Cirbadeynta Methylprednisolone
Qanacsan
- Kahor intaadan helin duritaanka methylprednisolone,
- Cirbadeynta Methylprednisolone waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:
Cirbadeynta Methylprednisolone waxaa loo isticmaalaa in lagu daaweeyo falcelinta xasaasiyadda daran. Cirbadeynta Methylprednisolone waxaa loo adeegsadaa maareynta cudurka loo yaqaan 'sclerosis multiple' (cudur ku dhaca neerfayaasha si sax ah uma shaqeeyaan), lupus (cudur jirku ku weeraro xubno badan oo ka mid ah xubnahiisa), cudurka caloosha, iyo noocyo ka mid ah arthritis. Cirbadeynta Methylprednisolone sidoo kale waxaa loo isticmaalaa in lagu daaweeyo xaaladaha qaarkood ee saameeya dhiigga, maqaarka, indhaha, nidaamka dareenka, qanjirka 'thyroid', kilyaha, iyo sambabada. Waxaa mararka qaarkood loo isticmaalaa iyadoo lagu darayo daawooyin kale si loo daaweeyo astaamaha heerarka corticosteroid ee hooseeya (la'aanta walxo gaar ah oo sida caadiga ah soo saaro jirka loona baahan yahay shaqeynta jirka ee caadiga ah) Cirbadeynta Methylprednisolone waxay ku jirtaa nooc daawooyin ah oo loo yaqaan 'corticosteroids'. Waxay u shaqeysaa in lagu daaweeyo dadka qaba heerarka hoose ee corticosteroids iyadoo la beddelayo steroids caadi ahaan si dabiici ah u soo saaro jirka. Waxay sidoo kale ka shaqeysaa daaweynta xaaladaha kale iyadoo yareyneysa bararka iyo casaanka iyo iyadoo la beddelo habka difaaca jirka u shaqeeyo.
Cirbadeynta Methylprednisolone waxay u timaadaa sidii budo ah in lagu qaso dareeraha si loogu durayo muruqyada (muruqa) ama xididada (xididka). Waxay sidoo kale u timaadaa sidii ganaax loogu talagalay cirbadeynta oo lagu durayo intramuscularly, intra-articularly (wadajir), ama intralesionally (dhaawac ah). Jadwalkaaga qiyaasta daawada ah wuxuu ku xirnaan doonaa xaaladdaada iyo sida aad uga jawaabto daaweynta.
Waxaa laga yaabaa inaad ka hesho cirbadeynta methylprednisolone isbitaal ama xarun caafimaad, ama waxaa lagu siin karaa daawada aad ku isticmaasho guriga. Haddii aad ku isticmaali doontid tallaalka methylprednisolone gurigaaga, bixiyahaaga daryeelka caafimaad ayaa ku tusi doona sida aad isugu durto daawada. Hubso inaad fahantay tilmaamahan, oo weydii daryeel caafimaad bixiyahaaga haddii aad wax su'aalo ah qabtid. Weydii bixiyahaaga daryeelka caafimaadka waxa la sameeyo haddii aad wax dhibaato ah ka qabtid isticmaalka cirbadeynta methylprednisolone.
Dhakhtarkaaga ayaa laga yaabaa inuu wax ka beddelo qiyaastaada tallaalka methylprednisolone muddada daaweyntaada si loo hubiyo inaad had iyo jeer isticmaasho qiyaasta ugu hooseysa ee adiga kuu shaqeysa. Dhakhtarkaagu wuxuu kaloo ubaahan karaa inuu badalo qiyaastaada haddii aad isku aragto culeys aan caadi aheyn jirkaaga sida qalliin, jirro, ama infekshan U sheeg dhakhtarkaaga haddii calaamadahaagu ay fiicnaadaan ama ka sii daraan ama haddii aad xanuunsato ama wax isbeddel ah ku yeeshaan caafimaadkaaga inta lagu jiro daaweyntaada.
Cirbadeynta Methylprednisolone sidoo kale mararka qaarkood waxaa loo isticmaalaa in lagu daaweeyo lallabbo iyo matag noocyo gaar ah oo kiimiko ah oo loogu talagalay kansarka iyo in laga hortago diidmada xubinta xubnaha. Kala hadal dhakhtarkaaga khataraha aad u leedahay isticmaalka dawadan xaaladaada.
Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.
Kahor intaadan helin duritaanka methylprednisolone,
- u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay methylprednisolone, daawooyin kale oo kasta, aalkolada benzyl, ama mid ka mid ah maaddooyinka ku jira mudista methylprednisolone. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
- u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: aminoglutethimide (Cytadren; mar dambe lagama heli karo Mareykanka); amphotericin B (Abelcet, Ambisome, Amphotec); daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin, Jantoven); asbiriin iyo dawooyinka kale ee nonsteroidal anti-inflammatory drugs (NSAIDs) sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn) iyo daawooyinka xulashada COX-2 sida selecoxib (Celebrex); carbamazepine (Equetro, Tegretol, Teril); cholinesterase inhibitors sida donepezil (Aricept, in Namzaric), galantamine (Razadyne), neostigmine (Bloxiverz), pyridostigmine (Mestinon, Regonol), iyo rivastigmine (Exelon); cholestyramine (Prevalite); cyclosporine (Gengraf, Neoral, Sandimmune); daawooyinka sonkorowga oo ay ku jiraan insulin; digoxin (Lanoxin); durayaasha ('kaniiniyada biyaha'); erythromycin (E.E.S., Ery-Tab, Erythrocin, kuwa kale); estrogens oo ay kujiraan kahortaga uurka (kaniiniyada xakamaynta dhalmada, balastarro, faraantiyo, implants, iyo irbado); isoniazid (Laniazid, Rifamate, oo ku taal Rifater); ketoconazole (Nizoral, Xolegel); phenobarbital; phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); iyo rifampin (Rifadin, Rimactane, Rifamate, Rifater). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
- u sheeg dhakhtarkaaga haddii aad qabtid infekshinka fungal (oo aan ahayn maqaarkaaga ama ciddiyahaaga). Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan isticmaalin mudista methylprednisolone. Sidoo kale, u sheeg dhakhtarkaaga haddii aad qabtid idiopathic thrombocytopenic purpura (ITP; xaalad socota oo laga yaabo inay keento nabar fudud ama dhiig bax sababo la xiriira tiro aan caadi ahayn oo ah platelet dhiigga ku jira). Dhakhtarkaagu kuma siin doono methylprednisolone intramuscular ahaan, haddii aad leedahay ITP.
- u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabtid cudurka qaaxada (TB: waa nooc ka mid ah infekshanka sambabka); cataracts (daruuraha muraayada indhaha); glaucoma (cudur indhaha ku dhaca); Cudurka 'Cushing's syndrome' (waa xaalad jirku soo saaro in badan oo ka mid ah hormoonka cortisol); sonkorowga; dhiig kar; wadnaha oo istaaga; wadno xanuun dhowaan; dhibaatooyinka shucuurta, niyadjabka ama noocyada kale ee cudurada maskaxda; myasthenia gravis (xaalad muruqyada ay daciif noqdaan); osteoporosis (xaalad ah in lafuhu noqdaan kuwo daciifa oo jilicsan oo si fudud u jabi kara); suuxdinta; boogaha; ama beerka, kilyaha, wadnaha, xiidmaha, ama cudurka qanjirka 'thyroid'. Sidoo kale u sheeg dhakhtarkaaga haddii aad qabtid nooc kasta oo bakteeriya ah, dulin, ama infekshin fayras ah meel kasta oo jidhkaaga ka mid ah ama infekshinka indhaha ee herpes (nooc ka mid ah infekshannada oo keena nabar ku yaal indhaha ama dusha indhaha).
- u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato inta aad qaadanaysid mudista methylprednisolone, wac dhakhtarkaaga.
- haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso cirbadeynta methylprednisolone.
- aadan haysan wax talaal ah (duritaan si looga hortago cudurada) adoon lahadlin dhaqtarkaaga.
- waa inaad ogaataa in cirbadeynta methylprednisolone ay yareyn karto awoodaada inaad la dagaalanto infekshinka waxayna kaa horjoogsan kartaa inaad yeelato calaamado haddii aad qaadsiiso infekshin. Ka fogow dadka jiran oo gacmahaaga dhaq marwalba intaad dawadan isticmaaleyso. Hubso inaad iska ilaaliso dadka qaba busbuska ama jadeecada. Isla markiiba wac dhakhtarkaaga haddii aad u malaynaysid inaad ka agdhowaa qof uu ku dhacay bus bus ama jadeeco.
Dhaqtarkaaga ayaa laga yaabaa inuu ku amro inaad raacdo milix-yar ama cunno ay ku badan tahay kaalshiyam ama kaalshiyam. Dhakhtarkaagu wuxuu kaloo kuu qori karaa ama kugula talin karaa kaalshiyam ama kaalshiyam dheeri ah. Raac tilmaamahan si taxaddar leh.
Cirbadeynta Methylprednisolone waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- madax xanuun
- dawakhaad
- bogsiiyay nabarradii iyo nabarradii
- finanka
- dhuuban, jilicsan, ama maqaar qalalan
- guduudasho ama guduud ama xarriiqyo maqaarka hoostiisa ah
- murugada maqaarka goobta duritaanka
- dufanka jirka oo kordhay ama u dhaqaaqida meelaha kala duwan ee jirkaaga
- dhibaato xagga hurdada ama hurdada ah
- farxad aan habooneyn
- isbeddellada ba'an ee isbeddelka niyadda ee shakhsiyadda
- daal xad dhaaf ah
- niyad jab
- dhidid badan
- daciifnimada muruqyada
- kalagoys xanuun
- dawakhaad
- caadada oo aan caadi ahayn ama maqan
- rabitaanka cuntada oo kordhay
- xajiin
Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:
- cuna xanuun, qandho, dhaxan, qufac, ama calaamadaha kale ee infekshanka
- qalal
- dhibaatooyinka aragga
- bararka indhaha, wajiga, dibnaha, carrabka, cunaha, gacmaha, gacmaha, cagaha, anqawyada, ama lugaha hoose
- neefsashada ama wax liqidda oo ku adkaata
- neefta oo ku qabata
- miisaanka oo kordha
- finan
- finan
- cuncun
- jahwareer
- maqaarro aan caadi ahayn oo ku yaal afka, sanka, ama cunaha
- kabuubyo, gubasho, ama cuncun wajiga, gacmaha, lugaha, cagaha, ama gacmaha
Cirbadeynta Methylprednisolone waxay sababi kartaa carruurta inay si tartiib ah u koraan. Dhakhtarka ilmahaaga ayaa si taxaddar leh u fiirin doona koritaanka ilmahaaga inta cunugaagu isticmaalayo cirbadeynta methylprednisolone. Kala hadal dhakhtarka ilmahaaga halista ay leedahay in daawadan la siiyo ilmahaaga.
Dadka isticmaala mudista methylprednisolone muddo dheer waxaa laga yaabaa inay yeeshaan glaucoma ama indho-beel indhaha. Kala hadal dhakhtarkaaga khataraha isticmaalka cirbadeynta methylprednisolone iyo inta jeer ee ay tahay inaad indhahaaga baarto inta lagu jiro daaweyntaada.
Cirbadeynta Methylprednisolone waxay kordhin kartaa halista ah inaad ku dhacdo lafo-beel. Kala hadal dhakhtarkaaga khataraha isticmaalka daawadan.
Cirbadeynta Methylprednisolone waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleyso daawadan.
Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).
Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.
Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu amri doonaa tijaabooyinka shaybaarka qaarkood si loo hubiyo jawaabta jirkaaga ee cirbadeynta methylprednisolone.
Kahor baaritaanka shaybaarka, u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad isticmaaleyso cirbadeynta methylprednisolone.
Haddii aad tijaabinayso wax maqaarka ah sida xasaasiyadda ama baaritaanka qaaxada, u sheeg dhakhtarka ama farsamo-yaqaannada inaad qaadanayso cirbadeynta methylprednisolone.
Ha u ogolaan qof kale inuu isticmaalo daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.
Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto cirbadeynta methylprednisolone.
Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.
- A-Methapred®
- Depo-Medrol®
- Solu-Medrol®