Ziphuphu Zingakhale Zowonongeka Ndiponso Zokhumudwitsa Zotsatira za Prednisone
Corticosteroids, makamaka prednisone, kawirikawiri imaperekedwa kuti izikhala ndi zinthu zambiri zotupa, kuphatikizapo kutupa matumbo (IBD) . Anthu ena amene amamwa mankhwala a steroid monga prednisone akhoza kupanga mtundu wa acne (ziphuphu kapena zitsulo) zotchedwa "steroid acne."
M'malo mopweteka kwambiri kwa mankhwala, kupweteka kwa ziphuphu kumakhala ndi zotsatira zolakwika kwambiri pa umoyo wa moyo.
Anthu omwe ali ndi IBD angamve ngati akudwala mankhwalawa kapena akuchidwalitsa ndi achiwiri kwa IBD, ndipo akhoza kukayikira kubweretsa pamodzi ndi othandizira zaumoyo. Komabe, khalidwe la moyo ndikumverera bwino pa mawonekedwe a umunthu ndilofunikira kwambiri kuthana ndi IBD ndikuyendetsa bwino.
Kodi Prednisone N'chiyani?
Prednisone ndi mankhwala otchipa, othandiza komanso olembedwa ndi madokotala ambiri kuti awononge matenda a Crohn kapena matenda a zilonda zam'mimba. Choyenera, chiyenera kugwiritsidwa ntchito kwa kanthawi kochepa chabe, koma nthawi zina chimagwiritsidwa ntchito kwa nthawi yaitali pamene IBD silingayankhe kanthu kali konse. Cholinga chenicheni cha chithandizo cha IBD ndi kutukumula popanda kugwiritsa ntchito steroids, kapena kugwiritsa ntchito, kwa nthawi yaying'ono.
Katemera akayamba, sungatheke mwadzidzidzi chifukwa cha zoopsa za zotsatira zina.
Mlingo wa prednisone wotengedwa tsiku lirilonse uyenera kuchepetsedwa pang'onopang'ono, ndipo izi zingatenge milungu kapena miyezi. Prednisone imakhudzidwa ndi zotsatira zovuta zambiri, zina mwazovuta kwambiri kwa odwala, monga njala kapena moody, ndi zina zomwe zimakhala zovuta kapena zosatha, monga mavuto a maso . Pa zifukwa izi ndi zina, odwala ndi madokotala ayenera kugwiritsa ntchito prednisone kwa nthawi yochepa kwambiri ngati n'kotheka.
Steroid Acne
Nthendayi imaganiziridwa ngati vuto kwa achinyamata , koma steroid acne ikhoza kuchitika kwa aliyense amene amatenga steroids, mosasamala za msinkhu wawo, ngakhale kuti amayamba kukhala ofala kwambiri achinyamata ndi achikulire. Steroid acne ikhoza kuwonekera pamaso, pachifuwa, kapena kumbuyo. Steroid acne idzayamba kutha pamene mankhwala a steroid akugwedezeka pansi ndi kutsekedwa . Komabe, mankhwala ochizira mavitamini angayambe pamene wodwala akadali kutenga prednisone.
Acne vulgaris . Acne vulgaris ndi mawu omwe amagwiritsidwa ntchito pofotokoza mtundu wina wa acne omwe amapezeka ndi mankhwala a prednisone. "Vulgarisi" amatanthauza "wamba," zomwe sizikuwatsitsimula kwambiri kwa omwe akulimbana nacho, chifukwa ndizovuta, makamaka ngati zili pamaso ndi pamutu. Nthawi zambiri zimawoneka ngati zilonda zapamwamba kwambiri ndipo zikhoza kukhala zofala kwambiri kwa anthu omwe ali ndi chizoloŵezi chofuna kumenyana ndi nyamakazi.
Malassezia (pityrosporum) folliculitis . Mtundu uwu wa acne umayambitsidwa ndi yisiti yomwe ilipo pamutu wa tsitsi. Zikuyesa kuti paliponse kuyambira 75% mpaka 98% a anthu ali ndi yisiti pa khungu lawo, ndipo zimaonedwa ngati zachilendo. Chimene sichiri chachilendo ndi pamene yisiti ikukula. Ndizofala kwambiri pa chifuwa ndi thunthu, koma zimachitika m'madera ena, ndipo zimayambitsa kuyabwa.
Chochititsa chidwi n'chakuti chikopachichi chinapezedwanso ndi wodwala ndi matenda a Crohn amene amalandira Remicade , ngakhale kuti si steroids, ndipo adalembedwa m'magazini ya zachipatala.
Mankhwala Akupezeka
Mtundu wa chithandizo womwe umagwiritsidwa ntchito umadalira mtundu wa mavitamini omwe alipo komanso zinthu zina zambiri monga mankhwala ena omwe akugwiritsidwa ntchito ndi kuuma kwa acne. Accutane (isotretinoin) kawirikawiri savomerezedwa kuti athetse nthendayi mwa anthu omwe ali ndi IBD chifukwa, ngakhale izi sizowoneka, zimayambitsa zizindikiro monga kutsekula m'mimba komanso magazi otha magazi . M'malo mwake, kuyeretsa zamatsenga ndi anti-acne mawotchi monga benzoyl peroxide akulimbikitsidwa ngati gawo loyamba pochiza acne.
Maantibayotiki apakamwa kapena mankhwala ophera tizilombo angagwiritsidwe ntchito pochiritsira.
Chidziwitso Chochokera
Aliyense amene ali ndi nkhaŵa za acne zomwe zimayamba panthawi ya mankhwala a prednisone ayenera kufunsa gastroenterologist , kapena dermatologist yemwe ali ndi chithandizo chochizira anthu ndi IBD. Kumbukirani kuti ngakhale ziphuphu, makamaka pa nkhope, zingakhale zovuta kukhala nazo, ziphuphu zidzasintha pamene mutenga pansi pa steroid . Padakali pano, kulandira chithandizo cha acne kungathandize kuthetsa khungu mpaka prednisone itayimitsidwa.
Zotsatira:
Crohn's ndi Colitis Foundation ya America. "Kuchitira Ana ndi Achinyamata." CCFA.org Oct 2011.
Nasir A, El Bahesh E, Whitten C, et al. "Pityrosporum folliculitis mu matenda a Crohn's odwala amalandira infliximab." Inflamm Bowel Dis . 2010; 16: 7-8.
Rashid RM. "Malassezia (Pityrosporum) Folliculitis." Kusaka. 24 Jul 2016.