Umbuzo: Ingabe Ukubeletha Kwe-Hormonal kuyindlela Ephumelelayo Yokunakekelwa Kwe-Acne Treatment?
Ama-acne, ngokuvamile avela ebusweni noma emahlombe, isimo sesikhumba esibangela amhlophe, amnyama kanye nezilonda ezibomvu ezivuthayo (ama-papules, pustules, nama-cysts) ukwakha. I-Androgens, ama-hormone obulili obukhulu emadodeni, angaba nemfanelo yalezi zimo. Abesifazane ngokuvamile banamazinga aphansi we-androgens, kodwa amazinga aphezulu angavamile we-androgens angabangela izigaxa.
Njengoba unikezwe ukuthi ukuvimbela ukwelashwa kwe-hormonal kunganciphisa amazinga e-androgen mahhala ohlelweni lwakho, amaphilisi amaningi okulawula ukubeletha angaba ukwelashwa kwama-acne kakhulu .
Impendulo:
Amaphesenti amabili kwabesifazane abahlala e-United States bazosebenzisa ukulawulwa kwe-hormonal ( njengePilisi ) ngesikhathi esithile sokuzala . Uma usebenzisa lolu hlobo lokulawula ukubeletha, kungenzeka ukuthi ungaqapheli nezinzuzo zayo ezingenakuqaphela . Ezinye izinhlobo zokuvimbela ukwelashwa kwe-hormonal ziye zaboniswa ukuthi zindlela zokwelashwa eziphumelelayo. Kubalulekile ukuqaphela ukuthi abesifazane bangase basabele ngokuhlukile kokubeletha okuqondile , ngakho lolu lwazi luhloselwe ukubuka konke okujwayelekile. Sicela uhlale ukhumbule ukuthi ukuvimbela ukubeletha kwe-hormonal kuhloswe ukuthi kusetshenziselwe ukulawula ukubeletha (ukuvimbela ukukhulelwa okungahlosiwe ) - izinzuzo ezingenakuqaphela ezingenakuthola zingacatshangelwa uma kunquma ukuthi iyiphi indlela yokulawula ukuzalwa kwe-hormonal yokusebenzisa.
Okulandelayo luhlu lwezinqubo ezihlukahlukene zokulawulwa kokubeletha okuye kwaboniswa ukuthi iyindlela yokwelashwa ewusizo:
- Ama-OCs Ohlanganisayo : Wonke lawa maphilisi okulawula ukubeletha angakwazi ukwelapha izigaxa ngoba anganciphisa amazinga e- androgen mahhala emzimbeni wakho (i-androgens iqale futhi igcine ukukhula kwezinyosi nezinwele). Imiphumela ye-Androgenic ibhekisela ekutheni i-progestin (ekukhulelwe) ingabangela imiphumela emibi engathandeki. Ama-progestin anomsebenzi ophezulu we-androgenic angandisa amathuba okusebenza ahlobene ne-androgen anjenge-acne. Amaphilisi anezinhlobo ze-estrogen ephakeme, ama-androgen aphansi ajwayele ukuba ngcono ekunciphiseni ama-acne. Amanye alawa maphilisi ahlanganisa amaphilisi, i-Mircette (iphilisi ephansi ye-estrogen); Brevicon, Modicon kanye ne-Ortho Tri-Cyclen (amaphilisi avamile ama-estrogen amaphilisi) - Kwabesifazane abafuna ukusebenzisa iPilisi ngokulawula ukubeletha, i-Ortho Tri-Cyclen iboniswa ukwelashwa kwe-acne ejwayelekile phakathi kwabesifazane okungenani iminyaka engu-15 ubudala futhi abazange baphendule imithi yokwelashwa yama-anti-acne. Nakuba kungenjalo i-FDA evunyelwe ngokukhethekile ukuphatha izigaxa, ucwaningo luye lwasikisela ukuthi i-estrogen Ortho Tri-Cyclen Lo iphilisi ephansi nayo iyasiza ekwelapheni induna .
- I-Yaz : Izifundo ezimbili ezilawulwa ngokuphindaphindiwe, eziphindwe kabili, ezingenangqondo, ezilawulwa yi-placebo (eziqukethe izihloko ezingu-889, ezineminyaka engu-14 kuya kwezingu-45 ubudala, ezinezintambo ezilinganayo) I-Yaz iboniswe ukuthi iyindlela yokwelashwa ephumelelayo. Iphesenti elikhulu labesifazane abasebenzisa i-Yaz babonise ukuthuthukiswa kwezilonda ze-acne futhi babika isikhumba "esicacile" noma "esicacile" kunalabo besifazane abanikezwa amaphilisi e-placebo. Kulabo besifazane abafisa ukusebenzisa iPilisi ngokulawulwa kokuzalwa , i-Yaz igunyazwe ngokomtholampilo futhi i-FDA-igunyazwe ukuphatha izigaxa ezilinganayo emantombazaneni oneminyaka engu-14 noma ngaphezulu.
- I-Patch : Kubonakala sengathi i-patch ingakwazi ukulwa nezindaba ezithile ezihlobene ne-androgen, efana neyomhlanganisi othile we-OCs. Ngenxa yalokhu, i-patch ingaba nethonya elihle ezimweni ze-androgenic ezifana ne-acne.
- Akusizi ngalutho: Amaphilisi okulawula ukubeletha angakwazi ukuthuthukisa ama-acne ngoba akhulisa i-hormone ebopha i-globulin eholela ekunciphiseni amazinga e-androgen mahhala. Ngenxa yokuthi ayithathwe ngomlomo, i- NuvaRing ingase ibe nomthelela omncane kwi-hormone yobulili ebopha i-globulin, ngakho ayikhombisi ikhono elifanayo lokuthuthukisa i-acne. Amaphilisi ase -Progestin kuphela awabhekwa njengendlela yokwelashwa okunamandla.
Imithombo:
I-Bayer Healthcare Pharmaceuticals. "I-YAZ (i-drospirenone ne-ethinyl estradiol) Amathebulethi: UKUBHALISA KWEMFUSHINI." http://labeling.bayerhealthcare.com/html/products/pi/fhc/YAZ_PI.pdf?WT.mc_id=www.berlex.com
Huber J, Walch K. Ukwelapha induna ngezokwelapha zomlomo: Ukusetshenziswa kwezilinganiso eziphansi. " Ukwelashwa ngo- 2006; 73 (1): 23-29.
I-Ortho-McNeil-Janssen Pharmaceuticals. "I-FAQ: i-Ortho Tri-Cyclen." http://www.thepill.com/thepill/faq.html
I-American College of Obstetricians kanye namaGynecologists. "Ukusebenzisa okungavumelani kwamaphilisi okuvimbela ukwelashwa kwe-hormonal." Hlanganisa Bulletin No. 110, Jan 2010 115: 206-218. A