Icyo Alitretinoin Arimwo: Ibyo Ikoreshwa, Uburyo Bwo Gukoresha, Ingaruka Zayo n'Ibindi

Alitretinoin ni umuti ushyirwa ku ruhu wa retinoid ufasha kuvura indwara ikomeye ya eczema yo ku ntoki iyo izindi nshuti zitagize icyo zikora. Ni ubwoko bwa vitamine A ikora igabanya umubyimbire kandi igafasha imisemburo y'uruhu gukura no gusohoka mu buryo busanzwe.

Uyu muti ubarirwa mu cyiciro cy'imiti yitwa retinoids, ikomoka kuri vitamine A. Tekereza alitretinoin nk'umufasha wihariye ujya mu duce dufite ikibazo ku ntoki zawe kugira ngo utuze imikorere y'umubiri y'umurengera itera ibimenyetso bya eczema.

Alitretinoin Ikoreshwa Kuri Iki?

Alitretinoin yagenewe by'umwihariko kuvura eczema ikomeye yo ku ntoki mu bantu bakuru. Muganga wawe azagusaba uyu muti iyo eczema yo ku ntoki yawe imaze amezi cyangwa imyaka kandi itagize icyo ikora ku zindi nshuti nka steroids cyangwa moisturizers.

Uyu muti ukora neza cyane kuri eczema yo ku ntoki itera ibice byinini, bifite amabara, ibice bibabaza, n'uburibwe buhoraho. Bifasha cyane iyo eczema igira uruhare mu bushobozi bwawe bwo gukoresha intoki zawe mu bikorwa bya buri munsi nko gukora cyangwa imirimo yo mu rugo.

Rimwe na rimwe abaganga bashobora gutekereza alitretinoin ku zindi nshuti zikomeye za eczema, ariko eczema yo ku ntoki iracyakoreshwa cyane kandi yigwa neza. Uyu muti wagaragaje ibisubizo byiza mu bushakashatsi bwa kliniki ku bantu eczema yo ku ntoki yagize uruhare runini mu mibereho yabo.

Alitretinoin Ikora Gute?

Alitretinoin ikora ihuza n'ibice byihariye mu misemburo y'uruhu rwawe byitwa retinoid receptors. Ubu buryo bwo guhuza bufasha kugenzura uburyo imisemburo y'uruhu rwawe ikura, igabanyamo, kandi isohoka, bishobora kugabanya ibice byinini, bifite amabara biranga eczema ikomeye yo ku ntoki.

Uyu muti kandi ufite ubushobozi bwo kurwanya umubyimbirwe, bivuze ko ufasha gutuza imikorere y'umubiri y'ubudahangarwa yarenze urugero ku ruhu rwawe. Ibi bikorwa byombi bifasha kuvura ibimenyetso bigaragara n'umubyimbirwe wihishe utera indwara ya eczema yo ku maboko ihoraho.

Nka retinoyide ikomeye ku rugero ruciriritse, alitretinoyine irusha imbaraga ibicuruzwa bya retinol bigurishwa ku isoko ariko muri rusange iroroshye kurusha izindi retinoyide zandikirwa. Abantu benshi batangira kubona impinduka mu byumweru 12 kugeza kuri 24 bakoresha neza, nubwo bamwe bashobora kubona impinduka mbere.

Nkwiriye Gufata Alitretinoyine Nte?

Ukwiriye gusiga alitretinoyine gel ku bice by'amaboko yawe byagizweho ingaruka rimwe ku munsi, cyane cyane nimugoroba. Tangira ufite amaboko asukuye kandi yumye hanyuma usigeho gel yoroheje gusa ku bice bifite eczema, wirinda uruhu ruzima uko bishoboka.

Nyuma yo gusiga umuti, oza amaboko yawe neza kugira ngo ukureho gel yose yarenze ku bitugu byawe n'intoki. Ibi bifasha kwirinda gukwirakwiza umuti ku bindi bice by'umubiri wawe, cyane cyane mu maso cyangwa mu maso.

Ntabwo bisaba gufata alitretinoyine hamwe n'ibiryo kuko isigwa ku ruhu aho gufatwa mu kanwa. Ariko, ni byiza kuyisiga igihe utazaba ukaraba amaboko kenshi, niyo mpamvu kuyisiga nimugoroba bikora neza ku bantu benshi.

Tegereza byibuze iminota 15 nyuma yo gusiga gel mbere yo gukoresha amavuta yo ku maboko cyangwa moisturizer. Ibi bituma umuti ufata igihe cyo kwinjira neza mu ruhu rwawe.

Mbwiriza Gufata Alitretinoyine Igihe Kingana Gite?

Abantu benshi bakoresha alitretinoyine mu byumweru 12 kugeza kuri 24 kugira ngo babone impinduka zigaragara muri eczema yo ku maboko yabo. Muganga wawe azagusaba kuyigerageza byibuze mu byumweru 12 mbere yo gufata icyemezo niba ikora neza bihagije kugira ngo ukomeze.

Niba uruhu rwawe rwo ku ntoki rumeze neza cyane muri iki gihe, muganga wawe ashobora kugusaba gukomeza kuvurwa kugeza ku byumweru 24 byose. Abantu bamwe bashobora gukenera igihe kirekire cyo kuvurwa, cyane cyane niba uruhu rwabo rumeze nabi cyangwa rumaze igihe kirekire.

Nyuma y'urugendo rwawe rwa mbere rwo kuvurwa, muganga wawe azasuzuma niba ukeneye gukomeza kuvurwa. Abantu bamwe barashobora guhagarika gukoresha alitretinoin igihe uruhu rwabo rukira, mugihe abandi bashobora gukenera urugendo rwo kuvurwa buri gihe kugirango birinde kongera kwibasirwa.

Ni Ibihe Bikorwa Bigaragara bya Alitretinoin?

Kimwe n'imiti yose, alitretinoin irashobora gutera ibimenyetso bigaragara, nubwo abantu benshi bayihanganira neza iyo ikoreshejwe nkuko byategetswe. Ibimenyetso bigaragara cyane bibaho ahantu hakoreshejwe umuti kandi akenshi biba byoroheje kugeza hagati.

Dore ibimenyetso bigaragara ushobora guhura nabyo, uhereye ku bya kenshi:

• Uruhu rurashobora kuribwa, gutukura, cyangwa gushya ahantu hakoreshejwe umuti
• Uruhu rwo kumuka cyangwa gushishuka ahantu havuriwe
• Kuribwa cyangwa kumva uruhu rutukura igihe cyambere ukoresheje umuti
• Kongera ubushyuhe bw'izuba ahantu havuriwe
• Guhinduka kw'uruhu kw'agateganyo cyangwa gucika intege

Ibi bikorwa byo ku ruhu akenshi birakosoka igihe uruhu rwawe rwikwiza umuti mu byumweru bike byambere byo gukoresha. Abantu benshi basanga ibi bikorwa bishobora gucungwa kandi by'agateganyo.

Ibimenyetso bigaragara bitari bike ariko bikomeye birashobora kwibandaho uruhu ruribwa cyane, ibimenyetso byo kwivumbura, cyangwa koroshya ibimenyetso byawe by'uruhu. Niba uhuye no gushya cyane, kubyimba, cyangwa ibimenyetso byo kwivumbura nk'imivumbi cyangwa guhumeka nabi, hamagara muganga wawe ako kanya.

Ibimenyetso bigaragara bitari bike ariko by'ingenzi birimo impinduka zikomeye mu ibara ry'uruhu cyangwa ibimenyetso byo kwandura uruhu ahantu havuriwe. Nubwo ibi bidakunze kubaho, bisaba ubufasha bwihuse bwa muganga niba bibaye.

Ninde Utagomba Gufata Alitretinoin?

Alitretinoin ntibereye buri wese, kandi ibintu bimwe na bimwe bituma bitaba byiza cyangwa bidakora neza. Muganga wawe azasuzuma amateka yawe y'ubuvuzi neza mbere yo kwandika uyu muti.

Ntugomba gukoresha alitretinoin niba utwite, ufite gahunda yo gutwita, cyangwa wonka. Retinoids ishobora gutera ubumuga bukomeye ku mvura, bityo gukoresha uburyo bwo kuboneza urubyaro bwizewe ni ngombwa ku bagore bafite imyaka yo kubyara bakoresha uyu muti.

Abantu bafite allergie zizwi kuri retinoids cyangwa ibintu byose biri muri alitretinoin gel bagomba kwirinda uyu muti. Niba waragize ibibazo bikomeye kuri vitamine A derivatives, menyesha muganga wawe mbere yo gutangira kuvurwa.

Abafite ibibazo by'uruhu nk'izuba ryinshi, eczema herpeticum, cyangwa indwara z'uruhu zikora mu gice kivurwa bagomba gutegereza kugeza ibi bibazo bikemutse mbere yo gukoresha alitretinoin.

Amazina ya Alitretinoin

Alitretinoin iboneka munsi y'izina ry'ubucuruzi rya Toctino mu bihugu byinshi, nubwo kuboneka bitandukanye bitewe n'akarere. Mu turere tumwe na tumwe, birashoboka ko biboneka munsi y'amazina y'ubucuruzi atandukanye cyangwa nk'ubwoko bwa generic.

Umunyamavuriro wawe ashobora kugufasha kumenya ubwoko bwihariye cyangwa ubwoko bwa generic buboneka aho uherereye. Ibikoresho bikora biracyari kimwe nubwo izina ry'ubucuruzi ryaba ari irihe, ariko ibikoresho bitagira akamaro birashobora gutandukana gato hagati y'abakora.

Uburyo bwo gusimbuza Alitretinoin

Niba alitretinoin itagukundiye cyangwa itera ingaruka zidakwiriye, hari uburyo bwinshi bwo kuvura eczema ikomeye y'intoki. Muganga wawe ashobora kugufasha gushakisha izi nzira zishingiye ku miterere yawe yihariye.

Uburyo bwo gusimbuza bwo hejuru burimo corticosteroids ikomeye nka clobetasol, calcineurin inhibitors nka tacrolimus cyangwa pimecrolimus, hamwe n'imiti mishya nka topical JAK inhibitors. Buri kimwe gifite imbaraga zitandukanye n'ingaruka zishobora guterwa.

Ku birebana n'ibihe bikomeye, imiti ikoreshwa mu mubiri wose nka corticosteroids yo mu kanwa, methotrexate, cyangwa cyclosporine birashobora gutekerezwa. Phototherapy ikoresha urumuri rwa UV nayo irashobora kugira akamaro ku bantu bamwe bafite eczema y'intoki ihoraho.

Uburyo bushya burimo inshinge za dupilumab, zigamije inzira zihariye z'ubudahangarwa zigira uruhare muri eczema. Umuganga wawe w'uruhu ashobora kuganira ku buryo bwo kuvura bushobora gukora neza ku bwoko bwawe bwihariye bwa eczema y'intoki.

Ese Alitretinoin iruta Tacrolimus?

Alitretinoin na tacrolimus ni imiti ikora neza kuri eczema y'intoki, ariko bakora mu buryo butandukanye kandi bashobora gukwira neza abantu batandukanye. Guhitamo hagati yabo biterwa n'ibimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'intego zo kuvura.

Alitretinoin ikunda gukora neza kuri eczema y'intoki ya hyperkeratotic (yuzuye, ifite ibishishwa), mugihe tacrolimus akenshi ikora neza ku bwoko bwa inflammatoire bufite umutuku mwinshi no kubyimba. Abantu bamwe basubiza neza umuti umwe kuruta undi.

Tacrolimus irashobora gukoreshwa igihe kirekire kandi ntigira ibyago byo gutwita kimwe na alitretinoin. Ariko, alitretinoin ishobora gutanga impinduka zikomeye mu bihe bikomeye bitarasubiza ku bundi buvuzi.

Muganga wawe azatekereza ibintu nk'imyaka yawe, gahunda zo gutwita, ubukana bw'ibimenyetso, n'uburyo bwo kuvura mbere yo gufata icyemezo hagati y'izi nzira. Rimwe na rimwe, bashobora gushimangira kugerageza imwe mbere hanyuma bagahindura niba bibaye ngombwa.

Ibikunze Kubazwa Kuri Alitretinoin

Ese Alitretinoin irakwiriye indwara ya diyabete?

Yego, alitretinoin muri rusange irakwiriye abantu barwaye diyabete kuko ikoreshwa ku ruhu kandi ntigira ingaruka zikomeye ku rugero rw'isukari mu maraso. Ariko, abantu barwaye diyabete bashobora kugira gukira kw'ibikomere bitinda kandi bakongera ibyago byo kwandura.

Niba urwaye diyabete, witondere cyane ibikomere cyangwa imikwaro mu ntoki zawe mugihe ukoresha alitretinoin. Genzura ahantu havuriwe ibimenyetso byo kwandura kandi ugumane isukari yo mu maraso yawe neza kugirango bifashe gukira.

Nigute nzagira niba nkoresheje alitretinoin nyinshi ku buryo butunganye?

Niba ushyizeho gel ya alitretinoin nyinshi, oza gake ibirenzeho ukoresheje isabune yoroheje n'amazi. Gukoresha byinshi kuruta uko byategetswe ntibizatuma umuti ukora neza kandi bishobora kongera ibyago byo kuribwa kw'uruhu.

Ntugire impungenge niba ibi bibaye rimwe na rimwe, ariko gerageza gukurikiza igice gito umuganga wawe yategetse. Niba ubonye kuribwa gukabije nyuma yo gukoresha byinshi, vugana n'umuganga wawe kugirango akugire inama.

Nigute nzagira niba nirengagije urugero rwa alitretinoin?

Niba wibagiwe gushyiraho alitretinoin, uyishyireho ako kanya wibuka, keretse igihe cyegereje urugero rwawe ruteganyijwe. Muricyo gihe, reka urugero wibagiwe ukomeze gahunda yawe isanzwe.

Ntugashyireho gel yinyongera kugirango usimbure urugero wibagiwe, kuko ibi bishobora kongera kuribwa bitagize icyo bigeraho. Kwitonda ni ngombwa, bityo gerageza kuyishyiraho ku gihe kimwe buri munsi kugirango bifashe kwibuka.

Nshobora guhagarika ryari gufata alitretinoin?

Ugomba guhagarika alitretinoin nyuma yo kubiganiraho n'umuganga wawe, kabone niyo ibimenyetso byawe byongera cyane. Guhagarika kare bishobora gutuma ibimenyetso byawe bya eczema y'intoki bisubira.

Uburyo bwinshi bwo kuvura bumara ibyumweru 12 kugeza kuri 24, kandi umuganga wawe azasuzuma iterambere ryawe mu gihe gito gito. Bazagufasha kumenya igihe cyiza cyo guhagarika hashingiwe ku buryo uruhu rwawe rwakiriye neza n'ibintu byawe byihariye by'ibibazo.

Nshobora gukoresha umuti wo kwisiga mugihe mfata alitretinoin?

Yego, urashobora kandi ugomba gukoresha umuti wo kwisiga mugihe uvura na alitretinoin, ariko igihe ni ingenzi. Shyiraho gel ya alitretinoin mbere, utegere iminota 15 kugirango yinjire, hanyuma ushyireho umuti wawe wo kwisiga.

Hitamo amavuta yoroheje, atagira impumuro atazarakaza uruhu rwawe rwamaze kumererwa nabi. Amavuta meza yo kwisiga ku ntoki ashobora gufasha kugabanya ubumara n'uburibwe bishobora guterwa na alitretinoin, bigatuma imiti yawe irushaho koroha.