STT166: Viem da tiep xuc va dung thuoc dien co – Cach tro cai trong

BS. Hien – Chuyen Khoa Da Lieu

Nhieu benh nhan chuan doan duong dai trong hay co tuc khi dung thuoc dien co. Day la vi thuoc dien co (topical steroids) co tac dung phu. Cach tro cai dung co chinh xac.

Tai sao khong nen dung thuoc dien co dai han?

Dung lau dai (hon 2 tuan) hoac dung steroid manh lay dai co the gay: Da mong, dep, co ven tram, hieu qua duong da giam dan (taco dependency), nhiem trung de dua vao.

Phai tro cai dung co tung tung?

Co, dung tro cai dut dong (rapid withdrawal) vi co the tao rebound dermatitis (viem da tro lai nang hon). Hay tro cai chung: Tuan 1: Dung thuoc dien co hang 1-2 ngay, sau do ngung 2-3 ngay. Tuan 2: Dung 1-2 ngay/tuan. Tuan 3+: Dung 1 lan/tuan cho den het.

Thay the thuoc nao khi tro cai?

Dung kem khong steroid: Tacrolimus (Protopic), pimecrolimus hoac kem duong da khong steroid. Cac san pham nay an toan dung dai hon va khong co tac dong phu nhu steroid.

Lam gi trong khi tro cai

Tiep tuc rua sach va duong da. Ap dung kem duong hay kem khong steroid hang ngay. Tranh kich thich: khong gat, khong dam lau, khong tap qua suc. Rua bang nuoc am, khong nong.

Co rebound dermatitis khong?

Co the, tuy nhien, neu tro cai dung tung tung thi rebound se nhe hon. Neu da bi rebound, hay gap bac si de dieu tri buc tiep va them lieu phap khac.

Luu y: Tro cai dung steroid phai tung tung, khong tro cai dut dong.

Xem them: Viem Da Tiep Xuc La Gi