Ha joojin ama gariirin prednisone adiga oo aan talo bixin dhaqtarkaaga
Prednisone waa daawo xoogan oo ka hortag ah oo loo isticmaalo daaweynta noocyada xanuunka hargabka ee arthritis iyo xaalado kale. Si xun u isticmaalka, isticmaalka muddada dheer, ama qiyaaso badan ayaa keeni kara waxyeelo aan loo baahnayn. Prednisone waa in la qaataa iyadoo loo eegayo tilmaamaha. Si aad uga fogaato ka hortagga prednisone marka daroogada la joojinayo, waa in lagu xiraa iyadoo la raacayo jadwal gaar ah oo uu takhtarku kuu qoray.
Ha isku dayin inaad joojiso ama gashato ukumaha loo yaqaan "prednisone" adiga oo aan dhakhtarkaaga ku darin.
Joojinta Joojinta Qanjidhada
Joojinta daawooyinka steroid waa in loo sameeyaa si tartiib tartiib ah, oo la dhaho qallalan. Marka laga reebo waa haddii la siiyay mudo gaaban. Waqtigaasi wuu kala duwanaan doonaa waxayna ku xiran tahay dhakhtarkaaga. Jadwalka isdabajooggu wuxuu u ogalaan doonaa waqtiga jirkaada inuu isbeddelayo maadaama uu hoos u dhacayo wax soo saarkiisa cortisol inta aad qaadanayso prednisone.
Hoos-u-dhigidda waxay yareyneysaa Calaamadaha Cirbadeynta Prednisone
Sida laga soo xigtay Scott J. Zashin, "Waxaan sida caadiga ah qallafsanahay haddii bukaanku qaatay daawada muddo ka badan seddex maalmood. Sababta ugu wayn ee xajinta tartiib tartiibka ah waa in bukaanku uu ku dhici karo calaamadaha steroid ama prednisone ka baxsan Calaamadaha waxaa ka mid ah xanuunka wadnaha, murqo xanuun, daal, madax-xanuun, qandho, cadaadis dhiig oo hooseeya, lallabo, iyo matagid Ka hakinta joojinta daaweynta dadka ku dhacay steroids mudo dheer waxay sababi kartaa astaamaha daran sababtoo ah wax soo saarka caadiga ah ee steroids jirka ayaa la damiyay. "
Steroids waxaa ka mid ah:
- Prelone (prednisolone)
- Deltasone (prednisone)
- Medrol (methylprednisolone)
- Celestone (Betamethasone)
- Cortone (cortisone)
- Cortef (hydrocortisone)
- Decadron (dexamethasone)
- Kenacort (triamcinolone)
Kaalinta Daaweynta Nabdoonaanta Calaamadaha Calaamadaha Cudurka Prednisone
Dadka si joogto ah u qaadanaya steroids xaaladdooda waxay u baahnaan karaan kor u kaca daawada inta lagu jiro xilliyada walaaca, sida qalliin ama jirro caafimaad oo daran.
Dr. Zashin ayaa kula taliyay, "Waxaan kugula talineynaa in bukaankaygu ka iibsado jijin anshax caafimaad oo laga helo farmashigooda haddii ay dhacaan shil aanna awoodin inay bixiyaan taariikh caafimaad."
Tusaalaha Tusaalaynta Jadwalka Si loo yareeyo Prednisone Ka-noqoshada
Jadwalka isdabajoogu wuu kala duwanaan doonaa iyadoo ku xiran hadba inta uu qofku qaadanayo steroids. Mudada dheer ee mudada dheer ee steroids, waxay hoos u dhigeysaa jeexjeexa. Dr. Zashin wuxuu inta badan ku dhejiyaa bukaannadiisa:
- By 5-milligram kordhin marka ay qaadanayaan in ka yar 40 milligram oo prednisone
- Marka ay gaadhaan 2.5-miligram oo keliya marka ay gaaraan 20 milligaraam oo prednisone ah
- Marka loo eego 1-milligram kaddib marka ay gaaraan 10 milligaraam
Dr. Zashin waxay doorteen in ay hoos u dhigto qiyaasta maalin walba loogu talagalay bukaanada aan qaadanin steroids muddo dheer. Qaadashada waa la dhimayaa bishii haddii bukaanku ku jiray daawada muddo dheer.
Marka dadku marka hore yareeyaan qiyaasta, maaha wax aan caadi ahayn in la dareemo qulqulo ama daal. Calaamadahaasi badanaa waxay xalliyaan laba ilaa toddoba cisho. Haddii calaamadaha aysan xallin, dhakhtarku wuxuu dooran karaa inuu si ku-meel-gaar ah u kordhiyo qiyaasta iyo dheelitirka si tartiib ah. Dadka qaarkiis waxaa laga yaabaa inay ku adkaato inay xoqdo steroids inkastoo xajmiga xajmiga oo kaliya 1 milligram.
Marmarka qaarkood, waxay ku xiran tahay maalin kasta saldhig maalin kasta ah. Tusaale ahaan, halkii laga sii wadi lahaa 4 milligram ilaa 3 milligaraam oo prednisone, dhakhtarku wuxuu soo qori karaa 4 miligram maalin iyo 3 milligram maalinti hal toddobaad ah (ie, qadar maalmo kale). Kadib, haddii uu ku guulaysto, dhakhtarku wuxuu u qori karaa 4 milligram maalintii iyo 2 milligrams markiiba soo socota iyo wixii kale ilaa 4 milligram oo keliya oo maalin kasta ah (tus., 4 milligram maalintiiba hal maalin iyo eberkaba maalinta xigta). Dhakhtarka ayaa sii wadi doona inuu isku dayo in uu hoos u dhigo qiyaasta maalintaas kale.
Qiyaaso u dhigma
Sida laga soo xigtay "The Pill Book," iyadoo la isticmaalayo 5 milligaraam oo prednisone ah taas oo sal u ah isbarbardhigga, qiyaasaha u dhigma ee corticosteroids kale waa:
- 0.6 miligram ilaa 0.75 miligram oo ah betamethasone
- 25 milligrams oo cortisone ah
- 0.75 miligaraam oo ah dexamethasone
- 20 milligram oo ah hydrocortisone
- 4 milligrams oo methylprednisolone ah
- 5 milligrams oo prednisolone ah
- 4 milligrams oo triamcinolone ah
Waxa kale oo laga yaabaa inaad aragto korticosteroid calculator.
> Ilo:
> Isbedel-Miller A. Prednisone Ka-noqoshada: Sababta Muujinta Dhaqdhaqaaqa? Mayo Clinic. https://www.mayoclinic.org/prednisone-withdrawal/expert-answers/faq-20057923.
> Silverman HM. Buugga Kiniisiga . New York: Buugaagta Bantam; 2012.
> Zashin SJ. Waraysiga, Janaayo 2006.