I-Amcinonide iyisidakamizwa esibhalwe ngudokotela esisetshenziswa ngaphandle esisiza ukunciphisa ukuvuvukala, ukuluma, nobubomvu esikhumbeni sakho. Cabanga ngayo njengomuthi olwa nokuvuvukala oqondiswe ngqo ozowusebenzisa ezindaweni ezinzima kunokuthatha amaphilisi athinta umzimba wakho wonke.
Lo muthi ungowesigaba esibizwa ngokuthi ama-corticosteroids anamandla amakhulu, okusho ukuthi usebenza kahle kakhulu ekuthuliseni isikhumba esicasukile, esivuvukele. Udokotela wakho angase akubhale uma ukwelashwa okuncane kungasebenzi kahle ngokwanele esimweni sakho.
Isetshenziselwani i-Amcinonide?
I-Amcinonide iphatha izimo ezihlukahlukene zesikhumba ezivuvukalayo ezibangela izimpawu ezingakhululeki njengokuluma, ukuvuvukala, nokucasuka. Isebenza kahle ikakhulukazi ezimweni lapho amasosha akho omzimba esabela ngokweqile futhi abangela izinkinga zesikhumba.
Nazi izimo eziyinhloko udokotela wakho angase akubhalele i-amcinonide:
- I-Eczema (i-atopic dermatitis) - lapho isikhumba sakho siba bomvu, siluma, futhi sivuvukala
- I-Psoriasis - iziqephu zesikhumba esiwugqinsi, esinomhlweba esingaba buhlungu noma silume
- I-Contact dermatitis - ukusabela ekuthinteni izinto ezicasulayo noma ama-allergen
- I-Seborrheic dermatitis - iziqephu ezinomhlweba, ezilumayo ngokuvamile ekhanda noma ebusweni
- I-Lichen planus - amaqhubu ansomi, alumayo angavela noma yikuphi emzimbeni wakho
- I-Discoid lupus - iziqephu eziyindilinga, eziphakanyisiwe ezinomhlweba, ngokuvamile ezindaweni ezivezwe yilanga
Udokotela wakho uzoqaphela ukuthi i-amcinonide ilungile yini esimweni sakho sesikhumba esithile. Umgomo uwukuthulisa ukuvuvukala ngokushesha ukuze isikhumba sakho silulame futhi sizizwe sikhululekile futhi.
Isebenza Kanjani i-Amcinonide?
I-Amcinonide isebenza ngokulingisa i-cortisol, i-hormone yemvelo umzimba wakho oyenzayo ukuze ulawule ukuvuvukala. Uma uyisebenzisa esikhumbeni sakho, ingena ezingqimbeni futhi itshele amaseli akho omzimba ukuthi athulise impendulo yawo engaphezu kwamandla.
Lo muthi uthathwa njenge-corticosteroid enamandla amakhulu, okusho ukuthi inamandla kunamanye ama-steroid atholakala ngaphandle. Inciphisa ukukhiqizwa kwezinto ezivuthayo emangqamuzaneni esikhumba sakho, okusiza ukuqeda umjikelezo wokuluma, ukuziklopha, nokucasuka okuqhubekayo.
Ngokuvamile uzoqala ukuqaphela ukuthuthuka ezinsukwini ezimbalwa zokusebenzisa njalo. Ububomvu bungase buqale bufade kuqala, kulandelwe ukuncipha kokuvuvukala nokuluma njengoba ukuvuvukala kwehla.
Kufanele Ngiyithathe Kanjani I-Amcinonide?
Sebenzisa i-amcinonide ngendlela eqondile udokotela wakho ayale ngayo, ngokuvamile kabili ngosuku ezindaweni ezithintekile. Njalo qala ngesikhumba esihlanzekile, esomile futhi usebenzise ungqimba oluncane kuphela - okuncane kuhamba ibanga elide ngalo muthi onamandla.
Nansi inqubo yesinyathelo ngesinyathelo yokusebenzisa ngokuphepha:
- Geza izandla zakho kahle ngaphambi kokusebenzisa
- Hlanza indawo yesikhumba ethintekile ngobumnene bese uyomisa
- Sebenzisa ungqimba oluncane lwe-amcinonide esikhumbeni esithintekile kuphela
- Gcobisa ngobumnene kuze kube yilapho umuthi unyamalala
- Geza izandla zakho futhi ngemva kokusebenzisa (ngaphandle uma welapha izandla zakho)
- Ungambozi indawo elashwayo ngamabhandeshi ngaphandle uma udokotela wakho ethi wenze njalo
Akudingeki ukuthi uthathe lo muthi nokudla njengoba usetshenziswa esikhumbeni sakho, awugwinywa. Nokho, gwema ukuwuthola emehlweni akho, emlonyeni, noma ekhaleni, njengoba lezi zindawo zizwela kakhulu.
Kufanele Ngiyithathe Isikhathi Esingakanani I-Amcinonide?
Abantu abaningi basebenzisa i-amcinonide amasonto angu-2-4, kuye ngokuthi isikhumba sabo siphendula kanjani nobukhulu besimo sabo. Udokotela wakho uzokunikeza imiyalelo ethile mayelana nobude besikhathi esisekelwe ezidingweni zakho.
Njengoba i-amcinonide iyi-steroid enamandla amakhulu, kubalulekile ukungayisebenzisi isikhathi eside kunokunconywayo. Ukusetshenziswa okweluliwe kungaholela ekuncipheni kwesikhumba neminye imiphumela emibi, ikakhulukazi ezindaweni ezizwelayo njengobuso bakho noma imibimbi yesikhumba.
Udktela wakho angase asikisele ukunciphisa kancane kancane ukuthi ukusebenzisa kaningi kangakanani njengoba isikhumba sakho sithuthuka. Lokhu kusiza ukuvimbela isimo sakho ukuthi singabuyi ngenkathi kunciphisa imiphumela engemihle engaba khona ekusetshenzisweni isikhathi eside.
Yini Imiphumela Emiqoka ye-Amcinonide?
Njengayo yonke imithi, i-amcinonide ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle uma isetshenziswa njengoba kuqondiswe. Imiphumela emibi ivame ukuba mnene futhi yenzeka endaweni yokusebenzisa.
Imiphumela emibi ejwayelekile ongase uyithole ihlanganisa:
- Umuzwa wokusha noma wokugwaza uma usetshenziswa okokuqala
- Ukomisa kwesikhumba noma ukucasuka
- Ukuluma okuncane (okuhlukile esimweni sakho sokuqala)
- Ushintsho lombala wesikhumba okwesikhashana
- Amaqhubu afana ne-acne azungeze ama-follicles ezinwele
Imiphumela emibi ebucayi ingenzeka ngokusebenzisa isikhathi eside noma ukusebenzisa ngokweqile. Lokhu akuvamile kodwa kufanele kuqashelwe:
- Ukuqina kwesikhumba noma ukulimala kalula
- Izimpawu zokwelula ezindaweni eziphathwayo
- Ukwanda kokukhula kwezinwele lapho kusetshenziswe khona
- Izifo zesikhumba ezibonakala ziba zimbi
- Ukungezwani komzimba njengokuqubuka okukhulu noma ukuvuvukala
Uma uqaphela noma yiziphi izinguquko ezikhathazayo noma uma isimo sesikhumba sakho siba sibi kunokuba sithuthuke, xhumana nodokotela wakho ngokushesha. Bangashintsha uhlelo lwakho lokwelashwa noma bahlole ezinye izinketho.
Ubani Ongafanele Athatha i-Amcinonide?
I-Amcinonide ayifanele wonke umuntu, futhi izimo ezithile zenza kungaphephile ukuyisebenzisa. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ukuze aqinisekise ukuthi ifanele wena.
Kufanele ugweme i-amcinonide uma une:
- Ukungezwani komzimba okwaziwayo ne-amcinonide noma ezinye izidakamizwa ze-corticosteroid
- Izifo zesikhumba ezibangelwa amagciwane njengembiwa noma i-herpes
- Izifo zesikhumba ezibangelwa isikhunta
- Izifo zesikhumba ezibangelwa amagciwane ezingelashwa
- I-Rosacea noma i-perioral dermatitis ebusweni bakho
- Amanxeba avulekile noma isikhumba esilimele kakhulu
Ukuqapha okukhethekile kuyadingeka kumaqembu athile abantu. Abesifazane abakhulelwe nabancelisayo kufanele baxoxe ngezingozi nezinzuzo nodokotela wabo, njengoba ama-steroid anamandla amakhulu angase athinte ingane.
Izingane zidinga ukuqashwa ngokucophelela okwengeziwe ngoba isikhumba sazo simunca imithi kalula kunesikhumba sabantu abadala. Udokotela wakho cishe uzoqoka umthamo ophansi osebenzayo isikhathi esifushane ngangokunokwenzeka.
Amagama Omkhiqizo we-Amcinonide
I-Amcinonide itholakala ngaphansi kwamagama amaningi omkhiqizo, okujwayelekile kakhulu yi-Cyclocort. Ungase futhi uyithole njenge-amcinonide ejwayelekile, esebenza kahle njengoba kwenza izinguqulo zamagama omkhiqizo.
Umuthi uza ngezindlela ezihlukene ezihlanganisa ukhilimu, amafutha, kanye ne-lotion. Udokotela wakho uzochaza ifomu elingcono kakhulu ngokusekelwe ohlotsheni lwesikhumba sakho nendawo ezelashwayo - amafutha asebenza kahle esikhumbeni esomile, kuyilapho okhilimu bengcono ezindaweni ezimanzi.
Ezinye izindlela ze-Amcinonide
Uma i-amcinonide ingakulungele noma ingasebenzi kahle ngokwanele, kunezindlela eziningi ezingenye. Udokotela wakho angase acabangele amanye ama-steroid aphezulu asezindaweni noma izinhlobo zemithi ezehlukene ngokuphelele.
Ama-corticosteroids afanayo aqinile afaka:
- I-Fluocinonide (Lidex) - enye inketho enamandla amakhulu
- I-Clobetasol (Temovate) - iqine nakakhulu ezimweni ezinzima
- I-Betamethasone dipropionate (Diprosone) - amandla afanayo
- I-Desoximetasone (Topicort) - izinga lamandla elifanayo
Ezinye izindlela ezingezona ze-steroid udokotela wakho angase azicabangele zihlanganisa ama-inhibitors e-topical calcineurin afana ne-tacrolimus (Protopic) noma i-pimecrolimus (Elidel). Lezi zisebenza ngendlela ehlukile kodwa zingasebenza ezimweni ezithile zokuvuvukala kwesikhumba, ikakhulukazi lapho ukwelashwa kwesikhathi eside kudingeka.
Ingabe i-Amcinonide ingcono kune-Hydrocortisone?
I-Amcinonide inamandla kakhulu kune-hydrocortisone, okwenza isebenze kangcono ezimweni zesikhumba ezivuvukalayo ezinzima. Ngenkathi i-hydrocortisone iyindlela elula, etholakala ngaphandle kwemvume kadokotela, i-amcinonide iyisidakamizwa esinikezwa ngemvume kadokotela esinamandla amakhulu.
Ukukhetha phakathi kwazo kuncike ekuqineni nendawo yesimo sakho. I-Hydrocortisone isebenza kahle ekucasukeni okulula futhi iphephile ukusetshenziswa isikhathi eside, kanti i-amcinonide igcinelwe izimo ezinzima ezidinga ukungenelela okuqinile.
Udkt wakho ngokuvamile uzoqala ngezinketho ezilula njenge-hydrocortisone bese eqhubekela emithini enamandla njenge-amcinonide uma kudingeka. Le ndlela inciphisa imiphumela engemihle engaba khona ngenkathi iqinisekisa ukuthi uthola ukwelashwa okuphumelelayo.
Imibuzo Evame Ukubuzwa Nge-Amcinonide
Q1. Ingabe i-Amcinonide iphephile ku-Diabetes?
I-Amcinonide ingasetshenziswa ngokuphepha ngabantu abaningi abanesifo sikashukela, kodwa idinga ukuqapha okwengeziwe. Ama-steroid aphezulu amathophi angase abe nomthelela emazingeni kashukela egazini, ikakhulukazi uma esetshenziswa ezindaweni ezinkulu noma isikhathi eside.
Udkt wakho cishe uzoqapha ushukela wakho wegazi eduze uma usebenzisa i-amcinonide njalo. Ingozi ngokuvamile iphansi ngokusebenzisa kahle, kodwa kubalulekile ukulandela imiyalelo yokusebenzisa ngokucophelela futhi ubike noma yiziphi izinguquko ezingavamile ekulawuleni ushukela wakho wegazi.
Q2. Kufanele ngenzeni uma ngisebenzisa i-Amcinonide eningi ngengozi?
Uma ngengozi usebenzisa i-amcinonide eningi, sula ngokucophelela okuningi ngendwangu ehlanzekile noma ithishu. Ungakhathazeki ngezilinganiso ezincane zokusetshenziswa ngokweqile - vele ubuyele esimisweni sakho esijwayelekile sokusebenzisa ngesikhathi esilandelayo.
Ukusetshenziswa okuningi njalo kungakhuphula ingozi yakho yemiphumela emibi efana nokuncipha kwesikhumba noma ukucasuka. Uma ubelokhu usebenzisa amanani amakhulu njalo, xhumana nodokotela wakho ukuze uxoxe ngokulungisa uhlelo lwakho lokwelapha. Bangase batusa inketho yamandla aphansi noma indlela ehlukile yokusebenzisa.
Q3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-Amcinonide?
Uma ukhohlwa ukusebenzisa i-amcinonide, yisebenzise ngokushesha nje lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo owuphuthelwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungasebenzisi imithi eyengeziwe ukuze ulungise umthamo owuphuthelwe - lokhu ngeke kusize isikhumba sakho silulame ngokushesha futhi kungase kwandise imiphumela emibi. Ukuqina kubaluleke kakhulu kunokuhlela isikhathi ngendlela ephelele, ngakho buyela emsebenzini wakho ojwayelekile.
Q4. Ngingayeka nini ukuthatha i-Amcinonide?
Ngokuvamile ungaqeda ukusebenzisa i-amcinonide lapho isimo sesikhumba sakho sesilule futhi udokotela wakho evuma ukuthi sekuyisikhathi sokuyeka ukwelashwa. Abantu abaningi bayisebenzisa amasonto angu-2-4, kodwa ubude obuqondile buxhomeke ekuphenduleni kwakho.
Odokotela abathile batusa ukunciphisa kancane ukuthi uyisebenzisa kangaki kunokuyeka ngokuphazima kweso. Lokhu kusiza ukuvimbela isimo sakho ukuthi sibuyele ngokushesha futhi kunikeza isikhumba sakho isikhathi sokugcina ukuthuthuka kwaso ngokwemvelo.
Q5. Ngingayisebenzisa i-Amcinonide ebusweni bami?
I-Amcinonide ingasetshenziswa esikhumbeni sobuso, kodwa ngaphansi kokugadwa kwezokwelapha ngokucophelela futhi ngokuvamile isikhathi esifushane kakhulu. Isikhumba ebusweni bakho sincane futhi sizwela kunezinye izindawo, okwenza sithambekele emiphumeleni emibi.
Udokotela wakho cishe uzoqoka i-steroid enezinga eliphansi lokusebenza lezimo zobuso noma anciphise ukusetshenziswa kwe-amcinonide ezinsukwini ezimbalwa nje. Ungalokothi uyisebenzise eduze kwamehlo akho, futhi qaphela ngokukhethekile ukulandela imiyalelo yokusebenzisa lapho welapha isikhumba sobuso.
