Kulula ukuthola isisindo uma uthatha i-prednisone, kodwa kunzima ukukukhipha
I-Prednisone uhlobo lwe-corticosteroid oluvame ukubekwa odokotela ukuphatha izimo eziningi zokuvuvukala, kuhlanganise nesifo sofuba esiswini (IBD) . Kwezinye izimo, abantu bathola ukuthi ukuthatha i-prednisone kungaholela ekuzuzeni isisindo. Kulabo abanesisindo esiphansi ngenxa yempilo yabo kungaba usizo, kepha kwabanye, bangabonisa enye inkinga okufanele babhekane nayo.
Kungani i-Prednisone isetshenziswa ku-IBD
I-grenal adrenal ikhiqiza uhlobo lwemvelo lwe-steroid okuthiwa i-cortisol. I-Cortisol inendima ebalulekile emzimbeni futhi isebenza ukulawula umzimba, ukuzivikela komzimba, ukuvuvukala, nokuphendula kokucindezeleka nokulimala. I-Prednisone iyi-steroid yokwenziwa efana ne-cortisol ukuthi, uma inqunywe emazingeni aphezulu, isiza ukuphatha izimpawu zezifo ezinokuvutha njenge-IBD.
Ukuvuvukala okubangelwa yi-IBD kuholela ezilonda emgqeni wegciwane lokugaya futhi kungabangela ezinye izinkinga. I-Prednisone isetshenziswe iminyaka eminingi ukuphatha ukuvuvukala okubangelwa yi-IBD. Umgomo nge-prednisone ukuwusebenzisa isikhathi esifushane ngangokunokwenzeka bese uyiphonsa phansi bese uyiyeka lapho ukuvuvukala kwehla. Ijwayele ukusetshenziselwa ukwelashwa okungasebenza ngokushesha ngenkathi enye inhlelo, yokwelashwa yenkinga yesikhathi esiningi engaba yinkinga futhi eqhubekayo.
Imiphumela emibi ye-Prednisone
Nakuba i-prednisone ivame ukusiza ekutholeni ukuvuvukala ngokushesha, kungase kuvele nemiphumela emibi. Omunye umphumela ongase ube nomphumela wenyuka ukondla ukudla, okungahle kube ngesibindi kubangele ukuzuza okukhulu kwesisindo kwabanye abantu. Kunezizathu eziningana zokuthi ukuthatha i-prednisone ye-IBD kungaholela ekuzuzeni isisindo, kufaka phakathi:
- Ukugcinwa kwe-Fluid
- Ukwandisa ikhalori ukusetshenziswa
- Ukunciphisa umsebenzi wokuzivocavoca
Izindaba ezinhle ukuthi uma wazi izizathu zokuthi kungani ukutholakala kwesisindo se-prednisone kwenzeka, kungathathwa izinyathelo zokugwema ukuthola isisindo uma kunqunywe lesi sidakamizwa nokuqonda ukuthi ungayithatha kanjani isisindo uma kwenzeka.
Okwenza i-Prednisone Isisindo izuze
I-prednisone ibangela umzimba ukuba ugcine i-sodium (usawoti) futhi ulahlekelwe i-potassium. Le nhlanganisela ingabangela ukugcinwa oketshezi, ukuzuza kwesisindo, nokuvimbela . I-Prednisone ibangela ukwanda kwesidlo, okusho ukuthi ukudla okuningi nokuthatha amakholori amaningi nakho kuvamile. Kwezinye izimo, njenge-IBD, lokhu kungaba nenzuzo ngempela uma ukungabi nesifiso kuyinkinga.
Abantu abaningi bathatha i-prednisone ngenxa yokuvuvukala noma isimo esingapheli. Lezi zinkinga zempilo zingenza umsebenzi womzimba ube nzima kakhulu, wengeze umphumela jikelele wokuzuza isisindo. I-Prednisone nayo ingabangela ukubuyiswa kwamafutha, okwenza ngisho nesisindo esincane sitholakale singenakubekezeleleka. Isisindo esitholakalayo ngesikhathi sokwelashwa kwe-prednisone sisebusweni, emuva kwentamo, nesisu.
Kodwa Akusikho Ukuphela Kwesisindo Okubi Okubi
Enye yezibonakaliso ze-IBD ukulahlekelwa isisindo esingalindelekile. Kwezinye izimo, inani lokulahlekelwa kwesisindo lingabalulekile futhi lingabangela ukukhathazeka.
Ngaleso sizathu, ukubuyisela isisindo emuva komunye wemigomo yokwelashwa. I-Prednisone ingasiza ekuguquleni okunye kokulahlekelwa kwesisindo, okuyinto enhle, uma nje ingahambi kakhulu nakwezinye izindlela.
Ukuvimbela ukutholakala kwesisindo se-Prednisone
Indlela engcono yokubhekana nesisindo se-prednisone ukuzama ukukugwema kuqala. Izindlela ezingasetshenziswa ukugwema ukugcinwa komthamo zihlanganisa ukudla ukudla okuncishisiwe kwe-sodium nokwandisa i-potassium ngokusebenzisa ukudla okune-potassium (njengebhanana, i-cantaloupe, i-grapefruit, nobhontshisi bama-lima). Ukunciphisa i-sodium ibe ngaphansi kuka-2,000 mg ngosuku kunconywa, nokugwema ukudla okucutshungulwa kakhulu kungasiza ekuhlangabezaneni nalomgomo.
Ukuze ugweme ukuzuza isisindo naphezu kokwanda kwesifiso, zama ukunciphisa amakholori asetshenziswa nsuku zonke, ukunciphisa amafutha okudla, nokudla ukudla okuncane ezinsukwini ngosuku esikhundleni sama-3 amakhulu. Ukugxila ekuqedeni ukhalori olungenalutho olufana nama-carbohydrate elula kanye noshukela osesetshenzisiwe kubalulekile. Kunalokho, qiniseka ukuthi zonke ikhalori zibalwa futhi zivela ekudleni okunomsoco.
Uma kungenzeka, ukuvivinya umzimba kungasiza futhi ukuvimbela noma ukunciphisa inzuzo yesisindo kusuka ku-prednisone. Khuluma nodokotela mayelana nokuqala umgomo wokuzivocavoca awukwazi nje ukusiza ekulahlekelweni kwesisindo se-prednisone, kodwa futhi ungakhuthaza impilo yesikhathi eside. Ukudluliselwa kwiphilisi engokwenyama kuyasiza ngoba uma kunesifo esingapheli, uhlelo lokuvivinya umzimba lubalulekile.
Njengoba kunezici eziningi ezenza ukuba kube nokwenyuka kwesisindo, kungakhungathekisa ukubhekana nokuvimbela ukuzuza kwesisindo noma ukulahlekelwa isisindo lapho i-prednisone imisiwe. Akuwona wonke umuntu oyozuza isisindo esiningi ngesikhathi ethatha i-prednisone, kodwa abantu abaningi bayothola okuthile.
Indlela Yokulahlekelwa Ukuzuza
Izindaba ezinhle ukuthi umphumela ohlangothini wesisindo somzimba ujwayele ukuguqula lapho umthamo we-prednisone uthathwa ngezansi kwe-10 mg / ngosuku. Ukugcinwa kwamanzi kagesi nokukhula kwesidumbu kuyodlula futhi njengoba i-prednisone iguqulwa phansi futhi iphela. Noma yikuphi ukuzuza kwesisindo okwenzekile ngenkathi kuthatha i-prednisone, noma kunjalo, ngeke kuguquke ngokuzenzakalelayo ngokwayo. Ukunamathela ohlelweni lokudla okunempilo nokuthola ukuzivocavoca njalo kuzodingeka ukuba ususe amaphilisi. Kuyoba lula ukwenza lezi zombili lezi zinto lapho inkinga yezempilo eyabangela ukuba i-prednisone enqunyiwe ingabhekwa noma ilawulwa kahle.
Udokotela angancoma ukudla okungcono kakhulu nokuhlelwa kwempilo okusebenza ngendlela yakho yokuphila kanye nanoma yiziphi izimo zezokwelapha. Ngeshwa, ayikho indlela elula yokulahlekelwa isisindo, yingakho izinhlelo eziningi zokudla kanye namaphilisi athembisa ukulahleka kwesisindo esisheshayo.
Indlela engcono yokulahlekelwa isisindo, noma kunjalo, isaphila ngendlela yokuphila enempilo: ukunciphisa ikhalori ukusetshenziswa nokuzivocavoca njalo. Ukulahlekelwa kwesisindo kufanele kube buthakathaka futhi kuzinzile ukuze unikeze ithuba elihle lokulahlekelwa amakhilogremu unomphela. Ukugcina iphepha lokudla nokuzivocavoca kungasiza ekulahlekelweni isisindo nasekugcineni ukugqugquzela.
Izwi elivela
Ukuthola nokulahlekelwa isisindo kubonakala kuba into eyenzeka kwabanye abantu abane-IBD. Kungaba umzabalazo ukuhlala ngesisindo esifanele lapho isisindo siphumela ngenxa ye-flare-up, noma ukubuyiselwa ngenxa yokwelapha nge-prednisone noma eminye imithi. Okubalulekile njalo ku-IBD ukugcina okunempilo okunempilo ngangokunokwenzeka futhi uthole izakhi ezanele ukondla umzimba.
Ukuthola isisindo esincane akuyona into embi ngaso sonke isikhathi; kwezinye izimo kungase kube nempilo ngoba kunezinye izinto ezikhathazeka ngezempilo ngokungabi namafutha omzimba okwanele. Ukugcina ibhalansi yilokho okubalulekile futhi ukusebenza ne-gastroenterologist kanye nesondlo sokudla kungasiza ekwenzeni isisindo ezingeni eliphilile.
Imithombo:
> I-Johns Hopkins Vasculitis Center. "Ukwelapha-i-Prednisone." Johns Hopkins Vasculitis Center, Division of Rheumatology 2015.
> Lupus Foundation of America. "Ukwelashwa kweLupus." Lupus Foundation of America, Inc. 25 Jul 2013.
> Isikhungo Sezokwelapha se-UCSF. "I-ILD Manual Manufacturing: Prednisone and Weight Gain." UCSFHealth.org. 2017.