hydrocortisone inonyanya kuita kopi yakagadzirwa nevanhu ye cortisol, inowanzozivikanwa se

• Chirwere chaAddison (primary adrenal insufficiency) - kana magland ako e adrenal asingabudise cortisol yakakwana
• Secondary adrenal insufficiency - kana gland yako ye pituitary isingatumire chiratidzo kumagland ako e adrenal nemazvo
• Congenital adrenal hyperplasia - mamiriro ejeneti anokanganisa kugadzirwa kwehomoni
• Maitiro akakomba e allergic asingapinduri kune dzimwe nzira dzekurapa
• Zvirwere zve inflammatory bowel zvakaita se ulcerative colitis kana chirwere chaCrohn
• Asthma yakakomba panguva yekupisa kwakanyanya
• Rheumatoid arthritis uye mamwe mamiriro e autoimmune joint
• Mamwe mamiriro eganda akaita se eczema yakakomba kana psoriasis

Chiremba wako anogonawo kunyora hydrocortisone kune mamiriro asingawanzoitiki akaita se severe lupus flares kana mamwe matambudziko eropa. Chinhu chikuru ndechekuti chinoshandiswa kana muviri wako wechisikigo anti-inflammatory uchida rutsigiro rukuru.

Hydrocortisone Inoshanda Sei?

Hydrocortisone inoshanda nekutevedzera zvinogadzirwa ne cortisol yako yechisikigo mazuva ese. Paunomedza piritsi, rinofamba nemudumbu rako uye rinopinda muropa rako, uko rinogona kusvika maseru mumuviri wako wese.

Mishonga inosungirirwa kune receptors dzakakosha mukati memasero ako, kunyanya maseru ekudzivirira muviri, uye inovaudza kuti vanyarare. Izvi zvinoderedza kuzvimba, kuzvimba, uye kupindura kwakanyanya kwe immune kunogona kukonzera kurwadziwa uye kukuvadza tishu. Zvakafanana nekuve nemutauriri ane hunyanzvi anopinda kuti anyararise hurukuro inopisa.

Kune vanhu vane adrenal insufficiency, hydrocortisone inotsiva chaizvo homoni inoshayikwa iyo miviri yavo isingakwanise kugadzira. Izvi zvinobatsira kuchengetedza ropa rakajairika, mazinga eshuga yeropa, uye kugona kwemuviri kupindura kushushikana sekurwara kana kukuvara.

Hydrocortisone Inoshanda Sei?

Se corticosteroid ine simba repakati, hydrocortisone haina simba zvakanyanya kupfuura mishonga yakaita se prednisone kana prednisolone. Izvi zvinoita kuti ive yakachengeteka kushandiswa kwenguva refu asi zvinorevawo kuti zvinogona kutora nguva yakareba kuti uone kuvandudzwa kukuru mumamiriro ekuzvimba.

Ndingatora Sei Hydrocortisone?

Tora hydrocortisone sezvinorayirwa nachiremba wako, kazhinji uchiidya nechikafu kudzivirira dumbu rako. Vanhu vazhinji vanoi tora mangwanani kuti vatevedzere rhythm yechisikigo ye cortisol yemuviri wako, iyo yakanyanya paunomuka.

Medza mahwendefa ese nemvura yakazara. Kuitora nechikafu kana mukaka kunogona kubatsira kudzivirira kusagadzikana mudumbu, izvo zvakakosha kana uri kutora madosi akakwirira. Kana wakarairwa madosi akawanda pazuva, chiremba wako anozokurudzira kutora dose yakakura mangwanani uye madosi madiki gare gare.

Edza kutora mushonga wako panguva imwe chete zuva rega rega kuti uchengetedze mazinga emahormone mumuviri wako. Kana uri kuitora nekuda kwekushaya simba kwe adrenal, kuenderana kwakakosha nekuti muviri wako unovimba neiyi sosi yekunze ye cortisol kuti ishande nemazvo.

Usambofa wakapwanya kana kutsenga mahwendefa kunze kwekunge chiremba wako akakuudza zvakananga. Mamwe mafomu akagadzirirwa kuburitsa mushonga zvishoma nezvishoma, uye kuapwanya kunogona kukonzera kuti uwane zvakawanda kamwechete.

Ndingatora Hydrocortisone Kwenguva Yakareba Sei?

Kureba kwekurapa kwe hydrocortisone kunoenderana zvachose nemamiriro ako chaiwo uye nei uchii tora. Kune vanhu vane adrenal insufficiency, iyi kazhinji mushonga wehupenyu hwese unotsiva hormone iyo muviri wako usingakwanise kugadzira.

Kana uri kutora hydrocortisone nekuda kwemamiriro ekuzvimba senge allergies yakakomba kana arthritis, chiremba wako anozokurudzira kuti utore kwenguva pfupi sezvinobvira kudzora zviratidzo zvako. Izvi zvinogona kuva chero kubva kumazuva mashoma kusvika kumavhiki akati wandei, zvichienderana nekuti muviri wako unopindura sei.

Kana uri kurwara neautoimmune, ungada hydrocortisone kwemwedzi kana makore, asi chiremba wako achatarisa nguva dzose kana uchikwanisa kuderedza mushonga kana kuchinjira kune mamwe marapirwo. Chinangwa nguva dzose kushandisa mushonga mudiki unoshanda kwenguva pfupi inodiwa.

Usambomira kutora hydrocortisone kamwe kamwe, kunyanya kana wanga uchitora kwemavhiki anopfuura mashoma. Muviri wako unoda nguva yekujairana, uye kumira kamwe kamwe kunogona kukonzera zviratidzo zvakakomba zvekusiya mushonga kana adrenal crisis muvanhu vane kusakwana kwehomoni.

Ndezvipi Zvakaipa zveHydrocortisone?

Semishonga yese, hydrocortisone inogona kukonzera mhedzisiro, kunyangwe kwete munhu wese anoiona. Mashoko akanaka ndewekuti mhedzisiro yakawanda inogoneka uye inogona kuderedzwa sezvo muviri wako uchijaira mushonga.

Heano mhedzisiro yakajairika yaungacherechedza, kunyanya mumavhiki mashoma ekutanga ekurapa:

• Kuvhura chido uye kuwedzera uremu
• Kutadza kurara kana kunzwa kusagadzikana
• Kuchinja kwemanzwiro sekunzwa kunzwa zvakanyanya kana kutsamwa
• Kusagadzikana mudumbu kana heartburn
• Kutemwa nemusoro
• Dizziness
• Kuwedzera kutukwa
• Kuchengetwa kwemvura kudiki kunokonzera kuzvimba

Izvi zvinowanzoitika zvinowanzoita nani sezvo muviri wako uchijaira mushonga. Zvisinei, pane mhedzisiro yakakomba inoda kutariswa kwekurapa nekukasira, kunyangwe isingawanzoitiki nehydrocortisone kupfuura ne corticosteroids yakasimba.

Tarisa zviratidzo izvi zvinonetsa uye taura nachiremba wako nekukasira kana ukaona izvi:

• Kuchinja kwakanyanya kwemanzwiro, kuora mwoyo, kana pfungwa dzekuzvikuvadza
• Zviratidzo zveutachiona senge fivha, kutonhora, kana kurwadziwa kwehuro kunoramba kuripo
• Kukuvara kana kubuda ropa kusinganzwisisiki
• Kurwadziwa mudumbu kwakanyanya kana dema, zvigaro zvetar
• Kuwedzera uremu nekukurumidza kana kuzvimba kwakanyanya
• Kuchinja mukuona kana kurwadziwa kwemaziso
• Kushaya simba kwemhasuru kana kurwadziwa kwemapfupa
• Kurova kwemoyo kusingaite

Kushandiswa kwenguva refu kwe hydrocortisone, kunyanya pamadosi akakwira, kunogona kukonzera matambudziko akakomba sekuonda kwemapfupa, kuwedzera njodzi yekutapukirwa, kana matambudziko eshuga yeropa. Chiremba wako achakutarisa nguva dzose kuti abate chero matambudziko ekutanga.

Ndiani Asingafaniri Kutora Hydrocortisone?

Nepo hydrocortisone ichiita seyakachengeteka kune vanhu vazhinji kana ichishandiswa zvakakodzera, vamwe vanhu vanofanira kuizvidza kana kuishandisa nekuchenjerera kukuru. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akurudzira mushonga uyu.

Haufaniri kutora hydrocortisone kana iwe uchiziva kuti une allergy kune hydrocortisone kana chero zvinhu zviri mumapiritsi. Uye zvakare, vanhu vane zvimwe zvirwere zvinoshanda, kunyanya fungal infections, vanofanira kudzivisa mushonga uyu nekuti unogona kudzvinyirira immune system uye kuita kuti zvirwere zvinyanye kuipa.

Mamiriro akati wandei anoda kufunga kwakakosha uye kutariswa kwepedyo kana iwe uchida hydrocortisone therapy:

• Diabetes - hydrocortisone inogona kukwidza mazinga eshuga yeropa
• High blood pressure kana matambudziko emoyo
• Stomach ulcers kana nhoroondo yekubuda ropa mudumbu
• Osteoporosis kana mapfupa akasimba
• Glaucoma kana cataracts
• Chirwere chechiropa kana itsvo
• Mamiriro ehutano hwepfungwa senge kuora mwoyo kana kushushikana
• Thyroid disorders

Kana iwe wakazvitakura kana kuyamwisa, kurukura njodzi nemabhenefiti nachiremba wako. Hydrocortisone inogona kuyambuka placenta uye kupinda mumukaka wemazamu, asi dzimwe nguva mabhenefiti anopfuura njodzi, kunyanya kune mamiriro senge adrenal insufficiency.

Vanhu vane makore anopfuura 65 vanogona kunge vachinyanya kukanganiswa nemigumisiro uye vangangoda madosi akaderera kana kutariswa kakawanda. Chiremba wako achagadzirisa chirongwa chako chekurapa zvichienderana nezera rako uye hutano hwese.

Mazita eHydrocortisone Brand

Hydrocortisone inowanikwa pasi pemazita akati wandei emhando, kunyangwe vhezheni ye generic ichishanda zvakanyanya uye inowanzoita mari shoma. Zita remhando rinowanzozivikanwa re hydrocortisone yemumuromo iCortef, iyo yakavimbwa navanachiremba kwemakumi emakore.

Mamwe mazita emhando aunogona kusangana nawo anosanganisira Hydrocortone, kunyangwe izvi zvisingawanzo kuwanikwa izvozvi. Mamwe makambani emishonga anogona zvakare kugadzira mafomula akagadzirirwa e hydrocortisone kana iwe uchida simba rakatarwa kana uine allergies kune zvimwe zvisingashande zvinosanganiswa.

Kunyangwe iwe ukawana zita remhando kana vhezheni ye generic, chinhu chinoshanda chimwe chete. Generic hydrocortisone inoshanda zvakanyanya uye inosangana nematanho akafanana ekuchengetedza semhando-zita vhezheni. Murapi wako wemishonga anogona kukubatsira kunzwisisa chero misiyano mune zvisingashande zvinosanganiswa kana iwe uine zvakanyanya kunzwisisa.

Zvimwe zvingashandiswa panzvimbo peHydrocortisone

Zvimwe zvingashandiswa panzvimbo pe hydrocortisone zviripo, zvichienderana nemamiriro ako chaiwo uye zvinangwa zvekurapa. Kutsiva mahomoni mukushaya adrenal, hydrocortisone inowanzo kufarirwa nekuti inotevedzera zvakanyanya rhythm yako yechisikigo ye cortisol.

Zvisinei, mamwe ma corticosteroids anogona kuva sarudzo yemamiriro ekuzvimba. Prednisone uye prednisolone mishonga ine simba inorwisa kuzvimba inoshanda zvakanaka pakurapa kwenguva pfupi kwezvimba zvakanyanya, asi hazvina kunaka kushandiswa kwenguva refu nekuda kwemigumisiro yakakura.

Kune vanhu vane adrenal insufficiency, dzimwe nzira dzinogona kusanganisira:

• Cortisone acetate - sarudzo yekare iyo muviri wako unochinja kuita hydrocortisone
• Prednisolone - dzimwe nguva inoshandiswa muvana kana vanhu vasingakwanise kutora hydrocortisone zvakanaka
• Dexamethasone - dzimwe nguva inoshandiswa kune mamiriro akatarwa, kunyangwe ichiine simba rakawanda

Pane dzimwe nzira dzisiri dze-steroid dziripo dzemamwe mamiriro ekuzvimba, sekunge mishonga inochinja chirwere-modifying antirheumatic drugs (DMARDs) ye rheumatoid arthritis kana biologics ye inflammatory bowel disease. Izvi zvinoshanda zvakasiyana nekortikosteroids uye zvinogona kunge zviri nani sarudzo yenguva refu yemamwe mamiriro.

Ko Hydrocortisone iri nani kupfuura Prednisone?

Hydrocortisone ne prednisone zvinoshanda zvinangwa zvakasiyana, saka imwe haina kunyanya "kuri nani" pane imwe. Sarudzo inoenderana nemamiriro ako chaiwo, zvinangwa zvekurapa, uye kuti unoda kutora mushonga kwenguva yakareba sei.

Hydrocortisone inonyoro uye yakafanana ne cortisol yako yechisikigo, zvichiita kuti ive sarudzo inosarudzwa ye hormone replacement therapy mu adrenal insufficiency. Zvakare zviri nani kushandiswa kwenguva refu nekuti zvinokonzera mashoma akakomba mhedzisiro kupfuura corticosteroids yakasimba.

Prednisone yakasimba kanenge kana ina kupfuura hydrocortisone, zvichiita kuti ive inoshanda pakukurumidza kudzora kuzvimba kwakanyanya. Zvisinei, simba iri rinouya nenjodzi yakakwira yemhedzisiro, kunyanya nekushandiswa kwenguva refu. Prednisone inowanzo shandiswa kurapa kwenguva pfupi kwe inflammatory flares.

Kune vanhu vane adrenal insufficiency, hydrocortisone inenge nguva dzose iri sarudzo iri nani nekuti inopa kugadzikana, physiologic hormone replacement. Kune mamiriro ekuzvimba, chiremba wako angatanga ne prednisone kuti akurumidze zororo, wobva achinja ku hydrocortisone kana dzimwe nzira dzekurapa dzekutungamira kwenguva refu.

Mibvunzo Inowanzo Bvunzwa Nezve Hydrocortisone

Ko Hydrocortisone Yakachengeteka Kune Vanhu vane Chirwere cheShuga?

Hydrocortisone inogona kushandiswa zvakachengeteka muvanhu vane chirwere cheshuga, asi zvinoda kunyatso tarisa uye zvinogoneka kugadzirisa kumishonga yako yechirwere cheshuga. Corticosteroids senge hydrocortisone inogona kukwidza mazinga eshuga yeropa nekuita kuti muviri wako urambe uchiita insulin.

Kana uine chirwere cheshuga uye uchida hydrocortisone, chiremba wako anogona kukurudzira kuti uongorore shuga yeropa yako kakawanda, kunyanya paunotanga mushonga kana kuchinja madosi. Ungada kugadzirisa insulin yako kana mamwe mishonga yeshuga kuti uchengetedze kudzora kwakanaka kweshuga yeropa.

Mashoko akanaka ndewekuti mhedzisiro ye hydrocortisone pashuga yeropa inowanzoita isina simba zvakanyanya kupfuura corticosteroids yakasimba se prednisone. Vanhu vazhinji vane chirwere cheshuga vanogona kutora hydrocortisone zvakabudirira nekutarisa kwakakodzera uye kugadzirisa mishonga.

Ndingaita Sei Kana Ndikashandisa Hydrocortisone Yakawandisa Netsaona?

Kana ukatora hydrocortisone yakawandisa netsaona, usavhunduka, asi zviise serious. Bata chiremba wako kana nzvimbo yekudzora muchetura nekukasira, kunyanya kana wakatora yakawanda zvakanyanya kupfuura yakarairwa kana uri kusangana nezviratidzo zvinonetesa.

Zviratidzo zve hydrocortisone overdose zvinogona kusanganisira kusvotwa kwakanyanya, kurutsa, dzungu, kurwadziwa nemusoro, kusimba kwemhasuru, kana kuvhiringika. Muzviitiko zvakakomba, unogona kusangana nekuchinja kwemoyo kana ropa. Zviratidzo izvi zvinoda kutariswa kwekurapa nekukasira.

Kana zvapfuura isingasviki awa kubva pawakatora dose yakawedzerwa uye usiri kusangana nezviratidzo, chiremba wako anogona kukurudzira kunwa mvura yakawanda uye kuzvitarisa zvakanyanya. Usambofa wakaedza "kuyananisa" overdose nekusvetuka madosi emunguva yemberi pasina gwara rekurapa.

Ndingaita Sei Kana Ndikarasikirwa neDose yeHydrocortisone?

Kana ukakanganwa dose ye hydrocortisone, itore paunorangarira, kunze kwekunge yave nguva yechikamu chako chinotevera. Muchiitiko ichocho, svetuka dose yakarasika uye uenderere mberi nechirongwa chako chetsika. Usambofa wakatora madosi maviri panguva imwe chete kuti ugadzirise imwe yakarasika.

Kune vanhu vari kutora hydrocortisone nekuda kwe adrenal insufficiency, kusavapo kwemadosi kunogona kuva kwakanyanya nekuti muviri wako unovimba neiyi sosi yekunze ye cortisol. Kana iwe uchikanganwa madosi kazhinji, funga nezvekuisa maalarm pafoni kana kushandisa chirongwa chemapiritsi kuti zvikubatsire kuyeuka.

Kana iwe ukakanganwa madosi akawanda kana kunzwa usina kunaka mushure mekusavapo kwemadosi, taura nachiremba wako nekukasira. Vanhu vane adrenal insufficiency vanogona kukudziridza zviratidzo zvine njodzi kana vakagara kwenguva refu vasina mushonga wavo, kunyanya munguva dzekushushikana kana kurwara.

Ndingamira Rini Kutora Hydrocortisone?

Usambomira kutora hydrocortisone kamwechete pasina gwara rechiremba wako, kunyanya kana wanga uchitora kwemavhiki anopfuura mashoma. Muviri wako unoda nguva yekugadzirisa paunomisa corticosteroids, uye kumira kamwechete kunogona kukonzera zviratidzo zvakakomba zvekubvisa.

Kune vanhu vane adrenal insufficiency, hydrocortisone inowanzoita mushonga wehupenyu hwese. Muviri wako haugone kugadzira cortisol yakakwana zvakasikwa, saka kumisa mushonga kunogona kutungamira kune mamiriro anotyisa ehupenyu anonzi adrenal crisis.

Kana iwe uchitora hydrocortisone nekuda kwezvirwere zvinopisa, chiremba wako achagadzira chirongwa chekuderedza zvishoma nezvishoma dosi yako mumazuva kana mavhiki. Izvi zvinobvumira kugadzirwa kwemuviri wako kwe cortisol kuti kutangezve zvishoma nezvishoma. Chirongwa chekuderedza zvishoma nezvishoma chinotsamira pakuti wanga uchitora mushonga kwenguva yakareba sei uye mhinduro yako yega.

Ndingatora Hydrocortisone Panguva Yekuzvitakura Here?

Hydrocortisone inogona kushandiswa panguva yekuzvitakura kana mabhenefiti achipfuura njodzi, asi sarudzo iyi inoda kufunga zvakanyanya nemupi wako wehutano. Mushonga unogona kuyambuka placenta uye unogona kukanganisa mwana wako ari kukura.

Kune vakadzi vane adrenal insufficiency, kuenderera mberi ne hydrocortisone panguva yekuzvitakura kazhinji kunokosha nekuti adrenal insufficiency isina kurapwa inounza njodzi huru kumumwe nemwana. Chiremba wako angachinja mushonga wako panguva yekuzvitakura uye kubereka kuti uverenge kuwedzera kwekunetseka pamuviri wako.

Kana uri kutora hydrocortisone yezvirwere zvinopisa uye ukava nepamuviri, kurukura dzimwe nzira nachiremba wako. Dzimwe nguva mamwe marapirwo angave akachengeteka panguva yekuzvitakura, kana chiremba wako angakurudzira dosi yakaderera inoshanda kwenguva pfupi inogoneka.