Yini i-Halcinonide: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Halcinonide iyikhilimu noma amafutha aqinile okwelapha ngemiyalelo odokotela abawabhala ukwelapha ukuvuvukala kwesikhumba okukhulu nokucasuka. Lo muthi onamandla osetshenziswa ngaphandle ungowodidi lwemithi ebizwa ngokuthi ama-corticosteroids, asebenza ngokunciphisa ukuvuvukala, ububomvu, nokuluma esikhumbeni sakho. Cabanga ngayo njengokwelashwa okuqondiwe okuvuvukala okusiza ukuthulisa isikhumba sakho uma sinokuphendula okukhulu noma ukuqubuka.

Yini i-Halcinonide?

I-Halcinonide iyi-corticosteroid enamandla ephezulu esetshenziswa ngaphandle eza ngesimo sekhilimu noma amafutha owafaka ngqo esikhumbeni sakho. Ihlelwa njenge-Class II steroid, okusho ukuthi inamandla kakhulu futhi isebenza kahle ekwelapheni izimo zesikhumba ezinzima. Udokotela wakho ngokuvamile uzobhala lo muthi uma ukwelashwa okulula kungasebenzi kahle ngokwanele.

Umuthi usebenza ngokungena ngaphakathi ezindaweni zesikhumba sakho ukunciphisa ukuvuvukala emthonjeni. Uzothola ukuthi iyatholakala ngamandla angu-0.1%, okuyilokhu okujwayelekile okunikeza ukukhululeka okusebenzayo ngenkathi kunciphisa ukuchayeka okungadingekile esithakweni esisebenzayo.

Isetshenziselwani i-Halcinonide?

Odokotela babhala i-halcinonide ngezimo eziningana zesikhumba ezivuvukalayo ezidinga ukwelashwa okuqinile kunalokho okunganikezwa yimikhiqizo etholakala ngaphandle kwemiyalelo. Umuthi usiza ikakhulukazi lapho isikhumba sakho sivuvukale kakhulu, siluma, noma singaphenduli ekwelashweni okulula.

Nawa amanye amakhambi i-halcinonide esiza ukuwelapha:

• I-eczema enkulu (i-atopic dermatitis) ebangela ukuluma okukhulu nokuvuvukala
• Ama-psoriasis plaques aqinile, anesikali, futhi amelana nokwelashwa okulula
• I-dermatitis yokuthintana evela kumahlamvu otyhefu, amakhemikhali, noma ama-allergens
• I-Seborrheic dermatitis uma inenkani noma isabalele
• I-Lichen planus, ebangela iziqephu eziphuzi, ezilumayo esikhumbeni sakho
• Izilonda ze-Discoid lupus ezenza iziqephu eziyindilinga, ezinama-scale

Udktela wakho angase futhi akunikeze i-halcinonide kwezinye izimo zesikhumba ezivuvukalayo ezingabaliwe lapha. Okubalulekile ukuthi isimo sesikhumba sakho sidinga ukuba sibi ngokwanele ukuze kufaneleke ukwelashwa okunamandla kwe-steroid.

Isebenza Kanjani I-Halcinonide?

I-Halcinonide isebenza ngokulingisa i-cortisol, i-hormone yemvelo umzimba wakho oyikhiqizayo ukulwa nokuvuvukala. Uma uyigcoba esikhumbeni sakho, ingena ezingxenyeni ezijulile futhi itshele amasosha akho omzimba ukuthi athulise impendulo yawo yokuvuvukala.

Umuthi uthathwa njenge-steroid enamandla ngoba inamandla amakhulu futhi ingelapha izimo zesikhumba ezinzima ngempumelelo. Kodwa-ke, lawa mandla asho ukuthi udinga ukuyisebenzisa ngokucophelela nangendlela eqondile njengoba kunqunywe. Ngokuvamile iqala ukusebenza ezinsukwini ezimbalwa, nakuba ungase uqaphele ukuthuthuka okuthile ekulunyeni nobubomvu emahoreni okuqala angama-24.

Ngokungafani nama-steroid athambile angathatha amasonto ukukhombisa imiphumela, i-halcinonide inganikeza ukukhululeka okukhulu ngokushesha. Lokhu kuyenza ibaluleke ikakhulukazi ekwelapheni ukuqubuka okubukhali noma izimo ezingapheli eziye zaba zimbi.

Kufanele Ngiyithathe Kanjani I-Halcinonide?

Kufanele usebenzise i-halcinonide ngendlela eqondile udokotela wakho ayinqumayo, ngokuvamile kanye noma kabili ngosuku ezindaweni zesikhumba ezithintekile. Hlala ugeza izandla zakho kahle ngaphambi nangemva kokusebenzisa umuthi, ngaphandle uma welapha izandla zakho uqobo.

Nansi indlela yokusebenzisa i-halcinonide ngendlela efanele:

1. Hlanza indawo ethintekile ngobumnene ngensipho namanzi, bese uyomisa
2. Sebenzisa ungqimba oluncane lomuthi ukuze umboze isikhumba esithintekile kuphela
3. Yigcobe ngobumnene kuze kube yilapho selincibilike kakhulu
4. Ungabophi noma umboze indawo elashwayo ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze njalo
5. Geza izandla zakho ngokushesha ngemva kokusebenzisa

Akudingeki ukuthi uhlele imithi yakho ngesikhathi sokudla ngoba ifakwa esikhumbeni sakho kunokuthathwa ngomlomo. Kodwa-ke, zama ukuyifaka ngezikhathi ezifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo esikhumbeni sakho.

Gwema ukuthola i-halcinonide emehlweni akho, emlonyeni, noma ekhaleni. Uma lokhu kwenzeka ngengozi, geza kahle ngamanzi bese uthintana nodokotela wakho uma ukucasuka kuqhubeka.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Halcinonide?

Odokotela abaningi banikeza i-halcinonide isikhathi esifushane, ngokuvamile amasonto angu-2-4 ngesikhathi. Ngenxa yokuthi iyi-steroid enamandla, ukuyisebenzisa isikhathi eside kungaholela ekuncipheni kwesikhumba neminye imiphumela emibi.

Udokotela wakho uzoqapha inqubekela phambili yakho futhi angashintsha ubude bokwelashwa ngokuya ngokuthi isikhumba sakho siphendula kanjani. Abanye abantu badinga nje izinsuku ezimbalwa zokwelashwa ngezikhathi eziphuthumayo, kanti abanye abanezimo ezingapheli bangase bayisebenzise ngezikhathi ezithile isikhathi eside.

Lapho isikhumba sakho siqala ukuthuthuka kakhulu, udokotela wakho angase akushintshele ku-steroid emnene noma asikisele ukuphumula phakathi kokwelashwa. Le ndlela isiza ekuvimbeleni imiphumela emibi ngenkathi igcina izinzuzo ozitholile.

Yini Imiphumela Emibi ye-Halcinonide?

Njengawo wonke ama-steroid aqinile, i-halcinonide ingabangela imiphumela emibi, ikakhulukazi uma isetshenziswa isikhathi eside noma uma ifakwa ezindaweni ezinkulu zesikhumba. Abantu abaningi bathola kuphela imiphumela emibi, yesikhashana, kodwa kubalulekile ukwazi ukuthi yini okufanele uyibheke.

Imiphumela emibi ejwayelekile engase yenzeke endaweni yokufaka ihlanganisa:

• Ukwasha kwesikhumba noma ukubhoboza uma uqala ukuyifaka
• Ukubomvu kwesikhashana noma ukucasuka
• Isikhumba esomile noma ukuxebuka okuncane
• Ukuqina okuhlukile esimweni sakho sokuqala
• Isikhumba esizwa siqinile noma singakhululekile

Le miphumela ivame ukuthuthuka njengoba isikhumba sakho sizivumela emuthini futhi kufanele ibe mnene futhi yesikhashana.

Imiphumela emibi engathi sína ingase ivele ngokusebenzisa isikhathi eside noma ukusebenzisa ngokweqile, nakuba ingavamile uma ulandela imiyalelo kadokotela wakho ngokucophelela:

• Ukuqina kwesikhumba (i-atrophy) okwenza isikhumba sakho sibe buthaka
• Izimpawu zokwelula, ikakhulukazi ezindaweni lapho isikhumba sigoba khona
• Imithambo ye-spider noma imithambo yegazi ebonakalayo ngaphansi kwesikhumba
• Ushintsho lombala wesikhumba olungase lube unomphela
• Ukwanda kokukhula kwezinwele endaweni yokusebenzisa
• Izinduna ezifana nezinduna noma izifo zesikhumba

Ngokuvamile, uma usebenzisa amanani amakhulu ezindaweni eziningi isikhathi eside, umuthi ungangena egazini lakho futhi ubangele imiphumela yesistimu efana nezinguquko kushukela wegazi noma amazinga e-hormone.

Ubani Ongafanele Athathwe I-Halcinonide?

I-Halcinonide ayifanele wonke umuntu, futhi izimo ezithile noma izimo ziyenza ingaphephile noma ingasebenzi kahle. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi.

Akufanele usebenzise i-halcinonide uma une:

• Ukungezwani okwaziwayo ne-halcinonide noma amanye ama-corticosteroids
• Izifo zesikhumba ezibangelwa amagciwane njengama-chickenpox, ama-shingles, noma i-herpes
• Izifo zesikhumba ezibangelwa amagciwane ezingelashwa ngama-antibiotics
• Izifo zesikhumba ezibangelwa isikhunta njenge-ringworm noma unyawo lomgijimi
• I-Rosacea noma izinduna ebusweni bakho
• Amanxeba esikhumba noma ukusikeka okungelashiwe

Ukuqapha okukhethekile kuyadingeka kumaqembu athile abantu abangasebenzisa i-halcinonide kodwa badinga ukuqashwa okuseduze:

• Abesifazane abakhulelwe noma abancelisa ngamabele kufanele bayisebenzise kuphela uma kudingeka ngempela
• Izingane ezingaphansi kweminyaka eyi-12 ubudala, njengoba isikhumba sabo simunca imithi eningi
• Abantu abanesifo sikashukela, njengoba ama-steroids angathinta amazinga kashukela egazini
• Labo abanezinhlelo zokuzivikela ezihlaselwe ngenxa yokugula noma eminye imithi

Amagama Omkhiqizo we-Halcinonide

I-Halcinonide itholakala ngaphansi kwamagama amaningi emakethe, i-Halog iyona eyaziwa kakhulu. Ungase futhi uyibone ibhalwe njenge-generic halcinonide, equkethe isithako esifanayo esisebenzayo futhi esebenza ngempumelelo efanayo.

Amanye amagama emakethe afaka i-Halog-E cream kanye nezinhlobo ezahlukahlukene ze-generic ezenziwe yizinkampani ezahlukene zemithi. Amandla nokusebenza kuhlala kufana kungakhathaliseki igama lomkhiqizo, nakuba abanye abantu bethola ukuthi bakhetha uhlobo olulodwa ngaphezu kolunye ngenxa yokuthungwa noma indlela ezizwa ngayo esikhumbeni sabo.

Njalo hlola nomuthi wakho uma unemibuzo mayelana nemikhiqizo ehlukene noma uma umuthi wakho ubukeka uhlukile kulokho owawukutholile ngaphambili.

Ezinye izindlela ze-Halcinonide

Uma i-halcinonide ingasebenzi kahle kuwe noma idala imiphumela emibi, udokotela wakho unezinye izindlela zokwelapha okufanele azicabangele. Ukukhetha kuncike esimweni sakho esithile, ukuthi sibi kangakanani, nokuthi usabele kanjani kwezinye izindlela zokwelapha.

Ezinye izidakamizwa ezinamandla eziphezulu ezisebenza ngendlela efanayo zifaka:

• I-Fluocinonide (Lidex) - enye i-steroid ye-Class II enamandla afanayo
• I-Betamethasone dipropionate (Diprolene) - isebenza kahle nge-psoriasis ne-eczema
• I-Clobetasol propionate (Temovate) - inamandla nakakhulu, isetshenziselwa amacala abucayi kakhulu
• I-Triamcinolone acetonide (Kenalog) - ithambile kancane kodwa isasebenza

Ezinye izindlela ezingezona ze-steroid udokotela wakho angazicabangela zifaka:

• Ama-calcineurin inhibitors afana ne-tacrolimus (Protopic) noma i-pimecrolimus (Elidel)
• Imithi emisha efana nama-JAK inhibitors ezimweni ezithile
• Ama-analogs e-Vitamin D e-psoriasis
• Imikhiqizo ehlanganisiwe efaka ama-antibiotics noma ama-antifungals

Ingabe i-Halcinonide ingcono kune-Triamcinolone?

I-Halcinonide ivamise ukuba namandla kune-triamcinolone acetonide, okwenza isebenze kangcono ezimweni zesikhumba ezinzima kodwa futhi yandisa ingozi yemiphumela emibi. Ukukhetha phakathi kwazo kuncike ekutheni isimo sakho sinzima kangakanani nokuthi usabele kahle kangakanani kwezinye izindlela zokwelapha.

I-Halcinonide iyi-Class II (amandla aphezulu) steroid, kuyilapho i-triamcinolone ngokuvamile iyi-Class III noma IV (amandla aphakathi). Lokhu kusho ukuthi i-halcinonide ingelapha izimo eziqine kakhulu kodwa idinga ukuqapha okwengeziwe nezikhathi zokwelapha ezimfushane.

Udokotela wakho angase akuqale nge-triamcinolone ezimweni ezithambile bese eqhubekela ku-halcinonide uma udinga ukwelashwa okuqinile. Abanye abantu benza ngcono ngomuthi owodwa kunomunye ngenxa yokuzwela kwesikhumba komuntu ngamunye kanye namaphethini okusabela.

Yomibili imithi iyasebenza uma isetshenziswe ngendlela efanele, futhi ukukhetha okungcono kuncike ngokuphelele esimweni sakho esithile nezidingo zezokwelapha.

Imibuzo Evame Ukubuzwa Mayelana ne-Halcinonide

Ingabe i-Halcinonide iphephile ku-Diabetes?

I-Halcinonide ingasetshenziswa ngokuphepha ngabantu abanesifo sikashukela, kodwa idinga ukuqapha okwengeziwe. Ama-steroid asetshenziswa ngaphandle angase athinte amazinga kashukela egazini, ikakhulukazi uma esetshenziswa ezindaweni ezinkulu noma isikhathi eside.

Udokotela wakho cishe uzoncoma ukuhlola ushukela wakho wegazi kaningi lapho uqala i-halcinonide. Abantu abaningi abanesifo sikashukela bangayisebenzisa ngaphandle kwezinkinga uma isetshenziswa ezindaweni ezincane njengoba kuyalelwe. Kodwa-ke, ngaso sonke isikhathi yazisa udokotela wakho ngesifo sakho sikashukela ngaphambi kokuqala noma yimuphi umuthi omusha we-steroid.

Ngingenzani uma ngisebenzisa i-Halcinonide eningi ngengozi?

Uma ngengozi ufaka i-halcinonide eningi, sula ngokucophelela okuningi ngendwangu ehlanzekile, emanzi. Ungakhathazeki ngokusebenzisa ngokweqile ngezikhathi ezithile, njengoba izinkinga ezinzima ezivela ekusetshenzisweni okukodwa zingavamile kakhulu.

Kodwa-ke, uma ubulokhu uyisebenzisa kakhulu njalo noma uyifake ezindaweni ezinkulu, xhumana nodokotela wakho. Bangase bafune ukukuqapha ukuze babone izimpawu zokumuncwa okukhulu noma balungise uhlelo lwakho lokwelapha. Izimpawu okufanele uziqaphele zihlanganisa izinguquko ezingavamile zesikhumba noma ukuzizwa ungaphilile.

Kufanele Ngenzeni Uma Ngedlula Umthamo We-Halcinonide?

Uma weqa umthamo we-halcinonide, uyifake ngokushesha lapho ukhumbula. Kodwa-ke, uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe, weqa umthamo owuqophile bese uqhubeka nohlelo lwakho olujwayelekile.

Ungaphindi kabili noma usebenzise imithi eyengeziwe ukuze ubuyisele imithamo eqoshiwe. Lokhu kungakhuphula ingozi yakho yemiphumela emibi ngaphandle kokuhlinzeka ngezinzuzo ezengeziwe. Ukuqopha imithamo ngezikhathi ezithile ngeke kube nomthelela omkhulu ekuqhubekeleni phambili kokwelashwa kwakho.

Ngingayeka Nini Ukuthatha I-Halcinonide?

Kufanele uyeke ukusebenzisa i-halcinonide lapho udokotela wakho ekutshela ukuthi wenze njalo, ngokuvamile lapho isimo sesikhumba sakho sithuthuke kakhulu. Abantu abaningi bayayisebenzisa amasonto angu-2-4, nakuba abanye bengase badinge izikhathi zokwelashwa ezimfushane noma ezinde.

Ungayeki kungazelelwe uma ubulokhu uyisebenzisa amasonto amaningana, njengoba lokhu kungase kubangele ukuthi isimo sakho siphinde sivuthe. Udokotela wakho angase ancome ukunciphisa kancane kancane ukuthi uyifaka kangaki noma ashintshele ku-steroid emnene ngaphambi kokuyeka ngokuphelele.

Ngingayisebenzisa I-Halcinonide Ebusweni Bami?

I-Halcinonide ngokuvamile ayinconyelwe ukusetshenziswa ebusweni ngoba isikhumba ebusweni bakho sincane futhi sizwela kakhulu kunezinye izindawo. Ama-steroid aqinile afana ne-halcinonide angabangela izinkinga ezinjengokuncipha kwesikhumba, imihuzuko, noma ukubonakala kwemithambo yegazi esikhumbeni sobuso.

Uma udinga ukwelashwa kwesimo sesikhumba sobuso, udokotela wakho cishe uzoqoka i-steroid emnene eyenzelwe ngqo ukusetshenziswa ebusweni. Kodwa-ke, ezimweni ezingavamile lapho izimo ezinzima zithinta ubuso, udokotela wakho angase aqoke i-halcinonide ngezikhathi ezimfushane kakhulu ngokuqapha okuseduze.