Kuchiza Mankhwala Operekera Akazi Omwe Amakhala ndi Matenda a Hormonal
Kachilomboka (spironolactone) ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda osiyanasiyana, kuchokera ku kuthamanga kwa magazi kupita ku madzi osungirako. Ngakhale kuti United States Chakudya ndi Mankhwala Osokoneza Bongo sichivomereza kuti Aldactone ndi chithandizo cha ma acne, kaŵirikaŵiri amalembedwa kuti asatulutse mankhwala omwe amachititsa kuti amayi asamawonongeke.
Mankhwalawa sagwiritsidwa ntchito ngati mzere woyamba wa chitetezo chotsutsana ndi ziphuphu.
Kachilombo kameneka kamakhala kothandiza kwambiri motsutsana ndi mavala omwe amachititsa kusintha kwa mahomoni, mwachitsanzo akazi omwe amapitirira nthawi zonse pozungulira nthawi yawo . Zimathandiza makamaka amayi omwe ali ndi matenda a mahomoni omwe amachititsa ziphuphu, kapena omwe ali ndi ziphuphu limodzi ndi mavuto ena monga tsitsi losafunika.
Ichi ndi chithandizo cha ma acne kwa amayi achikulire okha. Sichiperekedwa kwa amuna omwe ali ndi ziphuphu kapena achinyamata achinyamata khumi ndi awiri. Kachilomboka kokha kamapezeka ndi mankhwala kuchokera kwa dokotala.
Mmene Wachinyamata Amagwirira Ntchito
Kachilomboka kali m'gulu la mankhwala otchedwa anti-androgens . Mahomoni, makamaka a androgens, akhala akugwirizana ndi kukula kwa acne. Aldactone amagwira ntchito pochepetsa kuchepa kwa mahomoni komwe kungayambitse chitukuko.
Mahomoni a Androgen , monga testosterone, amadziwika ngati mahomoni amphongo. Koma amanjenje amapezekanso mu thupi lachikazi, ngakhale kuti ali m'munsi. Akazi ena amapanga mahomoni ambiri a androgeni kuposa momwe akufunira.
Anti-androgens ngati mankhwala ophera tizilombo torogen m'thupi, kuteteza maselo kuti asatenge ma hormoni a androgen.
Mwachidule, Aldactone amachepetsa kusintha kwa mahomoni ena omwe angapangitse kuti ziphuphu zisawonongeke. Chifukwa cha momwe Aldactone imagwirira ntchito, ndi akazi okha omwe amachititsa kuti mavitamini asinthe kwambiri ndi mahomoni adzawona zotsatira ndi mankhwalawa.
Koma kwa amayi omwe ali ndi acne yamadzimadzi, mankhwalawa amatha kugwira ntchito yabwino kuti athetse kuchepetsa.
Munthu Wachilendo Amatengedwa Mwachizolowezi
Mosiyana ndi mankhwala ambiri, mankhwalawa sagwiritsidwa ntchito pakhungu. Mmalo mwake, zimatengedwa pamlomo.
Pogwiritsira ntchito Aldactone ngati chithandizo cha ma acne, mlingo wochuluka kwambiri uli pakati pa 50 ndi 100 mg tsiku lililonse. Ambiri a dermatologist amayamba kuyeza 25 mg ndikugwira ntchito mpaka mlingo umodzi. Dokotala wanu adzakupatsani mlingo woyenerera kwambiri, malinga ndi momwe mumakhalira.
Ngati mapulogalamu anu amapezeka pokhapokha pa nthawi ya mwezi wanu, dermatologist yanu ikhoza kugwiritsira ntchito Aldactone sabata ingoyamba nthawi yanu yokha. Izi zikhoza kuthandizira ngakhale ma spikes omwe angakhale akuyambitsa ma acne.
Nthawi zambiri amagwiritsidwa ntchito limodzi ndi njira zothandizira kulera. Ikhoza kugwiritsidwanso ntchito pothandizana ndi mankhwala ena opatsirana pogonana . Zimayamba kugwira bwino ntchito monga mankhwala enaake, osati mankhwala okhawo.
Zotsatira Zotheka za Wachibale
Zotsatira zoyipa ndi mlingo wotsika spironolactone sizowoneka ngati zapamwamba, koma nthawi zambiri zimaphatikizapo:
- Kutha msambo
- Chikondi cha m'mimba
Zotsatira zina zingaphatikizepo:
- Kutentha kapena pakamwa
- Mimba imatulutsa, kusanza, ndi / kapena kutsekula m'mimba
- Mutu
- Chizungulire
- Kuwonjezeka kwa potaziyamu ya magazi
- Kuthamanga kwa magazi
Magazi onse a potaziyamu ndi kuthamanga kwa magazi ayenera kufufuzidwa nthawi ndi nthawi pamene mukumwa mankhwalawa.
Komanso, musamachite mimba mutenga mankhwalawa. Kuwonjezera apo, mankhwalawa si abwino kwa inu ngati muli ndi vuto la impso, kapena mbiri (kapena mbiri ya banja) ya khansa ya m'mawere , khansara ya uterine , kapena khansara ya ovari .
Tengani mapiritsi anu ndi chakudya ngati zimakhumudwitsa m'mimba mwanu. Ndipo onetsetsani kuti mumamwa madzi ambiri tsiku ndi tsiku monga Aldactone amachita ngati diuretic.
Mawu Ochokera
Kachilombo ka mankhwala si mankhwala oyamba a acne, kotero kuti dermatologist yanu idzayesa kumwa mankhwala opangira ma acne poyamba: topical retinoids , antibiotic , benzoyl peroxide kapena mankhwalawa .
Ngati izo sizikuyeretsa khungu lanu mokwanira, ndipo dokotala wanu akuganiza kuti ziphuphu zanu zamagetsi zimachulukitsidwa ndi kusintha kwa mahomoni, angasankhe kupereka mankhwala a Aldactone.
Mudzapitirizabe kugwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala a Aldactone. Sizimagwira ntchito nthawi zonse ngati zimagwiritsidwa ntchito pazokha, koma zimagwira bwino ntchito pogwiritsira ntchito mankhwala ochiritsira a acne.
Ziribe kanthu kuti mankhwala amalinganiza bwanji dermatologist kwa inu, yesetsani kukhala oleza mtima mukudikira zotsatira. Zitha kutenga miyezi itatu kapena inayi musanazindikire kusintha kwakukulu khungu lanu. Choncho, musataye mankhwala anu mwamsanga, ndipo dermatologist wanu adziwe za zotsatira zomwe mumakumana nazo.
Zotsatira:
Friedman AJ. "Spironolactone kwa Acne Achikulire Achikazi." Kudula. 2015 Oct; 96 (4): 216-217.
Hassoun LA, Chahal DS, Sivamani RK, Larsen LN. "Kugwiritsidwa Ntchito kwa Hormonal Agents mu Chithandizo cha Acne." Seminala mu Medicine and Surgical Surgery. 2016 Jun; 35 (2): 68-73.
Husein-ElAhmed H. "Utsogoleri wa Acne Vulgaris ndi Mankhwala Ochizira Amuna Amuna Odwala Amuna Ambiri Amayi." Dermatologic Therapies. 2015 May-Jun; 28 (3): 166-172.
Kamangar F, Shinkai K. "Zizindikiro za Mkazi Wachikulire Wachikazi: Njira Yothandiza." International Journal of Dermatology. 2012 Oct; 51 (10): 1162-1174.
JQ Kim GK, Del Rosso. "Mthupi la Mthupi la Mthupi mwa Odwala Amayi Omwe Amakhala ndi Acne Vulgaris." Journal of Clinical and Aesthetic Dermatology. 2012 Mar; 5 (3): 37-50.