Yini i-Desoximetasone: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Desoximetasone iyisidakamizwa esibhalwe ngudokotela esisetshenziswa ngaphandle esisiza ukunciphisa ukuvuvukala, ukuluma, nobubomvu esikhumbeni sakho. Kuyi-steroid cream, gel, noma i-ointment enamandla aphakathi nendawo odokotela abajwayele ukuyinika izimo ezihlukahlukene zesikhumba njenge-eczema, i-psoriasis, ne-dermatitis.

Cabanga ngayo njengomuthi olwa nokuvuvukala oqondiswe ngqo lapho uwusebenzisa khona. Ngokungafani nama-steroid omlomo athinta umzimba wakho wonke, i-desoximetasone ihlala kakhulu ebusweni besikhumba sakho ukuze ithulise izindawo ezicasukile ngaphandle kokubangela imiphumela emibi ebanzi.

Yini i-Desoximetasone?

I-Desoximetasone ingeyeqembu lemithi ebizwa ngokuthi ama-corticosteroids asetshenziswa ngaphandle. Lezi yizinhlobo ezenziwe ngamachiza zamahomoni umzimba wakho owakhiqiza ngokwemvelo ukulwa nokuvuvukala.

Iza ngezinhlobo ezintathu eziyinhloko: i-cream, i-gel, ne-ointment. I-cream isebenza kahle ezinhlotsheni eziningi zesikhumba futhi imunca kalula. I-gel izizwa ilula futhi yoma ngokushesha, okuyenza ilungele izindawo ezinoboya. I-ointment iqina futhi inamanzi amaningi, okusiza ngezindawo zesikhumba ezomile kakhulu noma eziqine.

Udokotela wakho uzokhetha ifomu elifanele ngokuya ngesimo sakho sesikhumba esithile nokuthi udinga ukusisebenzisa kuphi. Ifomu ngalinye liqukethe isithako esifanayo esisebenzayo kodwa sililetha kancane esikhumbeni sakho.

Yini i-Desoximetasone Esizenzelwe Yona?

I-Desoximetasone iphatha izimo zesikhumba ezivuvukalayo ezibangela ububomvu, ukuvuvukala, ukuluma, nokungakhululeki. Udokotela wakho angase akubhalele yona uma ukwelashwa okuthambile kungazange kunikeze ukukhululeka okwanele.

Nazi izimo eziyinhloko ezisiza ngazo, futhi ukuqonda lokhu kungakusiza ukuthi wazi ukuthi yini ongayilindela:

• I-Eczema (i-atopic dermatitis) - inciphisa izindawo ezivuvukele, ezilumayo ezingavela noma yikuphi emzimbeni wakho
• I-Psoriasis - ithulisa izindawo eziqinile, ezinamaqweqwe ezenzeka lapho amaseli esikhumba eziphindaphinda ngokushesha kakhulu
• I-Contact dermatitis - ithoba ukusabela kwesikhumba okuvela kuma-allergen noma izinto ezicasulayo njengomuthi onobuthi noma amakhemikhali aqinile
• I-Seborrheic dermatitis - iphatha izindawo ezibomvu, ezinamaqweqwe avame ukuvela ekhanda lakho, ebusweni, noma esifubeni
• Ukusabela kwesikhumba okungalungi - kusiza ngamathumba, ukuqubuka, noma ukuvuvukala okuvela ekusabeleni okungalungi
• I-Lichen planus - inciphisa izigaxa eziphuzi, ezilumayo ezingavela esikhumbeni sakho noma ngaphakathi emlonyeni wakho

Kwezinye izimo, odokotela bezikhumba bangase bayinikeze ngezimo ezingavamile njenge-discoid lupus noma i-alopecia areata. Udokotela wakho uzokuchazela ngqo ukuthi kungani beyincoma ngesimo sakho esithile.

Isebenza Kanjani I-Desoximetasone?

I-Desoximetasone isebenza ngokulingisa ama-hormone akho emvelo alwa nokuvuvukala abizwa ngokuthi ama-corticosteroids. Uma uyisebenzisa esikhumbeni esivuvukele, ingena ngaphakathi ongqimbeni olungaphandle futhi inciphise ukusabela okweqile kwamasosha omzimba endaweni ethile.

Ithathwa njenge-steroid esezingeni eliphakathi nendawo, okusho ukuthi inamandla kunezinketho ezithambile njenge-hydrocortisone kodwa ithambile kune-steroids enamandla amakhulu. Lokhu kuyenza isebenze ezimweni eziningi zokuvuvukala kwesikhumba ngaphandle kokuba lukhuni kakhulu ekusetshenzisweni njalo.

Umuthi unciphisa ukuvuvukala ngokuvala amakhemikhali athile kumaseli esikhumba sakho abangela ukuvuvukala, ukubomvu, nokuluma. Ngokuvamile uzoqaphela ukuthuthuka ezinsukwini ezimbalwa, nakuba ukuphola okuphelele kungathatha amasonto amaningana kuye ngesimo sakho.

Kufanele Ngiyithathe Kanjani I-Desoximetasone?

Sebenzisa i-desoximetasone ngendlela eqondile udokotela wakho ayincomayo, ngokuvamile kabili ngosuku ezindaweni ezithintekile. Hlanza izandla zakho ngaphambi nangemva kokuyisebenzisa, futhi qiniseka ukuthi indawo yesikhumba ihlanzekile futhi yomile.

Sebenzisa ungqimba oluncane kuphela - awudingi okuningi ukuze lusebenze ngempumelelo. Lihlikihle ngobumnene kuze linyamalale, kodwa ungalihlikihli ngamandla. Uma welapha ubuso bakho, qaphela kakhulu emehlweni nasemlonyeni wakho, ngoba lezi zindawo zinesikhumba esincane, esizwelayo.

Akudingeki ukuthi uyithathe nokudla ngoba isetshenziswa ngaphandle, ayigwinywa. Kodwa-ke, gwema ukuyifaka emehlweni akho, ekhaleni, noma emlonyeni. Uma lokhu kwenzeka ngengozi, geza kahle ngamanzi.

Ungambozi indawo elashwayo ngamabhandeshi aqinile noma nge-plastic wrap ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze njalo. Lokhu kungakhuphula ukumuncwa futhi kubangele imiphumela engemihle.

Kufanele ngiyithathe isikhathi esingakanani i-Desoximetasone?

Abantu abaningi basebenzisa i-desoximetasone amasonto angu-2-4, kuye ngesimo sabo nokuthi isikhumba sabo sithuthuka ngokushesha kangakanani. Udokotela wakho uzokunikeza imiyalelo ethile mayelana nobude besikhathi esisekelwe kulokho okwelashayo.

Ukuqubuka okukhulu, ungase ukudinga izinsuku ezimbalwa kuya evikini elilodwa kuphela. Izimo ezingamahlalakhona njenge-eczema noma i-psoriasis zingase zidinge izikhathi zokwelashwa ezinde, kodwa udokotela wakho uzoqapha inqubekela phambili yakho futhi alungise njengoba kudingeka.

Ungayeki ukuyisebenzisa kungazelelwe uma ubusuyisebenzisa isikhathi esingaphezu kweviki elilodwa, ikakhulukazi ezindaweni ezinkulu zesikhumba. Udokotela wakho angase ancome ukunciphisa kancane kancane ukuthi uyisebenzisa kangaki ukuze uvimbele izimpawu zakho ukuthi zingabuyi kungazelelwe.

Yini Imiphumela Emiqoka ye-Desoximetasone?

Abantu abaningi bayayibekezelela i-desoximetasone kahle uma isetshenziswa njengoba kuqondisiwe, kodwa njengayo yonke imithi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela emibi engathi sína ayivamile uma isetshenziswa ngendlela efanele.

Imiphumela emibi evamile ongase uyithole ihlanganisa:

• Ukusha okuncane noma ukuluma uma uqala ukukusebenzisa
• Ukomiswa kwesikhumba noma ukucasuka endaweni okusetshenziswa kuyo
• Ukuqina okwesikhashana kombala wesikhumba lapho usisebenzisa khona
• Ukuncipha okuncane kwesikhumba uma sisetshenziswa isikhathi eside
• Ukwanda kokukhula kwezinwele endaweni elashwayo
• Izinduna ezincane ezibomvu noma ukuqubuka okufana nezinduna

Le miphumela ivamise ukuthuthuka njengoba isikhumba sakho sijwayela umuthi. Uma ziqhubeka noma ziba zimbi, xhumana nodokotela wakho ukuze uthole isiqondiso.

Imiphumela engavamile kodwa ebucayi kakhulu ingenzeka, ikakhulukazi uma isetshenziswa isikhathi eside noma uma isetshenziswa ezindaweni ezinkulu zesikhumba:

• Izimpawu zokwelula noma ukuncipha kwesikhumba unomphela
• Ukulimala kalula noma ukuphola kwamanxeba kancane
• Ukwanda ngokweqile kokukhula kwezinwele noma ukulahleka kwezinwele
• Izifo zesikhumba eziba zimbi esikhundleni sokuthuthuka
• Ukungezwani komzimba nezinto ezithile njengokuqubuka okukhulu, ukuluma, noma ukuvuvukala
• Izimpawu zokumuncwa egazini lakho (akuvamile kodwa kungenzeka uma kusetshenziswa kakhulu)

Uma uqaphela noma yimiphi yale miphumela ebucayi kakhulu, yeka ukusebenzisa umuthi bese uthintana nomhlinzeki wakho wezempilo ngokushesha.

Ubani Ongafanele Athathe I-Desoximetasone?

I-Desoximetasone ayilungile kuwo wonke umuntu, futhi udokotela wakho uzocabangela umlando wakho wezokwelapha ngaphambi kokuyibhala. Kufanele ugweme lo muthi uma unokungezwani komzimba ne-desoximetasone noma ezinye izidakamizwa ze-corticosteroid.

Ezinye izimo zenza i-desoximetasone ingafaneleki noma idinga ukuqapha okukhethekile:

• Izifo zesikhumba ezibangelwa amagciwane njengamathambo, ama-shingles, noma i-herpes
• Izifo zesikhumba ezibangelwa amagciwane noma isikhunta
• I-Rosacea noma izinduna ebusweni bakho
• Isikhumba esincane noma esilimele ngenxa yokusetshenziswa kwe-steroid ngaphambilini
• Amanxeba avulekile noma izilonda endaweni yokwelashwa
• Ukukhulelwa noma ukuncelisa (xoxa ngezingozi nezinzuzo nodokotela wakho)

Izingane ezingaphansi kweminyaka engu-12 ubudala ngokuvamile akufanele zisebenzise i-desoximetasone ngaphandle uma zibhalwe ngqo ngudokotela wamazinyo wezingane. Isikhumba sabo simunca imithi kalula, okwandisa ingozi yemiphumela emibi.

Uma unesifo sikashukela, izinkinga zesimiso somzimba sokuzivikela ezifweni, noma izinkinga zokujikeleza kwegazi, udokotela wakho uzokulandela eduze ngesikhathi sokwelashwa. Lezi zimo zingathinta indlela isikhumba sakho esiphola ngayo futhi sisabela ngayo kuma-steroid atholakala esikhumbeni.

Amagama Omkhiqizo we-Desoximetasone

I-Desoximetasone itholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba inguqulo ejwayelekile isebenza ngempumelelo. Igama lomkhiqizo elivamile yi-Topicort, eza ngesimo se-cream, gel, kanye nama-ointment.

Amanye amagama omkhiqizo afaka i-Topicort LP (inguqulo enezinga eliphansi) kanye namafomula ahlukahlukene ajwayelekile. Ikhemisi lakho lingase lithwale amanye amabhrendi, kodwa wonke aqukethe isithako esifanayo esisebenzayo emazingeni afanayo.

Umehluko omkhulu phakathi kwamabhrendi uvame ukuba yizithako ezingasebenzi, ezingathinta ukuthi imithi izizwa kanjani esikhumbeni sakho noma ukuthi uyayibekezelela kangakanani. Uma unesikhumba esibucayi noma ukungezwani nezithako ezithile, udokotela wakho angakusiza ukhethe inketho engcono kakhulu.

Ezinye Izindlela ze-Desoximetasone

Uma i-desoximetasone ingasebenzi kahle kuwe noma ibangela imiphumela emibi, ezinye izindlela eziningi ziyatholakala. Udokotela wakho angazama i-corticosteroid enamandla ahlukile noma ashintshele kolunye uhlobo lomuthi.

Ezinye izithako ze-corticosteroids ezitholakala esikhumbeni esigabeni esifanayo samandla zifaka:

• I-Triamcinolone acetonide - enye inketho yamandla aphakathi nendawo evame ukubekezeleleka kahle
• I-Fluticasone propionate - ilungele izindawo ezibucayi njengobuso
• I-Mometasone furoate - ukusetshenziswa kanye ngosuku futhi mancane amathuba okuthi kubangele ukuncipha kwesikhumba
• I-Betamethasone valerate - itholakala ngezindlela eziningi okuhlanganisa ne-foam yezimo zesikhumba sekhanda

Ezinye izindlela ezingezona ze-steroid zihlanganisa izithiyo ze-calcineurin ezifana ne-tacrolimus (Protopic) noma i-pimecrolimus (Elidel). Lezi zisebenza ngendlela ehlukile kune-steroid futhi azibangeli ukuncipha kwesikhumba, okuzenza zibe izinketho ezinhle zokusetshenziswa isikhathi eside noma izindawo ezizwelayo.

Udokotela wakho uzocabangela isimo sakho esithile, uhlobo lwesikhumba, kanye nomlando wokwelashwa lapho encoma ezinye izindlela.

Ingabe i-Desoximetasone ingcono kune-Hydrocortisone?

I-Desoximetasone inamandla kakhulu kune-hydrocortisone, okuyenza isebenze kahle ezimweni zesikhumba ezivuvukalayo eziphakathi nendawo kuya kwezinzima. Ngenkathi i-hydrocortisone itholakala ngaphandle kwe-oda futhi iphephile ukusetshenziswa nsuku zonke, i-desoximetasone idinga incwadi kadokotela kanye nokuqapha okuseduze.

Cabanga nge-hydrocortisone njengokwelashwa kwakho kokuqala kokucasuka kwesikhumba okuncane, kuyilapho i-desoximetasone yilokho udokotela wakho akubhalayo uma udinga isenzo esinamandla sokulwa nokuvuvukala. I-Hydrocortisone isebenza kahle ekuqhumeni okuncane, ukulunywa yizinambuzane, noma ukuqubuka okuncane kwe-eczema.

I-Desoximetasone ingcono ezimweni eziqhubekayo ezingaphendulanga ekwelashweni okuncane. Kodwa-ke,

Inani elikhulu lama-steroid atholakala ngaphandle kwemithi angase athinte amazinga kashukela egazini, nakuba lokhu kungavamile uma esetshenziswa ngendlela ejwayelekile. Yazisa udokotela wakho uma ubona izinguquko ekulawulweni kukashukela wakho wegazi ngenkathi usebenzisa i-desoximetasone.

Abantu abanesifo sikashukela kufanele baqaphele ikakhulukazi ukugcina indawo ephathwayo ihlanzekile futhi baqaphele izimpawu zokutheleleka, njengoba ama-steroid ngezinye izikhathi angamboza izimpawu zokuqala zokutheleleka.

Kufanele ngenzeni uma ngisebenzisa i-Desoximetasone eningi ngengozi?

Uma ngengozi ufaka i-desoximetasone eningi esikhumbeni sakho, sula ngokucophelela okweqile ngendwangu ehlanzekile, emanzi. Ungakhathazeki - ukweqisa okukodwa esikhumbeni akuvamile ukubangela izinkinga ezinkulu.

Nokho, uma ubulokhu usebenzisa okuningi njalo amasonto amaningana, ungase uqaphele imiphumela emibi eyengeziwe efana nokuncipha kwesikhumba, izimpawu zokwelula, noma ukukhula kwezinwele ngokweqile. Xhumana nodokotela wakho uma ukhathazekile ngokusebenzisa ngokweqile.

Uma othile emunca i-desoximetasone ngengozi, xhumana nokulawula ubuthi noma udokotela wakho ngokushesha. Nakuba ama-steroid atholakala ngaphandle kwemithi engahloselwe ukungena emzimbeni, amanani amancane maningi ukuthi angabangela ingozi enkulu.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Desoximetasone?

Uma uphuthelwa umthamo we-desoximetasone, uyifake ngokushesha lapho ukhumbula, ngaphandle uma sekuyisikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo ophuthelwe futhi uqhubeke nohlelo lwakho olujwayelekile.

Ungafaki imithi eyengeziwe ukuze ubuyisele umthamo ophuthelwe - lokhu ngeke kusheshise ukuphulukiswa futhi kungandisa ingozi yakho yemiphumela emibi. Ukuqina kubaluleke kakhulu kunokweqa umthamo ngezikhathi ezithile.

Uma uvame ukukhohlwa imithamo, zama ukusetha isikhumbuzi sefoni noma uyifake ngezikhathi ezifanayo nsuku zonke uma wenza eminye imisebenzi ejwayelekile efana nokuxubha amazinyo akho.

Ngingayeka nini ukuthatha i-Desoximetasone?

Ngokuvamile ungayeka ukusebenzisa i-desoximetasone lapho isimo sesikhumba sakho sesilule noma sithuthuke kakhulu, kodwa ngaso sonke isikhathi landela imiyalelo eqondile kadokotela wakho. Ungayeki kungazelelwe uma ubusisebenzisa isikhathi esingaphezu kwesonto ezindaweni ezinkulu zesikhumba.

Udkt wakho angase ancome ukunciphisa kancane kancane ukuthi ukusebenzisa kaningi kangakanani - mhlawumbe kusuka kabili ngosuku kuya kanye ngosuku, bese ngosuku olulodwa - ukuvimbela izimpawu zakho ukuthi zibuye kungazelelwe. Le nqubo yokunciphisa isiza isikhumba sakho ukuthi sizivumelanise.

Uma isimo sakho singathuthukanga ngemuva kwamasonto angu-2-4 okwelashwa, xhumana nodokotela wakho. Ungase udinge omunye umuthi noma ukuhlolwa okwengeziwe ukuze unqume imbangela eyinhloko yezinkinga zesikhumba sakho.

Ngingayisebenzisa yini i-Desoximetasone ebusweni bami?

I-Desoximetasone ingasetshenziswa ebusweni, kodwa kuphela uma inqunywe ngqo udokotela wakho futhi isikhathi esifushane. Isikhumba sobuso sincane futhi sizwela kunezinye izindawo, okwenza sithambekele emiphumeleni emibi efana nokuncipha kwesikhumba kanye nemigqa yokwelula.

Uma udokotela wakho ekunqumela yona ebusweni bakho, yisebenzise kancane kakhulu futhi gwema indawo yamehlo ngokuphelele. Qaphela ngokucophelela izimpawu zokucasuka, futhi xhumana nodokotela wakho uma ubona noma yiziphi izinguquko ezikhathazayo.

Ezimweni zobuso, odokotela bavame ukukhetha ama-steroid athambile noma ezinye izindlela ezingezona ze-steroid ezifana nama-calcineurin inhibitors, aphephe kakhulu ukusetshenziswa isikhathi eside ezindaweni ezizwelayo.