Kodi muli ndi ululu wosatha paphewa lanu, bondo lanu, kapena kumbuyo kwanu? Nthawi zina ululuwu umatsagana ndi kutupa. Zimakhumudwitsa kwambiri ululuwo ukapanda kutha ngakhale mutamwa mankhwala ndikuchita zinthu zosiyanasiyana? Mukapita kwa dokotala yemwe ali ndi vuto ngati ili, ngati akunena kuti, "Tiyeni tikupatseni jakisoni," mwina akunena za jakisoni wa cortisone kapena steroid womwe tikukamba. Chifukwa chake, musanachite mantha, tiyeni tikambirane chilichonse mosavuta komanso momveka bwino.
Kodi jakisoni wa cortisone kapena steroid uyu ndi chiyani?
Mwachidule, iyi ndi jakisoni wa mankhwala womwe umaperekedwa kuti uchepetse ululu ndi kutupa m'thupi lanu. Anthu ena amatcha 'jakisoni wa cortisone', ena amatcha 'jakisoni wa steroid'. Mulimonsemo, ndi mankhwala omwewo. Chomwe chimachitika ndichakuti mtundu wa mankhwala otchedwa corticosteroid umalowetsedwa m'dera la thupi lanu komwe mukumva kupweteka.
Tangoganizirani, pali mahomoni omwe amapangidwa mwachibadwa ndi ma adrenal glands athu, otchedwa cortisol. Mankhwala opangidwa awa, otchedwa corticosteroid, ndi ofanana kwambiri ndi mahomoni a cortisol awa. Ntchito yayikulu ya mankhwalawa ndikulamulira kwakanthawi njira ya chitetezo chamthupi yomwe imayambitsa kutupa m'dera linalake la thupi. Ndiko kuti, "kutontholetsa" gawo limenelo.
Madokotala nthawi zambiri amagwiritsa ntchito jakisoni wa steroid uyu kuti achepetse kutupa ndi kupweteka m'malo olumikizirana mafupa. Mwachitsanzo:
- Mapewa
- Msana
- Manja
- Mafupa a m'chiuno
- Mawondo
- Zidendene
Jakisoni uyu ndi wothandiza osati pa mafupa okha, komanso nthawi zina pa kutupa kwa tendon ndi bursae, matumba odzaza madzi ozungulira mafupa.
Kodi ndi matenda ati omwe amachiritsidwa ndi jakisoni uyu?
Dokotala angalimbikitse chithandizo ichi pa vuto lililonse lomwe limayambitsa ululu ndi kutupa. Tiyeni tiwone zina mwa milandu yofala kwambiri.
| Matenda | Kufotokozera kosavuta |
|---|---|
| Matenda a autoimmune | Matenda omwe chitetezo cha mthupi chimaukira maselo ake (monga nyamakazi). |
| Matenda a nyamakazi | Matenda a nyamakazi, zomwe zikutanthauza kutupa ndi kupweteka m'malo olumikizirana mafupa. |
| Matenda a Tendinitis / Tendinopathy | Kutupa ndi kupweteka kwa minofu yomwe imalumikiza mafupa ndi minofu. |
| Bursitis | Kutupa kwa matumba ofanana ndi khushoni otchedwa bursae pafupi ndi malo olumikizirana mafupa. |
| Matenda a Carpal tunnel | Kusanza ndi kupweteka m'dzanja chifukwa cha kupsinjika kwa mitsempha yomwe imadutsa m'dzanja. |
| Chigongono cha tenisi | Kupweteka m'dera la tendon kunja kwa chigongono. |
| Chala choyambitsa | Matenda opweteka omwe chala chimakakamira chikapindika ndikutambasuka ndi phokoso lomveka. |
Kodi chimachitika ndi chiyani jakisoni akaperekedwa?
Izi nthawi zambiri zimakhala zosavuta zomwe zingachitike ku ofesi ya dokotala (kuchezera ofesi). Nthawi zina amakupemphani kuti mukonze nthawi yokumana ndi dokotala tsiku lina.
Dokotala amaika singano pamalo pomwe pali ululu ndi kutupa ndipo amaika mankhwalawo. Nthawi zina, makamaka ngati jakisoniyo ali mkati mwa malo olumikizirana mafupa, amagwiritsanso ntchito makina owunikira kuti atsimikizire kuti singanoyo ili pamalo oyenera.
Kodi izi zimapweteka?
Vutoli ndi la anthu ambiri. Ndipotu, mungamve kupweteka pang'ono singano ikalowetsedwa pakhungu lanu. Koma sizimavuta. Nthawi zambiri, dokotala wanu amaika mankhwala oletsa ululu m'derali asanakupatseni jakisoni. Choncho simudzamva kupweteka kwambiri.
Ngati muli ndi mantha kapena nkhawa zokhudzana ndi jakisoni, musazengereze kuuza dokotala wanu. Iye angakuthandizeni kukhala chete komanso kuthana ndi vutoli mosavuta.
Kodi jakisoni uyu amagwira ntchito yanji kwenikweni? Kodi umakhudza thupi lonse?
Funso ili ndi lofunika kwambiri. Popeza jakisoni amaperekedwa pomwe pali ululu ndi kutupa, mankhwalawa amagwira ntchito kwambiri pamalo amenewo okha.
Kutupa nthawi zambiri kumachitika pamene chitetezo chathu cha mthupi chimatumiza maselo kuti amenyane ndi matenda kapena kuvulala. Chomwe jakisoniyu amachita ndi "kuchepetsa" momwe chitetezo cha mthupi chimayankhira pochepetsa malo amenewo. Izi zimachepetsa ululu ndi kutupa.
Mankhwala ochepa kwambiri amatha kulowa m'magazi ndikuyenda m'thupi lonse. Koma kuchuluka kwake ndi kochepa kwambiri kotero kuti nthawi zambiri simuzindikira ngakhale momwe amakhudzira thupi lanu lonse.
Kodi ubwino ndi zotsatirapo zake za jakisoni wa steroid ndi ziti?
Monga chithandizo chilichonse, pali zabwino ndi zotsatirapo zake. Phindu lalikulu ndilakuti mudzalandira mpumulo mwachangu ku ululu ndi kutupa, zomwe zingakuthandizeni kuyambiranso ntchito zanu zachizolowezi.
Tsopano tiyeni tiwone zotsatirapo zake. Kumbukirani kuti izi sizichitika kwa aliyense.
| Zotsatirapo Zake | |
|---|---|
| Zotsatira Zofala | |
| Ululu | Kumva kupweteka pang'ono kwa tsiku limodzi kapena awiri pamene anabayidwa jakisoni. |
| Kutupa kwakanthawi | Pambuyo pa jakisoni, malowo adzatupa pang'ono kwakanthawi. |
| Mikwingwirima | Pakhoza kukhala mabala ena kuzungulira malo oikira singano. |
| Mulingo wa shuga m'magazi | Anthu omwe ali ndi matenda a shuga amatha kukwera kwakanthawi kwa shuga m'magazi kwa masiku 5. Chifukwa chake, ndikofunikira kuyang'ana shuga m'magazi pafupipafupi masiku awa. |
| Kusintha kwa mtundu wa khungu | Kawirikawiri, khungu limaoneka loyera kapena losasintha mtundu pamalo omwe anabayira jakisoni. |
| Zinthu Zosowa Koma Zoyenera Kusamala (Zotsatira Zosowa) | |
| Matenda | Matenda pamalo omwe jakisoni amachitikira. |
| Kuthamanga kwa magazi (BP) | Kuwonjezeka kwa kuthamanga kwa magazi kwakanthawi. |
| Kusunga madzi m'thupi | Kutupa kwambiri chifukwa cha kusunga madzi m'thupi. |
| Kuchepa kwa mafupa | Anthu omwe amalandira jakisoni wa steroid pafupipafupi komanso kwa nthawi yayitali akhoza kukhala pachiwopsezo chotenga matenda a osteoporosis. |
Kodi pali nthawi zina zomwe simuyenera kulandira jakisoni wa steroid?
Inde, pali milandu ina.
Chofunika kwambiri ndichakuti musalandire jakisoni ngati muli ndi kachilombo m'thupi lanu. Izi zili choncho chifukwa ma steroid amaletsa chitetezo chamthupi kwakanthawi, zomwe zimapangitsa kuti chisathe kulimbana ndi kachilomboka.
Komanso, ngati mukumwa mankhwala ochepetsa magazi (anticoagulants) kapena muli ndi vuto la magazi monga hemophilia, muyenera kuuza dokotala wanu za vutoli.
Mafunso ena omwe nthawi zambiri mumaganizira
Kodi zimatenga nthawi yayitali bwanji kuti munthu amve bwino pambuyo pa jakisoni?
Izi zimasiyana malinga ndi munthu. Nthawi zina zimatenga sabata imodzi kuti mumve mpumulo. Choncho musadandaule ngati ululu sutha mutalandira jakisoni. Koma ngati palibe mpumulo patatha masiku 10, lankhulani ndi dokotala wanu kachiwiri.
Kodi ndingapeze jakisoni kangati?
Jakisoni imodzi yokha ingakhale yokwanira kuvulala kwakanthawi, koma ngati muli ndi vuto losatha, mungafunike jakisoni ina mtsogolo.
Madokotala nthawi zambiri amalola miyezi itatu pakati pa jakisoni m'dera lomwelo. Komanso, musapitirire jakisoni 3-4 m'malo omwewo pachaka. Dokotala wanu ndiye munthu woyenera kusankha izi.
Kodi zotsatira za jakisoni uyu zimatenga nthawi yayitali bwanji?
Izi zimasiyananso malinga ndi munthu. Nthawi zambiri, mpumulo ungatenge milungu ingapo mpaka miyezi ingapo . Ngati kutupa kwachitika chifukwa cha kuvulala, mpumulowu udzakhala wokwanira mpaka thupi litachira. Ngati ndi matenda osatha, zizindikiro zimatha kubwereranso pakapita nthawi.
Ndiyenera kukaonananso ndi dokotala liti?
- Ngati ululu ndi kutupa sizinathe patatha masiku 10 mutalandira jakisoni.
- Ngati zizindikiro zibwereranso patatha miyezi ingapo.
Komanso, ngati mukukumana ndi zizindikiro zotsatirazi mutalandira jakisoni, pitani kwa dokotala nthawi yomweyo.
- Ngati pali ululu waukulu .
- Ngati mukumva malungo .
- Ngati kutupa pamalo omwe jakisoniyo kukuchulukirachulukira.
Kusokonezeka pang'ono: Kodi iyi ndi mtundu womwewo wa 'steroid' yolimbitsa thupi?
Izi ndizofunikira kwambiri ndipo ziyenera kufotokozedwa bwino. Ayi. Iyi si mtundu wa steroid.
Mtundu wa steroid womwe madokotala amapereka chifukwa cha ululu ndi kutupa umatchedwa corticosteroids . Cholinga chake ndi kuchepetsa kutupa m'thupi. Ndi otetezeka kwambiri akagwiritsidwa ntchito motsatira upangiri wa dokotala.
Mtundu wa steroid womwe othamanga kapena omanga thupi nthawi zina amagwiritsa ntchito mosaloledwa umatchedwa anabolic steroids . Izi ndi mtundu wopangidwa wa testosterone ya mahomoni achimuna. Cholinga chawo ndikumanga minofu. Kugwiritsa ntchito popanda chilolezo cha dokotala kungayambitse zotsatirapo zoyipa kwambiri, ngakhale zoopsa.
Choncho musasokoneze awiriwa. Jakisoni wa steroid womwe dokotala wanu akukupatsani ndi wosiyana kwambiri komanso wotetezeka.
Uthenga Wopita Nawo Kunyumba
- Jakisoni wa steroid (jakisoni wa cortisone) ndi mankhwala othandiza kwambiri pochepetsa ululu ndi kutupa m'dera linalake la thupi.
- Izi nthawi zambiri zimakhala zotetezeka. Zotsatirapo zake nthawi zambiri zimakhala zazing'ono komanso zosakhalitsa.
- Ngati muli ndi matenda a shuga, matenda otuluka magazi, kapena mukumwa mankhwala ochepetsa magazi, onetsetsani kuti mwadziwitsa dokotala wanu.
- Mpumulo wochokera ku jakisoni ukhoza kukhalapo kuyambira milungu ingapo mpaka miyezi ingapo.
- Izi si ma anabolic steroids oopsa omwe amagwiritsidwa ntchito pomanga thupi.
- Tsatirani malangizo a dokotala nthawi zonse. Ngati muli ndi vuto lililonse, funsani dokotala wanu nthawi yomweyo.
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