Tiyenera kuyembekezera kuti shuga wambiri ya magazi ikhale yaikulu
Zilangizi za Cortisone zimagwiritsidwa ntchito pochizira matenda osiyanasiyana. Cortisone ndi mankhwala amphamvu kwambiri othana ndi kutupa omwe angayambidwe mozungulira tizilombo kapena ziwalo komwe kutupa kulipo. Majekeshoni a Cortisone amagwiritsidwa ntchito pochiza machitidwe kuphatikizapo tendonitis , bursitis , ndi nyamakazi .
Pali zambiri zomwe zimakhala zofala, komanso zosavuta, zotsatira zina za cortisone, ndipo musanayambe kumwa mankhwalawa muyenera kukambirana za mavutowa ndi dokotala wanu.
Ngakhale kuti zotsatira zambiri za cortisone zimakhala zochepa komanso zazing'ono, ndi bwino kukambirana mavutowa kuti mudziwe zomwe mungachite mutatha kulandira.
Matenda a shuga ndi Cortisone
Odwala matenda a shuga amakhala ndi zotsatira zochepa kuchokera ku jekeseni ya cortisone. Zimakhala zachilendo kwa odwala matenda a shuga kuti ayambe kukwera msanga m'magazi awo mu maola ndi masiku akutsatila jekeseni ya cortisone. Ngati simukuyembekeza kuti izi zitha kuchitika, shuga ya magazi imakhala yoopsa kwa odwala omwe akugwira ntchito mwakhama kuti asamayambe shuga.
Kafukufuku waposachedwapa anafufuza kugwiritsa ntchito katemera wa cortisone odwala matenda a shuga. Odwala onse anali ndi jekeseni chifukwa cha mavuto a manja (kuphatikizapo chotupa cha mano ndi matenda a carpal ). Odwalawo amafunsidwa tsiku ndi tsiku mpaka zizindikiro zawo zithetsedwa. Zotsatira za phunziroli zikuphatikizapo zotsatirazi:
- Kuwonjezeka kwa shuga ya magazi kumadalira kukula kwa matenda a shuga monga momwe zimayendera ndi hemoglobin A1c (HbA1c). Pamene HbA1c wodwalayo anali wamkulu kuposa 7%, anali ndi mapamwamba kwambiri mu shuga wagazi pambuyo pa jekeseni, ndipo shuga yapamwamba ya magazi inakhala yaitali.
- Ambiri odwala matenda a shuga amakhala ndi msinkhu wa shuga wamagazi. Mu phunziro lino, odwala 80% adanena shuga wokweza kwambiri m'magazi pambuyo pa jekeseni.
- Magazi a shuga a magazi amayamba kubwerera kwa masiku angapo, ndipo palibe wodwala mu phunzirolo amene amaonetsa kuti vuto la shuga la magazi limatenga nthawi yaitali kuposa masiku asanu.
Phunzirolo silinali langwiro, popeza linali lochepa kwambiri (odwala 25), ndipo pokhapokha panali odwala omwe anali ndi jekeseni m'manja mwao, ndipo amaphunzira zotsatira za cortisone imodzi. Komabe, ndibwino kuti mukhale ndi deta yeniyeni pa nkhani yomwe idadziwika bwino (madokotala ambiri omwe amachititsa jekesoni ya cortisone nthawi zonse amadziwa za zotsatirazi) koma osatchulidwa bwino mu zolemba zamankhwala.
Anthu odwala matenda a shuga ayenera kukhala ndi injini ya Cortisone
Chithandizo chilichonse chiyenera kuganiziridwa molingana ndi kuyeza zoopsa ndi phindu la mankhwala. Pankhani ya jekeseni ya cortisone, pali zotsatira zina zomwe zimayenera kuganiziridwa, koma palinso zopindulitsa. Odwala omwe ali ndi shuga ayenera kudziwa kuti akhoza kukwera shuga m'magazi. Komanso, anthu odwala matenda a shuga omwe amalephera kudwala angapewedwe ndi jekeseni ya cortisone mpaka mankhwala ena atatha.
Phunziroli limalimbikitsa kukonzedwa kwa HbA1c kwa 7%. Ngati odwala matenda a shuga ali ndi HbA1c apamwamba kuposa 7% akhoza kupewa tizirombo ta cortisone ngati n'kotheka. Kawirikawiri ndi zakudya ndi mankhwala, kusintha kwa matenda a shuga kumatha kusintha ndipo kungachepetse zotsatira za zotsatira zochokera ku jekeseni.
Mulimonsemo, odwala onse omwe ali ndi matenda a shuga ayenera kudziwa kuti angathe kukhala ndi msinkhu wa shuga m'magazi pambuyo pa jekeseni ya cortisone. Muyeneranso kukambirana ndi dokotala momwe angakwaniritsire kuti shuga lanu la magazi lidzakwera kuti mudziwe ngati pali vuto limene limafunikanso kufufuza mwamsanga.
Zimene Muyenera Kuchita Ngati Zakudya Zotsamba Zimakwera
Monga tafotokozera, uthenga wabwino ndikuti kukwera kwa shuga m'magazi kumachitika nthawi yayitali, ndipo nthawi zambiri kumatsimikizira pang'onopang'ono masiku angapo. Anthu omwe amapereka insulini nthawi zambiri amatha kusintha mavitamini awo omwe amapezeka ndi insulini omwe amatsatira zotsatira za kufufuza magazi m'magazi.
Ngati mayeso a magazi a m'magazi akukwera kwambiri kuposa momwe mungayang'anire, muyenera kulola dokotala wanu kudziwa. Anthu ambiri amacheza ndi dokotala yemwe amasamalira insulini yawo, nthawi zambiri dokotala wamkulu wa chisamaliro kapena wotchedwa endocrinologist. Ngakhale kuti anthu ambiri omwe ali ndi chiwopsezo cha shuga m'magazi sangakhale ndi mavuto, akhoza kukhala chikhalidwe choopsa kwambiri, ndipo nthawi zina amafunikira chithandizo choopsa. Wodwala aliyense ali ndi zizindikiro za kukweza mwamsanga shuga wa magazi ayenera kupita kuchipatala
Zotsatira:
Leahy M. "M'deralo Corticosteroid Injections Zili ndi Zotsatira Zowononga Odwala Matenda a Shuga" AAOSNow. November 2014.