Ðe ɣe ƒe keklẽ nana wò ŋutigbalẽ tsia? Mina míasrɔ̃ nu tso fotoɖeɖefia ŋu.

Ède dzesii be wò ŋutigbalẽ le ƒoƒom kple teƒeteƒewo kabakaba wu alesi wòle be wòanɔ? Ðewohĩ èle eŋu bum be, "Oo, ɖeko esia le dzɔdzɔm ɖe dzinyea?" Le nyateƒe me la, nusi koŋ gbɔ esia tsoe nye be míenɔa ɣe ƒe keklẽ me ɣeyiɣi didi aɖe evɔ míenya o. Egbea, míaƒo nu tso ŋutigbalẽ ƒe tsitsi sia si ɣe ƒe keklẽ hena vɛ ŋu, si nye nɔnɔme si woyɔna be ``Photoaging'' le atikewɔwɔ me.

Nukae nye ``Fotoɖeɖefia``? Ne míagblɔe kpuie la...

Kpuie ko la, `(Photoaging)` nye wò ŋutigbalẽ ƒe tsitsi kaba. Nusi koŋ gbɔ esia tsona enye ultraviolet keklẽ siwo gblẽa nu le ame ŋu si tso ɣea gbɔ, siwo nye `(Ultraviolet A - UVA)` kple `(Ultraviolet B - UVB)` keklẽ. Menye ɣea koe ate ŋu agblẽ nu sia o, ke boŋ to keklẽŋusẽ si wowɔ kple asi si woyɔna be ultraviolet zazã hã me, le kpɔɖeŋu me `(tanning beds)` alo `(ɣe ƒe akaɖiwo)`. Menye ɖeko ultraviolet keklẽ siawo ƒe dɔwɔwɔ tsia wò ŋutigbalẽ kabakaba o, ke enaa ŋutigbalẽ me kansa ƒe afɔku hã dzina ɖe edzi.

Wogayɔa nɔnɔme sia si woyɔna be `(Foto ƒe tsitsi)` be `(ɣe ƒe nugbegblẽ)`, `(ɣe ƒe nugbegblẽ)`, `(dermatoheliosis)` kple `(foto ƒe gbegblẽ). Togbɔ be ŋkɔ geɖe li hã la, ŋutinyaa sɔ.

Vovototo kae le ``foto ƒe tsitsi'' kple ŋutigbalẽ ƒe tsitsi si sɔ dome?

Esia nye nyabiase vevi aɖe ŋutɔ. Kpɔ ɖa, míaƒe ŋutigbalẽ tsina le dzɔdzɔme nu. Míeyɔa esia be ``ɣeyiɣi ƒe ŋutigbalẽ ƒe tsitsi.'' Ema fia be wò ŋutigbalẽ trɔna le wò ƒexɔxɔ kple domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi nu. Míate ŋu atɔ te esia o.

Ke hã, `(Photoaging)` nye nusi to vovo. Etsoa keklẽ si me keklẽŋusẽ si woyɔna be ultraviolet ƒe keklẽ le le eƒe agbemeŋkekewo katã me, vevietɔ tso ɣea gbɔ gbɔ. `(Photoaging)` sia gblẽa nu le `(DNA)` si le wò ŋutigbalẽ ƒe lãmenugbagbeviwo me ŋu, si ateŋu ahe kansa gɔ̃ hã vɛ. Nu nyuitɔ enye be ne míeɖɔ ŋu ɖo la, woate ŋu aɖe `(Photoaging)` nɔnɔme sia dzi akpɔtɔ ŋutɔ.

Ðe woate ŋu atrɔ nusiwo ŋdɔ gblẽna le ŋutigbalẽa ŋua?

Nyateƒeae nye esi. Ne UV keklẽ gblẽ DNA si le wò ŋutigbalẽ me lãmenugbagbeviwo me ko la, màte ŋu atrɔ nusiwo gblẽ ma keŋkeŋ o. Gake ema mefia be màte ŋu atrɔ alesi wò ŋutigbalẽ le o. Àte ŋu ada dɔ na ɣe ƒe nugbegblẽ ƒe dzesiwo, aɖe wo dzi akpɔtɔ, eye vaseɖe afi aɖe la, woaɖɔ wo ɖo. Atikewɔwɔ ate ŋu akpe ɖe ame ŋu wòaɖe tsitsi ƒe teƒeteƒewo kple amadede ƒe tɔtrɔ dzi akpɔtɔ, aɖe flitete kple fli nyuiwo dzi akpɔtɔ, wòana ŋutigbalẽ nanɔ blɔ, eye wòana ŋutigbalẽ kple kolagen yeyewo nawɔ. Esiawo katã ana wò ŋutigbalẽ ƒe dzedzeme, eƒe amadede, kple eƒe nyonyome nanyo ɖe edzi.

Afikae nusiwo ``fotoɖeɖe'' hena vɛ la dzena wu?

Zi geɖe la, nusiwo ``foto tsitsi`` gblẽna la dzena nyuie wu le míaƒe ŋutilã ƒe akpa siwo woɖe ɖe go wu. Ema nye:

• Wò mo
• Kɔ
• Asiwo ƒe megbe
• Asiwo kple afɔwo
• Akɔta si le etame

Amekae le afɔku me wu be ɣe sia nagblẽ nu le ŋutigbalẽ ŋu?

Le nyateƒe me la, ame sia ame ate ŋu axɔ ɣe ƒe nugbegblẽ. Gake èle afɔku gã aɖe me ne:

• ÈkpɔeNe ŋutigbalẽ le ɣie ŋutɔ.
• Ne ŋutigbalẽ me kansa dze dziwò kpɔ, alo ne wò ƒomea me tɔ aɖe xɔ ŋutigbalẽ me kansa, vevietɔ ŋutigbalẽ me kansa sesẽ abe melanoma ene.
• Ne dzigbedzesi geɖe le wò ŋutilã ŋu.
• Ne ɖa le ŋuwò eye wò ŋutigbalẽ biã eye wòfiã ne èdo ŋdɔ, gake womeɖe wò ɖa o.
• Ne wò ŋkuwo le blɔ alo amadede dzẽ, alo wò ɖa le blɔ, dzĩ alo aŋutiɖiɖi.
• Ne èle alo yi mɔkeke le nuto si kɔkɔ ŋutɔ wu atsiaƒu (UV keklẽ nu sẽna wu le teƒe siwo kɔkɔ wu).
• Ne èzãa wò ɣeyiɣi akpa gãtɔ ɖe xɔ me le kwasiɖaa me la, ekema kasia nàkpɔe be ŋdɔkutsu dzatsɛ le kwasiɖanuwuwu.
• Ne èzã ɣeyiɣi geɖe le gota alo le lãgbalẽdzraƒewo tso wò ɖevime ke, vevietɔ esime nènye ɖevi.

Bu eŋu kpɔ, le míaƒe dukɔa me la, agbledela aɖe si wɔa dɔ le agble me tso ŋdi va se ɖe fiẽ, alo tɔƒodela si yia ƒua dzi. Ɣe agbɔsɔsɔme kae woxɔna? Nenema ke ɖevi sue aɖewo nɔa ŋdɔ me ŋkeke bliboa katã nɔa kriket ƒom henɔa fefem. Wo katã wole afɔku me.

Ðe amesiwo ƒe ŋutigbalẽ biã hã le afɔku mea?

Ame siwo ƒe ŋutigbalẽ ƒe amadede to vovo la doa go UV keklẽ. Amesiame le afɔku me be ŋutigbalẽ nagblẽ le ame sia ŋu. Ke hã, ame siwo ƒe ŋutigbalẽ ƒe amadede do viviti wu la ƒe ŋutigbalẽ me amadede dzẽ si nye ``Melanin`` sɔ gbɔ ɖe woƒe ŋutigbalẽ me, eyata woƒe ŋutigbalẽ mexɔa ŋdɔ bɔbɔe nenema o. ``Melanin`` amadede sia naa takpɔkpɔ aɖe tso UV keklẽ siwo gblẽa nu le ame ŋu dometɔ aɖewo gbɔ.

Ne ŋutigbalẽ yibɔ alo ɣi le ŋuwò, eye wò ŋutigbalẽ mefiãna bɔbɔe o hã la, ate ŋu agblẽ nu le eŋu kokoko, si ana nàse veve eye wòaɖe eƒe ŋutigbalẽ gɔ̃ hã.

Togbɔ be kadodo aɖe le ŋdɔkutsu dzatsɛ kple ŋutigbalẽ me dɔdzẽ ƒe afɔku dome le amesiwo ƒe ŋutigbalẽ le ɣie gome hã la, kadodo aɖeke mele ɣe ƒe keklẽ kple ŋutigbalẽ me kansa dome le amesiwo ƒe ŋutigbalẽ biã me o. Gake ne ŋutigbalẽ me kansa dze ame siwo ƒe ŋutigbalẽ biã dzi la, edzena le asibidɛwo kple afɔkpodziwo dzi wu, eye zi geɖe la, dɔlélea dea ŋgɔ wu ne wokpɔe. Ehiã be woagawɔ numekuku bubuwo tso esia ŋu.

Ðe lãmesẽkuxi bubuwo li siwo dzia ŋutigbalẽ ƒe gbegblẽ ƒe afɔkua ɖe edzia?

Ẽ, lãmesẽkuxi aɖewo kple atikewo ate ŋu ana ŋdɔkutsu dzatsɛ ƒe afɔkua nadzi ɖe edzi. Le kpɔɖeŋu me:

• Dɔléle aɖewo siwo dɔlélenutsiŋutete hena vɛ, abe Systemic lupus erythematosus (SLE) ene, .
• Ne dɔléle siwo nana wò dɔlélenutsiŋutete gbɔdzɔna le ŋuwò, le kpɔɖeŋu me, HIV dɔlékuia.
• Ne wodo ŋutinuwo na wò kpɔ.
• Ne èle atike siwo tea dɔlélenutsiŋutete ɖe to, abe corticosteroids, biologics, monoclonal antibodies, kple calcineurin inhibitors ene zãm. Wozãa atike siawo tsɔ daa dɔléle geɖe, siwo dometɔ aɖewoe nye ƒunukpeƒetetedɔ, asrã, ƒunukpeƒetetedɔ, ƒunukpeƒetetedɔ, dɔgbo ƒe dɔléle si naa dɔdzẽ, kple kansa.
• Ne èle atike aɖewo zãm la, woate ŋu ana wò ŋutigbalẽ nase ŋdɔ nyuie wu. Le kpɔɖeŋu me. Ele vevie be nàbia wò ɖɔkta alo atikewɔla ne atike aɖewo siwo zãm nèle ate ŋu ana wò ŋutigbalẽ nase veve ɖe ŋdɔkutsu nu.

Nukae nye `(Photoaging)` ƒe dzesiwo? Aleke nàwɔ ade dzesii kaba?

Zi geɖe la, ``(Photoaging)`` ƒe dzesiwo dzea egɔme tso ƒe 15-20 dome. Dzesi siawoe nye:

• Ʋuka suesuesue siwo le abe akpɔkplɔ ene ƒe dzedzeme le ŋɔti, ŋgonu, kple kɔ dzi. Wogayɔa esia be ``telangiectasia''.
• Ŋutilã ƒe teteɖeanyi dzi ɖe kpɔtɔ le teƒe siwo ŋdɔ ʋuna le.
• Ʋuʋudedi kple fli nyuiwo dzena hedea to ɖe ŋkuwo kple nu ŋu.
• Dzimaɖitsitsi ƒe fli siwo le ŋgonu la dzena tegbee.
• Dzĩ, siwo le ƒuƒlu, siwo me ʋuʋudedi le le ŋutigbalẽa ŋu (actinic keratosis). Esiawo nye nɔnɔme si do ŋgɔ na kansa.
• Teƒe siwo le abe abi ene ƒe dzedzeme le nuyiwo ŋu (actinic cheilitis).
• Tɔtrɔ siwo vaa ŋutigbalẽ ƒe amadede me. Le kpɔɖeŋu me, melasma, flitete, ɣe ƒe lentigines, kple ƒexɔxɔ ƒe teƒeteƒewo.
• Teƒe ɣiwo (idiopathic guttate hypomelanosis) le abɔwo, afɔwo, kple asiwo ƒe megbe.
• Ŋutilã ƒe amadede si mesɔ o alo ŋutigbalẽ ƒe akpa si le ƒuƒlu.
• Ŋutilã ƒe ƒuƒuiƒe.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, mègatsi dzodzodzoe o. Gake anyo wu be nàyi ŋutigbalẽŋutinunyala gbɔ hena aɖaŋuɖoɖo.

Nukae nye nusiwo hea `(Photoaging)` vɛ?

Abe alesi míegblɔe va yi ene la, keklẽ si woyɔna be ultraviolet (UV) ye koŋ gbɔ esia tsona. Kekeli siawo gblẽa nu le DNA si le wò ŋutigbalẽ me lãmenugbagbeviwo me ŋu. Esiae hea foto ƒe tsitsi kple ŋutigbalẽ me kansa vɛ. UV keklẽ ƒomevi eve li:

1. UVA keklẽ: UV keklẽ siawo tsoa wò ŋutigbalẽ ƒe akpa si le gota wu (epidermis) yia akpa si goglo wu (dermis). Epidermis ye nana wò ŋutigbalẽ dzena abe ɖekakpui ene. Lãgbalẽa mee wokpɔa protein siwo nye collagen kple elastin le. Esiawoe nana wò ŋutigbalẽ nɔa te sesĩe eye wòte ŋu nɔa te. UVA keklẽwo do ƒome kple ŋutigbalẽ ƒe gbegblẽ ɣeyiɣi didi abe flitete ene koŋ. Woate ŋu ana ŋutigbalẽ me kansa aɖewo hã nadze ame dzi. UVA keklẽwo doa ŋusẽ melanin ƒe wɔwɔme. Melanin nye amadede aɖe si le ŋutigbalẽa me si xɔa keklẽ si me keklẽŋusẽ le eye wòkpɔa ŋutigbalẽa ta.

2. UVB keklẽ: UV keklẽ siawo gena ɖe ŋutigbalẽa ƒe akpa si le gota wu, si nye ŋutigbalẽa ƒe akpa si le lãkusia me. Wonana fotoɖemɔ̃ tsina eye lãmenugbagbevi siwo ate ŋu azu kansa, si woyɔna be actinic keratosis, tsina. UVB keklẽe nye nusi koŋ gbɔ ɣe ƒe dzoxɔxɔ tsona. Woawo hã gbɔe ŋutigbalẽ me kansa geɖe tsona.

Nukae nye kuxi siwo ate ŋu ado tso `(Photoaging)` me?

Ne woŋe aɖaba ƒu ``(Photoaging)`` ƒe nɔnɔme dzi la, kuxi aɖewo ateŋu ado mo ɖa:

• Afɔku si le ŋutigbalẽ me kansa sesẽwo abe melanoma ene xɔxɔ me dzina ɖe edzi.
• Teƒe siwo ateŋu azu kansa ƒe xexlẽme ƒe dzidziɖedzi, abe ``Actinic keratosis`` ene.
• Ŋutilã ƒe nɔnɔme ``( Rosacea ) `` le gbegblẽm ɖe edzi.
• Seborrheic keratosis (siwo menye kansa o, teƒe siwo le gbadzaa siwo dzɔna ne ame tsi), actinic lentigines (ɣe ƒe teƒeteƒewo), actinic elastosis (ŋutilã ƒe teteɖeanyi ƒe bu le ɣe ƒe keklẽ ta), kple telangiectasia (ʋuka siwo le abe akpɔkplɔ ene).

Nukae wòle be nàkpɔ mɔ na ne èyi ŋutigbalẽŋutinunyala gbɔ?

Ne èyi ŋutigbalẽŋutinunyala gbɔ la, ado wò ŋutilã kpɔ bliboe. Woalé ŋku ɖe wò ŋutilã ƒe akpa siwo katã ŋdɔ ʋuna le ŋu – wò mo, kɔ, to, ta, akɔta, akɔta, abɔwo, afɔwo, kple afɔwo – nyuie. Woate ŋu azã ŋkumeɖonu siwo lolona tsɔ léa ŋku ɖe tɔtrɔ suesuesuewo gɔ̃ hã ŋu nyuie. Ne teƒe alo abi aɖe si ŋu ɖikeke le le eŋu la, ɖɔkta ate ŋu atsɔ eƒe akpa sue aɖe atsɔ adoe kpɔ (woaɖe ŋutilã ƒe akpa aɖewo ɖa).

Nukae nye atikewɔwɔ na `(Photoaging)`?

Togbɔ be womate ŋu atrɔ ɣe ƒe nugbegblẽ (foto ƒe nugbegblẽ) keŋkeŋ o hã la, atikewɔwɔ vovovowo li siwo ate ŋu akpe ɖe wò ŋutigbalẽ ŋu wòadze ɖekakpui. Gake hafi nàdze atikewɔwɔ ɖesiaɖe gɔme la, ele be nàƒo nu tso nugbegblẽ siwo ate ŋu ado tso eme ŋu na wò ɖɔkta. Atikewɔwɔ siwo ate ŋu anɔ anyi dometɔ aɖewoe nye:

• Retinoids, Retinols: Esiawo nye atike ƒomevi aɖewo. Wonyo ŋutɔ le fotoɖeɖefia ƒe dzesi gbãtɔwo dada me. Atike siawo kpena ɖe ame ŋu wòɖea ŋutigbalẽmenugbagbevi kukuwo ɖa eye wowɔa lãmenugbagbevi yeyewo ƒe vava kabakaba. Wodoa ŋusẽ collagen hã be wòawɔ, si kpena ɖe ŋutigbalẽa ŋu wòli ke. Retinoids nyo ŋutɔ na fli nyuiwo, ƒexɔxɔ ƒe teƒeteƒewo, ŋutigbalẽ ƒe ƒuƒuiƒe, kple ʋuʋudedi siwo lolo dzi ɖeɖe kpɔtɔ.
• Vitamin C kple nu bubu siwo tsia dzoxɔxɔ nu: Esiawo ɖea nusiwo atike gblẽnu siwo woyɔna be free radicals gblẽna le ŋutigbalẽa ŋu dzi kpɔtɔna. Antioxidants ate ŋu akpe ɖe ame ŋu wòaɖu ŋutigbalẽ ƒe tsitsi dzi, aɖe UV ƒe nugbegblẽ dzi akpɔtɔ, eye wòana collagen ƒe gbagbã nagbɔdzɔ.
• `(Alpha hydroxy acid)` (AHA): Esia hã nye ``exfoliant`` si ɖea ŋutigbalẽmenugbagbevi kukuwo ɖa. Esia fia be enaa ŋutigbalẽmenugbagbeviwo ƒe yeyewɔwɔ kabakaba.
• Nusiwo nana ŋutigbalẽa klẽna: Nusiwo nana ŋutigbalẽa klẽna abe hydroquinone ene ate ŋu aɖe ŋutigbalẽ ƒe amadede dzẽ, ŋdɔkutsu dzatsɛ, kple ŋutigbalẽ ƒe amadede si mesɔ o dzi akpɔtɔ.
• `(Laser ŋutigbalẽ ƒe gbugbɔgadzɔ)`:Laser ɖea ŋutigbalẽ ƒe akpa si le etame si gblẽ la ɖa eye wòdzia ​​collagen ƒe wɔwɔ ɖe edzi. Esia nana ŋutigbalẽa ƒe akpa si le blɔ eye eƒe amadede nɔa sɔsɔm. Edaa ŋutigbalẽ ƒe amadede si mesɔ o, ƒexɔxɔ ƒe teƒeteƒewo, ŋutigbalẽ si ŋdɔ gblẽ, kple fli nyuiwo. Fractional resurfacing zãa laser tsɔ doa ŋusẽ lãmeka yeyewo ƒe tsitsi to laser-yawo ɖoɖo ɖe ŋutigbalẽa ƒe akpa siwo goglo wu me. Pulsed dye laser ate ŋu aɖe fli nyuiwo kple dzodzro dzi akpɔtɔ.
• Atikewo ƒe lãgbalẽ: Le esia me la, wotsɔa atike aɖe abe trichloroacetic acid alo glycolic acid ene dea ŋutigbalẽa ŋu. Aŋe sia ɖea ŋutigbalẽa ƒe gota gome ɖa, si wɔnɛ be ŋutigbalẽ yeye dzena. Edaa teƒe siwo le blɔ, actinic keratosis, kple fli nyuiwo. Enaa ŋutigbalẽa ƒe amadede kple eƒe nɔnɔme hã nyona ɖe edzi.
• Photodynamic therapy (PDT): Le atikewɔwɔ sia me la, wotsɔa atike aɖe dea wò ŋutigbalẽ ŋu eye wozãa akaɖi tɔxɛ aɖe (fluorescent light) si ƒe amadede nye blɔ alo dzĩ tsɔ naa atike la wɔa dɔ. Kekeliŋusẽdɔdamɔnu wua lãmenugbagbevi siwo ate ŋu azu kansa, gake megblẽa nu le lãmenugbagbevi siwo le lãmesẽ me ŋu o. Le atikewɔwɔ vɔ megbe la, wò ŋutigbalẽ ate ŋu ase le eɖokui me abe ɖe wotɔ dzoe ene, eye ate ŋu axɔ kwasiɖa ɖeka alo eve hafi wòahaya.
• Cryotherapy: Esia zãa nitrogen si nye tsi tsɔ naa ƒexɔxɔ ƒe teƒe siwo menye kansa o kple actinic keratosis tsia tsikpe me. Teƒe siwo ŋu wowɔ atike ɖo la ado viviti eye woadze le ŋkeke ʋɛ aɖewo megbe.
• Dermabrasion: Dɔwɔwɔ sia ɖea ŋutigbalẽa ɖa to "etutu" ɖa me, si wɔnɛ be ŋutigbalẽ si le gbadzaa, yeye si le ete la dzena. Esia ɖea vi na nuwo abe flitete kple tsitsi ƒe teƒeteƒewo ene.
• Nusiwo wotsɔna yɔa ŋutigbalẽ me: Wozãa ŋutigbalẽ me nusiwo wotsɔ yɔa ŋutigbalẽ me abe OnabotulinumtoxinA - Botox®, Hyaluronic acid (e.g. Belotero®, JUVÉDERM®, Restylane®, Voluma®), Calcium hydroxyapatite - Radiesse® kple Poly-L-lactic acid - Sculptra® tsɔ daa fli nyuiwo eye wògbugbɔa eƒe lolome ɖoa ŋutigbalẽ si le gbagbã me.
• `(Facelift)`, `(neck lift)`, `(brow lift)` alo amekoko bubuwo: Wowɔa amekoko siawo ne ʋuʋudedi goglowo, ŋutigbalẽ si le ʋuʋum, eye ŋutigbalẽ ƒe teteɖeanyi bu ŋutɔ.

Nenɔ susu me na wò be zi geɖe la, wobua atikewɔwɔ siawo be wonye atsyɔ̃ɖoɖo eye ɖewohĩ nugblẽfexeɖoɖo maxe wo o, eyata kpɔ egbɔ be yewɔ numekuku le esia ŋu hafi adze atikewɔwɔ gɔme.

Aleke woawɔ axe mɔ ɖe ŋutigbalẽ ƒe gbegblẽ le ŋdɔ me nu? (Esiae nye nu vevitɔ kekeake!)

Zi geɖe la, esesẽna be woaxe mɔ ɖe fotoɖeɖefia nu keŋkeŋ. Esia le alea elabena enye nusiwo ŋdɔkutsu dzatsɛ hena vɛ le eƒe agbemeŋkekewo katã me. Esesẽna eye nunya mele eme be woaƒo asa na ɣea keŋkeŋ o. Gake àte ŋu aɖe UV-ya ƒe keklẽ dzi akpɔtɔ eye nàɖe ŋutigbalẽ ƒe tsitsi kaba ƒe afɔkua dzi akpɔtɔ. Ðo ŋku edzi be ɣe ƒe nugbegblẽ dzi ɖeɖe kpɔtɔ hã ɖea ŋutigbalẽ me kansa xɔxɔ ƒe afɔkua dzi kpɔtɔna.

Nu siwo nàte ŋu awɔe nye esi:

• De ɣe ƒe keklẽŋusẽtike si ƒe dɔwɔwɔ keke ta, si me tsi mate ŋu age ɖo o la ŋu gbesiagbe.Ɣe ƒe keklẽŋusẽtike si ƒe dɔwɔwɔ keke ta kpɔa wò ŋutigbalẽ ta tso UVA kple UVB keklẽ siaa me. Zã atike si ƒe SPF nye 30 alo esi wu nenema . Gbugbɔ dee gaƒoƒo eve ɖesiaɖe. Gbugbɔ dee hafi nàƒu tsi alo ade kame. Ðo ŋku edzi be àte ŋu akpɔ UV keklẽ kokoko ne èle ʋu kum alo le ŋkeke si dzi alilikpowo le dodom gɔ̃ hã. Eyata, tsɔ ɣe ƒe keklẽŋusẽtike de wò ŋutigbalẽ ƒe akpa ɖesiaɖe si dze si awu metsyɔ o la dzi ɣesiaɣi.
• Ne èle gota , do kposɔ si ƒe abɔwo keke, ɣe ƒe ŋkumewu si kpɔa UV ta, kple awudziwui siwo ƒe abɔwo didi kple pantalon legbe siwo ƒe kpekpeme le bɔbɔe. Ne èdi be yeakpɔ ame ta geɖe wu la, tia awu siwo dzi woŋlɔ ultraviolet protection factor (UPF) ɖo.
• Ƒo asa na gaƒoƒo siwo me UV keklẽ nu sẽna wu (zi geɖe la, tso ŋdi ga 10 va se ɖe fiẽ ga 4).
• Ƒo asa na lãgbalẽŋudɔwɔwɔ ƒe mɔnuwo aleke kee wòɖale o. Ne èdi be yeƒe dzedzeme nanye lãgbalẽ si wotsɔ lãgbalẽ wɔe la, zã atike si wotsɔna ƒua gbe ɖe lãgbalẽ ŋu.

Ðe mɔ bubu aɖewo li siwo dzi woato aɖe ŋutigbalẽ ƒe tsitsi dzi akpɔtɔa?

Ẽ, nu bubuwo hã li:

• Ne ènoa atama la, dzudzɔ. Sigaretnono nana ŋutigbalẽ tsina kabakaba. Enaa ŋutigbalẽa ƒuna eye wònana ŋutigbalẽa doa viviti.
• Kpɔ nyuie be màgazã mo ƒe dzedzeme ɖeka ma ke zi gbɔ zi geɖe o. Lãmetsi mawo ke zazã ƒe geɖe ate ŋu ana ka siwo nɔa anyi ɖaa nadzɔ ɖe ŋutigbalẽa dzi.
• Ðu nuɖuɖu si naa lãmesẽ, ɖe ahanono dzi kpɔtɔ, de kame le kwasiɖaa ƒe ŋkeke akpa gãtɔ me, eye nàdɔ alɔ̃ nyuie. Nuɖuɖu si me atikutsetse kple amagbewo sɔ gbɔ ɖo eye sukli kple carbohydrates siwo ŋu wokɔ mesɔ gbɔ ɖo o ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe nusiwo agblẽ si ate ŋu ana ŋutigbalẽ natsi kaba la nu. Aha sesẽ nana tsi vɔna le ŋutigbalẽa me. Kamedede ate ŋu ana ʋu ƒe sisi nadzi ɖe edzi, ado ŋusẽ dɔlélenutsiŋutete, eye wòana ŋutigbalẽ ƒe nyonyome nanyo ɖe edzi. Alɔ̃dɔdɔ naa ɣeyiɣi wò ŋutilã be wòadzra eɖokui ɖo.
• Klɔ wò ŋutigbalẽ ŋu nyuie. Ne ètutu wò ŋutigbalẽ sesĩe la, ate ŋu agblẽ nu le eŋu eye wòana ame natsi kabakaba.
• Klɔ wò ŋutigbalẽ kaba ale si nàte ŋui le fifia vɔ megbe. Fifia ate ŋu agblẽ nu le wò ŋutigbalẽ ŋu.
• De tsi si naa tsi nɔa wò ŋutigbalẽ ŋu gbesiagbe. Tsɔe de eme le aɖabaƒoƒo etɔ̃ me tso esime nèle tsi. Tia tsilétike siwo me ceramides le. Esiawo kpena ɖe ŋutigbalẽa ŋu be tsi nɔa ŋutigbalẽa me eye wowɔa dzɔdzɔme mɔxenu be tsi nalé eme.

Ðe atikewɔmɔnu aɖewo li siwo woate ŋu awɔ le aƒeme alo atike siwo woate ŋu aƒle le atikedzraƒea?

Atikewɔwɔ alafa geɖe li siwo womeƒlena le atikedzraƒe o (OTC) le atikedzraƒewo. Gake hafi nàzã atike ɖesiaɖe la, ele vevie be nàse nusiwo le ŋutigbalẽtike siwo ate ŋu ana wò ŋutigbalẽ ƒe nyonyome nanyo ɖe edzi la gɔme nyuie. Nusiwo nàkpɔ dometɔ aɖewoe nye retinoids, antioxidants, peptides, alpha hydroxy acids, emollients, kple humectants.

Ðewohĩ èxlẽ nu tso aƒeme atike siwo wozãna tsɔ daa flitete, tsitsi ƒe teƒeteƒewo, alo ŋutigbalẽ si le tsitsim le goawo katã me hã ŋu kpɔ.Anyo wu be nàbia wò ɖɔkta be atike alo nusiwo wotsɔ wɔe siwo sɔ na wò hã. Wole nu ƒom tso nu geɖe siwo wotsɔ wɔa nuɖuɖua ŋu le Internet dzi, gake menye wo katãe dzɔdzɔmeŋutinunya me kpeɖodziwo le o. Wò ŋutigbalẽŋutinunyala alo ɖɔkta bubu ate ŋu afia mɔ wò le alesi nàzã atike siawoe ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta alo ŋutigbalẽŋutinunyala?

Kpɔ ɖɔkta le nɔnɔme siawo me:

• Ne èdo go ŋdɔ ale gbegbe be wò ŋutigbalẽ biã eye wòvuvu esime nènye ɖevi la, efia be èƒo ɣe ƒe nugbegblẽ geɖe nu ƒu.
• Ne wò ŋutigbalẽ ƒe dzedzeme medzɔ dzi na wò o, ne èse nane abe ŋukpe ene.
• Ne ède dzesi ʋuʋudedi yeye aɖe le wò ŋutigbalẽ ŋu alo tɔtrɔ aɖe va le ʋuʋudedi si li xoxo (blɔ, yibɔ, dzĩ, alo ɣi) ŋu la, esia ate ŋu anye ŋutigbalẽ me kansa ƒe dzesi.
• Ne ʋu le dodom le wò ŋutigbalẽ ŋu ko.

Nukatae teƒe ɣiwo nɔa nye ŋutigbalẽ ŋu le ɣe ƒe nugbegblẽ ta?

Woyɔa teƒe ɣi siawo be `(idiopathic guttate hypomelanosis).` Zi geɖe la, ɣe ƒe keklẽ didi gbɔe wòtsona. Wobɔ ɖe amesiwo ƒe ŋutigbalẽ le ɣie me wu, gake woate ŋu adzɔ le amesiwo ƒe ŋutigbalẽ le ɣie hã me ne wole tsitsim. Wonɔa afɔwo, abɔwo, akɔta ƒe akpa si le etame, kple mo dzi wu. Zi geɖe la, teƒe ɣiwo dzena le afɔawo dzi gbã, vevietɔ le afɔawo ƒe ŋgɔgbe. `(melanin)` ƒe agbɔsɔsɔ si le wò ŋutigbalẽ me dzi ɖeɖe kpɔtɔ gbɔe teƒe ɣi siawo tsona. `(idiopathic guttate hypomelanosis)` menye nɔnɔme si gblẽa nu le ame ŋu o. Gake ne teƒeawo ƒe dzedzeme medze ŋuwò o la, ƒo nu kple ŋutigbalẽŋutinunyala aɖe be nàsrɔ̃ nu tso atsyɔ̃ɖomi siwo li ŋu.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Gbedoxɔ me nɔnɔ, abɔdzikpɔkpɔ, tsaɖiɖi, ya nyui gbɔgbɔ – esiawo katã nyo ŋutɔ na mí. Gake, ne èdi be yeana yeƒe ŋutigbalẽ nanɔ lãmesẽ me alesi nàte ŋui la, mègaŋlɔ be be yeatsɔ ɣe ƒe keklẽŋusẽtike si me SPF 30 alo esi wu nenema le la asisi ɖe teƒe siwo katã woate ŋu ado goe hafi ado go – le ŋkeke si dzi alilikpowo le dodom alo le ʋukuku kabakaba yi fiasea me ko ta. Ðo ŋku edzi be UV keklẽ, vevietɔ tso ɣea, ate ŋu atsi wò ŋutigbalẽ kabakaba.

Ne ètsi dzi ɖe wò ŋutigbalẽ ƒe nyonyome, ŋutigbalẽ ƒe amadede ƒe tɔtrɔ, alo wò ɖiƒoƒo ƒe tɔtrɔ ŋu la, yi ŋutigbalẽŋutinunyala gbɔ. Mɔ geɖe li siwo dzi woato adzra ŋutigbalẽ si ŋdɔ gblẽ nu le ɖo egbea, eye woate ŋu ada ŋutigbalẽ me dɔdzẽ bɔbɔe ne wokpɔe kaba. Lé be na wò ŋutigbalẽ, enye nunɔamesi xɔasi aɖe na wò!

` photoaging, ɣe ƒe keklẽ, ŋutigbalẽ ƒe tsitsi, ultraviolet keklẽ, ŋutigbalẽ ƒe flitete, ŋutigbalẽ ƒe teƒeteƒewo, ɣe ƒe keklẽŋusẽtike