Dexamethasone mu ampoules - zizindikiro zonse za kugwiritsa ntchito mankhwala

Mankhwala Dexamethasone, mu ampoules opangidwa, ndi opanga analogue a mahomoni, omwe amapangidwa ndi adrenal cortex. Mndandanda wa matenda ndi matenda omwe mankhwala amagwiritsidwa ntchito ndi ochuluka. Mlingo, kawirikawiri ndi nthawi ya mautumiki akudalira mtundu wa matenda, zaka za wodwalayo komanso siteji ya matenda.

Kodi cholinga cha Dexamethasone ndi ampoules n'chiyani?

Mankhwalawa ali mu mawonekedwe awa, madokotala amagwiritsira ntchito pamene pali chosowa chofunikira kuti abweretse mahomoni m'magazi. Katswiri yekha angathe kupereka Dexamethasone, zizindikiro zogwiritsiridwa ntchito ndi izi:

1. Kusokonezeka kwa dongosolo la endocrine: kusadziwika kwa adrenal cortex ya mtundu wovuta, mitundu yoyamba ndi yachiwiri yoperewera, congenital hyperplasia ya adrenal cortex, thyroiditis mu mawonekedwe ovuta.
2. Zinthu zoopsya za thupi - zotentha, zowawa, poizoni wa thupi (popanda kuwonongeka kwa mankhwala osokoneza bongo, mankhwala a plasma)
3. Edema wa ubongo monga zotsatira za chotupa, TBI, opaleshoni, kuvulala, meningitis.
4. Chikhalidwe cha Asthmatic - chimatchedwa sponm ya bronchi, matenda obstructive bronchitis .
5. Anaphylactic mantha .
6. Zokwanira za dermatosis .
7. Matenda owopsa: mankhwala a khansa ya m'magazi, lymphoma.
8. Matenda a magazi - hemolytic amati, agranulocytosis. Kawirikawiri amagwiritsa ntchito Dexamethasone pofuna kukweza leukocyte .

Dexamethasone mu Kukonza Mimba

Kawirikawiri, mankhwalawa amapezeka mndandanda wa maimayi oyembekezera. Pa nthawi yomweyi, amayi omwe ali ndi chidwi ndi madokotala, omwe amapereka Dexamethasone pakukonzekera mimba. Cholinga chachikulu chomwe amachitidwa ndi madokotala ndi mankhwala a hyperadromia. Matendawa amadziwika ndi kuwonjezereka kosalekeza kwa mahomoni achimuna m'magazi a mkazi. Kuphwanya izi kumalepheretsa kuyambira kwa mimba, ndipo zikachitika - ngozi ya kubereka msanga komanso kusokonezeka kwa mimba kwa kanthawi kochepa kumawonjezeka.

Dexamethasone mu Mimba

Kawirikawiri komanso atangoyamba kumene, amayi amapitiriza kutenga Dexamethasone mu ampoules, koma pamunsi wochepa. Madokotala amachenjeza thupi motsutsana ndi kuthetsa mimba mwadzidzidzi pambali ya kuwonjezeka kwa mimba. Komabe, Dexamethasone kwa amayi apakati angathenso kulembedwa chifukwa cha mavuto ena:

1. Kuopsa kwa kubereka msanga - mankhwalawa amachititsa kuti mapulisa a mwana ayambe kusasitsa, zomwe zimapangitsa mwanayo kukhala wodalirika.
2. Kukhalapo m'banja la mayi wa achibale omwe ali ndi kuphwanya kumeneku - kusowa kwa mahomoni a adrenal cortex.
3. Kutenga, mimba yoopsya ya moyo: zowawa zowonongeka, zoopsya, zowonongeka, matenda a rheumatic.

Dexamethasone kwa ana

Mankhwala a Dexamethasone angathenso kulangizidwa kuti azitha kuchipatala ana - ana ndi ana akuluakulu. Kusankhidwa kwa mlingo, nthawi ndi kuchuluka kwa kugwiritsa ntchito mankhwala kumachitika payekha. Zina mwa zolakwika zomwe zingatheke, zomwe Dexamethasone ingagwiritsidwe ntchito kwa ana, m'pofunika kusiyanitsa:

• anaphylactic mantha;
• ubongo wa edema monga chifukwa cha kupwetekedwa mtima, meningitis, chotupa;
• Ntchito yosakwanira ya adrenal cortex;
• toxic, kuwopsya;
• Matenda a Crohn ;
• ulcerative colitis;
• glomerulonephritis;
• hemolytic anemia;
• khansa ya m'magazi.

Dexamethasone - zotsutsana ndi ntchito

Dexamethasone mu ampoules sizingagwiritsidwe ntchito nthawi zonse. Pali matenda ndi nthendayi zambiri zomwe mankhwalawa saloledwa kugwiritsidwa ntchito. Chifukwa chaichi, sikuvomerezeka kugwiritsa ntchito mankhwalawa Dexamethasone, zomwe zimatsutsana ndi zomwe zikugwiritsidwa ntchito:

• hypersensitivity kwa zigawo zina za mankhwala;
• matenda;
• amoebic matenda;
• Mankhwala opatsirana pogwiritsa ntchito zida zogwirizana;
• chifuwa chachikulu cha TB;
• nthawi yisanayambe kukhazikitsidwa kwa katemera woteteza, ndipo atatha kukhazikitsidwa;
• glaucoma;
• matenda opatsirana a maso.

Dexamethasone - zotsatira

Pogwiritsa ntchito bwino mankhwala a Dexamethasone, zotsatira zake sizodziwika. Nthaŵi zambiri, maonekedwe awo amachokera chifukwa chosanyalanyaza malangizo a dokotala kapena kugwiritsa ntchito mankhwala osagwiritsidwa ntchito. Mankhwala a Dexamethasone, omwe amagwiritsidwa ntchito pansipa, nthawi zambiri amachititsa zotsatira za mtundu wotsatira:

1. Chigawo cha endocrine - matenda a shuga a steroid, adachepetsetsa thupi kuti lizikhala ndi shuga, kuchepa kwa ubongo, Itenko-Cushing matenda, kuchedwa mu msinkhu wachinyamata.
2. Gawo la zakudya zam'mimba - kunyozetsa, kusanza, steroid m'mimba zilonda, kuperewera kwa thupi, kutuluka kwa m'mimba, kuchepa kapena kuwonjezeka kwa kudya, kuthamanga, kugwidwa.
3. Kuchokera m'maganizo a mtima - arrhythmia, bradycardia, mtima kulephera, kuchulukitsidwa kwa magazi, hypercoagulable (kuchuluka kwa magazi).
4. Njira yamanjenje - kusokonezeka maganizo, kupwetekedwa, kukhumudwa, psychosis, paranoia, kuwonjezeka kwachisokonezo, mantha, nkhawa, kusowa tulo, chizungulire.
5. Pa mbali ya mawonekedwe a minofu - kuchepa kwa kukula ndi kusokoneza, myalgia, kupweteka kwa minofu, kufooka, kutopa.

Dexamethasone - ntchito

Kuika odwala Dexamethasone mu ampoules, njira yothandizira (zowonjezera) za mankhwala omwe adokotala amalingalira, molingana ndi cholinga. Izi zimaganizira kufunika kofulumira kuti akwaniritse chithandizo cha mankhwala. Mlingo wa mlingo ndiwekhayekha ndipo umadalira mkhalidwe wa wodwalayo ndi yankho la mankhwala opitilirapo. Mankhwalawa amatha kulowa m'thupi mwachisawawa, kupopera mofulumira ndi jet. N'zotheka kuthetsa kuderako mankhwala osokoneza bongo. Achinyamata angagwiritse ntchito Dexamethasone kuti apeze phindu.

Dexamethasone intramuscularly

Mankhwalawa amagwiritsidwa ntchito molingana ndi malamulo a zachipatala. Mu minofu, Dexamethasone ya jekeseni imayikidwa pang'onopang'ono, pa kutalika kwa singano. Mlingo umasonyezedwa ndi dokotala ndipo amawerengedwa payekha. Mankhwalawa akhoza kuperekedwa kwa 4-20 mg 3-4 pa tsiku. Mlingo umodzi wokha wa akuluakulu ukhoza kukhala 80 mg. Ndi mankhwala a nthawi yaitali kuti apitirize kuthandizira, mankhwalawa amaperekedwa mlingo waung'ono - 0.2-9 mg. Nthawi ya mankhwalawa nthawi zambiri masiku 3-4, pambuyo pake mankhwalawa akupitirira kulandiridwa.

Dexamethasone - Dropper

Momwemo, mankhwalawa amaperekedwa ku matenda aakulu omwe amafuna kuchipatala. Pofuna kukonza njira yothetsera vutoli, njira ya isotonic ya sodium chloride kapena 5% ya dextrose imagwiritsidwa ntchito. Pogwiritsa ntchito mankhwala a Dexamethasone, mlingo umasankhidwa payekha. Pakamwa kwakukulu, mankhwalawa amaperekedwa kokha mpaka mkhalidwe wa wodwalayo utakhazikika. Izi zimatenga maola 48-72. Mlingo umodzi wa Dexamethasone mu ampoules ukhoza kufika 20 mg ndipo ukhoza kuperekedwa katatu patsiku. Mankhwalawa amathamanga pang'onopang'ono.

Dexamethasone kwa inhalation

Pachifukwa ichi, mankhwalawa amagwiritsidwa ntchito kwambiri ku bronchospasm. Zamkatimu 1 buloule wa Dexamethasone ndi kusungunuka mu 20-30 ml wa zamakhalidwe yankho. Kusakaniza kumeneku kumatsanulidwira mu inhaler ndikugwiritsidwa ntchito pa njirayi. Kutalika kwa njira imodzi sikuyenera kupitirira 10 minutes. Chiwerengero cha ndondomeko patsiku ndi nthawi ya chithandizo choterechi chinakhazikitsidwa ndi dokotala, omwe amalingalira mtundu wa chisokonezo, malo ake, kuuma kwa chithunzi chachipatala, kupezeka kapena kupezeka kwa zizindikiro zina.

Kumene mungasunge dexamethasone mu ampoules?

Malinga ndi malangizo omwe amabwera ndi chida, yankho la Dexamethasone liyenera kusungidwa kutentha kwa madigiri oposa 25. Ndikofunika kusankha malo amdima, osamvetseka kwa mwanayo. Moyo wamatabwa wa mtundu wa jekeseni wa mankhwala ndi zaka zisanu. Pambuyo potsegula phukusi, mankhwala mu mapiritsi ndi potaziyamu ya diso ayenera kugwiritsidwa ntchito mkati mwa masiku 28. Mafupa amatha kusungidwa pansi pa zochitika pamwambapa mpaka tsiku likuwonetsedwa pa phukusi la mankhwala.

Dexamethasone - analogs mu ampoules

Pakukula kwa mankhwala osokoneza bongo, kusakhoza kugwiritsa ntchito mankhwalawa chifukwa cha zotsatira zake, mankhwala omwewo akhoza kuuzidwa. Ambiri mwa iwo ali ndi dexamethasone yomweyo, koma zigawo zothandizira ndizosiyana. Odwala omwe sali oyenerera a dexamethasone, ma analogs akhoza kulembedwa motere:

• Dexamed;
• Megadexan;
• Dexazone;
• Maxidex;
• Dexapos.

Monga njira zina tingagwiritsire ntchito mankhwala a glucocorticoids:

• Hydrocortisone;
• Budesonide;
• Mometasone.