Umbuzo: Ngaba ukukhulelwa kweHormonal i-Acne Treatment esebenzayo?
I-Acne, edla ngokuqhelekileyo ebusweni okanye emagxeni, yimeko yesikhumba eyenza umhlophe, amnyama kunye nezilonda ezibomvu (amaphepha, ama-pustules, kunye ne-cysts) ukwenza. I-Androgens, i-hormone ye-sex hormone ebantwini, ingaba noxanduva kule miqathango. Ngokuqhelekileyo amabhinqa anamazinga aphantsi ase-androgens, kodwa amanqanaba aphezulu angama-orrogens angabangela i-acne.
Njengoko ukukhulelwa kwe-hormonal kunganciphisa amanqanaba e-androgen yamahhala kwindlela yakho, iipilisi ezithile zokulawula iipilisi zingabakho unyango olusebenzayo .
Impendulo:
Ngaphezu kweyesibini kubini besetyhini abahlala eUnited States baya kusebenzisa ukulawulwa kwe-hormonal ( njengePilisi ) ngexesha elithile ngexesha lokuzala kwabo. Ukuba usebenzisa lolu hlobo lolawulo lokuzalwa, usenokungaqondi nakwimisebenzi engenakuyithatha . Ezinye izithintelo zokukhulelwa kwe-hormonal ziye zaboniswa ukuba zonyango lwe-acne. Kubalulekile ukuqaphela ukuba abasetyhini bangasabela ngendlela eyahlukileyo kwi- contraceptive ethile , ngoko ke le ngcaciso ifakwe kwiphononongo jikelele. Nceda ugcine ukhumbule ukuba ukukhulelwa kwe-hormonal kuthethwa ukuba kusetyenziswe ukulawulwa kokuzalwa (ukukhusela ukukhulelwa okungalindelekanga ) - iingeniso ezingenakuphikelela zingacingwa xa uqikelela ukuba iyiphi indlela yokulawula i-hormonal yokuzalwa yokusebenzisa.
Oku kuluhlu lweendlela ezahlukeneyo zokulawulwa kokuzalwa komzimba eziye zaboniswa ukuba luncedo lokunyanga kwamayeza:
- Ii-OCs zokudibanisa : Zonke ezi ziipilisi zokulawula ukuzalwa ziyakwazi ukunyanga iimpumca kuba zinokunciphisa amanqanaba e- androgen enomzimba wakho (i-androgens iqalise kwaye igcine i-acne kunye nokukhula kweenwele). Iimpembelelo ze-androgenic zibhekisela kwimeko yokuba i-progestin (ekukhuselweni kwecala) ingabangela imiphumo engathandekiyo emibi. Iiprogestins ezinomsebenzi ophezulu kunye ne-androgenic zonyusa amathuba okuba negalelo le-androgen ezinjenge-acne. Iipilisi kunye neendlela zokwenziwa kwe-estrogen ephezulu, i-androgen ephantsi iyancipha ibe ngcono ekunciphiseni i-acne. Ezinye zala maxabiso eepilisi ziquka, i-Mircette (ipilisi ephantsi ye-estrogen pilill); I-Brevicon, i-Modicon kunye ne-Ortho Tri-Cyclen (iipilisi ze-estrogen eziqhelekileyo) - Kwabesetyhini abafuna ukusebenzisa iPilisi ngokulawulwa kokuzalwa, i-Ortho Tri-Cyclen iboniswa kunyango lwe-acne ephakathi. kwaye abazange baphendule kwiiyeza zokulwa namayeza. Nangona ingekho i-FDA-avunyelwe ngokuthe ngqo ukunyanga i-acne, uphando lucebise ukuba i -phosphini ye- estrogen ye- Ortho Tri-Cyclen Lo engaphantsi iyakunceda ekwonyango kwe-acne .
- I-Yaz : Kwimiba emibini emininzi, iipilisi eziyimpumputhe, ezingenangqondo, ezilawulwa yi-placebo (eziqulethwe kwizifundo eziyi-889, iminyaka eyi-14 ukuya kwe-45, kunye ne-acne e-moderation). Ipesenti enkulu yabasetyhini abasebenzisa i-Yaz babonisa ukuphucula kwiimvumba ze-acne kwaye babika "kucacile" okanye "ngokucacileyo" kolukhuni kunabo bafazi abaye banikwe iipilisi zendawo. Kubasetyhini abanqwenela ukusebenzisa iPilisi ngokulawulwa kokuzalwa , i-Yaz icetyiswa ngeklinikhi kwaye i-FDA-yamkelwe ukunyanga intsimbi emodareyitha eminyaka eli-14 okanye ngaphezulu.
- I-Patch : Kubonakala ukuba iqhosha lingakwazi ukulwa nemicimbi enxulumene ne-androgen, efana neyohlanganiswa ethile ye-OCs. Ngenxa yoko, isiqendu sinokuthi sibe nefuthe elihle kwiimeko ze-androgenic ezifana ne-acne.
- Ukungasebenzi: Iipilisi zokulawula iipilisi zinokukwazi ukuphucula i-acne ngenxa yokuba zandisa i-hormone yesondo ebopha i-globulin ekhokelela ekunciphiseni amanqanaba e-androgen. Ngenxa yokuba ingathathwa ngomlomo, i- NuvaRing ingaba nefuthe elincinci kwi-hormone yesondo ebopha i-globulin, ngoko ayibonakali ikhono elifanayo lokuphucula i-acne. Iipilisi zeprogesin kuphela eziqhelekileyo zithathwa njengonyango olusebenzayo lwamachiza.
Imithombo:
Bayer Healthcare Pharmaceuticals. "I-YAZ (drospirenone kunye ne-ethinyl estradiol) Iibhilethi: UKUBHALA KWABASEBHAYI." http://labeling.bayerhealthcare.com/html/products/pi/fhc/YAZ_PI.pdf?WT.mc_id=www.berlex.com
I-Huber J, iWalch K. Ukuphatha i-acne kunye nokukhulelwa komlomo: Ukusetyenziswa kwamanani aphantsi. " Ulwaphulo-mali ngo- 2006; 73 (1): 23-29.
I-Ortho-McNeil-Janssen Pharmaceuticals. "I-FAQ: i-Ortho Tri-Cyclen." http://www.thepill.com/thepill/faq.html
I-American College of Obstetricians kunye neGynecologists. "Ukusetyenziswa okungaqhelekanga kokukhulelwa kwe-hormonal." Sebenzisa i-Bulletin No. 110, uJan 2010 115: 206-218. A