Shin duka suna da kyau a tsawon lokaci?
Magungunan ƙwayoyin cortisone sunyi amfani da likitocin likita kothopedic da sauran likitoci a matsayin magani don ƙonewa. Duk da yake cortisone zai iya zama magani mai mahimmanci, likitocin da yawa zasu bada shawara game da ƙwayoyi masu yawa-marasa lafiya zasu iya jin cewa zasu iya samun uku, ko uku a kowace shekara, misali. Nawa ne yafi yawa, kuma me yasa likitoci sukayi shawara game da wasu abubuwa da ke da mahimmanci?
Ta yaya Cortisone Injections Work
Na farko, kadan game da injections cortisone : An yi amfani da su wajen magance yanayi na yau da kullum, ciki har da bursitis , tendonitis , yatsa mai yatsa , ciwon motsi na carpal , wasan kwallon tennis , ciwon gwiwoyi , da kuma sauran yanayi masu amfani . Suna aiki ta rage rage kumburi da kyamarar fuska. Ta hanyar rage ƙananan kumburi, zafi daga waɗannan yanayi sau da yawa an sauke.
Yaya Yarda Cortisone?
Binciken da aka yi a shekara ta 2013 ya gano cewa kashi 83 cikin dari na mutanen da suka samu raunin da aka yi wa dan wasan tennis ya dawo ko inganta a cikin shekara guda. Amma a wannan nazarin, kashi 96 cikin dari wanda ya sami damar sake farfadowa, ma. Binciken ya shafi mutane 165 a Australia. Rabin mutane a cikin wannan binciken da suka samu zane-zane suna da alamun bayyanar cututtuka a cikin shekara ɗaya, saboda haka juri na har yanzu kan yadda tasirin cortisone zai iya zama tsawon lokaci.
Cortisone Shots ba maganin kowace irin matsalolin matsalolin, kuma duk da amfani da su a cikin gargajiya sun kasance mai yiwuwa mafi magani mafi alhẽri ga wasu yanayi a kan wasu.
Alal misali, matsalolin da ke haifar da kumburi da kumburi sun fi dacewa su amsa yadda ya kamata ga magungunan ƙwayoyin cuta na cortisone fiye da yanayin da zai haifar da rashin jin daɗi.
Girma da aka ba da shawarar
Babu wata doka game da yawan ciwon ƙwayar cortisone wanda mutum zai iya yi, amma akwai damuwa da magungunan cortisone a cikin jiki guda.
Idan guda ɗaya ko biyu cikin injections a cikin yanki guda ɗaya bazai taimaka matsala ba don tsawon lokaci, to lallai bazai yiwu ba cewa karin injections na cortisone zai kasance na kowane amfani.
Magungunan ƙwayoyin cortisone maimaitawa basu da lafiya ga kyallen takarda. Ƙananan cortisone a cikin jiki suna yiwuwa ne, amma maimaita ciwon daji zai iya haifar da lalacewar kyallen takarda a tsawon lokaci. Wani lokaci wannan ba shi da damuwa. Alal misali, idan mai haƙuri yana da ciwon gwiwoyi mai tsananin gwiwa da kuma allurar cortisone a kowane watanni 6 yana taimakawa sosai, to, yawan yawan injections bazai da matsala sosai.
A gefe guda, idan mai haƙuri yana da ƙafar kafada, amma a cikin kafar mai lafiya, za a iya iyakance yawan yawan injections don hana ƙananan lalacewar waɗannan tendons. Ba daidai ba ne a yi la'akari da ɗaukar hoto kamar yadda yake da lafiya, kuma akwai binciken da yawa da ke nuna cewa a tsawon lokaci mutanen da suke shan maganin na yau da kullum zasu iya ci gaba da ƙara yawan lalacewar da suka dadewa.
A ƙarshe, akwai wasu yanayi na musamman inda aka nuna cortisone don haifar da matsaloli mai tsanani. Alal misali, injections a kan tendon Achilles an san su don ƙara yiwuwar rushewa na Achilles.
Saboda wannan dalili, yawancin likitocin likitoci ba zasu bayar da allurar cortisone don maganin Achilles tendinitis ba .
Kalma Daga
Babu wata mawuyacin rikici wanda ya faɗi yawancin injections wanda za'a iya ba a tsawon lokaci. Duk da haka, zubar da ƙwayar cortisone na iya samun sakamako mai lalacewa da kuma yin amfani da shi akai-akai na injections cortisone ya kamata a yi tare da taka tsantsan. Yawancin likitoci na likita za su zabi lamba, kuma ya shawarci mai haƙuri kada ya wuce adadin cortisone. Babu fiye da sau uku a cikin yanayi na shekara ɗaya ne lambar da na ji yawancin likitoci na likita masu amfani dasu. Ya kamata ku fahimci cewa akwai wasu dalilai da ba sa amfani da injections cortisone, koda kuwa suna iya taimakawa wasu alamun bayyanar.
Saboda haka, yawan likitoci na likita zasu iya iyakance yawan injections wanda zasu bayar.
Sources:
> Brooke K. Coombes, PhD; Leanne Bisset, PhD; Peter Brooks, MD, FRACP; Asad Khan, PhD; Bill Vicenzino, PhD. "Hanyoyin Corticosteroid Injection, Physiotherapy" Journal of the American Medical Association, Feb. 2013
> Hepper CT, a al. Da inganci da kuma tsawon lokaci na cike da ƙwayoyi na corticosteroid don gwiwa na osteoarthritis: nazari na ainihi na matakin na nazarin. J Am Acad Orthop Surg. 2009 Oktoba; 17 (10): 638-46.
> McAlindon TE, LaValley MP, Harvey WF, Farashin LL, Driban JB, Zhang M, Ward RJ. "Hanyoyin Triamcinolone vs Saline a Knee Cigati Yara da Ciwo a cikin Marasa Tare da Knee Osteoarthritis: A Randomed Clinical Trial" JAMA. 2017 16 ga Mayu, 317 (19): 1967-1975.