I-steroid yezihloko zivame ukusetshenziswa ngabantu beminyaka yonke, kubandakanya nezingane. I-steroid ye-topical iphumelela ekwelapheni i- atopic dermatitis (eczema), uxhumano lwe-dermatitis (kufaka phakathi izixuku ezibangelwa ubuthi obuthakathaka kanye ne-ivy ), izinhlobo eziluhlaza zesikhumba esomile, nezinye izimbangela zokubamba , kuhlanganise nokulunywa kwezinambuzane .
Kodwa-ke, ama-steroids angama-topical angaba nemiphumela emibi ehlala njalo, ikakhulukazi ngokusetshenziswa kwezinguquko eziphakeme ze-potency.
Ngakho-ke, uma i-steroid ye-topical isetshenziselwa izingane, izinguqulo ezincane ze-potency kufanele zisetshenziswe uma kunokwenzeka ukuze kuncishiswe imiphumela emibi.
I-Steroids yezihloko ezivunyelwe yi-FDA
I-steroids ethile ye-topical kuphela ivunyiwe yi-US Food and Drug Administration (FDA) yokusetshenziswa kwezingane. Zonke lezi, ngaphandle kwe- hydrocortisone , zitholakala kuphela ngomuthi. Lezi zifaka phakathi, ezibalwe ngokulandelana kwezinga eliphakeme le-potency (elibuthakathaka kunamandla kakhulu):
- I-Over-the-Counter Cortizone / Cortaid (i-hydrocortisone) ngamaphesenti angu-0.5 ne-1 amaphesenti ukhilimu namafutha, avunyelwe izingane ezincane ezineminyaka engu-2 ubudala.
- I-Derma-Smoothe (i-fluocinolone) amafutha angu-0.01 wamaphesenti, avunyelwe izingane ezincane ezineminyaka eyi-3 ubudala.
- Desonate / Verdeso (desonide) amaphesenti angu-0.05 gel / foam, avunyelwe izingane ezincane ezinyangeni ezintathu ubudala.
- I-Dermatop (prednicarbate) engu-0.1 amaphesenti ukhilimu, avunyelwe izingane ezincane njengonyaka oneminyaka engu-1 ubudala.
- Yenza (i-fluticasone propionate) u-0.05 wamaphesenti ukhilimu, avunyelwe izingane ezincane ezineminyaka eyi-3 ubudala.
- I-Elocon (i-mometasone) engu-0.1% ukhilimu namafutha, avunyelwe izingane ezincane ezineminyaka engu-2 ubudala.
Nakuba ezinye izifo eziningi ze-steroids zijwayele futhi zigcinwe ngokuphepha ezinganeni ezincane, ezifana ne-triamcinolone, kufanele kuqaphele ukuthi lezi steroid ze-topical zinemininingwane encane yokuphepha lapho zisetshenziselwa izingane, ngakho-ke zibhekwa njengokusetshenziswa kwe-FDA ".
Funda kabanzi mayelana nezimpawu zokungezwani komzimba ezinganeni .
Ukukhathazeka Ngokuphepha Kwe-Topical Steroids Nezingane
I-steroid ye-topical igxila i-hypothalamic-pituitary-adrenal (HPA) axis. Lokhu kuvinjelwa kwemvelo yamakhemikhali kungaholela eCushing's syndrome , ushukela ophezulu wegazi, nokuchitha iglucose emcinini. Izingane zisengozini enkulu kunabantu abadala futhi zingabonisa ukuvinjelwa kokukhula, ukubambezeleka kokunciphisa isisindo, nokucindezeleka okukhulu ngaphakathi kobuchopho. Nakuba imibiko yamacala ngenxa ye-steroid yezobuchwepheshe ingavamile, kuye kwaba namacala ayishumi nambili eminyakeni edlule kanye nokufa kwezintambo ezinganeni.
Ngenxa yalokhu, ama-panels ochwepheshe ayenqikazi ukuvumela ama-steroids angama-topical athengiswa phezu kwe-counter. Besaba ukuthi abazali ngeke baqonde izingozi lapho bethengisa izidakamizwa okufanele zisebenzise ekhaya. Ngenkathi ezimweni eziningi imiphumela ye-steroids ye-topical kwi-axis ye-HPA isho kuphela ukuthi ingane ingengozi encane kakhulu, uma isifo somzimba esicindezelayo (kunokuba sengqondo sengqondo) njengokuhlukumezeka, ukuhlinzwa noma ukutheleleka okukhulu, bangase basongele ukuphila izinkinga. Imiphumela kwi-axis ye-HPA iyabuyiselwa futhi ngokuvamile ibuyele evamile kungakapheli amasonto.
Izwi elivela
Okubalulekile ukuphatha i-steroids yama-topical ngenhlonipho futhi uyisebenzise njengoba kunqunyiwe futhi njengoba nje kunconywa udokotela wakho kanye nemithi.
Kungase kube nezinye izinketho ongazisebenzisela ingane yakho. Ukusebenzisa i-potency ephansi kunazo zonke ze-steroids ye-topical kuyasebenza ukuphatha lesi simo, futhi ukuyisebenzisa kuphela isikhathi esinconywa ngaso, yiziqalo eziyisisekelo zokuphepha. Ungalokothi usebenzise i-steroid yama-topical enqunyelwe omunye umuntu kumntanakho.
> Imithombo:
> Dhar S, Seth J, Parikh D. Side Side-Effects of Topical Corticosteroids. I-Indian Journal of Dermatology . 2014; 59 (5): 460. doi: 10.4103 / 0019-5154.139874.
> I-Saraswat A. I-Topical Corticosteroid Ukusetshenziswa Kwezingane: Imiphumela Ebi futhi Indlela Yokunciphisa Ngayo. Indian J Dermatol Venereol Leprol 2010; 76: 225-8.