I-Cortisone Shots isiza ukunciphisa ukuvuvukala endaweni noma ngesistimu
I-steroid injection, eyaziwa ngokuthi i-cortisone shots, i-injection ye- corticosteroid izidakamizwa . Umjovo we-steroid ungasetshenziswa njengemjojo yendawo (isb., Intra-articular) noma isisipha (izintambo, isibonelo) noma isisindo somphumela wesistimu (okungukuthi, umzimba wonke). I-Corticosteroids yizidakamizwa zokwenziwa ezifana ngokufanayo ne-cortisol, i-hormone ngokwemvelo ekhiqizwa yizici ze-adrenal.
Ngokujova, udokotela wakho angakwazi ukuhambisa imithi ephakeme ye-corticosteroid ngqo endaweni ebuhlungu yomzimba ngenhloso yokunciphisa ukuvuvukala ngokunciphisa umsebenzi wesistimu omzimba .
Izinkomba ze-Steroid Injections
I-Corticosteroids isetshenziselwa ukulawula ukuvuvukala kwesifo samathambo kanye nezinye izimo zokuvuvukala. I-Corticosteroids ingafakwa ngokuqondile emathisini avuliwe, noma angathunyelwa kuwo wonke umzimba ngokusebenzisa amalungiselelo omlomo, izijovo ezinomlomo noma izijovo ze-intramuscular. Ukujola kwe-steroid kungase kuhlinzeke usizo olukhulu kwiziguli ezine-arthritis noma izimo ze- musculoskelet . Kulezi ziguli ezine- arthritis ye-rheumatoid , izijovo zivame ukuhlinzeka lapho kuphela eyodwa noma amajoyina amabili abonisa i- synovitis esebenzayo. Umgomo wokwelapha ukuqeda izimpawu zesigcawu noma ukuvumela izidakamizwa ezisebenza kancane, njenge- methotrexate noma i- Plaquenil , isikhathi sokusebenza. Isibonelo, ekuqaleni kwe-arthritis ye-rheumatoid, imiphumela yocwaningo yembula ukuthi inhlanganisela ye- DMARD kanye ne-intra-articular steroids ingcono kakhulu kune-DMARD kuphela.
Ibhande liyisigxobo esivamile esishayiwe. Kunconywa ukuthi iziguli zilinganise umsebenzi wazo wokunakekela izinsuku ezingu-1 - 2 ngemuva kokujola ukunikeza ithuba elingcono lokusebenza. Ukusebenzisa ngokweqile emahoreni angu-6 okuqala ngemva kokujola kungakhulisa i-arthritis. Njengoba i-anesthetic yendawo ijwayele ukuhlanganiswa ne-steroid, iziguli zingase zingazi ukuthi zibeke ukucindezeleka okukhulu ekuhlanganyeleni kwazo, njengoba ubuhlungu bufihliwe, ngokusho kwesazi sezifo zengqondo uScott J. Zashin.
Izincomo ziyahlukahluka, kodwa odokotela abaningi bazogwema ukujova okuhlangene okukodwa izikhathi ezintathu ngonyaka. Isibonelo, ungaba nomjovo wakho wesobunxele uvimbe kabili ngonyaka futhi ugxilwe ngamadolo akho angakwesokudla izikhathi ezimbili, kodwa hhayi izikhathi ezine ohlangothini olufanayo. Inombolo eqondile noma imvamisa ye-injection ye-steroid ingabangela umonakalo we-bone, ligament, noma we-tendon.
Kunezinketho eziningana zesidakamizwa steroid esetshenziselwa umjovo. Ngokuyinhloko, kuncike ekuthandweni kodokotela (isib. UDepo-Medrol [methylprednisolone acetate], Aristospan [triamcinolone hexacetonide], uKenalog [triamcinolone acetonide] noCelestone [betamethasone]). Ngenkathi iziguli zivame ukuzizwa zingcono ngokushesha ekamelweni lokuhlola, lapho ukuhlinzekwa kwezinzwa zendawo kuphelile, kungathatha izinsuku ezingaba ngu-10 ukuzobona lokho kuzuza futhi.
Imiphumela emibi ye-injection ye-steroid
Iningi leziguli ezithola imishanguzo ye-steroid azikho imiphumela emibi, ikakhulukazi ngokunamathela kumvamisa ophakanyisiwe. Kodwa-ke, imiphumela emibi engaba khona ye-steroid injection ihlanganisa:
- ubuhlungu obukhulu noma ukuvuvukala kokuhlanganyela emahoreni angu-24 okuqala
- ukuvuvukala, ubomvu, noma ubuhlungu obukhulu ngemva kwamahora angu-24 (angase asayine ukutheleleka okuhlangene)
- ukuphuka kwamathambo
- isikhumba sokudumbuza
- ukuphuma kwendawo
- ukutheleleka
- ukusabela okweqile
Umjovo we-steroid wendawo emisipha (izintambo) unikeza umphumela wesistimu. Uma ukuhlanganiswa okubalulekile kuhilelekile, umjovo we-steroid emagodini kungenzeka ukuthi awunamandla kakhulu kunomjovo we-intra-articular. Njenge-corticosteroids yomlomo, akuqiniseki ukuthi umuthi omningi we-systemic ufinyelela kanjani ngokuhlanganyela okuqondile. Futhi, uma umjovo wezinyawo uphindaphindiwe kaningi, kungandisa ingozi yokuthuthukisa eminye yemiphumela emibi evamile etholakalayo nge-steroids yomlomo, kuhlanganise ne- osteoporosis kanye ne-cataracts.
Amaphuzu Okubalulekile Okubalulekile
- Ngokuvamile, ukujola kwesifo steroid yendawo kuvunyelwe kahle futhi cishe kungabhekiswa nemiphumela emibi uma kuqhathaniswa ne-corticosteroids yomlomo.
- I-Steroids akufanele ifakwe injected uma kukhona ukutheleleka esakhiweni okufanele sijojowe noma noma kuphi emzimbeni.
- Uma okuhlangene okuthintekile kubonakaliswe kanzima, kunamathuba amancane okuba nomphumela omuhle ngomjovo we-steroid.
- Ngokujwayelekile, kuyimifuziselo yokufakela amanzi ohlangene ngenhloso yokuhlola ngaphambi kokujova ukujoyina nge-steroids, ikakhulukazi uma ukuxilongwa kusengakaqiniseki.
> Imithombo:
> Ama-injection ye-Steroid. Umtholampilo waseCleveland.
> Ukuqhathaniswa kwe-intra-articular injection ye-glucocorticoid ne-DMARD ngokumelene ne-DMARD kuphela e-arthritis ye-rheumatoid. Journal of the Association of Physicians of India. Menon N. et al. Agasti 2014.
> Kelley's Bookbook of Rheumatology. Umagazini wesishiyagalolunye. Elsevier. Ukwelashwa kwe-Glucocorticoid. Isahluko 60.