I-Corticosteroids ne-Weight Gain: Okudingeka Ukwazi

-Delile

• Ukubuka konke
• Isebenza kanjani i-steroids?
• Kungani ukuzuza kwesisindo kungenzeka?
• Ukuvimbela ukuzuza kwesisindo okubangelwa i-steroid
• Ukuthatha

Ukubuka konke

ICortisol yihomoni eyenziwe yizindlala ze-adrenal. Ngaphezu kokukhiqiza umuzwa "wokulwa noma wendiza" owuzwayo uma unengcindezi, i-cortisol inomsebenzi obalulekile wokunciphisa ukuvuvukala emzimbeni.

I-Corticosteroids (evame ukubizwa nje nge- “steroids”) yizinhlobo zokwenziwa ze-cortisol futhi zisetshenziselwa ukwelapha izimo zokuvuvukala njenge:

• isifo samathambo
• lupus
• Isifo sikaCrohn
• isifuba somoya
• umdlavuza
• ukuqubuka

AmaCorticosteroids ahlukile kuma-anabolic steroids asiza ukwakha imisipha.

Ngokuya ngocwaningo olushicilelwe kwi-International Journal of Medical Sciences, mayelana nemiyalo ye-steroid ibhalwa unyaka nonyaka e-United States. Ama-steroids anqunyiwe ngokuvamile afaka:

• umabhebhana
• webhilo
• i-cortisone
• i-hydrocortisone
• ebudeside

Le mithi isebenza kahle ekwehliseni ukuvuvukala, kepha futhi inemiphumela emibi ekhathazayo. Enye yazo ukuzuza isisindo. Funda kabanzi ukuze ufunde ukuthi kungani kunjalo nokuthi yini ongayenza.

Isebenza kanjani i-steroids?

Izimo eziningi ezibangela ukuvuvukala kungenxa yesistimu yomzimba engasebenzi kahle. Amasosha omzimba wakho ayakusiza ekuvikeleni ekuthelelekeni ngokubona izinto ezinjengegciwane kanye namagciwane njengezindikimba zakwamanye amazwe nokufaka umkhankaso wamakhemikhali wokuzibulala.

Ngezizathu ezingacaci ngokuphelele ngaso sonke isikhathi, abanye abantu banamasosha omzimba ahlasela amaseli ajwayelekile, anempilo. Lokhu kungadala ukulimala nokuvuvukala kwezicubu zomzimba. Ama-steroid asiza ukulwa nalowo monakalo nokuvuvukala ngokunciphisa amakhemikhali abangela ukuvuvukala. Zisiza nokucindezela amasosha omzimba, ngakho-ke amaseli anempilo awahlaselwa.

Kungani ukuzuza kwesisindo kungenzeka?

Kepha ama-steroids anemiphumela engemihle, kufaka phakathi ukuzuza kwesisindo. Ngokusho kocwaningo oluthile, ukuzuza kwesisindo kwakungumphumela omubi kakhulu obikiwe wokusetshenziswa kwe-steroid, okuthinta labo ababekiwe yimithi.

I-Steroids idala ukuzuza kwesisindo ngokuguqula i-electrolyte yomzimba namabhalansi amanzi, kanye ne-metabolism yayo - indlela esebenzisa futhi igcine ngayo i-lipids, ama-amino acid, amaprotheni, ama-carbohydrate kanye ne-glucose, phakathi kwezinye izinto. Lezi zinto zibangela ukuzuza kwesisindo ngokubangela:

• ukwanda kwesifiso sokudla
• ukugcinwa koketshezi
• izinguquko lapho umzimba ugcina khona amafutha

Abantu abaningi ku-steroids baqaphela ukukhuphuka kwamafutha esiswini, ebusweni nasentanyeni. Noma ulawula ngempumelelo ukuzuza kwesisindo okubangelwa i-steroid, uyakwazi ukubukeka usinda ngenkathi ukule mithi ngenxa yalokhu ukwabiwa kabusha kwamafutha.

Kungakanani futhi noma ngabe uzokhuluphala (akuyona into ecacisiwe) kuncike ezintweni eziningi, kufaka phakathi umthamo nobude besikhathi.

Ngokuvamile, uma uphakama kakhulu umthamo we-steroid futhi uma ukuyo isikhathi eside, maningi amathuba okuthi uhlangane nokuzuza kwesisindo. Izifundo ezimfushane zezinsuku ezimbalwa kuya emasontweni ambalwa azivamisile ukukhiqiza imiphumela emibi eminingi.

Kodwa isifundo esisodwa esanyatheliswa kumagazini i-Arthritis Care and Research sathola ukuthi izifundo ezazingaphezu kwama-milligram ayi-7.5 we-prednisone ngosuku izinsuku ezingaphezu kwezingu-60 zazinamathuba amaningi okuthola imiphumela emibi efana nokuzuza kwesisindo kunalezo ezisezingeni eliphansi lokufushane isikhathi.

Izindaba ezinhle ukuthi, uma ama-steroids emisiwe futhi umzimba wakho ufunda, isisindo ngokuvamile siyavela. Lokhu kuvame ukwenzeka kungakapheli izinyanga eziyisithupha kuya onyakeni.

Ukuvimbela ukuzuza kwesisindo okubangelwa i-steroid

Isinyathelo sokuqala ukukhuluma nodokotela wakho. Ngokuya ngomuthi owuthathayo kanye nokuphazamiseka okwelashwa, ungahle ube nezinye izinketho zemithi.

Udokotela wakho futhi angancoma uhlelo oluhlukile lokulinganisa noma uhlobo oluhlukile lwe-steroid. Isibonelo, bangahle bancome ukulethwa kwezinsuku zonke-noma, uma unokuthile okufana nesifuba somoya, usebenzisa i-steroid ehogelwayo ekhomba amaphaphu ngqo esikhundleni sephilisi elingaba nemiphumela yomzimba ogcwele.

Ungayeki ukuthatha imishanguzo yakho (noma ukushintsha ukuthi uyiphuza nini futhi kanjani) ngaphandle kokuholwa ngudokotela. Ama-steroid yizidakamizwa ezinamandla ezidinga ukuthakwa kancane kancane. Ukubamisa ngokungazelelwe kungaholela ezinkingeni ezinkulu zempilo njengokuqina kwemisipha, ubuhlungu bamalunga, nomkhuhlane, ingasaphathwa eyokubuyela emuva kwanoma yisiphi isifo abebesilawula.

Ukunqanda ukuzuza kwesisindo, sebenzisa amasu afanayo ongawasebenzisa ukulawula isisindo ngokujwayelekile:

• Khetha ukudla okugcwalisa isisu (kepha okunama-khalori aphansi) njengezithelo nemifino emisha.
• Nqanda indlala ngokudla ukudla okuncane okuyisithupha ngosuku kuqhathaniswa nezintathu ezinkulu.
• Khetha i-fiber-rich ecebile futhi ehlisa kancane ukugaya ama-carbohydrate ayinkimbinkimbi uma kuqhathaniswa nalawo acolisisiwe (isibonelo, ipasta kakolweni ephelele esikhundleni se-pasta ejwayelekile, nelayisi elinsundu esikhundleni somhlophe).
• Faka umthombo wamaprotheni ngesidlo ngasinye (inyama, ushizi, imidumba, njll.). Ucwaningo olushicilelwe kwiAmerican Journal of Clinical Nutrition luthole ukuthi ukudla okuqukethe kuphumelela kakhulu ekunqandeni ukudla nokulawula isisindo.
• Phuza amanzi. Ngaphandle kokukugcwalisa, empeleni kungashisa ama-calories. Olunye ucwaningo olushicilelwe kwi-International Journal of Obesity luthole ukuthi izingane ezikhuluphele ngokweqile eziphuza nje amamililitha ayishumi ngekhilogremu elilodwa lesisindo somzimba wamanzi abandayo zikhuphule ukusetshenziswa kwazo kwamandla ngemizuzu engama-40-plus ngemuva kokuphuza.
• Hlala usebenza. Lokhu kwesinye isikhathi kunzima ukukwenza uma ungazizwa kahle. Ukuba nomngane wokuzivocavoca kungasiza, njengoba kungakhetha nomsebenzi owuthandayo.

Ukuthatha

Ama-steroid asebenza ngokuphumelelayo ekwelapheni izimo ezithile zokuvuvukala. Kodwa izidakamizwa zinamandla futhi zingaveza imiphumela emibi kakhulu nengafuneki, njengokuzuza kwesisindo.

Uma uku-steroids futhi ukhathazekile ngokuthola isisindo, khuluma nodokotela wakho ngokunciphisa ubungozi bakho.Ezimweni eziningi, noma yisiphi isisindo esitholwe ngesikhathi sokwelashwa sizophuma uma imisiwe imishanguzo, kepha lokho kwehla kwesisindo kungathatha izinyanga kuya onyakeni. Ukuzama ukuvimbela ukuzuza kwesisindo ngaphambi kokuba kube yinkinga isu lakho elihle kakhulu.