Corticosteroids: zvavari, izvo zvavari uye mhedzisiro

Zvemukati

• Mhando dzecorticosteroids
• Zvinogona kuitika mhedzisiro
• Ndiani asingafanire kushandisa
• Zvakachengeteka here kushandisa panguva yekuzvitakura?

Corticosteroids, inozivikanwawo seye corticosteroids kana cortisone, mishonga yekugadzira inogadzirwa murabhoritari inoenderana nemahomoni anogadzirwa neadrenal glands, ayo ane simba rinopesana nekuzvimba.

Rudzi urwu rwemushonga rwunoshandiswa zvakanyanya pakurapa kwezvirwere zvisingaperi zvekuzvimba senge asthma, allergies, rheumatoid arthritis, lupus kana dermatological matambudziko, kugadzirisa zviratidzo. Zvisinei, kana ikashandiswa kwenguva yakareba kana zvisina kukodzera, corticosteroids inogona kukonzera migumisiro yakawanda, yakadai sekuwedzera kudya, kuneta uye kutya, somuenzaniso.

Mhando dzecorticosteroids

Kune akatiwandei mhando dzekorticosteroids, iyo inoshandiswa zvinoenderana nedambudziko rinofanira kurapwa uye rinosanganisira:

• Musoro wecorticosteroids: mafuta, mafuta ekuzora, gels kana mafuta anoshandiswa kurapa kusagadzikana kana mamiriro eganda, senge seborrheic dermatitis, atopic dermatitis, mikoko kana eczema. Mienzaniso: hydrocortisone, betamethasone, mometasone kana dexamethasone.
• Oral corticosteroids: Mahwendefa kana mhinduro dzemumuromo dzinoshandiswa pakurapa dzakasiyana endocrine, musculoskeletal, rheumatic, collagen, dermatological, sema, ophthalmic, kufema, hematological, neoplastic uye zvimwe zvirwere. Mienzaniso: prednisone kana deflazacorte.
• Injectable corticosteroids: inoratidzirwa kurapa zviitiko zve musculoskeletal kusagadzikana, allergic uye dermatological mamiriro, collagen hosha, palliative kurapwa kwezvakaipa maronda, pakati pevamwe. Mienzaniso: dexamethasone, betamethasone.
• Inhaled corticosteroids: michina inoshandiswa kurapa asima, chirwere chisingaperi chisingabvumirwe chemapapu uye nezvimwe zvirwere zvekufema. Mienzaniso: fluticasone, budesonide.
• Corticosteroids mumhino pfapfaidzo: anoshandiswa kurapa rhinitis uye yakakomba mhuno kuzara. Mienzaniso: fluticasone, mometasone.

Uye zvakare, kunewo corticosteroids mumadonhwe eziso, yekushandisa kune ziso, ne prednisolone kana dexamethasone, semuenzaniso, iyo inogona kushandiswa pakurapa matambudziko ophthalmic, senge conjunctivitis kana uveitis, kuderedza kuzvimba, kutsamwa uye kutsvuka.

Zvinogona kuitika mhedzisiro

Zvimwe zvinokanganisa zvecorticosteroids zvinowanzoitika muzviitiko apo munhu anoshandisa corticosteroids kwenguva yakareba uye anosanganisira:

• Kuneta uye kushaya hope;
• Kuwedzera kweshuga yeropa;
• Shanduko muma immune system, ayo anogona kudzora kugona kwemuviri kurwisa hutachiona;
• Kushungurudzika uye kutya;
• Kuwedzera kudya;
• Kugaya;
• Ronda mudumbu;
• Kuzvimba kwepancreas uye esophagus;
• Local sema maitiro;
• Cataract, yakawedzera intraocular kumanikidza uye kubuda maziso.

Dzidza nezve mamwe mhedzisiro anokonzerwa nekorticosteroids.

Ndiani asingafanire kushandisa

Iko kushandiswa kwecorticosteroids inopesana nevarwere vane hypersensitivity kune izvo zvinhu uye zvimwe zvinhu zvinowanikwa mumafomula uye mune vanhu vane systemic fungal hutachiona kana hutachiona husingadzorwe.

Uye zvakare, corticosteroids inofanira kushandiswa nekuchenjerera kune vanhu vane hypertension, kukundikana kwemoyo, kukundikana kweitsvo, osteoporosis, pfari, gastroduodenal ulcer, chirwere cheshuga, glaucoma, kufutisa kana psychosis, uye inongofanirwa kushandiswa pasi pekutungamira kwechiremba mune aya kesi.

Zvakachengeteka here kushandisa panguva yekuzvitakura?

Iko kushandiswa kwecorticosteroids mukuzvitakura hakuna kukurudzirwa, nekuti kunogona kuisa pangozi mwana kana amai. Nekudaro, kushandiswa kwecorticosteroids pakurapa kwezvirwere mumadzimai ane nhumbu kunofanirwa kungoitwa pasi pekutungamira kwechiremba wezvekuzvara uye kana mabhenefiti acho achikunda njodzi dzinogona kuitika.