I-Hydrocortisone Rectal
-Delile
- Ngaphambi kokusebenzisa i-rectal hydrocortisone,
- I-Rectal hydrocortisone 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:
I-Rectal hydrocortisone isetshenziswa kanye neminye imithi yokwelapha i-proctitis (ukuvuvukala ku-rectum) kanye ne-ulcerative colitis (isimo esidala ukuvuvukala nezilonda kulwelwesi lwamathumbu amakhulu ne-rectum). Ibuye isetshenziselwe ukuqeda ukulunywa nokuvuvukala okuvela kuma-hemorrhoids nakwezinye izinkinga zamarurikhi. I-Hydrocortisone isekilasini lemithi ebizwa nge-corticosteroids. Isebenza ngokuvula izinto zemvelo esikhumbeni ukunciphisa ukuvuvukala, ububomvu, nokunwaya.
I-Hydrocortisone rectal iza njengokhilimu, i-enema, ama-suppositories, kanye ne-foam ezosetshenziswa ku-rectum. Landela izinkomba ezikudokotela wakho noma ilebula lomkhiqizo wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-rectal hydrocortisone njengoba iqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.
Kwi-proctitis, i-hydrocortisone rectal foam ngokuvamile isetshenziswa kanye noma kabili ngosuku amasonto amabili kuya kwamathathu, lapho-ke uma kunesidingo, zonke izinsuku kuze kube yilapho isimo sakho sithuthuka. Ama-suppositories we-Hydrocortisone rectal asetshenziswa kaningi noma kathathu nsuku zonke amaviki ama-2; kungadinga ukwelashwa kuze kube amasonto ayisithupha kuya kwayisishiyagalombili ezimweni ezinzima. Izimpawu ze-Proctitis zingathuthuka ezinsukwini ezinhlanu kuya kwezi-7.
Ama-hemorrhoids, ukhilimu wama-rectal we-hydrocortisone imvamisa usetshenziswa kubantu abadala nezingane ezineminyaka eyi-12 nangaphezulu kuze kube izikhathi ezi-3 noma ezine nsuku zonke. Uma uthole i-hydrocortisone ngaphandle kwencwadi kadokotela (ngaphezulu kwekhawunta) futhi isimo sakho singabi ngcono zingakapheli izinsuku eziyi-7, yeka ukuyisebenzisa bese ushayela udokotela wakho ucingo. Ungafaki ukhilimu ku-rectum yakho ngeminwe yakho.
Kwi-ulcerative colitis, i-hydrocortisone rectal enema imvamisa isetshenziswa njalo ebusuku izinsuku ezingama-21. Yize izimpawu ze-colitis zingakhula zingakapheli izinsuku ezingama-3 kuye kwezingu-5, izinyanga ezi-2 kuye kwezi-3 zokusebenzisa i-enema njalo kungadingeka. Shayela udokotela wakho uma izimpawu zakho ze-colitis zingathuthuki phakathi kwamasonto amabili noma amathathu.
Udokotela wakho angashintsha umthamo wakho we-rectal hydrocortisone 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.
Ama-suppositories angama-rectal e-Hydrocortisone angadambisa izingubo nezinye izindwangu. Thatha izinyathelo zokuphepha ukuvimbela ukungcola uma usebenzisa lo muthi.
Ngaphambi kokusebenzisa i-hydrocortisone rectal foam okokuqala, funda ngokucophelela imiyalelo ebhaliwe eza nayo. Buza udokotela wakho noma usokhemisi ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi.
Uma usebenzisa i-enema ye-rectal ye-hydrocortisone, landela lezi zinyathelo:
- Zama ukuba nokunyakaza kwamathumbu. Imithi izosebenza kahle kakhulu uma amathumbu akho engenalutho.
- Nyakazisa kahle ibhodlela le-enema ukuze uqiniseke ukuthi umuthi uxubekile.
- Susa ikhava yokuvikela kuthiphu yomfakisicelo. Qaphela ukubamba ibhodlela entanyeni ukuze umuthi ungaphumi ebhodleleni.
- Lala ngohlangothi lwakho lwesobunxele umlenze wakho wangezansi (wesobunxele) uqonde bese umlenze wakho wokunene ugobile ubheke esifubeni sakho ukuze ulinganisele. Ungaguqa futhi embhedeni, uphumule isifuba sakho esingenhla nengalo eyodwa embhedeni.
- Ngenisa ngobumnene ithiphu yokufaka isicelo ku-rectum yakho, uyikhombe kancane enkabeni yakho (inkinobho yesisu).
- Bamba ibhodlela ngokuqinile bese ulitshekisa kancane ukuze umbhobho ubheke emuva kwakho. Cindezela ibhodlela ngokunensa nangokuzinza ukuze ukhiphe umuthi.
- Susa umfakisicelo. Hlala endaweni efanayo okungenani imizuzu engama-30. Zama ukugcina umuthi ngaphakathi komzimba wakho ubusuku bonke (ngenkathi ulele).
- Geza izandla zakho kahle. Phonsa ibhodlela emgqonyeni kadoti ongafinyeleleki ezinganeni nasezifuyweni. Ibhodlela ngalinye liqukethe umthamo owodwa kuphela futhi akufanele lisetshenziswe futhi.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokusebenzisa i-rectal hydrocortisone,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-hydrocortisone, noma imuphi omunye umuthi, noma iziphi izithako kwimikhiqizo ye-rectal hydrocortisone. 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 yikuphi okulandelayo: i-amphotericin B (i-Abelcet, i-Ambisome, i-Fungizone); ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); i-aspirin noma amanye ama-NSAID afana ne-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); ama-barbiturates; carbamazepine (Carbatrol, Epitol, Tegretol, nabanye); i-cyclosporine (Gengraf, Neoral, Sandimmune); i-digoxin (i-Lanoxin); izindlela zokuvimbela inzalo zamahomoni (amaphilisi okulawula ukubeletha, amabala, izindandatho, okufakelwayo nemijovo); i-isoniazid (eRifamate, eRifater); ketoconazole (Extina, Nizoral, Xolegel); ama-antibiotic e-macrolide njenge-clarithromycin (i-Biaxin, e-Prevpac) noma i-erythromycin (i-E.E.S., i-Eryc, i-Eryped, abanye); imithi yesifo sikashukela; i-phenytoin (iDilantin, Phenytek); kanye ne-rifampin (Rifadin, Rimactane, eRifamate, eRifater). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-hydrocortisone, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu.
- Tshela udokotela wakho uma unesifo sefungal (ngaphandle kwesikhumba noma izinzipho zakho), i-peritonitis (ukuvuvukala kolwelwesi lwesisu), ukuvimbeleka kwamathumbu, i-fistula (ukuxhumana okungajwayelekile phakathi kwezitho ezimbili ngaphakathi komzimba wakho noma phakathi kwesitho Ingaphandle lomzimba wakho) noma izinyembezi odongeni lwesisu noma amathumbu akho. Udokotela wakho angakutshela ukuthi ungasebenzisi i-rectal hydrocortisone.
- utshele udokotela wakho uma uke waba neziphungumangathi (uhlobo lwesibungu olungaphila ngaphakathi emzimbeni); isifo sikashukela; i-diverticulitis (ama-bulges avuvukele emgqeni wamathumbu amakhulu); ukwehluleka kwenhliziyo; umfutho wegazi ophakeme; ukuhlaselwa yinhliziyo muva nje; i-osteoporosis (isimo lapho amathambo eba buthakathaka khona futhi entekenteke futhi engaphuka kalula); i-myasthenia gravis (isimo lapho imisipha iba buthaka khona); izinkinga ezingokomzwelo, ukudangala noma ezinye izinhlobo zokugula ngengqondo; isifo sofuba (i-TB: uhlobo lokutheleleka kwamaphaphu); izilonda; ukuqina kwesibindi; noma isibindi, izinso, 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 usebenzisa i-rectal hydrocortisone, shayela udokotela wakho.
- awunayo imigomo (isibhamu sokuvimbela izifo) ngaphandle kokukhuluma nodokotela wakho.
- uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-rectal hydrocortisone.
- kufanele wazi ukuthi i-rectal hydrocortisone inganciphisa ikhono lakho lokulwa nokutheleleka futhi ingakuvimbela 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 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.
Sebenzisa umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungasebenzisi umthamo ophindwe kabili ukwenza okulahlekile.
I-Rectal hydrocortisone ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ikhanda
- isiyezi
- ubuhlungu bendawo noma ukushisa
- ubuthakathaka bemisipha
- ushintsho olukhulu ekuguqukeni kwemizwa ebuntwini
- injabulo engafanele
- ubunzima bokulala noma ukulala
- ukuphulukiswa okuphuzile kokusikeka nokulimala
- izikhathi zokuya esikhathini ezingajwayelekile noma ezingekho
- isikhumba esincane, esintekenteke noma esomile
- induna
- ukujuluka okwandayo
- izinguquko endleleni okusakazeka ngayo amafutha emzimbeni wonke
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:
- ukopha
- umbono uyashintsha
- ukudana
- ukuqubuka
- ukulunywa
- ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umphimbo, izandla, izingalo, izinyawo, amaqakala noma imilenze engezansi
- isifuba
- ukuphefumula kanzima noma ukugwinya
Izingane ezisebenzisa i-rectal hydrocortisone zingaba nengozi eyengeziwe yemiphumela emibi kufaka phakathi ukukhula okwehlisiwe kanye nokubambezeleka kokuzuza kwesisindo. Khuluma nodokotela wengane yakho ngezingozi zokusebenzisa lo muthi.
Abantu abasebenzisa i-rectal hydrocortisone isikhathi eside bangaba ne-glaucoma noma i-cataract. Khuluma nodokotela wakho ngezingozi zokusebenzisa i-rectal hydrocortisone nokuthi amehlo akho kufanele ahlolwe kangaki ngesikhathi sokwelashwa kwakho.
I-Rectal hydrocortisone ingakhuphula ubungozi bokuba ne-osteoporosis. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.
I-Rectal hydrocortisone ingadala 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).
Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Yigcine ngokwemiyalo yephakeji. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Ungafrizi noma ufake esiqandisini imikhiqizo ye-rectal hydrocortisone.
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 zelebhu ukuze ahlole impendulo yomzimba wakho ku-rectal hydrocortisone.
Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi belebhuthi ukuthi usebenzisa i-rectal hydrocortisone.
Ungavumeli omunye umuntu asebenzise 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.
- I-Anusol HC®
- I-Colocort®
- UCortifoam®
- ICortenema®
- Ukulungiselela H Anti-Itch®
- I-Proctocort® Isengezo
- IProctofoam HC® (equkethe i-Hydrocortisone, i-Pramoxine)