Kutonthoza Chitsulo cha Eczema ndicho Cholinga Chachikulu Chosamalira
Matenda a steroids ndi othandiza pochiza matenda osiyanasiyana a khungu ndi pruritus , kuphatikizapo atopic dermatitis (yotchedwa eczema ). Monga mankhwala odana ndi kutupa, ma steroids am'munsi amatha kuyabwa, kuthamanga, komanso kuthamangira pakhungu kamodzi kapena kangapo patsiku.
Kawirikawiri, dokotala angalimbikitse topical steroid kuti athetse mwana wa (kapena wamkulu) wa eczema umene sungathe kulamulidwa ndi khungu lamadzi okha.
Kodi Mitundu ya Topical Steroids Ndi Yotani?
Pali mitundu yambiri ya mankhwala otchedwa steroids omwe amapezeka ndi mankhwala, komanso hydrocortisone acetate 1% zonona, zomwe zimapezeka pa tsambalo popanda mankhwala.
Mankhwala otchedwa steroid amapezeka m'magulu osiyanasiyana, mphamvu, ndi magalimoto osiyanasiyana. Mankhwala ena ndi amphamvu kwambiri (amphamvu amapatsidwa mankhwala omwewo), poika kwambiri, kapena amaikidwa "galimoto" yosiyana (monga ma creams, lotions, mafuta odzola, ndi zina zotero), zomwe zingakhudze momwe mphamvu yotchedwa topical steroid ilili .
Kodi Kusiyanasiyana pakati pa Malingaliro, Cream ndi Mafuta a Topical Steroid?
Galimoto ya topical steroid imakhudza mphamvu ya mankhwala. Popeza mndandanda wa topical steroid womwewo, mndandanda wotsatirawu ukuimira mphamvu za mankhwala,
- Mafuta
- Zikondamoyo
- Zotsatira
- Zothetsera
- Gels
- Kupopera
Mitundu Yotani ya Topical Steroids Ingagwiritsidwe Ntchito pa Ana?
Chifukwa chakuti ana amavutika kwambiri ndi zotsatira za topical steroids, m'munsi mwa potency topical steroids ayenera kugwiritsidwa ntchito ngati kuli kotheka.
Kafukufuku amasonyeza kuti mitundu iwiri yatsopano ya steroids, Cutivate (fluticasone propionate) ndi Elocon (mometasone furoate), ikhoza kukhala yotetezeka kwa ana chifukwa mankhwala ochepa amalowa m'thupi. Angagwiritsenso ntchito kamodzi kotsutsana kawiri pa tsiku. Kuonjezerapo, Cutivate ndi yokhayo yeniyeni ya steroid FDA-yovomerezeka kwa ana ali aang'ono ngati miyezi itatu.
Ndingagwiritse Ntchito Topical Steroids Pamaso Panga?
Khungu pa nkhope limakhala ndi zotsatira zoopsa za topical steroids, ndipo kupeza mankhwalawa kumayambitsa glaucoma kapena mapangidwe a kadoti. Choncho, ndi potsika kwambiri potency topical steroids ayenera kugwiritsidwa ntchito pamaso, ndi yaying'ono kwambiri ya mankhwala ogwiritsidwa ntchito nthawi yayitali kwambiri.
Kodi Pali Maiko Thupi Langa Kumene Sindiyenera Kugwiritsa Ntchito Topical Steroids?
Mbali zina za thupi zimakhudzidwa kwambiri ndi zotsatira za topical steroids. Mwachitsanzo, mbali zina za thupi lomwe lili ndi khungu lopweteka, monga nkhope, maso, ndi ziwalo, zimatha kutengekeka, ndipo ndizochepa zokhazokha zogwiritsidwa ntchito m'maderawa. Malo a zikopa za khungu, monga zam'mimba, kubuula, ndi pansi pa mabere, amamwa kwambiri mankhwala otchedwa steroid, otsika kwambiri potency topical steroids ayenera kugwiritsidwa ntchito mosamala pamadera awa.
Kodi Zingatheke Bwanji Zotsatira za Topical Steroids?
Zotsatira za mankhwala opangidwa ndi tizilombo toyambitsa matenda zimapezeka nthawi zambiri pa khungu komwe mankhwala amagwiritsidwa ntchito.
Zotsatira za m'deralo zimaphatikizapo:
- Kupukuta khungu
- Pigment amasintha (khungu lakuda kapena lakuda)
- Mapangidwe a Telangiectasia (zotengera magazi)
- Rosacea, perioral dermatitis, ndi acne
- Kuwonjezeka kwa chiwopsezo kwa matenda a khungu
- Kutha kuchepa mphamvu yophiritsira
- Kutupa, kufiira, kuyaka, kupweteka, ndi kupukuta khungu
- Dermatitis yothandizira kuchokera ku topical steroid palokha
Pamene ma steroid amagwiritsidwa ntchito pa zigawo zazikulu za thupi, malo owonjezerapo kuyamwa (mwachitsanzo, nkhope kapena ziwalo), kapena kwa nthawi yaitali, thupi lonse lingakhudzidwe. Izi zimatchedwa systemic effect, ndipo ngakhale zosatheka, zimatha kuphatikizapo zizindikiro zonse za matenda a Cushing .
Zina mwa zinthu zomwe zimapangitsa kuti thupi lonse likhale ndi zotsatira za mankhwala otchedwa topical steroids zimakhala ndi mphamvu ya corticosteroid, komanso ngati kuvala kwina kumagwiritsidwa ntchito pa steroid.
Kodi Zitsanzo Zina za Topical Steroids Zimapanga Zotani?
Zolemba za steroids zimakhala zogawidwa m'magulu asanu ndi aŵiri kuchokera mu msinkhu wa potency, ndi gulu 1 kukhala lolimba kwambiri ndi gulu lokhala lofooka kwambiri. Zotsatirazi ndi zitsanzo zomwe zimagwiritsidwa ntchito popanga steroid kuchokera gulu lirilonse:
- Gulu 1: Kusamalitsa (clobetasol) 0.05% kirimu ndi mafuta, Diprolene (betamethasone) 0.05% kirimu ndi mafuta
- Gulu 2: Lidex (fluocinonide) 0.05% mwa mitundu yonse, Topicort (desoximetasone) 0.25% kirimu, gel, mafuta, Elocon (mavitasone furoate) 0.1% mafuta
- Gulu 3: Topicort (desoximetasone) 0.05% kirimu, Cutivate (fluticasone proprionate) mafuta500%
- Gulu 4: Westcort (valcidisone valerate) 0,2% mafuta, Kenalog (triamcinolone) 0.1% kirimu, Elocon (mavitasone furoate) 0.1% kirimu
- Gulu 5: Kokani (fluticasone proprionate) 0.05% kirimu, Westcort (valcidisone valerate) 0,2% kirimu
- Gulu lachisanu ndi chimodzi: Osamalidwa (osasamala) 0.05% kirimu
- Gulu 7: Cortaid ( hydrocortisone acetate ) mitundu yonse ndi magulu
Kodi Kukonzekera Kwambiri kwa Hydrocortisone Kumakhala Kokwanira Kapena Ndikufunikira Kapepala?
Zimadalira kuopsa kwa matenda a khungu. Kwa dermatitis yofatsa ya atopic , mwachitsanzo, khungu la low pot hydrocortisone likhoza kugwira ntchito bwino. Ngati chikanga chili cholimba, chokhazikika, kapena chokhudzana ndi khungu lakuda (monga mitengo ya palmu kapena mapeyala), mphamvu yowonjezera ya steroid ikhoza kufunika.
Mawu Ochokera
Vuto lina lofunika kwambiri ndi lakuti musagwiritse ntchito mankhwala a munthu wina wamtundu wa steroid, chifukwa simungadziwe kuti mankhwalawa anali atani poyamba. Nthendayi ya steroid ikhoza kukhala yamphamvu kwambiri, ndipo simungafune kugwiritsa ntchito mankhwala ngati amenewa pa ziwalo zina za thupi, monga nkhope kapena pakhungu.
> Zotsatira:
> Chen TM, Aeling JL.Topical Steroids. Mu: Fitzpatrick JE, Morelli JG, eds. Zida Zachilengedwe. 3rd ed. Philadelphia: Mosby; 2007: 408-16.
> Schneider L et al. Dermatitis yapamwamba: chizoloŵezi chokhazikitsa chiwerengero cha 2012. J Zomwe zimayambitsa matenda a Immunol. 2013 Feb; 131 (2): 295-9.e1-27.