Hoormoonka Glucocorticitoitid waa qayb aan lagama maarmaan u ah qaababka daaweynta ee daaweynta cuduro badan oo ay weheliyaan hababka bararka. Marka lagu daro Dexamethasone - cirbadaha daawadani waa kuwo aad waxtar u leh isla markaana isla markaaba nabdoon. Marka la barbardhigo glucocorticosteroids kale, wakiilkan wuxuu keenaa saameyno aad u yar.
Qaababka Faragelinta ee irbadaha daawada Dexamethasone
Wakiilka hormoonada ah ayaa soo saara saddex saameyn oo waaweyn oo ku saabsan jirka:
- anti-bararka;
- difaaca jirka;
- antiallergic.
Intaa waxaa dheer, xalka Dexamethasone wuxuu yareynayaa bararka dheecaanka xuubka maskaxda neefsashada, taas oo lagama maarmaan u ah daaweynta hababka horay loo isticmaalo ee bronchi, iyo sidoo kale hoos u dhigta maqnaanshaha qarsoodi ah qarsoodi, fududeynta qashin-qaadidda inta lagu jiro qufaca.
Maxay yihiin duritaanka Dexamethasone?
First of dhan, daroogada la soo bandhigay waxaa loo isticmaalaa in lagu daaweeyo hormoonka beddelidda cudurada endocrine:
- hypoplasia ku dhaca cortex-ka;
- Cudurka Addison;
- fashilaadda degdega ah ee kortenska adrenal, labadaba koowaad iyo labaad;
- thyroiditis ba'an iyo subacute;
- syndrome adrenogital;
- buro cagaarshow;
- hypothyroidism.
Calaamadaha haray ee isticmaalka irbadaha Dexamethasone:
1. Xaaladda Shoogga:
- postoperative;
- post-traumatic;
- dhiig lagu shubo;
- Cardiogenic;
- gubi;
- sunta.
2. Baaritaanka habka neefsiga:
- xaaladda asthmatic;
- neefta faleebo-faleebka ah ee neefta;
- sarkhoidosis ;
- sii xumeynta boronkiitada joogtada ah;
- bronchospasm;
- Cudurka Leffler;
- TB-da la faafiyey;
- berylliosis.
3. Kaadi-bararka maskaxda oo leh:
- dhaawacyada craniocerebral;
- dhiigbaxa;
- burooyinka;
- encephalitis;
- hawlgallada neerfaha;
- dhaawaca shucaaca ee sanbabada;
- qoorgooyaha.
4. Cudurada Rootiga:
- Cudurka wadnaha ee rheumatic;
- rheumatoid arthritis-ka marka uu sii xumaanayo;
- La faafiyo lupus erythematosus.
5. Dhiig yari:
- idiopathic;
- autoimmune;
- dhasha;
- erythroblastopenia;
- hemolytic;
- hypoplastic
6. Cudurada nidaamka dheef-shiidka:
- Cagaarshow;
- nephrotic syndrome;
- colitis aan ulakac lahayn.
7. Nidaamka isdaba-marinta iyo bararka ee kudunka iyo murqaha:
- Tenosynovitis;
- epicondylitis;
- arthritis;
- bursitis;
- osteochondroxis;
- styloidite;
- Cudurka Bechterew;
- osteoarthritis;
- myositis.
8. Cudurka dhiigga:
- xinjirowga 'trombocytopenia';
- lymphomas;
- lymphocytic leukemia;
- muqaadaraadka dhiigga ee idiopathic trombocytopenic purpura;
- leukemia;
- plasmacytoma;
- agranulocytosis.
9. Dhibaatooyinka dheef-shiid kiimikaadka:
- keratitis;
- irit;
- xannuunka 'conjunctivitis';
- dhiigfuranka;
- iridocyclitis ;
- keratoconjunctivitis;
- digtoonow;
- ophthalmia xanuunka;
- xinjirjirowga 'osta';
- cudurka episcleritis;
- bararka ka dib hawlaha ka dib indhaha.
10. Noocyada maqaarka:
- lupus lupus erythematosus;
- keloids;
- granuloma annular;
- Dermatosis daran oo daran.
Cirbadaha Dexamethasone ayaa sidoo kale loo qoraa xasaasiyadaha, dhaawacyada nidaamsan ee unugyada isku xira iyo infekshannada daran. Xaaladda dambe, daroogada hoormoonta ah waxaa lagamaarmaan ah in lagu daro antibiyootiko.
Sidee si habboon u qaadataa Dexamethasone?
Xaaladaha deg-dega ah iyo xaaladaha degdega ah, duritaanka xididdada dawadan ayaa la siiyaa qiyaasta 4-20 mg (iyadoo ku xiran jootada la shaaciyey) ilaa 4 jeer maalintii. Cirbadeynta waa in si tartiib tartiib ah loo sameeyaa, ugu yaraan 1 daqiiqo.
Haddii gobolka caafimaadka uu ku qanacsan yahay, daroogada waa in la mariyaa daroogada oo la mid ah qiyaasta la midka ah.
Koorsada daaweynta noocan oo kale ah waa 3-4 maalmood, sii wadida qiyaasta kadib markaad ka sii deyneyso sii xumeynta - 0.2-9 mg 24 saacadood. Haddii daaweyn dheeraad ah loo baahdo, tag Dexamethasone qaab kiniin ah.
Marmarka qaarkood cirbadaha laf-dhabarka iyo isdhex-galka ayaa loo qoraa. Xaaladaha noocaas ah, qiyaasta maalin kasta ee daawada hormoonku waa 0.2-6 mg.
Contraindications iyo saameynaha daawada ee Dexamethasone
Cudurrada iyo xaaladaha kuwaas oo xalka loo sharaxay lama isticmaali karo:
- glaucoma;
- Nabarada faafa ee unugyada periarticular iyo xubnaha;
- ciriiriga;
- infakshanka amoebic;
- qaabka firfircoon ee qaaxada;
- mashiinka nidaamsan;
- infakshanka caabuqa ee boogaha;
- waqti ka hor iyo kadib tallaalka.
Sida saameynta daawada, Dexamethasone, sida caadiga ah, waa loo dulqaadan yahay. Xaalado dhif ah, waxaa jira dhibaatooyin aan khatar ahayn oo ka yimaad nidaamka soo socda ee jirka:
- dheefshiidka;
- wadnaha;
- endocrine;
- xasilooni;
- musqul-gariirka;
- difaac.
Marmarka qaarkood maqaarka iyo maqaarka degaanka ayaa lagu arkay, dheef-shiid kiimikaad sarre ah, dareemida xubnaha jirka dareenka ah ayaa dhib badan.