Isotretinoin (omwe kale anagulitsidwa pansi pa dzina lakuti Accutane) ndi mankhwala omwe adasintha mankhwala ochizira. (Maina ena amodzi ndi awa: Claravis, Amnesteem, ABsica, Myorisan, Zenatane, ndi Sotret.)
Isotretinoin ndi ya banja la mankhwala otchedwa retinoids, omwe ali ofanana ndi vitamini A. Isotretinoin, monga ena retinoids , amagwira ntchito potembenuza DNA kulemba.
Zotsatirazi zimachepetsa kukula ndi zotsatira za zofiira za sebaceous . Zimapangitsanso maselo omwe amalowetsedwa m'magazi osakanikirana, ndipo amalephera kupanga ma blackheads ndi whiteheads (comedones). Imathandizanso kuchepetsa chiwerengero cha mabakiteriya m'magazi osakanikirana komanso pakhungu.
Chimodzi mwa mankhwala osokoneza bongo ndicho chakuti chimakhala ndi zotsatira zoopsa (kuphatikizapo zovuta koma zosautsa), motero onetsetsani kuti mukuyesa zomwe zimapindulitsa ndi chiopsezo ndi dokotala musanasankhe ngati mankhwalawa ndi oyenera kusankha kwa mankhwala.
Ndani Amatenga Isotretinoin?
Isotretinoin nthawi zambiri imagwiritsidwa ntchito kwa nodular, pustular acne yomwe siinayankhe pa maphunziro ambirimbiri a antibiotics. Chizoloŵezi cha isotretinoin chomwe chimafotokoza kuti chifuwa cha acne chimakhala chikugwiritsidwa ntchito poyambitsa matendawa, makamaka ngati kuli kovuta kwambiri. Ngakhale kuti isotretinoin imagwiritsidwa ntchito makamaka pa ziphuphu zoopsa , imagwiritsidwanso ntchito pazovuta zina monga psoriasis, lupus, ndi lichen planus ndi kupambana mosiyanasiyana.
Kuyambira Kuchiza
Mankhwala angapo amagwiritsidwa ntchito, koma kawirikawiri regimen imaphatikizapo kuyamba ndi mlingo wochepa, ndikuwonjezera mlingo pambuyo pa milungu ingapo. Kutalika kwa njira yopatsirana kumasiyanasiyana koma kawirikawiri kumatenga masabata 16 mpaka 20. Anthu ena amazindikira kuti mankhwala awo amayamba kuchepa kwambiri atayamba mankhwala a isotretinoin.
Chiwerengero cha zilonda zam'thupi sizikuwonjezeka, koma zilonda zingakhale zofiira kapena zopweteka kwambiri. Izi ndi zachilendo, zimatha kanthawi kochepa, ndipo si chifukwa chosiya kugwiritsa ntchito isotretinoin.
Zolepheretsa Kubadwa
Zotsatira za mankhwalawa zakhala zotsutsana. Chowonekera kwambiri, chowopsa kwambiri ndi zotsatira zake. Izi zikutanthauza kuti isotretinoin imayambitsa zolepheretsa kubadwa ngati amayi atenga iyo pamene ali ndi pakati. Ziwalo zoberekera zomwe ziri isotretinoin zimayambitsa dongosolo la mitsempha, nkhope, mtima, ndi thymus gland zolakwika. Pambuyo pa mankhwala a isotretinoin amatha mwezi umodzi, mayi akhoza kutenga mimba popanda nkhawa ponena za zilema zobereka. Isotretinoin sizimakhudza kubereka kapena zimapangitsa kukhala kovuta kutenga pakati. Azimayi amene akutsatira isotretinoin ayenera kugwiritsa ntchito njira ziwiri zobadwa panthawiyi: mwezi umodzi asanayambe kuchipatala mpaka kumapeto kwa mwezi woyamba.
Zovuta Kwambiri
Matenda a Isotretinoin amakhalanso ndi zotsatira zoopsa zotsatirazi.
- Mutu , ngati ukupitirizabe ndikugwirizanitsa ndi kunyoza, kusanza, ndi kuwonetseratu kolakwika, kungakhale chizindikiro cha chikhalidwe chotchedwa pseudotumor cerebri.
- Kuopsa kwa kuvutika maganizo, maganizo, ndi kudzipha kumawonjezeka panthawi ya kuchipatala ndikubwerera kuntchito pambuyo posiya mankhwala.
- Kupanga misonzi m'maso kukuchepetsedwa, komwe kungayambitse maonekedwe ofiira, okongola komanso mwina zilonda za cornea, makamaka ndi ovala makina a lens .
- Kukhoza kusiyanitsa pakati pa mithunzi yakuda ndi yoyera kungachepetse, kuchititsa khungu usiku.
- Mavitamini a chiwindi amatha kukwera, amachititsa chiwindi, chiwindi cha chiwindi, ndi ululu m'mimba.
Zovuta Zina
Mankhwala a Isotretinoin angapangitsenso zotsatirazi zochepa, koma zotsatira zake zingakhumudwitse.
- Khungu loumala lomwe limagwiritsidwa ntchito mobwerezabwereza
- Milomo yowuma ndi yopopera
- Nosebleeds
- Khungu lachitsulo (pruritus)
- Kupukuta tsitsi
- Kuwongolera kwambiri, makamaka mitengo ya palmu ndi miyala
- Minofu ndi ululu zomwe zimakhala zovuta kwambiri ndi kuchita masewera olimbitsa thupi
- Kuchulukitsa mphamvu kwa dzuŵa, kuchititsa kuphulika kwa dzuwa mosavuta
- Mizere yapamwamba ya triglyceride
Kuwunika Lab
Asanayambe mankhwala a isotretinoin, odwala ayenera kugwira ntchito ya magazi kuti ayang'ane mayendedwe a triglyceride, chiwindi, komanso kuchuluka kwa magazi. Azimayi ayenera kutenga kachilombo ka mimba. Nthaŵi zambiri, panthawi yachipatala, koma mwezi umodzi mutangoyamba kumwa mankhwala, mababu awa amayang'ananso.
Kutsirizira Mankhwala
Njira yowonjezera ya mankhwala ndi masabata 16 mpaka 20. Kumapeto kwa masabata 16, pafupifupi 85% mwa odwala ali omveka. Zopindulitsa za isotretinoin siziima pamene mankhwala akuchotsedwa. Kuonjezera kuchepa kwa ziphuphu zakumaso ndi zofiira zikuwoneka kwa miyezi ingapo chithandizo chitatha. Chinthu chinanso chopindulitsa cha isotretinoin ndi chakuti pambuyo pa mankhwala, khungu limakonda kuchepetsa mankhwala ochiritsira achibadwa.
Maganizo Otsiriza
Zotsatira za mankhwala a isotretinoin athandiza anthu ena kuti asawerenge ngati mankhwala othandiza. Ngakhale zili ndi zotsatira zake, isotretinoin imakhala mankhwala amphamvu kwambiri komanso odalirika kuti azitha kupweteka kwambiri. Amagwiritsidwa ntchito mosamala, mosamala, akhoza kusintha moyo wa mwana wakhanda kapena wamkulu.