Kodi betamethasone ndi chiyani komanso momwe mungagwiritsire ntchito

Zamkati

• Ndi chiyani
• Momwe mungagwiritsire ntchito
• Zotsatira zoyipa
• Ngati sizikuwonetsedwa
• Kuyanjana kwa mankhwala

Betamethasone, yemwenso amadziwika kuti betamethasone dipropionate, ndi mankhwala omwe ali ndi anti-inflammatory, anti-allergic and anti-rheumatic action, omwe amagulitsidwa pamalonda pansi pa mayina a Diprospan, Dipronil kapena Dibetam, mwachitsanzo.

Betamethasone itha kugwiritsidwa ntchito popaka mafuta, mapiritsi, madontho kapena jakisoni ndipo imayenera kugwiritsidwa ntchito ndi upangiri wa zamankhwala, kuthetsa zizindikilo monga kuyabwa, kufiira, chifuwa, matenda a dermatological, collagen, kutupa kwa mafupa, mafupa ndi ziwalo zofewa kapena khansa.

Mafuta ena ndi zodzola zimakhala ndi betamethasone momwe amapangira, monga Betaderm, Betnovate, Candicort, Dermatisan, Diprogenta, Naderm, Novacort, Permut, Quadriderm ndi Verutex.

Ndi chiyani

Betamethasone mu kirimu kapena piritsi imawonetsedwa kuti ichepetse kutupa, kusapeza bwino komanso kuyabwa m'matenda ena, omwe ndi awa:

• Matenda a m'maso: nyamakazi, nyamakazi, bursitis, ankylosing spondylitis, epicondylitis, radiculitis, coccidinia, sciatica, lumbago, torticollis, ganglion chotupa, exostosis, fascitis;
• Mavuto: matenda amphumu, chifuwa chachikulu, angioneurotic edema, matupi awo sagwirizana, nyengo kapena osatha matupi awo sagwirizana rhinitis, mankhwala osokoneza bongo, matenda ogona ndi kulumidwa ndi tizilombo;
• Zochitika pakhungu: dermatitis ya atopic, neurodermatitis, kukhudzana kwambiri kapena dermatitis ya dzuwa, urticaria, hypertrophic lichen planus, matenda ashuga a lipoid necrobiosis, alopecia areata, discoid lupus erythematosus, psoriasis, keloids, pemphigus, herpetiform dermatitis ndi cystic acne;
• Collagenoses: Zokhudza lupus erythematosus; scleroderma; dermatomyositis; nodular periarteritis. Neoplasms: Palliative chithandizo cha leukemias ndi lymphomas mwa akulu; pachimake khansa khansa.

Kuphatikiza apo, itha kugwiritsidwa ntchito pochiza adrenogenital syndrome, ulcerative colitis, dera ileitis, bursitis, nephritis ndi nephrotic syndrome, momwemo kugwiritsa ntchito betamethasone kuyenera kuthandizidwa ndi mineralocorticoids. Jekeseni wa betamethasone tikulimbikitsidwa ngati mankhwalawo samayankha systemic corticosteroids.

Momwe mungagwiritsire ntchito

Momwe betamethasone imagwiritsidwira ntchito zimadalira msinkhu wa munthu komanso momwe akufunira, komanso momwe amagwiritsidwira ntchito. Chifukwa chake, pakakhala mafuta okhala ndi betamethasone tikulimbikitsidwa kuti akulu ndi ana azigwiritsa ntchito kirimu pang'ono pakhungu kamodzi kapena kanayi patsiku kwa masiku 14.

Akuluakulu, mlingo woyambirira umasiyana ndi 0,25 mg mpaka 8.0 mg patsiku, womwe umakhala waukulu kwambiri tsiku lililonse. Kwa ana, mlingo woyambira umatha kusiyanasiyana kuchokera ku 0,017 mg mpaka 0,25 mg pa kg ya kulemera.

Zotsatira zoyipa

Zotsatira zoyipa za betamethasone ndizokhudzana ndi kuchuluka kwa nthawi ndi chithandizo, ndi kuthamanga kwa magazi, kuyabwa, kufooka kwa minofu ndi kupweteka, kutayika kwa minofu, kufooka kwa mafupa, mafupa am'mafupa, kutupa kwa kapamba, kutsekula m'mimba, ulcerative esopharyngitis komanso kuchiritsa. a zimakhala.

Anthu ena amathanso kunena za ecchymosis, erythema ya nkhope, kuchuluka kwa thukuta, chizungulire, kupweteka mutu, kusamba msambo, kukula kwa Cushing's syndrome, kuchepa kwa kuloleza kwama carbohydrate, mawonetseredwe azachipatala a matenda ashuga omwe amafunikira insulin tsiku lililonse kapena othandizira pakamwa.

Ngakhale pali zovuta zingapo zokhudzana ndi kugwiritsidwa ntchito kwa betamethasone, izi zimatha kusinthidwa pokhapokha kusintha mlingo kapena kuimitsa chithandizocho, ndipo akuyenera kutsogozedwa ndi adotolo.

Ngati sizikuwonetsedwa

Kugwiritsa ntchito betamethasone kuyenera kutsogozedwa ndi adotolo, ndipo sikulimbikitsidwa kwa anthu omwe ali ndi kachilombo koyambitsa matenda kapena / kapena kachitidwe kake, hypersensitivity kuzinthu za kapangidwe kake kapena zina za corticosteroids komanso kwa ana ochepera zaka ziwiri, kuwonjezera pa kulimbikitsidwa kwa amayi omwe ali ndi pakati pangozi kapena poyamwitsa.

Kuphatikiza apo, betamethasone sayenera kuperekedwa kwa minofu mwa anthu omwe ali ndi idiopathic thrombocytopenic purpura ndipo sayenera kugwiritsidwa ntchito pamitsempha kapena pakhungu pakakhala odwala omwe ali ndi zilonda zam'mimba zopanda pake, ngati pali kuthekera kwa kutayika kwapafupi, abscess kapena matenda ena am'mimba , diverticulitis, matumbo aposachedwa anastomosis, zilonda zam'mimba kapena zobisika, kulephera kwa impso kapena matenda oopsa, kufooka kwa mafupa ndi myasthenia.

Kuyanjana kwa mankhwala

Betamethasone imatha kulumikizana ndi mankhwala ena osokoneza bongo, chifukwa chake, sayenera kugwiritsidwa ntchito limodzi, chifukwa pakhoza kukhala zosokoneza. Chifukwa chake, mankhwala omwe sayenera kugwiritsidwa ntchito limodzi ndi betamethasone ndi awa: phenobarbital, phenytoin, rifampicin ndi ephedrine, estrogens, digitalis, amphotericin B; coumarins, mankhwala osokoneza bongo osagwiritsa ntchito mahomoni komanso mowa, salicylates, acetylsalicylic acid, hypoglycemic agents ndi glucocorticoids.