Benh liken phang dung thuoc nhu the nao
Linken phang it gay hai suc khoe nhung gay ngua ngay kho chiu, de lai cac ton thuong khong co loi ve tham my. Neu chua kien tri, benh cung co the on dinh trong mot thoi gian kha dai.
Vai diem ve benh
Benh co bieu hien de nhan thay: co nhung not san det, thuong la mau tim (co khi mau hong, nau) hinh da giac, co gioi han ro, be mat san, co khi hoi trung va co vay dinh. Cac san lien ket lai thanh nhung mang rong, tron hay bau duc, hoac ngoan ngoeo. Nhin bang kinh lup hay bang mat thuong that ky vao be mat thuong ton, se thay nhung vach ngang doc, tao thanh mang luoi. Thuong ton co the o moi vi tri nhung hay gap la mat truoc co tay, cang tay, mat truoc cang chan, vung that lung, khong may khi thay o long ban chan, ban tay. Cung co mot so nguoi bi liken phang nhung thuong ton lai o niem mac, nhieu khi thuong ton o mieng ma khong co cac thuong ton tren da. Duoi day la mot so loai thuoc de dieu tri chung benh nay.
Cac loai thuoc boi
Voi liken phang co ton thuong tren da thuong dung cac thuoc sau:
Acid salicylic: thuoc mo co 3-5% hay 10% acid salicylic trong vaselin. Acid salicylic la chat tieu sung manh (keratolytic) se lam tieu lop thuong bi co tang sung day, lop hat va tang gai, lam cho da mong di. Khi boi len da se thay cac ton thuong bong ra tung mang. Nen boi moi ngay 2 - 3 lan.
Ap tuyet nito long hay carbonic long: nhung chat nay khi o nhiet do nhat dinh se hoa long. Dung que bong, tam cac chat long nay, boi len da. Cac chat long nay se lam cho da mong ra, do thuong ton, do ngua cam thay de chiu. Khi liken phang the khu tru dai dang thi cho dung loai nito hay carbonic long. That ra, cac chat nay khong phai la dat, kho kiem nhung vi phai dung nhiet do kha thap de hoa long, nen chi co o cac tuyen trung uong. Do do, phai toi cac benh vien nay de boi, khoang 3 ngay hay mot tuan mot lan. Khi boi phai ap bong chua chat nay len da cho thuoc tham, nhu the moi co hieu qua, du hoi buot.
Boi kem corticoid: thuong dung la kem clobap propionat 0,05%. Kem nay chong di ung nen chong ngua. Tuy dung ngoai, hau het nguoi benh deu dung nap tot, song kem cung co mot so doc tinh do ban chat corticoid. Nen tranh dung dai ngay, ke ca khi khong bang kin. Khi boi roi bang kin thi de bi nhiem doc hon (nhu khi boi cho tre, roi quan ta lot chat). Khong boi len cho ton thuong bi tray xuoc (so clobabap ngam vao ben trong). Khong lam day len mat (do boi thuoc xong, de tay con thuoc dung vao mat). Neu khong tranh cac dieu tren, clobap co the gay cac tac dung phu, trong do tac dung phu nang nhat la uc che tuyen thuong than. Chi nen boi cach moi ngay mot lan, moi tuan khong nen boi qua 50 gam mo clobap. Neu phat hien mot vai bieu hien cua nhiem doc phai ngung dung ngay. Khi da giam nhieu hay het ngua thi nen ngung thuoc.
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Luu y: sau khi boi mot thuoc xong phai rua sach thuoc, lau kho roi moi boi xen ke thuoc khac. Neu khong, thuoc se tuong tac voi nhau gay hong hoac khong boi duoc.
Voi liken phang, co ton thuong niem mac mieng: boi vitamin A acid (hay con goi la retinoic acid 1% - biet duoc aberel). Can tranh dung voi con, tranh an uong ngay sau khi dung (lam cho thuoc troi vao ben trong), khong boi len cho co xay xuoc, tranh day thuoc vao mat.
Cac loai thuoc uong
Khang histamin: dung de chong ngua. Vi liken phang gay ngua ca ngay nen dung loai khang histamin the he moi (hau nhu khong gay ngu), se tien cho nguoi benh. Thuong dung la fexofenadin, cung co the dung loratadin, cetirizin.Trong cac thuoc khang histamin the he moi, co mot so loai nhu astemisol, terfenadin co the gay xoan dinh (nhip that tang cao va loan gay tu vong) nhat la khi phoi hop voi cac thuoc co tiem nang gay xoan dinh nhu erythromycin, quinidin. Mot so nuoc va nuoc ta da cam luu hanh nhung cung co mot so nuoc con cho dung (khong mua cac loai hang xach tay, co the nham loai nay).
Thuoc ngu: neu vi ngua ma khong ngu duoc thi co the dung thuoc ngu (gardenal) hay thuoc an than, gay ngu (diazepam) voi lieu thich hop, nhung khong keo dai.
Cac thuoc khac
Do co quan niem nam gay di ung, sinh ra liken phang, nen mot so thuoc chong nam ket hop voi chong ngua (nhu mo ketoconazol + corticoid) cung duoc gioi thieu la thuoc dung cho benh liken phang. Dung cac thuoc nay co the thay giam mot so trieu chung, nhung khong dat hieu qua nhanh, chac chan nhu cac thuoc gioi thieu tren.
Liken phang la benh khong nang nhung lai kho chua khoi, thuoc khong phai la kho kiem. Nguoi benh can chon dung thuoc, dung thuoc can than (du la thuoc dung ngoai) dac biet la dung kien tri.
