TOPİKAL KORTİKOSTEROİDLER
description
Transcript of TOPİKAL KORTİKOSTEROİDLER
![Page 1: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/1.jpg)
TOPİKAL KORTİKOSTEROİDLER
Prof.Dr. Mustafa ŞENOLEmekli Öğretim Üyesi
![Page 2: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/2.jpg)
Kortikosteroid Nedir ?
4 Sikloalkan halkası, Lipid
![Page 3: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/3.jpg)
Etki Mekanizması
![Page 4: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/4.jpg)
Kortikosteroidler
İmmünosüpresif
Antimitotik
Vazokonstrüktif
Antiinflamatuvar
![Page 5: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/5.jpg)
Penetrasyon aşamaları
![Page 6: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/6.jpg)
Penetrasyon yolları
![Page 7: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/7.jpg)
Bazın lipofilik olması Etken maddenin lipofilik olması Etken molekülün küçük olması Çözünme hızının yüksek olması Derinin nemlendirilmesi Üre, salisilik asit gibi ekler İyontoforez uygulanması
Emilimi artıran faktörler
![Page 8: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/8.jpg)
Penetrasyonda bölgesel farklılıklar Mukoz membranlar Skrotum Göz kapakları Kıvrım yerleri Yüz Göğüs ve sırt Kollar ve bacaklar El ve ayak dorsumları Palmar ve plantar deri Tırnaklar
![Page 9: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/9.jpg)
Lezyon Yaşına Göre Seçim
Akut: Losyon, Krem
Subakut: Krem
Kronik: Pomad (Merhem)
![Page 10: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/10.jpg)
Potens
Potens=Vazokonstrüksiyonn
![Page 11: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/11.jpg)
Zayıf
![Page 12: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/12.jpg)
Orta
![Page 13: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/13.jpg)
Güçlü
![Page 14: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/14.jpg)
Güçlü
![Page 15: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/15.jpg)
Güçlü
![Page 16: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/16.jpg)
Çok Güçlü
![Page 17: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/17.jpg)
Steroid+Antiseptik
![Page 18: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/18.jpg)
Steroid+Antifungal
![Page 19: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/19.jpg)
Steroid+Keratolitik
![Page 20: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/20.jpg)
Steroid+Antiinflamatuar
![Page 21: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/21.jpg)
Hangi Potens Nereye ?
ZAYIF: Bebek cildi, Yüz, Kıvrım yerleri
ORTA: Çocuk cildi
GÜÇLÜ: Yetişkin cildi, Oklüzif tedavi
ÇOK GÜÇLÜ: Palmoplanter-likenifiye lezyonlar
![Page 22: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/22.jpg)
Örnekler
![Page 23: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/23.jpg)
Atopik Dermatit (Subakut)
?
![Page 24: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/24.jpg)
Zayıf (Krem)
![Page 25: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/25.jpg)
Atopik Dermatit (Kronik)
?
![Page 26: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/26.jpg)
Zayıf (Pomad)
![Page 27: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/27.jpg)
Diaper Dermatit
?
![Page 28: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/28.jpg)
Zayıf (Krem)
![Page 29: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/29.jpg)
Kontakt Dermatit (Akut)
?
![Page 30: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/30.jpg)
Zayıf (Krem)
![Page 31: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/31.jpg)
Atopik Dermatit (Subakut)
?
![Page 32: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/32.jpg)
Orta (Krem)
![Page 33: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/33.jpg)
Atopik Dermatit (Kronik)
?
![Page 34: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/34.jpg)
Güçlü (Pomad)
![Page 35: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/35.jpg)
Kontakt Dermatit (Kronik)
?
![Page 36: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/36.jpg)
Çok Güçlü (Pomad)
![Page 37: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/37.jpg)
Likenifikasyon
?
![Page 38: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/38.jpg)
Kapalı Tedavi (Oklüzyon)
![Page 39: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/39.jpg)
Psöriazis
?
![Page 40: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/40.jpg)
Steroid+Keratolitik
![Page 41: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/41.jpg)
Nümüler Ekzema
?
![Page 42: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/42.jpg)
Steroid+Antiseptik
![Page 43: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/43.jpg)
İnflame Mikoz
?
![Page 44: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/44.jpg)
Steroid+Antifungal
![Page 45: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/45.jpg)
Ne kadar sürülecek ?
![Page 46: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/46.jpg)
Parmak Ucu Ünitesi= 0.5 gr= 1 El Alanı
![Page 47: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/47.jpg)
![Page 48: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/48.jpg)
Çok Sür, Çabuk İyileş ???
![Page 49: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/49.jpg)
Kimse Farketmesin !
![Page 50: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/50.jpg)
Yan Etkiler
Atrofi Stria oluşumu (geri dönüşümsüz) Telanjiektazi Hipertrikoz Kontakt/irritan dermatit Steroid aknesi Purpura Pituiter-adrenal aksın baskılanması Büyüme geriliği, Cushing send.
![Page 51: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/51.jpg)
Atrofi
![Page 52: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/52.jpg)
Stria
![Page 53: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/53.jpg)
Fasiyal Eritem
![Page 54: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/54.jpg)
Telanjiektazi
![Page 55: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/55.jpg)
Akne
![Page 56: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/56.jpg)
Steroid Rozase
![Page 57: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/57.jpg)
Perioral Dermatit
![Page 58: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/58.jpg)
Hipertrikoz
![Page 59: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/59.jpg)
Purpura
![Page 60: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/60.jpg)
Depigmentasyon
![Page 61: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/61.jpg)
Tinea İnkognito
![Page 62: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/62.jpg)
İki Tarafı Keskin Bıçak !!!
![Page 63: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/63.jpg)
Malatya’dan
![Page 64: TOPİKAL KORTİKOSTEROİDLER](https://reader030.fdocument.pub/reader030/viewer/2022033010/568140cc550346895dac98f1/html5/thumbnails/64.jpg)
Teşekkürler !