I-steroids ye-topical yindlela elula yokuphatha ilungu lethu elikhulu nelona lifikelelekayo: ulusu . Namhlanje bacinga ukuba unyango oluphambili lweemeko ezininzi ze-dermatologic kuba zisetyenziselwa ngqo kwingingqi echaphazelekayo kwaye zineempembelelo ezimbalwa xa zifaniswa ne-steroid yomlomo.
Nangona i-steroid ye-headic ingasebenza kakuhle, ngamanye amaxesha unyango lunokuba luninzi kwaye lufuna ukunyaniseka ekuqinisekiseni ukuba usebenzisa izidakamizwa ngexesha kwaye njengoko ulandisiweyo.
I-Topical Steroids Isebenza njani
I-steroids yezihloko ziyakwazi ukunciphisa ukuvuvukala ngokusebenzisa iindlela ezahlukeneyo zokwenza:
- Bavimbela impendulo yamakhemikhali ebangela ukuvuvukala. I-Steroids iyenzeka ngama-hormone ngokuqhelekileyo akhululwa egazini xa umzimba uphantsi kokuxinezeleka, izifo, okanye ingozi. Xa ikhululiwe, iamolekyuli ze-steroid zisebenzisana ne-DNA kwi-cell nuclei ukuvelisa iiproteni ezibizwa ngokuba yi-lipocortin. Ezi proteins zivimba ukuveliswa kwemveliso yeekhemikhali impendulo yokuvukela ebizwa ngokuthi i-arachidonic acid. Ngokwenza njalo, umzimba ufumana ukuvutha okuncinane.
- Batshintsha indlela amangqamuzana omzimba asetyenziswa ngayo Amasosha omzimba alwa nokutheleleka kwintsholongwane kunye neendidi ezikhuselekileyo ezibhekiselele ekuthinteleni izinto zangaphandle ezifana neentsholongwane okanye ibhaktheriya. Xa oku kwenzeka, amajoni omzimba akhipha i-toxins emzimbeni ongeze kwi-inflammation. I-Steroids isebenza ngokuchukumisa le nyathelo kunye nokukhusela umonakalo wesikhumba ovuthayo ngokugqithiseleyo.
- Zigcina imithwalo yegazi. Ukuvuvukala kubonakaliswa ngokuxutywa kwemithambo yegazi malunga nesiza soxinzelelo okanye isifo. (Kungenxa yoko isikhumba esikhatywayo sihlala sibomvu, sifudumala, sivuvuke.) I-steroids yeengqungquthela isebenza ngokunqanda i-capillaries nokunciphisa ukuvuvukala kwendawo kunye nentlungu.
Iintlobo ze-Topical Steroids
I-steroids yezihloko zifumaneka kwiiklasi ezahlukeneyo ezisixhenxe .
Owona mandla kakhulu yiKlasi ye-I, ephindwe kumawaka angamawaka anamandla kunomgangatho wakho, ukulungiswa kwe-Class VII ngaphezu kwe-counter-counter-like-hydrocortisone 1%.
I-steroids yezihloko zifumaneka kwi-ointments, creams, lotions, gels, kunye ne powders. Nangona amafutha ayenzileyo zihlanu, ezinye zifaneleke ngakumbi kwiimeko ezithile. Ngokomzekelo, ekubeni iipowders zilungele ukuthoba umswakama kwaye zifake iindawo ezinkulu zesikhumba, kunokube ngcono ukunyanga kweemeko ezinjengeenyawo zonyawo okanye i-diaper rash.
Ngokuphathelele ukuthandwa, ama-cream creams ayisoloko ekhethwa ngabasebenzisi. Zingasetyenziselwa ukuphatha i-storming width yeemeko zesikhumba kwaye zixhamle ngokukhethekileyo kwiindawo apho kukho iifumba ezinzima. Nangona ama-creams azinzima kakhulu kunamafutha, ukusetyenziswa kwabo kunye nokunyaniseka kwezinga lokuthobela kunika inzuzo ngaphezu kwezinye iindlela.
ILizwi
Xa usebenzisa i-static steroid, amathuba okuphucula impumelelo ahambelana ngqo nendlela ulandelelana ngayo ngokulandelelana imiyalelo. Ukuba i-cream isetyenziswe ukuba isetyenziswe kathathu ngosuku ngeentsuku ezili-14, gcwalisa ikhosi njengoko iyalathwayo. Musa ukuyeka ngenxa yokuba iimpawu zangaphandle zinyamalale okanye uzame "ukubamba" ngokunyusa inani leexesha osebenzisa ngayo imveliso.
Ukuba kuyimfuneko, sebenzisa ikhalenda kunye / okanye i-alamu yefowuni ukukunceda ukugcina umkhondo.
Kubalulekile ukukhumbuza kwakhona ukuba amandla okulungiselela ayilangalelani nepesenti kwilebula. Ngokomzekelo, i-0.01% I-Class I-steroid iyakunamakhulu amaxesha angaphezu kwamandla angaphezu kwe-3%. Njalo ufunde iilebula yomveliso, kodwa ubeke ingqalelo ngokukhawuleza kwiklasi yesilwanyana osisebenzisayo.
> Umthombo:
> Williams, H; Bigby, M; Diegpen, B; okqhubekayo. Ingqungquthela-esekelwe kwiDermatology, uLwimi lwesiBini. 2009; John Wiley & Sons Publishers; I-ISBN-13: 978-1405145183.