Izindlela Ezi-7 Zokuncipha Isisindo Esibangelwa Imithi

-Delile

• Yimiphi imithi ebangela ukuzuza kwesisindo?
• Kungani ezinye izidakamizwa zenza ukubeka amathuba angaphezulu kwamakhilogremu angaphezulu?
• Ungakulawula kanjani ukuzuza kwesisindo okubangelwa yimithi
• 1. Yenza izinqumo eziphathelene ne-sodium
• 2. Khulisa i-potassium ekudleni kwakho
• 3. Buza udokotela wakho ngezinketho zakho
• 4. Yidla ukudla okuncane, okuvamile
• 5. Hlala usebenza
• 6. Zama ukuzila ukudla ngezikhathi ezithile
• 7. Thola iso lokuvala iso

Ama-anti-depressants nama-steroids afana ne-prednisone ngokuvamile aholela kumakhilogremu athe xaxa.

Abantu abaphila nezinkinga ezifana nezifo ezizimele, kusuka kuCrohn's kuya kwesifo samathambo (RA), noma ukuphazamiseka kwemizwelo njengokucindezeleka banemithi esebenza ngamandla laphaya ukusiza ukunciphisa noma ukuqeda izimpawu zabo ukuze baphile ngokunethezeka.

Kodwa-ke eminye yemithi ejwayelekile yalezi zinkinga - njenge-prednisone namanye ama-corticosteroids, kanye ne-bupropion (Wellbutrin) nezinye izidakamizwa zokulwa nengcindezi - zinemiphumela engemihle kangako. Umphumela omkhulu wecala wale mithi ukuzuza kwesisindo.

Futhi ngenkathi kufanele uhambe kalula kuwe - ulwa nokugula, ngemuva kwakho konke - kungaba umphumela omubi okhungathekisayo.

Funda ukuze uthole izindlela ezingcono zokulahlekelwa amakhilogremu angafuneki alethwe yimithi oyidingayo.

Yimiphi imithi ebangela ukuzuza kwesisindo?

Izidakamizwa ze-antipsychotic, kanye ne-stabilizers yimithi ejwayelekile enamandla amakhulu okukhulisa ukuzuza kwesisindo. Zonke izidakamizwa ezi-12 ezihamba phambili, kufaka phakathi i-fluoxetine (i-Prozac), i-sertraline (i-Zoloft), ne-escitalopram (i-Lexapro), yenza kube lula ukuthola isisindo.

Njengoba cishe abantu baseMelika njengamanje bethatha imishanguzo yokudambisa ingcindezi - futhi ngaphandle kwezinketho zemithi ezingabangeli ukuguquguquka kwesisindo - abantu abaningi abakwazi ukugwema ukubeka engcupheni ephezulu yokuthola isisindo esingenampilo.

njenge-prednisone nayo ingaba nemiphumela efanayo. U-Alanna Cabrero, MS, udokotela wezokudla obhalisiwe e-NYU Langone Health's IBD Center, uthi ama-steroids ngokuvamile "asetshenziselwa ukubhekana nezimo zokuvuvukala njenge-IBD, i-Crohn's, i-arthritis, i-lupus ne-osteoarthritis."

Kweminye yale mithi, cishe abasebenzisi babike ukuzuza kwesisindo njengomphumela wecala.

Ungacabanga ukuthi uzowabona amakhilogremu ashibilika ngokushesha uma umzimba wakho uzwela kulo mphumela ohlangothini. Kepha okutholakele akunjalo. Abantu abathatha imishanguzo yokulwa nengcindezi basengozini enkulu yokuthola isisindo iminyaka emibili kuya kwemithathu belashwa.

Imithi ebanga ukuzuza kwesisindo ifaka phakathi:

• Izidambisi, njenge:
  • i-serotonin reuptake inhibitors (SSRIs) ekhethiwe, kufaka phakathi i-fluoxetine (Prozac), i-sertraline (i-Zoloft), i-escitalopram (i-Lexapro), i-citalopram (i-Celexa) ne-paroxetine (i-Paxil)
  • i-serotonin-norepinephrine reuptake inhibitors, kufaka phakathi i-duloxetine (Cymbalta) ne-venlafaxine (Effexor)
  • ama-tricyclic antidepressants (TCAs), kufaka phakathi i-desipramine (Norpramin)
• Ama-Corticosteroids, njenge:
  • budesonide, kufaka phakathi iPulmicort ne-Symbicort
  • umabhebhana
  • imethylprednisolone
• Izidakamizwa ezivame ukunikezwa ukuphazamiseka kwe-bipolar kanye ne-schizophrenia, njenge:
  • olanzapine
  • sibusisiwe
  • quetiapine

Kungani ezinye izidakamizwa zenza ukubeka amathuba angaphezulu kwamakhilogremu angaphezulu?

Izidakamizwa ezinjenge-corticosteroids ziguqula i-electrolyte yomzimba namabhalansi amanzi, kanye ne-metabolism.

"Izidakamizwa ezinjenge-steroids zinciphisa ukuphuma komzimba ku-sodium," kuchaza uCabrero.

Abantu abaningi abathatha ama-steroids babika ukwanda kwamafutha esiswini, ebusweni nasentanyeni. Noma ungalawula ukuzuza kwesisindo esiqhutshwa yi-steroid, kungenzeka ubukeke usinda ngenxa yamafutha asatshalaliswa kabusha.

Ukuzuza kwesisindo okubangelwa ukucindezelwa komzimba kuhlobene nezinguquko zokudla. “Ngemithi yokudangala, kuyanda ukondla ukudla. Ngokuvamile-ke, noma yini iba mnandi ngokwengeziwe - futhi izifiso zethu ngokuvamile aziweli ngaphansi kwezithelo nemifino, ”kusho uCabrero.

Ungakulawula kanjani ukuzuza kwesisindo okubangelwa yimithi

Uma ufuna ukulahla amakhilogremu ambalwa owafakile kusukela uthathe umuthi wokunciphisa isisindo, usuvele usendleleni efanele.

Uma uhlome ngalolo lwazi lokuthi ukuthola isisindo kungumphumela ohlangothini ongaba khona, ungenza izinqumo ezengeziwe maqondana nokudla nokuvivinya umzimba.

"Uma wazi ukuthi le mithi inamandla okuba nesisindo somzimba, ungathatha izinyathelo ezifanele zokulungela," kusho uCabrero.

Nazi izindlela eziyisikhombisa ancoma ukuthi ususe - noma ulwe - namakhilogremu angafuneki.

1. Yenza izinqumo eziphathelene ne-sodium

Ukugwema i-sodium eningi ekudleni kwakho kuwukuhlakanipha kunoma ngubani ofuna ukudla okunempilo. Kepha iziguli ezisebenzisa ama-steroids noma ama-anti-depressants zingahle zithande ukucabanga ngokunaka okwengeziwe.

Lokho kusho ukugwema ukudla okusetshenzwe, ukudla okusemathinini, nokudla okusheshayo, ngoba kuvame ukupakishwa nge-sodium.

“Amaphesenti ayisishiyagalombili esiphuza i-sodium avela kulokhu kudla,” kusho uCabrero. “Abantu abaningi e-U.S. Banama-3,300 kuya ku-3 500 mg we-sodium ngosuku, lapho kufanele yehle kakhulu cishe ku-2,300 mg. Nciphisa lokhu kudla okune-sodium ngokwemvelo. ”

UCabrero uncoma ukuthi ufunde ukuthi ungafunda kanjani amalebula okunomsoco ukuze uqonde ukuthi yini ekudleni kwakho.

Ukunciphisa isisindo, sebenzisa amasu afanayo owasebenzisayo ukulawula isisindo noma ngaphandle kwemiphumela engeziwe yemithi. Khetha ukudla okunama-kilojoule amancane njengezithelo nemifino, udle u-fiber ocebile futhi wephuze ukugaya ama-carbohydrate ayinkimbinkimbi, uphuze amanzi amaningi.

Abantu abathatha imishanguzo yokucindezela kufanele futhi bazi i-hyponatremia, eyi-sodium ephansi egazini. Lokhu kubaluleke kakhulu ezinsukwini zokuqala ezingama-28 zokuqala imishanguzo, njengoba amazinga aphansi e-sodium angaholela ezinkingeni ezinkulu zempilo.

Uma usanda kunikezwa i-antidepressant, udokotela wakho kufanele akuqaphele izimpawu ze-hyponatremia, kufaka phakathi:

• isiyezi
• isicanucanu
• ukukhathala
• ukudideka
• amajaqamba
• ukudlikiza

Udokotela wakho angakusiza ukuthi ugweme i-hyponatremia.

2. Khulisa i-potassium ekudleni kwakho

Ukudla ukudla okunothe nge-potassium kuhle kubantu abafuna ukunciphisa isisindo esitholwe ngenxa yemithi - i-potassium ikhipha i-sodium. Futhi ukudla okunothe nge-potassium kuxhunyaniswe nezinye izinzuzo zezempilo, njengokuncipha komfutho wegazi, ukuvikelwa ekushayweni unhlangothi, nokuvinjelwa kwamathambo.

Ukudla okunothe nge-potassium kufaka:

• ubhanana
• ubhatata
• ukwatapheya
• amanzi kakhukhunathi
• isipinashi
• ubhontshisi omnyama
• edamame
• amazambane
• ama-beet

3. Buza udokotela wakho ngezinketho zakho

Ukuphatha isimo sakho kuyinto eza kuqala, ngakho-ke kungenzeka kungakabi khona okunye ongakhetha kukho okubangela ukuzuza kwesisindo okuncane.

Noma kunjalo, cela udokotela wakho ukuthi ngabe ikhona yini enye indlela yokwelashwa noma izindlela zokwelapha ezingagcina impilo yakho ngaphandle kwamakhilogremu athe xaxa.

Kubantu abakuma-steroids, buza ukuthi ngabe uhamba ngomfushane kakhulu, umthamo ophumelela kakhulu kungenzeka.

Uma uthatha imishanguzo elwa nokudangala, i-bupropion (Wellbutrin) ingahle ibe namathuba amancane okubanga ukuzuza kwesisindo.

4. Yidla ukudla okuncane, okuvamile

Isifiso sakho sokudla singakhula ngenkathi uthatha imishanguzo ethile, ngakho-ke ungalingeka ukuba udle kakhulu.

Esikhundleni sokudla kathathu okukhulu usuku lonke, ukuhlukanisa ukudla kwakho kube okuncane, ukudla okuvamile kungakwenza uzizwe sengathi udla ama-calories amaningi ngoba unesikhathi esincane phakathi kokudla okulula ukuze ulambe.

Kunconyelwa ukuvimbela indlala ngokudla izidlo ezincane eziyisithupha ngosuku uma kuqhathaniswa nezintathu ezinkulu.

UCabrero uphakamisa ukuthi uzame ukuhlanganisa imifino engeyona yokustishisa, noma lokho akubiza ngokuthi "ukudla okunothe kakhulu," ekudleni kwakho. "Zinomsoco futhi azinawo amakhalori amaningi," kusho uCabrero. Linga ukwedlula izaqathe ezisikiwe: zama amasobho e-veggie namasaladi.

5. Hlala usebenza

Ukuhlala usebenza kubalulekile empilweni yonke kanye nokulahlekelwa isisindo noma ukugcinwa. Ngokuya ngezinga lakho lempilo noma izimpawu zamanje, ungahle uthande ukubonisana nodokotela wakho kuqala.

"Kuye ngokuthi yiziphi ezinye izimpawu ezenzekayo, ukuvivinya umzimba kuyinto okufanele uqiniseke ukuthi uyayenza," kusho uCabrero. "Kungenzeka ukuthi awusakhuthele njengakuqala, kepha i-yoga elula, ukuhamba ngezinyawo, noma okuthile okuhambisana nalezi zindlela kukusiza ukuthi uhlale uqinile futhi kuthuthukise impilo yonke."

6. Zama ukuzila ukudla ngezikhathi ezithile

Kubantu asebethole imishanguzo, ukuzila ukudla ngezikhathi ezithile kungaba yindlela ephumelelayo yokwehlisa isisindo, inqobo nje uma kunconywa odokotela bakho.

“Imvamisa ngiphakamisa ukuphumula kwamathumbu. Leli windi lamahora angu-12 uma ungadli, okufanele liqale cishe emahoreni amabili kuya kwamathathu ngaphambi kokulala, ”kusho uCabrero. "Izikhathi eziningi ngemuva kwesidlo sakusihlwa sigcina sidla ukudla okungenamsoco, futhi okungahlobene nendlala."

7. Thola iso lokuvala iso

Ukulala kahle ebusuku kungenza izimanga lapho uzama ukunciphisa umzimba, ikakhulukazi uma uthatha ama-steroids nganoma yisiphi isimo.

"Ngokusebenzisa i-steroid, iziguli zithola ukuthi ngeke zilale kahle, futhi lokho kwandisa isifiso sakho sokudla okunoshukela ngoba uwadinga lawo mandla," kusho uCabrero.

Nayi imibono eyi-10 yezindlela zemvelo zokulala kangcono.

UMeagan Drillinger ungumbhali wezokuvakasha nempilo Ukugxila kwakhe ekusebenziseni kakhulu uhambo lokuhlangenwe nakho ngenkathi egcina impilo enempilo. Ukubhala kwakhe kuvele kwiThrillist, Men's Health, Travel Weekly, naseTime Out New York, phakathi kwezinye. Vakashela ibhulogi yakhe noma i-Instagram.]