Ziziphi ii-antibiotics ezisebenzelana nazo ziphi iintlobo ze-Acne?
Kutheni i-antibiotics isebenzisa i-acne? Ngaba iziza-antibiotics ezahlukeneyo zisebenzela iintlobo ezahlukeneyo zeempawu ze-acne? Abantu abanomdlavuza kunye nabademokhethi babo bakhetha njani izidakamizwa ezifanelekileyo?
Sibanzi
Iimvumi ze-antibiotics zisetyenziselwa ukuphatha i-acne njengoko zisinceda ukunciphisa inani leebhaktheriya ngaphakathi kunye neenxa zonke kwiyunithi ye-pilosebaceous , equlethwe yintlanzi yeenwele, i-scraveous gland kunye neenwele.
I-Acne ibangelwa yimiphumo yehomoni kule nqununu.
Ngokukodwa, ulandelelwano luye lwaphazamiseka kwaye ukugqithiswa kwebhakteria yesikhumba eqhelekileyo, i- Propionibacterium acnes , kubangela ukutshabalaliswa kwendawo yokulandelana. Le nqubo ivumela ukuba izinto ezilandelwayo zifike kwi-dermis, kubangele impendulo yokuvuvukala.
Indlela Abasebenza ngayo
I antibiotics isebenza ngeendlela ezininzi. Inkqubo ebaluleke kakhulu kuncipha kwinani leebhaktheriya ngaphakathi nakwindawo ejikeleze ulandelelwano. I-antibiotics isebenza ngokunciphisa iikhemikhali ezivuthayo eziveliswa ngamaseli egazi ezimhlophe. Ekugqibeleni, ama-antibiotics anciphisa uxinzelelo lwe-fatty acids e-sebum, kwakhona ukunciphisa impendulo yokuvuvukala.
Iintlobo
Amayeza aqhelekileyo asetyenziswayo ngama-acne atshwankathelwa apha.
Tetracycline
I-Tetracycline yindlela yokubulala i-antibiotic ephezulu kakhulu. Isiqhelo sokuqala sesi-dose si-500 mg kabini ngosuku siqhubekile kude kube nokubonakala kwehle kakhulu kwizilonda ze-acne.
Umthamo ungancipha ukuya kuma-250 mg kabini ngosuku okanye ushiye. I-drawback yangundoqo yale antibiotic kukuba kufuneka ithathwe kwisisu esingenalutho ukuba ibe ngempumelelo. Kwiinkwenkwe eziselula ezitya rhoqo, oku kunokuba nzima kakhulu. I-Tetracycline ayifanele iwanikwe kwabasetyhini abakhulelweyo okanye abantwana abangaphantsi kweminyaka engama-9 ubudala.
Erythromycin
I-Erythromycin iyisifo esasetyenziswa ngokuqhelekileyo kwi-acne. Unamathuba amaninzi ngaphezu kwe-tetracycline. Okokuqala, inezixhobo ezichasayo zokunciphisa ubomvu kwizilonda ngaphezu kokubulala ibhaktheriya. Kwakhona, kwaye kwaye kufuneka kuthathwe ngokutya-inzuzo kubaselula. Umyinge we-erythromycin uhluka ngohlobo olusetyenzisiweyo, kodwa ngokuqhelekileyo lubekwe ngo-250 ukuya ku-500 mg kabini ngosuku. Ingabangela ukuba isisu siphakamise kunye nesiphithiphithi kodwa singasetyenziselwa kwabasetyhini abakhulelweyo. I-Erythromycin idayiswa phantsi kwamagama: i-Ilotycin, i-Ery-Ped, i-Ery-tab, iStaticin, i-Erythra-Derm, i-Akne-mycin, i-Pce, i-Eryc, i-Ery, i-Eryped, i-T-Stat, i-Erygel kunye ne-EES.
IMinocycline
I-Minocin (i-minocycline) isiphumo se-tetracycline esetyenziswe ngempumelelo kwiminyaka emininzi njengonyango lwe-acne. Ku luncedo kakhulu kwi-pustular type acne. (I-pustule yinto ephethe i-vesicle efana ne-whitehead ejikelezwe ngobomvu.) Nangona ukutshatyalaliswa kwe-minocycline kuncipha ngokutya, akuyona into ebalulekileyo njengoko ukuncipha kuboniswe nge-tetracycline. Isiqhelo sokuqala sesiqalo si-50 ukuya ku-100 mg kabini ngosuku. Imiphumo emikhulu ye-minocycline ibandakanya ukungcola, isicathulo, ukuhlanza, utshintsho lwe-skin pigmentation, kunye ne-tooth discoloration. Ulusu kunye neenguqu zinozinyo ziyabonakala ngokuqhelekileyo kubantu abaye bathatha i-minocycline ixesha elide.
I-Minocycline (kwaye ifunyenwe nayiphi na isiphumo se-tetracycline) kufuneka igwenywe kulabo basebenzisa i- Acutane (i-isotretinoin) njengoko ukudibanisa kwezi zinto kungabangela imeko apho kukho uxinzelelo oluphezulu ngaphakathi kwekhane ( ipseudotumor cerebri .)
Doxycycline
I-Doxycycline isetyenziselwa abantu abangaphenduliyo okanye abanako ukunyamezela i-erythromycin okanye i-tetracycline, okanye abo banokuba nobunzima nge-"akukho ukutya" izikhokelo ze-tetracycline (njengamantombazana asetsheni.) Umyinge we doxycycline uqalwe kwi-50 ukuya ku-100 mg kabini ngosuku. Kufuneka kuthathwe ngokutya; ngenye indlela, kunokubangela ukucabangela okukhulu.
I-Doxycycline inokwenzeka ngaphezu kwe-tetracycline ukwenzela ukwandisa ubuzwe ilanga okanye kubangele ukushisa kwelanga, into ebizwa ngokuba yi- photosensitivity . Kukho ezinye iimichiza ezinokuthi zenze i-photosensitivity ngokunjalo, njenge-benzoyl peroxide, i-alpha hydroxy acids, kunye ne-retinoids yama-topical.
I-Doxycycline ifumaneka phantsi kwegama la magama: Doryx, Oracea, Monodox, Atridox, Morgidox, Vibra-Tabs, Alodox, Ocudox, Doxy, Acticlate, neVibramycin.
Ezinye ii-antibiotics: i-Septra / iBactrim kunye nama-Macrolides
Septra okanye iBactrim (sulfamethoxazole / trimethoprim) kunye neZithromax (azithromycin) i-macrolide, isoloko isetyenziselwa ukuphatha i-acne evuthayo. Uphando olutshanje alubonakali luthandana nesinye isifo sokulwa nesifo kunye nesimo, kodwa unyango lubonakala lusebenza kangcono xa luhlanganiswe neyeza zonyango. Ukuphendulwa komzimba ("i- sulfa allerergy ") kuyafana ne-sulfanomides kunye nokuchasana okubonakalayo kuboniswe kuzo zombini ziindidi ze-antibiotics.
Iingqungquthela zeAntiyotiki
I-Clindamycin inomdla kakhulu njenge-antibiotiki yomlomo ngomlomo, kodwa ininzi kakhulu echazwe njenge-antibiotic. Umthamo wokuqala u-75 ukuya kwi-150 mg kabini ngosuku. Impembelelo ephezulu yonyango ye-clindamycin yintsholongwane emathunjini ebizwa ngokuba yi-pseudomembranous colitis ebangelwa yi-bacteria, iClostridium difficile . Intsholongwane yeClostridium difficile ixhaphake kakhulu kwi-clindamycin yomlomo kodwa ivakaliswe ngemveliso yezolimo. I-clindamycin yezihloko zifumaneka njengeCleocin-T, i-Clinda-Derm, i-Clindagel, ii-Clindets, iC / T / S kunye ne-Evoclin.
Imiphumela
Zonke ii-antibiotics zingabangela izifo zesilonda sangasese kumabhinqa. I-Tetracycline ibonakala iyilwabiyotiki esoloko ihlala isiphumo salo. Zonke i- antibiotics zomlomo nazo zinganciphisa ukuphumelela kweepilisi zokulawula ukuzalwa, ngoko ke abo bathatha la mayeza okubulala kufuneka basebenzise indlela yokulawula yokuzalwa. I-nausea iqheleke kakhulu nge-erythromycin kunye ne-doxycycline. Kubalulekile ukuthetha nentsholongwane yakho malunga naluphi na umonakalo ochaphazelekayo kunye nokuba ufuna ukubiza nini naziphi na iimpawu.
Ukuchasana kwamayeza
Kwiminyaka yakutshanje siye sabona ukunyuka kwe-bacteria Propionibacterium acnes ngokuchasene ne-antibiotics yomlomo esetyenzisiweyo. Amacandelo anje okunciphisa ukungqinanga (kwaye ke, ukungabikho kwemiphumo ye-antibiotics kwi-acne) batusa ukusebenzisa i-antibiotics ngokubambisana neyeza zonyango kunye nokunciphisa ixesha lokusetyenziswa xa kunokwenzeka.
Ngaphantsi kwi-Oral and Topical Antibiotics ye-Acne
I-antibiotics inokuba luncedo kakhulu kwabanye abantu abane-acne kwaye basebenze ngokuhlanganisana kwezixhobo. Ezinye iziza-antibiotics zisebenza kangcono kwiintlobo ezithile ze-acne kunye ne-dermatologist yakho inokwenza ukhetho oluhle ngokuqonda yakho imbali ye-acne kunye nendlela ophila ngayo. Njengoko nayiphi na imishanguzo, iziphumo ezinokuthi zenzeke. Ngethamsanqa kukho ukhetho olukhethiweyo olukhoyo ukuba enye yelapha ngasentla ayiyincedo. I-antibiotics idla ngokusetyenziswa ngokuhlanganisana neyeza zonyango kunye nokunyamekela kwesikhumba kwansuku zonke .
> Imithombo:
> Adler, B., Kommehl, H., no A. Armstrong. Ukuphikiswa kwama-Antibiotics kwi-Acne Treatment. JAMA Dermatology . 2017 Juni 21. (Epub ngaphambi kokuprinta).
> Bienenfeld, A., Nagler, A., no-S. Orlow. Ulwaphulo lwe-Antibacterial Oral Treatment for Acne Vulgaris: Uhlolo lokuSebenza olusisiseko. I-American Journal ye-Clinical Dermatology . Ngo-2017 uMatshi 2. (uEpub ngaphambi kokuprinta).
> Descamps. V. Izikhokelo zeeKlinikhi zoLawulo lwe-Acne Vulgaris. JAMA . 2017. 317 (2): 213.
> I-Weller, uRichard PJB, uHamish JA Hunter kunye noMargaret W. Mann. Dermatological Clinic. Chichester (West Sussex): John Wiley & Sons Inc., 2015. Print.