I-Cortisone Shots Inceda Ukunciphisa Ukuvuvukala Kwendawo okanye kwiNkqubo
I-injection ye-Steroid, ebizwa ngokuba yi-cortisone shots, i-injection ye- corticosteroid . Injini ye-steroid inokulawulwa njengejoyiweyo (eg, intra-articular) okanye kwi-muscle (umquba, umzekelo) okanye imvini yesiphumo senkqubo (oko kukuthi, umzimba wonke). I-Corticosteroids yilezi ziyobisi ezinokuthi zifane ne-cortisol, i-hormone ngokwemvelo eyenziwa yi-adrenal glands.
Ngokujova, ugqirha wakho unokunikela umlinganiselo ophezulu weyeza ze-corticosteroid ngqo kwiindawo ezibuhlungu zomzimba ngenjongo yokunciphisa ukuvuvukala ngokunciphisa umsebenzi we- immune system .
Iimpawu ze-Steroid Injections
I-Corticosteroids isetyenziselwa ukulawula ukuvuvukala kwi- arthritis nezinye izimo ezivuthayo. I-Corticosteroids inokuthi ijojowe ngqo kwiifomthi ezivuthayo, okanye ziyakwazi ukuhanjiswa kuwo wonke umzimba ngokusebenzisa amalungiselelo omlomo, ii-injection, okanye iinjenjini ze-intramuscular. I-injection ye-Steroid inokunika uncedo olukhulu kwizigulane ezineempatho ze-arthritis okanye i- musculoskeletal conditions. Kwizigulane ezine- arthritis ye-rheumatoid , ii-injection zixhaswa xa kuphela omnye okanye amabini amaninzi abonisa i- synovitis esebenzayo. Injongo yokonyango kukukhupha iimpawu zentlambo okanye ukunika iziyobisi ezinokubambezela, ezifana ne- methotrexate okanye i- Plaquenil , ixesha lokusebenza. Ngokomzekelo, kwi-arthritis yokuqala ye-rheumatoid, iziphumo zokufunda zibonise ukuba udibaniso lwe- DMARD kunye ne-intra-articular steroids lungcono kakhulu kune-DMARD kuphela.
Ibhokisi lidibaniselwano eliqhelekileyo elijoyiweyo. Kunconywa ukuba izigulane zinciphise umsebenzi wazo wokunyamezela iintsuku ezi-1 ukuya kwe-2 emva kwentsholongwane ukunika ithuba elihle lokusebenza. Ukusetyenziswa ngokugqithiseleyo kwiiyure eziyi-6 zokuqala emva kokuba injenge ingakwazi ukukhulisa i-arthritis. Ekubeni i-anesthetic yasekuhlaleni ixubene kunye ne-steroid, izigulana zingazi ukuba zibeka uxinzelelo olukhulu kwi-arthritic joint, njengoko intlungu ifihliwe, ngokwe-rheumatologist uScott J. Zashin.
Iingcebiso ziyahlukahluka, kodwa amaninzi amaninzi aya kuphepha ukujoba enye iqela elingaphezu kwama-3 ngonyaka. Ngokomzekelo, unokuba negama lakho lasekhohlo lijojowe kabini ngonyaka kwaye idolo lakho lokunene lijojowe kabini, kodwa kungekho amaxesha amane kwicala elinye. Inombolo egqithiseleyo okanye i-injection ye-injection ye-steroid ingabangela umonakalo we-bone, ligament, okanye umthamo.
Kukho ukhetho oluninzi lwesicatshulwa se-steroid esetyenziswe kwi-injection. Ngokukodwa, kuxhomekeke koogqirha abakhethayo (umzekelo, iDepo-Medrol [methylprednisolone acetate], Aristospan [triamcinolone hexacetonide], uKenalog [triamcinolone acetonide] kunye noCelestone [betamethasone]). Nangona izigulane zivakala ukuba ziphucule ngokukhawuleza kwigumbi lokuhlola, emva kokuba i-anesthetic yendawo igugile, kungathatha iintsuku ezili-10 ukuqonda ukuba inzuzo kwakhona.
Imiphumo emibi ye-Steroid Injections
Uninzi lwezigulane ezifumana ii-injection ze-steroid azifumaneki nemiphumo emibi, ngokukodwa ngokunamathela kwixesha eliphakanyisiweyo. Nangona kunjalo, iziphumo zempembelelo ze-steroid ziquka:
- intlungu eyongeziweyo okanye ukuvuvukala kokubambisana kwiiyure ezingama-24 zokuqala
- ukuvuvukala, ubomvu, okanye intlungu eyongezelelweyo emva kweeyure ezingama-24 (ingasayinisa isifo sobambiswano)
- kuphuka kwetoni
- ukukhutshwa kwesikhumba
- kuphuma kwendawo
- sulelo
- impendulo
Injini ye-steroid yangaphakathi kwi-muscle (amaconsi) inika umphumo wenkqubo. Ukuba iqela elithile libandakanyekile, ijoliyo ye-steroid kwiimfumba ayinakusebenza kangangoko kunomjovo we-intra-articular. Njengomlomo we-corticosteroids, akuqinisekanga ukuba uninzi lwamachiza enkqubo lufikelela kumdibaniso othile. Kwakhona, ukuba ijoyi engxenyeni iphindaphindiweyo kaninzi, inokunyusa ingozi yokuphuhlisa imiphumo emibi echaphazelekayo ngomlomo we-steroids, kubandakanya i- osteoporosis kunye ne-cataract.
Amaphuzu ambalwa abalulekileyo
- Ngokuqhelekileyo, iinjongo ze-steroid zendawo ziyaxhaswa kakuhle kwaye zincinci ukuba zidibane nemiphumo emibi kakhulu xa kuthelekiswa ne-corticosteroids yomlomo.
- I-Steroids ayifanele ijojowe ukuba kukho isifo kwisayithi ekufuneka ijojowe okanye naphi na emzimbeni.
- Ukuba iqhagamshelwano elichaphazelekayo lonakaliswe kakhulu, akukho ncitshiswa kakhulu kwisiphumo esihle ngejoyi ye-steroid.
- Ngokuqhelekileyo, kuyimigaqo-nkqubo yokufuna i-joint fluid kwiinjongo zokuvavanya phambi kokujoba idibene kunye ne-steroids, ingakumbi ukuba ukuxilongwa kusenakuqinisekiswa.
> Imithombo:
> Ii-injection zeSteroid. Kliniki yaseCleveland.
> Ukuthelekiswa kweenjini ze-intra-articular glucocorticoid kunye ne-DMARD kunye ne-DMARD kuphela kwi-arthritis ye-rheumatoid. Umbhalo woMbutho weeNgcali zaseNdiya. Menon N. et al. Agasti 2014.
> Kelley's Bookbook yeRheumatology. I-ninth edition. Elsevier. Glucocorticoid Therapy. Isahluko 60.