Maxay tahay betamethasone iyo sida loo isticmaalo

Qanacsan

• Maxaa loogu talagalay
• Sida loo isticmaalo
• Waxyeellooyinka suurtagalka ah
• Markii aan la tilmaamin
• Isdhexgalka daroogada

Betamethasone, oo sidoo kale loo yaqaan 'betamethasone dipropionate', waa dawo leh tallaabo anti-bararka, xasaasiyadda ka hortagga iyo rheumatic, oo ganacsi ahaan loogu iibiyo magacyada Diprospan, Dipronil ama Dibetam, tusaale ahaan.

Betamethasone waxaa loo isticmaali karaa boomaatada, kiniiniyada, dhibcaha ama la isku duri karaa waana in loo isticmaalaa oo kaliya la talinta caafimaadka, yareynta calaamadaha sida cuncun, casaan, xasaasiyad, xaaladaha maqaarka, kolajka, bararka lafaha, kala-goysyada iyo unugyada jilicsan ama kansarka.

Kareemada iyo boomaatada qaarkood waxay leeyihiin betamethasone waxyaabaha ay ka kooban yihiin, sida Betaderm, Betnovate, Candicort, Dermatisan, Diprogenta, Naderm, Novacort, Permut, Quadriderm iyo Verutex.

Maxaa loogu talagalay

Betamethasone ee kareemka ama kaniiniga ayaa lagu muujiyey inay yareyso caabuqa, raaxo la'aanta iyo cuncunka cudurada qaar, kuwa ugu waaweyn ayaa ah:

• Cudurada osteoarticular: xanuunka loo yaqaan 'rheumatoid arthritis, osteoarthritis, bursitis, ankylosing spondylitis, epicondylitis, radiculitis, coccidinia, sciatica, lumbago, torticollis, ganglion cyst, exostosis, fascitis;
• Xaaladaha xasaasiyadda: neefta joogtada ah ee neefta qabta, qandhada sanboorka, bararka angioneurotic, boronkiito xasaasiyadeed, xasaasiyad xilliyeedka ama sannadka oo dhan, falcelinta daroogada, jirrada jiifka iyo qaniinyada cayayaanka;
• Xaaladaha maqaarka: dermatitis atopic, neurodermatitis, taabasho daran ama maqaarka dermatitis, urtikaria, hypertrophic lichen planus, sonkorowga lipoid necrobiosis, alopecia areata, discoid lupus erythematosus, psoriasis, keloids, pemphigus, herpetiform dermatitis iyo cystic acne;
• Kalagoysyada: Nidaamka lupus erythematosus; scleroderma; dermatomyositis; qanjirka 'nodular periarteritis'. Neoplasms: Daaweynta wadno xanuunka ee leukemias iyo lymphomas ee dadka waaweyn; leukemia daran ee carruurnimada.

Intaa waxaa sii dheer, waxaa loo isticmaali karaa daaweynta xanuunka 'adrenogenital syndrome', ulcerative colitis, 'ulitis', 'ileitis', 'bursitis', 'nephritis' iyo 'nephrotic syndrome', taas oo ah isticmaalka betamethasone waa in lagu kaabayaa daawada 'mineralocorticoids'. Betamethasone la isku duro ayaa lagula talinayaa marka daroogadu aysan ka jawaabin corticosteroids-ka nidaamka.

Sida loo isticmaalo

Sida loo isticmaalo betamethasone waxay kuxirantahay da'da qofka iyo xaalada uu doonayo in lagu daaweeyo, iyo waliba sida loo isticmaalo. Sidaa darteed, marka laga hadlayo kiriimyada leh betamethasone waxaa lagula talinayaa in dadka waaweyn iyo carruurtuba ay u isticmaalaan qaddar yar kareemka maqaarka 1 illaa 4 jeer maalintii muddo ugu badnaan ah 14 maalmood.

Dadka qaangaarka ah, qiyaasta bilowga ah waxay ku kala duwan tahay 0.25 mg ilaa 8.0 mg maalintii, tan dambe ayaa ah qiyaasta ugu badan ee maalinlaha ah. Xaalada carruurta, qiyaasta bilowgu way ku kala duwanaan kartaa 0.017 mg ilaa 0.25 mg halkii kiilo oo miisaan ah.

Waxyeellooyinka suurtagalka ah

Dhibaatooyinka ay keento betamethasone waxay la xiriiraan qiyaasta iyo waqtiga daaweynta, oo leh cadaadis dhiig oo sarreeya, cuncun, murqaha oo daciifa iyo xanuun, luminta muruqyada, lafa-beelka laf-dhabarka, jajabka laf-dhabarta, caabuqa qanjirada, caloosha oo xumaata, hunguriga hunguriga oo xanuunta iyo bogsiinta oo daciif ah. ee unugyada.

Dadka qaar ayaa sidoo kale soo sheegi kara ecchymosis, erythema wajiga, dhidid badan, dawakhaad, madax xanuun, cilladaha caadada, horumarinta Cushing's syndrome, dulqaadka karbohaydraytka oo yaraada, muujinta bukaan socodka ee sonkorowga oo leh baahi insulin maalinle ah ama wakiilo hypoglycemic afka ah.

In kasta oo ay jiraan waxyeelooyin dhowr ah oo la xiriira isticmaalka betamethasone, fal-celintaan waxaa lagu rogi karaa oo keliya iyadoo la beddelayo qaddarka ama la joojiyo daaweynta, waana inuu takhtarku hagaa.

Markii aan la tilmaamin

Isticmaalka betamethasone waa inuu hago dhakhtarka, lagumana talin karo dadka qaba firfircoonida iyo / ama infekshinka nidaamka, u nuglaanta qaybaha caanaha ama corticosteroids kale iyo caruurta kayar 2 sano, marka lagu daro lagugula talinayaa dumarka uurka leh ee khatarta ku jira ama markay nuujinayso.

Intaa waxaa sii dheer, betamethasone waa inaan lagu maamulin muruqyada dadka qaba idiopathic thrombocytopenic purpura waana inaan lagu dabaqin xididka ama maqaarka xaaladaha bukaanada qaba ulcerative colitis aan caadi ahayn, haddii ay suurogal tahay in dalool dhow, barar ama infekshan kale oo pyogenic ah , diverticulitis, anastomosis xiidmaha dhowaan, boog caabuq firfircoon ama qarsoon, kelyaha oo shaqeynaya ama dhiig kar, osteoporosis iyo myasthenia.

Isdhexgalka daroogada

Betamethasone wuxuu la falgeli karaa daroogooyinka kale sidaa darteed, waa in aan la wada cunin, maxaa yeelay faragelin ayaa ku imaan karta saameynta. Sidaa darteed, daawooyinka aan loo wada isticmaalin betamethasone waa: phenobarbital, phenytoin, rifampicin iyo ephedrine, estrogens, digitalis, amphotericin B; coumarins, daawooyinka anti-bararka aan hormoonka aheyn iyo khamriga, salicylates, acetylsalicylic acid, wakiilada hypoglycemic iyo glucocorticoids.