Prednisone ya Phumu: Kodi Imagwira?

Zamkati

• Kodi prednisone ya asthma ndiyothandiza motani?
• Zotsatira zake ndi ziti?
• Nditenga zochuluka motani?
• Mafunso oti mufunse dokotala wanu
• Zosankha zina
• Mpweya wa corticosteroids
• Mast cell stabilizers
• Zosintha za Leukotriene
• Mfundo yofunika

Chidule

Prednisone ndi corticosteroid yomwe imabwera mkamwa kapena mawonekedwe amadzimadzi. Zimagwira ntchito poteteza chitetezo cha mthupi kuti chithandizire kuchepetsa kutupa kwa mayendedwe a anthu omwe ali ndi mphumu.

Prednisone imaperekedwa kwa kanthawi kochepa, ngati mukuyenera kupita kuchipinda chodzidzimutsa kapena kuchipatala chifukwa chodwala mphumu. Phunzirani njira zopewera matenda a mphumu.

Prednisone itha kuperekedwanso ngati chithandizo chanthawi yayitali ngati mphumu yanu ndi yayikulu kapena yovuta kuyisamalira.

Kodi prednisone ya asthma ndiyothandiza motani?

Nkhani yowunikira mu American Journal of Medicine idasanthula mayesero asanu ndi limodzi kwa achikulire omwe ali ndi magawo owopsa a mphumu. M'mayeserowa, anthu adalandira chithandizo cha corticosteroid mkati mwa mphindi 90 atafika kuchipinda chadzidzidzi. Ofufuza apeza kuti maguluwa anali ndi mitengo yotsika yovomerezeka kuchipatala kuposa anthu omwe amalandila malowa m'malo mwake.

Kuphatikiza apo, kuwunikiridwa kwa kasamalidwe ka mphumu yayikulu ku American Family Physician kunapeza kuti anthu omwe amatumizidwa kunyumba ndi mankhwala a masiku 5 mpaka 10 a 50 mpaka 100 milligrams (mg) a oral prednisone anali ndi chiopsezo chocheperanso kuzizindikiro za mphumu. Kuwunikanso komweku akuti kwa ana azaka 2 mpaka 15, masiku atatu a prednisone therapy pa 1 mg pa kilogalamu ya kulemera kwa thupi atha kukhala othandiza masiku asanu a prednisone therapy.

Zotsatira zake ndi ziti?

Zotsatira zoyipa za prednisone zitha kuphatikiza:

• posungira madzimadzi
• kuchuluka kwa njala
• kunenepa
• kukhumudwa m'mimba
• kusintha kwamakhalidwe kapena kakhalidwe
• kuthamanga kwa magazi
• Kuchulukitsa chiwopsezo cha matenda
• kufooka kwa mafupa
• kusintha kwa diso, monga glaucoma kapena ng'ala
• zoyipa pakukula kapena chitukuko (mukauzidwa kwa ana)

Ndikofunika kuzindikira kuti zambiri mwazimenezi, monga kufooka kwa mafupa komanso kusintha kwa maso, zimachitika pambuyo poti agwiritse ntchito nthawi yayitali. Sizachilendo ndi mankhwala a prednisone a kanthawi kochepa. Onani zithunzi zoseketsa zomwe zimakhala ndi zovuta zina za prednisone.

Nditenga zochuluka motani?

Prednisone imapezeka ngati piritsi yamlomo kapena yothetsera madzi m'kamwa ku United States. Ngakhale zili choncho, prednisone siyofanana ndi methylprednisolone, yomwe imapezeka ngati yankho la jakisoni komanso piritsi lamlomo. Nthawi zambiri, oral prednisone imagwiritsidwa ntchito ngati mankhwala oyamba pachimake cha asthma chifukwa zonse ndizosavuta kutenga komanso zotsika mtengo.

Kutalika kwapakati pamankhwala a corticosteroids monga prednisone ndi masiku 5 mpaka 10. Akuluakulu, mlingo wamba umaposa 80 mg. Mlingo wodziwika bwino kwambiri ndi 60 mg. Mlingo wopitilira 50 mpaka 100 mg patsiku sikuwonetsedwa kuti ndiwothandiza kwambiri pakapumula.

Ngati mwaphonya mlingo wa prednisone, muyenera kumwa mlingo womwe mwaphonya mukangokumbukira. Ngati ili pafupi nthawi ya mlingo wanu wotsatira, tulukani mlingo womwe mwaphonya ndipo mutenge mlingo wotsatira womwe umakonzedwa.

Simuyenera kutenga mlingo wowonjezera kuti mupange mlingo womwe mwaphonya. Pofuna kupewa kusokonezeka m'mimba, ndibwino kutenga prednisone ndi chakudya kapena mkaka.

Mafunso oti mufunse dokotala wanu

Prednisone siyabwino kutenga mukakhala ndi pakati. Muyenera kudziwitsa dokotala nthawi yomweyo ngati muli ndi pakati mukatenga prednisone.

Chifukwa prednisone imagwira chitetezo cha mthupi, mutha kutenga matenda mosavuta. Muyenera kulankhula ndi dokotala ngati muli ndi matenda opitilira kapena mwalandira katemera posachedwa.

Pali mankhwala angapo omwe amatha kulumikizana molakwika ndi prednisone. Ndikofunika kuti dokotala wanu adziwe zamankhwala onse omwe mukumwa. Muyenera kulankhula ndi dokotala ngati mukumwa mankhwala aliwonse awa:

• oonda magazi
• mankhwala a shuga
• mankhwala a chifuwa chachikulu
• maantibayotiki amtundu wa macrolide, monga erythromycin (EES) kapena azithromycin (Zithromax)
• cyclosporine (Sandimmune)
• estrogen, kuphatikizapo mankhwala oletsa kubereka
• mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), monga aspirin
• okodzetsa
• anticholinesterases, makamaka mwa anthu omwe ali ndi myasthenia gravis

Zosankha zina

Palinso mankhwala ena oletsa kutupa omwe atha kugwiritsidwa ntchito ngati chithandizo cha mphumu. Izi zikuphatikiza:

Mpweya wa corticosteroids

Inhaled corticosteroids ndi yothandiza kwambiri pakuchepetsa kuchuluka kwa kutupa ndi mamina panjira. Amakonda kutengedwa tsiku lililonse. Amabwera m'mitundu itatu: ineredr dose inhaler, youma ufa inhaler, kapena nebulizer solution.

Mankhwalawa amathandiza kupewa zizindikiritso za mphumu, osachiza matenda.

Mukamamwa pang'ono, corticosteroids yopuma imakhala ndi zotsatirapo zochepa. Ngati mukumwa mankhwala okwera kwambiri, nthawi zambiri mumatha kutenga matenda a fungus mkamwa otchedwa thrush.

Mast cell stabilizers

Mankhwalawa amagwira ntchito poletsa kutulutsa kwa gulu lotchedwa histamine ndimaselo ena amthupi mthupi lanu. Amagwiritsidwanso ntchito popewa zizindikiritso za mphumu, makamaka kwa ana komanso anthu omwe ali ndi mphumu chifukwa cha masewera olimbitsa thupi.

Ma cell cell okhazikika amatengedwa kawiri kapena kanayi patsiku ndipo amakhala ndi zovuta zochepa. Zotsatira zoyipa kwambiri ndi khosi louma.

Zosintha za Leukotriene

Omasulira a Leukotriene ndi mtundu watsopano wa mankhwala a mphumu. Amagwira ntchito poletsa zomwe zimachitika, zotchedwa leukotrienes. Ma leukotrienes amapezeka mwachilengedwe mthupi lanu ndipo amatha kuyambitsa minofu yolumikiza.

Mapiritsiwa amatha kumwa kamodzi kapena kanayi patsiku. Zotsatira zoyipa kwambiri ndimutu komanso mseru.

Mfundo yofunika

Prednisone ndi corticosteroid yomwe imaperekedwa makamaka chifukwa cha mphumu. Zimathandiza kuchepetsa kutupa m'mlengalenga mwa anthu omwe akukumana ndi matenda a mphumu.

Prednisone yapezeka kuti ndi yothandiza pochepetsa kuchepa kwa zizindikiro za mphumu pambuyo pochezera kuchipatala kapena kuchipatala.

Zotsatira zoyipa zambiri zomwe zimakhudzana ndi prednisone zimachitika nthawi yayitali.

Prednisone imatha kulumikizana ndi mitundu ingapo yamankhwala. Ndikofunikira kuuza dokotala wanu za mankhwala ena onse omwe mukumwa musanayambe pa prednisone.