Inaliti ye-Methylprednisolone

-Delile

• Ngaphambi kokuthola umjovo we-methylprednisolone,
• Umjovo weMethylprednisolone ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

Umjovo weMethylprednisolone usetshenziselwa ukwelapha ukusabela okweqile komzimba. Umjovo weMethylprednisolone usetshenziswa ekuphatheni i-multiple sclerosis (isifo lapho izinzwa zingasebenzi kahle), i-lupus (isifo lapho umzimba uhlasela izitho zawo eziningi), isifo samathumbu, nezinhlobo ezithile ze-arthritis. Umjovo weMethylprednisolone nawo usetshenziselwa ukwelapha izimo ezithile ezithinta igazi, isikhumba, amehlo, uhlelo lwezinzwa, i-thyroid, izinso namaphaphu. Kwesinye isikhathi kuyasetshenziswa kuhlanganiswe neminye imithi yokwelapha izimpawu zamazinga aphansi e-corticosteroid (ukungabi bikho kwezinto ezithile ezivame ukukhiqizwa ngumzimba futhi kuyadingeka ekusebenzeni komzimba okujwayelekile). Umjovo weMethylprednisolone usekilasini lemithi ebizwa nge-corticosteroids. Kusebenza ukwelapha abantu abanamazinga aphansi ama-corticosteroids ngokufaka esikhundleni se-steroids evame ukukhiqizwa ngokwemvelo ngumzimba. Isebenza futhi ukwelapha ezinye izimo ngokunciphisa ukuvuvukala nokubomvu nangokushintsha indlela amasosha omzimba asebenza ngayo.

Umjovo weMethylprednisolone uza njengempuphu ezohlanganiswa noketshezi oluzofakwa ngaphakathi (emsipheni) noma ngemithambo (emthanjeni). Kuza futhi njengokumiswa komjovo ozojovwa nge-intramuscularly, intra-articularly (ku-joint), noma nge-intralesionally (ku-lesion). Isikhathi sakho somthamo siqu sizoncika esimeni sakho nokuthi uphendula kanjani ekwelashweni.

Ungathola umjovo we-methylprednisolone esibhedlela noma esikhungweni sezokwelapha, noma unganikezwa umuthi ozowusebenzisa ekhaya. Uma uzosebenzisa umjovo we-methylprednisolone ekhaya, umhlinzeki wakho wezokunakekelwa kwezempilo uzokukhombisa ukuthi ungawujova kanjani umuthi. Qiniseka ukuthi uyaziqonda lezi zinkomba, bese ubuza umhlinzeki wakho wezokunakekelwa kwezempilo uma unemibuzo. Buza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi enzeni uma unezinkinga ngokusebenzisa umjovo we-methylprednisolone.

Udokotela wakho angashintsha umthamo wakho womjovo we-methylprednisolone ngesikhathi sokwelashwa kwakho ukuze uqiniseke ukuthi uhlala usebenzisa umthamo ophansi kakhulu okusebenzelayo. Udokotela wakho futhi angadinga ukushintsha umthamo wakho uma uhlangabezana nokucindezeleka okungavamile emzimbeni wakho njengokuhlinzwa, ukugula noma ukutheleleka. Tshela udokotela wakho uma izimpawu zakho ziba ngcono noma ziba zimbi noma uma ugula noma unoshintsho empilweni yakho ngesikhathi sokwelashwa kwakho.

Umjovo weMethylprednisolone kwesinye isikhathi uyasetshenziswa ukwelapha isicanucanu nokuhlanza okuvela ezinhlotsheni ezithile ze-chemotherapy yomdlavuza nokuvikela ukwenqatshwa kokufakelwa komzimba. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthola umjovo we-methylprednisolone,

• Tshela udokotela kanye nosokhemisi wakho uma unegciwane ku-methylprednisolone, noma imuphi omunye umuthi, i-benzyl alcohol, noma ezinye izithako zomjovo we-methylprednisolone. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: aminoglutethimide (Cytadren; ayisatholakali e-U.S.); i-amphotericin B (i-Abelcet, i-Ambisome, i-Amphotec); ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn) kanye ne-COX-2 inhibitors ekhethiwe efana ne-celecoxib (Celebrex); i-carbamazepine (i-Equetro, iTegretol, iTeril); ama-cholinesterase inhibitors anjenge- donepezil (Aricept, eNamzaric), galantamine (Razadyne), neostigmine (Bloxiverz), pyridostigmine (Mestinon, Regonol), ne-rivastigmine (Exelon); cholestyramine (Prevalite); i-cyclosporine (Gengraf, Neoral, Sandimmune); imithi yesifo sikashukela kubandakanya i-insulin; i-digoxin (i-Lanoxin); isisu (‘amaphilisi amanzi’); i-erythromycin (E.E.S., Ery-Tab, Erythrocin, abanye); ama-estrogens afaka izinto zokuvimbela inzalo zamahomoni (amaphilisi okulawula inzalo, amabala, izindandatho, okufakelwa kanye nemijovo); i-isoniazid (Laniazid, Rifamate, eRifater); ketoconazole (Nizoral, Xolegel); i-phenobarbital; i-phenytoin (iDilantin, Phenytek); i-rifabutin (i-Mycobutin); kanye ne-rifampin (Rifadin, Rimactane, eRifamate, eRifater). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma unesifo sefungal (ngaphandle kwesikhumba noma izinzipho zakho). Udokotela wakho mhlawumbe uzokutshela ukuthi ungasebenzisi umjovo we-methylprednisolone. Futhi, tshela udokotela wakho uma une-idiopathic thrombocytopenic purpura (i-ITP; isimo esiqhubekayo esingadala ukulimazeka noma ukopha kalula ngenxa yenani eliphansi ngokungajwayelekile lama-platelet egazini). Udokotela wakho mhlawumbe ngeke akunikeze i-methylprednisolone intramuscularly, uma une-ITP.
• utshele udokotela wakho uma uke waba nesifo sofuba noma owake waba naso (i-TB: uhlobo lokutheleleka kwamaphaphu); inkalakatha (ukufiphalisa ilensi yeso); i-glaucoma (isifo samehlo); I-Cushing’s syndrome (isimo lapho umzimba ukhiqiza kakhulu i-hormone cortisol); isifo sikashukela; umfutho wegazi ophakeme; ukwehluleka kwenhliziyo; ukuhlaselwa yinhliziyo muva nje; izinkinga ezingokomzwelo, ukudangala noma ezinye izinhlobo zokugula ngengqondo; i-myasthenia gravis (isimo lapho imisipha iba buthaka khona); i-osteoporosis (isimo lapho amathambo eba buthakathaka khona futhi entekenteke futhi engaphuka kalula); ukuquleka; izilonda; noma isibindi, izinso, inhliziyo, amathumbu, noma isifo segilo. Phinda utshele udokotela wakho uma unanoma yiluphi uhlobo lwegciwane elingalashwa elingalashwa.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthola umjovo we-methylprednisolone, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthola umjovo we-methylprednisolone.
• awunayo imigomo (isibhamu sokuvimbela izifo) ngaphandle kokukhuluma nodokotela wakho.
• kufanele wazi ukuthi umjovo we-methylprednisolone unganciphisa ikhono lakho lokulwa nokutheleleka futhi ungakuvimbela ekuthuthukiseni izimpawu uma uthola ukutheleleka. Hlala kude nabantu abagulayo futhi ugeze izandla zakho kaningi ngenkathi usebenzisa lo muthi. Qiniseka ukuthi ugwema abantu abane-pox noma isimungumungwane. Shayela udokotela wakho ngokushesha uma ucabanga ukuthi kungenzeka wake wasondela kumuntu owayephethwe umkhuhlane wezinkukhu noma isimungumungwane.

Udokotela wakho angakuyala ukuthi ulandele usawoti omncane noma ukudla okunepotassium noma i-calcium eningi. Udokotela wakho angaphinde anikeze noma ancome isengezo se-calcium noma se-potassium. Landela lezi zinkomba ngokucophelela.

Umjovo weMethylprednisolone ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• isiyezi
• ukuphulukiswa okuphuzile kokusikeka nokulimala
• induna
• isikhumba esincane, esintekenteke noma esomile
• amabala abomvu noma ansomi noma imigqa ngaphansi kwesikhumba
• ukucindezelwa kwesikhumba endaweni yomjovo
• ukwanda kwamafutha omzimba noma ukunyakaza ezindaweni ezahlukahlukene zomzimba wakho
• ubunzima bokulala noma ukulala
• injabulo engafanele
• ushintsho olukhulu ekuguqukeni kwemizwa ebuntwini
• ukukhathala ngokweqile
• ukudana
• ukujuluka okwandayo
• ubuthakathaka bemisipha
• ubuhlungu obuhlangene
• isiyezi
• izikhathi zokuya esikhathini ezingajwayelekile noma ezingekho
• ukwanda kwesifiso sokudla
• izinqa

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• umphimbo obuhlungu, umkhuhlane, amakhaza, ukukhwehlela, noma ezinye izimpawu zokutheleleka
• isithuthwane
• izinkinga zokubona
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umphimbo, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuphefumula kanzima noma ukugwinya
• ukuphelelwa umoya
• ukuzuza kwesisindo ngokungazelelwe
• ukuqubuka
• isifuba
• ukulunywa
• ukudideka
• amabala wesikhumba angajwayelekile emlonyeni, ekhaleni noma emphinjeni
• ukuba ndikindiki, ukushiswa, noma ukuncinza ebusweni, izingalo, imilenze, izinyawo noma izandla

Umjovo weMethylprednisolone ungadala ukuthi izingane zikhule kancane. Udokotela wengane yakho uzobuka ukukhula kwengane yakho ngokucophelela ngenkathi ingane yakho isebenzisa umjovo we-methylprednisolone. Khuluma nodokotela wengane yakho ngezingozi zokunikeza ingane yakho lo muthi.

Abantu abasebenzisa umjovo we-methylprednisolone isikhathi eside bangaba ne-glaucoma noma i-cataract. Khuluma nodokotela wakho ngezingozi zokusebenzisa umjovo we-methylprednisolone nokuthi amehlo akho kufanele ahlolwe kangaki ngesikhathi sokwelashwa kwakho.

Umjovo weMethylprednisolone ungakhuphula ubungozi bokuhlaselwa ngamathambo. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.

Umjovo weMethylprednisolone ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho kumjovo we-methylprednisolone.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho nabasebenzi belebhuthi ukuthi usebenzisa umjovo we-methylprednisolone.

Uma kukhona ukuhlolwa kwesikhumba okufana nokuhlolwa kokungezwani komzimba noma kwesifo sofuba, tshela udokotela noma uchwepheshe ukuthi uthola umjovo we-methylprednisolone.

Ungavumeli omunye umuntu asebenzise imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nomjovo we-methylprednisolone.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Methapred^®
• IDepo-Medrol^®
• I-Solu-Medrol^®