Ngakhale steroids zam'mutu zimapindulitsa kwambiri pakachepetsa kutupa, zingakhalenso ndi zotsatira zina. Zambiri mwa zotsatirazi zimagwirizana ndi kugwiritsa ntchito nthawi yayitali, koma zina zingathe kuchitika masiku angapo atayamba mankhwala.
Zomwe zimayambitsa mavuto ambiri zimakhala zovuta kuchokera ku zofatsa komanso zosakhalitsa mpaka kalekale komanso zosatha.
Tachyphylaxis
Tachyphylaxis ndi kuchepa mofulumira poyankha a topical steroid chifukwa chogwiritsidwa ntchito mobwerezabwereza.
Kugwiritsira ntchito mankhwala osokoneza bongo kungachititse kuti khungu likhale lolekerera mankhwalawa, kuwapangitsa kukhala opanda pake. Izi zikachitika, anthu nthawi zambiri amawonjezera mlingo kapena kugwiritsa ntchito steroid mobwerezabwereza, zomwe zimangowonjezera kulekerera kwa mankhwala. Zotsatira zake zimatha kusinthidwa mwa kusiya mankhwala masiku asanu ndi awiri ndikuyambiranso.
Steroid Rosacea
Steroid rosacea ndi zotsatira zoyipa zomwe zimawonedwa m'matenda abwino omwe ali kale ndi rosacea . Chitsanzo chochitika chimapezeka pamene munthu akugwiritsa ntchito steroid yofatsa kwambiri kumaso kuti asagwedeze nkhope . Steroid imapanga zotsatira zokondweretsa poyamba, koma, monga kulekerera kumachitika, munthuyo amagwiritsa ntchito makina opambana.
Panthawi imeneyi, kuyesa kulimbikitsa steroid (kapena kuchepetsa kapena kuimitsa palimodzi) kungayambitse kupweteka kwambiri kwa nkhope komanso kupanga mapulogalamu odzaza madzi omwe amatchedwa pustules .
Khungu la Atrophy
Kugwiritsidwa ntchito mobwerezabwereza kwa topical steroid m'dera lomwelo kungapangitse kupopera kwa epidermis (kunja kwa khungu) ndikusintha minofu yothandizira (pakati pa khungu).
Izi zikachitika, khungu limatha kuwonongeka ndipo limakhala lalala, lakuda, ndi lowala.
Malo okhudzidwa angakhale ochepa kwambiri kusiyana ndi khungu loyandikana nalo ndi zowoneka zowonongeka (telangiectasias), hypopigmentation, ndi modzidzimutsa wa mitsempha yapansi. Atrophy kawirikawiri imasinthidwa kamodzi kokha ngati ntchito ya steroid imayimitsidwa, koma zingatenge miyezi kuti khungu lizikhala labwino.
Zolembapo
Kugwiritsiridwa ntchito mobwerezabwereza kwa topical steroids m'madera kumene khungu limakhudza khungu, monga kubuula ndi kutupa, kungachititse kuti tizilombo toyambitsa matenda (striae). Zosindikizidwa kuchokera pazithunzithunzi za steroid zimakhala zosatha komanso zosasinthika. Zitha kukhala zowopsya kwambiri ndipo zingafunike mphamvu yochepa ya steroid kuti ipeze chithunzithunzi chachikulu.
Kusintha kwa matenda
Chifukwa chakuti ma steroids amatha kusintha njira yomwe chitetezo cha m'thupi chimagwirira ntchito, amatha kuteteza khungu kuti limenyane ndi mabakiteriya komanso matenda opatsirana.
Chitsanzo cha izi chikuwoneka pamene wina agwiritsira ntchito timawu tapamwamba tomwe timayambira. Ngati vutoli ndi fungal, kutukuka kumakhala kofiira, kutentha, ndi kufalikira mochulukirapo kusiyana ndi matenda opatsirana . Izi zingayambitse matenda otchedwa tinea incognito pamene kutukukaku ndikutentha ndi pustules.
Topical Steroid Zovuta
Anthu ena amatsutsana ndi chigawo chopanda ntchito cha topical steroid (yomwe imadziwika kuti galimoto). Kuyesedwa kwa anthu omwe ali ndi dermatitis kunawonetsa kuti anayi mpaka asanu peresenti amatsutsana ndi izi. Anthu omwe ali ndi chikopa cha khungu ndipo amagwiritsira ntchito mankhwala osiyanasiyana (kuphatikizapo oposa-the-counter topical steroids) ali pachiopsezo chachikulu chotenga matendawa.
Glaucoma
Glaucoma ndi matenda omwe amachititsa kuti diso likhale lopweteka kwambiri mpaka kuwononga mitsempha ya optic. Pali malipoti amodzi okhaokha a anthu amene akulera glaucoma atagwiritsidwa ntchito nthawi yaitali pogwiritsa ntchito mankhwala otchedwa topical steroid m'maso. Momwe izi zimachitikira sizimamvetsetsa kwathunthu, koma zimakhulupirira kuti steroid yokwanira imatha kulowetsa minofu yoyandikana nayo kuti ikhale diso.
> Chitsime:
> Dey, V. "Kugwiritsa ntchito mankhwala opweteka kwambiri a corticosteroids: kuphunzira za zochitika zoipa." Ind Derm Online Tsiku. October-December 2014; 5 (4): 436-440