I-Prednisolone, i-corticosteroid enamandla, idlala indima ebalulekile ekwelapheni izindaba ezihlukene zezempilo, kusukela kokungaphatheki kahle komzimba nezinto ezithile kuya ezifweni ze-autoimmune. Lo muthi oguquguqukayo unciphisa ukuvuvukala futhi ucindezele amasosha omzimba, ukhulula iziguli eziningi ezibhekene nezifo ezingamahlalakhona.
Kulesi sihloko, sizohlola ukungena nokuphuma kwe-prednisolone, okuhlanganisa ukusetshenziswa kwayo, umthamo, kanye nemiphumela engemihle engaba khona.
I-Prednisolone umuthi onamandla we-corticosteroid odokotela abawunikeza ukwelapha izinkinga eziningi zempilo. Lesi sidakamizwa esikhiqizwayo silingisa ihomoni yemvelo ye-corticosteroid ekhiqizwa indlala ye-adrenal. Odokotela basebenzisa i-prednisolone ukuphatha izimo ezifana nokungezwani komzimba nezinto ezithile, ukuphazamiseka kwegazi, izifo zesikhumba, ukuvuvukala, izifo kanye nomdlavuza othile. Kuyasiza futhi ukuvimbela ukwenqatshwa kwesitho ngemva kokufakelwa.
I-Prednisolone, umuthi onamandla we-corticosteroid, welapha izifo eziningi, njenge:
Odokotela bangase banikeze i-prednisolone ngezinye izinjongo ezingashiwongo lapha. Iziguli kufanele zihlale zithintana nodokotela wazo uma zinemibuzo mayelana nokusetshenziswa kwayo.
Odokotela banquma i-prednisolone ngeziqondiso ezithile.
I-Prednisolone ingabangela imiphumela engemihle ehlukahlukene, kusukela komnene kuye konzima. Imiphumela emibi evamile ye-prednisolone ihlanganisa:
Le miphumela ngokuvamile ayidingi ukunakwa ngokushesha, kodwa kufanele uyibike uma iphikelela noma ihlupha.
Okuningi mayelana nemiphumela emibi ye-prednisolone ihlanganisa:
Iziguli ezithatha i-prednisolone zidinga ukuqapha, okuhlanganisa:
I-Prednisolone iyi-corticosteroid engena kumaseli futhi ibophezele kuma-receptors e-glucocorticoid. Le nkimbinkimbi ithuthela ku-nucleus yeseli, ithonya ukwakheka kofuzo. I-Prednisolone inciphisa ukukhiqizwa kwamakhemikhali avuthayo futhi icindezela umsebenzi wamasosha omzimba. Kuthinta izinqubo ezihlukahlukene zomzimba, ukusiza izimo ezifana nesifuba somoya, ukuvuvukala kwesikhumba, kanye nezifo ezizimele. Umuthi unomthelela kumetabolism, okungenzeka ukuthi uthinte amazinga kashukela egazini. I-prednisolone yomlomo ngokuvamile iqala ukusebenza phakathi namahora, ibe nemiphumela ehlala usuku.
Ithebhulethi ye-Prednisolone dispersible isebenzisana nemithi eminingi, okwenza kube semqoka ukubonana nodokotela ngaphambi kokuyihlanganisa nezinye izidakamizwa. Imithi evamile engase ihlanganyele ne-prednisolone ihlanganisa:
Odokotela bathungela umthamo we-prednisolone ngokwezidingo zesiguli ngasinye.
Kubantu abadala, umthamo wokuqala usukela ku-5 kuye ku-60 mg nsuku zonke.
Imithamo yezingane incike esisindweni somzimba, ngokuvamile i-0.14 kuya ku-2 mg ngekhilogremu ngayinye nsuku zonke, ihlukaniswe ngemithamo emi-3 noma emi-4.
I-Prednisolone inethonya elikhulu ekulawuleni izimo zezempilo eziningi. Amandla ayo okunciphisa ukuvuvukala futhi acindezele amasosha omzimba ayenza ibe ithuluzi elibalulekile lokwelapha i-allergies, ukuphazamiseka kwe-autoimmune, nezinye izifo. Lo muthi oguquguqukayo unikeza impumuzo ezigulini eziningi ezibhekene nezinkinga zempilo ezingamahlalakhona, zithuthukisa izinga lempilo yazo.
Odokotela bayinikeza i-allergies, ukuphazamiseka kwegazi, izifo zesikhumba, ukuvuvukala, izifo kanye nomdlavuza othile. Iphinde ivimbele ukwenqatshwa kwesitho ngemuva kokufakelwa. Umuthi unciphisa ukuvuvukala futhi wehlise amasosha omzimba, usize ezimweni ezingamahlalakhona ezifana rheumatoid arthritis.
Abantu abanezimo ze-autoimmune, njenge-rheumatoid arthritis, bavame ukudinga i-prednisolone. Iphinde isize labo abanesifo samathumbu avuvukalayo, isifuba somoya, kanye nokungezwani komzimba nomzimba kakhulu. Iziguli ezinezimo ezithile ze-endocrine, njenge-congenital adrenal hyperplasia, zingayidinga. Ezinye izimo zesikhumba, kufaka phakathi ezinzima psoriasis kanye nesifo sikaStevens-Johnson, nabo bayazuza ekwelashweni kwe-prednisolone.
Ukusetshenziswa kwansuku zonke kwe-prednisolone kungaholela emiphumeleni emibi, ikakhulukazi kumithamo ephezulu noma isikhathi eside. Iziguli kufanele zilandele imiyalelo kadokotela wazo ngokucophelela futhi zixoxe nganoma yikuphi ukukhathazeka mayelana nokusetshenziswa isikhathi eside.
I-Prednisolone ngokuvamile iphephile uma isetshenziswa njengoba kushiwo. Nokho, kungabangela imiphumela engemihle, ikakhulukazi ngokusetshenziswa isikhathi eside. Lokhu kungase kuhlanganise ukuncipha kwamathambo, isifo sikashukela esingalawuleki kahle, nezinkinga zamehlo.
Abantu abanezimo ezithile kufanele bagweme i-prednisolone noma bayisebenzise ngokuqapha. Lezi zihlanganisa labo abanezinkinga zesibindi, ukuhluleka kwenhliziyo, umfutho wegazi ophakeme, isifo sikashukela, noma i-glaucoma. Abesifazane abakhulelwe noma abancelisayo kufanele babonane nodokotela wabo ngaphambi kokuthatha i-prednisolone. Labo abanezifo zamanje noma abanomlando wofuba kufanele bazise udokotela wabo.
Ukuthatha i-prednisolone ebusuku kungabangela ukuphazamiseka kokulala. Odokotela ngokuvamile batusa ukuthi uyiphuze ekuseni ngesidlo sasekuseni.
Isikhathi esingcono kakhulu sokuthatha i-prednisolone imvamisa ekuseni ngesidlo sasekuseni. Lesi sikhathi sihambisana nenani eliphakeme lokukhiqizwa kwe-cortisol yomzimba (2 kuya ku-8 AM). Ukuyithatha nokudla kusiza ekunciphiseni ukucasuka kwesisu. Kulabo abathola ukwelashwa kolunye usuku, landela uhlelo olunikezwe udokotela wakho.
Ngenkathi uthatha i-prednisolone, gwema ukuyeka umuthi kungazelelwe ngaphandle kweseluleko sezokwelapha. Nciphisa ukuphuza utshwala, njengoba kungase kwandise ingozi yokopha esiswini. Qaphela ngemithi yokugoma ephilayo futhi wazise udokotela wakho ngaphambi kokuthola noma yimiphi imigomo. Gwema ukudla okucebile noma okubabayo ukuze unciphise izinkinga zesisu. Okokugcina, khumbula ukudla kwakho kwe-sodium futhi ucabange ukwandisa ukudla kwakho kwe-calcium ne-vitamin D ukuze usekele impilo yamathambo.