I-Tazarotene Ihlinzeka Ngenye Inketho Yokwelapha
Kunezinketho eziningi zokwelashwa ezihlukahlukene ukusiza ukubhekana nezimpawu ze- psoriasis . Imikhiqizo yokubuyisela kabusha yindlela eyodwa yokwelapha okungenzeka awuzange uyizwe ngayo. Lezi zokwelapha zithathwe yi-vitamin A. I-Tazarotene ingenye ye-retinoid enjalo etholakalayo njenge-ukhilimu we-topical. Nakuba isetshenziswe kaningi kunezinye izindlela zokwelapha i-psoriasis , inezinzuzo ezithile ezingenza kube kuhle ukucabangela.
Amaseli Ekhanda Okungavamile e-Psoriasis
I-Keratinocytes yilona uhlobo oluyinhloko lwamaseli atholakele esikhumbeni sakho. Esikhumbeni esijwayelekile, lawa maseli ahlukana futhi avuthiwe ngokuhamba kwesikhathi. Nge-psoriasis, lawa maseli esikhumba afanayo ahlukana futhi avuthiwe ngendlela engavamile. Lawa maseli abuye avezwe esikhwameni sesikhumba esivuthayo esibangela ukuba baziphathe ngezindlela ezigulayo. Lokhu yingxenye yalokho okubangela izimpawu ze-psoriasis.
Indlela iTarzarotene Isebenza ngayo
I-Tazarotene iyi-retinoid. Lokhu kusho ukuthi kusemkhayeni owodwa wemikhemikhali ene-Vitamin A (isakhi esibalulekile esitholakala ekudleni okuthile).
Ama-retinoids afana ne-tazarotene angena emangqamuzaneni wesisindo ama-keratinocytes. Lapho bashintsha ukubhalwa kwamagciwane athile atholakele ku-DNA yakho. (Lokhu kusho ukuthi ezinye izakhi zofuzo zingase zisetshenziselwe ukwenza amaprotheni kaningi, futhi ezinye izakhi zofuzo zingase zisetshenziswe kancane kancane.) Lokhu kubangela imiphumela emibili, njenge:
- Ukunciphisa isikhumba sokuvuvukala
- Ukunciphisa ukukhula kwe-cell okungavamile nokuhlukaniswa kwamangqamuzana esikhumba
- Nciphisa ukuvuthwa kwe-cell okungavamile kwamaseli esikhumba
Ezinye imikhiqizo ye-retinoid yomlomo (njenge-acitretin) ingasetshenziselwa ukwelapha i-psoriasis, futhi yabelana ngezinto ezithile ezifanayo nezidakamizwa ze-retinoid. Kodwa-ke, i-tazarotene ngokwayo iklanyelwe ukuba isetshenziswe ngqo esikhumbeni sakho esithintekile.
Ubani Ongasebenzisa I-Tazarotene?
I-Tazarotene yindlela eyodwa yokwelashwa kubantu abanesifo somculo we-plaque psoriasis (i-psoriasis ehlanganisa ngaphansi kwamaphesenti ayishumi omzimba wakho futhi ayibandakanyi noma yiziphi izindawo ezibucayi kakhulu zomzimba, njengezitho zangasese).
Abantu abane-psoriasis enamandla bangayisebenzisa futhi, kodwa bayodinga ukwelashwa okwengeziwe, njengezokwelapha ze-biologic. Ingasetshenziswa futhi ekwelapheni kwe-nail psoriasis. Kuvame ukuphumelela njengokwelashwa kwesondlo ye-psoriasis, kodwa kungase kungabi yisinqumo esihle sokuthola i-psoriasis yakho kuqala.
Yiziphi Izinhlobo ZaseTarototene Ezitholakalayo?
I-Tazarotene ye-psoriasis itholakala ezinhlobonhlobo eziningi ezahlukene: njenge-ukhilimu, i-gel, noma i-foam. Ivame ukudayiswa ezindaweni ezimbili ezihlukene, ukwelashwa okubuthakathaka okungu-0.05% noma ukwelapha okunamandla okungamaphesenti angu-0.1. Amanye ama-brandulations ajwayelekile we-tazarotene yi:
- I-Tazorac TM
- I-Zorac TM
- Fabior TM
- Thola i- TM
Le mikhiqizo yonke iyafana kakhulu, kodwa hhayi konke lokhu okufakiwe okuhlukile okuvunyelwe yi-FDA ngokukhethekile ukusetshenziswa kwe-psoriasis. Buza i-dermatologist yakho ukuthi ubani angenza umqondo omkhulu kuwe.
Indlela Yokusebenzisa Tazarotene
- Faka isicelo njalo nsuku zonke endaweni ophethe izilonda ze-psoriasis.
- Faka isicelo ngesikhathi esifanayo nosuku ngalunye.
- Sebenzisa kuphela ungqimba oluncane phezu kwendawo ethintekile.
- Uma usebenzisa i- moisturizer , sebenzisa okungenani ihora ngaphambi kokusebenzisa i-tazarotene.
- Qinisekisa ukuthi isikhumba sakho soma ngokuphelele ngaphambi kokusebenzisa i-tazarotene.
- Geza izandla zakho emva kokusebenzisa i-tazarotene.
Esikhathini esiningi, iziguli ziqala ngokuhlushwa okuphansi kwe-tazarotene (amaphesenti angu-0.05). Uma usenayo izilonda ze-psoriasis, futhi uma isikhumba singacasuli kakhulu, kungase kudingeke ukhuphukele emakhulwini aqinile. Ukuze ube nobungozi obuncane kakhulu wemiphumela emibi, uzofuna ukusebenzisa ukuhlushwa okuphansi kakhulu okuphumelelayo.
Imiphumela emibi ye-Tazarotene
I-Tazarotene yenza njalo imiphumela emibi njengalezi ezilandelayo:
- Itching
- Ukubomvu
- Ukuvutha
Le miphumela emibi ikhawulelwe endaweni lapho ukhilimu isetshenziswa khona. Kungenzeka ukuthi zenzeke uma usebenzisa ukuhlushwa okunamandla. Uma isikhumba sakho sesivele sithukuthele (njengokungathi ukushisa ilanga noma kusuka eczema), kuzodingeka ugweme ukusebenzisa i-tazarotene okwesikhashana.
Ukweqisa kwezulu (njengomoya noma kubanda) kungase kukucasule kakhulu uma usebenzisa i-tazarotene.
Gwema ukusebenzisa ezindaweni ezingezona ezithintekayo, ngoba lokho kungabangela ukucasuka kwesinye isikhumba. Kubaluleke kakhulu ukuthi kungangeni ukuxhumana nezindawo ezibucayi kakhulu njengamehlo noma umsele ongasese. Uma usebenzisa i-tazarotene ngengozi endaweni engafanelekile, hlambulula kahle ngamanzi.
Indlela Yokunciphisa Irritation Kusuka Tazarotene
Uma ucasukile ngokusebenzisa i-tazarotene, ungazama lokhu okulandelayo:
- Ukusebenzisa ukuklama ukhilimu (esikhundleni se-gel)
- Ukushintshela kumkhiqizo onokuhlushwa okuphansi
- Ukusebenzisa i-tazarotene ene-moisturizer
- Ukusebenzisa i-tazarotene ngezinsuku ezihlukile
- Ukusebenzisa i-tazarotene ngamaminithi angu-30 kuya kwangu-60 kuphela ngaphambi kokukhipha
- Ukusebenzisa i-tazarotene ngokuhlanganiswa nekhilimu ye-corticosteroid
- Ukuphazamisa okwesikhashana ukwelashwa, ukuqala lapho ukucasuka kuhamba
Ukuzwela kwelanga ngenkathi usebenzisa i-Tazarotene
I-Tazarotene ingenza futhi isikhumba sibe sithintekile elangeni. Ngenxa yalokhu, kudingeka uqaphele ngokukhethekile ukusebenzisa isihenqo selanga kanye nezingubo zokuzivikela lapho uzama lo mkhiqizo. Uma uthatha noma yimiphi imithi eyenza isikhumba sakho sizwele kakhulu elangeni, kuzodingeka uqaphele, noma kungadingeka uthathe umkhiqizo ohlukile. Ezinye izibonelo zemithi engabangela i-photosensitivity yilezi:
- Imithi ye-Thiazide esetshenziselwa ukuphatha umfutho wegazi ophezulu (njenge-chlorothiazide)
- Amanye ama-antibiotic (afana ne-tetracycline, ciprofloxacin, ne-sulfamethoxazole / trimethoprim)
Ukusebenzisa i-Tazarotene Nezinye Psoriasis Treatments
Ngokujwayelekile i-tazarotene ayisetshenziselwa ukwelashwa kwe-psoriasis yedwa. Ezimweni eziningi, i-tazarotene isebenza kahle uma ihlanganiswa nama- corticosteroid creams . Lokhu kubonakala kusebenza kakhulu kunokwelashwa okusetshenziselwa yedwa. Ososayensi okwamanje bahlola ukubunjwa okungase kuhlanganise i-tazarotene kanye ne-corticosteroid ibe ngumkhiqizo owodwa. I-Tazarotene ingasetshenziselwa nezinye izindlela zokwelapha ze-psoriasis , njenge-vitamin D creams.
I-Tazarotene ingasetshenziswa futhi kanye ne- phototherapy ye-psoriasis. Lokhu kungenza i-phototherapy iphumelele kakhudlwana. Noma kunjalo, kuzodingeka uqaphele nge-phototherapy, ngoba ingabangela nokucasula isikhumba. Kungase kudingeke ukunciphisa inani lokuchayeka kwemisebe ngenkathi ukwelashwa kwe-phototherapy, ngoba i-tazarotene yandisa ukuzwela kwesikhumba.
I-Tazarotene ingasetshenziswa futhi ngokuhambisana nezinye izindlela zokwelapha ze-psoriasis. Lokhu kufaka phakathi izidakamizwa ezindala, njenge-methotrexate, noma izidakamizwa ezintsha ze-biologic, njenge-etanercept.
Ukukhathazeka Ngokuphepha Ekukhulelweni, Nursing, kanye nezingane
- Ngoba kungabangela ukukhubazeka kokuzala, i-tazarotene akufanele isetshenziswe ngesikhathi sokukhulelwa. I-FDA ibheka i-tazarotene imithi yesigaba X, okusho ukuthi izingozi zokufakaza ezifakiwe zidlula noma yikuphi ukuhlomula okungenzeka. Abesifazane abaneminyaka engama-10 ubudala abasebenzisa i-tazarotene kumele basebenzise ukulawula kokuzalwa okuqhubekayo. Uma lokhu kuzoba inkinga kuwe, ungase ufune ukuhlola ezinye izifo. Kunconywa ukuthi abesifazane bahlolwe ukukhulelwa okungakapheli amasonto amabili ngaphambi kokuqala ukwelashwa. Kunconywa ukuthi uqale ukusebenzisa izidakamizwa ngesikhathi sokuya esikhathini, ngakho-ke uzokwazi ukuthi awukhulelwe ngempela.
- Ososayensi abaqiniseki ukuthi i-tazarotene idlulela ebisi lwebele labantwana abahlengikazi, ngakho-ke akucaci ukuthi kuphephile ukuyisebenzisa ngenkathi kunesihlengikazi.
- I-Tazarotene ibonakala iphephile futhi isebenzisekile ukusetshenziswa kwezingane. Nokho, ososayensi abazange bafunde ngokuqondile ukusebenza nokuphepha kwe-tazarotene ezinganeni. Futhi akuzange kufundwe ngqo kubantu abangaphezu kuka-65.
Unganqikazi ukukhuluma nodokotela wakho we-dermatologist nganoma yikuphi kokukhathazeka kwakho.
Sebenzisa kwezinye izimo zezokwelapha
Ungazi ukuthi i-tazarotene namanye ama-retinoid aphezulu angasetshenziswa kwezinye izimo ze-dermatologic. Isibonelo, i-tazarotene kanye nama-compounds ahlobene avunyelwe ukusetshenziswa ku-acne. Kanti futhi ngezinye izikhathi lisetshenziselwa ukuba i-agent yesikhumba esicwebezelekile noma esivuliwe. Kodwa akufanele usebenzise i-tazarotene yalezi ezinye izinhlelo zokusebenza ngaphandle kokuthi uxoxisane ngqo nodokotela wakho.
Izwi elivela
Kungaba yinselele ukuthola i-psoriasis yakho ngaphansi kokulawula. Uma une psoriasis emnene, ungase ufune ukuzama i-tazarotene ngokuhambisana nezinye izifo zokwelapha. I-Tazarotene ingabangela ukucasuka kwesinye isikhumba, ngakho-ke kubalulekile ukuthatha izinyathelo ezithile zokuqapha. Ngenxa yengozi yokukhubazeka kokuzalwa, kufanele futhi isetshenziswe ngokucabangela. Kodwa lapho isetshenziswe kahle, inganikeza ukhetho olusebenzayo ukwelashwa kubantu abaningi abane-psoriasis.
> Imithombo:
> I-Aenter A, iKorman NJ, i-Elmets CA, et al. Iziqondiso zokunakekela ukuphathwa kwe-psoriasis ne-arthritis ye-psoriatic. Isigaba 3. Imihlahlandlela yokunakekela ukuphathwa nokwelashwa kwe-psoriasis ngezokwelapha. J Am Acad Dermatol . 2009; 60 (4): 643-59. i-doi: 10.1016 / j.jaad.2008.12.032.
> Torsekar R, Gautam MM. Imithi yokwelashwa e-psoriasis. I-Indian Dermatology Online Journal . 2017; 8 (4): 235-245. doi: 10.4103 / 2229-5178.209622.
> I-Tazorac Yokubhala Ulwazi. I-Allergan. 2017. https://www.allergan.com/assets/pdf/tazorac_cream_pi.