"Isotretinoin": mirayiridzo kushandiswa, zviratidzo, wongororo

Treatment zvirwere zvakasiyana-siyana pamusoro ganda rinoitwa nekuvongwa Formulations ane wayo sezvamunoita isotretinoin. The fuma anoonekwa kuti dermatoprotektivnym kuonga kwayo nemamwe ehupfumi. Gadziriro chete zita rinoshandiswa kuti kurapa seborrhoea, mburwa. "Isotretinoin" mirayiridzo kushandiswa yakarumbidza kushandisa chete mushure mekubvunza chiremba wako. Maererano wongororo, pomutumwa unoshanda mukati anogumbura pezvakaitwa paganda.

tsanangudzo

Drug "Isotretinoin" ari retinoid simba. Zvapedzisira inoreva rinobva vhitamini A. It anoenda kushingaira fuma - isotretinoin - anozivikanwa retinoic asidhi uye ane chimiro yellowish upfu. The fuma inokwanisa neutralizing nokukurumidza vachigoverana kenza. pfuma iyi pakutanga kushandiswa kurapwa kenza.

Kwapera nguva, nevatsvakurudzi mumwe kuchirapa pfuma weupfu fuma - nayo anokwanisa kuderedza sebum kugadzirwa nenzira zvichivhiringidza nokunyanyisa ikure epithelium sero excretory ducts. pfuma iyi ambotirega parizvino anoshandiswa kurapa zvakakomba mburwa rinoreva "Isotretinoin".

The Formulations inobva ichi kushingaira chirungiso inogona kushandiswa zvese externally uye nomuromo. Zvakanyanya Kunaka Panguva Yepamuviri zvinoreva Anosarudza dermatologist pashure pakuongorora murwere.

mushonga sei?

Drug "Isotretinoin" mirayiridzo Chinyorwa anokurudzira kuti dzaungashandisa zvinobudirira kubata Acne mavanga hunhu uye zvimwe zvirwere ganda. The kuchirapa mugumisiro zvinodhaka ane kushanda kamwe zvose zvinhu rinokonzera zvirwere izvi. Chokutanga, zvinoderedza kugadzirwa sebum, pores vari kucheneswa.

Systemic retinoid kunodzivisa kukura pathological tusingaoneki Propionibacterium acnes hunokonzera mburwa, mapundu. Relief pamusoro kuzvimba, normalization kuti ph - sezvo pahwaro hwechibayiro gadziriro. "Izoteretinoin" vachishingaira kushandiswa dermatology uye cosmetology. Active zvinoriumba kunoita kuti kuchinja kwete zviratidzo chirwere, asi kubvisa zvikonzero zvakaita kuti kukura kushoma.

Zvairatidza yokushandisa

Cherechedza kuti haisi varumbidzwa kushandisa "Isotretinoin" pasina chiremba mushonga. Price kugadzirira zvokunze kushanda iri nemhaka chete vanoshingaira fuma kunosiyana-siyana mukati 280-650 rubles. Ipa mushonga mu piritsi muchimiro pamberi zvimwe pathologies. Ivo:

• seborrhea;
• rosacea (kusanganisira kwazvo);
• All mhando mburwa;
• nodulocystic mburwa;
• -siyana dermatitis;
• vachiberekwa ichthyosis.

Most zvirwere izvi chikonzero hwakabatana chakangomuka - kunyanya sebaceous mumasero. Izviwo, inotungamirira zvakakomba nokuvhiringidzirwa kunowanzoitika pakuenzanisa Epiderme e.

Sei tichasimbiswawo nzira?

Maererano zveBhaibheri zvakawanda, kubudirira zvinodhaka hwakasimbiswa-siyana zvirwere ganda. "Isotretinoin," Sezvineiwo akazoita basa sebaceous mumasero (90%) uye normalizes kwemasayendisiti kuitika paganda. Doctors vanokurudzira kushandiswa kunyange zvakakomba muchimiro mishonga mburwa mu piritsi muchimiro "Roaccutane". Isotretinoin rinoshandiswa sezvo huru zvinoshingaira fuma.

Nzira kukamura uchishandisa chikumbiro vari zvakanaka nekusimba mukati nokurapa mburwa, rosacea, uye dermatitis. retinoids izvi zvinogona kushandiswa nyoro kune zvirwere ganda mwero. Nyanzvi vanoti mushonga saizvozvi nani zvikuru nokuti muviri kupfuura capsules. Kana zvokuudzwa isotretinoin wevasungwa raro ropa ichiwedzerwa kusvika 2,000 kumar / Rine mamiririta. Kana tikashandisa okuzora, mwero haangavi pfuura 60 kumar / ML.

Kugadzirira kwakavakirwa isotretinoin

The rinoita chirungiso isotretinoin mirayiridzo kushandiswa rinoreva sezvingatarisirwa kuitika retinoids. A vashoma yeimwe idzi zvakanaka yokuita zvinoitwa muviri, vane kunobatsirawo paganda, kunoderedza sebum firimu, vane inorwisa utachiona chiito. Vamwe gadziriro kwokunze ane isotretinoin:

1. Retinoic mafuta.
2. "Izotreksin" (gel).
3. "Retasol" (mhinduro).

For zvokuudzwa Kutarisirwa mune kwazvo pathologies neganda nyanzvi ushandiswe mishonga yakadai se "Aknekutan", "Roaccutane", "vadzime". Zvinoumba (isotretinoin rinoshandiswa sezvo chinoshingaira chirungiso), uye uwandu husingakuvadzi dzingasiyana.

nemishonga

Kana kwazvo chipimo chemushonga isotretinoin kunokonzera nemishonga. Kubva kure vanoonekwa kazhinji zvirwere. Varwere chokunyunyuta pamusoro rashes, akatsvuka, peeling ganda riri muzvanza uye inotsikwa netsoka, kuvaviwa, chipikiri dystrophy ndiro. Zvinogonekawo kuti kwaita cheilitis - chirwere kukanganisa ganda pamiromo.

Tsinga ndechokuti, vamwe varwere vari kutambura nokuda pakurapa "Isotretinoin" chinodhaka. Reviews zvinoratidza kuti asvike nemusoro, zvakanyanyisa kuneta, havachanyatsogoni kutarisana acuity, kukudziridza mwoyo uye psychosis. Vanhu vane asima munhau kutora mushonga kune ngozi chaizvo. Izvi zvingaita kuti bronchospasm. Side migumisiro pamusoro nhengo zvaakaratidzwa kunoratidzwa zviratidzo zvakadai keratitis, blepharitis, optic neuritis, conjunctivitis, ziso neshungu.

Pamusoro chikamu zvomudumbu turakiti hwapedyo pfungwa nomuviri zvemwana asati, manyoka, womukati ropa, kurutsa, intestinal mucosal kuzvimba, hepatitis. Arthritis, marwadzo ari majoini uye tsandanyama, hyperostosis - zviratidzo nemigumisiro ine isotretinoin pamusoro zvetsandanyama nemapfupa hurongwa.

Contraindications

Chokutanga, mushonga "Isotretinoin" mirayiridzo Chinyorwa unorambidza kushandiswa panguva yepamuviri kana kuronga. The fuma iri embryotoxic uye teratogenic zvinokonzerwa, izvo zvingaita kuti anomalies kukura uye pakupona ari mudumbu. Vanamazvikokota vanotiwo kutanga kuronga pamuviri asina kwokutanga pane 3-4 mwedzi yapera mishonga kurapwa. Panguva ino, isotretinoin nhanho mumuviri kudzoka dzose.

Zvinonzi rambidzwa kutora chero retinoids panguva lactation, pakuparwa hypersensitivity kana kusashivirira, pamwe chete zvinodhaka tetracycline inorwisa mabhakitiriya. Oral kwokubatsira mishonga contraindicated vanenge kwazvo zvirwere chiropa uye itsvo panguva yakawedzera lipids muropa serum uye malignancies. Nokuti varwere hypervitaminosis A zvakare haana akakodzera isotretinoin.

Mutengo yakachipa pashiri zvigadzirwa kwakavakirwa fuma iyi - 280-350 rubles. Treatment zvaiitwa, chipimo chemushonga, analogs anosarudza chete chiremba.

Sei kutora?

Isotretinoin ari muchimiro capsules kuti nomumukanwa Kutarisirwa vanofanira kunwa pakudya. The kwokutanga dose iri yemanyorero asingasviki 0.1 MG por kilogram nokushivirira muviri uremu. Naizvozvo dose anogona zviwedzerwe (kana rekuva emuchina uye kushaya divi anokonzerwa).

Avhareji daily chipimo chemushonga (0.5 g) kuti rakakamurwa muzvikamu akawanda. Zvichienderana kwokuomerwa chirwere zvinogona kuwedzera. Yeuka kuti rimwe zuva unogona kutora anopfuura 10 magiramu ose isotretinoin. Drug mabatiro rinowanzova kwenguva refu, 16-24 mavhiki. The penguva pakati yamabwe yokurapa kunofanira kuva mwedzi dzinenge mbiri.

Drug "Roaccutane"

Price medicament zvakakwana yakakwirira uye sezvakarayirwa 2700 rubles pasuru (20 MG chipimo chemushonga). Mugadziri chinhu Swiss mishonga kambani, "Hoffman-La Roche." Capsules "Roaccutane" kunobudirira panguva anonyadzisira mburwa kwazvo, keratosis pilaris, ichthyosis, keratoderma.

Ya yokurapa kunoenderana Chirwere, uye kazhinji mavhiki 2-4. Zuva inofanira kuva 0.5 MG vane basa remubatanidzwa pa 1 kg nokushivirira uremu. Chaiye kubvumidza "Roaccutane" vanofanira kutanga Danho rechipiri kwokurapa, huchavapo mavhiki anenge 20. Panyaya iyi, chiremba vanofanira kuongorora simba chirwere. Kana paine kuderera kuti maronda kubudikidza 70-80%, mushonga wacho kazhinji akadzima.

Zvakakurukurwa kushanda

Panguva kurapwa "Roaccutane" zvichibvira kusembura chirwere chacho. Muchiitiko ichi zvakafanira kuderedza kune shoma dose (0.5 MG / kg). Kazhinji, zvakanaka simba uye inogara kwenguva refu kurapwa mugumisiro inogona kuchengetwa kuburikidza 1,5-2 mwedzi kutanga kurapwa. Zvisinei, mune kwazvo kacho zvinoda refu kosi kugamuchirwa "Roaccutane" chinodhaka.

Mutengo zvinodhaka pahwaro isotretinoin kunoenderana chipimo chemushonga yezviri chirungiso. The capsules anogona ine 10 kana 20 MG kuti akakura ichi. Subject chipimo chemushonga uye kurapwa regimens zvinodhaka hakufaniri kukonzera marwadzo. Nyanzvi Guest vanoti "Roaccutane" zvakanaka akashivirira nevarwere.

Kugadzirisa "Retasol"

Current chezvinonhuwira pomutumwa ndiyo isotretinoin. Reviews wevarwere uye dermatologists kuzosimbisa kuchirapa efficacy zvinodhaka. Active fuma Pfungwa rine 0,025 MG muna 1 Rine mamiririta. A mhinduro kunze Anti-anogumbura uye regenerating chiito, ane tambira zvakazorodza ganda. Kugadzirira rinotarisirwa kuti chikumbiro kuna ganda vanatswa. Pazuva nzira rinofanira kudzokororwa kaviri. Duration kurapwa "Retasolom" yemanyorero 4-12 mavhiki.

Hazvina zvakafanira kushandisa mhinduro akabatana nevamwe retinoids. Izvi zvinogona kukonzera kukura hypervitaminosis A. Hazvina taurira "Retasol" tetracyclines pakurapa yakawedzera intracranial kumanikidzwa ngozi.

Muchimiro zvinodhaka mhinduro inogona kushandiswa kurapa mburwa mu kuyaruka kubva pamakore 11 ekuberekwa. Means akapfuura miedzo kurapwa, iro ayo kuchengeteka rave vaudzewo. "Retasol" rakanakira jikichira ganda.

Testimonials

Varwere vakawanda vave vakabudirira kushandiswa pakurapa zvigadzirwa inobva rinoita fuma yakadai isotretinoin. Analogues zvinodhaka izvi vanofanira kusarudza nyanzvi.

In mishomanana kurapwa, simba dzinongoitika retinoid unokubvumira kubvisa mburwa, mburwa rosacea. More zvakakomba ganda chirwere anoda kudzokororwa yamabwe mushonga. Chete zvisingawanzoitiki nguva marwadzo kuitika, kazhinji kunoonekwa zvirwere: sema mapundu, akaoma dermis akatsvuka. Zvinonzi zvaisambobvumirwa kutora zvinodhaka kwakavakirwa isotretinoin panguva yekuronga pamuviri, akatakura mwana kana lactation.