Ngoko i-dermatologist ikhuthaze ukuba uqale ukuthatha i-isotretinoin (AKA Accutane ) yakho. Kodwa ukhathazekile ngenxa yokuba uye weva ukuba i- isotretinoin imishanguzo ingabangela uxinzelelo kunye neengcinga zokuzibulala.
Kuyaqondakala ukuba kungasindiswa ngcamango, kwaye kulungile ukwenza uphando lwakho. Nguwe kuphela ongagqiba isigqibo sokuba ngaba iinzuzo zokuthatha i-isotretinoin zigqithise kakhulu iziphumo ezichaphazelekayo.
Yintoni iIsotretinoin?
Okokuqala, makhe sifunde malunga nalo myeza. I-Isotretinoin yonyango lomlomo elisetyenziselwa unyango lwe-acne. Ngamanye amaxesha kusetyenziswa ukunyanga intsimbi engekho nzima, kodwa enenkani kwaye ingacacisi ngamanye amayeza.
I-Isotretinoin ithengiswa phantsi kwamagama amaninzi ahlukeneyo, njenge-Absorica neZenatane, kunye ne-isotretinoin yesizukulwana. Zonke ezi ziyeza zinezithako ezifanayo kunye nazo zonke zisebenza ngendlela efanayo.
Zonke iizotretinoin imishanguzo kuphela, kwaye kufuneka ubhalise kwinkqubo ye-IPledge ngaphambi kokuba uzalise imithi yakho.
Ngaba i-Isotretinoin Yenza Ixinzelelo?
Akukho nxu lumano oluqinisekisiweyo phakathi kwe-isotretinoin kunye nokudandatheka. Kuzo zonke izifundo ezifumene umngcipheko ophezulu wokuxinezeleka kubasebenzisi be-isotretinoin, kukho enye engayifumananga nengozi.
Kodwa ngenxa yenani elincinci labantu, kubonakala sengathi i-isotretinoin ingabangela ukudandatheka.
Kukho konke, ukudandatheka kubantu abathatha i-isotretinoin akuqhelekanga. Ngokuxhomekeke kukuphi uhlolisiso olujonga ngalo, ukudakumba kwenzeka nakweyiphi na ukusuka kwi-1% kuya kwi-11% yabantu abaya kuthatha leyeza.
Oku akuthethi ukuba i-isotretinoin ibangela ukudakumba, nangona kunjalo. Ukudandatheka kungenzeka kumntu, nokuba uthatha i-isotretinoin okanye akunjalo.
Abo Baphethe Imbali Yokudakumba Kukhangeleka Ukuba Banokungabikho Kakhulu
Abanye abantu babonakala banomdla wokuxinezeleka kwe-isotretinoin kuninzi. Nangona ixinzelelo lwenzeka kwabanye abantu abangenayo imbali yangaphambili yesifo, abantu abaninzi babenemingcipheko eminye yemingcipheko, njengokusetyenziswa kakubi kweziyobisi, inkcazo yentsapho yokudakumba, okanye iziganeko ezixinzelelekileyo ebomini babo, ezinokubangela ukuba baxinezeleke.
Kubantu abanentsholongwane ye-bipolar, kubonakala kubakho ukunyanzeliswa kokudakumba xa bethatha i-isotretinoin.
Kubalulekile ukuba ukhumbule, nangona kunjalo, ngenxa yokuba uthatha i-isotretinoin akuthethi ukuba uya kugxina.
Uninzi lwabantu abaye baxinezeleka ngelixa besetototinoin bafumanisa ukuba iimpawu zabo zaphela xa beyekile ukusebenzisa iyeza. Kodwa kubantu abathile, ukuxinezeleka nokuziphatha ngokuzibulala kwaqhubeka kwezinye iimeko, nangona emva kokuba bayeke ukusebenzisa i-isotretinoin.
Akukho zikhokelo ezibonisiweyo, kodwa kukho iingqungquthela ezimbalwa
Ngelixa iingxelo zeengxelo zibonisa ubuhlobo phakathi kokusetyenziswa kwe-isotretinoin kunye nokudakumba, akukho nxu lumene. Sekunjalo, uphando olunikeze iimbono ezimbalwa.
I-Isotretinoin itholakala kwi-vitamin A. I-Vitamin A inoxanduva lwemisebenzi emininzi kwinkqubo yesantya.
Abaphandi bakholelwa ukuba i-isotretinoin ingaphazamisa indlela i-serotonin eyenziwa ngayo kwaye isebenziswe ngumzimba. Amanqanaba aphantsi e-serotonin aye axhunyiwe kwixinzelelo, ukuphazamiseka kwengqondo, ukukhathazeka ngokuxhalabisa, kunye nobudlova.
Enye ingcamango ibheka indlela i-isotretinoin eyenza ngayo utshintsho kwindawo yengqondo ebizwa ngokuba yi-hippocampus. I-hippocampus idala i-neurons rhoqo, inkqubo ebizwa nge- neurogenesis.
Ukwenziwa kwe-Neuron kwi-hippocampus kuncitshiswe ngelixa kuthatha i-isotretinoin (ubuncinci kwimigundane kunye neerati). Oku kuncipha kwi-neurogenesis kunokubangela isizathu sokudakumba xa uthabatha i-isotretinoin.
Kucatshulwa ukuba abantu ekuvelweni kwe-neuron sele bencitshiswe ngandlela-thile, banokuthi bancipheke ngakumbi kulokhu kuhla kwe-neurogenesis ebangelwa yi-isotretinoin kunezinye.
Oko kuya kuchaza ukuba kutheni abanye abantu babonakala bexinezeleka xa bethatha i-isotretinoin ngelixa abanye bengenzi.
Sekunjalo, ezinye iingcaphephe zibonisa ukuba i-acne ngokwayo inokubangela ukuba uxinzelelo kubantu abanezifo kunokusebenzisa i-isotretinoin. Abanye abafumananga nxu lumano phakathi kwe-isotretinoin kunye nobungozi obandayo bokudandatheka.
Ukusebenzisa i-Isotretinoin inemivuzo yayo
Nangona i-isotretinoin ihamba nemiphumo emibi, iyasebenza ngokugqithiseleyo ekucoceni i-acs enamandla kakhulu okanye i- cystic acne , nokuba ngamatyala angaphenduli kwamanye amayeza. Kubalulekile ukulinganisela izibonelelo ezimalunga neengozi.
Ukuba ne-acne ebunzima kunokubandezeleka, kwaye uphando oluninzi lufumene ukuba abantu abaneentsimbi ezinzima kakhulu banokudandatheka kwaye basengozini enkulu yokuzibulala ngenxa yalo. Ukufumana izibilini ezinzima phantsi kolawulo akugcini nje ukunciphisa ithuba lakho lokuphuka, kodwa kunokukwazi ukuphucula ukuzithemba nokuzithemba.
Abaninzi bam abathengi bandixelele, i-acne yayibenza bacinezeleke. I-Isotretinoin yabancedisa ukuba bazive bexinezeleke xa bebona ukukhutshwa kwabo kwesikhumba.
Into onokuyenza
Iingxelo zoxinzelelo kunye nokuziphatha okuzibulala ezixhumene ne-isotretinoin zisetyenzisiwe, kodwa kubalulekile ukuqonda ukuba ezi ziphumo zingabonakali.
Into ebaluleke kakhulu ongayenzayo incoko ye-frank kunye ne-dermatologist yakho. Qinisekisa ukuba uyaziqonda ngokupheleleyo icebo lakho lonyango, kwaye uphendule yonke imibuzo yakho. Ungesabi ukubuza imibuzo eninzi!
Ukuba unquma ukuqhubela phambili nge-isotretinoin unyango, akukho sizathu sokuxhalabisa. Ngoxa wena (okanye umntwana wakho) uthatha i-Accutane , bukela naziphi na iimpawu zokudandatheka, njenge:
- Utshintsho kwimiqondo kunye nokuziphatha
- Ukuvakalelwa ngokudabukisayo, ukuthukuthela, ukucasula, okanye ulaka
- Ingxaki ijolise
- Iingcamango zokuzibulala, okanye iingcinga zokuzilimaza
- Ukubona okanye ukuva izinto ezingezona zinyani
Ngamanye amaxesha abasondeleyo kuwe baya kubona utshintsho kwisimo sakho kunye nobuntu ngaphambi kokuba uzibonele. Unokufuna ukubhalisa uncedo lwabo, kwaye ubazise malunga nonyango lwakho ukwenzela ukuba banokukunceda ukuba ubukele utshintsho olukhulu ekuziphatheni kwakho okungabonisa ingxaki.
Ukuba unayo nayiphi na ingxaki, xela udokotela ngokukhawuleza.
Kubalulekile ukuqaphela, kodwa khumbula ukuba uninzi lwabantu basebenzisa i-isotretinoin ngaphandle kokuba nemibandela yokudakumba.
Imithombo:
Borovaya A, Olisova O, Ruzicka T, uSardy M. "Ngaba i-Isotretinoin Therapy ye-acne Ukwelashwa okanye iCause Depression?" I-International Journal yeDermatology . 2013 Sep; 52 (9): 1040-52.
> Huang YC, Cheng YC. "I-Isotretinoin unyango lwe-Acne kunye nobungozi bokuxinezeleka: Uhlolo lokuHlola kunye nokuhlaziywa kweMeta." Umbhalo we-American Academy of Dermatology . 2016 Mar; pii: S0190-9622 (16) 31289-0.
ULudot M, Mouchabac S, uFerreri F. "Ulwalamano oluphakathi kwe-Isotretinoin unyango kunye neengxaki zengqondo: Ukuxinezeleka, i-Bipolar Disorder, ukukhathazeka, i-Psychosis kunye nokuzibulala." I-World Journal ye-Psychiatry. 2015 Juni 22; 5 (2): 222-7.
> Melnik BC. "I-apoptosis Ingachaza indlela ye-Pharmacological Action Action kunye nemiphumo emibi ye-Isotretinoin, kubandakanywa neTatogenicity." Acta Dermato-Venereologica. 2017 Feb; 97 (2): 173-181.
UWolverton SE, uHarper JC. "Impikiswano ebalulekileyo enxulumene ne-isotretinoin yonyango ye-acne." Am J Clin Dermatol. 2013 ngoMatshi; 14 (2): 71-6.