Kho Cov Kab Mob Ntau Sclerosis Flare-Ups nrog Steroids

Zoo Siab

• Ntau tus sclerosis steroids
• Solumedrol
• Prednisone
• Decadron
• Nws puas ua haujlwm?
• Kev siv tshuaj steroid rau MS phiv
• Lub sijhawm luv los cuam tshuam
• Lub sij hawm ntev cov teebmeem
• Tapering tawm
• Nqa Nyiaj

Yuav siv cov tshuaj steroids li cas los kho MS

Yog tias koj muaj ntau yam sclerosis (MS), koj tus kws kho mob tuaj yeem sau corticosteroids txhawm rau kho cov kev mob ntawm kab mob hu ua exacerbations. Cov kev tshwm sim ntawm cov mob tshiab lossis rov mob tshwm sim no tseem paub tias yog kev tawm tsam, kub cev, lossis rov huam mob tuaj.

Cov tshuaj steroid no tsuas yog tsim los txo txoj kev tua kom koj thiaj li khiav rov los tau sai dua.

Nws tsis tas yuav kho txhua yam mob MS rov huam mob steroids, txawm hais tias. Cov tshuaj no feem ntau tshwj tseg rau kev rov huam mob tuaj uas yuav cuam tshuam koj lub peev xwm ua haujlwm. Qee qhov piv txwv ntawm qhov no yog qhov tsis muaj zog txaus, teeb meem sib npaug, lossis lub zeem muag cuam tshuam.

Cov kev kho steroid yog cov muaj zog thiab tuaj yeem ua rau cov kev mob tshwm sim los ntawm cov neeg sib txawv. Txoj kev kho cov leeg (IV) kev kho mob steroid tuaj yeem kim thiab tsis yooj yim.

Qhov zoo thiab kev pom zoo ntawm cov tshuaj steroids rau MS yuav tsum tau ntsuas rau tus kheej thiab yuav hloov thaum lub caij tus mob.

Txuas ntxiv nyeem ntawv kom paub ntau ntxiv txog steroids rau MS thiab lawv cov txiaj ntsig zoo thiab cov kev mob tshwm sim.

Ntau tus sclerosis steroids

Cov tshuaj steroid uas siv rau MS yog hu ua glucocorticoids. Cov tshuaj no qog cov nyhuv ntawm cov tshuaj hormones koj lub cev tsim tawm hauv ib txwm.

Lawv ua haujlwm los ntawm kev kaw qhov kev cuam tshuam ntawm cov ntshav-hlwb tsis zoo, uas pab ua kom tsis txhob muaj cov hlwb mob tsiv mus nyob hauv cov hlab ntsha hauv nruab nrab. Qhov no pab txhawm rau txhawm rau o thiab yooj yim cov tsos mob ntawm MS.

Kev noj tshuaj ntau dua feem ntau txhaj tshuaj rau ib hnub ib zaug rau peb mus rau tsib hnub. Qhov no yuav tsum tau ua hauv chaw kuaj mob lossis tsev kho mob, feem ntau nyob rau sab nrauv. Yog tias koj muaj kev txhawj xeeb txog kev noj qab haus huv loj, tej zaum yuav tsum tau mus pw hauv tsev kho mob.

Kev kho mob IV qee zaum tom qab los ntawm cov tshuaj qhov ncauj ntawm qhov ncauj rau ib lossis ob lub lis piam, thaum lub sijhawm ntawd cov tshuaj tau qeeb. Qee qhov xwm txheej, cov tshuaj steroid qhov ncauj raug coj mus ntev li rau lub lis piam.

Nws tsis muaj ib qho qauv tshuaj lossis tshuaj rau kev kho steroid rau MS. Koj tus kws kho mob yuav txiav txim siab qhov mob ntawm koj cov tsos mob thiab yuav xav pib nrog qhov kev siv qis tshaj.

Cov hauv qab no yog qee cov tshuaj steroid uas siv los kho MS rov mob.

Solumedrol

Solumedrol, cov tshuaj steroid feem ntau siv los kho MS, yog hom muaj npe rau methylprednisolone. Nws yog ib qho muaj zog heev thiab feem ntau siv rau cov mob rov huam tuaj.

Cov koob tshuaj uas ib txwm noj tau yog 500 rau 1000 milligrams ib hnub. Yog tias koj muaj lub cev me me, qhov noj tshuaj rau ntawm qhov qis dua ntawm qhov ntsuas me me yuav thev taus dua.

Solumedrol raug muab tshuaj rau hauv qhov chaw nqus lossis tsev kho mob. Txhua txoj kev lis ntshav kav ntev li ib teev, tab sis qhov no tuaj yeem sib txawv. Thaum lub sij hawm Txoj kev lis ntshav, koj yuav pom nws yog xim hlau saj hauv koj lub qhov ncauj, tab sis nws yog ib ntus.

Nyob ntawm seb koj teb li cas, koj yuav tsum tau tso ntshav ib hnub rau ib qho chaw nyob ntawm peb txog xya hnub.

Prednisone

Qhov ncauj prednisone muaj nyob hauv cov npe khoom lag luam xws li Deltasone, Intensol, Rayos, thiab Sterapred. Cov tshuaj no tuaj yeem siv rau ntawm txoj kev txhaj tshuaj IV steroids, tshwj xeeb yog tias koj muaj mob me me mus rau mob hnyav.

Prednisone tseem tseem siv los pab koj txo qis tom qab tau txais cov tshuaj steroids, feem ntau rau ib lossis ob lub lis piam. Piv txwv li, koj yuav tau noj 60 milligrams ib hnub rau plaub hnub, 40 milligrams ib hnub rau plaub hnub, thiab tom qab ntawd 20 milligrams ib hnub rau plaub hnub.

Decadron

Decadron yog lub npe khoom lag luam rau lub qhov ncauj dexamethasone. Kev noj tshuaj ib hnub ntawm 30 milligrams (mg) rau ib lub lim tiam tau pom tias muaj txiaj ntsig zoo los kho MS rov mob.

Qhov no yuav tau ua raws li 4–12 mg txhua txhua lwm hnub kom ntev li ib hlis. Koj tus kws kho mob yuav txiav txim qhov pib siv rau koj.

Nws puas ua haujlwm?

Nws yog ib qho tseem ceeb kom nco ntsoov tias corticosteroids tsis xav tias yuav muaj txiaj ntsig rau lub sijhawm ntev lossis hloov hom MS.

Muaj ntawv pov thawj tias lawv tuaj yeem pab koj kom rov zoo los ntawm kev rov huam mob sai dua. Nws yuav siv sijhawm li ob peb hnub los mloog zoo li koj tus mob MS zoo tuaj.

Tab sis ib yam li MS txawv heev li ntawm ib leeg rau lwm tus, yog li kev kho steroid. Nws tsis tuaj yeem twv seb yuav pab tau koj li cas lossis yuav siv sijhawm ntev li cas.

Ntau cov kev tshawb fawb me me tau qhia tias kev siv tshuaj corticosteroids zoo sib xws tuaj yeem siv tau los ntawm qhov chaw muaj tshuaj ntau dua IV methylprednisolone.

Xyoo 2017 xaus lus tias qhov ncauj methylprednisolone tsis qis dua IV methylprednisolone, thiab lawv tau txais txiaj ntsig zoo ib yam thiab muaj kev nyab xeeb.

Txij li cov tshuaj steroids qhov ncauj yooj yim dua thiab tsis tshua kim, lawv yuav yog qhov kev xaiv zoo rau kev kho mob IV, tshwj xeeb yog tias qhov infusions yog ib qho teeb meem rau koj.

Nug koj tus kws kho mob yog tias qhov ncauj tshuaj steroids yog qhov kev xaiv zoo rau koj.

Kev siv tshuaj steroid rau MS phiv

Qee zaus siv cov tshuaj corticosteroids uas tsis muaj qhov ntau yog feem ntau zoo-tiv thaiv. Tab sis lawv kuj muaj kev phiv. Qee qhov koj yuav hnov ​​zoo tam sim ntawd. Lwm qhov yuav yog qhov tshwm sim ntawm kev rov qab ua dua lossis kho ntev.

Lub sijhawm luv los cuam tshuam

Thaum siv tshuaj steroids, tej zaum koj yuav pom muaj lub zog qoj ib ce ib ntus uas tuaj yeem ua rau nws pw tsis tsaug zog lossis txawm tias zaum twj ywm thiab so. Lawv kuj tseem tuaj yeem ua rau lub siab hloov pauv thiab coj cwj pwm. Koj yuav muaj kev xav zoo dhau los yog lub zog thaum siv cov tshuaj steroids.

Ua ke, cov kev mob tshwm sim no tuaj yeem ua rau koj xav kom los tuav cov haujlwm loj lossis ua lub luag haujlwm ntau dua qhov koj yuav tsum ua.

Cov tsos mob no feem ntau ib ntus thiab pib ua kom zoo dua thaum koj txo qis kev noj tshuaj.

Lwm cov kev mob tshwm sim muaj xws li:

• pob txuv
• ntsej muag yaug
• kev fab tshuaj tiv thaiv
• kev nyuaj siab
• o ntawm tes thiab taw (los ntawm dej thiab sodium tuav tseg)
• mob taub hau
• nce qab los noj mov
• ntxiv ntshav qabzib
• nce ntshav siab
• insomnia
• nws txo qis tsis kam mus kis mob
• nws yog xim hlau ci hauv qhov ncauj
• leeg tsis muaj zog
• lub plab voos lossis kiav txhab

Lub sij hawm ntev cov teebmeem

Kev kho tshuaj steroid ntev ntev tuaj yeem ua rau kom muaj kev phiv ntxiv xws li:

• cataracts
• zuj zus kev mob siab ntsws
• mob ntshav qab zib
• txha txha caj qaum
• hnyav

Tapering tawm

Nws yog ib qho tseem ceeb kom ua raws li koj tus kws kho mob cov lus qhia hais txog kev siv tshuaj steroids. Yog tias koj tsum tsis noj tam sim ntawd, lossis yog tias koj txo sai dhau, koj yuav muaj cov tsos mob tshem tawm.

Prednisone tuaj yeem cuam tshuam rau koj kev tsim cortisol, tshwj xeeb yog tias koj noj nws ntau tshaj li ob peb lub lis piam hauv ib zaug. Cov cim uas koj tab tom nyem hle sai yuav suav nrog:

• mob ib ce
• mob tej pob txha
• nkees
• lub teeb ci ntsa iab
• xeev siab
• tsis qab los noj mov
• tsis muaj zog

Kev txiav tawm sai kiag Decadron tuaj yeem ua rau:

• tsis meej pem
• tsaug zog
• mob taub hau
• tsis qab los noj mov
• poob phaus
• leeg thiab leeg mob
• tev tawv nqaij
• mob plab thiab ntuav

Nqa Nyiaj

Corticosteroids yog siv los kho cov tsos mob hnyav thiab ua kom luv luv li MS ntev rov tshwm sim. Lawv tsis kho tus kab mob nws tus kheej.

Tshwj tsis yog muaj teeb meem tsis pom kev, kev kho rau MS kev rov huam mob tuaj tsis nrawm. Tab sis nws yuav tsum tau pib sai li sai tau.

Kev txiav txim siab hais txog cov txiaj ntsig thiab qhov tshwm sim ntawm cov tshuaj no yuav tsum tau txiav txim siab rau ib tus neeg. Yam uas yuav tau sab laj nrog kws kho mob suav nrog:

• Qhov mob hnyav ntawm koj cov tsos mob thiab seb koj qhov rov ua mob cuam tshuam rau koj lub peev xwm los ua koj cov haujlwm txhua hnub
• yuav ua li cas txhua hom tshuaj steroid raug tswj hwm thiab seb koj puas tuaj yeem ua raws li cov kev cai
• cov kev mob tshwm sim loj heev thiab seb lawv yuav cuam tshuam li cas rau koj lub peev xwm ua haujlwm
• lwm qhov muaj teeb meem loj, suav nrog cov tshuaj steroids yuav ua li cas rau koj lwm yam mob xws li ntshav qab zib lossis mob hlwb
• muaj kev cuam tshuam nrog lwm cov tshuaj
• uas kev kho mob steroid yog them los ntawm koj daim ntawv kho mob
• dab tsi lwm txoj kev kho mob muaj rau qee cov tsos mob ntawm koj rov huam

Nws yog lub tswv yim zoo kom muaj qhov kev sib tham no lwm zaus koj mus ntsib tus kws kho mob hlwb. Txoj hauv kev ntawd, koj yuav npaj siab txiav txim siab thaum muaj kev rov huam mob.