Ingenol ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Ingenol ni umuti ushyirwa ku ruhu abaganga bandikira kuvura actinic keratoses, ibyo bikaba ari ibice by'uruhu bikarishye, bifite amabara ku ruhu rwawe biterwa n'izuba. Ubu buvuzi bushingiye kuri gel bukora bugamije selile zidasanzwe z'uruhu zishobora kuzavamo kanseri y'uruhu niba zitavuwe.

Uyu muti ukomoka ku gihingwa cyitwa Euphorbia peplus, kizwi cyane ku izina rya milkweed cyangwa petty spurge. Muganga wawe w'uruhu ashobora kugusaba ingenol igihe ufite actinic keratoses nyinshi ahantu hamwe hakeneye kuvurwa.

Ingenol ikoreshwa mu kuvura iki?

Ingenol ivura actinic keratoses, ibyo bice bikarishye bisa n'impapuro zikoreshwa mu gusukura zigaragara ahantu hagaragara izuba ku ruhu rwawe. Ibi bice bifatwa nk'ibishobora guteza kanseri, bivuze ko bishobora kuvamo kanseri ya selile ya squamous niba bitavuwe.

Ubusanzwe uzabona actinic keratoses ku maso yawe, umusatsi, amatwi, ijosi, amaboko, cyangwa ibiganza. Ibi bice bikunda kugaragaraho izuba cyane mu myaka myinshi. Ibyo bice bishobora kumva bikarishye iyo ubikozeho urutoki, kandi birashobora guhindura amabara kuva ku ruhu kugeza ku ibara ry'umukara.

Muganga wawe ahitamo ingenol by'umwihariko igihe ufite actinic keratoses nyinshi ziteraniye hamwe ahantu hamwe hakeneye kuvurwa. Ibi bituma bikora neza kurusha kuvura buri gice ku giti cyacyo hakoreshejwe ubundi buryo nko gufata cyangwa gukata.

Ingenol ikora ite?

Ingenol ikora hakoreshejwe uburyo bubiri bugamije selile zidasanzwe z'uruhu mu gihe irengera imitsi y'uruhu nzima. Uyu muti utuma selile zangiritse zikora actinic keratoses zipfa, mu by'ukuri zikabangirika zigashira.

Muri icyo gihe, ingenol ituma urwego rwawe rw'ubudahangarwa rumenya rukarwanya selile zidasanzwe zisigaye ahantu havuriwe. Iyi ngaruka y'ubudahangarwa ifasha kumenya neza ko ubu buvuzi bukora neza kandi bugabanya amahirwe yo gusubira kwa keratoses.

Ibi bifatwa nk'ubuvuzi bukomeye bwo ku ruhu. Ibyo bigira ingaruka vuba ugereranyije n'imiti yindi yo ku ruhu, ariko ibi bivuze kandi ko ushobora guhura n'uruhu rugaragara cyane mu gihe cyo gukira.

Nkwiriye Gufata Ingenol Nte?

Ushobora gushyira ingenol ku gice cy'uruhu rwayogoje rimwe ku munsi mu gihe cy'iminsi 2 cyangwa 3 ikurikirana, bitewe n'aho uvura. Ku maso no ku mutwe, ukoresha iminsi 3. Ku bice by'umubiri nk'amaboko cyangwa intoki, ukoresha iminsi 2.

Mbere yo gushyira gel, oza intoki zawe neza kandi urebe neza ko ahantu uvura hasukuye kandi humye. Suka gel ihagije kugira ngo itwikire ahantu hose uvura mu gice gito, hanyuma uyikoreho gahoro kugeza igiyeho.

Ntabwo ukeneye gufata uyu muti hamwe n'ibiryo cyangwa amazi kuko ushyirwa ku ruhu rwawe. Ariko, ugomba kwirinda gushyira gel hafi y'amaso yawe, umunwa, cyangwa ibikomere bifunguye. Nyuma yo kuyishyiraho, oza intoki zawe ako kanya kugira ngo wirinde gukwirakwiza umuti mu bindi bice ku buryo butunguranye.

Shyira gel ku gihe kimwe buri munsi, cyane cyane nimugoroba. Ibi bifasha kugabanya imirasire y'izuba ku gice kivurwa nyuma yo kuyishyiraho.

Nkwiriye Gufata Ingenol Igihe Kingana Gite?

Ubuvuzi bwa ingenol buragufi cyane - iminsi 2 cyangwa 3 gusa. Bitandukanye n'ubundi buvuzi bwinshi bwo ku ruhu busaba ibyumweru cyangwa amezi yo gukoresha, ingenol ikora vuba kandi cyane muri iki gihe gito.

Nyuma yo kurangiza icyiciro cy'iminsi 2 cyangwa 3 cy'ubuvuzi, uhagarika gukoresha umuti rwose. Uruhu rwawe ruzakomeza gukora kandi rukire mu byumweru bikurikira, bikunze gufata hafi ibyumweru 2 kugeza kuri 4 kugira ngo rukire rwose.

Ntabwo uzakenera gusubiramo ubuvuzi keretse niba hari keratoses nshya zigaragaye muri ako gace, bishobora kubaho nyuma y'amezi cyangwa imyaka. Umuganga w'uruhu rwawe azagenzura uruhu rwawe akamenya niba ubuvuzi buzakenerwa mu gihe kizaza.

Ni Iyihe Miterere Y'ingaruka za Ingenol?

Abantu benshi bagira ibimenyetso byo ku ruhu ahantu havuriwe, kandi ibyo ni ibimenyetso byerekana ko umuti ukora neza. Ibyo bimenyetso ni igice cy'inzira isanzwe yo gukira igihe uruhu rwawe rukuraho uturemangingo twangiritse.

Ingaruka zisanzwe ushobora kubona zirimo umutuku, kubyimba, no kumva ububabare ahantu havuriwe. Ibyo bimenyetso bikunze gutangira nyuma y'umunsi umwe cyangwa ibiri utangiye kuvurwa, kandi bishobora kumara ibyumweru byinshi.

Dore ibimenyetso ushobora guhura nabyo, dutangiriye ku bisanzwe:

• Umutuku no kubyimba bishobora kugaragara cyane
• Kubyimba hirya no hino ahantu havuriwe
• Kumva uribwa cyangwa uruma igihe ushyiraho umuti no nyuma yo kuwushyiraho
• Gukoroka cyangwa gukara igihe uruhu rwangiritse rukira
• Uruhu rukuraho cyangwa rugasaturika
• Kumva ubushye ahantu havuriwe
• Uruhu rwijimye cyangwa rukeye by'agateganyo

Ibyo bimenyetso byerekana ko ingenol igamije uturemangingo tudasanzwe neza. Nubwo bishobora guteza impungenge, muri rusange ntibiteje akaga kandi bizashira igihe uruhu rwawe rukira.

Ingaruka zitagaragara cyane ariko zikomeye zirimo ibimenyetso bikomeye byo kwivumbura ku miti, nubwo ibyo bitaba kenshi. Ibimenyetso byo kwivumbura bikomeye birimo uruhu ruruka hose, kugorwa no guhumeka, cyangwa kubyimba mu maso, iminwa, ururimi, cyangwa umuhogo.

Abantu bamwe bashobora kugira ibibazo byo mu mutwe, kuribwa mu maso niba umuti ugeze mu maso ku buryo butunguranye, cyangwa ibimenyetso bisa n'ibicurane igihe bavurwa. Izo ngaruka ni iz'agateganyo kandi akenshi zoroheje.

Ninde utagomba gufata Ingenol?

Ntugomba gukoresha ingenol niba ufite allergie ku bintu byose bigize uwo muti cyangwa niba waragize ibimenyetso bikomeye byo kwivumbura ku miti isa n'iyo wifashishije mu gihe gishize. Abantu bafite indwara zimwe na zimwe zo ku ruhu cyangwa abafite ubudahangarwa bw'umubiri butameze neza bashobora no gukenera kwirinda uwo muti.

Umuganga wawe azasuzuma neza niba ingenol ikwiriye kuri wowe bitewe n'amateka yawe y'ubuzima n'ubuzima bwawe ubu. Bazatekereza ku bintu nk'ubwoko bw'uruhu rwawe, ubukana bwa actinic keratoses yawe, n'indi miti yose urimo gufata.

Ibyo bidasanzwe ingenol itakwiriye harimo:

• Gusama cyangwa konsa (umutekano nturashyirwaho)
• Udukoko tw'uruhu dukora mu gice kivurwa
• Ibyonda cyangwa ibikomere ugomba gushyiraho umuti
• Eczema ikaze cyangwa psoriasis mu gice kivurwa
• Amateka y'uruhu rukaze ku miti ikoreshwa ku ruhu
• Gukoresha ubu imiti imwe na rimwe igabanya ubudahangarwa

Umuhanga w'uruhu rwawe azaganira nawe kuri ibi bintu kandi agufashe kumenya niba ingenol ari uburyo bwiza bwo kuvura icyo kibazo cyawe.

Amazina ya Ingenol

Ingenol mebutate yari iboneka mbere yitwa Picato mu bihugu byinshi, harimo Leta Zunze Ubumwe z'Amerika na Burayi. Ariko, uyu muti wakuriwe ku isoko ku bushake n'uwawukora mu 2020 kubera impungenge z'umutekano.

Ukuriwa kwabayeho nyuma y'uko ubushakashatsi bwerekanye ko hari amahirwe yo kwiyongera kwa kanseri y'uruhu ahantu havurwa ku barwayi bamwe. Kubera iyo mpamvu, ingenol mebutate ntigishobora kuboneka ku isoko kugira ngo ivure actinic keratoses.

Niba wari warandikiwe Picato cyangwa ingenol mebutate, umuganga wawe azagusaba izindi miti yo kuvura actinic keratoses yawe. Hariho izindi nzira nyinshi zikora neza zishobora gukemura ibibazo by'uruhu rwawe mu buryo butekanye.

Izindi miti isimbura Ingenol

Kuva ingenol itagishobora kuboneka, umuhanga w'uruhu rwawe afite izindi miti myinshi ikora neza yo kuvura actinic keratoses. Izi nzira zikora mu buryo butandukanye ariko zishobora kugera ku musaruro usa no gusukura uturemangingo tw'uruhu tudasanzwe.

Uburyo bwo kuvura bw'ahandi harimo ikirundo cya imiquimod, gifasha umubiri wawe kurwanya uturemangingo tudasanzwe, n'ikirundo cya fluorouracil, kigamije uturemangingo twihuta. Byombi bisaba igihe kirekire cyo kuvurwa kurusha ingenol ariko bifite uburyo bwo gukoresha bwizewe.

Uburyo bwo kuvura ubu burimo:

• Ikirundo cya Imiquimod (gikoreshwa inshuro 2-3 mu cyumweru mu byumweru byinshi)
• Ikirundo cya Fluorouracil (gikoreshwa kabiri ku munsi mu byumweru 2-4)
• Gel ya Diclofenac (ikoreshwa kabiri ku munsi mu mezi 2-3)
• Cryotherapy (gukonjesha na azote ya liquid)
• Curettage (gukura uruhu rudasanzwe)
• Ubuvuzi bwa photodynamic (ubuvuzi buterwa n'urumuri)

Buri buryo bufite inyungu zitandukanye n'ibitekerezo. Umuganga w'uruhu wawe azagufasha guhitamo uburyo bwiza bushingiye ku byo ukeneye, ubwoko bw'uruhu rwawe, n'imibereho yawe.

Ibikunze Kubazwa Ku Bya Ingenol

Ese Ingenol irakwiriye ku bantu bafite uruhu rworoshye?

Ingenol ntikiboneka kubera impungenge z'umutekano zatumye ikurwa ku isoko mu 2020. Igihe yariho, yashoboraga gutera ibibazo bikomeye by'uruhu ndetse no ku bantu badafite uruhu rworoshye.

Niba ufite uruhu rworoshye kandi ukeneye kuvurwa actinic keratoses, umuganga w'uruhu rwawe ashobora kugusaba uburyo bworoshye nka gel ya diclofenac cyangwa akaganira ku ngengabihe ivuguruwe yo kuvura hamwe n'indi miti ikoreshwa ku ruhu kugirango agabanye uburakari.

Nkwiriye gukora iki niba narakoresheje Ingenol mbere?

Niba warakoresheje ingenol (Picato) mu gihe gishize, ni ngombwa gukomeza kugenzura uruhu rwawe buri gihe n'umuganga w'uruhu rwawe. Uyu muti wavanyweho kubera impungenge zerekeye gushobora kwiyongera kw'umubare wa kanseri y'uruhu ahantu havuriwe.

Genzura ahantu wakoresheje ingenol ku bice bishya cyangwa bihinduka, imikurire idasanzwe, cyangwa impinduka z'uruhu zihoraho. Tanga raporo ku mpungenge zose ku muganga w'uruhu rwawe vuba kugirango abashe kuzisuzuma no kuzikemura neza.

Ni ubuhe buryo bwiza bwo gusimbura Ingenol ubu?

Uburyo bwo kuvura bukunze kwandikwa harimo amavuta ya imiquimod na fluorouracil, byombi bifite amateka maremare y'umutekano n'ubushobozi. Muganga wawe w'uruhu ashobora no kugusaba cryotherapy cyangwa photodynamic therapy.

Icyemezo cyiza gishingira ku bintu nk'umubare n'ahantu h'ibibazo byawe bya actinic keratoses, ubwoko bw'uruhu rwawe, n'icyo ukunda ku bijyanye n'igihe cyo kuvurwa. Abantu bamwe bakunda uburyo bwo kuvura bugufi kandi bukomeye, mu gihe abandi bakunda uburyo bworoshye, bufata igihe kirekire.

Ese ndashobora kubona Ingenol binyuze muri gahunda zidasanzwe?

Ingenol mebutate ntiboneka binyuze muri gahunda zidasanzwe cyangwa zo gufasha kuko uruganda rwayikuye ku isoko ry'isi ku bushake. Iyo kuvana byari bikubiyemo byose kandi bikoreshwa mu bihugu byose byari byarabyemereye mbere.

Muganga wawe w'uruhu ashobora kuganira ku bimenyetso bihari ubu byemejwe kandi bifite umutekano wemejwe wo kuvura actinic keratoses neza.

Ni gute uburyo bwo kuvura buhari ubu bugereranywa n'icyo Ingenol yatangaga?

Uburyo bwo kuvura actinic keratoses buhari ubu bufite ubushobozi bwinshi kandi bufite inyungu yo kugira amakuru menshi y'umutekano. Nubwo ingenol yatangaga igihe gito cyo kuvura, uburyo bwo kuvura buhari bushobora kugera ku musaruro usa cyangwa uruta uwo, hamwe n'ibibazo byumvikana neza.

Abantu benshi basanga uburyo bwo kuvura buhari ubu, nubwo bisaba igihe kirekire cyo gukoresha, bitera ibibazo byoroheje byo ku ruhu kandi bitanga ibisubizo byitezwe. Muganga wawe w'uruhu ashobora kugufasha gusobanukirwa uburyo bwo kuvura buhari ubu bushobora gukora neza ku kibazo cyawe.