Nā Steroids no ka mālama ʻana i ka Rheumatoid Arthritis

Anter

• Hōʻike Overview
• ʻO ka ʻike ākea e pili ana i nā steroid no RA
• Nā steroid ʻo oral no RA
• Nā hana
• Nā kōkuhi steroid no RA
• Nā hana
• ʻO nā steroid ʻo Topical no RA
• Nā pilikia o ka hoʻohana ʻana i nā steroid no RA
• Nā hopena o nā steroid
• ʻO ka lawe lawe ʻana

Hōʻike Overview

ʻO Rheumatoid arthritis (RA) kahi maʻi līlū mau loa e hōʻeha, pehu, a ʻoʻoleʻa hoʻi i nā hono liʻiliʻi o kou mau lima a me kou mau wāwae. He maʻi holomua ia ʻaʻohe ona lāʻau. Me ka ʻole o ka lapaʻau ʻana, hiki i ka RA ke alakaʻi i ka luku pū ʻia a me ke kīnā ʻole.

Hoʻomaha ka hōʻoia mua a me ka mālama ʻana i nā ʻōuli a hoʻomaikaʻi i kou ola me RA. Pili ka mālama iā ʻoe iho. Hoʻohui pinepine nā papa hana hoʻomaʻamaʻa i nā lāʻau antirheumatic-modifying maʻi (DMARD) i hui pū ʻia me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), a me nā steroid haʻahaʻa. Loaʻa i nā ʻano lāʻau ʻē aʻe, e like me ka hoʻohana ʻia o ka antibiotic minocycline.

E nānā pono i ka hana a nā steroid i ka mālama ʻana iā RA.

ʻO ka ʻike ākea e pili ana i nā steroid no RA

Kapa ʻia ʻenehana ʻo Steroids he corticosteroids a i ʻole glucocorticoids. ʻO lākou nā synthetic synthetic e like me ka cortisol, kahi hormone e hana maʻamau ai kāu mau adrenal adrenal. Ma mua o 20 mau makahiki i hala aku, ʻo nā steroid ka lapaʻau maʻamau no RA.

Akā ua loli kēia mau kūlana i ka ʻike ʻia ʻana o nā hopena weliweli o nā steroid a i ka hoʻomohala ʻia ʻana o nā ʻano lāʻau hou. ʻO nā kulekele RA o kēia manawa ʻO ke Kulanui ʻAmelika o Rheumatology e ʻōlelo i kēia manawa i nā kauka e hoʻohana i ka hapa haʻahaʻa o nā steroid no ka manawa pōkole loa.

Hiki ke lawe waha ʻia nā Steroids, e ka injection, a i ʻole noi ʻia topically.

Nā steroid ʻo oral no RA

Hele mai nā steroid oral i ka pila, ka capsule, a i ʻole ke ʻano wai. Kōkua lākou i ka hoʻohaʻahaʻa i nā pae mai loko o kou kino e pehu, paakiki, a ʻeha hoʻi kou mau ami. Kōkua pū lākou i ka hoʻoponopono ʻana i kāu ʻōnaehana autoimmune e kāpae i nā ahi uila. Aia kekahi mau hōʻike e hōʻemi ana nā steroid i ka hōʻino ʻana o ka iwi.

ʻO nā ʻano steroid maʻamau i hoʻohana ʻia no RA e:

• prednisone (Deltasone, Sterapred, Liquid Pred)
• hydrocortisone (Cortef, A-Hydrocort)
• prednisolone
• dexamethasone (Dexpak Taperpak, Decadron, Hexadrol)
• methylprednisolone (Depo-Medrol, Medrol, Methacort, Depopred, Predacorten)
• triamcinolone
• dexamethasone (Decadron)
• betamethasone

ʻO Prednisone ka steroid i hoʻohana pinepine ʻia i ka mālama RA.

Nā hana

Hiki ke kuhikuhi ʻia kahi lāʻau haʻahaʻa o nā steroid oral no RA mua, me DMARD a i ʻole nā ​​lāʻau ʻē aʻe. ʻO kēia no ka mea lawe nā DMARD 8-12 mau wiki e hōʻike i nā hopena. Akā hana wikiwiki nā steroid, a ʻike ʻoe i ko lākou hopena i kekahi mau lā. Kuhi ʻia nā Steroids i kekahi manawa ma ke ʻano he "bridge bridge."

Ma hope o ka lilo ʻana o nā lāʻau ʻē aʻe i mea pono, pono ia e hoʻopau i nā steroid. Hana mālie kēia i nā hoʻonui ʻana o. Kōkua ka taping i ka pale ʻana i nā hōʻailona haʻalele.

ʻO ka mahele maʻamau o ka prednisone he 5 a 10 mg i kēlā me kēia lā. Paipai ʻia ʻaʻole ʻoe e lawe ma mua o 10 mg i kēlā me kēia lā o prednisone. Hāʻawi ʻia i ʻelua mau kaha o kēlā me kēia.

ʻO ka maʻamau, lawe ʻia nā steroid i ke kakahiaka ke ala ʻoe. ʻO kēia ka manawa e hana ai nā steroid o kou kino ponoʻī.

ʻO nā mea hoʻopihapiha o ka calcium () a me ka wikamina D () me nā steroid.

Hiki ke hoʻohana ʻia kahi mahele lāʻau ʻoi loa o nā steroid i RA inā aia nā pilikia koʻikoʻi.

Ua ʻike ʻia kahi loiloi 2005 o ka ʻikepili RA he 20 a 40 paha pākēneka o ka poʻe i ʻike hou ʻia me RA e hoʻohana nei i nā steroid. Ua ʻike pū ʻia ka loiloi a hiki i ka 75 pākēneka o ka poʻe me RA i hoʻohana i nā steroid i kekahi manawa.

I kekahi mau hihia, ʻo ka poʻe me ka ʻino (i kapa ʻia he disabling) RA e lilo i ka hilinaʻi i ka wā lōʻihi o ka steroid i mea e hana ai i nā hana o kēlā me kēia lā.

Nā kōkuhi steroid no RA

Hiki i nā kauka lāʻau ke ʻāpono pono ʻia e kāu kauka i loko o nā hono a me kahi e kokoke ana iā lākou no ka ʻeha a me ka hanu ʻana. Hiki ke hana i kēia ke mālama nei ʻoe i kāu lāʻau lapaʻau lāʻau ʻē aʻe i kuhikuhi ʻia.

Kuhi ke Kulanui ʻAmelika o Rheumatology i ka wanaʻao RA, hiki i nā injection steroid i loko o nā hono i pili nui ke hāʻawi i kahi kōkua kūloko a i kekahi manawa. Kupanaha paha kēia hoʻomaha, akā ʻaʻole mau ia.

I kekahi mau hihia, aia nā injection steroid i ka hoʻemi ʻana i ka nui o RA nodule. Hāʻawi kēia i kahi koho ʻē aʻe i ke kahakaha.

Paipai ʻia ʻaʻole e hana i nā kuʻi ʻana i ka mea like ma mua o hoʻokahi manawa i loko o ʻekolu mau mahina.

Nā hana

ʻO nā steroid i hoʻohana mau ʻia no ka hoʻopili ʻana he methylprednisolone acetate (Depo-Medrol), triamcinolone hexacetonide, a me triamcinolone acetonide.

Hiki paha i kāu kauka ke hoʻohana i kahi anesthetic kūloko ke hāʻawi iā ʻoe i kahi injection steroid.

ʻO ka mahele o ka methylprednisolone maʻa mau 40 a 80 mg i ka milliliter. E loli paha ka mahele lāʻau ma muli o ka nui o ka ami e ʻimi ʻia ana. ʻO kahi laʻana, koi paha i kou kuli i ka lāʻau nui, a i 80 mg. Akā pono paha i kou kuʻe lima he 20 mg wale nō.

ʻO nā steroid ʻo Topical no RA

ʻO nā steroid topical, nā lāʻau āpau a me nā lāʻau i kuhikuhi ʻia, hoʻohana pinepine ʻia e ka poʻe me ka maʻi kōpaʻa no ka ʻeha ʻeha kūloko. Akā ʻaʻohe koi ʻia nā steroid topical (a i ʻōlelo ʻia paha) i ke alakaʻi ʻAmelika Hui Pū ʻIa o Rheumatology RA.

Nā pilikia o ka hoʻohana ʻana i nā steroid no RA

Hoʻohana ʻo Steroid i ka mālama ʻana ʻo RA ma muli o nā pilikia i kākau ʻia.

ʻO nā pilikia nui pū kekahi:

• Maʻi hohola: ʻO ka loiloi 2013 o ka poʻe i ʻike ʻia me RA a me ka lawe ʻana i nā steroid i loaʻa i kahi 68 pakeneka i hoʻonui i ka makaʻu no ka puʻuwai puʻuwai. Ua komo ka noiʻi i 8,384 poʻe i ʻike ʻia me RA ma waena o 1997 a me 2006. Kēlā me kēia 5 mg i kēlā me kēia lā e hoʻonui i nā ana i hoʻohui ʻia i ka makaʻu.
• Osteoporosis: i hoʻokomo ʻia e ka hoʻohana steroid ʻoi loa kahi pilikia nui.
• Ka make ʻana: Hōʻike kekahi mau noiʻi nānā e hoʻonui ʻia ka make me ka hoʻohana steroid.
• Kālepaʻa
• Diabetes

Hoʻonui ka pilikia i ka hoʻohana wā lōʻihi a me nā kau kiʻekiʻe.

Nā hopena o nā steroid

Nā hopena ʻaoʻao mai ka hoʻohana steroid i RA lawelawe me:

• hoʻonui i ka makaʻu o ka maʻi koʻohune a viral paha
• loaʻa kaupaona
• helehelena poepoe, kapa ʻia hoʻi he "alo o ka mahina"
• hoʻonui ke kō kō
• kahe koko kiʻekiʻe
• hoʻohaunaele ʻano, me ke kaumaha a me ka hopohopo
• ʻōlohelohe
• pehu wāwae
• paopao maʻalahi
• kiʻekiʻe prevalence o nā haki
• lawa adrenal
• hoʻohaʻahaʻa ʻia ka nui o ka mineral iwi i ʻelima mau mahina ma hope o ke kaʻina hana o 10 prednisone 10 mg

He kakaikahi nā hopena ʻaoʻao steroid a he manawa pōkole hoʻi. Pākuʻi ʻia kēia mau mea:

• hoʻonāukiuki ʻili
• hopena maʻi ʻaʻai
• lahilahi ʻili

E launa me kāu kauka ke hoʻopilikia ʻia nā hopena a kū ʻole paha. Nānā i kāu kō kō inā loaʻa ka maʻi diabetes.

ʻO ka lawe lawe ʻana

Hiki i nā Steroids i nā lāʻau haʻahaʻa ke lilo i ʻāpana o kahi hoʻolālā mālama no RA e hōʻoluʻolu i nā ʻōuli. Hana wikiwiki lākou e hōʻoluʻolu i ka pehu a me ka ʻeha. Akā e noʻonoʻo pono ʻoe i nā makaʻi i ʻike ʻia o ka hoʻohana steroid, ʻoiai ma kahi haʻahaʻa.

E heluhelu aʻe ma nā mea hiki ke mālama ʻia, e like me nā biologics a me ka minocycline antibiotic. Kaupaona i nā pluses a me nā minus o kēlā me kēia lapaʻau a me nā hoʻohuihui lāʻau.Kūkākūkā me nā kauka lapaʻau hiki ke hiki me kāu kauka, a e ʻike pono e pane ʻia kāu mau nīnau āpau.

Ma luna aʻe o nā mea āpau, koi ka lāʻau RA iā ʻoe e eleu.