Isixwayiso sebhokisi elimnyama ku-Elidel ne-Protopic
Uyini u-Elidel no-Protopic?
U-Elidel (i-pimecrolimus) ne-Protopic (i-tacrolimus) yimithi yokwelapha esebenzisa ukwelashwa kwe-atopic dermatitis (eczema). Le mithi, okuthiwa i-calicalurin inhibitors ye-topical (TCIs) yayiyimithi yokuqala engeyona i-steroid yemithi eyakhelwe ukuphatha i-eczema.
Ngokungafani ne-steroids yama-topical, ama-TCIs awabangeli ukukhanda kwesikhumba, izinguquko ze-pigment, ukwakheka kwezimpahla zegazi, ukubunjwa kwe-striae, noma ukulahlekelwa impendulo ngokusetshenziswa isikhathi eside.
I-TCIs ayifakwe emzimbeni kunoma yikuphi izinga elibalulekile, ngokungafani ne-steroids yama-topical. Ngaphezu kwalokho, ama-TCIs angasetshenziswa kunoma yisiphi isikhumba, kufaka phakathi ubuso namajwabu amehlo.
I-Elidel ne-Protopic yizinguqulo ze-calcineurin inhibitors, eziyimithi evikela ukuvimbela amasosha omzimba kubantu abathola izidakamizwa zomzimba kanye nabantu abanezifo ezizimele . Le mithi, njenge-cyclosporine, ingaba nemiphumela emibi kakhulu, kubandakanya ukudala izinhlobo ezihlukahlukene zomdlavuza.
Ngesikhathi u-Elidel noProtetop bevunyelwe ukusetshenziswa kuphela kubantu ababili noma ngaphezulu, odokotela abaningi basebenzisa le mithi yezingane nezinsana ezincane. Le mithi yathandwa kakhulu ngenxa yokungabi nemiphumela emibi uma kuqhathaniswa ne-steroid yezobuciko.
Funda okuyisisekelo se-atopic dermatitis .
Yiziphi izingozi ezihlobene no-Elidel no-Protopic?
U-Elidel no-Protopic bobabili bane-"black box" isixwayiso, okuyisitatimende sokuqapha esinikezwe imithi yi-Food and Drug Administration.
Lesi sixwayiso seza ngenxa yombiko wezingane kanye nabantu abadala ababa nomdlavuza (njengezikhumba zesikhumba kanye ne-lymphomas) ngenkathi basebenzisa le mithi.
Isinqumo se-FDA sokunikeza le mithi "isixwayiso sabantu abamnyama" sasiphikisana kakhulu futhi saphambene nezincomo ezivela emphakathini ochwepheshe we-allergists kanye nezidermatologists.
Isizathu salokhu kungenxa yokuthi idatha etholakalayo ayizange isekele ukuthi ama-TCI abangela ukwanda kwengozi yanoma yiluphi uhlobo lomdlavuza. Isilinganiso sokuthuthukiswa komdlavuza okwenzeka kubantu abasebenzisa i-Elidel ne-Protopic empeleni kwakungaphansi kwezinga elilindelwe kubantu jikelele , futhi izinhlobo zegciwane ezibonwe akuzona izinhlobo ezibonwa kubantu abasebenzisa i-cyclosporine.
Ngaphezu kwalokho, ngisho nalapho ama-TCIs asetshenziswa ezindaweni ezinkulu zomzimba, imithi ayitholakali egazini. Ayikho futhi ubufakazi bokuthi ama-TCIs awanqamule noma yini isisombululo somzimba, okuyisisekelo esiyinhloko esenza amafomu omlomo wale mithi abangele umdlavuza.
Naphezu kwanoma yisiphi isisekelo sangempela sesayensi sexwayiso sika-" black box " sika-FDA, noma kunjalo, u-Elidel noProteki babesebenzisa odokotela ngezinhloso ezingakaze zenzelwe. Le mithi cishe yayingaphezu kwe-oda mayelana nanoma yikuphi ukuhlaselwa okukhathazayo kubantwana nakubantu abadala, okungalungile. I-TCIs namanje imithi ewusizo kakhulu, futhi ngivame ukubeka le mithi kumkhuba wami.
Kufanele Kusetshenziswe I-Elidel Ne-Protopic?
I-Elidel ne-Protopic kuboniswa njengokwelapha okwesibini (ama-steroids angama-topical) okukhethwa kukho kwe- atopic dermatitis kubantu abadala nasezingane eminyakeni emibili nangaphezulu.
Le mithi kufanele isetshenziswe kuphela emifushane yesikhathi esifushane ye-eczema, futhi akufanele ithathe indawo yokusetshenziswa kwamafutha amaningi okugcina ama-moisturizers ukugcina isikhumba esihle se-skin.
Ngivame ukusebenzisa i-Elidel ne-Protopic kaningi esikhumbeni esithinta imiphumela emibi evela kwi -steroids ye-topical , ikakhulukazi isikhumba esincane ebusweni nasezikhungweni zezinwele nasemzimbeni emzimbeni njengama-armpits and groin. Ngenxa yokuthi ama-TCIs ayabiza kakhulu (futhi akukho fomu yama-generic), ngivame ukusebenzisa ama-steroids angabizi ngezinye izici emzimbeni onesikhumba esinamandla, njengezingalo, imilenze, izandla, izinyawo, intamo nesiqu.
Ngiphinde ngixoxe ngezingozi ezingenhla nanoma iziphi iziguli nabazali bezingane engibayala u-Elidel no-Protopic.
Ngenkathi ejwayelekile, anginandaba kakhulu nokuphepha kwala mithi (bheka ngenhla ukuze ngicabange), kuyilungelo leziguli zami ukwazi lokho engikuziyo. Ngifuna neziguli zami ukuba zizwe izingozi zalezi mithi ezivela kimi, kunokuba zivela e-intanethi, lapho zingathola khona ulwazi lwamanga.
Bheka izinhlamvu zexwayiso ze -FDA ku- Elidel ne- Protopic .
Ufuna ukuqhubeka ufunda? Thola kabanzi mayelana nokwelashwa kwe-atopic dermatitis .
Imithombo:
> Aaronson DW. Isexwayiso "seBlack Box" kanye nezidakamizwa zokulwa nezifo. J Allergy Clin Immunol. 2006; 117: 40-4.
> Umbiko we-Topical Calcineurin Inhibitor Task Force ye-ACAAI ne-AAAAI. I-JACI. 2005; 115: 1249-53.