Kuchuluka kwa Hydrocortisone

Zamkati

• Musanagwiritse ntchito rectal hydrocortisone,
• Rectal hydrocortisone imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Rectal hydrocortisone imagwiritsidwa ntchito limodzi ndi mankhwala ena kuchiza proctitis (kutupa mu rectum) ndi ulcerative colitis (zomwe zimayambitsa kutupa ndi zilonda mkatikati mwa matumbo akulu ndi thumbo). Amagwiritsidwanso ntchito kuthetsa kuyabwa ndi kutupa kuchokera m'mimba ndi mavuto ena am'mbali. Hydrocortisone ili mgulu la mankhwala otchedwa corticosteroids. Zimagwira ntchito poyambitsa zinthu zachilengedwe pakhungu kuti muchepetse kutupa, kufiira, komanso kuyabwa.

Hydrocortisone rectal imabwera ngati kirimu, enema, suppositories, ndi thovu loti mugwiritse ntchito mu rectum. Tsatirani malangizo omwe mwalandira kapena mankhwala anu mosamala, ndipo funsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito rectal hydrocortisone ndendende momwe mwalangizira. Musagwiritse ntchito pang'ono kapena pang'ono kapena musagwiritse ntchito mobwerezabwereza kuposa momwe adanenera dokotala.

Kwa proctitis, hydrocortisone rectal foam nthawi zambiri imagwiritsidwa ntchito kamodzi kapena kawiri patsiku kwa milungu iwiri kapena itatu, ndiye ngati kuli kofunikira, tsiku lililonse mpaka mkhalidwe wanu utakula. Hydrocortisone rectal suppositories nthawi zambiri imagwiritsidwa ntchito kawiri kapena katatu tsiku lililonse kwa milungu iwiri; angafunike chithandizo kwa milungu 6 kapena 8 pamavuto akulu. Zizindikiro za Proctitis zitha kusintha mkati mwa masiku 5 kapena 7.

Kwa zotupa, hydrocortisone rectal cream imagwiritsidwa ntchito kwa akulu ndi ana azaka 12 kapena kupitilira mpaka katatu kapena kanayi tsiku lililonse. Ngati mwalandira hydrocortisone popanda mankhwala (pakauntala) ndipo vuto lanu silikuyenda bwino pasanathe masiku asanu ndi awiri, lekani kuigwiritsa ntchito ndikuyimbira dokotala. Musati muike zonona mu rectum yanu ndi zala zanu.

Pa ulcerative colitis, hydrocortisone rectal enema imagwiritsidwa ntchito usiku uliwonse masiku 21. Ngakhale kuti matenda a colitis amatha kusintha mkati mwa masiku 3 mpaka 5, miyezi iwiri kapena iwiri yogwiritsa ntchito enema nthawi zonse imafunika. Itanani dokotala wanu ngati matenda anu akuchulukirachulukira samakula mkati mwa masabata awiri kapena atatu.

Dokotala wanu akhoza kusintha mlingo wanu wa rectal hydrocortisone mukamachiza kuti mutsimikizire kuti nthawi zonse mumagwiritsa ntchito mankhwala otsika kwambiri omwe amakugwirirani ntchito. Dokotala wanu angafunikire kusintha mlingo wanu ngati mukumva kupsinjika kwachilendo m'thupi lanu monga opaleshoni, matenda, kapena matenda. Uzani dokotala wanu ngati zizindikiro zanu zikuyenda bwino kapena zikuipiraipira kapena ngati mukudwala kapena kusintha kwaumoyo wanu mukamalandira chithandizo.

Hydrocortisone rectal suppositories itha kudetsa zovala ndi nsalu zina. Samalani kuti musawonongeke mukamagwiritsa ntchito mankhwalawa.

Musanagwiritse ntchito thovu la hydrocortisone koyamba, werengani mosamala malangizo omwe amadza nawo. Funsani dokotala wanu kapena wamankhwala kuti afotokoze gawo lirilonse lomwe simukumvetsa.

Ngati mukugwiritsa ntchito hydrocortisone rectal enema, tsatirani izi:

1. Yesetsani kukhala ndi matumbo. Mankhwalawa azigwira ntchito bwino ngati matumbo anu alibe kanthu.
2. Sambani botolo la enema kuti muwonetsetse kuti mankhwalawo akuphatikizidwa.
3. Chotsani chivundikirocho pamalangizo. Samalani kuti mugwire botolo pakhosi kuti mankhwala asatuluke m'botolo.
4. Gona kumanzere kwako ndi mwendo wako wakumanzere (kumanzere) molunjika ndipo mwendo wako wakumanja ukuweramira kuchifuwa chako kuti uchite bwino. Muthanso kugwada pabedi, kupumula chifuwa chanu chapamwamba ndi mkono umodzi pakama.
5. Lembani pang'ono nsonga ya wofunsayo mu rectum yanu, ndikuiloza pang'ono pamchombo wanu (batani lamimba).
6. Gwirani botolo mwamphamvu ndikupendekera pang'ono kuti kamphangako kaloze kumbuyo kwanu. Finyani botolo pang'onopang'ono komanso mosadukiza kuti mutulutse mankhwalawo.
7. Siyani wogwiritsa ntchitoyo. Khalani pamalo omwewo osachepera mphindi 30. Yesetsani kusunga mankhwala mkati mwa thupi lanu usiku wonse (pamene mukugona).
8. Sambani manja anu bwinobwino. Ponyani botolo mu chidebe chazinyalala chomwe sichingafikiridwe ndi ana ndi ziweto. Botolo lirilonse limakhala ndi mlingo umodzi wokha ndipo sayenera kugwiritsidwanso ntchito.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanagwiritse ntchito rectal hydrocortisone,

• uzani dokotala ndi wamankhwala ngati muli ndi vuto la hydrocortisone, mankhwala ena aliwonse, kapena chilichonse mwazinthu zopangidwa ndi rectal hydrocortisone. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: amphotericin B (Abelcet, Ambisome, Fungizone); maanticoagulants ('oonda magazi') monga warfarin (Coumadin, Jantoven); aspirin kapena ma NSAID ena monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); barbiturates; carbamazepine (Carbatrol, Epitol, Tegretol, ena); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); njira zolerera za mahomoni (mapiritsi olera, zigamba, mphete, zopangira, ndi jakisoni); isoniazid (mu Rifamate, ku Rifater); ketoconazole (Extina, Nizoral, Xolegel); mankhwala a macrolide monga clarithromycin (Biaxin, mu Prevpac) kapena erythromycin (EES, Eryc, Eryped, ena); mankhwala a shuga; phenytoin (Dilantin, Phenytek); ndi rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi hydrocortisone, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• Uzani dokotala wanu ngati muli ndi matenda a fungal (kupatula pakhungu kapena misomali yanu), peritonitis (kutupa kwa m'mbali mwa m'mimba), kutsekeka m'matumbo, fistula (kulumikizana kwachilendo pakati pa ziwalo ziwiri mkati mwa thupi lanu kapena pakati pa chiwalo ndi kunja kwa thupi lanu) kapena misozi pakhoma la m'mimba kapena m'matumbo. Dokotala wanu angakuuzeni kuti musagwiritse ntchito rectal hydrocortisone.
• uzani dokotala wanu ngati mwakhalapo ndi ziphuphu (mtundu wa nyongolotsi zomwe zimatha kukhala mkati mwa thupi); matenda ashuga; diverticulitis (ziphuphu zotupa mkati mwa matumbo akulu); mtima kulephera; kuthamanga kwa magazi; matenda a mtima aposachedwa; kufooka kwa mafupa (momwe mafupa amafooka komanso osalimba ndipo amatha kuthyola mosavuta); myasthenia gravis (vuto lomwe minofu imafooka); mavuto am'maganizo, kukhumudwa kapena mitundu ina yamatenda amisala; chifuwa chachikulu (TB: mtundu wa matenda am'mapapo); zilonda zam'mimba; matenda enaake; kapena chiwindi, impso, kapena matenda a chithokomiro. Muuzeni dokotala ngati muli ndi mtundu uliwonse wa mabakiteriya, parasitic, kapena matenda amtundu uliwonse m'thupi lanu kapena matenda a herpes diso (mtundu wa matenda omwe amayambitsa zilonda pakhungu kapena diso).
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito rectal hydrocortisone, itanani dokotala wanu.
• mulibe katemera (kuwombera kuti muteteze matenda) osalankhula ndi dokotala.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito rectal hydrocortisone.
• Muyenera kudziwa kuti rectal hydrocortisone imachepetsa kuthekera kwanu kothana ndi matenda ndipo imatha kukulepheretsani kukhala ndi zizindikilo mukadwala. Khalani kutali ndi anthu omwe akudwala ndikusamba m'manja nthawi zambiri mukamagwiritsa ntchito mankhwalawa. Onetsetsani kuti mupewe anthu omwe ali ndi chikuku kapena chikuku. Itanani dokotala wanu nthawi yomweyo ngati mukuganiza kuti mwina mudakhalapo ndi munthu yemwe anali ndi nthomba kapena chikuku.

Dokotala wanu akhoza kukuphunzitsani kuti muzidya mchere wochuluka, potaziyamu wambiri, kapena zakudya zama calcium. Dokotala wanu amathanso kukupatsirani mankhwala othandizira calcium kapena potaziyamu. Tsatirani malangizowa mosamala.

Gwiritsani ntchito mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito mlingo wawiri kuti mupange omwe mwaphonya.

Rectal hydrocortisone imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• chizungulire
• kupweteka kwanuko kapena kutentha
• kufooka kwa minofu
• kusintha kwakukulu kwa kusintha kwa malingaliro mu umunthu
• chisangalalo chosayenera
• kuvuta kugona kapena kugona
• Kuchepetsa kuchiritsa kwa mabala ndi mikwingwirima
• kusamba kwachilendo kapena kosakhalitsa
• khungu lowonda, losalimba, kapena louma
• ziphuphu
• thukuta lowonjezeka
• kusintha kwa momwe mafuta amafalira kuzungulira thupi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• magazi
• masomphenya amasintha
• kukhumudwa
• zidzolo
• kuyabwa
• kutupa kwa maso, nkhope, milomo, lilime, mmero, manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi
• ming'oma
• kuvuta kupuma kapena kumeza

Ana omwe amagwiritsa ntchito rectal hydrocortisone atha kukhala ndi chiwopsezo chowonjezeka cha zovuta zoyipa kuphatikiza kukula pang'onopang'ono komanso kuchedwa kunenepa. Lankhulani ndi dokotala wa mwana wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Anthu omwe amagwiritsa ntchito rectal hydrocortisone kwa nthawi yayitali amatha kudwala glaucoma kapena ng'ala. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito rectal hydrocortisone komanso kuti maso anu amayesedwa kangati mukamalandira chithandizo.

Rectal hydrocortisone imatha kukulitsa chiopsezo chokhala ndi matenda a kufooka kwa mafupa. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Rectal hydrocortisone imatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Sungani malinga ndi malangizo phukusi. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Osamaundana kapena kuziziritsa pazitsulo zopangidwa ndi ma hydrocortisone.

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labu kuti aone momwe thupi lanu likuyankhira ku rectal hydrocortisone.

Musanayesedwe mu labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukugwiritsa ntchito rectal hydrocortisone.

Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Anusol HC^®
• Colocort^®
• Cortifoam^®
• Cortenema^®
• Kukonzekera H Anti-Itch^®
• Kuyesa^® Zowonjezera

• Proctofoam HC^® (okhala ndi Hydrocortisone, Pramoxine)