Ungayeki noma uthinte i-prednisone ngaphandle kweseluleko sikadokotela wakho
I-Prednisone imithi ephikisayo yokulwa nokuvuvukala esetshenziselwa ukuphatha izinhlobo zokuvuvukala kwe-arthritis nezinye izimo. Ukusebenzisa kabi, ukusebenzisa isikhathi eside, noma ukuphakama okukhulu kungaholela emiphumeleni engathandeki. I-Prednisone kufanele ithathwe ngokuya kwezikhombisi-ndlela. Ukuze ugweme ukuhoxiswa kwe-prednisone uma isidakamizwa sizosuswa, kufanele sithathwe ngokwe-schedule ethize eshiwo udokotela wakho.
Ungazami ukuyeka noma ukufaka i-taper prednisone ngaphandle kokufaka kokudokotela wakho.
Ukuyeka Ukunciphisa Kwe-Steroids
Ukuqeda imithi ye-steroid kufanele kwenziwe ngokuhamba kancane, okuthiwa i-taper. Okuhlukile uma kunikezwe isikhathi esincane kakhulu. Le nkathi yesikhathi iyohluka futhi iyoxhomeka kudokotela wakho. I-schedule ye-tapering izovumela isikhathi somzimba wakho ukuba ulungise njengoba kunciphisa ukukhiqizwa kwayo kwe-cortisol ngenkathi uthatha i-prednisone.
I-Tapering Iyanciphisa Izimpawu Zokukhishwa Kwe-Prednisone
Ngokwe-rheumatologist uScott J. Zashin, "Ngicindezela kakhulu uma isiguli sithathile imithi isikhathi esingaphezu kwezinsuku ezintathu. Isizathu esiyinhloko se-taper kancane kancane ukuthi iziguli zingase zibe nezimpawu ze-steroid noma ukuhoxiswa kwe-prednisone. Izimpawu zihlanganisa ubuhlungu obuhlangene, ubuhlungu besisu, ukukhathala, ukuphathwa ikhanda, umkhuhlane, ukucindezeleka kwegazi okuphansi, ukucwenga, nokuhlanza. Ukuyeka ukuphazamiseka okungekho emthethweni kubantu abaye be-steroids isikhathi eside kungabangela izimpawu ezinzima ngenxa yokuthi ukukhiqizwa okuvamile kwe-steroid by umzimba uvaliwe. "
I-Steroids ihlanganisa:
- Gwema (prednisolone)
- I-Deltasone (i-prednisone)
- I-Medrol (i-methylprednisolone)
- I-Celestone (i-betamethasone)
- I-Cortone (i-cortisone)
- I-Cortef (i-hydrocortisone)
- I-Decadron (dexamethasone)
- I-Kenacort (i-triamcinolone)
Isongo Sokwaziswa Kwezokwelapha Kungasilonda Ngezimpawu Zokukhishwa Kwe-Prednisone
Abantu abasebenzisa i-steroids njalo ngenxa yesimo sabo bangadinga ukukhuthazwa kwemithi ngesikhathi sokucindezeleka, njengokuhlinzwa noma ukugula okukhulu kwezokwelapha.
UDkt. Zashin weluleke, "Ngincoma iziguli zami ukuthi zithenge isongo sokuqapha kwezokwelapha kusuka ekhemisi yabo uma zengozini futhi zingakwazi ukunikeza umlando wezokwelapha."
Isibonelo sohlelo lokunamathisela lokunciphisa ukukhishwa kwe-Prednisone
Uhlelo lwe-tapering luzohlukahluka kuye ngokuthi umuntu uthatha isikhathi eside kangakanani ukuthatha i-steroids. Uma isikhathi eside steroid, i-taper ihamba kancane. UDkt. Zashin uvame ukuphawula iziguli zakhe:
- Nge-5-milligram increment uma bethatha ama-milligram angaphansi kuka-40 we-prednisone
- Ngezigidi eziyi-2.5-milligram kuphela lapho kufika ama-milligram angu-20 we-prednisone
- Ngama-1-milligram increments uma befinyelela ama-milligram ayi-10
UDkt. Zashin ukhetha ukunciphisa umthamo nsuku zonke iziguli ezingazange zithathe i-steroids isikhathi eside. Umthamo uyancipha njalo uma isiguli sesiphelelwe imithi isikhathi eside.
Lapho abantu beqala ukwehlisa umthamo, akuyona into engavamile ukuzizwa ukhululekile noma ukhathele. Lezi zimpawu zivame ukuxazulula izinsuku ezinsukwini ezimbili kuya kweziyisikhombisa. Uma izimpawu zingaxazululwa, udokotela angakhetha ukwandisa umthamo okwesikhashana bese uphazamisa kancane kancane. Abanye abantu bangase babe nobunzima bokuthinta ama-steroid naphezu kokunyuka kwama-millimitha angu-1 kuphela.
Ngezinye izikhathi, ukuzitholela zonke izinsuku kungase kube usizo. Isibonelo, kunokuba uthathe kusuka kumamilimitha angu-4 kuya kuma-milligram angu-3 we-prednisone, udokotela angase anqume ukuthatha ama-milligram amane ngosuku kanye nama-milligram amathathu ngosuku olulandelayo ngesonto elilodwa (okungukuthi, i-taper yosuku oluthile). Uma-ke, uma uphumelele, udokotela angase anikeze ama-milligrams angu-4 ngelanga elilodwa nama-milligrimu angu-2 okulandelayo nokunye kuze kube yi-4 milligrams kuphela ngosuku (isib. Ama-milligram amane ngosuku nosuku olulandelayo). Udokotela uyaqhubeka ezama ukunciphisa umthamo ngalolo suku oluthile.
Amanani afanayo
Ngokusho "I-Pill Book," besebenzisa ama-milligram ama-prednisone angu-5 njengesisekelo sokuqhathaniswa, ukulingana okulinganayo kwamanye ama-corticosteroids yilokhu:
- 0.6 milligrams kuya ku 0.75 milligrams ze-betamethasone
- 25 milligrams ye-cortisone
- 0.75 milligrams dexamethasone
- 20 milligrams hydrocortisone
- 4 milligrams of methylprednisolone
- 5 milligrams prednisolone
- 4 milligrams triamcinolone
Ungabona futhi ikhodi yokuguqula i-corticosteroid.
> Imithombo:
> Chang-Miller A. I-Prednisone Ukurhoxiswa: Kungani I-Taper Phansi kancane? I-Mayo Clinic. https://www.mayoclinic.org/prednisone-withdrawal/expert-answers/faq-20057923.
> Silverman HM. I-Pill Book . I-New York: Amabhuku e-Bantam; 2012.
> Zashin SJ. Ingxoxo, ngoJanuwari 2006.