Yayi amfani da maganin sanyi na tsawon lokacin amfani da kasusuwa, kaiwa ga steroid-osteoporosis
Idan kana da cututtukan cututtuka na ƙwayar cuta (IBD) , likita naka zai iya sanya takunkumin maganin ƙwayoyi irin su prednisone don rage ƙonewa a lokacin da yake da wuta. Hanyoyin da ke tattare da magungunan ciwon sukari suna cike da mummunan lalacewa, amma mafi yawansu za su tafi lokacin da aka dakatar da sashi kuma a katse.
Duk da haka, masu ciwon sukari na iya taimakawa wajen bunkasa abubuwa masu tsanani da na har abada, musamman ma lokacin da aka ɗauka a matsayi mai tsawo ko na tsawon lokaci.
Ɗaya daga cikin waɗannan yanayi shine steroid-induced osteoporosis. An san sanannun cewa steroids zasu iya taimakawa wajen asarar asara. Ga wadanda suke shan steroid, suna neman likita game da osteoporosis kuma suna yin gwaji na lokaci-lokaci suna da muhimmanci wanda zai iya taimakawa wajen karbar asarar kasusuwa.
Menene Osteoporosis?
Osteoporosis yana raunana kasusuwa, wanda zai sa su rasa asalinsu kuma su zama masu tasowa kuma sun fi dacewa su fadi. An yi la'akari da shi azaman cuta na mata masu auren mata, wanda gaskiya ne a wani ɓangare, amma zai iya faruwa ga maza ko mata na kowane zamani da ke cikin haɗari. Wasu daga cikin abubuwan haɗari sun haɗa da:
- Shekaru (fiye da 65)
- Kasancewa daga Caucasian ko zuriya Asiya
- Tarihin iyali na osteoporosis
- Ƙananan / kananan gina (kasa da 154 lbs)
- Kashi na baya
- Amfani da wasu magunguna (ciki har da steroids da hormones thyroid)
- Ma'aikata na farko
- Rashin isasshen abincin da aka yi; rashin isa ga bitamin
- Ayyuka masu haɓaka masu girma
- Sedentary salon
- Shan taba
- Abun alkama
- Cutar parathyroid
Steroid-Induced Osteoporosis
Yayin da kwayoyin cutar ta rage ƙananan ƙumburi, sun kuma rage rabuwa da sabon ƙashi, ƙãra raguwa da tsohuwar kashi, da kuma rage yawancin abincin jiki daga jiki. Cikin yanayin IBD, ci gaba da osteoporosis zai iya kara ƙaruwa ta wurin ƙwayar ƙwayar calcium da ke jikinta.
Sanin asali na Steroid-Induced Osteoporosis
Osteoporosis an gano shi tare da gwaji da ake kira dual energy energy absorptiometry (DEXA). DEXA yana da hankali fiye da x-ray na yau da kullum kuma zai iya samun asarar kashi a farkon matakansa. Yana da rauni kuma yana ɗaukar minti 10 don kammala.
Cibiyar Kwalejin Rheumatology ta Amurka tana bada shawara ga gwajin DEXA a farkon farautar steroid kuma lokaci-lokaci (watakila a shekara guda) bayan an cigaba da ci gaba.
Ostéoporosis yana da masaniya a cikin mutanen da ke da kwayar cutar Crohn fiye da wadanda ke da ciwon haushi, don haka za a iya ƙaddamar da DEXA bashi don kama duk wani asarar kasusuwa da aka ba da shawarar ga marasa lafiya na Crohn.
DEXA ne kawai aka bada shawara a marasa lafiya tare da ciwon ƙwayar cuta wanda ake wajabta maganin steroid din a matsayin dogon lokaci.
Tsayar da Steroid-Induced Osteoporosis
Taɗa steroids. Don hana asarar asarar farko, dole ne a yi amfani da kwayar cutar kawai a cikin sashi mafi sauki ga mafi yawan lokaci. Magungunan magani zai iya zama da amfani ga yawancin ƙwayoyin kumburi, amma amfanin ya kamata a yi la'akari da yiwuwar sakamako masu illa irin su osteoporosis. Kada ku daidaita maganin ku a kan ku kafin ku yi magana da likitanku.
Tsaya shan taba. Shan taba taba yana hade da yawancin abubuwan rayuwa da suke taimakawa ga asarar kasuwa, irin su rashin abinci mara kyau da rashin motsa jiki.
Mata masu shan taba zasu iya haifar da isrogen kuma basu iya yin amfani da mazauni a baya fiye da matan da ba su shan taba ba. Bugu da ƙari, masu shan taba suna da tsayi don warkar daga cututtuka, kuma amfani da taba yana nuna rage yawan kashi.
Aiki. Darasi na nauyi , irin su jarabawar gwagwarmaya, yana taimaka wajen kara yawan kashi. Harkokin motsa jiki na inganta yaduwar kasusuwa da kuma riƙe da alli.
Yin maganin steroid-Induced Osteoporosis
Ƙari. Saboda ana tunawa da ƙwayoyin calcium a cikin ƙananan hanji, malabsorption yana faruwa ne a cikin mutanen da ke dauke da kwayar cutar Crohn wanda ke da ƙumburi a ƙananan hanji . Mutane tare da ciwon gwiwar ƙwayar cuta, wanda ke nuna a cikin babban hanji , na iya samun mafitaci mai kyau.
Kwayoyin cikewa a cikin adadin 1500 MG a kowace rana na iya bada shawara don magance ko hana farkon asarar kashi. Dole likitanku zai buƙaci shawara game da wane sashi, idan akwai, ya dace da ku.
Yana da muhimmanci a san cewa alli ba ya aiki kadai - yana buƙatar bitamin D don ya zama jiki ta jiki. Ana yin amfani da Vitamin D lokacin da fatar jiki ke fallasa hasken rana, amma mafi yawan mutane ba su da isasshen lokaci a waje don su samar da cikakken bitamin D. Kamar calcium, mutane masu fama da ƙwayar cutar bitamin D suna jin dadi sosai a ƙananan hanji da cutar Crohn ta haifar. Ƙarawa ta yau da kullum tare da 400 IU na bitamin D za'a iya bada shawara don magance asarar kasusuwa. Har ila yau, magana da likitanku game da abin da aka shawarce ku.
Bisphosphonates: Fosamax (alendronate), Actonel (risedronate), Didronel (etidronate), Boniva (ibandronate), da Reclast (zoledronic acid) su ne bisphosphonates da suke amfani da su don taimakawa kasusuwa kashi da kuma kiyaye kashin kashi. Wadannan magunguna na iya ƙara haɓaka ƙarancin kashi a cikin kashin baya da kuma hanji.
Bisphosphonates a halin yanzu ne kawai nau'i na kwayoyi da suke FDA-yarda don magance osteoporosis a cikin maza. Suna yawanci ba tare da alli da kuma bitamin D.
Forteo (Teriparatide). Forteo wani hormone ne na parathyroid wanda aka amince da shi don magance steroid-induced osteoporosis; ana iya amfani dashi har zuwa shekaru 2. Mutanen da suka kamu da maganin radiation, kamar su ciwon daji, ba 'yan takara masu kyau ba ne saboda wannan magani. An yi amfani da Forteo kowace rana ta hanyar allura.
Calcitonin (Calcimar, Cibacalcin, Miacalcin). Calcitonin taimaka jinkirin rashi kashi kuma ya hana fractures a cikin kashin baya amma ba a cikin hanji ba. Ana yin amfani da wannan magani a matsayin mai laushi na hanci kuma yana iya haifar da fushi a cikin sassa na hanci. Ba a da mahimmanci don magance steroid-induced osteoporosis, saboda haka ana amfani da calcitonin ne kawai a marasa lafiya wanda bazai iya ɗauka ko kuma wadanda basu dace ba tare da bisphosphonates.
Sources:
Amin S. "Glucocorticoid-Induced Osteoporosis." Kwalejin Amirka na Rheumatology 2010.
Rosen HN. "Rigakafin da maganin glucocorticoid-induced osteoporosis." UpToDate Mayu 2010.