Mālama ʻana i nā Multiple Sclerosis Flare-Up me nā Steroids

Anter

• ʻO nā steroid he nui
• Soliledrol
• Prednisone
• ʻO Decadron
• Hana paha ia?
• Hoʻohana Steroid no nā hopena ʻaoʻao MS
• Nā hopena pōkole
• Nā hopena wā lōʻihi
• Tapering
• Lawe aku

Pehea e hoʻohana ai nā steroid i ka mālama iā MS

Inā loaʻa iā ʻoe he mau sclerosis (MS) he nui, hiki i kāu kauka ke kauoha aku i nā corticosteroids e mālama i nā hanana o ka hana maʻi i kapa ʻia he exacerbations. ʻIke ʻia kēia mau ʻāpana o nā hōʻailona hou a hoʻihoʻi paha i ka hoʻouka ʻana, hoʻomālamalama ʻana, a i ʻole nā ​​hoʻi hou ʻana.

Manaʻo ʻia ʻo Steroids e hoʻopōkole i ka hoʻouka kaua i hiki ai iā ʻoe ke hoʻi i ke ala ma mua.

ʻAʻole pono ia e mālama i nā MS relapses āpau me nā steroid. Mālama ʻia kēia mau lāʻau no ka hoʻi hou ʻana i nā pilikia e hoʻopilikia ai i kou hiki ke hana. ʻO kekahi mau laʻana o kēia ka nāwaliwali loa, nā pilikia kaulike, a me nā haunaele ʻike.

Ikaika nā mālama ʻana o Steroid a hiki i nā hopena ʻē aʻe ke hoʻololi i kēlā me kēia kanaka. Hiki ke pipiʻi a kūpono ʻole nā ​​mālama steroid (IV).

Pono e kaupaona ʻia nā pono a me nā maikaʻi ʻole o nā steroid no MS ma ke ʻano pākahi a e loli paha i ka wā o ka maʻi.

E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe e pili ana i nā steroid no MS a me kā lākou pono kūpono a me nā hopena ʻaoʻao.

ʻO nā steroid he nui

ʻO ke ʻano o nā steroid i hoʻohana ʻia no MS i kapa ʻia he glucocorticoids. Hoʻopili kēia mau lāʻau i ka hopena o nā hormones a kou kino e hana maʻamau ai.

Hana lākou ma ka pani ʻana i ka pale o ka lolo-lolo i hoʻopilikia ʻia, kahi mea e kōkua ai i ka hoʻōki ʻana i nā hunaola ʻino mai ka neʻe ʻana i ka ʻōnaehana waena. Kōkua kēia i ka pale ʻana i ka mumū a me ka hōʻoluʻolu i nā ʻōuli o MS.

Hoʻokomo pinepine ʻia nā steroid ʻoi loa i hoʻokahi manawa i ka lā no ʻekolu a ʻelima mau lā. Pono e hana i kēia ma kahi haukapila a haukapila paha, ma ke kumu o waho. Inā he hopohopo olakino koʻikoʻi kou, e koi ʻia i ka haukapila.

Ukali ʻia ka mālama ʻana IV i kekahi manawa e kahi papa o nā steroid steroid no hoʻokahi a ʻelua mau pule paha, kahi e hoʻoliʻiliʻi mālie ai ka lāʻau. I kekahi mau hihia, lawe ʻia nā steroid oral e like me ʻeono pule.

ʻAʻohe mea maʻamau a regimen no ka mālama ʻana i ka steroid no MS. E noʻonoʻo kāu kauka i ke koʻikoʻi o kāu mau ʻōuli a makemake paha ʻoe e hoʻomaka me ka hapa haʻahaʻa haʻahaʻa hiki.

Eia kekahi o nā steroid i hoʻohana ʻia e mālama ai i ka hoʻi hou ʻana o MS.

Soliledrol

ʻO Solumedrol, ka steroid i hoʻohana pinepine ʻia e mālama iā MS, kahi inoa inoa no methylprednisolone. He ikaika loa ia a hoʻohana pinepine ʻia no ka hoʻi hou ʻana o ka maʻi.

ʻO nā hana maʻamau mai 500 a 1000 mau milligrams i ka lā. Inā loaʻa iā ʻoe kahi kino liʻiliʻi o ke kino, ʻoi aku ka hoʻomanawanui o kahi mahele ma ka palena haʻahaʻa o ka pālākiō.

Hoʻokele pinepine ʻia ʻo Solumedrol i kahi kikowaena infusion a i kahi haukapila. ʻO kēlā me kēia infusion mau ma kahi o hoʻokahi hola, akā hiki ke loli kēia. I ka wā o ka infusion, ʻike paha ʻoe i kahi ʻono metallic i loko o kou waha, akā he manawa pōkole ia.

Kaukaʻi ʻia i kāu pehea e pane ai, pono ʻoe i kahi infusion i kēlā me kēia lā no kēlā me kēia wahi mai ʻekolu a ʻehiku mau lā.

Prednisone

Loaʻa ka prednisone waha ma lalo o nā inoa inoa e like me Deltasone, Intensol, Rayos, a me Sterapred. Hiki ke hoʻohana i kēia lāʻau i kahi o nā steroid IV, keu hoʻi inā loaʻa ʻoe i kahi haʻahaʻa haʻahaʻa a hoʻohaʻahaʻa hoʻi.

Hoʻohana ʻia ʻo Prednisone e kōkua iā ʻoe e hoʻopau ma hope o ka loaʻa ʻana o nā steroid ʻo IV, maʻamau no hoʻokahi a ʻelua mau pule paha. ʻO kahi laʻana, lawe paha ʻoe i 60 milligrams i ka lā no nā lā ʻehā, 40 milligrams i ka lā no ʻehā mau lā, a laila 20 milligrams i ka lā no ʻehā mau lā.

ʻO Decadron

ʻO Decadron kahi inoa inoa no dexamethasone waha. Lawe ʻia i kahi lāʻau o 30 milligrams (mg) i kēlā me kēia lā no ka pule i hōʻike ʻia he maikaʻi i ka mālama ʻana i ka hoʻi hou ʻana o MS.

E ukali paha kēia iā 4-12 mg i kēlā me kēia lā no ka lōʻihi o hoʻokahi mahina. E hoʻoholo kāu kauka i ka lāʻau hoʻomaka hoʻomaka no ʻoe.

Hana paha ia?

He mea nui e hoʻomaopopo ʻaʻole i manaʻo ʻia nā corticosteroids e hāʻawi i nā pōmaikaʻi wā lōʻihi a i ʻole hoʻololi i ka papa o MS.

Aia kekahi hōʻike e hiki iā lākou ke kōkua iā ʻoe e hoʻi hou mai i ka hoʻi hou ʻana me ka wikiwiki. Hiki paha i kekahi mau lā ke ʻike i ka hoʻomaikaʻi ʻana o kāu mau hōʻailona MS.

Akā e like me ka MS ʻokoʻa loa mai kekahi kanaka a i kekahi ʻē aʻe, pēlā nō ka mālama ʻana o ka steroid. ʻAʻole hiki ke wānana pehea e kōkua maikaʻi ai iā ʻoe a i ʻole ka lōʻihi o ka lōʻihi.

Ua hōʻike ʻia kekahi mau noiʻi liʻiliʻi e hiki ke hoʻohana ʻia nā lāʻau like o ka oral corticosteroids ma kahi o ka lāʻau kiʻekiʻe IV methylprednisolone.

Ua hoʻoholo ʻo 2017 i ka methylprednisolone waha ʻaʻole haʻahaʻa i ka IV methylprednisolone, a ua ʻae like ʻia lākou a palekana hoʻi.

ʻOiai ʻoi aku ka maʻalahi o nā steroid oral a ʻoi aku ka liʻiliʻi, hiki iā lākou ke hoʻololi maikaʻi i nā mālama ʻana IV, keu hoʻi inā pilikia nā infusions iā ʻoe.

E noi i kāu kauka inā he koho maikaʻi nā steroid oral i kāu hihia.

Hoʻohana Steroid no nā hopena ʻaoʻao MS

ʻO ka hoʻohana ʻana i nā manawa o ka lāʻau koina kiʻekiʻe e hoʻomanawanui maikaʻi ʻia. Akā loaʻa iā lākou nā hopena ʻaoʻao. ʻO kekahi e ʻike koke ʻoe. ʻO nā poʻe ʻē aʻe paha ka hopena o nā hana hou a lōʻihi paha.

Nā hopena pōkole

ʻOiai e lawe ana i nā steroid, ʻike paha ʻoe i kahi ikaika o ka manawa i hiki ke paʻakikī i ka hiamoe a i ʻole ke noho mālie a hoʻomaha. Hiki iā lākou ke kumu i ka loli a me ka loli. Hiki paha iā ʻoe ke noʻonoʻo a hilinaʻi nui paha i ka wā o nā steroid.

E hui pū paha kēia mau hopena ʻaoʻao iā ʻoe e kāʻei i nā papahana nui a i ʻole e lawe i nā kuleana hou aʻe ma mua o kāu.

He mau manawa kuʻuna kēia mau ʻōuli a hoʻomaka e hoʻomaikaʻi i kou pale ʻana i ka lāʻau.

ʻO nā hopena ʻē aʻe e pili pū me:

• huehue
• ʻōniʻoni maka
• hopena maʻi ʻaʻano
• kaumaha
• pehu o nā lima a me nā wāwae (mai ka paʻa ʻana o ka wai a me ka sodium)
• ʻeha poʻo
• hoʻonui i ka makemake
• hoʻonui i ke kō glucose
• hoʻonui i ke kahe o ke koko
• ʻōlohelohe
• hoʻohaʻahaʻa i ka pale i ka maʻi
• ʻono mea hao ma ka waha
• nāwaliwali o nā mākala
• ka huhū o ka ʻōpū a i ʻole nā ​​ulcer

Nā hopena wā lōʻihi

Hiki i ke kau lāʻau steroid lōʻihi ke alakaʻi i nā hopena ʻē aʻe e like me:

• cataract
• maʻi glaucoma
• diabetes
• ʻosteoporosis
• loaʻa kaupaona

Tapering

He mea nui e mālama pono i nā kuhikuhi a kāu kauka e pili ana i ka hoʻopili ʻana i nā steroid. Inā kū ʻoe i ka lawe ʻana iā lākou a i ʻole hikiwawe, a inā wikiwiki ʻoe i ka wīwī, ʻike paha ʻoe i nā hōʻailona haʻalele.

Hiki i ka Prednisone ke hoʻopili i kāu hana cortisol, keu hoʻi inā lawe ʻoe iā ia ma mua o kekahi mau pule i kēlā me kēia manawa. ʻO nā hōʻailona e leʻaleʻa nei iā ʻoe me ka wikiwiki loa:

• ʻeha ke kino
• ʻeha pū
• luhi
• ʻālohilohi
• nausea
• nalo ʻai ʻole
• nāwaliwali

Ke kū mālie nei iā Decadron hiki ke alakaʻi iā:

• huikau
• hiamoe
• ʻeha poʻo
• nalo ʻai ʻole
• Kaumaha emi
• ʻeha me ka ʻeha pū
• ʻili peeling
• hoʻonāukiuki i ka ʻōpū a me ka luaʻi

Lawe aku

Hoʻohana ʻia ʻo Corticosteroids e mālama i nā hōʻailona koʻikoʻi a hoʻopōkole i ka lōʻihi o ka hoʻi hou ʻana o MS. ʻAʻole mālama lākou i ka maʻi ponoʻī.

Koe i ka hihia o ka hihiʻo o ka hihiʻo, ʻaʻole wikiwiki ka mālama ʻana no MS relapses. Akā pono e hoʻomaka koke ʻia e like me ka hiki.

ʻO nā hoʻoholo e pili ana i nā pono a me nā hopena ʻē aʻe o kēia mau lāʻau pono e hana ʻia i kēlā me kēia kumu. Nā mea e kūkākūkā me ke kauka e:

• ka paʻakikī o kāu mau hōʻailona a pehea ka hopena o kāu relaps i kou hiki ke hoʻokō i kāu hana i kēlā me kēia lā
• pehea e mālama ʻia ai kēlā me kēia ʻano steroid a inā hiki iā ʻoe ke hoʻokō i ka regimen
• nā hopena ʻē aʻe a pehea e hoʻopili ai i kou hiki ke hana
• nā pilikia kūpilikiʻi loa, e like me ka hopena o ka hopena i kāu mau kūlana ʻē aʻe e like me ka maʻi diabetes a me nā pilikia olakino
• nā launa kūpono me nā lāʻau ʻē aʻe
• ʻo nā lāʻau lapaʻau steroid i uhi ʻia e kāu ʻinikua olakino
• he aha nā ʻano lāʻau ʻē aʻe i loaʻa no nā hōʻailona kikoʻī o kou hoʻi hou

He mea maikaʻi e loaʻa kēia kūkā kamaʻilio hou aku i kou manawa e kipa aku ai i kahi neurologist. Ma kēlā ala, e mākaukau ʻoe e hoʻoholo i ka hanana o kahi hoʻi hou.