Pokha "cortisone": malangizo ntchito, malongosoledwe mankhwala, ndemanga

Mwatsoka, matenda yotupa ziwalo zosiyanasiyana ndi machitidwe sangathe kuziona ngati m'chipani. mankhwala amakono amapereka mankhwala ambiri amene akhoza kulimbana ndi kutupa. Ndipo nthawi zina, madokotala mankhwala odwala zoŵaŵa "Cortisone". Izi mankhwala limaleka osati chitukuko cha kutupa, komanso ali ndi kutchulidwa analgesic katundu.

Choncho ndi mankhwalawa? Mmene thupi? Kodi molondola kubaya? ngati mankhwala amagwirizana ndi mavuto alionse? Mayankho a mafunso amenewa akufunafuna odwala ambiri.

Kapangidwe ndi Kaonekedwe

Kukonzekera "Cortisone" ndi inakhazikitsa mu mawonekedwe a suspensions kwa makonzedwe mu mnofu. The mankhwala akhoza kugula Mbale galasi munali 5 ml ya yankho. Waukulu yogwira mankhwala ndi mankhwala mu mawonekedwe a nthochi cortisone - ndi kupanga glucocorticosteroid kuti ali katundu odana ndi yotupa. Anthu ambiri yogwira pophika 2.5% (mu umodzi ml ya kuyimitsidwa lili 0,025 g).

Mwa njira, mu pharmacies komanso kugulitsa mankhwala, mafuta khungu ndi mucous zimagwira ntchito zosiyanasiyana, monga gawo limene lili cortisone.

Kodi katundu wa mankhwala?

Cortisone amakhudza kagayidwe mapulotini ndi chakudya. Mwachitsanzo, amachepetsa chiwerengero cha mapuloteni mu njira plasma kuwonongeka kumawonjezera zinthu mapuloteni mu minofu, koma, pa nthawi yomweyo, akuziyambitsa mapuloteni kaphatikizidwe mu chiwindi ndi impso zimakhala. Cortisone komanso akulamulira ndondomeko ya pogawanikana pamawere la amino zidulo mu chiwindi njira zina zimakhudza njira ya kagayidwe mkati acid.

Komanso, cortisone, ngati corticosteroids zina, sukhala zimam'patsa kagayidwe, mphamvu yobereka shuga kwa chiwindi mu magazi, Iyamba njira ya kaphatikizidwe ena aminotransferases, kumapangitsa mapangidwe chakudya kuchokera amino zidulo anachokera ku mapuloteni.Tiligu kuwonongeka. Choncho, kuchuluka glycogen milingo m'minofu chiwindi bwino mayamwidwe chakudya mu intestine ndi, utachepa shuga kulolerana.

mankhwala kumabwezera mmbuyo kaphatikizidwe ndondomeko hyaluronidase kumabwezera mmbuyo kaphatikizidwe wa zinthu connective minofu, kuchepetsa capillary permeability, kumabwezera mmbuyo chitukuko cha thupi lawo siligwirizana, retards soda ndi potaziyamu excretion Iyamba njira ya chamoyo ndi kupanga mafuta zidulo apamwamba.

Nthawi zina, mankhwala ntchito? Zikuonetsa jekeseni

odwala ambiri amachita chidwi ndi funso pamene m'pofunika kugwiritsa ntchito mankhwala "Cortisone"? Kodi zimathandiza? Ndipotu zikuonetsa ntchito mankhwala kwambiri:

• nyamakazi ndi vuto la misempha;
• matenda kolajeni (matenda limodzi ndi chotupa mtima ndi minofu connective);
• mphumu;
• opatsirana mononucleosis;
• Mitundu ina ya khansa ya m'magazi;
• neurodermatitis, chikanga, khungu zina yotupa ndi matupi awo sagwirizana matenda;
• osakwanira ntchito ya zopangitsa kwa adrenal ;
• hemolytic magazi m'thupi;
• glomerulonephritis;
• tizilombo matenda a chiwindi;
• unagwa, mantha ya chiyambi zosiyanasiyana.

Mankhwala "cortisone": malangizo ntchito

Izi mankhwala ndi chiyambi m'thupi ndi wamphamvu kwambiri, choncho ntchito ndi wosaloleka contraindicated mwamtheradi. Only ndi dokotala mankhwala jekeseni "Cortisone" pambuyo kuyendera mokwanira. Malangizo ntchito kakunena okha ambiri. Mlingo kamwedwe ndi nthawi ya mankhwala atsimikiziridwa mosamalitsa payekha.

Kuyimitsidwa angathe kuperekedwa intramuscularly kapena anatengedwa pakamwa. Pankhani makonzedwe m'kamwa, analimbikitsa mlingo odwala ndi 0.1-0.2 ga yogwira mankhwala patsiku, umene uyenera ogaŵikana madyerero 3-4. Monga mofulumira zizindikiro zazikulu za mlingo yafupika osachepera - 0.025, zochita za mankhwala kumatenga za 6-8 maola.

Intramuscularly kutumikiridwa kwa 0.02-0.05 ga patsiku. Ngati ndi kotheka, ndalamazo lagawidwa kawiri: "Cortisone" jakisoni pa intervals wa maola 8-12. Zotsatira kumatenga za 12 maola.

Pokha "Cortisone" amapanga ntchito zaumoyo ku chipatala. Wodwala ayenera kukhala kuyang'aniridwa zonse madokotala ngati pali chiopsezo zosiyanasiyana chokhwima. "Cortisone" mankhwala ikuchitika, ndi Pediatrics - mlingo tsiku anatsimikiza malingana ndi msinkhu ndi zovuta chikhalidwe mwanayo.

The pazipita tsiku mlingo wa mankhwala yogwira akuluakulu ndi 0.15-0.3 ga

Kodi pali contraindications iliyonse?

Mosakayikira, nkhani ndi ngati chida ichi ali zofooka mu ntchito. Medicine "Cortisone" angagwiritsidwe ntchito mu nkhani iliyonse. Contraindications kopita zake:

• mitundu choopsa cha matenda oopsa, amene anatsagana ndi kuwuka kulimbikira magazi.
• opaleshoni posachedwapa.
• Shuga.
• Magazi insufficiency gawo lachitatu.
• Achikulire zaka.
• zotupa anam'peza pa mundawo m'mimba.
• The yogwira mawonekedwe a chifuwa chachikulu.
• Chindoko.
• Atamwa ndi mafangasi matenda.
• matenda aakulu impso ndi chiwindi.
• Chithokomiro matenda.
• Open-ngodya khungu.
• Kufooka kwa mafupa (odwala kulandira glucocorticoids zotheka kuwonongeka).
• Hypersensitivity kwa chigawo chilichonse cha zigawo mankhwala.
• Recent m'mnyewa wamtima infarction.
• matenda Cushing a.

Pokha "cortisone" amagwiritsidwanso contraindicated mu akazi pa mimba. Ngati tikulankhula za nthawi ya mkaka wa m'mawere, yoyamwitsa pa mankhwala ayenera udzasokonezedwa. zaka ana si contraindication, koma ntchito "cortisone" mu Pediatrics mosamala kwambiri.

Mndandanda wa zotsatira zotheka mbali

Monga ndi pafupifupi mankhwala alionse m'thupi, mankhwala "cortisone" kungachititse kuti zotsatira zina zoyipa kuphatikizirapo kwambiri moti:

• zosiyanasiyanazo thupi lawo siligwirizana, kuphatikizapo kutupa, zotupa pa khungu redness, urticaria, angioedema, kawirikawiri - anaphylactic mantha.
• Pokha "cortisone" akhozanso kukopeka ndi maonekedwe a kutupa ndi redness pa malo jekeseni.
• syndrome Cushing a, amene anatsagana ndi kuwonjezeka mu thupi, kuwonjezera fupa fragility ndi utachepa ntchito kugonana.
• Hirsutism - kwambiri hairiness mu akazi.
• Ziphuphu zakumaso.
• Kufooka kwa mafupa ndi mowiriza fractures fupa chifukwa cha kufooka kwa minofu fupa.
• Onse matenda a m'maganizo.
• Hemorrhagic kapamba (kutupa kwa kapamba, amene anatsagana ndi amataya magazi).
• Chironda chachikulu matenda pa mundawo m'mimba.
• Perforation yosadziwika zilonda.
• Magazi kapepala kakuti m'mimba.
• Kuthamanga magazi.
• Minofu ya manja chifukwa cha kuwonongedwa kwa mapuloteni.
• Steroid shuga.
• Arrhythmia, kulephera mtima.

Tikumbukenso kuti mavuto pamwamba kafukufuku anali kokha mu nkhani ya yaitali ntchito mlingo waukulu mankhwala (oposa 0.1 ga cortisone patsiku). kubayidwa zimavuta chifukwa ngati chisokonezo kwambiri m'thupi. Komabe, ngati pa mankhwala inu munazindikira kuwonongeka aliyense, ayenera yomweyo lipoti iwo kwa dokotala.

analogues mankhwala

Pazifukwa zosiyanasiyana, osati aliyense Wopirira ndi yabwino yothetsera "Cortisone". Analogs pa msika wamakono pharmacological kulibe, mu mawonekedwe a jekeseni, mapiritsi, creams, mafuta ndi zina zotero. D. Makamaka, mankhwala amakono ntchito mankhwala ozunguza bongo monga "Betamethasone", "prednisolone", "Mezipredon", "Dexamethasone" ndi " hydrocortisone ". mankhwala onsewa ndi pafupifupi katundu mofanana "Cortisone". Koma chifukwa amachita thupi yosiyana kwambiri, kusankha mlowamalo angakhoze kokha dokotala.

Mankhwala "cortisone" mtengo

Kwa odwala ambiri, n'kofunika muyezo ndi mtengo wa mankhwala a. Choncho zimene ndalama njira "Cortisone"? Mtengo kudzadalira zifukwa zambiri, monga mankhwala wanu wosankhika, mzinda okhala, olimba-wopanga, ndi zina zotero. D. wina mbale mu 5 ml Ndipafupifupi 180-210 rubles. Dziwani kuti kwathunthu mankhwala mudzakhala amafunika mankhwala zambiri - zimenezi ayenera fufuzani ndi dokotala. Ndipo ife tiyenera kumvetsetsa kuti zina cortisone sikokwanira, tiyenera mankhwala zambiri.

Reviews odwala ndi madokotala

Kumene, aliyense amadziwa kuti mukhoza kupeza zambiri zothandiza, familiarized ndi katswiri maganizo ndi ndemanga odwala amene kale akukonza mankhwala. Anthu ambiri kwenikweni muzindikire kusintha kwambiri pambuyo mndandanda wa jekeseni. Komanso, kuchepa kwambiri ululu ndi zina kusamva yakula pambuyo jekeseni choyamba. Kumene, pali zambiri za chitukuko mavuto odwala, koma milandu zimenezi si kawirikawiri. A mwayi winanso wa njira ndi mtengo ndi wololera.

Madokotala nawonso amalabadira mankhwala. Komano, "Cortisone" poyerekeza ndi glucocorticoids zina, nthawi zambiri zimayambitsa matendawo. N'chifukwa chake madokotala amakono kunadetsa mankhwala atsopano-m'badwo analogues mankhwala, amene anakhudzidwa bata pa thupi.