Ingaba umntu unokuhlaselwa kumachiza omzimba?
I-Corticosteroids (ebizwa ngokuba yi-steroids) yimiyeza esetyenziswa ukuphatha iimeko ezahlukeneyo ezivuthayo kubandakanya ukuxhatshazwa kunye nokukhathazeka okuzenzekelayo . Zifumaneka kwiingqungquthela zomlomo, zomlomo, ezifakwe ngaphakathi, kunye nefom yefom ye-injection, zombini kunye ne-counter.
I-Corticosteroids isetyenziselwa ukuphatha, phakathi kwezinye izinto:
- Ukuphendulela kokutya kwizinto zokutya , iziyobisi , okanye izilwanyana .
- I-rhinitis ye-allergen (hay fever)
- I-Anaphylaxis (inokuthi isongela ubomi besifo)
- Isifuba
- I-aicic dermatitis (eczema)
- Xha ga mshelana
- Lupus
- Isifo sokugubhuka
- Irheumatoid arthritis
- Urticaria (imihlathi)
Kuya kubonakala kungqubuzanayo, ngoko ke, ukuba izidakamizwa ezisetyenziselwa ukunyanga le miqathango zinokubangela ukuba ezinye izifo zenzeke. Nangona oku kwenzeka ngokungaqhelekanga, kwenzeka.
I-Topical Steroid
I-corticosteroids yeengqungquthela ziquka imishanguzo enokuyibhinqa ngesikhumba sakho kunye neyeza ezingenayo i-intranasal . Ukuphendula kwezi zonyango kubonakala kunobumnene kwaye kukholelwa ukuba kubangelwa ngamaphesenti ayisithandathu amatyala.
Ukuba i-static steroid allergies iyakrokrelwa, kunzima ukuqonda ukuba i-rash idibene neziyobisi okanye yinto eyenzileyo yimeko ephantsi. Ngokufanayo, ukuphendulwa kwe-corticosteroid enganyangekiyo kunokuthi kube lula ukuthethwa ngolu hlobo.
Ngokuqhelekileyo, umntu uya kukhankanya i-steroid yokungathandabuzeki ukuba i-agentical or inhaled agent idala uhlobo oluthile lokusabela (ezifana nokubonakala kwe-rash emva kokusetyenziswa kwe-spongestant spray). Ngokuqhelekileyo kunokungabikho, i-allergies iya ku krokrwa ukuba imeko ibuhlungu okanye ihluleka ukuphucula unyango.
Ukuxilongwa kuza kubandakanya ukuhlolwa kwe- patch control . Iimvavanyo ezifumanekayo zorhwebo, ezifana novavanyo lwe-TRUE, lunokuvavanya uvakalelo lomntu kwiinkalo ezahlukeneyo zamachiza e-corticosteroid. Uvavanyo oluthile lwe-patch ye- budesonide kunye ne-tixocortol ngokuqhelekileyo luphawu olubalulekileyo lwe-steroid.
Uvavanyo lwe-Patch luya kuba lukhohlisi, nangona kunjalo, ekubeni iziphumo ezichasayo zokubangela i-steroids ngamanye amaxesha zingaphazamisa iimpendulo kwaye zikhokelela kwisiphumo esibi.
I-Systemic Steroid
I-corticosteroids yenkqubo iquka zombini umlomo kunye nefom ye-formulations. Ziye ziqwalaselwe njengendlela yokucwangcisa ngenxa yokuba zisasazwa kuwo wonke umzimba ngokuchasene nonyango lwendawo.
Nangona ukuphendulwa kweenkqubo kungabonakali, banokubeka ubomi besongela ubomi. Ezi zikhula ngokukhawuleza ziyingozi kakhulu. Ukuphendulwa kwemiqondiso kungaphuhlisa ngeendlela ezimbini:
Ukuphendula ngokukhawuleza kuninzi kubakho kwiminyaka engama-30 kuya kweyimi-60 yesigqirha esithathwayo. Iimpawu zingabandakanya imisundu, ukuvuvukala ubuso, ukuphefumula kokuphefumula, ukuvutha kwentliziyo ngokukhawuleza, ukukhulelwa komkhuhlane, ukudideka, kunye nokukhwabanisa kwesikhumba. Ukuxilongwa kubandakanya ukusetyenziswa kovavanyo lwesikhumba kunye / okanye uvavanyo lwe-radioallergosorbent (RAST) . Ekubeni iimvavanyo zithandana neengxaki ezingamanga, umphumo ongeyiphumo kufuneka ulandelwe ngumngeni weziyobisi (apho umntu anikwe umthamo ophantsi weziyobisi ukujonga ukuba uyaziphendulela).
Impendulo engekho ngokukhawuleza idla ngokulula kwaye inokuvela kwiiyure ezingama-48 emva kokusetyenziswa kwesilwanyana somlomo okanye esijoyiweyo. Iimpawu zingabandakanya imifuno okanye ukusabalalisa (ukusasazeka). Nangona uvavanyo lwesikhumba okanye lwepatch lungasetyenziselwa ukuxilonga imeko, ukufundwa kufuneka kubambezeleke kwiintsuku ezimbini ukuya kuhlawulela ubunjani bokubambezeleka kweempendulo.
Ekubeni kunokubakho okubonakalayo phakathi kwemithi ye-corticosteroid, nayiphi na imiphumo emihle kufuneka ilandelwe ibhetri yeemvavanyo zokungabikho komzimba ukuchonga ukuba ngubani, ukuba kukho na, ifom ekhuselekile ukuyisebenzisa.
> Umthombo:
> Torres, M. kunye neCanto, G. "Ukuphendulwa kwe-Hypersensitivity to Corticosteroids." I-Curr Opin Allergy Clinic Immunol. 2010; 10: 273-9. INGXELO: 10.1097 / ACI.0b013e32833b1f34.