Kodi Zonse Zimagwira Ntchito Panthawi Yambiri?
Zilangizi za Cortisone zimagwiritsidwa ntchito kwambiri ndi opaleshoni ya mafupa ndi madokotala ena monga chithandizo cha kutupa. Ngakhale kuti cortisone ikhoza kukhala chithandizo chamankhwala, madokotala ambiri amalangiza kuti asagwiritse ntchito ma shoti ambiri a cortisone-odwala angamve kuti akhoza kukhala ndi atatu, kapena atatu pachaka. Kodi ndi zochuluka bwanji, ndipo n'chifukwa chiyani madokotala amalangiza motsutsana ndi zina zomwe zikuwoneka zothandiza?
Momwe Mankhwala a Cortisone Amagwira Ntchito
Choyamba, pang'ono za jekeseni ya cortisone : Amagwiritsidwa ntchito pochiza matenda ambiri a mitsempha, kuphatikizapo bursitis , tendonitis , chiwombankhanga , matenda a carpal , maseche a tennis , nyamakazi ya kne , ndi zina zambiri zomwe zimagwiritsidwa ntchito mopitirira muyeso . Amagwira ntchito pochepetsa kutupa kwa makoswe okhumudwa. Mwa kuchepetsa kutupa, kupweteka kwa mikhalidwe imeneyi nthawi zambiri kumamasulidwa.
Kodi Zokongola za Cortisone Zimathandiza Bwanji?
Kafukufuku wa 2013 adapeza kuti anthu 83 pa 100 alionse amene ali ndi cortisone omwe anawombera utala wa tenisi adakula kapena kupitirira mkati mwa chaka. Koma mu phunziro lomwelo, 96 peresenti omwe ali ndi shopu la placebo anachira, nawonso. Phunzirolo linaphatikizapo anthu 165 ku Australia. Gawo la anthu mu phunzirolo omwe anali ndi zizindikiro za cortisone anali ndi zizindikiro zawo kubwerera mkati mwa chaka, kotero aphungu adakalibebe momwe amawombera cortisone mofulumira.
Nkhonya za Cortisone sizitsutsa mtundu uliwonse wa vuto la mafupa, ndipo ngakhale kuti amagwiritsidwa ntchito kwambiri m'matumbo mwinamwake ndi mankhwala othandiza kwambiri kwa ena.
Mwachitsanzo, mavuto omwe amachititsa kuti kutupa kwakukulu ndi kutupa zikhale zovuta kwambiri kuthana ndi zotsatira zotsutsa za cortisone kusiyana ndi vuto lomwe limayambitsa mavuto aakulu.
Kutchulidwa Maximum
Palibe lamulo pa chiwerengero cha jekeseni ya cortisone imene munthu angakhale nayo, koma pali nkhawa zina ndi jekeseni wa cortisone mobwerezabwereza kumbali imodzi ya thupi.
Ngati jekeseni imodzi kapena ziwiri zili m'dera limodzi sizingathandize vuto kwa nthawi yaitali, ndiye kuti sizingakhale bwino kuti jekesoni zambiri za cortisone zikhale zopindulitsa.
Katemera wa cortisone amakhalanso wathanzi kwa ma tishu. Cortisone yaing'ono m'thupi mwinamwake yololera, koma jekeseni mobwerezabwereza ikhoza kuwononga zinyama pakapita nthawi. Nthawi zina izi sizikudetsa nkhawa. Mwachitsanzo, ngati wodwala ali ndi matenda aakulu a bondo komanso jekeseni ya cortisone miyezi isanu ndi umodzi imathandiza kwambiri, ndiye kuti jekeseni ya jekeseniyo ndi yopanda phindu.
Komabe, ngati wodwalayo ali ndi matenda a tendonitis, koma ali ndi thanzi labwinobwino, chiwerengero cha jekeseni chiyenera kukhala kokha kuti zisawonongeke kwambiri ku ma tendon. Sizolondola kuganiza kuti zida za cortisone zili zotetezeka bwino, ndipo pali maphunziro ambiri omwe amasonyeza kuti patapita nthawi anthu amene amalandira jekeseni nthawi zonse akhoza kupweteka kwambiri kwa nthawi yaitali.
Pomaliza, pali zinthu zina zomwe cortisone yasonyezedwa kuti imayambitsa mavuto aakulu. Mwachitsanzo, majekeseni pafupi ndi Achilles tendon amadziwika kuti amachititsa kuti Achilles apite.
Pachifukwachi, opaleshoni ambiri a opaleshoni sangapereke chojambulira cha cortisone kuchiza ma Achilles tendinitis .
Mawu Ochokera
Palibe lamulo lovuta komanso lofulumira lomwe limanena kuti zingapo za jekeseni za cortisone zingaperekedwe pa nthawi. Komabe, jekeseni ya cortisone ikhoza kukhala ndi zotsatirapo ndipo katemera wa cortisone mobwerezabwereza ayenera kuchitidwa mosamala. Madokotala ambiri a opaleshoni amatha kusankha nambala, ndipo adamuuza wodwala kuti asapitirire cortisone. Kuposa katatu katemera mu nthawi ya chaka ndi nambala yomwe ndimamva ambiri opaleshoni ya opaleshoni amagwiritsa ntchito. Muyenera kumvetsetsa kuti pali zifukwa zosagwiritsira ntchito jekeseni ya cortisone, ngakhale angathandize zizindikiro zina.
Chifukwa cha ichi, opaleshoni ambiri a opaleshoni amatha kuchepetsa chiwerengero cha jekeseni ya cortisone yomwe idzapereka.
Zotsatira:
> Brooke K. Coombes, PhD; Leanne Bisset, PhD; Peter Brooks, MD, FRACP; Asad Khan, PhD; Bill Vicenzino, PhD. "Chikoka cha Corticosteroid Injection, Physiotherapy" Journal ya American Medical Association, Feb. 2013
> Hepper CT, pa al. Kuchita bwino kwa nthawi yayitali ya injini ya intra-articular corticosteroid kwa mafupa a m'magazi: ndondomeko yeniyeni ya maphunziro anga. J Am Acad Kupatula Opaleshoni. 2009 Oct; 17 (10): 638-46.
> McAlindon TE, LaValley MP, Harvey WF, Price LL, Driban JB, Zhang M, Ward RJ. "Mphamvu ya Intra-articular Triamcinolone vs Saline pa Knee Cartilage Volume ndi Ululu M'madokotala Odwala Knee Osteoarthritis: Mayi Omwe Amayesedwa Odwala" JAMA. 2017 May 16; 317 (19): 1967-1975.