Corticosteroids kudarika

Corticosteroids mishonga inobata kuzvimba mumuviri. Ndiwo mamwe mahormone anowanzoitika-ega anogadzirwa nemaronda uye akasunungurwa murukova reropa. Corticosteroid overdose inoitika kana mumwe munhu akatora zvinopfuura zvakajairwa kana zvakakurudzirwa huwandu hwemushonga uyu. Izvi zvinogona kuitika netsaona kana nechinangwa.

Corticosteroids inouya nenzira dzakasiyana, kusanganisira:

• Makirimu nemafuta anoshandiswa paganda
• Inhaled mafomu anofemerwa mumhino kana mapapu
• Mapiritsi kana zvinwiwa zvinomedzwa
• Mafomu akajowa anounzwa kune ganda, majoini, mhasuru, kana tsinga

Kazhinji corticosteroid overdoses inoitika nemapiritsi uye zvinwiwa.

Ichi chinyorwa ndechekuziva chete. Usashandise iyo kurapa kana kubata yakanyanyisa kudarika. Kana iwe kana mumwe munhu waunenge uine overdoses, fonera yako yemunharaunda emergency emergency (yakadai se911), kana nzvimbo yako yepfu chepfu inogona kusvikwa yakananga nekufonera iyo yenyika isingabhadhariswe Inotya Inobatsira hotline (1-800-222-1222) kubva chero kupi muUnited States.

Corticosteroid

Corticosteroids inowanikwa mune iyi mishonga:

• Alclometasone dipropionate
• Betamethasone sodium phosphate
• Clocortolone pivalate
• Desonide
• Desoximetasone
• Dexamethasone
• Fluocinonide
• Flunisolide
• Fluocinolone acetonide
• Flurandrenolide
• Fluticasone propionate
• Hydrocortisone
• Hydrocortisone valerate
• Methylprednisolone
• Methylprednisolone sodium inotapira
• Mometasone furoate
• Prednisolone sodium phosphate
• Prednisone
• Triamcinolone acetonide

Mimwe mishonga inogona zvakare kunge iine corticosteroids.

Zviratidzo zvecorticosteroid kudarika zvinogona kusanganisira:

• Akachinja mamiriro epfungwa nekushungurudzika (psychosis)
• Kupisa kana kuchenesa ganda
• Kufenda
• Matsi
• Kushungurudzika
• Ganda rakaoma
• Kushungurudzika kwemoyo mutinhimira (kukurumidza kupomba, kushomeka zvisina kujairika)
• Kuwedzera kweropa
• Kuwedzera kudya
• Kuwedzera kwehutachiona hutachiona
• Tsvina kushaya simba
• Kusvotwa uye kurutsa
• Kutya
• Kurara
• Kumisa kwekuenda kumwedzi
• Kuzvimba mumakumbo epasi, makumbo, kana tsoka
• Mapfupa asina kusimba (osteoporosis) uye mapfupa akavhunika (anoonekwa nekushandisa kwenguva refu)
• Kushaya simba
• Kuwedzera kwemamiriro ehutano senge kuzvimba mudumbu, acid Reflux, maronda, uye chirwere cheshuga

Zvimwe zvezviratidzo zviri pamusoro zvinogona kukura kunyangwe corticosteroids ikashandiswa nemazvo, uye zvimwe zvinowanzoitika mushure mekushandisa kusingaperi kana kunyanyisa.

Iva neruzivo urwu rwakagadzirira:

• Zera remunhu, huremu, uye mamiriro (semuenzaniso, munhu akamuka uye akasvinura here?)
• Zita rechigadzirwa (zvishandiso uye simba, kana zvichizivikanwa)
• Nguva yakamedzwa
• Mari yakamedzwa

Usanonoka kukumbira rubatsiro kana iwe usina ruzivo rwuri pamusoro.

Yako nzvimbo inodzora chepfu inogona kusvikwa yakananga nekufonera iyo yepasirose-isina muripo Poison Rubatsiro nhare (1800-222-1222) kubva chero kupi muUnited States. Iyi hotline yenyika inokurega iwe uchitaura nenyanzvi mune chepfu. Ivo vanozokupa iwe kumwe kuraira.

Iri ibasa remahara uye rakavanzika. Nzvimbo dzese dzemunharaunda dzekudzora chepfu muUnited States dzinoshandisa iyi nhamba yenyika. Iwe unofanirwa kufona kana iwe uine chero mibvunzo nezve chepfu kana chepfu kudzora. Hazvidi kuti ive emergency. Iwe unogona kufona chero chikonzero, maawa makumi maviri nemana pazuva, mazuva manomwe pavhiki.

Tora mudziyo wemishonga uende nawo kuchipatara, kana zvichibvira.

Iye mupi anoyera nekutarisa zviratidzo zvakakosha zvemunhu, zvinosanganisira kupisa, kupomba, kufema, uye kuwedzerwa kweropa.

Miedzo inogona kuitwa inosanganisira:

• Ropa uye weti kuongororwa
• Chest x-ray
• ECG (electrocardiogram, kana moyo wekutsvagisa)

Kurapa kunogona kusanganisira:

• Intravenous fluids (inopihwa kuburikidza nemutsinga)
• Mushonga wekurapa zviratidzo
• Yakagadziriswa marasha
• Laxatives
• Kufema rutsigiro, kusanganisira chubhu kuburikidza nemuromo kupinda mumapapu uye muchina wekufema (ventilator)

Vazhinji vanhu vanodarika over corticosteroids vane shanduko diki mumuviri wemvura yavo nema electrolyte. Kana vakaita shanduko mumoyo yavo mutinhimira, maitiro avo anogona kunge ari akakomba. Mamwe matambudziko ane chekuita nekutora corticosteroids anogona kuitika kunyangwe kana akatorwa nemazvo. Vanhu vane matambudziko aya vangangoda kutora zvese pfupi- uye kwenguva-refu mishonga yekurapa aya matambudziko.

Aronson JK. Corticosteroids-glucocorticoids. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 594-657.

Meehan TJ. Kusvika kumurwere ane muchetura. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 139.