Umlobi: John Stephens
Usuku Lokudalwa: 26 Ujanuwari 2021
Ukuvuselela Usuku: 22 Unovemba 2024
Anonim
Inflammatory Bowel Disease (IBD) | Crohn’s & Ulcerative Colitis: USMLE STEP 2 Rapid Review
Ividiyo: Inflammatory Bowel Disease (IBD) | Crohn’s & Ulcerative Colitis: USMLE STEP 2 Rapid Review

-Delile

Isingeniso

Uma kukhulunywa nge-ulcerative colitis, kunezindlela ezahlukahlukene zokwelashwa. Izinhlobo eziningi zemithi ziyatholakala. Ukwelashwa odokotela abakunikeza kona kuvame ukuncika ebucayi bezimpawu zakho.

Imithi emibili ongayizwa nge-prednisone ne-prednisolone. (Umuthi wesithathu, i-methylprednisolone, unamandla ukwedlula womabili futhi akufanele udidaniswe ne-prednisolone.) Nakhu ukuncipha kokuthi le mithi iyini nokuthi ingasiza kanjani ekwelapheni i-ulcerative colitis, kufaka phakathi ukuthi zifana kanjani nokuthi zihluke kanjani.

I-Prednisone ne-prednisolone

I-Prednisone ne-prednisolone zombili zingezesigaba semithi esibizwa nge-glucocorticoids. AmaGlucocorticoids anciphisa ukuvuvukala emzimbeni wakho wonke. Benza lokhu ngokugxambukela endleleni amakhemikhali athile emzimbeni wakho abangela ngayo ukuvuvukala.

Le mithi ingasebenza ezingxenyeni ezihlukene zomzimba wakho, kufaka phakathi ikholoni yakho. Ikholoni yakho yingxenye yokugcina yamathumbu akho amakhulu, ngaphambi nje kwe-rectum yakho. Ngokunciphisa ukuvuvukala lapho, le mithi isiza ukunciphisa umonakalo owenziwa yi-colitis kukholoni yakho.


Akukho kulezi zidakamizwa ezilapha i-colitis, kepha zombili zingasiza ukuyilawula nokwenza ngcono impilo yakho. Le mithi iqeda izimpawu ezijwayelekile ezifana nalezi:

  • amajaqamba esiswini nobuhlungu
  • ukuncipha komzimba
  • isifo sohudo
  • ukukhathala

Ukuqhathanisa eceleni

I-Prednisone ne-prednisolone yizidakamizwa ezifanayo kakhulu. Ithebula elilandelayo liqhathanisa ukufana nokwehluka kwezici eziningana zale mithi emibili.

PrednisoneI-Prednisolone
Yini izinhlobo zamagama omkhiqizo?UDeltasone, iPredniSONE Intensol, uRayosIsigidi
Ingabe inguqulo ejwayelekile iyatholakala?yeboyebo
Kusetshenziselwa ini?i-ulcerative colitis nezinye izifo ezivuthayoi-ulcerative colitis nezinye izifo ezivuthayo
Ngidinga incwadi kadokotela?yeboyebo
Yiziphi izinhlobo namandla okungena?ithebhulethi yomlomo, ithebhulethi ekhishwe ukubambezeleka, isisombululo somlomo, ukugxila kwesisombululo somlomoithebhulethi yomlomo, ithebhulethi ehlukaniswa ngomlomo, isisombululo somlomo, ukumiswa ngomlomo, isiraphu yomlomo
Yini ubude obujwayelekile bokwelashwa?isikhathi esifushane isikhathi esifushane
Ingabe ikhona ingozi yokuhoxa?yebo *yebo *

Izindleko, ukutholakala, nokutholakala komshuwalense

I-Prednisolone ne-prednisone kubiza cishe okufanayo. Zombili lezi zidakamizwa ziza ngezinhlobo ezijwayelekile nezamagama. Njengazo zonke izidakamizwa, izinhlobo ezijwayelekile ngokuvamile zibiza kancane. IGoodRx.com ingakunika umbono wezindleko zamanje zomuthi odonswa ngudokotela wakho.


Kodwa-ke, akuwona wonke ama-generics atholakala ngezindlela noma ngamandla afanayo nezinguqulo zegama lomkhiqizo. Buza umhlinzeki wakho wezokunakekelwa kwezempilo uma kunesidingo sokuthi uthathe amandla wegama lomkhiqizo noma ifomu.

Iningi lamakhemisi alondoloza izinhlobo ezijwayelekile ze-prednisone ne-prednisolone. Izinguqulo zegama lomkhiqizo azihlali zigcwele, ngakho shayela phambili ngaphambi kokugcwalisa incwadi yakho uma uthatha uhlobo lwegama lomkhiqizo.

Izinhlelo eziningi zomshuwalense ziphinde zihlanganise zombili i-prednisone ne-prednisolone. Kodwa-ke, inkampani yakho yomshuwalense ingadinga ukugunyazwa kwangaphambili kudokotela wakho ngaphambi kokuba ivume lokho okubhalwe phansi futhi ikhiphe inkokhelo.

Okuqhamuka uma udla imishanguzo

Le mithi ivela esigabeni esisodwa semithi futhi isebenza ngendlela efanayo. Ngenxa yalokhu, imiphumela emibi ye-prednisone ne-prednisolone nayo iyafana. Kodwa-ke, ziyehluka ngezindlela ezimbalwa. I-Prednisone ingadala imizwa yakho ishintshe futhi ingakwenza uzizwe ucindezelekile. I-Prednisolone ingadala ukudlikizela.

Ukusebenzisana kwezidakamizwa

Izidakamizwa ezilandelayo zisebenzisana ne-prednisolone ne-prednisone:


  • imishanguzo yokulwa nokuquleka efana ne-phenobarbital ne-phenytoin
  • i-rifampin, elapha isifo sofuba
  • ketoconazole, elapha izifo ezifakwayo
  • i-aspirin
  • izinciphisi zegazi ezifana ne-warfarin
  • yonke imigomo ebukhoma

Sebenzisa nezinye izimo zezokwelapha

Uma unezimo ngaphandle kwe-ulcerative colitis, qiniseka ukuthi udokotela wakho uyazi ngazo. Kokubili i-prednisone ne-prednisolone kungenza izimo ezithile ezikhona zibe zimbi kakhulu. Lokhu kufaka phakathi:

  • i-hypothyroidism
  • ukuqina kwesibindi
  • i-herpes simplex yeso
  • izinkinga ezingokomzwelo
  • ukugula ngengqondo
  • izilonda
  • Izinkinga zezinso
  • umfutho wegazi ophakeme
  • ukukhumuzeka kwamathambo
  • myasthenia gravis
  • isifo sofuba

Iseluleko sikaSokhemisi

I-Prednisone ne-prednisolone kunokufana okuningi kunokwehluka. Umehluko omkhulu phakathi kwale mithi ngezinye izidakamizwa ezihlangana nazo. Nikeza udokotela wakho uhlu oluphelele lwezidakamizwa nezithasiselo ozithathayo. Lokhu kungaba olunye ulwazi oluhle kakhulu ongalunika udokotela wakho ukuze abasize banqume phakathi kwale mithi emibili yokwelapha i-ulcerative colitis yakho.

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