Chii chinonzi betamethasone uye mashandisiro

Zvemukati

• Chii ichochi
• Kushandisa sei
• Zvinogona kuitika mhedzisiro
• Kana zvisina kuratidzwa
• Kubatana kwezvinodhaka

Betamethasone, inozivikanwawo se betamethasone dipropionate, mushonga une anti-kupisa, anti-allergic uye anti-rheumatic chiito, chinotengeswa nekutengesa pasi pemazita eDiprospan, Dipronil kana Dibetam, semuenzaniso.

Betamethasone inogona kushandiswa mukuzora, mapiritsi, madonhwe kana kubayiwa jekiseni uye inofanira kungoshandiswa nemazano ekurapa, kubvisa zviratidzo zvakaita sekurumwa, kutsvuka, kurwara, dermatological mamiriro, collagen, kuzvimba kwemapfupa, majoini uye zvinyoro zvinyoro kana gomarara.

Mamwe marimu uye mafuta ekuzora ane betamethasone mukuumbwa kwavo, senge Betaderm, Betnovate, Candicort, Dermatisan, Diprogenta, Naderm, Novacort, Permut, Quadriderm uye Verutex.

Chii ichochi

Betamethasone mukirimu kana piritsi inoratidzwa kuti ibvise kuzvimba, kusagadzikana uye kuvava mune zvimwe zvirwere, chikuru chiri:

• Osteoarticular zvirwere: rheumatoid arthritis, osteoarthritis, bursitis, ankylosing spondylitis, epicondylitis, radiculitis, coccidinia, sciatica, lumbago, torticollis, ganglion cyst, exostosis, fascitis;
• Allergic mamiriro: chisingaperi bronchial asthma, hay fever, angioneurotic edema, allergic bronchitis, mwaka kana usingaperi allergic rhinitis, zvinodhaka zvinoshanda, chirwere chekurara nekurumwa kwezvipembenene;
• Mamiriro ekunze: atopic dermatitis, neurodermatitis, kukonana kwakakomba kana zuva dermatitis, urticaria, hypertrophic lichen planus, chirwere cheshuga lipoid necrobiosis, alopecia areata, discoid lupus erythematosus, psoriasis, keloids, pemphigus, herpetiform dermatitis uye cystic acne;
• Collagenoses: Systemic lupus erythematosus; scleroderma; dermatomyositis; nodular periarteritis. Neoplasms: Yekurapa kurapa kwema leukemias uye lymphomas muvanhu vakuru; chirwere cheleukemia chakasimba.

Uye zvakare, inogona kushandiswa pakurapa adrenogenital syndrome, ulcerative colitis, Regional ileitis, bursitis, nephritis uye nephrotic syndrome, iko iko kushandiswa kwe betamethasone kunofanira kuwedzererwa ne mineralocorticoids. Injectable betamethasone inokurudzirwa kana mushonga wacho usingaite kune systemic corticosteroids.

Kushandisa sei

Mashandisiro anoita betamethasone zvinoenderana nezera remunhu uye mamiriro ezvinhu avanoda kurapwa, uye mashandisirwo awo. Nekudaro, kana iri kirimu ine betamethasone zvinokurudzirwa kuti vese vakuru nevana vashandise kirimu kadiki paganda ka1 kana ka4 pazuva kwenguva yakareba mazuva gumi nemana.

Muvanhu vakuru, muyero wekutanga unosiyana kubva pa0.25 mg kusvika pa8.0 mg pazuva, iyo yekupedzisira iri iyo yakanyanya zuva nezuva dosi. Panyaya yevana, muyero wekutanga unogona kusiyana kubva pa0.017 mg kusvika pa0.25 mg pa kg yehuremu.

Zvinogona kuitika mhedzisiro

Zvimwe zvinokanganisa betamethasone zvine chekuita nedosi uye nguva yekurapwa, iine kuwedzerwa kweropa, kuchenesa, kushaya simba kwemhasuru uye kurwadziwa, kurasikirwa nemhasuru, osteoporosis, vertebral kutsemuka, kuzvimba kwepancreas, dumbu dumbu, ulcerative esopharyngitis uye kutadza kupora. yezvinyama.

Vamwe vanhu vanogona zvakare kuzivisa ecchymosis, kumeso erythema, kuwedzera kudikitira, dzungu, kurwadziwa nemusoro, kumwedzi kumisidzana, kukura kweCushing's syndrome, kuderera kwehydrohydrate shiviriro, kiriniki kuratidzwa kwechirwere cheshuga nekuwedzera kwezuva nezuva insulin zvinodiwa kana mukanwa hypoglycemic vamiririri.

Kunyangwe paine akawanda akashata mhedzisiro ane chekuita nekushandisa betamethasone, maitiro aya anogona kudzoserwa chete nekushandura iyo dosi kana kumisa kurapwa, uye inofanirwa kutungamirirwa nachiremba.

Kana zvisina kuratidzwa

Iko kushandiswa kwe betamethasone kunofanirwa kutungamirirwa nachiremba, uye hazvikurudzirwe kune vanhu vane hutachiona uye / kana systemic hutachiona, hypersensitivity kune izvo zvikamu zveiyo fomula kana imwe corticosteroids uye yevana vari pasi pemakore maviri ezera, kuwedzera kwete kukurudzirwa kuvakadzi vane nhumbu ine njodzi kana mukuyamwisa.

Uye zvakare, betamethasone haifanire kupihwa kumhasuru mune vanhu vane idiopathic thrombocytopenic purpura uye haifanire kuiswa mutsinga kana ganda mune zviitiko zvevarwere vane nonspecific ulcerative colitis, kana paine mukana wekuti kuve nekukanganiswa kwepedyo, kuputa kana zvimwe chirwere chepyogenic , diverticulitis, yazvino ura hwemudumbu anastomosis, inoshanda kana yakavharika peptic ulcer, kukundikana kweitsvo kana hypertension, osteoporosis uye myasthenia.

Kubatana kwezvinodhaka

Betamethasone inogona kudyidzana nemamwe madhiragi uye, nekudaro, haifanire kudyiwa pamwe chete, sezvo pangave nekukanganiswa muchiitiko. Nekudaro, iyo mishonga isingafanirwe kushandiswa pamwechete nebetamethasone ndeiyi: phenobarbital, phenytoin, rifampicin uye ephedrine, estrogens, digitalis, amphotericin B; coumarins, isiri-mahormone anti-anogumbura zvinodhaka uye doro, salicylates, acetylsalicylic acid, hypoglycemic agents uye glucocorticoids.