I-Corticosteroids kunye ne-Weight Gain: Into ekufuneka uyazi

Umxholo

• Ushwankathelo
• Isebenza njani i-steroids?
• Kutheni kunokubakho ukutyeba?
• Ukuthintela ukuzuza ubunzima be-steroid
• Ukuthatha

Ushwankathelo

ICortisol yincindi yedlala eyenziwe ngamadlala adrenal. Ukongeza ekuveliseni u "ukulwa okanye ukubhabha" uziva xa uphantsi koxinzelelo, i-cortisol inomsebenzi obalulekileyo wokunciphisa ukudumba emzimbeni.

Iicorticosteroids (zihlala zibizwa ngokuba zii "steroids") ziinguqulelo zokwenziwa ze-cortisol kwaye zisetyenziselwa ukunyanga iimeko ezinokukrala ezifana:

• isifo samathambo
• ilupus
• Isifo sikaCrohn
• umbefu
• umhlaza
• irhashalala

I-Corticosteroids yahlukile kwii-anabolic steroids ezinceda ukwakha izihlunu.

Ngokophando olupapashwe kwiJenali yaMazwe ngaMazwe yezeNzululwazi yezoNyango, malunga nemiyalelo ye-steroid ibhalwa minyaka le e-United States. Ii-steroids eziqhelekileyo zibandakanya:

• ubume
• yingca
• icortisone
• hydrocortisone
• mfumomfi

La machiza asebenza kakhulu ekunciphiseni ukudumba, kodwa aneziphumo ebezingalunganga. Enye yezi zinto kukufumana ubunzima. Funda ngokufunda ukuba kutheni kunjalo kwaye unokwenza ntoni.

Isebenza njani i-steroids?

Iimeko ezininzi ezibangela ukudumba zibangelwa sisistim somzimba esingalunganga. Amajoni akho omzimba ayanceda ukukhusela kusulelo ngokuqonda izinto ezinje ngeentsholongwane kunye neebhaktiriya njengemizimba yangaphandle kunye nokunyusa umkhankaso weekhemikhali ukuze uzitshabalalise.

Ngenxa yezizathu ezingasoloko zicacile, abanye abantu banamajoni omzimba ahlasela iiseli eziqhelekileyo, ezisempilweni. Oku kunokubangela umonakalo kunye nokudumba kwizicubu zomzimba. I-Steroids inceda ukulwa nalo monakalo kunye nokudumba ngokunciphisa imichiza ebangela ukudumba. Ziyanceda ukucinezela amajoni omzimba, ngenxa yoko iiseli ezisempilweni azihlaselwa.

Kutheni kunokubakho ukutyeba?

Kodwa i-steroids ineziphumo ebezingalindelekanga, kubandakanya ukuzuza ubunzima. Ngokutsho kolunye uphando, ukuzuza ubunzima kwakuyimpembelelo echaphazelekayo yokusetyenziswa kwe-steroid, echaphazela abo baxhomekeke kumachiza.

I-Steroids ibangela ukutyeba ngokuguqula i-electrolyte yomzimba kunye neebhalansi zamanzi, kunye ne-metabolism yayo-indlela eyisebenzisa ngayo kunye nokugcina i-lipids, ii-amino acid, iiprotein, iicarbohydrate, kunye neglucose, phakathi kwezinye izinto. Ezi zinto zinegalelo ekuzuzeni ubunzima ngokubangela:

• ukwanda kwesidlo
• ukugcinwa kolwelo
• utshintsho apho umzimba ugcina amanqatha

Abantu abaninzi abakwi-steroids baqaphela ukwanda kwamafutha esiswini, ebusweni nasentanyeni. Nokuba ulawula ngempumelelo ukutyeba okubangelwa yi-steroid, ukulungele ukubonakala unzima ngelixa ukwamachiza ngenxa yolu lwabiwo lwamafutha.

Yimalini kwaye nokuba uya kufumana ubunzima (ayisiyonyani) kuxhomekeke kwizinto ezininzi, kubandakanya idosi kunye nobude.

Ngokubanzi, iphezulu idosi ye-steroid kwaye ukuba ukuyo ixesha elide kangakanani, kokukhona unokufumana ubunzima bomzimba. Izifundo ezimfutshane zeentsuku ezimbalwa ukuya kwiiveki ezimbalwa aziqhelekanga ukuvelisa iziphumo ebezingalindelekanga ezininzi.

Kodwa olunye uphando olupapashwe kwiphephancwadi le-Arthritis Care kunye noPhando lufumene ukuba izifundo ezingaphezu kwe-7.5 milligrams ze-prednisone ngosuku ngaphezu kweentsuku ezingama-60 zazinako ukufumana iziphumo ezibi ezifana nokufumana ubunzima kunaleyo idosi ephantsi emfutshane ixesha.

Iindaba ezimnandi zezokuba, xa i-steroids imisiwe kwaye umzimba wakho ufunda, ubunzima ngokubanzi buyehla. Oku kuhlala kwenzeka kwiinyanga ezi-6 ukuya kunyaka.

Ukuthintela ukuzuza ubunzima be-steroid

Isinyathelo sokuqala uthetha nodokotela wakho. Kuxhomekeka kwichiza olithathayo kunye nokuphazamiseka okunyangayo, unokufumana ezinye iindlela zonyango.

Ugqirha wakho unokuphinda acebise ishedyuli eyahlukileyo yedosi okanye uhlobo oluthile lwe-steroid. Umzekelo, banokucebisa yonke imihla yeedosi okanye, ukuba unento efana nesifuba, usebenzisa i-inhaled steroid ejolise kwimiphunga ngqo endaweni yepilisi enokuba neziphumo zomzimba opheleleyo.

Ungayeki ukuthatha amayeza akho (okanye ukutshintsha ukuba uyithatha njani kwaye uyithatha njani) ngaphandle kokhokelo lonyango. I-Steroids ngamachiza anamandla afuna ukucocwa kancinci kancinci. Ukubamisa ngesiquphe kunokukhokelela kwiingxaki ezinzulu zempilo ezinje ngokuqina kwemisipha, iintlungu ezidibeneyo kunye nomkhuhlane, kungasathethi ukuphinda ubuye nakweyiphi na ingxaki ebebeyilawula.

Ukunciphisa ukuzuza ubunzima, sebenzisa iindlela ezifanayo onokuzisebenzisa ukulawula ubunzima ngokubanzi:

• Khetha ukuzalisa isisu (kodwa ikhalori esezantsi) njengokutya okutsha kunye nemifuno.
• Nqanda indlala ngokutya izidlo ezithandathu ezintandathu ngemini xa uthelekisa ezintathu ezinkulu.
• Khetha i-fiber-rich and slow-to-digest digestive carbohydrate eziyinkimbinkimbi ngokuchasene nezo zihlanjululwe (umzekelo, ipasta yengqolowa epheleleyo endaweni ye-pasta eqhelekileyo, kunye nerayisi emdaka endaweni emhlophe).
• Faka umthombo weprotheni ngesidlo ngasinye (inyama, itshizi, iimbotyi, njl.). Uphando lupapashwe kwiJenali yaseMelika yoNyango lweKlinikhi lufumanise ukuba ukutya okuqulathe kusebenza kakhulu ekunciphiseni ukutya kunye nokulawula ubunzima.
• Sela amanzi. Ngaphandle kokuzalisa, inokutshisa iikhalori. Olunye uphononongo olupapashwe kwiJenali yaMazwe ngaMazwe yokuTyeba kakhulu lufumanise ukuba abantwana abatyebe ngokugqithisileyo abasela iimililitha ezili-10 ngeekhilogram ubunzima bomzimba wamanzi abandayo bandise inkcitho yabo yamandla ngokuphumla ngemizuzu engama-40 nangaphezulu emva kokusela.
• Hlala usebenza. Ngamanye amaxesha kunzima ukwenza xa ungaziva mnandi. Ukuba nomhlobo wokuzilolonga kunokunceda, njengoko kunokukhetha nomsebenzi owuthandayo.

Ukuthatha

Ii-Steroids zisebenza ngokunyanga ngokunyanga iimeko ezithile zokudumba. Kodwa iziyobisi zinamandla kwaye zinokuvelisa iziphumo ebezingalindelekanga ezinzulu nezingafunekiyo, ezinje ngokufumana ubunzima.

Ukuba uku-steroids kwaye ukhathazekile malunga nokufumana ubunzima, thetha nogqirha wakho malunga nokunciphisa umngcipheko. Kwiimeko ezininzi, nabuphi na ubunzima obufunyenweyo ngexesha lonyango buya kuvela xa amayeza eyekiweyo, kodwa oko kuncipha kunokuthatha inyanga ukuya kunyaka. Ukuzama ukuthintela ukuzuza kobunzima ngaphambi kokuba ibe yingxaki sesona sicwangciso sakho silungileyo.