Kodi Antibiotics Amagwira Ntchito Ziti Zamakono?
Nchifukwa chiyani maantibayotiki amagwiritsidwa ntchito kwa acne? Kodi ma antibiotic osiyanasiyana amagwira ntchito zosiyanasiyana za zizindikiro za acne? Kodi anthu okhala ndi ziphuphu ndi azimayi awo amasankha mankhwala abwino?
Mwachidule
Maantibayotiki amagwiritsidwa ntchito nthawi zambiri pochiza achule chifukwa amathandiza kuchepetsa chiwerengero cha mabakiteriya kumbali ndi kuzungulira chipinda chopanda phokoso , chophatikiza tsitsi, tsitsi lopweteka, ndi tsitsi.
Zodzoladzola zimayambitsidwa ndi zotsatira za mahomoni pachigawo ichi.
Makamaka, follicle imalephereka ndipo mabakiteriya ambiri a khungu, Propionibacterium acnes , amachititsa kuti chiwonongekocho chiwonongeke. Njirayi imalola kuti zojambulazo zizilowetsa m'mimba, zomwe zimayambitsa kutentha.
Momwe Amagwirira Ntchito
Maantibayotiki amagwira ntchito zosiyanasiyana. Njira yofunikira kwambiri ndiyo kuchepa kwa chiwerengero cha mabakiteriya mkati ndi kuzungulira follicle. Maantibayotiki amathandizanso kuchepetsa mankhwala owopsya opangidwa ndi maselo oyera a magazi. Potsirizira pake, maantibayotiki amachepetsa mchere wambiri wa mafuta mu sebum, komanso kuchepetsa kuyankha kotupa.
Mitundu
Ma antibayotiki omwe amagwiritsidwa ntchito kawirikawiri pamakhala mwachidule pano.
Tetracycline
Tetracycline ndi mankhwala omwe amalembedwa kwambiri chifukwa cha achule. Chizoloŵezi choyamba cha mlingo ndi 500 mg kawiri pa tsiku kupitirira mpaka kuchepa kwakukulu kwa zipsyinjo zamatenda kumaonekera.
Mlingowo ukhoza kuchepa kufika 250 mg kawiri pa tsiku kapena kuleka. Cholinga chachikulu cha mankhwalawa ndi chakuti chiyenera kutengedwa pamimba yopanda kanthu kuti ikhale yogwira mtima kwambiri. Kwa mnyamata wachinyamata amene amadya nthawi zambiri, izi zingakhale zovuta kwambiri. Tetracycline sayenera kupatsidwa kwa amayi apakati kapena ana osakwana zaka zisanu ndi zinayi.
Erythromycin
Erythromycin ndi mankhwala omwe amagwiritsidwa ntchito kwambiri chifukwa cha ziphuphu. Ali ndi ubwino wambiri pa tetracycline. Choyamba, chiri ndi anti-inflammatory properties zomwe zimathandiza kuchepetsa kuperewera kwa zilonda kuphatikizapo kupha mabakiteriya. Komanso, ikhoza kuthandizidwa ndi chakudya-phindu kwa achinyamata. Mlingo wa erythromycin umasiyana ndi mtundu umene wagwiritsidwa ntchito, koma nthawi zambiri amauzidwa ngati 250 - 500 mg kawiri pa tsiku. Zingayambitse mimba komanso kupweteketsa koma zingagwiritsidwe ntchito kwa amayi apakati. Erythromycin imagulitsidwa pansi pa mayina: Ilotycin, Ery-Ped, Ery-tab, Staticin, Erythra-Derm, Akne-mycin, Pce, Eryc, Ery, Eryped, T-Stat, Erygel, ndi EES
Minocycline
Minocin (minocycline) ndi chivomezi cha tetracycline chimene chagwiritsidwa ntchito mogwira mtima kwa zaka makumi ambiri ngati mankhwala ochizira acne. Ndizothandiza makamaka pustular mtundu wa acne. (Pustule ndi pus containing vesicle monga whitehead yozunguliridwa ndi kufiira.) Pamene kuyamwa kwa minocycline kumachepa ndi chakudya, sikofunikira monga kuchepa kwa tetracycline. Chizolowezi choyamba cha mlingo ndi 50 mpaka 100 mg kawiri pa tsiku. Zotsatira zoyipa za minocycline zimaphatikizapo chizungulire, kunyoza, kusanza, kusintha kwa khungu khungu, ndi kusintha kwa dzino. Khungu ndi kusintha kwa dzino zimapezeka nthawi zambiri mwa anthu amene atenga minocycline kwa nthawi yaitali.
Minocycline (ndipo mwachidziwikire mankhwala ochotsera tetracycline) ayenera kupeŵedwa mwa iwo amene akugwiritsa ntchito Acutane (isotretinoin) monga kuphatikiza kwa izi kungayambitse vuto lomwe liripo kuchulukitsidwa mkati mwa chigaza ( pseudotumor cerebri .)
Doxycycline
Doxycycline kawirikawiri imagwiritsidwa ntchito kwa anthu omwe samayankha kapena sangathe kulekerera erythromycin kapena tetracycline, kapena omwe angakhale ovuta ndi malangizo "opanda chakudya" a tetracycline (monga anyamata achichepere). Mlingo wa doxycycline wayamba pa 50 100 mg kawiri pa tsiku. Iyenera kutengedwa ndi chakudya; Apo ayi, izo zingayambitse chifuwa chachikulu.
Doxycycline ndizovuta kuposa tetracycline kuonjezera kutengeka kwa dzuŵa kapena kuyambitsa dzuwa, zomwe zimadziwika kuti photosensitivity . Palinso mankhwala ena amchere omwe angayambitsenso zithunzi , monga benzoyl peroxide, alpha hydroxy acids, ndi retinoids zam'mutu.
Doxycycline imapezeka pansi pa mayina awa: Doryx, Oracea, Monodox, Atridox, Morgidox, Vibra-Tabs, Alodox, Ocudox, Doxy, Acticlate, ndi Vibramycin.
Ma antibayotiki ena: Septra / Bactrim ndi Macrolides
Septra kapena Bactrim (sulfamethoxazole / trimethoprim) ndi Zithromax (azithromycin) ndi macrolide, nthawi zambiri amagwiritsidwa ntchito pochizira matenda opweteka kwambiri. Kafukufuku wam'mbuyo sakuwoneka kuti akuthandiza antibiotic wina pa wina ndi matendawa, koma mankhwala akuwoneka kuti akugwira ntchito bwino pamene akuphatikizapo mankhwala opatsirana. Zomwe zimayambitsa matendawa (" sulfa allerergy ") zimakhala zofala kwambiri ndi sulfanomides ndipo kukanika kwakukulu kwawoneka ndi magulu awiriwa a antibiotic.
Ma antibiotics
Clindamycin ndi othandiza kwambiri monga mankhwala ophera tizilombo toyambitsa matenda, koma ndi omwe amauzidwa kuti ndi antibiotic. Mlingo woyambira ndi 75 mpaka 150 mg kawiri pa tsiku. Njira yaikulu ya mankhwala a clindamycin ndi matenda aakulu a m'mimba otchedwa pseudomembranous colitis chifukwa cha mabakiteriya, Clostridium difficile . Matenda a Clostridium difficile amavomereza kwambiri ndi mawu a clindamycin koma amvekanso ndi mankhwala opangidwa pamwamba. Clindamycin yapamwamba imapezeka monga Cleocin-T, Clinda-Derm, Clindagel, Clindets, C / T / S, ndi Evoclin.
Zotsatira Zotsatira
Maantibayotiki onse amatha kuyambitsa matenda a yisiti mwa amayi. Tetracycline ikuwoneka kuti ndi mankhwala omwe amapezeka nthawi zambiri. Mankhwala onse opatsirana amatha kuchepetsa kupambana kwa mapiritsi oletsa kubereka, kotero iwo omwe amatenga mankhwalawa ayenera kugwiritsa ntchito njira yoletsa kubereka. Nausea ndi yofala kwambiri ndi erythromycin ndi doxycycline. Ndikofunika kulankhula ndi dermatologist zokhudzana ndi zotsatira zake komanso pamene muyenera kuyitana ndi zizindikiro zilizonse.
Kukana kwa Antibiotic
Zaka zaposachedwapa tawona kuwonjezereka kwa mabakiteriya Propionibacterium acnes motsutsana ndi mankhwala omwe amamwa mankhwala. Njira zamakono zochepetsera kukana (kotero, kusowa kwa zotsatira za antibiotics pa acne) amalangiza kugwiritsa ntchito mankhwala opha tizilombo kuphatikizapo mankhwala opatsirana ndikumapangitsani nthawi yogwiritsira ntchito ngati n'kotheka.
Pansi pa Ma antibayotiki a Acne
Maantibayotiki angakhale othandiza kwambiri kwa anthu ena okhala ndi ziphuphu komanso kugwira ntchito mwa njira zosiyanasiyana. Maantibayotiki ena amagwira bwino ntchito zosiyanasiyana za acne ndi dermatologist angapange chisankho chabwino mwakumvetsa mbiri yanu ya acne komanso moyo wanu. Mofanana ndi mankhwala alionse, zotsatira zake zingachitike. Mwamwayi pali zosankha zosiyanasiyana zomwe zingakhalepo ngati chimodzi mwazipita sizothandiza. Maantibayotiki amagwiritsidwa ntchito pophatikizidwa ndi mankhwala opatsirana pogonana ndi kusamalira bwino khungu tsiku ndi tsiku kwa khungu lamakono .
> Zotsatira:
> Adler, B., Kommehl, H., ndi A. Armstrong. Kupewera kwa Antibiotic mu Matenda Akumva. JAMA Dermatology . 2017 Jun 21. (Epub patsogolo pa kusindikiza).
> Wellenfeld, A., Nagler, A., ndi S. Orlow. Thandizo la Antibacterial Oral Antibacterial for Acne Vulgaris: Kukambitsirana Kwambiri. American Journal of Clinical Dermatology . 2017 Mar 2. (Epub patsogolo pa kusindikiza).
> Descamps. V. Malangizo Othandizira Otsogolera Mavitamini a Acne Vulgaris. JAMA . 2017. 317 (2): 213.
> Weller, Richard PJB, Hamish JA Hunter, ndi Margaret W. Mann. Dermatology Clinic. Chichester (West Sussex): John Wiley & Son Inc., 2015. Print.