Ngaba kufuneka uthathe iAccutane yamabala akho?

Ulwazi lweziyobisi

Uzamile iikhrimu zevenkile yeziyobisi kunye neoyile ebiza kakhulu yesebe ukucoca amaqhakuva. Mhlawumbi ude wanikwa ichiza elisisihloko okanye i-tetracycline antibiotic yomlomo ngugqirha wesikhumba-okwangoku, amaqhakuva akho abuhlungu ayaqhubeka. Ukuba oku kuvakala kuqhelekile, isenokuba lixesha lokuba ubuze ugqirha wakho malunga isotretinoin .

Ngokuqhelekileyo yaziwa ngegama layo loqobo i-Accutane, isotretinoin ligama eliqhelekileyo elithengiswa ngoku phantsi kweelebheli ezahlukeneyo, kubandakanya ukufunxa , Claravis , Amnesteem, kunye noZenatane. Igama le-brand Accutane layeka ngo-2009.

Nangona kuvunyiwe yi-US Food and Drug Administration (i-FDA), i-isotretinoin ihlala ibizwa ngokuba sisiyobisi se-acne sokugqibela. Sisiphumo esivela kuVitamin A esimiselweyo kwizigulana ezine-acne, nodular acne okanye cystic acne, abo bane-acne enganyangekiyo kunyango lwesintu, okanye abaguli abanobunzima emzimbeni okanye ngokweemvakalelo, utsho UJoshua Drafman, MD , umlawuli wophando lwezithambiso kunye neeklinikhi kwi-dermatology e Isibhedlele iMount Sinai kwisiXeko saseNew York. Isotretinoin yeyona ikufutshane ekufuneka sinyange amabala. Elona chiza lisebenzayo nelisebenzayo esinalo kwaye linika iziphumo ezihlala ixesha elide.

ZIQHELEKILEYO: Yintoni i-Isotretinoin? | Yintoni uXolelwaniso? | Yintoni i-Absorica?

Isebenza njani iAccutane?

I-Isotretinoin yi-retinoid esebenza ngokunciphisa inani leoyile yokuvala umzimba oyivelisayo-nasemva kokuba uyekile ukuyisebenzisa. Kwaye ngokungafaniyo nonyango lwamachiza, iyeza lijongana namabala emzimbeni wonke, kubandakanya umva, intamo, nesifuba.

Ngelixa singenako ukuthembisa ngonyango olupheleleyo, utshilo uGqirha Zeichner, uninzi lwezigulana ziya kucaca okanye ziphantse zicace ngokulungileyo.

Ewe, ngesiyobisi esinamandla kuza umngcipheko weziphumo ebezingalindelekanga ezibi. I-Isotretinoin lonyango olujongwa ngononophelo, kwaye nangona ithathwa njengekhuselekileyo kuninzi, ifuna ukuba izigulana zingene rhoqo ngenyanga kunye nogqirha wabo ukuze babeke esweni impilo kunye nokuba sempilweni.

Nantsi into ekufuneka uyazi malunga neziyobisi, ezithathwa ngomlomo, ukuba wena (okanye umntwana wakho okwishumi elivisayo) uyayijonga.

Zithini iimfuno zokuthatha iAccutane?

Ugqirha wolusu uya kumisela kuphela i-isotretinoin emva kwazo zonke ezinye iindlela ze unyango lwamabala ukusilela. Nje ukuba ugqirha akuchonge njengomgqatswa olungileyo kwesiyobisi, kuya kufuneka ubhalise kwirejista yaseburhulumenteni IPLEGE , Inkqubo eyilelwe ukuthintela abasetyhini ukuba bangakhulelwa ngelixa besebenzisa amayeza, njengoko inengozi enkulu yokuzalwa eneziphene. Kwizigulana zabasetyhini, inkqubo ye-iPLEDGE ifuna iimvavanyo ezimbini zokukhulelwa ezingalunganga (kunye nesithembiso sokusebenzisa iindlela ezimbini ezahlukeneyo zolawulo lokuzalwa). Qaphela: Iipilisi zolawulo lokuzalwa kuphela kweprogestin azinakusebenza ngelixa zithatha i-isotretinoin. Ummeli wakho kufuneka aqinisekise iziphumo zolu vavanyo lokukhulelwa ngaphambi kokuhambisa iyeza. Uvavanyo lwegazi lwenyanga emva koko luya kujonga ukukhulelwa kunye nokubeka esweni ukusebenza kwesibindi (njengoko isotretinoin inokuchaphazela isibindi).

Kumadoda, i-iPLEDGE ifuna ukutsalelwa kwegazi elifanayo kwinyanga yonke ukubeka esweni ukusebenza kwesibindi.

Nje ukuba unikwe iphepha lokuyalela lakho lenyanga, unefestile yeentsuku ezisixhenxe zokugcwalisa. Ukuba uyiphose loo festile, kuya kufuneka ulinde iintsuku ezingama-30 zokufumana amayeza amatsha.

Yeyiphi idosi eyiyo yeAccutane?

Isotretinoin dosage ichongiwe ngokobunzima besigulana. Ngoku ka Usuku lukaDoris, MD , ugqirha wesikhumba eseNew York City, oogqirha abaninzi baqala izigulana zabo kwisicwangciso esiphumeleleyo sokunceda ukunciphisa iziphumo ebezingalindelekanga kunye nokuvumela umzimba ukuba uhlengahlengise. Ndi [yandisa] idosi kancinci kancinci, utshilo. Ngokwenene yidosi iyonke ebaluleke, ngenxa yoko ndiyinyusa ukuya kwidosi enyangayo ngenyanga yesibini okanye kwinyanga yesithathu. (Idosi yokunyanga ihlala ijikeleze i-milligram enye ye-Accutane ngekhilogram yesisindo.) Kwishedyuli yesidanga sokuthweswa izidanga, abaguli kufuneka balindele ukuba kwesiyobisi iinyanga ezintlanu ukuya kwezisixhenxe. Funda isikhokelo sakho seyeza ukuze ufunde kabanzi malunga nokusetyenziswa kwe-isotretinoin echanekileyo.

Ngaba uthatha isotretinoin ngokutya?

Oogqirha bakwacebisa ukuthatha i-isotretinoin ngokutya okunamafutha ukunceda ukufunxwa. Ngelixa ukwisiyobisi, kuya kufuneka uthintele okanye unqande utywala ngokupheleleyo (kwakhona, ngenxa yesibindi sakho) kwaye yazisa ugqirha wakho ukuba uya kukuyalela nawaphi na amayeza okubulala iintsholongwane, njengoko kunokubakho ukuhlangana kweziyobisi.

Ngaba amabala abuya emva kokuthatha i-isotretinoin?

Abanye abaguli (malunga neepesenti ezingama-20, ngokukaGqirha Zeichner) baya kufuna umjikelo wesibini we-isotretinoin ukucoca amabala abo. Kukho ikepisi yedosi yobomi bechiza, ke uGqirha uSuku ucebisa ukuba udibane nedermatologist eqinisekiswe yibhodi ukuqinisekisa ukuba uhlala ngaphakathi komda.

Iziphumo ebezingalindelekanga ze-Accutane

Iziphumo eziphambili ezinokubakho ziziphene zokuzalwa ezinzulu. Nokuba emva kokuthatha ipilisi enye, ibangela kakhulu, kakhulu, kakhulu kwaye izoyikiso zokuzalwa ezothusayo kodwa ingekuko ukuqhomfa okuzenzekelayo, ngenxa yoko ungagqiba ukuba ukhulelwe oya kwikota kodwa ngelishwa, umntwana osengozini kakhulu onokuthi okanye usenokungaphili ebusaneni, utshilo uGqirha uSuku. Abasetyhini kufuneka balinde ubuncinci inyanga emva kokuphuma kwi-isotretinoin ngaphambi kokukhulelwa okanye ukuncancisa ukunqanda iingxaki zempilo kwiintsana.

Iziphumo eziqhelekileyo ezichaphazelekayo ze-isotretinoin kukuma-amehlo omile, umlomo owomileyo kunye nolusu olomileyo. I-Isotretinoin ikwabangela i-photosensitivity, ke uya kufuna ukuqinisekisa ukusebenzisa ukhuselo lwelanga xa ungaphandle kwaye uphephe ukukhanya kwelanga ngqo kunye neebhedi zokutshisa.

Unokuba namava:

• iintlungu,
• intlungu edibeneyo,
• iingxaki ngombono wobusuku
• ukuchitha iinwele,
• ukwanda kwecholesterol
• iswekile ephakamileyo.

Ezinye iziphumo ebezingalindelekanga ezinokubakho zibandakanya: tyheli kwamehlo okanye kolusu, kunye neempumlo zeempumlo. Inokukhokelela ekwandeni kokudumba kwepancreas, ukonakala kwesibindi, ukophuka kwethambo kunye nokubetha.

Ezinxulumene: La mayeza anokukwenza ube nolwazelelelo elangeni

Zithini iziphumo ebezingalindelekanga zexesha elide zeAccutane?

I-Isotretinoin inokuchaphazela ukukhula kwabantwana, ke ulutsha kufuneka lufune iingcebiso kunyango lwabo ngaphambi kokulusebenzisa. Kuya kufuneka uphephe ukuthambisa i-waxing kunye nedermabrasion, njengoko ezi zinokubangela amanxeba asisigxina kwabo bathatha isotretinoin. Isotretinoin ikwanxulunyaniswa nesifo samathumbu esivuthayo (IBD). Kubalulekile ukuba uqonde iziphumo ezinokubakho ezimbi ze-isotretinoin ngaphambi kokuba uyithathe.

Kuthekani ngeAccutane kunye noxinzelelo?

Unxibelelwano phakathi kwe-isotretinoin kunye neengxaki zempilo yengqondo yinto engacacanga. Isandla se amatyala aphezulu kwii-2000s zakudala, apho abaguli baseAccutane babhubha ngokuzibulala, kukhokelela kwimibuzo malunga nokuba ingadala uxinzelelo okanye iingcinga zokuzibulala kunye nemigaqo engqongqo ephefumlelweyo. Kodwa, ngokukaGqirha Zeichner, uphononongo lubonisa ukuba abaguli abakwi-isotretinoin banokuba namazinga asezantsi okuzibulala.

Siyazi ukuba amabala ngokwawo, ngakumbi amabala abukhali, azimeleyo ahambelana nokudakumba, utshilo. Idatha yakutshanje ibonakalisile ukuba amazinga okuzibulala kwizigulana ezikwi-isotretinoin ngokwenene asezantsi kunabantu ngokubanzi. Nangona kunjalo, kuzo zonke izigulana zamabala, ngakumbi ezo zikwi-isotretinoin, kubalulekile ukuba ube nesicwangciso sokhathalelo esibanzi sokubeka iliso kwizigulana kutshintsho lwemood.

UGqr Day uyavuma: Into endicinga ukuba ibalulekile, utsho, kukulumkisa abaguli malunga nale miphumela kwaye ubancede baqonde ukuba ukuba awuziva mnandi ngelixa uthatha eli yeza, kuya kufuneka uyeke ukulithatha kwaye ubize ugqirha wakho ngokuchanekileyo kude kuba sinokwenza okuthile ngayo.

Ixabisa malini iAccutane?

Ixabiso eliphakathi le-Isotretinoin limalunga ne- $ 359 yokubonelelwa nge-30, 10 mg capsules. Sebenzisa singlecare.com ukuthelekisa amaxabiso kwiikhemesti ezahlukeneyo ngaphambi kokugcwalisa amayeza akho ukuze ufumane elona xabiso liphezulu.

Fumana ikhadi lesaphulelo somntu ongatshatanga

Umgca wenyani: Ngaba iAccutane ikhuselekile?

I-Isotretinoin yeyona inamandla, i-FDA-evunyiweyo yesikhumba seedermatologists kwi-arsenal yabo yokunceda abaguli bathintele kwaye baphathe i-acne yabo, kodwa kukho umngcipheko ekufuneka uthathelwe ingqalelo.

Sisiyobisi esiguqula ubomi sabanye abantu, kwaye ndiyathemba ukuba sihlala kwintengiso kuba kukho izinto ezintle esizisebenzisayo, utshilo uGqirha Day. Kodwa ayisiyobisi ukuba nabani na kufuneka asithathe kancinci.