Dhibaatooyinka kale ayaa sii kordhaya tandem inta lagu jiro isticmaalka
Prednisone waa daawo corticosteroid xooggan oo loo isticmaalo daaweynta noocyada xanuunka infekshanka ee arthritis iyo sidoo kale noocyada kansarka iyo cudurada mareenka . Waxaa lagu heli karaa kiniinnada iyo dareeraha dareeraha iyo hawlaha sida immunosuppressant , kuleylka oo kulaylka by kicinta jawaabta difaaca.
Sida Prednisone u shaqeyso
Inflammation waa jawaabta dabiiciga ah ee jidhka wax kasta oo ay u arkaan waxyeello.
Marka nidaamka difaaca uu tilmaamayo wakiil waxyeello leh, wuxuu kiimikooyinka u sii daayaa dhiigga taasoo keenta unugyo barar ah, qayb ahaan si loo kordhiyo xajmiga xididdada dhiigga waxayna u oggolaadaan unugyada difaaca jirka in ay u dhowaadaan goobta dhaawac ama caabuq.
Iyada oo ay jiraan xaalado difaaca jirka ah, jawaabta difaaca jirka waa mid aan caadi ahayn oo xad-dhaaf ah. Kani waa kiiska rheumatoid arthritis-ka (RA) kaas oo nidaamka difaaca uu si qalad ah u weerari karo xubnaha caafimaadka. Calaamadaha 'acute RA' ayaa badanaa ku faafi kara ogeysiis la'aan, taasoo keenta xanuunka, bararka, iyo dhaawaca saameynta ay saameysay.
Prednisone wuxuu awood u leeyahay in uu xakameynayo cilladahan si dhakhso ah u yareeyo bararka illaa illaa daaweyn kale oo wax ka bedelaayo anti-rheumatic (DMARDs) . Inkasta oo DMARDs sida Plaquenil (hydroxychloroquine) iyo Arava (leflunomide) ayaa si aad ah loogu bartilmaameedsaday nidaamka difaaca jirka, waxay u shaqeynayaan si gaabis ah.
Taas bedelkeeda, prednisone waa dhakhso u bixinta gargaarka laakiin waxay leedahay saameyno dhowr ah oo xadideysa isticmaalka, gaar ahaan muddada dheer.
Si ka duwan DMARD, prednisone ma bartilmaameed gaar ah ama hawlaha bayoolojiga. Taa baddalkeeda, waxay u shaqeeyaa nidaam ahaan, daadinta jirka iyo saameynaya noocyo kala duwan oo unugyo iyo shaqooyin. Sababtaas awgeed waa in horay loo sii ogaado in uu hal gacan siiyo hal gacan oo kale.
Waxyaabaha kale ee saameynaya
Dhibaatooyinka soo raaca ee prednisone waxay u dhaxaysaa mid fudud iyo mid daran.
Waxay badanaa ku dhacaan inta badan qiyaasta sare ama isticmaalka muddada dheer.
Saameynada gaaban ee muddada gaaban waxay la mid yihiin kuwa daawooyinka kale ee corticosteroid waxaana laga yaabaa inay ku jiraan dareeraha dareeraha, calool xanuun, iyo kororka sonkorta dhiigga.
Dhibaatooyinka ayaa soo baxa, si kastaba ha ahaatee, marka daaweyntu sii socoto muddo dheer, sii kordhinta xoogsaaridda muddada ay qaadanayso ama muddada korodhka. Dhibaatooyinka kale waxaa ka mid noqon kara:
- Cadaadis dhiig oo sarreeya
- Daal joogto ah
- Isbeddelka niyadda, oo ay ku jirto caro goos-goos ah
- Dhibaatada ka-soo-jiidashada ama jahawareerka
- Niyadjab iyo walwal
- Insomnia
- Culeyska miisaanka
- Barar aad u daran
- Haweenka aan caadil ahayn
- Boogta Peptic
- Aragga cakiran, glaucoma , ama cataracts
- Murqaha daciifka iyo xajmiga
- Jirka ama maqaarka
- Nabaro fudud
- Khatarta cudurka ee sii kordheysa sababtoo ah cirbadeynta difaaca
- Osteoporosis iyo khatarta sii kordheysa ee jabka
- Dhimashada lafaha ( osteonecrosis )
- Cudurka beerka ku dhaca ee fatu ( steatosis )
- Maqsinka
- Koboc dhaqaale ee carruurta
Macluumaadka Qorista
Prednisone waxaa lagu heli karaa labadaba si deg deg ah loo sii daayo iyo dib u dhac ku yimid. Daaweynta RA ee dadka qaangaarka ah, daroogada ayaa loo qoraa sida soo socota:
- Prednisone-release release prednisone ayaa lagu qoraa qiyaasta maalin kasta oo ka yar 10 milligar maalintii maalintii la qaaday DMARD.
- Preliminone-release release prednisone ayaa lagu qoraa qiyaasta maalin kasta oo ah shan milligaraam si ay u bilawdo, oo ay ku xigto qiyaasta ugu hooseysa ee lagu ilaaliyo si loo ilaaliyo natiijo caafimaad oo wanaagsan.
Prednisone waxaa sida caadiga ah loo qaataa sida qiyaasta hal mar ah inta lagu jiro quraac si looga hortago calool xanuun.
Dadka qaba rheumatoid arthritis-ka, habka dib u dhigista-dib-u-bixinta ayaa la qaadi karaa waqtiga hurdada si loo yareeyo qulqulka iyo xanuunka.
Muddada daaweynta waa in la sameeyaa iyada oo shakhsiyan ah, oo miisaamaya faa'iidooyinka iyo khatarta iyo in la go'aamiyo in daaweyn maalinle ah ama mid dhexdhexaad ah ay ugu haboon tahay.
Isdhexgalka daroogada
Prednisone waxaa la ogyahay in ay leedahay isdhexgalka daroogada badan oo badan. Xaaladaha qaarkood, daroogada labaad waxay kordhin kartaa bioavailability of prednisone iyo, iyada oo leh, darnaanta dhibaatooyinka soo raaca.
Xaaladaha kale, prednisone wuxuu faragalin karaa waxqabadka daroogada labaad.
Isdhexgalka daroogada ee la yaqaan ee la yaqaan ayaa waxaa ka mid ah:
- Antibiyootiko sida cadithromycin ama rifampin
- Dawooyinka lid ku ah nabarrada sida Zoloft (sertraline) iyo Prozac (fluoxetine)
- Daawooyinka la-qabqabashada sida Carbamazepin iyo phenytoin
- Dawooyinka antifungal sida Diflucan (fluconazole) iyo Sporanox (itraconazole)
- Daawooyinka ladagaallanka ladagaallanka sida Emend (rafcaan)
- Dawooyinka Asthmaaca sida Xaqiijinta (Zafirlukast)
- Aspirin
- Dareemayaasha dhiigga sida Qaadka (warfarin)
- Diuretics ("kaniiniyada biyaha")
- Daawooyinka wadnaha sida verapamil, diltiazem, iyo amiodarone
- Daawooyinka miyir la'aanta ah sida Tagamet (cimetidiin)
- Daawooyinka HIV-ga sida Reyataz (atazanavir), Crixivan (indinavir), iyo Kaletra (lopinavir / ritonavir)
- Qalabka uur-qaadida ee hormoonnada
- Daawooyinka Immunosuppressant
- Corticosteroids kale
- St. John Wort
Waxaa intaa sii dheer, isticmaalka qiyaasta dheeraadka ah ama isticmaalka dheer ee prednisone wuxuu yareyn karaa jawaab celinta difaaca tallaalada qaarkood oo ka dhigeysa mid aan waxtar lahayn. Haddii aad si xoog leh loola tacaalay cudurka sunta prednisone, waa inaad sugto ugu yaraan saddex bilood ka dib joojinta ka hor inta aadan qaadan tallaal nool .
Had iyo jeer hubi inaad dhakhtarkaaga kala hadashid wax kasta oo daroogo ah ama daroogo kasta oo aad qaadan kartid, haddii ay yihiin daawo, warqad dhakhtar la'aan ah, dhir, nafaqo, ama dhaqameed.
Tixgelinno Kale
Xilliga uurka, prednisone waa in loo isticmaalo marka loo baahdo. Looma muujinin in ay waxyeelo u geysato uurjiifka daraasaadka xayawaanka. Daawada ayaa loo gudbin karaa ilmo dhalan iyada oo loo marayo caanaha naasku laakiin looma ogaanayo waxyeello. Had iyo jeer miisaan culus iyo khatarta dhakhtarkaaga ka hor inta aanad bilaabin daaweynta.
Waxaa lagula talinayaa in qaabka dareeraha ah uu ka kooban yahay sonkorta iyo aalkolada. Waxaa laga yaabaa inaad u baahato inaad isticmaasho qaabka kiniiniga haddii mid ka mid ah walxahaas ay si xun u saameeyaan xaalad caafimaad sida sonkorowga ama cudurka beerka.
Ugu dambeyntii, haddii aad qaadanaysay qiyaas ahaan waqti hore, waa inaadan joojin daaweynta si lama filaan ah. Daaweynta daroogada si tartiib ah ayaa kaa caawin doonta inaad ka fogaato ama aad yareeyso saameynta daawada ee ka timaadda joojinta daaweynta si lama filaan ah.
> Isha:
> Firestein, G .; Budd, R .; Gabriel, S. et al. (2017) Kelley iyo Firestein ee buugta qoraalka ee Rheumatology (10aad ). Philadelphia, Pennsylvania: Elsevier: ISBN: 9780323316965.