Prednisone no ka hānō: hana paha ia?
Anter
- Pehea ka maikaʻi o ka prednisone no ka hānō?
- He aha nā hopena?
- ʻEhia kaʻu e lawe ai?
- Nā nīnau e nīnau ai i kāu kauka
- Nā koho ʻē aʻe
- Hoʻokomo ʻia nā corticosteroids
- Nā mīkini paʻa paʻa paʻa
- Nā mea hoʻololi Leukotriene
- Ke laina lalo
Hōʻike Overview
ʻO Prednisone kahi corticosteroid e hele mai i kahi ʻano waha a wai paha. Hana ia ma ka hana ʻana i ka ʻōnaehana pale e kōkua i ka hōʻemi ʻana i ka mumū i nā ala ea o nā poʻe me ka hānō.
Hāʻawi pinepine ʻia ʻo Prednisone no kahi manawa pōkole, e like me inā ʻoe e hele i ka lumi pilikia a i ʻole kau ʻia i ka haukapila ma muli o ka hōʻeha hānō. E aʻo i nā hoʻolālā no ka pale ʻana i nā hōʻeha hānō.
Hiki ke hāʻawi ʻia i ka Prednisone e like me ka mālama wā lōʻihi inā koʻikoʻi a paʻakikī paha kāu hānō e kaohi.
Pehea ka maikaʻi o ka prednisone no ka hānō?
Ua loiloi ʻia kahi ʻatikala loiloi i ka American Journal of Medicine i ʻeono mau hoʻokolohua like ʻole no nā mākua me nā hanana hānō koʻikoʻi. I loko o kēia mau hoʻāʻo, ua loaʻa ka poʻe i ka lāʻau corticosteroid ma waena o 90 mau minuke o ka hōʻea ʻana i ke keʻena pilikia. Ua ʻike nā kānaka noiʻi ua loaʻa i kēia mau pūʻulu ka helu o ke komo ʻana i ka haukapila haʻahaʻa ma mua o ka poʻe i loaʻa kahi placebo ma kahi.
Hoʻohui ʻia, kahi loiloi e pili ana i ka hoʻokele ʻana i nā hōʻeha hānō nui i ka ʻAmelika Kauka Lapaʻau ua ʻike ʻia ua hoʻouna ʻia ka poʻe i ka home me kahi palapala 5- a 10 lā o 50 a 100 mau milligrams (mg) o ka prednisone waha i hoʻoliʻiliʻi i ka hoʻi hou ʻana o nā ʻōuli hānō. Hōʻike ka loiloi like i nā keiki 2 a 15 mau makahiki, ʻekolu mau lā o ka prednisone therapy ma 1 mg no kilogram o ke kaumaha o ke kino e like me ʻelima mau lā o ka prednisone therapy.
He aha nā hopena?
Hiki i nā hopena ʻē aʻe o ka prednisone ke hoʻopili:
- paʻa wai
- hoʻonui i ka makemake
- loaʻa kaupaona
- hoʻohuhū ʻōpū
- ke ʻano a i ʻole nā ʻano loli
- kahe koko kiʻekiʻe
- hoʻonui i ka maʻalahi i ka maʻi
- ʻosteoporosis
- loli ka maka, e like me glaucoma a i ʻole cataract
- hopena maikaʻi ʻole i ka ulu a ulu ʻana paha (ke kuhikuhi ʻia i nā keiki)
He mea nui e hoʻomaopopo i ka nui o kēia mau hopena ʻaoʻao, e like me ka osteoporosis a me nā loli o ka maka, ke hana maʻamau ma hope o ka hoʻohana lōʻihi. ʻAʻole lākou i maʻa mau me kahi kuhikuhi prednisone wā pōkole. E nānā i kēia mau kiʻi hoʻomākeʻaka e hōʻike i kekahi o nā hopena ʻē o ka malihini o ka prednisone.
ʻEhia kaʻu e lawe ai?
Loaʻa ʻo Prednisone ma ke ʻano he papa ʻōlelo waha a i ʻole kahi wai hoʻopiha wai i loko o ʻAmelika Hui Pū ʻIa. ʻOiai like, ʻaʻohe like ka prednisone me ka methylprednisolone, i loaʻa ma ke ʻano he solution injection a me kahi papa waha. ʻO ka maʻamau, hoʻohana ʻia ka prednisone waha ma ke ʻano he laina laina mua no ka hānō hika no ka mea ʻoi aku ka maʻalahi o ka lawe a me ka liʻiliʻi o ke kumukūʻai.
ʻO ka awelika o ka lōʻihi o ke kuhikuhi ʻana no corticosteroids e like me prednisone he 5 a 10 mau lā. I nā mākua, ʻaʻohe mea maʻa mau i nā 80 mg. ʻO ka mahele lāʻau nui i ʻike ʻia he 60 mg. ʻAʻole hōʻike ʻia nā hana ʻoi aku ma mua o 50 a 100 mg i kēlā me kēia lā e ʻoi aku ka maikaʻi no ke kōkua.
Inā ʻoe e nalo i kahi mahele o prednisone, pono ʻoe e lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Inā ʻaneʻane kokoke ka manawa no kāu kaukō aʻe, e lele i ka lāʻau i hala ʻole a lawe i ka lāʻau i hoʻonohonoho pinepine ʻia.
ʻAʻole pono ʻoe e lawe i kahi kaomi keu e hana ai no kahi mahele lāʻau āu i nalo ai. I mea e pale aku ai i kahi ʻōpū huhū, ʻoi aku ka maikaʻi e lawe i ka prednisone me ka meaʻai a i ʻole ka waiū.
Nā nīnau e nīnau ai i kāu kauka
ʻAʻole palekana ʻo Prednisone i ka wā hāpai. E hoʻomaopopo koke ʻoe i kāu kauka inā hāpai ʻoe i ka lawe ʻana i ka prednisone.
Ma muli o ka prednisone e hana ai i ka ʻōnaehana kamepiula, e lilo paha ʻoe i mea maʻalahi i nā maʻi. Pono ʻoe e kamaʻilio me kāu kauka inā loaʻa mau ka maʻi maʻi a i ʻole loaʻa i kahi lāʻau lapaʻau.
Aia kekahi mau lāʻau lapaʻau e hiki ke launa pū me ka prednisone. He mea nui e hoʻomaopopo ʻia kāu kauka no nā lāʻau āpau āu e lawe nei. Pono ʻoe e kamaʻilio me kāu kauka inā lawe ʻoe i kēia ʻano ʻano o nā lāʻau:
- lahilahi koko
- lāʻau lapaʻau diabetes
- nā lāʻau anti-tuberculosis
- macrolide-type antibiotics, e like me erythromycin (E.E.S.) a i ʻole azithromycin (Zithromax)
- cyclosporine (Sandimmune)
- estrogen, me ka lāʻau hoʻomalu hānau
- nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), e like me ka aspirin
- diuretics
- anticholinesterases, keu hoʻi i ka poʻe me ka myasthenia gravis
Nā koho ʻē aʻe
Aia kekahi mau lāʻau anti-inflammatory ʻē aʻe i hiki ke hoʻohana ʻia ma ke ʻano he ʻāpana o ka mālama hānō. Pākuʻi ʻia kēia mau mea:
Hoʻokomo ʻia nā corticosteroids
He maikaʻi loa nā Corticosteroids i hū ʻia no ka palena ʻana i ka nui o ka mumū a me nā mucus i ke ala ea. Lawe pinepine ʻia lākou i kēlā me kēia lā. Ua hele mai lākou i loko o ʻekolu mau ʻano: kahi inika lāʻau metered, kahi maloʻo maloʻo maloʻo, a i ʻole kahi hopena nebulizer.
Kōkua kēia mau lāʻau i ka pale ʻana i nā hōʻailona hānō, ʻaʻole mālama i nā hōʻailona.
Ke lawe ʻia i nā lāʻau haʻahaʻa, loaʻa nā hopena ʻino i nā corticosteroids inhaled. Inā lawe ʻoe i kahi lāʻau kiʻekiʻe, i nā manawa kakaikahi hiki iā ʻoe ke loaʻa i kahi maʻi fungal o ka waha i kapa ʻia thrush.
Nā mīkini paʻa paʻa paʻa
Hana kēia mau lāʻau i ka pāpā ʻana i ka hoʻokuʻu ʻana o kahi hui i kapa ʻia histamine e nā hunaola pilikino i loko o kou kino (mast cells). Hoʻohana ʻia lākou e pale i nā hōʻailona hānō, keu hoʻi i nā keiki a me nā poʻe i loaʻa i ka hānō e ka hoʻoikaika kino.
Lawe pinepine ʻia nā mea hoʻopaʻa paʻa mast i ʻelua a ʻehā mau manawa i kēlā me kēia lā a he ʻuʻuku nā hopena. ʻO ka hopena ʻaoʻao maʻamau ka puʻu maloʻo.
Nā mea hoʻololi Leukotriene
ʻO nā mea hoʻololi Leukotriene kahi ʻano hou o ka lāʻau hānō. Hana lākou ma ka pale ʻana i ka hana o nā hui kikoʻī, i kapa ʻia ʻo leukotrienes. Kūlohelohe nā Leukotrienes i kou kino a hiki ke hoʻonāukiuki i nā mākala o ke alaloa.
Hiki ke lawe i kēia mau pila i hoʻokahi a i ʻehā mau manawa i kēlā me kēia lā. ʻO nā hopena ʻaoʻao maʻamau ka ʻeha poʻo a me ka nausea.
Ke laina lalo
ʻO Prednisone kahi corticosteroid i hāʻawi mau ʻia no nā hihia koʻikoʻi o ka hānō. Kōkua ia i ka hoʻoliʻiliʻi o ka mumū i nā ala nui i nā poʻe e loaʻa nei i kahi hōʻeha hānō.
Ua ʻike ʻia ka maikaʻi o Prednisone i ka hōʻemi ʻana i ka hoʻi hou ʻana o nā ʻōuli hānō huʻihuʻi ma hope o ke kipa ʻana i ka lumi pilikia a i ʻole ka haukapila.
ʻO ka hapa nui o nā hopena ʻino e pili ana i ka prednisone e hana ʻia i ka wā hoʻohana lōʻihi.
Hiki i ka Prednisone ke launa pū me nā ʻano lāʻau ʻē aʻe. He mea nui ia e haʻi aku i kāu kauka i nā lāʻau ʻē aʻe āpau āu e lawe nei ma mua o ka hoʻomaka ʻana i ka prednisone.