Mahomoni a glucocorticosteroid ndi mbali yofunika kwambiri ya mankhwala ochizira pochiza matenda ambiri pamodzi ndi zotupa njira. Kuphatikizapo Dexamethasone - jekeseni wa mankhwalawa ndi othandiza kwambiri komanso nthawi yomweyo. Poyerekeza ndi zina glucocorticosteroids, wothandizira uyu amachititsa mavuto ambiri.
Maphunziro a zamakono a jekeseni zamankhwala Dexamethasone
Wogwiritsidwa ntchito wotchedwa hormonal agent amachititsa zotsatira zitatu pa thupi:
- anti-inflammatory;
- chithunzi;
- antiallergic.
Kuonjezerapo, njira ya Dexamethasone imachepetsa edema wa mucous membranes ya mankhwala opuma, omwe ndi ofunika pa chithandizo cha obstructive mu bronchi, komanso amachepetsa mamasukidwe akayendedwe a chinsinsi chobisika, kuyambitsa yake excretion pamene chifuwa.
Kodi jekeseni wa Dexamethasone ndi chiyani?
Choyamba, mankhwala operekedwawa amagwiritsidwa ntchito pa mankhwala opatsirana pogwiritsa ntchito mankhwala a matenda a endocrine:
- congenital hypoplasia ya adrenal cortex;
- Matenda a Addison;
- kulephera kwakukulu kwa adrenal cortex, onse apamwamba ndi apamwamba;
- chowopsa ndi chonchi;
- matenda a adrenogenital;
- chifuwa chachikulu;
- hypothyroidism.
Zotsalira zogwiritsira ntchito jekeseni wa Dexamethasone:
Mkhalidwe Wosweka:
- chithandizo;
- posakhalitsa;
- kuika magazi;
- mtima;
- kuwotcha;
- poizoni.
2. Matenda a matenda opuma:
- chikhalidwe cha asthmatic;
- matenda opatsirana opatsirana opweteka;
- sarcoidosis ;
- kuwonjezera kwa bronchitis osatha;
- bronchospasm;
- Matenda a Leffler;
- anafalitsa chifuwa chachikulu;
- berylliosis.
3. Cerebral edema ndi:
- chisokonezo;
- chiwonongeko;
- ziphuphu;
- encephalitis;
- ntchito zamagulu;
- kuvulala kwa ma radiation m'mapapo;
- meningitis.
4. Matenda a chifuwa chachikulu:
- matenda oopsa a mtima;
- Matenda a nyamakazi panthawi ya kuchulukitsa;
- anafalitsa lupus erythematosus.
5. Kuchepetsa magazi:
- chithunzi;
- choyimira;
- kusonkhanitsa;
- erythroblastopenia;
- hemolytic;
- mankhwala.
6. Matenda a dongosolo la m'mimba:
- chiwindi;
- matenda a nephrotic;
- nonspecific ulcerative colitis.
7. Zosasintha ndi zotupa njira mu ziwalo ndi minofu:
- tenosynovitis;
- epicondylitis;
- nyamakazi;
- bursitis;
- osteochondrosis;
- styloidite;
- Matenda a Bechterew;
- osteoarthritis;
- myositis.
8. Matenda a Mwazi:
- chithandizo;
- lymphomas;
- mpweya wamagazi;
- chithandizo;
- liwu;
- chithandizo;
- agranulocytosis.
9. Ophthalmic pathologies:
- keratitis;
- irit;
- conjunctivitis;
- blepharitis;
- iridocyclitis ;
- keratoconjunctivitis;
- sclerite;
- wachifundo ophthalmia;
- blepharoconjunctivitis;
- episcleritis;
- kutupa pambuyo pa ntchito pa maso.
10. Mapangidwe a khungu:
- zofiira;
- chithandizo;
- annular granuloma;
- matenda oopsa kwambiri.
Majekeseni a Dexamethasone amathandizidwanso kuti azidwala matenda enaake, ziwombankhanga zamagetsi ndi matenda akuluakulu. Pachifukwachi, mankhwala ophera mahomoni amatanthauza kuti ali ndi antibiotic.
Momwe mungayankhire bwino Dexamethasone?
Mu nthawi yovuta komanso yovuta kwambiri, jekeseni wa mankhwalawa imapatsidwa mlingo wa 4-20 mg (malingana ndi matenda ovumbulutsidwa) mpaka 4 patsiku. Jekeseni iyenera kuchitidwa pang'onopang'ono, kwa mphindi imodzi.
Ngati chikhalidwe cha thanzi chiri chokhutiritsa, mankhwalawa ayenera kuperekedwa moyenera muyezo womwewo.
Njira ya mankhwalawa ndi masiku 3-4, kusunga mlingo mutatha kuchotsa vutoli - 0.2-9 mg kwa maola 24. Ngati mankhwala ena akufunika, pitani kwa Dexamethasone ngati mapiritsi.
Nthaŵi zina jekeseni yowonjezera komanso yophatikizapo imayikidwa. Zikatero, mlingo wa tsiku ndi tsiku wa mankhwala a mahomoni ndi 0.2-6 mg.
Contraindications ndi zotsatira za jekeseni Dexamethasone
Matenda ndi mikhalidwe yomwe yankho lofotokozedwa silingagwiritsidwe ntchito:
- glaucoma;
- zilonda zopatsirana m'magazi ndi ziwalo;
- hypersensitivity;
- amoebic matenda;
- mawonekedwe a chifuwa chachikulu;
- njira;
- matenda oopsa a purulent ocular;
- nthawi yayitali komanso pambuyo pa katemera.
Malinga ndi zotsatira zake, Dexamethasone, monga lamulo, amalekerera bwino. Nthawi zambiri, pali mavuto omwe sali oopsa kuchokera ku machitidwe a thupi otsatirawa:
- chimbudzi;
- mtima;
- endocrine;
- mantha;
- mosamalitsa;
- chitetezo cha mthupi.
Nthaŵi zina maonekedwe a khungu ndi a m'deralo amapezeka, kashiamu yamagetsi, malingaliro a ziwalo zina zogometsa zimasokonezeka.