Ingabe udokotela wakho wake wakubhalela i-steroid? Mhlawumbe kwakungenxa yesimo sesikhumba esibucayi, inkinga yamalunga, noma isimo esifana ne-asthma. Abanye abantu bayesaba kancane lapho bezwa igama. Lokho kungenxa yemibono eyiphutha ngalo. Ngakho-ke namuhla, ake sixoxe ngalolu hlobo lomuthi olubizwa ngokuthi ama-corticosteroids, ngqo nangokulula.
Ziyini lezi zi-corticosteroids?
Kalula nje, le yimithi enikezwa odokotela enciphisa ukuvuvukala emzimbeni wakho. Abanye abantu babiza lawa ma-glucocorticoids.
Cabanga nje, imizimba yethu ikhiqiza ngokwemvelo i-hormone ebizwa ngokuthi i-cortisol . Lokhu kukhiqizwa yizindlala zethu ze-adrenal. Le hormone ye-cortisol ingalawula ukuvuvukala emzimbeni. Ngokufanayo, lolu hlobo lomuthi olubizwa ngokuthi ama-corticosteroids esilunikeza ngaphandle lusebenza njengaleyo hormone ye-cortisol futhi lulawula ukuvuvukala emzimbeni. Kodwa okukhethekile ukuthi udokotela angashintsha umthamo walo muthi ukuze uvumelane nesimo sakho sezokwelapha futhi awulawule njengoba kudingeka.
Into ebaluleke kakhulu ukuthi lolu hlobo lomuthi akulona ama-steroid asetshenziswa abasubathi ukwakha imizimba yabo nokuwina imincintiswano. Luhlobo lomuthi oluhluke ngokuphelele, olwenziwe nge-hormone ye-testosterone. Ungadideki lokhu kokubili.
Yiziphi izinhlobo zezifo odokotela abazisebenzisela lo muthi?
Ama-Corticosteroids awuhlobo lomuthi oluwusizo kakhulu. Asetshenziswa ikakhulukazi ukwelapha izifo ezihlasela amasosha omzimba, izimo lapho amasosha omzimba wethu ezihlasela khona.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| I-Lupus | Isifo lapho amasosha omzimba ehlasela khona izingxenye ezahlukene zomzimba. |
| Isifo Samathambo (Isifo Samathambo Esivuvukalayo) | Ikakhulukazi izimo ezibangela ukuvuvukala nobuhlungu kwamalunga, njenge-rheumatoid arthritis. |
| Isifuba somoya | Ukuvuvukala kwemigudu yomoya kanye nobunzima bokuphefumula. |
| Izimo Zesikhumba | Izifo zesikhumba ezifana ne-eczema, ezibangela ukuvuvukala nokulunywa. |
| Ukusabela Okukhulu Kokungezwani Nomzimba | Izimo ezifana ne-anaphylaxis, ezingaba yingozi empilweni. |
| Ukwelashwa kwenxeba | Izimo zokuvuvukala ezihlobene nemisipha namalunga, njenge-bursitis kanye ne-tendinitis. |
Ama-steroid asetshenziswa kakhulu
Ezinye izinhlobo zama-steroid udokotela wakho angase azinikeze yilezi:
- I-Prednisolone
- I-Cortisone
- I-Hydrocortisone
- I-Methylprednisolone
Lawa ma-steroid alethwa kanjani emzimbeni?
Kunezindlela eziningana zokunikeza lo muthi emzimbeni wakho, kuye ngesimo sakho sezempilo.
1. Endaweni: Lena indlela yokuletha umuthi endaweni ethile yomzimba. Le ndlela inengozi ephansi yemiphumela emibi.
- Imijovo yamalunga: Isibonelo, umjovo ngqo esihlanganyelweni sedolo ngenxa yobuhlungu bedolo.
- Okhilimu bokugcoba: Okhilimu abasetshenziswa esikhumbeni.
- Amaconsi amehlo namaconsi ezindlebe: Uketshezi olusetshenziswa emehlweni noma ezindlebeni.
2. Ngokwesimiso: Lena indlela yokunikeza umuthi kuwo wonke umzimba.
- Imithi yomlomo: Indlela esivame ukuyibona.
- I-Intravenous (IV): Imijovo efakwa ngqo emthanjeni.
- Imisipha (IM): Imijovo efakwa emisipheni.
Ziyini izinzuzo zama-steroid?
Inzuzo enkulu yale mithi ukuthi isebenza ngokushesha okukhulu. Inganciphisa izimpawu ezifana nokuvuvukala, ubuhlungu, nokuvuvukala emzimbeni ngokushesha okukhulu. Nakuba ngezinye izikhathi kuthatha izinsuku ezimbalwa, lena ingenye yezindlela ezisheshayo zokulawula izimpawu ezinzima.
Futhi ngezinye izikhathi, zingasindisa impilo . Isibonelo, uma isifo esifana ne-lupus sibangela ukuvuvukala ezinso, singaholela ekuhlulekeni kwezinso. Kodwa ukwelashwa ngama-steroid kungalawula ukuvuvukala, kuvikele izinso, futhi kuvimbele isidingo se-dialysis noma ukufakelwa kwezinso.
Indaba eyiqiniso ngemiphumela emibi eyesaba wonke umuntu
Njenganoma yimuphi umuthi, ama-corticosteroids angaba nemiphumela emibi. Kodwa khumbula, akuwona wonke umuntu othola yonke le miphumela emibi. Futhi, eminingi yale miphumela emibi yenzeka uma uthatha umuthi isikhathi eside, ngemithamo ephezulu. Udokotela wakho uzokunikeza lo muthi ngoba izinzuzo zokwelapha isimo sakho zidlula kakhulu izingozi zemiphumela emibi.
Eminye yemiphumela emibi evame kakhulu yile:
- Ukwanda kwesifiso sokudla kanye nokukhuluphala: Ungase uzizwe ulambile kancane ngenkathi uthatha umuthi.
- Izinguquko zesikhumba: Ukwanda kwezinduna, isikhumba esinciphile kanye nokulunywa kalula.
- Ukugcinwa kwamanzi emzimbeni: Ubuso nomzimba kungase kubonakale sengathi kukhukhumele kancane.
- Ukuvuvukala kwesisu: Ukungakhululeki kwesisu.
- Izinguquko zengqondo: izinto ezifana nokungalali, ukungahlaliseki, ukukhathazeka okukhulu.
- Ubuthakathaka bemisipha.
Ukusebenzisa ama-steroid isikhathi eside kungandisa ingozi yakho yokuthola izimo ezifana nesifo sikashukela, umfutho wegazi ophakeme, kanye nesifo sokuwohloka kwamathambo. Uma usuvele unesifo sikashukela, kubalulekile ukuhlola amazinga kashukela egazini lakho njalo ngenkathi usebenzisa ama-steroids. Khuluma nodokotela wakho ngalokhu.
Kufanele ngimbone nini udokotela?
Uma usebenzisa ama-steroid, kubaluleke kakhulu ukuthatha umuthi njengoba nje udokotela wakho ekutshela, ngesikhathi esifanele, nangesilinganiso esifanele. Ungalokothi uyeke ukuthatha umuthi noma ushintshe isilinganiso ngaphandle kokubuza udokotela wakho.
Uma uhlangabezana nezimpawu ezilandelayo, yazisa udokotela wakho ngokushesha:
- Imfiva
- Isicanucanu noma ukuhlanza
- Ukungakwazi ukugxila, isiyezi
- Uma izimpawu zakho zingakathuthuki ngemva kwesonto elilodwa uqale umuthi,
Lolu hlu lwemiphumela emibi lungakwenza uzizwe wesaba. Lokho kuvamile. Kodwa khumbula, lezi izindlela zokwelapha eziphumelela kakhulu ezimweni eziningi. Khuluma ngokukhululekile nodokotela wakho nganoma yikuphi ukukhathazeka noma ukwesaba onakho. Ngaleyo ndlela, ungathola ukuqonda okucacile ngalo muthi.
Umlayezo Wokuya Nawe Ekhaya
- Ama-Corticosteroids awuhlobo lomuthi oluwusizo kakhulu olunciphisa ukuvuvukala nobuhlungu emzimbeni.
- Lezi akuzona izidakamizwa ze-anabolic ezisetshenziswa abadlali. Zombili zihlukile ngokuphelele.
- Imiphumela emibi ingenzeka, kodwa ivame ukwenzeka uma imithi ithathwa ngemithamo ephezulu isikhathi eside. Odokotela bayinikeza ngoba izinzuzo zidlula izingozi.
- Kubalulekile ukuthatha imithi yakho njengoba nje udokotela wakho ekuyalele, ngesilinganiso esibekiwe, nangesikhathi esibekiwe. Ungalokothi uyeke ukuthatha imithi yakho wedwa.
- Uma unezinye izimo zezokwelapha, njengesifo sikashukela noma umfutho wegazi ophakeme, yazisa udokotela wakho ngaphambi kokuqala ama-steroid.
- Uma unokwesaba noma ukungabaza ngemithi noma imiphumela emibi, xoxa ngakho ngokukhululekile nodokotela wakho.
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