Cortisone Shots Caawinta Yar Yarku Hooyo ama Nidaam ahaan
Cirbadaha steroids, oo sidoo kale loo yaqaan cortisone, waa cirbado daawooyinka corticosteroid . Cirbadeynta steroid waxaa loo maamuli karaa sida cirbadeynta laysaga qaado (tusaale ahaan, dhexdhexaad ah) ama muruq (boogo, tusaale ahaan) ama xididka saamaynta nidaamka (ie, jirka oo dhan). Corticosteroids waa mukhaadaraad dabiici ah oo si dhow u eg cortisol, hormoon si dabiici ah u soo saaray qanjidhada adrenal.
Isku duritaanka, dhakhtarkaagu wuxuu si toos ah u siin karaa daawada kortikosteroid si toos ah aag xanuun ah oo jidhka ah ujeedada hoos u dhigista caabuqa iyadoo la yaraynayo dhaqdhaqaaqa difaaca jirka .
Tilmaamo loogu talagalay Ciladaha Steroid
Corticosteroids waxaa loo isticmaalaa in lagu xakameeyo barar ku dhaca arthritis iyo xaalado kale oo barar ah. Corticosteroids ayaa si toos ah loogu mudi karaa unugyada la isku duro, ama waxaa loo geyn karaa jirka oo dhan iyagoo isticmaalaya daawo afka ah, irbado xidid ah, ama irbado duri ah. Cirbadaha steroids ayaa laga yaabaa in ay si fudud u gargaaraan bukaanada qaba arthritis-ka ama xaaladaha muruqyada . Bukaanka qaba rheumatoid arthritis-ka , cirbadaha ayaa caadi ahaan la bixiyaa marka hal ama laba xubnood ay muujiyaan synovitis firfircoon. Ujeedada daaweyntu waa in ay calaamadaha iftiinka ama u oggolaadaan daawooyinka yareeya , sida daawada methotrexate ama Plaquenil , wakhti ay shaqeeyaan. Tusaale ahaan, horraantii rheumatoid arthritis-ka, natiijooyinka daraasaddu waxay muujisay in isku-darka DMON iyo steroids-ka loo yaqaan ' intro -articular steroids' ay si aad ah uga fiican yihiin DMARD.
Jilibku waa wadajir caadi ah oo la isku duro. Waxaa lagu talinayaa in bukaanku uu xaddido dhaqdhaqaaqa culeyska 1 - 2 maalmood kaddib marka la duro si loo siiyo fursada ugu fiican ee waxtarka leh. Ka badan 6 saacadood ee ugu horreeya ka dib mudista cirbadaha ayaa dhab ahaantii sii xumeyn kara arthritis. Maadaama bukaanka suuxdinta ee caadiga ah lagu daro steroid, bukaanku waxaa laga yaabaa inaanay ogeyn in ay culays badan ku saari karaan xanuunka arthritic, maadaama xanuunka uu yahay maskaxda, sida laga soo xigtay cilmi-baaraha rheumatologist Scott J. Zashin.
Talooyinka way kala duwan yihiin, hase yeeshee dhakhaatiirta intooda badani waxay ka fogaanayaan inay isku dardaraan wadajir hal mar ka badan 3 jeer sanadkiiba. Tusaale ahaan, jilibkaaga bidix ayaa kugu dhejin kara laba jeer sanadkiiba, jilibkaaga midig wuxuu isku duraa labo jeer, laakiin 4 jeer kuma wada dhicin dhinac. Tirada xad-dhaafka ah ama inta jeer ee duritaanka steroid ah waxay sababi kartaa lafaha, lafdhabarta, ama waxyeello lugta.
Waxaa jira dhowr fursadood oo loogu talagalay daawada steroid ee loo isticmaalo duritaanka. Si weyn ugu tiirsan, waxay ku xiran tahay takhaatiirta mudnaanta leh (tusaale ahaan, Depo-Medrol [methylprednisolone acetate], Aristospan [Triamcinolone hexacetonide], Kenalog [triamcinolone acetonide] iyo Celestone [betamethasone]. Inkasta oo bukaanjiifku si dhakhso leh u dareemaan qolka imtixaanka, mar haddii daawada suuxdinta ee xaafadda ka baxdo, waxay qaadan kartaa ilaa 10 maalmood si loo ogaado lacagtaas mar labaad.
Saameynada Waxyeellooyinka Steroid ah
Bukaannada badankood ee qaata cirbadaha steroid wax khibrad ah ma laha, gaar ahaan marka loo eego qiyaasta lagu taliyey. Si kastaba ha noqotee, saameynaha saameynaha ee cirbadaha steroid ah waxaa ka mid ah:
- xanuunka sii kordhaya ama bararka wadajirka ah 24ka saacadood ee hore
- barar, casaan, ama xanuunka sii kordhaya ka dib 24 saacadood (waxay muujin kartaa infakshanka cudur wadajir ah)
- dillaaca boogta
- maqaarka maqaarka
- dhiig-baxa maxalliga ah
- infekshanka
- falcelinta xasaasiyadda
Cadaadiska steroid ee gudaha ee muruqyada (badhida) waxay bixisaa saameyn nidaamsan. Haddii wadajir khaas ah uu ku lug yeesho, cirbadeynta steroid ee galbeedku waxay u egtahay waxtar ka yar cirbadeynta durugsan. Sida corticosteroids afka, ma hubin inta badan ee daaweynta nidaamku gaaro isku-dhafka gaarka ah. Sidoo kale, haddii cirbada lagu mudo badiyaa badiyaa, waxay kordhin kartaa khatarta ah in la horumariyo qaar ka mid ah saameynta caadiga ah ee ay la kulmaan steroids afka, oo ay ku jiraan osteoporosis iyo cataracts.
Qodobo muhiim ah oo yar
- Guud ahaan, cirbadaha steroid maxalliga ahi waa u dulqaadan yihiin waxayna u badantahay in ay la xiriiraan dhibaatooyin halis ah marka loo eego corticostero afka.
- Steroids waa in aan la iska durin haddii uu jiro caabuq goobta goobta lagu mudayo ama meel kasta oo jidhka ah.
- Haddii laysku xiro si xun u waxyeeloobaan, waxaa dhici karta in natiijada wanaagsan ee cirbadeynta steroid ah ay ka yartahay.
- Caadi ahaan, waa nidaam udub dhexaad u ah dheecaanka isku dhafan si loo tijaabiyo ka hor inta aan la isugu dhejin qalabka steroids, gaar ahaan haddii ciladku weli aan la hubin.
> Ilo:
> Cirbadaha Steroid. Cleveland Clinic.
> Isbarbardhicidda cirbadeynta glucocorticoid intrasmuska ah ee DMARDs ka dhanka ah DMARDs kali ee rheumatoid arthritis. Journal of Ururka Dhakhaatiirta Hindiya. Menon N. et al. Agoosto 2014.
> Kelley ee buugta qoraalka ee Rheumatology. Qoraalka sagaalaad. Elsevier. Glucocorticoid Therapy. Cutubka 60aad.