Dexamethasone, Piritsi Yamlomo

Zamkati

• Mfundo zazikuluzikulu za dexamethasone
• Machenjezo ofunikira
• Kodi dexamethasone ndi chiyani?
• Chifukwa chimagwiritsidwa ntchito
• Momwe imagwirira ntchito
• Zotsatira za Dexamethasone
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Dexamethasone imatha kulumikizana ndi mankhwala ena
• Maantibayotiki
• Mankhwala osokoneza bongo
• Opaka magazi
• Mankhwala a cholesterol
• Mankhwala a Cushing's syndrome
• Mankhwala a shuga
• Odzetsa (mapiritsi amadzi)
• Mankhwala a khunyu
• Mankhwala amtima
• Mahomoni
• Mankhwala a HIV
• NSAIDs
• Mankhwala achifuwa
• Katemera
• Mankhwala ena
• Machenjezo a Dexamethasone
• Nthendayi
• Kwa anthu omwe ali ndi thanzi labwino
• Kwa amayi apakati
• Kwa amayi omwe akuyamwitsa
• Kwa okalamba
• Nthawi yoti muyitane dokotala wanu
• Momwe mungatengere dexamethasone
• Mlingo wa kutupa ndi zina
• Tengani monga mwalamulidwa
• Mukasiya kumwa mankhwala mwadzidzidzi kapena osamwa konse
• Ngati mwaphonya Mlingo kapena osamwa mankhwalawo panthawi yake
• Mukatenga kwambiri
• Zomwe muyenera kuchita mukaphonya mlingo
• Momwe mungadziwire ngati mankhwalawa akugwira ntchito
• Zofunikira pakumwa dexamethasone
• Zonse
• Yosungirako
• Zowonjezeranso
• Kuyenda
• Kuwunika kuchipatala
• Kodi pali njira zina?

Mayeso azachipatala a Oxford University a RECOVERY apeza kuti dexamethasone yocheperako imawonjezera mwayi wopulumuka kwa odwala omwe ali ndi COVID-19 omwe amafunikira thandizo la kupuma.

Pakafukufuku, mankhwalawa adachepetsa chiwerengero cha anthu omwe amwalira ndi gawo limodzi mwa atatu mwa anthu omwe ali ndi makina opumira, komanso gawo limodzi mwa magawo asanu a anthu omwe ali ndi mpweya. Panalibe phindu lomwe linapezedwa kwa anthu omwe sanafune thandizo la kupuma. Musagwiritse ntchito mankhwalawa kuchiza COVID-19 pokhapokha dokotala atakuuzani kuti mutero. Ngati muli ndi mafunso okhudza kugwiritsa ntchito dexamethasone kwa COVID-19, lankhulani ndi dokotala wanu.

Onani zosintha zathu pompopompo pazomwe zakhala zikuchitika pakubuka kwa COVID-19 (matenda oyambitsidwa ndi coronavirus yatsopano). Ndi zambiri zamomwe mungakonzekerere, upangiri popewa ndi chithandizo chamankhwala, ndi malingaliro a akatswiri, pitani ku likulu lathu la COVID-19.

Mfundo zazikuluzikulu za dexamethasone

1. Piritsi lamlomo la Dexamethasone limapezeka ngati mankhwala achibadwa komanso mayina ena. Dzina la dzina: DexPak.
2. Dexamethasone imabwera ngati piritsi yamlomo, yankho la m'kamwa, madontho amaso, ndi madontho amakutu. Ikupezekanso ngati yankho la jakisoni kapena yankho la intraocular lomwe limaperekedwa pambuyo pochitidwa opaleshoni. Mitundu iwiriyi imaperekedwa ndi wothandizira zaumoyo okha.
3. Piritsi lamlomo la Dexamethasone limagwiritsidwa ntchito pochiza matenda ambiri. Izi zikuphatikiza kutupa, kusagwirizana, komanso kuphulika kwa ulcerative colitis. Mulinso kusakwanira kwa adrenal.

Machenjezo ofunikira

• Matupi awo sagwirizana: Dexamethasone imatha kuyambitsa zovuta zina nthawi zina. Ngati mukuvutika kupuma, zidzolo, kapena khungu loyabwa, kapena mukawona kutupa kwa mikono, mapazi, kapena lilime lanu, itanani dokotala wanu mwachangu. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi zachipatala.
• Kuwonongeka kwa mtima: Ngati mwangodwala kumene mtima, mutha kukhala pachiwopsezo chowonjezeka chowonongeka mtima kuchokera ku mankhwalawa. Musanayambe mankhwalawa, onetsetsani kuti dokotala akudziwa kuti mwadwala mtima.
• Matenda Dexamethasone imatha kubisa kapena kukulitsa matenda ena. Kuphatikiza apo, matenda amatha kukhala munthawi ya chithandizo. Musagwiritse ntchito mankhwalawa ngati muli ndi matenda a mafangasi, kapena mbiri yakale ya tiziromboti kapena chifuwa chachikulu. Uzani dokotala wanu za matenda am'mbuyomu kapena matenda am'mbuyomu.
• Mavuto amaso: Kugwiritsa ntchito dexamethasone kwa nthawi yayitali kumatha kubweretsa zovuta zamaso monga khungu kapena glaucoma. Mankhwalawa amathanso kuwononga mitsempha yamawonedwe, kapena fungal kapena matenda amaso amtundu.
• Chikuku kapena nthomba: Uzani dokotala wanu ngati simunakhale ndi nthomba kapena chikuku, kapena ngati simunakhale ndi katemera wowathandiza. Mutha kukhala ndimatenda ovuta kwambiri ngati mungakhale nawo mukamamwa dexamethasone.

Kodi dexamethasone ndi chiyani?

Dexamethasone ndi mankhwala akuchipatala. Amapezeka ngati piritsi lakamwa, yankho la m'kamwa, madontho amaso, ndi madontho akumakutu. Ikupezekanso ngati yankho la jakisoni kapena yankho la intraocular lomwe limaperekedwa pambuyo pochitidwa opaleshoni. Mitundu iwiri yomalizayi imangoperekedwa ndi othandizira azaumoyo.

Piritsi la dexamethasone limapezeka ngati dzina la mankhwala DexPak. Ikupezekanso ngati mankhwala achibadwa. Mankhwala achibadwa nthawi zambiri amakhala otsika poyerekeza ndi mtundu wamaina. Nthawi zina, sangapezeke mwamphamvu zonse kapena mitundu yonse monga dzina lodziwika bwino la mankhwalawa.

Chifukwa chimagwiritsidwa ntchito

Piritsi lamkamwa la dexamethasone limagwiritsidwa ntchito pochiza zinthu zomwe zimayambitsa kutupa, mikhalidwe yokhudzana ndi chitetezo chamthupi, komanso kuchepa kwamahomoni. Izi ndi monga:

• kutupa
• thupi lawo siligwirizana
• nyamakazi ndi matenda ena amisempha, kuphatikizapo ankylosing spondylitis, psoriatic nyamakazi, ana nyamakazi, lupus, ndi pachimake gouty nyamakazi
• Matenda apakhungu, monga atopic dermatitis (eczema), pemphigus, erythema multiforme (Stevens-Johnson syndrome), exfoliative dermatitis, bullous dermatitis herpetiformis, seborrheic dermatitis, psoriasis yoopsa, kapena mycosis fungoides
• kuwuka kwa matenda am'mimba, monga ulcerative colitis
• kufalikira kwa multiple sclerosis kapena myasthenia gravis
• chithandizo cha chemotherapy chochepetsera kutupa ndi zotulukapo za mankhwala a khansa
• leukemias ndi ma lymphomas ena
• kusakwanira kwa adrenal (vuto lomwe ma adrenal gland samatulutsa mahomoni okwanira)

Momwe imagwirira ntchito

Dexamethasone ndi gulu la mankhwala otchedwa steroids. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

• Pazifukwa zotupa: Ndi zinthu zina, kutupa kumatha kupangitsa kuti chitetezo cha mthupi chiteteze kwambiri. Izi zitha kuwononga minyewa ya thupi. Steroids monga dexamethasone amathandiza kuteteza chitetezo cha mthupi kuthupi, zomwe zimathandiza kupewa kuwonongeka kumeneku.
• Kulephera kwa adrenal: Adrenal gland imathandizira kuwongolera zochitika zina za thupi. Izi zikuphatikizapo kuyang'anira shuga wamagazi, kulimbana ndi matenda, komanso kuwongolera kupsinjika. Kwa anthu omwe alibe adrenal, gland adrenal imatulutsa mahomoni ochepa. Dexamethasone imathandizira kusintha mahomoniwa.

Zotsatira za Dexamethasone

Piritsi la m'kamwa la Dexamethasone silimayambitsa kugona, koma limatha kuyambitsa zovuta zina.

Zotsatira zofala kwambiri

Zotsatira zoyipa zomwe zimatha kuchitika ndi mapiritsi amlomo a dexamethasone ndi monga:

• nseru
• kusanza
• kukhumudwa m'mimba
• kutupa (edema)
• mutu
• chizungulire
• kusintha kwa malingaliro, monga kukhumudwa, kusintha kwa malingaliro, kapena kusintha kwa umunthu
• kuvuta kugona
• nkhawa
• potaziyamu otsika (kuchititsa zizindikilo monga kutopa)
• shuga wambiri wamagazi
• kuthamanga kwa magazi

Ngati zotsatirazi ndizochepa, zimatha kutha masiku angapo kapena milungu ingapo. Ngati ali ovuta kwambiri kapena osapita, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zoyipa

Itanani dokotala wanu nthawi yomweyo ngati muli ndi zovuta zina. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi zachipatala. Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:

• Kutopa kwachilendo
• Chizungulire chosazolowereka
• Kusokonezeka kwam'mimba kosazolowereka. Zizindikiro zimatha kuphatikiza:
  • kupweteka m'mimba
  • nseru kapena kusanza
• Magazi mu mpando wanu, kapena mipando yakuda
• Magazi mkodzo wanu
• Kutuluka magazi kapena kuvulala kwachilendo
• Kutupa kosazolowereka mthupi lanu lonse, kapena kuphulika m'mimba mwanu (m'mimba)
• Matenda. Zizindikiro zimatha kuphatikiza:
  • malungo
  • kupweteka kwa minofu
  • kupweteka pamodzi
• Kusintha kwa malingaliro kapena malingaliro, kapena zovuta zamatenda monga kukhumudwa. Zizindikiro zimatha kuphatikiza:
  • kusinthasintha kwamphamvu
  • chisangalalo (chisangalalo chachikulu)
  • kuvuta kugona
  • kusintha kwa umunthu
• Kwambiri matupi awo sagwirizana anachita. Zizindikiro zimatha kuphatikiza:
  • malungo
  • kuvuta kupuma
• Kulephera kwa adrenal. Zizindikiro zimatha kuphatikiza:
  • kutopa
  • nseru
  • mtundu wakuda wakuda
  • chizungulire akaimirira
• Matenda ambiri pafupipafupi (amatha kuchitika ndi kugwiritsa ntchito nthawi yayitali)
• Zilonda zam'mimba. Zizindikiro zimatha kuphatikiza:
  • kupweteka pamimba (m'mimba)
• Kulephera kwa mtima. Zizindikiro zimatha kuphatikiza:
  • kupuma movutikira
  • kutopa
  • miyendo yotupa
  • kugunda kwamtima mwachangu
• Osteoporosis (kupatulira mafupa)

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti izi zimaphatikizaponso zovuta zonse zomwe zingachitike. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse muzikambirana mavuto omwe angakhalepo ndi othandizira azaumoyo omwe amadziwa mbiri yanu yazachipatala.

Dexamethasone imatha kulumikizana ndi mankhwala ena

Piritsi lamlomo la Dexamethasone limatha kulumikizana ndi mankhwala ena, mavitamini, kapena zitsamba zomwe mwina mukumwa. Kulumikizana ndi pamene chinthu chimasintha momwe mankhwala amagwirira ntchito. Izi zitha kukhala zowononga kapena kuletsa mankhwalawa kuti asagwire ntchito bwino.

Pofuna kupewa kuyanjana, dokotala ayenera kuyang'anira mankhwala anu onse mosamala. Onetsetsani kuuza dokotala wanu za mankhwala onse, mavitamini, kapena zitsamba zomwe mukumwa. Kuti mudziwe momwe mankhwalawa angagwirizane ndi china chake chomwe mumatenga, lankhulani ndi dokotala kapena wamankhwala.

Zitsanzo za mankhwala omwe angayambitse kuyanjana ndi dexamethasone alembedwa pansipa.

Maantibayotiki

Mankhwalawa amagwiritsidwa ntchito pochiza matenda oyamba ndi mabakiteriya. Mukamagwiritsa ntchito dexamethasone, mankhwalawa amatha kukulitsa kuchuluka kwa dexamethasone mthupi lanu. Izi zimawonjezera chiopsezo chanu chazovuta.

Mankhwala osokoneza bongo

Mukagwiritsidwa ntchito ndi dexamethasone, mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a fungus amatha kukulitsa dexamethasone m'magazi anu. Izi zitha kubweretsa chiopsezo chanu chazovuta. Zitsanzo za mankhwalawa ndi monga:

• ketoconazole
• chithu
• posaconazole
• alireza

Amphotericin B Ndi mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a fungus. Kugwiritsa ntchito mankhwalawa ndi dexamethasone kumakulitsa chiopsezo cha potaziyamu wochepa. (Potaziyamu ndi mchere womwe umathandiza kuti minyewa, minofu, ndi ziwalo zizigwira ntchito bwino.) Izi zimatha kupangitsa minofu kukanika, kufooka, kutopa, komanso kugunda kwamtima kosazolowereka.

Opaka magazi

Kugwiritsa ntchito dexamethasone yokhala ndi ochepetsa magazi kungachepetse kuchuluka kwa mankhwalawa mthupi lanu. Izi zitha kuwapangitsa kukhala ocheperako, ndikuwonjezera chiopsezo cha kuundana kapena kupweteka. Zitsanzo za mankhwalawa ndi monga:

• alireza
• mankhwala a Rivaroxaban

Warfarin amagwiritsidwanso ntchito kupopera magazi. Kugwiritsa ntchito dexamethasone ndi mankhwalawa kungapangitse kuti musinthe magazi. Dokotala wanu angafunikire kukuyang'anirani mosamala.

Mankhwala a cholesterol

Ngati mutenga dexamethasone ndi mankhwala ena ogwiritsira ntchito kutsitsa cholesterol, imatha kuteteza thupi lanu kuti lisamwe dexamethasone bwino. Izi zitha kupangitsa kuti dexamethasone isagwire bwino ntchito. Zitsanzo za mankhwalawa ndi monga:

• kutuloji
• alireza
• chithuchitra

Mankhwala a Cushing's syndrome

Aminoglutethimide amagwiritsidwa ntchito pochiza matenda a Cushing's syndrome (matenda a adrenal gland). Kugwiritsa ntchito mankhwalawa ndi dexamethasone kumachepetsa kuchuluka kwa dexamethasone mthupi lanu. Izi zikutanthauza kuti mwina sizingagwirenso ntchito.

Mankhwala a shuga

Dexamethasone imatha kukulitsa shuga wamagazi. Ngati mumamwa mankhwala a shuga, dokotala wanu angafunike kusintha mlingo wanu. Zitsanzo za mankhwalawa ndi monga:

• ma amylin ofanana, monga:
  • pramlintide
• zazikulu, monga:
  • metformin
• GLP-1 agonists, monga:
  • kuwonjezera
  • liraglutide
  • lixisenatide
• DPP4 inhibitors, monga:
  • alireza
  • owo
  • insulini
• meglitinides, monga:
  • natuwo
  • repanlinide
• sulfonylureas, monga:
  • alireza
  • glipizide
  • glyburide
• SGLT-2 inhibitors, monga:
  • canagliflozin
  • dapagliflozin
  • kutchalitchi
• thiazolidinediones, monga:
  • magwire
  • rosiglitazone

Odzetsa (mapiritsi amadzi)

Pogwiritsidwa ntchito ndi dexamethasone, mankhwalawa amachepetsa potaziyamu mthupi lanu. (Potaziyamu ndi mchere womwe umathandiza kuti minyewa, minofu, ndi ziwalo zizigwira ntchito bwino.) Izi zimatha kupangitsa minofu kukanika, kufooka, kutopa, komanso kugunda kwamtima kosazolowereka. Zitsanzo za mankhwalawa ndi monga:

• bumetanide
• alireza
• hydrochlorothiazide

Mankhwala a khunyu

Pogwiritsidwa ntchito ndi dexamethasone, mankhwala ena omwe amagwiritsidwa ntchito pochiza khunyu amatha kutsitsa dexamethasone m'magazi anu. Izi zitha kulepheretsa dexamethasone kuti igwire bwino ntchito. Zitsanzo za mankhwalawa ndi monga:

• muthoni
• fosphenytoin
• anayankha
• carbamazepine

Mankhwala amtima

Digoxin amagwiritsidwa ntchito pochiza mavuto a mtima kapena kulephera kwa mtima. Kumwa mankhwalawa ndi dexamethasone kumatha kuonjezera chiopsezo chanu chomenya mtima mosafunikira chifukwa cha potaziyamu wochepa. (Potaziyamu ndi mchere womwe umathandiza kuti minyewa, minofu, ndi ziwalo zanu zizigwira ntchito bwino.)

Mahomoni

Kutenga mahomoni ena ndi dexamethasone kumatha kuyambitsa kuchepa kwa mahomoni amenewa m'thupi lanu. Dokotala wanu ayenera kusintha mlingo wanu wa mankhwala a dexamethasone kapena hormone. Zitsanzo za mankhwalawa ndi monga:

• estrogens
• njira zakulera zam'kamwa

Mankhwala a HIV

Kutenga mankhwala omwe amagwiritsidwa ntchito pochiza HIV ndi dexamethasone kumatha kuchepetsa kuchuluka kwa mankhwalawa mthupi lanu. Izi zikutanthauza kuti mwina sizingagwire bwino ntchito, ndipo thupi lanu litha kusiya kuyankha mankhwala anu a HIV. Dokotala wanu amapewa kugwiritsa ntchito mankhwalawa ndi dexamethasone. Zitsanzo za mankhwalawa ndi monga:

• protease inhibitors, monga:
  • atazanavir
  • alireza
  • alireza
  • kutchfuneralhome
  • alireza
  • mwambo
  • alireza
  • alireza
  • alireza
• non-nucleoside reverse transcriptase inhibitors, monga:
  • etravirine
• zoletsa kulowa, monga:
  • chiwire
• integrase inhibitors, monga:
  • kutchfuneralhome

NSAIDs

Kugwiritsa ntchito mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) ndi dexamethasone kumadzetsa chiopsezo chakumimba. Lankhulani ndi dokotala wanu ngati mungathe kumwa mankhwalawa pamodzi. Zitsanzo za NSAID ndizo:

• aspirin
• ibuprofen
• indomethacin
• naproxen

Mankhwala achifuwa

Mukamagwiritsa ntchito dexamethasone, mankhwala ena omwe amagwiritsidwa ntchito pochiza TB (TB) amatha kutsitsa dexamethasone m'magazi anu. Izi zitha kulepheretsa dexamethasone kuti igwire bwino ntchito. Zitsanzo za mankhwalawa ndi monga:

• rifampin
• kutuloji
• alirezatalischi

Isoniazid ndi mankhwala ena a TB. Mukamagwiritsa ntchito dexamethasone, milingo ya isoniazid imatha kutsitsidwa. Izi zitha kuteteza isoniazid kuti isagwire bwino ntchito.

Katemera

Pewani kulandira katemera amoyo mukamamwa dexamethasone. Ndi katemera wamoyo, mumabayidwa ndi kachilombo kakang'ono kuti thupi lanu liphunzire kulimbana nalo.

Simuyenera kulandira katemera uyu pogwiritsa ntchito dexamethasone chifukwa mankhwalawa amachepetsa chitetezo chamthupi. Izi zikachitika, thupi lanu silitha kulimbana bwino ndi katemerayu, ndipo atha kukudwalitsani.

Katemera wamoyo omwe muyenera kupewa mukamamwa dexamethasone ndi awa:

• chikuku, chikuku, rubella (MMR)
• chimfine cha intranasal (FluMist)
• nthomba
• nthomba
• rotavirus
• yellow fever
• typhoid

Mankhwala ena

Asipilini ndi nonsteroidal anti-inflammatory drug (NSAID). Kawirikawiri amagwiritsidwa ntchito pochiza ululu, komanso amachepetsa magazi kuti achepetse chiopsezo cha mtima. Dexamethasone imachepetsa ma aspirin anu. Izi zitha kupangitsa kuti aspirin isagwire bwino ntchito ndikuwonjezera chiopsezo chanu chodwala matenda a mtima. Komanso, aspirin imatha kukulitsa chiopsezo chotenga magazi kuchokera kuzilonda zam'mimba (zilonda) mukamagwiritsa ntchito dexamethasone. Ngati mutenga aspirin, kambiranani ndi dokotala ngati dexamethasone ili bwino kwa inu.

Thalidomide amagwiritsidwa ntchito pochiza zotupa pakhungu ndi myeloma yambiri. Kuphatikiza ndi dexamethasone kungayambitse poizoni wa epidermal necrolysis. Khungu ili limatha kukhala pangozi. Ngati dokotala akukulemberani mankhwala onsewa, azikhala osamala pazomwe zingachitike chifukwa chophatikizana.

Cyclosporine amagwiritsidwa ntchito popewera kukana kwa ziwalo powaika odwala, komanso kuchiza nyamakazi kapena psoriasis. Kumwa mankhwalawa ndi dexamethasone kumatha kuonjezera chiopsezo kuti chitetezo chamthupi chanu chiziponderezedwa (sichitha bwino). Izi zitha kukulitsa chiopsezo chotenga matenda. Kugwidwa kwafotokozedwanso pamene mankhwalawa agwiritsidwa ntchito limodzi.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amagwirira ntchito mosiyanasiyana mwa munthu aliyense, sitingatsimikizire kuti izi zikuphatikizira kulumikizana kulikonse kotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi omwe amakuthandizani pa zaumoyo momwe mungachitire ndi mankhwala, mavitamini, zitsamba ndi zowonjezera, komanso mankhwala omwe mumamwa.

Machenjezo a Dexamethasone

Mankhwalawa amabwera ndi machenjezo angapo.

Nthendayi

Dexamethasone imatha kuyambitsa vuto lalikulu. Zizindikiro zimatha kuphatikiza:

• kuvuta kupuma
• kutupa pakhosi kapena lilime

Ngati simukugwirizana nazo, pitani kuchipatala nthawi yomweyo. Ngati matenda anu akukulira, itanani 911 kapena pitani kuchipinda chadzidzidzi chapafupi.

Musatengerenso mankhwalawa ngati munakhalapo ndi vuto linalake. Kutenganso kumatha kukhala koopsa (kuyambitsa imfa).

Kwa anthu omwe ali ndi thanzi labwino

Kwa anthu omwe ali ndi matenda: Dexamethasone imatha kukulitsa matenda amtundu wa fungal. (Systemic amatanthauza kuti imakhudza thupi lonse, osati gawo limodzi lokha.) Mankhwalawa sayenera kugwiritsidwa ntchito ngati mukumwa mankhwala kuti athetse matenda amtundu wa fungal. Komanso, dexamethasone imatha kubisa zizindikilo za matenda omwe siabowa.

Kwa anthu omwe ali ndi vuto lokanika mtima: Dexamethasone imatha kukulitsa kuchuluka kwa sodium, edema (kutupa), ndi kutayika kwa potaziyamu. Izi zitha kukulitsa mtima wanu kulephera. Musanamwe mankhwalawa, lankhulani ndi dokotala wanu ngati zili zotetezeka kwa inu.

Kwa anthu omwe ali ndi kuthamanga kwa magazi: Dexamethasone imatha kukulitsa kuchuluka kwa sodium ndi edema (kutupa). Izi zitha kukulitsa kuthamanga kwa magazi. Musanamwe mankhwalawa, lankhulani ndi dokotala wanu ngati zili zotetezeka kwa inu.

Kwa anthu omwe ali ndi zilonda zam'mimba: Dexamethasone imatha kuwonjezera chiopsezo cha kutuluka magazi m'mimba kapena m'mimba ndi zilonda. Ngati muli ndi zilonda zam'mimba kapena zina zamatumbo, lankhulani ndi dokotala wanu ngati mankhwalawa ndi abwino kwa inu. Zomwe matumbo amaphatikizapo:

• Kusokoneza
• anam`peza matenda am`matumbo

Kwa anthu omwe ali ndi matenda a kufooka kwa mafupa: Dexamethasone imachepetsa mafupa. Zimathandizanso kuti mafupa asungunuke (kuwonongeka kwa mafupa). Zotsatira zake, zimawonjezera chiopsezo cha kufooka kwa mafupa (kupatuka kwa mafupa). Chiwopsezo chimakhala chachikulu kwa anthu omwe ali pachiwopsezo chowonjezeka cha kufooka kwa mafupa. Izi zikuphatikizapo azimayi omwe atha msambo.

Kwa anthu omwe ali ndi hyperthyroidism: Mankhwalawa amachotsedwa mthupi mwachangu kuposa masiku onse. Dokotala wanu amatha kusintha kuchuluka kwa mankhwalawa kutengera momwe mulili.

Kwa anthu omwe ali ndi mavuto amaso: Kugwiritsa ntchito dexamethasone kwa nthawi yayitali kumatha kuyambitsa mavuto amaso monga khungu kapena glaucoma. Chiwopsezo chanu chimakhala chachikulu ngati muli ndi mavuto amaso monga khungu, glaucoma, kapena kukakamizidwa m'maso.

Kwa anthu omwe ali ndi chifuwa chachikulu: Ngati muli ndi chifuwa chachikulu kapena chifuwa chachikulu cha tuberculin, dexamethasone imatha kuyambiranso matendawa. Ngati mutapezeka ndi chifuwa chachikulu cha TB, lankhulani ndi dokotala wanu ngati kumwa mankhwalawa ndikwabwino kwa inu.

Kwa anthu omwe ali ndi mbiri yaposachedwa yamatenda amtima: Ngati mwangodwala kumene mtima, kugwiritsa ntchito dexamethasone kumatha kubweretsa misozi mu mnofu wanu wamtima. Musanayambe mankhwalawa, onetsetsani kuti dokotala akudziwa kuti mwadwala matenda a mtima posachedwa.

Kwa anthu omwe ali ndi matenda ashuga: Dexamethasone imatha kukulitsa shuga m'magazi. Zotsatira zake, dokotala wanu amatha kusintha mlingo wa mankhwala anu ochepetsa matenda ashuga.

Kwa anthu omwe ali ndi myasthenia gravis (MG): Ngati muli ndi MG, kugwiritsa ntchito dexamethasone ndi mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a Alzheimer kumatha kubweretsa kufooka kwakukulu. Zitsanzo za mankhwalawa ndi monga memantine, rivastigmine, ndi donepezil. Ngati ndi kotheka, dikirani osachepera maola 24 mutamwa mankhwalawa kuti muyambe mankhwala a dexamethasone.

Kwa amayi apakati

Dexamethasone ndi gulu C la mankhwala osokoneza bongo. Izi zikutanthauza zinthu ziwiri:

1. Kafukufuku wazinyama awonetsa zovuta kwa mwana wosabadwa mayi atamwa mankhwalawo.
2. Sipanakhale maphunziro okwanira omwe adachitika mwa anthu kuti atsimikizire momwe mankhwalawo angakhudzire mwana wosabadwayo.

Lankhulani ndi dokotala ngati muli ndi pakati kapena mukukonzekera kutenga pakati. Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha phindu lomwe lingakhalepo likutsimikizira kuopsa kwa mwana wosabadwayo.

Kwa amayi omwe akuyamwitsa

Dexamethasone sivomerezeka kwa azimayi omwe akuyamwitsa. Mankhwalawa amatha kupita kwa mwana kudzera mkaka wa m'mawere ndipo amatha kuyambitsa zovuta zina.

Kwa okalamba

Impso ndi chiwindi cha okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, mankhwala ambiri amakhala mthupi lanu kwa nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.

Nthawi yoti muyitane dokotala wanu

Itanani dokotala wanu nthawi yomweyo ngati mukudwala kapena mukukula kapena mukukula kapena mukumwa dexamethasone, kuphatikizapo malungo. Komanso, itanani dokotala wanu nthawi yomweyo mukakhala ndi pakati mukamamwa mankhwalawa.

Momwe mungatengere dexamethasone

Mlingo ndi mafomu onse omwe sangakhale nawo sangaphatikizidwe pano. Mlingo wanu, mawonekedwe anu, komanso kuti mumatenga kangati zimadalira:

• zaka zanu
• matenda omwe akuchiritsidwa
• momwe matenda anu alili
• Matenda ena omwe muli nawo
• momwe mumachitira ndi mankhwala oyamba

Mlingo wa kutupa ndi zina

Zowonjezera: Dexamethasone

• Mawonekedwe: piritsi yamlomo
• Mphamvu: 0.5 mg, 0.75 mg, 1 mg, 1.5 mg, 4 mg, ndi 6 mg

Mtundu: DexPak

• Mawonekedwe: piritsi yamlomo
• Mphamvu: 0.25 mg, 0.5 mg, 0.75 mg, 1 mg, 1.5 mg, 4 mg, ndi 6 mg

Mlingo wachikulire (wazaka 18 kapena kupitirira)

Mlingo wodziwika: 0.75-9 mg tsiku lililonse, kutengera momwe akuchiritsidwira.

Mlingo wa ana (zaka 0-17 zaka)

Mlingo woyambirira: 0.02-0.3 mg pa kilogalamu ya kulemera kwa thupi patsiku, wotengedwa m'mitundu itatu kapena inayi yogawanika. Mlingo umadalira momwe akuchiritsira.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Impso ndi chiwindi cha okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, mankhwala ambiri amakhala mthupi lanu kwa nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.

Dokotala wanu akhoza kukuyambitsani pamlingo wotsika kapena dongosolo lina la dosing. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.

Maganizo apadera

Mukasiya mankhwala, mlingo wanu uyenera kuchepetsedwa pang'onopang'ono pakapita nthawi. Izi zimathandiza kupewa zotsatira zoyipa.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala osokoneza bongo amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti mndandandawu umaphatikizira miyezo yonse yotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi dokotala kapena wamankhwala za mlingo woyenera kwa inu.

Tengani monga mwalamulidwa

Mapiritsi am'kamwa a Dexamethasone amagwiritsidwa ntchito pochiza matendawa kwa nthawi yayitali. Amabwera ndi zoopsa zazikulu ngati simukuwatenga monga momwe adanenera.

Mukasiya kumwa mankhwala mwadzidzidzi kapena osamwa konse

Ngati simumamwa mankhwalawa, matenda anu sadzayendetsedwa. Mukasiya kumwa dexamethasone mwadzidzidzi, mutha kukhala ndi zotsatirapo zoyipa. Izi zingaphatikizepo:

• kutopa
• malungo
• kupweteka kwa minofu
• kupweteka pamodzi

Mlingo wanu uyenera kuchepetsedwa pakapita nthawi kuti mupewe kusiya. Osasiya kumwa dexamethasone pokhapokha dokotala atakuwuzani kutero.

Ngati mwaphonya Mlingo kapena osamwa mankhwalawo panthawi yake

Mankhwala anu mwina sagwira ntchito kapena akhoza kusiya kugwira ntchito kwathunthu. Kuti mankhwalawa agwire bwino ntchito, kuchuluka kwake kumayenera kukhala mthupi lanu nthawi zonse.

Mukatenga kwambiri

Mutha kukhala ndimankhwala owopsa mthupi lanu. Zizindikiro za bongo za mankhwalawa zingaphatikizepo:

• kugunda kwamtima kosasintha
• kugwidwa
• Matendawa amakumana ndi zovuta, osavutika kupuma, ming'oma, kapena kutupa pakhosi kapena lilime

Ngati mukuganiza kuti mwamwa mankhwalawa mopitirira muyeso, itanani dokotala wanu kapena malo oletsa poyizoni kwanuko. Ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.

Zomwe muyenera kuchita mukaphonya mlingo

Ngati mwaphonya mlingo, dikirani ndikumwa mlingo wotsatira monga momwe mwakonzera. Osachulukitsa mlingo wanu. Izi zitha kubweretsa zovuta zoyipa.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito

Zizindikiro za matenda anu ziyenera kuchepetsedwa.

Zofunikira pakumwa dexamethasone

Kumbukirani izi ngati dokotala akukulemberani dexamethasone.

Zonse

• Tengani mankhwalawa panthawi yomwe dokotala akukulangizani.
• Mutha kudula kapena kuphwanya phale.

Yosungirako

• Sungani mapiritsi a dexamethasone kutentha kwapakati pakati pa 68 ° F mpaka 77 ° F (20 ° C mpaka 25 ° C).
• Musasunge mankhwalawa m'malo onyowa kapena onyowa, monga mabafa.

Zowonjezeranso

Mankhwala a mankhwalawa amakonzanso. Simuyenera kusowa mankhwala atsopano kuti mudzazidwenso. Dokotala wanu adzalemba kuchuluka kwa mafuta obwezerezedwanso pamankhwala anu.

Kuyenda

Mukamayenda ndi mankhwala anu:

• Nthawi zonse muzinyamula mankhwala anu. Mukamauluka, musayikenso m'thumba lofufuzidwa. Sungani m'thumba lanu.
• Osadandaula za makina a X-ray pabwalo la ndege. Sangathe kuvulaza mankhwala anu.
• Mungafunike kuwonetsa ogwira ntchito ku eyapoti chizindikiro cha mankhwala anu. Nthawi zonse muzinyamula bokosi loyambirira lomwe muli nalo.
• Musayike mankhwalawa m'galimoto yamagolovu amgalimoto yanu kapena siyani m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.

Kuwunika kuchipatala

Dokotala wanu adzakuyang'anirani mukamamwa mankhwalawa. Amatha kuyesa kuti aone ngati ali ndi vuto la dexamethasone. Mayesowa atha kuphatikiza:

• kuyesa kulemera
• kuthamanga kwa magazi
• kuyesa magazi m'magazi
• kuyesa kwamaso (kuyang'ana kwa glaucoma)
• kuyesa kwa mafupa amchere (kuwunika kwa mafupa)
• X-ray ya thirakiti lanu la m'mimba (izi zimachitika ngati muli ndi zizindikiro za zilonda zam'mimba, monga kupwetekedwa m'mimba, kusanza, kapena magazi kupondera kwanu)

Mtengo wamayesowa utengera inshuwaransi yanu.

Kodi pali njira zina?

Palinso mankhwala ena omwe amapezeka kuti athetse vuto lanu. Ena akhoza kukuyenererani kuposa ena. Lankhulani ndi dokotala wanu za mankhwala ena omwe angakuthandizeni.

Chodzikanira: Healthaline yayesetsa kwambiri kuti zidziwitso zonse zikhale zolondola, zokwanira, komanso zaposachedwa. Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala, kusokonezeka, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.