I-steroid ye-topical yindlela elula yokwelapha isitho sethu esikhulu kakhulu nesifinyeleleke kakhulu: isikhumba . Namuhla zibhekwa njengokwelashwa okuyisisekelo kwezimo eziningi ze-dermatologic ngoba zingasetshenziswa ngqo endaweni ethintekile futhi zibe nemiphumela emibi uma kuqhathaniswa ne-steroids yomlomo.
Nakuba ama-steroids angama-topical angasebenza kahle kakhulu, ukwelashwa ngezinye izikhathi kungase kube isikhathi eside futhi kudinga ukukhuthelela ekuqinisekiseni ukuthi usebenzisa lesi sidakamizwa ngesikhathi futhi njengoba kuqondiswe.
Yeka ukuthi ama-Steroids e-Topical asebenza kanjani
I-steroids ye-topical iyakwazi ukunciphisa ukuvuvukala ngezindlela eziningana zesenzo:
- Bavimbela ukusabela kwamakhemikhali okubangela ukuvuvukala. Ama-steroids ayenzeka ngokwemvelo ama-hormone akhishwa egazini lapho umzimba uhlangabezana nokucindezeleka, izifo, noma ukuhlukunyezwa. Lapho ekhishwe, ama-molecule e-steroid asebenzisana ne-DNA emanzini e-cell ukuze akhiqize amaprotheni okuthiwa i-lipocortin. Lawa maprotheni avimbela ukukhiqizwa kwamakhemikhali ekuphenduleni okuvuthayo okuthiwa i-arachidonic acid. Ngokwenza kanjalo, umzimba uhlangabezana nokuvuvukala okuncane kakhulu.
- Bashintsha indlela amangqamuzana omzimba asebenza ngayo Amasosha omzimba avikela ukutheleleka ngezingqamuzana eziningi zamaseli avikelayo okuhloswe ngazo ukunciphisa izinto zangaphandle ezifana namagciwane noma amabhaktheriya. Uma lokhu kwenzeka, amasosha omzimba akhulula ama-toxins emzimbeni owengeza ekuvukeni. I-Steroids isebenza ngokuzilungisa lesi senzo nokuvimbela ukulimala kwezicubu ukuthi ukuvuvukala ngokweqile kungabangela.
- Zenza imithwalo yegazi. Ukuvuvukala kuboniswa ukuhlanjululwa kwemithambo yegazi ezungeze isayithi lokuhlukunyezwa noma ukutheleleka. (Yingakho isikhumba esilimele sivame ukubomvu, ukufudumala, nokuvuvukala.) I-steroid yezihloko zisebenza ngokuvimbela ama-capillary nokunciphisa ukuvuvukala kwendawo kanye nobuhlungu.
Izinhlobo ze-Topical Steroids
I-steroids yezihloko zitholakala kwelinye lamaqembu ahlukene ayisikhombisa .
Okubaluleke kunazo zonke yi-Class I, okuyizinkulungwane ezingaba ngu-1 000 ezinamandla kunokwakho okujwayelekile, ukulungiswa kwe-Class VII ngokweqile (njenge-hydrocortisone 1%).
I-steroids ye-topical iyatholakala ngamafutha, ama-creams, ama-lotions, ama-gel, ngisho nama-powders. Ngenkathi amafutha okugcoba enamandla kunawo wonke amahlanu, amanye angase afaneleke kakhulu ezimweni ezithile. Ngokwesibonelo, njengoba ama-powders athola umswakama futhi afaka izindawo ezinkulu zesikhumba, kungcono kube ngcono ukwelapha izimo ezinjengezinyawo zamanqina noma i-diaper rash.
Ngokuthandwa, ama-creams e-topical ngokuvamile akhetha kuqala abathengi. Zingasetshenziselwa ukwelapha ama-assortment ebanzi izimo zesikhumba futhi ziwusizo ikakhulukazi ezindaweni lapho kunezinhlanzi ezinzima. Nakuba ama-creams ehluleka kakhulu kunamafutha okugcoba, ukukhululeka kwawo kokusetshenziswa kanye namazinga aphezulu okuhambisana nawo anikezela izinzuzo ngaphezu kwezinye izindlela.
Izwi elivela
Uma usebenzisa i-static steroid, amathuba okuphulukisa ukwelashwa ahlobene ngokuqondile nokuthi ulandela iziqondiso ngokulandelana kangakanani. Uma ukhilimu kuhloswe ukuthi usetshenziswe kathathu ngosuku izinsuku ezingu-14, qedela inkambo njengoba uqondisiwe. Ungayeki ngoba izimpawu zangaphandle zanyamalala noma zama "ukubamba" ngokukhulisa inani lezikhathi ozisebenzisa ngayo umkhiqizo.
Uma kunesidingo, sebenzisa ikhalenda kanye / noma i-alamu yocingo ukuze ikusize ukugcina ithrekhi.
Kubalulekile ukukhumbuza nokuthi amandla okulungiselela akulinganisani nephesenti kulebuli. Isibonelo, i-Classe I-steroid yeClass I-0.01% isamakhulu izikhathi ezingaphezu kwe-3% yokulungiselela isigaba VII. Hlala ufunda ilebula lomkhiqizo, kodwa unake kakhulu isigaba semithi oyisebenzisayo.
> Umthombo:
> Williams, H .; I-Bigby, i-M .; I-Diegpen, B .; et al. Isingeniso Esisekelwe Ebufakazi, Edition Yesibili. 2009; John Wiley & Son Abashicileli; I-ISBN-13: 978-1405145183.