Ngakho i-dermatologist yakho yakhuthaza ukuba uqale ukuthatha i-isotretinoin (AKA Accutane ) ngensimbi yakho. Kodwa ukhathazekile ngoba uzwile ukuthi imithi ye-isotretinoin ingabangela ukucindezeleka nokucabanga okuzibulala.
Kuyaqondakala ukuthi kungavunyelwe umqondo, futhi kuhlakaniphile ukwenza ucwaningo lwakho. Nguwe kuphela onganquma ukuthi izinzuzo zokuthatha i-isotretinoin zidlula kakhulu imiphumela emibi.
Kuyini i-Isotretinoin?
Okokuqala, ake sifunde kancane ngale mithi. I-Isotretinoin imithi yomlomo esetshenziselwa ukwelapha izikhumba ezinzima. Ngesinye isikhathi kusetshenziselwa ukwelapha izinkuni ezingenamandla kakhulu, kodwa zinenkani futhi zingagcini nezinye izidakamizwa ze-acne.
I-Isotretinoin ithengiswa ngamagama amaningi ahlukene, njenge-Absorica ne-Zenatane, futhi njenge-isotretinoin yama-generic. Yonke yale mithi inezithako ezisebenzayo kanye nayo yonke isebenza ngendlela efanayo.
Yonke imithi ye-isotretinoin imithi kuphela, futhi kufanele ubhalise ohlelweni lwe-iPledge ngaphambi kokuthi ugcwalise imithi yakho.
Ingabe I-Isotretinoin Yenza Ukucindezeleka?
Asikho isixhumanisi esiqinisekisiwe esiphakathi kwe-isotretinoin nokucindezeleka. Kuwo wonke ucwaningo oluthole ingozi ephezulu yokucindezeleka kubasebenzisi be-isotretinoin, kukhona omunye ongazange athole ingozi enjalo.
Kodwa ngenani elincane labantu, kubonakala sengathi i-isotretinoin ingabangela ukucindezeleka.
Konke, ukucindezeleka kubantu abathatha i-isotretinoin akuvamile. Kuncike ekutheni ucwaningo oluthile, ukucindezeleka kwenzeka kunoma yikuphi okuvela ku-1% ukuya ku-11% wabantu abayithatha imithi.
Lokhu akusho ukuthi i-isotretinoin ibangela ukucindezeleka, noma kunjalo. Ukucindezeleka kungenzeka kunoma ubani, kungakhathaliseki ukuthi uthatha i-isotretinoin noma cha.
Labo abanomlando wokucindezeleka kubonakala sengathi baningi
Abanye abantu babonakala bebhekene nokucindezeleka okubangelwa i-isotretinoin kunokuningi. Ngenkathi ukucindezeleka kwenzeka kwabanye abantu abangenawo umlando wangaphambili we-disorder, abantu abaningi babe nezinye izici ezinobungozi, ezifana nokusebenzisa kabi izidakamizwa, umlando womndeni wokucindezeleka, noma izenzakalo ezicindezelayo ekuphileni kwabo, okungahle kube nomthelela ekucindezelekeni kwabo.
Kubantu abane-disorder bipolar, kubuye kubonakale kuyinkimbinkimbi yokucindezeleka ngenkathi kuthatha i-isotretinoin.
Kubalulekile ukukhumbula, noma kunjalo, ukuthi ngenxa yokuthi uthatha i-isotretinoin akusho ukuthi uzocindezeleka.
Iningi labantu abaye bacindezeleka ngenkathi besetshenziswa i-isotretinoin bathola ukuthi izimpawu zabo zaphela lapho beyeka ukusebenzisa lesi sidakamizwa. Kodwa kwabanye abantu, ukucindezeleka nokuzibulala kwaqhubeka kwezinye izimo, ngisho nangemva kokuyeka ukusebenzisa isotretinoin.
Akukho Isixhumanisi Esiqinisekisiwe, Kodwa Kunamacabango Ambalwa
Ngenkathi imibiko yecala ibonisa ubuhlobo phakathi kokusetshenziswa kwe-isotretinoin nokucindezeleka, ayikho isixhumanisi esiqinisekisiwe. Noma kunjalo, olunye ucwaningo lunikeze imibono embalwa.
I-Isotretinoin itholakala ku-vitamin A. I-Vitamin A ibhekene nemisebenzi eminingi ohlelweni lwezinzwa zomphakathi.
Abacwaningi bakholelwa ukuthi i-isotretinoin ingaphazamisa indlela i-serotonin eyenziwa ngayo futhi isetshenziswe ngumzimba. Amazinga aphansi e-serotonin aye axhumene nokucindezeleka, ukuphazamiseka kwe-bipolar, ukukhathazeka kokukhathazeka nokuhlukunyezwa.
Enye imibono ibheka ukuthi i-isotretinoin ibangela kanjani ushintsho endaweni yengqondo ebuzwa ngokuthi i-hippocampus. I-hippocampus idala i-neurons njalo, inqubo ebizwa nge- neurogenesis.
Ukwakheka kwe-neuron ku-hippocampus kunciphile ngenkathi kuthatha i-isotretinoin (okungenani kumagundane namagundane). Lokhu kwehla kwe-neurogenisis kungaba isizathu sokuphila sokucindezeleka ngenkathi kuthatha i-isotretinoin.
Kuthiwa ukuthi abantu lapho ukutholakala kwe-neuron kakade kuncishisiwe ngendlela ethile kungase kube yinto engaphezu kwalokhu kunciphisa i-neurogenesis ebangelwa i-isotretinoin kunezinye.
Lokhu kungachaza ukuthi kungani abanye abantu bebonakala behlakulela ukucindezeleka ngenkathi bethatha i-isotretinoin ngenkathi abanye bengenzi.
Noma kunjalo, ezinye iziphakamiso zikhomba ukuthi izikhumba ngokwayo cishe zibangele ukucindezeleka kwabagulayo kunokusebenzisa i-isotretinoin. Abanye abatholanga isixhumanisi esiqondile phakathi kwe-isotretinoin kanye nengozi eyengeziwe yokucindezeleka.
Ukusebenzisa i-Isotretinoin inezinzuzo zayo
Nakuba i-isotretinoin ihamba nemiphumela emibi, iyasebenza ngokuphumelelayo ekuqedeni ukuvutha okukhulu kunama-acs noma ama- cystic , ngisho namacala angaphenduli kwenye imithi. Kubalulekile ukukala izinzuzo ezibhekene nezingozi.
Ukuba nama-acne amakhulu kungadabukisa ngokwayo, futhi ucwaningo oluningi luye lwathola ukuthi abantu abanezinyosi ezinzima bangase bacindezeleke futhi basengozini enkulu yokuzibulala ngenxa yalo. Ukuthola i-acne enamandla ngaphansi kokulawula akugcini nje ekunciphiseni amathuba okuthuthukisa ukuhlukumeza, kepha kungaphinde kuthuthukise ukuzethemba kwakho nokuzethemba.
Njengamakhasimende ami amaningi angitshele ukuthi, izigaxa zazibenza zicindezeleke. I-Isotretinoin yabasiza ukuba bazizwe becindezelekile kakhulu njengoba beqaphela ukukhishwa kwesikhumba sabo.
Ongakwenza
Imibiko yokucindezeleka nokuziphatha kokuzibulala okuhlobene nokusetshenziswa kwe-isotretinoin kungesabisa, kodwa kubalulekile ukuqonda ukuthi le mibi emibi ayifani.
Into ebaluleke kakhulu ongayenza inkulumo enengqondo ne-dermatologist yakho. Qiniseka ukuthi uqonde ngokuphelele uhlelo lwakho lwezokwelapha, bese uphendula yonke imibuzo yakho. Ungesabi ukubuza imibuzo eminingi!
Uma unquma ukuqhubeka phambili nge-isotretinoin ukwelashwa, asikho isizathu sokukhathazeka. Ngenkathi wena (noma ingane yakho) ithatha i-Accutane , bukela noma yiziphi izimpawu zokucindezeleka, njenge:
- Izinguquko zemizwelo nokuziphatha
- Ukuzwa okudabukisayo, okuthukuthele, okucasula, noma okuthukuthele
- Inkinga igxila
- Imicabango yokuzibulala, noma imicabango yokuzilimaza
- Ukubona noma ukuzwa izinto ezingezona zangempela
Ngezinye izikhathi labo abasondelene nawe bazobona ushintsho esimweni sakho nobuntu ngaphambi kokuba uzibone wena. Ungase ufune ukubhalisa usizo lwabo, futhi ubazise mayelana nokwelashwa kwakho ukuze bakwazi ukukusiza ukuba ubukele izinguquko ezinkulu ekuziphatheni kwakho okungase kubonise inkinga.
Uma unenkinga ethile, yazise udokotela wakho ngokushesha.
Kubalulekile ukuqaphela, kodwa khumbula ukuthi iningi labantu lisebenzisa i-isotretinoin ngaphandle kokuba nezinkinga zokucindezeleka.
Imithombo:
Borovaya A, Olisova O, Ruzicka T, Sardy M. "Ingabe Ukwelashwa Kwe-Isotretinoin Ye-Acne Ukwelashwa Noma Isizathu Sokucindezeleka?" I-International Journal of Dermatology . 2013 Sep; 52 (9): 1040-52.
> Huang YC, Cheng YC. "I-Isotretinoin Ukwelashwa Kwe-Acne kanye Neengozi Yokucindezeleka: Ukubuyekezwa Okuhlelekile nokuhlaziywa kwe-Meta." Umagazini we-American Academy of Dermatology . 2016 Mar; i-pii: S0190-9622 (16) 31289-0.
ULudot M, Mouchabac S, Ferreri F. "Ukusebenzisana phakathi kwe-Isotretinoin Treatment and Psychiatric Disorders: Ukucindezeleka, Ukugula Kwe-Bipolar, Ukukhathazeka, Ukukhathazeka Kwengqondo Nokuzibulala." I-World Journal of Psychiatry. 2015 Jun 22; 5 (2): 222-7.
> Melnik BC. "I-apoptosis ingachaza indlela yokusebenza yama-Pharmacy kanye nemiphumela emibi ye-Isotretinoin, kufaka phakathi i-Teratogenicity." I-Acta Dermato-Venereologica. 2017 Feb; 97 (2): 173-181.
UWolverton SE, i-Harper JC. "Izingxabano ezibalulekile ezihlobene ne-isotretinoin therapy for acne." Am J Clin Dermatol. 2013 Apr; 14 (2): 71-6.