Yu go gi yusɛf haydrokɔtizɔn injɛkshɔn? Lɛ wi no bɔt dis!

Sɔntɛnde, we wi sik, dɔktɔ dɛn kin tɛl wi fɔ gi wisɛf injɛkshɔn. wan pan dεn kayn spεshal injεkshכn ya dεn kכl am `(Hydrocortisone)`. Bɔrku tɛm dɛn kin yuse dis wae gɛt imejensi ɔ wae ɔda tritmɛnt nɔr dɔn ɛp bɔrku. If yu want fɔ no bak bɔt dis mɛrɛsin, dis atikul go rili impɔtant fɔ yu. Lɛ wi si wetin i bi, wetin dɛn de yuz am fɔ, ɛn us tin dɛn fɔ tek tɛm wit.

Wetin na dis mɛrɛsin we dɛn kɔl haydrokɔtizɔn?

Fɔ tɔk am simpul wan, haydrokɔtizɔn na stɛroyd . Yɛs, yes, sɔm pipul dɛn kin fred fɔ tek stɛroyd, bɔt dis na mɛrɛsin we kin mek bɔku sik dɛn fil fayn if dɛn yuz am kɔrɛkt wan ɛn ɔnda dɔktɔ in advays. I kin du tri tin mɔ: 1. Fɔ ridyus di inflamɛns na di bɔdi: Inflameshɔn min tin dɛn lɛk fɔ swel, fɔ rɛd, ɛn fɔ fil pen. Imajin se yu gɛt at at sik. Dɔn yu jɔyn dɛn kin swel ɛn dɛn kin fil pen. Dis mɛrɛsin de ɛp fɔ ridyus da swel ɛn pen de. 2. Fɔ kɔntrol wan imyun sistɛm we de wok pasmak: Wi bɔdi gɛt imyun sistɛm. Na in de protɛkt wi frɔm sik dɛn. Bɔt sɔntɛnde dis sistɛm kin bigin fɔ wok tumɔs. We dat apin, di sɛl dɛn we gɛt wɛlbɔdi kin pwɛl bak. Fɔ ɛgzampul, dis kin apin pan sɔm alɛji, ɔr pan sik dɛm lɛk Inflammatory Bowel Disease. Hydrocortisone de ɛp fɔ mek di imyun sistɛm we de wok pasmak kol. 3. Fɔ gi am to pipul dɛn we gɛt smɔl ɔmon we dɛn kɔl kɔtisol: Wi bɔdi kin mek wan ɔmon we dɛn kɔl kɔtisol bay insɛf . Dis na ɔmon we rili impɔtant. We wi strɛs, sik, ɔ wund, dis kɔtisol kin ɛp wi fɔ ansa fayn fayn wan. Sɔm pipul dɛn nɔ kin mek dis ɔmon inof (fɔ ɛgzampul, di wan dɛn we gɛt prɔblɛm wit di adrenal gland). If na so i bi, dis mɛrɛsin kin ɛp fɔ kɔmpɛns da prɔblɛm de. So, dɛn kin yuz dis mɛrɛsin fɔ trit bɔku tin dɛn, lɛk asma, bad bad alɛji, at at sik, inflammatory bowel disease, adrenal gland prɔblɛm, ɛn sɔm sik dɛn na di blɔd ɔ bon mɛrɔ.

Wetin a fɔ tɛl di dɔktɔ bifo a bigin dis mɛrɛsin?

Bifo yu gi yu haydrokɔtizɔn injɛkshɔn, yu dɔktɔ go aks yu sɔm kwɛstyɔn dɛn. I rili impɔtant fɔ mek yu tɔk di tru ɛn nɔ ayd ɛnitin. Na fɔ yu sef, di dɔktɔ no bɔt yu ɔda sik dɛn ɛn di mɛrɛsin dɛn we yu de tek. If yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl yu dɔktɔ:

• Yu gɛt Cushing’s syndrome (wan sik we kin mek yu gɛtIf yu gɛt wan sik we de kam bikɔs ɔf di kɔtisol we de bɔku .
• If yu gɛt dayabitis ( Dayabitis Mɛlitus) .
• If yu gɛt glaukoma (we yu yay prɛshɔn go ɔp).
• If yu gɛt at sik ɔr ɛni prɔblɛm we gɛt fɔ du wit at.
• If yu gɛt ay blɔd prɛshɔn .
• If yu gɛt wan sik naw ɔ yu nɔ tu te yet lɛk hεpi, mizɛl, TB, ɔ chikinpoks .
• If yu gɛt sik na yu kidni .
• If yu gɛt liva sik .
• If yu gɛt prɔblɛm wit yu maynd (e.g. pwɛl hat, wɔri).
• If yu gɛt myasthenia gravis (na sik we de mek yu mɔsul dɛn wik).
• If yu gɛt ɔstioporosis (bɔn lɔs sik).
• If yu dɔn gɛt at atak bifo .
• If yu gɛt sik we de mek yu sik .
• If yu gɛt ɔlsa na yu bɛlɛ, sik dɛn na yu intestinal (e.g. kolaytis, divɛrtikulayt) .
• If yu gɛt tayroyd prɔblɛm .
• If yu nɔ gɛt alɛji fɔ haydrokɔtizɔn, ɔda kɔtikosterɔyd, bɛnzil alkol, ɔda mɛrɛsin, laktɔs, it, atifishal kɔlɔ, ɔ tin dɛn we de mek yu nɔ pwɛl .
• If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ.
• If yu na mama we de gi pikin in bɛlɛ.

Wae yu dɔn gɛt dɛn tin ya, yu dɔktɔ kin disayd if i fayn fɔ gi yu dis mɛrɛsin ɔr nɔr fayn, ɛn wit us prɛkoshɔn fɔ gi yu.

Aw yu kin yuz dis mɛrɛsin?

Hydrocortisone na mɛrɛsin we dɛn kin gi as injɛkshɔn. Dat min se dɛn kin put am na wan vein ɔ sɔntɛnde dɛn kin put am na wan mɔsul. Bɔku tɛm, na di dɔktɔ dɛn we de wok na ɔspitul ɔ klinik kin gi dis.Na no medisin yu kin tek go haus.

Impɔtant: Na yu dɔktɔ nɔmɔ gi yu dis mɛrɛsin. Nɔ ɛva sheb am wit ɛni ɔda pɔsin.

If yu de gi pikin dɛn dis mɛrɛsin: Yu fɔ tek tɛm spɛshal we yu de gi pikin dɛn dis mɛrɛsin. Yu dɔktɔ go tɛl yu bɔt dis. If yu tek tumɔs mɛrɛsin (Ovados): Bikɔs dɛn kin gi dis na ɔspitul, di chans fɔ ``Ovados`` smɔl. Bɔt if yu tink se sɔntin dɔn apin, dat min se if yu tink se dɛn dɔn gi yu bɔku mɛrɛsin, yu fɔ tɛl dɔktɔ ɔ nɔs na di ɔspitul wantɛm wantɛm. If yu mis wan doz (Missed dose): Bikɔs dɛn kin gi dis bak na ɔspitul, i nɔ kin bi se yu mis wan doz fɔ mɛrɛsin. Na bikɔs di dɔktɔ ɔ di nɔs go mek shɔ se yu gi am di rayt tɛm.

Dis mɛrɛsin kin miks wit ɔda mɛrɛsin dɛn?

Yɛs, sɔm mɛrɛsin dɛn de we kin mek pɔsin gɛt prɔblɛm we dɛn tek am wit haydrokɔtizɔn. So, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (nɔto jɔs di mɛrɛsin dɛn we dɛn kin gi yu, bɔt di mɛrɛsin dɛn we yu kin bay, tradishɔnal mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ivin di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn yu bɔdi). Nɔ tek haydrokɔtizɔn wit dɛn mɛrɛsin ya:

• Mifepriston `(Mifepriston, RU-486)`
• Sɔm kayn vaysin (tɔk to yu dɔktɔ bɔt dis) .

Dɛn mɛrɛsin ya kin wok bak wit haydrokɔtizɔn:

• Sɔm antibayɔtiks (e.g. klaritromaysin, ɛrythromycin, troleandomycin) .
• Aspirin ɛn drɔgs dɛn we tan lɛk aspirin
• Barbiturεt dεm (e.g. fεnobarbitol) .
• Ketokonazɔl we dɛn kɔl
• Fɛnitoin `(Fɛnitoin)`
• Rifampin bin de du am
• Warfarin (wan tin we de mek blɔd tan) .

Dis list nɔ kɔmplit. So i bɛtɛ fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek. Dɔn bak, tɛl yu dɔktɔ if yu de smok, drink rɔm, ɔ yuz drɔgs we nɔ rayt. Dɛn tin ya kin afɛkt bak aw dis mɛrɛsin de woke.

Wetin yu fɔ tek tɛm wit we yu de tek mɛrɛsin?

Sɔm tin dɛn de we yu fɔ no bɔt we yu de tek haydrokɔtizɔn:

• Si yu dɔktɔ ɔltɛm: Mek shɔ se yu go na yu dɔktɔ in apɔntinmɛnt fɔ si if ɛni chenj de na yu sik ɛn if di mɛrɛsin de wok fayn.
• Kip yu ID kad wit yu: If yu de tek dis mɛrɛsin fɔ lɔng tɛm, i go fayn fɔ kip yu ID kad wit yu we gɛt yu nem, adrɛs, di nem ɛn di doz fɔ di mɛrɛsin, ɛn di nem ɛn adrɛs fɔ di dɔktɔ we de trit yu.
• Tek tɛm wit infɛkshɔn: Yu imyuniti kin ridyus smɔl we yu de tek dis mɛrɛsin.So nɔr de fa frɔm pipul dɛm wae sik (e.g., pipul dɛm wae gɛt kol ɔr fiva). If yu kam mit pɔsin we gɛt sik lɛk mizɛl ɔ chukchuk, tɛl yu dɔktɔ wantɛm wantɛm.
• If yu de du ɔpreshɔn: If yu de du ɛni ɔpreshɔn insay di nɛks 12 mɔnt, tɛl yu dɔktɔ se yu de tek haydrokɔtizɔn.
• Aks bɔt di it we yu de it: Tɔk to yu dɔktɔ bɔt di it we yu de it. I kin tɛl yu fɔ ridyus di sɔl we yu de it.
• Di shuga na yu blɔd: Dis mɛrɛsin kin mek yu blɔd shuga go ɔp smɔl. If yu gɛt dayabitis, aks yu dɔktɔ if yu nid fɔ chenj di it we yu de it ɔ di doz fɔ yu dayabitis mɛrɛsin.

Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?

Lɛk ɔl mɛrɛsin, haydrokɔtizɔn kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Nɔ wɔri, nɔto ɔlman kin gɛt dɛn. Bɔt i impɔtant fɔ no bɔt dɛn. If ɛni wan pan dɛn tin ya apin, tɛl yu dɔktɔ/nɔs wantɛm wantɛm:

• Di sayn dɛm wae de sho se yu gɛt alɛji: yu skin de rɔsh, yu de it, yu gɛt rɛd spat na yu skin, yu fes, yu lip, yu tɔŋ ɔ yu trot de swel.
• Di simptom dɛm fɔ di Cushing’s syndrome: Fat kin gɛda rawnd di bɛlɛ, ɔp bak, nɛk, ɔ fes, pink/pɔpul strɛch mak, skin kin tan we kin brus izi wan, ɛn di ia we yu nɔ want kin gro.
• Di blɔd shuga we bɔku (Hyperglycemia): I kin tɔsti pasmak, i kin pis bɔku tɛm, i kin taya we nɔ kɔmɔn, i nɔ kin si fayn.
• Blɔd prɛshɔn we de go ɔp.
• Di sayn dɛm we de sho se yu gɛt di sik: fiva, kol, kɔf, trot we de at, wund we nɔ de wɛl, pen ɔ i nɔ izi fɔ pis, ɛn fil se yu nɔ de fil fayn.
• Di sayn dɛm we de sho se di adrenal gland nɔ de wok fayn: yu de nɔs, yu de vɔmit, yu nɔ de want fɔ it, yu taya we nɔ kɔmɔn, yu de tɔn diziz.
• Di mud ɛn bihayvya chenj: wɔri, nɔr de rεst, kɔnfyus, hallucinations, irita, et, tink bɔt fɔ kil insɛf, de wɔs pan yu maynd, pwɛl hat.
• Sayn dɛn we de sho se yu bɛlɛ de blɔd: yu gɛt blak ɔ tar stɔl, yu de vɔmit we tan lɛk kɔfi grɔn, ɔ yu de vɔmit blɔd.
• Di anklɛ, an, ɔ fut kin swel.

Bɔku tɛm, dɛn sayd ɛfɛkt ya nɔ kin denja, bɔt if dɛn kɔntinyu ɔ dɛn kin mɔna yu, tɛl yu dɔktɔ:

• Akni we gɛt akni
• Fɔ fil jɔs lɛk aw i nɔ wɛl ɛn taya
• Ed de at
• I de mek pɔsin want fɔ it mɔ ɛn mɔ
• Vɔmit
• Nɔ ebul slip
• We yu de gɛt mɔ wet

Dis list nɔ kin gɛt ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu notis ɛnitin we nɔ kɔmɔn, go to yu dɔktɔ.

Usay yu kin kip dis mɛrɛsin?

As wi bin dɔn tɔk, dɛn kin gi haydrokɔtizɔn injɛkshɔn na ɔspitul ɔ klinik. So , yu nɔ go ebul fɔ kɛr am go na os, ɛn yu nɔ go nid fɔ kip am na os.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Hydrocortisone na wan mɛrɛsin we rili yusful. Bɔt dɛn fɔ jɔs yuz am ɔnda dɔktɔ in sɔpɔtishɔn.

• Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni ɔda sik we yu gɛt ɛn ɛni ɔda mɛrɛsin we yu de tek.
• Tek tɛm wit infɛkshɔn we yu de tek mɛrɛsin.
• If yu gɛt ɛni ɔda bad bad tin we kin apin to yu, tɛl yu dɔktɔ wantɛm wantɛm.
• Nɔ fred fɔ aks yu dɔktɔ, fama, ɔ nɔs ɛni kwɛstyɔn we yu gɛt bɔt dis mɛrɛsin.

Wi de wish yu fɔ wɛl kwik kwik wan!

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` Haydrokɔtizɔn, injɛkshɔn, stɛroyd, alɛji, asma, at at sik, imuniti