Phunzirani zoyipa za tretinoin ndi kulumikizana kwake — ndi momwe mungapewere
Zambiri ZamankhwalaTretinoin ndi mavitamini a vitamini A (retinoid) a kirimu omwe amagwiritsidwa ntchito kuthana ndi khungu monga ziphuphu ndi nkhope. Ngakhale imagwiritsidwa ntchito pamutu pakhungu, mawonekedwe ake pakamwa amatha kugwiritsidwa ntchito ndi mankhwala ena a chemotherapy kuti athetse khansa ya m'magazi ya promyelocytic. Tretinoin imangopezeka pamankhwala chifukwa ndi yamphamvu komanso yamphamvu kuposa kirimu wachikhalidwe wa retinol. Tiyeni tiwone mozama tretinoin kuti timvetse zomwe zimachita, zotsatira zake zoyipa, machenjezo, komanso kulumikizana ndi mankhwala osokoneza bongo.
Zotsatira zoyipa za tretinoin
Ngakhale ma tretinoin topical cream ndi abwino kuchiritsa ziphuphu , ziphuphu , mizere yabwino, makwinya, ndi khungu, zimatha kuyambitsa mavuto, monga mankhwala aliwonse. Nazi zina mwazofalitsa za tretinoin:
- Kuphulika
- Khungu lotupa
- Khungu louma
- Kuchulukitsa chidwi padzuwa
- Kuyabwa
- Ululu woyandikira madera omwe amathandizidwa
- Khungu losenda kapena losalala
- Kufiira
- Kukula kwa khungu
- Khungu lakhungu
- Kusintha kwa khungu
- Kuluma kapena kuwotcha
- Kutupa
- Kukula kwa ziphuphu
Zotsatira zambiri za tretinoin, monga khungu, zimatha milungu iwiri kapena isanu ndi umodzi chithandizo. Mankhwalawa akangoyamba kuyambitsa kupanga collagen yatsopano, imatha kuyamba kuwonongeka, ndikupanga ziphuphu, kumangitsa khungu la m'khosi, ndikupangitsa khungu kuwoneka laling'ono. Zitha kutenga kulikonse kuyambira miyezi itatu mpaka isanu ndi umodzi kuti wina awone mawanga ake kapena makwinya abwino atayamba kuzimiririka, koma ndichifukwa chakuti tretinoin imatenga nthawi kuti igwire bwino ntchito.
Zotsatira zoyipa za tretinoin
Kugwiritsa ntchito tretinoin kumatha kubweretsa zovuta zowopsa kapena zazitali. Ngati zovuta zilizonse zomwe tazitchula pamwambazi zakhala zovuta, kambiranani ndi omwe amakuthandizani azaumoyo kapena dermatologist.
Mosiyana ndi mankhwala ena, zovuta zambiri za tretinoin ndimakhungu. Matenda a tretinoin nthawi zambiri samayambitsa zovuta monga tsitsi, kutsekula m'mimba, kapena kuchepa thupi, koma zimakwiyitsa khungu la anthu ena. Ngakhale tretinoin ndi vitamini A chochokera, sichimasungidwa m'chiwindi, ndipo sizimayambitsa matenda a chiwindi osatha zomwe nthawi zambiri zimakhudzana ndi kudya kwambiri vitamini A.
Nthawi zambiri, tretinoin imatha kubweretsa zovuta zomwe zimafunikira chithandizo chamankhwala. Ngati mukugwiritsa ntchito tretinoin ndikukumana ndi kufiira kwamaso ndikutupa, kutupa kwakukulu kapena kuwotcha khungu, kapena kuphulika, ndibwino kuti mupite kuchipatala mwachangu.
Mukayamba kuyabwa kwambiri, ming'oma, kupuma movutikira, kutupa kwa nkhope kapena kukhosi, kapena mutu wopepuka, muyenera kupita kuchipatala nthawi yomweyo. Mutha kukhala osagwirizana ndi tretinoin. Zomwe zimachitika chifukwa cha matupi anu zimakhala zowopsa.
Ngati mavuto amayamba chifukwa chogwiritsa ntchito kirimu cha tretinoin, kusiya mwadzidzidzi ndizomveka ndikulimbikitsidwa, atero Erum Ilyas, MD, dermatologist wovomerezeka ndi board and the founder of Matenda a Montgomery . Zogulitsazo zikaletsedwa, kutengera kukula kwa zizindikirazo, zimatha kupitilira sabata limodzi kuti zithetseretu. Kuthandizira kuchepetsa kutupa ndikuchira mwachangu, chifukwa izi zimatha kumva ngati kutentha kwamankhwala kapena kuwotcha dzuwa kwambiri, kugwiritsa ntchito topical hydrocortisone yomwe imapezeka pa kauntala kawiri tsiku lililonse kwa sabata ingathandize izi kuwonekera mwachangu.
Machenjezo a Tretinoin
Monga mankhwala aliwonse, tretinoin imabwera ndi machenjezo oti aliyense amene amaigwiritsa ntchito ayenera kudziwa:
- Zikuonetsa: Tretinoin ndi yotetezeka kuti anthu ambiri azigwiritsa ntchito, koma iyenera kugwiritsidwa ntchito mosamala ndi anthu omwe ali ndi khungu lodziwika bwino kapena chikanga, chifukwa zimatha kukhumudwitsa khungu lawo.
- Zoletsa zaka: Sizikudziwika ngati tretinoin ndiyabwino kwa ana osapitirira zaka 12 , koma zili bwino kwa ana ndi akulu azaka 12 kapena kupitirira.
- Mimba ndi unamwino: Amayi apakati ndi amayi omwe akuyamwitsa ayenera kuyankhula ndi dermatologist kapena wothandizira zaumoyo za kugwiritsa ntchito tretinoin chifukwa sichidziwika momwe zimakhudzira fetus kapena mkaka wa m'mawere.
- Mphamvu: Mafuta a Tretinoin (mayina amtunduwu amaphatikizapo Kuyambiranso-A , Avita , Konzaninso , ndi Atralin ) nthawi zambiri amapezeka mwamphamvu zosiyanasiyana monga 0.025%, 0.05%, ndi 0.1%. Kirimu wokhala ndi mphamvu yayikulu imatha kuyambitsa mkwiyo kuposa kirimu wokhala ndi mphamvu zochepa. Mwachitsanzo, 0,025% tretinoin kirimu amagwiritsidwa ntchito pochepetsa ziphuphu, pomwe kirimu wamphamvu kwambiri wa 0.1% atha kugwiritsidwa ntchito pazovuta zazikulu pakhungu ngati makwinya.
Kuyanjana kwa Tretinoin
Musagwiritse ntchito tretinoin kuphatikiza ndi mankhwala ena . Kugwiritsira ntchito tretinoin ndi mankhwala aliwonse otsatirawa kumatha kuyambitsa mavuto:
- Aminolevulinic acid
- Aminolevulinic acid apakhungu
- Benzoyl peroxide
- Isotretinoin
- Methoxsalen
- Apakhungu a methyl aminolevulinate
- Kusintha
- Resorcinol
- Salicylic acid
- Sulfa topical
- Verteporfin
Zina zosamalira khungu ndi tsitsi
Kugwiritsa ntchito tretinoin ndi mankhwala ena aziphuphu kumayenera kupewedwa pokhapokha atalangizidwa ndi akatswiri azachipatala, malinga ndi United States Food and Drug Administration ( FDA ). Kuphatikiza kwa zinthu kumatha kuyambitsa khungu komanso kuyanika. Zomwezo zimagwiritsanso ntchito mafuta onunkhira, zikopa, zotulutsa mafuta okhwima, zopendekera, komanso zoyeretsa zakumwa zoledzeretsa kapena mankhwala ochotsa tsitsi nthawi imodzi ndi tretinoin. Muthanso kupewa kuyesa zodzoladzola zatsopano mukamamwa mankhwala, chifukwa simudziwa momwe khungu lanu lingachitire. Dermatologist wanu adzakuthandizani kusankha zinthu zomwe sizingayambitse khungu.
Kulera
Tretinoin imatha kusokoneza njira zakulera zam'kamwa. Ngati mukumwa mapiritsi oletsa kubereka, dziwitsani omwe akukuthandizani zaumoyo. Ma minipill sangakhale othandiza panthawi yamankhwala a tretinoin.
Momwe mungapewere zovuta za tretinoin
Njira imodzi yopewa mavuto omwe amabwera chifukwa cha tretinoin ndikutsata zidziwitso zamankhwala zomwe zili phukusi kapena muulangizi wamankhwala. Ngati dokotala wanu kapena dermatologist akukulemberani mankhwala a tretinoin ndipo malangizo omwe amakupatsani ndi osiyana ndi malangizo a wopanga, ndiye kuti ndibwino kutsatira malangizo a dokotala wanu.
Momwe mungagwiritsire ntchito tretinoin
Nazi njira zina zabwino mukamagwiritsa ntchito mankhwala a tretinoin:
- Tretinoin imagwiritsidwa ntchito kamodzi patsiku madzulo.
- Ikani tretinoin m'malo omwe akhudzidwa ndi khungu lochepa komanso louma. Muyenera kudikirira mpaka mphindi 30 musanagwiritse ntchito tretinoin mutatsuka khungu lanu.
- Zakudya zonona zikafika pakhungu, perekani chinyezi kuti muchepetse khungu ndikuthana ndi kuuma.
- Kugwiritsa ntchito tretinoin wochulukirapo pakhungu kuti ziphuphu zipite mwachangu sikugwira ntchito. Izi zitha kupangitsa kuti khungu liwonjezeke poyambitsa kuuma kwambiri, khungu, kapena kufiyira.
- Zitha kutenga milungu isanu ndi umodzi ya chithandizo cha tretinoin kuti muwone zotsatira.
- Onetsetsani kuti mumagwiritsa ntchito zoteteza ku dzuwa, makamaka nthawi yachilimwe. Kuwonetseredwa ndi dzuwa kumatha kukulitsa khungu ndi zovuta zina.
Zindikirani:Tretinoin sayenera kupakidwa kenaka kutsukidwa chifukwa amatanthauza kuti zilowerere pakhungu pomwe zingayambire kugwira ntchito m'malo ovuta. Ndizosavomerezeka kugwiritsa ntchito tretinoin pansi pamaso kapena pakamwa. Ndi yamphamvu kwambiri kumadera ovutawa ndipo imatha kuyambitsa mavutoKukhumudwa kwa disongati ilowa kapena pafupi ndi maso.
Kodi ndimasiya bwanji kuyeretsa tretinoin?
Anthu ena amakumana ndi kuyeretsa kwa tretinoin atangoyamba kugwiritsa ntchito. Kutsuka kwa Tretinoin ndipamene khungu limakula kwambiri lisanakhale bwino. Tretinoin imathandizira kuthamanga kwa khungu, zomwe zimayambitsa kuphulika koyamba, kuyanika, ndikusenda. Zizindikirozi zimatha ndikusiya khungu loyera pansi. Mutha kugwiritsa ntchito chinyezi chabwino, kukhala ndi hydrated, ndikugwiritsa ntchito sunscreen osachepera SPF 30 popewa kuyeretsa kwa tretinoin, koma mwina sikungatheke kupewa kwathunthu.
Kugwiritsa ntchito tretinoin kangati
Tretinoin ndiyabwino kugwiritsa ntchito tsiku lililonse, koma kuyigwiritsa ntchito nthawi zambiri kumatha kukhumudwitsa anthu ena. Ngati mukuwona kuti kugwiritsa ntchito tretinoin tsiku lililonse kumakwiyitsa khungu lanu, mutha kuyigwiritsa ntchito tsiku lililonse kapena masiku angapo mpaka khungu lisinthe. Kugwiritsa ntchito tretinoin wambiri nthawi imodzi kumathanso kukhumudwitsa, chifukwa nthawi zonse mumayesa kugwiritsa ntchito zonona zochepa mukamazigwiritsa ntchito.
Ikani tretinoin pakhungu loyera, lotsatiridwa ndi chinyezi. Kugwiritsa ntchito chinyezi mutatha kugwiritsa ntchito tretinoin kumathandizira kupewa khungu louma lomwe anthu ambiri amapeza kuchokera pachopangidwa.
Ngakhale tretinoin ndi mankhwala amphamvu apakhungu, amaganiziridwa kawirikawiri otetezeka komanso ogwira ntchito kuti mugwiritse ntchito nthawi yayitali. Anthu ambiri amatha kuyembekezera kuwona zotsatira mkati mwa milungu inayi kapena isanu ndi umodzi ndipo apitiliza kuwona zotsatira bola akagwiritsa ntchito. Ngakhale ndizotheka kuti tretinoin ichotse mabala amdima ndi mawonekedwe, ndizothekanso kuti ziphuphu zimatha kubwerera kamodzi zikasiya tretinoin. Tretinoin imangotenga zizindikiro za ziphuphu. Sizingathe kuchiritsa zomwe zimayambitsa ziphuphu kapena kusintha momwe khungu la munthu limakhalira. Aliyense amalandira mankhwala mosiyana pang'ono.
Ndingaleke liti kugwiritsa ntchito tretinoin?
Nthawi yomwe wina akuyenera kugwiritsa ntchito tretinoin idzasiyana pamtundu uliwonse. Khungu la anthu ena lidzawala msanga kuposa ena, zomwe zikutanthauza kuti adzagwiritsa ntchito kwakanthawi kochepa. Anthu ena amatha kugwiritsa ntchito tretinoin nthawi yayitali kuti athetse mavuto amakhungu akhungu ngati mawanga akuda kapena makwinya. Anthu ambiri amasiya kumwa tretinoin khungu lawo likatha kapena ngati silikugwira ntchito pambuyo poyesera kwakanthawi. Dermatologist ndi munthu wabwino kwambiri kufunsa za nthawi yoyambira kapena kusiya kumwa tretinoin.











