Imiphumela emibi ingase ikumangaze
Ukuhamba ngezinyawo zekhemisi yangakini kuzodalula izinhlobo ezihlukahlukene zama-martial and corticosteroid ama-topical corticosteroid, eyaziwa ngokuthi i-cortisone noma i-steroid creams.
Nakuba i-steroids yama-topical yindlela ejwayelekile kakhulu futhi ephumelelayo yokulwa ne-ayisikhilimu, kubalulekile ukuyisebenzisa njengoba iyalwe udokotela wakho, ikakhulukazi uma kuziwa ebusweni bakho, indawo ebucayi nengqayizivele yesikhumba.
Izidalwa ze-steroid eziphezulu ikakhulukazi ebusweni bakho
Izitshalo ze-steroid ze-topical zihlukaniswe ngombono wazo, noma ziqinile kangakanani. Iqembu Iqukethe ama-creams angama-steroid aphezulu kakhulu, abizwa ngokuthi ama-ultra-high potency. Iqembu le-VII liqukethe ama-creams angama-steroid angamahle kakhulu, okuthiwa yi-potency ephansi.
Ama-steroids kuphela asezingeni eliphansi kunazo zonke okufanele lisetshenziswe ebusweni bakho. Lokhu kungenxa yokuthi isikhumba ebusweni bakho sithinteka kakhulu emiphumeleni emibi ye-steroids ye-topical. Ngokufanayo, ukunamathela kwisiteji esincane se-potency kubalulekile futhi uma usebenza kuzo ezindaweni zomzimba onesikhumba esincanyana njengo-groin, ngaphansi kwesifuba, noma i-armpit.
Ngokuvamile, i-potency steroids ephezulu nephezulu igcinwe ezindaweni zomzimba lapho isikhumba sinyene, njengezintende zezandla zakho noma izinyawo zakho, noma izifo zesikhumba ezinzima ezifana ne-psoriasis ephathwa yi-dermatologist.
Imiphumela Ejwayelekile Yezici Ze-Topical Steroid
Imiphumela emibi evela kwi-steroids yama-topical ivame ukubonakala endaweni yesikhumba lapho kusetshenziswa khona imithi.
Lezi zimiphumela zesikhumba zendawo zingabandakanya:
- Ukuthinteka kwesikhumba
- Izinguquko ze-pigment (isikhumba esincane noma esikhwameni)
- Ukwakhiwa kwe-Telangiectasia (isitsha segazi)
- Striae (welula amanothi)
- I-Rosacea, i-perioral dermatitis, ne-acne
- Ingozi eyengeziwe yokuthuthukisa izifo zesikhumba (isibonelo, fungal noma ibhaktheriya)
- Ikhono lokuphulukisa lokulimaza elincane
- Ukuthukuthela, ukubomvu, ukuvutha, ukugcoba nokuhlunga isikhumba
- Xhumana ne-dermatitis kusuka ku-steroid yama-topical ngokwayo
Ukwengeza, ukuthola amalungiselelo e-steroid esiphezulu emehlweni akho kungabangela izinkinga ezinkulu zamehlo njenge glaucoma noma i-cataracts.
Ukusebenzisa I-Topical Steroid Cream Ebusweni Bakho
Uma usebenzisa ukhilimu we-steroid ebusweni bakho, kubalulekile ukuthi ube ngaphansi kokunakekelwa nokulandela iseluleko sikadokotela wakho. Ukhilimu omncane kakhulu angeke usebenze futhi ukwandisa ingozi yemiphumela emibi.
Umthetho omuhle wesithupha uma unquma ukuthi uketshezi oluningi lwe-steroid ukusebenzisa kanjani ukusebenzisa indlela yunithi yomunwe. Iyunithi yomunwe ichazwa ngokuthi inani le-steroid ukhilimu ongacindezelwa kusuka ekungeneni kwakho kuze kube sekuqaleni komunwe wakho. Ngokuvamile (nakuba uqinisekisa nodokotela wakho), ama-2.5 amayunithi angasetshenziswa ebusweni bakho ngesicelo ngasinye.
Okokugcina, kubalulekile ukuqaphela ukuthi njalo ukusebenzisa ukhilimu we-steroid we-topical noma kuphi emzimbeni, hhayi nje ubuso, kungenza ungasebenzi kahle-into ebizwa ngokuthi i-tachyphylaxis. Yingakho ukusebenzisa isikhathi esincane kakhulu ukhilimu we-steroid kunconywa.
Kodwa-ke, uma isicelo eside isikhathi eside sidingeka ngesimo esingapheli, udokotela wakho uzotusa ukuba ulandele isimiso esithile lapho inani le-steroid liyancishiswa, lime, bese liqaliswa emva kwesikhathi esingenayo i-steroid.
Izindlela ezihlukile kuma-Steroid Creams
Amanye ama-creams angasetshenziswa ebusweni afaka u- Elidel no-Protopic , okuyi-topical calcineurin inhibitors (TCIs). Le mithi ivunyiwe yi-Food and Drug Administration (FDA) yokwelashwa kwe- dermatitis ye- atopic kubantu abaneminyaka emibili nangaphezulu.
Ngokungafani ne-steroids yama-topical, ama-TCIs awabangeli ukukhanda kwesikhumba, izinguquko ze-pigment, ukwakheka kwezimpahla zegazi, noma ukwakheka kwe-striae, futhi abalahlekelwa ukusebenza ngokusetshenziswa isikhathi eside.
Ngaphezu kwalokho, ama-TCIs angasetshenziswa kunoma yisiphi isikhumba, kufaka phakathi ubuso namajwabu amehlo. Njenganoma imuphi imithi, noma kunjalo, ngisho nama-TCIs anemiphumela emibi, futhi kunezixwayiso ze-FDA ezihlobene no-Elidel no-Protopic .
Izwi elivela
Okubalulekile ukuthi uma kuziwa ekusetshenzisweni kwama-steroid creams ebusweni bakho, kuphela inani lemithi elincane kunazo zonke lomuthi okufanele lisetshenziswe, futhi kuphela isikhathi esincane kakhulu esingaba khona.
Khumbula, nakuba lezi zicucu zitholakala kabanzi futhi sezilokhu zamashumi eminyaka, zisebenza kuphela uma zisetshenziselwa ukuphatha izimo zesikhumba ezithile. Ngamanye amazwi, ukuqoqa ukhilimu we-steroid nganoma yisiphi isiphetho akuyona indlela yokuhamba. Esikhundleni salokho, sebenzisa kuphela ngaphansi kokuqondiswa komhlinzeki wezempilo.
> Imithombo:
> Inkulumo JD, Last AR. Ukukhetha Corticosteroids yama-Topical. Am Fam Physician . 2009 Jan 15; 79 (2): 135-40.
> Rathi, SK. , U-D'Souza, uP. Rational and Ethical Use of Topical Corticosteroids ngokusekelwe kuKhuseleko nokuPhepha. I-Indian Journal of Dermatology. 2012. 57 (4): 251-259.