Yikuphi ama-Antibiotics asebenza ngaziphi izinhlobo ze-Acne?
Kungani ama-antibiotics asetshenziselwa ama-acne? Ingabe ama-antibiotic ahlukene asebenza ngezinhlobo ezihlukahlukene zampawu zamagciwane? Abantu abanezinyosi kanye nama-dermatologists bakhetha kanjani izidakamizwa ezifanele?
Sibutsetelo
Ama-antibiotic asetshenziselwa ukuphatha izigaxa ngoba zisiza ukunciphisa inani lama-bacterium ngaphakathi nangaphansi kweyunithi ye-pilosebaceous , ehlanganisa u-follicle wezinwele, ugqozi lwe-sebaceous, nezinwele.
I-acne ibangelwa imiphumela ye-hormone kule unit.
Ngokuqondile, i-follicle ivinjelwa futhi inqwaba yebhaktheriya yesikhumba evamile, i- Propionibacterium acnes , ibangela ukubhujiswa kwendwangu ye-follicle. Le nqubo ivumela ukuthi indaba ye-follicular ingene ku-dermis, ebangela impendulo yokuvuvukala.
Indlela Abasebenza ngayo
Ama-antibiotics asebenza ngezindlela eziningana. Indlela ebaluleke kunazo zonke ukwehla kwenani lama-bacteria ngaphakathi nangaphakathi kwe-follicle. Ama-antibiotics nawo asebenza ngokunciphisa amakhemikhali acasulayo akhiqizwa amangqamuzana amhlophe egazi. Okokugcina, ama-antibiotics anciphisa ukuhlushwa kwamafutha e-acids mahhala ku-sebum, futhi anciphisa impendulo yokuvuvukala.
Izinhlobo
Ama-antibiotic asetshenziswe kaningi kakhulu ngama-acne afingqiwe lapha.
Tetracycline
I-Tetracycline yi-antibiotic enqunyiwe kakhulu kunazo zonke ze-acne. Isikhathi esivamile sokuqala umthamo singu-500 mg kabili ngosuku oluqhubekayo kuze kube khona ukwehla okukhulu kwezilonda zamacne.
Umthamo ungancipha ube ngu-250 mg kabili ngosuku noma ushiye. Impendulo eyinhloko yale mithi ye-antibiotic ukuthi kumele ithathwe esiswini esingenalutho ukuze siphumelele kakhulu. Kumfana osemusha odla njalo, lokhu kungaba nzima kakhulu. I-Tetracycline akufanele inikezwe kwabesifazane abakhulelwe noma izingane ezingaphansi kweminyaka engu-9 ubudala.
I-Erythromycin
I-Erythromycin iyi-antibiotic evame ukusetshenziswa kakhulu ngama-acne. Inezinzuzo ezimbalwa ngaphezu kwe-tetracycline. Okokuqala, inezakhiwo zokulwa nokuvuvukala ezisiza ukunciphisa ubomvu ezilonda ngaphezu kokubulala amabhaktheriya. Futhi, kufanele futhi kuthathwe ngokudla-inzuzo yabasha. Umthamo we-erythromycin uhluka ngohlobo olusetshenzisiwe, kepha ngokuvamile lubekwe ngama-250- 500 mg kabili ngosuku. Kungabangela ukuguliswa kwesisu nesicashunwe kodwa kungasetshenziswa kwabesifazane abakhulelwe. I-Erythromycin ithengiswa ngaphansi kwamagama: Ilotycin, Ery-Ped, Ery-tab, Staticin, Erythra-Derm, Akne-mycin, Pce, Eryc, Ery, Eryped, T-Stat, Erygel, ne-EES
I-Minocycline
I-Minocin (i-minocycline) isisetshenziswa se-tetracycline esisetshenziselwe ngokuphumelelayo amashumi eminyaka njengokwelashwa kwe-acne. Kuwusizo ngokukhethekile ku-pustular type acne. (I-pustule iyinhlayiya equkethe i-vesicle efana ne-whitehead ehaqwe ukubomvu.) Nakuba ukumunwa kwe-minocycline kunciphisa ngokudla, akuyona into ephawulekayo njengokunciphisa ukubhekwa nge-tetracycline. Isivalo sokuqala esivamile siyi-50 kuya ku-100 mg kabili ngosuku. Imiphumela emibi yemiphumela ye-minocycline ibandakanya ukuzondeka, ukucabangela, ukuhlanza, izinguquko zesikhumba somzimba, nokudonswa kwezinyo. Isikhumba nokushintsha kwamazinyo kubonakala kaningi kubantu abaye bathatha i-minocycline isikhathi eside.
I-Minocycline (futhi itholakala noma yisiphi isisetshenziswa se-tetracycline) kufanele igwenywe kulabo abasebenzisa i- Acutane (i-isotretinoin) njengoba inhlanganisela yalezi zingabangela isimo lapho kukhona ukucindezelwa okweqile ngaphakathi kwe-skull ( pseudotumor cerebri .)
I-Doxycycline
I-Doxycycline ivame ukusetshenziswa kubantu abangaphenduli noma abakwazi ukubekezelela i-erythromycin noma i-tetracycline, noma kulabo abangase babe nobunzima ngemikhombandlela ye-"tetrocline" ye-tetracycline (njengabafana abasha). Umthamo we-doxycycline uqalwe ku-50 kuya ku-100 mg kabili ngosuku. Kufanele kuthathwe ngokudla; uma kungenjalo, kungabangela ukucabangela okukhulu.
I-Doxycycline iningi kune-tetracycline ukwandisa ukuzwela elangeni noma kubangele ukushisa kwelanga, into eyaziwa njenge- photosensitivity . Kunezinye izidakamizwa ze- acne ezingabangela i-photosensitivevity , njenge-benzoyl peroxide, i-alpha hydroxy acids, nama-retinoid e-topical.
I-Doxycycline iyatholakala ngaphansi kwalawa magama egama: Doryx, Oracea, Monodox, Atridox, Morgidox, i-Vibra-Tabs, i-Alodox, i-Ocudox, i-Doxy, i-Acticlate ne-Vibramycin.
Amanye ama-antibiotics: i-Septra / i-Bactrim nama-Macrolides
I-Septra noma i-Bactrim (i-sulfamethoxazole / trimethoprim) ne- Zithromax (i-azithromycin) i-macrolide, ivame ukusetshenziselwa ukwelapha amakhomikhali acindezelayo . Ucwaningo lwamuva alubonakali ukuthi lune-antibiotic eyodwa kunomunye ngalesi simo, kodwa ukwelashwa kubonakala kusebenza kangcono uma kuhlangene nokwelashwa kwama-topical. Ukusabela okwenziwe nge-allergen (" isifo sofuba ") kufana kakhulu ne-sulfanomide futhi ukuphikisana okuphawulekayo kubonwe nazo zombili lezi zigaba zama-antibiotics.
Ama-Antibiotics aphezulu
I-Clindamycin iyasiza kakhulu njenge-antibiotic ngomlomo yezinyosi , kodwa iningi elibhekiswe kakhulu njenge-antibiotics. Isilinganiso sokuqala singama-75 kuya ku-150 mg kabili ngosuku. Umthelela omubi kakhulu we-clindamycin therapy iyisifo esithinta kakhulu emathunjini esibizwa ngokuthi i-pseudomembranous colitis eyenziwa amabhaktheriya, iClostridium difficile . Ukutheleleka kwe- Clostridium difficile kuvame kakhulu nge-clindamycin yomlomo kodwa kubikwe nomkhiqizo we-topical. I-clindamycin yezihloko zitholakala njenge-Cleocin-T, Clinda-Derm, i-Clindagel, i-Clindets, i-C / T / S, ne-Evoclin.
Okuqhamuka uma udla imishanguzo
Wonke ama-antibiotics angabangela izifo zesisu semvubelo kwabesifazane. I-Tetracycline ibonakala iyimithi elwa namagciwane ethinta kakhulu le mpumelelo. Wonke ama-antibiotic omlomo anganciphisa nokuphumelela kwamaphilisi okulawula ukubeletha, ngakho labo abathatha la ma antibiotics kumele basebenzise indlela yokulawula ukuzalwa kokuzalwa. I-nausea ivame kakhulu ne-erythromycin ne-doxycycline. Kubalulekile ukukhuluma nodokotela wakho we-dermatologist nganoma yimuphi umphumela ongase ube nawo kanye nalapho kufanele ubize nganoma yimaphi izimpawu.
Ukuphikiswa kwama-antibiotic
Eminyakeni yamuva siye sabona ukumelana okuqhubekayo kwama-bacterium Propionibacterium acnes ngokumelene nemithi elwa namagciwane asetshenziswayo. Izindlela zamanje zokunciphisa ukumelana (ngakho-ke, ukungabi nethonya lama-antibiotics phezu kwe-acne) kuncoma ukusebenzisa ama-antibiotics ngokuhambisana nemithi yokwelashwa futhi kunciphisa isikhathi sokusebenzisa uma kungenzeka.
Ngezansi kuma-antibiotic omlomo nama-Topical for Acne
Ama-antibiotics angasiza kakhulu kwabanye abantu abane-acne futhi basebenze ngokuhlanganiswa kwezinqubo. Amanye ama-antibiotic asebenza kangcono ngezinhlobo ezithile ze-acne kanye ne-dermatologist yakho angenza kahle kakhulu ngokuqonda umlando wakho we-acne kanye nendlela yakho yokuphila. Njenganoma yimiphi imithi, imiphumela emibi ingenzeka. Ngenhlanhla kunezinqumo eziningi ezihlukene uma kutholakala ukuthi okunye okungenhla akusizi. Ama-antibiotics ngokuvamile asetshenziselwa ukuhambisana nokwelashwa kwama-topical nokunakekelwa okuhle kwesikhumba kwansuku zonke .
> Imithombo:
> Adler, B., Kommehl, H., no A. Armstrong. Ukuphikiswa kwama-Antibiotic ku-Acne Treatment. I-JAMA Dermatology . 2017 Juni 21. (Epub ngaphambi kokuphrinta).
> Bienenfeld, A., Nagler, A., no S. Orlow. Ukwelashwa Kwe-Oral Antibacterial for Acne Vulgaris: Ukubuyekeza Okusekelwe Ebufakazi. Journal American of Dermatology Clinic . 2017 Mar 2. (Epub ngaphambi kokuphrinta).
> Descamps. V. Izinkombandlela Zemitholampilo Yokuphathwa Kwe-Acne Vulgaris. I-JAMA . 2017. 317 (2): 213.
> U-Richard PJB, uHamish JA Hunter, noMargaret W. Mann. Izidakamizwa zemithi. I-Chichester (West Sussex): UJohn Wiley & Sons Inc., 2015. Phrinta.