As soon as I hear “steroids”, the first thing you might think of is whether I will become a month.
Bright face. Then many horrible thoughts will emerge. Therefore, the medicine prescribed by the doctor can be discounted at a discount.
You can eat less once every other day, even if you are ups and downs or sick.
What is steroids? The correct name for steroids is “adrenal cortical hormone”, which has strong anti-inflammatory and immune regulation. For some inflammatory diseases such as vasculitis, gas asthma, allergic disease, intractable eczema, anaphylactic shock, chronic obstructive pulmonary disease, many self immune diseases (such as lupus erythematosus, dermatomyositis, polymyositis, glomerulonephritis, inflammatory arthritis, scleroderma), brain edema, some inflammatory neuropathy and cancer (such as lymphoma).
The treatment effect is often effective.
At the beginning of the so-called American Emerald, many immunizations or gods classified as “carcinally ill” through diseased diseases, it can be cured or the condition is slowed down. For such a “god” medicine, everyone’s psychology is love and fear, even if it is the American elixan, of course, there will be some
Side effects that can occur and matters that should be noted. According to analysis of patients suffering from steroid side effects for: moon face, fat, buffalo shoulder, osteoporosis, thin skin, edema, easy infection, blue spring pox, length is not high, blood sugar rises, infection rate increases, oral mold infection, body hair increase, wound healing power is worse, and it is also found that there is still a myth that steroids can damage the kidneys or accumulate in the body.
In fact, under the cautious use of experienced doctors, “steroids” are the elixir that cures people, but improper use will of course lead to side effects, just like a sword, can save people and swear. Such as if you can follow the doctor’s instructions, take the medicine. When the condition is controlled, the doctor will use the steroid.
The amount is slowly reduced, so in the process of treatment, you need sufficient patience and the instructions of the doctor.
There are many kinds of preparations containing steroids, which can be roughly classified into oral type, injection type, and inhalation type.
And external use. The following is especially for the myth that patients often have, one by one:
Q1. Why do I need steroids for my illness?
The so-called immune system disease shows that the immune system in the body is out of control and produces itself.
Attack your own phenomenon. Steroids can be controlled like a hi-hat, the immune system is out of control.
system. Therefore, the doctor will treat the sputum with a larger dose of steroids in the early stage. Just like a big fire.
The fire brigade should be asked to use the big water to save the fire, so that the disease can be well controlled in a short time.
Q2. Will I have to eat steroids all my life?
Not necessarily. At the beginning of the disease or when the condition is severe, a relatively large dose of steroids will be used.
Make the condition get better control in a short time. When the disease slowly stabilizes, the doctor.
The teacher will add other immunomodulatory drugs according to the changes in the condition and slowly reduce the amount of steroids.
Q3. Steroids can hurt the body, aren’t they?
The metabolism of steroids is excreted through the kidneys, but it does not accumulate in the kidneys and does not accumulate in
in vivo. However, patients who have been used for a long time may cause temporary inhibition of the function of the adrenal gland, so
Stop taking the medicine at will.
Q4. I have a good control recently. Can I stop taking it myself?
Absolutely not. Because the body secretes about 7.5 mg of physiological steroids per day.
And there is a physiological cycle. It is the highest amount of cortisol in the morning, afternoon.
To the lowest point. When taking more than three (15 mg) for a long period of time and lasting more than three months.
This will suppress this automatic secretion function. Patients who take steroids for a long time, if they suddenly stop using.
In the case of drugs, it can cause some symptoms of adrenal insufficiency, such as general weakness, vomiting, and low.
Blood pressure or body aches are not suitable. Many patients suddenly stop using steroids due to a cold, which leads to low blood pressure and shock response should be paid special attention. But this does not mean that you must not reduce the medicine or you have to take the medicine for life.
What is cortisone, the main glucocorticosteroid, synthesized and secreted by the adrenal cortex,
The hormone control such as CRH and ACTH secreted by the hypothalamus and pituitary gland is a necessity in life.
Control the metabolism of carbohydrates, proteins and lipids, maintain normal blood pressure; inhibit allergies and inflammation
Q5. I listen to people who eat steroids and edema?
When the amount of steroids is more than four (20 mg), it may cause body
The accumulation of water and salt inside will cause edema, which is not the damage of kidneys to kidneys.
Relationship. Therefore, during the period of taking steroids, just pay attention to eating too salty food and avoid pickling.
Or conditioned food (if you must eat canned food, look at the ingredients on the label and make sure each serving contains no more than 140-200 mg of salt, and pay attention to changes in body weight every day to reduce water swollen phenomenon.
Q6. Hearing steroids will become fat, and there will be a moon face and a buffalo shoulder.
Alcohol will become very fat and swollen?
These phenomena are related to the amount of steroid use and time, and stop taking steroids.
After that, it will slowly improve. When you start eating steroids, most people will become more appetizing.
Easy to be hungry, the more hungry you eat, the more you eat, the less exercise, and the fat is quietly on your body. each
Eating four (20 mg) steroids a day may cause fat to redistribute and begin to have a rounded face.
The phenomenon of buffalo shoulder or body obesity appears. But these side effects will decrease with the amount of steroids used.
And the control of the diet, and slowly return to normal. If you are using steroids, control well
The calorie of the food and the intake of starch and sugar can maintain the appearance and body of the beauty.
Q7. Listening to people who eat steroids will get osteoporosis?
Not every patient taking steroids causes osteoporosis. Generally speaking, long-term take more than four (20 mg) steroids per day for more than 3 to 6 months.
More likely to cause osteoporosis. Calcium intake can be increased in daily life (at least every day) 1500 mg), with the use of calcium tablets, eat more calcium foods (such as a cup of milk about 300 mg of calcium, cheese products, dried fish, pork ribs soup, spinach, sesame, hair, soybeans, etc.).
Vitamin D supplementation (400 IU/day), proper weight-bearing exercise (such as walking or Tai Chi, etc.), avoid.
Long-term bed rest, smoking out alcohol and tobacco can reduce bone loss.
Q8. I have diabetes. What should I pay attention to when eating steroids?
Short-term use of higher doses of steroids (eight to twelve per day) may increase blood sugar.
If you have diabetes, in addition to the usual diabetes diet control, pay more attention to blood sugar
measuring. In addition, physicians may use injectable insulin or increase oral hypoglycemic agents in the short term.
The dose makes the blood sugar control more stable.
Q9. Does taking steroids cause ischemic osteonecrosis?
There are many causes of ischemic osteonecrosis, some of which are due to some resistance in the body.
The experience causes obstruction of small blood vessels and causes avascular necrosis of the bone. Many years ago, because there is no other immunomodulatory drugs can be used, long-term use of high doses (more than 10 per day) of steroids, it is more likely to cause ischemic osteonecrosis. Now there are more drugs that can replace steroids, when sick once the condition is slowly controlled, the physician will slowly reduce the amount of steroids. So now it’s less, because steroids cause ischemic osteonecrosis.
Q10. I am taking steroids, will it hurt my stomach? Need to take stomach medicine?
Taking steroids alone without a combination of analgesic and anti-inflammatory drugs does not increase the stomach
The phenomenon of bleeding. However, some patients may feel the feeling of stomach irritation and can be used together.
Q11. How can I avoid infection while taking steroids?
Taking more than four steroids a day may be more susceptible to infection or oral mold infection.
In addition to paying attention to the cleansing of the wounds, oral hygiene, if there is mold in the mouth, the doctor will give you a mouthwash. In addition, it is necessary to reduce the number of public places where people enter and exit, and wear masks and diligence.
Wash your hands to avoid the chance of infection.
Q12. What should I do if I forget to take the medicine during the day?
Please try not to forget to take the medicine, and do not increase or decrease the medicine by yourself. Such as
If you forget to take it in the morning, you can take it as soon as possible; if it is close to the time of the next dose, it will not
Q13. What is pulse treatment?
The so-called steroid pulse treatment is to inject large doses of methyl steroids in a short period of time (a type of solid) that achieves effective anti-inflammatory and immune regulation, allowing the disease to be short control in time, it’s like the fire brigade uses a large amount of water to extinguish the fire when it is fighting fire.
The disease is quickly controlled.
Q14. Do I have to use steroid pulse therapy? Will there be any discomfort?
Is it a side effect?
In general, doctors choose to use pulse therapy, usually the degree of inflammation of the disease.
serious. At this time, if you do not use large doses of anti-inflammatory drugs, you may not use them quickly.
It will make the condition less controllable. After the pulse treatment, it is also easier to take oral steroids.
The dose is reduced.
When the pulse is treated, there may be redness and fever in the face.
The feeling will be reduced and slowly disappeared after the drug is injected. And some patients may be because the spirit is more intense and insomnia, at this time you can use a small amount of sleeping pills to help sleep. For patients with diabetes may have elevated blood sugar during the pulse treatment.
Blood glucose is often measured daily and controlled with a small dose of insulin. And some patients may have
The situation of rising blood pressure, because the nursing staff will pay close attention to the changes in blood pressure, so this part,
Q15. Will treatment with steroids reduce my immunity?
When using large doses of steroids, it may inhibit the body’s immune function. So, at before the injection, if there is cavities, otitis media, sinusitis or urinary pain, please tell the doctor or nursing staff. Your doctor will assess your condition and decide if you can use pulse therapy. In addition, after receiving the pulse for a week, try to reduce it to a crowded place, such as a public place or a movie.
Hospitals, etc., or go out to wear masks, wash hands frequently to reduce infection.
Q16. What is inhaled steroid?
Inhaled steroids are the first line of asthmatic patients and can effectively slow down airway development.
Inflammation and reduce the chance of asthma attacks; in patients with asthma or allergic rhinitis, when the airway or nasal cavity is severe when inflamed, it is necessary to use inhaled steroids to achieve effective control of the trachea or nasal cavity inflammation.
Q17. Do I use inhaled steroids all my life?
- Allergic rhinitis and asthma patients are mainly due to chronic persistent inflammation of the respiratory tract. one in general, patients with mild intermittent asthma do not need to be used regularly;
- Patients should take long-term rules, otherwise it may make asthma or rhinitis difficult to control.
Q18. What are the side effects of inhaled steroids?
Low doses of inhaled steroids do not cause serious systemic complications and are only absorbed in small amounts.
The total amount of inhaled in one day will not exceed 0.5-1 oral steroids per day. More common the side effect is infection of the throat mold, remember to rinse your mouth after each use.
Q19. What is steroidal ointment?
Local cutaneous vasculitis, more severe dermatitis or drug allergy, atopic dermatitis or for diseases such as eczema, the doctor will use a topical topical synthetic steroidal ointment to help the skin become inflamed.
Get control quickly. Steroidal ointments should not be used in infected skin wounds.
Q20. What are the side effects of steroidal ointments?
Apply a small area to the skin, less than five grams per day, generally no systemic side effects occur. However, if used improperly, local skin may have atrophy, shrinkage, blood tube expansion, indigo. General practitioners are very cautious about local side effects, be careful not to anyone who buys ointments in a pharmacy may cause too much use.
When using cholesterol, if it can avoid side effects, in the shortest time, use appropriate doses and let steroids exert their maximum efficacy to control the patient’s disease after the drug is reduced or after the drug is stopped, the disease will not burst or rebound. This is the highest level of steroids.
To achieve this goal, the patient itself needs to cooperate with the physician. In addition, do not believe in remedies and margins a friend’s improper advice can control the disease and allow patients who use steroids to get it.
The biggest benefit!