Magungunan cutar psoriasis: man shafawa da ƙwayoyi

Wadatacce

• Manyan magunguna (creams da man shafawa)
• 1. Kayan kwalliya
• 2. Calcipotriol
• 3. Danshi da danshi
• Magungunan aikin tsarin (allunan)
• 1. Acitretin
• 2. Ingantaccen tsari
• 3. Cyclosporine
• 4. Magungunan Halittu

Psoriasis cuta ce ta rashin lafiya da ba ta da magani, duk da haka, yana yiwuwa a sauƙaƙe alamomin da tsawaita gafarar cutar na dogon lokaci tare da maganin da ya dace.

Yin jiyya ga psoriasis ya dogara da nau'in, wuri da kuma girman raunin, kuma ana iya yin shi da creams ko man shafawa tare da corticosteroids da retinoids ko magungunan baka, kamar su cyclosporine, methotrexate ko acitretin, misali, bisa shawarar likita.

Baya ga maganin magunguna, yana da mahimmanci a jika fata a kullum, musamman ma yankuna da abin ya shafa, tare da guje wa samfuran abubuwa masu matukar lahani wadanda ke haifar da fushin fata da yawan bushewa.

Wasu daga cikin magungunan da yawanci likita ya tsara don maganin cutar psoriasis sune:

Manyan magunguna (creams da man shafawa)

1. Kayan kwalliya

Magungunan corticosteroids na yau da kullun suna da tasiri wajen magance alamomin, musamman lokacin da cutar ta iyakance zuwa ƙaramin yanki, kuma ana iya haɗuwa da ƙwayoyin calcipotriol da na tsari.

Wasu misalai na corticosteroids masu kanfani da maganin psoriasis sune cream na clobetasol ko kuma maganin kashi 0.05% da dexamethasone cream 0.1%, misali.

Wanene bai kamata ya yi amfani da shi ba: mutanen da ke da saurin damuwa ga abubuwan da aka gyara, tare da raunin fata da ƙwayoyin cuta suka haifar, fungi ko ƙwayoyin cuta, mutanen da ke da rosacea ko kuma waɗanda ba a kula da su ba.

Matsaloli masu yuwuwa: ƙaiƙayi, zafi da ƙonawa a cikin fata.

2. Calcipotriol

Calcipotriol analog ne na bitamin D, wanda a cikin nauyin 0.005% an nuna shi don maganin psoriasis, tunda yana taimakawa wajen rage samuwar alamun psoriatic. A mafi yawan lokuta, ana amfani da calcipotriol a hade tare da corticosteroid.

Wanene bai kamata ya yi amfani da shi ba: mutanen da ke da karfin jijiyoyi game da abubuwan da ke cikin su da hauhawar jini.

Matsaloli masu yuwuwa: fushin fata, kurji, tingling, keratosis, itching, erythema da lamba dermatitis.

3. Danshi da danshi

Ya kamata a yi amfani da mayukan shafawa da man shafawa a kullum, musamman a matsayin maganin kulawa bayan amfani da corticosteroids, wanda ke taimakawa wajen hana sake faruwar mutane a cikin ƙananan psoriasis.

Wadannan mayuka da mayuka dole ne su hada da sinadarin urea a cikin karfin da zai iya bambanta tsakanin 5% zuwa 20% da / ko salicylic acid a cikin yawan tsakanin 3% zuwa 6%, gwargwadon nau'in fata da yawan sikeli.

Magungunan aikin tsarin (allunan)

1. Acitretin

Acitretin wani retinoid ne yawanci ana nuna shi don magance nau'ikan cututtukan psoriasis lokacin da ya zama dole don kauce wa rigakafin rigakafin rigakafi kuma ana samun shi a cikin allurai 10 MG ko 25 MG

Wanene bai kamata ya yi amfani da shi ba: mutanen da ke da laulayi game da abubuwan da aka gyara, mata masu ciki da mata waɗanda ke son yin ciki a cikin shekaru masu zuwa, mata masu shayarwa da kuma mutanen da ke da tsananin hanta ko gazawar koda

Matsaloli masu yuwuwa: ciwon kai, bushewa da kumburi na jikin mucous membranes, bushe baki, ƙishirwa, damuwa, cututtukan ciki, cheilitis, ƙaiƙayi, zubewar gashi, walƙiya a cikin jiki, ciwo na tsoka, ƙarar cholesterol na jini da triglycerides da kuma daidaitawa.

2. Ingantaccen tsari

Ana nuna Methotrexate don maganin cutar mai tsanani ta psoriasis, saboda yana rage yaduwa da ƙonewar ƙwayoyin fata. Ana samun wannan maganin a cikin allunan mg 2.5 ko kuma 50 mg / 2mL ampoules.

Wanene bai kamata ya yi amfani da shi ba: mutanen da ke fama da laulayi game da abubuwan da aka gyara, mata masu ciki da masu shayarwa, mutanen da ke fama da cututtukan cirrhosis, cututtukan ethyl, ciwon hanta mai aiki, hanta hanta, cututtuka masu tsanani, cututtukan rashin ƙarfi, aplasia ko hypoplasia na kashin baya, thrombocytopenia ko kuma anemia mai dacewa da matsanancin ciwon ciki.

Matsaloli masu yuwuwa: matsanancin ciwon kai, taurin wuya, amai, zazzabi, jan fata, karin uric acid, rage yawan maniyyi a jikin maza, ciwon sanyi, kumburin harshe da gumis, gudawa, rage farin jini da kirjin platelet, gazawar koda da pharyngitis.

3. Cyclosporine

Cyclosporine magani ne na rigakafin rigakafi wanda aka nuna don magance matsakaici zuwa mai tsanani psoriasis, kuma kada ya wuce shekaru 2 na magani.

Wanene bai kamata ya yi amfani da shi ba: mutanen da ke da karfin fada a ji game da abubuwan da aka gyara, hauhawar jini mai tsanani, rashin ƙarfi da rashin iya sarrafawa tare da magunguna, ƙwayoyin cuta masu aiki da cutar kansa.

Matsaloli masu yuwuwa: cututtukan koda, hauhawar jini da raunana garkuwar jiki.

4. Magungunan Halittu

A cikin 'yan shekarun nan, sha'awar haɓaka wakilan ilmin halitta tare da kaddarorin rigakafi waɗanda suka fi zaɓe fiye da cyclosporine ya karu domin inganta bayanan lafiyar ƙwayoyin psoriasis.

Wasu misalai na ƙwayoyin halitta waɗanda aka haɓaka kwanan nan don maganin psoriasis sune:

• Adalimumab;
• Sabuntawa;
• Infliximab;
• Ustecinumab;
• Secukinumab.

Wannan sabon rukunin magungunan ya kunshi sunadarai ko kwayoyin halittar monoclonal da kwayoyin ke samarwa, ta hanyar amfani da kimiyyar kere-kere mai sake hadewa, wadanda suka nuna ci gaban raunuka da raguwar fadada su.

Wanene bai kamata ya yi amfani da shi ba: mutanen da ke da larurar jiki ga abubuwan da aka gyara, tare da raunin zuciya, cututtukan da ke haifar da lalacewa, tarihin kwanan nan na neoplasia, kamuwa da cuta mai aiki, amfani da rayayyun rayuka da allurar rigakafin ciki.

Matsaloli masu yuwuwa: halayen wurin allura, cututtuka, tarin fuka, halayen fata, neoplasms, cututtukan demyelinating, ciwon kai, jiri, gudawa, ƙaiƙayi, ciwon tsoka da gajiya.