Ingabe uhlushwa yizinduna ezinkulu eziye zaba umthombo wokukhungatheka nobuhlungu naphezu kokuzama yonke eminye imithi nokwelashwa? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukutshelile ngomuthi obizwa ngokuthi i-Isotretinoin. Lo muthi onamandla kakhulu oye waba yisisombululo esiphumelelayo enkingeni yezinduna zabantu abaningi. Kodwa-ke, kunezinto ezimbalwa okudingeka siziqaphele kakhulu lapho siwusebenzisa. Ngakho-ke namuhla, ake sixoxe nge-Isotretinoin.
Kuyini i-Isotretinoin?
Kalula nje, i-Isotretinoin umuthi osetshenziselwa ukwelapha induna enzima. Odokotela bavame ukuyinika abantu abangazange baphendule kwezinye izindlela zokwelapha (ezifana nokhilimu, ama-lotion, noma amaphilisi e-antibiotic). Iyingxenye yemithi ebizwa ngokuthi ama-retinoids. Isebenza ngokulawula umsebenzi wezindlala zamafutha esikhumbeni sethu, okunciphisa ukwakheka kwenduna. Iphinde ilawule izinga lapho amangqamuzana esikhumba ephenduka khona. Lokhu kusiza ukuvimbela induna ukuthi ingaphinde ivele.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngenxa yokuthi i-isotretinoin iyimithi enamandla kakhulu, kubaluleke kakhulu ukunikeza udokotela wakho umlando ophelele wempilo yakho. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezibalwe ngezansi.
| Izimo zempilo okufanele zibikwe kudokotela | |
|---|---|
| Izinkinga zempilo yengqondo | Uma unesifo sokucindezeleka, imicabango yokuzibulala, noma ezinye izifo zengqondo. |
| Ukukhulelwa noma ukuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa (lokhu kubaluleke kakhulu) |
| Isifo sesibindi | Uma unesifo sesibindi. |
| Isifo sikashukela | Isimo samazinga aphezulu kashukela egazini. |
| Izinga le-cholesterol | Uma izinga le-cholesterol egazini liphezulu. |
| Izifo zesistimu yokugaya ukudla | Izimo ezifana ne-Inflammatory Bowel Disease (IBD). |
| Ubuthakathaka bamathambo | Izifo zokuncipha kwamathambo njenge-osteoporosis. |
| Ukungezwani komzimba | Uma une-allergy ku-isotretinoin, i-vitamin A, noma yimuphi omunye umuthi noma ukudla. |
Ngingawusebenzisa kanjani lo muthi?
Kufanele usebenzise lo muthi njengoba nje udokotela wakho ekuyala.
- Ngokuvamile ithathwa kanye noma kabili ngosuku. Gwinya ithebhulethi lonke ngengilazi yamanzi. Ungalichobozi, ulichoboze, noma ulihlafune ithebhulethi.
- Uma uzwa ubuhlungu besisu, ukuthatha lo muthi kanye nokudla kungasiza ekunciphiseni ubuhlungu besisu.
- Ungayeki ukuthatha umuthi kuze kube yilapho udokotela wakho ekuyala. Kungathatha amasonto ambalwa ukubona imiphumela.
- Uma uphuthelwe umthamo womuthi, weqe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Okubalulekile: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze nawe ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital. Lo muthi ungowakho kuphela. Ungalokothi uwuhlanganyele nanoma ubani omunye.
Ingabe kungaba nezinkinga ngeminye imithi?
Yebo, eminye imithi ingasebenzisana ne-Isotretinoin, ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Izinto ezisebenzayo | Incazelo |
|---|---|
| Izinto okungafanele zithathwe ndawonye | |
| I-Vitamin A | Gwema ukuthatha amanye amavithamini noma izithasiselo eziqukethe i-vitamin A. |
| Izinto okufanele uzisebenzise ngokuqapha/funa iseluleko sezokwelapha | |
| Ama-antibiotic ohlobo lwe-tetracycline | Imithi efana ne -Doxycycline ne-Tetracycline. |
| Ezinye izinto ezomisa isikhumba | Eminye imithi yokwelapha izinduna, njenge-benzoyl peroxide kanye ne-salicylic acid. |
| Utshwala | Kungandisa imiphumela emazingeni esibindi kanye ne-cholesterol. |
| Imithi yohlobo lwe-steroid | Imithi efana ne-prednisone ne-cortisone. |
Izinto okufanele uziqaphele kakhulu lapho uthatha imithi
Le ngxenye ibaluleke kakhulu. Udinga ukunaka kakhulu la maphuzu.
Amaqiniso abaluleke kakhulu ngokukhulelwa
Lena into ebaluleke kakhulu okufanele uyikhumbule nge-Isotretinoin: Uma ukhulelwa ngenkathi uthatha lo muthi, ingane yakho ingase ibe nezinkinga ezinkulu zokuzalwa. Le ngozi ikhona ngisho nangomthamo owodwa.
Ngakho-ke:
- Uma ungowesifazane, qala lo muthi.Izindlela ezimbili zokuvimbela inzalo ezithembeke kakhulu kumele zisetshenziswe ngesikhathi esisodwa, kusukela ngenyanga eyodwa ngaphambi, phakathi nesikhathi sonke osithathayo iphilisi, kanye nenyanga eyodwa ngemuva kokuyeka iphilisi.
- Udinga ukuthatha izivivinyo zokukhulelwa ezimbili ngaphambi kokuqala iphilisi, kanye nokuhlolwa okukodwa njalo ngenyanga ngenkathi uthatha iphilisi.
- Ukuncelisa ibele akuvunyelwe ngokuphelele phakathi nalesi sikhathi.
- Uma isikhathi sakho sesiphuzile, noma uma usola ngisho nokuncane ukuthi ukhulelwe, yeka ukuthatha umuthi ngokushesha bese ukhuluma nodokotela wakho.
Nakekela impilo yakho yengqondo.
I-Isotretinoin ingabangela imiphumela yengqondo kwabanye abantu. Uma ubona noma yiluphi lwalezi zinguquko ekuziphatheni noma emicabangweni yakho, kungaba kuwe noma emndenini wakho, tshela udokotela wakho ngokushesha:
- Ukukhathazeka, intukuthelo
- Ukwanda noma ukuqala okusha kokucindezeleka
- Imicabango yokuzilimaza
Isikhumba, amehlo nezinye izinto
- Isikhumba esomile: Izindebe, ikhala, amehlo, kanye nesikhumba kungaba okomile kakhulu. Sebenzisa i-lip balm enhle kanye ne-moisturizer. Uma amehlo akho omile, buza udokotela wakho mayelana nokugcoba amaconsi amehlo. Abantu abagqoka ama-contact lens bangase bangakhululeki.
- Ukuzwela kwelanga: Isikhumba sakho sizozwela kakhulu elangeni ngenkathi uthatha lo muthi. Ngakho-ke, nciphisa ukuchayeka kwakho elangeni ngangokunokwenzeka. Uma uya, faka isithako esihle sokuvikela ilanga bese ugqoka izingubo ezimboza umzimba wakho.
- Ukwelashwa ngobuhle: Gwema ukugcotshwa nge-wax, i-dermabrasion, kanye nokwelashwa nge-laser ngenkathi uthatha umuthi kanye nezinyanga eziyisithupha ngemva kokuyeka. Lokhu kwandisa ingozi yokuba nezibazi esikhumbeni.
- Ukunikela ngegazi: Unganikeli ngegazi ngenkathi uthatha umuthi futhi izinsuku ezingu-30 ngemva kokuyeka.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Isotretinoin ingaba nemiphumela emibi. Ungesabi, kodwa kubalulekile ukuqaphela lokhu.
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Ikhanda elibuhlungu kakhulu | Ikhanda elibuhlungu kakhulu elihambisana nokungaboni kahle kanye nesicanucanu (lokhu kungaba uphawu lokucindezeleka okukhulu okuzungeze ubuchopho). |
| Izinkinga zesibindi | Ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu, ukuphuzi kwesikhumba noma amehlo, umchamo omnyama. |
| Ubuhlungu obukhulu besisu | Ubuhlungu obukhulu besisu obuvela emhlane obuhambisana nomkhuhlane kanye nesicanucanu (izimpawu ze-pancreatitis). |
| Izinguquko zombono | Umbono ofiphele, umbono onciphile ebusuku. |
| Izinguquko zengqondo | Izinkinga zempilo yengqondo okukhulunywe ngazo ngenhla. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Isikhumba esomile, izindebe, impumulo | Lokhu kuvame kakhulu. |
| Ubuhlungu bamalunga nemisipha | Lokhu kungazwakala ikakhulukazi kulabo abazivocavoca. |
| Ukuncipha kwezinwele | Lokhu kuvame ukuba okwesikhashana. |
Umlayezo Wokuya Nawe Ekhaya
- I-Isotretinoin umuthi onamandla kakhulu we-acne enzima, ngakho-ke landela imiyalelo kadokotela wakho ngqo.
- Kubaluleke kakhulu ukugwema ngokuphelele ukukhulelwa ngenkathi uthatha lo muthi futhi inyanga eyodwa ngemva kokuwuyeka.
- Qaphela impilo yakho yengqondo . Uma ubona noma yiziphi izinguquko, tshela udokotela wakho ngokushesha.
- Hlala uxhumana nodokotela wakho njalo . Hamba uyohlolwa njalo ngenyanga futhi uthole iseluleko.
- Lo muthi ungowakho wedwa . Ungawuniki omunye umuntu nganoma yisiphi isizathu.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ziyini izibhebhe ze-isotretinoin (Isotretinoin / Accutane, Claravis) ezisetshenziselwa zona?
Lona akuwona umuthi ojwayelekile wezinduna! Lona umuthi onamandla kakhulu, owenziwe ngomlomo owenziwe ngeVithamini A (Vitamin A / Retinoid). Lona usetshenziselwa ukuqeda unomphela izinduna ezimbi kakhulu (Severe Nodular Acne) ezingelapheki nganoma yimuphi omunye umuthi/ukhilimu, futhi ugcwele ama-cyst/ubomvu futhi ubhubhisa ngokuphelele ubuso/wakha izikhala. (Lokhu kungenziwa kuphela ngaphansi kokuqondisa okuqinile kukadokotela wesikhumba).
💬 Ngingayiqeda kanjani induna ngokuphelele ngemva kokuthatha la maphilisi (i-Isotretinoin)?
Kuyiqiniso ukuthi lokhu kubhubhisa ngokuphelele imboni yezinduna (ama-sebaceous glands) ngaphakathi kwesikhumba! Isizathu esiyinhloko sezinduna ukukhishwa ngokweqile kwamafutha kanye nokuvaleka kwamaseli. Lo muthi ubhubhisa unomphela izinduna ezikhiqiza amafutha esikhumbeni sethu ngo-'90%'. Lapho uwoyela usuphelile, wonke amabhaktheriya (ama-C. acnes) adla uwoyela ayafa futhi izinduna ziyanyamalala unomphela.
💬 Kungani omama namantombazane abakhulelwe benqatshelwe ukuthatha la maphilisi?
Lena ingozi eyingozi kakhulu emhlabeni (Isexwayiso Sebhokisi Elimnyama)! Uma ukhulelwa ngenkathi uphuza lokhu, ingane izozalwa inethuba elingu-100% lokukhubazeka (ubuchopho obukhubazekile kakhulu, izinso, inhliziyo)! Ngakho-ke, abesifazane abaphuza lokhu kumele basebenzise izindlela ezimbili zokuvimbela inzalo (i-iPLEDGE). Ezinye izinkinga ukuthi izindlala zamafutha emzimbeni wonke ziyawoma, okubangela izindebe eziqhekekile (i-Cheilitis), amehlo/isikhumba esomile ngendlela engabekezeleleki, futhi abanye abantu bangase babe nokucindezeleka okukhulu (ukucindezeleka).
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