Usarega kana taper prednisone pasina zano rechiremba wako
Prednisone ndiyo inopesana nemishonga inopesana nekuputika inoshandiswa kuporesa kuvhiringidza marudzi eArthritis nemamwe mamiriro. Kusashandisa zvisina kunaka, kushandiswa kwenguva refu, kana kuwedzerwa kwepamusoro kunogona kutungamirira kune zvakaipa zvisina kunaka. Prednisone inofanira kutorwa maererano nemitemo. Kuti urege kudzivisa kubviswa kwezvinokonzerwa nemishonga kana chirwere chacho chichifanira kuregwa, chinofanira kunge chakakonzerwa maererano nedzimwe nguva inorayirwa nachiremba wako.
Usaedza kumira kana taper prednisone pasina chiremba wako.
Kupera Kurasikirwa kweSteroids
Kuregererwa kwemishonga inonzi steroid inofanira kuitwa pamwero wechidiki, unonzi taper. Chimwe chinhu ndechokuti kana vakapiwa kwenguva pfupi. Iyi nguva yenguva ichasiyana uye ichabva kune chiremba wako. Purogiramu yekufambisa ichapa nguva yekuti muviri wako uchinje sezvo ichideredza chigadzirwa chayo che cortisol paunotora prednisone.
Kugadzira Kunopedza Prednisone Kurega Zviratidzo
Maererano neRheumatologist, Scott J. Zashin, "Ndinowanzopora kana murwere atora mishonga kwemazuva anopfuura matatu. Chikonzero chikuru chekufamba kwenguva pfupi ndeyekuti varwere vanogona kuwedzera zviratidzo zve steroid kana kuti kubviswa kwepnisone. kushungurudzika kwematumbo, kuneta, kurwadziwa musoro, fivha, kuderera kwehana, kusuruvara, uye kurutsa.Kuramba kwekuregererwa kwehutano kune vanhu vave vari steroid kwenguva yakareba kunogona kukonzera zviratidzo zvakakomba nekuda kwekuti inowanzogadzirwa steroid by mutumbi warambidzwa. "
Steroid inosanganisira:
- Kutungamirwa (prednisolone)
- Deltasone (prednisone)
- Medrol (methylprednisolone)
- Celestone (betamethasone)
- Cortone (cortisone)
- Cortef (hydrocortisone)
- Decadron (dexamethasone)
- Kenacort (triamcinolone)
Chiremba Alert Isongo Inogona Kuratidza NezvePrednisone Kurega Zviratidzo
Vanhu vari kutora steroidhi nguva dzose nekuda kwehutano hwavo vangada kuwedzerwa kwemishonga munguva dzekutambudzika, zvakadai sekuvhiyiwa kana chirwere chakanyanya kurapa.
Dr. Zashin akarayira kuti, "Ndinokurudzira varwere vangu kutenga chiremba chekurapa kubva kune homisi yavo kana vakangoerekana vaona njodzi uye vasingakwanisi kupa nhoroondo yezvokurapa."
Muenzaniso Kutora Purogiramu Yokuderedza Prednisone Kurega
Iyo purogiramu inotarisa ichasiyana nekuenderana nekureba kwei munhu ari kutora steroids. Iyo yakareba nguva ye steroids, inononoka iyo taper. Dr. Zashin anowanzotora varwere vake:
- Ne-5-milligram increments pavanotora makirogiramu mashoma anopfuura 40 ehednisone
- Ne 2.5-milligram increments chete pavanosvika makirogiramu makumi maviri ehednisone
- Ne-1-milligram increments pavanosvika ma milligiramu gumi
Dr. Zashin anosarudza kuderedza chiremba zuva rega rega kuvarwere vasina kutora steroidhi kwenguva yakareba. Nhamba yacho inoderera mwedzi miviri kana murwere ave ari pamushonga kwenguva refu.
Apo vanhu vanotanga kuderedza chirwere, hazvisi zvisizvo kunzwa kunzwa kusuruvara kana kuneta. Zviratidzo izvi zvinowanzogadzirisa mazuva maviri kusvika manomwe. Kana zviratidzo zvikasagadziriswa, chiremba angasarudza kukwidza kwenguva pfupi chirwere chacho uye kuwedzera zvishoma nezvishoma. Vamwe vanhu vangave vaine zvakaoma kutengesa steroid pasinei nekuwedzera kwema tapers ane 1 milligram chete.
Dzimwe nguva, kuverenga kune rimwe zuva rimwe zuva zvingabatsira. Semuenzaniso, panzvimbo yekutengesa kubva kumamiriyoni mana kusvika pamamiriyoni matatu ehednisone, chiremba angaraira kutenga 4 milligrams zuva rimwe chete nemamirigiramu matatu zuva rinotevera kwevhiki imwechete (kureva, rimwe zuva rimwe taper). Zvadaro, kana akabudirira, chiremba anokwanisa kupa mabhiriyoni 4 zuva rimwe chete uye 2 milligrams inotevera uye nezvimwewo kusvikira ma milligiramu mana chete zuva rimwe nerimwe (semu 4 milligrams rimwe zuva uye zero mangwana). Chiremba anoenderera mberi achiedza kuderedza chirwere chezuva iroro rimwe zuva.
Equivalent Doses
Maererano ne "Pill Book," achishandisa 5 milligrams ye prednisone sechikonzero chekuenzanisa, zviyero zvakaenzana zveimwe corticosteroids ndeizvi:
- 0.6 milligrams kusvika ku 0.75 milligrams ye betamethasone
- 25 milligrams dze cortisone
- 0.75 milligrams de dexamethasone
- 20 milligrams ye hydrocortisone
- 4 milligrams yemethylprednisolone
- 5 milligrams ye prednisolone
- 4 milligrams ye triamcinolone
Iwe unogonawo kuona corticosteroid kutendeuka kuverenga.
> Sources:
> Chang-Miller A. Prednisone Kuregererwa: Sei Uchiradza Pasi Zvishoma? Mayo Clinic. https://www.mayoclinic.org/prednisone-withdrawal/expert-answers/faq-20057923.
> Silverman HM. Pill Book . New York: Bantam Books; 2012.
> Zashin SJ. Kubvunzurudza, January 2006.