Njira Zowonongetsera Ngozi Yanu Yopangira Mapiritsi Ndi MS Mankhwala
Ngati muli ndi njira yowonongeka mobwerezabwereza ya multiple sclerosis (MS), mwina munayenera kuchitidwa ndi mankhwala otchedwa Solu-Medrol (methylprednisolone). Izi ndi corticosteroid yomwe imaperekedwa kupyolera mu mitsempha kuti iwonetse zizindikiro za kubwereranso .
Solu-Medrol akhoza kukhala mozizwitsa komanso mofulumira. Koma kwa anthu ena mpumulowu umakhala wotsika, mwa zotsatira za zotsatirapo kuphatikizapo nkhawa, ziphuphu, ndi kuwonjezeka m'magazi a shuga, kutchula ochepa.
Zambiri mwazi zimachoka posakhalitsa mankhwalawa atachoka mthupi - ndi chimodzimodzi. Anthu ena amalephera kulemera pamene ali pa Solu-Medrol, mapaundi owonjezera amene amatha nthawi yaitali chithandizocho chitatha.
Chifukwa chiyani Solu-Medrol Amachititsa Kulemera Kwambiri?
Ngakhale kuti pakhala pali madandaulo ambiri okhudza kulemera kwa anthu omwe anachiritsidwa ndi Solu-Medrol, palibe deta yokwanira kuti iwononge ngati zotsatira zake. Kuperewera kwa chidziwitso kumangosonyeza kuti kuika zolemetsa ndi vuto lalikulu kuposa vuto lachidwi, kotero asayansi akuphunzira mankhwalawa sanaganizirepo.
Pali zifukwa zina zokhudzana ndi chifukwa chake Solu-Medrol ingachititse anthu ena kuti ayambe kuphwa. Chifukwa chakuti mankhwalawa ndi corticosteroid, mwina n'kutheka kuti chimachititsa kuti njala ikhale yovuta-komanso njala yomwe mumamva, ndiyomwe mumadya. Lingaliro lina ndi lakuti kupweteka kwa m'mimba nthawi zina kumayambitsa Solu-Medrol kumalimbikitsa anthu kuti adye zambiri kuti athetse vuto.
Kulemera kowonjezeka kuchokera ku Solu-Medrol kumayambanso kusungidwa kwa madzi.
Nthawi zambiri, corticosteroids imadziwika kuti imachititsa anthu ena kukhala ndi matenda osadziwika otchedwa hormone omwe amatchedwa Cushing's syndrome. Matendawa amachititsa kuti mafuta azikhala m'mimba komanso pamimba ndipo amatha kuona nkhope kukhala yochuluka kwambiri.
Izi zikutheka kuti zichitike kwa munthu amene amamwa mankhwala ochepa a corticosteroids kwa nthawi yaitali-prednisone wamlomo kuti athetse mphumu, mwachitsanzo-kusiyana ndi munthu yemwe ali ndi MS amene ayenera kutenga mlingo waukulu kwambiri woperekedwa kuti abwererenso .
Mmene Mungapewere Kuyika Mapiritsi
Kupeza kulemera kumafunika kukhala kovuta kwambiri pamene mukuchiritsidwa ndi Solu-Medrol, choncho ngati mutakhala anthu omwe angakhale nawo nthawi yomweyo mukamatenga steroid, kutsatira malangizowo angakuthandizeni kupeĊµa kuthana nawo kusintha kwakukulu pa msinkhu.
- Kuthetsa sodium. Zinthu zamchere monga pizza, mkate, chakudya chamasana, msuzi, ndi zakudya zowonongeka zingathandize kuti madzi asungidwe komanso asungunuke.
- Ngati mukumva kuti mukufunikira nosh zambiri kuposa nthawi zonse, pitani ku calories zosachepera. Mwanjira imeneyi mungathe kudya pang'ono kuti mukwaniritse zolakalaka popanda kusuntha.
- Idyani zakudya zochepa, nthawi zambiri.
- Musapangitse mapuloteni ndikusangalala ndi mafuta ochepa, monga mapeyala ndi mtedza. Mitundu ya zakudya izi zidzakuthandizani kuti muzimva nthawi yayitali ndikuthandizani kuchepetsa kukhumba kwanu.
- Pitirizani kusunthira: Pafupifupi theka la ola limodzi kapena kupitilira tsiku lililonse kumawotcha mafuta-komanso kumaperekanso maganizo.
Zotsatira:
Chrousos GA, Kattah JC, Beck RW & Cleary PA. Zotsatira za mankhwala a glucocorticoid. Zochitika za Optic Neuritis Treatment Trial. JAMA . 1993 Apr 28; 269 (16): 2110-2.
Lyons PR, Newman PK, Saunders M. Methylprednisolone mankhwala mu multiple sclerosis: mbiri ya zotsatira zoipa. J Neurol Neurosurg Psychiatry 1988; 51: 285-287.