Acitretin

Umxholo

• Ngaphambi kokuba uthathe i-acitretin,
• I-Acitretin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo okanye ezo zidweliswe kwicandelo LESILumkiso ESIBALULEKILEYO, tsalela umnxeba kwangoko:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

Kwabaguli ababhinqileyo:

Musa ukuthatha i-acitretin ukuba ukhulelwe okanye ucwangcise ukukhulelwa kwiminyaka emi-3 ezayo. I-Acitretin inokwenzakalisa umntwana ongekazalwa. Akufanele uqale ukuthatha i-acitretin de ube uthathe iimvavanyo ezimbini zokukhulelwa ezineziphumo ezibi. Kuya kufuneka usebenzise iindlela ezimbini ezamkelekileyo zolawulo lokuzalwa kwinyanga e-1 ngaphambi kokuba uqale ukuthatha i-acitretin, ngexesha lonyango lwe-acitretin, kunye neminyaka emi-3 emva konyango. Ugqirha wakho uya kukuxelela ukuba zeziphi iindlela zolawulo lokuzalwa ezamkelekileyo. Awudingi ukusebenzisa iindlela ezimbini zolawulo lokuzalwa ukuba ngaba une-hysterectomy (utyando lokususa isibeleko), ukuba ugqirha wakho ukuxelela ukuba ugqibile ukuya exesheni (utshintsho lobomi), okanye ukuba uziqhelisa ukuyeka isondo ngokupheleleyo.

Ukuba uceba ukusebenzisa izinto zokucwangcisa zomlomo (iipilisi zokulawula ukuzalwa) ngelixa uthatha i-acitretin, xelela ugqirha wakho igama lepilisi oza kuyisebenzisa. I-Acitretin iphazamisa isenzo seprogestin encinci ('minipill') yokuthintela ngomlomo. Sukusebenzisa olu hlobo lolawulo lokuzalwa ngelixa uthatha i-acitretin. Ukuba ucwangcisa ukusebenzisa izinto zokucwangcisa zehomoni (iipilisi zolawulo lokuzalwa, iipatches, izixhobo zokufaka, inaliti kunye nezixhobo zangaphakathi), qiniseka ukuxelela ugqirha wakho ngawo onke amayeza, iivithamini, kunye nezongezo zamayeza owathathayo. Amayeza amaninzi aphazamisa isenzo sezinto zokucwangcisa zehomoni. Sukuthatha i-wort yaseSt. John ukuba usebenzisa naluphi na uhlobo lokuthintela ukukhawula kwehomoni.

Kuya kufuneka uthathe uvavanyo lokukhulelwa rhoqo ngexesha lonyango lwakho kunye ne-acitretin kwaye ubuncinci iminyaka emi-3 emva kokuthatha i-acitretin. Yeka ukuthatha i-acitretin kwaye ubize ugqirha ngokukhawuleza ukuba ukhulelwe, uphoswe lixesha lokuya exesheni, okanye ubelane ngesondo ngaphandle kokusebenzisa iindlela ezimbini zolawulo lokuzalwa. Ngamanye amaxesha, ugqirha wakho unokuyalela ukuthintela inzala ngexesha likaxakeka ('kusasa emva kwepilisi') ukuthintela ukukhulelwa.

Sukutya ukutya, iziselo, okanye amayeza kagqirha okanye angagqirha aqukethe utywala ngelixa uthatha i-acitretin kunye neenyanga ezi-2 emva konyango. Utywala kunye ne-acitretin zidityaniswa ukwenza into ehlala egazini ixesha elide kwaye inokwenzakalisa umntwana ongekazalwa. Funda amayeza kunye neelebhile zokutya ngononophelo kwaye ubuze ugqirha wakho okanye usokhemesti ukuba awuqinisekanga nokuba amayeza aqukethe utywala.

Ugqirha wakho uya kukunika isiVumelwano seMonde / iMvume yokuKwazisa ukuba ufunde kwaye utyikitye ngaphambi kokuba uqale unyango. Qiniseka ukuba uyifunda ngononophelo kwaye ubuze ugqirha wakho ukuba unayo nayiphi na imibuzo.

Kwizigulana ezingamadoda:

Inani elincinci le-acitretin likho kwisidoda sezigulana ezingamadoda ezithatha eliyeza. Ayaziwa nokuba le mali incinci yamayeza ingayenzakalisa imveku engekazalwa. Thetha nogqirha wakho malunga nemingcipheko yokuthatha la mayeza ukuba iqabane lakho likhulelwe okanye liceba ukukhulelwa.

Kwizigulana ezingamadoda nabasetyhini:

Musa ukunikela ngegazi ngelixa uthatha i-acitretin kunye neminyaka emi-3 emva konyango.

I-Acitretin inokubangela ukonakala kwesibindi. Xelela ugqirha wakho ukuba ukhe unesifo sesibindi. Ukuba unazo naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko: isicaphucaphu, ukugabha, ukungabinamdla wokutya, iintlungu kwinxalenye ephezulu yesisu, ukuba tyheli kolusu okanye kwamehlo, okanye umchamo omnyama.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-acitretin kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Safety/MedWatch/SafetyInformation/ucm388814.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

I-Acitretin isetyenziselwa ukunyanga i-psoriasis ebukhali (ukukhula okungaqhelekanga kweeseli zolusu ezibangela isikhumba esibomvu, esijiyileyo, okanye esinamaxolo). I-Acitretin ikudidi lwamayeza abizwa ngokuba yi-retinoids. Indlela i-acitretin esebenza ngayo ayaziwa.

I-Acitretin iza njengecapsule ukuyithatha ngomlomo. Ihlala ithathwa kanye ngemini ngesona sidlo sikhulu. Thatha i-acitretin malunga nexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-acitretin ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ugqirha wakho unokukuqala ngedosi esezantsi ye-acitretin kwaye ngokuthe ngcembe wandise idosi yakho.

I-Acitretin ilawula i-psoriasis kodwa ayiyinyangi. Ingathatha iinyanga ezi-2-3 okanye ngaphezulu ngaphambi kokuba uzive izibonelelo ze-acitretin. I-psoriasis yakho inokuba mandundu kwiinyanga zokuqala zonyango. Oku akuthethi ukuba i-acitretin ayizukusebenzela wena, kodwa xelela ugqirha wakho ukuba kuyenzeka oku. Qhubeka uthathe i-acitretin nokuba uziva uphilile. Sukuyeka ukuthatha i-acitretin ungakhange uthethe nogqirha wakho.

Emva kokuba uyeke ukuthatha i-acitretin, iimpawu zakho zingabuya. Tshela ugqirha wakho ukuba oku kuyenzeka. Sukusebenzisa i-acitretin eseleyo ukunyanga i-psoriasis entsha. Unyango okanye idosi eyahlukileyo inokufuneka.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-acitretin,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba une-allergical reaction (kunzima ukuphefumla okanye ukugwinya, urticaria, ukurhawuzelela, okanye ukudumba kobuso, umqala, ulwimi, imilebe, okanye amehlo) kwi-acitretin, ezinye i-retinoids ezinje nge-adapalene Epiduo), alitretinoin (Panretin), isotretinoin (Absorica, Accutane, Amnesteem, Claravis, Myorisan, Sotret, Zenatane), tazarotene (Avage, Fabior, Tazorac), tretinoin (Atralin, Avita, Renova, Retin-A), okanye nayiphi na izithako ezikwii-capsules ze-acitretin. Ugqirha wakho uya kukuxelela ukuba ungasebenzisi i-acitretin. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
• xelela ugqirha wakho ukuba ngaba uthatha nawaphi na amayeza alandelayo: methotrexate (Trexall) okanye i-tetracycline antibiotics efana ne-demeclocycline, doxycycline (Doryx, Monodox, Oracea, Periostat, Vibramycin), minocycline (Dynacin, Minocin, Solodyn), kunye ne-tetracycline (Sumycin , eHelidac, ePylera) ngelixa uthatha i-acitretin. Ugqirha wakho uya kukuxelela ukuba ungathathi i-acitretin ukuba uthatha elinye okanye ngaphezulu kwala mayeza.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo.Qiniseka ngokukhankanya amayeza kunye namayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zilandelayo: glyburide (Diabeta, Glynase, in Glucovance), phenytoin (Dilantin, Phenytek), kunye novithamini A (kwii-multivitamini). Xelela ugqirha wakho ukuba ukhe wathatha i-etretine (Tegison). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wakha wanemiqathango ekhankanyiweyo kwicandelo LESILUMKISO ELIBALULEKILEYO kwaye ukuba une-cholesterol ephezulu okanye amanqanaba e-triglyceride, imbali yosapho yamanqanaba aphezulu e-cholesterol, okanye isifo sezintso. Ugqirha wakho angakuxelela ukuba akufuneki uthathe i-acitretin.
• xelela ugqirha wakho ukuba usela kakhulu utywala; ukuba unesifo seswekile okanye uneswekile ephezulu yegazi, iingxaki zomnqonqo, uxinzelelo, okanye ukubetha okanye ukubetha kancinci; okanye ukuba ukhe waba nokudibana, ithambo, okanye isifo sentliziyo.
• musa ukuncancisa xa uthatha i-acitretin okanye ukuba usandul 'ukuyeka ukuthatha i-acitretin.
• Kuya kufuneka uyazi ukuba i-acitretin inokunciphisa umda wokubona kwakho ebusuku. Le ngxaki ingaqala ngequbuliso nangaliphi na ixesha kunyango lwakho. Lumka xa uqhuba ebusuku.
• cwangcisa ukuthintela ukukhanya elangeni ngokungeyomfuneko okanye ixesha elide kunye nokunxiba impahla ekhuselayo, iiglasi zelanga kunye nescreen selanga. Sukusebenzisa izibane zelanga ngelixa uthatha i-acitretin. I-Acitretin inokwenza ulusu lwakho lubuthathaka kwilanga.
• ukuba ufuna i-phototherapy, xelela ugqirha wakho ukuba uthatha i-acitretin.
• Kuya kufuneka uyazi ukuba i-acitretin inokuwomisa amehlo kwaye yenze iilensi zonxibelelwano zingonwabi ngexesha okanye emva konyango. Susa iilensi zakho zonxibelelwano kwaye ubize ugqirha wakho ukuba oku kuyenzeka.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo yokulinganisa Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Acitretin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukuxobuka, ukoma, ukurhawuzelela, ukukala, ukuqhekeka, ukudumba, ukunamathela okanye ulusu olosulelekileyo
• iinzipho ezikrwada okanye ezibuthathaka kunye neenzwane
• inkwethu
• Ukutshiswa lilanga
• ivumba elingaqhelekanga lolusu
• ukubila okugqithisileyo
• ukulahleka kweenwele
• utshintsho kwimbonakalo yeenwele
• amehlo owomileyo
• ukulahleka kwamashiya okanye iinkophe
• ukutshisa okutshisayo okanye ukugungxula
• imilebe exineneyo okanye edumbileyo
• Iintsini ezidumbileyo okanye ezophayo
• amathe agqithisileyo
• ubuhlungu bolwimi, ukudumba, okanye ukudumba
• ukudumba komlomo okanye ukudumba
• isisu esibuhlungu
• urhudo
• ukwanda kwesidlo
• ubunzima bokuwa okanye ukulala
• usulelo lwesono
• impumlo enemifinya
• impumlo eyomileyo
• impumlo
• intlungu edibeneyo
• izihlunu eziqinileyo
• utshintsho kwincasa

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo okanye ezo zidweliswe kwicandelo LESILumkiso ESIBALULEKILEYO, tsalela umnxeba kwangoko:

• irhashalala
• intloko ebuhlungu
• ukunxanwa okugqithisileyo, ukuchama rhoqo, ukulamba kakhulu, ukungaboni kakuhle, okanye ubuthathaka
• umlomo owomileyo, isicaphucaphu nokugabha, ukuphefumla kancinci, umphefumlo onuka iziqhamo, kunye nokwehla kwengqondo
• iintlungu, ukudumba, okanye bomvu wamehlo okanye iinkophe
• iintlungu zamehlo
• Amehlo ahambelana nokukhanya
• ukudumba kwezandla, iinyawo, amaqatha okanye imilenze esezantsi
• ububomvu okanye ukudumba emlenzeni omnye kuphela
• ukudakumba
• iingcinga zokuzenzakalisa okanye ukuzibulala
• ithambo, umsipha, okanye iintlungu zomqolo
• ubunzima bokuhambisa naliphi na ilungu lomzimba wakho
• ukulahlekelwa yimvakalelo ezandleni okanye ezinyaweni
• iintlungu zesifuba
• intetho ecothayo okanye enzima
• ukurhawuzelela iingalo nemilenze
• ukulahleka kwethoni yezihlunu
• ubuthathaka okanye ubunzima emilenzeni
• kubanda, mpunga, okanye luthuthu ulusu
• ukubetha kwentliziyo kancinci okanye okungaqhelekanga
• isiyezi
• ukubetha kwentliziyo ngokukhawuleza
• ubuthathaka
• ukuqhawukelwa ngumphefumlo
• ubuhlungu bendlebe okanye ukukhala

I-Acitretin inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu zokudlula ngaphezulu zinokubandakanya:

• intloko ebuhlungu
• isiyezi
• ukugabha
• isisu esimoshakele
• ulusu olomileyo nolurhawuzayo
• Ukuphelelwa ngumdla wokutya
• intlungu okanye ithambo

Ukuba owasetyhini onokukhulelwa uthatha i-acitretin egqithisileyo, kufuneka athathe uvavanyo lokukhulelwa emva kokudlula kwaye asebenzise iindlela ezimbini zolawulo lokuzalwa kwiminyaka emi-3 elandelayo.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-acitretin.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• USoriatane^®