Corticosteroids a me ke kaupaona: He aha kāu e ʻike ai

Anter

• Hōʻike Overview
• Pehea e holo ai nā steroid?
• No ke aha e loaʻa ai ke kaupaona?
• Ka pale ʻana i ka loaʻa kālā loaʻa i loko o ka steroid
• ʻO ka lawe lawe ʻana

Hōʻike Overview

ʻO Cortisol kahi hormone i hana ʻia e nā adrenal glands. Ma waho aʻe o ka hana ʻana i ka manaʻo "hakakā a lele paha" āu e ʻike ai ke kaumaha ʻoe, he hana nui ka cortisol o ka hōʻemi ʻana i ka mumū i loko o ke kino.

ʻO Corticosteroids (i kapa ʻia ʻo "steroid") he mana synthetic o cortisol a hoʻohana ʻia e mālama i nā kūlana hōʻeha e like me:

• ʻōiwi
• lupus
• Maʻi ʻo Crohn
• hānō
• maʻi ʻaʻai
• pehu

ʻOkoʻa ka Corticosteroids i nā mea hoʻohālikelike anabolic i kōkua i ke kūkulu ʻana i nā mākala.

Wahi a ka noiʻi i paʻi ʻia ma International Journal of Medical Science, e pili ana i nā kuhikuhi steroid i kākau ʻia i kēlā me kēia makahiki i United States. ʻO nā steroid i kuhikuhi ʻia e like me:

• prednisone
• prednisolone
• cortisone
• hydrocortisone
• budesonide

He maikaʻi loa kēia mau lāʻau i ka hoʻohaʻahaʻa ʻana i ka lī, akā loaʻa pū kekahi iā lākou i nā hopena pilikia. ʻO kekahi o kēia ka loaʻa kālā. E heluhelu e aʻo ai i ke kumu o kēia ka hihia a me ka mea hiki iā ʻoe ke hana.

Pehea e holo ai nā steroid?

ʻO nā kumu he nui i kumu i ka palahū ma muli o kahi ʻōnaehana pale ʻino. Kōkua kāu ʻōnaehana pale pale iā ʻoe mai ka maʻi maʻi ma o ka hoʻomaopopo ʻana i nā mea e like me nā virus a me nā koʻohune ma ke ʻano he kino haole a ke kau nei i kahi hoʻouka kemika e luku iā lākou

No nā kumu i maopopo ʻole ka maʻa mau, loaʻa i kekahi poʻe nā ʻōnaehana pale pale e hoʻouka kaua i nā hunaola olakino. Hiki i kēia ke hopena i ka hōʻino a me ka pehu ʻana i nā kiko o ke kino. Kōkua nā Steroids i ke kaua i kēlā ʻino a me ka ʻōhū ʻana ma o ka hōʻemi ʻana i nā kemika e kumu ai ka pehu. Kōkua pū lākou i ka pale ʻana i ka ʻōnaehana pale, no laila ʻaʻole hoʻouka kaua ʻia nā hunaola olakino.

No ke aha e loaʻa ai ke kaupaona?

Akā loaʻa nā hopena maikaʻi ʻole o nā steroid, me ka loaʻa ʻana o ka paona. Wahi a kekahi noiʻi, ʻo ka loaʻa ʻana o ke kaupaona ka hopena maikaʻi ʻole i hōʻike pinepine ʻia o ka hoʻohana steroid, e pili ana i nā mea i kuhikuhi ʻia i nā lāʻau.

Hoʻokumu nā Steroids i ke kaupaona ma o ka hoʻololi ʻana i ka electrolyte o ke kino a me nā kaulike o ka wai, a me kāna metabolism - ke ala e hoʻohana ai a mālama ai i nā lipid, nā amino acid, protein, carbohydrates, a me glucose, a me nā mea ʻē aʻe. Hāʻawi kēia mau mea i ka waiwai kaupaona ma o ke kumu ʻana:

• hoʻonui i ka makemake
• paʻa wai
• hoʻololi i kahi e mālama ai ke kino i ka momona

Hoʻomaopopo ka poʻe he nui i ka poʻe steroid i ka momona o ka ʻōpū, ka maka, a me ka ʻāʻī. ʻOiai inā ʻoe e kāohi kūleʻa i ka loaʻa kālā i hoʻokomo ʻia i ka steroid, apt ʻoe e nānā ʻoi aku ke kaumaha ma ke ʻano o kēia mau lāʻau no kēia hoʻokaʻawale momona.

Ehia a inā ʻoe e loaʻa kaupaona (ʻaʻole ia he definite) pili i nā kumu he nui, e like me ka lāʻau a me ka lōʻihi.

ʻO ka maʻamau, ʻo ke kiʻekiʻe o ka lāʻau o ka steroid a ʻoi aku kou lōʻihi ma luna o ia mea, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe ka loaʻa o ke kaupaona. ʻO nā papa pōkole o kekahi mau lā i kahi mau pule ʻelua ʻaʻole hana maʻamau i nā hopena ʻaoʻao he nui.

Akā hoʻokahi noiʻi i paʻi ʻia i loko o ka puke pai ʻo Arthritis Care a me Research ua ʻike ʻia nā kumuhana i ʻoi aku ma mua o 7.5 milligrams o prednisone i kēlā me kēia lā no nā lā he 60 a ʻoi paha e loaʻa nā hopena maikaʻi ʻole e like me ka loaʻa ʻana o ke kaupaona ma mua o nā mea ma kahi haʻahaʻa haʻahaʻa no kahi mea pōkole wā o ka manawa.

ʻO ka nūhou maikaʻi, ke hoʻopau ʻia nā steroid a heluhelu hou i kou kino, hele mai ke kaupaona. Hana ʻia kēia ma waena o 6 mau mahina a hoʻokahi makahiki.

Ka pale ʻana i ka loaʻa kālā loaʻa i loko o ka steroid

Ke kamaʻilio nei ka hana mua i kāu kauka. Kaukaʻi ʻia i ka lāʻau āu e lawe nei a me ka maʻi e mālama nei, loaʻa paha iā ʻoe nā koho lāʻau ʻē aʻe.

Hiki paha i kāu kauka ke koi aku i kahi papa hana dosing ʻokoʻa a i ʻole ʻano ʻano o ka steroid. ʻO kahi laʻana, koi paha lākou i nā hana i kēlā me kēia lā a i ʻole, inā loaʻa iā ʻoe kahi mea e like me ka hānō, me ka hoʻohana ʻana i kahi steroid inhaled e kuhikuhi pono i nā māmā ma kahi o kahi pill e hiki ke loaʻa nā hopena o ke kino.

Mai hōʻoki i ka lawe ʻana i kāu lāʻau (a i ʻole hoʻololi i ka wā a pehea ʻoe e lawe ai) me ka ʻole o ke alakaʻi olakino. ʻO nā Steroids he mau lāʻau lapaʻau ikaika e pono e hoʻopili mālie. Ke kū nei iā lākou me ka hiki ʻole ke alakaʻi i nā pilikia olakino koʻikoʻi e like me ka ʻāʻī o ka ʻeha, ʻeha pū, a me ke kuni, ʻaʻole e hōʻike i ka hoʻi hou ʻana o nā maʻi a lākou e kaohi nei.

E kaohi ai i ka loaʻa ʻana o ke kaupaona, e hoʻohana i nā hoʻolālā like āu e hoʻohana ai e kaohi i ke kaupaona ma ka nui:

• Koho i nā mea ʻai hoʻopiha ʻōpū (akā haʻahaʻa-kalori) e like me nā huaʻai a me nā mea kanu.
• E pale i ka pōloli ma ka ʻai ʻana i ʻeono mau pāʻina liʻiliʻi i ka lā a me ʻekolu mau mea nui.
• Koho i ka momona-momona a lohi hoʻi i ka ʻai ʻana i nā huehue paʻakikī e pili ana i nā mea i hoʻomaʻemaʻe ʻia (e laʻa me ka pasta palaoa holoʻokoʻa ma kahi o ka pasta mau, a me ka laiki enaena ma kahi o ke keʻokeʻo).
• Hoʻopili i kahi kumu o ka protein me kēlā me kēia pāʻina (kaʻiʻo, ka tī, nā legume, a pēlā aku.). Ua ʻike ʻia ka noiʻi i paʻi ʻia ma ka American Journal of Clinical Nutrition i ʻike ʻia he maikaʻi loa nā pāʻinaʻai ma ka kaohi ʻana i ka makemake a me ka kaohi ʻana i ka kaumaha.
• Inu wai. Ma waho o ka hoʻopiha ʻana iā ʻoe, hiki iā ia ke puhi i nā calorie. ʻO kahi noiʻi i paʻi ʻia ma ka International Journal of Obesity i ʻike ʻia ʻo nā keiki momona i inu he 10 mililiter wale nō no kilokilo o ke kino o ka wai anuanu i hoʻonui i kā lākou lilo ikehu no 40-plus mau minuke ma hope o ka inu ʻana.
• Noho mau. He paʻakikī kēia i kekahi manawa ke maikaʻi ʻole ʻoe. Hiki ke kōkua i ka loaʻa ʻana o kahi hoa hoʻolālā, e like me ke koho ʻana i kahi hana āu e leʻaleʻa ai.

ʻO ka lawe lawe ʻana

Hana maikaʻi loa nā Steroids i ka mālama ʻana i kekahi mau ʻano lī. Akā ikaika nā lāʻau a hiki ke hana i nā hopena ʻino a makemake ʻole ʻia, e like me ka loaʻa ʻana o ke kaupaona.

Inā ʻoe ma ka steroid a hopohopo ʻoe i ka loaʻa ʻana o ke kaupaona, e kamaʻilio me kāu kauka e pili ana i ka hōʻemi ʻana i kou makaʻi. I nā kumu he nui, e hōʻea ana kekahi kaumaha i loaʻa i ka wā o ka mālama ʻana ke pau nā lāʻau, akā hiki i kēlā pohō kaumaha ke lawe i mau mahina i hoʻokahi makahiki. Ke hoʻāʻo nei e pale i ka loaʻa ʻana o ke kaupaona ma mua o ka lilo ʻana i pilikia ʻo ia kāu hoʻolālā maikaʻi loa.