Mankhwala odzoza mazira a Hydrocortisone ndi mankhwala omwe amagwiritsidwa ntchito pochizira matenda osiyanasiyana a maso omwe ali otupa. Koma mafutawa samakhala ndi mphamvu yotsutsa yotupa, koma amakhalanso ndi zotsutsana.
Zizindikiro zogwiritsira ntchito mafuta a Hydrocortisone
Chogwiritsidwa ntchito chogwiritsira ntchito Mafuta a Hydrocortisone kwa maso ndi hydrocortisone. Ndichomwe chimachepetsa kayendetsedwe ka ma lymphocytes ndi leukocyte mu zotupa m'madera ndipo zimachepetsa kutentha kwa selo kulowa mkati. Kuwonjezera apo, chinthu ichi:
- imayimitsa maselo kapena ma subcellular membranes;
- imaletsa kutuluka kwa cytokines kuchokera ku lymphocytes;
- imachepetsa kugwirizana kwa immunoglobulins ndi receptors.
Chifukwa cha ichi, kugwiritsa ntchito mafuta a Hydrocortisone ophthalmic ndi othandiza pochiza matenda opatsirana maso monga blepharitis, conjunctivitis, khungu la dermatitis ndi keratoconjunctivitis. Komanso, mankhwalawa amathandizira kupirira matenda opweteka a diso, kukhudza gawo lachilendo, ngati palibe kuphwanya kwa umphumphu wa epithelium wa cornea. Gwiritsani ntchito mankhwalawa ndi kutentha kapena kutentha kwa mankhwala, koma kokha pamene ziphuphu za cornea zikuchiritsa.
Zizindikiro zogwiritsiridwa ntchito kwa mafuta a hydrocortisone ndizo:
- iritis-kutupa kwa iris;
- iridocyclitis - kutupa kwa iris ya thupi la ciliary;
- keratitis - kutupa kwa cornea;
- uveitis - kutupa kwa chokoma.
Njira yogwiritsira ntchito mafuta a Hydrocortisone
Mankhwala a Hydrocortisone kwa maso amapangidwa m'machubu omwe ali ndi mphamvu ya 3 ndi 5 g. Amayikidwa m'munsi mwa maelo ake (pafupifupi 1 cm) mpaka 5 kasanu pa tsiku. Kawirikawiri, njira ya mankhwala ndi mankhwalawa ndi masiku asanu ndi awiri ndi asanu ndi awiri (7-14), koma pamfundo ya oculist, ikhoza kukhala yaitali. Mafuta owonjezera a mafutawa ndi osowa kwambiri, koma pogwiritsa ntchito, pangakhale zotsatirapo. Choncho, wodwalayo akhoza kudwala matendawa, jekeseni wa sclera, moto kapena nthawi yayitali yopanda masomphenya. Ngati mafuta a hydrocortisone (1%) agwiritsidwa ntchito masiku opitirira khumi, ndiye kuti kuwonjezereka kwakukulu kwa kupanikizika kwa m'mimba kungawonedwe ndikutsatiridwa ndi kuphwanya masomphenya. Ndicho chifukwa madokotala amalangiza kuti ngati mankhwalawa agwiritsidwa ntchito kwa nthawi yaitali, kupanikizika kwa m'mimba kuyenera kuyesedwa tsiku ndi tsiku. Komanso, kugwiritsidwa ntchito kwa mafuta a maso a Hydrocortisone kungayambitse mapangidwe a cataracts and infungal corneal damage.
Pakati pa chithandizo, odwala onse ayenera kusiya mapulogalamu amodzi ndipo ngati mukufuna kugwiritsa ntchito madontho amodzi panthawi imodzimodzi ndi mafuta onunkhira, nthawi yamkati pakati pa mapulogalamu awo ayenera kukhala osachepera mphindi 15.
Zotsutsana ndi kugwiritsa ntchito mafuta a Hydrocortisone
Malinga ndi malangizo okhudzana ndi mafuta a mafuta a Hydrocortisone, sayenera kugwiritsidwa ntchito pamene:
- hypersensitivity kwa zigawo zikuluzikulu za mankhwala;
- glaucoma ;
- purulent, chifuwa chachikulu, matenda a tizilombo kapena tizilombo ta maso;
- Kuphwanya kukhulupirika kwa zipolopolo za diso;
- trachoma.
Kuwonjezera apo, mafuta a hydrocortisone sayenera kuchiritsidwa ndi omwe asanakwanitse zaka 18. Kufufuza kwa mphamvu ndi chitetezo cha hydrocortisone pa nthawi ya mimba ndi lactation sizinayambe, choncho palibe umboni wa kuvulaza kwa mwanayo ndi kulowa mkati mwa mafuta opaka mkaka. Koma chiopsezo sichitha, choncho mankhwalawa angagwiritsidwe ntchito pokhapokha atapatsidwa dokotala.
Chenjerani ndi mafuta a Hydrocortisone ayenera kugwiritsidwa ntchito kwa odwala omwe amachiritsidwa ndi mtima wa glycosides ndi amphotericin B.