Elidel ndi Protopic akuchenjeza bokosi lakuda
Kodi Elidel ndi Protopic ndi chiyani?
Elidel (pimecrolimus) ndi Protopic (tacrolimus) ndi mankhwala opangira mankhwala opangira mankhwala a atopic (eczema). Mankhwalawa, otchedwa topical calcineurin inhibitors (TCIs) ndiwo mankhwala oyambirira omwe sanali a steroid opangidwa kuti athetse nyengo.
Mosiyana ndi mankhwala otchedwa steroid, ma TB samasokoneza khungu, kusintha kwa mtundu wa pigment, kusintha kwa magazi, kapangidwe ka striae, kapena kutaya yankho ndi ntchito yayitali.
TCIs sichimalowetsa m'thupi kuti likhale lopambana, mosiyana ndi ma sitiids. Kuwonjezera pamenepo, TCIs ingagwiritsidwe ntchito pa khungu lirilonse, kuphatikizapo nkhope ndi maso.
Elidel ndi Protopic ndi calcineurin inhibitors, omwe ndi mankhwala omwe amachititsa kuti chitetezo cha mthupi chitetezedwe mwa anthu omwe alandira ziwalo za thupi komanso anthu omwe ali ndi matenda omwe amachititsa kuti thupi lawo liziyenda . Mankhwalawa, monga cyclosporine, akhoza kukhala ndi zotsatira zoyipa, kuphatikizapo kupanga mitundu yosiyanasiyana ya khansa.
Ngakhale kuti Elidel ndi Protopic analoledwa kuti agwiritsidwe ntchito kwa anthu zaka ziwiri kapena kupitilira, madokotala ambiri amagwiritsira ntchito mankhwalawa kwa ana ndi aang'ono. Mankhwala awa adatchuka kwambiri chifukwa cha kusowa kwa zotsatirapo poyerekeza ndi zam'mutu za steroid.
Phunzirani zofunikira za dermatitis ya atopic .
Kodi ndizoopsa ziti zomwe zimayenderana ndi Elidel ndi Protopic?
Elidel ndi Protopic onse panopa ali ndi "chenjezo lakuda", ndilo ndondomeko yoyenera yothandizira mankhwala ndi Food and Drug Administration.
Chenjezo limeneli linabwera chifukwa cha malipoti a ana ndi akulu omwe adayamba khansa (monga khansa ya khungu ndi malimphini) pamene akugwiritsa ntchito mankhwalawa.
Chisankho cha FDA kupereka mankhwalawa "chenjezo lakuda" chinali chopikisana kwambiri ndipo chinatsutsana ndi malingaliro ochokera kwa akatswiri omwe amakhulupirira kuti onsewa ndi ovomerezeka ndi dermatologists.
Chifukwa cha ichi chinali chakuti deta yomwe ilipo sinatsimikizire kuti ma TCI amachititsa kuwonjezeka kulikonse pangozi ya mtundu uliwonse wa khansa. Mlingo wa chitukuko cha khansa ukupezeka mwa anthu ogwiritsa ntchito Elidel ndi Protopic kwenikweni anali pansi pa mlingo umene anthu amayembekezera , ndipo mitundu ya khansa yowona sizinali zowoneka mwa anthu ogwiritsa ntchito cyclosporine.
Kuonjezera apo, ngakhale pamene ma TCIs amagwiritsidwa ntchito pamadera akuluakulu a thupi, mankhwala sangathe kuwonekera m'magazi. Palibenso umboni wakuti ma TCI amaletsa chitetezo cha thupi la thupi, chomwe chimakhala chifukwa chachikulu chomwe mankhwalawa amachititsira khansa.
Ngakhale kuti zenizeni zenizeni za sayansi za machenjezo a " Black Box " a FDA, komabe, Elidel ndi Protopic anali kugwiritsidwa ntchito ndi madokotala chifukwa cha zomwe sanafune. Mankhwalawa mwina anali oposa maulendo angapo okhudzidwa ndi ana komanso akuluakulu omwe sali oyenera. Ma CRC akadali mankhwala othandiza kwambiri, ndipo nthawi zambiri ndimawapatsa mankhwalawa.
Kodi Elidel ndi Protopic Ayenera Kugwiritsa Ntchito Liti?
Elidel ndi Protopic amasonyezedwa ngati mankhwala achiwiri opangira mankhwala (topical steroids ndi kusankha koyamba) kwa atopic dermatitis kwa akuluakulu ndi ana zaka ziwiri kapena kupitilira.
Mankhwalawa ayenera kugwiritsidwa ntchito kanthawi kochepa chabe, ndipo sayenera kugwiritsira ntchito ntchito yowonjezereka yowonjezereka kuti asunge mankhwala abwino.
Ndimakonda kugwiritsa ntchito Elidel ndi Protopic kawirikawiri khungu lomwe limakhala ndi zotsatira zochokera ku topical steroids , makamaka khungu lofewa pamaso ndi maso ndi m'matumba a thupi monga mphuno ndi kubuula. Chifukwa ma TCIs ndi okwera mtengo (ndipo palibe ma generic), ndimakonda kugwiritsira ntchito mankhwala otsika mtengo otchedwa steroids m'malo ena pamtundu wambiri wodwala, monga mikono, miyendo, manja, mapazi, khosi ndi thunthu.
Ndikukambilaninso zoopsa zapamwambazi ndi odwala ndi makolo omwe ali ndi ana omwe ndikumupatsa Elidel ndi Protopic.
Ngakhale kuti, ndilibe nkhawa yaikulu pokhudzana ndi mankhwalawa (onani pamwambapa chifukwa cha malingaliro anga), ndi ufulu wa odwala anga kudziwa zomwe ndikudziwa. Ndimafunanso kuti odwala anga amve kuopsa kwa mankhwalawa kuchokera kwa ine, osati pa intaneti, kumene angapeze zambiri zabodza.
Onani makalata ochenjeza a FDA pa Elidel ndi Protopic .
Mukufuna kupitiriza kuphunzira? Pezani zambiri za mankhwalawa pa dermatitis ya atopic .
Zotsatira:
> Aaronson DW. Zilonda za "Black Box" ndi Mankhwala Osokoneza Bongo. J Zachilombo Zamtundu wa Immunol. 2006; 117: 40-4.
> Lipoti la Topical Calcineurin Inhibitor Task Force ya ACAAI ndi AAAAI. JACI. 2005; 115: 1249-53.