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

I-Tretinoin iyimithi kadokotela engaphansi kweqembu lemithi ebizwa ngokuthi ama-retinoids, okuyizinto ezitholakala kuvithamini A. Le khilimu noma i-gel esetshenziswa ngaphandle isebenza ngokusheshisa inqubo yemvelo yokushintshana kwamaseli esikhumbeni sakho, isiza ukuvula izimbotsholo futhi inciphise izinduna ngenkathi futhi ithuthukisa izimpawu zokuguga njemiqhinqo emihle namabala amnyama.

Ungase wazi i-tretinoin ngamagama emikhiqizo afana ne-Retin-A, Renova, noma i-Refissa. Ithathwa njengenye yezindlela zokwelapha ezisebenza kahle kakhulu izinduna futhi isetshenziswe ngokuphepha amashumi eminyaka ukusiza abantu ukuthi bathole isikhumba esicacile, esibukeka sinempilo.

Yini i-Tretinoin Esetshenziselwa Yona?

I-Tretinoin ngokuyinhloko iphatha izinduna ngokuvimbela izimbotsholo ezivaliwe nokunciphisa ukuvuvukala. Isebenza kahle kakhulu kokubili kuma-blackheads nama-whiteheads, okuyenza ibe yindlela yokukhetha odokotela abaningi bezikhumba lapho ezinye izindlela zokwelapha izinduna zingasebenzi ngokwanele.

Ngaphandle kokwelashwa kwezinduna, i-tretinoin nayo isiza ngezinkinga zokulwa nokuguga. Inganciphisa ukubukeka kwemiqhinqo emihle, ithuthukise ukuthungwa kwesikhumba, futhi iphele amabala amnyama noma i-melasma. Abantu abaningi bayisebenzisa njengengxenye yomkhuba wabo wokunakekela isikhumba isikhathi eside ukuze bagcine isikhumba esinempilo, esibukeka sisebancane.

Udokotela wakho angase futhi akubhalele i-tretinoin ezinye izimo zesikhumba njenge-keratosis pilaris noma izinhlobo ezithile zamabala esikhumba aqinile, anesikali. Umuthi ngokuyisisekelo usiza isikhumba sakho ukuthi sichithe amaseli amadala ngempumelelo futhi sikhiqize amasha, anempilo.

Isebenza Kanjani i-Tretinoin?

I-Tretinoin isebenza ngokubopha kuma-receptors athile kumaseli esikhumba sakho futhi isheshise inqubo yemvelo yokuvuselelwa kwamaseli. Cabanga ngayo njengokunikeza isikhumba sakho ukusunduza okuncane ukuze sichithe amaseli amadala, alimele ngokushesha futhi siwashintshe ngamasha, anempilo.

Le nqubo, ebizwa ngokuthi ukushintshana kwamaseli, ngokuvamile kuthatha cishe izinsuku ezingama-28 esikhumbeni esincane, esinempilo. I-Tretinoin ingakwazi ukusheshisa lokhu kube cishe izinsuku eziyi-14-21, okusiza ukuvula izimbotsholo futhi ilethe amaseli esikhumba amasha ebusweni ngokushesha.

Njengomuthi oqinile ngendlela ephakathi, i-tretinoin futhi ikhuthaza ukukhiqizwa kwe-collagen ezingqimbeni ezijule zesikhumba sakho. Lokhu kusiza ukuthuthukisa ukuthungwa kwesikhumba futhi kunganciphisa ukubukeka kwemigqa emihle ngokuhamba kwesikhathi, nakuba uzodinga ukuyisebenzisa njalo izinyanga eziningana ukuze ubone lezi zinzuzo zokulwa nokuguga.

Kufanele Ngiyithathe Kanjani I-Tretinoin?

Qala ngokusebenzisa i-tretinoin kanye ngosuku kusihlwa esikhumbeni esihlanzekile nesomile. Kungcono ukuyisebenzisa ngemva kwemizuzu engaba ngu-20-30 ngemva kokugeza ubuso bakho ukuze ugweme ukucasuka, futhi ngaso sonke isikhathi uyisebenzise ngaphambi kwanoma iyiphi i-moisturizer noma eminye imikhiqizo yokunakekela isikhumba.

Sebenzisa inani elilingana nobukhulu be-pea kuphela ebusweni bakho bonke, njengoba okuncane kuhamba ibanga elide. Yisabalalise ngobumnene ungqimba oluncane, ugweme izindawo ezizungeze amehlo akho, umlomo, nanoma yikuphi ukusikeka noma isikhumba esicasukile. Isikhumba sakho sidinga isikhathi sokuzivumelanisa, ngakho odokotela abaningi batusa ukuqala ngobusuku obunye ngemva kobunye ngesonto lokuqala noma ezimbili.

Awudingi ukuthatha i-tretinoin nokudla ngoba isetshenziswa esikhumbeni sakho kunokuba igwinywe. Nokho, kubalulekile ukusebenzisa i-sunscreen emini ngoba i-tretinoin ingenza isikhumba sakho sizwele kakhulu elangeni.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Tretinoin?

Abantu abaningi badinga ukusebenzisa i-tretinoin okungenani amasonto angu-12 ukuze babone ukuthuthuka okukhulu emacameleni abo. Isikhumba sakho ngokuvamile sidlula esikhathini sokuzivumelanisa ngesikhathi samasonto okuqala angu-4-6, lapho ungase uqaphele ukoma okuthile noma ukucasuka okuncane ngaphambi kokuba izinto ziqale ukuba ngcono.

Ukuze uthole izinzuzo zokulwa nokuguga, ngokuvamile uzodinga ukusebenzisa i-tretinoin izinyanga ezingu-6-12 ukuze ubone izinguquko eziphawulekayo emgqeni omuhle nokuthungwa kwesikhumba. Abantu abaningi baqhubeka beyisebenzisa isikhathi eside njengengxenye yomkhuba wabo wokunakekela isikhumba ngoba izinzuzo zivame ukushabalala uma uyeka ukuyisebenzisa.

Udokotela wakho uzokusiza ukuthi unqume uhlu lwesikhathi olufanele olusekelwe ezinkingeni zakho zesikhumba ezithile nokuthi usabela kahle kangakanani ekwelashweni. Abanye abantu basebenzisa i-tretinoin iminyaka ngokuphepha, kanti abanye bangase bathathe amakhefu noma bashintshele emandleni ahlukile.

Ziyini Imiphumela Eceleni ye-Tretinoin?

Imiphumela ejwayelekile kakhulu ye-tretinoin ihlobene nesikhumba futhi ivamise ukuthuthuka njengoba isikhumba sakho sijwayela umuthi. Ungase uhlangabezane nokoma okuthile, ububomvu, noma ukuxebuka, ikakhulukazi emasontweni ambalwa okuqala okwelashwa.

Nansi imiphumela eseceleni ongase uhlangabezane nayo njengoba isikhumba sakho sijwayela i-tretinoin:

• Ukomela kwesikhumba okuncane kuya kokulingene nokuxebuka
• Ububomvu noma ukucasuka endaweni yokusebenzisa
• Ukwanda kwesikhashana kwezinduna (okubizwa ngokuthi “ukuhlanza”)
• Ukwanda kokuzwela elangeni
• Umuzwa wokusha noma wokugwaza omncane
• Isikhumba esizwa siqina noma singakhululekile

Le miphumela eseceleni ejwayelekile ivamise ukuzinza phakathi kwamasonto angu-4-6 njengoba isikhumba sakho sakha ukubekezelelana nomuthi.

Imiphumela eseceleni engavamile kodwa engathi sína ingenzeka, nakuba ingavamile uma i-tretinoin isetshenziswa njengoba kuqondiswe:

• Ukucasuka kwesikhumba okukhulu noma ukuvela kwamabhule
• Ukungezwani komzimba okufana namahives noma ukuvuvukala
• Ukomela okukhulu okungathuthuki nge-moisturizer
• Ukusha okuqhubekayo noma ubuhlungu
• Ushintsho emibaleni yesikhumba

Uma uhlangabezana nanoma iyiphi yale miphumela eseceleni engathi sína, kubalulekile ukuxhumana nodokotela wakho ngokushesha ukuze bakwazi ukulungisa uhlelo lwakho lokwelapha.

Ubani Ongafanele Athatha I-Tretinoin?

I-Tretinoin ayifanele wonke umuntu, futhi abantu abathile kufanele bagweme ukuyisebenzisa noma bayisebenzise ngaphansi kokugadwa kwezokwelapha okuseduze. Abesifazane abakhulelwe akufanele basebenzise i-tretinoin ngoba ingalimaza ingane esakhulayo.

Kufanele futhi ugweme i-tretinoin uma uncelisa, uhlela ukukhulelwa, noma unesikhumba esizwelayo esisabela kakhulu emikhiqizweni eminingi yokunakekela isikhumba. Abantu abane-eczema noma i-rosacea bangase bathole i-tretinoin icasula kakhulu isimo sesikhumba sabo.

Uma usebenzisa imithi ethile eyenza isikhumba sakho sizwele kakhulu elangeni, udokotela wakho angase akuncome ukuthi ulinde noma ukhethe elinye elinye ikhambi lezinduna. Akunconywa futhi ezinganeni ezingaphansi kweminyaka eyi-12 ubudala ngaphandle uma zibhalwe ngqo yi-dermatologist yezingane.

Amagama Omkhiqizo we-Tretinoin

I-Tretinoin itholakala ngaphansi kwamagama amaningi omkhiqizo, lapho okuvame kakhulu kungu-Retin-A kanye ne-Retin-A Micro. Lezi empeleni ziyimithi efanayo kodwa zingase zize ngamafomula ahlukene njengama-creams, ama-gels, noma ama-microsphere formulations.

Amanye amagama omkhiqizo afaka i-Renova, emakethwa ngqo ukulwa nokuguga, kanye ne-Refissa, elinye ifomula elilwa nokuguga. I-Avita kanye ne-Tretin-X amanye amagama omkhiqizo ongase uhlangane nawo ekhemisi.

I-Tretinoin ejwayelekile nayo iyatholakala kabanzi futhi isebenza ngempumelelo njengama-brand-name versions. Udokotela wakho noma usokhemisi angakusiza ukuthi ukhethe ifomula engcono kakhulu yohlobo lwesikhumba sakho nezinkinga zakho.

Ezinye izindlela ze-Tretinoin

Uma i-tretinoin ingakulungele, ezinye izindlela ezingasiza ukwelapha izinduna nezinkinga zokuguga. I-Adapalene (Differin) iyi-retinoid ethambile manje etholakala ngaphandle kwe-counter futhi ibangela ukucasuka okuncane kubantu abaningi.

I-Tazarotene (Tazorac) enye i-retinoid kadokotela ngezinye izikhathi esebenza kahle kakhulu ezinduneni ezinzima, nakuba ingase icasukise kakhulu kune-tretinoin. Kulabo abangakwazi ukusebenzisa ama-retinoids nhlobo, izinketho ezinjenge-benzoyl peroxide, i-salicylic acid, noma i-azelaic acid zingasiza ngezinduna.

Ngezinkinga zokulwa nokuguga, ezinye izindlela zifaka i-bakuchiol (i-retinol alternative esekelwe ezitshalweni), ama-serum e-vitamin C, noma ukwelashwa okuchwepheshile njengama-chemical peels noma i-microneedling. Udokotela wakho wesikhumba angakusiza ukuthi uthole enye indlela engcono kakhulu esekelwe ezidingweni zakho zesikhumba kanye nokubekezelelana kwakho.

Ingabe i-Tretinoin ingcono kune-Adapalene?

I-Tretinoin ne-adapalene yomibili iyi-retinoids esebenzayo, kodwa isebenza ngendlela ehlukile kancane futhi inamandla ahlukene. I-Tretinoin ngokuvamile ithathwa njengeqina kakhulu futhi ifundwe isikhathi eside, okuyenza ibe yizinga legolide kokubili ukuqeda izinduna kanye nokwelapha ukuguga.

I-Adapalene ivame ukuba mnene futhi ibangela ukucasuka okuncane, okuyenza ibe yindawo enhle yokuqala kubantu abasha kuma-retinoids. Kodwa-ke, i-tretinoin ivame ukukhiqiza imiphumela emangalisayo yokubili izinduna nokulwa nokuguga, ikakhulukazi kubantu abanezinkinga zesikhumba eziphakathi nendawo kuya kwezinkulu.

Ukukhetha phakathi kwazo kuvame ukwehla ekubekezeleni kwesikhumba sakho kanye nemigomo yakho ethile. Uma unesikhumba esizwelayo noma uqala nje ngama-retinoids, i-adapalene ingase ibe yindlela engcono. Uma udinga imiphumela eqinile futhi ungakwazi ukubhekana nokucasuka okungenzeka, i-tretinoin ingase isebenze kahle.

Imibuzo Evame Ukubuzwa Mayelana ne-Tretinoin

Ingabe i-Tretinoin Iphephile Esikhumbeni Esizwelayo?

I-Tretinoin ingasetshenziswa esikhumbeni esizwelayo, kodwa idinga ukuqapha okwengeziwe kanye nendlela ehamba kancane. Qala ngomthamo ophansi kakhulu okhona bese uwusebenzisa njalo ngobusuku besithathu ekuqaleni, wandise kancane kancane imvamisa njengoba isikhumba sakho sizivumela.

Abantu abanesikhumba esizwelayo kufanele bagxile ekusebenziseni ama-moisturizers amahle, angenaphunga kanye nezihlanzi ngenkathi besebenzisa i-tretinoin. Uma uhlangabezana nokucasuka okukhulu okungathuthuki ngemva kwamasonto ambalwa, khuluma nodokotela wakho mayelana nokulungisa inqubo yakho noma ukuzama ukwelashwa okuhlukile.

Ngingenzani Uma Ngisebenzisa Ngengozi I-Tretinoin Eningi Kakhulu?

Uma usebenzise i-tretinoin eningi kakhulu, geza ngobumnene okweqile ngamanzi afudumele kanye nesihlanzi esithambile. Ungahlikihli noma usebenzise imikhiqizo eqinile, ngoba lokhu kungakhuphula ukucasuka esikhumbeni esivele sivezwe kakhulu emuthini.

Sebenzisa i-moisturizer ethambile, engenamvuthwandaba ukusiza ukuthoba isikhumba sakho bese weqa ukusebenzisa kwakho i-tretinoin okulandelayo okuhleliwe. Uma uhlangabezana nokusha okukhulu, ukuvuvukala, noma ubuhlungu, xhumana nodokotela wakho noma funa usizo lwezokwelapha ngokushesha.

Kufanele Ngenzeni Uma Ngeqe Umthamo We-Tretinoin?

Uma weqa ukusebenzisa kwakho i-tretinoin kusihlwa, vele uyisebenzise kusihlwa esilandelayo njengenjwayelo. Ungaphindi kabili noma uyisebenzise emini, ngoba lokhu kungadala ukucasuka futhi isikhumba sakho sizozwela kakhulu elangeni.

Ukuqeda imithamo ngezikhathi ezithile ngeke kube nomthelela omkhulu ekuqhubekeleni phambili kokwelashwa kwakho, kodwa zama ukunamathela enjwayelweni yakho njalo ngangokunokwenzeka ukuze uthole imiphumela engcono kakhulu. Uma uvame ukukhohlwa imithamo, cabangela ukusetha isikhumbuzi sefoni noma ukugcina imithi endaweni ebonakalayo enjwayelweni yakho yakusihlwa.

Ngingayeka Nini Ukuthatha I-Tretinoin?

Ungayeka ukusebenzisa i-tretinoin nganoma yisiphi isikhathi, kodwa kungcono ukuxoxa ngalesi sinqumo nodokotela wakho kuqala. Uma uyisebenzisela izinduna, ukuyeka ngaphambi kwesikhathi kungase kubangele ukuthi ama-breakout akho abuye ngaphambi kokuba isikhumba sakho sithuthuke ngokugcwele.

Ukuze uthole izinzuzo zokulwa nokuguga, ukuthuthuka okutholile kuzoncipha kancane kancane ezinyangeni eziningana uma uyeka ukusebenzisa i-tretinoin. Abantu abaningi bakhetha ukuqhubeka beyisebenzisa isikhathi eside njengokwelashwa kokugcinwa, mhlawumbe banciphise imvamisa ebusuku obunye noma izikhathi ezimbalwa ngesonto.

Ngingayisebenzisa I-Tretinoin Neminye Imikhiqizo Yokunakekela Isikhumba?

Yebo, kodwa udinga ukuqaphela ukuthi yini oyihlanganisa ne-tretinoin ukuze ugweme ukucasuka. Ama-moisturizers athambile kanye ne-sunscreen abalulekile futhi kufanele asetshenziswe nsuku zonke ngenkathi usebenzisa ukwelashwa kwe-tretinoin.

Gwema ukusebenzisa i-tretinoin nezinye izithako ezinamandla ezisebenzayo njenge-alpha hydroxy acids, i-benzoyl peroxide, noma ama-serum e-vitamin C, ikakhulukazi uma uqala ukwelashwa. Lezi zinhlanganisela zingadala ukucasuka ngokweqile nokoma. Udokotela wakho angakusiza ukuthi udale inqubo yokunakekela isikhumba ehambisanayo esebenza kahle nge-tretinoin.