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Stosowanie kortykosteroidów w OMFS by Vrinda Kolte, Ramakrishna Shenoi, Manas Jain

Stosowanie kortykosteroidów w OMFS

by Vrinda Kolte , Ramakrishna Shenoi , Manas Jain
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Book cover type: Paperback
  • ISBN13: 9786209386787
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Wydawnictwo Nasza Wiedza
  • Publisher Imprint: Wydawnictwo Nasza Wiedza
  • Publication Date:
  • Pages: 84
  • Original Price: GBP 38.19
  • Language: Polish
  • Edition: N/A
  • Item Weight: 123 grams
  • BISAC Subject(s): Dentistry / General

Kortykosteroidy są silnymi środkami przeciwzapalnymi i immunosupresyjnymi, kt�re odgrywają istotną rolę w leczeniu szerokiego zakresu schorzeń w chirurgii jamy ustnej i szczękowo-twarzowej. Dzialają poprzez hamowanie fosfolipazy A2, zmniejszając w ten spos�b produkcję mediator�w stanu zapalnego, takich jak prostaglandyny i leukotrieny. Ich zastosowania kliniczne obejmują leczenie chor�b autoimmunologicznych, alergicznych, oddechowych i żolądkowo-jelitowych, a także kontrolowanie b�lu pooperacyjnego, obrzęku i szczękościsku. W praktyce jamy ustnej i szczękowo-twarzowej kortykosteroidy są stosowane w leczeniu wrzodziejących i pęcherzykowych zmian w jamie ustnej, zaburzeń skroniowo-żuchwowych, bliznowc�w, blizn przerostowych, porażenia Bella, centralnego ziarniniaka olbrzymiokom�rkowego, naczyniak�w krwionośnych oraz w celu zmniejszenia powiklań pooperacyjnych po zabiegach chirurgicznych. Jednak ich stosowanie wymaga starannego monitorowania ze względu na możliwe dzialania niepożądane, takie jak supresja nadnerczy, immunosupresja, cechy Cushingoidalne, osteoporoza i zaburzenia metaboliczne. Ich korzyści są zmaksymalizowane, gdy są stosowane w najniższej skutecznej dawce przez najkr�tszy czas, z odpowiednim zmniejszeniem dawki i okolooperacyjnym pokryciem u pacjent�w z supresją nadnerczy.

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