Cream for acne "Tretinoin": ndemanga. "Tretinoin" ndi yothandiza bwanji?

mavuto khungu Musiyeni anthu ambiri. Iwo samangokhala kusokoneza maonekedwe a munthu, komanso kungachititse kuti matenda aakulu ndi zosokonezeka. Mosavuta kuyankha, muyenera kusankha mankhwala oyenera. Mankhwala ochizira ziphuphu zakumaso pa nkhope si mofanana ochiza anthu onse. Only ndi dermatologist Kupenda zingakuthandizeni kusankha chithandizo chabwino.

"Tretinoin" ziphuphu zakumaso wathandiza anthu ambiri. chida uyu ali ndi katundu kofunikira kuti kulola kupirira zotupa pa khungu. Isanayambe mankhwala ayenera kuonana ndi katswiri pa zinthu zotheka zoipa ndipo tione mwatsatanetsatane zimene "Tretinoin", mitundu kumasuka ndi analogues.

Kumasulidwa mitundu "tretinoin"

Mankhwala ochizira ziphuphu zakumaso pa nkhope ndi pa mitundu yambiri. Ambiri a iwo amapangidwa pansi pa dzina yemweyo, amene amathandiza kupeza kwambiri yosavuta kugwiritsa ntchito chida. Nazonso ndi "Tretinoin". kukonzekera Price amathanso zimadalira mawonekedwe ake.

"Tretinoin" likupezeka mu mawonekedwe a kirimu, odzola, gel osakaniza njira ndi kapisozi. "Tretinoin" -loson lakonzedwa kuti ayeretse khungu dothi, kuchotsa kutupa ndi ndiyotani pakuchotsa ziphuphu zakumaso ndi zina ziphuphu zakumaso. Izi mawonekedwe abwino amasamalidwa khungu wamng'ono, normalizes ndi zopangitsa sebaceous, amene amathandiza tichotse aliwonse.

"Tretinoin" -krem abwino kwambiri kwa anthu okalamba, ndi zizindikiro za okalamba khungu. The kirimu ndi zifukwa mafuta, kotero kumathandiza kutsegula makwinya zakubadwa. kirimu Ichi ndi odana ndi yotupa wothandizila kuti ndi polimbana ndi mavuto ambiri khungu ndi subcutaneous minofu.

Gel osakaniza ali ndi dongosolo opepuka poyerekeza ndi kirimu ndi oyenera wochuluka ndi osakaniza mtundu khungu. Ngati kirimu lili ndi zotsatira protivoseboreynoe. "Tretinoin" makapisozi The ntchito chikhululukiro kupatsidwa ulemu mu pachimake promyelocytic khansa ndipo ayenera kuperekedwa basi akakhala ndi matenda zolondola. Chithandizo makapisozi "Tretinoin" ayenera kutenga malo kuyang'aniridwa ya oncologist ndipo panthawiyi, dokotala.

Njira zomwezo pharmacological chochita monga creams ndi lotions. Izo ntchito osati kuthetsa mavuto alionse ndi khungu, koma akhoza kujambula chobisika ziphuphu zakumaso. Izo ntchito mankhwalawa zovuta za mitundu yosiyanasiyana ya ziphuphu zakumaso.

mankhwala

"Tretinoin" -krem chamadzi a yogwira pophika - transretinovuyu asidi (tretinoin) mu kuchuluka kwa 0,05% kapena 0.1%. The apamwamba chiwerengero mwa kulemera kwa yogwira pawiri, zothandiza kwambiri zotsatira mankhwala. Tretinoin ndi powdery mankhwala chikasu kapena kuwala lalanje hue, choncho palibe kirimu wothandiza mankhwala kulenga madzi mu mafuta ndi mafuta amadzimadzi m'munsi.

Gel osakaniza "Tretinoin" yophatikiza thunthu yogwira mu kuchuluka kwa 0.1%, 0,025% kapena 0,05% ya kulemera okwana. Komanso tretinoin mu gel osakaniza ndi mulinso propylene glycol, carbomer, isopropyl mowa, triethanolamine, butylated hydroxytoluene ndi ena zinthu zina zedi yaing'ono.

"Tretinoin" -loson opangidwa ndi nthaka pa ndende ya mankhwala yogwira 0,05%, ndi njira anali - 0.1%. Komanso m'gulu la odzola zikuchokera propylene glycol ndi Mowa, amene anakhudzidwa bactericidal.

Aliyense kapisozi "tretinoin" lili 10 mg wa yogwira pophika ndi excipients monga phula, soya mafuta. The gelatin kapisozi chipolopolo ali mu kapangidwe kake glycerol, Karion-83, titaniyamu woipa ndi colorants.

zikuonetsa

Mankhwala uli gulu la retinoids, amapanga ofanana ndi vitamini A. Konzekerani ndi metabolization retinol. Tretinoin ali protivoseboreynoe, antitumor, keratolytic ndi kanthu komedonoliticheskoe. Komanso kumapangitsa munthu kusinthika kwa zimakhala, kumalimbitsa chitetezo cha m'thupi, komanso amatipatsa m'dera odana ndi yotupa kwenikweni. Iwo amagwiritsidwa ntchito pofuna kuchiza ziphuphu zakumaso vulgaris ndi kuda. Mu mawonekedwe kapisozi, lokonzekera mogwira mtima ntchito njira myeloid khansa chikhululukiro.

"Tretinoin" -krem ntchito kubisa kutupa khungu ndipo ali ndi akukhudzidwira opindulitsa amasintha wosanjikiza chapamwamba khungu. Thiabendazole angagwiritsidwe ntchito pofuna kuchiza mitundu ina ya dermatitis ndi matenda ena apakhungu.

kumukhudwitsa

"Tretinoin" -krem (ziphuphu zakumaso) limakupatsani kuchotsa njira yotupa mu zigawo zosiyana za khungu, ntchito kunja, koma ali ndi zotsatira ofunika kwambiri. Yogwira mankhwala umakhudza mapangidwe maselo elastin khungu, amene kumawonjezera elasticity wa khungu ndipo kumathandiza kuchepetsa makwinya akuti ndi kusintha ena obwera ndi ukalamba.

Tretinoin amakhudza yopanga melanin ndi inhibiting ndondomeko mapangidwe ake lalikulu zedi, omwe amachepetsa chiopsezo malignancies. Komanso kumapangitsa kukula kwa maselo zaminyewa ndi imayendetsa njira ya kugawikana kumathandiza kuti abwezeretse khungu.

Mankhwalawa lotseguka ziphuphu zakumaso njira aligns wosanjikiza chapamwamba khungu popanda kusiya mabala ndi zizindikiro zina zimakhala bwinobwino. Pa chatsekedwa ziphuphu zakumaso mankhwala ali kanthu kukoka, imbaenda zina kuchotsa kutsegula ndipo nthawi yomweyo kuchepetsa kutupa ndi kuteteza minofu amamuyambitsa timabala. Komanso kumathandiza reappearance wa ziphuphu zakumaso.

Protivoseboreynoe zotsatira mankhwala "Tretinoin" -krem chopinga ndi kukukulirakulira ya maselo zaminyewa, ndi normalization wa zopangitsa za sebaceous, kuchepetsa kutupa m'malo mwa ritsa sebaceous.

Zotsatira za mankhwala ndi imodzi ndi theka kapena miyezi iwiri. Patatha milungu wina kwa awiri a ntchito zingaoneke ndi kuchuluka kwa ziphuphu zakumaso. Izi zimachitika m'kati kuchotsa ndi kutsegula kwa kunja ziphuphu zakumaso kubisika.

Makapisozi "Tretinoin" njira lakonzedwa kuti ntchito m'kamwa. Akutumikira okhawo odwala amene ali msinkhu nthenda ya mapangidwe ndi kudzikundikira promyelocytes, chifukwa mu khansa myeloid. Tretinoin limaleka kudzikundikira maselo myeloid, imbaenda ku chikhululukiro, amene angakhale kwa miyezi iwiri kapena inayi.

contraindications

Tilinazo wa chinthu yogwira mankhwala ndi chifukwa chokwanira pa n'zosatheka ntchito. Inu simungakhoze ntchito "Tretinoin" woyembekezera, ngati zimenezi zingayambitse kuyan'anila za chitukuko yoopsa. M'nthawi ya yoyamwitsa izo ndi zosatheka kugwiritsa ntchito mankhwala pakamwa.

Zikutanthauza Kwalamulidwa kwa odwala ndi njira pachimake yotupa mu khungu, pamaso pa zotupa cutaneous mu mawonekedwe a mabala kapena zilonda. Ndi zosavomerezeka ntchito mankhwala odwala khungu epithelioma kapena kukhala ndi mbiri banja la izo. N'zosatheka kugwiritsa ntchito mankhwala kwa mitundu yosiyanasiyana ya chikanga, kapamba, shuga ndi kuchuluka intracranial kuthamanga.

Mankhwala ali zoletsa zaka. Sanapatsidwe pakamwa ana osaposera zaka chaka chimodzi mpaka zaka khumi ndi ziwiri kunja ndi kwa mtundu uliwonse kwa odwala pa zaka makumi asanu.

zotsatira zoyipazi

Pamene anatengedwa pakamwa kutumikiridwa mankhwala angathe "retienovoy asidi syndrome", kungachititse kuti mavuto aakulu.

Pamene zizindikiro choyamba ayenera yomweyo perekani mankhwalawa koyenera. Zizindikiro za matendawa ndi maonekedwe a dyspnea, hyperleukocytosis, hypotension, malungo, impso ndi chiwindi kulephera limba.

Pamene ntchito njira "tretinoin" chifukwa ntchito kunja kukumana ndi zosiyanasiyana khungu (ukuchoka ndi dryness), totupa, kuyabwa, kufinya. Komanso, zimene mungakumane monga pakamwa youma, thukuta, kudziwa cheza ultraviolet, alopecia, hyper- ndi hypopigmentation.

Nthawi zina, pali chisokonezo mu dongosolo m'mimba (nseru, kusanza, kutsekula m'mimba), dongosolo chapakati mantha (maganizo, chizungulire, kumva ndi masomphenya matenda, kuthamanga intracranial).

Chisokonezo njira kagayidwe kachakudya chifukwa cha kutenga mankhwala onse akuonekera kusintha thupi ndi maonekedwe a cellulite, umboni ndi ndemanga. "Tretinoin" akhoza kuyambitsa thirakiti matenda kupuma, limodzi ndi chifuwa, kufupika kwa mpweya, edema ndi laryngeal mucosa, rales mu mapapo.

Odwala ena atakhala mankhwala anati arrhythmia, zopweteka minofu, chifuwa ndi ululu kumbuyo, ambiri kufooka kwa thupi ndi tulo. Ndi chitukuko cha yatsoka angapo mavuto kapena mavuto a kuopseza mankhwala kwa wodwala ingaperekedwe kwa kukanidwa lathunthu la mankhwala kapena kuchepetsa poyamba analimbikitsa Mlingo. Pali kuthekera m'malo "tretinoin" Akhristu.

Malangizo ntchito

"Tretinoin" (kirimu kapena gel osakaniza) iyenera kugwiritsidwa ntchito wosanjikiza zonyalazo akusisita kayendedwe yekha m'madera okhudzidwa wa khungu kamodzi tsiku ndi kusiya kwa maola asanu. Ndi bwino kutsuka mankhwala ndi madzi pambuyo nthawi ino. Tiyenera kukumbukira kuti mlingo si upambana kutsogolera zotsatira mofulumira.

Eni a khungu kuwala kapena khungu youma mtundu tikulimbikitsidwa kuti ayambe kusiya mankhwala okha kwa theka la ola. Mu yachibadwa nthawi khungu anachita akhoza pang'onopang'ono kuchuluka. Anandilola kuchotsa mankhwalawa pustules kukhwima ndi comedones. The njira ya mankhwala zimasiyanasiyana masabata awiri kwa miyezi itatu, malingana ndi kukula kwa zotupa ndi chiwopsezo mankhwala.

The tsiku mlingo "Tretinoin" mu makapisozi sayenera upambana 45 mg wa pa mita lalikulu la khungu. The njira ya mankhwala miyezi itatu. Mlingo ali yemweyo kwa mibadwo yonse, palibepo pa contraindications lapansi. Pamene Kupeza Vuto wodwala aimpso kapena kwa chiwindi insufficiency mlingo ayenera kusanduka 25 mg.

The pazipita chocheperako tsiku mlingo munthu wamkulu ndi 195 mg wa pa mita lalikulu la khungu mankhwala ndi 60 mg mwanayo. Ndi zotupa kwambiri mlingo tsiku akhoza ziwonjezeke kwa theka la pazipita lapansi.

Pamene ntchito yokonzekera munali tretinoin, ayenera kupewa yaitali dzuwa. Pankhani ya anaziika khungu wodwala ayenera kulepheletsa chithandizo mpaka zachilengedwe khungu mphenzi.

Mogwirizana ndi Mankhwala

Mankhwala kulimbikitsa ntchito za ulimi kwa chiwindi enzyme, kuchepetsa mphamvu ya mankhwala "Tretinoin Retin A". Ogalamutsa kukhala chiwindi michere monga mankhwala, rifampicin, pentobarbetal ndi phenobarbital. Ziletsa ntchito ya chiwindi michere verapamil, "" mankhwalawa "" Ketoconazole "ndi ena. Akatswiri amanena kuti" Tretinoin "Kodi si bwanji efficacy mankhwala, zinaonekera kafukufuku ndi mayankho." Tretinoin "amachepetsa mphamvu ya kulera mapiritsi zochokera progesterone (mailosi-akumwa).

Chenjezo kusamala pamene ntchito "tretinoin" ndi ntchito ya wothandizila antifibrinolytic, monga odwala ena anakumana mavuto thrombotic ndi mavuto oopsa.

The peculiarity wa kanthu "Tretinoida" ndi kuwonjezeka zotheka vuto la kuthamanga intracranial. Zotsatira womwewo anamuona ya tetracycline mankhwala, kotero muyenera ntchito mankhwala pa nthawi yomweyo.

"Tretinoin": Anzawo

Kuthetsa mavuto ndi khungu, pali zida zambiri ngati kuti amagwiritsidwa kulimbana bwino ntchito yake. "Tretinoin", mtengo ndi mkulu mokwanira, chifukwa ena sangamve (tilinazo munthu ndi contraindications zina) kwa munthu winawake.

"Retinoic mafuta" ndi mtengo analogi wa "Tretinoin" mu kapangidwe kake ali vitamini A ndi isotretinoin. Pamene ntchito molakwika, mafuta ndi sanali kugwilizana ndi malangizo akhoza kuwapeza amayaka khungu. Poyamba, galimoto cholinga chake chinali kuthetsa ziphuphu zakumaso ndi kuphulika ena, koma pamene ntchito kunapezeka kuti mafuta ndi kukhudzana yochepa imayendetsa yopanga kolajeni chotero smooths osaya makwinya.

"Differin" mu kapangidwe kake ali ndi yogwira mankhwala adapalene, umene ndi analogi synthetically linachokera kwa asidi retinoic. Iwo ali zotsatira bata poyerekeza "Tretinoin". Likupezeka mu mawonekedwe a gel osakaniza khungu wochuluka ndipo ngati kirimu kwa youma mtundu khungu. kukonzekera sinafike kwa kutaya neoplasms ndi seborrheic dermatitis. Pamaso pa matenda awa ndi contraindication kugwiritsa ntchito "Differin", monga pamafunika zida zamphamvu kwambiri.

Mtengo wa mankhwala

"Tretinoin" -krem, mtengo wa potsata mawonekedwe za kumasulidwa kwa mankhwala ndi amene anapanga, ndi otchuka zokwanira kuthetsa ziphuphu. Mu Russia atapereka mankhwala angaperekedwe. Izi zikuonekera bwino ndi ndemanga zambiri. "Tretinoin" mu mawonekedwe a kirimu kapena odzola ndi Chitaliyana zopangidwa ndi nthaka amatchedwa "Airolo". Iwo ali mtengo angakwanitse kwambiri poyerekeza ndi opanga zina pafupifupi 2500 rubles 50 ml ya odzola kapena kirimu 30 mg.

"Lokatsid" - kirimu munali tretinoin, zomwe mtengo rubles 1,500 zokha. Mu dzina chimenechi anapeza njira yothetsera ntchito kunja ndi tretinoin. Koma, mu maganizo a odwala ndi kanthu sakhala ogwira kapena amafuna kirimu kwambiri.

Mutu wakuti "Retin-A" Tingaone "Tretinoin" -maz gel osakaniza ndi kupanga Indian. "Vesanoid" - makapisozi tretinoin ku Switzerland. mtengo awo pa paketi 100 ma PC. Izo ziri zoposa 10 000 rubles, koma paketi imodzi zokwanira Inde mankhwala.

Comments pa ntchito

"Tretinoin" ndi chimodzi cha njira yabwino yochotsera mavuto ambiri apakhungu. Popeza contraindications, yembekezerani pa chifukwa chabwino ndi yosalala khungu patapita masabata ochepa kukonzekera. wothandizila sangakhoze analimbikitsa ndi akatswiri chifukwa cha osiyanasiyana mavuto ndi contraindications, umboni ndi ndemanga zambiri. "Tretinoin" ayenera kugwiritsidwa ntchito moyang'aniridwa ndi achipatala. ntchito Osiyana kungakhale kovuta ndi zotsatira zake.

"Tretinoin" khwinya alinso contraindications yake ntchito, monga kuyenera mankhwala zodzikongoletsera sayenera kugwiritsidwa ntchito popanda kufunsira ndi katswiri, amene adzakhala kusankha mlingo mulingo woyenera ndi nthawi ya ntchito.

Odwala amene ntchito mankhwala kwa ndiyotani pakuchotsa ziphuphu zakumaso ndi ziphuphu zakumaso, anati kwa zotsatira zake zopindulitsa pa khungu la nkhope ndi thupi. Odwala kusonyeza khungu labwino ngati masabata pambuyo chiyambi cha ntchito ya ndalama. Komanso chinali zotsatira yaitali, amene amalola chida infrequently ntchito ndi kuchepetsa mavuto a mankhwala. Poyerekeza ndi zipangizo zina zofanana "Tretinoin" ali kanthu mwachilungamo mofulumira ndipo walola nthawi yochepa kuchotsa vuto kapena kuti zochepa kuonekera mawonetseredwe.

Ambiri zipangizo zina zimene zikhoza kugulidwa pa mankhwala, ndi lakonzedwa kuti amuchotsepo ziphuphu zakumaso, makwinya ndi kuthetsa mavuto osiyanasiyana khungu. Iwo zosavuta kugula, ngati iwo ali otsika mtengo kwambiri, koma iwo alibe zotsatira lomweli monga "Tretinoin". Izi mankhwala watsimikizira yokha imodzi yabwino polimbana ndi ziphuphu.