Main >> Imininingwane Yezidakamizwa >> Ingabe kufanele ngithathe i-spironolactone ye-acne?

Ingabe kufanele ngithathe i-spironolactone ye-acne?

Imininingwane Yezidakamizwa

Uma uzwa igama elithi induna, mhlawumbe ucabanga ngokuhlukahluka kobuso — kepha induna ingakhula ezindaweni eziningi ezahlukene emzimbeni wonke, futhi isixazululo asilula njengokuziqoqa ukhilimu oyinduna we-OTC noma ukufaka imali kubiza kakhulu ukunakekelwa kwesikhumba.

Uma unezinduna zobuso ezinzima noma induna ethinta umhlane wakho, isifuba, izinqe, noma izingalo, kungadingeka ukuthi ubone udokotela wesikhumba ukuze alawule ukuphuma kwakho. Futhi uma ungowesifazane, ungahle unikezwe imithi ejwayelekile yomfutho wegazi ebizwa nge-Aldactone (spironolactone) yokwelashwa kwezinduna.

Ngabe umuthi womfutho wegazi uhlobene ngani ukwelapha izinduna … Futhi kungani imiselwe abesifazane kuphela? Nakhu konke odinga ukukwazi ngokusebenzisa i-spironolactone ye-acne.

OKUSHIWO: Amakhuphoni e-Aldactone | Imininingwane ye-Aldactone

Yini i-spironolactone?

I-Spironolactone (i-Spironolactone coupon) ngumuthi kadokotela osetshenziselwa ukwelapha umfutho wegazi ophakeme nokugcinwa koketshezi, kepha kuvamise ukunikezwa ilebula engeyona elenzelwe ukwelashwa induna. Imvamisa ithengiswa ngaphansi kwegama lomkhiqizo i-Aldactone.

I-Spironolactone mhlawumbe ingenye yemithi ebekwa kakhulu e-dermatology futhi isetshenziswe ngokuphepha iminyaka engaphezu kwengu-60 ukwelapha izinduna kwabesifazane abadala, uthi UJoshua Draftsman, MD , umqondisi wocwaningo lwezimonyo nezemitholampilo eThe Mount Sinai Hospital.

Isidakamizwa yi-isisu, eyaziwa kakhulu njengephilisi lamanzi, okusho ukuthi kudala izinso zakho ukuhlunga amanzi amaningi emzimbeni wakho ngokukhiqizwa komchamo okwandayo. I-Spironolactone ingeyesigaba sama-diuretics, okuthiwa i-potassium-sparing diuretics, lokho kuvimbela ukulahleka kwe-potassium phakathi nale nqubo; kwesiguli esine-high blood pressure, i-spironolactone ingasebenza ekukhipheni i-sodium eyeqile, umthombo ovamile we-hypertension, ngaphandle kokwehlisa amazinga e-potassium.

Ufuna intengo engcono kakhulu ku-Spironolactone?

Bhalisela izexwayiso zentengo ze-Spironolactone bese uthola ukuthi intengo ishintsha nini!

Thola Izaziso Zentengo

Isebenza kanjani i-spironolactone yezinduna?

Yize i-spironolactone ivunyelwe yi-Food and Drug Administration (FDA) ekwelapheni umfutho wegazi, uDkt Zeichner uthi ayithinti ingcindezi yegazi uma inikezwa ngomthamo ophansi. Esikhundleni salokho, imiphumela yaso emibi iyenza ibe yinhle off-ilebula ukwelashwa kwezinduna: Kuvimba ama-hormone ekubopheni izindlala zikawoyela futhi kuvimbele ukukhuthazwa kokukhiqizwa kukawoyela, okungaholela kwizinduna.

Kuvame ukubekwa nakwabesifazane abahlushwa yiinduna yama-cystic, uhlobo lwenduna oluhlala ngokujule ebusweni besikhumba kunokuhlala ngaphezulu kwalo. I-cystic acne yenzeka lapho izimbotshana zesikhumba zivaleka, bese zitheleleka. Kuvamile eduze komhlathi nasesilevini.

Kodwa-ke, i-spironolactone nayo ingavimba i-testosterone futhi ibangele ukukhula kwamabele emadodeni, yingakho kunqunyelwe abesifazane kuphela.

I-Spironolactone kungenzeka ingabi yindlela efanele yokwelashwa kubo bonke abesifazane abane-acne. Ngokusho kukaDkt.Zeicher, kungaba ukulingana okuhle kwabesifazane abenza lokhu:

bahlushwa yi-hormonal acne noma i-breakouts ehlobene nomjikelezo wabo wokuya esikhathini;
sidinga ukwelashwa kwezinduna okuhlelekile ukubhekana nezinduna ezinzima noma izinduna ezithinta izingxenye ezinkulu zomzimba;
ube nezinduna ezingalawulwa kahle yimishanguzo eyisihloko kuphela;
bafuna ukugwema ukwelapha induna yabo ngokulawulwa kokuzalwa kwamahomoni;
futhi ngibe nezinduna eziphindaphindekayo uma ama-antibiotic omlomo enqanyuliwe.

I-Spironolactone (okuningi nge-Spironolactone) ivame ukunikezwa intsha kanye nabesifazane abadala, yize abesifazane abakhulelwe, noma abangakhulelwa, kungafanele bathathe i-spironolactone. Imiphumela yalo yobufazi ingafinyelela embungwini, ngakho-ke amazinga e-testosterone ombungu wesilisa angathinteka ekusetshenzisweni komama kwe-spironolactone ngesikhathi sokukhulelwa.

Umthamo ojwayelekile we-spironolactone wezinduna ungama-milligram angama-25 kuye kwangama-200 ngosuku; ngokusho kwe- Ucwaningo luka-2012 kushicilelwe ku- Ijenali Yezokwelapha Zemitholampilo Nobuhle , iziguli kufanele ziqale ngomthamo ophansi kakhulu futhi zikhuphuke kancane ngokuhamba kwesikhathi uma kudingeka. Iziguli zivame ukuzwa ukuthuthuka kwezinduna, kanye nemiphumela engemihle, ngemithamo ephansi. Kubalulekile ukuqaphela ukuthi kungathatha cishe izinyanga ezintathu ukuthi umuthi ube nomthelela obonakalayo emqubeni, futhi akuyona indlela yokwelashwa yesikhathi esisodwa, kusho uDkt Zeichner.

Uma uyeka i-spironolactone, isikhumba kancane sizobuyela emuva kulokho okwenziwe ngokwezakhi zofuzo ukukwenza, uyachaza. Izinduna ngokuvamile zibuya ezinyangeni ezimbalwa [ngemuva kokumisa umuthi].

Kuphephile yini ukuthatha i-spironolactone yezinduna?

Njenganoma imuphi umuthi, i-spironolactone ingadala imiphumela emibi kwezinye iziguli hhayi kwezinye. Kubalulekile ukuxoxa ngale miphumela emibi nodokotela wakho — futhi ubazise nganoma yimiphi eminye imithi oyiphuzayo — ngaphambi kokuyiphuza.

Imiphumela emibi engaba khona ye-spironolactone ifaka:

isisa sebele
izikhathi ezingajwayelekile
amazinga e-potassium andile
ubumhlophe
isicanucanu nokuhlanza
ukukhathala
ukwanda kokuchama

UDkt Zeichner uthi iningi lale miphumela emibi kungenzeka kakhulu lapho umuthi unikezwa ngemithamo ephezulu. Kuyaqapheleka ukuthi kukhona isixwayiso sebhokisi elimnyama kumuthi, kepha kungenzeka kungabi yisizathu sokukhathazeka ngokweqiniso uma ungowesifazane onempilo ngenye indlela.

Kokunye ukuhlola kwamagundane i-spironolactone idale izicubu zomzimba eziqinile, noma kunjalo ayikhombisanga ukuthi iyinkinga kubantu, kweluleka uDkt Zeichner. Inani lomuthi onikezwe amagundane esifundweni belingu kuphakeme kakhulu kunalokho okunikezwe abesifazane .

I-Spironolactone ayibangeli ukucindezeleka noma ukuguquka kwemizwelo. Uma ubona ukuguquka kwemizwa ngenkathi uyithatha, yazisa udokotela wakho. Kwesinye isikhathi, i-spironolactone iyi enqunyelwe ukukhuthaza ukukhula kwezinwele kwabesifazane ngoba i-antiandrogen-lokho kusho ukuthi ivimba ama-hormone wesilisa angaholela ekulahlekelweni izinwele kwabesifazane.

Ngoba umuthi unciphisa ukugcinwa koketshezi, ungalahlekelwa isisindo esincane ngenkathi usithatha. Abukho ubufakazi bokuthi i-spironolactone isebenza njengomuthi wokwehlisa isisindo, kepha ingasiza ngokuqunjelwa ngaphambi kokuya esikhathini futhi imvamisa ebekiwe ukwelapha izimpawu ze-PMS kanye ne-premenstrual dysphoric disorder (PMDD).

Uma kukhulunywa ngokuthatha i-spironolactone empeleni, uDkt Zeichner uncoma ukuyithatha ngokudla ukuze imuncwe kangcono. Ngenxa yokuthi amazinga e-sodium ne-potassium athintwa umuthi, kufanele uqaphele ukwenziwa kwakho kokubili. Kukhona ithuba lokuthi amazinga akho e-potassium angaphakama ngokufa ngenkathi ethatha i-spironolactone (eyaziwa njenge i-hyperkalemia ), ngakho-ke kufanele ugweme ukudla ukudla okuningi okuqukethe i-potassium okufana nobhanana, ukwatapheya nesipinashi.

Izidakamizwa ezifana ne-spironolactone zicutshungulwa ngohlelo lwe-renal, ngakho-ke iziguli ezinesifo sezinso kufanele zikugweme ukuthatha lo muthi. Ngokusho kwe- Umtholampilo waseMayo , iziguli ezithatha izithako ze-potassium, ezinye izidakamizwa eziqukethe i-spironolactone noma i-diuretics (ikakhulukazi i-triamterene ne-eplerenone), neminye imishanguzo yegazi kufanele futhi igweme ukuthatha i-spironolactone. Iziguli kufanele futhi zigweme izithasiselo ze-potassium kanye nezindawo zikasawoti eziqukethe i-potassium, ngenkathi zithatha i-spironolactone.

Yonga kuzindleko ze-spironolactone

Ngokunikezwa inyanga eyodwa kwamaphilisi ajwayelekile e-Aldactone angama-milligram angama-25, isiguli esimaphakathi sikhokha cishe ama- $ 28. Ngekhadi lesaphulelo le-SingleCare, ungahle ukwazi ukhokhe ngaphansi kuka- $ 7 .

Thola ikhadi lesaphulelo sakwaSingleCare

Amanye ama-antibiotic adumile asetshenziswayo anjenge-clindamycin, ama-retinoid ezihloko ezifana netazarotene, nemithi yomlomo efanaumagazinenoma I-Accutane (Abasebenzisi be-Accutane abakwazi ukukhulelwa noma ukukhulelwa, futhi kufanele balandele umthetho olandelwayo oqinile ngohlelo olubiziwe ipledge ). Abanye odokotela besikhumba bancoma amaphilisi okulawula ukubeletha, ikakhulukazi uma ukuphuma kwakho kugxile kumjikelezo wakho wokuya esikhathini. Izindlela zokuvimbela inzalo ngomlomo zingalawula ukuhamba kwamahomoni okuthinta ukukhiqizwa kukawoyela esikhunjeni sakho; kuvame ukusiza abesifazane abane i-polycystic ovarian syndrome , noma i-PCOS, evame ukudala ukugcwala ngokweqile kwamahomoni wesilisa.

Kunemithi embalwa yama-acne yokuthenga, futhi, njenge-benzoyl peroxide (i-cleansers, okhilimu, noma i-gel), i-Differin Gel, ne-salicylic acid cleanser noma i-moisturizer. Iningi lezindlela zokwelashwa kwama-acne liza neminye imiphumela engemihle futhi akuzona zonke ezihambisana nempilo yomuntu wonke. Uma ulwela ukunqoba impi yokulwa nezinduna, yenza i-aphoyintimenti nodokotela wakho wesikhumba ukuze uthole iseluleko sokuthi yikuphi ukwelashwa okungakuhle kuwe.