Ngaba uzive usoyika okanye unexhala xa ugqirha wakho ekunike i-steroid? Xa abanye abantu besiva eli gama, bacinga ngento eyingozi emzimbeni esetyenziswa ngabadlali ukwakha imizimba yabo. Kodwa eneneni, ezi steroid esizisebenzisayo kwezonyango zahlukile ngokupheleleyo, kwaye ngamanye amaxesha zingamayeza axabisekileyo anokusindisa ubomi. Ngoko ke kubaluleke kakhulu ukususa iingcamango eziphosakeleyo malunga noku kwaye wazi inyaniso echanekileyo. Namhlanje, siza kuthetha ngale nto ngokulula nangendlela onokuyiqonda.
Zithini kanye kanye ii-steroids?
Ngamafutshane, la ngamayeza okwenziwa afana nehomoni i- cortisol, eveliswa ngokwendalo ziindlala zethu ze-adrenal. Umsebenzi ophambili we-cortisol emizimbeni yethu kukusinceda sijongane noxinzelelo kunye nokulawula ukudumba emzimbeni.
Ngoko ke oogqirha basebenzisa ezi steroid zokwenziwa, ezibizwa ngokuba yi-corticosteroids okanye i-glucocorticoids, ukunciphisa ukudumba kwiindawo ezahlukeneyo zomzimba. Zifana nokukhuthaza inkqubo yomzimba yethu yokuzikhusela, enceda ekulweni nezifo. Ugqirha wakho unokulungisa umthamo wala mayeza ukuze ahambelane neemfuno zakho aze akuphathe kanye ngendlela owufuna ngayo.
Zeziphi izifo ezisetyenziselwa zona?
IiSteroids ziziyobisi eziluncedo kakhulu ezisetyenziselwa izifo ezininzi. Ngokukodwa, azinamsebenzi kwizifo ezihlasela amasosha omzimba, ezibangelwa kukusebenza kakhulu kwenkqubo yomzimba yokuzikhusela. Khawucinge nje, umkhosi omele ukhusele imizimba yethu (inkqubo yomzimba yokuzikhusela), ngempazamo uqala ukuhlasela iiseli zawo. Ngamaxesha anjalo, iiSteroids zinceda ukulawula nokuzolisa loo msebenzi ugqithisileyo.
Jonga itheyibhile engezantsi ukuze ubone ezinye zeendlela ezisetyenziswa kakhulu zezi ziyobisi.
| Isifo/Ukwenzakala | Ingcaciso elula |
|---|---|
| I-Lupus | Isifo apho inkqubo yomzimba yokuzikhusela ihlasela amalungu ahlukeneyo emzimbeni (ulusu, amalungu, izintso). |
| I-Inflammatory Arthritis - umz. I-Rheumatoid Arthritis | Imeko apho amalungu avuvukala, aqine, aze abe buhlungu. |
| Isifuba | Ubunzima bokuphefumla ngenxa yokudumba kweendlela zomoya . |
| Izifo zesikhumba (ezifana ne-eczema) | Iimeko ezinje ngokuba bomvu kwesikhumba, ukurhawuzelela, ukoma, kunye nokudumba. |
| Iimpendulo ze-Allergic | Ukulawula iimeko ezinzima ezifana nokudumba nokurhawuzelela okubangelwa kukusabela komzimba kakhulu kwinto ethile. |
| Ukwenzakala - umz. I-Tendinitis, i-Bursitis | Ukudumba kunye nentlungu kumalungu nakwimisipha. |
'IiSteroids', 'ii-corticosteroids', 'ii-glucocorticoids' - ingaba udidekile ngala magama?
Kuqhelekile ukuba udideke kancinci xa usiva onke la magama mathathu. Kodwa khumbula nje, xa oogqirha kunye nezigulane bethetha, onke la magama mathathu adla ngokusetyenziswa ukubhekisa kudidi olufanayo lwamayeza. `(Corticosteroids)` lolona hlobo luphambili, kwaye `(Glucocorticoids)` lolunye uhlobo oluthile. Nangona kunjalo, akufuneki udideke ngala magama xa unyangwa, ugqirha wakho uya kukunika amayeza achanekileyo owadingayo.
Okubaluleke kakhulu: Ezi steroid zonyango akufuneki zidideke nee-anabolic steroids ezingekho mthethweni ezisetyenziswa ngabadlali ukwakha izihlunu kunye nokufumana inzuzo yokukhuphisana. Zahlukile ngokupheleleyo, kwaye zinxulumene ne-hormone testosterone. Akukho nxibelelwano phakathi kwezi zimbini.
Ezinye zezona ntlobo zixhaphakileyo ze-steroids
Kusenokwenzeka ukuba ukhe wabona elinye lala magama kugqirha wakho.
- I-Prednisone
- I-Cortisone
- I-Hydrocortisone
- I-Methylprednisolone
Eli yeza lisebenza njani emzimbeni?
Ii-steroids ziziyobisi ezinamandla kakhulu, ezisebenza ngokukhawuleza. Zenza imisebenzi emithathu ephambili.
1. Ukunciphisa ukudumba: Xa kukho ukwenzakala okanye usulelo kwindawo ethile emzimbeni, inkqubo yethu yokuzikhusela ithumela iiseli ukulwa nalo. Oku kuphumela ekubeni bomvu, ukudumba, ubushushu, kunye nentlungu. Oku sikubiza ngokuba kukudumba. Kwezinye izifo, oku kudumba kuyaphela kwaye kuqale ukonakalisa umzimba ngokwawo. Ii-steroids zisebenza ngokunciphisa ukuveliswa kweekhemikhali ezibangela ukudumba kunye nokulawula le meko.
2. Ukunciphisa iintlungu: Njengoko ukudumba kuncipha, iintlungu ezinxulumene nako ziyancipha kakhulu.
3. Ukucinezela inkqubo yomzimba yokuzikhusela: Njengoko bekutshiwo ngaphambili, kwizifo zokuzikhusela komzimba apho inkqubo yomzimba yokuzikhusela isebenza kakhulu ize ihlasele umzimba wayo, ii-steroids zinceda ukulawula ukusebenza kwaloo nkqubo ukuya kuthi ga kwinqanaba elithile, zinciphisa umonakalo obangelwe yiyo.
Ziziphi iindlela zokusebenzisa i-steroids?
Indlela onikwa ngayo ii-steroids ixhomekeke kwimeko yakho. Kukho iindlela ezimbini eziphambili.
| Indlela yokuhambisa | Imizekelo | Inkcazo |
|---|---|---|
| Indawo - kuphela kwindawo ethile | ||
| Inaliti yamalungu | Ukujova iyeza ngqo kwilungu elibuhlungu, njengedolo okanye igxalaba. | Ngenxa yokuba iyeza liya ngqo kwindawo enengxaki, akukho mpembelelo ingako emzimbeni wonke. Iziphumo ebezingalindelekanga zincinci. |
| Amathontsi eliso/endlebeni | Xa kukho izifo zamehlo okanye iindlebe kunye nokudumba. | Isiphumo sikhawulelwe kwindawo efanelekileyo kuphela. |
| Iikhrimu ze-topical | Kwizifo zesikhumba ezifana ne-eczema. | Iziphumo ebezingalindelekanga zimbalwa kakhulu. |
| I-systemic - ichaphazela umzimba wonke | ||
| Amayeza omlomo | Ukuthatha njengeepilisi okanye isiraphu. | Eli yeza lingena egazini lize lisebenze emzimbeni wonke. Kukho amathuba aphezulu okuba neziphumo ebezingalindelekanga. |
| Iinaliti ezifakwa emthanjeni (IV) | Ukuyifaka ngqo egazini ngomthambo. | Isetyenziswa kwiimeko ezingxamisekileyo apho kufuneka iziphumo ezikhawulezayo. |
| Inaliti kwisihlunu (Imisipha - IM) | Ukugqobhoza izihlunu eziqinileyo, njenge-hip. | Iyeza lingena kancinci kancinci emzimbeni. |
Ziziphi iingenelo eziphambili ze-steroids?
Nangona kukho uloyiko malunga nemiphumo emibi, iingenelo ze-steroids azibalulekanga kangako.
- Iziphumo ezikhawulezayo: Enye yezona nzuzo zinkulu zezi kukuba zibonelela ngeziphumo ezikhawulezileyo . Zinokulawula iimpawu ezifana nentlungu eqatha kunye nokudumba ngexesha elifutshane kakhulu.
- Ukunceda ixesha elide: Umzekelo, ukujova nge-cortisone kwilungu kunokubonelela ngokunceda ukunciphisa iintlungu kangangeenyanga, ngamanye amaxesha ngokusisigxina.
- Ukusindisa ubomi: Kwezinye iimeko, ezi zisindisa ubomi. Umzekelo, ukuba umntu unesifo esifana ne-lupus esibangela umonakalo kwizintso, unokumnika ezi steroid ukuze ayeke umonakalo. Oku kunokubathintela ekubeni badinge i-dialysis okanye ukufakelwa izintso.
Masithethe ngeziphumo ebezingalindelekanga ezoyikwa ngumntu wonke
Kulungile, masithethe ngesizathu sokuba abantu abaninzi bayoyika la mayeza, nto leyo ethetha ukuba iziphumo ebezingalindelekanga ziyasebenza. Ekubeni ii-steroids ziziyobisi ezinamandla, iziphumo ebezingalindelekanga zinokwenzeka. Kodwa khumbula, ezi ziphumo bezingalindelekanga azibonakali kuye wonke umntu . Kwaye zihlala zibonakala xa uzithatha ngendlela yeepilisi ixesha elide, kwiidosi eziphezulu . Amathuba okuba ezi zinto zenzeke mancinci kakhulu kumntu osebenzisa ikhrimu okanye inaliti enye.
Nazi ezinye zezona ziphumo bezingalindelekanga zixhaphakileyo:
- Ukwanda komnqweno wokutya kunye nokutyeba: Abantu abaninzi badla indlala engakumbi xa besebenzisa ii-steroids. Ngoko ke, ukuba utya ngokungalawulekiyo, unokwanda kobunzima.
- Ukugcinwa kwamanzi emzimbeni: Oku kunokubangela ubuso benyanga nokudumba.
- Utshintsho lolusu: Ulusu olunciphileyo, ukudumba okulula, ukwanda kwamaqhakuva.
- Ukutshintshatshintsha kweemvakalelo: Usenokuziva unomsindo, ungaphumli, uxhalabile, kwaye ungakwazi ukulala.
- Ukungakhululeki esiswini: Iimeko ezinje ngokudumba kwesisu kunye ne-gastritis.
- Ukukhula kweenwele emzimbeni okwandileyo.
Zithini iingozi zexesha elide?
Umntu osebenzisa ii-steroids ixesha elide (iinyanga, iminyaka) usengozini enkulu yokuba nezifo ezithile ezinzulu. Ugqirha wakho uyazazi ezi ngozi, ngoko ke uza kukujonga rhoqo aze athathe amanyathelo okhuseleko afunekayo.
- Isifo seswekile: Ii-steroids zinokunyusa amanqanaba eswekile egazini. Ukuba sele unesifo seswekile, kufuneka ujonge amanqanaba eswekile egazini lakho rhoqo.
- Igazi elonyukayo.
- I-Osteoporosis: Amathambo ayabhitya kwaye aqhekeke lula.
- Ukuchaphazeleka kusulelo: Njengoko inkqubo yomzimba yokuzikhusela ibuthathaka, umngcipheko wokufumana izifo uyanda.
- I-Cushing's syndrome: Imeko ebangelwa ngamanqanaba aphezulu e-cortisol emzimbeni.
Kubaluleke kakhulu: Musa ukuyeka ii-steroids ngequbuliso!
Le yeyona nto ibalulekileyo ekufuneka uyikhumbule. Ukuba ubusebenzisa iipilisi ze-steroid kangangeeveki ezingaphezu kwezimbini, ungaze uyeke ukuzithatha ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
Khawuthelekelele, xa siqhubeka nokuthatha ii-steroids ngaphandle, ifektri yendalo yomzimba wethu eyenza i-cortisol (ii-adrenal glands) iba "yonqena". Icinga, "Ivela ngaphandle, kutheni ndifanele ndisebenze nzima?" ize inciphise umsebenzi wayo. Ukuba ngequbuliso uyeka ukuthatha amayeza ngaphandle, loo fektri ingasebenziyo ayinakuqala ukusebenza ngoko nangoko. Ngenxa yoko, umzimba ulahlekelwa yi-cortisol oyifunayo, nto leyo ebangela ukungonwabi okukhulu, uxinzelelo lwegazi oluphantsi, kwaneengxaki ezisongela ubomi.
Ngoko ke into eyenziwa ngugqirha kukunciphisa umthamo kancinci kancinci kwiinyanga ezininzi, anike umzimba ixesha lokuqalisa ukusebenza kwakhona, aze emva koko ayeke kancinci kancinci amayeza.
Ndifanele ndibonane nogqirha nini?
Kubalulekile ukuba unike ingqalelo emzimbeni wakho ngelixa usebenzisa ii-steroids.
- Ukuba iimpawu zakho aziphucuki emva kweveki yokuqala iyeza, xelela ugqirha wakho.
- Ukuba usela amayeza ixesha elide, jonga uxinzelelo lwakho lwegazi, amanqanaba eswekile, kunye nobunzima bamathambo njengoko ugqirha wakho ecebisa.
Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngokukhawuleza.
- Ifiva
- Isicaphucaphu okanye ukuhlanza
- Ubunzima bokugxila, ubunzima bokucinga ngokucacileyo
- Isiyezi esiqatha
Kuqhelekile ukuba uzive usoyika xa ubona uluhlu lweziphumo ebezingalindelekanga. Usenokuzibuza, "Ngaba kufanelekile ukusela amayeza aneengxaki ezininzi kangaka?" Kodwa uninzi lwexesha, impendulo ithi, "Ewe, ngokuqinisekileyo kufanelekile." Ugqirha ukubhalela la mayeza kuba efumanise ukuba ingozi enokubakho ngenxa yeziphumo ebezingalindelekanga incinci kakhulu kunomonakalo onokubakho ngenxa yokungawasebenzisi amayeza. Ngoko ke ungoyiki ukubuza ugqirha wakho nayiphi na imibuzo onayo, nokuba incinci kangakanani na. Uza kuchaza izibonelelo, iingozi, nayo yonke enye into ekufuneka uyazi malunga namayeza.
Umyalezo Wokuya Ekhaya
- Ii-corticosteroids ludidi olubalulekileyo lwamayeza asetyenziswa kunyango ukulawula ukudumba emzimbeni. Zahluke ngokupheleleyo kwii-anabolic steroids ezisetyenziswa ngabadlali.
- La mayeza anika iziphumo ezikhawulezayo nezisebenzayo kwiimeko ezininzi zonyango, kwaye ngamanye amaxesha ayasindisa ubomi.
- Iziphumo ebezingalindelekanga zinokwenzeka, kodwa zihlala zisenzeka xa ipilisi isetyenziswa ixesha elide, ngeedosi eziphezulu. Ugqirha wakho uya kuhlala ehlola izinto ezilungileyo nezingalunganga ngaphambi kokuba anike unyango.
- Ungaze uyeke ukuthatha ii-steroids ngequbuliso ngaphandle kwengcebiso kagqirha. Kunokuba yingozi. Umthamo kufuneka uncitshiswe kancinci kancinci phantsi kwesikhokelo sikagqirha.
- Ungaze woyike ukuthetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na ingxaki okanye imibuzo onokuba nayo.
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