Chii chinonzi Ingenol: Zvazvinoshandiswa, Mushonga, Matambudziko, nezvimwe

Ingenol mushonga unoiswa panzvimbo inoshandiswa nachiremba kurapa actinic keratoses, izvo zviri zvikwangwani zvakaoma, zvine makwapa paganda rako zvichikonzerwa nekukuvara kwezuva. Mushonga uyu unovakirwa pagel unoshanda nekunangana nemaseru eganda asina kujairika anogona kukura kuita kenza yeganda kana akasabatwa.

Mushonga uyu unobva kumuti unonzi Euphorbia peplus, unozivikanwa se milkweed kana petty spurge. Chiremba wako wezve ganda angakurudzira ingenol kana uine akawanda actinic keratoses munzvimbo imwe chete inoda kurapwa.

Chii chinonzi Ingenol chinoshandiswa?

Ingenol inorapa actinic keratoses, izvo zvikwangwani zvakaoma, zvakaita sesandpaper zvinowanikwa panzvimbo dzeganda dzakafumurwa nezuva. Zvikwangwani izvi zvinoonekwa sezviri precancerous, zvinoreva kuti zvine mukana wekushanduka kuita squamous cell carcinoma kana zvikasabatwa.

Iwe unowanzoona actinic keratoses pachiso chako, musoro, nzeve, mutsipa, maoko, kana maoko. Nzvimbo idzi dzinowana zuva rakawanda mumakore. Zvikwangwani zvinogona kunzwa zvakaoma paunopfuudza chigunwe chako pazviri, uye zvinogona kusiyana muvara kubva paganda-toned kusvika kune reddish-brown.

Chiremba wako anosarudza ingenol kana uine akati wandei actinic keratoses akabatana pamwechete munzvimbo imwe chete yekurapa. Izvi zvinoita kuti zvishande zvakanyanya pane kurapa chigamba chimwe nechimwe zvakasiyana nemamwe maitiro sekutonhodza kana kukwenya.

Ingenol inoshanda sei?

Ingenol inoshanda kuburikidza nemaitiro maviri-ekushanda anovavarira maseru eganda asina kujairika uchichengetedza tishu ine hutano. Mushonga unokonzera rufu rwemaseru mumaseru akakuvadzwa anoumba actinic keratoses, zvichikonzera kuti aparare uye abude.

Panguva imwecheteyo, ingenol inogonesa immune system yako kuti izive uye irwise chero maseru asina kujairika anoramba ari munzvimbo inobatwa. Mhinduro iyi yeimmune inobatsira kuona kuti kurapwa kwacho kwakakwana uye kunoderedza mukana wekuti keratoses idzoke.

Izvi zvinoonekwa sekurapa kwepamusoro kwepakati nepakati. Mhedzisiro yacho inoitika nekukurumidza zvichienzaniswa nemimwe mishonga yepamusoro, asi izvi zvinorevawo kuti unogona kusangana nekuchinja kweganda kunooneka panguva yekupora.

Ndingatora sei Ingenol?

Unoshandisa ingenol zvakananga kunzvimbo yeganda rine dambudziko kamwe chete pazuva kwemazuva maviri kana matatu akatevedzana, zvichienderana nekwaunorapa. Kuti urape kumeso nemusoro, unoshandisa kwemazuva matatu. Kune nzvimbo dzemuviri dzakaita semaoko kana maoko, iwe unowanzoishandisa kwemazuva maviri.

Usati washandisa gel, geza maoko ako zvakanyatsonaka uye ita shuwa kuti nzvimbo yekurapa yakachena uye yakaoma. Svinira gel yakakwana kuti uvhare nzvimbo yese yekurapa ne layer yakatetepa, wobva wainyorovesa zvinyoro nyoro kusvikira yanyangarika.

Haufaniri kutora mushonga uyu nechikafu kana mvura sezvo uchishandiswa paganda rako. Zvisinei, unofanira kudzivisa kuwana gel pedyo nemaziso ako, muromo, kana chero maronda akazaruka. Mushure mekunyorera, geza maoko ako nekukasira kudzivirira netsaona kuparadzira mushonga kune dzimwe nzvimbo.

Shandisa gel panguva imwechete zuva rega rega, zviri nani manheru. Izvi zvinobatsira kuderedza kuratidzwa kwezuva kunzvimbo yakarapiwa mushure mekunyorera.

Ndingatora Ingenol kwenguva yakareba sei?

Nzira yekurapa neingenol ipfupi kwazvo - mazuva maviri kusvika matatu chete. Kusiyana nemamwe marapirwo epamusoro anoda mavhiki kana mwedzi yekushandisa, ingenol inoshanda nekukurumidza uye zvakanyanya munguva pfupi iyi.

Mushure mekupedza kutenderera kwemazuva 2 kana 3 ekurapa, unomira kushandisa mushonga zvachose. Ganda rako richaramba richichinja uye richipora mumavhiki anotevera, kazhinji richitora anenge mavhiki maviri kusvika mana kuti apore zvizere.

Haufaniri kudzokorora kurapwa kunze kwekunge actinic keratoses itsva ichikura munzvimbo imwechete, izvo zvingaitika mwedzi kana makore gare gare. Chiremba wako wezvizoro achatarisa ganda rako uye achasarudza kana kurapwa kwemunguva yemberi kuchidikanwa.

Ndezvipi Zvakaipa zveIngenol?

Vanhu vazhinji vanowana mhinduro paganda panzvimbo yavakabatwa, izvo zviratidzo zvekuti mushonga uri kushanda nemazvo. Mhinduro idzi chikamu chekuzviporesa kwakajairika sezvo ganda rako richirasikirwa nemaseru akakuvadzwa.

Mhedzisiro yakajairika yaungacherechedza inosanganisira kutsvuka, kuzvimba, uye kunzwa kurwadziwa panzvimbo yakabatwa. Zviratidzo izvi zvinowanzo kutanga mukati mezuva rimwe kana maviri mushure mekutanga kurapwa uye zvinogona kutora mavhiki akati wandei.

Hezvino mhinduro dzaungawana, kutanga neizvo zvakajairika:

• Kutsvuka uye kuzvimba izvo zvinogona kuoneka zvakanyanya
• Kuzvimba kutenderedza nzvimbo yakabatwa
• Kupisa kana kunzwa kurwadziwa panguva uye mushure mekunyorera
• Kugwamba kana kuoma kweganda rinopora
• Kupenya kana kuparara kweganda
• Kukwenya munzvimbo yekurapa
• Kusviba kana kujeka kweganda kwenguva pfupi

Mhinduro idzi dzinoratidza kuti ingenol iri kunangana nemaseru asina kujairika nemazvo. Kunyangwe zvichigona kutaridzika zvinotyisa, kazhinji hazvina njodzi uye zvinopera sezvo ganda rako richipora.

Mhedzisiro isingawanzoitika asi yakakomba inogona kusanganisira mhinduro dzakanyanya dzekurwara, kunyangwe izvi zvisingawanzoitiki. Zviratidzo zvekurwara kwakakomba zvinosanganisira rash yakapararira, kuoma kufema, kana kuzvimba kwechiso chako, miromo, rurimi, kana huro.

Vamwe vanhu vanogona kuwana kurwadziwa nemusoro, kutsamwa kwemaziso kana mushonga ukasvika maziso netsaona, kana zviratidzo zvakaita sefuru panguva yekurapwa. Mhedzisiro idzi dzenguva pfupi uye kazhinji dzakapfava.

Ndiani Asingafaniri Kutora Ingenol?

Haufanire kushandisa ingenol kana uine allergic kune chero zvinosanganiswa zvayo kana kana wakambove nemhinduro dzakakomba kumishonga yakafanana yekunyorera kare. Vanhu vane mamiriro eganda akati wandei kana masisitimu ekudzivirira muviri akakanganiswa vanogonawo kuda kudzivirira kurapwa uku.

Chiremba wako achanyatsoongorora kana ingenol yakakodzera iwe zvichienderana nenhoroondo yako yezvokurapa uye hutano hwako hwazvino. Vachafunga nezvezvinhu zvakaita serudzi rweganda rako, kuoma kweactinic keratoses yako, uye chero mamwe mishonga yaunotora.

Mamiriro chaiwo apo ingenol ingasava yakakodzera anosanganisira:

• Kuzvitakura kana kuyamwisa (kuchengeteka hakuna kumiswa)
• Zvirwere zveganda zviripo munzvimbo yekurapa
• Maronda akavhurika kana kucheka kwaunoda kushandisa mushonga
• Severe eczema kana psoriasis munzvimbo yekurapa
• Nhoroondo yekuitika kweganda rakakomba kumishonga yepamusoro
• Kushandiswa kwazvino kwemamwe mishonga yekudzivirira immune

Dermatologist wako achakurukura izvi zvinhu newe uye achabatsira kuona kana ingenol iri iyo yakanakisa kurapa sarudzo yemamiriro ako chaiwo.

Mazita eIngenol Brand

Ingenol mebutate yaivepo kare pasi pezita remhando yePicato munyika zhinji, kusanganisira United States neEurope. Zvisinei, mushonga uyu wakazvimiririra kubva kumusika nemugadziri muna 2020 nekuda kwekunetseka kwekuchengeteka.

Kubviswa kwakaitika mushure mekunge zvidzidzo zvichiratidza njodzi yakawedzera yekenza yeganda panzvimbo yekurapa mune vamwe varwere. Nekuda kweizvi, ingenol mebutate haichawanikwi kutengeswa yekurapa actinic keratoses.

Kana iwe wakambonyorerwa Picato kana ingenol mebutate, chiremba wako achakurudzira dzimwe nzira dzekurapa actinic keratoses yako. Kune dzimwe nzira dzakawanda dzinoshanda dziripo dzinogona kugadzirisa zvinokunetsa ganda zvakachengeteka.

Ingenol Alternatives

Sezvo ingenol isisipo, dermatologist wako ane dzimwe nzira dzakawanda dzinobudirira dzekurapa actinic keratoses. Idzi dzimwe nzira dzinoshanda zvakasiyana asi dzinogona kuwana mhedzisiro yakafanana mukuchenesa maseru eganda asina kujairika.

Zvimwe zvinogona kushandiswa zvinosanganisira imiquimod cream, iyo inosimudzira immune system yako kurwisa maseru asina kujairika, uye fluorouracil cream, iyo inotarisa maseru anokurumidza kukamukana. Zvose zvinoda nguva refu yekurapa kupfuura ingenol asi zvine nzira dzakachengeteka dzakagadzwa.

Sarudzo dzako dzekurapa zvino dzinosanganisira:

• Imiquimod cream (inoshandiswa 2-3 nguva pavhiki kwemavhiki akati wandei)
• Fluorouracil cream (inoshandiswa kaviri pazuva kwemavhiki 2-4)
• Diclofenac gel (inoshandiswa kaviri pazuva kwemwedzi 2-3)
• Cryotherapy (kufriza nemvura nitrogen)
• Curettage (kukwenya tishu isina kujairika)
• Photodynamic therapy (kurapa kunoshandiswa chiedza)

Sarudzo imwe neimwe ine zvainobatsira nezvinhu zvekufunga nezvazvo. Chiremba wako wezvirwere zvemapfupa achakubatsira kusarudza imwe nzira yakanakisa zvichienderana nezvaunoda, rudzi rweganda rako, uye zvinhu zvehupenyu.

Mibvunzo Inowanzo Bvunzwa Pamusoro peIngenol

Ingenol Yakachengeteka Kune Vanhu Vane Ganda Rinonzwa?

Ingenol haichawanikwi nekuda kwekunetseka kwekuchengeteka kwakaita kuti ibviswe mumusika muna 2020. Paya yaivapo, yaigona kukonzera kuita kweganda kwakanyanya kunyangwe kuvanhu vasina ganda rinonzwa.

Kana uine ganda rinonzwa uye uchida kurapwa kwe actinic keratoses, chiremba wako wezvirwere zvemapfupa anogona kukurudzira dzimwe nzira dzakapfava dzakadai se diclofenac gel kana kukurukura nzira dzekurapa dzakachinjwa nemimwe mishonga inoshandiswa kudzora kutsamwa.

Ndoitei kana ndaimbove ndichishandisa Ingenol?

Kana wakamboshandisa ingenol (Picato) munguva yakapfuura, zvakakosha kuti uenderere mberi nekuongorora ganda nguva dzose nachiremba wako wezvirwere zvemapfupa. Mushonga uyu wakabviswa nekuda kwekunetseka pamusoro pekuwedzera njodzi yekenza yeganda panzvimbo dzekurapa.

Tarisa nzvimbo dzawakashandisa ingenol kuti uone chero nzvimbo itsva kana dzichichinja, kukura kusinganzwisisiki, kana shanduko dzeganda dzisingaperi. Taura chero zvaunonetseka nachiremba wako wezvirwere zvemapfupa nekukurumidza kuti vakwanise kuongorora nekuzvigadzirisa zvakakodzera.

Ndezvipi Zvakanakisa Zvazvino Zvitsva zveIngenol?

Zvimwe zvinotsiviwa zvinonyanya kurairwa zvinosanganisira imiquimod cream uye fluorouracil cream, izvo zvose zvine nhoroondo refu yekuchengeteka nekushanda. Chiremba wako wezvirwere zvepaganda angakurairawo cryotherapy kana photodynamic therapy.

Sarudzo yakanaka zvinoenderana nezvinhu zvakaita sehuwandu nenzvimbo yeactinic keratoses yako, rudzi rweganda rako, uye zvaunoda maererano nekureba kwekurapa. Vamwe vanhu vanosarudza kurapwa kwenguva pfupi, kwakanyanya, asi vamwe vanosarudza zvinyoro-nyoro, sarudzo dzenguva refu.

Ndingachiri Kuwana Ingenol Kuburikidza neSpecial Access Programs?

Ingenol mebutate haisi kuwanikwa kuburikidza ne special access kana compassionate use programs sezvo mugadziri akazvitora kubva kumisika yepasi rose. Kubviswa kwacho kwaiva kwakazara uye kunoshanda kumativi ose enyika kwaive kwakatenderwa kare.

Chiremba wako wezvirwere zvepaganda anogona kukurukura humbowo hwezvino hwakavakirwa pazvinhu zviripo uye zvine maprofiles akaratidza kuchengeteka ekurapa actinic keratoses zvinobudirira.

Kurapa Kwazvino Kunoenzaniswa Sei Nezvakapiwa naIngenol?

Kurapa kwazvino kweactinic keratoses kunoshanda zvakanyanya uye kune mukana wemashoko akawanda ekuchengeteka. Kunyange ingenol yaipa nguva pfupi yekurapa, zvimwe zvingasarudzwa zviripo zvinogona kuwana mhedzisiro yakafanana kana iri nani ine maprofiles anozivikanwa zvakanaka.

Varwere vazhinji vanowana kuti kurapwa kwazvino, kunoda nguva refu yekushandisa, kunokonzera zvishoma zviito zvepaganda uye kunopa mhedzisiro inotaurika. Chiremba wako wezvirwere zvepaganda anogona kukubatsira kunzwisisa kuti ndeipi sarudzo iripo ingashande zvakanaka kune yako chaiyo mamiriro.