Chimake ndi matenda omwe amagwirizanitsidwa ndi kuphwanya glands zokhazokha. Nthawi zambiri amamangirira khungu la nkhope, kumbuyo ndi chifuwa. Ziphuphu zamkati zimakhala ndi zifukwa zofanana, koma zimawonekera mu mawonekedwe ovuta kwambiri, zovuta kuchiza. Zonsezi zikhoza kukhala chizindikiro cha matenda aakulu, matenda a mahomoni, kapena chabe chifukwa cha chisamaliro cholakwika cha khungu. Kodi mankhwalawa ndi acne ndi acne? Werengani nkhaniyi pansipa.
Zodzoladzola ndi ziphuphu kumnyamata
Zizindikiro zamtundu umenewu zimawonekera achinyamata nthawi yaunyamata ndipo zimakhudza pafupifupi anyamata kapena mtsikana aliyense. Monga lamulo, iwo amadutsa okha, koma pali mitundu yoopsa kwambiri ya matendawa. Ngati nthendayi ndi ziphuphu m'matayi sizitha kuchiritsidwa - zimatha kusiya zovuta ndi zipsera pamaso ndi thupi la moyo. Nthawi yovutayi m'moyo wa mwana wachinyamata imadziwika ndi kusasinthasintha kwa maganizo. Zikodzo (makamaka mawonekedwe akuluakulu) zingakhudzidwe kwambiri ndi psyche ndipo zimayambitsa chisokonezo, kusakhulupirira ndi kudandaula. Choncho, pa nthawi ino mavuto amenewa amafunika kuchotsedwa.
Maonekedwe a ziphuphu zimagwirizanitsidwa ndi ntchito yambiri ya sebaceous glands ndi tsitsi follicles - keratosis. Izi zimapangitsa kuti mitsempha ya gland ya sebum ikhale yotsekemera, zomwe zimawathandiza kupeza mafuta ndi madothi m'matope. Izi zimawonjezera kuchulukitsa kwa sebum. Panthawi imeneyi ya chitukuko, ziphuphu zimayambira kumbuyo kwa mabakiteriya a anaerobic omwe amachulukira m'kamwa mwa glands zokhazokha. Mabakiteriya amenewa amapanga mavitamini omwe amathetsa mafuta. Zotsatira zazimenezi - mfulu ya mafuta acids - ndi yamphamvu kwambiri. Chifukwa cha kukwiyitsa, ndipo pali mavuto - khungu limakhala wochuluka, mowonjezera pores, ziphuphu ndi ziphuphu zimapezeka.
Chithandizo pachigawo choyamba chimakhala ndi chisamaliro choyenera ndi mosamala cha khungu la mwanayo. Ndikofunika kuyeretsa khungu kawiri pa tsiku la mafuta owonjezera komanso mabakiteriya. Chitani bwinoko ndi achinyamata apadera amatanthauza - tonics, gels ndi mousses. Iwo sayenera kumwa mowa! Kuwakwiyitsa ndi kuyaka mowa kumatenga nthawi yaitali ndipo kungachoke pamaso.
Pazirombo zoopsa, mankhwala opangidwa ndi mahomoni komanso kuikidwa magazi angagwiritsidwe ntchito. Koma njirazi zikuchitika muzochitika zowopsa ndipo pokhapokha atagwirizana kwambiri ndi katswiri. Kawirikawiri, ziphuphu ndi ziphuphu zimatengedwa kwa miyezi isanu ndi umodzi. Ndi njira yoyenera, mavutowa amatha popanda zochitika kale kwambiri.
Mphuno yamtundu (chifukwa cha kufinya ndi kutupa)
Ntchito yosadziwika pa chitukuko cha matenda omwe akufotokozedwa amachitidwa ndi mahomoni ogonana, makamaka a androgens. Motero, kuchuluka kwa acne kukuwonjezeka nthawi yomweyo kusanayambe kusamba, komwe kukugwirizana ndi matenda oyambirira. Panthawi imeneyi madzi ambiri amapezeka komanso sodium chloride imapezeka pakhungu.
Maonekedwe a acne amadalira kuchulukitsa kwa sebum, komwe kumakhudzana ndi kusintha kwa mahomoni mu msinkhu. Izi zikhoza kuwonjezereka kapena kuchitidwa ndi mahomoni a adrenal cortex (kudzera mwa androgenic effect), ndi zina zotsekedwa ndi zofiira zosautsa. Angathenso kutchedwa hyperkeratosis komanso kugwiritsa ntchito zinthu monga vitamini B12, iodini, barbiturates. Koma chinthu chowopsya kwambiri ndi ziphuphu ndi ziphuphu ndizo kulowetsa kwa munthu mwiniyokha. Mnyamatayo akufuna kuwataya mwamsanga, choncho amayamba kuwamasula ndi manja ake, kuwawombera komanso kuwadula misomali. Chifukwa chake, purulent cysts amapangidwa. Chomwe chimasokoneza nkhope ndi kumayambitsa mavuto mu mawonekedwe a mikwingwirima, zipsera ndi zotupa. Zina mwa izo sizidutsa, zimakhala ngati mabala a pigment kwa moyo.
Mavitamini ndi mahomoni
Chikoka cha androgens pa mapangidwe a ziphuphu sizosakayikitsa: maselo a glands omwe ali ndi sebaceous ali ndi mapulogalamu a androgens, omwe amachititsa chidwi cha seborrhea ndi acne. Njira izi, mwachitsanzo, sizimapezeka mumatope asanatenge msinkhu, komanso kwa ana aang'ono komanso okalamba. Mitu yambiri ya androgens ikhoza kuyambitsa achule kwa akazi achikulire. Ngakhale kuti anthu amavutika kwambiri nthawi zambiri. Mwa njira, mankhwala oletsa antiandrogenic akhoza kuchepetsa kwambiri seborrhea.
Pali mitundu yambiri ya ma acne, akhoza kukhala ndi zifukwa zosiyana za maonekedwe ndi mawonetseredwe, mochuluka kapena osatchulidwa. Malingana ndi mawonekedwe ndi kulingalira, njira zoyenera zogwiritsira ntchito mitundu yonse ya mankhwala ndizosankhidwa.
Mitundu ya acne ndi acne
Malingana ndi kuchuluka kwa mitundu ina ya zilonda za khungu, mawonetseredwe osiyanasiyana a acne - follicular ndi matenda a pustular amagwiritsidwa ntchito. Kuonjezera apo, acne ikhoza kugawidwa mwazigawo izi:
Matenda achikulire - kawirikawiri amapezeka panthawi yotha msinkhu ndipo nthawi zambiri amatha msanga patapita zaka zingapo. Komabe, iwo amafunikira chithandizo, kotero kA ikhoza kusokoneza psyche yachinyamatayo, chifukwa cha kuchepetsa kudzidalira kwake.
Zochita zowonongeka - zuka chifukwa cha kulowerera kwaumunthu. Kawirikawiri, zipsera ndi madontho osagwirizana pa nkhope zatsala. Simuyenera kubweretsa vutoli popanga mapangidwe awo.
Acne pustular (pseudoscrofulloderma) imadziwika ndi kuthamanga kwambiri m'madzi komanso kupanga mapuloteni akuluakulu. Amachiza pang'onopang'ono, kusiya ziphuphu zosagwirizana ndi zowopsa. Kusintha kumeneku kumachitika pafupifupi mwa amuna okha, sikungotseketse nkhope, komanso kumbuyo, pachifuwa, pamphuno, pamphuno ndi m'mako.
Matenda a dermatitis - amadziwika ndi mapangidwe a zida zowonjezera pambuyo pa kudzipatulira kwa acne, nthawi zambiri amatsagana ndi ma pustules osiyanasiyana ndipo ali ndi khalidwe labwino. Malo amodzi kwambiri omwe amapezeka ndi malo a khosi.
Acne necrosis imapezeka pamphuno. Mu mawonekedwe a acne pali necrosis ya minofu ndipo kenako pali zilonda ndi zipsera pansi pa tsitsi.
Zimayambitsa ziphuphu ndi ziphuphu
Zikodzo zingakhale chizindikiro cha matenda aakulu a magazi ambiri. Zimangowonjezera anyamata omwe khungu lawo likusintha kwambiri. Pali nthendayi, yomwe ili ndi zizindikiro zofala (malungo, kupweteka pamodzi). Maphunziro owonjezera angasonyeze mlingo wokwera wa EPR ndi maselo oyera.
Zikodzo zimayambitsidwa ndi chlorine, mafuta, phula.
Zikuda zimatha kuoneka chifukwa cha kusokonezeka kwa zilonda za adrenal kapena mankhwala omwe amachititsa kusungunuka kwa maginito a sebaceous.
Zodzoladzola zowonongeka - ziwongosoledwe chifukwa cha kutuluka kwa thukuta la galimoto ndipo imakhala ndi mawonekedwe a tizilombo toyambitsa matenda.
Mwana wamwamuna amafunika kugwiritsidwa ntchito pogwiritsa ntchito mchere wamchere kuti asamalire komanso amatenga mawonekedwe a papules, cysts komanso abscess, zomwe zimakhala zochepa.
Matenda akuluakulu achimake ndi acne
Chithandizo chamankhwala nthawi zonse chimaphatikizapo maantibayotiki. Njira yothandiza kwambiri, monga lamulo, ndiyo tetracycline, yomwe ikugwiritsidwa ntchito pochiza acne. Komabe, maantibayotiki erythromycin, clindamycin, minocycline ndi othandiza kwambiri. Maantibayotiki amagwiritsidwa ntchito motsatira ndondomeko yoyenera ya kumwa mankhwala, muyezo wosiyana kwambiri ndi matenda a bakiteriya. Iwo amavomerezedwa kwa masabata ambiri kapena miyezi. Kuonjezerapo, muyenera kuwonjezera mavitamini PP, B2 ndi C. Ngati mutenga makina a multivitamin, muyenera kupewa zomwe zili ndi vitamini B12, chifukwa zimangotulutsa zizindikiro za acne.
Mitundu yoopsa ya matendawa, roacutane imalowa m'thupi. Chithandizo chimakhala miyezi 3-5. Mankhwala awa, monga ena otsogolera pakamwa, ayenera kuthandizidwa ndi chithandizo chamankhwala cholimba. Chifukwa cha kuthekera kwa zotsatira, wodwalayo ayenera nthawi zonse kuyesa magazi. Azimayi panthawiyi sayenera kugwiritsa ntchito mapiritsi oletsa kubereka, nthawi komanso pambuyo pake.
Kuchiza kwa achule ndi zitsulo zamchere
Azimayi omwe ali ndi mankhwala otchedwa hormonal mankhwala angathe kupatsidwa mankhwala a antiandrogenic. Amagwiritsidwanso ntchito kwa miyezi yambiri atasiya kusagwirizana ndi matenda opatsirana pogonana ndi amkati (mwachitsanzo, matenda a chiwindi, matenda a lipid ndi coagulation). Kuvomerezeka kwake kuyeneranso kuyang'aniridwa, mayeso a magazi ndi mkodzo ayenera kuperekedwa nthawi ndi nthawi. Mankhwalawa akhoza kutengedwa pokhapokha kuyang'aniridwa ndi dokotala.
Pali katemera wa avenue, koma posachedwa sagwiritsidwe ntchito chifukwa cha kuchepa kwake. Komanso, njira zomwe zimatchulidwa kawirikawiri za kuikidwa magazi m'magazi zimagwiritsidwanso ntchito kawirikawiri.
Matenda a m'dera la acne ndi acne
Monga mankhwala opangira mankhwala, kuyeretsa njira zomwe zili ndi menthol ndi salicylic acid zimagwiritsidwa ntchito. Njira yabwino ndi yankho, lomwe limaphatikizapo sulfure pakati pa zinthu zina.
Palinso makonzedwe ambiri okonzekera omwe ali ndi maantibayotiki, nthawi zambiri kuphatikizapo zinthu zina. Mwachitsanzo, yankho la clindamycin (phosphate containing) ndi emulsion yosautsa kwambiri ndi gel Acnemycin. Palinso mafuta okhala ndi miconazole ndi benzoyl peroxide ndi kirimu ndi zinc acetate ndi erythromycin.
Komanso, mankhwala okhala ndi mavitamini ndi acids amagwiritsidwa ntchito pa chithandizo. Mankhwalawa apangidwa kuti athetse kukhumudwa kwa ntchito zachithunzithunzi ndi kukula kwa glands zokhazikika komanso tsitsi la tsitsi. Amagwiritsidwa ntchito kwa milungu ingapo. Panthawiyi, musamawombere dzuwa ndi kugwiritsa ntchito zodzoladzola ndi mankhwala omwe ali ndi mowa. Mankhwala, omwe ali ndi zotsatira zofanana, nthawi zambiri amalekerera kusiyana ndi asidi-vitamini. Koma zotsatira zake sizitalika ndipo mofulumira zimadutsa.
Kuchiza kwa achule m'nyumba
Mukapatsidwa mankhwala kunyumba, mitundu yosiyanasiyana yodziwika bwino (mavitamini, gels, onychi, emulsions) angagwiritsidwe ntchito. Kugwiritsiridwa ntchito kwa mankhwala otere ayenera kuchitika nthawi zonse mutatha kufunsa dotolo, chifukwa kuphatikiza ndi mankhwala ena amatha kuyambitsa khungu. N'zotheka nthawi ndi nthawi kuyeretsa khungu (makamaka ndi acne ambiri) mu opaleshoni yokongoletsa.
Chithandizo ndi mankhwala ayenera kuchitidwa molingana ndi mankhwala a dermatologist. Katswiri amatha kufufuza bwino momwe mankhwala akuyambilira a m'deralo akukwanira, zomwe mankhwala osokoneza bongo ayenera kuwatulutsa kapena kuphatikizapo pokonzekera ntchito yonse.
Kuyambira ndi mankhwala a acne omwe ali ndi mankhwala aakulu, munthu sayenera kuyembekezera kuti ayambe kuchira mwamsanga. Koma kugwiritsa ntchito mwatsatanetsatane malingaliro a dokotala kudzathandiza kuchepetsa zizindikiro.
Njira zina zothandizira mavitamini ndi acne
Akatswiri ena amatsitsimula kuti azitentha kwambiri. Pogwiritsa ntchito njirayi, nthawi zonse muyenera kulingalira zotsatira zake - kukalamba msanga khungu, chiwopsezo cha khansa. Opaleshoni imagwiritsidwa ntchito kukonza zipsera pambuyo pa achule - uwu ndi ntchito ya opaleshoni ya opaleshoni ya pulasitiki.