Lokho Bonke Abagulayo Abagulayo Kufanele Bayazi Ngale Mithi Ye-Acne Medication
I-Isotretinoin, eyaziwa ngokuthi yi-brand yangaphambili ye- Accutane , iyisidakamizwa esinamandla esetshenziselwa ukuphatha induna enamandla yokuvuvukala. I-Isotretinoin ihlukaniswa njenge-retinoid, eyenziwe ngefomu ehlanganisiwe ye-vitamin A. Ithathwa ngomlomo, ifomu lesipilisi, kanye noma kabili ngosuku.
I-Accutane iyingxenye yezokwelapha eziphumelela kakhulu ezitholakalayo ezigulini ezinezinyosi ezinzima noma ze- cystic , ziphumelele ngisho nasezigulini ezinama-acne azange aziphendule kwezinye izifo.
Ngokusho kwe-American Academy of Dermatology, i-isotretinoin ibhekwa njengendlela yokwelapha ewusizo kunazo zonke etholakalayo nge-acne eqinile. Ngokuvamile bakholelwa ukuthi uyaphatha ngokuphumelelayo futhi aqede ama-acne aqinile cishe engxenyeni yalabo abayithathayo.
Isiqhingi Sokugcina Sokudla Okumnandi
Isinqumo sokuqala ukuthatha u-Accutane noma omunye umkhiqizo we-isotretinoin into okufanele uxoxe nayo nge-dermatologist yakho. Ngenxa yobungako bayo kanye nemiphumela emibi, imithi igcinwa kuphela kulabo abanezinhlungu ezinamandla zokuvuvukala noma ze-cystic eyehlulekile ukuphendula kwezinye izinketho zokwelapha . Zonke iziguli ezithatha isidakamizwa esise-isotretinoin zigcinwa ngokuqapha ngokucophelela odokotela bazo.
Ngaphambi kukaJune 2009 lapho sekuqedile, i-isotretinoin yayithengiswa ngokuyinhloko njengo-Accutane nakuba isiyitholakale njengesidakamizwa esijwayelekile kusukela ngo-2002. Isotretinoin manje ithengiswa ngaphansi kwamagama okuthiwa u-Amnesteem, uClaravis, noSotret.
Indlela i-Isotretinoin isebenza ngayo
I-Isotretinoin isebenza ngokunciphisa izigulane ezisabekayo ngaphakathi kwedermis, ukunciphisa inani lamafutha akhiqizwayo. Indlela eqondile yalokhu ayisaziwa. Ukunciphisa amafutha ngaphakathi kwe-follicle kusho ukungena kancane kwe-pores, okuholela ekunciphiseni ama-acne breakout.
Inqubo Ejwayelekile Yokwelapha
Inqubo yokwelashwa evame kakhulu iqukethe inkambo yezinyanga ezingu-16 kuya kwezingu-20 elandelwa isikhathi sokuphumula. Izifundo eziningi zibekiwe uma ukuhlanza okwanele kungaphumeleli. Ngenxa yeziguli eziningi, inkambo eyodwa yikho konke okudingekayo. Cishe amaphesenti angu-20 eziguli adinga inkambo yesibili. Ukuze ugweme ukubuyela emuva, iziguli kufanele ziqede inkambo ebekiwe, noma ngabe isikhumba siyacaca ngaphambi kokuthi zonke izipilisi zithathwe.
Ngesikhathi sokwelashwa, iziguli ziqashwe ngokucophelela odokotela bazo. Iziguli zidinga ukuhlela ama-aphoyintimenti avamile okulandelwayo bese uhambisa ekuhlolweni kwegazi ukuhlola imiphumela engase ibe khona, njengokulimala kwesibindi nokunyuka kwe-triglycerides egazini.
Imiphumela Ezingenakwenzeka
Nakuba i-isotretinoin iyindlela yokwelapha eyigugu kulabo abanezinyosi ezinzima , akusikho imiphumela emibi. Imiphumela emibi kakhulu yalesi sidakamizwa ihlukumeza phakathi kwabesifazane abakhulelwe kanye nokukhubazeka okunzima ezinganeni ezithwala umama ngenkathi zikhulelwe.
I-US Yokudla Nezidakamizwa Zokudla Kudinga ukuthi abesifazane bangakhulelwe noma bakhulelwe ngesikhathi sokusetshenziswa kwe-isotretinoin. Bonke abesifazane abaneminyaka yobudala bokubeletha badinga ukuthatha izivivinyo ezimbili zokukhulelwa ngaphambi kokuqala ukwelashwa kwe-isotretinoin.
I-FDA idinga nokuthi abesifazane basebenzise izindlela ezimbili zokulawula ukubeletha inyanga eyodwa ngaphambi kokwelashwa, ngenkathi ukwelashwa, futhi inyanga eyodwa ngemuva kokuphela kokwelashwa. Abesifazane angeke bancelise ngalesikhathi. Iziguli ezifisa ukukhulelwa emva kokwelashwa ziphela kufanele zikhulume nodokotela wazo ukuze zithole ukuthi ziphephile yini ukwenza kanjalo.
Eminye imiphumela emibi ejwayelekile ye-isotretinoin ukusetshenziswa ihlanganisa:
- Ukucwilisa isikhumba kanye nezibungu zamangqamuzana
- Ukubheka isikhumba
- I-Nosebleeds
- Izinwele zokucwenga
- Ukuzwela elangeni
- Ukunciphisa umbono webusuku
- Ukukhathala
Iziguli zixwayiswa ukuba zithintane nodokotela bazo uma zihlakulela noma yimiphi imiphumela emibi. Ezinye imiphumela emibi ingabandakanya:
- I-nausea nokuhlanza
- Izinsizwa
- Ubuhlungu be-bone kanye obuhlangene
- Uhudo noma ukuphuma kwamagciwane
- Isifuba esibuhlungu noma ubuhlungu besisu
- Ukugwinya okunzima noma okubuhlungu.
Enye impembelelo engase ibe khona ye-isotretinoin therapy yizinguquko ezinkulu zemizwelo. Isikhungo Sokuhlola Ukusetshenziswa Kwezidakamizwa noCwaningo lwe-FDA luxwayisa i-isotretinoyin kungabangela ukucindezeleka , ukucindezeleka kwengqondo nemicabango yokuzibulala. Noma yiziphi izinguquko zemizwa kufanele zibikwe kudokotela wakho.
Okubalulekile
I-Isotretinoin iboniswe ukuthi iyimpatho ye- acne ephumelelayo . Kulabo abanesifo esinamandla sokuvuvukala noma se- cystic , kungaba yindlela yokwelashwa enamandla, ikakhulukazi uma induna ingaphenduli kahle kwezinye imithi. Ekugcineni, wena nodokotela wakho we-dermatologist kufanele unqume ukuthi ngabe i-isotretinoin yokwelapha ikulungele yini.
Imithombo:
I-American Academy of Dermatology
Ukuphathwa kwe-US nokuDrug
"I-Accutane." I-American Osteopathic College of Dermatology.