Ma steroids amatchulidwa kawirikawiri ndi anthu a mibadwo yonse, kuphatikizapo ana. Matenda a steroid ndi othandiza kuti asamalidwe ndi atopic dermatitis (eczema), kukhudzana ndi dermatitis (kuphatikizapo ziphuphu zomwe zimayambitsa chiwombankhanga ndi ivy ), zowoneka ngati khungu louma, ndi zina zomwe zimayambitsa kuyabwa , kuphatikizapo tizilombo toyambitsa matenda .
Komabe, ma steroids amatha kukhala ndi zotsatira zoyenera, makamaka pogwiritsa ntchito mapepala apamwamba.
Choncho, pamene mankhwala otchedwa steroid amagwiritsidwa ntchito pa ana, mavitamini otsika ayenera kugwiritsidwa ntchito panthawi iliyonse kuti athe kuchepetsa zotsatira zake.
Topical Steroids Yavomerezedwa ndi FDA
Zina zokhazokha za steroids zimavomerezedwa ndi US Food and Drug Administration (FDA) kuti agwiritse ntchito ana. Zonsezi, kupatulapo hydrocortisone , zimapezeka ndi mankhwala okhaokha. Izi zikuphatikizapo, zolembedwa mu dongosolo la kukula kwa mphamvu (zofooka kwambiri).
- Kachilombo ka Cortizone / Cortaid (hydrocortisone) 0,5 peresenti ndi 1 peresenti zonunkhira ndi mafuta onunkhira, ololedwa kwa ana ali aang'ono ngati a zaka ziwiri.
- Derma-Smoothe (fluocinolone) 0.01 peresenti mafuta, ovomerezeka kwa ana ali aang'ono ngati miyezi itatu.
- Desonate / Verdeso (deonide) 0.05% gel / foam, ololedwa kwa ana aang'ono ngati miyezi itatu.
- Dermatop (prednicarbate) 0.1 peresenti ya zonona, kuvomerezedwa kwa ana ali aang'ono ngati 1 chaka chimodzi.
- Limbikitsani (fluticasone propionate) 0.05 peresenti zonona, kuvomerezedwa kwa ana ali aang'ono ngati miyezi itatu.
- Elocon (maietasone) 0.1 peresenti ya zonona ndi mafuta, ovomerezeka kwa ana ali aang'ono ngati zaka ziwiri.
Ngakhale zina zambiri zakutchire za steroids zimaperekedwa mobwerezabwereza kwa ana aang'ono, monga triamcinolone, ziyenera kuzindikira kuti mankhwalawa sakhala ndi chidziwitso chochepa cha chitetezo pamene amagwiritsidwa ntchito kwa ana, choncho amalingalira kuti akugwiritsa ntchito "FDA".
Dziwani zambiri za zizindikiro zowopsa kwa ana .
Kusamala Kwambiri kwa Topical Steroids ndi Ana
Zolemba za steroids zimatsutsa hypothalamic-pituitary-adrenal (HPA) axis. Kuletsa kusungunuka kwa mahomoni kungayambitse matenda a Cushing , shuga yambiri ya magazi, komanso kutaya shuga mu mkodzo. Ana ali pangozi yaikulu kuposa akuluakulu ndipo angasonyeze kuti sakulepheretsa kukula, kuchepetsa kulemera kwa thupi, ndi mavuto ambiri mkati mwa ubongo. Ngakhale kuti malipoti a milandu imeneyi chifukwa cha steroid ndizosawerengeka, pakhala pali milandu ingapo yazaka makumi asanu ndi ziwiri komanso ana angapo omwe amafera ana.
Chifukwa cha izi, magulu a akatswiri sakufuna kuvomereza mankhwala otchedwa topical steroid akugulitsidwa pa-counter. Amaopa kuti makolo sangamvetse mavuto omwe angagwiritse ntchito mankhwalawa kunyumba. Ngakhale nthawi zambiri zotsatira za mankhwala otchedwa topical steroids pa HPA axisiti zimatanthauza kuti mwanayo ali pachiopsezo chochepa, ngati ali ndi vuto la thupi (osati maganizo) monga chisonkhezero, opaleshoni, kapena matenda aakulu, akhoza kuopseza moyo mavuto. Zotsatira pa malo a HPA ndizosinthika ndipo nthawi zambiri zimabwereranso mwachibadwa mkati mwa masabata.
Mawu Ochokera
Chofunika kwambiri ndi kuchiza mapiritsi otchedwa steroids ndi kulemekeza ndi kuzigwiritsa ntchito monga momwe adanenera komanso ngati momwe dokotala ndi wamankhwala akulimbikitsira.
Pakhoza kukhala zina zomwe mungasankhe kwa mwana wanu. Kugwiritsira ntchito mphamvu yochepa kwambiri ya topical steroids ndizothandiza kuchiza vutoli, ndipo kungogwiritsira ntchito kokha kwa nthawi yotchulidwa, ndizofunikira kwambiri za chitetezo. Musagwiritse ntchito topical steroid yoperekedwa kwa wina aliyense pa mwana wanu.
> Zotsatira:
> Dhar S, Seth J, Parikh D. Zotsatira Zowonongeka za Topical Corticosteroids. Indian Journal of Dermatology . 2014; 59 (5): 460. do: 10.4103 / 0019-5154.139874.
> Saraswat A. Topical Corticosteroid Kugwiritsa Ntchito Ana: Zotsatira Zoipa ndi Mmene Mungachepe. Indian J Dermatol Venereol Leprol 2010; 76: 225-8.