Oral Medication Options yekurapa Nyama Dzakasviba kana Nyaya Dzakawanda
Acne inogona kuva yakasimba kubata. Kana iwe wakamboedza mishonga yakasiyana-siyana yemasikirini asina kunyanya kuwedzerwa, kana kana yako acne yakaoma, muromo wemishonga yemishonga ndiyo inotevera chirwere chekurapa.
Iro mishonga yemishonga yemishonga ine mushonga wekusarudzwa kwakakodzera kwauri here?
Mishonga Yemumuromo Inogona Kuve Yakanakisisa Izvo Zvokurapa Zvokudya
Haasi ose acne anogadzirisa nemishonga yemasikirwo (marashi, lotions, uye gels zvaunoshandisa paganda rako).
Mishonga yemumuromo, inonziwo systemic mishonga, inoshanda mukati kuti uvandudze ganda. Iwe unovatora nemuromo. Mimwe mishonga yaunotora kamwe chete pazuva, vamwe iwe uchatora kakawanda, panguva imwe chete zuva rimwe nerimwe.
Mhosva dzinoramba dziripo kana dzakakomba dzemakwenzi dzakaoma kudzora, uye muzvikamu zvizhinji zvinoda mishonga yemuromo. Huru yakakura (dzimwe nguva inonzi cystic acne kana nodular acne ) inoita huru, yakadzika, inopisa kuputika. Mishonga yemitambo haigoni kudzika zvakakwana kuti ibudirire zvakadai mhando dzematambudziko.
Chimwe chipingamupinyi: Acne kazhinji inowanikwa kune dzimwe nzvimbo dzomuviri, semusana wako kana mapepa. Zvinogona kuva zvakaoma kusvika panzvimbo idzodzo kuti ushandise zvinobudirira zvirongwa zvepamusoro. Mamwe mishonga yemishonga yemakemikari, kune rumwe rutivi, inogona kushanda pazviremera zvakakomba zvakanyanya uye haufaniri kuva mhirizhonga kuti uwane mishonga uko iwe unoda.
Kunyangwe kana acne yako isiri yakaoma, inogona kungoomeswa.
Kana wakamboedza kurapwa kwepicopi uye ganda rako richiri kusina kuvhara, mishonga yemuromo inogona kupa kurapa kwako kukura kwaunoda kuitira kuti uone migumisiro chaiyo.
Chero mamiriro ezvinhu, kana uri nechinetso chekutora maitiro ako pasi pesimba, ona dermatologist. Zvose mishonga yemishonga yemakwenzi inongororwa chete.
Hapasi pane-the-counter dzimwe nzira.
Oral Antibiotics
Mishonga yemishonga inorwisa mabhakitiriya yakashandiswa kurapa mashekeri kwemakore mazhinji. Kufanana nemishonga inorwisa mishonga inorwisa mabhakitiriya , mishonga inorwisa mabhakitiriya inoshanda nekuderedza Propionibacteria acnes (mabhakitiriya anokonzera kupera kwemakumbo). Vanobatsirawo kuderedza kupisa kweganda.
Vanhu vazhinji vanotanga pamutengo wepamusoro uye vakatamidzirwa kuderedza dhosi sezvinonyanya kukura. Mishonga yemishonga inorwisa mabhakitiriya inoshandiswa kugadzirisa kuenzanisa kusvika kune yakakomba, kana kuti inoramba iine acne .
Nyaya yakanyanya kunyorwa mishonga inorwisa mabhakitiriya inorondedzerwa nemakemikari emakumbo ndeokuti:
Mishonga yemishonga inorwisa mabhakitiriya inonyanya kushandiswa painenge yakabatanidzwa nemishonga inorapwa, saka tarisira kunyoreswa mishonga inonzi retinoids , benzoyl peroxide , kana imwe mishonga inoshandiswa kushandiswa zvakare.
Zvipfeko zveMuromo
Mishonga yemakemikari yemumuromo , inozivikanwawo sekuberekwa kwepiritsi, inogona kushandiswa kurapa achena muvakadzi . Mishonga yemakemikari yomumuromo inoshanda kuti kuderedze mafuta ekudzivirira gland nekuderedza maitiro e- androgen hormones .
Icho chisarudzo chakanaka kuvadzimai vane acne inouya uye inofambidzana nemwedzi wavo, uye nekuda kwevakadzi vane acne vanoda ruzivo rwekudzivirira kuberekwa zvakadaro.
Zvingangodaro, iwe unoda zvakare mishonga yemishonga inoshandiswa kushandisa pamwe chete nemuromo wako.
Kungosara kwemasimba ekuberekwa kwepabonde kwakagamuchirwa semakwenzi ekurapa neDFA, saOrtho Tri-Cyclen, Beyaz, uye Yaz. Asi iwe haufaniri kunge uchida marongerwo aya.
Kuberekwa kwepiritsi kwakagadzirirwa kure-label kuti inobata acne kwemakore mazhinji. Vanachiremba vazhinji vanobvumirana nechokuita chero hupi zvarwo huchapa zvakafanana.
Aldactone (Spironolactone)
Aldactone (spironolactone) mumwe mushonga unongova wevakadzi vakuru chete. Hazvirevi zvakananga kurapwa kwemakemikari, asi inogona kushandiswa mune dzimwe mamiriro ekurapa kuchinja kwehomoni kunobatsira kuputsika.
Aldactone haisi iyo inowanzoshandiswa, uye haisi yekutanga kushandiswa kwemakemikari kusarudzwa, asi kune vamwe vakadzi iyo inobatsira mukurapa mhuka dzinenge dzisingabatsiri nemishonga inowanzogadzirwa.
Isotretinoin
Isotretinoin , yakambotengeswa pasi pezita rechigwaro rokuti Accutane , iine simba guru remishonga yemakemikari. Inoshanda apo dzimwe dzose zvirwere zvechirwere zvakakundikana, uye inonzi ndiyo yakanakisisa kurapwa kwemakwenzi makuru.
Isotretinoin inoshanda nekuderedza zvipembenene zvisingabviri , kuderedza kuwanda kwemafuta akawanikwa paganda. Izvi, zvakare, zvinoderedza kuwanda kwemamedone (kana pore blockages) yakagadzirwa. Hapana poreji yepore inofanana neyemaputi.
Asi mishonga iyi haisi yevanhu vose. Somuenzaniso, vakadzi vane pamuviri havagoni kushandisa chirwere ichi nokuti zvinogona kukonzera kukanganisa kwakakomba kwekuzvarwa.
Paunenge uchishandisa mishonga iyi, iwe uchanyoresa purogiramu yePledge . Iyi purogiramu yakagadzirirwa kubatsira kubatsira kuderedza nhamba yekuremara kwekuberekwa kunokonzerwa neisotretinoin kushandisa panguva yekuzvitakura. Munhu wose anofanira kunyora, kunyange varume, kunyange zvazvo zvinodikanwa zvevarume nevakadzi vasingakwanisi kubata pamuviri zvakasiyana nezvinodiwa kuvakadzi vanogona kubata pamuviri .
Iwe uchazocherechedzwawo nemigumisiro yechirwere munguva yekurapa kwako. Asi, nhau dzakanaka vanhu vazhinji vanongoda imwe chete kana maviri mapoka asati achena apera zvakanaka. Dermatologist yako ichakubatsira iwe kusarudza kana iyi ndiyo nzira yakakodzera kwauri.
Shoko kubva
Kana mishonga yemazamu ari yoga isinganatsiri yako acne, kana kuti yako acne yakaoma kwazvo kana yakawanda, mishonga yemuromo ndiyo ndiyo yakanakisisa nzira. Mune zvimwe zviitiko iwe unongoda kutora mishonga yemuromo kwenguva pfupi, kuwana hutachiona pasi pekugadzirisa, uye wozochengetedza ganda rako nemishonga inopikisa. Dzimwe nguva, kunyange zvakadaro, iwe ungada kuitora kwenguva yakareba.
Kana iwe unonetseka nezvekutora mishonga yemishonga yemumuromo , kana iwe une mibvunzo kana zvinetseka pamusoro pekurapa kwako, nezvose zvinotendera dermatologist yako kuziva. Kuwana nyuchi pasi pesimba kunogona kuodza mwoyo, asi mhedziso dzenguva refu dzinokosha.
Sources:
> Zaenglein AL, Pathy AL, Schlosser BJ, et al. "Mirayiridzo Yokutarisira Kutungamirirwa kweAcne Vulgaris." Nyaya yeAmerican Academy yeDermatology. 2016 May; 74 (5): 945-73.
Zouboulis CC, Bettoli V. "Kutungamira Kwezvakawanda Zvipfeko." The British Journal of Dermatology. 2015 Jul; 172 Zvinyorwa 1: 27-36.