Corticosteroids ndi Kupeza Kunenepa: Zomwe Muyenera Kudziwa

Zamkati

• Chidule
• Kodi steroids imagwira ntchito bwanji?
• Chifukwa chiyani kunenepa kumatha kuchitika?
• Kupewa kunenepa kwambiri komwe kumayambitsa steroid
• Kutenga

Chidule

Cortisol ndi hormone yopangidwa ndi adrenal glands. Kuphatikiza pakupanga kumenyera "nkhondo kapena kuthawa" komwe mumamva mukapanikizika, cortisol ili ndi ntchito yofunikira yochepetsera kutupa m'thupi.

Corticosteroids (omwe nthawi zambiri amatchedwa "steroids") ndi mitundu ya cortisol ndipo amagwiritsidwa ntchito kuthana ndi zotupa monga:

• nyamakazi
• lupus
• Matenda a Crohn
• mphumu
• khansa
• totupa

Corticosteroids ndi osiyana ndi anabolic steroids omwe amathandiza kumanga minofu.

Malinga ndi kafukufuku wofalitsidwa mu International Journal of Medical Sayansi, pafupifupi mankhwala opangidwa ndi steroid amalembedwa chaka chilichonse ku United States. Steroids omwe amadziwika kuti ndi awa ndi awa:

• mbalambanda
• chibadul
• cortisone
• hydrocortisone
• mphukira

Mankhwalawa ndi othandiza kwambiri pochepetsa kutupa, komanso amakhala ndi zovuta zina. Chimodzi mwazinthu izi ndi kunenepa. Werengani kuti mudziwe chifukwa chake zili choncho ndi zomwe mungachite.

Kodi steroids imagwira ntchito bwanji?

Zinthu zambiri zomwe zimayambitsa kutupa zimachitika chifukwa cha chitetezo chamthupi cholakwika. Chitetezo cha mthupi lanu chimakutetezani ku matenda pozindikira zinthu monga mavairasi ndi mabakiteriya ngati matupi akunja ndikukweza njira zowasokoneza.

Pazifukwa zomwe sizimveka bwino nthawi zonse, anthu ena ali ndi chitetezo chamthupi chomwe chimagunda maselo abwinobwino, athanzi. Izi zitha kubweretsa kuwonongeka ndi kutupa kumatumba amthupi. Steroids amathandiza kulimbana ndi kuwonongeka ndi kutupa pochepetsa mankhwala omwe amayambitsa kutupa. Amathandizanso kupondereza chitetezo cha mthupi, motero maselo athanzi sawukiridwa.

Chifukwa chiyani kunenepa kumatha kuchitika?

Koma ma steroids amakhala ndi zovuta zina, kuphatikiza kunenepa. Malinga ndi kafukufuku wina, kunenepa kwambiri ndi komwe kumanenedweratu chifukwa chogwiritsa ntchito steroid, komwe kumakhudza omwe adapatsidwa mankhwalawa.

Steroids imapangitsa kunenepa posintha ma elekitirodi amthupi ndi mabatani amadzi, komanso kagayidwe kake ka kagayidwe - momwe imagwiritsira ntchito ndikusunga lipids, amino acid, protein, carbohydrate, ndi glucose, mwazinthu zina. Izi zimathandizira kunenepa poyambitsa:

• kuchuluka kwa njala
• posungira madzimadzi
• kusintha komwe thupi limasungira mafuta

Anthu ambiri pa steroids amazindikira kuchuluka kwa mafuta m'mimba, nkhope, ndi khosi. Ngakhale mutakwanitsa kuyendetsa bwino kunenepa kwa steroid, mumatha kuwoneka olemera mukakhala pamankhwalawa chifukwa chakuwonjezeranso mafuta.

Zingati komanso ngakhale mutakhala wonenepa (sizotsimikizika) zimatengera zinthu zambiri, kuphatikiza kuchuluka ndi kutalika kwake.

Nthawi zambiri, kuchuluka kwa steroid ndikuchulukirapo, mukakumana ndi kunenepa kwambiri. Maphunziro afupipafupi a masiku angapo mpaka milungu ingapo samakhala ndi zovuta zambiri.

Koma kafukufuku wina wofalitsidwa mu nyuzipepala ya Arthritis Care ndi Kafukufuku adapeza kuti anthu omwe anali ndi ma milligram opitilira 7.5 a prednisone patsiku kwa masiku opitilira 60 anali ndi mwayi wambiri wokumana ndi zovuta monga kunenepa kuposa omwe ali ndi mlingo wochepa wocheperako nthawi.

Nkhani yabwino ndiyakuti, ma steroids akangoyimitsidwa ndipo thupi lanu litawerenga, kulemera kwake kumatuluka. Izi zimachitika mkati mwa miyezi isanu ndi umodzi kufikira chaka chimodzi.

Kupewa kunenepa kwambiri komwe kumayambitsa steroid

Gawo loyamba ndikulankhula ndi dokotala wanu. Kutengera ndi mankhwala omwe mumamwa komanso matenda omwe akukumana nawo, mutha kukhala ndi njira zina zamankhwala.

Dokotala wanu angalimbikitsenso mtundu wina wa dosing kapena mtundu wina wa steroid. Mwachitsanzo, atha kulangiza dosing yamasiku onse kapena, ngati muli ndi zina monga mphumu, kugwiritsa ntchito steroid yosakanizidwa yomwe imalowera m'mapapo molunjika m'malo mwa mapiritsi omwe amatha kukhala ndi zotsatira zathupi lathunthu.

Osasiya kumwa mankhwala anu (kapena kusintha nthawi ndi momwe mumamwe) popanda chitsogozo cha zamankhwala. Steroids ndi mankhwala amphamvu omwe amafunika kuti azigwiridwa pang'onopang'ono. Kuwayimitsa mwadzidzidzi kumatha kubweretsa zovuta pamavuto monga kulimba kwa minofu, kupweteka kwamalumikizidwe, ndi malungo, osatchulanso kubwereranso kwamatenda aliwonse omwe amayang'anira.

Pofuna kuchepetsa kunenepa, gwiritsani ntchito njira zomwe mungagwiritse ntchito kuti muchepetse kunenepa kwambiri:

• Sankhani zakudya zodzaza m'mimba (koma zonenepetsa) monga zipatso ndi ndiwo zamasamba.
• Kuthetsa njala mwa kudya zakudya zazing'ono zisanu ndi chimodzi patsiku motsutsana ndi zitatu zazikulu.
• Sankhani chakudya chopatsa mphamvu komanso chosachedwa kupukusa chakudya chotsutsana ndi chosakanizidwa (mwachitsanzo, pasitala wathunthu m'malo mwa pasitala wamba, ndi mpunga wofiirira m'malo mwa zoyera).
• Phatikizani gwero la mapuloteni ndi chakudya chilichonse (nyama, tchizi, nyemba, ndi zina). Kafukufuku wofalitsidwa mu American Journal of Clinical Nutrition adapeza kuti zakudya zomwe zili ndizothandiza kwambiri pakuchepetsa chilakolako chofuna kuchepetsa thupi.
• Imwani madzi. Kupatula kukudzazani, imatha kuwotcha mafuta. Kafukufuku wina wofalitsidwa mu International Journal of Obesity adapeza kuti ana onenepa kwambiri omwe amamwa mamililita 10 pa kilogalamu ya kulemera kwa madzi ozizira adawonjezera ndalama zawo zopumulira ndi mphindi 40 kuphatikiza atamwa.
• Khalani achangu. Izi nthawi zina zimakhala zovuta kuchita ngati simukumva bwino. Kukhala ndi bwenzi lochita masewera olimbitsa thupi kungakuthandizeni, monganso momwe mungasankhire zomwe mumakonda.

Kutenga

Steroids amathandiza kwambiri pochiza matenda ena otupa. Koma mankhwalawa ndi amphamvu ndipo amatha kupanga zovuta zoyipa komanso zosafunikira, monga kunenepa.

Ngati muli pa steroids ndipo mukudandaula za kunenepa, kambiranani ndi dokotala wanu za kuchepetsa chiopsezo chanu. Nthawi zambiri, kulemera kulikonse komwe kumapezeka mukamamwa mankhwala kumachoka mankhwalawa atayimitsidwa, koma kuti kuwonda kumatha kutenga miyezi mpaka chaka. Kuyesera kupewa kunenepa musanakhale vuto ndiye njira yabwino kwambiri.