Yini i-Prednicarbate: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Prednicarbate iyi-corticosteroid ethambile esetshenziswa ngaphandle esiza ukuthulisa isikhumba esivuvukele nesicasukile. Lo muthi usebenza ngokunciphisa ukusabela komzimba emzimbeni endaweni ethintekile, okusiza ukunciphisa ububomvu, ukuvuvukala, nokuluma. Ngokuvamile uzothola njenge-cream noma i-oyintimenti oyigcoba ngqo esikhumbeni sakho, okwenza kube yindlela elula yokwelapha izimo ezihlukahlukene zesikhumba ekhaya.

Yini i-Prednicarbate?

I-Prednicarbate ingeyeqembu lemithi ebizwa ngokuthi ama-corticosteroids asetshenziswa ngaphandle, aklanyelwe ngqo ukusetshenziswa esikhumbeni. Ithathwa njenge-steroid enamandla aphakathi, okusho ukuthi inamandla ngokwanele ukuba isebenze kodwa ithambile ngokwanele ukusetshenziswa njalo uma inqunywe ngendlela efanele. Cabanga ngayo njengomuthi olwa nokuvuvukala oqondiswe ngqo lapho uwudinga kakhulu.

Lo muthi ulingisa i-cortisol, i-hormone yemvelo umzimba wakho oyikhiqizayo ukuze ulawule ukuvuvukala. Uma isetshenziswa esikhumbeni sakho, i-prednicarbate isiza ukubuyisela ibhalansi ngokuthulisa amaseli omzimba asebenzayo ngokweqile abangela ukucasuka kwesikhumba nokuvuvukala.

Isetshenziselwani i-Prednicarbate?

I-Prednicarbate iphatha ngempumelelo izimo eziningana zesikhumba ezivamile ezihilela ukuvuvukala nokucasuka. Udokotela wakho angase akubhalele uma isikhumba sakho sidinga ukukhululeka okuqondiwe ezimpawini eziqhubekayo ezingaphendulanga ekwelashweni okuthambile.

Izimo ezivamile ezisiza ngazo zihlanganisa:

• I-Eczema (i-atopic dermatitis) - ikakhulukazi ngesikhathi sokugqashuka lapho isikhumba siba bomvu, siluma, futhi sivuvukala
• I-Contact dermatitis - lapho isikhumba sakho sisabela ezintweni ezicasulayo njengensipho, izinsimbi, noma izitshalo
• I-Seborrheic dermatitis - amaqhubu anesikali, aluma angavela ekhanda lakho noma ebusweni
• I-Psoriasis - ukunciphisa amaqhubu aminyene, anesikali nokuvuvukala okuhambisana nakho
• Ukungezwani komzimba - lapho isikhumba sakho sithuthukisa ama-rash avela kuma-allergen

Ezimweni ezingavamile, odokotela bezikhumba bangase futhi banikeze i-prednicarbate ngezimo ezinjenge-lichen planus, i-discoid lupus, noma ezinye izifo zesikhumba eziqhamuka ngokuzenzakalela. Udokotela wakho uzoqoka ukuthi lo muthi ulungele isimo sakho esithile ngokuya ngezimpawu zakho nomlando wakho wezokwelapha.

Isebenza Kanjani I-Prednicarbate?

I-Prednicarbate isebenza ngokungena esikhumbeni sakho bese ibopha kuma-receptors athile ngaphakathi kwamaseli alawula ukuvuvukala. Uma isixhumene nalezi receptors, empeleni itshela amasosha akho omzimba ukuthi azole futhi ayeke ukusabela ngokweqile kuleyo ndawo.

Le nqubo yenzeka kancane kancane emahoreni amaningana kuya ezinsukwini. Ungase uqaphele ukuthuthuka okuthile ngosuku lokuqala noma ezimbili, kodwa imiphumela ephelele ivame ukuthuthuka ngaphezu kwesonto lokusetshenziswa okuqhubekayo. Umuthi futhi usiza ukubuyisela umsebenzi wemvelo wesikhumba sakho, okusho ukuthi singazivikela kangcono ekucasukeni okuzayo.

Njenge-steroid yendawo enamandla aphakathi, i-prednicarbate ithola ibhalansi enhle phakathi kokusebenza kahle nokuphepha. Inamandla kunama-steroid alula njenge-hydrocortisone kodwa ithambile kunezinketho ezinamandla aphezulu, okuyenza ilungele izinhlobo eziningi zesikhumba nezimo ezihlukene.

Kufanele Ngiyithathe Kanjani I-Prednicarbate?

Sebenzisa i-prednicarbate ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile kanye noma kabili ngosuku esikhumbeni esihlanzekile, esomile. Qala ngokuwasha izandla zakho kahle, bese uhlanza indawo ethintekile ngensipho namanzi amancane ngaphambi kokuyomisa ngokuphelele.

Sebenzisa ungqimba oluncane lomuthi kuphela - awudingi okuningi ukuze usebenze. Gcoba ngobumnene esikhumbeni sakho size sinyamalale, kodwa ungasihlikihli ngamandla ngoba lokhu kungacasula isikhumba esivele sizwelana. Hlala ugeza izandla zakho ngemuva kokusebenzisa ngaphandle uma welapha izandla zakho ngqo.

Ungasebenzisa i-prednicarbate nganoma yisiphi isikhathi sosuku, kodwa abantu abaningi bakuthola kuwusizo ukuyisebenzisa ngemva kokugeza lapho isikhumba sabo sihlanzekile futhi simanzi kancane. Lokhu kungasiza umuthi ukuba umuncwe kangcono. Gwema ukuyisebenzisa ngaphambi nje kokubhukuda noma ukujuluka kakhulu, njengoba lokhu kunganciphisa ukusebenza kwawo.

Ungambozi indawo ephathwayo ngamabhandeshi aqinile noma ipulasitiki ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze njalo. Lokhu kungakhuphula ukumuncwa futhi kungaholela emiphumeleni engemihle.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Prednicarbate?

Abantu abaningi basebenzisa i-prednicarbate amasonto angu-2-4, nakuba udokotela wakho ezokunikeza imiyalelo ethile ngokusekelwe esimweni sakho. Okubalulekile ukuyisebenzisa isikhathi eside ngokwanele ukuze ulawule izimpawu zakho kodwa hhayi isikhathi eside kangangokuthi ubeka engozini imiphumela engemihle ngenxa yokusetshenziswa kwe-steroid isikhathi eside.

Udokotela wakho angase ancome ukuqala ngokusebenzisa kabili ngosuku ngesonto lokuqala, bese unciphisa kube kanye ngosuku njengoba isikhumba sakho sithuthuka. Abanye abantu bayayidinga izinsuku ezimbalwa kuphela ngesikhathi sokuqubuka okukhulu, kanti abanye abanezimo ezingapheli bangase bayisebenzise ngezikhathi ezithile isikhathi eside.

Ungayeki ukusebenzisa i-prednicarbate ngokuzumayo uma ubusisebenzisa isikhathi esingaphezu kwamasonto ambalwa. Udokotela wakho angase ancome ukunciphisa kancane ukuthi uyisebenzisa kangaki ukuze uvimbele izimpawu zakho ukuba zibuye ngokushesha kakhulu. Le nqubo, ebizwa ngokuthi ukunciphisa, isiza isikhumba sakho ukuba sizivumelanise njengoba umuthi uhoxiswa.

Yini Imiphumela Engemihle Ye-Prednicarbate?

Abantu abaningi bayayibekezelela i-prednicarbate kahle uma isetshenziswa njengoba kuqondiswe, kodwa njengayo yonke imithi, ingabangela imiphumela engemihle. Izindaba ezinhle ukuthi imiphumela engemihle engathi sína ayivamile ngama-steroid atholakala esikhumbeni, ikakhulukazi uma esetshenziswa isikhathi esifushane.

Imiphumela engemihle evamile ongase uyithole ihlanganisa:

• Ukuvutha okuncane noma ukugwaza uma uqala ukukusebenzisa
• Ububomvu besikhashana noma ukucasuka endaweni okusetshenziswe kuyo
• Isikhumba esomile noma izinguquko ezincane ekuthungeni kwesikhumba
• Ukuluma okuhlukile ezimpawini zakho zokuqala

Le miphumela ivamise ukushabalala njengoba isikhumba sakho sijwayela umuthi. Uma ziqhubeka noma ziba zimbi, xhumana nodokotela wakho ukuze uthole isiqondiso.

Imiphumela engavamile kodwa ebucayi ingenzeka ngokusebenzisa isikhathi eside noma ukusebenzisa ngokweqile:

• Ukuncipha kwesikhumba (i-atrophy) endaweni elashwayo
• Izimpawu zokwelula, ikakhulukazi emakhoneni esikhumba
• Ushintsho lombala wesikhumba (izindawo ezikhanyayo noma ezimnyama)
• Ukwanda kokukhula kwezinwele lapho kusetshenziswe khona
• Ukulimala kalula noma imithambo yegazi emincane ephukile

Imiphumela engavamile kodwa ebucayi ihlanganisa izifo zesikhumba eziba zimbi ngoba umuthi ucindezela ukusebenza komzimba kwendawo, noma ukumuncwa kwe-steroid eyanele ukuthinta umzimba wakho wonke. Izimpawu zokumuncwa kwesistimu zihlanganisa ukukhathala okungajwayelekile, izinguquko zemizwa, noma izimpawu ezifanayo ne-Cushing's syndrome.

Ubani Ongafanele Athathwe I-Prednicarbate?

I-Prednicarbate ayifanele wonke umuntu, futhi izimo ezithile zenza kube yingozi kunokuba lusizo. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ukuze aqiniseke ukuthi kuphephile ukuthi ukusebenzise.

Kufanele ugweme i-prednicarbate uma une:

• Ukungezwani okwaziwayo ne-prednicarbate noma ezinye izidakamizwa ze-corticosteroids
• Izifo zesikhumba ezibangelwa amagciwane njenge-herpes, chickenpox, noma shingles
• Izifo zesikhumba ezibangelwa amagciwane ezingelashwa ngama-antibiotics
• Izifo zesikhumba ezibangelwa isikhunta ngaphandle uma futhi usebenzisa umuthi wokulwa nesikhunta
• I-Rosacea noma izimo ezifana ne-acne ebusweni bakho

Ukuqapha okukhethekile kuyadingeka uma ukhulelwe noma uncelisa. Nakuba ama-steroid asetshenziswa ngaphandle ngokuvamile abhekwa njengaphephile kunezithathwa ngomlomo ngesikhathi sokukhulelwa, udokotela wakho uzohlola izinzuzo ngokumelene nezingozi ezingaba khona. Umuthi ungangena obisini lwebele, ngakho xoxa ngalokhu nomhlinzeki wakho wezempilo uma uncelisa.

Izingane zingasebenzisa i-prednicarbate, kodwa zidinga ukuqashwa okuseduze ngoba isikhumba sabo esincane simunca imithi kalula. Udokotela wakho wezingane cishe uzoncoma izikhathi zokwelashwa ezimfushane futhi angase asikisela ukuyisebenzisa kaningi kunabadala.

Amagama Omkhiqizo we-Prednicarbate

I-Prednicarbate itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Dermatop iyilowo oqashelwa kakhulu e-United States. Ungase futhi ukubone kuthengiswa njenge-Dermatop-E noma amanye amagama omkhiqizo wesifunda kuye ngokuthi uhlalaphi.

Umuthi uza ngezindlela ezahlukene ezihlanganisa ukhilimu, amafutha, futhi ngezinye izikhathi i-lotion. Udokotela wakho uzokhetha ifomula engcono kakhulu ngokusekelwe ohlotsheni lwesikhumba sakho kanye nesimo eselashwayo. Okhilimu basebenza kahle ezindaweni eziningi zesikhumba, kuyilapho amafutha avame ukuba ngcono esikhumbeni esomile kakhulu noma esiwugqinsi.

Izinhlobo ze-generic ze-prednicarbate nazo ziyatholakala futhi zisebenza ngempumelelo njengezinhlobo zegama lomkhiqizo. Umuthi wakho wemithi angakusiza ukuthi uqonde ukuthi iyiphi inketho engase ibe nenzuzo enkulu yezindleko zomshuwalense wakho.

Ezinye izindlela ze-Prednicarbate

Uma i-prednicarbate ingasebenzi kahle kuwe noma ibangela imiphumela engathandeki, kukhona izindlela eziningana zokwelapha ezitholakalayo. Udokotela wakho angase asikisele ukuzama amandla ahlukene e-steroid esetshenziswa ngaphandle noma ashintshele emuthini olwa nokuvuvukala ongeyona i-steroid.

Ezinye izidakamizwa ze-corticosteroid ezisetshenziswa ngaphandle esigabeni esifanayo samandla zihlanganisa i-triamcinolone acetonide ne-mometasone furoate. Lezi zisebenza ngendlela efanayo ne-prednicarbate kodwa zingase zibekezelelwe kangcono abanye abantu. Izinketho ezibuthakathaka njenge-hydrocortisone noma ezinamandla njenge-clobetasol zingase zifaneleke kuye ngokuthi usabela kanjani.

Ezinye izindlela ezingezona ze-steroid zihlanganisa i-tacrolimus (Protopic) kanye ne-pimecrolimus (Elidel), okuthiwa ama-calcineurin inhibitors atholakala ngaphandle. Lokhu akunayo ingozi efanayo yokuncipha kwesikhumba njengama-steroid futhi kungasetshenziswa isikhathi eside. Zisebenza kahle kakhulu ku-eczema yobuso nezinye izindawo ezizwelayo.

Ngezimo ezithile, udokotela wakho angase ancome ukuhlanganisa i-prednicarbate nezinye izindlela zokwelapha njengama-moisturizers, ama-antihistamines, noma izindlela ezithile zokunakekela isikhumba ukuze kuthuthukiswe ukusebenza kahle ngenkathi kunciphisa isidingo sokusebenzisa ama-steroid isikhathi eside.

Ingabe i-Prednicarbate Ingcono Kune-Hydrocortisone?

I-Prednicarbate ngokuvamile inamandla kune-hydrocortisone, okuyenza isebenze kahle ekushiseni kwesikhumba okuphakathi nendawo kuya kokukhulu. Ngenkathi i-hydrocortisone itholakala ngaphandle kwe-counter futhi isebenza kahle ekucasukeni okuncane, i-prednicarbate idinga incwadi kadokotela futhi ingakwazi ukubhekana nezimo zesikhumba ezinzima.

Ukukhetha phakathi kwazo kuncike esimweni sakho esithile. I-Hydrocortisone ithambile futhi iphephile ekusetshenzisweni isikhathi eside, ikakhulukazi ezindaweni ezizwelayo njengobuso bakho noma izindawo zesikhumba. Ivame ukuba yinto yokuqala yokukhetha ekushiseni okuncane kwe-eczema noma ukusabela okuncane komzimba.

I-Prednicarbate iba yindlela engcono lapho i-hydrocortisone ingaqini ngokwanele ukulawula izimpawu zakho. Isebenza ngokushesha futhi ngempumelelo ezimweni ezinjenge-eczema ephakathi nendawo, i-dermatitis yokuxhumana, noma iziqephu ze-psoriasis ezingazange ziphendule ekwelashweni okuthambile.

Udokotela wakho ngokuvamile uzoqala ngelasho elithambile elisebenzayo futhi aqhubekele ezinkethweni ezinamandla njenge-prednicarbate kuphela uma kunesidingo. Le ndlela isiza ukunciphisa ingozi yemiphumela emibi ngenkathi iqinisekisa ukuthi uthola usizo oludingayo.

Imibuzo Evame Ukubuzwa Mayelana ne-Prednicarbate

Ingabe i-Prednicarbate Iphephile Ku-Diabetes?

Yebo, i-prednicarbate ngokuvamile iphephile kubantu abanesifo sikashukela uma isetshenziswa njengoba kuqondiswe ezindaweni ezincane zesikhumba. Ngokungafani nama-steroid omlomo, angakwazi ukukhuphula kakhulu amazinga kashukela egazini, ama-steroid atholakala ngqo njenge-prednicarbate amuncwa ngamanani amancane kakhulu futhi akuvamile ukuthinta i-glucose yegazi.

Kodwa-ke, uma usebenzisa i-prednicarbate ezindaweni ezinkulu zesikhumba noma isikhathi eside, ukumuncwa okuthile egazini lakho kungenzeka. Lokhu kungase kubangele ukwanda okuncane kukashukela egazini, ngakho qapha amazinga akho eduze uma unesifo sikashukela futhi usebenzisa lo muthi kakhulu.

Kufanele ngenzeni uma ngisebenzisa i-Prednicarbate eningi ngengozi?

Uma ngengozi ufaka i-prednicarbate eningi ekusetshenzisweni okukodwa, vele usule okweqile ngendwangu ehlanzekile, emanzi. Ukusebenzisa okuningi kunokunqunyiwe ngeke kukwenze kusebenze kangcono futhi kungase kwandise ingozi yakho yemiphumela emibi efana nokucasuka kwesikhumba noma ukumuncwa okwandisiwe.

Uma ubulokhu usebenzisa okuningi njalo noma ukufake ezindaweni ezinkulu zomzimba wakho, xhumana nodokotela wakho. Bangase bafune ukukuqapha ngezimpawu zokumuncwa kwesistimu, ikakhulukazi uma uhlangabezana nokukhathala okungavamile, izinguquko zemizwa, noma ezinye izimpawu ezingabonakali zihlobene nesimo sesikhumba sakho.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Prednicarbate?

Uma uphuthelwa ukusetshenziswa, vele ukusebenzise ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze nesikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho evamile. Ungaphindi izinhlelo zokusebenza ukuze ulungise imithamo ephuthelwe.

Ukuphuthelwa umthamo ngezikhathi ezithile ngeke kulimaze inqubekela phambili yakho yokwelashwa kakhulu, kodwa zama ukugcina ukusetshenziswa okuqhubekayo njengoba kuqokiwe ukuze uthole imiphumela engcono kakhulu. Cabangela ukusetha isikhumbuzi sefoni noma ukuhlanganisa uhlelo lokusebenza emsebenzini wansuku zonke okhona njengokuxubha amazinyo akho.

Ngingayeka nini ukuthatha i-Prednicarbate?

Ngokuvamile ungaqeda ukusebenzisa i-prednicarbate lapho izimpawu zakho sezinyamalele futhi udokotela wakho eqinisekisa ukuthi kufanelekile ukuyeka ukwelashwa. Abantu abaningi bangayeka ngokushesha ngemva kokuyisebenzisa isikhathi esifushane ngaphandle kwezinkinga, kodwa izikhathi zokwelashwa ezinde zingase zidinge ukunciphisa kancane kancane.

Ungayeki ukusebenzisa i-prednicarbate ngenxa yokuthi uzizwa ungcono uma ungakaqedi inkambo ebekiwe. Ukuyeka ngaphambi kwesikhathi kungavumela isimo sakho ukuthi siphinde sivele. Njalo landela imiyalelo kadokotela wakho mayelana nokuthi ungaluyeka nini futhi kanjani ukwelashwa.

Ngingayisebenzisa i-Prednicarbate ebusweni bami?

I-Prednicarbate ingasetshenziswa esikhumbeni sobuso, kodwa kuphela ngaphansi kokuqondiswa kwezokwelapha okucophelelayo futhi ngokuvamile isikhathi esifushane. Isikhumba sobuso sincane futhi sizwela kakhulu kunesikhumba sezinye izingxenye zomzimba wakho, okwenza sithambekele emiphumeleni engemihle efana nokuncipha kwesikhumba noma izinguquko emibaleni.

Udokotela wakho cishe uzoncoma ukuyisebenzisa kancane ebusweni bakho futhi angase asikisele enye indlela ebuthakathaka ye-steroid noma engeyona i-steroid uma udinga ukwelashwa isikhathi eside ngezimo zesikhumba sobuso. Ungalokothi usebenzise i-prednicarbate eduze kwamehlo akho ngaphandle uma uqondiswe ngqo ngudokotela wakho.