Li-hormone tsa glucocorticosteroid ke karolo ea bohlokoa ea mekhoa ea phekolo ea ho phekola maloetse a mangata a tsamaisanang le ho ruruha ha lisebelisoa. Ho kenyelletsa Dexamethasone - liente tsa lithethefatsi ena li atlehile haholo 'me ka nako e le' ngoe li sireletsehile. Ha ho bapisoa le tse ling tsa glucocorticosteroids, moemeli ena o bakela litla-morao tse seng kae.
Litlhapiso tsa mafu a meriana ea meriana Dexamethasone
Moemeli oa li-hormone ea nkiloeng o hlahisa liphello tse tharo tse kholo 'meleng:
- anti-inflammatory;
- immunosuppressive;
- antiallergic
Ho phaella moo, tharollo ea Dexamethasone e fokotsa edema ea pambrane ea pampiri ea phefumoloho, e leng e hlokahalang ho phekola mekhoa ea obstructive ka bronchi, hape e fokotsa maeto a viscosity a sephiri se patiloeng, e leng ho thusang ho tsuba ha ho khohlela.
Lipilisi tsa Dexamethasone ke life?
Ntlha ea pele, lithethefatsi tse hlahisoang li sebelisetsoa phekolo ea li-hormone ea mafu a endocrine:
- lefu la hypoplasia la moea le leholo la adrenal cortex;
- Boloetse ba Addison;
- ho hlōleha ka matla ho adrenal cortex, tse peli tsa motheo le tsa bobeli;
- bobebe le ho tsuba thyroiditis;
- lefu la adrenogenital;
- hypercalcemia ea hlahala;
- hypothyroidism.
Lisele tse setseng tsa tšebeliso ea liente tsa Dexamethasone:
Mokhoa o tsosang:
- postoperative;
- e sithabetsang;
- tšelo ea mali;
- lefu la pelo;
- chesa;
- chefo.
2. Pathology ea tsamaiso ea ho hema:
- boemo ba asthmatic;
- mafu a tšoaetsanoang-a fokolang a phallo ea mali;
- sarcoidosis ;
- ho mpefala ha boloetse bo sa foleng bo sa foleng;
- bronchospasm e matla;
- Lefu la Leffler;
- a phatlalatsa lefuba;
- berylliosis.
3. Cerebral edema le:
- ho hoholo ho hoholo;
- ho hemorrhages;
- lihlapa;
- encephalitis;
- mesebetsi ea methapo ea meriana;
- ho holofala ha mahlaseli a matšoafo;
- meningitis.
4. mafu a Rheumatic:
- lefu le leholo la lefu la pelo;
- lefu la ramatiki nakong ea ho fokotsa matla;
- a phatlalatsa lupus erythematosus.
5. Anemia:
- idiopathic;
- autoimmune;
- congenital;
- erythroblastopenia;
- hemolytic;
- hypoplastic.
6. Maloetse a tsamaiso ea lijo:
- hepatitis;
- lefu la nephrotic;
- ho sa tsotellehe hore na ho na le lefu le bolaeang hakae la ulcerative.
7. Ts'ebetso e ts'ebetsang le ea ho ruruha manonyeletso le mesifa:
- tenosynovitis;
- epicondylitis;
- ramatiki;
- bursitis;
- osteochondrosis;
- styloidite;
- Lefu la Bechterew;
- osteoarthritis;
- myositis.
8. Maloetse a Mali:
- bobeli ba thrombocytopenia;
- lymphomas;
- lymphocytic leukemia;
- ho idiopathic thrombocytopenic purpura;
- lefuemia;
- plasmacytoma;
- agranulocytosis.
9. Ophthalmic pathologies:
- keratitis;
- irit;
- ho kopana;
- blepharitis;
- iridocyclitis ;
- keratoconjunctivitis;
- sephahla;
- ho ba le kutloelo-bohloko ea liphate;
- blepharoconjunctivitis;
- li-episcleritis;
- ho ruruha kamora ho sebetsa mahlong.
10. Mekhoa ea letlalo:
- bofubelu bo bofubelu ba lefutso;
- keloids;
- granuloma annular;
- dermatosis e matla haholo.
Liente tsa Dexamethasone li boetse li laeloa bakeng sa ho kula, mahlaseli a tsamaiso ea likokoana-hloko le likokoana-hloko tse matla. Tabeng ea ho qetela, meriana ea hormone e hlile e kopantsoe le lithibela-mafu.
Joang ho kenya Inthanetone hantle?
Maemong a potlakileng le a maholo, lithethefatsi tse entravenous tsa lithethefatsi tsena li fanoa ka tekanyo ea 4 mg (ho itšetlehile ka lefu la ho kula) ho fihlela makhetlo a mane ka letsatsi. Lejoe le lokela ho etsoa butle-butle, bonyane motsotso o le mong.
Haeba boemo ba bophelo bo khotsofatsa, sethethefatsi se lokela ho tsamaisoa ka mokhoa o tšoanang.
Tsela ea phekolo e joalo ke matsatsi a 3-4, ho boloka tekanyo e itseng ka mor'a hore ho fokotsoe ho matlafatsa - 0.2-9 mg ka lihora tse 24. Haeba ho hlokahala phekolo e eketsehileng, e-ea Dexamethasone ka mokhoa oa matlapa.
Ka nako e 'ngoe liente tse entsoeng ka mahlahahlaha le tsa metsoako li laeloa. Maemong a joalo, tekanyo ea letsatsi le letsatsi ea lithethefatsi ea hormone ke 0,2-6 mg.
Li-contraindications le litla-morao tsa liente. Dexamethasone
Mafu le maemo ao ho seng a ka sebelisoang tharollo e hlalositsoeng:
- glaucoma;
- likokoana-hloko tse tšoaetsanoang tsa linama le manonyeletso;
- hypersensitivity;
- amoebic infections;
- mofuta o sebetsang oa lefuba;
- systemic mycosis;
- likokoana-hloko tse matla haholo;
- nako pele le ka mor'a ho entoa.
Ha e le litla-morao, Dexamethasone, e le molao, e mamella hantle. Maemong a sa tloaelehang, ho na le mathata a seng kotsi ho tsoa mekhoeng e latelang ea 'mele:
- lijo;
- pelo;
- endocrine;
- ho tšoha;
- musculoskeletal;
- immune.
Ka linako tse ling likarolo tsa letlalo le tsa libaka li hlokomeloa, metsoako ea calcium metabolism, maikutlo a litho tsa 'mele a senyeha.