I-Acne ingaba yinto evamile kanye neyinkinga ye-Prednisone
I-Corticosteroids, futhi ikakhulukazi i-prednisone, ivame ukunyanyelwa ukuphatha izimo eziningi zokuvuvukala, kuhlanganise nesifo sofuba esiswini (IBD) . Abanye abantu abathwala imithi ye-steroid njenge- prednisone bangakha uhlobo lwe-acne (ama-pimples noma ama-zits) okuthiwa "i-steroid acne."
Esikhundleni sokuba umphumela omubi kakhulu wemithi, ukuphulwa kwe-acne kungaba nomphumela omubi kakhulu emkhakheni wokuphila.
Abantu abane-IBD bangase bazizwe sengathi babhekene ne-acne noma baphathwe yi-secondary kuya ku-IBD, futhi bangase bangabaze ukukhipha nabahlinzeki bezempilo. Noma kunjalo, ikhwalithi yokuphila nokuzizwa kahle ngokubukeka komuntu kubalulekile ukubhekana ne-IBD nokuthola ukulawulwa kokulawula.
Kuyini i-Prednisone?
I-Prednisone imithi eshibhile, ephumelelayo futhi inqunywe odokotela abaningi ukuze bathole ukugula kwesifo sikaCrohn noma isifo sokulonda kwesilonda. Okufanelekile, kufanele isetshenziswe kuphela isikhathi esifushane, kodwa ngezinye izikhathi isetshenziselwa isikhathi eside kumacala lapho i-IBD ingaphenduli kunoma yini enye. Umgomo wamanje wokwelashwa we-IBD ukuthola ukuvuvukala ngaphansi kokulawula ngaphandle kokusebenzisa i-steroids, noma okungenani, ukuyisebenzisa isikhathi esifushane ngangokunokwenzeka.
Uma i-prednisone iqalile, ayikwazi ukuyeka ngokuzumayo ngenxa yezingozi zemiphumela ethile yecala.
Umthamo we-prednisone othathwe ngosuku ngalunye kumele wehle kancane kancane, futhi lokhu kungathatha amasonto noma ngisho nezinyanga. I-Prednisone ihlotshaniswa nemiphumela eminingi emibi, ezinye zazo ziyinkimbinkimbi kakhulu ezigulini, njengokulamba noma ukunyakaza, nezinye eziyingozi noma ezihlala njalo, njengezinkinga zamehlo . Ngenxa yalezi zizathu nokuningi, iziguli nodokotela kumele bazame ukusebenzisa i-prednisone isikhathi esincane kakhulu uma kungenzeka.
I-steroid Acne
I-acne ivame ukubhekwa njengenkinga yabasha , kodwa ama-steroid acne angenzeka kunoma ubani othatha i-steroid, kungakhathaliseki ukuthi uneminyaka engakanani, nakuba ijwayele ukuvame kakhulu kubantu abasha kanye nabantu abadala. I-steroid acne ingabonakala ebusweni, esifubeni, noma emuva. I-acne ye-steroid izoqala ukunyamalala lapho isidakamizwa se-steroid sidonsa phansi futhi sishiywa . Kodwa-ke, ukwelashwa kwama-acne kungaqaliswa ngenkathi isiguli sisathatha i-prednisone.
Acne vulgaris . I-acne vulgaris yigama elisetshenziselwa ukuchaza uhlobo olulodwa lwe-acne olwenzeka kanye nokwelashwa kwe-prednisone. "I-Vulgaris" isho ukuthi "evamile," okungenzeka ukuthi ayiqinisekisi kakhulu kulabo ababhekana nayo, ngoba iyabuhlungu, ikakhulukazi uma isebusweni nasentanyeni. Ngokuvamile kubonakala sengathi izilonda ezifanelana kakhulu futhi zingase zivame kakhulu kubantu abanesifiso sokwenza izinkuni endaweni yokuqala.
I-Malassezia (pityrosporum) folliculitis . Lolu hlobo lwe-acne lubangelwa imvubelo ekhona ezinyangeni zezinwele. Kulinganiselwa ukuthi noma yikuphi okuvela ku-75% kuye kwaba ngu-98% abantu abanomvubelo esikhumbeni sabo, futhi kubhekwa njengokujwayelekile. Okungajwayelekile uma imvubelo ikhula. Kuvame kakhulu esifubeni nasitokisini, kodwa kungenzeka kwezinye izindawo, futhi kungabangela ukucheka.
Ngokuthakazelisayo, lesi simo sesikhumba sitholakale nesiguli nesifo sikaCrohn esasamukela i-Remicade , nakuba singenayo i- steroids, futhi sabhalwa encwadini yezokwelapha.
Ukwelashwa Kuyatholakala
Uhlobo lwezokwelapha ezisetshenziselwa luzoxhomekeka kuhlobo lwezinyosi ezikhona kanye nezinye izici eziningana ezifana neminye imithi ethathwa kanye nobuhlungu be-acne. I-Accutane (i-isotretinoin) ngokuvamile ayinconywa ukuphatha izinkuni kubantu abane-IBD ngoba, nakuba lokhu kungavamile, kungabangela izimpawu ezifana nesifo sohudo kanye nokuphuma kwamagciwane . Esikhundleni salokho, ukuhlanza ama-topical kanye nama-anti-acne agents njenge- benzoyl peroxide kunconywa njengesinyathelo sokuqala sokwelapha i-acne.
Ama- antibiotic omlomo noma ama- antifungals angase asetshenziselwe ukwelashwa.
Inothi Kusuka
Noma ubani onenkinga nge-acne eqhubeka phakathi ne-prednisone therapy kufanele axoxe nesifo se- gastroenterologist , noma u- dermatologist onolwazi lokuphatha abantu abane-IBD. Khumbula ukuthi nakuba izimpondo, ikakhulukazi ebusweni, zingaba nzima ukuhlala nazo, i-acne izosula uma ususa phansi ama-steroids . Phakathi naleso sikhathi, ukuthola ukwelashwa kwe-acne kungasiza ukusula isikhumba kuze kube yilapho i-prednisone imisiwe.
Imithombo:
Crohn's and Colitis Foundation of America. "Ukuphatha Izingane Nezinsana." CCFA.org Oct 2011.
I-Nasir A, i-El Bahesh E, i-Whitten C, et al. "I-Pityrosporum folliculitis esifundeni sesifo sikaCrohn esithola isifo se-infliximab." I-Inflamm Bowel Dis . 2010; 16: 7-8.
Rashid RM. "Malassezia (Pityrosporum) Folliculitis." I-Medscape. 24 Jul 2016.