Munyori: Gregory Harris
Zuva Rekusika: 13 Kubvumbi 2021
Gadziridza Zuva: 18 Mbudzi 2024
Anonim
Starting tretinoin: WHAT TO USE & AVOID| Dermatologist @Dr Dray
Vhidhiyo: Starting tretinoin: WHAT TO USE & AVOID| Dermatologist @Dr Dray

Zvemukati

Tretinoin inogona kukonzera zvakakomba mhedzisiro. Tretinoin inofanirwa kupihwa chete pasi pekutarisirwa nachiremba ane ruzivo rwekurapa vanhu vane leukemia (gomarara remasero machena eropa) uye muchipatara umo varwere vanogona kuongororwa nemhedzisiro yakakomba uye kurapwa kana izvi zvikanganiso zvikaitika.

Tretinoin inogona kukonzera yakakomba kana kutyisidzira hupenyu boka rezviratidzo zvinonzi retinoic acid-APL (RA-APL) syndrome. Chiremba wako anozokutarisa nemazvo kuti aone kana iwe uri kuvandudza iyi syndrome. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza: fever; kuwedzera uremu; kuzvimba kwemaoko, maoko, tsoka, makumbo, kana makumbo ezasi; mweya wekufema; kufema kunoshanda; kurira; kurwadziwa muchipfuva; kana kukosora. Pakutanga chiratidzo chekuti urikudziridza RA-APL syndrome, chiremba wako anokupa imwe kana yakawanda mishonga yekurapa chirwere ichi.

Tretinoin inogona kukonzera kuwedzera nekukurumidza kwenhamba yemasero machena eropa mumuviri. Izvi zvinosanganiswa nenjodzi yakakwira yehupenyu hunotyisidzira mhedzisiro Kana iwe uine huwandu hwakanyanya kwazvo hweropa chena usati watanga kurapwa kwetretinoin, kana kana uine kuwanda kwenhamba yemasero machena eropa panguva yekurapwa kwako netretinoin, kunyanya kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirara neRA-APL chirwere, chiremba wako anogona kunyorera imwe kana yakawanda mishonga yekurapa kana kudzivirira kuwedzera kwemasero machena eropa.


Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mimwe bvunzo kuti atarise mhinduro yemuviri wako kune tretinoin.

Taura nachiremba wako nezve njodzi (s) yekutora tretinoin.

Kune varwere vechikadzi:

Tretinoin haifanire kutorwa nevarwere vane nhumbu kana vanogona kuve nepamuviri. Pane njodzi huru yekuti tretinoin inokonzeresa kuti mwana azvarwe aine hurema hwekuzvara (matambudziko epanyama aripo pakuzvarwa).

Kana iwe uchikwanisa kuve nepamuviri, iwe uchafanirwa kudzivirira nhumbu panguva yekurapa kwako ne tretinoin. Iwe unofanirwa kushandisa maviri anogamuchirwa maitiro ekudzivirira kuberekwa panguva yekurapwa kwako uye kwemwedzi mumwe mushure mekurapwa kwako, kunyangwe iwe uine kushaya mbereko (kunetsekana kuve nepamuviri) kana uine ruzivo rwekuguma kuenda kumwedzi ('shanduko yehupenyu'; kupera kwemwedzi wekuenda kumwedzi).Iwe unofanirwa kushandisa aya maviri maitiro ekudzivirira kubereka nguva dzese kunze kwekunge iwe uchigona kuvimbisa kuti hauzove nehukama hwepabonde nemurume kwemwedzi mumwe mushure mekurapwa Chiremba wako anokuudza kuti ndedzipi nzira dzekudzivirira kuberekwa dzinotenderwa, uye anokupa ruzivo rwuzere nezvekudzivirira nhumbu.


Kana iwe ukaronga kushandisa emumuromo ekudzivirira kubata pamuviri (mapiritsi ekudzivirira kuberekwa) uchitora tretinoin, udza chiremba wako zita repiritsi iwe rauchashandisa. Microdosed progestin ('minipill') yemumuromo yekudzivirira kubata pamuviri (Ovrette, Micronor, Nor-D) inogona kunge isiri nzira inoshanda yekudzivirira kuberekwa kwevanhu vari kutora tretinoin.

Iwe unofanirwa kuve neyakaipa nhumbu bvunzo mukati me1 vhiki usati watanga kutora tretinoin. Iwe zvakare unofanirwa kuongororwa kuti une nhumbu murabhoritari mwedzi wega panguva yekurapa kwako. Udza chiremba wako nekukasira kana iwe uchifunga kuti ungangove nepamuviri chero nguva panguva yekurapwa kwako netretinoin.

Tretinoin inoshandiswa kurapa acute promyelocytic leukemia (APL; rudzi rwekenza umo mune masero eropa akawandisa muropa nemapfupa emongo) mune vanhu vasina kubatsirwa nemamwe marudzi echemootherapy kana vane mamiriro akavandudzika asi yakaipisisa zvichitevera kurapwa nemamwe marudzi ekemotherapy. Tretinoin inoshandiswa kuburitsa kuregererwa (kuderera kana kutsakatika kwezviratidzo nezviratidzo zvekenza) yeAPL, asi mimwe mishonga inofanirwa kushandiswa mushure mekurapwa ne tretinoin kudzivirira kenza kudzoka. Tretinoin iri mukirasi yemishonga inonzi retinoids. Inoshanda nekuderedza kana kumisa kukura kwemasero ekenza nekukonzera masero eropa asina kukura kukura kuva masero eropa akajairwa.


Tretinoin inouya sekapuleti kutora nemuromo. Inowanzo kutorwa kaviri pazuva kwemazuva anosvika makumi mapfumbamwe. Tora tretinoin panguva dzakatenderedza nguva dzakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora tretinoin chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Ramba uchitora tretinoin kunyangwe iwe uchinzwa zvakanaka. Usarega kutora tretinoin usina kutaura nachiremba wako.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora tretinoin,

  • udza chiremba wako uye wemishonga kana uri weergoria kune tretinoin, mamwe maretinoid akadai seacitretin (Soriatane), etretinate (Tegison), bexarotene, kana isotretinoin (Accutane, Claravis, Sotret), chero mimwe mishonga, parabens (inochengetedza), kana chero ipi yezvimwe zvinoshandiswa mu tretinoin capsules. Kumbira chiremba wako kana wemishonga kuti uwane mazita ezvigadzirwa.
  • udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: aminocaproic acid (Amicar); mamwe calcium chiteshi anovharira akadai diltiazem (Cardizem, Dilacor, Tiazac, vamwe) uye verapamil (Calan, Covera, Isoptin, Verelan); cimetidine (Tagamet); cyclosporine (Sandimmune, Gengraf, Neoral); erythromycin (EES, Erythrocin, E-Mycin); hydroxyurea (Droxia); ketoconazole (Nizoral); pentobarbital; phenobarbital; rifampin (Rifadin, Rimactane); oral steroids senge dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), uye prednisone (Deltasone); tetracycline antibiotic yakadai sedhemeclocycline (Declomycin), doxycycline (Monodox, Vibramycin, vamwe), minocycline (Minocin), oxytetracycline (Terramycin), uye tetracycline (Sumycin, Tetrex, vamwe); tranexamic acid (Cyklokapron); uye vhitamini A. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana ne tretinoin, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
  • udza chiremba wako kana iwe kana wakambove nekuwedzera huwandu hwecholesterol (chinhu chakaita semafuta) nezvimwe zvinhu zvine mafuta muropa, kana chiropa kana chirwere chemwoyo.
  • udza chiremba wako kana iwe uchiyamwisa.
  • kana iwe uchizovhiyiwa, kusanganisira kuvhiya mazino, udza chiremba wako kana chiremba wemazino kuti uri kutora tretinoin.
  • iwe unofanirwa kuziva kuti tretinoin inogona kukonzeresa dzungu kana kutemwa nemusoro kwakanyanya.Usatyaire mota kana kushandisa michina kusvika iwe waziva kuti mushonga uyu unokubata sei.

Taura nachiremba wako nezve kudya mazambiringa uye kunwa jisi remuzambiringa paunenge uchitora mushonga uyu.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Tretinoin inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

  • kushaya simba
  • kuneta zvakanyanya
  • kubvunda
  • kurwadziwa
  • earache
  • kunzwa kwekuzara munzeve
  • ganda rakaoma
  • mapundu
  • kurasikirwa nevhudzi
  • kuvimbiswa
  • manyoka
  • kurwadziwa nemudumbu
  • chirungurira
  • kurasikirwa nenzara
  • kuonda
  • kurwadziwa kwepfupa
  • dzungu
  • chiveve, kupisa, kana kugwinha maoko kana tsoka
  • huta
  • kuora mwoyo
  • kunetseka kurara kana kuramba wakarara
  • kuvhiringidzika
  • kusagadzikana
  • kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
  • kunetseka kuita weti
  • kufashaira

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, dana chiremba wako nekukurumidza:

  • musoro
  • kusvotwa
  • kurutsa
  • kusaona kana kuona zvakapetwa, kana mamwe matambudziko ekuona
  • kupwanya kusingawanzo kana kubuda ropa
  • rutsa rune ropa kana rwunoita kunge kofi nzvimbo
  • inopenya tsvuku kana nhema uye zvituru zvekugara
  • kurova kwemoyo zvisina kujairika
  • kunzwa kurasikirwa
  • kubuda ropa
  • zvirwere

Tretinoin inogona kuwedzera huwandu hwecholesterol uye mamwe mafuta muropa rako uye inogona kumisa chiropa chako kuti chisashande zvakajairika. Chiremba wako anozokutarisa nemazvo kuti aone kana uri kutarisana neimwe yemhedzisiro.

Tretinoin inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

  • musoro
  • kufashaira
  • yakatsvuka, yakatsemuka, uye miromo inorwadza
  • kurwadziwa nemudumbu
  • dzungu
  • kurasikirwa kwekubatana

Usarega mumwe munhu achitora mushonga wako. Bvunza wako wemishonga kana iwe uine chero mibvunzo nezve kuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

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Yakagadziridzwa Yakagadziridzwa - 09/15/2016

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