{"id":2370,"date":"2021-07-07T20:00:38","date_gmt":"2021-07-07T18:00:38","guid":{"rendered":"https:\/\/www.drardi.com\/?p=813"},"modified":"2021-07-07T20:00:38","modified_gmt":"2021-07-07T18:00:38","slug":"retinoidet-dhe-shtatzenia-perditesim-nga-ema","status":"publish","type":"post","link":"https:\/\/drardi.com\/shop\/retinoidet-dhe-shtatzenia-perditesim-nga-ema\/","title":{"rendered":"Retinoidet dhe shtatz\u00ebnia – P\u00ebrdit\u00ebsim nga EMA"},"content":{"rendered":"

Retinoidet p\u00ebrfshijn\u00eb substancat aktive t\u00eb acitretin, adapalene, alitretinoin, bexarotene, isotretinoin, tazarotene dhe tretinoin. M\u00ebnyra e administrimit t\u00eb tyre mund t\u00eb jet\u00eb orale apo topikale (p\u00ebrdorim kutan). Q\u00ebllimi I tyre \u00ebsht\u00eb trajtimi I disa gj\u00ebndjeve t\u00eb cilat prekin l\u00ebkur\u00ebn duke p\u00ebrfshir\u00eb aknet e form\u00ebs s\u00eb r\u00ebnd\u00eb dhe psoriasis. Disa kategori t\u00eb tyre p\u00ebrdoren dhe n\u00eb trajtimin e disa formave t\u00eb\u00a0 kancerit.
\nStudimi arriti n\u00eb p\u00ebrfundimin se k\u00ebto preparate (sidomos orale) nuk duhet t\u00eb p\u00ebrdoren p\u00ebrgjat\u00eb shtatz\u00ebnis\u00eb dhe as n\u00eb mom\u00ebntin q\u00eb ju planifikoni nj\u00eb shtatz\u00ebni.
\nGjithashtu nga ky studim u konfirmua se shmangia e retinoideve topical \u00ebsht\u00eb e domosdoshme p\u00ebrgjat\u00eb shtatz\u00ebnis\u00eb dhe planifikimit t\u00eb saj.<\/p>\n

Informacion p\u00ebr pacient\u00ebt: <\/strong><\/p>\n

1 Medikamentet retinoide, m\u00eb shum\u00eb t\u00eb p\u00ebrdorura p\u00ebr trajtimin e akneve t\u00eb form\u00ebs s\u00eb r\u00ebnd\u00eb, jan\u00eb t\u00eb d\u00ebmshme p\u00ebr bebin n\u00ebse ato merren p\u00ebrgjat\u00eb shtatz\u00ebnis\u00eb.<\/p>\n

2 Retinoid\u00ebt oral jan\u00eb kategorikisht t\u00eb ndaluara p\u00ebrgjat\u00eb shtatz\u00ebnis\u00eb.<\/p>\n

3 Si shtojc\u00eb, retinoidet orale si acitretin, alitretinoin dhe isotretinoin nuk duhet t\u00eb merren nga femrat e afta p\u00ebr riprodhim n\u00ebse nuk takohen parametrat e nj\u00eb programi parandalues special t\u00eb shtatz\u00ebnis\u00eb (PPSS).<\/p>\n

4 Programi special I parandalimit (PPSS) p\u00ebr acitretin, alitretinoin dhe isotretinoin p\u00ebrfshin:
\n* test shtatz\u00ebnie p\u00ebrpara, gjat\u00eb dhe pas p\u00ebrdorimit t\u00eb retinoideve t\u00eb sip\u00ebrp\u00ebrmendur
\n* nevoja e p\u00ebrdorimit t\u00eb t\u00eb pakt\u00ebn nj\u00eb metode kontracepsioni gjat\u00eb dhe pas trajtimit
\n* nj\u00eb konsent-form\u00eb p\u00ebr pacientin p\u00ebr t\u2019u siguruar se ai \u00ebsht\u00eb informuar mbi retinoidet
\n* nj\u00eb kart\u00eb kujtese p\u00ebr pacientit ku sh\u00ebnohet se retinoidet nuk duhet t\u00eb merren gjat\u00eb shtatz\u00ebnis\u00eb, duke p\u00ebrfshir\u00eb informacionin mbi testimin dhe marrjen e kontraceptiv\u00ebve.<\/p>\n

5 K\u00ebto informacione duhet t\u00eb jen\u00eb t\u00eb sh\u00ebnuara me theksim t\u00eb duksh\u00ebm n\u00eb ambalazhet e k\u00ebtyre medikamenteve<\/p>\n

6 Retinoid\u00ebt topikal kan\u00eb nj\u00eb predispozit\u00eb m\u00eb t\u00eb ul\u00ebt t\u00eb demtimit fetal por gjithsesi ato nuk duhet t\u00eb p\u00ebrdoren gjat\u00eb planifikimit apo shtatz\u00ebnis\u00eb.<\/p>\n

Informacioni p\u00ebr mjek\u00ebt n\u00eb rrafshin obstetrikal:
\n<\/strong>
\nNj\u00eb rishqyrtim I t\u00eb dh\u00ebnave t\u00eb grumbulluara mbi terratogjenicitetin e retinoideve arriti n\u00eb p\u00ebrfundimin se lind nevoja e forcimit t\u00eb kujdesit dhe paralajm\u00ebrimit mbi p\u00ebrdorimin e k\u00ebtyre preparateve p\u00ebrgjat\u00eb shtatz\u00ebnis\u00eb si dhe t\u00eb riskut potencial t\u00eb problemeve neuropsikiatrike.<\/p>\n

1 Retinoid\u00ebt oral si: acitretin, alitretinoin, bexarotene, isotretinoin dhe tretinoin kan\u00eb terratogjenicitet t\u00eb lart\u00eb e ndaj NUK duhen p\u00ebrdorur gjat\u00eb shtatz\u00ebnis\u00eb.<\/p>\n

2 (Lexo pik\u00ebn 4 tek rubrika \u201cInformacion p\u00ebr pacient\u00ebt).<\/p>\n

3 P\u00ebr retinoid\u00ebt topikal si: adapalene, alitretinoin, isotretinoin, tazarotene dhe tretinoin, t\u00eb dh\u00ebnat n\u00eb dispozicion treguan se p\u00ebrthithja e tyre \u00ebsht\u00eb e pap\u00ebrfillshme dhe k\u00ebshtu k\u00ebto produkte kan\u00eb gjasa t\u00eb mos japin d\u00ebmtime fetale por gjithsesi p\u00ebrdorimi I tyre gjat\u00eb planifikimit dhe shtatz\u00ebnis\u00eb \u00ebsht\u00eb I kundraindikuar si mas\u00eb parandaluese.<\/p>\n

M\u00eb shum\u00eb mbi retinoidet
\n<\/strong>
\nRetinoidet jan\u00eb derivate t\u00eb vitamin\u00ebs A t\u00eb cilat jan\u00eb t\u00eb disponueshme n\u00eb form\u00eb kapsulash p\u00ebr administrim oral apo n\u00eb form\u00eb xheli\/kremi p\u00ebr p\u00ebrdorim topikal. Retinoidet p\u00ebr administrim oral jan\u00eb medikamente t\u00eb vlefshme p\u00ebr trajtimin e disa formave t\u00eb r\u00ebnda t\u00eb akneve, forma severe e ekzemave t\u00eb duarve t\u00eb cilat nuk I p\u00ebrgjigjen trajtimit me kortikosteroid (kortizonik), forma t\u00eb r\u00ebnda t\u00eb psoriasis apo t\u00eb problematikave t\u00eb tjera kutane (t\u00eb l\u00ebkur\u00ebs), si dhe t\u00eb disa llojeve t\u00eb kancerave.
\nRetinoid\u00ebt topikal jan\u00eb t\u00eb vlefsh\u00ebm p\u00ebr p\u00ebrdorimin kutan n\u00eb rastet e akneve nga forma e leht\u00eb n\u00eb t\u00eb moderuar.
\nRetinoidet n\u00eb vazhdim jan\u00eb t\u00eb miratura p\u00ebr administrim nga FDA dhe EMA dhe t\u00eb p\u00ebrfshira n\u00eb k\u00ebt\u00eb rishikim: acitretin, adapalene, alitretinoin, isotretinoin, tazarotene dhe tretinoin.<\/p>\n

P\u00ebrshtati: Dr. Ardi Prushi<\/p>\n

Referencat EMA:<\/p>\n

https:\/\/www.ema.europa.eu\/en\/documents\/referral\/retinoid-article-31-referral-updated-measures-pregnancy-prevention-during-retinoid-use_en-0.pdf<\/a><\/p>\n

https:\/\/escrh.eu\/ema-communication-updated-measures-for-pregnancy-prevention-during-retinoid-use\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Retinoidet p\u00ebrfshijn\u00eb substancat aktive t\u00eb acitretin, adapalene, alitretinoin, bexarotene, isotretinoin, tazarotene dhe tretinoin. M\u00ebnyra e administrimit t\u00eb tyre mund t\u00eb jet\u00eb orale apo topikale (p\u00ebrdorim kutan). Q\u00ebllimi I tyre \u00ebsht\u00eb trajtimi I disa gj\u00ebndjeve t\u00eb cilat prekin l\u00ebkur\u00ebn duke p\u00ebrfshir\u00eb aknet e form\u00ebs s\u00eb r\u00ebnd\u00eb dhe psoriasis. Disa kategori t\u00eb tyre p\u00ebrdoren dhe n\u00eb trajtimin […]<\/p>\n","protected":false},"author":1,"featured_media":23841,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[240],"tags":[236,255],"class_list":["post-2370","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-obstetrike","tag-obstetrike-gjinekologji-obgyn-obsgjin-drardi-drprushi-drardiprushi-obstetergjinekolog-shtatzenia","tag-retinoidet-vitamina-a-akne-pucrra-retinol-terratogjen-kortizonik-adapalene-alitretinoin-isotretinoin-tazarotene-tretinoin-bexarotene-tazarotene"],"yoast_head":"\nRetinoidet dhe shtatz\u00ebnia - P\u00ebrdit\u00ebsim nga EMA - Intimacy<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Retinoidet dhe shtatz\u00ebnia - P\u00ebrdit\u00ebsim nga EMA - Intimacy\" \/>\n<meta property=\"og:description\" content=\"Retinoidet p\u00ebrfshijn\u00eb substancat aktive t\u00eb acitretin, adapalene, alitretinoin, bexarotene, isotretinoin, tazarotene dhe tretinoin. M\u00ebnyra e administrimit t\u00eb tyre mund t\u00eb jet\u00eb orale apo topikale (p\u00ebrdorim kutan). Q\u00ebllimi I tyre \u00ebsht\u00eb trajtimi I disa gj\u00ebndjeve t\u00eb cilat prekin l\u00ebkur\u00ebn duke p\u00ebrfshir\u00eb aknet e form\u00ebs s\u00eb r\u00ebnd\u00eb dhe psoriasis. 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