Icyo Acitretin ari cyo: Ibyo ikoreshwa, Uburyo bwo kuyifata, Ingaruka zayo n'ibindi

Acitretin ni umuti ukomeye ufashwa mu kanwa wo mu cyiciro cy'imiti yitwa retinoids, ifitanye isano rya hafi na vitamine A. Muganga wawe ashobora kukwandikira uyu muti niba urwaye psoriasis ikomeye itarashoboye kuvurwa neza n'ubundi buryo bwo kuvura.

Uyu muti ukora ugabanya umuvuduko wo gukura kw'uturemangingo tw'uruhu bitera ibibara byinshi, bifata uruhu byerekana psoriasis. Nubwo bishobora kugira akamaro kanini, acitretin isaba gukurikiranwa neza kubera imbaraga zayo n'ingaruka zishobora guterwa.

Acitretin ni iki?

Acitretin ni retinoid ikorwa mu buryo bwa gihanga yigana ingaruka za vitamine A mu mubiri wawe. Yagenewe by'umwihariko kuvura indwara zikomeye z'uruhu mu kugenzura uburyo uturemangingo tw'uruhu rwawe dukura kandi tugasohoka.

Uyu muti ufashwa mu buryo bwose mu mubiri, bivuze ko ukora mu mubiri wawe wose aho gukora gusa ku ruhu rwawe. Bitandukanye n'imiti ishyirwa ku ruhu ukoresha ku bice byagizweho ingaruka, acitretin igenda mu maraso yawe kugira ngo igere ku turemangingo tw'uruhu hose.

Uyu muti ufitiye akamaro kanini abantu barwaye psoriasis kuko uvura uburyo uturemangingo dukora butera iyi ndwara idakira. Mu by'ukuri bifasha gusubiza mu buryo busanzwe uburyo uruhu rwawe rukora kandi rugasimbura uturemangingo.

Acitretin ikoreshwa mu kuvura iki?

Acitretin ikoreshwa cyane cyane mu kuvura psoriasis ikomeye, cyane cyane iyo ubundi buryo bwo kuvura butatanze umuti uhagije. Muganga wawe azatekereza uyu muti iyo imiti ishyirwa ku ruhu na terapi y'urumuri bitagize icyo bigeraho.

Uyu muti ukora neza cyane cyane ku bwoko bumwe bwa psoriasis bushobora kuba bugoye cyane kuvura. Aha hari indwara zikomeye aho acitretin igaragariza akamaro kanini:

• Psoriasis ikaze y'amabara akomeye yuzuye ahantu hanini ku mubiri wawe
• Psoriasis ya pustular, itera imibumbe yuzuye amashyira ku ruhu rwawe
• Psoriasis ya Erythrodermic, uburyo butamenyerewe ariko bukomeye bugira ingaruka ku mubiri wawe wose
• Psoriasis igira ingaruka ku bitugu byawe n'ibirenge, bishobora kuba bigoye cyane

Mu bihe bimwe na bimwe, abaganga bashobora no kwandika acitretin kubera izindi ndwara zikomeye z'uruhu nk'ubwoko runaka bwa ichthyosis cyangwa indwara za keratosis. Ariko, psoriasis iracyakomeza kuba ikoreshwa cyane kandi yigwa neza.

Acitretin ikora ite?

Acitretin ikora ihuza n'ibice byihariye mu turandaryi tw'uruhu rwawe no kugenzura imvugo ya gene. Ubu buryo bufasha gusanzura umuvuduko w'uturemangingo wihuta uranga psoriasis.

Mu ruhu ruzima, uturemangingo bifata iminsi 28 kugira ngo bimuke kuva mu byiciro byimbitse kugeza ku gice cyo hejuru aho bisanzwe bimeneka. Muri psoriasis, ubu buryo bwihuta cyane ku minsi 3-4 gusa, bigatuma habaho ibibara bikomeye, byuzuye ibipimo ubona.

Acitretin mu by'ukuri ibwira uturemangingo tw'uruhu rwawe kugabanya umuvuduko no kwitwara neza. Igabanya umubyimbire kandi ifasha kwirinda kwiyongera kurenze urugero kw'uturemangingo tw'uruhu rutuma habaho ibibara bya psoriatic.

Uyu muti ufatanwa ubukana bwinshi mu isi y'imiti ivura psoriasis. Nubwo atari wo muti ukomeye urimo, urusha imbaraga cyane imiti ikoreshwa ku ruhu kandi ishobora gutanga impinduka zikomeye mu bihe bikomeye.

Nkwiriye gufata acitretin nte?

Buri gihe fata acitretin nk'uko umuganga wawe abyandika, akenshi rimwe ku munsi hamwe n'ifunguro ryawe ry'ingenzi. Kuyifata hamwe n'ibiryo, cyane cyane ikintu kirimo amavuta, bifasha umubiri wawe gukurura umuti neza.

Ushobora gushaka kumira ibinini byose hamwe n'ikirahure cyuzuye cy'amazi. Ntukamenagure, ntukore, cyangwa ufungure ibinini, kuko ibi bishobora kugira ingaruka ku buryo umuti ukora kandi bishobora gutera uburakari mu kanwa kawe cyangwa mu muhogo wawe.

Dore amabwiriza akomeye ugomba gukurikiza iyo ufata acitretin:

• Fata ku gihe kimwe buri munsi kugira ngo urugero ruri mu mubiri wawe rugume rutajegajega
• Fata hamwe n'ifunguro ryawe rinini rya buri munsi kugira ngo urusheho kwinjizwa neza
• Irinde gufata hamwe n'amata cyangwa ibindi bikomoka ku mata, kuko ibyo bishobora kugabanya imitsi
• Ntufate imiti yongera vitamine A mugihe ukoresha uyu muti

Umuvuzi wawe ashobora gutangira kukugaburira urugero ruto hanyuma akagenda arwongera buhoro buhoro bitewe nuko ubyitwaramo ndetse n'ingaruka zose zikubaho. Ubu buryo bwitondewe bufasha kugabanya ibibazo bishoboka mugihe hongerwa inyungu.

Nzamara Igihe Kingana Iki Ndafata Acitretin?

Ubugufi bwo kuvura na acitretin butandukanye cyane ku muntu ku muntu, ariko abantu benshi bakeneye kuyifata amezi menshi kugira ngo babone inyungu zose. Umuvuzi wawe azasaba ko ukomeza gufata umuti byibuze amezi 3-4 kugira ngo usuzume neza uko ukora.

Abantu benshi bakomeza gufata acitretin amezi 6-12 cyangwa arenga, bitewe nuko babyitwaramo n'ubushobozi bwabo. Abantu bamwe bafite psoriasis ikaze bashobora gukenera kuvurwa igihe kirekire kugira ngo bagumane uruhu rwiza.

Umuvuzi wawe azagenzura buri gihe uko urimo utera imbere kandi ashobora guhindura gahunda yawe yo kuvura bitewe n'ibintu byinshi. Ibi birimo uko uruhu rwawe rwitwara neza, ingaruka zose zikubaho, n'ubuzima bwawe muri rusange.

Ni ngombwa kutareka gufata acitretin ako kanya utabanje kubiganiraho n'umuvuzi wawe. Ibimenyetso bya psoriasis bishobora kugaruka, kandi rimwe na rimwe, bishobora kugaruka bikaba bibi kurusha mbere niba umuti uhagaritswe ako kanya.

Ni Iyihe Ngaruka Ziterwa na Acitretin?

Kimwe n'imiti yose ikomeye, acitretin ishobora gutera ingaruka, nubwo atari buri wese uzibona. Ingaruka zisanzwe ni izijyanye n'ingaruka zisa na vitamine A ku mubiri wawe.

Kumenya icyo wakwitega birashobora kugufasha kumva witeguye kandi ukamenya igihe wakwibariza umuvuzi wawe. Hano hari ingaruka zivugwa kenshi:

• Uruhu n'iminwa byuma, bikunda kubaho ku bantu benshi bafata uyu muti
• Umurire w'umusatsi cyangwa gutakaza umusatsi by'igihe gito
• Amaso yumye n'imihindukire ishoboka y'uburebure bw'amaso
• Uruhu rucika ku bitugu byawe n'ibirenge byawe
• Kugira ubworoherane bwinshi ku mirasire y'izuba
• Umuvuduko w'amazuru bitewe n'inzira z'amazuru zumye
• Kubabara mu ngingo cyangwa imitsi
• Umutwe

Nubwo izi ngaruka zisanzwe zishobora kutaba nziza, akenshi zirashobora gucungwa neza hakoreshejwe uburyo bukwiye kandi akenshi zikagenda zikemuka uko umubiri wawe wimenyereza umuti.

Ingaruka zikomeye ntizikunda kubaho ariko zisaba ubufasha bwihuse bw'abaganga. Izi zirimo impinduka zikomeye mu myifatire, ibimenyetso by'ibibazo by'umwijima nk'uruhu cyangwa amaso y'umuhondo, cyangwa umutwe ukomeye urambye.

Abantu bamwe bashobora guhura n'ingaruka zidasanzwe ariko zikomeye zisaba isuzuma ryihuse ry'abaganga. Izi zirimo umubabaro ukomeye, ibitekerezo byo kwigirira nabi, cyangwa ibimenyetso by'umuvuduko wiyongera mu gihanga cyawe nk'umutwe urambye hamwe n'imihindukire y'uburebure bw'amaso.

Ninde utagomba gufata Acitretin?

Acitretin ntabwo ikwiriye kuri buri wese, kandi hariho ibintu byinshi by'ingenzi uyu muti ugomba kwirindwa rwose. Muganga wawe azasuzuma neza amateka yawe mbere yo kuyandika.

Ikintu cy'ingenzi kirwanya ni ugutwita n'amahirwe yo gutwita. Acitretin ishobora gutera ubumuga bukomeye ku bana bavuka kandi ntigomba na rimwe gufatwa n'abagore batwite cyangwa abashobora gutwita.

Aha hariho amatsinda y'ingenzi y'abantu batagomba gufata acitretin:

• Abagore batwite cyangwa bateganya gutwita
• Abagore bashobora gutwita kandi badashobora kwemera gukoresha uburyo bwo kuboneza urubyaro bwizewe
• Abantu bafite indwara ikomeye y'umwijima cyangwa ibibazo by'imikorere y'umwijima
• Abantu bafite cholesterol cyangwa triglyceride zikomeye
• Abafite indwara ikomeye y'impyiko
• Abantu bafata imiti imwe n'imwe ivanga nabi na acitretin

Muganga wawe azitonda kandi niba urwaye diyabete, indwara y'umutima, cyangwa ufite amateka yo kwiheba. Izi ndwara ntizibuza rwose gufata acitretin, ariko zisaba gukurikiranwa cyane.

Niba uri konjesha, uzakenera kuganira ku byago n'inyungu neza na muganga wawe, kuko acitretin ishobora kujya mu mata y'ibere.

Amazina y'ubwoko bwa Acitretin

Acitretin iboneka mu mazina menshi y'ubwoko, Soriatane ikaba ariyo izwi cyane muri Leta Zunze Ubumwe z'Amerika. Ubu bwoko burimo ibintu bikora kimwe na acitretin rusange.

Andi mazina y'ubwoko ushobora guhura nayo harimo Neotigason mu bihugu bimwe, nubwo kuboneka bitandukanye bitewe n'akarere. Farumasi yawe ishobora gutanga izina ry'ubwoko cyangwa ubwoko rusange bitewe n'ubwishingizi bwawe n'uko biboneka.

Niba wakira izina ry'ubwoko cyangwa acitretin rusange, umuti ukora kimwe. Ubwoko rusange bunyuzwa mu igeragezwa rikomeye kugirango barebe ko bingana n'ibicuruzwa by'izina ry'ubwoko mu bijyanye n'imikorere n'umutekano.

Uburyo bwo gusimbuza Acitretin

Niba acitretin itagukwiriye cyangwa itatanga ibisubizo bihagije, hariho uburyo bwo kuvura butandukanye bwo kuvura psoriasis ikomeye. Muganga wawe ashobora kugufasha gusesengura izi nzira zishingiye ku miterere yawe.

Ubuvuzi bundi bw'inzira bushobora kwitabwaho burimo methotrexate, cyclosporine, cyangwa imiti mishya ya biyoloji. Buri kimwe gifite inyungu zacyo n'ingaruka zishobora guterwa.

Hano hari uburyo bumwe muganga wawe ashobora kuganiraho:

• Methotrexate, ikugabanya ubudahangarwa kugirango igabanye umubyimbire
• Cyclosporine yo kugenzura igihe gito cyo gukomera cyane
• Imiti ya biyoloji nka adalimumab cyangwa ustekinumab
• Apremilast, umuti wo mu kanwa ukora mu buryo butandukanye na acitretin
• Ubuvuzi bwa phototherapy bukoresha urumuri rwa UV

Uburyo bwiza biterwa n'ibintu byinshi, harimo amateka yawe y'ubuvuzi, ubukana bwa psoriasis yawe, n'ibyo ukunda. Muganga wawe azakorana nawe kugira ngo abone uburyo bukwiye.

Ese Acitretin iruta Methotrexate?

Byombi, acitretin na methotrexate ni imiti ikora neza mu kuvura psoriasis ikomeye, ariko ikora mu buryo butandukanye kandi ifite imbaraga zitandukanye. Nta na rimwe riruta irindi - guhitamo neza biterwa n'uko ubuzima bwawe bumeze.

Acitretin ikora mu gusanzura imikurire y'uturemangingo tw'uruhu kandi ntigabanya ubudahangarwa bwawe nk'uko methotrexate ibikora. Ibi bivuze ko udashyira mu kaga ko kwandura indwara, ibyo bishobora kuba byiza ku bantu bamwe.

Ku rundi ruhande, methotrexate ikora igabanya uburyaryate butera psoriasis. Akenshi ikora vuba kurusha acitretin kandi ishobora gukora neza ku ngingo za psoriasis niba ufite ibimenyetso by'ingingo.

Muganga wawe azatekereza ibintu byinshi mugihe ahitamo hagati yiyi miti, harimo ubuzima bwawe muri rusange, izindi ndwara, n'uko psoriasis yawe igira ingaruka ku buzima bwawe bwa buri munsi. Abantu bamwe bakoresha imiti yombi bafatanyije bayobowe n'abaganga.

Ibikunze Kubazwa Kuri Acitretin

Ese Acitretin irakwiriye ku bantu barwaye diyabete?

Acitretin irashobora gukoreshwa n'abantu barwaye diyabete, ariko bisaba gukurikiranwa neza. Uyu muti ushobora kugira ingaruka ku isukari yo mu maraso yawe kandi ushobora guhura n'imiti imwe ya diyabete.

Muganga wawe azashaka gukurikirana isukari yo mu maraso yawe neza mugihe utangiye gukoresha acitretin. Bashobora kandi gukenera guhindura imiti yawe ya diyabete cyangwa bagasaba impinduka mu mirire yawe no gukora imyitozo ngororamubiri.

Niba urwaye diyabete, menyesha muganga wawe imiti yawe yose ya diyabete n'uko isukari yo mu maraso yawe ikunda kugenzurwa neza. Ibi bifasha kumenya niba acitretin ikwiriye kuri wewe.

Ninkora iki niramuka nanyweye acitretin nyinshi ku buryo butunganye?

Nuramuka unyweye acitretin nyinshi ku buryo butunganye, vugana na muganga wawe cyangwa ikigo gishinzwe ubumara ako kanya. Kunywa nyinshi bishobora gutera ubumara bwa vitamine A, bushobora gutera ibimenyetso bikomeye.

Ibimenyetso byo kurenza urugero rwa acitretin birimo kubabara umutwe cyane, isesemi, kuruka, isereri, cyangwa guhumuka. Ntukibwire ko ibimenyetso bigaragara – shakisha inama z'abaganga ako kanya niba wanyoye doze zinyongera.

Kugirango wirinde kurenza urugero ku buryo butunganye, bika imiti yawe mu gikoresho cyayo cy'umwimerere kandi uyifate ku gihe kimwe buri munsi. Ntukigere wongera doze niba wibagiwe imwe.

Ninkora iki niramuka nibagiwe gufata doze ya acitretin?

Niba wibagiwe gufata doze ya acitretin, yifate uburyo wibukira, cyane cyane hamwe n'ibiryo. Ariko, niba igihe cyo gufata doze yawe iteganyijwe kigeze, reka doze wibagiwe ukomeze gahunda yawe isanzwe.

Ntuzigere ufata doze ebyiri icyarimwe kugirango usimbure doze wibagiwe. Ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'imiti itagira akamaro.

Niba ukunda kwibagirwa doze, gerageza gushyiraho alarme ya buri munsi cyangwa gufata imiti yawe ku gihe kimwe n'ibindi bikorwa bya buri munsi, nk'ifunguro rya nimugoroba. Igihe gihamye gifasha gukomeza urwego rwa imiti mu mubiri wawe.

Nshobora guhagarika ryari gufata acitretin?

Ugomba guhagarika gufata acitretin gusa ukurikije ubuyobozi bwa muganga wawe. Abantu benshi bakeneye gukomeza gufata imiti mu gihe cy'amezi menshi kugirango bagumane uruhu rwiza, kandi guhagarika kare bishobora gutuma psoriasis yawe isubira.

Muganga wawe azasuzuma iterambere ryawe buri gihe kandi ashobora kugabanya buhoro buhoro doze yawe mbere yo guhagarika burundu. Ubu buryo bufasha kugabanya ibyago byo kuzahazwa na psoriasis yawe nyuma yo guhagarika.

Abantu bamwe bashobora gukenera gukomeza gufata acitretin igihe kirekire kugirango bagumane psoriasis yabo mu buryo bwiza. Muganga wawe azagereranya inyungu n'ibishobora guterwa n'igihe kirekire kandi aganire ku buryo bwiza bwo kubungabunga imiterere yawe.

Nshobora kunywa inzoga niba ndimo gufata umuti wa Acitretin?

Ugomba kwirinda inzoga rwose igihe cyose ufata acitretin ndetse no mu gihe cy'amezi abiri nyuma yo guhagarika umuti. Inzoga irashobora kongera ibyago byo kurwara umwijima kandi irashobora kubangamira uburyo umubiri wawe ukoresha uwo muti.

Kuvanga inzoga na acitretin birashobora kandi gukomeza ingaruka zimwe na zimwe nk'igishyitsi kandi bikongera ibyago byo guteza urugero rwo hejuru rwa triglyceride. Ibi ni ngombwa cyane ku bagore bafite imyaka yo kubyara, kuko inzoga irashobora gutuma acitretin imara igihe kirekire mu mubiri wawe.

Niba urimo guhura n'ingorane zo kwirinda inzoga, ganira na muganga wawe ku bijyanye n'uburyo bwo gufasha cyangwa niba imiti isimbura ishobora kuba ikwiriye kurushaho imibereho yawe.