Funda malunga neenzuzo, iziphumo zecala, kunye nokunye
Izilwanyana ze-Cortisone zisetyenziselwa ukunyanga iingxaki ezininzi zomzimba ezibandakanya i- arthritis , i- tendonitis , ne- bursitis . I-Cortisone yiphilisi echasayo, engekho umbulali-ubuhlungu. Nangona kunjalo, ngokunciphisa ukuvuvukala, intlungu ihlala iphela.
Iilenjini zeCortisone zikhuselekile kakhulu ukwenza. Iziphumo eziphambili zihlala zingabonakali kwaye zincinci. Nangona kunjalo, kukho izinto ezimbalwa omele uziqonde ngaphambi kokuba ube nejojo leliyeza.
Yendalo kunye neCortisone yamaSt
I-Cortisone luhlobo lwe-steroid oluhlobene ngokusondelene nomntu wendalo obizwa ngokuba yi-cortisol. Emzimbeni wakho, i-cortisol ikhiqizwa kwi-adrenal gland kwaye ikhutshwe xa umzimba wakho uphantsi kwengcinezelo. I-cortisol eyenziwa ngokwemvelo ikhutshwe kwi-blood stream kwaye ihamba ngokufutshane.
I-cortisone engenayo iveliswa ngokweenkcukacha kwaye inamagama amaninzi ezorhwebo (umzekelo, iCelestone, iKenalog, njl.), Kodwa isisiseko esivela kwimveliso yomzimba wakho. Iintlukwano ezibaluleke kakhulu kukuba i -cortisone yokuhlanganiswa ayifakwe kwigazi, kodwa kwindawo ethile yokuvuvukala. Kwakhona, i-cortisone yokwenziwa yenzelwe ukwenza izinto ngokukhawuleza kunye nexesha elide (iintsuku endaweni yamaminithi).
Qaphela ukuba i-cortisone ayilona uhlobo olufanayo lwe-steroid njengesixhobo sokwandisa ukusebenza . Hayi yonke i- steroids enye! Iindidi ze-steroids ziquka i-cortisone, i-cholesterol kunye ne-hormone yesondo.
Ngoko ke, ukuba uya kwiofisi yakho ugqirha uze ufumane umfanekiso we-steroid, akuyi kwenza nto ukukhula izihlunu oziva malunga nokukopela kwimidlalo.
Indlela iCortisone inceda ngayo ukuvutha
I-Cortisone yinyango enamandla kakhulu echasayo. Akusiyo intlungu eyanciphisa amayeza, ithetha kuphela ukuvuvukala.
Xa intlungu iyancipha kwi-cortisone kuba ukuvuvukala kuncipha. Ngokufakela i-cortisone kwindawo ethile yokuvuvukala, iziphumo eziphezulu kakhulu zamachiza zinganikwa ngenkathi zigcina iimiphumo zecala zingabincinci. Iinjongo ze-Cortisone zivame ukusebenza phakathi kweentsuku ezimbalwa, kwaye iziphumo zingapheli kwiiveki ezimbalwa .
Ukongeza kwi-cortisone engenayo, oogqirha abaninzi baya kudibanisa i-cortisone kunye neminye imichiza enokubonelela ngemiphumo yemivuzo. Ngokomzekelo, oogqirha bamazinyo baya kudibanisa i-cortisone kunye ne-anesthetic yendawo yokubonelela ngokuphucula intlungu kunye nexesha elide. Ukongezelela, oko kwandisa i-anesthetic kunokuba luncedo kumbono wokuxilonga. Ukuba intlawulelo yentlungu ihamba ngokukhawuleza, ugqirha uya kukwazi ukuba i-anesthetic yendawo ihanjiswa kwindawo efanelekileyo, kwaye ngoko ke i-cortisone iya kuba kwindawo efanelekileyo.
Iimeko zeCortisone
Uninzi lweemeko apho ukuvuvukala yinkinga engundoqo kunakhokelela kwizibhamu ze-cortisone. Ezi zibandakanya, kodwa ngokuqinisekileyo aziphelelanga
Ukunciphisa Ubunzima
I-cortisone ifoto ingaba buhlungu, ingakumbi xa inikezelwa ngokubambisana, kodwa kwizandla ezinezakhono ngokuqhelekileyo iyakunyamezela.
Ngokuqhelekileyo, umjovo we-cortisone unokwenziwa ngenaliti encinci enokubangela ukungathandeki. Nangona kunjalo, ngamanye amaxesha inaliti ephakamileyo kufuneka isetyenziswe, ingakumbi ukuba ugqirha wakho uzama ukususa umkhuhlane ngokusebenzisa inaliti ngaphambi kokufaka injini ye-cortisone. Amachiza e-Numbing, afana ne-Lidocaine okanye iMarcaine, angafakwa nge-cortisone ukubonelela ngokukhawuleza kwendawo echaphazelekayo. Kwakhona, i -anesthetics yama-headical ingasiza ukunqanda isikhumba kwindawo ejoyiweyo. Izilwanyana zeCortisone ezilawulwa ngamalungu amaninzi zixhomekeke kakuhle, ngelixa iilisi ezinamaqhina amancinci okanye izikhala ezincinci zingenakukhathazeka kakhulu.
Ngenxa yalesi sizathu, iilenki ezihlangene zomnwe, iinyawo kunye neetoni zivame ukubangela ukungathandeki kunokuba ibhotshi ehlombe okanye emadolweni.
Iimpembelelo ezingasemva
Njengeyiphi na isilwanyana, kukho iimpendulo ezinokwenzeka, iimpembelelo ezisecaleni, kunye neengxaki ezinokuthi zenzeke nge-cortisone injection. Abanye oogqirha badla ngokungazi kakuhle imiphumo yecortisone njengoko le nto ithambekele ekunciphiseni (ixazulula ngethuba elincinane) kwaye ugqirha wakho akayi kubona le miphumo njengoko bathambekele ekufikeni ixesha elide emva kokuba isiguli sishiye iofisi .
Izigulane ezininzi zivakalelwa kukuba ugqirha awunakhathalele ngezinye iziphumo eziphambili ze-cortisone. Ngoko ke, kubalulekile ukuba izigulane ziqaphele imiphumo emibi yecala nayiphi na imithi ayithathayo, kwaye yazise ugqirha ukuba ngaba kwenzeka.
Imiphumo Yecala leSistim
Iziphumo zempembelelo eziqhelekileyo zenzeka ngenxa yesinani esincinci se-cortisone engena egazini kunye nokuchaphazela umzimba wakho wonke, kungekhona nje indawo apho i-cortisone inikwe khona.
Imiphumo emibi yenkqubo ye-injection yangaphakathi ye-cortisone ayinqabile kwaye idla ngokuncinci. Ngokungafani nokuthatha i-oral steroids, okanye ukuba ne-cortisone injected ngqo kwigazi legazi, kuphela inani elincinci lomjovo ojoliswe kuyo lixhaswa ngumzimba. Kwaye ekubeni umzimba uvelisa i-cortisone ngokwemvelo, uninzi lwabantu alufumani nemiphumo yenkqubo. Abo banezibonakaliso zento bangase babe neengxaki ezilandelayo:
- Ukuphakanyiswa kweSety Sugar
Inkqubo yesistim eqhelekileyo ibonakala kwizigulane zesifo sikashukela. Izigulane ezinesifo sikashukela kufuneka zijonge ngenyameko yabo ishukela yegazi njengoko i-cortisone ingabangela ukunyuka kwexeshana kumanqanaba e-glucose egazi. Izigulane ezithatha i-insulin kufuneka zicaphele ngokukhethekileyo, zikhangele i- sugar sugar yabo rhoqo kwaye zilungelelanise i-insulin, xa kuyimfuneko. Ukuba iswekile yegazi iphakama ngaphezu kokulindeleke, kufuneka uqhagamshelane nodokotela olawula isifo sikashukela ukuze abone ukuba unyango olongezelelweyo luyimfuneko. - Ukucubungula ubuso
Izigulane zinokubona ukuvala kunye nokubomvu kobuso babo. Le mpendulo iqhelekileyo kubasetyhini kwaye ibonakala kwi-15 yeepesenti zezigulane ezitholayo i-cortisone shot. Oku kungaqala kwiiyure ezimbalwa zejoyi kwaye zingadlulela iintsuku ezimbalwa. Oogqirha abaninzi abaqapheli ukuba le nto ixhaphake ngayo, kwaye abanye bangayiqondi indlela oku kunokubangela ukuba izigulane ziphazamise. Iindaba ezilungileyo, kukuba le miqondiso yenza isigqibo ngokukhawuleza, kodwa ingenza izigulane zizicinge kabini ngaphambi kokuba zitshintshwe enye.
Iziphumo zecala lasekhaya
Imiphumo yendawo yendawo yilabo abanamava kuphela kwindawo enye yomzimba apho kwenzeka khona ijojo. Imiphumo yendawo yendawo ye-cortisone injection ayinqabile, kodwa kwakhona, iyenzeka kwaye kufuneka ukwazi ukuba yenzeni ukuba kwenzeka ntoni kuwe!
- Ubuhlungu kunye neCortisone Flare Reaction
Ezinye izigulane zibuhlungu emva kwe-injection kwaye zinokunyuka kwiintlungu ezingama-24 ukuya kuma-48 emva kokuphathwa. Oku kudla ngokukhawuleza kwaye kunokuncedwa nge- pack yeqhwa kunye neyeza ezichasayo . - Sulelo
Nanini na ukuphuka kwesikhumba, ngathi xa inaliti isetyenziselwa ukulawula i-cortisone, kukho ithuba lokusuleleka. Ugqirha wakho uya kuncipha ulusu ukwenzela ukunciphisa umngcipheko wokusuleleka. - Iinguqu zePigment Changes
Izigulane zesikhumba esimnyama kufuneka ziqaphele ukuba i-cortisone ingabangela ukuba isikhumba sijikeleze isiza sokungena kwi-injection. Oku akuyingozi. - Ukulahlekelwa kweziThuthi ezinamafutha
Amanqanaba aphezulu e-cortisone angaba nemiphumo emibi kwezinye iisculi emzimbeni. Xa ijojowe kwiisisindo ezinamafutha, i-cortisone ingakhokelela kwingxaki ebizwa ngokuba yi-fat atrophy. I-fat atrophy ibangela ukulahlekelwa kwezicubu ezinamafutha, oku kunokukhokelela ekugqibeleni kwesikhumba okanye ukuxutywa kwamanqatha. Izigulane ezifumana i-cortisone injection kwisithende ukuphatha i- fasciitis yezityalo zingakufumana ukuhamba buhlungu njengamafutha anqabile ukunyathela amanyathelo awo angatyebile. - Tendon Ukukhutshwa
I-Cortisone inokubangela ukuba buthathaka kweetoni. Esi sisinye sezizathu ugqirha wakho unokunciphisa inani le-injection cortisone elawulwayo. I-Cortisone inokukhokelela ekuqhekekeni kwetoni, njengokuba kunjalo xa i- cortisone ifakwe kwi-Achilles tendonitis .
Ngaba iiShotshi zikhuselekile?
Iilenjini zeCortisone zikhuselekile kakhulu, kodwa zisenokuba neengxaki ezinokuba nazo. Ukuba unenkxalabo yokuba ne-cortisone shot, thetha nodokotela wakho. Nangona i-cortisone yonyango olunamandla kwiimeko ezininzi zamathambo, ngokuqhelekileyo kukho ezinye iindlela ezinokuzanywa. Oogqirha abaninzi baya kunika umjovo njengoko bekhawuleza, kulula, kwaye baninzi basebenza kakuhle. Nangona kunjalo, ugqirha kufuneka kwakhona akwazi ukunikela ezinye iindlela zokwelapha ezinokuthi zisebenze nakwabo abo abangenakho, okanye abangafuni, i-cortisone injection.
Ukuba uye waba nemiphumo emibi ngenxa yecenisone yangaphambilini ye-cortisone, qiniseka ukuba uvumele ugqirha wakho ukuba azi ingxaki eyenzekayo kunye nobukhulu becala. Oku kunokuchaphazela nokuba ungenayo enye injenisi enye okanye ingxaki eyahlukileyo.
Isicwangciso soTyango
Akukho mgaqo malunga nokuba zingaphi iisitikiti ze-cortisone ezinganikwa . Ngokuqhelekileyo, oogqirha abafuni ukunikela ngaphezu kweyesithathu, kodwa akukho mpela umda othile kwinani leebhentshi. Nangona kunjalo, kukho ukulinganiselwa okwenziweyo.
Ukuba i-cortisone injection igxotha ngokukhawuleza okanye ayinakunceda ingxaki, ukuphindaphinda kungenakufaneleka. Kwakhona, izifundo zezilwanyana ziye zabonisa iziphumo zokuncipha kweetoni kunye nokunciphisa i-cartilage ngamagciwane e-cortisone . Ukuphindwa kwakhona kwe-cortisone injections kwandisa le miphumo kwaye kwandisa umngcipheko weengxaki ezinokwenzeka.
Ngenxa yezi zizathu, oogqirha abaninzi banciphisa inani leenjini abanikela kwisigulane. Amanqaku aqhelekileyo odokotela axelela izigulane zabo kukuba akukho mayeza angaphezu kweethathu kufuneka alawulwe ngexesha lonyaka, kwindawo enye yomzimba. Oko kwathiwa, kukho oogqirha abasebenzisa i-cortisone engaphezulu kunalo, kunye nabanye abanengqiqo ngokuphatha i-steroid shots. Xoxa nodokotela wakho kangakanani ukuba kufuneka (okanye unako) ukujola.
ILizwi
Abantu abaninzi banemvakalelo enzulu malunga neenjini ze-cortisone, ukuba ziyimilingo, ukuba ziyingozi, kwaye ukuba zisetyenziswe. Nantsi ingezantsi: i-cortisone inokuba yinto enamandla kakhulu enokuthi ibe yonyango oluhle kakhulu, kodwa mhlawumbi lisetyenziselwa unyango kwiimeko ezininzi kakhulu.
I-Cortisone ifanele isetyenziswe ukuphatha ukuvuvukala, kungekhona nje injected for pain. Kufuneka kusetyenziswe ngokukhawuleza, ingakumbi kubantu abatsha abanezilwanyana ezinempilo kunye neetoni. Kufuneka isetyenziswe ngokuqaphela okukhulu kwiimeko ezithile, ezifana neetoni ezinokuthi zonakaliswe. Ekugqibeleni, oogqirha kufuneka baqaphele imiphumo yecala le-cortisone baze baxelele izigulane zabo malunga nale mngcipheko wokuba nephetsheni ye-cortisone. Ukuba azinjalo, qi ni sekise ukukhupha ezi ngongoma zengxoxo.
> Imithombo:
> Hepper CT, kwi-al. Ubungakanani kunye nobude be-injection corticosteroid ye-intra-articular kwi-knee osteoarthritis: ukuphononongwa ngokuchanekileyo kwinqanaba lam. J Am Acad Orthop Surgery. 2009 Oct; 17 (10): 638-46.
> Koester MC, Dunn WR, Kuhn JE, Spindler KP. Ukusebenza kwejoza ye-corticosteroid engathandekiyo ekunyangeni kwesifo se-rotator ye-cuff: Ukuhlaziywa okucwangcisiweyo. J Am Acad Orthop Surgery. 2007 Jan; 15 (1): 3-11.