{"id":917,"date":"2020-08-11T11:04:33","date_gmt":"2020-08-11T09:04:33","guid":{"rendered":"https:\/\/aptekacentrum.lublin.pl\/blog\/?p=917"},"modified":"2020-08-11T11:04:33","modified_gmt":"2020-08-11T09:04:33","slug":"pacjencie-bierzesz-leki-uwazaj-na-slonce-2","status":"publish","type":"post","link":"https:\/\/aptekacentrum.lublin.pl\/blog\/pacjencie-bierzesz-leki-uwazaj-na-slonce-2\/","title":{"rendered":"Pacjencie, bierzesz leki? Uwa\u017caj na s\u0142o\u0144ce!"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Promienie s\u0142oneczne, cho\u0107 po cz\u0119\u015bci maj\u0105 korzystny wp\u0142yw na zdrowie, to w niekt\u00f3rych przypadkach w po\u0142\u0105czeniu z lekami mog\u0105 powodowa\u0107 <strong>fotodermatozy<\/strong>&#8211; choroby sk\u00f3ry.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Warto wiedzie\u0107, czy przyjmowane przez nas substancje s\u0105 w po\u0142\u0105czeniu ze s\u0142o\u0144cem niekorzystne dla organizmu. Po przyj\u0119ciu niekt\u00f3rych lek\u00f3w, s\u0142o\u0144ce mo\u017ce wywo\u0142a\u0107 choroby sk\u00f3ry, kt\u00f3rych objawem mo\u017ce by\u0107 zaczerwienienie, sw\u0119dzenie, rumie\u0144 i p\u0119cherze. Zdarza si\u0119 te\u017c tak, \u017ce reakcja nie wyst\u0119puje od razu i dopiero po pewnym czasie na sk\u00f3rze pojawiaj\u0105 si\u0119 przebarwienia b\u0105d\u017a du\u017ce, br\u0105zowe plamy. Reakcje fotouczulaj\u0105ce mog\u0105 by\u0107 skutkiem nie tylko przyjmowania lek\u00f3w, ale te\u017c stosowania preparat\u00f3w ro\u015blinnych, czy kosmetyk\u00f3w.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Dlaczego leki powoduj\u0105 reakcje alergiczne?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To w\u0142a\u015bnie poprzez obecno\u015b\u0107 substancji, kt\u00f3re mog\u0105 prowadzi\u0107 do zwi\u0119kszenia wra\u017cliwo\u015bci sk\u00f3ry na promienie s\u0142oneczne. Mechanizm dzia\u0142ania i reakcja r\u00f3\u017cni si\u0119 w zale\u017cno\u015bci od obecnej w leku substancji.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Odczyny fototoksyczne<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pojawiaj\u0105 si\u0119 pod wp\u0142ywem przyjmowanych substancji, kt\u00f3re zwi\u0119kszaj\u0105 wra\u017cliwo\u015b\u0107 sk\u00f3ry na promienie UV. Nadwra\u017cliwo\u015b\u0107 jest czasowa i zazwyczaj ust\u0119puje po zaprzestaniu stosowania leku. Zmiany pojawiaj\u0105 si\u0119 tu\u017c po opalaniu i dotycz\u0105 wy\u0142\u0105cznie tej cz\u0119\u015bci sk\u00f3ry, kt\u00f3ra by\u0142a eksponowana na s\u0142o\u0144ce. Przypominaj\u0105 nasilone oparzenia s\u0142oneczne. Cz\u0119sto jest to ostry rumie\u0144, tak\u017ce z p\u0119cherzami.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Reakcje fotoalergiczne<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Wyst\u0119puj\u0105 u niekt\u00f3rych os\u00f3b stosuj\u0105cych preparaty o dzia\u0142aniu fotouczulaj\u0105cym. Zmiany pojawiaj\u0105 si\u0119 po oko\u0142o 1 dniu od nas\u0142onecznienia i rozprzestrzeniaj\u0105 si\u0119 poza obr\u0119b miejsc, kt\u00f3re by\u0142y eksponowane na s\u0142o\u0144ce. Mog\u0105 to by\u0107 sw\u0119dz\u0105ce grudki wype\u0142nione osoczem, kt\u00f3re wycieka z krostek. Zmodyfikowane pod wp\u0142ywem s\u0142o\u0144ca cz\u0105steczki lek\u00f3w \u0142\u0105cz\u0105 si\u0119 z bia\u0142kami sk\u00f3ry, tworz\u0105c alergeny uczulaj\u0105ce, podobnie jak np. py\u0142ki traw. Uk\u0142ad odporno\u015bciowy pami\u0119ta te alergeny i po ka\u017cdym za\u017cyciu leku i nawet kr\u00f3tkim pobycie na s\u0142o\u0144cu pojawi si\u0119 ostry stan zapalny sk\u00f3ry, kt\u00f3remu towarzysz\u0105 obrz\u0119k i pokrzywka.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Warto zapozna\u0107 si\u0119 z list\u0105 substancji, kt\u00f3re wchodz\u0105 w reakcje z promieniami s\u0142onecznymi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Leki <strong>fotouczulaj\u0105ce<\/strong>, kt\u00f3re najcz\u0119\u015bciej wywo\u0142uj\u0105 negatywne reakcje sk\u00f3rne to:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Niesteroidowe leki przeciwzapalne z ketoprofenem, ibuprofenem, naproksenem<\/li><li>Leki hipolipemizuj\u0105ce z rosuwastatyn\u0105<\/li><li>Leki antykoncepcyjne- zawieraj\u0105ce estradiol<\/li><li>Leki moczop\u0119dne- zawieraj\u0105ce furosemid i hydrochlorotiazyd<\/li><li>Leki przeciwtr\u0105dzikowe- zawieraj\u0105ce tetracyklin\u0119<\/li><li>Leki przeciwdepresyjne- zawieraj\u0105ce amitryptylin\u0119<\/li><li>Leki przeciwarytmiczne- zawieraj\u0105ce amiodaron<\/li><li>Leki przeciwpadaczkowe- zawieraj\u0105ce fenytoin\u0119<\/li><li>Leki przeciwgrzybicze- zawieraj\u0105ce itrakonazol<\/li><li>Leki obni\u017caj\u0105ce st\u0119\u017cenie cholesterolu- fibraty<\/li><li>Antybiotyki z doksycyklin\u0105<\/li><li>Chemioterapeutyki<\/li><li>Sulfonamidy<\/li><li>Leki na nadci\u015bnienie t\u0119tnicze z diltiazemem<\/li><li>Leki przeciw\u0142uszczycowe z psolarenami<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Nie tylko leki powoduj\u0105 nadwra\u017cliwo\u015b\u0107 sk\u00f3ry na s\u0142o\u0144ce. Ro\u015bliny i zio\u0142a powoduj\u0105ce <strong>fototoksyczne <\/strong>zapalenie sk\u00f3ry to:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Dziurawiec<\/li><li>Dziegcie<\/li><li>Rumianek<\/li><li>Nagietek<\/li><li>Barszcz Sosnowskiego<\/li><li>Arcydzi\u0119giel<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Fotodermatozy wywo\u0142uj\u0105 tak\u017ce spo\u017cywane w nadmiarze: koper, seler, marchew, karczoch, cykoria, sa\u0142ata, a tak\u017ce oset, ruta, arnika, mniszek lekarski, nagietek oraz s\u0142onecznik. Reakcja powstaje po zjedzeniu albo bezpo\u015brednim kontakcie z sokiem lub li\u015b\u0107mi ro\u015bliny. Uczulenie pojawia si\u0119 nawet w nies\u0142oneczne, pochmurne dni. Promienie s\u0142o\u0144ca znacznie je nasilaj\u0105. Na sk\u00f3rze wyst\u0119puj\u0105 w\u00f3wczas czerwone plamy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ulg\u0119 przyniesie s<strong>p\u0142ukanie sk\u00f3ry letni\u0105 wod\u0105<\/strong>. Je\u017celi po kilku godzinach objawy nie ust\u0105pi\u0105, trzeba zg\u0142osi\u0107 si\u0119 do lekarza.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pacjencie, chro\u0144 sk\u00f3r\u0119 przed s\u0142o\u0144cem!<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Aby unikn\u0105\u0107 gro\u017anych powik\u0142a\u0144 pos\u0142onecznych, osoby zagro\u017cone <strong>fotodermatozami <\/strong>oraz te, kt\u00f3re cierpi\u0105 na tr\u0105dzik r\u00f3\u017cowaty nie powinny przebywa\u0107 w ostrym s\u0142o\u0144cu. Obowi\u0105zkowe jest stosowanie krem\u00f3w z wysokim filtrem (minimum SPF 30) na ca\u0142e cia\u0142o. Krem taki powinien zawiera\u0107 nie tylko filtr przeciw UVB, ale r\u00f3wnie\u017c filtr przeciw UVA.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Promienie s\u0142oneczne, cho\u0107 po cz\u0119\u015bci maj\u0105 korzystny wp\u0142yw na zdrowie, to w niekt\u00f3rych przypadkach w po\u0142\u0105czeniu z lekami mog\u0105 powodowa\u0107<\/p>\n","protected":false},"author":1,"featured_media":918,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"colormag_page_container_layout":"default_layout","colormag_page_sidebar_layout":"default_layout","_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[2,9],"tags":[],"class_list":["post-917","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-zdrowie"],"acf":[],"magazineBlocksPostFeaturedMedia":{"thumbnail":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720-150x150.jpg","medium":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720-300x300.jpg","medium_large":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720.jpg","large":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720.jpg","1536x1536":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720.jpg","2048x2048":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720.jpg","colormag-highlighted-post":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720-392x272.jpg","colormag-featured-post-medium":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720-390x205.jpg","colormag-featured-post-small":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720-130x90.jpg","colormag-featured-image":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720-720x445.jpg","colormag-default-news":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720-150x150.jpg","colormag-featured-image-large":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720-720x600.jpg","colormag-elementor-block-extra-large-thumbnail":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720.jpg","colormag-elementor-grid-large-thumbnail":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720.jpg","colormag-elementor-grid-small-thumbnail":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720.jpg","colormag-elementor-grid-medium-large-thumbnail":"https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720.jpg"},"magazineBlocksPostAuthor":{"name":"admin_blog2","avatar":"https:\/\/secure.gravatar.com\/avatar\/8d23fbdba4970c74b7eaab5a1c945a661f7a5322159d524c6f880493ad93f7b0?s=96&d=mm&r=g"},"magazineBlocksPostCommentsNumber":false,"magazineBlocksPostExcerpt":"Promienie s\u0142oneczne, cho\u0107 po cz\u0119\u015bci maj\u0105 korzystny wp\u0142yw na zdrowie, to w niekt\u00f3rych przypadkach w po\u0142\u0105czeniu z lekami mog\u0105 powodowa\u0107","magazineBlocksPostCategories":["Blog","Zdrowie"],"magazineBlocksPostViewCount":19,"magazineBlocksPostReadTime":4,"magazine_blocks_featured_image_url":{"full":["https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720.jpg",720,720,false],"medium":["https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720-300x300.jpg",300,300,true],"thumbnail":["https:\/\/aptekacentrum.lublin.pl\/blog\/wp-content\/uploads\/2020\/08\/sun-3707284_960_720-150x150.jpg",150,150,true]},"magazine_blocks_author":{"display_name":"admin_blog2","author_link":"https:\/\/aptekacentrum.lublin.pl\/blog\/author\/admin_blog2\/"},"magazine_blocks_comment":0,"magazine_blocks_author_image":"https:\/\/secure.gravatar.com\/avatar\/8d23fbdba4970c74b7eaab5a1c945a661f7a5322159d524c6f880493ad93f7b0?s=96&d=mm&r=g","magazine_blocks_category":"<a href=\"https:\/\/aptekacentrum.lublin.pl\/blog\/category\/blog\/\">Blog<\/a> <a href=\"https:\/\/aptekacentrum.lublin.pl\/blog\/category\/zdrowie\/\">Zdrowie<\/a>","videoUrl":"","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pacjencie, bierzesz leki? 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