N'zosavuta kulemera podzatenga prednisone, koma ndi kovuta kuti muchotse
Prednisone ndi mtundu wa corticosteroid umene nthawi zambiri amauzidwa ndi madokotala kuti azichita zinthu zambiri zotupa, kuphatikizapo kutupa matumbo (IBD) . Nthaŵi zina, anthu amapeza kuti kutenga prednisone kungachititse kuti pakhale kulemera. Kwa iwo omwe ali ofooka kwambiri chifukwa cha thanzi lawo zingakhale zothandiza, koma kwa ena, zikhoza kuwonetsa vuto lina lomwe lingapirire.
Chifukwa Chake Prednisone Imagwiritsidwa Ntchito mu IBD
Matenda a adrenal amapanga mtundu wachilengedwe wa steroid wotchedwa cortisol. Cortisol ili ndi ntchito yofunikira m'thupi ndipo imayesetsa kuthetsa kagayidwe kake ka thupi, chitetezo cha thupi, kutupa, ndi kuyankha kupsinjika ndi kuvulala. Prednisone ndi mankhwala otchedwa steroid omwe amafanana ndi cortisol omwe, atapatsidwa mankhwala apamwamba, amathandiza kuthetsa zizindikiro za matenda opweteka monga IBD.
Kutupa komwe kumayambitsa IBD kumabweretsa zilonda m'makina a m'mimba ndipo zingayambitse mavuto ena. Prednisone yakhala ikugwiritsidwa ntchito kwa zaka zambiri pofuna kuchiza kutupa koyambitsa IBD. Cholinga ndi prednisone ndi kuchigwiritsa ntchito kwa kanthawi kochepa ndikuthetsa pansi ndikuchiletsa pamene kutupa kutaya. Amagwiritsidwa ntchito monga chithandizo chomwe chingagwire ntchito mwamsanga pamene njira ina, yomwe ingakhale yovuta komanso yopanda chithandizo kwa nthawi yaitali imayikidwa.
Zotsatira Zowonongeka za Prednisone
Ngakhale prednisone nthawi zambiri zimathandiza kuti kutupa kulamulidwe mofulumira, kungakhale ndi zotsatirapo. Chimodzi mwa zotsatira zake ndi kuwonjezeka kwa chilakolako, chomwe mwangozi chingapangitse phindu lalikulu kwa anthu ena. Pali zifukwa zingapo zomwe zimachititsa kuti prednisone ya IBD ikhale ndi phindu, kuphatikizapo:
- Kusungirako zamagetsi
- Kuwonjezeka kwa kalori
- Kuchepetsa zochitika zolimbitsa thupi
Nkhani yabwino ndi yakuti, podziwa zifukwa zomwe zimapangidwira kulemera kwake, zingatengedwe kuti musapezeke kulemera ngati mutayikidwa mankhwalawa ndi kumvetsa momwe mungatengere cholemera ngati chikuchitika.
Chifukwa chomwe thupi la Prednisone likula
Prednisone imayambitsa thupi kukhala ndi sodium (mchere) ndi kutaya potaziyamu. Kuphatikizana kumeneku kungabweretse kusungunuka kwa madzi, kupindula, ndi kuphulika . Prednisone imapangitsa kuti chilakolako chiwonjezeke, zomwe zikutanthauza kuti kudyetsa zambiri komanso kutenga makilogalamu ambiri ndizofala. Nthawi zina, monga IBD, izi zingakhale zopindulitsa ngati kusowa chakudya ndi vuto.
Anthu ambiri akutenga prednisone chifukwa cha kutupa kapena matenda aakulu. Matendawa amachititsa kuti thupi likhale lovuta, kuphatikizapo zotsatira za kulemera. Prednisone ingayambitsenso kubwezeretsa mafuta, zomwe zimapangitsa ngakhale kulemera pang'ono kuwonjezeka. Kulemera kwapindula pa mankhwala a prednisone kumakhala pamaso, kumbuyo kwa khosi, ndi pamimba.
Koma Sikuti Zolemera Zonse Zimakhala Zoipa
Chimodzi mwa zizindikiro za IBD ndi kutayika kosayembekezereka. Nthawi zina, kuchuluka kwa kulemera kungakhale kofunika ndipo kungayambitse nkhawa.
Pa chifukwa chimenechi, kubwezeretsa thupi ndi chimodzi mwa zolinga za mankhwala. Prednisone ingathandize kuthana ndi zolemetsazo, zomwe ndi zabwino, malinga ngati sizipita kutali kwambiri.
Kupewa Kulemera kwa Prednisone
Njira yabwino yothetsera kupweteka kwa prednisone ndiko kuyesa kupeŵa izo poyamba. Njira zomwe zingagwiritsidwe ntchito popewera kusungunuka kwa madzi zimaphatikizapo kudya zakudya zochepa zowonjezera ndi kuwonjezera zakudya za potaziyamu kudzera mu zakudya za potaziyamu (monga nthochi, cantaloupe, mphesa, ndi nyemba). Kuchepetsa sodium osachepera 2,000 mg tsiku kumalimbikitsa, ndipo kupewa zakudya zothandizidwa kwambiri zingathandize kukwaniritsa cholinga ichi.
Pofuna kupeŵa kulemera ngakhale kuti mukukula, yesetsani kuchepetsa zakudya zopatsa thanzi tsiku lililonse, kuchepetsa mafuta a zakudya, ndi kudya zakudya zing'onozing'ono tsiku limodzi m'malo atatu aakulu. Kuganizira kuthetsa zopatsa kanthu zopanda kanthu monga zakudya zophweka komanso shuga wokonzedwa n'kofunika. Mmalo mwake, onetsetsani kuti kalori iliyonse imawerengera ndipo imabwera kuchokera ku zakudya zokondweretsa.
Ngati n'kotheka, kuchita masewera olimbitsa thupi kungathandizenso kuchepetsa kapena kuchepetsa kupweteka kwa dothi la prednisone. Lankhulani ndi dokotala ponena za kuyamba machitidwe olimbitsa thupi omwe sangathe kuthandizira kuthetsa kulemera kwamtundu wa prednisone, komabe zingalimbikitsenso thanzi labwino. Kutumizira kwa wodwala thupi kumathandiza chifukwa ngati pali matenda aakulu osakwanira, pulogalamu yochita masewera olimbitsa thupi ndi yofunikira.
Ndi zinthu zambiri zomwe zimapangitsa kuti pakhale kulemera, zingakhale zokhumudwitsa kuti muthane ndi kupeŵa kulemera kapena kuchepetsa kulemera kwa prednisone. Sikuti aliyense adzapeza zolemetsa zambiri pamene akutenga prednisone, koma anthu ambiri adzalandira zina.
Mmene Mungapewere Kupindula
Nkhani yabwino ndi yakuti zotsatira zokhudzana ndi kulemera zimachepetsa ngati mankhwala a prednisone amachotsedwa pansi pa 10 mg / tsiku. Kusungunuka kwa madzi ndi kuwonjezeka kwa njala kudzakhalanso kuchepa pamene prednisone ikuphwanyidwa ndikusiya. Phindu lililonse lopweteka limene linachitika podzatenga prednisone, komabe, silingadzitembenuze yekha pomwepo. Kumamatira ku dongosolo labwino la kudya komanso kuchita masewera olimbitsa thupi nthawi zonse kudzafunika kuchotsa mapaundi. Zidzakhala zosavuta kuchita zonse ziwirizi pamene matenda omwe amachititsa kuti prednisone atumizidwe akhoza kuthetsedwa kapena kuyang'aniridwa bwino.
Dokotala akhoza kulangiza zakudya zabwino ndi mapulani olimbitsa thupi omwe amagwiritsidwa ntchito pa moyo wanu komanso matenda alionse. Mwamwayi, palibe njira yosavuta yoperekera kulemera, ndichifukwa chake zakudya zambiri komanso mapiritsi amalonjeza kuti pangakhale kulemera kwa msanga.
Njira yabwino kwambiri yochepetsera thupi, ndiyomwe imakhala ndi moyo wathanzi: kuchepetsa kumwa mowa komanso kuchita masewera olimbitsa thupi nthawi zonse. Kulemera kwa thupi kuyenera kukhala pang'onopang'ono komanso mosasunthika kuti apereke mpata wabwino wotaya mapaundi osatha. Kusunga chakudya ndi zochitika zolemba nyuzipepala kungakuthandizeni kuchepetsa kulemetsa ndikukhala ndi cholinga.
Mawu Ochokera
Kupeza ndi kutaya thupi kumakhala chinthu chomwe chimachitika kwa anthu ena omwe ali ndi IBD. Zingakhale zovuta kuti mukhalebe kulemera koyenera pamene kulemera kukubwera chifukwa cha kutayirira, kapena kubwereranso chifukwa cha mankhwala ndi prednisone kapena mankhwala ena. Chofunika nthawizonse mu IBD ndi kukhala ndi chakudya chokwanira momwe mungathere ndi kulandira zakudya zokwanira kuti mudyetse thupi.
Kupeza kulemera pang'ono sikuli chinthu choipa nthawi zonse; Nthawi zina zimakhala zathanzi chifukwa pali mavuto ena omwe amakhala nawo chifukwa chosakhala ndi mafuta okwanira. Kuchita zinthu moyenera ndikofunika ndipo kugwira ntchito ndi gastroenterologist ndi zakudya zowonjezera kungathandize kuthandizira kulemera kwa thanzi labwino.
Zotsatira:
> Johns Hopkins Vasculitis Center. "Mankhwala-Prednoneone." Johns Hopkins Vasculitis Center, Gawo la Rheumatology 2015.
> Lupus Foundation ya America. "Kuchiza kwa Lupus." Lupus Foundation of America, Inc. 25 Jul 2013.
> UCSF Medical Centre. "ILD Manual Nutrition: Prednisone ndi Kulemera Kunenepa." UCSFHealth.org. 2017.