翻译的一些国外的最新资料！！！

4 post s
Jul 19, 2006
5:39 PM Hi everyone, posting on behalf of my mother who has been on steriods for MG for over 12 months. She started on 50mg a day and is now down to 20mg... she has gained about 10 kilos in weight over the year and now the doctor is telling her that it is a problem. Does anyone have any tips for losing weight while still on steriods? Thanks in advance for your help. 大家好，我妈妈患MG吃激素十二个月了。她最开始一天吃50mg现在减到20mg一年内她增加了十公斤，现在医生告诉她这是个问题。大家有什么减肥妙招吗？提前谢谢您的建议。
Levitas

257 post s
Jul 20, 2006
6:47 AM
Loz,
I have been on steroids for the last 18 months and this is my second time round the circuit. (I did manage to get off them completely the first time around.)我吃激素药吃了十八个月了，这是我的第二次计划（我第一次的确成功地减下来了）
You may think that with this experience I should be able to give you good advice but as you have probably heard no two people are the same and I fear this is true in their capacity to handle steroids and the side effects. Perhaps I am just lucky as weight gain has not been a big problem for me, or maybe I have been doing the right things – who knows?你可能认为这样我就会给你很好的建议，但是你也听说没有两个人是完全一样的，我也认为在对付激素和它的影响方面，因人而易。可能我在减肥方面比较幸运，或者是我瞎猫撞了死老鼠碰巧做对了，谁知道呢？
First let me say that weight gain is a real problem for many on prednisolone and I would not wish to make light of it.
My understanding is that it stems from at least three sources.
首先，我认为体重增加，对服用强的松的人来讲是个一个问题。我也不能轻视它。我个人认为有三种来源。
1. Increased appetite caused by the steroids.
由于服用激素而增加了食欲。
2. Increased in fat deposition and redistribution of fat in unwelcome places.脂肪沉淀物的增加以及脂肪的不合理分配。
3. Water retention. 水分在体内保持。
If these are the causes what is to be done?那么怎么做呢？
1 I’m sure the doc has pills to reduce you mother’s appetite but maybe she would prefer not to take yet more pills. The trite answer is to have the will power to simply eat less! Easier said than done but it does work.我确定医生会给你妈妈降低食欲的药但是她可能更愿意少吃点药为好。答案就是靠自己意志来吃的少一点。说起来容易坐起来难，但是真的很奏效。
2 I’m not qualified to answer about what to do about the fatty deposits but guess it could help to avoid fatty foods and substitute unsaturated fats for butter etc.对于怎样处理脂肪堆积问题，我也不是很好回答。但我想尽量避免吃油脂食品而吃无脂的（unsaturated fats ？好象是这个意思）
3 If your mother is on treatment for high blood pressure she will probably be on a diuretic. Get her to ask her doctor if it might be an idea to increase the dose (or go on a diuretic if not taking them already). Cutting down on salt intake should also help. I’ve got my wife to stop adding much salt when cooking and never sprinkle salt on my food. You soon get used to it.如果你妈妈正在治疗高血压，她可能 be on a diuretic容易小便？可以让他的医生增加（高血压）药量。减少食盐的摄入也是很有帮助的。我已让我妻子在作饭时少放盐。从不吃带盐食品。很快就适应了。Substituting potassium for sodium will help and you can buy a salt substitute, which is mainly potassium chloride instead of the “normal” salt which is sodium chloride. Best to get her doctors approval first, though. 可以买盐的替代品，含钾氯化物。而代替钠氯化物的盐。
Finally she should try to get as much exercise as possible – not always easy for a myasthenic, but it would help not only to keep her weight down but also to keep her bones strong and reduce the risk of osteoporosis that can be induced by prednisolone. 她因该尽量多锻炼，这对于患者并不容易，但是这样不但减肥而且让骨骼更强壮，将避免由于服用强的松而引起的骨质疏松症。
I hope this is of some help and wish her well.
-----我希望这会有帮助　希望她好起来-----
Levitas
Last Edited Levitas on Jul 20, 2006 6:48 AM

If these are the causes what is to be done?那么怎么做呢？
1 I’m sure the doc has pills to reduce you mother’s appetite but maybe she would prefer not to take yet more pills. The trite answer is to have the will power to simply eat less! Easier said than done but it does work.我确定医生会给你妈妈降低食欲的药但是她可能更愿意少吃点药为好。答案就是靠自己意志来吃的少一点。说起来容易坐起来难，但是真的很奏效。
2 I’m not qualified to answer about what to do about the fatty deposits but guess it could help to avoid fatty foods and substitute unsaturated fats for butter etc.对于怎样处理脂肪堆积问题，我也不是很好回答。但我想尽量避免吃油脂食品而吃无脂的（unsaturated fats ？好象是这个意思）
3 If your mother is on treatment for high blood pressure she will probably be on a diuretic. Get her to ask her doctor if it might be an idea to increase the dose (or go on a diuretic if not taking them already). Cutting down on salt intake should also help. I’ve got my wife to stop adding much salt when cooking and never sprinkle salt on my food. You soon get used to it.如果你妈妈正在治疗高血压，她可能 be on a diuretic容易小便？可以让他的医生增加（高血压）药量。减少食盐的摄入也是很有帮助的。我已让我妻子在作饭时少放盐。从不吃带盐食品。很快就适应了。Substituting potassium for sodium will help and you can buy a salt substitute, which is mainly potassium chloride instead of the “normal” salt which is sodium chloride. Best to get her doctors approval first, though. 可以买盐的替代品，含钾氯化物。而代替钠氯化物的盐。

Finally she should try to get as much exercise as possible – not always easy for a myasthenic, but it would help not only to keep her weight down but also to keep her bones strong and reduce the risk of osteoporosis that can be induced by prednisolone. 她因该尽量多锻炼，这对于患者并不容易，但是这样不但减肥而且让骨骼更强壮，将避免由于服用强的松而引起的骨质疏松症。

I hope this is of some help and wish her well.

-----我希望这会有帮助　希望她好起来-----
Levitas

Last Edited Levitas on Jul 20, 2006 6:48 AM