Ko te Acitretin he rongoā waha kaha nō te kāwai rongoā e kīia nei ko te retinoids, he tino whanaunga ki te huaora A. Ka tohua pea tēnei rongoā e tō tākuta mēnā kei te raru koe i te psoriasis kaha kāore i pai te whakautu ki ētahi atu rongoā.
E mahi ana tēnei rongoā mā te whakaroa i te tipu tere o ngā pūtau kiri e pūtake ana i ngā pānga matotoru, te pānga o te psoriasis. Ahakoa te kaha o tōna whai hua, me mātakitaki tonu te acitretin nā te kaha me ngā pānga taha ka puta.
He aha te Acitretin?
Ko te Acitretin he retinoid waihanga e whai ana i ngā pānga o te huaora A i tō tinana. I hangaia motuhake hei rongoā i ngā āhuatanga kiri kaha mā te whakahaere i te tipu me te marere o ngā pūtau kiri.
E kiia ana tēnei rongoā he rongoā pūnaha, te tikanga e mahi ana puta noa i tō tinana katoa, kaua ki te mata o tō kiri anake. Kāore i rite ki ngā rongoā ā-rohe e whakamahia tika ana ki ngā wāhi e pā ana, ka haere te acitretin mā tō toto ki te tae atu ki ngā pūtau kiri i ngā wāhi katoa.
He tino whai hua te rongoā mō ngā tāngata e pā ana ki te psoriasis nā te mea e aro ana ki ngā hātepe pūtau e pūtake ana i tēnei āhuatanga mau tonu. Ka āwhina i te whakahāngai i te ara e whakaputa ana, e whakakapi ana tō kiri i ngā pūtau.
He aha te Acitretin e whakamahia ana mō?
Ko te Acitretin te mea nui e tohua ana mō te psoriasis kaha, ina koa kāore ētahi atu rongoā i whai hua. Ka whakaaro tō tākuta ki tēnei rongoā ina kāore i whai hua ngā rongoā ā-rohe me te rongoā mā te mārama.
He pai te mahi a te rongoā mō ētahi momo psoriasis e uaua ana ki te rongoā. Koinei ngā āhuatanga nui e whai hua ana te acitretin:
- Te psoriasis nui e hipoki ana i nga waahi nui o to tinana
- Psoriasis pustular, e puta ai nga pupuhi ki tonu i te puku i runga i to kiri
- Psoriasis erythrodermic, he ahua onge engari he kino e pa ana ki te nuinga o to tinana
- Psoriasis e pa ana ki o kapu me o waewae, he uaua pea
I etahi wa, ka tohutohu pea nga taakuta i te acitretin mo etahi atu mate kiri kino penei i etahi momo ichthyosis, i nga mate keratosis ranei. Heoi, ko te psoriasis te whakamahinga tino noa me te pai te rangahau.
Me pehea te mahi a Acitretin?
Ka mahi a Acitretin ma te here ki nga kaiwhakawhiwhi motuhake i roto i o pūtau kiri me te whakahaere i te whakaputa ira. Ma tenei mahi e awhina ki te whakatau i te tere o te huri o te pūtau e whakaatu ana i te psoriasis.
I roto i te kiri hauora, tata ki te 28 nga ra ka neke nga pūtau mai i nga paparanga hohonu ki te mata ka marere noa. Ki te psoriasis, ka tere ake tenei mahi ki te 3-4 ra noa iho, ka hanga i nga papaki matotoru, unahi e kite ana koe.
Ko te Acitretin te korero ki o pūtau kiri kia puhoi me te whanonga noa. Ka whakaiti i te mumura me te awhina ki te aukati i te nui o te hanga o nga pūtau kiri e hanga ana i nga papa psoriatic.
E kiia ana he kaha tenei rongoa i roto i te ao o nga maimoatanga psoriasis. Ahakoa ehara i te mea ko te whiringa kaha rawa atu, he kaha ake i nga maimoatanga kaupapa, a ka taea te whakaputa i nga whakapainga nui i nga keehi kino.
Me pehea taku tango i te Acitretin?
Me tango tonu te acitretin i runga i ta te taakuta i whakahau ai, i te nuinga o te wa kotahi i te ra me to kai matua. Ma te tango me te kai, ina koa he mea kei roto he ngako, ka awhina i to tinana ki te ngongo i te rongoa.
Me horomia e koe nga potae katoa me te karaihe wai katoa. Kaua e kuru, e ngaungau, e whakatuwhera ranei i nga potae, na te mea ka pa tenei ki te mahi o te rongoa, ka riri pea to waha, korokoro ranei.
Anei etahi aratohu nui hei whai i te wa e tango ana i te acitretin:
- Me tango i te wā kotahi i ia rā kia mau tonu ai ngā taumata i tō tinana
- Me tango me tō kai nui o te rā kia pai ake te ngongo
- Kaua e tango me te miraka, ngā hua miraka rānei, nā te mea ka whakaiti ēnei i te ngongo
- Kaua e tango i ngā tāpiringa huaora A i te wā e tango ana i tēnei rongoā
Ka tīmata pea tō tākuta i a koe ki te horopeta iti, ā, ka whakatika haere i runga i tō urupare me ngā pānga taha e pā ana ki a koe. Mā tēnei huarahi tūpato e āwhina ki te whakaiti i ngā raruraru ka puta, me te whakanui i ngā painga.
Kia Pēhea te Roa e Tango Ai Au i te Acitretin?
He rerekē te roa o te maimoatanga acitretin i te tangata ki te tangata, engari ko te nuinga o te tangata me tango mō te maha o ngā marama kia kite i ngā painga katoa. Ka tohutohu te tākuta kia noho tonu koe ki te rongoā mō te 3-4 marama kia tika ai te aromatawai i ōna whai huatanga.
He maha ngā tāngata e tango tonu ana i te acitretin mō te 6-12 marama, neke atu rānei, i runga i tō rātou urupare me te manawanui. Ko ētahi tāngata e pā ana ki te psoriasis kaha pea me maimoatanga wā roa kia mau tonu ai te kiri mā.
Ka aroturuki te tākuta i tō ahunga whakamua, ā, ka whakatika pea i tō mahere maimoatanga i runga i ētahi āhuatanga. Kei roto i ēnei ko te pai o te urupare o tō kiri, ngā pānga taha e pā ana ki a koe, me tō āhua hauora whānui.
He mea nui kia kaua rawa e mutu te tango i te acitretin me te kore e kōrero tuatahi ki tō tākuta. Ka hoki mai pea ō tohu psoriasis, ā, i ētahi wā, ka hoki mai pea i te kino atu i mua mēnā ka mutu ohorere te rongoā.
He Aha ngā Pānga Taha o te Acitretin?
Pērā i ngā rongoā kaha katoa, ka pā mai pea ngā pānga taha o te acitretin, ahakoa kāore te katoa e pā ana. Ko ngā pānga taha e tino kitea ana e pā ana ki ngā pānga rite huaora A o te rongoā ki tō tinana.
Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina koe ki te pūmau ake, me te mōhio ki te wā e whakapā atu ai ki tō tākuta. Ko ēnei ngā pānga taha e tino pūrongotia ana:
- Te kiri maroke me ngā ngutu, e pā ana ki te nuinga o te hunga e tango ana i tēnei rongoā
- Te kikokore o ngā makawe, te ngaro rānei o ngā makawe mō te wā poto
- Ngā kanohi maroke me ngā huringa o te tirohanga
- Te kiri e tihore ana i runga i ō pākē me ō waewae
- Te piki ake o te tairongo ki te rā
- Te ihu e toto ana nā te maroke o ngā ara ihu
- Ngā mamae o ngā hononga, o ngā uaua rānei
- Ngā mamae o te upoko
Ahakoa he raru pea ēnei pānga taha noa, he mea whakahaere noa iho mā te atawhai tika, ā, he maha ngā wā ka pai ake i te wā e urutau ana tō tinana ki te rongoā.
He iti noa iho te pānga o ngā pānga taha nui ake, engari me rapu tonu te āwhina hauora. Kei roto i tēnei ko ngā huringa nui o te wairua, ngā tohu o ngā raruraru ate pēnei i te kōwhai o tō kiri, o ō kanohi rānei, te mamae nui tonu rānei o te upoko.
Ka pā pea ētahi tāngata i ngā pānga taha onge engari nui e hiahia ana kia arotakea tonu e te tākuta. Kei roto i tēnei ko te pōuri nui, ngā whakaaro mō te whara i a koe anō, ngā tohu rānei o te pikinga o te pēhanga i roto i tō angaanga pēnei i te mamae tonu o te upoko me ngā huringa o te tirohanga.
Ko wai e kore e tango Acitretin?
Kāore a Acitretin e tika ana mō te katoa, ā, he maha ngā āhuatanga nui me karo katoa tēnei rongoā. Ka āta arotakehia e tō tākuta tō hītori hauora i mua i te whakahau.
Ko te aukati tino nui e pā ana ki te hapū me te whai wāhi ki te hapū. Ka taea e Acitretin te pā ki ngā hē whānau nui, ā, kaua rawa e tangohia e ngā wahine hapū, e te hunga rānei e mōhio ana ka hapū.
Ko ēnei ngā rōpū nui o te hunga e kore e tango acitretin:
- Ngā wahine e hapū ana, e whakamahere ana rānei kia hapū
- Ngā wahine e mōhio ana ka hapū, e kore e kaha ki te whakamahi i te aukati hapū pono
- Te hunga e mate ate nui ana, e raruraru ana rānei te mahi ate
- Ngā tāngata he tino tiketike te cholesterol, te taumata triglyceride rānei
- Te hunga e mate tākihi nui ana
- Te hunga e tango ana i ētahi rongoā e pā ana ki a acitretin
Ka tūpato hoki tō tākuta ki te whai koe i te mate huka, te mate ngākau, he hītori rānei o te pōuri. Kāore ēnei āhuatanga e aukati ana i a koe ki te tango acitretin, engari me mātakitaki tata.
Mēnā kei te whāngai ū koe, me kōrero tahi koe i ngā tūponotanga me ngā painga ki tō tākuta, nā te mea ka taea e acitretin te uru ki te waiu ū.
Ngā Ingoa Waitohu Acitretin
E wātea ana a Acitretin i raro i ētahi ingoa waitohu, ko Soriatane te mea e mōhiotia ana i te United States. Kei roto i tēnei putanga ingoa waitohu te whakauru kaha kotahi me te acitretin whānui.
Ētahi atu ingoa waitohu ka tūtaki pea koe ko Neotigason i ētahi whenua, ahakoa he rerekē te wātea i ia rohe. Ka taea e tō whare rongoā te tuku i te ingoa waitohu, i te putanga whānui rānei i runga i te inihua me te wātea.
Ahakoa ka whiwhi koe i te ingoa waitohu, i te acitretin whānui rānei, he rite tonu te mahi o te rongoā. Ka whai i ngā whakamātautau kaha ngā putanga whānui kia mōhio ai he rite ki te hua ingoa waitohu i runga i te whai huatanga me te haumaru.
Ngā Kōwhiringa Acitretin
Mēnā kāore a acitretin e tika ana mōu, kāore rānei e whai hua, he maha ngā rongoā kē atu e wātea ana mō te psoriasis kaha. Ka taea e tō tākuta te āwhina i a koe ki te tūhura i ēnei kōwhiringa i runga i tō āhuatanga motuhake.
Ētahi atu rongoā pūnaha ka whakaarohia ko te methotrexate, cyclosporine, he rongoā koiora hou rānei. He painga me ngā pānga taha pea ō ia mea hei whakaaro.
Anei ētahi kōwhiringa ka kōrerohia e tō tākuta:
- Methotrexate, e pēhi ana i tō pūnaha ārai mate ki te whakaiti i te mumura
- Cyclosporine mō te whakahaere wā-poto i ngā mura kaha
- Ngā rongoā koiora pēnei i te adalimumab, i te ustekinumab rānei
- Apremilast, he rongoā waha e mahi rerekē ana i te acitretin
- Ngā rongoā phototherapy e whakamahi ana i te mārama UV
Kei runga i te maha o ngā āhuatanga te kōwhiringa pai, tae atu ki tō hītori hauora, te kaha o tō psoriasis, me ō hiahia whaiaro. Ka mahi tō tākuta ki a koe ki te kimi i te kōwhiringa e tika ana.
He Pai Ake Akitiretin i te Metotrexate?
He rongoā whai hua te akitiretin me te metotrexate mō te psoriasis kaha, engari he rerekē te mahi me ngā kaha rerekē. Kāore tētahi e pai ake ana i tētahi – kei runga i ō āhuatanga takitahi te kōwhiringa pai.
Ka mahi te Akitiretin mā te whakatika i te tipu o ngā pūtau kiri, ā, kāore e pēhi i tō pūnaha ārai mate pēnei i te metotrexate. Ko te tikanga tēnei kāore koe i te mōrearea nui ake mō ngā mate, he painga tēnei mō ētahi tāngata.
Ko te metotrexate, i tērā taha, ka mahi mā te whakaiti i te urupare mumura e akiaki ana i te psoriasis. He maha ngā wā ka tere ake te mahi i te akitiretin, ā, he pai ake pea mō te pūhihi psoriatic mēnā he tohu tō tō hononga.
Ka whakaaro tō tākuta i ētahi āhuatanga i te wā e kōwhiri ana i waenga i ēnei rongoā, tae atu ki tō hauora whānui, ētahi atu āhuatanga hauora, me te pānga o tō psoriasis ki tō oranga o ia rā. E whakamahi ana ētahi tāngata i ngā rongoā e rua i te taha tahi i raro i te tirotiro hauora.
Ngā Pātai Auau mō Akitiretin
He Haumaru Akitiretin mō te hunga mate huka?
Ka taea te whakamahi i te Akitiretin e te hunga mate huka, engari me tino āta tirotiro. Ka pā pea te rongoā ki ō taumata huka toto, ā, ka pā tahi pea ki ētahi rongoā mō te mate huka.
Ka hiahia tō tākuta ki te āta tirotiro i tō huka toto i te wā e tīmata ana koe i te akitiretin. Me whakatika pea e rātou ō rongoā mō te mate huka, me te tūtohu rānei i ngā huringa ki tō kai me te mahi whakangungu.
Mēnā he mate huka tō, me mōhio ki tō tākuta mō ō rongoā katoa mō te mate huka me te pai o te whakahaere i tō huka toto. Mā tēnei mōhiohio e āwhina rātou ki te whakatau mēnā e tika ana te akitiretin mōu.
Me aha ahau ki te inu au i te nui rawa o te Acitretin?
Mena ka inu koe i te nui rawa o te acitretin i whakaritea, whakapā atu ki tō tākuta, ki te pokapū whakahaere paitini rānei tonu. Ko te inu i te nui rawa ka arahi ki te paitini o te huaora A, ka puta he tohu kino.
Ko ngā tohu o te nui rawa o te acitretin ka uru pea ki te mamae nui o te upoko, te whakapairuaki, te ruaki, te whanoke, te tirohanga rānei e kore e marama. Kaua e tatari kia puta ngā tohu – rapua he tohutohu hauora tonu mēnā kua inu koe i ngā horopeta atu.
Hei ārai i te nui rawa o te horopeta, waiho tō rongoā ki roto i tōna ipu taketake, me te inu i te wā kotahi i ia rā. Kaua rawa e rua ngā horopeta mēnā ka ngaro i a koe tētahi.
Me aha ahau ki te ngaro i ahau tētahi horopeta o te Acitretin?
Mēnā ka ngaro i a koe tētahi horopeta o te acitretin, inumia i te wā ka mahara koe, he pai ake me te kai. Heoi, mēnā kua tata te wā mō tō horopeta e whai ake nei, waiho te horopeta i ngaro, ka haere tonu ki tō hōtaka auau.
Kaua rawa e inu i ngā horopeta e rua i te wā kotahi hei utu mō tētahi horopeta i ngaro. Ka piki ake pea tō tūponotanga ki ngā pānga taha me te kore e whai hua atu.
Mēnā he maha ngā wā ka wareware koe ki ngā horopeta, ngana ki te whakatakoto i tētahi whakaoho i ia rā, ki te inu rānei i tō rongoā i te wā kotahi me tētahi atu mahi i ia rā, pēnei i te kai tina. Ko te wā tika ka āwhina i te pupuri i ngā taumata pūmau o te rongoā i tō tinana.
Āhea ka taea e au te whakamutu i te inu i te Acitretin?
Me whakamutu anake e koe te inu i te acitretin i raro i te tohutohu a tō tākuta. Ko te nuinga o ngā tāngata me haere tonu te rongoā mō ētahi marama hei pupuri i te kiri mārama, ā, ko te whakamutu wawe rawa ka puta pea te hokinga mai o tō psoriasis.
Ka arotake tō tākuta i tō ahunga whakamua i ia wā, ā, ka whakaiti haere pea i tō horopeta i mua i te whakamutu katoa. Ka āwhina tēnei huarahi ki te whakaiti i te tūponotanga o tō psoriasis ka mura ake i muri i te whakamutu.
Ko ētahi tāngata ka hiahia pea ki te noho tonu ki te acitretin mō te wā roa kia mau tonu ai te mana o tō rātou psoriasis. Ka whakatau tō tākuta i ngā painga ki ngā tūponotanga mō te wā roa, ā, ka kōrero mō te rautaki tiaki pai rawa atu mō tō āhuatanga.
Ka taea e au te inu waipiro i te wa e tango ana i te Acitretin?
Me karo rawa koe i te waipiro i te wa e tango ana i te acitretin me te iti rawa e rua marama i muri i te whakamutu i te rongoa. Ka taea e te waipiro te whakanui ake i te tupono o nga raruraru ate, ka raru pea te ahua o to tinana e tukatuka ana i te rongoa.
Ko te whakakotahi i te waipiro me te acitretin ka kino ake ano etahi paanga taha penei i te whanoke, ka piki ake pea te tupono ki te whakawhanake i nga taumata triglyceride teitei. He mea nui tenei mo nga wahine e whanau tamariki ana, na te mea ka taea e te waipiro te whakaroa i te roa o te acitretin e noho ana i roto i to punaha.
Mena kei te uaua koe ki te karo i te waipiro, korero ki to taakuta mo nga rautaki hei awhina, mehemea ranei he pai ake etahi atu rongoa mo to oranga.
