Funda imiphumela emibi ye-tretinoin nokuxhumana-nokuthi ungakugwema kanjani

Imininingwane Yezidakamizwa

I-Tretinoin ukhilimu wama-topical derivative (retinoid) we-topical osetshenziselwa ukwelapha izimo zesikhumba njengama-acne nokuguqulwa komzimba. Yize isetshenziswa ikakhulukazi esihlokweni esikhunjeni, isimo sayo somlomo singasetshenziswa nezinye izidakamizwa zamakhemikhali ukwelapha i-acute promyelocytic leukemia. I-Tretinoin itholakala kuphela ngencwadi kadokotela ngoba inamandla futhi inolaka ukwedlula ukhilimu wendabuko we-retinol. Ake sibheke ngokujulile i-tretinoin ukuze siqonde ukuthi yenzani, imiphumela yayo emibi, izixwayiso, nokusebenzisana kwezidakamizwa.

Imiphumela emibi ejwayelekile ye-tretinoin

Yize okhilimu be-tretinoin topical belungele ukwelashwa induna , izibazi zomqubuko , imigqa emihle, imibimbi, nokuqhekeka kwesikhumba, kusengadala imiphumela emibi, njenganoma imuphi omunye umuthi. Nayi eminye imiphumela emibi kakhulu ye-tretinoin:

• Ukushaya amakhala
• Isikhumba esigaxekile
• Isikhumba esomile
• Ukwanda kokuzwela elangeni
• Ukulunywa
• Ubuhlungu obuzungeze izindawo eziphathwayo
• Isikhumba esixobukayo noma esintekenteke
• Ububomvu
• Ukukala kwesikhumba
• Ukucasuka kwesikhumba
• Ukuguqulwa kwesikhumba
• Ukuhlaba noma ukushisa
• Ukuvuvukala
• Ukuqubuka kwezinduna

Imiphumela eminingi emibi ye-tretinoin, njengokuxebuka kwesikhumba, izohamba ngaphakathi amasonto amabili kuya kwayisithupha yokwelashwa. Lapho umuthi usuqala ukukhuthaza ukukhiqizwa okusha kwe-collagen, ungaqala ukubuna amabala amnyama, ukwelapha izinduna, uqinise isikhumba sentamo, futhi wenze isikhumba sibonakale sisencane ngokuphelele. Kungathatha noma yikuphi ukusuka ezinyangeni ezintathu kuya kweziyisithupha ukuthi umuntu abone amabala akhe elanga noma imibimbi emihle iqala ukuphela, kepha lokhu kungenxa yokuthi i-tretinoin ithatha isikhathi ukusebenza ngempumelelo.

Imiphumela emibi ye-tretinoin

Ukusebenzisa i-tretinoin kungadala imiphumela emibi kakhulu noma yesikhathi eside. Uma ngabe eminye yemiphumela emibi ye-tretinoin ebalwe ngenhla iba nzima, xhumana nomhlinzeki wakho wezokunakekelwa kwempilo noma wesikhumba.

Ngokungafani neminye imithi, imiphumela eminingi emibi ye-tretinoin ukusabela kwesikhumba. I-topical tretinoin imvamisa ayibangeli imiphumela emibi njengokulahleka kwezinwele, isifo sohudo, noma ukwehla kwesisindo, kepha iyacasula isikhumba sabanye abantu. Noma i-tretinoin isuselwa ku-vitamin A, ayigcinwa esibindini, nayo ayibangeli izifo ezingapheli zesibindi lokho kuvame ukuhlotshaniswa nokudla ngokweqile kukavithamini A.

Ezimweni ezingavamile, i-tretinoin ingadala imiphumela emibi edinga ukwelashwa. Uma usebenzisa i-tretinoin futhi uhlangabezana nokubomvu kwamehlo nokuvuvukala, ukuvuvukala okunzima noma ukushiswa kwesikhumba, noma ukushwabana, kungcono ukuthi ufune iseluleko sezokwelapha ngokushesha okukhulu.

Uma uqala ukulunywa kanzima, isifuba, ukuphefumula kanzima, ukuvuvukala kobuso noma umphimbo, noma ikhanda elikhanyayo, kufanele ufune usizo lwezokwelapha khona manjalo. Ungase ube yi-allergen ku-tretinoin. Ukusabela okweqile kungasongela impilo.

Uma imiphumela emibi itholakala ekusetshenzisweni kokhilimu we-tretinoin, ukuma ngokungazelelwe kunengqondo futhi kuyanconywa, kusho u-Erum Ilyas, MD, udokotela wesikhumba oqinisekiswe yibhodi kanye nomsunguli Isikhumba seMontgomery . Lapho umkhiqizo usumisiwe, ngokuya ngobukhulu bezimpawu, kungathatha ngaphezulu kwesonto ukuxazulula ngokuphelele. Ukusiza ukunciphisa ukuvuvukala nokuphulukisa ngokushesha, ngoba lokhu kungazizwa njengokushisa kwamakhemikhali noma ukushiswa yilanga kakhulu, ukusebenzisa i-topical hydrocortisone etholakala ekhawunteni kabili nsuku zonke ngeviki kungasiza lokhu kucace ngokushesha.

Tretinoin izexwayiso

Njenganoma imuphi umuthi, i-tretinoin iza nezixwayiso zokuthi noma ngubani oyisebenzisayo kufanele azi:

• Izinkomba: I-Tretinoin iphephile kubantu abaningi ukuthi bayisebenzise, ​​kepha kufanele isetshenziswe ngokuqapha ngabantu abanesikhumba esibucayi noma i-eczema, ngoba ingacasula isikhumba sabo.
• Imikhawulo yobudala: Akukaziwa ukuthi i-tretinoin iphephile yini ezinganeni ezingaphansi kweminyaka engu- 12 , kodwa kulungile ezinganeni nakubantu abadala abaneminyaka engu-12 noma ngaphezulu.
• Ukukhulelwa nokuhlengikaza: Abesifazane nabakhulelwe abancelisayo kufanele bakhulume nodokotela wabo wesikhumba noma umhlinzeki wezokunakekelwa kwempilo mayelana nokusebenzisa i-tretinoin ngoba akwaziwa ukuthi kuyithinta kanjani imibungu noma ubisi lwebele.
• Amandla: Ama-Tretinoin cream (amagama omkhiqizo afaka I-Retin-A , Avita , Vuselela , futhi I-Atralin ) zivame ukutholakala ngamandla ahlukene njenge-0.025%, 0.05%, ne-0.1%. Ukhilimu onamandla aphezulu ungadala ukucasuka okuningi kunokhilimu onamandla aphansi. Isibonelo, ukhilimu we-tretinoin ongu-0.025% ujwayele ukusetshenziselwa amacala amancane enduna, kanti ukhilimu onamandla kakhulu we-0.1% ungasetshenziselwa ukukhathazeka okukhulu kwesikhumba njengemibimbi.

Ukusebenzisana kweTretinoin

Musa ukusebenzisa i-tretinoin ngokuhlangana ne- imithi ethile . Ukusebenzisa i-tretinoin nganoma imiphi yale mithi elandelayo kungadala ukuxhumana okungekuhle:

• Aminolevulinic acid
• I-aminolevulinic acid yama-topical
• I-Benzoyl peroxide
• Isotretinoin
• Methoxsalen
• I-Methyl aminolevulinate topical
• Porfimer
• I-Resorcinol
• I-salicylic acid
• I-Sulphur topical
• I-Verteporfin

Eminye imikhiqizo yokunakekelwa kwesikhumba nezinwele

Ukusebenzisa i-tretinoin neminye imikhiqizo yezinduna kufanele kugwenywe ngaphandle kokuthi kufundiswe ngenye indlela ngudokotela, ngokusho kwe-United States Food and Drug Administration ( I-FDA ). Ukuhlanganisa imikhiqizo kungadala ukucasuka okukhulu kwesikhumba nokoma. Kuyafana nokusebenzisa ama-lotion anephunga elimnandi, ama-peels, ama-exfoliants anokhahlo, ama-astringents, kanye nezihlanzisi ezinotshwala noma imikhiqizo yokususa izinwele ngasikhathi sinye njenge-tretinoin. Ungase futhi ugweme ukuzama ukwakheka okusha ngesikhathi sokwelashwa, njengoba ungeke wazi ukuthi isikhumba sakho singasabela kanjani kuso. Udokotela wesikhumba sakho uzokwazi ukukusiza ukhethe imikhiqizo engeke idale ukucasuka kwesikhumba okwengeziwe.

Ukulawulwa kokuzalwa

I-Tretinoin ingaphazamisa ukuvimbela inzalo ngomlomo. Uma uthatha iphilisi lokulawula ukubeletha, yazisa umhlinzeki wakho wezokunakekelwa kwempilo. Ama-minipill kungenzeka angasebenzi ngesikhathi sokwelashwa kwe-tretinoin.

Ungayigwema kanjani imiphumela emibi ye-tretinoin

Enye yezindlela ezinhle kakhulu zokugwema imiphumela engemihle ye-tretinoin ukulandela imininingwane yezidakamizwa etholakala kwiphakeji noma kumhlahlandlela wemithi. Uma udokotela wakho noma udokotela wesikhumba ekubhalela incwadi kadokotela ye-tretinoin nemiyalo abakunikeza yona yehlukile emiyalweni yomkhiqizi, ngakho-ke kungcono ukulandela imiyalo kadokotela wakho.

Ungayisebenzisa kanjani i-tretinoin

Nayi eminye imikhuba emihle lapho usebenzisa imikhiqizo ye-tretinoin:

1. I-Tretinoin ijwayele ukusetshenziswa kanye ngosuku kusihlwa.
2. Faka i-tretinoin ezindaweni ezithintekile ungqimba oluncane esikhunjeni esihlanzekile nesomile. Kufanele ulinde imizuzu engama-30 ngaphambi kokufaka i-tretinoin ngemuva kokuhlanza isikhumba sakho.
3. Lapho ukhilimu usungena esikhunjeni, gcoba isikhumba sokuthambisa isikhumba nokulwa nokoma okungaba khona.
4. Ukufaka ama-tretinoin amaningi ngokweqile esikhunjeni ukwenza izinduna zihambe ngokushesha ngeke kusebenze. Lokhu kungenza isikhumba sibe sibi kakhulu ngokubanga ukoma okukhulu, ukuxebuka noma ukubomvu.
5. Kungathatha amasonto ayisithupha ukwelashwa kwe-tretinoin ukubona imiphumela.
6. Qiniseka ukuthi usebenzisa i-sunscreen, ikakhulukazi ngesikhathi sasehlobo. Ukuchayeka elangeni kungadabukisa ukuxebuka neminye imiphumela emibi.

Qaphela:I-Tretinoin akufanele isetshenziswe bese igezwa ngoba ihloselwe ukungena esikhunjeni lapho ingaqala ukusebenza ezindaweni eziyinkinga. Akuphephile ukusebenzisa i-tretinoin ngaphansi kwamehlo noma ezindebeni. Inamandla kakhulu kulezi zindawo ezibucayi futhi ingadala okubiukucasuka kwesouma ingena noma eduze kwamehlo.

Ngikumisa kanjani ukuhlanzwa kwe-tretinoin?

Abanye abantu bazothola ukuhlanzwa kwe-tretinoin lapho beqala ukuyisebenzisa. Ukuhlanzwa kweTretinoin kulapho isikhumba siba sibi kakhulu ngaphambi kokuba sibe ngcono. I-Tretinoin isheshisa inqubo yokubuyiswa kwamangqamuzana esikhumba, ibangela ukuphuma okuthile kokuqala, ukomisa nokuxebuka. Lezi zimpawu ekugcineni ziyaphela futhi zishiya isikhumba esicacile ngaphansi. Ungasebenzisa i-moisturizer enhle, uhlale unamanzi amaningi, bese usebenzisa i- isikrini selanga okungenani nge-SPF 30 ukuvimbela ukuhlanzwa kwe-tretinoin, kepha kungenzeka kungenzeki ukukugwema ngokuphelele.

Usebenzisa kangaki i-tretinoin

I-Tretinoin iphephile ukuyisebenzisa nsuku zonke, kepha ukuyisebenzisa kaningi kungadala ukucasuka kwabanye abantu. Uma uthola ukuthi ukusetshenziswa kwansuku zonke kwe-tretinoin kuyacasula isikhumba sakho, ungazama ukuyisebenzisa njalo ngolunye usuku noma njalo ezinsukwini ezimbalwa kuze kube yilapho isikhumba silungisa. Ukusebenzisa i-tretinoin eningi kakhulu ngasikhathi sinye nakho kungadala ukucasuka, ngakho-ke ungahlala uzama ukusebenzisa ukhilimu omncane njalo lapho uwusebenzisa.

Faka i-tretinoin ekuhlanzeni isikhumba, kulandelwe isithambisi. Ukusebenzisa isithambisi ngemuva kokufaka i-tretinoin kuzosiza ukuvimbela isikhumba esomile abantu abaningi ababhekana naso kumkhiqizo.

Noma i-tretinoin ingumuthi oqinile wezindaba, ngokuvamile kubhekwa ephephile futhi ngempumelelo ukusetshenziswa isikhathi eside. Abantu abaningi bangalindela ukubona imiphumela kungakapheli amasonto amane kuya kwayisithupha futhi bazoqhubeka nokubona imiphumela inqobo nje uma beyisebenzisa. Ngenkathi kungenzeka ukuthi i-tretinoin iqede izindawo ezithile ezimnyama nokuqhekeka kombala, kungenzeka futhi ukuthi izinduna zibuye uma seziyekile i-tretinoin. I-Tretinoin iphatha kuphela izimpawu zezinduna. Ayikwazi ukwelapha okudala induna noma ukuguqula indlela isikhumba somuntu esiziphatha ngayo. Wonke umuntu uzosabela kumuthi ngokuhlukile.

Ngingayeka nini ukusebenzisa i-tretinoin?

Isikhathi sesikhathi umuntu adinga ukusisebenzisa i-tretinoin sizohluka ngokuya ngamacala. Isikhumba sabanye abantu sizophuma ngokushesha kunabanye, okusho ukuthi bazosisebenzisa isikhathi esifushane. Abanye abantu kungadingeka basebenzise i-tretinoin isikhathi eside ukuqeda izinkinga zesikhumba esinenkani njengamabala amnyama noma imibimbi. Abantu abaningi bayayeka ukuthatha i-tretinoin lapho isikhumba sabo sikhanya noma uma singasebenzi ngemuva kokuzama isikhashana. Udokotela wesikhumba ngumuntu ongcono ukubuza ukuthi uzoqala nini noma ayeke ukuthatha i-tretinoin.