Munhu anogona here kugadzirisa zvirwere zvemishonga?
Corticosteroids (inowanzonzi steroids) ndiyo mishonga inoshandiswa kubata zvirwere zvakasiyana-siyana zvekuvhiringidza kusanganisira zvirwere zvekurwadziwa uye autoimmune disorders . Inowanikwa mune zvinyorwa, muromo, inhaled, uye injected formulations, zvose nemirairo uye pamusoro pekambani.
Corticosteroids inowanzoshandiswa kurapa, pakati pezvimwe zvinhu:
- Kurwisa kweAirgic kune zvokudya , zvinodhaka , kana zvipembenene .
- Allergic rhinitis (hay fever)
- Anaphylaxis (ingangodaro inopisa upenyu inokonzerwa nemagetsi)
- Asthma
- Atopic dermatitis (eczema)
- Bata dermatitis
- Lupus
- Multiple sclerosis
- Rheumatoid arthritis
- Urticaria (mikoko)
Zvingaita sezviri kupesana, naizvozvo, iyo iyo mishonga inoshandiswa kurapa mamiriro aya anogona dzimwe nguva inokonzera kurwara. Kunyange izvi zvichiitika zvisingaiti, zvinoitika.
Topical Steroid Allergy
Nyaya dzepamusoro corticosteroids dzinosanganisira mishonga yaunoshandisa paganda rako uye nemishonga inonzi intranasal yaunosvitsa mumhino dzako. Kugadzirisa kumishonga iyi kunowanzova munyoro uye inotendwa inowanikwa mune dzakawanda shanhatu pamatambudziko.
Kana nheyo dzemawere steroid inofungidzirwa, zvinowanzoomera kuona kana kuputika kwakabatana nemishonga kana kuti kungowedzera kuipa kwemamiriro ezvinhu. Saizvozvowo, kugadziriswa kweiyo corticosteroid inoputika inogona kuve nyore kutongwa pamusana pezvimwe zvirwere.
Kazhinji, munhu achafungidzira steroid inorwara kana sarudzo yepoti kana kuti inhaled inokonzera rudzi rwakasiyana rwekuita (zvakadai sekuonekwa kwechirwere mushure mekushandiswa kwe decongestant spray). Kazhinji pane zvisiri izvo, zvirwere zvese zvinenge zvichifungidzirwa kana mamiriro acho akaipa kana kuti asingakwanisi kuvandudza nekurapa.
Kuongororwa kunosanganisira zvose zvinoshandiswa pakuongorora patch . Zvokutengeserana zvinowanikwa zviyero, zvakadai sokuedzwa kwechokwadi, zvinogona kutarisa kunzwisisika kwemunhu kune zvakasiyana-siyana zveraticticeroid zvinodhaka. A positive patch test for budesonide uye tixocortol inowanzova chiratidzo chakasimba che steroid allergy.
Kuongorora kwepatch kunogona kunge kunonyengera, zvisinei, sezvo zvirwere zvinopesana nezvirwere zve steroid zvingaita kuti dzimwe nguva dzisavhiringidza maitiro uye zvinotungamirira kune zvakaipa zvisina kururama.
Systemic Steroid Allergy
Systemic corticosteroids inosanganisira zvose muromo uye injected formulations. Iko kunofungidzirwa kushandiswa nokuti inoparidzwa kuburikidza nemuviri wose kupesana nekurapa kwaunogara.
Kunyange zvazvo kushandiswa kwemuitiro kusingawanzoitiki, vanogona kunge vari kutyisidzira upenyu. Izvo zvinokura nokukurumidza zvakanyanya kutyisa. Kugadzirisa kushanda kunogona kukura mune imwe yenzira mbiri:
Kugadziriswa kwechinguva kazhinji kacho kunowanzoitika mumaminitsi makumi matatu nemakumi matanhatu emishonga inotorwa. Zviratidzo zvinogona kusanganisira mikoko, kuvhara chiso, kupera simba, kukurumidza kwemwoyo, fever, kuvhiringidzika, uye kuputika kweganda rinoputika. Kuongororwa kunosanganisira kushandiswa kweganda rekuongorora uye / kana radioallergosorbent (RAST) . Sezvo uongorori huri kutarisana nematauriro emanyepo, mhinduro isina kunaka inofanira kuteverwa nedambudziko rezvinodhaka (umo munhu anopiwa chirwere chiduku chemushonga kuti aone kana iye achiita).
Kusapindira- zvisingatarisirwi kazhinji kunowanzova munyoro uye kunogona kuitika maawa 48 zvichienderana nekushandisa kwemuromo kana mushonga unopindwa. Zviratidzo zvinogona kusanganisira mikoko kana kuparadzirwa (kwakapararira). Kunyange zvazvo ganda kana ganda rinogona kushandiswa kuongorodza mamiriro acho, kuverenga kunofanira kunonoka kwemazuva maviri kusvika kwemaviri kuti uwane chikwereti chekuita kunonoka kwezvinoitika.
Sezvo pangangodaro ichinyanya kukosha -reactivity pakati pe-corticosteroid mishonga, chero mhinduro yakanaka inofanira kuteverwa nebheteri yezvimwe zvirwere zvekuedza kuona kuti, kana iripo, maitiro akachengeteka kuti ashandise.
> Kwakabva:
> Torres, M. uye Canto, G. "Hypersensitivity Reactions ku Corticosteroids." Curr Opin Allergy Clin Immunol. 2010; 10: 273-9. DOI: 10.1097 / ACI.0b013e32833b1f34.