Yini i-Fluocinolone-Hydroquinone-and-Tretinoin Topical? Ukusetshenziswa, Imiphumela Eceleni, & Umhlahlandlela Wokusebenzisa

I-Fluocinolone-hydroquinone-and-tretinoin topical iyikhilimu kadokotela elihlanganisa izithako ezintathu ezinamandla ukwelapha i-melasma, isimo sesikhumba esivamile esibangela amabala amnyama ebusweni bakho. Lo muthi ohlanganisa izithako ezintathu usebenza ngokukhanyisa amabala amnyama akhona, ukuvimbela ukwakheka kwamasha, nokunciphisa ukuvuvukala esikhumbeni sakho. Ungase wazi lokhu kwelashwa ngamagama omkhiqizo afana ne-Tri-Luma, futhi yakhelwe ngqo abantu abangabonanga imiphumela ngemithi enesithako esisodwa.

Isetshenziselwani i-fluocinolone-hydroquinone-and-tretinoin topical?

Lo muthi ngokuyinhloko welapha i-melasma, evela njengamabala ansundu noma ampunga emathangeni akho, ebunzini, emakhaleni, noma emlebe ongenhla. I-Melasma ivame ukuthuthuka ngesikhathi sokukhulelwa (ngezinye izikhathi ebizwa ngokuthi "imaski yokukhulelwa") noma ngenxa yokuchayeka elangeni kanye nezinguquko zamahomoni. Ikhilimu elihlanganisiwe liqondise le pigment engathobeli kahle ekwelashweni okungathengwa ngaphandle kwemvume kadokotela.

Isithako ngasinye kule khilimu sinomsebenzi othile. I-Hydroquinone ikhanyisa amabala amnyama ngokunciphisa ukukhiqizwa kwe-melanin esikhumbeni sakho. I-Tretinoin isheshisa ukuguqulwa kwamaseli esikhumba ukusiza ukunciphisa i-pigmentation ekhona nokuvimbela ama-pores avalekile. I-Fluocinolone inciphisa ukuvuvukala nokucasuka okungenza i-melasma ibe yimbi.

Izizwa kanjani i-fluocinolone-hydroquinone-and-tretinoin topical uma isetshenziswa?

Uma uqala ukusebenzisa le khilimu, cishe uzozwa ukushisa okuncane noma ukusha okuncane okuvame ukuhlala imizuzu embalwa nje. Lokhu kujwayelekile ngokuphelele futhi kubonisa ukuthi umuthi uyasebenza. Isikhumba sakho singase sizizwe sifudumele kancane noma siqine ngemva kokusetshenziswa, ikakhulukazi ngesikhathi samasonto ambalwa okuqala okwelashwa.

Abanye abantu bazwa ukushisa okuncane lapho beqala ukusebenzisa ukhilimu, ikakhulukazi uma benesikhumba esibucayi. Ungase uqaphele ukuthi isikhumba sakho sizizwa somile kunokujwayelekile noma sibonakala sibomvu kancane ngemva kokusebenzisa. Lezi zinzwa zivame ukuba ngaphansi njengoba isikhumba sakho sizivumela ekwelashweni ngesikhathi sokuqala inyanga.

Yini ebangela isidingo sokwelashwa nge-fluocinolone-hydroquinone-and-tretinoin topical?

I-Melasma ithuthuka lapho isikhumba sakho sikhiqiza i-melanin eningi kakhulu, umbala onika isikhumba sakho umbala. Lokhu kukhishwa ngokweqile kuvame ukwenzeka ngenxa yezinguquko ze-hormonal, ikakhulukazi ngesikhathi sokukhulelwa noma lapho uthatha amaphilisi okulawula inzalo. Ukuvezwa yilanga kwenza i-melasma ibe yimbi ngokubangela ukukhiqizwa kwe-melanin okwengeziwe ezindaweni ezithintekile.

Nawa amaphuzu abalulekile abangela i-melasma edinga lokhu kwelashwa:

• Ama-hormone okukhulelwa (i-estrogen ne-progesterone)
• Amaphilisi okulawula inzalo noma ukwelashwa kwe-hormone
• Ukuvezwa yilanga nemisebe ye-UV
• Ukuthambekela kwe-Genetic ku-melasma
• Imithi ethile eyandisa ukuzwela elangeni
• Izifo ze-Thyroid
• Imikhiqizo yezimonyo ecasula isikhumba sakho

Abesifazane maningi amathuba okuthi bathuthukise i-melasma kunamadoda, futhi kuvamile kakhulu kubantu abanesikhumba esimnyama. Ukuba nomlando womndeni we-melasma nakho kwandisa ingozi yakho yokuthuthukisa lesi simo.

Yiziphi izimo zesikhumba i-fluocinolone-hydroquinone-and-tretinoin topical elapha zona?

Lo khilimu ohlanganisiwe uvunyelwe ngokuqondile ukwelapha i-melasma ephakathi nendawo kuya kokukhulu ebusweni bakho. Isebenza kahle ikakhulukazi nge-melasma engazange iphendule ekwelashweni okunesithako esisodwa noma imikhiqizo yokukhanyisa etholakala ngaphandle kwemithi kadokotela. Udokotela wakho angase akubhale lokhu uma uzamile i-hydroquinone yodwa ngaphandle kokubona ukuthuthuka okukhulu.

Ngenkathi i-melasma iyisimo esiyinhloko le khilimu eliyelapha, odokotela bezikhumba ngezinye izikhathi bayayibhala ngaphandle kwemvume yezinye izinhlobo ze-hyperpigmentation. Kodwa-ke, lokhu kufanele kwenziwe ngaphansi kokuqashwa kwezokwelapha okucophelelayo ngoba inhlanganisela yezithako inamandla kakhulu.

Ingabe i-melasma inganyamalala yodwa ngaphandle kokwelashwa?

I-Melasma ngezinye izikhathi iyancipha ngokwemvelo, kodwa lokhu kuvame ukwenzeka kuphela uma kwakubangelwa ukukhulelwa noma izinguquko zamahomoni eziye zaxazululwa. I-Melasma ngemva kokukhulelwa ingase ikhanye kancane kancane ezinyangeni eziningana kuya eminyakeni, ikakhulukazi uma uvikela isikhumba sakho ekuchayekeni elangeni.

Kodwa-ke, i-melasma eningi ayinyamalali ngokuphelele ngaphandle kokwelashwa. Ukuchayeka elangeni, ukuguquguquka kwamahomoni, nokuguga kungenza i-melasma iqhubeke noma ibe yimbi ngokuhamba kwesikhathi. Noma ngabe i-melasma ibonakala iphela, ivame ukubuya uma uchayeka ezintweni ezibangela njengelanga noma izinguquko zamahomoni.

Ngaphandle kokwelashwa, i-melasma ngokuvamile iba yiqiniso futhi kube nzima ukuyelapha ngokuhamba kwesikhathi. Ukungenelela kwangaphambi kwesikhathi ngokwelashwa okufanele njengale khilimu ehlanganisa kathathu kuvame ukuholela emiphumeleni engcono kunokulinda ukubona ukuthi isimo siyathuthuka yini sodwa.

Kufanele kanjani i-fluocinolone-hydroquinone-and-tretinoin topical isetshenziswe ekhaya?

Sebenzisa le khilimu ebusuku kuphela ngoba i-tretinoin yenza isikhumba sakho sizwele kakhulu elangeni. Qala ngokuwasha ubuso bakho ngesihlanzi esithambile bese usomisa ngokuphelele. Linda imizuzu engaba ngu-20-30 ngemva kokuhlanza ngaphambi kokusebenzisa ukhilimu ukuqinisekisa ukuthi isikhumba sakho somile ngokuphelele.

Nansi inqubo yokusebenzisa isinyathelo ngesinyathelo:

1. Cindezela ukhilimu omncane (cishe ngosayizi wephizi) ekhoneni lomunwe wakho
2. Faka amachashazi amancane okhilimu kuphela ezindaweni ezimnyama, hhayi ebusweni bakho bonke
3. Gcobisa ukhilimu ngobumnene usebenzisa ukunyakaza okulula, okuyindilinga
4. Gwema izindawo ezizungeze amehlo akho, izindebe, namakhala
5. Geza izandla zakho kahle ngemuva kokusebenzisa
6. Ungafaki eminye imikhiqizo yokunakekela isikhumba okungenani imizuzu engama-30

Abantu abaningi baqala ngokusebenzisa ngobusuku obubodwa ngemva kobunye emasontweni amabili okuqala, bese bekhuphuka kancane kancane baye ekusebenziseni nsuku zonke njengoba isikhumba sabo sikwazi ukukubekezelela. Njalo landela imiyalelo ethile kadokotela wakho, njengoba engase ancome uhlelo oluhlukile olususelwe ekuzweleni kwesikhumba sakho.

Yini indlela yokwelapha yezokwelapha ye-melasma?

Ukwelashwa kwezokwelapha kwe-melasma kuvame ukulandela indlela yesinyathelo ngesinyathelo, kuqala ngezithako ezilodwa ngaphambi kokushintshela ekwelashweni okuhlanganisiwe. Udokotela wakho wesikhumba cishe uzoqala nge-hydroquinone yodwa noma i-tretinoin yodwa ukuze abone ukuthi isikhumba sakho siphendula kanjani. Uma izithako ezilodwa zingahlinzeki ngemiphumela eyanele ngemuva kwezinyanga ezi-3-6, bangase babhale lo khilimu ohlanganisiwe kathathu.

Ukwelashwa kuvame ukuthatha amasonto ayi-8-12, nakuba abanye abantu bebona ngcono ngokushesha njengoba amasonto amane. Udokotela wakho uzoqapha inqubekela phambili yakho futhi angase alungise uhlelo lokwelapha ngokusekelwe ekutheni isikhumba sakho siphendula kanjani. Ezinye iziguli zidinga ukwelashwa kokugcinwa ukuvimbela i-melasma ukuthi ingabuyi.

Ngaphezu kokwelashwa okusebenzayo, udokotela wakho uzoqokomisa ukuvikelwa kwelanga okuqinile njengengxenye yohlelo lwakho lokwelapha. Lokhu kufaka phakathi i-sunscreen yansuku zonke ebanzi, izingubo ezivikelayo, nokugwema amahora aphezulu elanga. Ngaphandle kokuvikelwa kwelanga okufanele, ngisho nokwelashwa okuphumelela kakhulu ngeke kusebenze kahle.

Kufanele ngibone nini udokotela we-melasma noma ukushintsha kombala wesikhumba?

Kufanele ubone udokotela wesikhumba uma ubona izindawo ezintsha ezimnyama ebusweni bakho ezingashabalali ngemva kwezinyanga ezimbalwa zokuvikela ilanga kanye nokwelashwa okungathengwa ngaphandle kwemvume kadokotela. Ukwelashwa kwasekuqaleni kuvame ukuholela emiphumeleni engcono, ngakho-ke ungalindi isikhathi eside kakhulu ukufuna usizo lochwepheshe.

Hlela i-aphoyintimenti uma uhlangabezana nanoma yiziphi lezi zimpawu ezikhathazayo:

• Izindawo ezimnyama ezikhula ngobukhulu noma zibe mnyama
• Izindawo ezinemingcele engajwayelekile noma imibala engajwayelekile
• Ukushintsha kombala kwesikhumba okopha, okuluma, noma okuba buhlungu
• Izindawo ezingasabeli ekwelashweni okungathengwa ngaphandle kwemvume kadokotela ngemva kwezinyanga ezi-3
• Ukuvela kungazelelwe kwamabala amaningi amnyama
• Noma yiziphi izinguquko zesikhumba ezikukhathazayo noma ezithinta ukuzethemba kwakho

Uma usuvele usebenzisa lo khilimu kadokotela, xhumana nodokotela wakho uma uhlangabezana nokucasuka okukhulu, ukubomvu okuqhubekayo, noma uma isikhumba sakho singathuthuki ngemva kwamasonto angu-12 okusetshenziswa njalo. Bangase badinge ukulungisa uhlelo lwakho lokwelapha noma baphenye ezinye izimbangela eziyisisekelo.

Ziyini izici eziyingozi zokuthuthukisa i-melasma?

Ukuqonda izici zakho eziyingozi kungakusiza ukuthi uthathe izinyathelo zokuvimbela futhi ufune ukwelashwa kwasekuqaleni uma kudingeka. Isici esikhulu esiyingozi ukuba ngowesifazane oseminyakeni yokuzala, njengoba ukuguquguquka kwamahomoni ngesikhathi sokukhulelwa kanye nokusetshenziswa kokulawula ukuzala kuvamile ukubangela i-melasma.

Nazi izici eziyinhloko eziyingozi zokuthuthukisa i-melasma:

• Ubulili besifazane (buthinta abesifazane abangu-90% ngaphezu kwabesilisa)
• Ukukhulelwa, ikakhulukazi izinyanga ezimbili nezintathu zokukhulelwa
• Amaphilisi okulawula ukuzala noma ukwelashwa kokushintshwa kwamahomoni
• Ifa laseHispanic, lase-Asia, noma lase-Afrika-American
• Ukuphila ezindaweni ezinelanga noma ezindaweni eziphakeme
• Umlando womndeni we-melasma
• Iminyaka ephakathi kweminyaka engu-20-40
• Ukuvezwa kwelanga njalo ngaphandle kokuvikela

Ukuba nezici eziyingozi ezingaphezu kweyodwa akusho ukuthi nakanjani uzothuthukisa i-melasma, kodwa kusho ukuthi kufanele uqaphele kakhulu ukuvikela ilanga futhi uqaphele izinguquko esikhumbeni sakho. Ukuvimbela kusenesikhathi kuhlale kulula kunokwelashwa.

Yiziphi izimo ezingaba khona zohlangothi lwe-fluocinolone-hydroquinone-and-tretinoin topical?

Abantu abaningi bathola imiphumela emincane yohlangothi lapho beqala ukusebenzisa le khilimu, futhi lokhu kuvame ukuthuthuka njengoba isikhumba sakho sizivumela ekwelashweni. Imiphumela ejwayelekile kakhulu yohlangothi ukucasuka kwesikhumba, ukoma, nokwanda kokuzwela elangeni.

Nansi imiphumela ejwayelekile yohlangothi ongase uyithole:

• Ukusha okuncane noma umuzwa wokugwaza
• Ukomiswa kwesikhumba nokuxebuka
• Ububomvu besikhashana noma ukucasuka
• Ukuzwela okwandayo elangeni nasemoyeni
• Ukushintsha kombala kwesikhumba okuncane ngesikhathi sokuzivumela
• Ukuluma noma ukuqubuka okuncane

Imiphumela emibi kakhulu kodwa engavamile yohlangothi ihlanganisa ukucasuka okukhulu kwesikhumba, ukusabela komzimba, noma ukukhanya kwesikhumba okungajwayelekile ezindaweni lapho ungasisebenzisanga khona ukhilimu. Uma uthola ukusha okukhulu, ukuvuvukala, noma izimpawu zokusabela komzimba njengobunzima bokuphefumula noma ukuvuvukala, yeka ukusebenzisa ukhilimu bese uthintana nodokotela wakho ngokushesha.

Yini i-melasma engase iphuthelwe yiyo?

I-Melasma ngezinye izikhathi ididaniswa nezinye izinhlobo zokushintsha kombala kwesikhumba, yingakho ukuxilongwa okuchwepheshile kubalulekile. Amabala obudala, abizwa nangokuthi ama-solar lentigines, angabukeka efana ne-melasma kodwa ngokuvamile avela ezindaweni ezivezwe yilanga njengezandla namahlombe, hhayi nje ebusweni.

I-Post-inflammatory hyperpigmentation evela emachashazini noma eminye imihuzuko yesikhumba nayo ingafana ne-melasma. Kodwa-ke, lolu hlobo lokushintsha kombala ngokuvamile luvela noma yikuphi lapho uke waba khona ukulimala kwesikhumba, hhayi kuphethini yobuso elingana ne-melasma. Amabala e-Café-au-lait anesinye isimo esingadidaniswa ne-melasma, kodwa lokhu kuvame ukuba khona kusukela ekuzalweni noma ebuntwaneni obuncane.

Ukushintsha kombala kwesikhumba okubangelwa imithi ethile nakho kungalingisa i-melasma. Eminye imithi yokulwa nomalaleveva, ama-ejenti e-chemotherapy, ngisho neminye imithi elwa namagciwane ingabangela ukuba mnyama ebusweni okubukeka njenge-melasma kodwa idinga izindlela zokwelapha ezihlukile.

Imibuzo evame ukubuzwa mayelana ne-fluocinolone-hydroquinone-and-tretinoin topical

Umbuzo: Kuthatha isikhathi esingakanani ukubona imiphumela yalokhu kwelashwa?

Abantu abaningi baqala ukubona ukuthuthuka kwe-melasma yabo ngemva kwamasonto angu-4-6 okusetshenziswa njalo. Nokho, ukukhanya okukhulu kuvame ukuthatha amasonto angu-8-12 okusetshenziswa njalo. Ezinye izimo ezinzima zingase zidinge izikhathi zokwelashwa ezinde, futhi udokotela wakho uzoqapha inqubekela phambili yakho kuyo yonke le ndlela.

Umbuzo: Ngingasebenzisa yini izimonyo ngenkathi ngisebenzisa le khilimu?

Yebo, ungafaka izimonyo emini ngenkathi usebenzisa le khilimu ebusuku. Eqinisweni, izimonyo ezine-SPF zingahlinzeka ngokuvikelwa okwengeziwe elangeni, okubalulekile ngesikhathi sokwelashwa. Vele uqinisekise ukuthi ususa zonke izimonyo ngokucophelela ngaphambi kokusebenzisa ukhilimu ngesikhathi sokulala.

Umbuzo: Ingabe i-melasma yami izobuya ngemva kokuyeka ukusebenzisa ukhilimu?

I-Melasma ingabuyela uma uveziwe ezintweni ezibangela njengelanga, izinguquko zamahomoni, noma imithi ethile. Abantu abaningi badinga ukwelashwa kokugcinwa ngemithi ethambile ukuze bavimbele i-melasma ukuthi ingabuyi. Udokotela wakho uzoxoxa ngohlelo lwesikhathi eside ukusiza ukugcina imiphumela yakho.

Umbuzo: Ingabe kuphephile ukusebenzisa le khilimu ngesikhathi sokukhulelwa noma ukuncelisa?

Le khilimu ayinconyelwe ngesikhathi sokukhulelwa noma ukuncelisa ngenxa yengxenye ye-tretinoin. Uma ukhulelwe noma uhlela ukukhulelwa, xoxa ngezinketho zokwelashwa eziphephile nodokotela wakho. Zikhona ezinye izindlela eziphephile zokwelapha i-melasma.

Umbuzo: Ngingenzani uma ngiphuthelwa umthamo?

Uma ukhohlwa ukugcoba ukhilimu ngobusuku obuthile, vele uqhubeke nesimiso sakho esijwayelekile ngobusuku obulandelayo. Ungagcobisi ukhilimu owengeziwe ukuze ulungise umthamo ongekho, ngoba lokhu kungandisa ukucasuka ngaphandle kokuthuthukisa imiphumela. Ukuqina kubaluleke kakhulu kunokuzama ukulungisa izicelo ezingenziwanga.