Funda ngezinzuzo, nemiphumela emibi, nokuningi
Amagciwane e-Cortisone asetshenziselwa ukwelapha izinkinga eziningi ze-orthopedic ezihlanganisa i- arthritis , i- tendonitis , ne- bursitis . I-Cortisone iyi-anti-inflammatory medicine, hhayi umbulali obuhlungu. Nokho, ngokunciphisa ukuvuvukala, ubuhlungu buvame ukwehla.
I-Cortisone injection iphephile kakhulu. Imiphumela emibi ivame ukuba engavamile futhi encane. Kodwa-ke, kunezinto ezimbalwa okufanele uziqonde ngaphambi kokuba ube nomjovo walo muthi.
I-Cortisone Yokwemvelo
I-Cortisone uhlobo lwe-steroid oluhlobene kakhulu nomuthi wemvelo okuthiwa i-cortisol. Emzimbeni wakho, i-cortisol ikhiqizwa emgodini we-adrenal futhi ukhishwe lapho umzimba wakho uphansi kwengcindezi. I-cortisol ekhiqizwa ngokwemvelo ikhishwa ekuhambeni kwegazi futhi ihamba kancane.
I-cortisone engenayo iyakhiqizwa futhi inamagama amaningi okuhweba (isb. Celestone, uKenalog, njll), kodwa isondlo esiseduze somkhiqizo womzimba wakho. Umehluko obaluleke kunazo zonke wukuthi i- cortisone yokwenziwa ayiketshiywanga engxenyeni yegazi, kodwa endaweni ethile yokuvuvukala. Futhi, i-cortisone yokwenziwa yenzelwe ukwenza ngokunamandla isikhathi eside (izinsuku esikhundleni semaminithi).
Qaphela ukuthi i-cortisone ayilona uhlobo olufanayo lwe-steroid njengesidakamizwa esithuthukisa ukusebenza . Akuwona wonke ama-steroid afanayo! Izinhlobo ze-steroids zihlanganisa i-cortisone, i-cholesterol, nama-hormone ocansi.
Ngakho-ke, uma uya ehhovisi likadokotela wakho bese uthola i-steroid shot, ngeke wenze lutho ukuze ukhule imisipha ozwa ngayo ngokukopela ezemidlalo.
Indlela i-Cortisone eyasiza ngayo ukuvuvukala
I-Cortisone iyi-anti-inflammatory imithi enamandla kakhulu. Akuyona imithi yokunciphisa ubuhlungu, ithatha kuphela ukuvuvukala.
Uma ubuhlungu buyancipha kusuka ku-cortisone kungenxa yokuthi ukuvuvukala kuncishisiwe. Ngokujova i-cortisone endaweni ethile yokuvuvukala, ukugxila kakhulu kwemithi kunganikezwa ngenkathi kugcina imiphumela emibi engase ibe yilezi ezincane. I-Cortisone injection ngokuvamile isebenza ezinsukwini ezimbalwa, futhi imiphumela ingaqhubeka kuze kube amasonto amaningana .
Ngaphandle kwe-cortisone egayiwe, odokotela abaningi bazoxuba i-cortisone nomunye umuthi ongase unikeze imiphumela yokusiza ubuhlungu. Isibonelo, odokotela bama-orthopedic bavame ukuhlanganisa i-cortisone ne-anesthetic yendawo ukuze banikeze ukuphumula okusheshayo nokuhlala isikhathi eside. Ngaphezu kwalokho, lokho kwanezela ukuhlinzekwa kwezifo kungasiza kakhulu ekuboneni ukuxilonga. Uma ukukhululeka kobuhlungu kwenzeka ngokushesha, udokotela wakho uzokwazi ukuthi ukuhlinzekwa kwezifo zendawo kutholakale endaweni efanele, ngakho-ke i-cortisone nayo iyoba endaweni efanele.
Izimo I-Cortisone Ezisizayo
Izimo eziningi lapho ukuvuvukala kuyinkinga eyinhloko kungeneka ku-cortisone isibhamu. Lokhu kufaka phakathi, kodwa ngokuqinisekile akukhawulelwe
Ukunciphisa Ubuhlungu
Ukudubula kwe-cortisone kungaba buhlungu, ikakhulukazi uma kunikezwe okuhlangene, kepha ngezandla ezinekhono ngokuvamile kuvunyelwe kahle.
Ngokuvamile, umjovo we-cortisone ungenziwa ngenaliti encane kakhulu ebangela ukungajabuli. Kodwa-ke, ngezinye izikhathi inaliti enkulu kakhulu kumele isetshenziswe, ikakhulukazi uma udokotela wakho ezama ukukhipha uketshezi ngokusebenzisa inaliti ngaphambi kokujova i-cortisone. Imithi yokwenza izidakamizwa, njengeLidocaine noma i-Marcaine, ingafakwa nge-cortisone ukunikeza usizo lwesikhashana endaweni ethintekile. Futhi, ama-anesthetics angama-topical angasiza ukuphazamisa isikhumba endaweni ejojowe. Izilonda ze-Cortisone ezenzelwe amalunga amakhulu zivame ukubekezelela kahle, kuyilapho ama-injection engxenyeni amancane noma izikhala ezinzima angase angakhululeki kakhulu.
Ngenxa yalesi sizathu, ukujola emagcekeni omunwe, izinyawo, nama-tendon kuvame ukubangela ukungathandeki okukhulu kunokudutshulwa ehlombe noma emadolweni.
Imiphumela emibi engenzeka
Njenganoma imuphi umuthi, kukhona ukusabela okungenzeka, imiphumela emibi, kanye nezinkinga ezingase zenzeke ngomjovo we-cortisone. Abanye odokotela ngokuvamile abaqapheli kahle imiphumela emibi ye-cortisone ngoba lezi zivame ukunciphisa (zixazulula isikhathi esifushane) kanti udokotela wakho angeke abone le miphumela njengoba bevame ukuqhubeka isikhathi eside ngemuva kokuba isiguli sesishiye ehhovisi .
Iziguli eziningi zizwa sengathi udokotela wazo akazinandaba nalezi zikhathi ezithile ezibalulekile ze-cortisone. Ngakho-ke, kubalulekile ukuthi iziguli ziqaphele imiphumela emibi yocala yimuphi umuthi abawuthathayo, futhi azise udokotela wabo uma lokhu kwenzeka.
Imiphumela Emibi Yokwesistimu
Imiphumela emibi yesistimu ivela njengomphumela wesilinganiso esincane se-cortisone engena egazini legazi futhi sithinta umzimba wakho wonke, hhayi nje indawo lapho i-cortisone yanikezwa khona.
Imiphumela emibi yesistimu yomjovo wendawo we-cortisone ayivamile futhi ngokuvamile ayincane. Ngokungafani nokuthatha i-oral steroids, noma ukuba ne-cortisone injected ngqo egazini, kuphela inani elincane lomjovo ohlosiwe lithathwa ngumzimba. Futhi njengoba umzimba uveza i-cortisone ngokwemvelo, abantu abaningi abahlangabezane nemiphumela yesistimu. Labo abanezibonakaliso zento bangase bahlangabezane nezinkinga ezilandelayo:
- I-Blood Sugar ephakanyisiwe
Isenzo esivame kakhulu ukusabela ohlelweni kubonakala iziguli zesifo sikashukela. Iziguli ezinesifo sikashukela kufanele ziqaphe ngokucophelela ushukela wegazi njengoba i-cortisone ingabangela ukuphakama okwesikhashana emazingeni egazi legazi. Iziguli ezithatha i-insulin kufanele ziqaphele ngokukhethekile, zibheke ushukela wazo wegazi ngokuvamile futhi ziguqule ukulinganisa kwe-insulin, uma kunesidingo. Uma ushukela wegazi uphuma ngaphezu kokulindeleke, kufanele uxhumane nodokotela olawula isifo sikashukela ukuze ubone ukuthi ukwelashwa okwengeziwe kuyadingeka. - Ukuqhuma ebusweni
Iziguli zingase zizwe ukuzwa kwe-flushing nokubomvu kobuso babo. Lokhu kusabela kuvame kakhulu kwabesifazane futhi kubonakala kumaphesenti angama-15 weziguli ezithola ukudubula kwe-cortisone. Lokhu kungaqala phakathi namahora ambalwa womjovo futhi kungase kuphele izinsuku ezimbalwa. Odokotela abaningi abazi ukuthi kuvame kangakanani ukusabela lokhu, futhi abanye bangase bangaqapheli ukuthi lokhu kungabangela kanjani iziguli. Izindaba ezinhle, ukuthi lezi zimpawu zixazulula ngokuzenzekelayo, kodwa zingenza iziguli zicabange kabili ngaphambi kokuba zithathwe omunye.
Imiphumela Yendawo Yendawo
Imiphumela yendawo yendawo yilabo abanolwazi endaweni eyodwa yomzimba lapho kwenzeka khona umjovo. Imiphumela emibi yendawo yomjovo we-cortisone nayo ingavamile, kepha futhi, yenzeke futhi kufanele ukwazi ukuthi yini okufanele yenze uma kwenzeka kuwe!
- Ukubuhlungu nobuhlungu bokusebenza kwe-Cortisone
Ezinye iziguli zihlukumezekile ngemuva kokujola futhi zingase zithole ukwanda kwezinhlungu ezingama-24 kuya ku-48 ngemva kokuphathwa. Lokhu kuvame ukuhlaselwa masinyane futhi kungasizwa nge- ice pack kanye nemithi elwa nokuvuvukala . - Ukutheleleka
Noma nini lapho kunesikhala esikhunjeni, njengalapho inaliti isetshenziselwa ukuphatha i-cortisone, kunethuba lokutheleleka. Udokotela wakho uzofaka isikhumba isikhumba ukuze unciphise ingozi yokutheleleka. - Izinguquko ze-Skin Pigment
Iziguli ezinesikhumba esimnyama kufanele futhi ziqaphele ukuthi i-cortisone ingabangela isikhumba sungeze isayithi lokujola ukukhanya. Lokhu akulimazi. - Ukulahlekelwa Amathambo Amafutha
Ukuphakama okuphezulu kwe-cortisone kungaba nemiphumela emibi kwezinye izicubu emzimbeni. Uma igwetshiwe ngamathishu amafutha, i-cortisone ingaholela enkingeni ebizwa ngokuthi i-fat atrophy. I-fat atrophy ibangela ukulahlekelwa kwezicubu ezinamafutha, okungaholela ekudambeni kwesikhumba noma ekudleni kwamanoni. Iziguli ezithola umjovo we-cortisone esithendeni ukuphatha i- fasciitis yezitshalo zingase zithole ukuhamba ubuhlungu njengamafutha ngokuvamile azinyathela izinyathelo zawo zingase zibe mncane. - I-Tendon Ukuphakama
I-Cortisone nayo ingabangela ukwehlisa kwamathenda. Lesi yisinye sezizathu udokotela wakho anganciphisa inani lezinhlayiya ze-cortisone ezinikezwe . I-Cortisone nayo ingaholela ekuqhekekeni kwetendon, njengoba kunjalo uma i- cortisone ijojowe nge-Achilles tendonitis .
Ingabe Ama-Shots Aphephile?
I-Cortisone injection iphephile kakhulu, kodwa isenayo izinkinga ezingenzeka. Uma ukhathazekile ngokuba nokudubula kwe-cortisone, khuluma nodokotela wakho. Ngenkathi i-cortisone iyindlela yokwelashwa enamandla yezimo eziningi zamathambo, ngokuvamile kunezinye izinketho ezingabuye zizame. Odokotela abaningi bazonikeza umjovo njengoba beshesha, kulula futhi kaningi bephumelela. Kodwa-ke, udokotela wakho kumele futhi akwazi ukunikeza ezinye zokwelapha zokuvuvukala okungase kuphumelele nalabo abangenakho, noma abafuni, umjovo we-cortisone.
Uma ngabe ube nemiphumela emibi ngenxa yomjovo we-cortisone wangaphambilini, qiniseka ukuthi uvumele udokotela wakho wazi ngenkinga eyenzekayo kanye nobukhulu bomphumela wecala. Lokhu kungathonya ukuthi unayo yini enye umjovo wezinkinga ezifanayo noma ezihlukile.
Uhlelo lokuPhatha
Akukho mithetho yokuthi zingakhiwa yini izilonda ze-cortisone . Ngokuvamile, odokotela abafuni ukunikeza okungaphezu kwezintathu, kodwa akukhona ngempela umkhawulo othize kwinani lamashothi. Noma kunjalo, kunezinye izilinganiso ezingokoqobo.
Uma umjovo we-cortisone uhamba ngokushesha noma ungasizi inkinga, ukuwuphinda kungase kungabi nzuzo. Futhi, izifundo zezilwane ziye zabonisa imiphumela yokuncipha kwamathenda kanye nokunciphisa i-cartilage nge- injection ye-cortisone . Izijovo ze-cortisone eziphindaphindiwe zandisa lemiphumela futhi zandisa ingozi yezinkinga ezingenzeka.
Ngenxa yalezi zizathu, odokotela abaningi banciphisa inani lemijovo abayinikeza isiguli. Inombolo ejwayelekile kunazo zonke odokotela batjela iziguli zabo ukuthi akumele kube khona injection engaphezu kuka-3 phakathi nesikhathi sonyaka, endaweni eyodwa yomzimba. Lokho kusho ukuthi kukhona odokotela abasebenzisa i-cortisone engaphezu kwalokhu, kanti abanye abahlakaniphile ngokuphatha ama-steroid shots. Xoxa nodokotela wakho ukuthi kufanele (noma ungabe) ube nomjovo kaningi kangakanani.
Izwi elivela
Abantu abaningi banemizwa ejulile mayelana namagciwane e-cortisone, uma bengumlingo, uma bebuhlungu, futhi uma kufanele basebenzise. Nakhu okusemqoka: i-cortisone ingaba ithuluzi elinamandla kakhulu elingase libe yikwelashwa elihle kakhulu, kodwa mhlawumbe lisetshenziswe ngokweqile njengokwelashwa ngezimo eziningi kakhulu, kaningi.
I-Cortisone kufanele isetshenziswe kuphela ukuphatha ukuvuvukala, hhayi nje ukujozwa ngenxa yobuhlungu. Kumele isetshenziswe kancane, ikakhulukazi kubantu abasha abanamalungu aphilile nama-tendon. Kufanele isetshenziswe ngokucophelela okukhulu esimweni esithile, njengezintambo ezizungezile ezingahle zilimale. Okokugcina, odokotela kufanele baqaphele imiphumela emibi yombuso we-cortisone futhi bazise iziguli zabo ngalezi zingozi ezingase zibe khona zokudubula kwe-cortisone. Uma bengenjalo, qiniseka ukuthi ukhulisa la maphuzu wengxoxo.
> Imithombo:
> Hepper CT, ngo-al. Ukusebenza nobude bomjovo we-intra-articular corticosteroid nge-knee osteoarthritis: ukubuyekezwa okuhlelekile kwezifundo zezinga. J Am Acad Orthop Surg. 2009 Okthoba; 17 (10): 638-46.
> Koester MC, Dunn WR, Kuhn JE, Spindler KP. Ukusebenza komjovo we-corticosteroid ongathandabuzeki ekwelapheni kwesifo se-rotator ye-cuff: Ukubuyekezwa okuhlelekile. J Am Acad Orthop Surg. 2007 Jan; 15 (1): 3-11.