Cortisone Shots Taimaka Rage Kumburi Locally ko Systemically
Magungunan kwakwalwa, wanda aka fi sani da labarun cortisone, sune magungunan kwayoyi masu corticosteroid . Za a iya yin amfani da allurar steroid a matsayin injection ta jiki (misali, intra-articular) ko cikin tsoka (buttocks, alal misali) ko kwaya don sakamako na jiki (watau jiki duka). Corticosteroids sune kwayoyi sunadarai waɗanda suke kama da cortisol, wani hormone da ta halitta ta hanyar gland.
Ta hanyar togewa, likitanku zai iya ba da wani babban kashi na magani na corticosteroid kai tsaye zuwa wani wuri mai raɗaɗi na jiki don manufar rage ƙonawa ta hanyar rage tsarin aiki na rigakafi .
Indiya ga Steroid Injections
Corticosteroids ana amfani da su don sarrafa kumburi a cikin ciwon maganin ƙwaro da kuma sauran yanayin kumburi. Corticosteroids za a iya injected kai tsaye cikin kyallen takarda, ko za a iya ba da su ga jiki duka ta hanyar shirye-shiryen maganganun jijiyoyi, injections, ko intramescular injections. Magungunan kwayar cutar zai iya ba da taimako ga marasa lafiya da cututtuka ko ciwon maganin ƙwayar cuta . Ga marasa lafiya da cututtuka na rheumatoid , an yi amfani da injections a yayin da guda ɗaya ko biyu kawai ke nuna synovitis mai aiki. Makasudin maganin shi ne kawar da bayyanar cututtuka ko kuma don taimakawa masu amfani da kwayoyi masu saurin hankali, irin su methotrexate ko Plaquenil , lokacin yin aiki. Alal misali, a farkon asibitin rheumatoid, binciken binciken ya nuna cewa haɗuwa da DMARDs da steroid na intra-articular yana da muhimmanci fiye da DMARDs kadai.
Goma yana da haɗin gwiwa wanda aka yi masa allura. An ba da shawarar cewa marasa lafiya sun rage aikin su na tsawon kwanaki 1 - 2 bayan an allura su ba shi damar da zai fi dacewa. Cunkushe a cikin farkon sa'o'i 6 bayan allura zai iya gaske ya kara arthritis. Tun da yake an riga an haɗuwa da cututtuka na gida tare da steroid, marasa lafiya ba su san cewa suna yin damuwa sosai akan haɗarsu na arthritic, yayin da ake ciwo baƙin ciki, in ji masanin ilimin lissafi Scott J. Zashin.
Yawancin shawarwari sun bambanta, amma mafi yawan likitoci za su guje wa juna haɗin gwiwa fiye da sau 3 a cikin shekara guda. Alal misali, zaka iya samun gwijin hagu sau biyu sau ɗaya a shekara kuma gwiwar dama ta toka sau biyu, amma ba sau 4 a gefe ɗaya ba. Matsayi mai wuce kima ko saurin injections na steroid zai iya haifar da lalacewa, ligament, ko lahani.
Akwai hanyoyi da dama don miyagun ƙwayar magunguna wanda aka yi amfani da shi a cikin allura. Mafi mahimmanci, ya dogara ne akan likitocin likita (misali, Depo-Medrol [methylprednisolone acetate], Aristospan [triamcinolone hexacetonide], Kenalog [triamcinolone acetonide] da Celestone [betamethasone]). Yayinda marasa lafiya sukan ji daɗi sosai a cikin dakin gwaji, da zarar an kawar da cututtuka na gida, zai iya ɗaukar kwanaki 10 don gane cewa zai sake samun amfani.
Hanyoyi na gefen Injections
Yawancin marasa lafiya da ke shan maganin steroid sunyi tasiri ba tare da tasiri ba, musamman ma tare da biyayyar zuwa matakan da aka dace. Duk da haka, illa masu tasiri na cututtukan steroid sun haɗa da:
- ƙara yawan ciwo ko kumburi na haɗin gwiwa a farkon 24 hours
- kumburi, redness, ko ƙara yawan ciwo bayan sa'o'i 24 (na iya sigina kamuwa da haɗin gwiwa)
- Rashin hankali na tendon
- bincikar fata
- jini na gida
- kamuwa da cuta
- rashin lafiyan abu
Jirgin steroid a cikin tsoka (buttocks) yana samar da sakamako mai mahimmanci. Idan wani haɗin gwiwar ya ƙunshi, injection steroid a cikin buttocks mai yiwuwa ya fi tasiri fiye da allurar rigakafi. Kamar yadda corticosteroids na baka, bai tabbata ba yaduwar kwayoyin magani ta kai ga takamaiman haɗin gwiwa. Har ila yau, idan an sake maimaita allurar rigakafi a akai-akai, zai iya ƙara haɗari na tasowa wasu cututtuka na yau da kullum da aka samu tare da kwayoyin steroids, ciki har da osteoporosis da cataracts.
Wasu 'Yan Mahimman Bayanai
- Yawanci, a cikin maganin ƙwayar steroid na gida da aka dakatar da shi kuma ba za a iya haɗuwa da halayen haɗari masu tsanani ba idan aka kwatanta da corticosteroids na al'ada.
- Dole ne kada a yi allurar rigakafi idan akwai kamuwa da cuta a shafin da za a allura ko a ko'ina cikin jiki.
- Idan haɗin da aka haɗuwa ya yi mummunan lalacewa, akwai yiwuwar samun kyakkyawar sakamako tare da maganin steroid.
- Yawancin lokaci, haɗuwa ne ga haɗin gwiwa mai haɗari don gwajin gwaji kafin inject da haɗin gwiwa tare da steroids, musamman ma idan ƙin ganewar asali bai kasance bace.
> Sources:
> Cutar Injections. Cleveland Clinic.
> Haɗuwa da ƙwayoyin glucocorticoid na ciki tare da DMARDs da DMARDs kadai a cikin cututtukan arthritis. Journal of the Association of Physicians of India. Menon N. et al. Agusta 2014.
> Kelley's Textbook na Rheumatology. Tsarin na tara. Elsevier. Glucocorticoid Far. Babi na 60.