Yini i-Isotretinoin: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Isotretinoin iyimithi enamandla kadokotela esetshenziselwa ikakhulukazi ukwelapha izinduna ezinzima ezingaphendulanga kwezinye izindlela zokwelapha. Lolu wuhlobo lukavithamini A olusebenza ngokunciphisa ukukhiqizwa kwamafutha esikhumbeni sakho futhi lusize isikhumba sakho sizivuselele ngokushesha.

Le mithi ivame ukubhekwa njengezinga legolide lokwelapha izinduna eziqhubukayo, ezinama-cystic ezingashiya izibazi ezingapheli. Nakuba isebenza kakhulu, i-isotretinoin idinga ukuqashwa ngokucophelela ngenxa yemiphumela yayo engaba khona eceleni kanye nesidingo sokuthatha izinyathelo zokuphepha ngesikhathi sokwelashwa.

Yini i-Isotretinoin?

I-Isotretinoin iyindlela yokwenziwa kavithamini A obizwa ngokuthi i-retinoid. Ingenye yezindlela zokwelapha eziphumelela kakhulu ezitholakalayo zezinduna ezinzima, ikakhulukazi uhlobo olwenza ama-cyst ajule, abuhlungu ngaphansi kwesikhumba.

Le mithi isebenza ngendlela ehlukile kunezinqubo zokwelapha izinduna ezingaphandle ngoba ibhekana nezinduna ngaphakathi nangaphandle. Yaqala ukugunyazwa ngeminyaka yawo-1980 futhi isize izigidi zabantu ukuthi bathole isikhumba esicacile lapho ezinye izindlela zokwelapha zehluleka.

Ungase wazi i-isotretinoin ngegama layo lokuqala lomkhiqizo i-Accutane, nakuba manje itholakala ngaphansi kwamagama amaningi ahlukene omkhiqizo. Imithi iza ngesimo se-capsule futhi ithathwa ngomlomo, ngokuvamile kanye noma kabili ngosuku ngokudla.

Yini i-Isotretinoin Esetshenziselwa Yona?

I-Isotretinoin ikakhulukazi inikezwa izinduna ezinzima ze-nodular ezingathuthukiswanga ngezinye izindlela zokwelapha. Lokhu kuhlanganisa uhlobo lwezinduna olwenza ama-bumps amakhulu, abuhlungu ngaphansi kwesikhumba sakho ezingaholela ekubeni nezibazi ezingapheli.

Udokotela wakho angase ancome i-isotretinoin uma uzamile ama-antibiotics, ukwelashwa kwendawo, neminye imithi yezinduna izinyanga eziningana ngaphandle kokubona ukuthuthuka okukhulu. Ilusizo ikakhulukazi ezinduneni ezithinta ubuso bakho, isifuba, umhlane, noma amahlombe.

Ngaphandle kwe-acne eqinile, odokotela ngezinye izikhathi banikeza i-isotretinoin ngezimo ezithile ezingavamile zesikhumba njenge-rosacea eqinile noma izinhlobo ezithile zomdlavuza wesikhumba. Nokho, lezi zindlela zivame kakhulu ukusetshenziswa kunokwelashwa kwe-acne.

Isebenza Kanjani I-Isotretinoin?

I-Isotretinoin ilwa ne-acne ngezindlela ezine eziyinhloko, okuyenza ibe ngomunye wemithi eqinile ye-acne etholakalayo. Inciphisa kakhulu inani likawoyela amagland amakhemikhali akhiqizayo, okusiza ukuvimbela ama-pores avalekile.

Umuthi futhi usheshisa inqubo yemvelo yokuvuselelwa kwamaseli esikhumba sakho, usiza amaseli esikhumba afile ukuthi achitheke kalula esikhundleni sokwakheka nokuvimba ama-pores. Lesi senzo esiphindwe kabili sibhekana nezimbangela ezimbili ezinkulu zokwakheka kwe-acne.

Ngaphezu kwalokho, i-isotretinoin inezindawo ezilwa nokuvuvukala ezisiza ukunciphisa ububomvu nokuvuvukala okuhambisana ne-acne eqinile. Futhi isiza ukuvimbela ukukhula kwamagciwane abangela i-acne ngokudala indawo lapho angeke bachume khona.

Ngenxa yokuthi i-isotretinoin inamandla kakhulu, ithathwa njengokwelashwa kokugcina lapho eminye imithi ingasebenzi. Abantu abaningi babona ukuthuthuka okukhulu ezinyangeni ezimbalwa zokuqala ukwelashwa.

Kufanele Ngiyithathe Kanjani I-Isotretinoin?

Thatha i-isotretinoin ngendlela udokotela wakho ayinikezayo, ngokuvamile kanye noma kabili ngosuku ngokudla. Ukuyithatha nokudla okuqukethe amafutha athile kusiza umzimba wakho ukuba umunce umuthi ngempumelelo.

Gwinya amaphilisi wonke ngenkomishi yamanzi egcwele. Ungagxobi, uhlafune, noma uvule amaphilisi, ngoba lokhu kungabangela ukucasuka emlonyeni nasemphinjeni wakho.

Kungcono ukuthatha i-isotretinoin ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo ohlelweni lwakho. Uma unikezwe imithamo kabili ngosuku, yahlukanisa cishe ngamahora ayi-12.

Gwema ukuthatha i-isotretinoin ngamavithamini A, ngoba lokhu kungandisa ingozi yakho yokuba nobuthi be-vitamin A. Udokotela wakho uzokwazisa uma udinga ukuyeka eminye imithi noma izithasiselo ngaphambi kokuqala ukwelashwa.

Ngizoyithatha isikhathi esingakanani i-Isotretinoin?

Abantu abaningi bathatha i-isotretinoin izinyanga ezi-4 kuya kwezi-6, nakuba ubude bakho obuqondile bokwelashwa buxhomeke esisindweni sakho, ubukhulu be-acne yakho, nokuthi usabela kahle kangakanani emuthini. Udokotela wakho uzobala umthamo wakho ophelele oqongelelwe ngokuya ngesisindo somzimba wakho.

Ungase uqale ukubona ngcono ku-acne yakho phakathi nenyanga yokuqala, kodwa kuvame ukuthatha izinyanga ezi-2 kuya kwezi-3 ukubona izinguquko ezibalulekile. Abanye abantu bahlangabezana nokuqala okubi kakhulu kwe-acne yabo ngaphambi kokuba ngcono.

Udokotela wakho uzoqapha inqubekela phambili yakho ngokuhlolwa okuvamile kanye nokuhlolwa kwegazi kuyo yonke imithi. Bazolungisa umthamo wakho uma kudingeka futhi banqume ukuthi ufike nini emthomeni wakho oqongelelwe oqondiwe.

Abantu abaningi bathola isikhumba esihlanzekile esihlala isikhathi eside ngemva kokuqeda inkambo eyodwa ye-isotretinoin. Nokho, abanye bangase badinge inkambo yesibili uma i-acne ibuya, nakuba lokhu kuvamile ukwenzeka okungenani emasontweni angu-8 ngemva kokuqeda ukwelashwa kokuqala.

Yiziphi Imiphumela Eceleni ye-Isotretinoin?

I-Isotretinoin ingabangela imiphumela ehlukahlukene engemihle, nakuba kungewona wonke umuntu oyitholayo. Imiphumela ejwayelekile kakhulu engemihle ihlobene nokoma, njengoba umuthi unciphisa ukukhiqizwa kwamafutha emzimbeni wakho wonke.

Nawa imiphumela engemihle ebikwa kaningi ethinta abantu abaningi abathatha i-isotretinoin:

• Izindebe ezomile, eziqhekekile (zithinta cishe wonke umuntu)
• Isikhumba esomile nokukwazi ukuxebuka
• Amehlo omile nokuzwela okungenzeka kuma-contact lenses
• Izindima zekhala ezomile kanye nokopha kwamakhala ngezikhathi ezithile
• Ukuzwela okukhulu elangeni
• Ukuncipha kwezinwele okwesikhashana
• Ukuqaqamba kwemisipha nokuqina kwamalunga
• Ukucasuka kwekhanda

Le miphumela ejwayelekile engemihle ivame ukulawuleka ngama-moisturizers afanele, i-lip balm, nokuvikelwa elangeni. Iningi lithuthuka noma lixazulule ngemva kokuqeda ukwelashwa.

Abanye abantu bangase bahlangabezane nemiphumela engemihle engathi sína kodwa engavamile edinga ukunakekelwa kwezokwelapha ngokushesha:

• Ushintsho olukhulu lwemizwa noma ukucindezeleka
• Imicabango yokuzilimaza
• Ubuhlungu obukhulu besisu
• Ikhanda eliqhubekayo elinoshintsho embonweni
• Izinkinga zokuzwa
• Ubuthakathaka obukhulu bemisipha
• Izimpawu zezinkinga zesibindi (ukuphuzi kwesikhumba noma amehlo)

Imiphumela emibi engavamile kodwa engathi sína ingabandakanya isifo samathumbu esivuvukalayo, ukusabela okukhulu komzimba, nezinkinga zombono. Udokotela wakho uzokuhlola ngokucophelela ngezinkinga ezingaba khona ngalezi zinto ngokuhlolwa njalo kanye nokuhlolwa kwegazi.

Ubani Ongafanele Athathe I-Isotretinoin?

I-Isotretinoin ayifaneleki kuwo wonke umuntu, futhi kunezimo eziningana ezibalulekile ezivimbela ukusetshenziswa kwayo. Umkhawulo obaluleke kakhulu ngowabesifazane abakhulelwe noma abangase bakhulelwe, njengoba i-isotretinoin ingabangela ukukhubazeka okukhulu kokuzalwa.

Abesifazane abaneminyaka yokuzala kufanele basebenzise izindlela ezimbili zokulawula inzalo esebenzayo kusukela ngenyanga eyodwa ngaphambi kokwelashwa, ngesikhathi sokwelashwa, kanye nenyanga eyodwa ngemva kokuyeka. Badinga futhi ukuhlolwa kokukhulelwa kwanyanga zonke ngesikhathi sokwelashwa.

Akufanele uthathe i-isotretinoin uma unesinye salezi zimo:

• Ukukhulelwa noma ukuhlela ukukhulelwa
• Ukuncelisa
• Isifo sesibindi
• Amazinga aphezulu e-triglyceride yegazi
• Ubuthi be-Vitamin A
• Ukungezwani ne-isotretinoin noma imithi efanayo

Udokotela wakho uzosebenzisa ukuqapha uma unomlando wokucindezeleka, isifo samathumbu esivuvukalayo, noma izifo zokudla. Bazohlola izinzuzo ngokumelene nezingozi ezingaba khona kulezi zimo.

Abantu abanesifo sikashukela bangase badinge ukuqapha okuseduze, njengoba i-isotretinoin ngezinye izikhathi ingathinta amazinga kashukela egazi. Udokotela wakho uzoxoxa ukuthi ngabe i-isotretinoin ifanele isimo sakho sempilo esithile.

Amagama Omkhiqizo we-Isotretinoin

I-Isotretinoin itholakala ngaphansi kwamagama amaningana omkhiqizo, nakuba umuthi ngokwawo ufana kungakhathaliseki umenzi. Igama lomkhiqizo elaziwa kakhulu yi-Accutane, okuyisimo sokuqala.

Amagama omkhiqizo atholakalayo njengamanje ahlanganisa i-Absorica, i-Amnesteem, i-Claravis, i-Myorisan, kanye ne-Zenatane. I-Isotretinoin ejwayelekile nayo iyatholakala kabanzi futhi isebenza kahle njengezinhlobo ezinamagama.

Umehluko omkhulu phakathi kwemikhiqizo ungase ube ngosayizi we-capsule, umbala, noma ukwakheka okuthile. Ezinye izindlela zokwakheka ezintsha zenzelwe ukuba zimuncwe kangcono ngumzimba wakho, kodwa udokotela wakho uzokhetha inketho efaneleka kakhulu kuwe.

Ezinye izindlela ze-Isotretinoin

Ngaphambi kokucabangela i-isotretinoin, udokotela wakho ngokuvamile uzozama ezinye izindlela zokwelapha izinduna. Lezi ezinye izindlela ngokuvamile azinamandla kodwa futhi zinezinkinga ezimbalwa ezingase zibe khona.

Ezinye izindlela ezivamile zihlanganisa ama-retinoids asezindaweni ezinjenge-tretinoin noma i-adapalene, okuyizinto ezitholakala kuvithamini A ezisetshenziswa ngqo esikhumbeni. Ama-antibiotics omlomo njenge-doxycycline noma i-minocycline angasiza ukunciphisa amagciwane abangela izinduna kanye nokuvuvukala.

Ukwelashwa ngamahomoni njengamaphilisi okulawula ukuzala noma i-spironolactone kungasiza abesifazane abanezinduna ezihlobene nokuguquguquka kwamahomoni. Ama-antibiotics asezindaweni, i-benzoyl peroxide, ne-salicylic acid ezinye izinketho zezinduna ezilula kuya kweziphakathi.

Ezinduneni ezinzima, udokotela wakho angase azame ukuhlanganisa eziningana zalezi zindlela zokwelapha ngaphambi kokuncoma i-isotretinoin. Kodwa-ke, i-isotretinoin isahlala iyindlela yokwelapha ephumelela kakhulu ezinduneni ezinzima, ezibangela izibazi ezingasabeli kwezinye izindlela zokwelapha.

Ingabe i-Isotretinoin ingcono kune-Doxycycline?

I-Isotretinoin ne-doxycycline zisebenza ngendlela ehlukile futhi ngokuvamile zisetshenziselwa amazinga ahlukene obunzima bezinduna. I-Isotretinoin ngokuvamile isebenza kahle ezinduneni ezinzima kodwa iza nemiphumela emibi kakhulu kanye nezidingo zokuqapha.

I-Doxycycline iyi-antibiotic esiza ukunciphisa amagciwane abangela izinduna kanye nokuvuvukala. Ivame ukunqunywa ezinduneni eziphakathi futhi ngokuvamile iyabekezeleleka kahle enemiphumela emibi embalwa kune-isotretinoin.

Udktela wakho ngokuvamile uzozama i-doxycycline noma ama-antibiotics afanayo kuqala, ikakhulukazi uma unezinduna eziphakathi nendawo. Uma izinduna zakho zingathuthuki ngemva kwezinyanga eziningana zokwelashwa ngama-antibiotics, bangase bacabange ukusebenzisa i-isotretinoin.

Ukukhetha phakathi kwalawo makhambi kuncike ekuqineni kwezinduna zakho, ukuthi sekunesikhathi esingakanani unezinduna, ukuthi yiziphi izindlela zokwelapha osezizame ngaphambili, kanye nezinto zakho zempilo. Udktela wakho uzosiza ekunqumeni ukuthi yimuphi umuthi ofaneleka kakhulu esimweni sakho.

Imibuzo Evame Ukubuzwa Mayelana Ne-Isotretinoin

Ingabe i-Isotretinoin iphephile kubantu abanesifo sikashukela?

Abantu abanesifo sikashukela ngokuvamile bangathatha i-isotretinoin, kodwa badinga ukuqashwa eduze ngesikhathi sokwelashwa. Umuthi ngezinye izikhathi ungathinta amazinga kashukela egazini, nakuba lokhu kungavamile.

Udktela wakho cishe uzofuna ukuhlola ushukela wakho wegazi kaningi futhi angase abambisane nethimba lakho lokunakekelwa kwesifo sikashukela. Kubalulekile ukugcina ukulawula okuhle kukashukela wegazi futhi ubike noma yiziphi izinguquko ezingavamile kumhlinzeki wakho wokunakekelwa kwezempilo.

Abantu abaningi abanesifo sikashukela esilawulwa kahle bangayiqeda ngokuphepha ukwelashwa nge-isotretinoin ngokuqashwa okufanele. Udktela wakho uzokala izinzuzo zokwelapha izinduna ezinzima ngokumelene nanoma yiziphi izingozi ezingaba khona ekuphathweni kwesifo sakho sikashukela.

Ngingenzani uma ngiphuzile i-Isotretinoin eningi ngengozi?

Uma ngengozi uphuza i-isotretinoin eningi, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuphuza imithamo eyengeziwe kungakhuphula ingozi yakho yokuba nobuthi be-vitamin A, obungabangela izimpawu ezinzima.

Izimpawu zokweqisa kwe-isotretinoin zingabandakanya ikhanda elibuhlungu elibuhlungu, isiyezi, ukuhlanza, izinguquko zesikhumba, noma ukudideka. Ungalindi ukuthi izimpawu zivele ngaphambi kokufuna usizo.

Ukuvimbela ukweqisa ngengozi, gcina umuthi wakho esitsheni sawo sokuqala futhi ungalokothi uthathe imithamo eyengeziwe ukuze

Kumele Ngenzeni Uma Ngingaphuthelwa Umthamo We-Isotretinoin?

Uma uphuthelwa umthamo we-isotretinoin, yithathe ngokushesha lapho ukhumbula uma kungaphakathi kwamahora ambalwa esikhathini sakho esihleliwe. Uma sekuseduze isikhathi somthamo wakho olandelayo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi. Kungcono ukweqa umthamo owodwa kunokuphinda kabili.

Uma uvame ukukhohlwa imithamo, zama ukusetha izikhumbuzi zocingo noma uthathe imithi yakho ngesikhathi esifanayo nomunye umsebenzi wansuku zonke, njengokudla kwasekuseni noma ukuxubha amazinyo akho.

Ngingayeka Nini Ukuthatha I-Isotretinoin?

Kufanele uyeke kuphela ukuthatha i-isotretinoin lapho udokotela wakho ekutshela ukuthi wenze njalo, ngokuvamile ngemuva kokuthi uqede inkambo yakho echaziwe futhi ufinyelele umthamo wakho oqondiwe oqongelelwe. Ukuyeka ngaphambi kwesikhathi kungase kubangele ukuthi izinduna zibuye.

Udokotela wakho uzoqapha inqubekela phambili yakho futhi akwazise uma uthole imithi eyanele ukuze uzuze imiphumela ehlala isikhathi eside. Lokhu kuvame ukususelwa esisindweni sakho kanye nenani eliphelele le-isotretinoin oyithathile.

Uma uhlangabezana nemiphumela emibi engathi sína, khuluma nodokotela wakho mayelana nokuthi uqhubeke yini nokwelashwa. Bangakusiza ukuthi ulinganise izinzuzo nezingozi futhi bangase balungise umthamo wakho kunokuyeka ngokuphelele.

Ngingakwazi Yini Ukuphuza Utshwala Ngenkathi Ngithatha I-Isotretinoin?

Kungcono ukugwema utshwala ngenkathi uthatha i-isotretinoin, njengoba kokubili kungathinta isibindi sakho. Udokotela wakho uzoqapha ukusebenza kwesibindi sakho ngezivivinyo zegazi ezivamile, futhi utshwala bungaphazamisa lezi zinto.

Uma ukhetha ukuphuza ngezikhathi ezithile, yenza kanjalo ngokulinganisela futhi uxoxe ngalokhu nodokotela wakho. Bangase bafune ukuqapha ukusebenza kwesibindi sakho ngokucophelela noma bakucebise ukuyeka ngokuphelele kuye ngesimo sakho somuntu ngamunye.

Khumbula ukuthi i-isotretinoin ingakhuphula ukuzwela kwakho elangeni, futhi notshwala bungakwenza uthambekele ekushisweni yilanga. Lokhu kuhlanganiswa kungakhuphula ingozi yakho yokulimala okukhulu yilanga.