Ingabe nawe unenkinga nge-acne? (I-Acne) Ake sixoxe ngalokhu!

I-acne iyinkinga evamile kubantu abaningi. Isikhumba sakho sinezimbobo ezincane, ezivalekile ngokungcola namafutha. Ngezinye izikhathi lezi zingaba mnyama noma zimhlophe. Ezinye izimbobo zingagcwala ubomvu futhi zibukeke njengezimbobo ezincane ezibuhlungu kancane. Odokotela babiza lesi simo ngokuthi ``I-Acne Vulgaris``.

Ingabe kunezinhlobo ezahlukene zezinduna? Ziyini?

Yebo, induna ayifani. Kunezinhlobo ezahlukene zenduna. Ake sibheke ezinye zezinhlobo eziyinhloko ezibonakala.

• I-acne ejulile, egcwele ubomvu (i-Cystic acne): Lezi yizilonda ezinkulu, ezifana ne-cyst, ezigcwele ubomvu ezakheka ngaphansi kwesikhumba. Kungenzeka kakhulu ukuthi zibangele izibazi.
• I-fungus acne ( i-Pityrosporum folliculitis ): Lokhu kwenzeka lapho uhlobo lwesikhunta olubizwa ngokuthi i-yeast lukhula kakhulu ezimbotsheni zakho zezinwele. Zingaba lusizi kakhulu futhi zingaba bomvu futhi zivuvuke.
• I-acne yama-hormone : Lokhu kuthinta kakhulu abantu abadala. Lolu hlobo lwe-acne lwenzeka lapho isikhumba sikhiqiza uwoyela omningi kakhulu, obizwa ngokuthi i-sebum, ovala izikhala.
• I-nodular acne: Lolu futhi uhlobo lwe-acne olubi kakhulu. Lungabonakala njengezimpukane ebusweni besikhumba, kanye nezimpukane ezibuhlungu nezinamaqhubu ngaphansi kwesikhumba.

Zonke lezi zinhlobo zezinduna zingathinta ukuzethemba kwakho . Izinduna ezihlala ziqinile kanye nezinduna ezinamaqhubu ikakhulukazi ngezinye izikhathi zingabangela izibazi ezihlala njalo. Ngakho-ke, kungcono ukubona udokotela ngokushesha ngangokunokwenzeka ukuze ukhethe ukwelashwa okufanele wena.

Ubani othola induna?

Empeleni i-acne yinto engakhula nganoma yisiphi isikhathi empilweni, cishe noma kancane, kuwo wonke umuntu. Ivame kakhulu ngesikhathi sobusha , ikakhulukazi ngesikhathi sokushintsha kwama-hormone, phakathi kweminyaka eyi-11 nengama-30. Kodwa-ke, i-acne ingavela nasebudaleni, ikakhulukazi kwabesifazane. Uma othile emndenini wakho eke waba nenkinga enkulu ye-acne, kusho ukuthi kungenzeka ukuthi uyithole ngenxa yezakhi zofuzo.

Ivame kangakanani induna?

Uma une-acne, okokuqala, yazi ukuthi awuwedwa . Yisifo sesikhumba esivame kakhulu esithinta abantu. Kulinganiselwa ukuthi abantu abangu-80% abaneminyaka ephakathi kuka-11 no-30 bazobhekana nohlobo oluthile lwe-acne.

Kukuphi lapho induna ivame ukwenzeka khona emzimbeni?

I-acne ivame ukubonakala kulezi zindawo:

• Ubuso
• Ibunzi
• Isifuba
• Amahlombe
• Ngaphandle

Empeleni, kunezindlala zamafutha emzimbeni wethu wonke. Lezi yizindawo lapho kutholakala khona izindlala zamafutha eziningi. Yingakho izinduna zenzeka kaningi kulezo zindawo.

Ziyini izimpawu ze-acne?

Uma kuvela induna, ungase ubone lezi zimpawu ezilandelayo esikhumbeni sakho:

• Amaqhubu/Amaqhubu: Lawa yilokho esivame ukukubiza ngokuthi amaqhubu. Agcwele ubomvu ngaphakathi.
• Ama-Papules: Lawa amaqhubu amancane, abomvu (mhlawumbe amnyama kunesikhumba sakho).
• Ama-Blackheads: Lawa ama-pores avaliwe esikhumbeni abonakala emnyama phezulu.
• Amakhanda Amhlophe: Lawa ama-pores avaliwe esikhumbeni abonakala emhlophe phezulu.
• Amaqhubu: Amaqhubu amakhulu, abuhlungu, futhi azwakala kalula ngaphansi kwesikhumba.
• Ama-Cysts: Lawa amaqhubu abuhlungu, agcwele ubomvu ngaphansi kwesikhumba.

Abanye abantu bangase babe nezinduna ezincane kakhulu, ezingavamile. Abanye bangase babe "nama-papule okuvuvukala" amaningi, abomvu, avuvukele. Ezimweni ezimbi kakhulu, lawa "ma-nodule" kanye "nama-cyst" angaba izinduna ezinkulu nezibuhlungu.

Yini ebangela induna?

Kalula nje, i-acne ibangelwa ukuvaleka kwezinwele zethu noma ama-pores. Ubuwazi ukuthi ngayinye yezinwele zethu ifana nepayipi elincane? Lezi zinwele zigcwele i-sebum evela kuma-gland. Ngakho-ke, lapho lezi zinwele zivaleka nge-sebum eningi kakhulu, ziyavaleka. Nazi ezinye izinto ezingabangela ukuvaleka:

• I-Sebum: Lena into efana namafutha ekhiqizwa isikhumba sethu ngokwemvelo. Ihlinzeka ngesivikelo esikhumbeni. Kodwa-ke, uma ingaphezulu, ingaba yinkinga.
• Amabhaktheriya: Inani elincane lamabhaktheriya lihlala ngokwemvelo ebusweni besikhumba sethu. Kodwa-ke, uma lawa mabhaktheriya eba maningi kakhulu, angafaka isandla ekuvalekeni kwezindawo ezimbobo.
• Amangqamuzana esikhumba afile: Isikhumba sethu sihlala sizivuselela. Lokhu kususa amangqamuzana esikhumba amadala, afile. Lawa mangqamuzana afile ngezinye izikhathi angabhajwa ngaphakathi kwezinwele.

Uma lezi zinto zivalela izikhala, okungukuthi, uma lezi zinto zibhajwa ngaphakathi kwe-follicle yezinwele bese kwakheka i-plug, kwakheka i-pimple. Yilokhu okubangela ukuvuvukala nobuhlungu . Ngezinye izikhathi ungabona ukubomvu okuzungeze i-pimple, okuwumphumela walokho kuvuvukala (ukuvuvukala).

Izimbangela ze-acne

Kunezinto ezithile ezingabangela induna noma zenze induna ekhona ibe yimbi kakhulu. Nazi ezinye zazo:

• Ukugqoka izingubo eziqinile, izigqoko, kanye nezigqoko zokuzivikela njalo.
• Ukungcoliswa komoya kanye nezimo zezulu ezinomswakama ophezulu.
• Ukusebenzisa ama-lotion anamafutha, ama-cream, noma ukusebenza ezindaweni lapho amafutha evame ukuba khona khona (isibonelo, endaweni yokuthosa ejulile endaweni yokudlela).
• Ukucindezeleka(`Ukucindezeleka`): Lokhu kubaluleke kakhulu. Lapho `ukucindezeleka` kukhuphuka, i-hormone `( Cortisol )` iyanda emzimbeni, okungathinta induna. Zicabange ukuthi uzohlolwa futhi ungaphansi 'kokucindezeleka' okuningi, akunjalo?
• Njengomphumela omubi wemithi ethile.
• Ukukha, ukukhama, ukuqhumisa amaqhubu... konke lokhu akukuhle ukukusho.

Ukudla okwandisa induna

Ezinye izifundo zithole ukuthi ukudla okuthile kanye nezindlela zokudla kungathinta induna. Isibonelo:

• Ubisi olunamafutha amancane
• Iphrotheni yeWhey
• Ukudla okunoshukela omningi

Nakuba ukudla ushukela omningi kungaba imbangela yezinduna, akukho ukuxhumana okuqondile okutholiwe phakathi kokudla ushokoledi nezinduna. Ukuze unciphise ingozi yezinduna, kubalulekile ukudla ukudla okunempilo nokulinganiselayo. Faka izithelo nemifino emisha (ikakhulukazi leyo ecebile ngevithamini C kanye ne-beta-carotene, enciphisa ukuvuvukala).

Ama-hormone kanye ne-acne

I-acne ikakhulukazi isifo sama-hormone . Ama-hormone e-androgen, ikakhulukazi i-testosterone, yiwona ayinhloko. Lawa avame ukusebenza esemncane. Abanye besifazane bangase babe ne-acne njengoba umjikelezo wabo wokuya esikhathini usondela ngenxa yomsebenzi wama-hormone. I-acne ingavela lapho ukuzwela kwesikhumba kula ma-hormone, amagciwane asesikhumbeni, kanye nezinto ezikhishwa yizindlala zomzimba kuhlangana.

Ungayithola kanjani induna?

Udokotela angakwazi ukuthola induna ngokuhlola isikhumba. Phakathi nalokhu kuhlolwa, udokotela uzobheka isikhumba sakho bese ebuza nganoma yiziphi izimpawu. Bangase futhi babuze ngezinto ezingabangela induna, njenge:

• Ingabe unengcindezi?
• Ingabe ukhona emndenini wakho onezinduna?
• Ingabe induna iyanda ngomjikelezo wokuya esikhathini ?
• Yimuphi umuthi owusebenzisayo njengamanje?

Ngokuvamile, akudingeki ukuhlolwa okukhethekile kokuxilonga ukuze kutholakale induna. Kodwa-ke, uma unesifo esibi kakhulu senduna, ikakhulukazi uma usumdala, kungadingeka ukuthi uhlolwe ukuze kuhlolwe isimo sezempilo esiyisisekelo.

Ubani owelapha induna?

Umhlinzeki wezempilo ojwayelekile noma udokotela wesikhumba angaxilonga futhi elaphe induna. Uma induna yakho ingalawulwa ukwelashwa noma inenkani kakhulu, kungcono ukubona udokotela wesikhumba.

Induna ingaba nzima kangakanani?

Odokotela besikhumba bakala induna ngokuya ngobukhulu bayo:

• Ibanga 1 (Elincane): Ngokuvamile amakhanda amhlophe namakhanda amnyama. Kungase kube nama-papule amancane nama-pustule ambalwa.
• Ibanga lesi-2 (I-acne Ephakathi noma Ene-Pustular): Kunezinhlayiya ezimbalwa zama-papules nama-pustules, ikakhulukazi ebusweni.
• Ibanga lesi-3 (I-acne enzima noma i-Nodulocystic): Kunezinhlobo eziningi zama-papules nama-pustules, kanye nama-nodules avuvukile ngezikhathi ezithile. Umhlane nesifuba nakho kungathinteka.
• Ibanga lesi-4 (I-acne ye-nodulocystic ebukhali): Kunenqwaba yama-pustules amakhulu, abuhlungu, avuvukele kanye nama-nodule.

Yiziphi izindlela zokwelapha induna?

Kunezindlela eziningana zokwelapha induna. Ukwelashwa kuncike eminyakeni yakho, uhlobo lwenduna, kanye nobunzima besimo sakho. Udokotela wakho angase ancome imithi yomlomo, imithi yokwelapha, noma ezinye izindlela ezithile zokwelapha. Umgomo oyinhloko wokwelashwa ukuvimbela ukwakheka kwenduna entsha nokwelapha induna ekhona.

Imithi yokwelapha izinduna

Lezi izinhlobo zemithi odokotela abangakutshela ukuthi uyifake esikhumbeni sakho. Ingafakwa esikhumbeni sakho njengeloshini. Ingase iqukathe izinto ezifana nalezi:

• I-Benzoyl peroxide: Lokhu kutholakala ngaphandle kwemithi ekhemisi. Kuza ngesimo sejeli noma isiwashi (Clearasil®, Stridex®, PanOxyl®, njll.). Isebenza ngokubulala amagciwane esikhumbeni abangela induna. Ukugxila okuphansi kanye nokuwasha akunamandla kangako esikhumbeni.
• I-salicylic acid: Lokhu kungathengwa futhi emakhemisi njengesihlanzi noma iloshini. Isusa ungqimba oluphezulu lwamaseli esikhumba afile futhi ivimbele ama-pores ukuthi angavaleki.
• I-Azelaic acid: Lena yi-asidi yemvelo etholakala ezinhlamvini ezifana nebhali nokolweni. Ibulala amagciwane esikhumbeni futhi inciphise ukuvuvukala.
• Ama-Retinoids (ama-derivatives e-vitamin A): Ama-Retinoids (njenge-Retin-A®, i-Tazorac®, i-Differin®) asiza ekunciphiseni ama-blackheads nama-whiteheads kanye nokuvula ama-pores. Lokhu akuyona into ongayisebenzisa ngemva kwe-pimple, kodwa kuyo yonke indawo lapho une-pimple khona ukusiza ukuvimbela ukwakheka okusha. Kungathatha izinyanga eziningana ukubona imiphumela.
• Ama-antibiotic: Ama-antibiotic asetshenziswa endaweni yokwelashwa njenge-Clindamycin ne-Erythromycin alawula amabhaktheriya ebusweni besikhumba. Asebenza kahle kakhulu uma esetshenziswa kanye ne-Benzoyl peroxide.
• I-Dapsone (Aczone®): Lena futhi iyijeli. Inezakhiwo zokulwa namagciwane. Ilungele induna evuvukele.

Imithi yomlomo yokuvuvukala kwama-acne

Lawa amaphilisi omlomo asetshenziselwa ukwelapha induna.

• Ama-antibiotic: Lawa anikezwa ama-acne abangelwa amagciwane. Avame ukunqunywa yi-Tetracycline, i-Minocycline, kanye ne -Doxycycline . Alungele ama-acne aphakathi kuya kwanzima.
• I-Isotretinoin (I-Isotretinoin / Amnesteem®, Claravis®, Sotret®): Lena i-retinoid yomlomo. Inciphisa usayizi wezindlala ezikhiqiza uwoyela, okunganciphisa ukubonakala kwe-acne. Kubalulekile ukulandela imiyalelo kadokotela wakho ngokucophelela lapho uthatha lo muthi, ikakhulukazi uma ukhulelwe.
• Amaphilisi okulawula ukukhulelwa: Amaphilisi okulawula ukukhulelwa angasiza abanye besifazane abanezinduna. Amanye amabhrendi, njenge-Estrostep®, i-Beyaz®, i-Ortho Tri-Cyclen®, kanye ne-Yaz®, avunyelwe ukwelapha izinduna. Aqukethe ama-hormone i-estrogen kanye ne-progesterone.
• Ukwelashwa ngama-hormone: Lokhu kungasiza abanye abantu, ikakhulukazi labo abanezinduna eziba zimbi kakhulu ngesikhathi sokuya esikhathini noma abanemijikelezo yokuya esikhathini engajwayelekile ngenxa yokwanda kwamazinga e-androgen. Lokhu kungafaka amaphilisi e-estrogen kanye ne-progesterone (amaphilisi okuvimbela inzalo) aphansi noma umuthi obizwa nge-Spironolactone, ovimba imiphumela yama-hormone athile ezingeni lezinwele kanye nezindlala zamafutha.

Ukwelashwa okwengeziwe kwe-acne

Uma imithi yokwelapha isikhumba noma yokuphuza inganciphisi kakhulu induna, noma uma unezibazi zenduna, udokotela angase ancome ezinye izindlela zokwelapha, ezifana nalezi:

• Ama-Steroids: Ezimweni ezimbi kakhulu zesikhumba, lawa afakwa ezinhlayiyeni ezinkulu ukuze kuncishiswe ukuvuvukala.
• Ama-Laser: Ama-Laser kanye nokwelashwa kokukhanya kusetshenziselwa ukwelapha izibazi zesikhumba. I-laser ishisa i-collagen ngaphansi kwesikhumba ebangela izibazi. Lokhu kuvuselela inqubo yokuphulukisa yomzimba, kubangele ukwakheka kwe-collagen entsha, enempilo, okukhuthaza ukukhula kwesikhumba esisha.
• Ama-Chemical Peels: Lokhu kwelashwa kusebenzisa amakhemikhali akhethekile ukususa ungqimba olungaphezulu lwesikhumba. Lokhu kuphumela esikhumbeni esibushelelezi, esilinganayo, futhi kunganciphisa ngisho nezibazi ze-acne.

Ama-antibiotic awelapha kanjani ama-acne?

Ama-antibiotic uhlobo lomuthi ohlasela amagciwane. Ama-bacteria angavala izikhala futhi abangele induna. Amanye ama-antibiotic anganciphisa nokuvuvukala. Ama-antibiotic angenza okulandelayo:

• Ivimba amabhaktheriya ukuthi angangeni emzimbeni.
• Ibhubhisa amagciwane.
• Kuvimbela amagciwane ukuthi angaphindaphindi.

Udokotela uzokunikeza imithi yokulwa namagciwane uma induna ibangelwa amagciwane, noma uma kukhona ukutheleleka. Ngezinye izikhathi, uma induna iphuma, amagciwane angangena kuyo, okubangela ukuthi ivuvuke futhi ibe buhlungu. Lo muthi ungasiza.Kodwa lokhu akulona ikhambi elihlala njalo le-acne, futhi akukuhle ukuthatha ama-antibiotics e-acne isikhathi eside.

Unganciphisa kanjani induna ekhaya?

Uma une-acne, nansi ezinye izinto ongazenza ukuze uvikele isikhumba sakho ekhaya:

• Geza isikhumba sakho okungenani kanye ngosuku ngamanzi afudumele (hhayi ashisayo kakhulu) kanye nesihlanzi esithambile.
• Geza isikhumba sakho ngemva kokuzivocavoca nokujuluka.
• Gwema ukusebenzisa imikhiqizo elukhuni esikhumbeni, njengotshwala, ama-astringents, ama-toner, kanye nama-exfoliants.
• Ekupheleni kosuku, susa izimonyo zakho ngaphambi kokulala.
• Ngemva kokuhlanza isikhumba sakho, faka i-moisturizer engenawo amafutha.
• > Okubaluleke kakhulu: Ungakhethi, ucindezele, noma uqhumise ama-pimple. Vumela isikhumba sakho siphole ngokwemvelo. Lokhu kuzosiza ekuvimbeleni amanxeba.

Uma lezi zindlela zokwelapha zasekhaya zinganciphisi induna, bona udokotela.

Ingabe imithi yokwelapha induna iphephile ngesikhathi sokukhulelwa?

Ama-cream amaningi esikhumba kanye nemithi yomlomo yezinduna akuphephile ukuyisebenzisa ngesikhathi sokukhulelwa. Uma ukhulelwe noma uhlela ukukhulelwa, kubalulekile ukukhuluma nodokotela wakho mayelana nokwelashwa kwezinduna. Futhi, tshela udokotela wakho uma ukhulelwa.

Kuthatha isikhathi esingakanani ukuthi induna iphole?

Ngokuvamile kuthatha isonto noma amabili ukuthi induna iphele yodwa. Ngemithi kanye nemikhuba emihle yokunakekela isikhumba, ungasheshisa inqubo yokuphulukiswa futhi uqede amanduna akho ngokushesha. Uma unenduna enkulu, kungathatha amasonto amaningana ukuthi iphele, ngisho noma ukwelashwa kungenziwa.

Ungakuvimbela kanjani ukwakheka kwe-acne?

Akunakwenzeka ukuvimbela ngokuphelele induna, ikakhulukazi ngezikhathi zokushintsha kwama-hormone. Kodwa unganciphisa ingozi yakho ngokwenza okulandelayo:

• Geza ubuso bakho nsuku zonke ngamanzi afudumele kanye nesihlanzi sobuso.
• Sebenzisa i-moisturizer engenawo amafutha amaningi.
• Khetha izimonyo ezibhalwe ukuthi "ezingenazo i-comedogenic" (okusho ukuthi ngeke zivale izikhala), bese ususa izimonyo ekupheleni kosuku.
• Gwema ukuthinta ubuso bakho ngezandla zakho njalo.

Yini ongayilindela uma une-acne?

I-acne ivame ukuphela njengoba ukhula. Kodwa-ke, abanye abantu bangase baqhubeke nokuba nezinkinga ze-acne kuze kube yilapho usukhulile. Udokotela wakho noma udokotela wesikhumba angakusiza ukuphatha lesi simo. Kunezindlela zokwelapha ezahlukene ezitholakalayo. Wena nodokotela wakho kungadingeka nizame ukuthola ukwelashwa okufanele kwesikhumba sakho. Okusebenza kuwe kungase kungasebenzi komunye umuntu.

Ingabe izibazi ze-acne ziyavela?

Yebo, ngezinye izikhathi izinduna zingabangela izibazi.Lokhu kwenzeka lapho induna ingena engxenyeni ephezulu yesikhumba futhi yonakalise izingqimba ezijulile zesikhumba esingaphansi. Ukuvuvukala kubangela ukuthi imbobo yamaqhubu ivuvuke futhi izindonga zamaqhubu zibhidlike, okubangela umonakalo esikhumbeni. Ukushaqeka kungaba yinto ecindezelayo ngokomzwelo, futhi lokho kuvamile. Kukhona nokwelashwa kwezibazi zamaqhubu.

Induna iyithinta kanjani impilo yengqondo?

I-acne ingathinta ukubukeka kwakho kanye nokuzethemba, ngakho-ke ingathinta nempilo yakho yengqondo. Ngokuvamile, i-acne ibangelwa ama-hormone futhi ingaphezu kwamandla akho. Lokhu kungabangela ukucindezeleka, okungaholela ezinhlungwini eziningi. I-acne ingaba yinselele, ikakhulukazi kubantu abasha. Uma i-acne yakho ikwenza uzizwe ukhathazekile noma ikuvimbele ekuhlanganyeleni emisebenzini yomphakathi nabangani nomndeni, khuluma nodokotela noma umeluleki wezempilo yengqondo .

Kufanele ngimbone nini udokotela?

Kungcono ukubona udokotela ngokushesha nje lapho uqala ukuba nezinduna bese uqala ukwelashwa. Ngaleyo ndlela, ungayilawula ngaphambi kokuba ibe yinkinga. Uma umuthi wakho wamanje wezinduna ungasizi, noma uma ubangela ukusabela kokungezwani komzimba, njengokulunywa noma ukushintsha kombala, bona udokotela.

Yimiphi imibuzo okufanele uyibuze udokotela?

• Uhlobo luni lwe-acne enginalo?
• I-acne yami imbi kangakanani?
• Ingabe kufanele ngibone udokotela wesikhumba?
• Hlobo luni lomuthi oluncomayo olungathengwa ekhemisi?
• Yimuphi umuthi owuncomayo kadokotela?

Ngezinye izikhathi, uma amakhambi asekhaya engasizi, kungadingeka ukuthi uthathe umuthi omncane ukuze usize. Uma une-acne eqinile, bona udokotela noma udokotela wesikhumba ukuze uthole ukwelashwa. Kubalulekile ukugwema ukuvela noma ukucindezela ama-pimples ukuze uvimbele amanxeba. Khumbula, ama-pimple angokwesikhashana futhi angelashwa ngokwelashwa okufanele kwesikhumba sakho.

Ekugcineni, khumbula...

I-acne yinto abantu abaningi okufanele babhekane nayo. Asikho isidingo sokuba namahloni noma ukuzizwa kabi ngayo. Into ebaluleke kakhulu ukuthola ulwazi olufanele, ufune iseluleko sezokwelapha uma kudingeka, futhi unakekele isikhumba sakho. Ngezinye izikhathi kuthatha isikhathi ukubona imiphumela, kodwa ngesineke nokwelashwa, ungabona imiphumela emihle nakanjani. Awuwedwa, futhi ungesabi ukucela usizo uma uludinga!