Ni iki Gukoresha Imisemburo ya Corticosteroid mu Meno: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'ibindi

Imisemburo ya Corticosteroid itangwa hakoreshejwe inzira yo mu meno ni imiti irwanya ububyimbirwe ishyirwa mu kanwa kawe, mu mashinya, cyangwa mu meno yawe kugira ngo ivure indwara zihariye zo mu kanwa. Iyi miti ikora igabanya ububyimbirwe, ububabare, n'ubudahangarwa aho ukeneye cyane mu kanwa kawe.

Muganga w'amenyo cyangwa umuganga ubaga mu kanwa ashobora kugusaba izi miti iyo ufite ububyimbirwe bukomeye mu mashinya, ibisebe mu kanwa, cyangwa ibikenewe byo gukira nyuma yo kuvurwa mu meno. Bitandukanye n'ibinini bigira ingaruka ku mubiri wawe wose, imisemburo ya corticosteroid ikoreshwa mu meno igamije gukora ahantu hagaragaye ikibazo mu kanwa kawe.

Imisemburo ya Corticosteroid ni iki?

Imisemburo ya Corticosteroid ni ubwoko bwa cortisol, umusemburo umubiri wawe ukora mu buryo bwa kamere kugira ngo urwanye ububyimbirwe. Iyo ishyizwe mu tuntu tw'amenyo, ituza ibikorwa by'ubudahangarwa birenze urugero bitera ububabare, ububyimbirwe, no kwangirika kw'imyanya.

Batekereze nk'abafasha bagamije kubwira ubudahangarwa bwo mu kanwa kawe kugabanya igisubizo cyayo. Ibi bituma imyanya yo mu kanwa kawe ikira neza kandi neza. Inzira yo mu meno isobanura ko umuti uguma ahantu hakenewe cyane.

Imisemburo ya Corticosteroid ikoreshwa mu kuvura amenyo kuri iki?

Imisemburo ya Corticosteroid yo mu meno ivura indwara zitandukanye ziterwa n'ububyimbirwe zifata mu kanwa kawe, mu mashinya, n'imyanya ikikije. Bifasha cyane iyo imiti isanzwe itatanze umuti uhagije cyangwa iyo ububyimbirwe bukomeye.

Umuvuzi w'amenyo ashobora kugusaba imisemburo ya corticosteroid kubera ibibazo byinshi by'ubuzima bwo mu kanwa bikeneye ibikorwa birwanya ububyimbirwe:

• Indwara ikaze y'ishinya (periodontitis) hamwe n'uburibwe bukomeye
• Lichen planus yo mu kanwa, itera ibibara byera n'ibikomere bibabaza
• Ibisebe bya Aphthous (canker sores) binini cyangwa bigaruka
• Gukira nyuma yo kubaga nyuma yo gukuramo iryinyo cyangwa kubaga ishinya
• Indwara zifitanye isano n'ingingo ya temporomandibular (TMJ) ziteza ububabare mu ruhu
• Mucositis yo mu kanwa iva mu miti ivura kanseri
• Uburwayi bukomeye bwo kwanga imiti bugira ingaruka ku gice cyo mu kanwa

Izi ndwara zirashobora gutuma kurya, kuvuga, no kwita ku kanwa buri munsi bitaryoha. Corticosteroids ifasha kugabanya uku kutaryoha mugihe ishyigikira umubiri wawe mu buryo bwo gukira kare.

Ni gute Corticosteroids yo mu menyo ikora?

Corticosteroids yo mu menyo ifatwa nk'imiti igabanya ububabare bwo hagati na bukomeye ikora muguhagarika uburyo umubiri wawe urwanya indwara mu gice cyo mu kanwa. Zihagarika ikorwa ry'ibintu bitera kubyimba, gutukura, n'ububabare.

Iyo ishyizwe mu kanwa, zinjira mu bice byagizweho ingaruka kandi zitangira gukora mu masaha cyangwa iminsi. Uyu muti ugabanya imitsi y'amaraso, ugabanya imikorere y'amazi, kandi ukagabanya urugendo rw'uturemangingo turwanya indwara mu gice kivurwa.

Ubu buryo bwihariye busobanura ko ubona ingaruka zikomeye zo kurwanya ububabare aho uzikeneye. Uyu muti uguma wibanda mu bice byo mu kanwa rero ntabwo bizenguruka mu mubiri wawe wose nk'imiti yo mu kanwa.

Nkwiriye gukoresha gute Corticosteroids yo mu menyo?

Muganga w'amenyo azaguha amabwiriza yihariye ashingiye ku bwoko bwa corticosteroid n'uburwayi bwawe bwihariye. Muri rusange, uzakoresha umuti nyuma yo kurya no mbere yo kuryama kugirango ubone ibisubizo byiza.

Mbere yo gukoresha corticosteroid iyo ariyo yose yo mu menyo, koza amenyo yawe witonze hanyuma ukarabe mu kanwa kawe n'amazi asanzwe. Ibi bifasha umuti kuguma neza ku bice byasukuwe. Ntukarye cyangwa unywe byibura iminota 30 nyuma yo gukoresha kugirango uhe umuti igihe cyo gukora.

Uburyo bwo gukoresha neza imiti ya corticosteroid ikoreshwa mu menyo:

• Gels cyangwa amavuta: Shyiraho agasate gato ahantu hababaye ukoresheje urutoki rumeze neza cyangwa agapira gato k'ipamba
• Ibyo gukaraba mu kanwa: Karaba umubare wategetswe mu gihe cy'amasegonda 30-60, hanyuma uciremo rwose
• Inshinge: Bitangwa na muganga w'amenyo wawe gusa mu gihe cyo gusura ibiro
• Pellets cyangwa ibinini: Bishyirwa ahantu hababaye hanyuma bigashonga buhoro buhoro

Ntuzigere umira imiti ya corticosteroid ikoreshwa mu menyo keretse muganga w'amenyo wawe akubwiye by'umwihariko. Buri gihe karaba intoki zawe neza mbere na nyuma yo kuyikoresha kugirango wirinde kwandura.

Nzakoresha imiti ya Corticosteroid mu menyo igihe kingana iki?

Ubuvuzi bwinshi bwa corticosteroid bukoreshwa mu menyo bumara hagati y'iminsi 7 kugeza kuri 14, bitewe n'uburemere bw'indwara yawe n'uburyo wemera ubuvuzi. Muganga w'amenyo wawe azagena igihe nyacyo gishingiye ku iterambere ryo gukira kwawe.

Gukoresha igihe gito bigabanya ibyago byo kugira ingaruka ziterwa n'iyo miti mugihe igitanga inyungu zikomeye zo kurwanya umuvumo. Indwara zimwe na zimwe zirambye zishobora gusaba igihe kirekire cyo kuvurwa, ariko muganga w'amenyo wawe azakugenzura neza kandi ahindure uko bikwiye.

Ntukahagarike ubuvuzi hakiri kare n'ubwo wumva umeze neza, kuko umuvumo ushobora kugaruka vuba. Ariko, ntukomeze kurenza igihe cyategetswe utabanje kubaza muganga w'amenyo wawe, kuko kuyikoresha igihe kirekire bishobora gutera ibibazo.

Ni izihe ngaruka ziterwa n'imiti ya Corticosteroid ikoreshwa mu menyo?

Abantu benshi bakira neza imiti ya corticosteroid ikoreshwa mu menyo kuko umuti uguma ahantu h'akanwa kawe. Ariko, ushobora kugira ingaruka zimwe, cyane cyane mugihe cyo kuvurwa kirekire.

Ingaruka zisanzwe ushobora kubona zirimo impinduka z'igihe gito mu buryohe, gutwika gake cyangwa kuruma mugihe ubanza kuyikoresha, no kongera ubushyuhe ku biryo bishyushye cyangwa bikonje. Ibi mubisanzwe birakosoka mugihe akanwa kawe kamenyereye umuti.

Dore ingaruka zisanzwe ugomba kumenya:

• Impinduka z'agateganyo mu buryohe cyangwa umwuka w'icyuma mu kanwa kawe
• Urumuri ruto cyangwa kumva urushinge igihe ukoresha
• Kongera ibyago byo kurwara oral thrush (indwara y'imyungu)
• Gukira gahoro kw'ibikomere bito cyangwa ibisebe mu kanwa kawe
• Kongera by'agateganyo ubushyuhe

Ingaruka zitagaragara cyane ariko zikomeye zirashobora kubaho iyo bikoreshejwe igihe kirekire cyangwa doze nyinshi. Izi zikeneye kwitabwaho ako kanya n'umuganga w'amenyo.

Vugana n'umuganga w'amenyo wawe ako kanya niba ubonye izi ngaruka zikomeye:

• Utubara twera cyangwa ahantu hatari busanzwe mu kanwa kawe hatagenda
• Umutwe mubi udashira cyangwa impumuro idasanzwe y'akanwa
• Kubabara cyane cyangwa kubyimba aho kugira icyiza
• Ibimenyetso byo kwandura nk'umuriro cyangwa ibishyitsi
• Kugorana kumeza cyangwa impinduka mu ijwi ryawe
• Reactions zikomeye zo kwivumbura ku bintu nk'ukubyimba mu maso cyangwa kugorana guhumeka

Izi ngaruka zikomeye ntizikunda kubaho iyo imiti ya corticosteroid ikoreshwa nk'uko byategetswe. Umuganga w'amenyo wawe azakurikirana uko urimo uragenda kugira ngo amenye ibibazo byose hakiri kare.

Ninde utagomba gukoresha imiti ya Corticosteroid y'amenyo?

Imiti ya corticosteroid y'amenyo ntabwo ikwiriye kuri buri wese, kandi umuganga w'amenyo wawe azasuzuma amateka yawe mbere yo kuyandika. Indwara zimwe na zimwe zirashobora gutuma iyi miti iba iy'akaga cyangwa idakora neza.

Abantu banduye mu kanwa kabo bakwiye kwirinda gukoresha imiti ya corticosteroid kugeza igihe ubwandu buvuyeho. Iyi miti irashobora gukumira ubushobozi bwa sisitemu yawe y'ubudahangarwa bwo kurwanya bagiteri, virusi, cyangwa imyungu.

Umuganga w'amenyo wawe azatekereza neza uko umeze niba ufite izi ndwara:

• Uburwayi bukomeye bwo mu kanwa (bukomoka ku mikorobe, virusi, cyangwa imyungu)
• Indwara ya diyabete itavurwa neza
• Uburwayi bw'umubiri bwo kwanga ibintu cyangwa gufata imiti igabanya ubudahangarwa bw'umubiri
• Amateka y'imyitwarire yo kwanga imiti ikomoka kuri corticoïdes
• Gusama cyangwa konsa (bisaba isuzuma ryitondewe)
• Kubagwa mu kanwa vuba aha hamwe n'ingorane zo gukira
• Indwara zidakira z'impyiko cyangwa umwijima

Niba ufata indi miti, cyane cyane iyo ituma amaraso ataguma mu mubiri cyangwa izindi steroids, menyesha muganga w'amenyo. Imikoranire ya bimwe mu byo ufata bishobora kugira ingaruka ku buryo corticoïdes ikora cyangwa ikongera ibyago byo kugira ingaruka ziterwa n'iyo miti.

Amazina y'ubwoko bwa corticoïdes ikoreshwa mu kuvura amenyo

Imiti myinshi ya corticoïdes ikoreshwa cyane mu buvuzi bw'amenyo, buri imwe ifite amazina y'ubwoko butandukanye n'uburyo ikoreshwamo. Muganga w'amenyo azahitamo iy'uburyo bukwiye ku burwayi bwawe bwihariye.

Triamcinolone acetonide ni imwe mu miti ya corticoïdes ikoreshwa cyane mu kuvura amenyo, iboneka nka Kenalog muri Orabase cyangwa Oralone. Dexamethasone iboneka mu buryo butandukanye burimo elixirs na gels yo gukoreshwa mu kanwa.

Izindi miti ya corticoïdes ikoreshwa mu kuvura amenyo harimo:

• Triamcinolone acetonide: Kenalog muri Orabase, Oralone
• Dexamethasone: Decadron, uburyo butandukanye bwa generic
• Prednisolone: Prelone, Orapred (iyo uburyo bwo kunywa bukenewe)
• Hydrocortisone: Imyiteguro ya cortisone acetate
• Betamethasone: Celestone, imyiteguro itandukanye yo gusiga ku ruhu

Muganga w'amenyo azahitamo umuti wihariye n'ubwoko bushingiye ku bukana bw'uburwayi bwawe, amateka yawe y'ubuvuzi, n'uburyo wabyitwayemo ku miti yakoreshejwe mbere.

Uburyo bwo gusimbuza corticoïdes ikoreshwa mu kuvura amenyo

Niba corticoïdes itakwiriye ku miterere yawe, muganga w'amenyo afite izindi mpuzangirangamubiri zo gufasha gukemura ikibazo cyo mu kanwa. Ubu buryo bwo gusimbuza bushobora kugira akamaro kimwe ku burwayi bumwe na bumwe.

Imiti idahagarika kubyimba (NSAIDs) nka ibuprofen ishobora gufasha kugabanya kubyimba n'ububabare. Imiti ishyirwa ku ruhu itanga ubufasha bw'igihe gito ku kutumva neza, mugihe amazi yo mu kanwa arwanya mikorobe afasha kwirinda indwara zikurikira.

Muganga w'amenyo ashobora kugusaba izi mvura zindi:

• Imiti ishyirwa ku ruhu (benzocaine, lidocaine gels)
• Amazi yo mu kanwa arwanya mikorobe (chlorhexidine)
• Oral NSAIDs (ibuprofen, naproxen)
• Hyaluronic acid gels yo gukiza imitsi
• Ubuvuzi bwa laser kubera ibibazo bimwe na bimwe byo kubyimba
• Amazi yo mu kanwa yihariye afite ibintu birwanya kubyimba

Kubibazo by'igihe kirekire, muganga w'amenyo ashobora gutanga ibitekerezo byo guhindura imibereho nko kugabanya umunaniro, guhindura imirire, cyangwa kunoza uburyo bwo gukora isuku yo mu kanwa. Ubu buryo bukora neza hamwe cyangwa aho imiti.

Ese imiti ya corticoide yo mu kanwa iruta izindi miti irwanya kubyimba?

Imiti ya corticoide yo mu kanwa akenshi ikora neza kuruta izindi miti irwanya kubyimba kubera ibibazo bikomeye byo mu kanwa kuko itanga icyerekezo, imbaraga zirwanya kubyimba. Ariko, "kuruta" biterwa n'uko ubuzima bwawe buhagaze n'amateka yawe y'ubuvuzi.

Kubyimba guto, imiti yoroheje nko gukaraba amazi y'umunyu cyangwa imiti igurishwa itagomba uruhushya irashobora kuba ihagije. Ariko kubibazo nko kurwara cyane kw'ishinya cyangwa lichen planus yo mu kanwa, imiti ya corticoide akenshi itanga ubufasha iyo izindi miti itakoze.

Inyungu nyamukuru ya corticoide yo mu kanwa ni ubushobozi bwayo bwo gutanga ingaruka zirwanya kubyimba zishyirwa ahantu hari ikibazo. Ubu buryo bwihariye busobanura ko ubona ubufasha bukomeye hamwe n'ingaruka nke zose zumubiri ugereranije na steroids yo mu kanwa.

Muganga w'amenyo azagereranya inyungu n'ibishobora kuba byatera ibibazo bitewe n'urubanza rwawe. Rimwe na rimwe uburyo buhuriweho bukora neza, bukoresha corticoide kubera ibibazo bikomeye no kuvura byoroheje kubera gukomeza.

Ibibazo Bikunze Kubazwa ku Bijyanye na Corticosteroids zo mu Meno

Ese birashoboka gukoresha corticosteroids zo mu meno niba mfite diyabete?

Corticosteroids zo mu meno zirashobora gukoreshwa mu buryo bwizewe ku bantu bafite diyabete, ariko muganga w'amenyo azakugenzura cyane. Izi miti zirashobora kugira ingaruka ku rugero rw'isukari mu maraso, kabone niyo zishyirwa mu kanwa.

Niba ufite diyabete, menyesha muganga w'amenyo ku bijyanye n'uburyo isukari yawe iri mu maraso ndetse n'imiti urimo gufata. Ashobora kugusaba gupima isukari yawe mu maraso kenshi mugihe uvurwa cyangwa agahindura gahunda yawe yo kuvura diyabete by'agateganyo.

Nkwiriye gukora iki niba nshizeho corticosteroids zo mu meno nyinshi ku buryo butunganye?

Niba ushyizeho corticosteroids zo mu meno nyinshi ku buryo butunganye kuruta uko byategetswe, sukura umunwa wawe neza n'amazi hanyuma uvugishe muganga w'amenyo kugirango akugire inama. Gukoresha nyinshi rimwe na rimwe ntibigira akaga, ariko bishobora kongera ibyago byo kugira ingaruka ziterwa n'iyo miti.

Ntugerageze "gukosora" ibirenzeho usiba urugero rwawe rukurikira. Ahubwo, garuka ku gahunda yawe isanzwe yo gufata imiti kandi witondere cyane mu gihe uzongera kuyikoresha. Muganga w'amenyo ashobora kugusaba niba hari ubugenzuzi bwongereweho bukenewe.

Nkwiriye gukora iki niba ntasizeho urugero rwa corticosteroids zo mu meno?

Niba utashizeho urugero rwa corticosteroids zo mu meno, zishyireho vuba na bwangu uko wibuka, keretse igihe cyegereye urugero rwawe rukurikira rwatanzwe. Muricyo gihe, siba urugero rwasibwe hanyuma ukomeze gahunda yawe isanzwe.

Ntuzigere ushyiraho urugero rurenzeho kugirango ukosore urwasibwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'iyo miti. Niba ukunda kwibagirwa urugero, shyiraho ibyibutso kuri terefone yawe cyangwa ubaze muganga w'amenyo ku bijyanye n'izindi gahunda zo gufata imiti zishobora kugukundira.

Nshobora kureka gufata corticosteroids zo mu meno ryari?

Ugomba kurangiza umuti wose wa corticosteroids zo mu kanwa nk'uko byategetswe na muganga w'amenyo, kabone n'iyo ibimenyetso byawe byagabanuka mbere y'uko umuti urangira. Guhagarika hakiri kare bishobora gutuma ububyimbirizi busubira kandi bikaba byatuma uburwayi bwawe bugorana kuvurwa.

Muganga w'amenyo azateganya gahunda yo gusuzuma uko urimo urwanya indwara no kumenya igihe bizaba byemewe guhagarika umuti. Uburwayi bumwe na bumwe busaba kugabanya umuti buhoro buhoro aho guhagarika ako kanya kugira ngo birinde ko ibimenyetso bisubira.

Nshobora kurya no kunywa bisanzwe nkoresha corticosteroids zo mu kanwa?

Ushobora kurya no kunywa bisanzwe ukoresha corticosteroids zo mu kanwa, ariko igihe ni ingenzi kugira ngo umuti ukore neza. Irinde kurya cyangwa kunywa byibura iminota 30 nyuma yo gukoresha umuti kugira ngo umuti winjire neza.

Abantu bamwe basanga kwirinda ibiryo biryoshye, bifite aside, cyangwa bishyushye cyane bifasha kugabanya uburibwe mu kanwa mugihe cyo kuvurwa. Niba ukoresha umuti wo mu kanwa, ntukarye cyangwa ngo unywe mu gihe cyagenwe na muganga w'amenyo, akenshi iminota 30-60 nyuma yo gukaraba.