Izvo zvave zvichinyatsofungidzirwa kuti chirwere cheAccutane (isotretinoin) chingave chakabatanidzwa mukukudzivirira kwechirwere chechirwere chechirwere (IBD) . Mashoko ehutano eAccutane anobvuma kubatana pakati pemishonga neBD. Mhosva dzakawanda dzakaiswa pamusoro peRoche Holding AG, vadzidzisi veAccutane, dzimwe dzaro dzakaguma nekutongwa nekambani yemishonga.
Mamwe emhosva idzi akazoputsika , uye vamwe vachiri kuedzwa. Accutane akazvibvisa nokuzvidira kubva pamusika munaJune 2009, asi zvinyorwa zvekare zvinowanikwa.
Kutsvakurudza Kunoti Chii?
Chimwe chidzidzo chakagumisa kuti mishonga iyi inogona kuva yeBD inotanga kune vamwe varwere. Kubvunzurudzwa kwema2009 mabhuku akawanikwa kuti kwakanga kusina uchapupu hwakakwana hwekuti humwe uchapupu kana kupokana nekubatana pakati pemishonga pamwe nekuvandudzwa kweBD. A 2010 nyaya-control yekuongorora yakaratidza kuti Accutane inobatanidzwa nechetengo shomanana yekudzivirira chironda chekurwara, asi hapana kuwirirana nechirwere cheCrohn chakawanikwa. Vanyori vekutsvakurudza uku vanoratidza kuti ngozi ye ulcerative colitis ingave yakabatanidzwa nepamusoro dheta dzeAccutane. Chidzidzo chechitatu chakagumisa kuti vanhu vakatora Accutane vakanga vasina kana kuti vashoma kukura IBD kupfuura chero ani zvake, asi vakabvuma kuti kune mhemberero dzeanecdotal yeBD-Accutane connection.
Antibiotics neBDD
Asi chimwe chidzidzo cha2010 chakaratidza kuti mamwe maitiro anouraya anowanzorongedzerwa mukurapa hutachiona hwakaoma angave akabatanidzwa nekugadzirwa kweBD . Aya maantibhakitiriya anowanzotorwa nguva refu, uye kana asingakwanisi kudzora mashekeri, Accutane inowanzosarudzwa mukurapa.
Vanyori vekuongorora vanofungidzira kuti kushandiswa kwenguva refu kwemishonga inorwisa mabhakitiriya inogona kunge iri yeBD inotanga uye kuti zvisati zvinyatsojeka kuti Accutane inogona sei kupinda muchikamu.
Kukurukurirana Pakati peAcne neBDD
Chimwe chiitiko chakaitwa muna 2011 chakafungidzirwa kuti pangangodaro ichange iine kuwirirana pakati peAcne neBDD. Yakanyanyisa acne neBD zvose zvinokonzera kuvhiringidza, uye zvose zviri zviviri zvinowanzoongororwa muvechiri kuyaruka uye vaduku vakuru. Vanyori vakaramba vachiratidza kuti kana wechidiki ari pasi pekuchengetedzwa kwechiremba nguva dzose, zvimwe zvinhu (zvakadai seBIB) zvinogona kuonekwa.
The Bottom Line
Izvo zvose zvidzidzo zvinoratidza kuti kune uchapupu hunotsigira zvose zvinonzi Accutane inokonzera IBD uye kudai kuti Accutane haisi kukonzera IBD. Izvi hazvibatsiri kune ani zvake ari kufunga nezveActutane therapy, kana kune avo vakashandisa Accutane munguva yakapfuura, asi kazhinji iyi ndiyo nzira yekutsvakurudza kwezvokurapa. Zvinogona kutora makore kuitira kubvumirana kukuru kubuda mumabhuku ekurapa. Dare rehurumende ndere nyaya yakasiyana, uye mhosva dzinogona kutungamirira mukutonga kune rumwe rutivi rwenyaya yacho.
Mushure mokunge uongorora humwe humwe uchapupu, mumwe angashamisika kana kutsvakurudza kuri kuendesa nzira isina kururama: pane here chaizvo ukama huri pakati peBD uye acne?
Zvichida mune zvimwe zvezviitiko izvi, IBD yakanga yavapo, asi yakanga isati yamboongororwa kusvikira mushure mekurapwa neAccutane. Iko parizvino hapana humwe uchapupu huripo kana hupikisana nehana iyi. Zvisinei, inofanira kuonekwa kuti steroid (kunyanya prednisone ), imwe yemishonga inowanzobatwa neBD, inogona kukonzera kushata kwakanyanya .
Zvimwe Zvokufunga nezvazvo Pamusoro peAgne Treatment
Kana uri kutarisa kushandisa Accutane , kana kuti iwe wakashandisa ichi chirwere munguva yakapfuura uye unonetseka pamusoro peBD, unofanira kufungidzira ngozi yako nedermatologist yako. Ramba uchiyeuka kuti kana pane ngozi yekuvandudza IBD mushure mokutora Accutane, ichiri chiitiko chisingawanzoitiki.
Chimwe chiitiko-kutora chidzidzo chakaitwa muna 2011 chinoratidza kuti avo vanofunga kutora Accutane vazive nezvechechi duku yekutengesa chirwere chekurara.
Kune vanhu vakatova neBD, kunyanya chironda chekurwara, uye vari kutsvaga kurapwa kwemakwenzi akaoma, rushonga rwekutanga rune ruzivo runowanzova nemasikirwo emagetsi. Kana mishonga yepamusoro isingabatsiri, mishonga inorwisa mabhakitiriya uye antimicrobial inogona kushandiswa.
Sources:
Accutane Patient Information. Roche. 2 Sept. 2010.
Alikhan A, Henderson GP, Becker L, Sciallis GF. "Kurapa kwechirwere uye kuputira chirwere chepachifu: chii chinoratidza?" J Am Acad Dermatol 2011 Sep 65: 650-654. Epub 2011 Jun 24. 31 Jan 2016.
Bernstein CN, Nugent Z, Longobardi T, Blanchard JF. "Isotretinoin haina kubatanidzwa nechirwere chechirwere chechirwere: chikwata chevanhu-based case-control study." Am J Gastroenterol Nov 2009; 104: 2774-2778. Epub 2009 Jul 21. 31 Jan 2016.
Crockett SD, Gulati A, Sandler RS, Kappelman MD. "Chikwata cheCausal pakati peIsotretinoin uye Inflammatory Dwell Disease Isati Ichagadzwa." Am J Gastroenterol Oct 2009; 104: 2387-2393. 31 Jan 2016.
Crockett SD, Porter CQ, Martin CF, Sandler RS, Kappelman MD. "Isotretinoin Kushandisa uye Dambudziko Rokuvhiringidzika Kwezvirwere: Chidzidzo Chekuongorora." Am J Gastroenterol Online 30 March 2010. 31 Jan 2016.
Etminan M, Bird ST, Delaney JA, Bressler B, Brophy JM. "Isotretinoin uye mungozi yehutachiona hwechirwere chechirwere: nested case-control study uye meta-analysis yezvinyorwa zvakabudiswa uye zvisina kunyorwa." JAMA Dermatology. 2013; 149: 216-220. 31 Jan 2016.
Margolis DJ, Fanelli M, Hoffstad O, Lewis JD. "Zvingaita Sangano Pakati peAraal Tetracycline Chikamu CheAntimicrobial Chinoshandiswa Kurapa Chirwere Chechirwere uye Chirwere Chirwere Chetachiona." 10 Aug 2010 nai: 10.1038. 31 Jan 2016.
Reddy D, Siegel CA, Sands BE, Kane S. "Zvingaita Sangano Pakati peIsotretinoin uye Inflammatory Bowel Disease." Am J Gastroenterol 2006; 101: 1569-1573. 31 Jan 2016.
Thakrar BT, Robinson NJ. "Isotretinoin kushandiswa uye pangozi yekuputika chirwere chechirwere." Am J Gastroenterol 2011 May; 106: 1000-1002; munyori achipindura 1002-3. 31 Jan 2016.