Yintoni i-betamethasone kunye nendlela yokusebenzisa

Umxholo

• Yenzelwe ntoni
• Kusetyenziswa kwanjani
• Iziphumo ebezingalindelekanga ezinokwenzeka
• Xa kungaboniswanga
• Ukusebenzisana kweziyobisi

I-Betamethasone, ekwabizwa ngokuba yi-betamethasone dipropionate, sisiyobisi esine-anti-inflammatory, anti-allergic kunye ne-anti-rheumatic action, esithengiswa ngentengiso phantsi kwamagama eDiprospan, iDipronil okanye iDibetam, umzekelo.

I-Betamethasone inokusetyenziselwa ioyile, iipilisi, amathontsi okanye inaliti kwaye kufuneka isetyenziswe kuphela yingcebiso yezonyango, ukukhupha iimpawu ezinje ngokurhawuzelela, ukuba bomvu, ukunganyangeki, iimeko zesikhumba, i-collagen, ukudumba kwamathambo, amalungu kunye nezicubu ezithambileyo okanye umhlaza.

Ezinye iikhrimu kunye neoli zinobhedamethasone ekwakhiweni kwazo, ezinje ngeBetaderm, Betnovate, Candicort, Dermatisan, Diprogenta, Naderm, Novacort, Permut, Quadriderm kunye neVerutex.

Yenzelwe ntoni

I-betamethasone kwikrimu okanye ithebhulethi ibonakalisiwe ukunciphisa ukudumba, ukungonwabi kunye nokurhawuzelela kwezinye izifo, ezona ziphambili zezi:

• Izifo zamathambo: isifo samathambo, samathambo, bursitis, spondylitis ankylosing, epicondylitis, radiculitis, coccidinia, sciatica, lumbago, torticollis, gangstion cyst, exostosis, fascitis;
• Iimeko ezinobungozi: Isifuba esinganyangekiyo se-bronchial, i-hay fever, i-angioneurotic edema, i-bronchitis, i-rhinitis yamaxesha onyaka okanye engapheliyo, ukusabela kweziyobisi, ukulala kunye nokulunywa zizinambuzane;
• Iimeko zesikhumba: dermatitis atopic, neurodermatitis, uqhagamshelwano kakhulu okanye dermatitis elanga, urticaria, hypertrophic lichen planus, isifo seswekile lipoid necrobiosis, alopecia areata, discoid lupus erythematosus, ukhwekhwe, keloids, pemphigus, herpetiform dermatitis kunye cystic induna;
• Collagenoses: Inkqubo ye lupus erythematosus; iscleroderma; dermatomyositis; periarteritis yamadolo. Neoplasms: kunyango lwe-leukemias kunye ne-lymphomas kubantu abadala; leukemia ebuntwaneni.

Ukongeza, inokusetyenziswa kunyango lwe-adrenogenital syndrome, i-ulcerative colitis, i-ileitis yengingqi, i-bursitis, nephritis kunye nephrotic syndrome, apho ukusetyenziswa kwe-betamethasone kufuneka kuxhaswe nge-mineralocorticoids. Inaliti ye-betamethasone iyacetyiswa xa ichiza lingaphenduli kwinkqubo yecorticosteroids.

Kusetyenziswa kwanjani

Indlela betamethasone esetyenziswa ngayo ixhomekeke kubudala bomntu kunye nemeko yokuba ufuna ukunyangwa, kunye nendlela esetyenziswa ngayo. Ke, kwimeko yeekhrim kunye ne-betamethasone kuyacetyiswa ukuba abantu abadala kunye nabantwana basebenzise inani elincinci lekhrimu kulusu kangangezihlandlo ezi-1 ukuya kwezi-4 ngemini ixesha elininzi leentsuku ezili-14.

Kubantu abadala, idosi yokuqala iyahluka ukusuka kwi-0.25 mg ukuya kwi-8.0 mg ngosuku, eyokugqibela iyeyona ithamo liphezulu lemihla ngemihla. Kwimeko yabantwana, idosi yokuqala inokwahluka ukusuka kwi-0.017 mg ukuya kwi-0.25 mg nge-kg yobunzima.

Iziphumo ebezingalindelekanga ezinokwenzeka

Iziphumo ze-betamethasone zinxulumene nedosi kunye nexesha lonyango, ngoxinzelelo oluphezulu lwegazi, ukurhawuzelela, ubuthathaka bemisipha kunye nentlungu, ukuphulukana nobunzima bemisipha, i-osteoporosis, ukwaphuka kwamathambo, ukudumba kwepancreas, isisu esiswini, isilonda esopharyngitis kunye nokuphola okungalunganga. yezihlunu.

Abanye abantu banokuxela i-ecchymosis, i-erythema yobuso, ukwanda kokubila, isiyezi, intloko ebuhlungu, izitenxo zokuya exesheni, ukukhula kwe-Cushing's syndrome, ukuncipha kokunyamezelana kwe-carbohydrate, ukubonakaliswa kweklinikhi yesifo seswekile ngokunyuka kweemfuno ze-insulin yemihla ngemihla okanye iiarhente zomlomo ezenziwa ngomlomo.

Nangona zininzi iziphumo ezibi ezinxulumene nokusetyenziswa kwe-betamethasone, ezi mpendulo zinokubuyiselwa kuphela ngokutshintsha idosi okanye ukumisa unyango, kwaye kufuneka ukhokelwe ngugqirha.

Xa kungaboniswanga

Ukusetyenziswa kwe-betamethasone kufuneka kukhokelwe ngugqirha, kwaye ayikhuthazwa into yokuba abantu abanesifo esisebenzayo kunye / okanye senkqubo, hypersensitivity kumacandelo efomula okanye enye i-corticosteroids kunye nabantwana abangaphantsi kweminyaka emi-2 ubudala, ukongeza Kunconywa kwabasetyhini abakhulelweyo abanobungozi okanye xa bencancisa.

Ukongeza, i-betamethasone akufuneki ukuba ilawulwe kwimisipha kubantu abane-idiopathic thrombocytopenic purpura kwaye akufuneki ukuba isetyenziswe emthanjeni okanye kulusu kwimeko yezigulana ezinesifo esingabalulekanga sesilonda esibuhlungu, ukuba kunokwenzeka ukubola, ithumba okanye olunye usulelo lwe-pyogenic , i-diverticulitis, i-anastomosis yamathumbu yamva nje, isilonda esisebenzayo okanye esifihlakeleyo, ukusilela kwezintso okanye uxinzelelo lwegazi, i-osteoporosis kunye ne-myasthenia.

Ukusebenzisana kweziyobisi

I-Betamethasone inokusebenzisana namanye amachiza kwaye, ngenxa yoko, akufuneki isetyenziswe kunye, njengoko kunokubakho ukuphazamiseka kwisiphumo. Ke, amayeza angafanele ukusetyenziswa kunye ne-betamethasone zezi: phenobarbital, phenytoin, rifampicin kunye ne-ephedrine, estrogens, digitalis, amphotericin B; coumarins, non-hormone iziyobisi anti-ukudumba kunye notywala, salicylates, acetylsalicylic acid, hypoglycemic arhente kunye glucocorticoids.