EzempiloAmalungiselelo

Yini engcono - "i-Prednisolone" noma "i-Metizred"? Uyini umehluko?

Ukukhetha okulungile kwesidakamizwa kuyisisekelo sokwelashwa okusheshayo nokuphumelelayo. Emakethe yezokwelapha kukhona inqwaba yama-analogs kanye nama generic, ngakho-ke umuntu ode kakhulu emhlabeni wezokwelapha, enze ukhetho ekhemisi kungaba nzima kakhulu.

Kulokhu, isici esiyinhloko ekuthengeni izidakamizwa kuyinani layo. Kodwa-ke, ngisho nesimiso esifanayo sokusebenza kwezidakamizwa nokwakheka akusiqinisekisi ngaso sonke isikhathi umphumela ofanayo wezokwelapha. Uma kuziwa ezidakamizweni ezingabangela imiphumela emibi kakhulu, ukukhetha imithi kufanele kuqaphele ikakhulukazi. Kubalulekile ukulalela ukunconywa kodokotela, ukuqonda ngokuzimela ukuthi kukhona umehluko phakathi kokuhlanganiswa kwezidakamizwa ezimbili ezifanayo.

Izinkomba

Ngaphambi kokuqonda umbuzo walokho okungcono: "i-Prednisolone" noma "i-Metipred", kuyadingeka ukuthi uqonde ukuthi yiziphi lezi zilungiselela. Ukwakhiwa kokubili kwezidakamizwa kuhloswe ukuvimbela ukuphendula komzimba komzimba, okungukuthi, ukunciphisa ukuzivikela. Naphezu kweqiniso lokuthi kungase kubonakale sengathi kuyinto engavamile, ngoba inkinga yokukhukhuma komzimba iyakuthandwa kakhulu futhi efanelekile, imithi yokuzivikela imithi iyadingeka ekwelapheni kwezifo eziningana.

I-autoimmune pathologies yizinqubo lapho ukuzivikela komuntu kuqala ukuhlasela amangqamuzana ayo. Lokhu kungenxa yokuthi ukutheleleka kungena emangqamuzaneni, futhi akunakwenzeka ukuyibhubhisa ngaphandle kokubhubhisa inja. Lapho iseli selulelekile, umzimba uqala ukhiqiza izinhlobo ezithile ze-antibodies ezihamba emzimbeni futhi zibhubhise amaseli awo.

Kuyaphawuleka ukuthi ama-antibodies angenza "amaphutha" futhi ahlasele izitho zawo amangqamuzana afanayo nesakhiwo esifanayo, isibonelo, inhliziyo nezinso ngokuvamile zihloswe yi-immunoglobulins ngemuva kokungena kwe-streptococcal angina.

Izifo ezithathelwana ngokuzenzakalelayo azipheli nanamuhla, ngakho-ke ngisho nangemva kokuba ukutheleleka sekuvele kwabhujiswa, amasosha omzimba aqhubeka nokukhiqizwa. Ngcono kakhulu, lesi sifo singena ekuxoxweni, kodwa ngaphansi kwethonya kunoma iyiphi into (ukushuswa ngokomzwelo, ukubandayo, ukuguquka kwesimo sezulu, ukukhulelwa), kungabuyela. Uma lesi sifo singangeni ohlelweni lokulala futhi sibulale ngokuqinile izicubu zezinhlaka, kubalulekile ukuzethula ekuxoxweni ngokugcwele, "ukuvuselela" ukuzivikela.

"I-Prednisolone" noma "i-Metipred" inciphisa umsebenzi wesimiso somzimba wamasosha omzimba okungenani, ukuqinisekisa ukuthi ama-antibodies ayeka ukukhiqizwa. Emva kwenkambo, okuyinto egcina isilinganiso sezinyanga ezimbili kuya kweziyisithupha, umthamo wesidakamizwa uyancishiswa kancane kancane, uphendule impendulo yawo ye-immune. Uma ukwelashwa kuphumelele, isimiso somzimba sokuzivikela sisasebenza kahle kuze kube yilapho ukukhushulwa okulandelayo. Kodwa-ke, akuyona into engavamile ukuxoxwa ngemuva kokwelashwa nge-glucocorticosteroids ukuhlala isikhathi eside.

Imiphumela emibi

Ukucabangela umbuzo walokho okungcono - "i-Prednisolone" noma "i-Metipred", akusho neze ukuthi ukusebenza okusheshayo, ngoba ubukhulu bomphumela buxhomeke ezimeni zomuntu siqu, hhayi umahluko phakathi kwalezi zinhlanganisela ezimbili.

Iziguli ezithatha ukwelashwa nge-immunosuppressants zinentshisekelo yokugwema imiphumela emibi, okuyizinamba eziningi, futhi lokho kanye nezinye izidakamizwa.

Inzuzo yesisindo

Umthelela ohlangothini oluyinhloko wokuthi inqwaba yabantu abasebenzisa ukwelashwa kwesikhathi eside ne-glucocorticosteroids ubhekene nokuzuza kwesisindo. I-metabolism ngesikhathi ukwelashwa kwe-hormone iyancipha ngempela, futhi ukudla, ngokuphambene nalokho, kwanda. Kodwa isizathu esiyinhloko sesethi yesisindo somzimba ukugcinwa kwamanzi emzimbeni. Uma uqapha ngokucophelela i-diuresis kanye nenani le-sodium elisetshenzisiwe, khona-ke ukuzuza kwesisindo kungagwenywa, futhi kuphela ukuhamba komuntu womuntu othuthukayo noCushing's syndrome kuyoba uphawu lokuthatha imithi. Njengoba isilinganiso sincishisiwe, inkinga iyozidela ngokwayo.

Isifo sikashukela

Inkinga yesibili evame ukubhekana neziguli ezithatha imithi yokuzivikela i-steroid isifo sikashukela. Kulezi ziguli ezisencane, izakhi zofuzo ezingagculiswa izifo ze-endocrine, isifo sikashukela asiyona ingozi enkulu, emva kokuhoxiswa kokungenisa, izinga le-glucose kanye ne-insulin ezinzile.

Isisu sesisu

Futhi, ekugcineni, umphumela wesithathu ovame kakhulu ohlangothini lwesilonda esiswini. Imithi yanamuhla cishe isuse ngokuphelele ukuphuthuma kwalenkinga ngosizo lokudla okhethekile kanye nezidakamizwa ezivikela i-mucosa yesisu ngenkathi yokwelashwa. Uma kwenzeka isiguli sithatha ngokucophelela zonke izincomo zikadokotela, izifo ezitholakalayo zendlela yokugaya zingagwenywa.

Kukhona nemiphumela emibi eyaziwayo, njengokuphulwa komjikelezo wokuya esikhathini, ukuthuthukiswa komfutho wegazi ophezulu nokuguqulwa kwamathambo. Iziguli eziningi zibhekene nokukhubeka okukhulu, ukulala.

Ngingawagwema yini imiphumela emibi?

Uhlu lwemiphumela emibi lapho kuthatha i-glucocorticosteroids lihlaba umxhwele kakhulu ngenani lemiphumela engenzeka, futhi ngokukhululeka kwawo. Ngeshwa, azikho izindlela ezivumela ukuba ziqede ngokuphelele, kodwa ukunciphisa impela kuyiqiniso. Kuhlobene nalokhu ukuthi umbuzo uvela, yini engcono: "I-Prednisolone" noma "i-Metipred"?

Zombili izidakamizwa zinokubunjwa okufanayo kanye nendlela efanayo yesenzo. Kodwa-ke, iMetipred, ngolimi lwamakhemikhali, iyisidakamizwa "esihlanzekile" esengeziwe. Lokhu kungukuthi, izingxenye lapho umuthi uqukethe khona uhlambuluke kakhulu futhi uhlanzekile kakhulu kune-analogue, okusho ukuthi umphumela onobuthi wehla ngesikhathi sokuphatha kanye nemiphumela emibi yehla.

Uma kungumbuzo wokusetshenziswa okwesikhashana kwe-glucocorticosteroids, isibonelo, ngokuphendula okulindelekile, ukucabanga: "I-Prednisolone" noma "I-Metipred" - yiyiphi engcono yokukhetha ayifanele. Noma imuphi umuthi uzosebenza kahle, futhi iqiniso lokuthi ukusetshenziswa kwalo isikhathi esifushane ngeke livumele ukuthi imiphumela emibi ehlongozwayo ibonakale, futhi ingabi nomthelela onobuthi emzimbeni. Kodwa uma inkambo yokwelashwa ibalwa ezinyangeni, imithi "ehlanzekile" izoba ephephile kakhulu.

Kunombono wokuthi ubunzima obuncane bemiphumela emibi bungatholakala uma i-glukortikosteroids ihlonishwa ekuseni kakhulu.

Lapho echaza "i-Prednisolone" noma "i-Metipred" ngesikhathi sokukhulelwa, odokotela bavame ukwenza okukhethayo ekugcineni, ngoba kulokhu akuyona nje umbuzo wokusebenza kahle kwelashwa, kodwa futhi nokuphepha kwe-fetus.

Umphumela we-Mineralocorticoid

Ukuhlaziya umbuzo walokho okungcono - "i-Prednisolone" noma "i-Metipred", kubalulekile ukucabangela into efana nomphumela we-mineralocorticoid. Le ncazelo ibhekisela esimweni esihambisana nokugcinwa kwe-sodium emzimbeni. Lokhu kuholela e-edema, ukwanda kwengcindezi yegazi, uhlobo lwe-hormone, ubuso obunzima.

Ukubunjwa kweMetipred kuvumela ukuba isobhodi ingabi njalo emzimbeni, ngenxa yokuthi inkinga yokubhekwa kwe-"cushingoid" kulamagciwane okwelashwa nalesi sidakamizwa ayitholakali kunabantu abathatha i-Prednisolone.

Ukuveza komphumela

Izifundo ezitadisha umehluko empilweni yokwelapha yalezi zidakamizwa ezimbili azange zenze umehluko omkhulu. Umphumela wezokwelapha usekelwe ezicini eziqondene nomuntu, isifo esithile, izifo ezithintekayo.

Itholakale ezinsizeni ezihlukahlukene ngezidakamizwa ezifana ne-Prednisolone noma i-Meti-Pre, ukubuyekezwa kuvame ukukhombisa ukusebenza komuntu wangaphambili. Ukukhipha okuvela ku- "Prednisolone" kwavela ngokushesha futhi, ngokwesilinganiso, kwahlala isikhathi eside.

Ukufakwa kwezidakamizwa

Ukuze uthole ukuthi, esimweni esithile, i- "Prednisolone" noma "iMetired" - okungcono, ungazama izidakamizwa zombili futhi uqhathanise nomphumela. Ukuqala ukwelashwa "i-Prednisolone", ungaya ku- "Metipred", ngaphandle kokushintsha umthamo. Ngakho, i-1 mg ye-Prednisolone ne-1 mg ye-Metipred ifana ngokuphelele.

Kodwa-ke, ukushintshwa kwezidakamizwa kuyadingeka ngaphansi kokuqondiswa odokotela oya khona.

Immunosuppressants kanye nezifo

Ukukhetha izidakamizwa ezithile zokwelashwa, iziguli eziningi zinesithakazelo ekusebenzeni komuthi kwesifo esithile. Okungukuthi, umbuzo wokuthi i-Prednisolone noma i-Metipred ingcono yini ku-arthritis, i-glomerulonephritis noma enye yokugula ihambisana kakhulu.

Njengoba kunikezwe ukufana okufanayo kanye nezinkomba ezisetshenziselwa ukusetshenziswa, kungase kudingeke ukuthi akukho umehluko omkhulu ekuqokweni kwama-immunosuppressants. Lapho ekhetha izidakamizwa, udokotela uthembele ekuhlangenwe nakho kwakhe kanye nedatha yokuhlaziya, okuyinto imithi esesiguli esinesifo esifanayo, ubudala, ubulili, ibekezelela kalula, ayizange ibhekane nezinkinga, futhi yabonisa umphumela omuhle kakhulu.

Izindleko zemithi

Uma sicabanga ukuthi ngabe i-Prednisolon noma i-Metipred ingcono, akunakwenzeka ukugwema umbuzo wezindleko zezidakamizwa. "I-Metipred" imithi ebiza kakhulu. Intengo yayo ngokwesilinganiso eRussia yi-ruble angu-200, kanti izindleko ze- "Prednisolon" zihluka kusuka kuma-ruble angu-50 kuya kwangu-70. Izindleko zemithi yaseRussia ngokuvamile ziphansi, kodwa ukubuyekezwa kwama-immunosuppressants asekhaya kunesimo esibi ngaphezu kokungeniswa.

Njengoba kunikezwe ukuthi ukusetshenziswa kwe-glucocorticosteroids ezifweni ezizimele kuvela ezinyangeni eziyisithupha ukuya ekutholeni isikhathi eside, kusobala ukuthi iziguli eziningi kubaluleke kakhulu ukukhetha ukwelashwa okuzophumelela kakhulu kwisabelomali sanyanga zonke. Okubaluleke kakhulu ukuthi umthamo onqunyelwe ukuphathwa kwe-Prednisolone noma i-Metipred, ngoba ukuhlushwa okuphezulu kwezinto ezisebenzayo kubiza kakhulu.

Ngakho-ke, impendulo yombuzo wokuthi i-Prednisolone noma i-Metipred yiyona: okungcono kakhulu umuntu ngamunye. Uma ukhetha izidakamizwa, kubalulekile ukucabangela yonke imitholampilo yesiguli, uthintane nodokotela bese ukhetha imithi kanye nesilinganiso ukuze umphumela uvezwe, kanti nemiphumela emibi ayithinti kakhulu izinga lempilo yesiguli futhi angabi nengozi empilweni yakhe.

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