I-Prednisolone

-Delile

• Ngaphambi kokuthatha i-prednisolone,
• I-Prednisolone ingadala 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:

I-Prednisolone isetshenziswa yodwa noma neminye imithi yokwelapha izimpawu zamazinga aphansi e-corticosteroid (ukuntuleka kwezinto ezithile ezivame ukukhiqizwa ngumzimba futhi ziyadingeka ekusebenzeni komzimba okujwayelekile). IPrednisolone nayo isetshenziselwa ukwelapha izimo ezithile ezithinta igazi, isikhumba, amehlo, uhlelo oluphakathi lwezinzwa, izinso, amaphaphu, isisu namathumbu. Ibuye isetshenziselwe ukwelapha ukungezwani komzimba; nezinhlobo ezithile ze-arthritis; i-multiple sclerosis (isifo lapho izinzwa zingasebenzi kahle); nokusiza ukuvimbela ukwenqatshwa kokufakelwa kabusha (ukuhlaselwa komzimba ofakelwe ngumzimba) kubantu abadala abathile abathole ukufakelwa. I-Prednisolone nayo kwesinye isikhathi isetshenziselwa ukwelapha izimpawu ezivela ezinhlotsheni ezithile zomdlavuza. I-Prednisolone isekilasini lemithi ebizwa nge-corticosteroids. Isebenza ngokunciphisa ukuvuvukala nokubomvu nangokushintsha indlela amasosha omzimba asebenza ngayo.

I-Prednisolone iza njengethebhulethi, ithebhulethi ehlukaniswa ngomlomo (ithebhulethi encibilika ngokushesha emlonyeni), isisombululo (uketshezi), futhi njengokumiswa (uketshezi) ukuthatha ngomlomo ngokudla. Udokotela wakho uzokutshela ukuthi uthathe imithamo yakho ye-prednisolone ngezikhathi ezithile zosuku nsuku zonke. Isikhathi sakho somthamo siqu sizoncika esimeni sakho nokuthi uphendula kanjani ekwelashweni. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-prednisolone njengoba iqondisiwe. Ungayithathi ngaphezulu noma ngaphansi kwayo noma uyithathe kaningi noma isikhathi eside kunokuyalelwa ngudokotela wakho.

Ukuze uthathe ithebhulethi ehlakazeka ngomlomo, sebenzisa izandla ezomile ukukhipha emuva ukupakisha kwe-foil. Khipha ngokushesha ithebhulethi bese uyibeka olimini lwakho. Ithebhulethi izoncibilika ngokushesha futhi ingagwinywa ngamanzi noma ngaphandle kwawo. Musa ukuhlafuna, ukuhlukanisa, noma ukuphula ithebhulethi.

Udokotela wakho angashintsha umthamo wakho we-prednisolone phakathi nokwelashwa kwakho ukuze uqiniseke ukuthi uhlala uthatha umthamo ophansi kakhulu okusebenzelayo. Udokotela wakho futhi angadinga ukushintsha umthamo wakho uma uhlangabezana nokucindezeleka okungavamile emzimbeni wakho njengokuhlinzwa, ukugula, ukutheleleka, noma ukuhlaselwa yisifuba somoya okunzima. Tshela udokotela wakho uma izimpawu zakho ziba ngcono noma ziba zimbi noma uma ugula noma unoshintsho empilweni yakho ngesikhathi sokwelashwa kwakho.

Uma uthatha i-prednisolone ukwelapha isimo esiqhubekayo, lo muthi ungasiza ukulawula isimo sakho kepha ngeke uselaphe. Qhubeka uthathe i-prednisolone noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-prednisolone ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-prednisolone, umzimba wakho kungenzeka ungabi nama-steroids anele akhiqizwe ngokwemvelo ukuze asebenze ngokujwayelekile. Lokhu kungadala izimpawu ezifana nokukhathala ngokweqile, ubuthakathaka, ukunyakaza okuhamba kancane, isisu esicasulayo, ukulahleka kwesisindo, izinguquko kumbala wesikhumba, izilonda emlonyeni, nokulangazelela usawoti. Shayela udokotela wakho uma uhlangabezana nalezi noma ezinye izimpawu ezingavamile ngenkathi uthatha imithamo eyehlayo ye-prednisolone noma ngemuva kokuyeka ukuthatha umuthi.

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

Ngaphambi kokuthatha i-prednisolone,

• Tshela udokotela kanye nosokhemisi wakho uma uxabana ne-prednisolone, amanye ama-corticosteroids afana ne-prednisone (i-Rayos), noma imiphi eminye imithi, noma iziphi izithako ezikumikhiqizo ye-prednisolone. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela noma engabhaliswanga, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: aminoglutethimide (Cytadren; ayisatholakali e-US); i-amphotericin (i-Abelcet, i-Ambisome, i-Amphotec); ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); i-aspirin neminye imishanguzo yokulwa nokuvuvukala (i-NSAID) efana ne-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naproxen) kanye ne-COX-2 inhibitors ekhethiwe efana ne-celecoxib (Celebrex); carbamazepine (Carbatrol, Epitol, Tegretol, nabanye); cholestyramine (Prevalite); i-cyclosporine (Neoral, Gengraf, Sandimmune); i-digoxin (i-Lanoxin); isisu (‘amaphilisi amanzi’); i-erthryomycin (EES Erythrocin); ama-estrogens afaka izinto zokuvimbela inzalo zamahomoni (amaphilisi okulawula inzalo, amabala, izindandatho, okufakelwa kanye nemijovo); i-isoniazid (iLaniazid, eRifamate, eRifater); ketoconazole (Nizoral); imithi yesifo sikashukela kubandakanya i-insulin; i-phenobarbital; i-phenytoin (iDilantin, Phenytek); ne-rifampin (i-Rifadin, i-Rimactane, e-Rifater, e-Rifamate). 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 ungathathi i-prednisolone.
• Tshela udokotela wakho uma unesifo samehlo noma wake waba nokutheleleka kwamehlo okuzayo nokudlulayo. Phinda utshele udokotela wakho uma uke waba nakho noma wake waba ne-cataract; i-glaucoma (isimo lapho ukucindezela okwandayo esweni kungaholela ekulahlekelweni kancane kombono); imisundu (uhlobo lwesibungu olungaphila ngaphakathi emzimbeni); I-Cushing’s syndrome (isimo lapho umzimba ukhiqiza kakhulu i-hormone cortisol); isifo sikashukela; umfutho wegazi ophakeme; ukwehluleka kwenhliziyo; umalaleveva (ukutheleleka okungathi sína okusakazwa omiyane ezingxenyeni ezithile zomhlaba futhi kungadala ukufa); izinkinga ezingokomzwelo, ukudangala, noma ezinye izinhlobo zokugula ngengqondo; i-osteoporosis (isimo lapho amathambo eba buthakathaka khona futhi entekenteke futhi engaphuka kalula); isifo sofuba (TB); izilonda; noma isibindi, izinso, amathumbu, inhliziyo, noma isifo segilo.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-prednisolone, shayela udokotela wakho.
• awunayo imigomo (isibhamu sokuvimbela izifo) ngaphandle kokukhuluma nodokotela wakho.
• kufanele wazi ukuthi i-prednisolone inganciphisa ikhono lakho lokulwa nokutheleleka futhi ingakuvimbela ekuthuthukiseni izimpawu uma uthola ukutheleleka. Hlala kude nabantu abagulayo futhi ugeze izandla zakho kaningi ngenkathi uthatha 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 ophansi, i-potassium ephezulu, noma ukudla okuphezulu kwe-calcium. Udokotela wakho angaphinde anikeze noma ancome isengezo se-calcium noma se-potassium. Landela lezi zinkomba ngokucophelela.

Lapho uqala ukuthatha i-prednisolone, cela udokotela wakho ukuthi enzeni uma ukhohlwa ukuthatha umthamo. Bhala phansi le miyalo ukuze ukwazi ukubheka kuyo ngokuhamba kwesikhathi. Shayela udokotela wakho noma usokhemisi uma uphuthelwa umthamo futhi ungazi ukuthi wenzeni. Ungathathi umthamo ophindwe kabili ukwenzela umthamo ophuthelwe.

Uma uthatha i-prednisolone esimisweni esijwayelekile, thatha isilinganiso esilahlekile ngokushesha nje lapho usikhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Prednisolone ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• isicanucanu
• ushintsho olukhulu emizweni, kufaka phakathi injabulo engajwayelekile
• izinguquko ebuntwini
• ubunzima bokulala noma ukulala
• isikhumba esincane, esintekenteke
• ukuphulukiswa okuphuzile kokusikeka nokulimala
• induna
• ukuncipha kwezinwele
• ukwanda kwesifiso sokudla
• izinguquko endleleni okusakazeka ngayo amafutha emzimbeni wonke
• ukujuluka okwandayo
• izikhathi zokuya esikhathini ezingajwayelekile noma ezingekho

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
• ubuthakathaka bemisipha
• izinkinga zokubona
• ukudana
• ukulahlekelwa ukuxhumana neqiniso
• ukuzuza kwesisindo ngokungazelelwe
• ukuvuvukala kwesisu
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umphimbo, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuphefumula kanzima noma ukugwinya
• ukuqubuka
• isifuba
• ukulunywa

I-Prednisolone inganciphisa ukukhula nentuthuko ezinganeni. Udokotela wengane yakho uzobuka ukukhula kwakhe ngokucophelela. Khuluma nodokotela wengane yakho ngezingozi zokunikeza i-prednisolone enganeni yakho.

I-Prednisolone ingakhuphula ubungozi bokuthi uzoba ne-osteoporosis. Khuluma nodokotela wakho ngezingozi zokuthatha i-prednisolone nangezinto ongazenza ukunciphisa amathuba okuthi uzoba nesifo samathambo.

Ezinye iziguli ezithathe i-prednisolone noma imishanguzo efana nayo zaba nohlobo lomdlavuza obizwa ngeKaposi’s sarcoma. Khuluma nodokotela wakho ngezingozi zokuthatha i-prednisolone.

I-Prednisolone ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha 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).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Ukugcine ekamelweni lokushisa kude nokukhanya, ukushisa okweqile nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

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 angalawula izivivinyo ezithile zebhu ukuze ahlole impendulo yomzimba wakho ku-prednisolone.

Uma kukhona ukuhlolwa kwesikhumba okufana nokuhlolwa kokungezwani komzimba noma ukuhlolwa kwesifo sofuba, tshela udokotela noma uchwepheshe ukuthi uthatha i-prednisolone.

Uma unesifo sikashukela, i-prednisolone ingakhuphula izinga likashukela egazini lakho. Uma uqapha ushukela wegazi lakho (i-glucose) ekhaya, hlola igazi lakho noma umchamo kaningi kunokujwayelekile. Shayela udokotela wakho uma ushukela wegazi uphezulu.

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

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.

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