Kodi ndiyenera kumwa spironolactone kwa ziphuphu?

Zambiri Zamankhwala

Mukamva liwu loti ziphuphu, mwina mumaganizira za nkhope zosiyanasiyana - koma ziphuphu zimatha kumera m'malo osiyanasiyana mthupi lonse, ndipo yankho silophweka monga kudzikongoletsa mu kirimu wa OTC womwe mumakonda kapena kupanga ndalama zokwera mtengo chisamaliro chakhungu.

Ngati muli ndi ziphuphu kapena ziphuphu zakumaso zomwe zimakhudza msana, chifuwa, matako, kapena mikono, mungafunikire kukaonana ndi dermatologist kuti muzitha kuyendetsa bwino. Ndipo ngati ndinu wamkazi, mungalandire mankhwala wamba omwe amatchedwa Aldactone (spironolactone) ochizira ziphuphu.

Kodi mankhwala a kuthamanga kwa magazi amakhudzana bwanji ndi kuchiza ziphuphu … Nanga bwanji zimangoperekedwa kwa azimayi okha? Nazi zonse zomwe muyenera kudziwa pakugwiritsa ntchito spironolactone kwa ziphuphu.

YAM'MBUYO YOTSATIRA: Makuponi a Aldactone | Zambiri za Aldactone

Kodi spironolactone ndi chiyani?

Spironolactone (Spironolactone coupon) ndi mankhwala akuchipatala omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi komanso kusungira kwamadzi, koma nthawi zambiri amalembedwa kuti asachiritse ziphuphu. Nthawi zambiri amagulitsidwa pansi pa dzina la Aldactone.

Spironolactone mwina ndi imodzi mwamankhwala omwe amadziwika kwambiri ku dermatology ndipo akhala akugwiritsidwa ntchito mosamala kwazaka zopitilira 60 kuchiza ziphuphu kwa akazi achikulire, akutero Joshua Draftsman, MD , woyang'anira zodzola ndi zamankhwala ku The Mount Sinai Hospital.

Mankhwalawa ndiokodzetsa, yomwe imadziwika kuti mapiritsi amadzi, zomwe zikutanthauza kuti zimayambitsa impso zanu kusefa madzi owonjezera mthupi lanu kudzera mukuwonjezera mkodzo. Spironolactone ndi ya gulu la okodzetsa, otchedwa potassium-sparing diuretics, omwe amaletsa kutayika kwa potaziyamu panthawiyi; wodwala yemwe ali ndi kuthamanga kwa magazi, spironolactone imatha kugwira ntchito potulutsa sodium yochulukirapo, yomwe imayambitsa matenda oopsa kwambiri, osatsitsa potaziyamu.

Mukufuna mtengo wabwino kwambiri pa Spironolactone?

Lowani zidziwitso zamtengo wa Spironolactone ndikupeza kuti mitengo ikasintha liti!

Pezani Zidziwitso Zamitengo

Kodi spironolactone imagwira ntchito bwanji ziphuphu?

Ngakhale spironolactone yavomerezedwa ndi Food and Drug Administration (FDA) kuti imuthandize kuthamanga kwa magazi, Dr.Zeichner akuti sizimakhudza kuthamanga kwa magazi mukapatsidwa mlingo wochepa. M'malo mwake, zotsatira zake zoyipa zimapangitsa kukhala bwino osalemba chithandizo cha ziphuphu: Zimatchinga mahomoni kuti asamangidwe mpaka kutulutsa mafuta komanso zimalepheretsa kupanga mafuta, komwe kumatha kubweretsa ziphuphu.

Nthawi zambiri amaperekedwanso kwa azimayi omwe ali ndi vutoziphuphu zakumaso, mtundu wa chiphuphu chomwe chimakhala pansi pakhungu m'malo mokhala pamwamba pake. Ziphuphu zam'madzi zimachitika pakhungu la khungu limatsekeka, kenako limakhala ndi kachilombo. Zimakonda kupezeka pa nsagwada komanso pachibwano.

Komabe, spironolactone imatha kuletsanso testosterone ndikupangitsa kukula kwa mawere mwa amuna, ndichifukwa chake imangoperekedwa kwa azimayi.

Spironolactone sangakhale chithandizo choyenera kwa azimayi onse omwe ali ndi ziphuphu. Malinga ndi Dr. Zeicher, zitha kukhala zoyenera kwa amayi omwe:

• amadwala ziphuphu zakumaso kapena kuphulika kokhudzana ndi kusamba kwawo;
• amafunikira chithandizo chamagetsi kuti athetse ziphuphu kapena ziphuphu zazikulu zomwe zimakhudza ziwalo zazikulu za thupi;
• khalani ndi ziphuphu zakumaso zomwe sizimayang'aniridwa bwino ndimankhwala apakhungu okha;
• safuna kuchiza ziphuphu zawo ndi njira zakulera;
• ndipo ndimakhala ndi ziphuphu mobwerezabwereza kamodzi mankhwala opha tizilombo atatha.

Spironolactone (zambiri za Spironolactone) nthawi zambiri zimaperekedwa kwa achinyamata komanso azimayi achikulire, ngakhale amayi omwe ali ndi pakati, kapena omwe angakhale ndi pakati, sayenera kumwa spironolactone. Zotsatira zake zachikazi zimatha kufikira mwana wosabadwa, chifukwa chake kuchuluka kwa testosterone kwa mwana wamwamuna kumatha kukhudzidwa ndimagwiritsidwe azimayi a spironolactone panthawi yapakati.

Mlingo wamba wa spironolactone wa ziphuphu ndi mamiligalamu 25 mpaka 200 patsiku; malinga ndi a Kafukufuku wa 2012 lofalitsidwa mu Zolemba pa Clinical and Aesthetic Dermatology , odwala ayenera kuyamba ndi mlingo wotsika kwambiri womwe ungatheke ndikuwonjezera pang'onopang'ono pakapita nthawi ngati kuli kofunikira. Odwala nthawi zambiri amakhala ndi kusintha kwa ziphuphu, komanso zovuta zochepa, pamlingo wochepa. Ndikofunika kuzindikira kuti zingatenge pafupifupi miyezi itatu kuti mankhwalawa azitha kuwoneka ngati ziphuphu, ndipo si mankhwala a nthawi imodzi, akutero Dr. Zeichner.

Mukasiya spironolactone, khungu pang'onopang'ono limabwereranso kuzomwe zidapangidwa kuti muchite, akufotokoza. Ziphuphu zimabweranso patangopita miyezi ingapo [mutasiya mankhwalawa].

Kodi ndizotheka kutenga spironolactone kwa ziphuphu?

Monga mankhwala aliwonse, spironolactone imatha kubweretsa zovuta kwa odwala ena osati mwa ena. Ndikofunika kukambirana za zotsatirazi ndi dokotala wanu-ndikuwadziwitseni za mankhwala ena omwe mukumwa-musanamwe.

Zotsatira zoyipa za spironolactone ndizo:

• chikondi cha m'mawere
• nthawi zosasintha
• kuchuluka kwa potaziyamu
• wamisala
• nseru ndi kusanza
• kutopa
• kuchuluka kukodza

Dr.Zeichner akuti zambiri mwazimenezi zimachitika mukamamwa mankhwala ochulukirapo. Ndikoyenera kudziwa kuti pali chenjezo lakuda mankhwalawa, koma mwina sangakhale chifukwa chodandaulira ngati ndinu mayi wathanzi.

Pakafukufuku wina wamakoswe spironolactone adayambitsa zotupa zolimba, komabe sizinawonetsedwe kuti ndizovuta mwa anthu, adalangiza Dr.Zeichner. Kuchuluka kwa mankhwala omwe amapatsidwa makoswe mu phunziroli anali apamwamba kwambiri kuposa omwe amalembedwa azimayi .

Spironolactone sichimayambitsa kukhumudwa kapena kusintha kwa malingaliro. Mukawona kusintha kwakusintha mukamamwa, dziwitsani dokotala. Nthawi zina, spironolactone ndi Kwalamulidwa kulimbikitsa kukula kwa akazi chifukwa ndi antiandrogen-zomwe zikutanthauza kuti imatchinga mahomoni amphongo omwe angayambitse tsitsi mwa amayi.

Chifukwa mankhwalawa amachepetsa kusungunuka kwamadzimadzi, mutha kuchepa pang'ono mukamamwa. Palibe umboni uliwonse wosonyeza kuti spironolactone imagwira ntchito ngati mankhwala ochepetsa thupi, koma itha kuthandizira kuphulika koyambirira ndipo nthawi zambiri mankhwala kuchitira zizindikiro za PMS ndi premenstrual dysphoric disorder (PMDD).

Pankhani yotenga spironolactone, Dr.Zeichner amalimbikitsa kuti mutenge ndi chakudya kuti mumve bwino. Chifukwa mulingo wa sodium ndi potaziyamu umakhudzidwa ndi mankhwalawa, muyenera kuwunika momwe mumamwa. Pali mwayi woti kuchuluka kwanu kwa potaziyamu kumatha kufa kwambiri mukamamwa spironolactone (yotchedwa kutuloji ), chifukwa chake muyenera kupewa kudya zakudya zambiri za potaziyamu monga nthochi, mapeyala, ndi sipinachi.

Ma diuretics monga spironolactone amasinthidwa kudzera mu dongosolo la impso, kotero odwala omwe ali ndi matenda a impso ayenera kupewa kumwa mankhwalawa. Malinga ndi Chipatala cha Mayo , odwala omwe amatenga potaziyamu othandizira, mankhwala ena okhala ndi spironolactone kapena diuretics (makamaka triamterene ndi eplerenone), ndi mankhwala ena othamanga magazi ayeneranso kupewa kumwa spironolactone. Odwala ayeneranso kupewa zowonjezera potaziyamu komanso m'malo mwa mchere omwe ali ndi potaziyamu, akamamwa spironolactone.

Kusunga pamtengo wa spironolactone

Pamapiritsi a Aldactone a milligram 25 a mwezi umodzi, wodwalayo amalipira pafupifupi $ 28. Ndi khadi yotsitsa ya SingleCare, mutha kutero perekani zosakwana $ 7 .

Pezani khadi yotsitsa ya SingleCare

Maantibayotiki ena otchuka mongachiwoo, ma retinoid apakhungu mongatazarotene, ndi mankhwala akumwa ngatikutulojikapena Accutane (Ogwiritsa ntchito ma Accutane sangakhale ndi pakati kapena kutenga pakati, ndipo ayenera kutsatira ndondomeko yokhwima kudzera mu pulogalamu yotchedwa ipledge ). Akatswiri ena a dermatologists amalimbikitsa mapiritsi oletsa kubereka, makamaka ngati kupuma kwanu kumakhudza kusamba kwanu. Njira zakulera zakumwa zitha kuyendetsa mahomoni omwe amakhudza kupanga mafuta pakhungu lanu; nthawi zambiri zimathandiza azimayi omwe ali nawo matenda a polycystic ovarian , kapena PCOS, yomwe nthawi zambiri imayambitsa kuchuluka kwama mahomoni achimuna.

Palinso mankhwala owonjezera a acne, nawonso, monga benzoyl peroxide (oyeretsa, mafuta, kapena gel), Differin Gel, ndi salicylic acid zotsukira kapena moisturizer. Mankhwala ambiri aziphuphu amadza ndi zovuta zina ndipo sizinthu zonse zomwe zimagwirizana ndi moyo wamunthu aliyense. Ngati mukuvutika kuti mupambane nkhondo yolimbana ndi ziphuphu, kambiranani ndi dermatologist wanu kuti akuthandizeni upangiri wamankhwala omwe angakhale abwino kwa inu.

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