Kuchiza Multiple Sclerosis Flare-Ups ndi Steroids

Zamkati

• Multiple sclerosis steroids
• Anayankha
• Prednisone
• Zolemba
• Kodi zimagwira ntchito?
• Steroid ntchito MS mavuto
• Zotsatira zazifupi
• Zotsatira zazitali
• Kutsegula
• Tengera kwina

Momwe ma steroids amagwiritsidwa ntchito pochiza MS

Ngati muli ndi multiple sclerosis (MS), dokotala wanu angakupatseni ma corticosteroids kuti athetse matenda omwe amatchedwa kukulitsa. Zigawo izi za zizindikilo zatsopano kapena zobwereranso zimadziwikanso kuti kuwukira, kuwotcha, kapena kubwereranso.

Steroids cholinga chake ndi kufupikitsa kuukirako kuti mubwerere m'mbuyo posachedwa.

Sikoyenera kuthana ndi ma MS onse obwereranso ndi steroids, komabe. Mankhwalawa nthawi zambiri amakhala osungidwa mobwerezabwereza zomwe zimakulepheretsani kuti muzitha kugwira ntchito. Zitsanzo zina za izi ndi kufooka kwakukulu, zovuta, kapena kusokonezeka kwamasomphenya.

Mankhwala a Steroid ndi amphamvu ndipo amatha kuyambitsa zovuta zomwe zimasiyanasiyana malinga ndi munthu. Mankhwala a intravenous (IV) steroid amatha kukhala okwera mtengo komanso osavomerezeka.

Ubwino ndi mavuto a steroids a MS ayenera kuyezedwa payekhapayekha ndipo amatha kusintha pakadutsa matendawa.

Pitirizani kuwerenga kuti mudziwe zambiri za steroids kwa MS komanso zomwe zingathandize komanso zotsatirapo zake.

Multiple sclerosis steroids

Mtundu wa ma steroids omwe amagwiritsidwa ntchito pa MS amatchedwa glucocorticoids. Mankhwalawa amatsanzira momwe mahomoni amatulutsa thupi lanu mwachilengedwe.

Amagwira ntchito potseka cholepheretsa magazi ndiubongo cholepheretsa, chomwe chimathandiza kuyimitsa maselo otupa kuti asasunthike kulowa mkatikati mwa mitsempha. Izi zimathandiza kupewetsa kutupa ndikuchepetsa zizindikilo za MS.

Steroids wamtundu wapamwamba nthawi zambiri amaperekedwa kudzera m'mitsempha kamodzi patsiku masiku atatu kapena asanu. Izi ziyenera kuchitika ku chipatala kapena kuchipatala, nthawi zambiri kuchipatala. Ngati mukudwala kwambiri, mungafunike kupita kuchipatala.

Chithandizo cha IV nthawi zina chimatsatiridwa ndi mankhwala amlomo a mlungu umodzi kapena milungu iwiri, pomwe mlingo umachepa pang'onopang'ono. Nthawi zina, ma steroids amatengedwa kwa milungu isanu ndi umodzi.

Palibe mulingo woyenera kapena mtundu wa mankhwala a steroid a MS. Dokotala wanu adzawona kuopsa kwa zizindikiro zanu ndipo angafune kuyamba ndi mlingo wotsikitsitsa kwambiri.

Otsatirawa ndi ena mwa ma steroids omwe amagwiritsidwa ntchito pochiza MS kubwerera.

Anayankha

Solumedrol, steroid yomwe imagwiritsidwa ntchito kwambiri pochiza MS, ndi dzina la methylprednisolone. Ndi yamphamvu kwambiri ndipo imagwiritsidwa ntchito mobwerezabwereza.

Mitunduyi imakhala pakati pa 500 mpaka 1000 milligrams patsiku. Ngati muli ndi thupi lochepa, mlingo kumapeto kwa sikelo ukhoza kukhala wololera.

Solumedrol imayendetsedwa kudzera m'mitsempha mkati mwa kulowetsedwa kapena kuchipatala. Kulowetsedwa kulikonse kumatenga pafupifupi ola limodzi, koma izi zimatha kusiyanasiyana. Pakulowetsedwa, mutha kuwona kukoma kwachitsulo mkamwa mwanu, koma ndi kwakanthawi.

Kutengera momwe mumayankhira, mungafunike kulowetsedwa tsiku lililonse masiku atatu kapena asanu ndi awiri.

Prednisone

Orn prednisone imapezeka pamazina odziwika monga Deltasone, Intensol, Rayos, ndi Sterapred. Mankhwalawa atha kugwiritsidwa ntchito m'malo mwa IV steroids, makamaka ngati mukuyambiranso pang'ono.

Prednisone imagwiritsidwanso ntchito kukuthandizani kuti muchepetse mukalandira IV steroids, nthawi zambiri kwa sabata limodzi kapena awiri. Mwachitsanzo, mutha kutenga mamiligalamu 60 patsiku masiku anayi, mamiligalamu 40 patsiku masiku anayi, kenako mamiligalamu 20 patsiku masiku anayi.

Zolemba

Decadron ndi dzina la dexamethasone yamlomo. Kutenga mlingo wa tsiku ndi tsiku wa 30 milligrams (mg) kwa sabata kwawonetsedwa kukhala kothandiza pochiza kubwereranso kwa MS.

Izi zikhoza kutsatiridwa ndi 4-6 mg tsiku lililonse kwa mwezi umodzi. Dokotala wanu adzakusankhirani mlingo woyenera woyambira.

Kodi zimagwira ntchito?

Ndikofunika kuzindikira kuti ma corticosteroids sakuyembekezeredwa kuti apereke phindu kwakanthawi kapena kusintha njira ya MS.

Pali umboni kuti atha kukuthandizani kuti muchiritse kubwerera msanga. Zitha kutenga masiku ochepa kuti mumve bwino kuti zidziwitso za MS zikuyenda bwino.

Koma monga MS imasiyanasiyana kwambiri kuchokera kwa munthu wina ndi mnzake, momwemonso chithandizo cha steroid. Sizingatheke kuneneratu momwe zingakuthandizireni kuchira kapena nthawi yayitali bwanji.

Kafukufuku wocheperako awonetsa kuti milingo yofananira ya corticosteroids itha kugwiritsidwa ntchito m'malo mwa mankhwala a IV methylprednisolone.

A 2017 adatsimikiza kuti m'kamwa methylprednisolone siyotsika kuposa IV methylprednisolone, ndipo imathandizidwanso mofananamo komanso yotetezeka.

Popeza ma oral steroids ndiosavuta komanso otsika mtengo, atha kukhala njira yabwino kuchipatala ya IV, makamaka ngati infusions ili vuto kwa inu.

Funsani dokotala wanu ngati mankhwala otchedwa steroids amamwa ndi abwino kwa inu.

Steroid ntchito MS mavuto

Nthawi zina kugwiritsa ntchito mankhwala otchedwa corticosteroids nthawi zambiri amalekerera. Koma amakhala ndi zotsatirapo zoyipa. Zina mumva nthawi yomweyo. Zina zitha kukhala zotulukapo zamankhwala obwereza kapena kwakanthawi.

Zotsatira zazifupi

Mukamamwa ma steroids, mutha kukhala ndi mphamvu zowonjezereka zomwe zingakupangitseni kukhala kovuta kugona kapena kukhala chete ndikupumula. Zitha kupanganso kusintha kwamikhalidwe ndi machitidwe. Mutha kukhala ndi chiyembekezo chambiri kapena kupupuluma mukakhala pa steroids.

Pamodzi, zotsatirazi zingakupangitseni kufuna kuthana ndi ntchito zazikulu kapena kukhala ndi maudindo ambiri kuposa momwe muyenera.

Zizindikirozi nthawi zambiri zimakhala zakanthawi ndipo zimayamba kusintha mukamasiya mankhwala.

Zotsatira zina zoyipa ndizo:

• ziphuphu
• nkhope kumaso
• thupi lawo siligwirizana
• kukhumudwa
• kutupa kwa manja ndi mapazi (kuchokera pakusungira madzi ndi sodium)
• mutu
• kuchuluka kwa njala
• kuchuluka magazi shuga
• kuthamanga kwa magazi
• kusowa tulo
• adachepetsa kukana matenda
• Kukoma kwachitsulo mkamwa
• kufooka kwa minofu
• kupweteka m'mimba kapena zilonda

Zotsatira zazitali

Chithandizo cha steroid cha nthawi yayitali chimatha kubweretsa zovuta zina monga:

• ng'ala
• glaucoma yowonjezereka
• matenda ashuga
• kufooka kwa mafupa
• kunenepa

Kutsegula

Ndikofunika kutsatira mosamalitsa malangizo a dokotala anu pokhudzana ndi kuchotsa ma steroids. Mukaleka kuwatenga modzidzimutsa, kapena mukangothamanga kwambiri, mutha kukhala ndi zizindikilo zakusiya.

Prednisone imatha kukhudza kapangidwe kanu ka cortisol, makamaka ngati mungamwe kamodzi kwa milungu ingapo. Zizindikiro zomwe mukuzimitsa mwachangu zitha kuphatikiza:

• kupweteka kwa thupi
• kupweteka pamodzi
• kutopa
• mutu wopepuka
• nseru
• kusowa chilakolako
• kufooka

Kuyimitsa mwadzidzidzi Decadron kumatha kubweretsa ku:

• chisokonezo
• Kusinza
• mutu
• kusowa chilakolako
• kuonda
• kupweteka kwa minofu ndi molumikizana
• khungu losenda
• kukhumudwa m'mimba ndi kusanza

Tengera kwina

Corticosteroids amagwiritsidwa ntchito pochiza matenda akulu ndikuchepetsa kutalika kwa kubwereranso kwa MS. Samachiza okha matendawa.

Pokhapokha ngati kutayika kwamasomphenya, chithandizo cha MS kubwerera sichofunika mwachangu. Koma iyenera kuyambitsidwa posachedwa.

Zosankha zamubwino ndi zoyipa zamankhwalawa ziyenera kuchitidwa payekhapayekha. Zinthu zokambirana ndi dokotala ndi izi:

• kuopsa kwa zizindikilo zanu komanso momwe kubwerera kwanu kumakhudzira kuthekera kwanu kugwira ntchito zanu za tsiku ndi tsiku
• momwe mtundu uliwonse wa steroid umayendetsedwera komanso ngati mungathe kutsatira malamulowo
• zotsatirapo zomwe zingachitike komanso momwe zingakhudzire luso lanu logwira ntchito
• zovuta zilizonse zowopsa, kuphatikiza momwe ma steroids angakhudzire zovuta zina monga matenda ashuga kapena matenda amisala
• kuyanjana kulikonse komwe kungachitike ndi mankhwala ena
• Ndi mankhwala ati omwe amapangidwa ndi inshuwaransi yanu
• Ndi njira ziti zamankhwala zomwe zingapezeke pazizindikiro zakubwerera kwanu

Ndibwino kukhala ndi zokambiranazi nthawi ina mukadzapita kwa katswiri wamaubongo. Mwanjira imeneyi, mudzakhala okonzeka kusankha ngati mutayambiranso.