Migumisiro yechipfuva inowedzera munharaunda nehuwandu hwekushandiswa
Prednisone inonyanya kurwisa chiroticosteroid zvinoshandiswa kuporesa maitiro ekurwisa arthritis pamwe nemamwe marudzi ekenza uye chirwere chemoto . Inowanikwa mubheeteresi uye mvura yakagadzirwa nemhepo uye inoshanda sechirwere chekudzivirira mafungiro , kusuruvara kunotsvaira nekusvibisa mafungiro evomuviri.
Iyo Prednisone Inoshanda Sei
Kuvhiringidza kwomuviri wepanyama kugadzirisa chero chinhu chavanofunga kuti chinokuvadza.
Apo maitiro ezvirwere zvezvirwere zvezvirwere zvinoratidzira munhu anorwara, anosunungura makemikari muropa iro rinokonzera mishonga kukura, muchikamu chekuwedzera huwandu hwemitsipa yeropa uye kubvumira masero ezvirwere zvemuviri anoswedera pedyo nenzvimbo yekukuvadzwa kana kutapukirwa.
Zvimwe zvinetso zvekudzivirira muviri, maitiro ezvirwere zvemummviriya haasina kujairika uye anowedzera. Izvozvo ndizvo zvakaita rheumatoid arthritis (RA) umo maitiro ezvirwere zvemuviri acharamba achirwisa masangano ane utano. Zviratidzo zveR RA zvakanyanya zvinowanzobuda pasina chiziviso, zvichikonzera marwadzo akawanda, kuzvimba, nekukuvadza kune vakabatanidzwa.
Prednisone inokwanisa kudzora mahara aya nekukurumidza kuderedza kupisa kusvikira dzimwe zvirwere-kuchinja anti-rheumatic drugs (DMARD) zvinogona kushanda. Kunyange zvazvo DMARD inofanana nePallaquenil (hydroxychloroquine) uye Arava (yakasara) inonyanya kurongedzwa mukudzivirira kwemasimba ezvirwere, inononoka kuita.
Kusiyana neizvi, prednisone inokurumidza mukupa ruzivo asi ine mimwe miviri yakaipa iyo inogadzirisa kushandiswa kwayo, kunyanya pamusoro penguva refu.
Kusiyana neDMARD, prednisone haisi kutarisa imwe sero kana biological basa. Pane kudaro, inoshanda zvakanaka, inodiridza muviri uye inobata marudzi akasiyana-siyana emasero nemabasa. Ndicho chikonzero icho prednisone chinogona kupa zororo kune rumwe rutivi uye chinokonzera matambudziko kune imwe.
Migumisiro Yechiri
Migumisiro yema prednisone inogona kubva kubva kumeso kusvika kune yakaoma.
Izvo zvinowanzoitika kakawanda papamusoro dhesi kana kuti nekushandisa kwenguva refu.
Mhedziso dzenguva pfupi dzakafanana dzakafanana nedzimwe marticticeroid zvinodhaka uye dzinogona kusanganisira kushandiswa kwemvura, kusuruvara kunorwadza, uye kuwedzera kweropa rega.
Zvinetso zvinomuka, zvisinei, apo kurapwa kunoenderera mberi kwenguva yakareba, kuwedzera mukukura sezvo nguva kana kuti kuwedzerwa kuwedzerwa. Zvikanganiso zvinogona kusanganisira:
- High blood pressure
- Kuramba kuneta
- Maitiro anoshandura, kusanganisira kutsamwa kamwe kamwe
- Kurasikirwa kwekufungidzirwa kana kuvhiringidzika
- Kuora mwoyo uye kuzvidya mwoyo
- Kunyunyuta
- Kuwedzera kwehuwandu
- Kuchena kwemaziso kurira
- Kunze kwechinguva
- Peptic ulcer
- Kuonekwa kwakasviba, glaucoma , kana kuora
- Utachiona husina simba uye inrophy
- Kunyorera kana ganda
- Zviri nyore kupwanya
- Kuwedzera kwehutachiwana hwehutachiona hunokonzerwa nekudzivirira zvirwere
- Osteoporosis uye kuwedzera kwengozi yezviputi
- Bhufu rufu ( osteonecrosis )
- Fatty chiropa chirwere ( hepatic steatosis )
- Psychosis
- Kukurumidza kukura muvana
Kunyora Mashoko
Prednisone inowanikwa mune zvose zvirikurumidza-kusunungurwa uye kunonoka-kusunungurwa kugadziriswa. Kurapa RA mune vanhu vakuru, mishonga inorayirwa sezvinotevera:
- Prenisone-yakasunungurwa-yakasunungurwa inorayirwa muhuwandu hwezuva nezuva hwemadrigiramu anopfuura 10 pazuva hutorwa neDMARD.
- Prenisone yakaderera-yakasunungurwa inorayirwa muwandu hwezuva nezuva wemamirigiramu mashanu kutanga, inoteverwa nemvura yakadzika yekugadzirisa inogona kuchengetedza chibereko chekliniki yakanaka.
Prednisone inowanzoitwa semushonga mumwe chete panguva yekudya kwekudya kwekudya kwekudya kwekudya kwekudya kwekudya kwekudya kwekudya kwemafuro kuti zvive nani kudzivirira dumbu kugumbura
Kune vanhu vane rheumatoid arthritis yakaoma, kuumbwa kwekusununguka-kusunungurwa kunogona kutorwa panguva yekurara kuti kuderedzwa kusagadzikana kwemangwanani uye kurwadziwa.
Nguva yehutano inofanira kuitwa pamunhu mumwechete, kuenzanisa zvikomborero uye njodzi uye kusarudza kana mushonga wezuva nezuva kana wepakati unenge wakakodzera.
Kubatana Kwemishonga
Prednisone inozivikanwa kuva nemishonga yakasiyana-siyana yekushandisa zvinodhaka. Mune zvimwe zviitiko, chechipiri chinodhaka chinogona kuwedzera bioavailability ye prednisone uye, pamwe nayo, kuoma kwemigumisiro.
Mune dzimwe nguva, prednisone inogona kupindira nebasa rechipiri chemishonga.
Kuzivikanwa kwezvinodhaka-zvinodhaka zvinosanganisira:
- Maantibayoti akadai sa clarithromycin kana rifampin
- Anodzvinyirira zvakadai saZoloft (sertraline) uye Prozac (fluoxetine)
- Mishonga yekudzivirira-gwayisa semotokari inonzi carbamazepine uye phenytoin
- Zvirwere zvinoshandiswa zvakadai seDiflucan (fluconazole) uye Sporanox (itraconazole)
- Anti-nausea zvinodhaka zvakadai seEmend (aprepitant)
- Mishonga yeAhmma sezvakaitwa Accolate (zafirlukast)
- Aspirin
- Ropa vakaonda seCoumadin (warfarin)
- Diuretics ("mvura mapiritsi")
- Mishonga yemwoyo yakadai se verapamil, diltiazem, uye amiodarone
- Kushandisa mishonga yemishonga yakadai seTagamet (cimetidine)
- Mishonga yeHIV yakadai seReyataz (atazanavir), Crixivan (indinavir), uye Kaletra (lopinavir / ritonavir)
- Hormonal contraceptives
- Immunosuppressant drugs
- Zvimwe corticosteroids
- St. John's Wort
Uyezve, kuwedzerwa-kuwedzerwa kana kushandiswa kwenguva refu kwe prednisone kunogona kuderedza kupindirana kwemumune kune dzimwe zvirwere uye kuita kuti vasanyanya kushanda. Kana wakarapwa zvakanyanya ne prednisone, unofanirwa kumirira mwedzi mitatu mushure mekumira usati wawana chirwere chinorarama .
Nguva dzose iva nechokwadi chekuudza chiremba wako chero ipi zvayo uye yose madhiragi kana kuti zvinowedzera zvinenge zvaunogona kunge uri kutora, kana zviri mishonga, isiri mishonga, herbal, nutritional, kana tsika.
Zvimwe Zvokufungisisa
Panguva yekuzvitakura, prednisone inofanira kushandiswa chete kana ichidikanwa. Izvo hazvina kuonekwa kuti zvinokonzera kukuvadza kumucheche muzvidzidzo zvemhuka. Iyo mishonga inogona kupfuudzwa kune mwana achangoberekwa kuburikidza nemukaka wamazamu asi haazivi kuti inokonzera kukuvadza. Nguva dzose kuenzanisa zvikwereti uye njodzi kune chiremba wako usati watanga kurapwa.
Ita mazano kuti kuumbwa kwemvura kunosanganisira shuga uye doro. Iwe unogona kudiwa kushandisa shanduro yepahwendefa kana chimwe chezvinhu izvi chichikuvhiringidza hutano hwehutano hwakadai sechirwere cheshuga kana chirwere cheropa.
Pakupedzisira, kana uri kutora prednisone kwechinguva, haufaniri kurega kurapwa kamwechete. Kunyora mishonga zvishoma nezvishoma kuchakubatsira kudzivisa kana kuderedza migumisiro yemigumisiro inokonzerwa nekukanganisika kwekurapa.
> Kwakabva:
> Firestein, G .; Budd, R .; Gabriel, S. et al. (2017) Kelley uye Firestein's Textbook yeRheumatology (10th ed .). Philadelphia, Pennsylvania: Elsevier: ISBN: 9780323316965.