Cream nokuti mburwa "Tretinoin": wongororo. "Tretinoin" inoshanda sei?

Zvinetso zveganda zvinokonzera vanhu vakawanda. Havangoparadzi chete maitiro evanhu, asi zvinogona kutungamirira kune zvirwere zvakakomba uye zvinetso. Kuti uzvidzivirire zvakanaka, unoda kuwana mushonga wakanaka. Zvinoreva huni pameso hazvina kukodzera kuti munhu wese aite. Chete chiratidzo chechepistologist chichabatsira kusarudza kurapa kwakakodzera.

"Tretinoin" kubva kumapfudze yakatova kubatsira vazhinji. Ichi chishandiso chine zvinhu zvinodiwa zvinokubvumira kuti utsungirire zvipembenene zveganda. Usati watanga kushandiswa kwechirwere kunokosha kubvunzurudza imwe nyanzvi pamusoro pemigumisiro yakaipa inogona kuitika uye kufungisisa zvakadzama chiito che "Tretinoin", kusunungura mafomu uye zvakafanana.

Forms of release "Tretinoin"

Zvinoreva hupenzi pane zviso ndezvenhamba dzakasiyana. Zvizhinji zvezvo zvinobudiswa pasi pezita rimwechete, izvo zvinobatsira kusarudza zvakanakisisa kushandisa shandisa. Kwete chimwe chinhu uye "Tretinoin". Mutengo wemushonga wacho unogonawo kutarisana nemafomu ayo.

"Tretinoin" inouya nenzira yekamu, lotion, gel, solution uye capsules. "Tretinoin" -lion yakagadzirirwa kuchenesa ganda rezvinosvibisa, kubvisa kuvhiringidza uye kubvisa zvinyamusi uye mamwe marudzi emakwenzi. Ichi chimiro chakakosha pakuchengetedza ganda duku, rinowanzoita basa rezvipembenene zvakanyarara, izvo zvinobatsira kubvisa mafuta kupenya.

"Tretinoin" -cream yakanyatsokodzera vanhu vakwegura, vane zviratidzo zvekwegura kweganda. Ikhemu ine mafuta, nemhaka iyo inobatsira kubvisa makore wrinkles. Izvi zvinokonzerwa nemishonga inopesana nekuputira iyo inorwisana zvikuru nechepakati peganda uye subcutaneous tissue zvinetso.

Iyo gel rine chimiro chechiedza pakuenzanisa nekrimu uye yakakodzera yehuni uye yakasanganiswa neganda zveganda. Kufanana nekrimu, ine anti-seborrheic effect. Capsules "Tretinoin" inoshandiswa kukonzera kuregererwa mu acute promyelocytic leukemia uye inofanira kutarisirwa chete mushure mekunyatsoongorora. Kurapa ne capsules "Tretinoin" inofanira kunge iri pasi pekutarisa kwevecologist uye hematologist.

Iyo mhinduro ine mhedzisiro imwechete yemasikirwo iyo kamuti uye kupisa. Inoshandiswa kwete kungogadzirisa zvinetso zveganda zvinoratidzika, asiwo inogona kubudisa kunze yakavanzika. Inoshandiswa mukuoma kwakanyanya kwemarudzi akasiyana-siyana emakwenzi.

Maitiro ekugadzirira

"Tretinoin" -cream inogadzirwa kwayo inoshanda-transretinic acid (tretinoin) muchiyero che 0.05% kana 0.1%. Iyo yakakwirira chikamu chikamu chezvinhu zvakashanda, zvinonyanya kubudirira kwechirwere. Tretinoin inhengo ye powdery yejena kana chiedza chine mavara machena, saka kirimu ine michero yebetsero iyo inogadzira mafuta-mafuta nemafuta-mvura.

Gel "Tretinoin" ine muhutano hwayo iyo inoshanda inenge yakawanda ye1%, 0.025% kana 0.05% yehuwandu huwandu. Mukuwedzera kune tretinoin, gel rinewo propylene glycol, carbomer, isopropyl alcohol, triethanolamine, asiylated hydroxytoluene uye zvimwe zvimwe zvinhu zvishoma.

"Tretinoin" -Zone ne zinc inosunungurwa nechinhu chinoshingaira chiri mukati me 0.05%, uye mhinduro ne 0.1%. Uyewo mulotion ndeyepropylene glycol uye ethyl alcohol, iyo ine bhakitiriya.

Nhengo imwe neimwe ye "Tretinoin" ine 10 mg yezvinhu zvinoshanda uye zvakadaro zvinhu zvinobatsira sebhekisi, soybean mafuta. Gelatin capsule shell ine glycerol, carion-83, titanium dioxide uye mavara.

Zviratidzo zvekushandiswa

Mishonga iyi ndeyeboka re retinoids, mukugadzirwa pedyo ne vitamini A. Rinowanikwa semagumisiro emetabolism ye retinol. Tretinoin ane anti-seborrheic, antitumoric, keratolytic uye comedogenic effects. Mukuwedzera, iyo inokurudzira kuberekwa patsva kwemasumbu, inosimbisa masimba ezvirwere, uye inewo nzvimbo inopesana nekuputika. Iyo inoshandiswa kuronga kunya uye yakashata acne. Pachimiro chemapapirosi, chirwere chacho chinoshandiswa zvakanakira kuregererwa kwemyeloleukemia.

"Tretinoin" -kamuti inoshandiswa kupedza mitambo ine kuputika uye inobatsira zvikuru pamusoro wepamusoro we epidermis. Inogona kushandiswa kubata mamwe marudzi eudermatitis nedzimwe zvirwere zveganda.

Kugadzirisa Chiito

"Tretinoin" -cream (kubva kune acne) inobvumira kubvisa zvirwere zvinokonzera mumatanda akasiyana epadermis, inoshandiswa kunze, asi ine zvakadzama. Nhengo inoshanda inokonzera kugadzirwa kwemasero eganda ne elastin, iyo inowedzera kusimba kweganda uye inobatsira kuderedza kuonekwa kweakakani uye dzimwe shanduko dzine chokuita nemakore.

Tretinoin inokanganisa kugadzirwa kwe melanin, kubvisa kushandiswa kwemaitiro ayo akawanda, izvo zvinoita kuti kuderedzwa kwengozi yezviremara zvinouraya. Inokurudzirawo kukura kwemasero epithelial uye inobatsira nzira dzekuparadzanisa kwavo, izvo zvinoita kuti kudzorerwa kweganda.

Muchirapa chekuvhara mashizha, mishonga inoenzanisa chikamu chepamusoro chepidermis pasina kusiya zvikanda uye zvimwe zviratidzo zvekuvhiringidzika kwemuviri. Pazvivharo zvakavharwa, chirwere ichi chinotora chiito chinotungamirira kuvhudziro yavo nekuwedzera kubvisa, nekuderedza kupisa nekudzivirira kuora kwechivi. Uyewo zvinodzivirira zvitsva zvitsva zvemakwenzi.

Izvo zvinopesana nemasvomrheic effect yemushonga we "Tretinoin" -kukwanisa kuchengetedza kukura kwemasero epithelial, kumira kwemazimbwa anonyadzisa, uye kuderedzwa kwezvinokonzera zvinoputika munzvimbo dze sebaceous ducts.

Nzira yekushandisa mushonga uyu unozviratidza mushure mehafu nehafu kumwedzi miviri. Mushure mevhiki imwe chete kusvika kwemaviri yekushandiswa, pangave nekuwedzera mune nhamba yemakine. Izvi zvinoitika mukugadzira kwekubudisa nekuzarura mazai akavanzwa.

Capsules "Tretinoin" inogadzirirwa kunyora mumuromo. Vanongororwa chete kune avo varwere vane nhamba isingawanzo yekugadzirisa uye kuunganidza ye promyelocytes, inotungamirira ku myeloid leukemia. Tretinoin anodzivisa nzira yekuunganidza masero emyeloid, anotungamirira kuregererwa, iyo inogona kupera kubva pamwedzi miviri kusvika mana.

Contraindications

Kunzwa kwezvinhu zvinoshanda zvechirwere ichi chikonzero chakanaka chekusakwanisa kushandisa. Iwe haugoni kushandisa zvakare "Tretinoin" panguva yekuzvitakura, sezvo izvi zvinogona kutungamirira kumagumisiyamu ekukudziridza kubudirira. Munguva yenguva yekuyamwisa, iwe haufaniri kushandisa chiremba pamuromo.

Mushandi haasi kupiwa kune varwere vane maitiro anonyanya kupisa paganda, kuvapo kwekukuvara kwakagadzikana nenzira yemaronda kana kupisa. Izvo hazvibvumirwiwo kupa mishonga kune varwere vane ganda epithelioma kana kuva nemhuri yakagadzirirwa kune iyo. Usashandisa mishonga yemhando dzakasiyana-siyana dzeEczema, pancreatitis, chirwere cheshuga mellitus uye kuwedzerwa kusagadzikana.

Iyo mishonga ine makore. Hazvirevi nemuromo kune vana vari pasi pegore rimwe remakore, kunze kunze kwezera remakore gumi nemaviri, uye chero ipi zvayo kuvarwere vakwegura kupfuura makumi mashanu.

Migumisiro Yechiri

Paunotora mishonga nemuromo, "retinoic acid syndrome" inogona kukura, iyo inogona kutungamirira kumigumisiro yakakomba.

Apo zviratidzo zvekutanga zvinowonekwa, iwe unofanira kubva uchitanga kurapa kwakakodzera. Zviratidzo zvechirwere ndiko kuonekwa kwedyspnea, hyperleukocytosis, hypotension, fever, renal uye hepatic polyorganism kusakwana.

Paunenge uchishandisa maitiro e "Tretinoin" ekushandiswa kwekunze, panogona kuva nekusiyana kweganda (ecdysis nekuoma), mashizha, kutema, subcutaneous hemorrhages. Uyewo, kuchinja kwakadai semuromo wakaoma, kuwedzera kutuka, kunzwisiswa kwemazuva emagetsi, alopecia, hyper- uye hypopigmentation inogona kuitika.

Mune zvimwe zviitiko, pane kushungurudzika mune chirwere chekudya (kushungurudza, kusuruvara, chirwere chezuva), nheyo yenheyo yepamusoro (kushushikana, dutu, kunzwa uye kuona zvirwere, kuwedzerwa kusagadzikana kwechisimba).

Kushungurudzika mumagadzirirwo emagetsi nekuda kwekutora mishonga kunoratidzwa mukuchinja kwehutano hwemuviri uye kuonekwa kwe cellulite, sekuratidzwa nekuongororwa. "Tretinoin" inogonawo kutungamirira pakubuda kwemapfupa ekudzivirira kuputika, pamwe nekukanganiswa, kuperevedza kwepfufu, kuputika kwemucosa uye maruva, kuputika mumapapu.

Vamwe varwere, mushure mokunge vatora mishonga, vakaona arrhythmia, marwadzo mumisungo, chifuva uye shure, kushaya simba kwemuviri uye kurara. Nekuvandudzwa kwemigumisiro yakawanda kana kubuda kwekutyisidzira kwezvinetso kubva pakutora mishonga, murwere angapiwa zvachose kuramba kurapwa kana kuderedzwa kwepakutanga kuwedzerwa maitiro. Pano pane mukana wekutora "Tretinoin" nemifananidzo.

Mirairo yekushandiswa

"Tretinoin" (kamuti kana gel) inofanira kushandiswa kushandiswa kwemafuro ekutsvaira chete pamatunhu akaoma kamwechete pazuva uye kusiya maawa matanhatu. Pashure penguva ino, zvinokurudzirwa kusuka chigadzirwa nemvura. Iko kunofanira kuyeukwa kuti kudarika chiremba hachizoendesa kune imwe mhinduro yakakurumidza.

Varidzi veganda rekudzivirira kana ganda rakaoma vanokurudzirwa kuti vatange kusiya mishonga kwehafu yeawa. Nekugara kweganda, nguva inogona kuwedzera zvishoma nezvishoma. Kukura kwepistules uye comedones zvinobvumirwa kubviswa panguva yekurapa. Nzira yekurapa inopararira kubva kumavhiki maviri kusvika kumwedzi mitatu uye inofanirwa nehuwandu hweganda rinokanganisa uye kugona kwemuviri kurapwa.

Nhamba yezuva nezuva yezvinodhaka "Tretinoin" mumapapsules haafaniri kudarika 45 mg pamakiromita mana eganda. Nzira yekurapa mwedzi mitatu. Nhamba yacho yakafanana kune mamwe makore asina kuratidzirwa muzvinyorwa. Apo kuongororwa nemurwere wekunyengera kana kushaya simba, chirwere chacho chinofanira kuderedzwa kusvika 25 mg.

Iyo yakawanda inotenderwa kudya zuva rega rega kune munhu mukuru ndeye 195 mg yemishonga pamata mita imwe yeganda uye 60 mg yemwana. Nezviremera zvakakura, muto wezuva nezuva unogona kuwedzerwa kusvika kune chetatu chepamusoro chinoregererwa.

Paunenge uchishandisa zvinodhaka zvine tretinoin, usatora nguva yakareba kuzuva. Kana pakazora, murwere anofanirwa kudzorera mushonga kusvikira ganda rinenge ranyatsojeka.

Kuwirirana nemishonga yemishonga

Zvinodhaka zvinokanganisa basa rekunyora kwema enzyme, zvakaderedza kushanda kwechirwere "Tretinoin Retin A." Zvinokonzera kukonzerwa nechiropa chekuita chiropa chinosanganisira glucocorticosteroids, rifampicin, pentobarbetal, uye phenobarbital. Bvisa basa remakemikari anonzi hepatic Verapamil, Erythromycin, Ketoconazole, nezvimwe. Nyanzvi dzinoti "Tretinoin" haibatsiri kubudirira kwemishonga iyi, sezvinopupurirwa neongororo uye kuongororwa kwavo. "Tretinoin" inoderedza kushanda kwemishonga yekudzivirira mumapiritsi akatevedzerwa Progesterone (mili-drank).

Kuchenjerera kunofanira kushandiswa nekushandiswa panguva imwe chete kwe "Tretinoin" uye kushandiswa kwemishonga antifibrinolytic, sezvinenge vamwe varwere vane zvinetso zvehutachiona nemagumisiro anouraya.

Chimwe chinhu chinokosha chechiito che "Tretinoid" ingangowedzera kuwedzera kudzvinyirirwa. Izvo zvinoitika zvinowanikwa mumishonga yeTetracycline, saka usashandise mishonga iyi panguva imwe chete.

"Tretinoin": zvakafanana

Kugadzirisa matambudziko pamwe neganda kune zvimwe zvishandiso zvakafanana zvinoitawo basa rakanaka rebasa ravo. "Tretinoin," ane mutengo wakareba zvakakwana, nokuda kwechimwe chikonzero chingave chisina kukodzera (mumwe munhu anonzwisisa uye zvimwe zvinopesana) kune mumwe munhu.

"Mafuta anonzi Retinoic" analogu inodhura ye "Tretinoin" uye yakagadzirwa ne vitamini A uye isotretinoin. Kana ukashandisa zvinonhuwira uye usingateereri mirairo, unogona kuwana ganda kupisa. Pakutanga, mushonga wacho waida kurwisana nenyuchi uye dzimwe mhirizhonga, asi panguva yaishandiswa yakawanikwa kuti mafuta, ane nguva pfupi, inoita kuti kugadzirwa kwegorgen kuvepo uye zvinoshandura kunze kwemakakatanwa asina kudzika.

"Differin" muzvakagadzirwa zvayo ine chinhu chinoshandiswa chinogadzirisa adapalene, iyo inogadzirwa nemaitiro anogadzirwa nemaitiro e- retinoic acid. Iine chiito chakanyanya pakuenzanisa ne "Tretinoin". Uyewo inowanikwa muhupenyu hwegelisi yeganda rine mafuta uye segriki yeganda rakapfava. Mishonga haisati yakagadzirirwa kubvisa zvinyorwa uye seborrheic dermatitis. Kuvapo kwezvirwere izvi kunopesana nekushandiswa kwe "Differin", sezvo inoda nzira dzine simba.

Mutengo wekugadzirira

"Tretinoin" -pakati, mutengo waro unobva maitiro ekubudiswa kwechirwere uye mushandi wayo, unonyanya kuzivikanwa mukugadzirisa zvinetso zveganda. Zvinodhaka zvinopiwa kuRussia. Izvi zvinoratidzwa nemhinduro dzakawanda. "Tretinoin" muchimiro chekrimu kana kumira ne zinc yekuItaly yakagadzirwa kunonzi "Airol". Iri ine mutengo unodhura unofananidzwa kune vamwe vakugadziri, avhareji 2500 rubles pa 50 ml lotion kana 30 mg cream.

"Lokatsid" inonzi tretinoin-containing cream, mutengo waro ndeye 1500 rubles. Pasi pezita iri, munhu anogonawo kuwana mhinduro yekushandiswa kwekunze ne tretinoin. Asi, maererano nevarwere, haine simba rakaoma kana kuti zvinoda mamwe cream.

Pasi pezita rokuti "Retin-A" unogona kuwana "Tretinoin" -maz uye gel yeIndia inoita. "Vesanoid" - capsules ne tretinoin yeSwitzerland yakabva. Mari yavo yega yega yepa pc 100 pcs. Inodarika 10 000 rubles, asi imwe purogiramu yakakwana yekurapa.

Mhinduro pamushandiro

"Tretinoin" inoonekwa seimwe yenzira dzakanakisisa dzekutora matambudziko akawanda eganda. Mukusabvumirana kwekupikisa, munhu anogona kutarisira migumisiro yakaisvonaka uye ganda rakanyorovera mushure mevhiki shomanana yekushandisa mushonga. Iyo mumiririri angasave akakurudzirwa neyanyanzvi nekuda kwehuwandu hwemigumisiro yakawanda uye zvinopesana, sezvinopupurirwa nekuverengera dzakawanda. "Tretinoin" inofanira kungoshandiswa chete pasi pekutarisirwa kwechiremba. Kuzvimiririra kunogona kukanganisa nemigumisiro.

"Tretinoin" inopesana nemakwenzi uye ine zvinopesana nezvayo kuti ishandise, kusiyana nemidziyo yezvinonhuwira haigoni kushandiswa pasina kubvunzurudza nyanzvi uyo achasarudza kuenzanisa kwakakwana uye nguva yenguva yekushandiswa.

Vashandi ivavo vakashandisa chirwere ichi kuti vabvise zvinyuchi nemakwenzi, tarisa kubatsira kwayo paganda rechiso nemuviri. Varwere vanopupurira kuratidzika kwehutano kwakanaka mukati memavhiki mashomanana mushure mekutanga kushandiswa kwemishonga. Uyewo, chiitiko chinogara kwenguva refu chakaonekwa, izvo zvinoita kuti zvive nyore kushandisa madhiragi uye kuderedza migumisiro yechirwere. Mukuenzanisa nedzimwe mishonga yakadaro, "Tretinoin" inobatsira nekukurumidza uye inokubvumira kukurumidza kubvisa dambudziko racho kana kuita kuti zvisaonekwe.

Mimwe mishonga yakawanda inogona kutengwa pamishonga, yakagadzirirwa kubvisa mapundu, makwenzi uye mhinduro dzematambudziko akasiyana eganda. Izvo zviri nyore kutenga, nokuti dzinodhura, asi hadzina kuita se "Tretinoin". Izvi zvinoratidza kuti ndeimwe yezvakanakisisa mukurwisana nezvinetso zveganda.