Zotsatira Zachisoni za Prednisone Zimatha Kulamulidwa Ndi Zitetezo Zochepa
Prednisone ndi mankhwala omwe amagwiritsidwa ntchito pochizira zinthu zambiri zotupa. Nthawi zambiri amauzidwa kuti azichiza matenda akuluakulu opatsirana (IBD) - Matenda a Crohn ndi ulcerative colitis. Cholepheretsa chachikulu kugwiritsa ntchito prednisone ndi mndandanda wautali wa zotsatira zake, zambiri zomwe zimawoneka kapena makamaka zodetsa.
Zina mwa zotsatira za prednisone zimaphatikizapo: kusowa tulo, kusinthasintha maganizo , kuwonjezeka kwa tsitsi, kupuma kwa nkhope kapena "mooning" , kuwonjezeka kwa kudya, kutuluka usiku , kupweteka kwa mutu, kupweteka mutu, ndi kulemera .
Panthawi zovuta kwambiri, kugwiritsa ntchito mankhwala a prednisone kwa nthawi yaitali kungabweretse kuchitsimikizo cha steroid, kuchepa kwa mafupa , ndi zotsatira zina zosatha. Chifukwa cha zotsatira zake zonsezi, n'chifukwa chiyani odwala amamwa mankhwalawa, nanga n'chifukwa chiyani madokotala amapereka mankhwalawa?
Prednisone Ndi Steroid
Prednisone ndi gawo la mankhwala otchedwa corticosteroids, ndipo ali ofanana ndi cortisol, mtundu wa steroid thupi limapanga mu adrenal gland. Amachepetsa kutupa thupi, chifukwa chake n'kothandiza kuchiza IBD, vuto limene limayambitsa kutupa m'magazi. Uthenga wabwino ndi wakuti prednisone nthawi zambiri amagwira ntchito mofulumira kuchepetsa kutupa ndi zizindikiro zina za IBD kuphatikizapo kutsegula m'mimba ndi kutuluka magazi.
Kuthetsa Prednisone
Chisamaliro chiyenera kutengedwa ngati kuchepa mlingo wa prednisone-wodwala sayenera kuimitsa mwadzidzidzi. Thupi limasiya kapena kuchepetsa kupanga kortisol, ndipo pang'onopang'ono kupota kuchuluka kwa prednisone yomwe imatengedwa tsiku ndi tsiku kumalola thupi kuti liyambe kulipanganso ilokha.
Kuchulukitsa mlingo wa prednisone kawirikawiri kumatanthauza kuchepetsa mlingo mwa kuchuluka kwa masiku angapo kapena sabata iliyonse. Kutalika kwa nthawi kuti mupange matepi kumadalira mlingo woyambira, komanso nthawi yomwe prednisone yatengedwa. Pa mlingo wapamwamba umene watengedwa kwa nthawi yayitali, zingatenge miyezi kuti ikhale pansi, pamene maphunziro ochepa (monga masabata angapo) angathe kufulumizitsa mofulumira.
Kufotokozera Prednisone Kwa Ana
Ana omwe amatenga prednisone ndi ofunika kwambiri ndipo amafunikiranso kusamala. Kukula kwa mwana kumakhala kovuta, ndipo pamapeto pake kumakhala kuchedwa kwa msinkhu. Ana omwe amatenga prednisone kwa nthawi yaitali ayenera kuyang'anitsitsa mosamala za zizindikiro zirizonse za zotsatira za nthawi yaitali monga kukula kochepa kuti athe kuyankha mofulumira.
Kuchepetsa Zotsatira Zachilengedwe za Prednisone
Prednisone yatsimikiziridwa kukhala yothandiza kuchepetsa kutupa, ndipo odwala omwe amasankha kutenga izo ayenera kudziwa njira zingapo zothana ndi zotsatira zake.
- Kutayika kwa mafupa. Kuwonjezera chakudya chopatsa thanzi ndi calcium kumathandiza kuti mafupa akhale ndi thanzi la prednisone. Funsani ogwira ntchito zaumoyo anu za mtundu ndi calcium yomwe ikufunika tsiku lililonse kuti muthane ndi imfa ya mafupa.
- Zakudya. Kuchepetsa mchere kumathandiza kupewa zotsatira zoyanjana ndi kusungidwa kwa madzi. Kuyang'ana mafuta ndi calorie kungathandize kuchepetsa kulemera kwa steroids. Kuyankhulana ndi odwala zakudya zowonjezera kudzakuthandizani pokonzekera zakudya zomwe mungachite mukatenga prnisone.
- Mlingo. Kulankhulana ndi gastroenterologist panthawi yabwino ya tsiku kuti mutengere prednisone kuti mukhale ogwira mtima kwambiri komanso kuchepa kochepa kungapangitse kusiyana kwakukulu. Kutenga mlingo wonse wa prednisone kumayambiriro kwa tsiku (pokhapokha pa uphungu wa dokotala!) Kungachepetse mavuto monga kusowa tulo kapena kutukuta usiku ndipo kutenga chakudya kungalepheretse kumimba.
- Thandizo. Kuloleza achibale ndi mabwenzi kudziwa za zotsatira zake za prednisone zingakhale zopindulitsa kuthana ndi mavuto. Zingathandizire kuti anthu amvetse kuti ndi mankhwala omwe amachititsa kusokonezeka maganizo kapena kukhumudwa komanso kuti matendawa amatha kulamulira ndikusiya mankhwalawa kuti athandize pazifukwazi.
- Sakanizani mwamsanga. Posakhalitsa, mlingo wa prednisone uyenera kuchepetsedwa pang'onopang'ono mpaka utatha. Kupita patsogolo pang'ono ndi kofunikira ndipo patapita nthawi mankhwalawa atengedwa, pang'onopang'ono taper ayenera kukhala. Kwa maphunziro ochepa a mankhwala, taper pansi kawirikawiri amachitira mofulumira kwambiri. Komabe, cholinga chiyenera kukhala kuti chidziwitse chiwerengero chazomwe chimawonongeka, mofulumira komanso mosatetezeka.
Chidziwitso Chochokera
Odwala ena amaganiza kuti zotsatira zoyipa za prednisone zimaposa phindu limene lingapezeke. Zimatha msanga kuyimitsa kwa IBD m'mayendedwe ake, koma pa mtengo wa mawonekedwe a thupi, kusakhazikika maganizo, ndi mavuto ena azaumoyo. Sikophweka, koma wodwala aliyense yemwe ali ndi IBD ayenera kusankha chisankho chogwiritsa ntchito prednisone malinga ndi zosowa zake palimodzi ndi gastroenterologist .
> Zotsatira:
> Mrakotsky C, Forbes PW, Bernstein JH, et al. "Zotsatira zovuta zamaganizo ndi khalidwe la systemic corticosteroids ana omwe amachiritsira matenda opatsirana." J Int Neuropsychol Soc. 2013 Jan; 19: 96-109.