Cov tshuaj steroid rau Kev Kho Mob Rheumatoid Arthritis

Zoo Siab

• Txheej txheem cej luam
• Cov ntaub ntawv dav dav txog tshuaj steroids rau RA
• Qhov ncauj tshuaj rau qhov RA
• Tsuas tshuaj
• Kev txhaj tshuaj steroid rau RA
• Tsuas tshuaj
• Cov tshuaj steroid rau RA
• Kev phom sij ntawm kev siv tshuaj steroids rau RA
• Kev phiv tshuaj ntawm steriods
• Cov nqa mus

Txheej txheem cej luam

Mob caj dab mob ntsws (RA) yog ib tug mob zawv plab uas ua rau cov pob qij txha me ntawm koj ob txhais tes thiab ko taw mob, o, thiab txhav. Nws yog ib qho muaj mob uas tsis tau kho tamsid. Yog tsis muaj kev kho mob, RA tuaj yeem ua rau kev sib koom ua ke thiab kev xiam oob khab.

Kev paub thaum ntxov thiab kev kho mob txo cov tsos mob thiab txhim kho koj lub neej zoo nrog RA. Kev kho yog nyob ntawm koj tus mob. Cov phiaj xwm kho mob feem ntau suav nrog kev hloov kho kab mob antirheumatic (DMARDs) ua ke nrog cov tshuaj tsis muaj zog tiv thaiv kab mob (NSAIDs), thiab cov tshuaj steroids tsawg. Lwm txoj kev kho mob tseem muaj, suav nrog kev siv tshuaj tua kab mob minocycline.

Cia peb saib ze zog saib lub luag hauj lwm steroids ua si hauv kev kho mob RA.

Cov ntaub ntawv dav dav txog tshuaj steroids rau RA

Cov tshuaj steroid yog cov thev naus laus zis hu ua corticosteroids lossis glucocorticoids. Lawv yog cov sib txuas ua ke zoo ib yam li cortisol, yam tshuaj uas koj lub qog ua tau nyob hauv nruab nrab. Mus txog 20 xyoo dhau los, cov tshuaj steroid yog cov qauv kev kho mob rau RA.

Tab sis cov qauv no tau hloov raws li cov kev phom sij ntawm cov tshuaj steroids tau paub thiab vim tias cov hom tshuaj tshiab tau tsim. Txoj cai RA tam sim no ntawm American College of Rheumatology tam sim no qhia cov kws kho mob kom siv cov tshuaj steroids qis tshaj plaws rau lub sijhawm luv tshaj plaws.

Cov tshuaj steroid tuaj yeem noj ntawm qhov ncauj, los ntawm kev txhaj tshuaj, lossis thov pleev.

Qhov ncauj tshuaj rau qhov RA

Qhov ncauj tshuaj steroids tuaj hauv ntsiav tshuaj, tshuaj ntsiav, lossis kua ntawv. Lawv pab txo cov qib hauv koj lub cev uas ua rau koj cov pob qij txha o, txhav, thiab mob. Lawv kuj tseem pab tswj koj qhov system autoimmune rau kev tshem tawm kev ua tiav. Muaj qee cov pov thawj pom tias cov tshuaj steroids txo txhawm rau pob txha.

Hom steroids uas siv rau RA suav nrog:

• prednisone (Deltasone, Sterapred, Ua Kua Npav)
• hydrocortisone (Cortef, A-Hydrocort)
• prednisolone
• dexamethasone (Dexpak Taperpak, Decadron, Hexadrol)
• methylprednisolone (Depo-Medrol, Medrol, Methacort, Depopred, Predacorten)
• triamcinolone
• dexamethasone (Decadron)
• betamethasone

Prednisone yog qhov feem ntau siv cov tshuaj steroid hauv kev kho mob RA.

Tsuas tshuaj

Kev noj tshuaj tsawg kawg ntawm cov tshuaj steroids yuav raug tsim kho thaum ntxov RA, nrog rau DMARDs lossis lwm yam tshuaj. Qhov no vim tias DMARD tau siv 8-12 lub lis piam los ua kom pom cov txiaj ntsig. Tab sis steroids ua sai sai, thiab koj yuav pom lawv cov nyhuv hauv ob peb hnub. Qee zaum Steroids hu ua "kev kho choj."

Tom qab lwm cov tshuaj ua kom zoo, nws yog qhov tseem ceeb rau txo cov tshuaj steroids. Qhov no feem ntau yog ua qeeb, nyob rau hauv increments ntawm. Kev txo qis yuav pab tiv thaiv kom tsis txhob muaj cov tsos mob tawm.

Cov koob tshuaj prednisone ib txwm ua yog 5 txog 10 mg txhua hnub. Nws raug nquahu kom koj tsis txhob noj ntau dua 10 mg rau ib hnub ntawm prednisone. Nws muaj peev xwm raug muab rau ob koob ntawm txhua koob.

Feem ntau, cov tshuaj steroids noj thaum sawv ntxov thaum koj sawv. Lub sijhawm no yog thaum koj lub cev cov tshuaj steroids ua haujlwm.

Cov tshuaj txhua hnub ntawm cov calcium () thiab vitamin D () yog ua ke nrog cov tshuaj steroids.

Kev txhaj tshuaj ntau dua ntawm cov tshuaj steroids yuav siv rau hauv RA thaum muaj kev mob nyhav heev.

Kev kuaj xyuas 2005 ntawm RA cov ntaub ntawv tau pom tias 20 txog 40 feem pua ​​ntawm cov neeg nyuam qhuav pib RA siv cov tshuaj steroids. Qhov kev tshuaj xyuas tseem pom tias txog li 75 feem pua ​​ntawm cov neeg uas tau siv RA siv tshuaj steroids nyob rau qee lub sijhawm.

Muaj qee kis, cov neeg muaj mob hnyav (qee zaum hu ua xiam oob qhab) RA dhau los siv tshuaj steroids mus sij hawm ntev txhawm rau ua cov haujlwm txhua hnub.

Kev txhaj tshuaj steroid rau RA

Cov tshuaj steroid tuaj yeem muaj kev nyab xeeb txhaj tshuaj los ntawm koj tus kws kho mob rau hauv cov pob qij txha thiab thaj chaw puag ncig lawv rau qhov mob thiab o nyem. Qhov no tuaj yeem ua kom tiav thaum koj tab tom tswj xyuas koj lwm txoj kev siv tshuaj kho mob.

American College of Rheumatology sau tseg tias thaum ntxov RA, kev siv tshuaj steroid rau hauv cov pob qij txha feem ntau koom nrog tuaj yeem muab kev tiv thaiv hauv zos thiab qee zaum kev pabcuam. Txoj kev cawm neeg no yuav yog yam txaus ntshai, tab sis tsis kav ntev.

Qee qhov xwm txheej, kev txhaj tshuaj steroid tau txo qis me me ntawm RA. Qhov no muab lwm txoj hauv kev rau txoj kev phais mob.

Nws raug nquahu tias kev txhaj tshuaj rau hauv tib qho kev sib koom ua ke tsis tau ua ntau dua ib zaug nyob hauv peb lub hlis.

Tsuas tshuaj

Cov tshuaj steroid uas siv rau kev txhaj tshuaj yog methylprednisolone acetate (Depo-Medrol), triamcinolone hexacetonide, thiab triamcinolone acetonide.

Koj tus kws kho mob kuj tseem yuav siv cov tshuaj loog hauv zos thaum muab cov tshuaj steroid rau koj.

Cov koob tshuaj methylprednisolone feem ntau yog 40 lossis 80 mg rau ib milliliter. Cov koob tshuaj yuav txawv nyob ntawm seb qhov loj me ntawm cov leeg uas tau txhaj. Piv txwv li, koj lub hauv caug yuav tsum tau txhaj ntau dua, nce txog 80 mg. Tab sis koj lub luj tshib yuav xav tau 20 mg xwb.

Cov tshuaj steroid rau RA

Cov tshuaj steroids, ob qho tshuaj yuav thiab cov tshuaj noj, feem ntau siv los ntawm cov neeg mob caj dab rau kev kho mob hauv zos. Tab sis cov tshuaj pleev ib ce tsis zoo (lossis hais txog) hauv American College ntawm Rheumatology RA cov lus qhia.

Kev phom sij ntawm kev siv tshuaj steroids rau RA

Kev siv cov tshuaj steroid hauv RA kev kho mob yog vim hais tias ntawm cov ntaub ntawv sau tseg muaj feem cuam tshuam nrog.

Cov kev pheej hmoo txaus ntshai muaj xws li:

• Plawv nres: Kev tshuaj xyuas xyoo 2013 ntawm cov neeg kuaj mob RA thiab noj tshuaj steroids tau pom tias 68 feem pua ​​muaj kev pheej hmoo mob plawv heev. Txoj kev tshawb no koom nrog 8,384 tus neeg uas kuaj mob RA nruab nrab ntawm 1997 thiab 2006. Txhua qhov 5 mg ib hnub twg hauv kev noj ntau ntxiv ntxiv rau kev pheej hmoo.
• Txha: ntxias los ntawm kev siv steroid siv sijhawm ntev yog qhov kev pheej hmoo loj.
• Tuag: Qee qhov kev tshawb fawb pom tau hais tias kev tuag yuav raug nce nrog kev siv steroid.
• Cataracts
• Mob ntshav qab zib

Cov kev pheej hmoo nce nrog kev siv mus sij hawm ntev thiab siv tshuaj ntau dua.

Kev phiv tshuaj ntawm steriods

Kev phiv los ntawm kev siv tshuaj steroid hauv RA kho mob suav nrog:

• nce kev pheej hmoo ntawm cov kab mob los yog kab mob kis tau
• hnyav
• puag ncig lub ntsej muag, tseem hu ua "lub ntsej muag hli"
• ntxiv ntshav qab zib
• ntshav siab
• kev xav cuam tshuam, nrog rau kev nyuaj siab thiab ntxhov siab
• insomnia
• txhais ceg o
• doog yooj yim
• ntau dua qhov uas tsis muaj peev xwm ua tau txhawm
• adrenal tsis txaus
• nws txo qis pob txha pob zeb qhov tsawg kawg nkaus tsib lub hlis tom qab txhaj tshuaj ntawm 10 mg prednisone

Steroid txhaj tshuaj tshwm sim tsis tshua muaj thiab feem ntau yog ib ntus. Cov no suav nrog:

• daim tawv nqaij voos
• kev fab tshuaj tsis haum
• ua nqaij daim tawv

Tham nrog koj tus kws kho mob thaum cov kev mob tshwm sim los yog teeb meem sai. Saib xyuas koj cov ntshav qab zib yog tias koj muaj ntshav qab zib.

Cov nqa mus

Cov tshuaj steroid hauv cov tshuaj qis yuav yog ib feem ntawm phiaj xwm kho mob RA kom daws tau cov tsos mob. Lawv ua hauj lwm ceev kom txo tau qhov o thiab mob. Tab sis koj yuav tsum ua tib zoo xav txog kev paub txog kev phom sij ntawm kev siv cov tshuaj steroid, txawm tias nyob hauv ib koob.

Nyeem rau ntawm txhua qhov tuaj yeem kho tau, suav nrog biologics thiab cov tshuaj tua kab mob minocycline. Nqus lub pluses thiab minuses ntawm txhua qhov kev kho thiab tshuaj sib txuas ua ke.Sib tham txog cov phiaj xwm kho mob nrog koj tus kws kho mob, thiab xyuas kom tseeb tias tag nrho koj cov lus nug tau teb.

Qhov tseem ceeb tshaj plaws, kev kho mob RA xav kom koj ua ub ua no.