Ngama-corticosteroid - kuyini? Yiziphi izinkomba kanye imiphumela corticosteroids?

Omunye neyaziwayo ephezulu ukusebenza izidakamizwa eqeda ukuvuvukala kukhona corticosteroids. Kodwa ngaphambi isivumelwano sabo sokuhlangana udokotela kufanele ngempela ukuhlola umphumela kulindeleke kusukela ukwelashwa nge izingozi ezingase zibe khona futhi side effects.

amagama Eziyisisekelo

Ukuzama ukubhekana somuthi nokusetshenziswa kwawo sikadokotela, iziguli eziningi nesithakazelo ukuthola ukubaluleka nomqondo ngama-corticosteroid. Lokho isuka umbono wezokwelapha, bakwazi ukuchaza noma yimaphi endocrinology. It ikhiqizwa cortex le-hormone adrenal, okuyinto somthetho lokugayeka kokudla emzimbeni. Ngaphezu kwalokho, unesibopho impendulo enele ukucindezeleka, ukuvuvukala ahlukahlukene noma izifo ezithile.

Uma kubhekwa ngasohlangothini isikhundla wemithi ku ngama-corticosteroid ukuthi leli nani izoke kuyinkimbinkimbi nakakhulu. Kuyinto hormone zokwenziwa ne ifomula eziyinkimbinkimbi esisiza umzimba ukucindezela ukuvuvukala okwesikhashana. Kodwa izifo eziningi ngaphandle la mathuluzi Awukwazi ukwenza, futhi odokotela, ekuhloleni zonke izingozi, ukusetshenziswa corticosteroids iqondiswa iziguli.

izinkomba

Corticosteroids bathathwa yizifo ngezifo ukuvuvukala, izinkinga umgudu wokuphefumula, eziningi izinqubo sokuhlasela kwamasosha omzimba. Odokotela batusa ukuba ngibalethele psoriasis, omzimba izicubu erythematosus, atopic dermatitis, eczema, isifuba somoya. Ngaphezu kwalokho, zisebenza ngisho nalapho isitho Ukufakelwa, ukuvimbela kunokwenzeka izicubu ukwenqatshwa. Abantu abaningi abazi lutho ngalokhu okwelapha umkhiqizo, njengoba ngama-corticosteroid. Ukuthi ezinjalo, ngabo akucaci. Kodwa ngemva kokuzwa kusukela omakhelwane noma nengangibajwayele ukuthi ukuzisebenzisa elaphe eczema, komzimba noma isifuba somoya, basuke ngokushesha uya ikhemisi. Empeleni, ukuzithiba medicate usebenzisa leli qembu izidakamizwa akunakwenzeka. isicelo sabo kumele kwenziwe ngaphansi kweso lwezokwelapha esiqinile. Lokhu kungenxa kungenzeka ukuvela ukusabela okuhlukahlukene enqabayo noma okuvela kuyo kanye nezinye izinkinga zempilo. Kubalulekile futhi hhayi kuphela ukukhetha izidakamizwa ilungelo, kodwa futhi ukuthola umthamo kwesokudla.

Kuye izinkinga corticosteroids sekuvele ingasatshenziswa ngesimo amaphilisi, imijovo, inhalations noma yokugcoba ngoba lokusebenza langaphandle.

aphoyintimenti izidakamizwa

Ukuze ugweme izinkinga ezingaba khona, kanye okuvela ukusabela ezingezinhle, odokotela linqume corticosteroids ngokuqapha. Okokuqala kubalulekile ukuqinisekisa ukuxilongwa kanye ukuqinisekisa ukuthi le mithi aphumelela ekukhombeni le nkinga. Kunconywa yokunika izimali ekuqaleni ku umthamo ubuncane ngempumelelo, silungisa lapho beyidinga phakathi ukwelashwa.

Omunye umehluko wemisindo nemiqondo yamagama ebalulekile okudingeka ukwazi zonke iziguli, ubude ukuthatha le mithi. Njengomthetho, amiswa izinsuku akukho kuka 5-7. Uma udinga ukwelashwa eside okuningi nge corticosteroids, ukusetshenziswa kwabo ngosuku. Ngaphezu kwalokho, nge ukusetshenziswa isikhathi eside liyadingeka ukuhlola isiguli ukuvimbela ukufiphala ngwengwezi, ukukhumuzeka kwamathambo noma kolwelwesi.

Evele khansela ukusetshenziswa lezi zimali, uma bewasebenzisa phezu isikhathi eside akuvunyelwe.

Ububanzi

Okwamanje, kakhulu ngokuxazulula ngezingozi corticosteroids nokuthi le mithi baningi kakhulu side effects, zingabantu umlutha, futhi ngemva ehoxile isiguli kuyonezela sifo. Nokho, abaningi ukhohlwe ukuthi abantu abaningi yona ingelapheka kuphela ngalezi zindlela. Ngakho, isinyathelo sokuthatha lolu corticosteroids ukushabalalisa ukuvuvukala. Ngemva kokusho lokhu, ubuhlungu sihamba, ukuvuvukala ukuncipha. Ngemva ukuqedwa umthombo ukuvuvukala kungenziwa bekwi-okunye ukwelashwa.

Ngekusetjentiswa kahle ka izidakamizwa hormone, kuhlanganise corticosteroids, lutho esabekayo akuyona. Bathi nje ukusiza viva umzimba, zishukumisa izivikeli mzimba. Kodwa ukusebenzisa kwabo isikhathi eside igcwele ukuvela inombolo yemiphumela emibi, omunye okungase ukwehluleka hormone. Zingadala ushintsho lesiguli isisindo. Kodwa ngaphambi uyeke ukusebenzisa kwabo, kuyafaneleka ukukhumbula ukuthi isenzo corticosteroids ukushabalalisa nokuvuvukala, futhi ngaphandle kwalo izifo eziningi akunakwenzeka. Ngaphezu kwalokho, izifo eziningi ngeke welaphe ngaphandle ehlelekile, ukusetshenziswa kwesikhathi eside lezi zimali.

Ingozi ekusebenziseni

Ngaphambi kokubekwa esikhundleni udokotela imithi kumele ukuxwayisa isiguli ukuthi uthi ukuba yokutshela ziphi izinyathelo letiphakanyisiwe izindlela, futhi yini imiphumela engemihle bona imbangela. Khumbula ukuthi ezimweni eziningi, le ingozi ekhona elabo kuphela labo ababonisa eside le mithi.

Ezimweni ezinjalo, ingozi ukuluthwa izidakamizwa. nezindlala kwama-hormone abadukiswa futhi wayeka ngaphandle kokwelekelelwa ukuze akhiqize corticosteroids. Amalungiselelo esikhundleni okwesikhashana umsebenzi nezindlala adrenal. Kodwa ekugcineni lokhu kungadala ukungalingani e-hormone okuthiwa i amazinga emzimbeni, ngoba izindlala efanele uqale umsebenzi imodi ezahlukene. Lokhu kuholela izigameko ezingezinhle ezavela ahlukahlukene phakathi kwawo okukhulu kwesisindo nesenzakalo ukuthambekela edema, umfutho wegazi ophakeme, okuvela induna, kwehle amasosha omzimba, nabanye abaningi.

Izindlela kunazo owaziwa

Naphezu kwengozi engase imehlele kuyakhula, izidakamizwa kuleli qembu athandwa kakhulu. udokotela ngalokwenetisako uzoqapha isimo lesiguli hhayi umvumela ukuthi enze ukuthola konke mayelana ngama-corticosteroid yabo. Hlobo luni imithi, udokotela sizochaza yena. Ngeke sikhulume ngakho indlela kangakanani kumele kusetshenziswe.

Isenzakalo esidume kunazo zonke sabantu kusho ukuthi iqembu zihlanganisa "Dexamethasone" izidakamizwa "Diprospan", "Flosteron", "prednisone", "Methylprednisolone," "Kortef", "Triamcinolone" "Kenalog" kanye nezinye izindlela eziningi ezifanayo.

Kuye indawo ukuvuvukala kanye nesifo udokotela kufanele ukhethe njengoba umthamo ezidingekayo futhi uhlobo ukukhululwa ngama-corticosteroid. Ngokwesibonelo, i-dermatological izinkinga ngokuvamile enqunyiwe wamafutha, ukuvuvukala emehlweni - nokwehla rheumatism izifo, izilonda namalungu oluzungezile izicubu - umjovo ngqo ekhukhwini ukuvuvukala. Uma zezinzwa izicubu iziyaluyalu lesiguli, njengemithi yokungezwani komzimba nokuthile acute, i-rheumatoid arthritis, isifuba somoya, kusukela lapho akunakwenzeka ukuqeda ezinye izindlela, oluhambisana diathesis noma ezinye izinkinga ezidinga ukulungiswa kwama-hormone, kungenzeka imali eyabelwa ngesimo amaphilisi.

ekuphathweni ngezihloko ezihlukene corticosteroids

Uma ukuvuvukala akuyona ngaphakathi emzimbeni, futhi kungabonwa esikhumbeni, evame kakhulu ebekiwe imithi ngesimo amafutha. Uma udokotela uthola ukuthi kudingekile lokufeza ukwelashwa nge izindlela hormone, abese esetshenziswa corticosteroids nezokusigcoba. Ziklanyelwe ukubhekana dermatoses ezihlukahlukene, la mathuluzi ukusiza ezimweni lapho mgwamanda usuvele wehluleka ukubhekana inkinga ngokwayo. Yiqiniso, ukuthi amalungiselelo ukusetshenziswa bangaphandle ephephile, kodwa ukubukela phansi indlela ingozi ukusetshenziswa yabo engalawuliwe hhayi zinkulu.

Uma wamafutha hormone wena esimisiwe udokotela, kubalulekile ukukhumbula ngokunembile noma ubhale phansi yonke izincomo mayelana nobuningi kanye nesikhathi ukusetshenziswa, kubalulekile ukuthola ukuthi yini lemali wamafutha okumele asetshenziswe endaweni ethintekile. Zonke lezi imininingwane ibalulekile kakhulu, ngoba ukugcina konke imithetho, ungagwema imiphumela emibi futhi kuvimbele ukuthuthukiswa isikhumba insensitivity kwezinye izindlela.

Corticosteroids, isicelo ihlelwe ngokulandelana kwezihloko, zihlukaniswe amakilasi amane, kuye umthelela umsebenzi. Ukuze zihlanganisa ababuthakathaka izidakamizwa "hydrocortisone", okuyinto kuveza ngesimo amafutha noma ukhilimu. izindlela Lokulingene yesenzo - yizidakamizwa "prednisolone", "Dermatop", "Emoveyt", "deperzolon", "Lorinden", "Sinalar", "flutsinar" nabanye abaningana. Esebenzisa izidakamizwa eqinile zihlanganisa "Diproderm", "Advantan", "Latikort", "Sikorten", "Esperson." Indlela ephumelela kakhulu yiwona wamafutha "Dermoveyt" futhi "Haltsiderm".

corticosteroids letindzala

izifo zesikhumba - lokhu akulona inkomba kuphela izindlela hormone. Ngezinye izifo ezihlukahlukene rheumatism, izinkinga zokuphefumula, wegazi, mononucleosis, izifo iguliswa ngokuvamile ebekiwe corticosteroids letindzala. Basuke ihlukaniswe yemvelo (Lawa mathuluzi zihlanganisa "Cortisone" amalungiselelo, "Hydrocortisone") futhi zokwenziwa ( "Dexamethasone" izidakamizwa "Prednizol", "Methylprednisolone"). Babuye zihlukaniswa e isikhathi, engahlala kusukela amahora 8-12 ukuze 54. Lesi sikhathi incike kundlela Isikali lokulungisela indlela yokuphathwa futhi umthamo.

Uma inhloso yabo kubalulekile ukuzama ukufeza umphumela ngokusebenzisa ubuncane umthamo izindlela. Lokhu ucabangela hhayi ubudala noma isisindo isiguli, yakhe nemlandvo wetekwelashwa kwakhe, futhi ucele usizo yomuntu.

Inhalations nabenzeli hormone

Enye yezindlela eziphumelela kakhulu ekwelapheni ufuba bronchial, ezinzima inyumoniya, interstitial izifo zamaphaphu futhi ezingalapheki obstructive isifo yamaphaphu acute ukusetshenziswa corticosteroids. Lezi zihlanganisa amathuluzi ezifana "furoate", "Budesonit" "Beclomethasone", "Triamcinolone" "Fluticasone". corticosteroids imuncwe ngokushesha zivimbela izinqubo ukuvuvukala ezenzeka amaphaphu bronchi, ukunciphisa uketshezi yabo. Ngaphezu kwalokho, ukusetshenziswa ejenti hormone kuleli fomu kunciphisa isidingo amaphilisi nge nomphumela ofanayo.

Ukuze ukusetshenziswa yabo kwakudingeka amadivayisi ezikhethekile - powder isifutho noma nebulizers. Kubalulekile futhi ukwazi ukuthi ukwakhiwa okunjalo kungase futhi abonise engemihle. Ngokwesibonelo, ukusetshenziswa eside sivame ukuba okuvela candidiasis oropharyngeal, kancane - izifo ezifanayo fungal of emphinjeni, dysphonia (nesenzakalo zezinkinga izwi, kuba ababuthakathaka futhi hoshozela), ukhwehlela.

Ifomu acinene glyukosteroidov

Kwama-hormone ejenti eqeda ukuvuvukala futhi babelwa uma izinkinga nge ngalo ingaphakathi acinene. Zisetshenziswa hhayi kuphela ukubhekana rhinitis, kuhlanganise iguliswa futhi injalo, kodwa futhi ukuvimbela okuvela kuyo polyp emva ukususwa kwabo, e oluhambisana diathesis (ukuthambekela ukopha, kuhlanganise ekhaleni).

Ukusetshenziswa kabanzi corticosteroids e otorhinolaryngology ngenxa yokuthi bayakwazi ukubopha owabona izimpawu zezifo noma ukwandisa isikhathi phakathi exacerbations. Ukusetshenziswa izinhlobo nezokusigcoba kusiza ukunciphisa imiphumela engemihle futhi kanyekanye ukwandisa ukuphumelela ukwelashwa ukuzisebenzisa.

Ngokuvamile, corticosteroids acinene bubekezelelwa kahle, kodwa ezinye iziguli ekuqaleni ukwelashwa waphawula kome ekhaleni, ukulunywa, kungadala umongozima. Ngaphambi kokuba uqale luwathathe, kumelwe ulungiselele yokuthi basuke kuqhathaniswa ngasekupheleni uqale ukusebenza. Umthelela livela njengoba umthetho, kuphela ngosuku lwesithathu, he finyelela akukho ngaphambi esiphezulu ngosuku lwesihlanu, bese ngosuku lwesikhombisa. corticosteroids Intranasal wasebenzisa izinhlobo ezifana "Budesonide" izidakamizwa, "BDP" "Fluticasone", "furoate momenazona".