Umuntu angakwazi yini ukuthola imithi yokwelapha?
I-Corticosteroids (evame ukubizwa ngokuthi i-steroids) imithi esetshenziselwa ukwelapha izimo ezihlukahlukene zokuvuvukala kubandakanya izifo ezibangelwa ukwelapha kanye nezifo ezizimele . Zitholakala ezinhlobonhlobo zezobuciko, ezomlomo, ezifakiwe, nezifakiwe, kokubili nge-odokotela futhi ngaphezulu kwekhawunt.
I-Corticosteroids isetshenziswa kakhulu ukuphatha, phakathi kwezinye izinto:
- Ukusabela okwe-allergen kuya kokudla , izidakamizwa , noma ukulunywa kwezinambuzane .
- I-allergenic rhinitis (hay fever)
- I-Anaphylaxis (isifo esasongela ukuphila okubangelwa ukuphila)
- I-asthma
- I-atopic dermatitis (i-eczema)
- Xhumana ne-dermatitis
- Lupus
- Multiple sclerosis
- I-rheumatoid arthritis
- I-Urticaria (imihlathi)
Ngakho-ke kubonakala kungqubuzana, ngakho-ke izidakamizwa ezisetshenziselwa ukwelapha lezi zimo zingase zibangele ukwelashwa ngokwabo. Nakuba lokhu kwenzeka njalo, kwenzeka.
I-Topical Steroid Yokuzivocavoca
I-corticosteroids yama-topical ihlanganisa imishanguzo oyigcoba esikhumbeni sakho kanye nemithi ye-intranasal oyifaka emakhaleni akho. Ukuphendukela kulezi zidakamizwa kuvame ukuba mnene futhi bakholelwa ukuthi kubangelwa ngamaphesenti angu-6 amacala.
Uma kutholakala ukuthi isifo sofuzo se-steroid esiyinkimbinkimbi, kusobala ukuthi kunzima ukubona ukuthi ukushaywa komzimba kuhlobene nomuthi noma kuvele kube yinkinga enkulu. Ngokufanayo, ukusabela ekwenzeni i-corticosteroid engaphazamiseki kungahle kubekwe icala ekungezwani komzimba.
Ngokuvamile, umuntu uzosolwa nge-steroid yokungezwani komzimba uma i-etiyopiysi noma i-agent esebenzayo idala uhlobo oluthile lokuphendula (njengokubonakala kwe-rash elandela ukusetshenziswa kwe-sprayestant spray). Ngokuvame ukwedlula, ukungenwa kwemithi kuyolindeleka uma isimo sibhekene noma sihluleka ukuphucula ukwelashwa.
Ukuxilongwa kuzobandakanya ukuhlolwa kokuhlolwa kwe-patch . Ukuhlolwa okutholakala kwezohwebo, njengokuhlola kwe-TRUE, kungahlola ubuzwe bomuntu ezidakamizwa eziningi ze-corticosteroid. Isivivinyo esihle se-patch for budesonide ne-tixocortol ngokuvamile sibonisa ukuqina kwe-steroid yokungezwani komzimba.
Ukuhlolwa kwe-Patch kungaba yinkimbinkimbi, kodwa-ke, njengoba imiphumela ephikisanayo yokuvuvukala kwe-steroids ngezinye izikhathi inganciphisa ukusabela futhi ihole umphumela omubi wamanga.
I-Systemic Steroid yokungezwani komzimba
I-corticosteroids yesistimu ifaka phakathi kokubili ngomlomo nangamafomu okujova. Zibhekwa njengezohlelo ngoba zihanjiswa kuwo wonke umzimba ngokuphambene nokwelashwa okwenziwe endaweni.
Ngenkathi ukusabela okuhlelekile kungavamile, kungasongela ukuphila. Lokho okukhula ngokushesha kuyingozi kakhulu. Ukusabela okuhlelekile kungathuthuka ngenye yezindlela ezimbili:
Ukusabela okusheshayo kuvame ukuvela emaminithini angu-30 kuya kwangu-60 okudakamizwa. Izimpawu zingabandakanya imifuba, ukuvuvukala ebusweni, ukucindezeleka kokuphefumula, izinga lokushaya kwenhliziyo ngokushesha, ukushisa komkhuhlane, ukudideka nokuphuza isikhumba. Ukuxilongwa kuzobandakanya ukusetshenziswa kokuhlolwa kwesikhumba kanye / noma i- radioallergosorbent (RAST) . Njengoba izivivinyo zijwayele amanga amanga, umphumela omubi kufanele ulandelwe yinselele yezidakamizwa (lapho umuntu anikezwa khona umthamo ophansi wesidakamizwa ukuze abone ukuthi uyayiphendula yini).
Ukusabela okungekho ngokushesha kuvame ukuba nomnene futhi kungenziwa amahora angu-48 emva kokusebenzisa umlomo noma umuthi ojojelwe. Izimpawu zingabandakanya imifantu noma ukusabalalisa okusabalalisa (okusakazeka). Ngenkathi ukuhlolwa kwesikhumba noma isikhumba kungasetshenziselwa ukuxilonga lesi simo, ukufundwa kufanele kubambezeleke izinsuku ezilodwa ukuya kwezinsuku ukukhokhela isimo sokulibazisa sokuphendula.
Njengoba kungase kube nokuphawuleka okukhulu kokusebenza phakathi kwezidakamizwa ze-corticosteroid, noma yikuphi umphumela omuhle kufanele ulandelwe ibhethri yokuhlolwa kokungezwani komzimba ukuthola ukuthi yikuphi, uma kukhona, amafomu okuphephile asebenzayo.
> Umthombo:
> Torres, M. kanye neCanto, G. "Ukuphendulela kwe-Hypersensitivity Corticosteroids." I-Curr Opin Allergy Clin Immunol. 2010; 10: 273-9. I-DOI: 10.1097 / ACI.0b013e32833b1f34.