Tiyeni tiphunzire zambiri zokhudza ma steroid (Corticosteroids). Kodi mankhwala amenewa ndi oopsadi?

Kodi munachita mantha pang'ono kapena mantha dokotala wanu atakupatsani mankhwala a steroid? Anthu ena akamva dzinali, amaganiza za chinthu chovulaza thupi chomwe othamanga amagwiritsa ntchito pomanga matupi awo. Koma zoona zake n'zakuti, ma steroid amenewa omwe timagwiritsa ntchito mu zamankhwala ndi osiyana kwambiri, ndipo nthawi zina ndi mankhwala ofunika kwambiri omwe angapulumutse miyoyo. Chifukwa chake ndikofunikira kwambiri kuchotsa malingaliro olakwika pa izi ndikudziwa zoona zenizeni. Lero, tikambirana izi mosavuta komanso mwanjira yomwe mungamvetse.

Kodi ma steroids ndi chiyani kwenikweni?

Mwachidule, awa ndi mankhwala opangidwa omwe amatsanzira hormone ya cortisol, yomwe imapangidwa mwachilengedwe ndi ma adrenal glands athu. Ntchito yayikulu ya cortisol m'matupi athu ndikutithandiza kuthana ndi kupsinjika ndikuwongolera kutupa m'thupi.

Choncho madokotala amagwiritsa ntchito ma steroids opangidwa awa, otchedwa corticosteroids kapena glucocorticoids, kuti achepetse kutupa m'mbali zosiyanasiyana za thupi. Ali ngati chowonjezera chitetezo chamthupi chathu, chomwe chimathandiza kulimbana ndi matenda. Dokotala wanu akhoza kusintha mlingo wa mankhwala awa kuti agwirizane ndi zosowa zanu ndikukuthandizani momwe mukufunira.

Kodi izi zimagwiritsidwa ntchito pa matenda amtundu wanji?

Ma steroids ndi mankhwala othandiza kwambiri omwe amagwiritsidwa ntchito pa matenda ambiri. Makamaka, ndi ofunikira kwambiri pa matenda odziteteza okha, omwe amayamba chifukwa cha kugwira ntchito mopitirira muyeso kwa chitetezo cha mthupi lathu. Tangoganizirani, gulu lankhondo lomwe likuyenera kuteteza thupi lathu (chitetezo cha mthupi), molakwika limayamba kuukira maselo ake. Nthawi ngati zimenezi, ma steroids amathandiza kulamulira ndikuchepetsa kuchita zinthu mopitirira muyeso.

Onani tebulo ili m'munsimu kuti mudziwe zina mwa njira zomwe mankhwalawa amagwiritsidwira ntchito kwambiri.

'Ma steroid', 'corticosteroids', 'glucocorticoids' - kodi mukusokonezeka ndi mayina awa?

Ndizachilendo kusokonezeka pang'ono mukamva mayina onse atatu. Koma kumbukirani, madokotala ndi odwala akamalankhula, mayina onse atatu nthawi zambiri amagwiritsidwa ntchito ponena za gulu lomwelo la mankhwala. `(Corticosteroids)` ndiye gulu lalikulu, ndipo `(Glucocorticoids)` ndi gulu linalake. Komabe, simuyenera kusokonezeka ndi mayina awa mukamalandira chithandizo, dokotala wanu adzakupatsani mankhwala enieni omwe mukufuna.

Mitundu ina yodziwika bwino ya ma steroid

Mwina mwawonapo limodzi mwa mayina awa pa mankhwala anu.

• Prednisone
• Cortisone
• Hydrocortisone
• Methylprednisolone

Kodi mankhwalawa amagwira ntchito bwanji m'thupi?

Ma steroids ndi mankhwala amphamvu kwambiri, omwe amagwira ntchito mwachangu. Amagwira ntchito zitatu zazikulu.

1. Kuchepetsa kutupa: Pakakhala kuvulala kapena matenda kwinakwake m'thupi, chitetezo chathu chamthupi chimatumiza maselo kuti amenyane nacho. Izi zimapangitsa kuti pakhale kufiira, kutupa, kutentha, ndi ululu. Timatcha kutupa uku. Mu matenda ena, kutupa kumeneku kumapitirira muyeso ndipo kumayamba kuwononga thupi lokha. Ma steroid amagwira ntchito pochepetsa kupanga mankhwala omwe amayambitsa kutupa ndikulamulira vutoli.

2. Kuchepetsa ululu: Pamene kutupa kukuchepa, ululu wokhudzana nawo umachepanso kwambiri.

3. Kuletsa chitetezo chamthupi: Monga tanenera kale, m'matenda odziteteza okha komwe chitetezo chamthupi chimayamba kugwira ntchito mopitirira muyeso ndikuukira thupi lake, ma steroids amathandiza kulamulira ntchito ya dongosololo pamlingo winawake, kuchepetsa kuwonongeka komwe kumachitika.

Kodi njira zoperekera ma steroid ndi ziti?

Mmene mumapatsidwira mankhwala a steroid zimadalira vuto lanu. Pali njira ziwiri zazikulu.

Kodi ubwino waukulu wa ma steroids ndi wotani?

Ngakhale kuti pali mantha okhudza zotsatirapo zake, ubwino wa ma steroid si wochepa.

• Zotsatira zachangu: Chimodzi mwa zabwino zazikulu za izi ndikuti zimapereka zotsatira zachangu . Zimatha kuwongolera zizindikiro monga kupweteka kwambiri ndi kutupa m'nthawi yochepa kwambiri.
• Mpumulo wa nthawi yayitali: Mwachitsanzo, jakisoni wa cortisone m'malo olumikizirana mafupa angathandize kuchepetsa ululu kwa miyezi ingapo, nthawi zina kwamuyaya.
• Kupulumutsa Moyo: Nthawi zina, izi zimapulumutsa moyo. Mwachitsanzo, ngati munthu akudwala matenda monga lupus omwe amayambitsa kuwonongeka kwa impso, akhoza kuwapatsa ma steroids awa kuti athetse kuwonongekako. Izi zitha kumuletsa kufunikira dialysis kapena kuikidwa impso.

Tiyeni tikambirane za zotsatirapo zomwe aliyense amaopa

Chabwino, tsopano tiyeni tikambirane chifukwa chake anthu ambiri amaopa mankhwalawa, chomwe ndi zotsatira zake zoyipa. Popeza ma steroids ndi mankhwala amphamvu, zotsatira zake zoyipa zimatha kuchitika. Koma kumbukirani, zotsatira zake zoyipa sizimachitika kwa aliyense . Ndipo nthawi zambiri zimawonekera mukamawamwa mu mawonekedwe a mapiritsi kwa nthawi yayitali, mu mlingo waukulu . Mwayi woti izi zichitike ndi wochepa kwambiri kwa munthu amene amagwiritsa ntchito kirimu kapena jakisoni kamodzi kokha.

Izi ndi zina mwa zotsatira zoyipa kwambiri:

• Kuchuluka kwa njala ndi kunenepa: Anthu ambiri amamva njala kwambiri akamamwa mankhwala ochepetsa thupi otchedwa steroids. Chifukwa chake, ngati mudya mosadziletsa, mutha kunenepa.
• Kusunga madzi m'thupi: Izi zingayambitse nkhope yotupa (nkhope ya mwezi) ndi kutupa kwa thupi.
• Kusintha kwa khungu: Khungu lochepa, kuphwanya mosavuta, ziphuphu zambiri.
• Kusintha kwa maganizo: Kumva kukwiya, kusakhazikika, kuda nkhawa, komanso kusagona mokwanira kungachitike.
• Kusasangalala m'mimba: Matenda monga kutupa m'mimba ndi gastritis.
• Kuwonjezeka kwa kukula kwa tsitsi m'thupi.

Kodi zoopsa zomwe zingachitike kwa nthawi yayitali ndi ziti?

Munthu amene amatenga mankhwala a steroid kwa nthawi yayitali (miyezi, zaka) amakhala pachiwopsezo chachikulu chotenga matenda enaake aakulu. Dokotala wanu amadziwa zoopsa izi, choncho adzakuyang'anirani nthawi zonse ndikutsatira njira zoyenera zodzitetezera.

• Matenda a Shuga: Mankhwala a steroid amatha kuonjezera shuga m'magazi. Ngati muli kale ndi matenda a shuga, muyenera kuyang'ana shuga m'magazi anu nthawi zonse.
• Kuthamanga kwa magazi kwambiri.
• Matenda a Osteoporosis: Mafupa amachepa thupi ndipo amasweka mosavuta.
• Kutengeka ndi matenda: Pamene chitetezo cha mthupi chikufooka, chiopsezo chotenga matenda chimawonjezeka.
• Matenda a Cushing: Matenda omwe amayamba chifukwa cha kuchuluka kwa cortisol m'thupi.

Chofunika kwambiri: Musasiye kumwa mankhwala a steroid mwadzidzidzi!

Ichi ndi chinthu chofunikira kwambiri chomwe muyenera kukumbukira. Ngati mwakhala mukugwiritsa ntchito mapiritsi a steroid kwa milungu yoposa iwiri, musasiye kumwa mwadzidzidzi popanda upangiri wa dokotala.

Tangoganizirani, tikapitiriza kumwa mankhwala ochokera kunja, fakitale yachilengedwe yopanga cortisol m'thupi lathu (ma adrenal glands) imakhala "yaulesi" pang'ono. Imaganiza kuti, "Ikuchokera kunja, bwanji ndiyenera kugwira ntchito molimbika?" ndipo imachepetsa ntchito yake. Ngati mwadzidzidzi musiya kumwa mankhwala ochokera kunja, fakitale yofookayo singathe kuyamba kugwira ntchito nthawi yomweyo. Zotsatira zake, thupi limataya cortisol yomwe limafunikira, zomwe zimayambitsa kusasangalala kwambiri, kuthamanga kwa magazi kutsika, komanso mavuto omwe angawopseze moyo.

Choncho chimene dokotala amachita ndi kuchepetsa pang'onopang'ono mlingo kwa miyezi ingapo, kupatsa thupi nthawi yogwira ntchito ku fakitale kuti liyambenso kugwira ntchito, kenako pang'onopang'ono lisiye kugwiritsa ntchito mankhwalawo.

Ndiyenera kupita kwa dokotala nthawi yanji?

Ndikofunikira kusamala thupi lanu mukamamwa mankhwala a steroid.

• Ngati zizindikiro zanu sizikuyenda bwino patatha pafupifupi sabata imodzi mutayamba kumwa mankhwala, uzani dokotala wanu.
• Ngati mukumwa mankhwala kwa nthawi yayitali, yang'anani kuthamanga kwa magazi anu, kuchuluka kwa shuga m'magazi, komanso kuchuluka kwa mafupa monga momwe dokotala wanu akulangizirani.

Ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala nthawi yomweyo.

Ndizachibadwa kuchita mantha mukaona mndandanda wa zotsatirapo zoyipa. Mungadzifunse kuti, "Kodi kumwa mankhwala omwe ali ndi mavuto ambiri n'koyenera?" Koma nthawi zambiri, yankho lake ndi lakuti, "Inde, ndikoyeneradi." Dokotala amakulemberani mankhwala awa chifukwa wazindikira kuti kuvulaza komwe kungachitike chifukwa cha zotsatirapo zake n'kochepa kwambiri kuposa kuvulaza komwe kungachitike chifukwa chosamwa mankhwalawo. Choncho musaope kufunsa dokotala wanu mafunso aliwonse omwe muli nawo, ngakhale atakhala ochepa bwanji. Iye adzakufotokozerani zabwino, zoopsa, ndi zina zonse zomwe muyenera kudziwa zokhudza mankhwalawo.