I-Tazarotene inikeza enye indlela yokwelapha
Kukho iindlela ezahlukeneyo zonyango zokunceda ukujongana neempawu ze- psoriasis . Iimveliso zokubuyisela kwakhona zihlobo lonyango olungenakuva ngalo. Ezi zonyango zivela kwi-vitamin A. I-Tazarotene enye ye-retinoid enjalo efumaneka njenge-creamic cream. Nangona isetyenziswe kangangoko kunamanye unyango lwe-psoriasis , ineentlobo ezithile ezinokubangela ukuba kulungele ukucingisisa.
Iimpawu zeNgqumbo ezingavumelekanga kwi-Psoriasis
I-Keratinocyte yindlela ekhethekileyo yeeseli ezitholakalayo esikhumbeni sakho. Ngesikhumba esiqhelekileyo, la maseli ahlula kwaye aqokelele ngexesha. Kwi-psoriasis, lawa maseli ekhumba ahlukeneyo kwaye aqokelele ngendlela engavamile. Ezi iiseli nazo zibonakaliswe kwimeko yesikhumba esivuthayo esibangela ukuba baziphathe ngendlela ezigulayo. Le nxalenye yezinto ezibangela iimpawu ze-psoriasis.
Njani iTazarotene isebenza
I-Tazarotene i-retinoid. Oko kuthetha ukuba kwintsapho efanayo yecikimine kunye ne-Vitamin A (isisombululo esibalulekileyo esitholakala ekutya okuthile).
Ama-Retinoids afana ne-tazarotene angena kwiimbrane zeseli ze-keratinocytes. Baya kuguqula ukubhalwa kwezinto ezithile zegesi ezifumaneka kwi-DNA yakho. (Oko kuthetha ukuba ezinye izakhi zemizimba zingasetyenziselwa ukwenza iiprotheni rhoqo, kwaye ezinye iizakhi zingasetyenziswa kangangoko.) Oku kubangela iziphumo ezincinci, ezifana:
- Ukunciphisa isikhumba somzimba
- Ukunciphisa ukukhula kweeseli ezingaqhelekanga kunye nokwahlukana kweeseli zesikhumba
- Ukunciphisa ukuveliswa kweeseli ezingaqhelekanga kweeseli zesikhumba
Ezinye iimveliso ze-retinoid zomlomo (njenge-acitretin) nazo zingasetyenziselwa ukuphatha i-psoriasis, kwaye babelana nezinye izakhiwo ezifanayo kunye nezidakamizwa ze-retinoid. Nangona kunjalo, i-tazarotene ngokwayo iklanyelwe ukuba isetyenziswe ngqo kwikhumba lakho elichaphazelekayo.
Ngubani ongasebenzisa iTazarotene?
I-Tazarotene yinto enye yokwenza unyango kubantu abane-psoriasis ephathekayo (i-psoriasis ehlanganisa ngaphantsi kwe-10 ekhulwini lomzimba wakho kwaye ayibandakanyi nayiphi na indawo enokukhathazeka yomzimba, njengezitho zangasese).
Abantu abane-psoriasis enamandla kakhulu bangayisebenzisa, kodwa baya kufuna unyango olongezelelweyo, njengezonyango ze-biologic. Inokusetyenziswa kwakhona kunyango lwe-nail psoriasis. Ngokuqhelekileyo kusebenza njengonyango lokulondolozwa kwe-psoriasis, kodwa mhlawumbi akuyi kuba yinto ekhethekileyo yokufumana i-psoriasis yakho kuqala.
Ziziphi Iintlobo ZaseTarototene Ezikhoyo?
I-Tazarotene ye-psoriasis ifumaneka kwiinkalo ezahlukeneyo ezahlukeneyo: njengekrimu, i-gel, okanye i-foam. Ngokuqhelekileyo kuthengiswa ngamacandelo amabini ahlukeneyo, njengonyango obuthathaka kwi-0.05 yepesenti okanye unyango olungama-0.1 ekhulwini. Ezinye iifom zegama eliqhelekileyo ze-tazarotene zi:
- IThazorac TM
- Zorac TM
- Fabior TM
- Fumana i- TM
Ezi mveliso zifana ngokufanayo, kodwa akuzona zonke iifom ezahlukeneyo ezivunywe yi-FDA ngokukhethekileyo ekusebenziseni kwi-psoriasis. Buza i-dermatologist yakho enokuyenza ingqiqo kakhulu kuwe.
Indlela yokusebenzisa iTazzarotene
- Faka isicelo rhoqo kwiindawo apho unesilonda se psoriasis.
- Faka isicelo malunga nexesha elinye ngosuku.
- Sebenzisa kuphela uluhlu olungqongqo kwiindawo ezichaphazelekayo.
- Ukuba usebenzisa i- moisturizer , sebenzisa ubuncinane iyure ngaphambi kokusebenzisa i-tazarotene.
- Qinisekisa ukuba isikhumba sakho somile ngaphambi kokusebenzisa i-tazarotene.
- Geza izandla emva kokusebenzisa i-tazarotene.
Uninzi lwezihlandlo, izigulane ziqala ngxininiso ephantsi ye-tazarotene (iipesenti ezi-0.05). Ukuba unesilonda se-psoriasis, kwaye ukuba ulusu alukhuni, ungadinga ukunyuka kwi-concentration. Ukuze ube nomngcipheko ophantsi kakhulu wemiphumo emibi, uya kufuna ukusebenzisa ingxinano ephantsi kakhulu.
Imiphumo emibi yeTazarotene
I-Tazarotene ibangele idale iziphumo zecala njengalezi zilandelayo:
- Ukutshiza
- Ubomvu
- Ukutsha
Ezi ziphumo zecala zikhawulelwe kwindawo apho ukhilimu ifakwa khona. Ziyakwenzeka ukuba zenzeke xa zisetyenziselwa ukugxininisa. Ukuba isikhumba sakho sele sisicasuliwe (njengokuba kushushu ukushisa ilanga okanye kwi-eczema), kuya kufuneka uphephe ukusebenzisa i-tazarotene ixesha elithile.
Ukugqithisa kwemozulu (njengomoya okanye kubanda) kunokusichukumisa ngakumbi xa usebenzisa i tazarotene.
Gwema ukusebenzisa kwiindawo ezingekho phantsi kwayo, kuba oko kunokubangela ukwanda kwesikhumba esongezelelweyo. Kubaluleke kakhulu ukuba kungabikho ukuqhagamshelana nemimandla enokukhathazeka njengamehlo okanye umgudu wamanzi. Ukuba usebenzisa i-tazarotene ngengozi kwindawo engabonakaliyo, hlanza kakuhle ngamanzi.
Indlela yokunciphisa irritation evela eTazarotene
Ukuba unomsindo wokusebenzisa i-tazarotene, unokuzama oku okulandelayo:
- Ukusebenzisa ukubunjwa kwe-cream (esikhundleni se-gel)
- Ukutshintshela kwimveliso eneengcamango eziphantsi
- Ukusebenzisa i-tazarotene ene-moisturizer
- Ukusebenzisa i-tazarotene kwiintsuku ezizezinye
- Ukusebenzisa i-tazarotene kuphela imizuzu engama-30 ukuya kwangama-60 ngexesha ngaphambi kokususa
- Ukusebenzisa i-tazarotene ngokudibanisa ne-cream corticosteroid
- Ukuphazamisa okwesikhashana unyango, ukuqala kwakhona xa ukucaphukisa kuhamba
Ukuzwela kwelanga ngelixa usebenzisa i-Tazarotene
I-Tazarotene inokukunceda ukuba ulusu lube lukhulu kunelanga. Ngenxa yoko, kufuneka uqaphele ngakumbi ukusebenzisa i-sunscreen kunye nezembatho zokukhusela xa uzama le mveliso. Ukuba uthatha nawaphi na amachiza okwenza ulusu lwakho luvelele ilanga, kuya kufuneka uqikelele ngakumbi, okanye unokufuna ukufumana imveliso eyahlukileyo. Eminye imizekelo yamachiza enokubangela i-photosensitivity yile:
- Iziyobisi zeT thiazide ezisetyenziselwa ukunyanga uxinzelelo lwegazi (njenge-chlorothiazide)
- Ezinye antibiotics (njenge-tetracycline, ciprofloxacin, kunye ne-sulfamethoxazole / trimethoprim)
Ukusebenzisa iTaszarotene Nezinye Iingonyango ze-Psoriasis
Ngokuqhelekileyo i-tazarotene ayisebenzisi njengonyango lwe-psoriasis. Kwiimeko ezininzi, i-tazarotene isebenza kakuhle xa idibene ne- corticosteroid creams . Oku kubonakala kusebenza ngakumbi kunokuba unyango osetyenziswayo yodwa. Iingcali zenzululwazi zihlalutya iifom ezinokuthi zidibanise i-tazarotene kunye ne-corticosteroid ibe yinto enye. I-Tazarotene ingasetyenziselwa nezinye iindlela zonyango ze-psoriasis , ezifana ne-vitamin D creams.
I-Tazarotene ingasetyenziswa kunye ne- phototherapy ye-psoriasis. Oku kunokwenza i-phototherapy isebenze ngakumbi. Nangona kunjalo, kuyakufuneka uqaphele nge-phototherapy, kuba ingabangela ukrakra kwesikhumba. Unokudinga ukunciphisa inani lokuchithwa kwemitha ngexesha lokunyanga kwakho kwesikhokhethi, kuba i-tazarotene ikhulisa ukuqonda kwesikhumba.
I-Tazarotene ingasetyenziselwa ngokunxulumene nezinye iindlela zokwelapha ze-psoriasis. Ezi ziquka izidakamizwa endala, njenge-methotrexate, okanye iziyobisi ezintsha ze-biologic, njenge-etanercept.
Ukukhathazeka ngoKhuseleko, ukuNakekela, kunye nabantwana
- Ngenxa yokuba kunokubangela iziphoso zokuzalwa, i-tazarotene ayifanele isetyenziswe ngexesha lokukhulelwa. I-FDA ibheka i-tazarotene yonyango ye-X, oko kuthetha ukuba iingozi zobungqina obuqinisekisiwe zigqithise naziphi na iingeniso. Abafazi abaneminyaka engama-10 ubudala abasebenzisa i-tazarotene kufuneka basebenzise ukulawulwa kokuzalwa okuqhubekayo. Ukuba oku kuya kuba yingxaki kuwe, unokufuna ukuphonononga ezinye iindlela zokwelapha. Kunconywa ukuba abafazi banokuhlolwa kokukhulelwa okungaphantsi kweveki ezimbini ngaphambi kokuqala unyango. Kukwacetyiswa ukuba uqale ukusebenzisa izidakamizwa ngexesha lokuya esikhathini, ngoko uya kukwazi ukuba awukhulelwe.
- Izazinzulu aziqinisekanga ukuba i-tazarotene idlulela ebisi lwebele lwabantwana abancinci, ngoko akucaci ukuba kukhuselekile ukuyisebenzisa ngexesha loongikazi.
- I-Tazarotene ibonakala ikhuselekile kwaye isebenziseka ukusetyenziswa ngabantwana. Nangona kunjalo, izazinzulu azizange zifunde ngokuthe ngqo ukusebenza nokukhuseleko kwe-tazarotene kubantwana. Kwakungazange kufundwe ngokuthe ngqo kubantu abangaphezu kwama-65.
Unganqikazi ukuthetha nodokotela wakho weembewu malunga naluphi na ukukhathazeka kwakho.
Sebenzisa kwezinye iimeko zonyango
Unokwazi ukuba i-tazarotene kunye nezinye i-retinoid eziphezulu zingasetyenziselwa ezinye iimeko ze-dermatologic. Ngokomzekelo, i-tazarotene kunye nezixhobo ezinxulumene nazo ziyavunyelwa ukusetyenziswa kwi-acne. Kwakhona ngamanye amaxesha kusetyenziswa njenge-arhente yesikhumba ebomvu okanye esicatshulwayo. Kodwa akufanele usebenzise i-tazarotene kulezi zicelo ngaphandle kokuba uxoxe ngokuthe ngqo kunye nodokotela wakho.
ILizwi
Kungaba nzima ukufumana i-psoriasis yakho phantsi kolawulo. Ukuba unesi-psoriasis esincinci, unokufuna ukuzama i-tazarotene ngokudibanisa nezinye izifo zonyango. I-Tazarotene inokubangela ukucaphuka kwesikhumba, kwaye ke kubalulekile ukuthatha iziqaphelo ezithile. Ngenxa yengozi yokukhubazeka kokuzalwa, kufuneka kwakhona isetyenziswe ngokucinga. Kodwa xa isetyenziswe kakuhle, inokubonelela ngonyango oluchanekileyo kunyango kubantu abaninzi abane-psoriasis.
> Imithombo:
> Menter A, Korman NJ, Elmets CA, et al. Izikhokelo zokunyamekela ulawulo lwe psoriasis kunye ne-psoriatic arthritis. Icandelo 3. Izikhokelo zokunyamekela ulawulo kunye nonyango lwe-psoriasis enezonyango zengqondo. J Am Acad Dermatol . 2009; 60 (4): 643-59. i-doi: 10.1016 / j.jaad.2008.12.032.
> Torsekar R, Gautam MM. Iingcali zengqondo kwi psoriasis. I-Indian Dermatology Online Journal . 2017; 8 (4): 235-245. i-doi: 10.4103 / 2229-5178.209622.
> IThazorac Ukuchazela ulwazi. Allergan. 2017. https://www.allergan.com/assets/pdf/tazorac_cream_pi.