Zingwe zam'mimba ndi kuphulika kwambiri kumaonekera thupi la mwanayo kuchokera kubadwa. Ndipo imodzi mwa mitundu ya misomali ndi acne - acne makamaka pa nkhope. Ana obadwa kumene, komanso ana omwe ali ndi zaka zitatu mpaka 11, matendawa amakula mofulumira komanso osati kwa nthawi yayitali.
Komabe, izi sizikutanthauza kuti muyenera kusamala maso a ana m'thupi, mankhwala angapitirirebe. Izi zimachitika kuti nyongolotsi yosatulutsidwa m'mimba "imatuluka" muunyamata wokhala ndi ziphuphu zambiri pamaso. Njira ya mankhwala imayikidwa kokha ndi dokotala wa ana, popeza zitsamba zingakhale ndi chifukwa chosiyana, mwachitsanzo - zowonongeka.
Mphuno zimayambitsa matenda osokoneza bongo, omwe amayamba chifukwa cha mphamvu ya androgens ku adrenal cortex. Ngati mlingo wa seramu wamagazi umakula kwambiri msinkhu wa dehydroepiandrosterone sulphate, ndiye kuti chitukuko chachikulu cha acne chimatha. Kuchiza kwa achule kwa makanda kumakhala kuchipatala.
Zosakanikirana zamadzimadzi
Zimatchulidwa mwa ana makumi awiri (20%) kuyambira kale masiku oyambirira a moyo. Chikhalidwe cha chiphuphu ndi mapulo-pustular erythematosis. Comedones nthawi zambiri palibe. Kuthamanga kumawonekera pamasaya, pamphumi, chikopa, maso, khungu, chapachifuwa, khosi. Kuwopsa kwa matendawa ndi kosavuta, mosasamala, m'miyezi 1-3. Komabe, kuthamanga kungapitirire kwa ana mpaka miyezi 6-12.
Popeza kuti ziphuphu zowonongeka zimadziwika kuti ndizokhazikika pamodzi, nthawi zambiri sichifunika. Komabe, ngati zilonda zamatenda zingapo zikuwonetsedwa, zowonjezera zowonjezera mankhwala ochiritsira ndi ketoconazole zimasonyezedwa. Mankhwalawa amachepetsa kwambiri matendawa.
Ana Achimake
Zikuda zazing'ono m'mimba zimapezeka kawirikawiri kusiyana ndi ziphuphu zamakanda - pakati pa zaka zitatu ndi 16. Anyamata nthawi zambiri amadwala. Ngati makolo ali ndi ziphuphu, matendawa ndi ovuta kwambiri kwa ana. Zikuda za ana zimadziwika ndi mapangidwe otsekedwa komanso otseguka, ma pustules ndi papules. Kuphulika kumafalikira kawirikawiri kumakhala ndi zinthu zotupa. Nthaŵi zina mapuloteni amatha kupangika, kuchititsa kuphulika. Chiphuphuchi chimapezeka makamaka pamasaya. Ziphuphu zimatha kutha zaka 1-2, koma nthawi zambiri mpaka zaka zisanu. Mtundu waukulu wa acne ndi acne conglobata, momwe zigawozo zimagwirizanirana ndi conglomerates. Zikuoneka ngati ziphuphu ndi zovuta. Makanda oyamwa, makamaka mawonekedwe a conglobate, angapangitse kukula kwa matenda aakulu m'zaka zaunyamata.
Pochizira ziphuphu pamatumbo, maginito amtunduwu amagwiritsidwa ntchito. Kuphatikizana ndi ma antibayotiki ammidzi (clindamycin, erythromycin) ndi benzoyl peroxide amaloledwa. Mtundu woopsa wa matendawa ndi kutupa kotupa ndi mapangidwe ndi mapulogalamu omwe akhala akuvutitsa kwa miyezi ingapo. Pankhaniyi, erythromycin imaperekedwa m'mapiritsi. Ngati erythromycin ikutsutsana, trimethoprim / sulfamethoxazole ingapangidwe. Kugwiritsira ntchito tetracycline pochizira ana sikuvomerezeka, monga kukula kwa mano ndi mafupa ndizovuta.
Mankhwala obisala kwambiri amatha kuchiritsidwa ndi jekeseni triamcinolone acetonide mu mlingo wochepa. Ngati palibe mankhwala ochizira, dokotala akhoza kulangiza isotretinoin. Mankhwalawa akuwonetsedwa kwa ana okalamba. M'malo molekerera, zotsatira zake ndizochepa. Pamene mankhwalawa amaperekedwa kwa makanda, chokhacho chimakhala chopweteka kwambiri cha kumasulidwa kwa mankhwala ngati mawonekedwe a gelatin capsules. Popeza kuti mpweya wa oxygen ndi dzuwa isotretinoin wawonongedwa, makapules amatsegulidwa mu chipinda chosungunuka ndipo nthawi yomweyo amasakaniza ndi kupanikizana kapena mafuta. Chithandizo chiyenera kutsatiridwa ndi sampuli ya magazi nthawi zonse kuti muchepetse mlingo wa cholesterol, triglycerides, chiwindi.
Nthawi yambiri ya mankhwalawa ndi miyezi 6-11. Makolo ayenera kukumbukira kuti pamene akutha msinkhu, ziphuphu zimatha kubwerera.