Njira 7 Zochepetsera Kunenepa Zoyambitsa Mankhwala

Zamkati

• Ndi mankhwala ati omwe amapangitsa kunenepa?
• Kodi ndichifukwa chiyani mankhwala ena amachititsa kukhala ndi mapaundi owonjezera?
• Momwe mungachepetse kunenepa chifukwa cha mankhwala
• 1. Muzisankha zinthu mosamala za sodium
• 2. Wonjezerani potaziyamu mu zakudya zanu
• 3. Funsani dokotala wanu za zomwe mungachite
• 4. Idyani chakudya chochepa, chokhazikika
• 5. Khalani achangu
• 6. Yesani kusala kwakanthawi
• 7. Pezani diso lotseka

Ma anti-depressant ndi ma steroids monga prednisone nthawi zambiri amatsogolera ku mapaundi owonjezera.

Anthu omwe ali ndi mavuto ngati matenda amadzimadzi okhaokha, kuyambira ku Crohn's kupita ku nyamakazi (RA), kapena zovuta zam'maganizo monga kukhumudwa ali ndi mankhwala othandiza kunja uko othandiza kuchepetsa kapena kuthetsa zizindikilo zawo kuti azitha kukhala moyo wabwino.

Komabe mankhwala ena odziwika bwino pazinthu izi - monga prednisone ndi ma corticosteroids ena, ndi bupropion (Wellbutrin) ndi mankhwala ena opewetsa kupsinjika - amakhala ndi zovuta zosafunikira. Chotsatira chimodzi chachikulu cha mankhwalawa ndi kunenepa.

Ndipo ngakhale muyenera kudzipeputsa nokha - mukulimbana ndi matenda, pambuyo pake - atha kukhala zotsatira zoyipa zokhumudwitsa.

Pemphani kuti mupeze njira zabwino zothetsera mapaundi osafunikira obwera ndi mankhwala omwe mukufuna.

Ndi mankhwala ati omwe amapangitsa kunenepa?

Mankhwala oletsa antipsychotic,, and mood stabilizers ndi mankhwala wamba omwe ali ndi kuthekera kokulitsa kunenepa. Mitundu khumi ndi iwiri yothetsera matenda opatsirana, kuphatikizapo fluoxetine (Prozac), sertraline (Zoloft), ndi escitalopram (Lexapro), zimapangitsa kuti thupi likhale lolemera kwambiri.

Pafupifupi anthu aku America omwe akutenga mankhwala opatsirana pogonana - komanso popanda njira zamankhwala zomwe sizimayambitsa kusinthasintha kwa kulemera - anthu ambiri sangapewe kuyikidwa pachiwopsezo chachikulu cholemera mopanda thanzi.

monga prednisone amathanso kukhala ndi zovuta zofananira. Alanna Cabrero, MS, dokotala wodziwika bwino wazachipatala ku NYU Langone Health's IBD Center, akuti ma steroids nthawi zambiri "amagwiritsidwa ntchito kuthana ndi zotupa monga IBD, Crohn's, nyamakazi, lupus, ndi nyamakazi."

Kwa ena mwa mankhwalawa, pafupifupi ogwiritsa ntchito adanenanso kuti kunenepa kumabweretsa mavuto.

Mutha kuganiza kuti mungaone mapaundi atatsetsereka nthawi yomweyo ngati thupi lanu likumva za mbali iyi. Koma anapeza kuti sizili choncho. Anthu omwe amamwa mankhwala opatsirana pogonana amakhala pachiwopsezo chokunenepa zaka ziwiri kapena zitatu kuchipatala.

Mankhwala omwe amachititsa kulemera ndi awa:

• Mankhwala opatsirana pogonana, monga:
  • serotonin reuptake inhibitors (SSRIs), kuphatikiza fluoxetine (Prozac), sertraline (Zoloft), escitalopram (Lexapro), citalopram (Celexa), ndi paroxetine (Paxil)
  • serotonin-norepinephrine reuptake inhibitors, kuphatikiza duloxetine (Cymbalta) ndi venlafaxine (Effexor)
  • tricyclic antidepressants (TCAs), kuphatikiza desipramine (Norpramin)
• Corticosteroids, monga:
  • budesonide, kuphatikiza Pulmicort ndi Symbicort
  • mbalambanda
  • methylprednisolone
• Mankhwala omwe amadziwika kuti ndi a bipolar disorder ndi schizophrenia, monga:
  • olanzapine
  • alireza
  • quetiapine

Kodi ndichifukwa chiyani mankhwala ena amachititsa kukhala ndi mapaundi owonjezera?

Mankhwala osokoneza bongo monga corticosteroids amasintha ma elekitirodi amthupi ndi mabatani amadzi, komanso kagayidwe kake.

"Mankhwala osokoneza bongo monga steroids amachepetsa kutuluka kwa thupi mu sodium," akufotokoza Cabrero.

Anthu ambiri omwe amatenga ma steroids akuti mafuta ochulukirapo pamimba, nkhope, ndi khosi. Ngakhale mutakhala kuti mutha kuwongolera kuchuluka kwamafuta othamangitsidwa ndi steroid, ndizotheka kuwoneka olemera chifukwa cha mafuta omwe amagawidwanso.

Kupanikizika komwe kumapangitsa kuti munthu akhale wonenepa kumalumikizidwa ndikusintha kwa njala. “Ndi mankhwala a kukhumudwa, kuwonjezeka kwa njala kumachitika. Nthawi zambiri, chilichonse chimakhala chosangalatsa - ndipo zolakalaka zathu sizigwera zipatso ndi ndiwo zamasamba, "akutero a Cabrero.

Momwe mungachepetse kunenepa chifukwa cha mankhwala

Ngati mukufuna kutaya mapaundi owonjezera omwe mudayika kuyambira mutalandira mankhwala ochepetsa kunenepa, mwakhala kale munjira yoyenera.

Podziwa kuti kunenepa ndi vuto lomwe lingachitike, mutha kupanga zisankho zabwino pankhani yazakudya ndi masewera olimbitsa thupi.

"Ngati mukudziwa kuti mankhwalawa ali ndi vuto lolemera, mutha kutenga njira zoyenera kukonzekera," akutero a Cabrero.

Nazi njira zisanu ndi ziwiri zomwe akukulangizani kuti muchotse - kapena kulimbana - mapaundi osafunikira.

1. Muzisankha zinthu mosamala za sodium

Kupewa sodium wochuluka mumadyedwe anu ndibwino kwa aliyense amene akuyang'ana kuti adye wathanzi. Koma odwala omwe ali ndi ma steroids kapena opatsirana pogonana angafune kulingalira mosamala kwambiri.

Izi zikutanthauza kupewa kupewa zakudya zopangidwa kale, zakudya zamzitini, komanso zakudya zachangu, chifukwa nthawi zambiri zimakhala ndi sodium.

Cabrero anati: "Peresenti eyiti ya sodium yomwe timadya timachokera ku zakudya izi." "Anthu ambiri ku US ali ndi 3,300 mpaka 3,500 mg wa sodium patsiku, pomwe amayenera kugwa mozungulira 2,300 mg. Kuchepetsa zakudya izi zomwe mwachilengedwe zimakhala ndi sodium wochuluka. ”

Cabrero ikukulimbikitsani kuti muphunzire momwe mungawerenge zolemba zopatsa thanzi kuti mumvetsetse zomwe zili mchakudya chanu.

Kuti muchepetse kunenepa, gwiritsani ntchito njira zomwe mungagwiritse ntchito kuti muchepetse kunenepa kapena popanda zina zowonjezera zamankhwala. Sankhani zakudya zonenepetsa monga zipatso ndi ndiwo zamasamba, idyani zakudya zokhala ndi michere yambiri komanso yochedwa kugaya chakudya chambiri, ndikumwa madzi ambiri.

Anthu omwe amamwa mankhwala opatsirana pogonana ayenera kudziwa za hyponatremia, yomwe ili ndi sodium yochepa m'magazi. Izi ndizofunikira makamaka m'masiku 28 oyambira a anti-depressants, popeza kuchepa kwa sodium kumatha kubweretsa zovuta zovuta kwambiri.

Ngati mwalandira kumene mankhwala ochepetsa kupanikizika, dokotala akuyenera kukuyang'anirani ngati muli ndi zizindikiro za hyponatremia, kuphatikizapo:

• chizungulire
• nseru
• ulesi
• chisokonezo
• kukokana
• kulanda

Dokotala wanu akhoza kukuthandizani kupewa hyponatremia.

2. Wonjezerani potaziyamu mu zakudya zanu

Kudya zakudya zokhala ndi potaziyamu ndibwino kwa anthu omwe akufuna kuti achepetse thupi chifukwa cha mankhwala - potaziyamu amatulutsa sodium. Ndipo chakudya chopatsa potaziyamu chimalumikizidwa ndi maubwino ena azaumoyo, monga kuchepa kwa kuthamanga kwa magazi, kuteteza ku stroke, komanso kupewa kufooka kwa mafupa.

Zakudya zolemera potaziyamu ndizo:

• nthochi
• mbatata
• mapeyala
• madzi a kokonati
• sipinachi
• nyemba zakuda
• edamame
• mbatata
• beets

3. Funsani dokotala wanu za zomwe mungachite

Kusamalira matenda anu ndi chinthu chofunikira kwambiri, chifukwa chake sipangakhalebe zosankha zilizonse zomwe zingapangitse kuti muchepetse kunenepa.

Komabe, funsani dokotala wanu ngati pali mankhwala ena aliwonse omwe angateteze thanzi lanu popanda mapaundi owonjezera.

Kwa anthu omwe ali ndi ma steroids, afunseni ngati zingachitike mwachidule kwambiri, kotheka kwambiri.

Ngati mukumwa mankhwala opatsirana pogonana, bupropion (Wellbutrin) mwina sangapangitse kunenepa.

4. Idyani chakudya chochepa, chokhazikika

Chilakolako chanu chimawonjezeka mukamamwa mankhwala enaake, kotero mutha kuyesedwa kuti mudye kwambiri.

M'malo mokhala ndi chakudya chachikulu katatu patsiku, kuswa chakudya chanu kukhala tating'onoting'ono, chakudya chomwe mungachite pafupipafupi kumakupangitsani kumva kuti mukudya ma calories ambiri chifukwa mulibe nthawi yochepa pakati pa zokhwasula-khwasula kuti mukhale ndi njala.

Ndikulimbikitsidwa kuthana ndi njala mwa kudya zakudya zazing'ono zisanu ndi chimodzi patsiku motsutsana ndi zitatu zazikulu.

Cabrero akuwonetsa kuti muyesetse kuphatikiza zakudya zosagundana, kapena zomwe amatcha "zakudya zolemera kwambiri," muzakudya zanu. "Ndiopatsa thanzi ndipo alibe ma calorie ambiri," akutero Cabrero. Yesetsani kupitirira kaloti odulidwa: yesani msuzi wa veggie ndi saladi.

5. Khalani achangu

Kukhala okangalika ndikofunikira paumoyo wonse komanso kuonda kapena kukonza. Kutengera ndi thanzi lanu kapena zisonyezo zomwe muli nazo, mungafune kufunsa dokotala wanu poyamba.

"Kutengera ndi zizindikilo zina zomwe zikuchitika, kuchita masewera olimbitsa thupi ndichinthu choti mutsimikizire," akutero a Cabrero. "Mwina sungakhale wolimbikira monga kale, koma masewera olimbitsa thupi a yoga, kuyenda, kapena china chake chimakuthandizani kuti mukhale olimbikira komanso kuti mukhale ndi thanzi labwino."

6. Yesani kusala kwakanthawi

Kwa anthu amene amamwa mankhwala, kusala kudya pakanthawi kochepa kungakhale njira yabwino yochepetsera thupi, bola ngati madokotala anu akulimbikitsani.

“Nthawi zambiri ndimanena kuti kupumula kwamatumbo. Ili ndi zenera la maola 12 pomwe simudya, zomwe zimayenera kuyamba pafupifupi maola awiri kapena atatu musanakagone, "akutero a Cabrero. "Nthawi zambiri tikadya chakudya chamadzulo timadya zakudya zopanda thanzi, komanso zosagwirizana ndi njala."

7. Pezani diso lotseka

Kugona bwino usiku kumatha kuchita zodabwitsa pamene mukuyesera kuti muchepetse thupi, makamaka ngati mukumwa ma steroids pachikhalidwe chilichonse.

"Ndi kugwiritsa ntchito steroid, odwala amawona kuti sagona bwino, ndipo izi zimawonjezera chidwi chanu pa zakudya zotsekemera chifukwa mumafunikira mphamvu ija," akutero Cabrero.

Nawa malingaliro 10 a njira zachilengedwe zogonera bwino.

Meagan Drillinger ndi wolemba maulendo komanso zaumoyo. Cholinga chake ndikupanga maulendo opitilira muyeso ndikukhalabe ndi moyo wathanzi. Zolemba zake zawonekera mu Thrillist, Men's Health, Travel Weekly, ndi Time Out New York, pakati pa ena. Pitani ku blog yake kapena Instagram.]