Icyo Halcinonide ari cyo: Ibyo ikoreshwa, Uburyo bwo kuyikoresha, Ingaruka zayo, n'ibindi

Halcinonide ni umuti ukomeye wandikirwa na muganga ukoreshwa mu kuvura imivumo ikomeye y'uruhu n'uburibwe. Uyu muti ukomeye ushyirwa ku ruhu ugwa mu cyiciro cy'imiti yitwa corticosteroids, ikora igabanya umubyimbirwe, umutuku, n'ibishishi ku ruhu rwawe. Utekereze nk'umuti uvura imivumo ugamije guhoza uruhu rwawe iyo rufite imivumo ikabije cyangwa ruri mu gihe cy'uburwayi.

Halcinonide ni iki?

Halcinonide ni umuti ukomeye ushyirwa ku ruhu wa corticosteroid uza mu isura ya cream cyangwa uruvange ushyira ku ruhu rwawe. Ishyirwa mu cyiciro cya II cya steroid, bivuze ko ikomeye kandi ifite akamaro mu kuvura indwara z'uruhu zikomeye. Muganga wawe azagusaba uyu muti iyo imiti yoroheje itagize icyo ikora.

Uyu muti ukora winjira mu byiciro by'uruhu rwawe kugira ngo ugabanye imivumo ku isoko. Uzayisanga ifite imbaraga za 0.1%, ni yo mbaraga isanzwe itanga ubufasha bukomeye mu gihe igabanya imiterere idakenewe y'ikintu gikora.

Halcinonide ikoreshwa mu kuvura iki?

Abaganga bandika halcinonide ku ndwara z'uruhu zifite imivumo zikeneye ubuvuzi bukomeye kurusha ibicuruzwa bitangwa nta cyangombwa. Uyu muti ufasha cyane iyo uruhu rwawe rwavuye cyane, rurishye, cyangwa rutitabira imiti yoroheje.

Dore indwara nyamukuru halcinonide ifasha kuvura:

• Eczema ikabije (atopic dermatitis) itera ibishishi bikabije n'imivumo
• Psoriasis plaques zikomeye, zifite amabara, kandi zitaritabira imiti yoroheje
• Contact dermatitis iterwa n'uburozi bw'ibiti, imiti, cyangwa ibitera allergie
• Seborrheic dermatitis iyo ikomeye cyane cyangwa ikwirakwiriye
• Lichen planus, itera ibibara by'umutuku, birisha ku ruhu rwawe
• Discoid lupus lesions zikora ibibara bizengurutse, bifite amabara

Muganga wawe ashobora no kugusabira halcinonide kubera izindi ndwara zifata uruhu zitagaragazwa hano. Ikintu cy'ingenzi ni uko indwara y'uruhu rwawe igomba kuba ikomeye bihagije kugira ngo ikenere imiti ikomeye ya steroid.

Halcinonide ikora ite?

Halcinonide ikora yigana cortisol, umusemburo kamere umubiri wawe ukora wo kurwanya ibibazo byo mu mubiri. Iyo uyishyize ku ruhu rwawe, yinjira mu bice byimbitse kandi ibwira sisitemu yawe y'ubudahangarwa kugabanya igisubizo cyayo cyo mu mubiri.

Uyu muti ufatwa nk'umuti ukomeye wa steroid kuko ufite imbaraga nyinshi kandi ushobora kuvura neza indwara zikomeye z'uruhu. Ariko, iyi mbaraga kandi isobanura ko ugomba kuyikoresha witonze kandi neza nk'uko byategetswe. Muri rusange itangira gukora mu minsi mike, nubwo ushobora kubona impinduka mu gukururuka no gutukura mu masaha 24 ya mbere.

Bitandukanye na steroid zoroheje zishobora gufata ibyumweru kugira ngo zerekane ibisubizo, halcinonide ishobora gutanga ubufasha bukomeye vuba. Ibi bituma bifite agaciro cyane mu kuvura ibibazo byihutirwa cyangwa indwara zidakira zabaye zikomeye.

Nkwiriye gufata Halcinonide nte?

Ugomba gukoresha halcinonide neza nk'uko muganga wawe abitegeka, akenshi rimwe cyangwa kabiri ku munsi ku bice by'uruhu byagizweho ingaruka. Buri gihe oza intoki zawe neza mbere na nyuma yo gukoresha umuti, keretse urimo kuvura intoki zawe ubwazo.

Uku niko wakoresha halcinonide neza:

1. Sukuza ahantu hagaragaye ibibazo witonze ukoresheje isabune yoroheje n'amazi, hanyuma wumuke
2. Shyiraho umuti woroshye wo gukora ku ruhu rwose ruriho ibibazo
3. Wusige witonze kugeza igihe winjiyeho cyane
4. Ntugasize cyangwa ngo utwikire ahantu havuriwe keretse muganga wawe akubwiye byumwihariko
5. Oza intoki zawe ako kanya nyuma yo gukoresha

Ntugomba gushyira igihe cyo gufata uyu muti ku mafunguro kuko ushyirwa ku ruhu aho gufatwa mu kanwa. Ariko, gerageza kuwushyira mu gihe kimwe buri munsi kugira ngo ugumane urwego rumwe mu ruhu rwawe.

Irinde gushyira halcinonide mu maso yawe, mu kanwa, cyangwa mu mazuru. Niba ibi bibaye ku buryo butunguye, sukura neza n'amazi kandi uvugishe muganga wawe niba ububabare bukomeje.

Nzamara Igihe Kingana Iki Ndafashe Halcinonide?

Abaganga benshi bandika halcinonide mu gihe gito, akenshi ibyumweru 2-4 icyarimwe. Kubera ko ari steroid ikomeye, kuyikoresha igihe kirekire bishobora gutuma uruhu ruto cyane n'izindi ngaruka.

Muganga wawe azakurikiza uko urimo utera imbere kandi ashobora guhindura igihe cyo kuvurwa bitewe n'uko uruhu rwawe rwitwara. Abantu bamwe bakeneye iminsi mike yo kuvurwa kubera ibibazo bikomeye, mu gihe abandi bafite indwara zidakira bashobora kuyikoresha rimwe na rimwe igihe kirekire.

Iyo uruhu rwawe rutangiye kuzamura cyane, muganga wawe ashobora kuguha steroid yoroheje cyangwa agasaba guhagarika hagati yo kuvurwa. Ubu buryo bufasha kwirinda ingaruka mugihe ugumana inyungu wungutse.

Ni Izihe Ngaruka Ziterwa na Halcinonide?

Kimwe na za steroid zose zikomeye zishyirwa ku ruhu, halcinonide ishobora gutera ingaruka, cyane cyane iyo ikoreshejwe igihe kirekire cyangwa iyo ishyizwe ku bice binini by'uruhu. Abantu benshi bahura n'ingaruka zoroshye gusa, ariko ni ngombwa kumenya icyo ugomba kwitondera.

Ingaruka zisanzwe zishobora kubaho aho washyizeho umuti zirimo:

• Uruhu rushya cyangwa ruruma igihe ubanza kurushyiraho
• Umutuku w'agateganyo cyangwa kurakara
• Uruhu rwumye cyangwa gukura gake
• Urubavu rutandukanye n'icyo wari ufite mbere
• Uruhu rugaragara nk'urufunze cyangwa rutari rwiza

Izi ngaruka mubisanzwe zikemura uko uruhu rwawe rwikwiza ku muti kandi zigomba kuba zoroshye kandi z'agateganyo.

Ingaruka zikomeye zirushijeho zishobora guterwa no gukoresha igihe kirekire cyangwa gukoresha cyane, nubwo bidakunze kubaho iyo ukurikiza amabwiriza ya muganga wawe neza:

• Uruhu ruto (atrophy) rutuma uruhu rwawe rworoha
• Ibimenyetso byo kurambura, cyane cyane ahantu uruhu ruhinduka
• Imitsi ya spider cyangwa imitsi igaragara y'amaraso munsi y'uruhu
• Impinduka z'amabara y'uruhu zishobora kuba zihoraho
• Ubwiyongere bw'umusatsi ahantu hakoreshejwe
• Uduheri dusa na acne cyangwa indwara z'uruhu

Gahoro cyane, niba ukoresha ibintu byinshi ahantu hanini mu gihe kirekire, umuti ushobora kwinjira mu maraso yawe ugatera ingaruka zikomeye nk'impinduka mu isukari yo mu maraso cyangwa urugero rw'imisemburo.

Ninde utagomba gufata Halcinonide?

Halcinonide ntabwo ikwiriye kuri buri wese, kandi ibintu bimwe na bimwe cyangwa ibihe bituma bitaba byiza cyangwa bidakora neza. Muganga wawe azasuzuma neza amateka yawe mbere yo kwandika uyu muti.

Ntugomba gukoresha halcinonide niba ufite:

• Allergie izwi kuri halcinonide cyangwa izindi corticosteroids
• Indwara z'uruhu ziterwa na virusi nka chickenpox, shingles, cyangwa herpes
• Indwara z'uruhu ziterwa na bagiteri zitavurwa na antibiyotike
• Indwara z'uruhu ziterwa na fungus nka ringworm cyangwa ukuguru kw'umukinnyi
• Rosacea cyangwa acne ku maso yawe
• Ibyo uruhu rukomeretse cyangwa rwatemwe bitarakira

Ubwitange bwihariye bukenewe kubantu bamwe na bamwe bashobora gukoresha halcinonide ariko bakeneye gukurikiranwa hafi:

• Abagore batwite cyangwa bonka bagomba kuyikoresha gusa iyo bibaye ngombwa rwose
• Abana bari munsi yimyaka 12, kuko uruhu rwabo rwinjiza imiti myinshi
• Abantu barwaye diyabete, kuko steroid zishobora kugira ingaruka ku rugero rw'isukari yo mu maraso
• Abafite ubudahangarwa bw'umubiri butameze neza kubera indwara cyangwa indi miti

Amazina ya Halcinonide

Halcinonide iboneka mu mazina menshi y'ubucuruzi, nka Halog akaba ari ryo rizwi cyane. Ushobora no kubona yanditswe nk'halcinonide rusange, ikubiyemo ibikoresho bikora kimwe kandi bikora neza kimwe.

Andi mazina y'ubucuruzi arimo Halog-E cream n'uburyo butandukanye rusange bukorerwa n'amasosiyete atandukanye y'imiti. Imbaraga n'ubushobozi birakomeza kimwe hatita ku izina ry'ubucuruzi, nubwo abantu bamwe basanga bakunda uburyo bumwe kuruta ubundi bitewe n'imiterere cyangwa uko byumva ku ruhu rwabo.

Buri gihe jya ureba umufarumasiti wawe niba ufite ibibazo ku mazina atandukanye cyangwa niba umuti wawe usa n'utandukanye n'uwo wahawe mbere.

Izindi nzira zishobora gukoreshwa aho halcinonide ikoreshwa

Niba halcinonide itagukundiye cyangwa ikagutera ingaruka mbi, muganga wawe afite ubundi buryo bwo kuvura ashobora gutekereza. Guhitamo biterwa n'uburwayi bwawe bwihariye, uko bukomeye, n'uko wabyitwayemo ku bundi buryo bwo kuvura.

Izindi steroid zikoreshwa ku ruhu zifite imbaraga nyinshi zikora kimwe zirimo:

• Fluocinonide (Lidex) - indi steroid yo mu cyiciro cya II ifite imbaraga zisa
• Betamethasone dipropionate (Diprolene) - ikora neza ku ruhu rurwaye psoriasis na eczema
• Clobetasol propionate (Temovate) - irakomeye cyane, ikoreshwa mu gihe cy'uburwayi bukomeye cyane
• Triamcinolone acetonide (Kenalog) - yorohejeho gato ariko iracyakora neza

Izindi nzira zitari steroid muganga wawe ashobora gutekereza zirimo:

• Abakumira ba Calcineurin nka tacrolimus (Protopic) cyangwa pimecrolimus (Elidel)
• Imiti mishya nka JAK inhibitors ku burwayi bumwe na bumwe
• Vitamin D analogs kuri psoriasis
• Ibicuruzwa bivanzemo antibiotics cyangwa antifungals

Ese Halcinonide iruta Triamcinolone?

Halcinonide ikomera cyane kurusha triamcinolone acetonide, ibyo bituma ikora neza ku bibazo bikomeye byo ku ruhu ariko kandi byongera ibyago byo kugira ingaruka ziterwa n'imiti. Guhitamo hagati yabyo biterwa n'uko ikibazo cyawe gikomeye kandi n'uko wabyitwayemo neza ku zindi miti.

Halcinonide ni steroid yo mu cyiciro cya II (ikomeye cyane), naho triamcinolone ikunze kuba mu cyiciro cya III cyangwa IV (ikora neza). Ibi bivuze ko halcinonide ishobora kuvura ibibazo bikomeye ariko bisaba gukurikiranwa neza kandi igihe gito cyo kuvurwa.

Muganga wawe ashobora gutangira kukuvura na triamcinolone ku bibazo byoroheje hanyuma akajya kuri halcinonide niba ukeneye imiti ikomeye. Abantu bamwe babona ko imiti imwe ikora neza kurusha iyindi bitewe n'uburyo uruhu rwabo rwitwara n'uburyo rwakira imiti.

Imiti yombi ikora neza iyo ikoreshejwe neza, kandi guhitamo "neza" biterwa rwose n'ikibazo cyawe cyihariye n'ibyo ukeneye mu buvuzi.

Ibibazo Bikunze Kubazwa Kuri Halcinonide

Ese Halcinonide irakoreshwa neza ku barwayi ba diyabete?

Halcinonide irashobora gukoreshwa neza n'abantu barwaye diyabete, ariko bisaba gukurikiranwa by'umwihariko. Steroid zishyirwa ku ruhu zishobora kugira ingaruka ku isukari yo mu maraso, cyane cyane iyo zikoreshejwe ahantu hanini cyangwa igihe kirekire.

Muganga wawe ashobora kugusaba gupima isukari yo mu maraso yawe kenshi iyo utangiye gukoresha halcinonide. Abantu benshi barwaye diyabete barashobora kuyikoresha nta kibazo iyo ishyirwa ahantu hato nk'uko byategetswe. Ariko, buri gihe menyesha muganga wawe ibyerekeye diyabete yawe mbere yo gutangira gukoresha umuti mushya wa steroid.

Ninkora iki niba nshyizeho halcinonide nyinshi ku buryo butunganye?

Niba ushyizeho halcinonide nyinshi ku buryo butunganye, gusahanagura ibirenzeho ukoresheje igitambaro cyiza gitose. Ntugire impungenge kubera gukoresha kenshi, kuko ibibazo bikomeye biterwa no gukoresha umuti rimwe na rimwe biba bike cyane.

Ariko, niba umaze kuyikoresha cyane cyangwa ukayishyira ahantu hanini, jya kwa muganga wawe. Bashobora kwifuza kugukurikiranira ibimenyetso byo kongera kwinjizwa cyangwa guhindura gahunda yawe y'ubuvuzi. Ibimenyetso byo kwitondera birimo impinduka zidasanzwe ku ruhu cyangwa kumva utameze neza.

Nkwiriye gukora iki niba nciwe urugero rwa Halcinonide?

Niba waciwe urugero rwa halcinonide, rishyireho uko wibuka. Ariko, niba igihe cyo gufata urugero rukurikira rigeze, reka urugero waciwe ukomeze gahunda yawe isanzwe.

Ntukongere cyangwa ushyireho imiti yinyongera kugirango wuzuze urugero waciwe. Ibi birashobora kongera ibyago byo kugira ingaruka zidakunzwe hatagize inyungu zinyongera. Gucikwa urugero rimwe na rimwe ntibizagira ingaruka zikomeye ku iterambere ryawe ry'ubuvuzi.

Nshobora guhagarika ryari gufata Halcinonide?

Ukwiriye guhagarika gukoresha halcinonide igihe muganga wawe akubwiye, akenshi igihe uruhu rwawe rumeze neza cyane. Abantu benshi barayikoresha mu byumweru 2-4, nubwo bamwe bashobora gukenera igihe gito cyangwa kirekire cyo kuvurwa.

Ntuhagarike ako kanya niba umaze kuyikoresha mu byumweru byinshi, kuko ibi bishobora gutuma ururimi rwawe rugaruka. Muganga wawe ashobora kugusaba kugabanya buhoro buhoro uburyo uyishyiraho cyangwa guhindurira kuri steroid yoroheje mbere yo guhagarika burundu.

Nshobora gukoresha Halcinonide mu maso yanjye?

Halcinonide muri rusange ntisabwa gukoreshwa mu maso kuko uruhu rwo mu maso yawe rutoshye kandi rworoshye kurusha ahandi hantu. Steroid zikomeye nka halcinonide zirashobora gutera ibibazo nko gutonda uruhu, ibimenyetso byo kurambura, cyangwa kugaragara kw'imitsi y'amaraso ku ruhu rwo mu maso.

Niba ukeneye kuvurwa indwara y'uruhu rwo mu maso, muganga wawe ashobora gutanga steroid yoroheje yagenewe gukoreshwa mu maso. Ariko, mu bihe bidasanzwe aho indwara zikomeye zibasira mu maso, muganga wawe ashobora gutanga halcinonide mu gihe gito cyane hamwe no gukurikiranwa hafi.