Majekesiti a cortisone ndi ena mwa mankhwala ochiritsira kwambiri m'matenda . Cortisone ndi mankhwala amphamvu oletsa kutupa omwe amachepetsa kutentha kwapadera kwa mikhalidwe yambiri yowawa. Cortisone imathandiza mitundu yambiri ya nyamakazi , tendonitis , bursitis , pakati pa zina.
Odwala ena amadera nkhawa za kugwiritsa ntchito cortisone m'thupi lawo. Zovuta zomwe ndimakonda kumva zimakhala monga:
- Cortisone si yachilendo.
- Cortisone ingayambitse kuwonongeka kwa mgwirizano.
- Cortisone ingayambitse kupweteka .
- Kuwombera kwa Cortisone kumapweteka.
Cortisone ingagwiritsidwe ntchito pa matenda osiyanasiyana a mafupa. Mankhwala amagwira ntchito pochepetsa kutupa. Mankhwala otsutsa-kutupa amatha kutengedwa pamlomo, koma izi zimagawira mankhwala m'zigawo zochepa kwambiri thupi lonse.
Kachilombo ka cortisone, kumbali inayo, imaika mlingo waukulu, wamphamvu kwambiri pa malo a kutupa. Choncho, mankhwalawa amatsutsana kwambiri ndi vutoli. Kuwonjezera pamenepo, zotsatira zowonongeka za jekeseni ya cortisone wamba sizodziwika.
Chifukwa cha mphamvu yofulumira, yofulumira ya jekeseni ya cortisone, nthawi zambiri amalimbikitsidwa ndi mavuto osiyanasiyana a mafupa. Ena mwa mankhwala omwe amachiritsidwa kawirikawiri pogwiritsa ntchito jekeseni ya cortisone ndi awa:
Zilangizi za Cortisone zimagwiritsidwanso ntchito pa mavuto a msana ndi a kondomu . Pazifukwa izi, odwala angalandire jekeseni ya cortisone yapachilendo .
Zotsatira
Zilangizi za Cortisone zingakhale zothandiza kwambiri m'zinthu zambiri zomwe zimachititsa kutupa. Nthawi zina ngakhale cortisone imodzi yaing'ono imatha kuthetsa kutupa pa malo a vuto, kuthetsa vutoli.
Cortisone ndi yosavuta kupereka , ndipo zotsatira zake zimakhala zochepa . Cortisone ndi chinthu chimene thupi limapanga mwachibadwa, ndipo pamene chiwerengerochi chikugwiritsidwa ntchito kwambiri kuposa momwe thupi lanu liyenera kukhalira, chinthucho chimaloledwa ndi anthu ambiri.
Zina mwa ubwino wa cortisone ndi:
- Cortisone ndi chinthu chachilengedwe
- Zilangizi za Cortisone zingatheke pokhapokha kusokonezeka
- Katemera wa Cortisone ali ndi zotsatira zochepa
Wotsutsa
Monga tafotokozera, jekesoni ya cortisone imatulutsa zinthu zambiri zomwe zimapezeka m'thupi lanu. Kafukufuku wamaphunziro asonyeza kuti cortisone yapamwamba kapena kugwiritsa ntchito mankhwala mobwerezabwereza kungapangitse kuwonongeka kwa matenda m'thupi. Izi zingachititse kuchepa kwa katsabola m'magulu kapena kufooka kwa mavitoni.
Chofunika kwambiri chimene odwala ayenera kusamala ndi kugwiritsa ntchito cortisone m'magulu ang'onoang'ono a thanzi ndi mavitoni. Kwa okalamba omwe ali ndi ziwalo zolemala kapena zotayika, vutoli silofunika, chifukwa kuwonongeka kwachitika kale. Kugwiritsira ntchito cortisone m'magulu ang'onoang'ono a thanzi, komabe, kuyenera kuchitidwa mosamala. Choncho, ochita masewera a sekondale kapena a ku koleji nthawi zambiri amalangizidwa kuti athetse njira zonse zothandizira chithandizo asanayambe kugwiritsira ntchito jekeseni wa cortisone ndikuchepetsa chiwerengero cha jekeseni woperekedwa.
Palinso mitundu ina yomwe imatha kupwetekedwa ngati ikugwiritsidwa ntchito ndi jekeseni ya cortisone. Chitsanzo chomwe nthawi zambiri chimakumana nacho ndicho kugwiritsa ntchito cortisone pafupi ndi Achilles tendon . Ngakhale atachita mosamala, jekeseni wa cortisone kuzungulira Achilles ikhoza kuwonetsa kusokonezeka kwa tendon.
Kumene Kumayambira
Majekeshoni a Cortisone ndi othandiza kwambiri pazinthu zambiri. Odwala ambiri omwe ali ndi ziwalo zowonongeka kale, monga odwala omwe ali ndi nyamakazi yowongoka kwambiri , sangaoneke kuti cortisone idzapereka kwambiri kuti iwonongeke. Odwalawa, jekeseni ya cortisone nthawi zina ikhoza kuchepetsa kufunika kwa opaleshoni yowonjezeramo.
Ndikuganiza kuti tiyenera kugwiritsira ntchito nthawi zonse tikamaganizira za jekeseni ya cortisone mwa munthu yemwe ali ndi ziwalo zathanzi, monga othamanga achinyamata. Odwalawa, mankhwala ena ayenela kuyesedwa poyamba, monga mankhwala opatsirana pakamwa , mazira ndi kutentha ndi mankhwala . Ngati mankhwalawa sapereka mpumulo, cortisone iyenera kugwiritsidwa ntchito mochepa komanso moperewera.
Chenjezo lofunika kwambiri liyenera kugwiritsidwa ntchito makamaka pa zochitika zomwe majekeshoni a cortisone agwirizanitsidwa ndi mavuto aakulu. Izi zimaphatikizapo jekeseni wa cortisone ya Achilles tendonitis, jekeseni wa fasciitis , ndi zochitika zina zingapo.
> Zotsatira:
> Cole BJ ndi Schumacher HR "Chojambulidwa Corticosteroids M'zochita Zamakono" J. Am. Acad. Ortho. Kukula, January / February 2005; 13: 37 - 46.
> Fadale PD ndi Wiggins ME "Corticosteroid Injections: Kugwiritsa Ntchito Zawo ndi Kuvulaza" J. Am. Acad. Ortho. Kukula, May 1994; 2: 133 - 140.