Chabwino n'chiti - "Prednisolone" kapena "metipred"? ndi osiyana bwanji?

Kusankha bwino mankhwala - maziko a mankhwala mwamsanga ndi bwino. Pa asatayike msika, pali mankhwala ambiri wapadera ndi generic, kotero kuti munthu kutali dziko la mankhwala, kusankha ndi kovuta pa mankhwala a.

Pankhaniyi, chinthu chachikulu pamene kugula mankhwala amachita mtengo wake. Komabe, ngakhale mfundo zofanana kanthu za mankhwala ndi zikuchokera sikuti sitingakumane ndi cholinga chofanana pa chithandizocho. Pankhani mankhwala kuti angathe kuyambitsa zotsatira zina zoyipa, kusankha mankhwala ayenera kusamala kwambiri. M'pofunika kumvera malangizo a madotolo, paokha kumvetsa nkhani ya kusiyana ofanana pakati pa formulations awiri a mankhwala.

umboni

Tisanafotokoze kumvetsa nkhani za zimene bwino: "Prednisolone" kapena "metipred", muyenela kuzindikira chifukwa chake tiyenera mankhwala. The zikuchokera ndalama onse Cholinga kupondereza ayankhe m'thupi, ndiko kuchepetsa chitetezo cha m'thupi. Ngakhale kuti zimaoneka ngati paradoxical, chifukwa nkhani za kuwonjezeka chitetezo chokwanira likukula mu kutchuka Kwake, immunosuppressants ili yofunika kwambiri mankhwalawa zosiyanasiyana matenda.

Autoimmune matenda - njira imene chitetezo munthu umayamba kuukira maselo yake. Ichi ndi chifukwa chakuti matenda likulowerera mu selo, ndi kuwononga popanda kuwononga khungu, sikutheka. Kamodzi selo kachilombo, thupi limayamba kutulutsa chitetezo yapadera yomwe zimafala mu thupi ndi kuwononga maselo yake.

Pankhaniyi, n'zochititsa chidwi kuti chitetezo kungakhale "cholakwika", ndi kuukira ziwalo amene maselo ndi dongosolo otere, monga mtima ndi impso zimakhala chandamale wa immunoglobulin atachira strep pakhosi.

matenda Autoimmune lero osachiritsika, ngakhale pambuyo matenda yathetsedwa, chitetezo kupitiriza kuphunzira. Mu nkhani zabwino, matenda zipita chikhululukiro, koma mchikakamizo cha chinthu chilichonse (maganizo mantha, ozizira, kusintha kwa nyengo, mimba), akhoza kubwerera. Ngati matenda sichiri mwa mode kugona ndi mwachangu wawononga ziwalo minofu, m'pofunika ataika chikhululukiro chongopeka kuti "bwererani" chitetezo cha m'thupi.

"Prednisolone" kapena "metipred" yafupika ntchito chitetezo asatayike, kukwaniritsa kuti oteteza salinso umatulutsa. Pambuyo sukuluyi, amene kumatenga pafupifupi kwa miyezi iwiri kapena isanu ndi umodzi, mlingo wa mankhwala kuyamba pang'onopang'ono kuchepetsa, Atauka m'thupi lanu ayankhe. Ngati mankhwala bwino, chitetezo cha m'thupi ntchito bwino mpaka exacerbation lotsatira. Komabe, pali milandu pamene chikhululukiro mankhwala ndi corticosteroids kumatenga moyo.

zotsatira zoyipazi

Poganizira funso la chimene ali bwino - "Prednisolone" kapena "metipred" kawirikawiri kumafuna Mwachangu mwachindunji, monga mwamphamvu mmene zimadalira munthu osati kusiyana formulations awiri.

Odwala kulandira mankhwala immunosuppressive, kusamalira kupewa mavuto amene ali lalikulu zedi ndi kuti, mankhwala wina.

kunenepa

Waukulu mbali zotsatira anakumana ndi anthu ambiri kulandira yaitali glucocorticoid mankhwala - kunenepa. Kagayidwe Ndithudi ndi kugwa, ndi kudya, Komano, limawonjezera mankhwalawa mankhwala m'thupi. Koma chifukwa chachikulu cha kunenepa ndi madzimadzi posungira mu thupi. Ngati mosamala kuwunika mkodzo linanena bungwe ndi sodium wochuluka ankadya, ndi kunenepa zikhoza kupewedwa ndi kumwa mankhwala umboni okha pasty nkhope, chikwiyire ndi kukhala ndi mankhwala a matenda Cushing a. vuto amalimbikira yokha ndi kucheperachepera Mlingo.

shuga

The chachiwiri wamba vuto anakumana ndi odwala amene akutenga mankhwala immunosuppressive - steroid shuga. Kwa odwala ang'ono zinthuzo, amene si wolemedwa ndi matenda endocrine, shuga si ngozi chachikulu, pambuyo Kulipira milingo phwando shuga ndi insulin ndi kukhazikika.

chapamimba chilonda

Ndipo potsiriza, lachitatu ambiri mavuto - chapamimba chilonda. mankhwala amakono pafupifupi kwathunthu inathetsedwa kufunika vutoli pogwiritsa ntchito zakudya zapadera ndi mankhwala amene amateteza mucosa chapamimba m'kati mwa mankhwala. Kukachitika kuti wodwalayo mosamala kuchitira kuti malangizo onse dokotala, anapeza pathologies m'mimba zikhoza kupewedwa.

Palinso mavuto monga zosayenera msambo, chitukuko cha matenda oopsa ndi kufooka kwa mafupa. odwala ambiri akukumana ndi kuchuluka irritability, kusowa tulo.

Kodi n'zotheka kupewa mavuto?

Mndandanda wa zotsatira zoyipa pamene mukumwa glucocorticoids ndi chidwi kwambiri ndi chiwerengero cha zakambidwa zotheka komanso kusalekerera awo. Mwatsoka, palibe njira kuzithetseratu, koma kuchepetsa iwo si weniweni. Ndi chokhudza funso n'lakuti, Kodi ndi bwino: "Prednisolone" kapena "metipred"?

mankhwala onse ali zikuchokera chomwecho ndi njira zofanana pa kanthu. Komabe, "metipred" m'chilankhulo cha mankhwala, more "woyera" mankhwala. I.e. zigawo zikuluzikulu zomwe mankhwala anali kuipidwa ndi kuyeretsedwa Mipikisano gawo kuposa analogue, ndipo chotero amachepetsa zotsatira poizoni pa phwando ake ndi zotsatira wotsikirapo mbali.

Pankhani ntchito yochepa ya corticosteroids, monga thupi lawo siligwirizana, ganizirani nkhani ya mutu wakuti: "Prednisolone" kapena "metipred" - zimene kusankha, sikuthandiza. Kugwiritsa adzakhala mankhwala alionse, koma mfundo za lalifupi nthawi ya ntchito sudzapereka mwayi uliwonse kuonekera mbali-zotsatira tanena kapena ndi zotsatira poizoni m'thupi. Koma ngati mankhwala kuchita masamu ndi miyezi, "woyera" mankhwala adzakhala otetezeka kwambiri.

Akukhulupirira kuti cha kukula kwa mavuto chingapezeke ngati glyukortikosteroidy tulo m'mawa.

Potumiza "Prednisolone" kapena "metipred" woyembekezera, madokotala nthawi zambiri amafuna otsiriza, monga mu nkhani iyi, imatengedwa osati funso la mphamvu ya mankhwala wodwala, komanso chitetezo kwa mwana wosabadwayo.

zotsatira mineralocorticoid

Kusanthula funso limene bwino - "Prednisolone" kapena "metipred", n'kofunika kuganizira chinthu monga zotsatira mineralocorticoid. tanthauzo Tikutero chodabwitsa kugwirizana ndi posungira ndi sodium. Zimenezi zimabweretsa edema, kuthamanga kwa magazi, omwe ali lililonse yolandirira mahomoni, kuzungulira nkhope.

Zikuchokera "metipred" amalola ndi sodium si yaitali thupi, chifukwa chimene vuto la "Kushingoid munthu" odwala kulandira mankhwala ndi mankhwala, kupatula kutchulidwa kuposa anthu wochotsa "Prednisolone".

kumathandiza

Studies kufufuza zotsatira achire pakati mankhwala awiri, analibe kusiyana mfundo. The chifukwa cha mankhwala zochokera mbali payekha anthu, makamaka nthenda comorbidities.

Likupezeka pa zinthu zosiyanasiyana kukonzekera monga "Prednisolone" kapena "metipred 'ndemanga zambiri kulankhula za mphamvu ya woyamba. Chikhululukiro cha "Prednisolone" zinachitika mofulumira kwambiri ndipo pafupifupi nthawi yaitali.

mankhwala m'malo

Kuti tipeze pa nkhani zosiyanasiyana, "Prednisolone" kapena "metipred" - umene uli bwino, mungathe kuyesa onse fanizirani zotsatira za mankhwala. Kuyambira mankhwala "prednisone", mukhoza kupita ku "metipred" popanda kusintha mlingo. Choncho, 1mg "prednisolone" 1 mg "metipred" kwathunthu zofanana.

Komabe, m'malo a mankhwala ayenera kuyang'aniridwa ndi dokotala.

Immunosuppressants, ndi matenda

Ndi kusankha mankhwala makamaka mankhwala, odwala ambiri ndi chidwi efficacy mankhwala pa matenda enieni. Ndiko kuti, funso la "Prednisolone" kapena "metipred" - kuti chabwino ndi nyamakazi, glomerulonephritis kapena kudwala ena, ndi zogwirizana kwambiri.

Popeza zikuchokera zofanana ndi zizindikiro ntchito, akhoza amanena kuti kusiyana lofunika poika immunosuppressants si. Posankha mankhwala, dokotala amadalira zinamuchitikira ndi kusanthula zomwe mankhwala wodwala ndi nthenda yomweyo, zaka, kugonana, bwino analekerera, sichichititsa mavuto ndiponso anasonyeza zotsatira zabwino.

Mtengo wa mankhwala

Poganizira funso la "Prednisolone" kapena "metipred" - umene uli bwino, ndi Sitinganyalanyaze funso la mtengo wa mankhwala. "Metipred" ndi mankhwala okwera mtengo kwambiri. mtengo wake pa ambiri Russia ndi 200 rubles, pamene mtengo wa "Prednisolone" ranges ku rubles 50 70. Mtengo wa mankhwala Russian ndi kale m'munsi, koma ndemanga pa immunosuppressants zoweta pafupifupi woipa kuposa inatha ndi.

Popeza chakuti ntchito ya corticosteroids matenda autoimmune chimakhala cha miyezi isanu ndi moyo phwando, zikuonekeratu kuti odwala ambiri kufunika kwa nthumwi osankhidwa mankhwala amene ali ambiri conveniently zikugwirizanira bajeti mwezi. Ofunika Kwalamulidwa ndi kulandira mankhwala "prednisolone" kapena "metipred" mlingo kuyambira ndende apamwamba a mankhwala yogwira ndipo ali ndi mlingo chake mkulu.

Choncho yankho la funso la "Prednisolone" kapena "metipred" chimene chiri bwino, ndi munthu. Posankha mankhwala n'kofunika kuganizira chithunzi onse matenda a mtima, kukaonana ndi dokotala anu ndi kusankha okha mankhwala ndi mlingo wawo kuti zotsatira chalengezedwa ndi mavuto musati kwambiri bwanji khalidwe la moyo wa wodwala ndi Musatenge kuopseza thanzi lake.