Iziphumo eziphambili ze-Prednisone zingalawulwa ngeendlela ezimbalwa zokuqapha
I-Prednisone yiyilisi esetyenziswa ngokuqhelekileyo ekuphatheni izimo ezininzi ezivuthayo. Ngokuqhelekileyo imiselwe ukuphathwa kwezi zimbini eziphambili zesifo sesibindi (IBD) - isifo sikaCrohn kunye nesifo se-ulcerative colitis. Umqobo oyintloko wokusebenzisa i-prednisone uluhlu lwazo olude lweziphumo ezinobungozi, ezininzi zazo ezibonakalayo okanye ezixhalabisayo.
Ezinye zeziphumo ze-prednisone ziquka: ukulala, ukuguquka kwemizwa , ukwanda kweenwele, ukuvuvukala ubuso okanye " ukunyuka kwenyanga" , ukwanda kwesidlo, ukukhupha ebusuku , i- acne , i-headaches, kunye nokuzuza ubunzima .
Kwiimeko ezininzi ezigqithiseleyo, ukusetyenziswa kwexesha elide kwe-prednisone kunokukhokelela ekuxhaseni kwe-steroid, ukulahlekelwa kwethambo ukulahlekelwa , kunye neminye imiphumo emibi. Kuzo zonke iziphumo ezichaphazelekayo, ngaba kutheni izigulana ziza kuthatha le nkunkuma, kwaye kutheni ukuze oogqirha babone?
I-Prednisone I-Steroid
I-Prednisone inxalenye yeklasi yeziyobisi ezibizwa ngokuba yi-corticosteroids, kwaye iyafana ne-cortisol, uhlobo lwe-steroid umzimba uvelisa kwi-grenal gland. Iyancipha ukuvuvukala emzimbeni, kungenxa yoko kunceda ekuphatheni i-IBD, imeko ebangela ukuvuvukala kwindlela yokugaya. Iindaba ezilungileyo kukuba i-prednisone ihlala isebenza ngokukhawuleza ukunciphisa ukuvuvukala nezinye iimpawu ze-IBD kubandakanywa ukuhanjiswa nokuphuma kwegazi.
Ukuyeka i-Prednisone
Ukunyamekela kufuneka kuthathwe xa kunciphisa umlinganiselo we-prednisone-isigulane akufanele siyeke ukuyithatha ngokukhawuleza. Umzimba uyeka okanye unciphise umkhiqizo we-cortisol, kwaye ngokukhawuleza ukutshintshisa inani le-prednisone esithathiweyo imihla ngemihla livumela umzimba ukuba uqale ukuvelisa kwakhona.
Ukufakela umthamo we-prednisone ngokuqhelekileyo kuthetha ukuthintela umthamo ngemali ethile yonke imihla embalwa okanye kwiveki nganye. Ubude bexesha lokuthayitha luya kuxhomekeka kumlinganiselo wokuqala, kunye nesixa sexesha elidlulileyo i-prednisone. Kwimilinganiselo ephakamileyo ethathelwe ixesha elide, kungathatha inyanga ukuhlawula, ngelixa ikhosi emfutshane (njengeeveki ezimbalwa) ingafakwa ngokukhawuleza.
Ukuchaza iPrednisone Kubantwana
Izingane ezithatha i-prednisone zixhalabele kwaye zifuna ukuba ziqwalaselwe ngenyameko. Isantya sokukhula somntwana sinokungaphumeleli, ekugqibeleni kubangele ukulibaziseka kokutshatyalaliswa. Abantwana abathatha i-prednisone ukuba naluphi ubude bexesha kufuneka bahlolwe ngokusondeleyo nakweyiphi na imiqondiso yeempembelelo zexesha elide ezifana nokukhula okunamandla ukwenzela ukuphendula ngokukhawuleza.
Ukunciphisa i-Prednisone Side Effects
I-Prednisone iboniswe ukuba isebenze ekunciphiseni ukuvutha, kwaye izigulane ezikhetha ukuyithatha kufuneka ziqaphele iindlela ezimbalwa zokulwa nemiphumo emibi.
- Ukunyameka kweT Bone. Ukongeza ukutya okunempilo kunye ne- calcium kuya kunceda ukugcina amathambo enempilo ngexesha le-prednisone. Buza ababoneleli bakho bezempilo malunga nohlobo kunye nenani le-calcium efunekayo imihla ngemihla ukulwa nokulahleka kwethambo.
- Ukutya. Ukunciphisa ityuwa yokutya kunokuthintela imiphumo emibi ehambelana nokugcinwa kwamanzi. Ukujonga i-fat and calorie intake kungakunceda ukukhusela inzuzo yesisindo ehambisana ne-steroids. Ukubonisana kunye nesondlo sezondlo kuya kuba luncedo ekucwangciseni ukutya okulandelayo xa uthatha i-prednisone.
- Isistim. Ukuthetha ne-gastroenterologist malunga nexesha elona lifanelekileyo lokuthatha i-prednisone ukuphumelela ngokugqithiseleyo kunye nokungaxakeki okuncinci kungenza umehluko omkhulu. Ukuthatha onke ama-prednisone ngaphambili kwimihla (kuphela kwiingcebiso zogqirha!) Kunokunciphisa imiphumo emibi njengobunzima bokulala okanye ubusuku bokuhlwa kunye nokuyithatha ukutya kunokuthintela isisu.
- Inkxaso. Ukuvumela iintsapho kunye nabahlobo bazi ngemiphumo emibi ye-prednisone inokuba luncedo ekujonganeni nemiphumo emibi yecala. Inokunceda abantu baqonde ukuba yiyilisi edala ukuguquka kwemizwelo okanye ukukhubeka kwaye ukuba isifo sifumane phantsi kolawulo kwaye ukuyeka isicatshulwa kuya kunceda ngale miba.
- Ukukhawuleza ngokukhawuleza. Ngokukhawuleza, i-dosnone ye-prednisone kufuneka iyancitshiswa ngokukhawuleza ize ivalwe. Ukuqhubela phambili ngokukhawuleza kuyimfuneko kwaye ixesha elide liye lithathwa, i-taper kufuneka ibe yinto encinci. Kwiikhosi ezimfutshane zesilwanyana, i-taper phantsi idla ngokukhawuleza. Nangona kunjalo, iinjongo kufuneka kube ukufumana umthamo ophantsi phantsi ngokwaneleyo ukuya apho iziphumo zecala ziphantsi, ngokukhawuleza kwaye ngokukhuselekileyo ngokunokwenzeka.
Inqaku esuka
Ezinye izigulane zivakalelwa kukuba iziphumo ezimbi ze-prednisone zigqithise ngaphezu kweenzuzo ezifumanekayo. Ingasima ngokukhawuleza ukuphazamiseka kwe-IBD kwiindlela zayo, kodwa ngexabiso lokubonakala komzimba, ukungazinzi kwengqondo kunye nezinye izingozi zempilo. Akuyona into elula, kodwa zonke izigulane ezine-IBD kufuneka zenze isigqibo sokusebenzisa i-prednisone ngokusekelwe kwiimfuno zakhe ngokubambisana ne- gastroenterologist .
> Imithombo:
> Mrakotsky C, Forbes PW, Bernstein JH, et al. "Iziphumo ezinengqondo zokuziphatha kunye neendlela zokuziphatha ze-corticosteroids kubantwana abaphathwayo ngenxa yezifo zesibindi." J Int Neuropsychol Soc. 2013 Jan; 19: 96-109.