Hydrocortisone iyo cortisone: Kala duwanaanshaha, isku ekaanshaha, iyo yaa adiga kuu fiican
Daroogada Vs. SaaxiibDulmarka daroogada & kala duwanaanshaha ugu weyn | Xaaladaha la daweeyay | Wax ku oolnimada | Caymiska caymiska iyo isbarbardhiga qiimaha | Dhibaatooyinka ay keento | Isdhexgalka daroogada | Digniinta | Su'aalaha
Marka laga hadlayo steroids, hydrocortisone iyo cortisone waa laba ikhtiyaar oo dhakhtarkaagu kugula talin karo. Hydrocortisone iyo cortisone waa corticosteroids khafiif ah oo badanaa loo isticmaalo daaweynta xaaladaha maqaarka, cudurada laabotooyinka, iyo xanuunada adrenal.
Hydrocortisone iyo cortisone waa wakiilo corticosteroid ah oo dadku sameeyo oo u ekaysiiya saamaynta hormoonada steroid ee si dabiici ah loogu soo saaro jirka. Hormoonnada isteeroydhiska ee ay soo saarto qanjirka 'adrenal gland' waa mineralocorticoid (aldosterone), oo door ka ciyaara dheecaanka haynta, iyo glucocorticoid (cortisol), oo leh saameyn ka hortag ah
In kasta oo ay iskaga mid yihiin sida ay u shaqeeyaan, hydrocortisone iyo cortisone waxay ku kala duwan yihiin awoodda, qaabaynta, iyo adeegsiga.
Maxay yihiin farqiga ugu weyn ee u dhexeeya hydrocortisone iyo cortisone?
Hydrocortisone (Waa maxay Hydrocortisone?)waa corticosteroid guud oo laga heli karo dukaanka miisaanka (OTC) ama warqad dhakhtar qoro. Magacyada caanka ah ee hydrocortisone waxaa ka mid ah Cortef, Cortizone, Anucort-HC, iyo Preparation H. Hydrocortisone ayaa loo heli karaa kiniin afka laga qaato, kareem la mariyey, looshin la mariyey, iyo boomaato la mariyey. Waxay kaloo u timaadaa sidii malawadka malawadka.
Kortisone(Waa maxay Cortisone?) Waa nooc guud oo corticosteroid ah oo kaliya lagu heli karo oo keliya warqad dhakhtar qoray. Cortisone waxaa loo qaadaa kiniin afka ah waxaana mararka qaar loo yaqaanaa magaca sumadiisa, Cortone. Marka loo barbardhigo hydrocortisone, cortisone ayaa ka itaal yar. Tani waa sababta oo ah cortisone kaligeed ma aha mid firfircoon. Ka dib marka la maamulo, cortisone wuxuu u beddelaa hydrocortisone, ama cortisol, beerka.
| Farqiga ugu weyn ee u dhexeeya hydrocortisone iyo cortisone | ||
|---|---|---|
| Hydrocortisone | Kortisone | |
| Fasalka daroogada | Corticosteroid | Corticosteroid |
| Summad / astaan guud | Nooc iyo nooc guud ayaa la heli karaa | Jumlada la heli karo (magaca sumcadda waa la joojiyay) |
| Waa maxay magaca sumaddu? | Cortef, Hydrocort, Cortizone, Ala-Cort, Anucort-HC, Diyaarinta H | Korton |
| Waa noocee (yada) daroogadu soo gasho? | Kiniin afka ah Kariimka la mariyo Looshan la mariyo Boomaatada la mariyo Maskaxda malawadka Kareemka malawadka | Kiniin afka ah |
| Waa maxay qiyaasta caadiga ah? | Qiyaasta afka: 20 illaa 240 mg maalintii, iyadoo kuxiran xaaladda la daweynayo iyo jawaabta qofka ee daawada Mawduuc: Codso aagga ay dhibaatadu saameysey 2 ilaa 4 jeer maalintii | Qiyaasta afka: 35 illaa 300 mg maalintii, iyadoo kuxiran xaaladda la daweynayo iyo jawaabta qofka ee daawada |
| Muddo intee le'eg ayaa daaweynta caadiga ah? | Muddada waxay kuxirantahay xaalada la daweynayo, laakiinIsticmaalka maadada 'OTC' waa kama badnaan 7 maalmood | Muddada waxay kuxirantahay xaalada la daweynayo |
| Ayaa si caadi ah u isticmaala daawada? | Dadka waaweyn iyo carruurta ka weyn 2 sano | Dadka waaweyn |
Xaaladaha lagu daaweeyo hydrocortisone iyo cortisone
Labada hydrocortisone iyo cortisone labadaba waxaa loo isticmaali karaa in lagu daaweeyo bararka xaaladaha kala duwan. Corticosteroids-kan ayaa kaa caawin kara daaweynta caabuqa xaaladaha xasaasiyadda, xaaladaha neef-mareenka, cudurada caloosha, xanuunada qanjidhada adrenal, iyo xaaladaha laabotooyinka Maaddaama steroids badanaa loo isticmaalo in lagu bartilmaameedsado astaamaha caabuqa, waxaa loo isticmaali karaa iyada oo ay weheliyaan daawooyin kale oo daweeya ilaha dhibaatada.
Mawduuc hydrocortisone waa FDA loo ogolaaday in lagu daaweeyo maqaarka maqaarka ama maqaarka oo ka soo baxa falcelinta xasaasiyadda. Hydrocortisone sidoo kale waxaa loo isticmaali karaa in lagu daaweeyo cuncunka maqaarka iyo astaamaha cuncunka ka dib taabashada ivy sun ama geedkii sunta ahaa. Kuwa la kulma jawaab celin xun qaniinyada cayayaanka , Corticosteroids la mariyo sida hydrocortisone ayaa kaa caawin kara yareynta cuncunka iyo caabuqa.
| Xaaladda | Hydrocortisone | Kortisone |
| Xanuunada maqaarka (la xiriir maqaarka maqaarka, maqaarka atopic) | Haa | Haa |
| Xaaladaha caloosha iyo caloosha (ulcerative colitis, cudurka Crohn) | Haa | Haa |
| Xaaladaha Rheumatic (arthritis, lupus) | Haa | Haa |
| Ciladaha qanjirka 'adrenal gland' (adrenal insufficiency or Addison's disease) | Haa | Haa |
| Cudurada Oncologic (Hodgkin lymphoma, lymphocytic leukemia chronic) | Haa | Haa |
| Xaaladaha neefsashada (oof wareenka) | Haa | Haa |
| Xaaladaha kale ee caabuqa (falcelinta xasaasiyadda, xiiqda oo sii xumaata) | Haa | Haa |
Hydrocortisone ama cortisone waxtar ma leedahay?
Hydrocortisone xoogaa waa ka awood badan tahay cortisone. Markaad isbarbar dhigayso qiyaasaha, 1.25 miligram oo ah cortisone waxay u dhigantaa 1 milligram oo hydrocortisone ah. Cortisone ma shaqeynayo illaa ay ka noqoto hydrocortisone iyada oo loo marayo habka beerka looga shaqeynayo. Maaddaama cortisone asal ahaan yahay hydrocortisone, laakiin tallaabo dheeri ah oo loo baahan yahay si looga dhigo mid firfircoon, looma qorin sida badan.
Xilligan, ma jiraan tijaabooyin caafimaad oo si toos ah isu barbar dhiga hydrocortisone iyo cortisone xaalad gaar ah. Marka loo barbardhigo corticosteroids kale sida horyaal iyo triamcinolone , hydrocortisone iyo cortisone waa kuwo khafiif ah oo waxqabad gaaban. Marka la barbardhigo corticosteroids-ka kale ee jirka la mariyo, hydrocortisone la mariyo ayaa loo tixgeliyaa a awood hooseeya korticosteroid.
Waxaa lagugula talinayaa inaad la tashato bixiye daryeel caafimaad talo caafimaad intaadan iibsan OTC hydrocortisone. Haddii kale, waa lagama maarmaan in la booqdo dhakhtar si loo helo warqad dhakhtar loogu talagalay hydrocortisone ama kiniiniyada cortisone.
Soo qaado kaarka dhimista ee SingleCare
Daboolida iyo qiimaha isbarbar dhiga hydrocortisone iyo cortisone
Noocyada guud ee hydrocortisone guud ahaan waxaa daboolaya Medicare iyo qorshooyinka kale ee caymiska. Hydrocortisone sidoo kale waxaa laga heli karaa miiska la iska iibsado sidaa darteed tani waxay saameyn ku yeelan kartaa caymiska qorshayaasha qaarkood. Tuubo ka mid ah kareemka hydrocortisone waxay socon kartaa ugu badnaan $ 30. Haddii aad haysato rijeeto dhakhtar oo aad isticmaasho kaarka dhimista, sida Kaarka SingleCare , hydrocortisone wuxuu ku kici karaa wax ka yar $ 5.
Kiniiniyada Cortisone waxaa lagu iibsan karaa oo keliya warqad dhakhtar oo dhakhtar kuu qoray. Inta badan Medicare iyo qorshayaasha caymiska waxay dabooli doonaan jaangooyada guud. Celceliska qiimaha tafaariiqda ee cortisone wuxuu noqon karaa ugu badnaan $ 102. Waxa kale oo aad isticmaali kartaa a Koodhka SingleCare cortisone inaad ka bixiso qiyaastii $ 85 tiro ah 30 kiniin ah.
| Hydrocortisone | Kortisone | |
| Caadi ahaan caymiska ayaa daboolaya? | Haa | Haa |
| Caadi ahaan waxaa daboola Medicare Qaybta D? | Haa | Haa |
| Qiyaasta caadiga ah | 20 ilaa 240 mg maalintii oo loo qaybiyay qaadasho gooni ah | 25 ilaa 300 mg maalintii oo loo qaybiyay qaadasho gooni ah |
| Bixinta lacagta caadiga ah ee 'Medicare' | $ 1– $ 5 | $ 1– $ 90 |
| Qiimaha SingleCare | $ 5 + | $ 85 + |
Waxyeelooyinka guud ee hydrocortisone iyo cortisone
Hydrocortisone iyo cortisone, sida corticosteroids kale, waxay sababi karaan waxyeelo isku mid ah. Saameynaha caadiga ah ee hydrocortisone iyo cortisone waxaa ka mid ah madax xanuun, dawakhaad, dhidid badan, iyo maqaarka oo soo baxa. Dhibaatooyinka kale waxaa ka mid noqon kara bogsashada dhaawaca, murqaha oo daciifa, iyo dhiig karka. Isticmaalka corticosteroids sidoo kale wuxuu u horseedi karaa sodium iyo haynta dareeraha, taas oo muujin karta miisaanka oo kordha.
Dhibaatooyinka halista ah ee loo yaqaan 'corticosteroids' waxaa ka mid ah xasaasiyadda xasaasiyadda ama anaphylaxis. Khatarta waxyeellooyinka waxay la xiriirtaa qiyaasta iyo muddada daaweynta. Sababtaas awgeed, hydrocortisone iyo cortisone laguma talinayo isticmaalka muddada-dheer. Markii la isticmaalo muddo dheer, corticosteroids waxay horseedi kartaa halista sii kordheysa ee lafo-beel , ama lafo beelid, iyo khaladaad ku dhaca qanjirada 'adrenal gland'.
| Hydrocortisone | Kortisone | |||
| Waxyeellada | Ma khuseysaa? | Joogtaynta | Ma khuseysaa? | Joogtaynta |
| Madax xanuun | Haa | * | Haa | * |
| Dawakhaad | Haa | * | Haa | * |
| Dhidid badan | Haa | * | Haa | * |
| Maqaarka oo la daayo | Haa | * | Haa | * |
| Bogsiinta dhaawaca nabarka | Haa | * | Haa | * |
| Murqaha oo daciifa | Haa | * | Haa | * |
| Dhiig kar | Haa | * | Haa | * |
| Sodium iyo haynta dareeraha | Haa | * | Haa | * |
| Kordhinta sonkorta dhiiga | Haa | * | Haa | * |
*lama soo sheegin
Tani ma noqon karto liistada dhameystiran ee waxyeelooyinka xun ee dhici kara. Fadlan tixraac dhakhtarkaaga ama daryeel caafimaad si aad wax badan uga ogaato.
Xigasho: DailyMed ( Hydrocortisone ),, DailyMed ( Kortisone )
Isdhexgalka daroogada ee hydrocortisone iyo cortisone
Hydrocortisone iyo cortisone waxaa beerka looga baaraandegaa enzyme-ka 'CYP3A4'. Daawooyinka xannibaya, ama xakameynaya, enzyme-kan wuxuu kordhin karaa heerarka hydrocortisone ama cortisone wuxuuna kordhin karaa halista waxyeellooyinka. Isla calaamaddaas, daawooyinka kiciya, ama kiciya, enzyme-kan ayaa hoos u dhigi kara heerarka hydrocortisone ama cortisone isla markaana hoos u dhigi kara waxtarkooda guud.
Hydrocortisone iyo cortisone waxay la falgeli karaan CYP3A4 inhibitors sida erythromycin, clarithromycin, isoniazid, iyo ketoconazole. Hydrocortisone iyo cortisone waxay sidoo kale la falgeli karaan induceyaasha CYP3A4 sida rifampin, carbamazepine, iyo phenobarbital.
Maaddaama daawada 'corticosteroids' ay kordhin karto heerarka sonkorta dhiigga, qiyaasta daawada waxaa laga yaabaa inay u baahan tahay in wax laga beddelo inta aad qaadanayso daawooyinka sonkorowga . Corticosteroids sidoo kale waxay saameyn ku yeelan kartaa heerarka dhiigga ee asbiriin iyo daawooyinka xinjirowga lidka ku ah sida warfarin.
Corticosteroids ayaa xakamayn kara nidaamka difaaca jirka. Sidaa darteed, tallaalada nool waa in laga fogaadaa inta la qaadanayo corticosteroids sababtoo ah halista sii kordheysa ee cudurka.
| Daroogada | Fasalka Daroogada | Hydrocortisone | Kortisone |
| Clarithromycin Erythromycin Isoniazid Rifampin | Antibiyootig | Haa | Haa |
| Itraconazole Ketoconazole | Antifungal | Haa | Haa |
| Carbamazepine Phenobarbital Phenytoin | Anticonvulsant | Haa | Haa |
| Aspirin | Antiplatelet / Salicylate | Haa | Haa |
| Warfarin | Anticoagulant | Haa | Haa |
| Metformin Glyburide Repaglinide Rosiglitazone | Sonkorowga | Haa | Haa |
| Tallaalka hargabka nool Tallaalka MMR | Tallaalka nool | Haa | Haa |
Kala tasho xirfadle daryeel caafimaad isdhexgalka kale ee dawooyinka ee suurtogalka ah.
Digniinta hydrocortisone iyo cortisone
Joogitaanka corticosteroids waqti dheer waxay saameyn ku yeelan kartaa sida ugu wanaagsan qanjirka 'adrenal gland' uu u awoodo inuu kaligiis soo saaro hormoonnada isteeroydhiska. Tani waxay u horseedi kartaa yaraansho la'aanta adrenal, taas oo ah mid caadi ah ka dib joojinta degdegga ah ee daaweynta. Sidaa darteed, daaweynta corticosteroids waa in si tartiib tartiib ah loogu dhejiyaa si looga fogaado ka bixitaanka suurtagalka ah.
Corticosteroids waa in loo isticmaalaa taxaddar haddii aad leedahay dhaawac beerka ah (cirrhosis) ama tayroodh aan firfircooneyn ( hypothyroidism ).
Corticosteroids waxay xakameyn kartaa koritaanka iyo horumarka carruurta. Xaaladaha badankood, hydrocortisone iyo cortisone waa in laga fogaadaa carruurta. Xaaladaha qaarkood, carruurta waxaa lagu ridi karaa daawada loo yaqaan 'corticosteroids' ee qiyaasta la kontaroolo.
Isticmaalka corticosteroids waxay kordhin kartaa halista cudurada. Corticosteroids waxay u shaqeyn kartaa sidii difaaca jirka, taas oo hoos u dhigi karta awooda jirkaaga ee la dagaalanka cudurada.
La tasho bixiyahaaga daryeelka caafimaadka wixii taxaddar ah inta aad qaadaneysid hydrocortisone ama cortisone.
Su'aalaha badanaa la isweydiiyo ee ku saabsan hydrocortisone iyo cortisone
Waa maxay hydrocortisone?
Hydrocortisone waa corticosteroid loo isticmaalo in lagu daaweeyo caabuq ay sababaan xaalado kala duwan sida arthritis, neefta , iyo ulcerative colitis. Hydrocortisone waxaa lagu heli karaa qaababka afka iyo maadooyinka. Maaddada loo yaqaan 'hydrocortisone' ayaa loo isticmaalaa in lagu daaweeyo maqaarka maqaarka iyo cudurrada kale ee maqaarka ku dhaca. Magacyada caanka ah ee hydrocortisone waxaa ka mid ah Cortef iyo Hydrocort.
Waa maxay cortisone?
Cortisone waa corticosteroid loo qoro si loogu daaweeyo astaamaha caabuqa ee ka yimaada xaalado kala duwan. Waxaa sidoo kale loo yaqaan magaca calaamadda Cortone, oo la joojiyay. Cortisone waxaa loo heli karaa kiniin afka ah oo ah 25 mg oo badanaa la qaato dhowr jeer maalintii dhowr maalmood iyadoo kuxiran xaalada la daweynayo.
Hydrocortisone iyo cortisone ma isku mid baa?
Hydrocortisone iyo cortisone waa isku mid jimicsi gaaban oo corticosteroids ah. Si kastaba ha noqotee, iyagu isku mid ma aha. Cortisone waa soo-saar aan firfircooneyn oo loo beddelay hydrocortisone, ama cortisol, beerka. Hydrocortisone wuxuu u shaqeeyaa sidii daawo la mariyo halka cortisone uusan waxtar u lahayn sida daaweynta jirka.
Ma hydrocortisone ama cortisone ayaa ka fiican?
Hydrocortisone wuu ka awood badan yahay cortisone (1 mg oo hydrocortisone ah wuxuu u dhigmaa 1.25 mg of cortisone). Hydrocortisone sidoo kale waxaa laga heli karaa miiska dukaanka lagu iibsado sida kareem la mariyo, looshan, ama boomaato loogu talagalay xaaladaha maqaarka . Dhakhtarkaaga ayaa kuu qori kara hydrocortisone ama cortisone ka dib qiimeyn buuxda oo xaaladaada ah.
Ma isticmaali karaa hydrocortisone ama cortisone inta aan uurka leeyahay?
Corticosteroids-yar oo qaddar yar ayaa mararka qaarkood la isticmaali karaa inta lagu jiro uurka. Si kastaba ha noqotee, sababtoo ah halistooda waxyeellooyinka, sida cadaadiska dhiigga oo sareeya, heerarka sonkorta dhiigga oo kordha, iyo dheecaanka haynta, daawada 'corticosteroids' waa in la isticmaalaa oo keliya haddii faa'iidooyinka ay ka culus yihiin halista. Kala tasho bixiye daryeel caafimaad badbaadada corticosteroids inta aad uurka leedahay.
Ma ku isticmaali karaa hydrocortisone iyo cortisone aalkolo?
Corticosteroids iyo khamriga guud ahaan laguma talinayo in la wada qaado. Cabitaanka khamriga ee joogtada ah wuxuu beddeli karaa heerarka sonkorta dhiigga wuxuuna saameyn ku yeelan karaa habka difaaca jirka. Dhibaatooyinka ay keento daawada 'kortikosteroids' iyo aalkoladu way isqabsan karaan waxayna u horseedi karaan xaalado waxyeello leh.
Ma hydrocortisone waa corticosteroid?
Hydrocortisone waa corticosteroid synthetic ah. Saameynteeda waxay la mid tahay kuwa dabiiciga ah ee loo yaqaan 'glucocorticoid', cortisol. Marka la barbardhigo corticosteroids kale, hydrocortisone waxaa loo tixgeliyaa corticosteroid awood hooseeya.
Maxaa lagu daaweeyaa cortisone?
Cortisone waxaa loo isticmaalaa sidii daawo ka hortag barar iyo difaaca jirka. Waxay daaweyn kartaa bararka cudurada maqaarka, xaaladaha sanbabada, cilladaha isdifaaca jirka, iyo infekshannada. Cortisone sidoo kale waxaa loo isticmaali karaa in lagu daaweeyo xasaasiyadda xasaasiyadda iyo xiiqda oo daran.
