Amandla Ngaphandle Kwe-Steroids
I-Psoriasis iyimvelo evamile yesikhumba eguqulela umjikelezo wokuphila kwamangqamuzana esikhumba, okwenza amangqamuzana akha ngokushesha phezu kwesikhumba sakho. Amaseli wesikhumba angeziwe ahlanganisa izilinganiso ezinzima, izilwanyana ezinobunzima obomile, obomile, obomvu obubuhlungu ngezinye izikhathi. I-Psoriasis yisifo esiphikelelayo, esihlala njalo ( esingapheliyo ). Kungase kube nezikhathi lapho izimpawu zakho ze-psoriasis zithola ngcono ngokuhamba ngezikhathi lapho i-psoriasis yakho ikhula khona.
Ukwelashwa Kwezindawo Ezizwelayo
Umgomo oyinhloko wokwelapha i-psoriasis ukuvimbela amangqamuzana esikhumba ukuba angakhuli ngokushesha. Nakuba kungekho ukwelashwa, izidakamizwa ze-psoriasis zingase zinikeze usizo olukhulu.
Kodwa lokhu kuyinkinga: Udinga ukwelapha i-psoriasis endaweni lapho i- steroid ephezulu ye-topical ingaba yinkinga, kodwa i- corticosteroids enamandla ayikwazi ukusebenza. Yini okufanele uyenze? Isixazululo esisodwa esilula ukusebenzisa imithi engeyona i-steroid topical. Kodwa-ke, eziningi zazo, njenge- Dovonex (calcipotriene) noma i-Psoriatec (i-anthralin) zivame ukucasula ukusebenzisa isikhumba esibucayi noma ebusweni.
Ukuze uthole isisombululo, udokotela wakho angabheka ngaphandle kohlu lwezidakamizwa ze-psoriasis ezivunyiwe yi-Food and Drug Administration (FDA) futhi zisebenzisa ezinye izidakamizwa ezisetshenzisiwe futhi ezivunyelwe i-FDA ze-eczema. Lokhu kuhlanganisa i-Protopic (tacrolimus) no-Elidel (i-pimecrolimus). Ukusebenzisa izidakamizwa ezivunyelwe ukusetshenziswa okungavunyelwe kubizwa ngokuthi "off-label" ukusetshenziswa futhi akuyona nje kuphela esemthethweni ngokomthetho, empeleni kuyinto evamile kakhulu kumkhuba wokwelapha.
I-Protopic
I-protopic (i-tacrolimus) i-ointment engasiza kakhulu kuma-psoriasis ebusweni nasebuhlungwini. Kulasini lemithi ebizwa ngokuthi i-topical calcineurin inhibitors ezisiza ukunciphisa ukuvuvukala kanye namacwecwe. Umthelela owodwa ongavamile futhi ongavamile we-Protopic wukuthi uma uphuza utshwala, izindawo ozifake kuzo zingabomvu futhi zishise.
Imiphumela emibi evamile ye-Protopic ihlanganisa:
- Ukuvutha, ukugubha, ukukhathazeka, ukubomvu, noma ukudonsa ezindaweni ezisebenzisayo
- Ukuzwa amazinga okushisa ashisayo noma abandayo kunalokho owawubhekene nazo ezindaweni ozisebenzisayo
- Itching
- I-acne
- Izinwele zezinwele ezithintekile
- Izinwele
- Ubuhlungu emhlane noma emisipha yakho
- I-Runny noma ikhala eligcwele
- Izimpawu ezifana ne-flu
- I-nausea
Uma uhlangabezana nanoma yimuphi wale mibi ejwayelekile futhi unzima noma ungahambi, khuluma nodokotela wakho.
Imiphumela emibi kakhulu ye-Protopic ihlanganisa:
- Izilonda ezibandayo
- Ama-blisters noma i-pox pox
- Izigulane ezivuvukalayo
- Rash
- Ukutheleleka kwesikhumba, okungafaka phakathi ukugcoba, ukugcoba, noma ukugcoba
- Ukuvuvukala kwezandla zakho, izingalo, imilenze, izinyawo, noma izinyawo
Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu ngesikhathi usebenzisa i-Protopic, funa ukwelashwa ngokushesha.
Elidel
U-Elidel (i-pimecrolimus) ungenye ye-calcineurin inhibitor ephezulu esebenza njenge-Protopic, kodwa isisekelo sayo se-cream sincane kakhulu futhi mhlawumbe sikhululekile kakhulu (nakuba kungase kungabi yimpumelelo ye-psoriasis). Njenga-Proptic, ingabangela nokuthi izindawo eziphathwayo zibomvu noma zishise uma uphuza utshwala.
Imiphumela emibi evamile ka-Elidel ihlanganisa:
- Ukuvutha, ukugcoba, ukukhathazeka, ukubomvu, noma ukufudumala ezindaweni okusetshenziselwa ngazo
- Ama-Warts noma ama-bumps
- Ukucasuka kweso, uma kusetshenziswe eduze kwamehlo akho
- Izinwele
- Isikhukhula
- Isikhala se-Stuffy noma se-runny
- I-Nosebleed
- Uhudo
- Ubuhlungu ngesikhathi sokuya esikhathini
Uma uhlangabezana nanoma iyiphi yale mibi emibi ejwayelekile futhi enzima noma ungahambi, khuluma nodokotela wakho. Kumele futhi ukhulume nodokotela wakho uma usuvutha, ugwaza, uboya, ubomvu noma imfudumalo ezindaweni ozisebenzise u-Elidel okungaphezu kweviki.
Imiphumela emibi kakhulu ye-Elidel ihlanganisa:
- Ebomvu noma ebuhlungu
- Fever
- I-Hives
- Ukukhishwa kwendlebe noma ubuhlungu
- Izimpawu ezifana ne-flu
- Itching
- Ukushona okusha noma okuqhubekayo
- Kunzima ukugwinya noma ukuphefumula
- Ukuvuvukala kolimi lwakho, umphimbo, ubuso, izindebe, amehlo, izandla, izinyawo, izinyawo, noma imilenze ephansi
- Izilonda ezibandayo
- Ama-blisters noma i-pox pox
- Izindwangu ezivuvukile entanyeni yakho
- Ukutheleleka kwesikhumba, okungafaka phakathi ukugcoba, ukugcoba, noma ukugcoba
Shayela udokotela wakho ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi lapho usebenzisa i-Elidel.
Isexwayiso se-Black Box
Eminyakeni embalwa emva kokukhululwa, bobabili u-Protopic no-Elidel bathola isixwayiso " sebhokisi elimnyama " ngoba kukhona ukuxhumana okungenzeka phakathi kokuwasebenzisa nokuthuthukisa umdlavuza wesikhumba noma i-lymphoma. Noma kunjalo, izifundo ezalandela azitholanga ubufakazi obanele bokusekela lokhu kukhonjiswa okungenzeka. Izifundo eziningi zesikhathi eside ziqhutshwa, kodwa okwamanje, i-American Academy of Dermatology nabanye baye bathatha ubufakazi bokuthi le mithi ibangela umdlavuza nokuthi iphephile futhi isebenza kahle uma isetshenziswe ngendlela efanele.
Izidakamizwa ezingekho ngemvume kanye nomshuwalense
Kungakhathaliseki ukuthi ukusetshenziswa kwelebuli noma cha-off kulesi sinqumo kuyisinqumo wena kanye dermatologist kufanele wenze ndawonye. Ngezinye izikhathi, izinkampani zomshuwalense ziyanqikaza ukumboza ukusetshenziswa kwezidakamizwa ezibiza kakhulu uma steroids eshibhile itholakala. Kodwa-ke, incwadi evela kudokotela wakho we-dermatologist ebonisa isidingo esithile sesidakamizwa esingenzi-steroid esimweni esinikeziwe singathola ukuthi izidakamizwa zivunyelwe.
> Imithombo:
> Feldman SR. Ukwelashwa kwe-Psoriasis kubantu abadala. Kusesikhathini. Kubuyekezwe ngoNovemba 21, 2017.
> Abasebenzi beMayo Clinic. I-Psoriasis. I-Mayo Clinic. Kubuyekezwe ngomhla ka-6 Mashi, 2018.
> I-MedlinePlus. I-Pimecrolimus Topical. Ilabhulali Kazwelonke Yezokwelapha yase-US. Kubuyekezwe ngomhla ka-Mashi 15, 2016.
> I-MedlinePlus. I-Tacrolimus Topical. Ilabhulali Kazwelonke Yezokwelapha yase-US. Kubuyekezwe ngo-Februwari 15, 2016.
> Siegfried EC, uJaworski JC, uHebert AA. I-Topic Calcineurin Inhibitors ne-Lymphoma Risk: Ukubuyekeza Ubufakazi Ngemizwa Yokusebenza Kwansuku zonke. Journal American of Dermatology Clinic . 2013; 14 (3): 163-178. i-doi: 10.1007 / s40257-013-0020-1.