Ziphuphu ndi chinthu chomwe chimativutitsa ambiri aife. Nthawi zina chimabwera ngati ziphuphu zazing'ono ndipo chimatha pakatha masiku angapo. Koma pali mitundu ina ya ziphuphu zomwe zimakula kukhala ziphuphu zazikulu, zopweteka pansi pa khungu lathu zomwe zimatha kwa miyezi ingapo. Mtundu umodzi woopsa wa ziphuphu umatchedwa 'Nodular Acne'. Izi sizili ngati ziphuphu wamba, koma chinthu chomwe chimafunika chisamaliro chapadera pang'ono.

Kodi ziphuphu za nodular ndi chiyani?

Mwachidule, uwu ndi mtundu woipa kwambiri wa ziphuphu . Izi ndi ziphuphu zolimba komanso zopweteka zomwe zimapangika pansi pa khungu lanu. Zimawoneka ngati ziphuphu zofiira, zokwezeka pamwamba. Koma nthawi zambiri, sipamakhala mutu woyera kapena mutu wakuda pakati pa ziphuphuzi. Taganizirani ngati mwala wawung'ono womwe umamatiridwa pansi pa khungu lanu, ndipo ndi momwe zimamvekera.

Matumbo amenewa nthawi zina amatha kwa milungu ingapo, nthawi zina ngakhale miyezi ingapo. Amapwetekanso kwambiri . Chifukwa chachikulu cha izi ndichakuti mtundu wa bakiteriya wotchedwa ``Cutibacterium acnes`` (``C. acnes``) womwe umakhala pakhungu lathu umagwidwa mkati mwa matumbowa, zomwe zimayambitsa matenda ndi kutupa. Ichi ndichifukwa chake amapweteka kwambiri.

Matendawa, otchedwa nodular acne, ayenera kuchiritsidwa ndi dokotala wa khungu . Chifukwa, ngati sanachiritsidwe bwino, ziphuphuzi zimatha kuyambitsa zipsera zoopsa komanso zosatha . Chifukwa chake, kuyamba chithandizo mwachangu kungachepetse chiopsezo cha zipserazi.

Kodi ziphuphu za nodular zimakhala zofala bwanji?

Ziphuphu kwenikweni ndi chimodzi mwa matenda ofala kwambiri pakhungu padziko lonse lapansi. Komabe, ziphuphu za nodular ndi mtundu wa ziphuphu zoopsa komanso zotupa. Pafupifupi 20% ya anthu omwe ali ndi ziphuphu amakhala ndi mtundu uwu wa ziphuphu zoopsa . Izi zikutanthauza kuti sizichitika kwa aliyense, koma zitha kuchitika kwa anthu ochepa.

N’chifukwa chiyani ziphuphu za nodular zimachitika? Kodi zimayambitsa chiyani?

Mtundu woopsa wa ziphuphu umakula mofanana ndi ziphuphu zina zofala. Izi zikutanthauza kuti, zimachitika pamene pores pakhungu lathu yatsekedwa . Ma pores amenewa amatsekeka ndi maselo a khungu akufa, ma follicle a tsitsi, ndi sebum (mafuta omwe thupi lathu limapanga kuti khungu lathu likhale lonyowa). Kenako, mabakiteriya otchedwa 'C. acnes' omwe amakhala pakhungu mwachibadwa amatsekeredwa mkati mwa pores awa, zomwe zimayambitsa matenda, kutupa, ndi ululu.

Chabwino, tsopano tiyeni tiwone zifukwa zazikulu zomwe zimachititsa kuti ma pores azitsekeka:

• Kuchuluka kwa mafuta (sebum) m'thupi: Matupi a anthu ena mwachibadwa amapanga mafuta ambiri, zomwe zimapangitsa kuti ma pores azitsekeka mosavuta.
• Kusatsuka khungu moyenera: Ngati simuchotsa bwino dothi, fumbi, ndi maselo akufa omwe amasonkhana tsiku lonse, ma pores amatha kutsekeka.
• Kutuluka thukuta kwambiri:Mukatuluka thukuta, khungu lanu limakhala lonyowa. Izi zimakupangitsani kukhala ndi ziphuphu, makamaka mukavala zovala zolimba zomwe sizimayamwa thukuta. Anthu omwe ali ndi vuto lotchedwa ``Hyperhidrosis'', lomwe limayambitsa thukuta kwambiri, ali ndi mwayi waukulu wokhala ndi ziphuphu zamtundu uwu.
• Majini: Ngati wina m'banja mwanu wakhala ndi ziphuphu zoopsa, ndiye kuti inunso mungakhale ndi ziphuphuzi. Izi ndi majini.
• Mahomoni: Iyi ndi nkhani yofunika kwambiri.
• Kutha msinkhu: Pamene tikukalamba, kuchuluka kwa mahomoni athu kumasintha. Makamaka, kuchuluka kwa mahomoni otchedwa androgens kumawonjezeka. Ma mahomoni amenewa angapangitse khungu kupanga mafuta ambiri, zomwe zingatseke ma pores mwachangu. Anyamata aang'ono amakhala ndi mahomoni ambiri amenewa, kotero amakhala ndi vuto la ziphuphu.
• Kwa akazi: Ziphuphu za nodular zimatha kuchitika chifukwa cha kusintha kwa mahomoni panthawi ya mimba, kusamba, komanso kusamba.
• Mankhwala ena: Mankhwala ena, monga corticosteroids, amatha kuipitsa ziphuphu za nodular.
• Zosamalira khungu: Mafuta ena odzola, mafuta odzola, ndi zodzoladzola zimatha kutseka ma pores. Kugwiritsa ntchito zinthuzi kungayambitsenso ziphuphu ndi ziphuphu.
• Kupsinjika maganizo ndi nkhawa: Musadabwe, pamene kupsinjika maganizo kukuchulukirachulukira, thupi lathu limawonjezera kupanga "hormone ya nkhawa" yotchedwa ``Cortisol.'' Izi zingayambitsenso thupi kupanga mafuta ambiri (sebum) ndikuyambitsa ziphuphu.

"Tangoganizani, khungu lathu lili ngati mzinda wawung'ono. Mzinda umenewo uli ndi misewu (mabowo). Ngati misewu iyi yadzaza ndi dothi (maselo akufa, mafuta), magalimoto (mabakiteriya) amatsekeka, ndipo mavuto amayamba. Umu ndi momwe ziphuphu zimakhalira."

Kodi zizindikiro za ziphuphu za nodular ndi ziti?

Mungakhale ndi chotupa chimodzi chokha. Kapena mungakhale ndi zotupa zingapo zomwe zimasonkhana pamodzi. Chifukwa zimayambira pansi pa khungu, madokotala nthawi zina amazitcha 'ziphuphu zosawona.' Zizindikiro zazikulu ndi izi:

• Mafinya a ziphuphu: Izi zimamveka ngati ziphuphu zikakhudzidwa. Zimapezeka kwambiri pankhope, pachibwano, kumbuyo, kapena pachifuwa.
• Ululu kapena kukhudzidwa: Zimapweteka kwambiri zikakhudzidwa kapena kukanidwa. Nthawi zina, mungamve ululu ngakhale mutangokhala chete.
• Matumbo okwera: Izi nthawi zambiri zimaoneka zofiira, koma nthawi zina zimakhala ndi mtundu wofanana ndi khungu lanu.

Mwina munamvapo madokotala akukambirana za 'nodular acne' ndi 'cystic acne' pamodzi. Nthawi zina amatchedwanso 'nodulocystic acne'. Cystic acne ndi mtundu wa ziphuphu zomwe zimapanga pansi pa khungu. Komabe, cystic acne imakhala ndi mawonekedwe osiyana pang'ono.Matuza ofewa komanso amadzi. Koma ziphuphu za nodular ziphuphu zimakhala zolimba , zimamveka ngati ziphuphu, ndipo zimapweteka kwambiri. Anthu ena amatha kukhala ndi mitundu yonse iwiri nthawi imodzi.

Kodi ziphuphu za nodular zimazindikirika bwanji?

Kuti mudziwe izi, muyenera kuonana ndi dokotala wa khungu . Iye adzafufuza khungu lanu ndikukufunsani za zizindikiro zanu. Iye adzakufunsani mafunso monga kupweteka kwa ziphuphu ndi komwe zili. Muyeneranso kuwauza mankhwala omwe mukumwa komanso ngati pali aliyense m'banja mwanu amene wakhala ndi ziphuphu.

Izi nthawi zambiri zimatha kuzindikirika pongofufuza kunja kokha. Mayeso apadera safunikira kawirikawiri.

Kodi mungachiritse bwanji ziphuphu za nodular?

Ichi ndiye chinthu chofunikira kwambiri. Ziphuphu za nodular ziyenera kuchiritsidwa ndi dokotala wa khungu . Mafuta odzola ziphuphu omwe amagulitsidwa kunja kwa ofesi sangagwire ntchito pa izi. Musamafinye, kufinya, kapena "kudula" ziphuphuzi. Kuchita izi kumangowonjezera mavutowa ndikuwonjezera chiopsezo cha zipsera zazikulu .

Chabwino, tsopano tiyeni tiwone mtundu wa chithandizo chomwe dokotala wa khungu angakulimbikitseni pa izi:

• Mankhwala omwa:
• Pa ziphuphu zoopsa, mankhwala monga "Isotretinoin" angakulimbikitseni (muyenera kukambirana ndi dokotala wanu za zotsatirapo zake).
• Mankhwala oletsa kutupa monga Tetracycline ndi mankhwala oletsa kubereka angathandize kuchepetsa kutupa ndikuchiritsa ziphuphu.
• Mankhwala a "Spironolactone" amatha kuchepetsa kupanga mahomoni omwe amayambitsa ziphuphu kapena kuletsa ntchito yawo.
• Mankhwala operekedwa ndi dokotala:
• Izi zikuphatikizapo zinthu monga benzoyl peroxide, salicylic acid, ndi retinoids yamphamvu ya mankhwala.
• Dokotala adzakupatsani izi ngati kirimu, gel, kapena thovu kuti mupaka pakhungu lanu.
• Jakisoni wa Cortisone:
• Kuti muchepetse zotupa zazikulu kwambiri, zopweteka, kapena zomwe zakhalapo kwa nthawi yayitali, dokotala wanu angakulangizeni jakisoni wa cortisone.
• Dokotala wa khungu amabaya mankhwala a steroid mwachindunji m'chifuwa ndi singano yaying'ono. Izi zimachepetsa kutupa ndipo zimathandiza kuti chichiritse mwachangu.

Kumbukirani kuti, chithandizochi chiyenera kuchitika motsogozedwa ndi dokotala. Musawonjezere vutolo mwa kuchita chilichonse chomwe mukufuna kuchita.

Kodi ziphuphu za nodular zingapewedwe?

Sizingatheke kupewedwa kotheratu, chifukwa pali zinthu zomwe zimayambitsa majini ndi mahomoni. Komabe, kutsatira njira zabwino zaukhondo kungachepetse chiopsezo chotenga matendawa.

• Sungani khungu lanu loyera: Tsukani khungu lanu bwino ndi chotsukira chofewa m'mawa, usiku, komanso mukatuluka thukuta. Pewani kugwiritsa ntchito sopo wouma, womwe ungaumitse khungu lanu ndikuyambitsa mavuto ambiri.
• Pewani kupsinjika maganizo: Yesetsani kuchepetsa kupsinjika maganizo pogwiritsa ntchito zinthu monga kupuma movutikira komanso kusinkhasinkha.
• Gwiritsani ntchito zodzoladzola zabwino: Pewani kugwiritsa ntchito zodzoladzola ndi mafuta odzola omwe amatseka ma pores (`comedogenic`). Sankhani zinthu zomwe zalembedwa kuti `non-comedogenic``. Izi zikutanthauza kuti sizidzatseka ma pores.
• Idyani zakudya zopatsa thanzi: chepetsani zakudya zokhala ndi shuga komanso mafuta ambiri, idyani ndiwo zamasamba ndi zipatso zambiri, ndipo imwani madzi ambiri.
• Sinthani mapilo ndi matawulo pafupipafupi: Izi zitha kukhala ndi mabakiteriya.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi ziphuphu za nodular?

Musaiwale kuti ngati sizikuchiritsidwa, ziphuphuzi zimatha kuyambitsa zipsera zazikulu . Anthu ambiri amapeza mpumulo atalandira chithandizo kuchokera kwa dokotala wa khungu. Komabe, zingatenge nthawi kuti ziphuphuzi zichiritsidwe kwathunthu. Mwina miyezi ingapo.

Komanso, kumbukirani kuti kupeza chithandizo choyenera kungafunike kuphatikiza mankhwala kapena mankhwala. Dokotala wanu nthawi zambiri amakulemberani mankhwala opaka pakhungu ndi omwa. Ngati mukumwa mankhwala monga Isotretinoin, mungafunike kumwa mankhwala awiri kuti muyeretse khungu lanu lonse.

Chofunika ndikukhala woleza mtima ndi chithandizo. Musayembekezere kuchira mwadzidzidzi.

Kodi muyenera kupita kwa dokotala liti pankhani ya ziphuphu za nodular?

Ngati inu kapena mwana wanu muli ndi zizindikiro za ziphuphu za nodular, pitani kwa dokotala wa khungu mwamsanga. Ndikofunikira kuyamba chithandizo mwamsanga kuti mupewe zipsera zazikulu. Simungathe kuchiza ziphuphu zamtunduwu nokha kapena ndi mafuta odzola omwe amagulitsidwa ku ofesi ya dokotala. Zimafunika upangiri ndi chithandizo chamankhwala.

Kodi mumakhala bwanji olimba m'maganizo mu mkhalidwe uwu?

Mukakhala ndi ziphuphu zoopsa, anthu ena angamve kupsinjika maganizo, manyazi, komanso kukhumudwa . Izi ndi zachilendo. Ngati ziphuphu zanu zikukuvutitsani kapena zikukukhudzani kudzidalira, lankhulani ndi dokotala wanu za izi. Iye angakupatseni upangiri wa momwe mungapezere thandizo lomwe mukufuna, mwina mwa kukutumizani ku psychotherapy kapena, ngati kuli kofunikira, mankhwala.

Ziphuphu za nodular zimatha kukhudza moyo wanu, kudzidalira, komanso thanzi lanu la maganizo. Koma kumbukirani kuti pali mankhwala othandiza pa izi.

Uthenga Wopita Nawo Kunyumba

Chabwino, kuchokera pa zomwe takambiranazi, ndikukhulupirira kuti mwamvetsetsa bwino ziphuphu za nodular. Nazi zina mwa zinthu zofunika kwambiri zomwe muyenera kukumbukira:

• Ziphuphu za nodular ndi mtundu wa ziphuphu zomwe zimayambitsa ziphuphu zoopsa, zopweteka, komanso zozama kwambiri .
• Ndikofunikira kupeza chithandizo mwachangu kuchokera kwa dokotala wa khungu , apo ayi zipsera zosatha zitha kuchitika.
• Musamafinye kapena kukanikiza mabala awa. Zimenezi zingowonjezera vutolo.
• Gwiritsani ntchito mankhwala (mankhwala, mafuta odzola) omwe dokotala wakupatsani monga momwe mwalangizidwira, kwa nthawi yonse.
• Sungani khungu lanu loyera, chepetsani nkhawa, ndipo gwiritsani ntchito zodzoladzola zomwe sizimatseka ma pores.
• Ngati mukumva kuvutika maganizo ndi vutoli, lankhulani ndi dokotala wanu za vutoli.

Ngati muli ndi vutoli, musachite mantha. Lingathe kuchiritsidwa ndi chithandizo choyenera. Chofunika kwambiri ndikupempha thandizo pamalo oyenera komanso panthawi yoyenera.

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