Ama-Creams, ama-Ointments, ama-Gel, nokuningi
Iningi leziguli ezine-psoriasis ezihlanganisa ingxenye encane yemizimba yazo zingase zithole isimo sabo silawulwa ngemithi yokwelashwa. Amakhemikhali angama-creams, ama-gel, noma enye imithi esetshenziswa ngqo esikhumbeni. Kunezinhlobo eziningana ezahlukene zokwelashwa kwezokwelapha ezitholakalayo. Izihloko ezivamile ze-psoriasis zifaka i-hydrocortisone, i-betamethasone, i-calcipotriene (i-Dovonex ne-generics), i-clobetasol, i-halobetasol, ne-tazarotene (i-Tazorac).
I-Corticosteroid Creams namaGels we-Psoriasis
Imithi evamile kakhulu esetshenziselwa ukulungiselela ama- corticos are corticosteroids . Lezi zi-steroids akufanele zidideke nohlobo lwe-steroids olwenza ube nezihluthulelo. Zisetshenziswa esikhumbeni se-psoriasis ngesenzo sabo sokulwa nokuvuvukala. Banciphisa ukuvuvukala nokubomvu kulezi zilonda.
I-Cortisone creams ifika emandleni amaningi (amakilasi), futhi amandla amakhulu afuna imithi. Ukuqina kwe-cortisone, okuphansi kwekilasi. I-steroids ye-Class 1 iyinamandla ngaphezu kwe-Class 7 steroids. Amandla ahlukene afanelekile ezindaweni ezihlukahlukene zesikhumba kanye nezimo ezihlukahlukene.
I-Hydrocortisone yiyona emnene kunazo zonke ama-steroid creams futhi iyatholakala ngaphezu kwe-counter (OTC) ngamandla wephesenti angu-1. I-classic steroid yesi-7, kanti ukuhlukahluka okunye kunamandla njengeklasi 5. I-Psoriasis, kodwa, ngokuvamile inenkani ukuphatha ne-OTC hydrocortisone yedwa.
Ama-steroid Strong , njenge-clobetasol ne-halobetasol, anomiphumela emibi engadingeki ihlelwe phansi. Zingabangela amamaki okuthungatha ukuthuthukisa ezindaweni ezivaliwe, njengezintambo kanye nokuvuthwa, futhi bathambekele ekunciphiseni isikhumba ngokuhamba kwesikhathi . Ukumboza izindawo ezinkulu zomzimba nge-steroids eqinile kunganciphisa ukukhiqizwa komzimba kwe-cortisol, ukunciphisa ikhono lakho lokubhekana nokucindezeleka okufana nokutheleleka, ukulimala noma ukuhlinzwa.
Njalo ubuze udokotela wakho ngqo lapho ukhona futhi akufanele afake noma yikuphi ukusikisela.
Non-Steroids
Singakwazi ukusika into engeyona i-steroid kuleli qembu.
- Ama-Analogues e- Vitamin D: I- Dovonex (i-calcipotriene) ne-Rocaltrol (i-calcitriol) eyenziwa nge-Vitamin D (normitriol) iqondisa ukukhula kwamaseli, iyanciphisa ukukhula kwamangqamuzana esikhumba.
- I-Retinoids : I-Tazorac ne-Avage (i-tazarotene) ibuyela kabusha izidakamizwa ezitholakala ku-vitamin A. Zisebenza ku-DNA ukuze zilungise ukukhula kwamaseli nokuvuthwa. Kodwa-ke, nazo zingamcasula isikhumba futhi zenze isikhumba sibhekane nokukhanya kwelanga.
- I-Anthralin : Le mithi isebenza ngokunciphisa ukukhula kwesikhumba okusheshayo esikhungweni se-psoriasis. Kungasiza futhi ukwenza isikhumba sibe lula. Kodwa-ke, kuyaphazamisa noma yini ethinta futhi kumele isetshenziswe ngokucophelela.
- I-Calcineurin inhibitors: Izidakamizwa zokuxilonga nge- immune, njenge- Protopic (tacrolimus) no-Elidel (pimecrolimus) , ukunciphisa ukuvuvukala ngaphandle kwemiphumela emibi ye-steroids. Zisetshenziswa ngaphandle kwelebuli ye-psoriasis njengoba zivunyelwe kuphela nge-atopic dermatitis. Lawa asetshenziselwa izindawo ezibucayi zobuso nokugubha noma izindawo ze-psoriasis ezingenayo emaphakathini esikhumba.
Imiphumela emibi ye-non-steroids ayinto engathandeki kakhulu kunabantwana bomama-steroid, kodwa futhi ibuye ihambe kancane noma ibambe kancane.
Muva nje, amafutha okuhlanganisa i-steroid ne- Taclonex (calcipotriene) yasungulwa ukuze athole izinzuzo zombili izigaba zemithi ngesikhathi esinciphisa imiphumela emibi .
Akukhona nje amafutha ama Greasy
Izidakamizwa ze-psoriasis ziyahlukahluka, kufaka phakathi amafutha ezindawo ezomile, ama-creams ezindaweni ezinomanzi, iziphuzo zamanzi, amafutha, ama-gel kanye nezikhumba zezindawo ezinomsila, amateyipu ezindaweni ezibanduliwe, futhi aphikisana nezindawo ezinkulu. Noma ngabe iyiphi indawo yomzimba wakho okudingeka uyiphathe, ungaqiniseka ukuthi kukhona umkhiqizo owenzelwe yona kuphela. Xoxa ngakho konke okukhethayo nodokotela wakho.
> Imithombo
- > National Psoriasis Foundation. I-Topical Treatments ye-Psoriasis . I-Portland, OR. I-National Psoriasis Foundation; 2013.
- > Psoriasis: Ukwelapha Nezidakamizwa. I-Mayo Clinic.