Kurapa Multiple Sclerosis Flare-Ups neSteroids

Zvemukati

• Multiple sclerosis steroids
• Solumedrol
• Prednisone
• Decadron
• Zvinoshanda here?
• Steroid shandisa MS mhedzisiro
• Ipfupi-yenguva mhedzisiro
• Yenguva-refu mhedzisiro
• Tapering kure
• Tora woenda nazvo

Masteroid anoshandiswa sei kurapa MS

Kana iwe uine multiple sclerosis (MS), chiremba wako anogona kupa corticosteroids kurapa zvikamu zvechirwere chiitiko chinonzi kuwedzera. Izvi zvikamu zvezviratidzo zvitsva kana zvinodzoka zvakare zvinozivikanwa sekurwiswa, kuputika, kana kudzoka zvakare.

Steroid inoitirwa kupfupisa kurwisa kuti iwe ugone kudzoka munzira nekukurumidza.

Izvo hazvidikanwe kurapa ese maMS anodzokazve nesteroids, zvakadaro. Iyi mishonga inowanzo chengeterwa kudzoka kwakakomba kunokanganisa kugona kwako kushanda. Mimwe mienzaniso yeiyi kushaya simba kwakanyanya, nyaya dzekuyera, kana kusagadzikana kwekuona.

Steroid mishonga ine simba uye inogona kukonzera mhedzisiro inosiyana kubva pamunhu kuenda kumunhu. Intravenous (IV) steroid kurapwa kunogona kudhura uye kusagadzikana.

Izvo zvakanaka nezvakaipa zveSMS zvinofanirwa kuyerwa pane mumwe munhu uye zvinogona kuchinja panguva yechirwere.

Ramba uchiverenga kuti udzidze zvakawanda nezve steroids yeMS uye zvavanogona kubatsirwa uye mhedzisiro.

Multiple sclerosis steroids

Mhando yesteroid inoshandiswa paMS inonzi glucocorticoids. Iyi mishonga inoteedzera zvinoitwa nemahomoni muviri wako unoburitsa zvakasikwa.

Ivo vanoshanda nekuvhara iyo isina kukodzera ropa-huropi chipingamupinyi, icho chinobatsira kumisa maseru ekuputira kubva mukutama kupinda mukati yepakati sisitimu. Izvi zvinobatsira kudzora kuzvimba uye kurerutsa zviratidzo zveMS.

Yakakwira-dose steroid inowanzo kupihwa mukati kamwe kamwe pazuva kwemazuva matatu kusvika mashanu. Izvi zvinofanirwa kuitwa mukiriniki kana chipatara, kazhinji kuchipatara. Kana uine zvinetso zvakakomba zvehutano, kurapwa kunogona kudiwa.

IV kurapwa dzimwe nguva kunoteverwa nekosi yemuromo steroid kwevhiki imwechete kana mbiri, panguva iyo muyero unodzikira zvishoma nezvishoma. Mune zvimwe zviitiko, oral steroids inotorwa kwenguva yakareba sevhiki nhanhatu.

Iko hakuna chiyero chakajairwa kana regimen yekurapa steroid kune MS. Chiremba wako anozotarisa kuomarara kwezviratidzo zvako uye angangoda kutanga neiyo yakaderera inogoneka dosi.

Izvi zvinotevera mamwe eaya ma steroids anoshandiswa kurapa MS achidzokazve.

Solumedrol

Solumedrol, iyo steroid inowanzo shandiswa kurapa MS, izita rezita re methylprednisolone. Izvo zvine simba uye zvinowanzoshandiswa pakudzokazve kwakakomba.

Dzakajairika dosing mitsara kubva pamazana mashanu kusvika 1000 mamirigiramu pazuva. Kana iwe uine huremu hwemuviri diki, imwe dosi pamucheto wezasi wechiyero inogona kushivirira.

Solumedrol inoiswa mukati mehushe mune yekumukisa nzvimbo kana chipatara. Kuiswa kwega kwega kunotora kweinenge awa, asi izvi zvinogona kusiyana. Munguva yekumukirwa, unogona kuona kuravira kwesimbi mumuromo mako, asi ndezvenguva pfupi.

Zvichienderana nemabatiro aunoita iwe, ungangoda kumisirwa zuva nezuva chero kubva pamazuva matatu kusvika manomwe.

Prednisone

Oral prednisone inowanikwa pasi pemazita ezita senge Deltasone, Intensol, Rayos, uye Sterapred. Mushonga uyu unogona kushandiswa panzvimbo yeIV steroid, kunyanya kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchangoita zvakanyanya.

Prednisone inoshandiswa zvakare kukubatsira iwe kubvisa mushure mekugamuchira IV steroids, kazhinji kwevhiki imwechete kana maviri. Semuenzaniso, unogona kutora mamirigiramu makumi matanhatu pazuva kwemazuva mana, mamirigiramu makumi mana pazuva kwemazuva mana, uyezve mamirigiramu makumi maviri pazuva kwemazuva mana.

Decadron

Decadron izita rechiratidzo remuromo dexamethasone. Kutora muyero wezuva nezuva wemamirigiramu makumi matatu (mg) kwevhiki kwakaratidzirwa kuve kunoshanda pakurapa MS kudzoka zvakare.

Izvi zvinogona kuteverwa ne4-12 mg rimwe zuva rimwe zuva kwenguva yakareba semwedzi. Chiremba wako achasarudzira chaiyo yekutanga dosi iwe.

Zvinoshanda here?

Izvo zvakakosha kuti uzive kuti corticosteroids haitarisirwi kupa kwenguva refu mabhenefiti kana kushandura nzira yeMS.

Pane humbowo hwekuti ivo vanogona kukubatsira iwe kupora kubva mukudzokazve nekukurumidza. Zvinogona kutora mazuva mashoma kuti unzwe zviratidzo zvako zveMS zvichivandudza.

Asi kungofanana neMS inosiyana zvakanyanya kubva kune mumwe munhu kuenda kune mumwe, ndozvinoitawo kurapwa kweSteroid. Hazvigoneke kufanotaura kuti zvichakubatsira sei kuti uwanezve kana kuti zvinotora nguva yakareba sei.

Dzidzo dzinoverengeka diki dzakaratidza kuti mitezo yakafanana yemuromo corticosteroids inogona kushandiswa panzvimbo yeiyo yakakwira-dose IV methylprednisolone.

A 2017 akagumisa kuti nemumuromo methylprednisolone haisi yakaderera kune IV methylprednisolone, uye ivo zvakaenzana zvakatsungirirwa uye zvakachengeteka.

Sezvo oral steroids iri nyore uye isingadhuri, inogona kunge iri imwe nzira yakanaka yekurapa IV, kunyanya kana infusions iri dambudziko kwauri.

Kumbira chiremba wako kana muromo steroid isarudzo yakanaka kwauri.

Steroid shandisa MS mhedzisiro

Dzimwe nguva kushandiswa kwepamusoro-dose corticosteroids kazhinji kunoregererwa zvakanaka. Asi vane mhedzisiro. Zvimwe uchanzwa nekukasira. Zvimwe zvinogona kunge zviri mhedzisiro yekurapa kwakadzokororwa kana kwenguva refu.

Ipfupi-yenguva mhedzisiro

Paunenge uchitora steroid, unogona kusangana nekuwedzera kwesimba kwesimba izvo zvinogona kuita kuti zvive zvakaoma kurara kana kunyangwe kugara wakadzikama uzorore. Izvo zvinogona zvakare kukonzera manzwiro uye maitiro maitiro. Iwe unogona kunzwa wakanyanya kutarisira kana kusagadzikana paunenge uri pane steroids.

Pamwe chete, izvi zvinokonzeresa zvinogona kuita kuti iwe ude kutora makuru mapurojekiti kana kutora mamwe mabasa kupfuura iwe zvaunofanira.

Zviratidzo izvi zvinowanzo kuve zvenguva diki uye zvinotanga kunatsiridza paunenge uchibvisa pamushonga.

Zvimwe zvinogona kuitika mhedzisiro zvinosanganisira:

• acne
• kumeso kumeso
• neutachiona
• kuora mwoyo
• kuzvimba kwemaoko nemakumbo (kubva mukuyerera uye sodium kuchengetedza)
• musoro
• kuwedzera kudya
• kuwedzerwa ropa reropa
• kuwedzerwa kweropa
• kushaya hope
• kudzikisa kuramba kutapukirwa
• esimbi kuravira mumuromo
• kushaya simba kwetsandanyama
• kushungurudzika mudumbu kana maronda

Yenguva-refu mhedzisiro

Yakareba-term steroid kurapwa kunogona kutungamira kune mamwe emhedzisiro mhedzisiro senge:

• cataract
• glaucoma iri kuwedzera
• chirwere cheshuga
• osteoporosis
• kurema kuwedzera

Tapering kure

Izvo zvakakosha kuti unyatso teedzera kuraira kwechiremba wako maererano nekubvisa steroid. Kana iwe ukarega kuzvitora kamwe kamwe, kana kana ukakurumidza kumhanya zvakanyanya, unogona kuona zviratidzo zvekurega.

Prednisone inogona kukanganisa yako kugadzirwa kwecortisol, kunyanya kana iwe ukaitora kweanopfuura mavhiki mashoma panguva. Zviratidzo zvauri kubhururuka nekukurumidza zvinogona kusanganisira:

• muviri kurwadza
• kurwadza kwemajoini
• kuneta
• musoro wakareruka
• kusvotwa
• kurasikirwa nenzara
• kushaya simba

Kumira nechimbichimbi Decadron kunogona kutungamira ku:

• kuvhiringidzika
• kutsimwaira
• musoro
• kurasikirwa nenzara
• kuonda
• tsandanyama uye kurwadza kwemajoini
• kubvisa ganda
• kugumbura dumbu uye kurutsa

Tora woenda nazvo

Corticosteroids inoshandiswa kurapa zvakakomba zviratidzo uye kupfupisa kureba kweMS kudzokazve. Havana kurapa chirwere pachacho.

Kunze kwechiitiko chekurasikirwa kwemaonero, kurapwa kweMS kudzoka hakukurumidze. Asi inofanira kutanga nekukurumidza sezvazvinogona.

Sarudzo nezve mabhenefiti uye mhedzisiro yemishonga iyi inofanirwa kuitwa wega wega. Zvinhu zvekukurukura nachiremba zvinosanganisira:

• kuoma kwezviratidzo zvako uye kuti kudzokerazve kwako kunochinja sei kugona kwako kuita mabasa ako ezuva nezuva
• sei mhando dzese dzesteroid dzinofambiswa uye kana uchikwanisa kutevedzera iyo regimen
• izvo zvinokonzeresa mhedzisiro uye kuti zvingakanganisa sei kugona kwako kushanda
• chero matambudziko angangoita akakomba, kusanganisira masteroid anogona kukanganisa sei mamwe mamiriro akadai seshuga kana hutano hwepfungwa
• chero kusangana kunogoneka nemimwe mishonga
• ayo marapirwo eSteroid anovharwa neinishuwarenzi yako yekurapa
• ndedzipi dzimwe nzira dzekurapa dzinowanikwa kune chaiwo zviratidzo zvekudzokazve kwako

Ipfungwa yakanaka kuita hurukuro iyi nguva inotevera paunoshanyira chiremba wezveuropi. Nenzira iyoyo, iwe unenge wakagadzirira kusarudza mune chiitiko chekudzokazve.