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IHydrocortisone vs. i-cortisone: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe

IHydrocortisone vs. i-cortisone: Umehluko, ukufana, nokuthi yikuphi okungcono kuweIzidakamizwa Vs. Umngani

Ukubuka konke kwezidakamizwa nokwehluka okuyinhloko | Izimo zilashwa | Ukusebenza | Ukutholakala komshuwalense nokuqhathaniswa kwezindleko | Okuqhamuka uma udla imishanguzo | Ukusebenzisana kwezidakamizwa | Izexwayiso | Imibuzo evame ukubuzwa

Uma kukhulunywa ngama-steroids, i-hydrocortisone ne-cortisone yizinketho ezimbili udokotela wakho angazincoma. I-Hydrocortisone ne-cortisone ngama-corticosteroids amancane asetshenziselwa ukwelapha izimo zesikhumba, izifo ze-rheumatic, kanye nokuphazamiseka kwe-adrenal.



I-Hydrocortisone ne-cortisone yizinto ezenziwe ngabantu ze-corticosteroid ezilingisa imiphumela yamahomoni ama-steroid akhiqizwa ngokwemvelo emzimbeni. Ama-hormone e-steroid akhiqizwa yi-adrenal gland yi-mineralocorticoid (aldosterone), edlala indima ekugcineni uketshezi, kanye ne-glucocorticoid (cortisol), enemiphumela yokulwa nokuvuvukala.



Ngaphandle kokufana kwabo ukuthi basebenza kanjani, i-hydrocortisone ne-cortisone banokuhluka ngamandla, ukwakheka, nokusetshenziswa.

Uyini umehluko omkhulu phakathi kwe-hydrocortisone vs. cortisone?

IHydrocortisone (Iyini iHydrocortisone?)iyi-corticosteroid ejwayelekile etholakala ngaphezu kwe-counter (OTC) noma ngencwadi kadokotela. Amagama omkhiqizo we-hydrocortisone afaka phakathi i-Cortef, i-Cortizone, i-Anucort-HC, ne-Preparation H. I-Hydrocortisone iyatholakala njengethebhulethi yomlomo, ukhilimu we-topical, i-lotion ye-topical, ne-topical ointment. Kuza futhi njenge-suppal rectal.



ICortisone(Yini iCortisone?) Iyi-generic corticosteroid etholakala kuphela ngomuthi kadokotela. ICortisone ithathwa njengethebhulethi yomlomo futhi kwesinye isikhathi yaziwa ngegama layo lomkhiqizo, iCortone. Uma kuqhathaniswa ne-hydrocortisone, i-cortisone ayinamandla kangako. Lokhu kungenxa yokuthi i-cortisone ngokwayo ayisebenzi. Ngemuva kokuphathwa, i-cortisone iguquka ibe yi-hydrocortisone, noma i-cortisol, esibindini.

Umehluko omkhulu phakathi kwe-hydrocortisone vs. i-cortisone
I-Hydrocortisone ICortisone
Isigaba sezidakamizwa ICorticosteroid ICorticosteroid
Isimo somkhiqizo / ejwayelekile I-Brand ne-generic iyatholakala Okujwayelekile kuyatholakala (igama lomkhiqizo alisebenzi)
Ngubani igama lomkhiqizo? ICortef, Hydrocort, Cortizone, Ala-Cort, Anucort-HC, Ukulungiselela H ICortone
Izidakamizwa zingena ngaziphi izinhlobo? Ithebhulethi yomlomo
Ukhilimu wezindaba
I-topical lotion
Amafutha esihloko
I-suppository eyi-Rectal
Ukhilimu ofiphele
Ithebhulethi yomlomo
Uyini umthamo ojwayelekile? Isikali somlomo: 20 kuya ku-240 mg ngosuku, kuya ngesimo esiphathwayo kanye nempendulo yomuntu emithini
Isihloko: Faka endaweni ethintekile izikhathi ezi-2 kuye kwezingu-4 ngosuku
Isikali somlomo: 35 kuya ku-300 mg ngosuku, kuya ngesimo esiphathwayo kanye nempendulo yomuntu emithini
Yelashwa isikhathi esingakanani? Isikhathi sithatha isimo esiphethwe, kodwaUkusetshenziswa kwezihloko ze-OTC akukho ngaphezu kwezinsuku eziyi-7 Isikhathi esixhomeke esimweni esiphethwe
Ubani ovame ukusebenzisa umuthi? Abantu abadala nezingane ezingaphezu kweminyaka emibili Abantu abadala

Izimo eziphathwa yi-hydrocortisone vs. i-cortisone

Kokubili i-hydrocortisone ne-cortisone kungasetshenziswa ukwelapha ukuvuvukala okuvela ezimeni ezahlukahlukene. Lawa ma-corticosteroids angasiza ekwelapheni ukuvuvukala okuvela ezimeni zokungezwani komzimba, izimo zokuphefumula, izifo zesisu, izifo ze-adrenal gland, kanye nezimo ze-rheumatic. Njengoba i-steroids ivame ukusetshenziselwa ukukhomba izimpawu zokuvuvukala, zingasetshenziswa kanye nezinye izidakamizwa ezelapha umthombo wenkinga.

I-topical hydrocortisone i-FDA ivunyelwe ukuphatha i-dermatitis yokuxhumana noma ukuvuvukala kwesikhumba ekuphendukeni komzimba. I-Hydrocortisone nayo ingasetshenziswa ekwelapheni ukucasuka kwesikhumba nezimpawu zokulunywa ngemuva kokuhlangana nayo I-poison ivy noma i-oak enobuthi. Okwalabo abahlangabezana nokusabela okungalungile ku- ukulunywa yizinambuzane , ama-corticosteroids ama-topical afana ne-hydrocortisone angasiza ekunciphiseni ukulunywa nokuvuvukala.



Isimo I-Hydrocortisone ICortisone
Izinkinga zesikhumba (thinta i-dermatitis, i-atopic dermatitis) Yebo Yebo
Izimo zamathumbu (ulcerative colitis, isifo sikaCrohn) Yebo Yebo
Izimo ze-rheumatic (i-arthritis, i-lupus) Yebo Yebo
Izinkinga ze-adrenal gland (ukungakwazi ukusebenza kahle kwe-adrenal noma isifo se-Addison) Yebo Yebo
Izifo ze-oncologic (iHodgkin lymphoma, i-leukemia engapheli ye-lymphocytic) Yebo Yebo
Izimo zokuphefumula (i-pneumonia) Yebo Yebo
Ezinye izimo zokuvuvukala (ukungezwani komzimba, ukukhuphuka kwesifuba somoya) Yebo Yebo

Ingabe i-hydrocortisone noma i-cortisone isebenza kangcono?

I-Hydrocortisone inamandla kancane kune-cortisone. Uma kuqhathaniswa amanani, ama-1.25 milligram we-cortisone alingana no-1 milligram we-hydrocortisone. ICortisone ayisebenzi ize ibe yi-hydrocortisone ngokucubungula esibindi. Njengoba i-cortisone ngokuyisisekelo i-hydrocortisone, kepha ngesinyathelo esingeziwe esidingekayo ukuyenza isebenze, ayinqunyelwe kaningi.

ukuvimbela kanjani imvubelo ukutheleleka kusuka kuma-antibiotic

Njengamanje, azikho izivivinyo zokwelashwa eziqhathanisa ngqo i-hydrocortisone ne-cortisone yesimo esithile. Uma kuqhathaniswa namanye ama-corticosteroids afana umabhebhana futhi umagazine , i-hydrocortisone ne-cortisone ziyasebenza futhi zisebenza okwesikhashana. Uma kuqhathaniswa namanye ama-corticosteroids angama-topical, i-topical hydrocortisone ibhekwa njenge- amandla aphansi i-corticosteroid.

Kunconywa ukuthi uthintane nomhlinzeki wezokunakekelwa kwezempilo ukuze uthole iseluleko sezokwelapha ngaphambi kokuthenga i-OTC hydrocortisone. Ngaphandle kwalokho, kuyadingeka ukuvakashela udokotela ukuze uthole incwadi kadokotela ye-hydrocortisone noma amaphilisi e-cortisone.



Thola ikhadi lesaphulelo sakwaSingleCare

Ukuhlanganiswa nokuqhathaniswa kwezindleko kwe-hydrocortisone kuqhathaniswa ne-cortisone

Izinhlobo ezijwayelekile ze-hydrocortisone ngokuvamile zihlanganiswa yi-Medicare nezinye izinhlelo zomshuwalense. IHydrocortisone nayo ingatholwa ngaphezu kwekhawunta ukuze lokhu kungathinta ukumbozwa kwezinhlelo ezithile. Ishubhu likakhilimu we-hydrocortisone lingasebenza ngokungafika ku- $ 30. Uma unencwadi kadokotela futhi usebenzisa ikhadi lesaphulelo, njenge Ikhadi le-SingleCare , i-hydrocortisone ingabiza ngaphansi kuka- $ 5.



Amaphilisi e-Cortisone angathengwa kuphela ngomuthi kadokotela ovumelekile. Iningi le-Medicare nezinhlelo zomshuwalense zizohlanganisa i-cortisone ejwayelekile. Izindleko ezijwayelekile zokuthengisa ze-cortisone zingafinyelela ku- $ 102. Ungasebenzisa futhi i- Ikhuphoni le-singleCare cortisone ukukhokha cishe ama- $ 85 ngenani lamathebulethi angama-30.

I-Hydrocortisone ICortisone
Ngokuvamile embozwe umshwalense? Yebo Yebo
Imbozwe ngokwejwayelekile yi-Medicare Part D? Yebo Yebo
Umthamo ojwayelekile 20 kuya ku-240 mg ngosuku ihlukaniswe ngamanani ahlukene 25 kuya ku-300 mg ngosuku ihlukaniswe ngemithamo ehlukile
I-Medicare copay ejwayelekile $ 1– $ 5 $ 1– $ 90
Izindleko ze-SingleCare $ 5 + $ 85 +

Imiphumela emibi ejwayelekile ye-hydrocortisone vs. cortisone

I-Hydrocortisone ne-cortisone, njengamanye ama-corticosteroids, angadala imiphumela emibi efanayo. Imiphumela emibi ejwayelekile ye-hydrocortisone ne-cortisone ifaka ikhanda, isiyezi, ukujuluka okwandayo nokuxubha isikhumba. Eminye imiphumela emibi ingafaka ukuphola kokulimala kwesilonda, ubuthakathaka bemisipha, nomfutho wegazi ophakeme. Ukusetshenziswa kwama-corticosteroids nakho kungaholela ekugcinweni kwe-sodium noketshezi, okungabonakala njengokuzuza kwesisindo.



Imiphumela emibi ye-corticosteroids ifaka ukusabela okweqile noma i-anaphylaxis. Ingozi yemiphumela emibi ihlotshaniswa nomthamo nobude besikhathi sokwelashwa. Ngalesi sizathu, i-hydrocortisone ne-cortisone azinconyelwe ukusetshenziswa kwesikhathi eside. Uma isetshenziselwa isikhathi eside, ama-corticosteroids angaholela engozini eyengeziwe ye- ukukhumuzeka kwamathambo , noma ukulahleka kwethambo, kanye nokungajwayelekile emgodini we-adrenal.

I-Hydrocortisone ICortisone
Umphumela oseceleni Kusebenza? Imvamisa Kusebenza? Imvamisa
Ubuhlungu bekhanda Yebo * Yebo *
Isiyezi Yebo * Yebo *
Ukujuluka okwengeziwe Yebo * Yebo *
Ukuqhuma kwesikhumba Yebo * Yebo *
Ukupholisa ukulimala kwesilonda Yebo * Yebo *
Ubuthakathaka bemisipha Yebo * Yebo *
Umfutho wegazi ophezulu Yebo * Yebo *
Ukugcinwa kwesodium noketshezi Yebo * Yebo *
Ukwenyuka ushukela wegazi Yebo * Yebo *

*akubikiwe



Lokhu kungenzeka kungabi uhlu oluphelele lwemiphumela emibi engenzeka. Sicela ubheke udokotela wakho noma umhlinzeki wezokunakekelwa kwempilo ukuze ufunde kabanzi.

Umthombo: DailyMed ( I-Hydrocortisone ), IDailyMed ( ICortisone )

Ukusebenzisana kwezidakamizwa kwe-hydrocortisone kuqhathaniswa ne-cortisone

I-Hydrocortisone ne-cortisone zicutshungulwa esibindini yi-CYP3A4 enzyme. Izidakamizwa ezivimba, noma ezivimbela le enzyme zingakhuphula amazinga e-hydrocortisone noma ama-cortisone futhi zikhuphule ubungozi bemiphumela emibi. Ngendlela efanayo, izidakamizwa ezishukumisa, noma ezenza ukuthi le enzyme yehle amazinga e-hydrocortisone noma ama-cortisone futhi yehlise ukusebenza kwayo konke.

I-Hydrocortisone ne-cortisone zingasebenzisana nama-CYP3A4 inhibitors afana ne-erythromycin, i-clarithromycin, i-isoniazid, ne-ketoconazole. I-Hydrocortisone ne-cortisone nazo zingasebenzisana nama-inducers we-CYP3A4 afana ne-rifampin, i-carbamazepine, ne-phenobarbital.

Njengoba i-corticosteroids ingakhuphula amazinga kashukela egazini, i-dosing ingadinga ukulungiswa ngenkathi ithatha izidakamizwa ezilwa nesifo sikashukela . I-Corticosteroids nayo ingathinta amazinga egazi e-aspirin kanye nama-anticoagulants afana ne-warfarin.

ICorticosteroids ingacindezela amasosha omzimba. Ngakho-ke, imithi yokugoma ebukhoma kufanele igwenywe ngenkathi ithatha i-corticosteroids ngenxa yengozi eyengeziwe yokutheleleka.

ungaphatha kanjani imvubelo yesilisa phezu kwekhawunta
Izidakamizwa Isigaba Sezidakamizwa I-Hydrocortisone ICortisone
I-Clarithromycin
I-Erythromycin
Isoniazid
I-Rifampin
Imithi elwa namagciwane Yebo Yebo
I-Itraconazole
Ketoconazole
I-Antifungal Yebo Yebo
I-Carbamazepine
I-Phenobarbital
Phenytoin
I-Anticonvulsant Yebo Yebo
I-Aspirin I-Antiplatelet / iSalicylate Yebo Yebo
I-Warfarin I-Anticoagulant Yebo Yebo
I-Metformin
I-Glyburide
I-Repaglinide
I-Rosiglitazone
I-Antidiabetic Yebo Yebo
Umuthi wokugomela umkhuhlane bukhoma
Umuthi wokugoma we-MMR
Umuthi obukhoma Yebo Yebo

Thintana nochwepheshe wezokunakekelwa kwempilo mayelana nokunye ukuxhumana kwezidakamizwa okungenzeka.

Izexwayiso nge-hydrocortisone vs. i-cortisone

Ukuhlala kuma-corticosteroids isikhathi eside kungathinta ukuthi indlala ye-adrenal ikwazi kanjani ukukhiqiza ama-hormone e-steroid eyedwa. Lokhu kungaholela ekusweleni kwe-adrenal yesibili, okuvamile ngemuva kokuyeka ukwelashwa ngokungazelelwe. Ngakho-ke, ukwelashwa ngama-corticosteroids kufanele kuthathwe kancane ukuze kugwenywe ukuhoxa okungenzeka.

kuphephile ukuthatha i-tylenol lapho ukhulelwe

I-Corticosteroids kufanele isetshenziswe ngokuqapha uma unokulimala kwesibindi (i-cirrhosis) noma i-thyroid engasebenzi ( i-hypothyroidism ).

I-Corticosteroids ingavimbela ukukhula nentuthuko ezinganeni. Ezimweni eziningi, i-hydrocortisone ne-cortisone kufanele kugwenywe ezinganeni. Kwezinye izimo, izingane zingafakwa kuma-corticosteroids ngemithamo elawulwayo.

Ukusebenzisa i-corticosteroids kungakhuphula ubungozi bokutheleleka. I-Corticosteroids ingasebenza njenge-immunosuppressants, enganciphisa amandla omzimba wakho wokulwa nezifo.

Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola ezinye izindlela zokuphepha ngenkathi uthatha i-hydrocortisone noma i-cortisone.

Imibuzo ebuzwa njalo mayelana ne-hydrocortisone vs. i-cortisone

Kuyini i-hydrocortisone?

I-Hydrocortisone iyi-corticosteroid esetshenziselwa ukwelapha ukuvuvukala okubangelwa izimo ezahlukahlukene njenge-arthritis, isifuba somoya , kanye nesilonda esilimaza ulcerative. I-Hydrocortisone iyatholakala ngamafomu omlomo nawesihloko. I-topical hydrocortisone isetshenziselwa ukwelapha i-dermatitis yokuxhumana nezinye izifo zesikhumba ezivuthayo. Amagama omkhiqizo we-hydrocortisone afaka phakathi iCortef neHydrocort.

Yini i-cortisone?

ICortisone iyi-corticosteroid enqunyelwe ukwelapha izimpawu zokuvuvukala ezivela ezimeni ezahlukahlukene. Kuyaziwa nangegama lomkhiqizo iCortone, eliyekile. ICortisone itholakala njengethebhulethi yomlomo engu-25 mg evame ukuthathwa izikhathi eziningi ngosuku izinsuku eziningana kuye ngesimo esiphathwayo.

Ingabe i-hydrocortisone ne-cortisone ziyefana?

I-Hydrocortisone ne-cortisone ngama-corticosteroid asebenza ngokufushane afanayo. Noma kunjalo, azifani. ICortisone iyi-prodrug engasebenzi eguqulwa ibe yi-hydrocortisone, noma i-cortisol, esibindi. I-Hydrocortisone isebenza njengomuthi ohlohlwayo kanti i-cortisone ayisebenzi njengokwelashwa kwezihloko.

Ingabe i-hydrocortisone noma i-cortisone ingcono?

I-Hydrocortisone inamandla kakhulu kune-cortisone (1 mg ye-hydrocortisone ilingana no-1.25 mg we-cortisone). I-Hydrocortisone nayo iyatholakala ngaphezu kwe-counter njengokhilimu wezinhlayiya, i-lotion, noma amafutha we izimo zesikhumba . Udokotela wakho angakunikeza i-hydrocortisone noma i-cortisone ngemuva kokuhlolwa okuphelele kwesimo sakho.

Ngingasebenzisa i-hydrocortisone noma i-cortisone ngenkathi ngikhulelwe?

Ama-corticosteroids anomthamo ophansi kwesinye isikhathi angasetshenziswa ngesikhathi sokukhulelwa. Kodwa-ke, ngenxa yengozi yabo yemiphumela emibi, efana nomfutho wegazi ophakeme, ukukhuphuka kwamazinga kashukela egazini, nokugcina uketshezi, ama-corticosteroids kufanele asetshenziswe kuphela uma izinzuzo zidlula izingozi. Xhumana nomhlinzeki wezokunakekelwa kwezempilo ngokuphepha kwama-corticosteroids ngesikhathi sokukhulelwa.

Ngingayisebenzisa i-hydrocortisone vs. i-cortisone ngotshwala?

Ama-Corticosteroids notshwala akukhuthazwa ukuthi kuthathwe ndawonye. Ukuphuza utshwala njalo kungashintsha amazinga kashukela egazini futhi kuthinte amasosha omzimba. Imiphumela emibi ye-corticosteroids notshwala ingahlangana futhi iholele ezimweni eziyingozi.

Ingabe i-hydrocortisone iyi-corticosteroid?

I-Hydrocortisone iyi-corticosteroid yokwenziwa. Imiphumela yayo ilingisa leyo yeglucocorticoid ekhiqizwa ngokwemvelo, i-cortisol. Uma kuqhathaniswa namanye ama-corticosteroids, i-hydrocortisone ibhekwa njenge-potencyosteroid enamandla amancane.

Yini elapha i-cortisone?

ICortisone isetshenziswa njengesidakamizwa esinqanda ukuvuvukala kanye ne-immunosuppressant. Ingaphatha ukuvuvukala kwezifo zesikhumba, izimo zamaphaphu, ukuphazamiseka komzimba, kanye nokutheleleka. ICortisone nayo ingasetshenziselwa ukwelapha ukusabela okweqile kanye neziqephu ezinzima zesifuba somoya.