"Isotretinoin": tilmaamaha loo isticmaalo, tilmaamo, dib u eegista

Daaweynta cudurada kala duwan ee maqaarka waxaa mahad qaadeen in daawooyinka ay ku jirto in isotretinoin Halabuurka ay. walax waxaa loo arkaa in ay dermatoprotektivnym in hantida gaar ah mahad. diyaarinta magac la mid ah waxa loo isticmaalaa daaweynta seborrhea, finan. tilmaamaha "isotretinoin" loo isticmaalo talinayaa in la isticmaalo oo kaliya ka dib markii uu la tashado dhakhtarkaaga. Sida laga soo xigtay dib u eegista ah, wakiilka waa wax ku ool ah in geeddi socodka bararka maqaarka.

Description of

Drug "isotretinoin" waa retinoid awood leh. Arintaan waxaa loola jeedaa derivative a of vitamin A. Waa walax firfircoon tagaa - isotretinoin - yaqaan retinoic acid iyo waxa uu leeyahay qaab budada ah hurdi. walaxda awood neutralizing unugyada kansarka si degdeg ah ugu qaybinaya. Hantidaan waxaa markii hore loo isticmaalo daweynta kansarka.

Muddo ka dib, cilmi ogaaday walax budada ah hanti-ku-daweyn kale - waa inay awoodaan si loo yareeyo wax soo saarka sebum by anada koritaanka xad-dhaafka ah ee gacanta epithelium marinnada excretory. hantida Tani waxay u ogolaaneysaa hadda loo isticmaalaa in lagu daaweeyo finanka daran waxaa loola jeedaa "isotretinoin".

daawooyinka ayaa ku salaysan this firfircoon waxaa loo isticmaali karaa labada dibadda iyo afka. hab aan fiicnayn doorteen dermatologist baaritaanka bukaanka ka dib.

Sidee daawada?

Buugga Drug "isotretinoin" edbinta ku talinaysaa in aad isticmaasho si wax ku ool daweeyo Finanka nabarradii dabeecadda iyo xanuunada kale ee maqaarka. Saamaynta daweynta ee daroogada ayaa wax ku ool ah oo hal mar ah oo ku saabsan dhammaan waxyaabaha in ay kiciyaan cuduradan. First of dhan, yaraynaysaa wax soo saarka ee sebum, daloolada waa la nadiifinayaa.

retinoid systemic ka hortagtaa koritaanka sheyga bahal aknes Brobionibakterium, kaas oo keena finanka, finan. Relief oo ah caabuq, caadi ah pH - sida mudnaanta of diyaarinta. "Izoteretinoin" si firfircoon loo isticmaalaa in maqaarka iyo Qurxin. qayb firfircoon u ogolaanaya in aan saamayn keliya calaamadaha cudurka, laakiin sidoo kale si loo baabi'iyo sababaha keentay in horumarinta geedi socodka bararka.

Tilmaamayaasha loo isticmaalo

Ogsoonow in aan la talinayaa in la isticmaalo "isotretinoin" aan dhaqtar kuu qorin ee. diyaarinta Price codsiga dibadda ku salaysan oo ah walaxda firfircoon isku kala duwan 280-650 rubles gudahood. Ka dhig daroogada qaab kiniin ah ee joogitaanka heley qaarkood. Waxay kala yihiin:

• seborrhea;
• rosacea (oo ay ku jiraan daran);
• Dhamaan noocyada finan;
• finan nodulocystic;
• noocyada kala duwan ee dermatitis,
• ichthyosis lagu dhasho.

Inta badan cudurada kuwani waa sababta midaysan ka soo jeedo - baruurta qanjiradda soo saaraan xad-dhaaf ah. Tani, ka bacdi, waxay keenaysaa in carqalad halis ah oo dheelitirka caadiga ah ee epidermis.

Maxaa saamayn doono hab ka?

Sida laga soo xigtay cilmiga badan, waxtarka daawada la xaqiijiyay in kala duwan ee cudurrada maqaarka. "Isotretinoin," si weyn u yaraynaysaa hawshu ku dhaca qanjidhada Qanjirrada (90%) iyo normalizes geedi socodka ka dhacda maqaarka. Dhakhaatiirta ku talinaynaa isticmaalka xitaa qaab daran ee daawada finan qaab kiniin "Roaccutane". Isotretinoin waxaa loo isticmaalaa sida hubaasha weyn ee firfircoon.

Means codsiga la mariyo waxaa si fiican u xaqiijiyay in daaweyn jiray finan, rosacea, iyo dermatitis. retinoids waxaa loo isticmaali karaa si ay u khafiif ah cudurrada maqaarka dhexdhexaad ah. Khubarada ayaa sheegaya in daroogada sidan ayaa aad uga badbaado, waayo, jidhkuna waa ka roon kaabsulka. Marka isotretinoin afka ay fiirsashada ee dhiigga waxaa kordhay 2,000 ng / ml. Haddii aan u isticmaalno oo cadar, heerka aan ka badnayn 60 ng / mL.

Diyaargaraw ku salaysan isotretinoin

Walaxda firfircoon daawada isotretinoin tilmaamaha loo isticmaalo waxaa loola jeedaa si dabiici ah ku dhaco retinoids. Tiro yar oo xeryahooda, kuwaas oo ay si fiican u jidhku u nuugo, waxay leeyihiin saamayn togan ku maqaarka, yaraynaysaa wax soo saarka sebum, waxay leeyihiin ficil antimicrobial. Qaar ka mid ah diyaarinta dibadda ku jira isotretinoin:

1. cadar Retinoic.
2. "Izotreksin" (gel).
3. "Retasol" (xal).

Waayo, maamulka afka ku heley daran ee ku takhasusay maqaarka daawada sida "Aknekutan", "Roaccutane", "masixi". Qaab dhismeedka (isotretinoin waxaa loo isticmaalaa sida qayb firfircoon), iyo qiyaasta kala duwanaan karaan.

waxyeellooyin

Marka aad iyo aad u isotretinoin qiyaasta sababa waxyeelo. Laga soo bilaabo meel fog waxay inta badan muuqan habka difaaca. Bukaan-socodka ka cawdaan finiinic, guduudasho, hoolmay maqaarka on calaacalaha iyo cagaha u, cuncun, taarikada Dystrophy cidiyaha. Waxa kale oo suuragal ah ee cheilitis - cudur saameeya maqaarka on dibnaha.

habka dareemayaasha jirka waa, bukaanada qaar ka mid ah ayaa sidoo kale qaba ay sabab u tahay daaweynta "isotretinoin" daroogada. Reviews soo jeedinaya in u muuqan kara madax xanuun, daal xad-dhaaf ah, ayaa waxloogu oo yaraada, murugada horumarinta iyo psychosis. Dadka qaba xiiqda ee taariikhda in ay qaataan daawada waa mid aad u halis ah. Tani waxay keeni kartaa in bronchospasm. Dhibaatooyinka ay keento on xubnaha muujinta muujiyey by calaamadaha sida keratitis, blepharitis, neuritis optic, conjunctivitis, indho cuncun.

On qayb ka mid ah marinka dheef shiidka uu yeesho ganaca, shuban, dhiig bax gudaha ah, matag, caabuq xuubka xiidmaha, hepatitis. Arthritis, xanuun ku jira laabatooyinka iyo muruqyada, hyperostosis - calaamadaha waxyeello ka soo gaartey ee isotretinoin on nidaamka muruqyada.

sababo

First of dhan, buuga daroogada "isotretinoin" edbinta mamnuucaya isticmaalka xilliga uurka ama qorsheynta. maalkiisu waa embryotoxic iyo saamaynta teratogenic, taas waxay keeni kartaa in cillado ee cilladaha horumarinta iyo dhalashada ee ilmaha caloosha ku. khubaro ku talinaynaa sidoo kale bilaabaya in qorshaha uurka aan hore ka badan 3-4 bilood ka dib dhamaadka daawo daaweynta. Inta lagu jiro wakhtigan, heerarka isotretinoin ee jirka ku jira in ay ku soo laabtaan si caadi ah.

Waa mamnuuc in la qaato wax kasta oo retinoids inta lagu jiro nuujinta, haddii ay dhacdo of diidmo ama dulqaad, oo ay weheliso ka antibiotics tetracycline daroogada. Maamulka Oral daawo ahaan uu xaaladaha xanuunada daran ee beerka iyo kelyaha ee subaga ee serum dhiigga iyo carcinogenic kordhay. Waayo, bukaanka qaba hypervitaminosis A sidoo kale waa isotretinoin ma ku haboon.

Qiimaha alaabta jaban ku salaysan walax this - 280-350 rubles. daawada, qiyaasta, analogs doorteen si gaar ah dhakhtar.

Sida loo qaado?

Isotretinoin waa qaab kaabsoosha maamulka afka cabbi inta lagu jiro hadhuudhka ah. Qiyaasta hore caadi ahaan waa in ka yar 0.1 mg halkii kiilo ah oo miisaankeedu yahay jirka bukaanka. Ka dibna waxa qiyaasta lagu kordhin karaa (lacala dhaqdhaqaaqa wanaagsan iyo la'aanta waxyeelo).

qiyaasta maalin kasta celcelis ahaan (0.5 g) in la kala qaybiyaa heerar kala duwan. Ku xiran tahay darnaanta xanuunka waxaa laga yaabaa in la kordhiyo. Maskaxda ku hay in maalin qaadan karaan wax ka badan 10 garaam oo isotretinoin. daaweynta daroogada sida caadiga ah waa muddo dheer, 16-24 toddobaad. bareeg u dhexeeya kooxihii therapy waa inuu ugu yaraan laba bilood.

Drug "Roaccutane"

medicament Price ku filan sare iyo amarka of 2700 rubles xirmo (20 mg qiyaasta). Saaraha waa shirkad Swiss dawooyinka, "Hoffman-La Roche." Kaabsoosha "Roaccutane" wax ku ool ah ee finanka suuqnimo ee daran, keratosis pilaris, ichthyosis, keratoderma.

Muddada daaweynta ku xiran tahay nooca cudurka, iyo sida caadiga ah waa 2-4 toddobaad. Maalintii waa in ay ahaataa 0.5 mg ah ee xarunta firfircoon halkii 1 kg ee miisaanka bukaanka. In dulqaad caadi ah "Roaccutane" waa in lagu bilaabaa marxaladda labaad ee daaweynta, taas oo qiyaastii 20 toddobaad. Xaaladdan oo kale, dhakhtarka waa in lala socdo cudurka dhaqdhaqaaqa. Haddii uu jiro hoos u dhac lesions by 70-80%, daroogada waxaa caadi ahaan la joojiyay.

Features of codsiga

Inta lagu guda jiro daawaynta "Roaccutane" xaalad xumeyd suurto galka ah ee cudurka. Xaaladdan oo kale waxaa lagama maarmaan ah in la yareeyo si ay qiyaasta ugu yar (0.5 mg / kg). Sida caadiga ah, ee dhaqdhaqaaqa wanaagsan iyo natiijo daaweynta muddo dheer oo laga dheehan karo iyada oo loo marayo 1,5-2 bilood ka dib laga bilaabo daaweynta. Si kastaba ha ahaatee, xaaladaha daran waxay u baahan tahay koorso dheer soo dhaweynta "Roaccutane" daroogada.

Qiimaha daroogada ku saleysan isotretinoin waxay ku xiran tahay qiyaasta of qayb firfircoon. kaabsoosha waxa ku jiri kara 10 ama 20 mg ee xarunta this. qiyaasta Subject iyo daaweynta Dawooyin waa in aan keenaan waxyeelo. khubaro Guest sheegaya in "Roaccutane" si fiican loo dulqaatay by bukaanka.

Xalka "Retasol"

component ee hadda ah wakiilka waa isotretinoin. Reviews bukaanka iyo haragga loo xaqiijiyo waxtarka ay ku daweyn of daroogada. samaynta walax firfircoon ka kooban 0,025 mg 1 ml. xal A ka sokow tallaabo anti-bararka iyo noolaynayo, uu saamayn togan ku gargaarka ee maqaarka. diyaarinta waxaa loogu tala galay codsiga maqaarka nadiifiyey. Maalinta nidaamka waa in lagu celiyo laba jeer. Duration daaweynta "Retasolom" caadi ahaan 4-12 toddobaad.

Ma loo baahan yahay si aad u dalbato xalka isku dhafan oo retinoids kale. Tani waxay keeni kara horumarinta hypervitaminosis A. Waxa aanu qori tetracycline'nada "Retasol" ee daaweynta ee kor u halis cadaadis intracranial.

In foomka of xal daroogada waxaa loo isticmaali karaa daaweynta ee finan in dhallinyarada 11 sano jir. Means maray tijaabo, taas oo ay ammaanka ayaa la caddeeyey. "Retasol" waa fiican ee maqaar dufan leh.

Kurtumm

Bukaan badan ayaa si guul leh loo isticmaalo daweynta ee alaabta ku salaysan walaxda firfircoon sida isotretinoin. Analogues daawooyinkaan waa inay doortaan takhasus u leh.

In kaliya dhawr bilood daaweynta, a retinoid dabiiciga ah awood kuu ogolaanaya in aad takhaluso finan, rosacea finan. cudurrada maqaarka daran More baahan koorsooyinka soo noqnoqda ee therapy. Kaliya xaalado dhif ah, waxyeelo dhacaan, inta badan lagu arko by habka difaaca jirka: finan xasaasiyad, qalalan casaan maqaarkaba ah. Waa arin mamnuuc ah in la qaato daawooyinka oo ku salaysan isotretinoin inta lagu jiro qorshaynta uurka, siday ilmo ama nuujinta.