Mwenje yechiedza chechiedza chemukamuri rekumirira yakaita seyakawedzera kutsvuka kweganda rechiso chaEmily. Akanyatsotarisa ganda guru pachirebvu chake, kusuruvara kwaaiziva uye kunyara kuri kumubata. "Ndine makore makumi maviri nemasere," akafunga, "handifaniri here kupedza izvi?" Zvaiita sejee rine hutsinye, chiyeuchidzo chinonyadzisa chekushaya chivimbo kwevechidiki vaaifunga kuti akasiya.
Pakupedzisira, zita rake rakashevedzwa, uye akapinda mukamuri rekuongororwa, nzvimbo ine chiedza chakapfava uye mavara akadzikama. Ikoko, Dr. Priya, chiremba wemhuri mudiki ane chiso chakanaka, akamukwazisa achinyemwerera zvine ushamwari izvo zvakabva zvaita kuti Emily anzwe akasununguka.
“Ndiudze zviri kuitika, Emily,” Dr. Priya vakadaro, izwi ravo rakapfava uye richinzwisisa.
Achifema zvakadzama, Emily akatanga, “Ndizvo zvakaita ganda rangu, Chiremba. Kubuda uku… hakumbomiri. Ndinonzwa sekunge ndaedza zvese, uye hapana chinoita sechinoshanda. Zvinoshungurudza zvikuru, uye kutaura chokwadi, zviri kukanganisa kuzviremekedza kwangu.” Akabvuma, misodzi ichibuda mumaziso ake, “Mamwe mazuva handitombodi kubuda mumba.”
Dr. Priya vakateerera nemoyo murefu, vachigutsurira musoro netsitsi. "Ndinonzwisisa, Emily. Mapundu anogona kunetsa zvikuru, mumuviri nemupfungwa. Asi ndapota ziva kuti hausi wega, uye anogona kurapwa zvachose. Ngatitangei nekunzwisisa kuti mapundu chii uye kuti nei achiitika. Zvadaro tinogona kuongorora mhando dzakasiyana, zvinogona kukonzera, uye pakupedzisira, kugadzira hurongwa hwekurapa hwakakunakira iwe."
Chii chinonzi Acne?
“Funga nezveganda rako serine maburi madiki,” Dr. Priya vakatanga, vachidhirowa dhayagiramu iri nyore pabepa. “Maburi aya akafanana nemaburi madiki, uye anogona kuvharwa nezvinhu zvakasiyana-siyana: mafuta anogadzirwa nemasero eropa , masero eganda akafa, tsvina, uye mabhakitiriya.”
"Kana ganda rikavharika, rinogona kuita ganda. Kana ukasangana nemapundu kakawanda, mapundu akawanda achibuda kakawanda, ungangove uine chatinoti mapundu. Chaizvoizvo chirwere cheganda chinoratidzwa nemapundu anoramba achibuda."
Mashoko aDr. Priya aibata Emily zvakanyanya. Zvaisangova nezvemapundu chete, asi kutenderera kwekuputika kwainzwa kusingagumi. Kunzwa kwekushaya simba paganda rake.
"Mapundu haatyisi hupenyu," Dr. Priya vakaenderera mberi vachiti, "asi anogona kurwadza mumuviri, kunyanya muzviitiko zvakakomba. Uye anogona kukanganisa zvakanyanya hutano hwako hwepfungwa . Hazvina kuipa kunzwa wakagumbuka uye kutsvaga rubatsiro."
Mhando dzakasiyana dzemapundu: Marudzi emapundu
“Saka, mapundu ese akafanana here?” Emily akabvunza, achiyeuka mhando dzakasiyana dzemapundu aakanga achirwa nawo.
“Kwete zvachose,” Dr. Priya vakapindura. Kune marudzi akasiyana emapundu, uye kuziva musiyano wacho kunogona kutibatsira kunzwisisa kuti tingaarapa sei zvinobudirira.”
Heino tafura inopfupikisa mhando dzakasiyana dzemapundu:
| Rudzi rweAcne | Tsananguro | Chitarisiko |
|---|---|---|
| Misoro mitema | Ma comedones akavhurika; maburi akavharika nemafuta uye masero eganda akafa, akavhurika pamusoro. | Mapundu madiki, matema nekuda kwekuoxidation yezvinhu zvakabatwa. |
| Machena | Makomedone akavharwa; maburi akavharika nemafuta nemasero eganda akafa, akavharika pamusoro. | Mapundu madiki, ane ruvara rwenyama. |
| Mapepa epapules | Maronda anokonzerwa nekuzvimba; mapundu madiki, matsvuku, uye akapfava. | Mapundu matsvuku, akasimudzwa asina pakati pacho parinoonekwa. |
| Mapundu | Maronda anozvimba; akafanana nemapapules asi azere nemapundu. | Mapundu matsvuku ane pakati pakazara urwa chena kana yero. |
| Mapundu | Maronda akakomba, akazvimba; mapundu makuru, akasimba, anorwadza pasi peganda. | Mapundu makuru, akaomarara, uye anorwadza ari pasi peganda. |
| Makonzo | Maronda akakomba, akazvimba; mapundu makuru, azere netumbu, anorwadza pasi peganda; njodzi huru yekukuvadzwa. | Mapundu makuru, akapfava, anorwadza, azere nemvura pasi peganda. |
Kuziva Zviratidzo: Zviratidzo zveAcne
"Kunze kwemapundu pachawo, pane zvimwe zviratidzo zvandinofanira kuziva here?" Emily akabvunza.
“Hongu,” Dr. Priya vakapindura. “Zvimwe zviratidzo zvinowanzoonekwa zvinosanganisira:”
- Magadzirirwo Eganda Asina Kuenzana: Mapundu nekuzvimba kwaanokonzera zvinogona kuita kuti ganda rako rinzwe rakakombama uye risina kuenzana.
- Kuchinja kweruvara rweganda: Mapundu anogona kukonzera kutsvuka, mavanga matema, kana mavanga, anozivikanwawo se hyperpigmentation.
- Kuzvimba uye Kuzvimba: Nzvimbo dzine kuzvimba dzakatenderedza mapundu.
- Marwadzo uye Kupfava: Kunyanya kana paine mabundu nema cysts.
- Mavanga: Mavanga kana mavanga akakura anosara mushure mekunge mapundu apora, zvinowanzoitika kana mapundu akakomba kana kuti mapundu acho abuda.
Kufumura Vane Mhosva: Chii Chinokonzera Mapundu?
"Chii chinokonzera kuti maburi aya avharwe pakutanga?" Emily akabvunza, achida kunzwisisa mudzi wedambudziko rake.
"Izvi zvinhu zvakawanda," Dr. Priya vakatsanangura. "Ngatifungidzirei gomba rimwe chete zvakare. Gomba rega rega rakabatana neganda rebvudzi, rine bvudzi neganda remafuta. Gland iri rinogadzira chinhu chine mafuta chinonzi sebum."
"Sebum inokosha; inochengetedza ganda rako rakapfava uye rakanyorova. Zvisinei, matambudziko anomuka kana:"
- Kugadzirwa kweSebum Yakawandisa: "Ma follicle ako anogona kuburitsa mafuta akawandisa. Kuchinja kwemahormone panguva yekuyaruka, pamuviri, kana nekuda kwezvirwere zvakaita sePCOS kunogona kukonzera izvi."
- Kuunganidzwa kweMasero Eganda Rakafa: "Masero eganda akafa anogona kuungana mukati meburi, achisanganiswa ne sebum ogadzira chivharo chinonamira."
- Kuunganidzwa kweMabhakitiriya: "Bakitiriya rinowanzoonekwa paganda rinonzi Propionibacterium acnes (P. acnes) rinokura munzvimbo dzine mafuta. Kana buri ravharwa, mabhakitiriya aya anowanda, zvichikonzera kuzvimba."
"Kana zvinhu izvi zvese zvikabatana - mafuta akawandisa, masero eganda akafa, uye mabhakitiriya akavharirwa muburi - ganda rinozvarwa," Dr. Priya akagumisa, achiratidza tsitsi munzwi rake.
Uri Panjodzi Here? Zvinhu Zvinokonzera Kubatwa neMapundu
“Sei ini?” Emily akazevezera, kunzwa kwakajairika kwekuzvipa mhosva kuchipinda. “Sei vamwe vanhu vachibatwa nemapundu uye vamwe vasingabatwi nawo?”
“Iwoyo mubvunzo uchiri kuferefetwa nevaongorori,” Dr. Priya vakadaro zvinyoro nyoro. “Asi tinoziva kuti zvimwe zvinhu zvinogona kuwedzera njodzi yako kana kuwedzera mburwa dziripo.”
| Chinhu Chinokonzera Njodzi | Tsananguro |
|---|---|
| Kuchinja kwemahormone | Kuyaruka, pamuviri, kuenda kumwedzi, uye kuenda kumwedzi zvinogona kukonzera kushanduka-shanduka kwemahormone zvinokurudzira kugadzirwa kwemafuta. |
| Mamiriro Emuviri WeEndocrine | Matambudziko akadai sePolycystic Ovary Syndrome (PCOS) anogona kukanganisa mahormone uye kukonzera mapundu. |
| Nhoroondo Yemhuri | Kana vabereki vako kana vanun'una vako vaiva nemapundu, iwe unogona kusanganawo nawo, zvichiratidza kuti une hutachiona hwemajini. |
| Mishonga | Mimwe mishonga, yakaita se corticosteroids, lithium, nedzimwe mhando dzemahormone ekudzivirira pamuviri, inogona kuwedzera mburwa semhedzisiro. |
| Kushushikana | Kunyange zvazvo kushushikana kusingakonzeri mapundu zvakananga, kunogona kuwedzera mapundu aripo nekukanganisa huwandu hwemahormone uye zvinogona kuwedzera kuzvimba. |
| Kudya | Dzimwe ongororo dzinoratidza hukama huripo pakati pekudya nemapundu. Zvikafu zvine shuga yakawanda (makabhohaidhiretsi akacheneswa nezvikafu zvine shuga yakawanda), zvigadzirwa zvemukaka (kunyanya mukaka), uye zvikafu zvine mafuta akawanda asina kunaka zvakaonekwa sezvine chekuita nazvo. Zvisinei, kutsvagurudza kwakawanda kunodiwa kuti pave nehukama hwakasimba. |
| Zvigadzirwa zveRunako | Zvigadzirwa zvekuzora zvine mafuta akawanda uye zvekuchengetedza ganda zvinogona kuvhara maburi. Tsvaga zvigadzirwa zvakanyorwa kuti “zvisingakonzere kukanganiswa kweganda,” zvichireva kuti hazviwanzo kukonzera kubuda kweganda. |
| Kusvuta | Kusvuta fodya kwave kuchibatanidzwa nekuwedzera kwenjodzi yekubatwa nemapundu uye kunogona kuwedzera kuputika kuripo. |
| Kurara Zvisina Kunaka | Kushaya hope kunogona kukanganisa kuenzana kwemahormone uye zvinogona kukonzera mapundu. |
Chiremba: Ongororo yakaitwa muna 2021 yakawana kuti zvimwe zvekudya kana kudya kunogona kukanganisa mapundu. Kudya kweglycemic index yakaderera. Kuderedza kudya zvekudya zvine glycemic index yakakwira, senge makabhohaidhiretsi akacheneswa uye shuga yakawedzerwa, kunogona kubatsira kuderedza mapundu. Zvigadzirwa zvemukaka. Kudya zvimwe zvigadzirwa zvemukaka, zvakaita semukaka neayisikirimu, zvinoita sekunge zvinoomesa mapundu kune vamwe vanhu. Zvisinei, chizi, pamwe chete nezvigadzirwa zvemukaka zvisiri zvemukaka, hazvionekwe sekuomesa mapundu. Mafuta nemafuta acids. Omega-3 neomega-6 fatty acids zvinogona kubatsira kuderedza mapundu. Kudya kwevegan nevemiriwo. Kunyange hazvo kudya kwevegan nevemiriwo kuchigona kupa mabhenefiti akawanda ehutano, humbowo hushoma hunotsigira izvi kunyanya kune Kurapa mapundu. Mapurobiotic. Kunyange hazvo mapurobiotic — anowanikwa muyogati, zvimwe zvekudya zvakaviriswa, uye zvekudya zvinovaka muviri — achigona kubatsira kuvandudza mapundu, nyanzvi hadzisati dzawana rutsigiro rwakakwana rwemapurobiotic sekurapa mapundu.
Kuongorora chirwere
“Kana mumwe munhu akafungidzira kuti ane mapundu, chii chinotevera?” Emily akabvunza, achinzwa tariro.
"Zvakanaka nguva dzose kuona chiremba weganda ane certification yebhodhi," Dr. Priya vakarayira. "Vanogona kuona mapundu nemazvo nekuongorora ganda rako, kuona mhando dzemapundu aripo, uye kuongorora kuoma kwawo."
"Vachakubvunzawo nezvenhoroondo yako yezvekurapa, mararamiro, uye chero mishonga yauri kutora kuti vaone zvimwe zvinogona kukonzera chirwere ichi," akawedzera. "Vanogona kukuudza kana uine mapundu kana chimwe chirwere cheganda."
Sarudzo dzeKurapa: Nzira yeKuwana Ganda Rakachena
"Zvakanaka, saka chii chingaitwa nezvemapundu?" Emily akabvunza, izwi rake rizere nekufungidzira uye kutya. Ndeapi marapirwo aunogona kuita?"
"Mashoko akanaka ndeekuti mapundu anorapika zvikuru," Dr. Priya akamuvimbisa. "Hurongwa hwekurapa hunoenderana nekuoma kwemapundu ako uye zvaunoda iwe pachako."
Mhuka Dzisina Kuoma: Mhinduro Dzisingatarisirwi Nechiremba
"Pamapundu madiki, anozivikanwa nemusoro mutema, misoro michena, uye mapundu madiki dzimwe nguva, zvigadzirwa zveOTC zvinogona kushanda," Dr. Priya vakatsanangura.
- Benzoyl Peroxide: Ichi chinhu chinowanikwa mukuwachisa mapundu, mafuta, uye majeli. Inoshanda nekuuraya mabhakitiriya anokonzera mapundu, kuomesa mapundu aripo, uye kubatsira kudzivirira matsva kuti asaumbe. Inouya nesimba rakasiyana-siyana, kubva pa2.5% kusvika 10%.
- Salicylic Acid: Chinhu ichi chinobatsira kubvisa ganda kubva muganda, kudzivirira kuti maburi asavharwe nemasero eganda akafa. Inowanzo kuwanikwa muzvishandiso zvekuchenesa, matoners, uye mukurapa mavanga.
Chirevo chaChiremba: Zvakakosha kutanga nekuderedza huwandu hwezvinhu izvi uye kuwedzera zvishoma nezvishoma zvichienderana nenguva yazvinenge zvichidikanwa. Zvinogona kukonzera kuoma, kutsvuka, uye kukwesha, kunyanya kana ukatanga kuzvishandisa.
"Iva nemwoyo murefu," Dr. Priya vakawedzera. "Zvinogona kutora mavhiki akati wandei kuti uone kuvandudzika nekurapwa kweOTC."
Mapundu Ari Pakati Nepakati: Kuwedzera Kurapa
"Kana mishonga yeOTC isina kugadzirisa mburwa dzako mushure memavhiki akati wandei, kana kuti kana uine mburwa dzinozvimba dzakadai semapules nemapustule, inguva yekuona chiremba weganda," akadaro Dr. Priya. "Vanogona kunyora mishonga yakasimba, yakaita se:"
- MaRetinoids Epamusoro: "Idzi imhando dzevhitamini A, dzakadai setretinoin, adapalene, uye tazarotene. Dzinoshanda nekuwedzera kuchinja kwemasero eganda, kudzivirira maburi akavharika, uye kuderedza kuzvimba. Dzinogona zvakare kubatsira kuvandudza magadzirirwo eganda uye kuderedza kutaridzika kwemavanga eganda."
- Mishonga Inorwisa Mabhakitiriya: "Mishonga iyi, yakaita se clindamycin ne erythromycin, inobatsira kuuraya mabhakitiriya anokonzera mapundu pamusoro peganda. Inowanzo sanganiswa ne benzoyl peroxide kudzivirira kusabatwa nemishonga inorwisa mabhakitiriya."
- Mishonga Inorwisa Mabhakitiriya Inonwiwa: "Kune mburwa dzakapararira kana dzakaoma, mishonga inorwisa mabhakitiriya inonwiwa senge doxycycline kana minocycline inogona kunyorerwa. Iyi inoshanda nekuderedza mabhakitiriya nekuzvimba kubva mukati zvichienda kunze. Zvisinei, haawanzotorwa kwenguva refu"
- Kurapa Mahormone: "Kune vakadzi vane mapundu anokonzerwa nekuchinja-chinja kwemahormone, mamwe marudzi emapiritsi ekudzora pamuviri kana mushonga unonzi spironolactone anogona kubatsira. Izvi zvinoshanda nekudzora huwandu hwemahormone hunobatsira pakugadzirwa kwemafuta."
Mapundu Akakomba: Sarudzo Dzekurapa Dzakanyanya
"Kana paine mapundu akakomba e nodulocystic, chiremba weganda anogona kukurudzira kurapwa kwakasimba," Dr. Priya vakatsanangura.
- Isotretinoin yemuromo (yaimbozivikanwa seAccutane): "Uyu mushonga unoshanda zvikuru pakurapa mapundu akaomarara asina kupindura kune mamwe marapirwo. Inobva muvhitamini A inoshanda nekuderedza mafuta, kuderedza kuzvimba, uye kudzivirira maburi akavharika. Zvisinei, inogona kuva nemigumisiro yakakomba uye inoda kutariswa zvakanyanya nachiremba weganda."
- Majekiseni eCorticosteroid: "Kune ma cysts makuru, akazvimba, chiremba weganda anogona kubaya mushonga we corticosteroid zvakananga muchironda. Izvi zvinobatsira kuderedza kuzvimba nekurwadziwa nekukurumidza, uye zvinogonawo kubatsira kudzivirira mavanga."
Zvakakosha: Zvakakosha kukurukura nachiremba wako nezvengozi dzinogona kuitika uye mabhenefiti emushonga chero upi zvawo, kunyanya panguva yekuzvitakura kana kuyamwisa . Mimwe mishonga yemapundu, senge isotretinoin, inogona kukonzera matambudziko ekuzvarwa uye haifanirwe kutorwa panguva yekuzvitakura.
Maitiro Ekurapa Mapundu Nemavanga
"Kunze kwemishonga, kunewo nzira dzinogona kubatsira kurapa mapundu uye kugadzirisa kutaridzika kwemavanga emapundu," Dr. Priya vakawedzera.
| Maitiro | Tsananguro | Zvakanakira |
|---|---|---|
| Maganda emakemikari | Kuisa mushonga wemakemikari paganda kubvisa zvidimbu zvepamusoro, zvichiratidza ganda rakatsetseka. | Mapundu madiki, mavanga emapundu, kuvandudza magadzirirwo eganda |
| Kubvisa ganda kubva muganda | Kubvisa ganda rakafa kushoma uchishandisa chishandiso chakakosha. | Kuvandudza magadzirirwo eganda, mapundu akapfava |
| Kurapa neLaser | Kushandisa laser dzakasiyana-siyana kurwisa mabhakitiriya anokonzera mapundu, kuderedza kuzvimba, uye kugadzirisa mavanga emapundu. | Mavanga emapundu anoshanda, mapundu anokuvadza |
| Kurapa nePhotodynamic (PDT) | Kusanganisa mushonga unobatsira kusviba kweganda nechiedza chakakosha kuti uparadze mabhakitiriya anokonzera mapundu uye kuderedza kugadzirwa kwemafuta. | Mapundu anoshanda |
| Microneedling | Kushandisa tsono diki kugadzira kukuvara kudiki kunodzorwa, zvichikurudzira kugadzirwa kwecollagen uye kuvandudza magadzirirwo eganda. | Mavanga emapundu, zvichivandudza magadzirirwo eganda |
| Zvizadza zveDermal | Majekiseni anobaya kuti abvise mavanga emapundu. | Mavanga eganda akaora mwoyo |
| Majekiseni eCortisone | Kubaya corticosteroids mumaronda akazvimba. | Kuderedza kuzvimba nekurwadziwa mumakonzo makuru, kudzivirira mavanga |
Kutarisirwa Kumba: Kutsigira Chirongwa Chako Chekurapwa
"Chii chandingaita kumba kuti ndibatsire kudzora mapundu angu, kunze kwekushandisa mishonga yandakapihwa?" Emily akabvunza, achida kudzora hutano hweganda rake.
"Mubvunzo wakanaka, Emily," Dr. Priya vakapindura. "Pane zvinhu zvakati wandei zvaunogona kuita kutsigira hurongwa hwako hwekurapa uye kukurudzira ganda rako rakanaka:"
- Kuchenesa Zvinyoro: "Geza kumeso kwako kaviri pazuva nechishandiso chisina mafuta chakapfava. Dzivisa kukwesha zvakanyanya, izvo zvinogona kutsamwisa ganda uye kuwedzera mapundu."
- Zvigadzirwa Zvisingasanganisire Makomedhi: "Sarudza makeup, moisturizers, uye sunscreens zvakanyorwa kuti 'non-comedogenic' kana kuti 'isina mafuta.'"
- Kubvisa Mapundu!: "Ramba kuda kudzvanya, kudzvanya, kana kuburitsa mapundu. Izvi zvinogona kuwedzera kuzvimba, kuwedzera njodzi yekukuvadzwa, uye kuparadzira mabhakitiriya."
- Kugeza Mushure Mekurovedza muviri: "Dikita rinogona kusanganiswa nemafuta nemabhakitiriya paganda rako, zvichikonzera kubuda kweganda. Geza kana kugeza kumeso kwako mushure mekurovedza muviri kana kudikitira zvakanyanya."
- Chenesa Nhare Yako: "Nhare yako inogona kuva nemabhakitiriya, saka ichenese nguva dzose nejira rekuuraya utachiona."
- Chinja Mapillowcases Kazhinji: "Mapillowcases anogona kuunganidza mafuta, tsvina, uye mabhakitiriya. Zvichinje kanenge kamwe chete pasvondo."
- Kudya Kune Utano: “Kunyange zvazvo kubatana kuripo pakati pekudya nemapundu kuchiri kuongororwa, zvimwe zvidzidzo zvinoratidza kuti kudya kushoma kweglycemic index, kwakapfuma mumichero, miriwo, uye zviyo zvakakwana, kunogona kubatsira.”
- Gara Uine Mvura Yakawanda: "Kunwa mvura yakawanda kunobatsira kuchengetedza ganda rako rine mvura uye kubvisa chepfu."
- Dzora Kushushikana: "Kushushikana kunogona kuwedzera mapundu, saka tsvaga nzira dzakanaka dzekuzvidzora nadzo, dzakadai sekurovedza muviri, yoga, kufungisisa, kana kupedza nguva uri muzvisikwa."
- Funga nezve probiotic: Pane humbowo hushoma hunoratidza kuti probiotics inogona kubatsira kuderedza mapundu.
Kurarama neAcne: Zvinopfuura Kupfuura Kudzika Kweganda
"Ndinoziva kuti izvi zvakaoma, Emily," Dr. Priya vakadaro vachiratidza tsitsi. "Mapundu anogona kukanganisa zvinopfuura ganda rako chete. Anogona kukanganisa kuzviremekedza kwako, hupenyu hwako hwemagariro, uye kunyange hutano hwako hwepfungwa."
Misodzi yakabuda mumaziso aEmily paakabvuma kuti, “Ichokwadi. Mamwe mazuva, ndinongoda kuvanza chiso changu kubva kunyika. Zvinoita kuti ndinzwe ndichizvidya mwoyo.”
"Zvakakosha kubvuma manzwiro iwayo," Dr. Priya akapindura. "Usatya kutsvaga rutsigiro kubva kushamwari, mhuri, kana nyanzvi yekurapa. Yeuka, hausi wega, uye mapundu haasi iwo anotsanangura zvaunoita."
"Zvakakoshawo kuti uve nemoyo murefu nemaitiro ekurapwa," akawedzera. "Zvinogona kutora mavhiki akati wandei kana mwedzi kuti uone kuvandudzika kukuru. Kugara uchigadzirisa zvinhu kwakakosha, uye usaora mwoyo kana ukasangana nematambudziko dzimwe nguva."
Nzira Yekuenda Kuganda Rakachena
"Saka, ramangwana remunhu ane mapundu riri sei?" Emily akabvunza, achitsvaga kunyaradzwa.
"Maonero acho akanaka kwazvo," Dr. Priya vakasimbisa kudaro. "Nekurapwa kwakakodzera uye kurapwa nguva dzose, vanhu vazhinji vanogona kuwana kuvandudzwa kukuru kwemapundu avo. Uye kunyangwe ukambosangana nemapundu dzimwe nguva, angangove asina kunyanya kuoma uye anopera nekukurumidza."
“Yeuka, chinangwa hachisi cheganda rakakwana, asi ganda rine hutano,” akasimbisa. “Chinonyanya kukosha ndechekuti uwane zvinokubatsira uye uve netsika yekuchengetedza ganda yaunogona kuramba uchiita kwenguva refu.”
“Ndatenda, Dr. Priya,” akadaro Emily, achinzwa tariro itsva. “Ndiri kunzwa zviri nani kuti ndigadzirise izvi iye zvino. Ndagadzirira kudzora ganda rangu.”
“Wagamuchirwa, Emily,” Dr. Priya akapindura achinyemwerera. “Ingoyeuka, ndiri pano kuti ndikutsigire nhanho imwe neimwe yenzira. Tichashanda pamwe chete kuti tiwane nzira yakanakisisa yeganda rako uye kuti tikutungamirire munzira yekuenda kuganda rakajeka uye rine hutano.”
Mapundu anogona kunge ari chirwere chinowanzoitika uye chinonetsa, asi chinogonawo kurapwa. Nekunzwisisa zvinokonzera, kuziva mhando dzakasiyana dzemapundu, uye kushanda pamwe chete nachiremba weganda, unogona kuwana nzira inoshanda yekurapa inokubatsira kuwana ganda rakajeka uye kuwana chivimbo chako. Yeuka, mwoyo murefu nekutsungirira zvakakosha. Rwendo rwako rwekuenda kuganda rine hutano runogona kunge rune zvakanaka nezvakaipa, asi nenzira kwayo, unogona kuwana mhedzisiro inogara kwenguva refu uye kunzwa zvakanaka nezveganda rauri.
Mibvunzo Inowanzo bvunzwa
Chii chinonyanya kukonzera mapundu?
Mapundu anokonzerwa nezvinhu zvakasiyana-siyana, zvinosanganisira kugadzirwa kwemafuta akawanda (sebum), kuunganidzwa kwemasero eganda akafa, uye kuvapo kwebhakitiriya rinokonzera mapundu ( P. acnes ) mumaburi. Kuchinja kwemahormone, majini, mimwe mishonga, uye kushushikana zvinogonawo kukonzera mapundu.
Kudya kunogona kukonzera mapundu here?
Kunyange hazvo hukama huripo pakati pekudya nemapundu huchiri kutsvakurudzwa, zvimwe zvidzidzo zvinoratidza kuti zvimwe zvekudya zvinogona kuwedzera mapundu mune vamwe vanhu. Zvikafu zvine shuga yakawanda (makabhohaidhiretsi akacheneswa uye zvekudya zvine shuga), zvigadzirwa zvemukaka (kunyanya mukaka), uye chikafu chine mafuta akawanda asina hutano zvakave zvichitaurwa nezvazvo. Zvisinei, kutsvagurudza kwakawanda kunodiwa kuti pave nehukama hwakasimba.
Zvinotora nguva yakareba sei kuti mapundu apere nekurapwa?
Zvinotora mavhiki mana kusvika masere kuti mapundu aonekwe zviri nani kana munhu achirapwa nguva dzose. Mamwe marapirwo anogona kukonzera kuwedzera kwepundu pakutanga risati rava nani. Zvakakosha kuva nemoyo murefu uye kuramba uchitevera hurongwa hwekurapa hwawakarairwa nedermatologist.
Ndinogona here kubvisa mapundu angu?
Zviri nani kudzivirira kubuda mapundu, kudzvanya, kana kukwenya mapundu. Izvi zvinogona kuwedzera kuzvimba, kuwedzera njodzi yekukuvadzwa, uye zvinogona kuparadzira mabhakitiriya, zvichikonzera kubuda kwemapundu akawanda.
Zvakajairika here kuti vakuru vabatwe nemapundu?
Ehe, mapundu evakuru anowanzoitika, kunyanya kuvakadzi. Kuchinja-chinja kwemahormone, kushushikana, uye mimwe mishonga zvinogona kukonzera mapundu evakuru.
Mapundu anogona kurapwa here?
Kunyange hazvo pasina mushonga wekubvisa mapundu, anogona kurapwa zvinobudirira nehurongwa hwakakodzera hwekurapa. Vanhu vazhinji vanowana kuvandudzwa kukuru kana kutopera mapundu avo nekurapwa nguva dzose.
Ndingadzivirira sei mavanga emapundu?
Nzira yakanakisisa yekudzivirira mavanga emapundu ndeyekurapa mapundu nekukurumidza uye nguva dzose. Dzivisa kutora kana kudzvanya mapundu, uye funga nezvenzira dzakadai semaganda emakemikari, microdermabrasion, kana laser therapy kugadzirisa mavanga aripo.
Ndeupi musiyano uripo pakati pemapundu ehomoni nemapundu akajairwa?
Mapundu emahormone anowanzo konzerwa nekuchinja-chinja kwemahormone, kunyanya androgens (mahormone echirume aripo muvarume nevakadzi). Anowanzo onekwa akatenderedza shaya, chirebvu, uye matama epasi uye anogona kunge achienderera mberi, achitowedzera panguva yekuenda kumwedzi.
Ndingashandisa makeup here kana ndine acne?
Ehe, asi sarudza zvigadzirwa zvekuzora zvisina mafuta uye zvisina comedogenic, izvo zvisinganyanyi kuvhara maburi. Iva nechokwadi chekubvisa makeup ese zvakanaka usati warara.
Pane hukama huripo pakati pekushushikana nemapundu here?
Kushushikana hakukonzeri mapundu, asi kunogona kuwedzera mapundu. Kana wanyanya kushushikana muviri wako unogadzira ma androgens akawanda, ayo anosimudzira mafuta mumasero ebvudzi, izvo zvinogona kukonzera mapundu.
Pfungwa Huru
Mapundu anogona kuoma, asi zvakakosha kuyeuka kuti hausi wega uye kuti mishonga inoshanda iripo. Usarega mapundu achikutadzisa kurarama hupenyu hwako zvizere. Nekushanda nachiremba weganda, kushandisa nzira dzekuchengetedza ganda nguva dzose, uye kusarudza mararamiro ane hutano, unogona kuwana ganda rakajeka uye rine hutano uye kuwana chivimbo chako. Zvakakosha kuwana mushonga unoshanda kwauri.
