Phunzirani za ubwino, zotsatirapo, ndi zina
Zilangizi za Cortisone zimagwiritsidwa ntchito pochiza matenda ambiri a mitsempha kuphatikizapo nyamakazi , tendonitis , ndi bursitis . Cortisone ndi mankhwala odana ndi kutupa, osati wopha ululu. Komabe, pochepetsa kutupa, ululu nthawi zambiri umatha.
Mankhwala a Cortisone ali otetezeka kwambiri. Zotsatira zake zimakhala zosawerengeka komanso zazing'ono. Komabe, pali zinthu zingapo zomwe muyenera kumvetsa musanakhale ndi jekeseni wa mankhwalawa.
Zachilengedwe motsutsana ndi Cortisone Yachilengedwe
Cortisone ndi mtundu wa steroid wokhudzana kwambiri ndi cortisol. Mu thupi lanu, cortisol imapangidwa mu adrenal gland ndipo imamasulidwa pamene thupi lanu liri m'mavuto. Cortisol yomwe imapangidwa mwachibadwa imatulutsidwa m'magazi ndipo imakhala yochepa.
Cortisone yojambulidwa imapangidwira komanso imakhala ndi mayina ambiri amalonda (monga Celestone, Kenalog, etc.), koma zimachokera kwa thupi lanu. Kusiyana kwakukulu kwambiri ndikuti cortisone yopangidwa siidakayikidwe m'magazi, koma kumalo ena a kutupa. Komanso, cortisone yakonzedwa kuti ichite mogwira mtima komanso kwa nthawi yaitali (masiku m'malo mwa mphindi).
Onani kuti cortisone si mtundu womwewo wa steroid monga mankhwala opititsa patsogolo mankhwala . Sikuti steroids onse ndi ofanana! Mitundu ya steroid ikuphatikizapo cortisone, cholesterol, ndi mahomoni ogonana.
Choncho, ngati mupita ku ofesi ya dokotala ndikupeza mpikisano wotchedwa steroid, sichidzachita kanthu kuti mukhale ndi minofu yomwe mumamva ndi kuyesera masewera.
Mmene Cortisone Imathandizira Kutupa
Cortisone ndi mankhwala amphamvu kwambiri odana ndi kutupa. Sikumvetsa kupweteka kwa mankhwala, kumangotenga kutupa.
Pamene ululu umatsika ku cortisone ndi chifukwa kutupa kwachepa. Poyesa cortisone kudera linalake la kutupa, mankhwala amatha kwambiri kupatsidwa pamene akusunga zotsatira zowonjezera. Majekeshoni a Cortisone amagwira ntchito masiku angapo, ndipo zotsatira zake zimatha kwa milungu ingapo .
Kuphatikiza pa cortisone yojambulidwa, madokotala ambiri amasakaniza cortisone ndi mankhwala ena omwe angapereke zotsatira zopweteka. Mwachitsanzo, opaleshoni ya opaleshoni amatha kusakaniza cortisone ndi kuchepetsa kupweteka kwapadera kuti apereke mpumulo wa msanga komanso wamuyaya. Kuonjezera apo, zomwezo zimaphatikizapo kugwiritsira ntchito mankhwala osokoneza bongo zingakhale zothandiza pakuwona malingaliro. Ngati chithandizo cha kupweteka chikuchitika mofulumira, dokotala wanu adziwa kuti mankhwala am'deralo amaperekedwa kumalo abwino, choncho cortisone idzakhalaponso pamalo abwino.
Zomwe Cortisone Amathandizira
Mavuto ambiri omwe kutupa ndilo vuto lalikulu ndilowetseretsa cortisone. Izi zikuphatikizapo, koma sizingatheke
Kuchepetsa Chisoni
Mphepo ya cortisone ikhoza kukhala yopweteka, makamaka ikaperekedwa mu mgwirizano, koma mwa manja amatha nthawi zambiri.
Kawirikawiri, jekeseni wa cortisone ikhoza kuchitidwa ndi singano yaing'ono yomwe imabweretsa mavuto pang'ono. Komabe, nthawi zina singano yaikulu iyenera kugwiritsidwa ntchito, makamaka ngati dokotala akuyesera kuchotsa madzi kudzera mu singano asanayambe jekeseni cortisone. Mankhwala osokoneza bongo, monga Lidocaine kapena Marcaine, akhoza kulandira cortisone kuti apereke chithandizo kwa kanthaŵi kochepa. Komanso, mankhwala otsekula m'mimba amatha kuthandiza kuti khungu likhale lopanda malo. Majekeshoni a Cortisone omwe amagwiritsidwa ntchito ku ziwalo zazikulu amalekerera bwino, pamene majekesiti amalowa m'magulu ang'onoang'ono kapena malo olimba angakhale osasangalatsa kwambiri.
Pachifukwachi, jekeseni m'magulu, ziwalo, ndi mavitoni zimayambitsa zovuta kwambiri kusiyana ndi kuwombera pamapewa kapena mawondo.
Zochitika Zowopsa
Monga mankhwala aliwonse, pali zotheka kusintha, zotsatira zake, ndi mavuto omwe angakhalepo ndi jekeseni ya cortisone. Madokotala ena nthawi zambiri samadziwa zotsatira za cortisone chifukwa izi zimakhala zochepa (amathetsa nthawi yochepa) ndipo dokotala wanu sangathe kuwona zotsatirazi monga momwe amachitira nthawi yaitali wodwala atasiya ntchito .
Odwala ambiri amamva ngati dokotala wawo sasamala za zotsatira zina za cortisone. Choncho, ndikofunika kuti odwala adziŵe zotsatira zowonjezera za mankhwala omwe amamwa, ndipo adziwe dokotala wawo ngati izi zikuchitika.
Zotsatira Zovuta
Zotsatira zoyipa zimapezeka chifukwa cha cortisone yaing'ono yomwe imalowa m'magazi ndipo imakhudza thupi lanu lonse, osati malo omwe cortisone anapatsidwa.
Zotsatira zoopsa za jekeseni ya cortisone yamba ndi yochepa ndipo kawirikawiri ndi yaing'ono. Mosiyana ndi kutenga steroid zamlomo, kapena kuti cortisone imalowe mwachindunji m'magazi, kokha kochepa kamene kamakakamizidwa kameneka kamakonzedwa ndi thupi. Ndipo popeza kuti thupi limapanga cortisone mwachibadwa, anthu ambiri sakhala ndi zotsatira zake. Anthu omwe ali ndi zizindikiro za chinachake akhoza kukhala ndi mavuto awa:
- Yokwera Msuzi Wagazi
Njira yowonongeka yowonongeka imawoneka kwa odwala matenda a shuga. Odwala matenda a shuga ayenera kuyang'anitsitsa mosamala shuga awo monga cortisone angayambitse msanga m'magazi awo a shuga. Odwala omwe amatenga insulini ayenera kusamala kwambiri, kuyang'ana shuga awo m'magazi nthawi zambiri komanso kusintha ma insulini, ngati n'koyenera. Ngati shuga ya magazi imakula kuposa momwe ikuyembekezeredwa, muyenera kuonana ndi dokotala yemwe amayang'anira matenda anu a shuga kuti awone ngati chithandizo chowonjezera n'chofunikira. - Kuthamanga kwa nkhope
Odwala amatha kuona kuthamanga kwa nkhope zawo komanso kupukuta kwa nkhope zawo. Izi zimafala kwambiri kwa amayi ndipo zikuwoneka kuti pafupifupi 15 peresenti ya odwala omwe amalandira mphuno ya cortisone. Izi zikhoza kuyamba mkati mwa maola angapo a jekeseni ndipo ikhoza kukhala masiku angapo. Madokotala ambiri sakudziwa kuti izi zimachitika bwanji, ndipo ena sangayamikire momwe izi zingakhumudwitse odwala. Uthenga wabwino, ndikuti zizindikirozi zimangokhalira kuthetsa, koma zingapangitse odwala kuganiza kawiri asanayambe kuwombera.
Zotsatira Zachigawo Chakumidzi
Zotsatira za m'dzikolo ndizozidziwika bwino m'madera amodzi a thupi kumene jekeseniyo inkachitika. Zotsatira za m'deralo za jekeseni ya cortisone ndizosowa, koma kachiwiri, zimachitika ndipo muyenera kudziwa zomwe angachite ngati zikukuchitikirani!
- Zowawa ndi Cortisone Flare reaction
Odwala ena amatha kupwetekedwa pambuyo pa jekeseni ndipo amatha kupweteka kwa maola 24 mpaka 48 atalandira chithandizo. Izi kawirikawiri zimachepa mofulumira ndipo zitha kuthandizidwa ndi ayezi ndi mankhwala odana ndi kutupa . - Kutenga
Nthawi iliyonse pakakhala phokoso pakhungu, ngati momwe singano imagwiritsira ntchito kupereka cortisone, pali mwayi wa matenda. Dokotala wanu adzachotsa khungu kuti asachepetse chiopsezo cha matenda. - Kusintha kwa Pigment Khungu
Odwala omwe ali ndi khungu lakuda ayenera kudziwa kuti cortisone ikhoza kuyambitsa khungu kuzungulira malo opatsirana. Izi sizovulaza. - Kutaya Mafuta Ambiri
Mankhwala akuluakulu a cortisone akhoza kukhala ndi zotsatirapo zovulaza pamatenda ena m'thupi. Pamene jekeseni mu mafuta, cortisone ingayambitse vuto lomwe limatchedwa mafuta atrophy. Mafuta a atrophy amachititsa kuti thupi liwonongeke, zomwe zingayambitse khungu kapena kutaya mafuta. Odwala omwe amapeza jekeseni wa cortisone chidendene kuti athetse mtedza wa fasciitis amatha kupeza kuyenda mopweteka monga mafuta omwe nthawi zambiri amawanyamulira amatha kutsika. - Tendon Kukwera
Cortisone ingayambitsenso kufooketsa mphamvu. Ichi ndi chimodzi mwazifukwa dokotala wanu angachepetse chiwerengero cha jekeseni ya cortisone . Cortisone ingathenso kuyambitsa kupweteka kwa tendon, monga momwe zilili pamene cortisone imayidwira kwa Achilles tendonitis .
Kodi Mapulaneti Ali Otetezeka?
Mankhwala a Cortisone ali otetezeka kwambiri, koma akadakali ndi mavuto. Ngati mukuda nkhawa kuti mukhale ndi fotomu ya cortisone, lankhulani ndi dokotala wanu. Ngakhale kuti cortisone ndi chithandizo champhamvu cha matenda ambiri a mitsempha, nthawi zambiri pamakhala njira zina zomwe zingayesedwe. Madokotala ambiri amapereka jekeseni mofulumira, mophweka, komanso nthawi zambiri. Komabe, dokotala wanu ayenera kuperekanso mankhwala ena othandizira kutupa omwe angakhale othandiza kwa iwo omwe sangakhale nawo, kapena safuna, jekeseni wa cortisone.
Ngati mwakhala ndi zotsatira zoyipa chifukwa cha jekeseni wam'mbuyo wa cortisone, onetsetsani kuti dokotala wanu adziwe za vuto lomwe lachitika ndi kuuma kwa zotsatira zake. Izi zingakhudze ngati muli ndi jekeseni wina chifukwa chofanana kapena vuto lina.
Chithandizo cha Kuchiza
Palibe lamulo loti tizilombo ta cortisone zingaperekedwe bwanji. Kawirikawiri, madokotala samafuna kupereka zopitirira zitatu, koma palibe kwenikweni malire kwa chiwerengero cha kuwombera. Komabe, pali zochepa zomwe zingatheke.
Ngati jekeseni ya cortisone imatha msanga kapena sichithandiza vuto, ndiye kubwereza sikungakhale kopindulitsa. Komanso, kufufuza kwa zinyama kwawonetsa zotsatira za kuchepa kwa matope ndi kuchepa kwa katemera ndi cortisone jekeseni . Katemera wambiri wa cortisone amachulukitsa zotsatirazi ndipo amachititsa kuti pakhale mavuto.
Pazifukwazi, madokotala ambiri amachepetsa chiwerengero cha jekeseni zomwe amapereka kwa wodwalayo. Madokotala ambiri omwe amawauza odwala awo ndi oti osapereka katemera katatu ayenera kuperekedwa pa nthawi imodzi ya thupi. Izi zati, pali madokotala omwe amagwiritsa ntchito cortisone yoposa iyi, ndi ena omwe ali ochenjera kwambiri pochita ma shoti steroid. Kambiranani ndi dokotala wanu momwe mungapangire (kapena mutha) jekeseni kangati.
Mawu Ochokera
Anthu ambiri amakhudzidwa kwambiri ndi majeremusi a cortisone, ngati ali matsenga, ngati ali oopsa, ndipo ngati agwiritsidwe ntchito. Pano pali mfundo yaikulu: cortisone ikhoza kukhala chida champhamvu kwambiri chomwe chingakhale chithandizo chabwino kwambiri, koma chimagwiritsidwa ntchito mopitirira muyeso monga chithandizo kwa zinthu zambiri, mobwerezabwereza.
Cortisone iyenera kugwiritsidwa ntchito pochizira kutupa, osati jekeseni chifukwa cha ululu. Iyenera kugwiritsidwa ntchito mochepa, makamaka kwa achinyamata omwe ali ndi ziwalo zogwirizana ndi mavitamini. Izi ziyenera kugwiritsidwa ntchito mosamala muzochitika zina, monga kuzungulira matope omwe angawonongeke. Potsirizira pake, madokotala ayenera kudziwa zotsatira za kuwombera kwa cortisone ndikudziwitsa odwala awo za ngozi zomwe zingatheke kuti apeze cortisone. Ngati sachita, onetsetsani kuti mukukambirana mfundo izi.
> Zotsatira:
> 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.
> Koester MC, Dunn WR, Kuhn JE, Spindler KP. Kuwopsa kwa jekeseni ya subacromial corticosteroid pochiza matenda a katemera: Kukonzekera mwatsatanetsatane. J Am Acad Kupatula Opaleshoni. 2007 Jan; 15 (1): 3-11.