Ukunciphisa i-Itch ye-Eczema yinhloso enkulu yokunakekelwa
I-steroid ye-topical iyasiza ekwelapheni izinhlobo eziningi zezifo zesikhumba eziqhakambisa kanye ne- pruritus , kuhlanganise ne-atopic dermatitis (ebizwa nangokuthi i- eczema ). Njengemithi elwa nokuvuvukala, i-steroids ye-topical inciphise ukucheka, ukukhwehlela, nokugxuma uma isetshenziswa esikhumbeni esisodwa noma ngaphezulu izikhathi ngosuku.
Ngokuvamile, udokotela uzongcoma i-static steroid yokwelapha i-eczema yengane (noma yabantu abadala) engakwazi ukulawulwa ngesikhumba somswakama kuphela.
Yiziphi izinhlobo ze-Topical Steroids ezitholakalayo?
Kunezinhlobo zezinhlobo ze-steroid eziphezulu ezitholakalayo ngemithi kadokotela, kanye ne-hydrocortisone acetate engu-1% ukhilimu, etholakala phezu kwe-counter ngaphandle kwemithi.
I-steroids yezihloko zitholakala ezihlukahlukene zemithi, amandla, nezimoto. Eminye imishanguzo inamandla kakhulu (inamandla anikezwe inani elifanayo lemithi), ekugxilweni okuphakeme, noma ibekwe "emotweni" ehlukile (njengezikhwama, ama-lotions, amafutha okushisa, njll), engathinta indlela eqinile ngayo i-static steroid .
Uyini umehluko phakathi kwe-Lotion, i-Cream and Ointment Topical Steroid?
Imoto ye-static steroid ithonya amandla emithi. Njengoba unikezwa i-steroid efanayo ye-topical, uhlu olulandelayo lumelela amandla emithi, kusuka phezulu kunazo zonke kuya eziphansi kakhulu:
- Amafutha
- I-Creams
- Ama-Lotions
- Izixazululo
- Ama-gel
- Ichitheka
Yiziphi izinhlobo ze-Topical Steroids Engasetshenziswa Ezinganeni?
Ngenxa yokuthi izingane zivame kakhulu emiphumeleni emibi ye-steroids ye-topical, i-potency ephansi ye-stteroid steroids kufanele isetshenziswe uma kunokwenzeka.
Ucwaningo lubonisa ukuthi ama-steroids amabili amasha angama-topical, Cutivate (fluticasone propionate) ne-Elocon (i-mometasone furoate), ingaba iphephe izingane ngoba imithi emincane ingena emzimbeni. Zingasetshenziswa futhi kanye uma ziphikisana kabili ngosuku. Ngaphezu kwalokho, Cutivate yiyona kuphela i-steroid FDA-evunyelwe izingane ezincane ezineminyaka engu-3 ubudala.
Ngingayisebenzisa I-Topical Steroids Ebusweni Bami?
Isikhumba ebusweni sithinteka kakhulu emiphumeleni emibi ye-steroid ye-topical, futhi ukuthola le mithi emehlweni kungabangela i-glaucoma noma isakhiwo se-cataract. Ngakho-ke, kuphela ama-steroids angama-potential aphansi kunawo wonke okufanele asetshenziswe ebusweni, ngesilinganiso esincane kakhulu semithi esetshenziselwa isikhathi esincane kakhulu esingenzeka.
Ingabe Kunezindawo Emzimbeni Wami Lapho Ngingafanele Ngisebenzise I-Topical Steroids?
Ezinye izindawo zomzimba zizwela ikakhulukazi emiphumeleni ye-steroids yama-topical. Isibonelo, izingxenye zomzimba onesikhumba esincane, njengobuso, izinkophelo, kanye nezitho zangasese, ziyakwazi ukuzithokozisa, futhi kuphela kuphela ama-steroid e-potency ephansi kunawo wonke okufanele asetshenziswe kulezi zindawo. Izindawo zezikhumba zesikhumba, ezifana nezimpondo, ukubola, nangaphansi kwamabele, zithatha ama-steroid amaningi e-topical, ama-steroid amaningi angama-potency aphansi kufanele asetshenziswe ngokuqapha kulezi zindawo.
Yiziphi Imiphumela Ezingase Zenzeke Ze-Topical Steroids?
Imiphumela emibi evela kwi-steroid yama-topical ivame ukubonakala ezindaweni zesikhumba lapho kusetshenziswa khona imithi.
Imiphumela yendawo yendawo ihlanganisa:
- Ukuthinteka kwesikhumba
- Izinguquko ze-pigment (isikhumba esincane noma esikhwameni)
- Ukwakhiwa kwe-Telangiectasia (isitsha segazi)
- I-Rosacea, i-perioral dermatitis, ne-acne
- Ukwenyuka okukhudlwana kwezifo zesikhumba
- Ikhono lokuphulukisa lokulimaza elincane
- Ukuthukuthela, ukubomvu, ukuvutha, ukugcoba nokuhlunga isikhumba
- Xhumana ne-dermatitis ephuma ku-steroid ye-topical ngokwayo
Uma i-steroid ye-topical isetshenziselwa izingxenye ezinkulu zomzimba, izindawo zokunakekelwa okwandisiwe (isibonelo, ubuso noma izitho zangasese), noma isikhathi eside, umzimba wonke ungathinteka. Lokhu kubizwa ngokuthi i-systemic effect, kanti ngenkathi ingajwayelekile, ingafaka noma iyiphi noma zonke izimpawu ze- Cushing's syndrome .
Ezinye izici ezithinta ukuthi imiphumela yomzimba wonke we-steroids ye-topical yenzeke ihlanganisa ubuchopho be-corticosteroid, nokuthi ngabe ukugqoka ukugqoka kuyasetshenziswa phezu kwe-steroid.
Yiziphi Ezinye Izibonelo Ze-Topical Steroids Ezikhethwe Ngama-Potency?
I-steroid yezihloko zivame ukuhlukaniswa ngamaqembu angu-7 ngokususelwa ezingeni le-potency, neqembu elingu-1 elinamandla kakhulu futhi iqembu le-7 liba buthakathaka. Okulandelayo yizibonelo ze-steroids esetshenziswa ngokuvamile ezivela eqenjini ngalinye:
- Iqembu 1: Isimemo (i-clobetasol) 0.05% ukhilimu namafutha, i-Diprolene (betamethasone) 0.05% ukhilimu namafutha
- Iqembu 2: I-lidex (i-fluocinonide) 0.05% kuzo zonke izinhlobo, i-Topicort (i-desoximetasone) 0.25% ukhilimu, i-gel, i-ointment, i-Elocon (i-mometasone furoate) 0.1% yamafutha
- Iqembu 3: I-Topicort (i-desoximetasone) 0.05% ukhilimu, Yenza (i-fluticasone proprionate) 0.005% wamafutha
- Iqembu 4: i-Westcort (i-hydrocortisone valerate) amafutha angu-0.2%, i-Kenalog (triamcinolone) 0.1% ukhilimu, i-Elocon (i-mometasone furoate) 0.1% ukhilimu
- Iqembu 5: Cutivate (fluticasone proprionate) 0.05% ukhilimu, i-Westcort (i-hydrocortisone valerate) u-0.2% ukhilimu
- Iqembu 6: Hlanganisa (deonide) 0.05% ukhilimu
- Iqembu lama-7: I-Cortaid (i- hydrocortisone acetate ) zonke izinhlobo namazinga
Ingabe I-Hydrocortisone I-Cream Work Work Enough, noma Ngidinga Imithi?
Kuncike ebukhulu besifo sesikhumba. Ukuze uthole i- dermatitis e-atopic emnene, isibonelo, ukhilimu we-hydrogenortonone ephansi kakhulu we-potency cishe uzosebenza kahle. Uma i-eczema inzima, ifaka isikhathi eside, noma ihlanganisa isikhumba esibucayi (njengezintende zezandla noma izintambo), i-steroid enezinyosi ezinamandla kakhulu ingadingeka.
Izwi elivela
Omunye we-tidbit ebalulekile ukuthi akufanele nanini usebenzise isifo somuthi wesinye somuthi wesifo somuthi, njengoba ungase ukwazi ukuthi imithi eyayihloselwe ekuqaleni. I-steroid yama-topical ingaba ne-potency eqinile, futhi awufuni ukusebenzisa imithi enjalo ezingxenyeni ezithile zomzimba, njengobuso noma ezikhungweni zesikhumba.
> Imithombo:
> Chen TM, i-Aeling JL.I-Tropical Steroids. Ku: Fitzpatrick JE, Morelli JG, ama-eds. Izimfihlo zeDermatology. I-3rd ed. I-Philadelphia: Mosby; 2007: 408-16.
> Schneider L et al. I-atopic dermatitis: ukubuyekezwa komzila we- parameter 2012. J Allergy Clin Immunol. 2013 Feb; 131 (2): 295-9.e1-27.