Acitretin

Zamkati

• Musanamwe acitretin,
• Acitretin imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazomwe zalembedwa m'gawo LENJEZO LOFUNIKIRA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo:

Kwa odwala achikazi:

Musamamwe acitretin ngati muli ndi pakati kapena mukufuna kukhala ndi pakati pazaka zitatu zikubwerazi. Acitretin itha kuvulaza mwana wosabadwayo. Simuyenera kuyamba kumwa acitretin mpaka mutatenga mayeso awiri apakati ndi zotsatira zoyipa. Muyenera kugwiritsa ntchito njira ziwiri zovomerezeka zolerera kwa mwezi umodzi musanayambe kumwa acitretin, mukamamwa mankhwala a acitretin, komanso kwa zaka zitatu mutalandira chithandizo. Dokotala wanu angakuuzeni njira zovomerezeka zolerera zovomerezeka. Simusowa kugwiritsa ntchito njira ziwiri zolerera ngati mwachitidwapo opaleshoni (hysterectomy (opaleshoni yochotsa chiberekero), ngati dokotala akukuuzani kuti mwatsiriza kusamba (kusintha kwa moyo), kapena ngati mumadziletsa kwathunthu.

Ngati mukufuna kugwiritsa ntchito njira zakumwa zakumwa (mapiritsi oletsa kubereka) mukamamwa acitretin, uzani dokotala dzina la mapiritsi omwe mugwiritse ntchito. Acitretin imalepheretsa kuchitapo kanthu kwa ma microdosed progestin ('minipill') njira zakulera zam'kamwa. Musagwiritse ntchito njira zakulera izi mukamamwa acitretin. Ngati mukufuna kugwiritsa ntchito njira yolerera ya mahomoni (mapiritsi oletsa kubala, zigamba, zopangira, jakisoni, ndi zida za intrauterine), onetsetsani kuti muwauze adotolo zamankhwala, mavitamini, ndi mankhwala azitsamba omwe mukumwa. Mankhwala ambiri amalepheretsa njira zolerera za mahomoni. Musatengere wort wa St. John ngati mukugwiritsa ntchito njira iliyonse yolerera yakuchipatala.

Muyenera kuyesedwa pamimba pafupipafupi mukamamwa mankhwala a acitretin komanso kwa zaka zitatu mutalandira acitretin. Lekani kumwa acitretin ndikumuimbira foni nthawi yomweyo mukakhala ndi pakati, kuphonya msambo, kapena kugonana musanagwiritse ntchito njira ziwiri zakulera. Nthawi zina, dokotala wanu amatha kukupatsani njira zolerera zadzidzidzi ('m'mawa pambuyo pa mapiritsi') kuti mupewe kutenga pakati.

Musamwe zakudya, zakumwa, kapena mankhwala akuchipatala kapena osalemba omwe ali ndi mowa mukamamwa acitretin komanso kwa miyezi iwiri mutalandira chithandizo. Mowa ndi acitretin zimaphatikizana ndikupanga chinthu chomwe chimatsalira m'mwazi kwa nthawi yayitali ndipo chitha kuvulaza mwana wosabadwayo. Werengani mankhwala ndi zolemba za chakudya mosamala ndikufunsani dokotala wanu kapena wamankhwala ngati simukudziwa ngati mankhwala ali ndi mowa.

Dokotala wanu adzakupatsani Mgwirizano Wodwala / Chidziwitso Chodziwitsidwa kuti muwerenge ndikusainira musanayambe kulandira chithandizo. Onetsetsani kuti muwerenge izi mosamala ndikufunsani dokotala ngati muli ndi mafunso.

Kwa odwala amuna:

Kuchuluka kwa acitretin kumapezeka mu umuna wa odwala amuna omwe amamwa mankhwalawa. Sizikudziwika ngati mankhwala ochepawa atha kuvulaza mwana wosabadwayo. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati mnzanu ali ndi pakati kapena akukonzekera kutenga pakati.

Kwa odwala amuna ndi akazi:

Osapereka magazi mukamamwa acitretin komanso kwa zaka 3 mutalandira chithandizo.

Acitretin imatha kuwononga chiwindi. Uzani dokotala wanu ngati mwakhalapo kapena mukudwala matenda a chiwindi. Ngati mukumane ndi izi, itanani dokotala wanu msanga: nseru, kusanza, kusowa chilakolako, kupweteka kumtunda kwakumimba, chikasu pakhungu kapena maso, kapena mkodzo wakuda.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi acitretin ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Safety/MedWatch/SafetyInformation/ucm388814.htm) kapena tsamba laopanga kuti mupeze Chithandizo cha Mankhwala.

Acitretin imagwiritsidwa ntchito pochiza psoriasis yayikulu (kukula kosazolowereka kwamaselo akhungu omwe amayambitsa khungu lofiira, lolimba, kapena lansalu). Acitretin ali mgulu la mankhwala otchedwa retinoids. Momwe acitretin imagwirira ntchito sikudziwika.

Acitretin imabwera ngati kapisozi wotenga pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku ndi chakudya chachikulu. Tengani acitretin mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani acitretin monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa acitretin ndipo pang'onopang'ono muwonjezere mlingo wanu.

Acitretin imayang'anira psoriasis koma siyichiza. Zitha kutenga miyezi 2-3 kapena kupitilira apo musanapindule ndi acitretin. Psoriasis yanu imatha kukulirakulira m'miyezi ingapo yoyambirira yamankhwala. Izi sizitanthauza kuti acitretin sikugwira ntchito kwa inu, koma uzani dokotala ngati izi zichitika. Pitirizani kumwa acitretin ngakhale mutakhala bwino. Osasiya kumwa acitretin osalankhula ndi dokotala.

Mukasiya kumwa acitretin, zizindikiro zanu zimatha kubwerera. Uzani dokotala wanu ngati izi zitachitika. Musagwiritse ntchito acitretin yotsalira kuti muthane ndi psoriasis yatsopano. Mankhwala kapena mlingo wosiyanasiyana ungafunike.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanamwe acitretin,

• uzani adotolo ndi wazamankhwala ngati mwayamba kudwala (vuto lakupuma kapena kumeza, ming'oma, kuyabwa, kapena kutupa kwa nkhope, mmero, lilime, milomo, kapena maso) ku acitretin, ma retinoid ena monga adapalene (Differen, mu Epiduo), alitretinoin (Panretin), isotretinoin (Absorica, Accutane, Amnesteem, Claravis, Myorisan, Sotret, Zenatane), tazarotene (Avage, Fabior, Tazorac), tretinoin (Atralin, Avita, Renova, Retin-A), kapena chilichonse zosakaniza mu makapisozi a acitretin. Dokotala wanu angakuuzeni kuti musagwiritse ntchito acitretin. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• uzani adotolo ngati mukumwa mankhwala aliwonse awa: methotrexate (Trexall) kapena mankhwala a tetracycline monga demeclocycline, doxycycline (Doryx, Monodox, Oracea, Periostat, Vibramycin), minocycline (Dynacin, Minocin, Solodyn), ndi tetracycline (Sumycin , ku Helidac, ku Pylera) akumamwa acitretin. Dokotala wanu angakuuzeni kuti musamwe acitretin ngati mukumwa mankhwala amodzi kapena angapo.
• uzani dokotala ndi wamankhwala mankhwala ena akuchipatala ndi osapereka, mavitamini, zowonjezera zakudya, ndi mankhwala omwe mumamwa.Onetsetsani kuti mwatchula mankhwala ndi zitsamba zomwe zalembedwa mu gawo LOFUNIKITSA CHENJEZO ndi zina mwa izi: glyburide (Diabeta, Glynase, ku Glucovance), phenytoin (Dilantin, Phenytek), ndi vitamini A (mu multivitamini). Uzani dokotala wanu ngati mwalandira etretine (Tegison). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mwakhala mukukhalapo ndi zomwe zatchulidwa mgawo la CHENJEZO LOFUNIKA ndipo ngati muli ndi cholesterol yambiri kapena milingo ya triglyceride, mbiri yakubanja yama cholesterol ambiri, kapena matenda a impso. Dokotala wanu angakuuzeni kuti simuyenera kumwa acitretin.
• Uzani dokotala ngati mumamwa mowa wambiri; ngati muli ndi matenda ashuga kapena shuga wambiri wamagazi, mavuto a msana, kukhumudwa, kapena sitiroko kapena sitiroko yaying'ono; kapena ngati mwakhalapo kapena mwakhalapo ndi matenda olumikizana mafupa, mafupa, kapena mtima.
• musamamwe mkaka mukamamwa acitretin kapena ngati mwasiya kumene kumwa acitretin.
• muyenera kudziwa kuti acitretin imakulepheretsani kuwona usiku. Vutoli limayamba mwadzidzidzi nthawi iliyonse mukamalandira chithandizo. Samalani kwambiri mukamayendetsa galimoto usiku.
• konzekerani kupeŵa kuwunika kwa dzuwa kosafunikira kapena kwanthawi yayitali komanso kuvala zovala zoteteza, magalasi a dzuwa, ndi zoteteza ku dzuwa. Musagwiritse ntchito zowunikira mukamamwa acitretin. Acitretin imapangitsa khungu lanu kuzindikira kuwala kwa dzuwa.
• ngati mukufuna Phototherapy, uzani dokotala wanu kuti mukumwa acitretin.
• Muyenera kudziwa kuti acitretin imatha kuumitsa m'maso mwanu ndikupangitsa kuti magalasi azolumikizana asakhale omasuka mukamalandira chithandizo kapena mukalandira chithandizo. Chotsani magalasi anu olumikizirana ndikuimbira dokotala ngati izi zichitika.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Pitani muyezo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Acitretin imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kusenda, kuuma, kuyabwa, kukula, ming'alu, matuza, khungu lokola kapena kachilombo
• zikhadabo zokhotakhota kapena zofooka komanso zikhadabo zala
• zoopsa
• kutentha kwa dzuwa
• kununkhira kwachilendo khungu
• thukuta kwambiri
• kutayika tsitsi
• kusintha kwa kapangidwe ka tsitsi
• maso owuma
• kutaya nsidze kapena nsidze
• kutentha kapena kutentha
• milomo yotupa kapena yotupa
• Kutupa kapena kutuluka magazi m'kamwa
• malovu ambiri
• lilime kupweteka, kutupa, kapena kuphulika
• kutupa pakamwa kapena matuza
• kupweteka m'mimba
• kutsegula m'mimba
• kuchuluka kudya
• kuvuta kugona kapena kugona
• nkusani matenda
• mphuno
• mphuno youma
• m'mphuno
• kupweteka pamodzi
• minofu yolimba
• kusintha kwa kukoma

Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazomwe zalembedwa m'gawo LENJEZO LOFUNIKIRA, itanani dokotala wanu mwachangu:

• zidzolo
• mutu
• ludzu lokwanira, kukodza pafupipafupi, njala yayikulu, kusawona bwino, kapena kufooka
• pakamwa pouma, nseru ndi kusanza, kupuma movutikira, mpweya womwe umanunkhira zipatso, ndikuchepetsa chidziwitso
• kupweteka, kutupa, kapena kufiyira kwa maso kapena zikope
• kupweteka kwa diso
• maso kuzindikira kuwala
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• kufiira kapena kutupa mwendo umodzi wokha
• kukhumudwa
• malingaliro odzipweteka kapena kudzipha
• mafupa, minofu, kapena kupweteka kwa msana
• zovuta kusuntha gawo lirilonse la thupi lanu
• kutaya kumverera m'manja kapena m'mapazi
• kupweteka pachifuwa
• mawu odekha kapena ovuta
• kumva kulira kwa mikono ndi miyendo
• kutayika kwa minofu
• kufooka kapena kulemera kwa miyendo
• kozizira, imvi, kapena khungu lotumbululuka
• kugunda pang'onopang'ono kapena kosasinthasintha
• chizungulire
• kugunda kwamtima mwachangu
• kufooka
• kupuma movutikira
• khutu kupweteka kapena kulira

Acitretin imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo:

• mutu
• chizungulire
• kusanza
• kukhumudwa m'mimba
• khungu louma, loyabwa
• kusowa chilakolako
• kupweteka kwa mafupa kapena mafupa

Ngati mayi yemwe angatenge mimba atenga mankhwala osokoneza bongo a acitretin, ayenera kuyezetsa kutenga mimba akatha kumwa mankhwala osokoneza bongo ndikugwiritsa ntchito njira ziwiri zakulera kwa zaka zitatu zotsatira.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu limayankhira acitretin.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Soriatane^®