Uri kutambura nemapundu akakomba ayo ave kukonzera kushungurudzika nekurwadziwa pasinei nekuedza mimwe mishonga yese nekurapwa? Kana zvakadaro, chiremba wako anogona kunge akakuudza nezvemushonga unonzi Isotretinoin. Uyu mushonga une simba zvikuru wave mhinduro yakabudirira kudambudziko remapundu revanhu vazhinji. Zvisinei, pane zvinhu zvishoma zvatinofanira kungwarira patinenge tichiushandisa. Saka nhasi, ngatitaurei nezveIsotretinoin.
Chii chinonzi Isotretinoin?
Zvichitaurwa zviri nyore, Isotretinoin mushonga unoshandiswa kurapa mapundu akakomba. Vanachiremba vanowanzoupa kuvanhu vasina kupindura kune dzimwe nzira dzekurapa (dzakadai semakirimu, mafuta ekudzivirira, kana mapiritsi emishonga inorwisa mabhakitiriya). Iri muboka remishonga inonzi retinoids. Inoshanda nekudzora mashandiro emafuta muganda redu, izvo zvinoderedza kuumbwa kwemapundu. Inodzorawo mwero unotenderera masero eganda. Izvi zvinobatsira kudzivirira mapundu kuti asadzokorore.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Nekuti isotretinoin mushonga une simba guru, zvakakosha kupa chiremba wako nhoroondo yakazara yehutano hwako. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvakanyorwa pazasi.
| Matambudziko ehutano anofanirwa kutaurwa kuna chiremba | |
|---|---|
| Matambudziko ehutano hwepfungwa | Kana uine kuora mwoyo, pfungwa dzekuzviuraya, kana zvimwe zvirwere zvepfungwa. |
| Kubata pamuviri kana kuyamwisa | Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa (izvi zvakakosha zvikuru) |
| Chirwere chechiropa | Kana uine chirwere chechiropa. |
| Chirwere cheshuga | Chirwere chekuwedzera kweshuga muropa. |
| Mwero weCholesterol | Kana huwandu hwecholesterol muropa hwakwira. |
| Zvirwere zvekugaya chikafu | Zvirwere zvakaita seIBD (Inflammatory Bowel Disease). |
| Kushaya simba kwemapfupa | Zvirwere zvekuonda kwemapfupa zvakaita se osteoporosis. |
| Kurwara | Kana uine allergy ne isotretinoin, vhitamini A, kana chero imwe mishonga kana chikafu. |
Ndinofanira kushandisa mushonga uyu sei?
Unofanira kushandisa mushonga uyu sezvawarayirwa nachiremba wako.
- Inowanzo nwiwa kamwe chete kana kaviri pazuva. Medza piritsi rese negirazi remvura. Usapwanye, kupwanya, kana kutsenga piritsi.
- Kana uchinzwa kurwadziwa mudumbu, kutora mushonga uyu panguva yekudya kunogona kubatsira kuderedza dambudziko racho.
- Usarega kutora mushonga kusvika chiremba wako akuudza kuti udaro. Zvinogona kutora mavhiki akati wandei kuti uone mhedzisiro.
- Kana ukarasikirwa nemushonga, siya mushonga wacho wotora mushonga unotevera panguva yakatarwa. Usatore mishonga miviri panguva imwe chete kuti udzorere mushonga wakarasika.
Zvakakosha: Kana uchifunga kuti watora mushonga uyu wakawandisa, enda kuEmergency Department (ETU) iri pedyo nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital. Mushonga uyu ndewako chete. Usambougovana nemumwe munhu.
Panogona kuva nematambudziko nemimwe mishonga here?
Ehe, mimwe mishonga inogona kushanda pamwe chete neIsotretinoin, saka udza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga).
| Zvinhu zvinokanganisa mashandiro emuviri | Tsananguro |
|---|---|
| Zvinhu zvisingafanirwe kutorwa pamwechete | |
| Vhitamini A | Dzivisa kutora mamwe mavitamini kana zvimwe zvinowedzera zvine vhitamini A. |
| Zvinhu zvekushandisa nekungwarira/tsvaga rubatsiro rwechiremba | |
| Mishonga inorwisa mabhakitiriya yerudzi rweTetracycline | Mishonga yakaita seDoxycycline neTetracycline. |
| Zvimwe zvinhu zvinoomesa ganda | Mimwe mishonga yekurapa mapundu, yakaita se benzoyl peroxide ne salicylic acid. |
| Doro | Zvinogona kuwedzera migumisiro pahuwandu hwechiropa necholesterol. |
| Mishonga yemhando yeSteroid | Mishonga yakaita seprednisone necortisone. |
Zvinhu zvekungwarira zvakanyanya kana uchitora mushonga
Chikamu ichi chakakosha zvikuru. Unofanira kunyatsoteerera pfungwa idzi.
Zvinhu zvakakosha zvikuru nezvepamuviri
Ichi ndicho chinhu chakakosha kurangarira nezveIsotretinoin: Kana ukaita pamuviri uchitora mushonga uyu, mwana wako anogona kunge aine matambudziko makuru ekuzvarwa nawo. Njodzi iyi iripo kunyangwe kana ukatora mushonga mumwe chete.
Saka:
- Kana uri mukadzi, tanga mushonga uyu.Mhando mbiri dzekudzivirira pamuviri dzinofanira kushandiswa panguva imwe chete, kutanga mwedzi mumwe chete usati watora mushonga, panguva yese yaunenge uchitora mushonga, uye kwemwedzi mumwe chete mushure mekurega kushandisa mushonga.
- Unofanira kutora bvunzo mbiri dzepamuviri usati watanga kushandisa piritsi, uye bvunzo imwe chete pamwedzi wega wega paunenge uchitora piritsi.
- Kuyamwisa hakubvumidzwe zvachose munguva iyi.
- Kana nguva yako yasvika pakunonoka, kana kuti kana uine kakufungira kuti une pamuviri, rega kutora mushonga nekukasika wotaura nachiremba wako.
Chengetedza hutano hwako hwepfungwa.
Isotretinoin inogona kukonzera migumisiro yepfungwa mune vamwe vanhu. Kana ukaona chero shanduko idzi mumaitiro ako kana mafungiro ako, kungave mauri kana mumhuri yako, udza chiremba wako nekukasika:
- Kunetseka, hasha
- Kuwedzera kana kutanga kutsva kwekuora mwoyo
- Pfungwa dzekuzvikuvadza
Ganda, maziso nezvimwe zvinhu
- Ganda rakaoma: Miromo, mhino, maziso, uye ganda zvinogona kuoma zvakanyanya. Shandisa mafuta emuromo uye moisturizer yakanaka. Kana maziso ako akaoma, bvunza chiremba wako nezve madonhwe emaziso anozorwa. Vanhu vanopfeka macontact lens vanogona kunzwa kusagadzikana.
- Kunzwa kwezuva: Ganda rako richanzwa chiedza chezuva zvakanyanya paunenge uchitora mushonga uyu. Saka, deredza kuratidzwa kwezuva zvakanyanya sezvinobvira. Kana ukaenda, zora mafuta akanaka ekudzivirira zuva uye pfeka mbatya dzinofukidza muviri wako.
- Kurapa kwekushongedza: Dzivisa kupukuta ganda, dermabrasion, uye laser therapy paunenge uchitora mushonga uye kwemwedzi mitanhatu mushure mekurega . Izvi zvinowedzera njodzi yekukuvadzwa neganda.
- Kupa ropa: Usapa ropa paunenge uchitora mushonga uye kwemazuva makumi matatu mushure mekurega.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemishonga yese, Isotretinoin inogona kuva nemigumisiro yakaipa. Usatya, asi zvakakosha kuziva izvi.
| Migumisiro inofanira kuziviswa kuna chiremba nekukasika | |
|---|---|
| Kurwara | Mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi. |
| Musoro wakakomba | Musoro wakanyanya pamwe nekuona kusina kunaka uye kuda kurutsa (izvi zvinogona kuva chiratidzo chekumanikidzwa kwakanyanya kutenderera uropi). |
| Matambudziko echiropa | Kurwadziwa kumusoro kurudyi kwedumbu, kutsvuka kweganda kana maziso, weti yakasviba. |
| Kurwadziwa kwakanyanya mudumbu | Marwadzo makuru emudumbu anobuda kumusana nefivha uye kuda kurutsa (zviratidzo zvepancreatitis). |
| Kuchinja kwemaonero | Kuona zvisina kujeka, kuona zvishoma usiku. |
| Kuchinja kwepfungwa | Matambudziko ehutano hwepfungwa ataurwa pamusoro apa. |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Ganda rakaoma, miromo, mhino | Izvi zvakajairika. |
| Kurwadziwa kwemajoini netsandanyama | Izvi zvinogona kunyanya kunzwiwa nevaya vanoita maekisesaizi. |
| Kutetepa kwebvudzi | Izvi zvinowanzova zvenguva pfupi. |
Mharidzo Yekuenda Nayo Kumba
- Isotretinoin mushonga une simba kwazvo wekurapa mapundu akakomba, saka tevera mirairo yachiremba wako nemazvo.
- Zvakakosha zvikuru kudzivirira zvachose kubata pamuviri paunenge uchitora mushonga uyu uye kwemwedzi mumwe chete mushure mekurega.
- Ziva hutano hwepfungwa dzako . Kana ukaona shanduko, taurira chiremba wako nekukasika.
- Gara uchisangana nachiremba wako nguva nenguva . Enda kunoongororwa mwedzi wega wega uye kunopiwa mazano.
- Mushonga uyu ndewako chete . Usape mumwe munhu chero chikonzero chipi zvacho.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi e isotretinoin (Isotretinoin / Accutane, Claravis) anoshandiswa pai?
Uyu hausi mushonga wezvipundu zvakajairika! Uyu mushonga une simba kwazvo, unonwiwa wakagadzirwa neVitamin A (Vitamin A / Retinoid). Uyu unoshandiswa kubvisa zvachose 100% zvipundu zvakaipisisa (Severe Nodular Acne) zvisingarapwe nemumwe mushonga/kirimu, uye zvinozadzwa nema cysts/pus uye zvinoparadza zvachose kumeso/zvinoumba maburi. (Izvi zvinongotorwa chete pasi pekutarisirwa kwakasimba kwachiremba weganda).
💬 Ndingamisa sei mapundu zvachose mushure mekutora mapiritsi aya (Isotretinoin)?
Ichokwadi kuti izvi zvinoparadza zvachose fekitari yemapundu (sebaceous glands) iri mukati meganda! Chikonzero chikuru chemapundu kuburitswa kwemafuta akawanda uye kuvharika kwemasero. Mushonga uyu unoparadza zvachose mapundu anogadzira mafuta muganda redu ne '90%'. Kana mafuta apera, mabhakitiriya ese (C. acnes) anodya mafuta acho anofa uye mapundu acho anonyangarika zvachose.
💬 Sei vanaamai nevasikana vane pamuviri vachirambidzwa kutora mapiritsi aya?
Iyi ndiyo njodzi ine njodzi zvikuru pasi rose (Black Box Yambiro)! Kana ukaita pamuviri uchinwa iyi, mwana achazvarwa aine mukana we100% wekuremara (uropi hwakaremara zvakanyanya, itsvo, moyo)! Saka, vakadzi vanonwa iyi vanofanira kushandisa nzira mbiri dzekudzivirira pamuviri (iPLEDGE). Mamwe matambudziko ndeekuti mafuta emuviri wese anooma, zvichikonzera miromo yakakuvara (Cheilitis), maziso/ganda rakaoma zvisingatsungiririki, uye vamwe vanhu vanogona kusangana nekuora mwoyo kwakanyanya (Depression).
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