Zotsatira zoyipa zisanu ndi zitatu za corticosteroids

Zamkati
- 1. Kunenepa
- 2. Kusintha pakhungu
- 3. Matenda a shuga ndi kuthamanga kwa magazi
- 4. Fupa lofooka
- 5. Kusintha m'mimba ndi m'matumbo
- 6. Matenda ochuluka kwambiri
- 7. Mavuto a masomphenya
- 8. Kukwiya ndi kusowa tulo
- Zotsatira za corticosteroids ali ndi pakati
- Zotsatira za corticosteroids kwa makanda ndi ana
Zotsatira zoyipa zomwe zimachitika mukamalandira chithandizo cha corticosteroids zimachitika pafupipafupi ndipo zimatha kukhala zofewa komanso zosinthika, zimazimiririka pomwe mankhwala ayimitsidwa, kapena osasinthika, ndipo zotsatirazi zikhala zofanana ndi kutalika kwa chithandizo komanso pafupipafupi.
Zina mwazovuta zomwe zimachitika mukalandira chithandizo ndi:
1. Kunenepa
Mukamalandira chithandizo cha corticosteroids, anthu ena amatha kunenepa, chifukwa mankhwalawa amatha kuperekanso mafuta m'thupi, monga zimakhalira ndi Cushing's Syndrome, komanso kutayika kwa minofu ya adipose m'manja ndi m'miyendo. Kuphatikiza apo, pakhoza kukhala kuwonjezeka kwa njala komanso kusungira kwamadzimadzi, komwe kumathandizanso kuti muchepetse. Onani momwe mungachiritsire Cushing's Syndrome.
2. Kusintha pakhungu
Kugwiritsa ntchito corticosteroids mopitirira muyeso kumalepheretsa ma fibroblast ndikuchepetsa mapangidwe a collagen, omwe angapangitse kuti mapangidwe ofiira pakhungu, odziwika kwambiri komanso otakata pamimba, ntchafu, mabere ndi mikono. Kuphatikiza apo, khungu limakhala locheperako komanso lofooka, ndipo telangiectasias, mikwingwirima, mabala otambasula komanso machiritso oyipa amabala amathanso kuwoneka.
3. Matenda a shuga ndi kuthamanga kwa magazi
Kugwiritsa ntchito corticosteroids kumawonjezera mwayi wa matenda ashuga mwa anthu omwe sachedwa chochitika ichi, chifukwa kumabweretsa kuchepa kwa kuchuluka kwa shuga. Matenda ashuga nthawi zambiri amasowa mukasiya kugwiritsa ntchito mankhwalawa ndipo amangotsala pomwe anthu ali ndi vuto lobadwa nalo.
Kuphatikiza apo, pakhoza kukhala kuwonjezeka kwa kuthamanga kwa magazi chifukwa ndizofala kuti sodium isungidwe mthupi komanso kuonjezera cholesterol yonse.
4. Fupa lofooka
Kugwiritsa ntchito corticosteroids kwa nthawi yayitali kumatha kuyambitsa kuchepa kwa kuchuluka kwa magwiridwe antchito a osteoblast ndikuwonjezera kwa mafupa, kumachepetsa kuyamwa kwa calcium ndikuwonjezera kutuluka kwamkodzo, kupangitsa mafupa kufooka komanso kutengeka ndi matenda a kufooka kwa mafupa komanso ma fracture obwerezabwereza.
5. Kusintha m'mimba ndi m'matumbo
Kugwiritsa ntchito corticosteroids kumatha kubweretsa kuwonekera kwa zizindikilo monga kutentha pa chifuwa, Reflux ndi kupweteka m'mimba ndipo kumatha kuoneka mukamagwiritsa ntchito mankhwalawa kwa masiku angapo kapena munthawi yomweyo ndi mankhwala oletsa kutupa, monga Ibuprofen, mwachitsanzo. Kuphatikiza apo, zilonda zam'mimba zimatha kuyamba.
6. Matenda ochuluka kwambiri
Anthu omwe amatenga osachepera 20mg / tsiku la prednisone ali pachiwopsezo chachikulu chotenga matenda, chifukwa chithandizo cha mankhwalawa chimafooketsa chitetezo cha mthupi, kupangitsa kuti thupi litengeke mosavuta ndi tizilombo tating'onoting'ono komanso matenda opatsirana omwe amabwera chifukwa cha bowa, mabakiteriya, mavairasi ndi tiziromboti , zomwe zingayambitse matenda ofala kwambiri.
7. Mavuto a masomphenya
Kugwiritsa ntchito corticosteroids kumatha kubweretsa kusintha m'maso, monga kukula kwa ng'ala ndi khungu, kukulitsa kuvutika kuwona, makamaka okalamba. Chifukwa chake, aliyense amene ali ndi glaucoma kapena yemwe ali ndi mbiri ya glaucoma ayenera kuyezetsa magazi nthawi zonse akamamwa corticosteroids.
8. Kukwiya ndi kusowa tulo
Nthawi zakusangalala, kukwiya, mantha, kufunitsitsa kulira, kugona movutikira ndipo, nthawi zina, kukhumudwa kumatha kuchitika, kuphatikiza pokumbukira komanso kuchepa kwa chidwi.
Zotsatira za corticosteroids ali ndi pakati
Corticosteroids sayenera kugwiritsidwa ntchito ndi amayi apakati, pokhapokha dokotala atalimbikitsa, atawunika ubale womwe ulipo pakati pa zoopsa ndi phindu la mankhwalawo.
M'miyezi itatu yoyambirira ya mimba, mwana amatha kusintha pakamwa pa mwana, monga kukamwa kwam'mimba, kubadwa msanga, kapena mwana amabadwa wopanda thupi.
Zotsatira za corticosteroids kwa makanda ndi ana
Kugwiritsiridwa ntchito kwa corticosteroids ndi makanda ndi ana kumatha kubweretsa kuchepa kwachuma, chifukwa chakuchepa kwa kuyamwa kwa calcium ndi matumbo komanso anti-anabolic komanso mphamvu zama protein pamapuloteni am'mbali.