I-Acitretin

-Delile

• Ngaphambi kokuthatha i-acitretin,
• I-Acitretin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Lezi zimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo noma leyo ebhalwe esigabeni ESIBALULEKILE SEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

Ezigulini zesifazane:

Ungathathi i-acitretin uma ukhulelwe noma uhlela ukukhulelwa eminyakeni emithathu ezayo. I-Acitretin ingalimaza umbungu. Akufanele uqale ukuthatha i-acitretin uze uthathe izivivinyo ezimbili zokukhulelwa ezinemiphumela emibi. Kufanele usebenzise izindlela ezimbili ezamukelekayo zokulawula ukubeletha inyanga eyodwa ngaphambi kokuba uqale ukuthatha i-acitretin, ngesikhathi sokwelashwa kwakho nge-acitretin, kanye neminyaka emithathu emva kokwelashwa. Udokotela wakho uzokutshela ukuthi iziphi izindlela zokulawula inzalo ezamukelekayo. Awudingi ukusebenzisa izindlela ezimbili zokulawula ukubeletha uma ngabe une-hysterectomy (ukuhlinzwa ukukhipha isibeletho), uma udokotela wakho ekutshela ukuthi usuqedile ukuya esikhathini (ukushintsha impilo), noma uma uzijwayeza ngokuphelele ukungayi ocansini.

Uma uhlela ukusebenzisa izinto zokuvimbela inzalo zomlomo (amaphilisi okulawula ukubeletha) ngenkathi uthatha i-acitretin, tshela udokotela wakho igama lephilisi ozolisebenzisa. I-Acitretin iphazamisa isenzo se-progestin encane ('minipill') yokuvimbela inzalo yomlomo. Ungasebenzisi lolu hlobo lokulawulwa kokubeletha ngenkathi uthatha i-acitretin. Uma uhlela ukusebenzisa izinto zokuvimbela inzalo ze-hormonal (amaphilisi okulawula ukubeletha, ama-patches, okufakelwayo, imijovo, kanye namadivayisi we-intrauterine), qiniseka ukuthi utshela udokotela wakho ngayo yonke imishanguzo, amavithamini, nezithasiselo zamakhambi ozithathayo. Imithi eminingi iphazamisa isenzo sezindlela zokuvimbela inzalo zamahomoni. Ungathathi i-wort yaseSt. John uma usebenzisa noma yiluphi uhlobo lokuvimbela inzalo ngamahomoni.

Uzodinga ukuthatha izivivinyo zokukhulelwa njalo ngenkathi welashwa nge-acitretin futhi okungenani iminyaka emithathu ngemuva kokuthatha i-acitretin. Yeka ukuthatha i-acitretin bese ushayela udokotela wakho ngokushesha uma ukhulelwa, uphuthelwa ukuya esikhathini, noma uye ocansini ngaphandle kokusebenzisa izindlela ezimbili zokulawula ukubeletha. Kwezinye izimo, udokotela wakho angakunika izindlela zokuvimbela inzalo eziphuthumayo (‘the morning after pill’) ukuvimbela ukukhulelwa.

Ungadli ukudla, iziphuzo, noma imishanguzo kadokotela noma engeyona imishanguzo equkethe utshwala ngenkathi uthatha i-acitretin nezinyanga ezimbili ngemuva kokwelashwa. Utshwala ne-acitretin kuyahlangana kwakhiwe into ehlala egazini isikhathi eside futhi engalimaza umbungu. Funda imishanguzo namalebula okudla ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma ungenaso isiqiniseko sokuthi umuthi uqukethe utshwala.

Udokotela wakho uzokunikeza Isivumelwano Sokubekezela / Imvume Yolwazi ukuze ufunde futhi usayine ngaphambi kokuba uqale ukwelashwa. Qiniseka ukuthi ufunda lokhu ngokucophelela bese ubuza udokotela wakho uma unanoma yimiphi imibuzo.

Ezigulini zesilisa:

Inani elincane le-acitretin likhona esidunjini seziguli zesilisa ezithatha lo muthi. Akwaziwa noma le mali encane yomuthi ingalimaza umbungu. Khuluma nodokotela wakho ngezingozi zokuthatha lo muthi uma umlingani wakho ekhulelwe noma ehlela ukukhulelwa.

Ezigulini zabesilisa nabesifazane:

Unganikeli ngegazi ngenkathi uthatha i-acitretin kanye neminyaka emi-3 ngemuva kokwelashwa.

I-Acitretin ingadala ukulimala kwesibindi. Tshela udokotela wakho uma uke waba nesifo sesibindi noma wake waba naso. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: isicanucanu, ukuhlanza, ukungathandi ukudla, ubuhlungu engxenyeni engaphezulu kwesokudla yesisu, ukuphuzi kwesikhumba noma kwamehlo, noma umchamo omnyama.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-acitretin futhi isikhathi ngasinye ugcwalisa incwadi kadokotela. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Safety/MedWatch/SafetyInformation/ucm388814.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

I-Acitretin isetshenziselwa ukwelapha i-psoriasis enamandla (ukukhula okungajwayelekile kwamangqamuzana esikhumba okubangela isikhumba esibomvu, esijiyile noma esinamaxolo). I-Acitretin isekilasini lemithi ebizwa ngama-retinoids. Indlela i-acitretin esebenza ngayo ayaziwa.

I-Acitretin iza njengephilisi elizothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku ngesidlo esikhulu. Thatha i-acitretin ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-acitretin njengoba nje iyalelwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho angakuqala ngomthamo ophansi we-acitretin futhi akhuphule kancane umthamo wakho.

I-Acitretin ilawula i-psoriasis kepha ayiyelaphi. Kungathatha izinyanga ezi-2-3 noma ngaphezulu ngaphambi kokuthi uzwe inzuzo ephelele ye-acitretin. I-psoriasis yakho ingase ibe yimbi kakhulu ezinyangeni ezimbalwa zokuqala zokwelashwa. Lokhu akusho ukuthi i-acitretin ngeke ikusebenzele, kodwa tshela udokotela wakho uma lokhu kwenzeka. Qhubeka nokusebenzisa i-acitretin noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-acitretin ngaphandle kokukhuluma nodokotela wakho.

Ngemuva kokuyeka ukuthatha i-acitretin, izimpawu zakho zingabuya. Tshela udokotela wakho uma lokhu kwenzeka. Ungayisebenzisi i-acitretin esele ukuphatha ukwenyuka okusha kwe-psoriasis. Kungadingeka umuthi noma umthamo ohlukile.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-acitretin,

• Tshela udokotela wakho kanye nosokhemisi uma ngabe uke waba ne-allergic reaction (kunzima ukuphefumula noma ukugwinya, isifuba, ukulunywa, noma ukuvuvukala kobuso, umphimbo, ulimi, izindebe, noma amehlo) ku-acitretin, amanye ama-retinoid anjenge-adapalene (Differen Epiduo), alitretinoin (Panretin), isotretinoin (Absorica, Accutane, Amnesteem, Claravis, Myorisan, Sotret, Zenatane), tazarotene (Avage, Fabior, Tazorac), tretinoin (Atralin, Avita, Renova, Retin-A), noma iyiphi enye izithako kuma-acitretin capsules. Udokotela wakho uzokutshela ukuthi ungasebenzisi i-acitretin. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha noma iyiphi yale mithi elandelayo: i-methotrexate (Trexall) noma i-tetracycline antibiotic efana ne-demeclocycline, i-doxycycline (i-Doryx, i-Monodox, i-Oracea, i-Periostat, i-Vibramycin), i-minocycline (i-Dynacin, i-Minocin, i-Solodyn) ne-tetracycline (i-Sumycin) , eHelidac, ePylera) ngenkathi ethatha i-acitretin. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-acitretin uma uthatha eyodwa noma ngaphezulu yale mithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo.Qiniseka ukuthi uyayisho imishanguzo namakhambi abhalwe esigabeni ESIBALULEKILE SEXWAYISO nokunye okulandelayo: i-glyburide (i-Diabeta, i-Glynase, e-Glucovance), i-phenytoin (i-Dilantin, i-Phenytek), ne-vitamin A (kumavithamini amaningi). Phinda utshele udokotela wakho uma uke wathatha i-etretinate (Tegison). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma ngabe uke waba nezimo ezishiwo esigabeni ESIBALULEKILE SESEXWAYISO futhi uma une-cholesterol ephezulu noma amazinga e-triglyceride, umlando womndeni wamazinga aphezulu we-cholesterol, noma isifo sezinso. Udokotela wakho angakutshela ukuthi akufanele uthathe i-acitretin.
• utshele udokotela wakho uma uphuza kakhulu utshwala; uma unesifo sikashukela noma ushukela ophakeme wegazi, izinkinga zomgogodla, ukudangala, noma isifo sohlangothi noma ukushaywa okuncane; noma uma uke waba nesifo esihlangene, samathambo, noma senhliziyo.
• ungancelisi ibele ngenkathi uthatha i-acitretin noma uma usanda kuyeka ukuthatha i-acitretin.
• kufanele wazi ukuthi i-acitretin inganciphisa amandla akho okubona ebusuku. Le nkinga ingaqala ngokuzumayo nganoma yisiphi isikhathi lapho welashwa. Qaphela kakhulu lapho ushayela ebusuku.
• hlela ukugwema ukuvezwa yilanga ngokungadingekile noma isikhathi eside futhi ugqoke izingubo zokuzivikela, izibuko zelanga, nesikhumba selanga. Ungasebenzisi izibani zelanga ngenkathi uthatha i-acitretin. I-Acitretin ingenza isikhumba sakho sizwele ekukhanyeni kwelanga.
• uma udinga ukuthola i-phototherapy, tshela udokotela wakho ukuthi uthatha i-acitretin.
• kufanele wazi ukuthi i-acitretin ingomisa amehlo akho futhi yenze ukugqoka amalensi okuxhumana kungakhululeki ngesikhathi sokwelashwa noma ngemuva kwaso. Susa amalensi wakho wokuxhumana bese ushayela udokotela wakho uma lokhu kwenzeka.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Yeqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa esivamile. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Acitretin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• iyaxebuka, yomile, iyaluma, iyaqhephuka, iqhephukile, inamabala, inamathele noma inegciwane lesikhumba
• izinzipho ezinamafutha noma ezibuthakathaka nezinzwane
• inkwethu
• ukushiswa yilanga
• iphunga lesikhumba elingavamile
• ukujuluka okweqile
• ukulahleka kwezinwele
• izinguquko ekubunjweni kwezinwele
• amehlo omile
• ukulahlekelwa amashiya noma izinkophe
• ukushisa noma ukushisa
• izindebe ezivuqekile noma ezivuvukile
• Izinsini ezivuvukile noma ezophayo
• amathe amaningi
• ubuhlungu bolimi, ukuvuvukala, noma ukushwabana
• ukuvuvukala komlomo noma amabhamuza
• ubuhlungu besisu
• isifo sohudo
• ukwanda kwesifiso sokudla
• ubunzima bokuwa noma ukulala
• ukutheleleka kwesono
• ikhala eligijimayo
• ikhala elomile
• ekhaleni
• ubuhlungu obuhlangene
• imisipha eqinile
• izinguquko ekunambithekeni

Eminye imiphumela emibi ingaba mibi. Lezi zimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo noma leyo ebhalwe esigabeni ESIBALULEKILE SEXWAYISO, shayela udokotela wakho ngokushesha:

• ukuqubuka
• ikhanda
• ukoma ngokweqile, ukuchama njalo, ukulamba ngokweqile, ukungaboni kahle, noma ubuthakathaka
• umlomo owomile, isicanucanu nokuhlanza, ukuphefumula kanzima, umoya onuka isithelo, nokwehla komqondo
• ubuhlungu, ukuvuvukala, noma ukubomvu kwamehlo noma amajwabu amehlo
• ubuhlungu beso
• amehlo azwela ukukhanya
• ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi
• ububomvu noma ukuvuvukala emlenzeni owodwa kuphela
• ukudana
• imicabango yokuzilimaza noma ukuzibulala
• ubuhlungu bethambo, imisipha, noma iqolo
• ubunzima bokuhambisa noma iyiphi ingxenye yomzimba wakho
• ukulahlekelwa umuzwa ezandleni noma ezinyaweni
• ubuhlungu besifuba
• inkulumo ehamba kancane noma enzima
• ukuluma ezingalweni nasemilenzeni
• ukulahleka kwethoni yemisipha
• ubuthakathaka noma ubunzima emilenzeni
• isikhumba esibandayo, esimpunga noma esiphaphathekile
• ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile
• isiyezi
• ukushaya kwenhliziyo okusheshayo
• ubuthakathaka
• ukuphelelwa umoya
• ubuhlungu bendlebe noma ukukhala

I-Acitretin ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• ikhanda
• isiyezi
• ukuhlanza
• isisu esibuhlungu
• isikhumba esomile, esilumayo
• ukulahlekelwa isifiso sokudla
• ubuhlungu bamathambo noma bamalunga

Uma owesifazane ongakhulelwa ethatha ukudlula ngokweqile kwe-acitretin, kufanele ahlolwe ukukhulelwa ngemuva kokudlula ngokweqile futhi asebenzise izindlela ezimbili zokulawula ukuzalwa eminyakeni emithathu ezayo.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-acitretin.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• USoriatane^®