Ukudlula ngokweqile kweCorticosteroids

ICorticosteroids yimithi elapha ukuvuvukala emzimbeni. Amanye amahomoni avela ngokwemvelo akhiqizwa yizinhlayiya futhi akhishelwa emfudlaneni wegazi. Ukudlula ngokweqile kweCorticosteroid kwenzeka lapho othile ethatha ngaphezu kwenani elijwayelekile noma elinconywayo lalo muthi. Lokhu kungaba ngengozi noma ngenhloso.

AmaCorticosteroids eza ngezindlela eziningi, kufaka phakathi:

• Okhilimu namafutha okugcoba asetshenziswa esikhunjeni
• Amafomu ahogelwayo aphefumulelwa emakhaleni noma emaphashini
• Amaphilisi noma iziphuzo ezigwinywayo
• Amafomu afakiwe afakwa esikhunjeni, emalungeni, emisipheni noma emithanjeni

Iningi lokudlula ngokweqile kwe-corticosteroid kwenzeka ngamaphilisi noketshezi.

Lo mbhalo ungowolwazi kuphela. UNGAYisebenzisi ukuphatha noma ukuphatha ukweqisa ngokweqile kwangempela. Uma wena noma umuntu onokweqisa ngokweqile, shayela inombolo yakho ephuthumayo yasendaweni (njenge-911), noma isikhungo sendawo sakho sobuthi singafinyelelwa ngqo ngokushayela ucingo lwasimahla lwe-Poison Help hotline (1-800-222-1222) noma yikuphi e-United States.

ICorticosteroid

Ama-Corticosteroids atholakala kule mithi:

• I-Alclometasone dipropionate
• I-Betamethasone sodium phosphate
• I-Clocortolone pivalate
• Desonide
• I-Desoximetasone
• I-Dexamethasone
• I-Fluocinonide
• UFlunisolide
• I-Fluocinolone acetonide
• Flurandrenolide
• I-Fluticasone propionate
• I-Hydrocortisone
• I-valerate ye-Hydrocortisone
• I-Methylprednisolone
• I-Methylprednisolone sodium succinate
• I-Mometasone furoate
• I-Prednisolone sodium phosphate
• Prednisone
• I-Triamcinolone acetonide

Eminye imithi ingaqukatha ne-corticosteroids.

Izimpawu zokudlula ngokweqile kwe-corticosteroid zingafaka:

• Isimo sengqondo esishintshile ngokukhathazeka (psychosis)
• Isikhumba esivuthayo noma esilumayo
• Ukuquleka
• Izithulu
• Ukucindezeleka
• Isikhumba esomile
• Ukuphazamiseka kwesigqi senhliziyo (ukushaya ngamandla, ukushaya okungajwayelekile)
• Umfutho wegazi ophezulu
• Ukwanda kwesifiso
• Ukwanda kwengozi yokutheleleka
• Ubuthakathaka bemisipha
• Isicanucanu nokuhlanza
• Ukwesaba
• Ukulala
• Ukumiswa komjikelezo wokuya esikhathini
• Ukuvuvukala emilenzeni ephansi, emaqakaleni, noma ezinyaweni
• Amathambo abuthakathaka (i-osteoporosis) namathambo aqhekekile (abonwa ngokusetshenziswa kwesikhathi eside)
• Ubuthakathaka
• Ukuwohloka kwezimo zezempilo njengokuvuvukala kwesisu, i-acid reflux, izilonda, nesifo sikashukela

Ezinye zalezi zimpawu ezingenhla zingakhula noma ngabe i-corticosteroids isetshenziswe kahle, kanti ezinye zinamathuba amaningi okuthi zithuthuke ngemuva kokusetshenziswa okungapheli noma ukusetshenziswa ngokweqile.

Lungisa lolu lwazi:

• Iminyaka yomuntu, isisindo, nesimo (isibonelo, ingabe umuntu uvukile futhi uqaphile?)
• Igama lomkhiqizo (izithako namandla, uma kwaziwa)
• Isikhathi sigwinyiwe
• Inani ligwinyiwe

UNGALIBALI ukubiza usizo uma ungenalo lolu lwazi olungenhla.

Isikhungo sakho sendawo sokulawula ubuthi singafinyelelwa ngqo ngokushayela inombolo yocingo yamahhala kazwelonke engakhokhelwa (1800-222-1222) kusuka noma yikuphi e-United States. Le nombolo yocingo kazwelonke izokuvumela ukuthi ukhulume nochwepheshe bokufaka ushevu. Bazokunikeza eminye imiyalelo.

Le yisevisi yamahhala futhi eyimfihlo. Zonke izikhungo zokulawula ubuthi e-United States zisebenzisa le nombolo kazwelonke. Kufanele ushaye uma unemibuzo mayelana nobuthi noma ukulawulwa kobuthi. Akudingeki ukuthi kube yisimo esiphuthumayo. Ungashayela nganoma yisiphi isizathu, amahora angama-24 ngosuku, izinsuku eziyi-7 ngeviki.

Thatha isitsha semithi uhambe naso uye esibhedlela, uma kungenzeka.

Umhlinzeki uzolinganisa futhi aqaphe izimpawu ezibalulekile zomuntu, kufaka phakathi izinga lokushisa, ukushaya kwenhliziyo, izinga lokuphefumula, nomfutho wegazi.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi nomchamo
• I-x-ray yesifuba
• I-ECG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)

Ukwelashwa kungafaka:

• Uketshezi olungena ngaphakathi (olunikezwa ngomthambo)
• Imithi yokwelapha izimpawu
• Amalahle avuliwe
• Ama-laxatives
• Ukwesekwa kokuphefumula, kufaka phakathi ithubhu engena emlonyeni emaphashini nasemshinini wokuphefumula (umshini wokuphefumula)

Iningi labantu abadlula ngokweqile kuma-corticosteroids banezinguquko ezincane emanzini omzimba nakuma-electrolyte abo. Uma banezinguquko esigqi senhliziyo yabo, umbono wabo ungaba mubi ngokwengeziwe. Ezinye izinkinga ezihlobene nokuthatha i-corticosteroids kungenzeka noma ngabe zithathwe kahle. Abantu abanalezinkinga bangadinga ukuthatha imithi yesikhashana neyesikhathi eside ukuphatha lezi zinkinga.

U-Aronson JK. I-Corticosteroids-glucocorticoids. Ku: Aronson JK, ed. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 594-657.

UMeehan TJ. Sondela esigulini esinobuthi. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 139.