Imiphumela emibi ye-Prednisone ingalawulwa ngezingcosana zokuqapha
I-Prednisone yisidakamizwa esivame ukusetshenziswa ukuphatha izimo eziningi zokuvuvukala. Ngokuvamile kuvunyelwe ukuphatha izimbangela ezimbili ezinkulu zezifo zesifo sofuba (IBD) - isifo sikaCrohn nesifo sofuba esiswini. Isivimbela esiyinhloko sokusebenzisa i-prednisone yiluhlu lwaso olude lwemiphumela emibi, eminingi yalo ebonakalayo noma ephazamisayo ikakhulukazi.
Ezinye zalezi zidalwa ze-prednisone zihlanganisa: ukulele, ukuguquka kwemizwa , ukwanda kwezinwele, ukuvuvukala ebusweni noma "ukukhipha inyanga" , ukwanda kwesidlo, ukujula ebusuku , induna , ikhanda kanye nokuzuza kwesisindo .
Ezimweni ezimbi kakhulu, ukusebenzisa isikhathi eside kwe-prednisone kungaholela ekuthembekeni kwe-steroid, ukulahlekelwa kwethambo ukulahlekelwa , kanye neminye imiphumela emibi engapheli. Ngayo yonke le miphumela emibi, kungani iziguli ziyoke zithathe lesi sidakamizwa, futhi kungani odokotela bangayichaza?
I-Prednisone I-Steroid
I-Prednisone iyingxenye yeklasi yezidakamizwa eyaziwa ngokuthi i-corticosteroids, futhi ifana ne-cortisol, uhlobo lwe-steroid umzimba oveza ukwenziwa kwegland. Iyanciphisa ukuvuvukala emzimbeni, yingakho kuyasiza ekuphatheni i-IBD, isimo esibangela ukuvuvukala emgqeni wokugaya ukudla. Izindaba ezinhle ukuthi i-prednisone ivame ukusebenza ngokushesha ukuze kunciphise ukuvuvukala nezinye izimpawu ze-IBD kuhlanganise nokuhuda nokuphuma kwegazi.
Ukuyeka i-Prednisone
Ukunakekelwa kufanele kuthathwe uma kunciphisa umthamo we-prednisone-isiguli akufanele siyeke ukukususa ngokuzumayo. Umzimba uyeka noma unciphise ukukhiqizwa kwawo kwe-cortisol, futhi ukusika kancane kancane inani le-prednisone elithathwe nsuku zonke livumela umzimba ukuba uqale ukuwukhiqiza wona wedwa.
Ukuphawula umthamo we-prednisone ngokuvamile kusho ukwehlisa umthamo ngesilinganiso esithile njalo ezinsukwini ezimbalwa noma ngisho nesonto ngalinye. Ubude besikhathi sokuthinta buzoxhomeka esilingweni sokuqala, futhi isikhathi sesikhathi esidluliselwe ngaphambili. Ngesilinganiso esiphezulu esithathiwe isikhathi eside, kungathatha izinyanga ukuwela phansi, ngenkathi inkambo emifushane (njengamaviki ambalwa) ingafakwa phansi ngokushesha.
Ukuchaza i-Prednisone Ezinganeni
Izingane ezithatha i-prednisone ziyakhathazeka ngokukhethekile futhi zidinga ukucatshangelwa ngokucophelela. Izinga lokukhula kwengane lingase likhubazeke, ekugcineni libe nomphumela wokubambezeleka kokuthomba. Izingane ezithatha i-prednisone nganoma yisiphi isikhathi eside kufanele zihlolwe ngokuseduze nganoma yiziphi izimpawu zemiphumela emibi yesikhathi eside ezifana nokukhula okunamandla ukuze kuphendule ngokushesha.
Ukunciphisa imiphumela engezansi ye-Prednisone
I-Prednisone iye yafakazelwa ukuthi iyasebenza ekunciphiseni ukuvuvukala, kanti iziguli ezikhetha ukuzithatha kufanele ziqaphele izindlela ezimbalwa zokulwa nemiphumela emibi.
- Ukulahlekelwa kwe-Bone ukulahlekelwa. Ukwengeza ukudla okunempilo nge- calcium kuzosiza ukugcina amathambo enempilo nge-prednisone. Buza abahlinzeki bakho bezempilo mayelana nohlobo nenani le-calcium elidingekayo nsuku zonke ukulwa nokulahlekelwa kwethambo.
- Ukudla. Ukwehlisa usawoti kungavimbela imiphumela emibi ehambisana nokugcinwa kwamanzi. Ukubuka ukudla okunamafutha nekhalori kungasiza ukuvimbela inzuzo yesisindo ehambisana ne-steroids. Ukuba nokubonisana nomsoco kuyodingeka ekuhleleni ukudla okumele ukulandele ngenkathi uthatha i-prednisone.
- Isilinganiso. Ukukhuluma ne-gastroenterologist mayelana nesikhathi esihle kakhulu sosuku ukuthatha i-prednisone ukuphumelela okuphezulu nokunciphisa okuncane kungenza umehluko omkhulu. Ukuthatha zonke izilinganiso ze-prednisone ekuqaleni kosuku (kuphela ezelulekeni zodokotela!) Kunganciphisa imiphumela emibi njengobuthongo noma ukujula ebusuku futhi ukuyidla kungavimbela isisu sithukuthele.
- Ukusekela. Ukuvumela umndeni nabangane bazi ngemiphumela emibi ye-prednisone kungasiza ekubhekaneni nemiphumela emibi ngokomzwelo. Kungasiza abantu ukuba baqonde ukuthi yisidakamizwa esibangela ukuguquka kwemizwelo noma ukucasula nokuthi ukuthola lesi sifo kungaphansi kokulawula futhi ukuyeka lesi sidakamizwa kuzosiza ngalezi zinkinga.
- I-Tapering ngokushesha ngangokunokwenzeka. Ngokushesha, umthamo we-prednisone kufanele unciphise kancane kuze kuphele. Ukuqhubeka okuphuthumayo kuyadingeka futhi isikhathi eside isidakamizwa sithathwe, kancane kancane i-taper kumele ibe. Ukuze uthole izifundo ezimfushane zomuthi, i-taper phansi ivame ukwenza ngokushesha kakhulu. Kodwa-ke, umgomo kufanele ube ukuthola umthamo wehle kakhulu ngokwanele lapho imiphumela emibi ingaphansi khona, ngokushesha futhi ngokuphepha ngangokunokwenzeka.
Inothi Kusuka
Ezinye iziguli zizwa ukuthi imiphumela emibi ye-prednisone idlula kakhulu izinzuzo ezingatholakala. Kungase kumise ngokushesha ukuhlaselwa kwe-IBD emathweni ayo, kodwa ngentengo yokubukeka ngokomzimba okuguqukile, ukungazinzi kwengqondo, nezinye izingozi zempilo. Akuyona into elula, kodwa zonke iziguli ezine-IBD kufanele zenze isinqumo sokusebenzisa i-prednisone ngokusekelwe ezidingweni zakhe ngokubambisana ne- gastroenterologist .
> Imithombo:
> Mrakotsky C, Forbes PW, Bernstein JH, et al. "Imiphumela enembile yokuqonda nokuziphatha kwe-corticosteroids ehlelekile ezinganeni eziphathwe izifo zesifo sofuba." J Int Neuropsychol Soc. 2013 Jan; 19: 96-109.