An kwashe shi cewa likitancin Accutane (isotretinoin) zai iya haɗuwa da ci gaba da cututtukan cututtuka na huhu (IBD) . Bayanan mai haƙuri ga Accutane bai yarda da haɗi tsakanin miyagun ƙwayoyi da IBD ba. An gabatar da shari'ar da dama game da Roche Holding AG, wadanda suka yi amfani da Accutane, wasu daga cikinsu sun haifar da hukunce-hukuncen kamfanoni.
Wasu daga cikin wadannan hukunce-hukuncen sun sake juyawa baya , kuma wasu suna kokari. An ba da izinin shiga daga kasuwa a watan Yuni 2009, amma har yanzu ana samun samfurori.
Menene Bincike ke Ce?
Ɗaya daga cikin binciken ya ƙaddara cewa, miyagun ƙwayoyi na iya kasancewa wani abu na IBD a wasu marasa lafiya. Binciken 2009 game da wallafe-wallafen ya gano cewa babu cikakke shaidar da za ta tabbatar ko kwance hanyar haɗi tsakanin miyagun ƙwayoyi da ci gaban IBD. Binciken bincike na shekarar 2010 ya nuna cewa Accutane yana haɗari da ƙananan haɗari na ci gaba da ciwon cututtuka, amma babu wani haɗi zuwa cutar Crohn. Mawallafin wannan binciken sun nuna cewa hadarin cututtuka na ƙwayar cuta zai iya haɗuwa da halayen da ake amfani da su na Accutane. Wani bincike na uku ya ƙaddara cewa mutanen da suka dauki Accutane ba su iya samar da IBD fiye da kowa ba, amma sun yarda cewa akwai rahotanni na asusun na IBD-Accutane.
Alurar rigakafi da kuma IBD
Duk da haka wani bincike na 2010 ya nuna cewa wasu maganin rigakafin da ake wajabta don magance hawan mai tsanani na iya haɗawa da ci gaban IBD . Ana amfani da waɗannan maganin rigakafin lokaci na tsawo, kuma idan sun kasa sarrafa maganin, Accutane shine sauƙin zabi na gaba a farfadowa.
Mawallafin binciken sunyi bayanin cewa amfani da kwayoyin cututtuka na tsawon lokaci na iya haifar dashi na IBD kuma cewa har yanzu yana da mahimmanci yadda Accutane zai iya shiga cikin mahaɗin.
Hanya tsakanin Acne da IBD
Binciken da aka yi a shekara ta 2011 ya yayata cewa akwai dangantaka tsakanin kuraje da kuma IBD. Mutu mai tsanani da kuma IBD duka sune yanayi marar haushi, kuma an gano su duka biyu a matasa da matasa. Masu marubuta sun ci gaba da nuna cewa idan wani saurayi yana ƙarƙashin kulawar likita, ana iya gane wasu yanayi (kamar IBD).
Layin Ƙasa
Duk waɗannan binciken sun nuna cewa akwai shaida don tallafawa duka da'awar cewa Accutane yana haifar da IBD da kuma iƙirarin cewa Accutane baya haifar da IBD. Wannan ba taimako ba ne ga duk wanda yake nazari na Farfesa, ko waɗanda suka yi amfani da Accutane a baya, amma sau da yawa wannan ita ce hanyar bincike na likita. Zai iya ɗaukar shekaru don ƙulla yarjejeniya ta gaba daya a cikin wallafe-wallafen likita. Kundin tsarin kotun na da bambanci, kuma shari'ar na iya haifar da hukunci a kowane bangare na batun.
Bayan nazarin wannan hujja, mai yiwuwa mutum yayi tunani idan bincike yana faruwa a hanyar da ba daidai bane: shin akwai dangantaka tsakanin IBD da kuraje?
Zai yiwu a wasu lokuta, IBD ya riga ya kasance, amma ba a gano shi ba sai bayan magani tare da Accutane. A halin yanzu babu wani shaida ko dai don ko a kan wannan batu. Duk da haka, ya kamata a lura cewa steroids (musamman prednisone ), daya daga cikin maganin da aka saba da ita don IBD, zai iya haifar da ƙwayar ƙwayar cuta mai tsanani .
Abubuwan da za ayi la'akari game da maganin ciwo
Idan kuna la'akari da amfani da amfani , ko kuma idan kuka yi amfani da wannan magani a baya kuma ku damu game da IBD, ya kamata ku tattauna hadarinku da likitanku. Ka tuna cewa idan akwai haɗari na bunkasa IBD bayan ɗaukar Accutane, wannan abu ne mai ban mamaki.
Ɗaya daga cikin binciken binciken da aka yi a shekarar 2011 ya nuna cewa waɗanda suke yin la'akari da yin amfani da Abin da ke faruwa a hankali sun kasance masu lura da ƙananan haɗari na bunkasa ciwon ciki.
Ga mutanen da suka riga sun sami IBD, musamman cututtukan daji, da kuma wadanda ke neman magani ga ƙwayar cuta mai tsanani , layi na farko shine sau da yawa. Idan magani na asali ba shi da amfani, maganin rigakafi da antimicrobials za'a iya amfani dashi.
Sources:
Bayaniyar Bayanin Tsaro. Roche. 2 Satumba 2010.
Alikhan A, Henderson GP, Becker L, Sciallis GF. "Ciwon wariyar cututtuka da cututtukan jini: menene shaida?" J Am Acad Dermatol 2011 Sep; 65: 650-654. Afub 2011 Jun 24. 31 Jan 2016.
Bernstein CN, Nugent Z, Longobardi T, Blanchard JF. "Isotretinoin ba shi da alaka da cututtukan cututtukan zuciya: ƙwaƙwalwar binciken da ake yi a yawancin jama'a." Am J Gastroenterol Nov 2009; 104: 2774-2778. Agusta 2009 Yuli 21. 31 Jan 2016.
SDC Crockett, Gulati A, Sandler RS, Kappelman MD. "Kungiyar Cusal ta Tsakanin Isotretinoin da Flammatory Bowel Cutar Har yanzu Za a Tsayar." Am J Gastroenterol Oktoba 2009; 104: 2387-2393. 31 Jan 2016.
SD card, Porter CQ, Martin CF, Sandler RS, Kappelman MD. "Yin amfani da Isotretinoin da kuma Hadarin Kwayoyin Flammatory Ciwo: Nazari na Kan Kira." Am J Gastroenterol Online 30 Maris 2010. 31 Jan 2016.
Etminan M, Bird ST, Delaney JA, Bressler B, Brophy JM. "Isotretinoin da kuma hadarin cutar cututtuka mai ƙyama: binciken da aka gudanar da shari'ar da aka kwashe da kuma bayanan da aka buga da kuma ba a buga ba." JAMA Dermatology. 2013; 149: 216-220. 31 Jan 2016.
Margolis DJ, Fanelli M, Hoffstad O, Lewis JD. "Ƙungiyar Amfani tsakanin Tsakanin Tetracycline Na Gida Na Kwayoyin Antimicrobial da ake amfani dasu don magance cututtuka da ƙwayoyin ƙwayar cuta." 10 Aug 2010: 10.1038. 31 Jan 2016.
Reddy D, Siegel CA, Sands BE, Kane S. "Ƙungiya mai yiwuwa tsakanin Kungiyar Isotretino da Flammatory Bowel cuta." Am J Gastroenterol 2006; 101: 1569-1573. 31 Jan 2016.
Thakrar BT, Robinson NJ. "Isotretinoin amfani da hadarin cututtuka na ƙwayar cutar ciwon jini." Am J Gastroenterol 2011 May; 106: 1000-1002; marubucin amsa 1002-3. 31 Jan 2016.