IHydrocortisone vs.cortisone: Umahluko, ukufana, kwaye kukuphi okungcono kuwe
Iziyobisi Vs. UmhloboUkujonga ngokubanzi iziyobisi kunye nolwahluko ophambili | Imiqathango inyangwa | Ukusebenza | Ukuhlawulwa kwe-inshurensi kunye nokuthelekiswa kweendleko | Imiphumela | Ukusebenzisana kweziyobisi | Izilumkiso | FAQ
Xa kuziwa kwi-steroids, i-hydrocortisone kunye ne-cortisone zizinto ezimbini onokukhetha kuzo ugqirha. I-Hydrocortisone kunye ne-cortisone zi-corticosteroids ezincinci ezisetyenziselwa ukunyanga iimeko zolusu, izifo ze-rheumatic, kunye nokuphazamiseka kwe-adrenal.
IHydrocortisone kunye necortisone zizinto ezenziwe ngabantu ezilinganisa iziphumo zehomoni ye-steroid eveliswa ngokwasemzimbeni emzimbeni. Ihomoni ye-steroid eveliswa yi-adrenal gland yi-mineralocorticoid (aldosterone), edlala indima ekugcineni ulwelo, kunye ne-glucocorticoid (cortisol), eneziphumo ezichasayo.
Ngaphandle kokufana kwabo kwindlela abasebenza ngayo, i-hydrocortisone kunye ne-cortisone zinomahluko kumandla, ukwenziwa kunye nokusetyenziswa.
Nguwuphi umahluko ophambili phakathi kwehydrocortisone vs.cortisone?
IHydrocortisone (Yintoni iHydrocortisone?)I-corticosteroid yohlobo oluqhelekileyo efumaneka ngaphezulu kwe-counter (i-OTC) okanye ngugqirha. Amagama ebhrendi e-hydrocortisone aquka iCortef, iCortizone, iAnucort-HC, kunye noLungiselelo lweH.Hydrocortisone iyafumaneka njengecwecwe lomlomo, ukhilimu ongaphezulu, uthambiso lwezihloko, kunye neoyile yezihloko. Iza kwakhona njenge-suppository ye-rectal.
ICortisone(Yintoni iCortisone?) Ngaba yi-generic corticosteroid efumaneka kuphela ngommiselo. ICortisone ithathwa njengecwecwe lomlomo kwaye ngamanye amaxesha yaziwa ngegama layo, iCortone. Xa kuthelekiswa nehydrocortisone, i-cortisone ayinamandla kangako. Kungenxa yokuba icortisone ngokwayo ayisebenzi. Emva kokuba ilawulwe, i-cortisone iguquka ibe yi-hydrocortisone, okanye i-cortisol, kwisibindi.
| Umahluko ophambili phakathi kwehydrocortisone vs.cortisone | ||
|---|---|---|
| IHydrocortisone | ICortisone | |
| Iklasi yeziyobisi | ICorticosteroid | ICorticosteroid |
| Uhlobo lweBrith / generic | Brand kunye generic ziyafumaneka | Igeneric iyafumaneka (igama lebrendi lisusiwe) |
| Ngubani igama lophawu? | ICortef, Hydrocort, Cortizone, Ala-Cort, Anucort-HC, Ukulungiselela H | ICortone |
| Zeziphi iifom eza nalo iziyobisi? | Ithebhulethi yomlomo I-cream yezihloko I-lotion yezihloko Ioli yamafutha Indawo yokugcina ethe ngqo Ikrimu efihlakeleyo | Ithebhulethi yomlomo |
| Ithini idosi esemgangathweni? | Idosi yomlomo: i-20 ukuya kwi-240 mg ngosuku, kuxhomekeke kwimeko yokuphathwa kunye nempendulo yomntu kunyango Imixholo: Faka kwindawo echaphazelekayo izihlandlo ezi-2 ukuya kwezi-4 ngosuku | Idosi yomlomo: i-35 ukuya kwi-300 mg ngosuku, kuxhomekeke kwimeko yokuphathwa kunye nempendulo yomntu kunyango |
| Lude kangakanani unyango oluqhelekileyo? | Ixesha lixhomekeke kwimeko yokuphathwa, kodwaUkusetyenziswa kwemixholo ye-OTC akukho ngaphezulu kweentsuku ezisi-7 | Ubude buxhomekeke kwimeko yokuphathwa |
| Ngubani oqhelekileyo usebenzisa amayeza? | Abantu abadala nabantwana ngaphezulu kweminyaka emi-2 ubudala | Abantu abadala |
Iimeko eziphathwe yi-hydrocortisone vs i-cortisone
Zombini i-hydrocortisone kunye ne-cortisone zinokusetyenziselwa ukunyanga ukudumba okuvela kwiimeko ezahlukeneyo. Ezi corticosteroids zinokunceda ukunyanga ukuvuvukala kwimeko ye-aleji, imeko yokuphefumla, izifo zesisu, ukuphazamiseka kwe-adrenal gland, kunye neemeko ze-rheumatic. Kuba ii-steroids zihlala zisetyenziselwa ukujolisa kwiimpawu zokudumba, zinokusetyenziswa kunye namanye amachiza anyanga umthombo wengxaki.
Isihloko se-hydrocortisone yi-FDA evunyiweyo yokunyanga i-dermatitis yokunxibelelana okanye ukuvuvukala kolusu kukungalungelani. I-Hydrocortisone inokusetyenziselwa ukunyanga ulusu kunye neempawu ezirhawuzayo emva kokudibana ityefu ye-Ivy okanye ityhefu oki. Kulabo bafumana iimpendulo ezimbi Ukulunywa zizinambuzane , ii-corticosteroids ezingumxholo njenge-hydrocortisone zinokunceda ekunciphiseni ukulunywa kunye nokudumba.
| Imeko | IHydrocortisone | ICortisone |
| Ukuphazamiseka kwesikhumba (qhagamshelana nedermatitis, atopic dermatitis) | Ewe | Ewe |
| Iimeko zesisu (ulcerative colitis, isifo sikaCrohn) | Ewe | Ewe |
| Iimeko zeRheumatic (iarthritis, lupus) | Ewe | Ewe |
| Iingxaki ze-adrenal gland (ukungabikho kwe-adrenal okanye isifo se-Addison) | Ewe | Ewe |
| Izifo ze-oncologic (iHodgkin lymphoma, i-lymphocytic leukemia) | Ewe | Ewe |
| Iimeko zokuphefumla (inyumoniya) | Ewe | Ewe |
| Ezinye iimeko zokuvuvukala (i-allergies, i-asthma exacerbations) | Ewe | Ewe |
Ngaba i-hydrocortisone okanye i-cortisone isebenza ngakumbi?
IHydrocortisone inamandla kancinci kune-cortisone. Xa kuthelekiswa iidosi, i-1.25 milligram ye-cortisone ilingana ne-1 milligram ye-hydrocortisone. ICortisone ayisebenzi de ibe yihydrocortisone ngokuqhubekeka esibindini. Kuba i-cortisone ngokuyintloko iyi-hydrocortisone, kodwa inyathelo elongezelelweyo elifunekayo ukuyenza isebenze, ayimiselwanga rhoqo.
Okwangoku, azikho izilingo zeklinikhi ngokuthelekisa ngokuthe ngqo i-hydrocortisone kunye ne-cortisone yemeko ethile. Xa kuthelekiswa nezinye ii-corticosteroids ezinje ubume kwaye yesithathu , I-hydrocortisone kunye ne-cortisone zithambile kwaye zisebenza ngokufutshane. Xa kuthelekiswa nezinye ii-corticosteroids, i-hydrocortisone yesihloko ithathwa njenge amandla asezantsi icorticosteroid.
Kuyacetyiswa ukuba uqhagamshelane nomboneleli wezempilo ngengcebiso yezonyango ngaphambi kokuthenga i-OTC hydrocortisone. Ngaphandle koko, kuyimfuneko ukutyelela ugqirha ukuze ufumane umyalelo we-hydrocortisone okanye iipilisi ze-cortisone.
Fumana ikhadi lesaphulelo somntu ongatshatanga
Umyinge kunye neendleko zokuthelekisa i-hydrocortisone vs i-cortisone
Iinguqulelo eziqhelekileyo zehydrocortisone ngokubanzi zigutyungelwa yiMedicare kunye nezinye izicwangciso zeinshurensi. IHydrocortisone ikwafumaneka ekhawuntareni ukuze oku kuchaphazele ukugubungela ezinye izicwangciso. Umbhobho we-hydrocortisone cream unokusebenza kangange- $ 30. Ukuba uneyeza likagqirha kwaye usebenzisa ikhadi lesaphulelo, njenge Ikhadi elilodwa lokuKhathalela , I-hydrocortisone inokubiza imali engaphantsi kwe- $ 5.
Amacwecwe eCortisone anokuthengwa kuphela ngommiselo kagqirha osemthethweni. Uninzi lwe-Medicare kunye nezicwangciso ze-inshurensi ziya kubandakanya i-generic cortisone. Ixabiso eliphakathi lokuthengisa nge-cortisone linokuphakama njenge- $ 102. Unokusebenzisa ifayile ye Ikhuphoni ye-cortisone engabodwa ukuhlawula ngeenxa zonke zeedola ezingama-85 ngesixa seepilisi ezingama-30
| IHydrocortisone | ICortisone | |
| Ngokuqhelekileyo ihlawulwa yi-inshurensi? | Ewe | Ewe |
| Ngokuqhelekileyo ihlanganiswe yiCandelo le-Medicare? | Ewe | Ewe |
| Umthamo osemgangathweni | I-20 ukuya kwi-240 mg ngosuku yahlulwe yangamanani ahlukeneyo | I-25 ukuya kwi-300 mg ngosuku yahlulwe yangamayeza ahlukeneyo |
| I-Medicare copay eqhelekileyo | $ 1- $ 5 | $ 1- $ 90 |
| Ixabiso elilodwa | $ 5 + | $ 85 + |
Iziphumo eziqhelekileyo ezichaphazelekayo ze-hydrocortisone vs i-cortisone
IHydrocortisone kunye necortisone, njengezinye ii-corticosteroids, zinokubangela iziphumo ezifanayo. Iziphumo eziqhelekileyo ezichaphazelekayo ze-hydrocortisone kunye ne-cortisone zibandakanya intloko, isiyezi, ukwanda kokubila, kunye nokugungxula ulusu. Ezinye iziphumo ebezingalindelekanga zinokubandakanya ukuphazamiseka kwenxeba, ubuthathaka bemisipha kunye noxinzelelo lwegazi. Ukusetyenziswa kwe-corticosteroids kunokukhokelela kugcino lwe-sodium kunye nolwelo, olunokubonakalisa njengokufumana ubunzima.
Iziphumo ebezingalindelekanga ezimandundu ze-corticosteroids zibandakanya ukusabela komzimba okanye i-anaphylaxis. Umngcipheko weziphumo ebezingalindelekanga unxulunyaniswa nedosi kunye nexesha lokunyanga. Ngesi sizathu, i-hydrocortisone kunye ne-cortisone azikhuthazwa ukuba zisetyenziswe ixesha elide. Xa isetyenziselwa ixesha elide, i-corticosteroids inokukhokelela kumngcipheko okhulayo osteoporosis , okanye ukulahleka kwethambo, kunye nokugwenxa kwi-adrenal gland.
| IHydrocortisone | ICortisone | |||
| Imiphumela | Iyasebenza? | Rhoqo | Iyasebenza? | Rhoqo |
| Intloko ebuhlungu | Ewe | * | Ewe | * |
| Ukuba nesiyezi | Ewe | * | Ewe | * |
| Ukwanda kokubila | Ewe | * | Ewe | * |
| Ukuhluza ulusu | Ewe | * | Ewe | * |
| Ukuphilisa amanxeba | Ewe | * | Ewe | * |
| Ubuthathaka bemisipha | Ewe | * | Ewe | * |
| Igazi elonyukayo | Ewe | * | Ewe | * |
| Ukugcinwa kwesodium kunye nolwelo | Ewe | * | Ewe | * |
| Ukwanda kweswekile yegazi | Ewe | * | Ewe | * |
*akuxelwanga
Olu alunakuba luluhlu olupheleleyo lweziphumo ezibi ezinokwenzeka. Nceda ujonge ugqirha wakho okanye umboneleli wezempilo ukuze ufunde okungakumbi.
Umthombo: DailyMed ( IHydrocortisone ), Yonke imihla ( ICortisone )
Ukusebenzisana kweziyobisi kwe-hydrocortisone vs i-cortisone
I-Hydrocortisone kunye ne-cortisone zenziwa kwisibindi yi-CYP3A4 enzyme. Iziyobisi ezibhloka, okanye zithintele le enzyme inokunyusa i-hydrocortisone okanye amanqanaba e-cortisone kunye nokunyusa umngcipheko weziphumo ebezingalindelekanga. Ngomqondiso ofanayo, iziyobisi ezikhuthazayo, okanye ezikhuthaza, le enzyme inokunciphisa i-hydrocortisone okanye amanqanaba e-cortisone kunye nokunciphisa ukusebenza kwayo ngokupheleleyo.
I-Hydrocortisone kunye ne-cortisone inokusebenzisana ne-CYP3A4 inhibitors ezinjenge-erythromycin, i-clarithromycin, i-isoniazid kunye ne-ketoconazole. IHydrocortisone kunye ne-cortisone zinokunxibelelana ne-CYP3A4 inducers ezinje ngerifampin, carbamazepine, kunye ne-phenobarbital.
Kuba i-corticosteroids inokunyusa amanqanaba eswekile yegazi, i-dosing inokufuna uhlengahlengiso ngelixa uthatha iziyobisi ezichasene nesifo seswekile . I-Corticosteroids inokuchaphazela amanqanaba egazi le-aspirin kunye nee-anticoagulants ezinjenge-warfarin.
ICorticosteroids inokucinezela amajoni omzimba. Ke ngoko, izitofu zokugonya eziphilayo kufuneka zithintelwe ngelixa zithatha i-corticosteroids ngenxa yomngcipheko owandileyo wosulelo.
| Iziyobisi | Iklasi yeziyobisi | IHydrocortisone | ICortisone |
| Clarithromycin Erythromycin Isoniazid Rifampin | Zintsholongwane | Ewe | Ewe |
| Itraconazole Ketoconazole | Ukubola | Ewe | Ewe |
| ICarbamazepine IPhenobarbital IPhenytoin | I-Anticonvulsant | Ewe | Ewe |
| I-Aspirin | I-Antiplatelet / iSalicylate | Ewe | Ewe |
| IWarfarin | I-Anticoagulant | Ewe | Ewe |
| IMetformin IGlyburide I-Repaglinide Rosiglitazone | Antidiabetic | Ewe | Ewe |
| Ugonyo lomkhuhlane Ugonyo lweMMR | Isitofu sokugonya esiphilayo | Ewe | Ewe |
Nxibelelana noochwephesha kwezolunye unxibelelwano olunokubakho ngeziyobisi.
Izilumkiso zehydrocortisone vs. cortisone
Ukuhlala kwi-corticosteroids ixesha elide kunokuchaphazela indlela i-adrenal gland ekwazi ngayo ukuvelisa iihomoni ze-steroid zodwa. Oku kunokukhokelela kukungoneliseki kwe-adrenal yesibini, exhaphakileyo emva kokuyekisa unyango. Ke ngoko, unyango lwe-corticosteroids kufuneka lucofwe kancinci ukuthintela ukurhoxa okunokwenzeka.
I-Corticosteroids kufuneka isetyenziswe ngononophelo xa unokonakala kwesibindi (i-cirrhosis) okanye i-thyroid engasebenzi ( hypothyroidism ).
ICorticosteroids inokucinezela ukukhula kunye nokukhula kwabantwana. Kwiimeko ezininzi, i-hydrocortisone kunye ne-cortisone kufuneka zithintelwe ebantwaneni. Ngamanye amaxesha, abantwana banokufakwa kwiicorticosteroids kwiidosi ezilawulwayo.
Ukusebenzisa i-corticosteroids kunokunyusa umngcipheko wosulelo. I-Corticosteroids inokusebenza njenge-immunosuppressants, enokunciphisa amandla omzimba wakho wokulwa nosulelo.
Nxibelelana nomboneleli wakho wezempilo malunga nezinye iindlela zokukhusela ngelixa uthatha i-hydrocortisone okanye i-cortisone.
Imibuzo ebuzwa rhoqo malunga nehydrocortisone vs.cortisone
Yintoni ihydrocortisone?
IHydrocortisone yicorticosteroid esetyenziselwa ukunyanga ukudumba okubangelwa ziimeko ezahlukeneyo ezifana nesifo samathambo, umbefu , kunye nokudumba okwenziwa sisilonda sikabhobhosi. I-Hydrocortisone ifumaneka kwiifom zomlomo kunye neengxoxo. I-hydrocortisone yezihloko zisetyenziselwa ukunyanga i-dermatitis yokunxibelelana kunye nezinye izifo zolusu ezivuthayo. Amagama ebrand hydrocortisone abandakanya iCortef kunye neHydrocort.
Yintoni icortisone?
I-Cortisone yi-corticosteroid emiselweyo ukunyanga iimpawu zokuvuvukala ezivela kwiimeko ezahlukeneyo. Ikwaziwa njengegama kraca Cortone, eyekile. ICortisone iyafumaneka njengecwecwe lomlomo elingama-25 mg elihlala lithathwa amaxesha ngamaxesha ngemini kangangeentsuku ezininzi kuxhomekeke kwimeko yonyango.
Ngaba i-hydrocortisone kunye ne-cortisone ziyafana?
I-Hydrocortisone kunye ne-cortisone zifana nokusebenza kwe-corticosteroids emfutshane. Nangona kunjalo, azifani. ICortisone yiprodrug engasebenziyo eguqulwa ibe yihydrocortisone, okanye icortisol, esibindini. I-Hydrocortisone isebenza njengonyango olusisigxina ngelixa i-cortisone ayisebenzi njengonyango olusisigxina.
Ngaba i-hydrocortisone okanye i-cortisone ingcono?
IHydrocortisone inamandla ngakumbi kune-cortisone (1 mg ye-hydrocortisone ilingana ne-1.25 mg ye-cortisone). IHydrocortisone ikwafumaneka okhawuntareni njengokhilimu, uthambiso, okanye ioyile ye iimeko zolusu . Ugqirha wakho unokumisela i-hydrocortisone okanye i-cortisone emva kovavanyo olupheleleyo lwemeko yakho.
Ndingayisebenzisa i-hydrocortisone okanye i-cortisone ngelixa ndikhulelwe?
Iidosi ezisezantsi zecorticosteroids ngamanye amaxesha zinokusetyenziswa ngexesha lokukhulelwa. Nangona kunjalo, ngenxa yomngcipheko weziphumo ebezingalindelekanga, ezinje ngoxinzelelo oluphezulu lwegazi, ukonyuka kwamanqanaba eswekile yegazi, kunye nokugcinwa kolwelo, ii-corticosteroids kufuneka zisetyenziswe kuphela ukuba izibonelelo zingaphezulu kobungozi. Nxibelelana nomboneleli wezempilo ngokhuseleko lwe-corticosteroids ngexesha lokukhulelwa.
Ngaba ndingayisebenzisa i-hydrocortisone vs i-cortisone ngotywala?
ICorticosteroids kunye notywala azikhuthazwa ngokubanzi ukuba zithathwe kunye. Ukusela utywala rhoqo kunokutshintsha amanqanaba eswekile yegazi kunye nokuchaphazela amajoni omzimba. Iziphumo ebecaleni kwecorticosteroids kunye notywala zinokudibana kwaye zikhokelele kwiimeko eziyingozi.
Ngaba i-hydrocortisone yicorticosteroid?
IHydrocortisone yinkqubo yokwenziwa kwecorticosteroid. Iziphumo zalo ziyafana nezo ziveliswe ngokwendalo i-glucocorticoid, i-cortisol. Xa kuthelekiswa nezinye ii-corticosteroids, i-hydrocortisone ithathwa njenge-poticosteroid ephantsi.
Yenza ntoni icortisone?
ICortisone isetyenziswa njengechiza lokuchasana nokudumba kunye nokunyanga komzimba. Inokunyanga ukuvuvukala kwezifo zolusu, iimeko zemiphunga, ukuphazamiseka komzimba, kunye nosulelo. I-Cortisone inokusetyenziselwa ukunyanga iimpendulo ezichasayo kunye neziqendu ze-asthma ezinzima.











