Ingabe nawe uzithola lezi zinduna ezinkulu ezinamaqhubu? (Izinduna Ezinamaqhubu) Ake sithole kahle ngalokhu!

I-acne yinto ekhathaza abaningi bethu. Ngezinye izikhathi iza njengezinduna ezincane bese iphela ezinsukwini ezimbalwa. Kodwa kunezinhlobo ezithile ze-acne ezikhula zibe izigaxa ezinkulu nezibuhlungu ngaphansi kwesikhumba sethu ezingahlala izinyanga. Olunye uhlobo lwe-acne olubi kangaka lubizwa ngokuthi 'i-Nodular Acne'. Lokhu akufani ne-acne evamile, kodwa kuyinto edinga ukunakwa okukhethekile.

Kuyini i-nodular acne?

Kalula nje, lolu uhlobo olubi kakhulu lwe-acne . Lawa amaqhubu aqinile, abuhlungu akha ngaphansi kwesikhumba sakho. Abukeka njengamaqhubu abomvu, aphakanyisiwe ebusweni. Kodwa isikhathi esiningi, akukho mhlophe noma i-blackhead phakathi kwala maqhubu. Cabanga ngakho njengetshe elincane elinamathele ngaphansi kwesikhumba sakho, futhi yilokho okuzwakalayo.

Lezi ziqhubu ngezinye izikhathi zingahlala amasonto, ngezinye izikhathi ngisho nezinyanga. Zibuhlungu kakhulu futhi. Isizathu esiyinhloko salokhu ukuthi uhlobo lwebhaktheriya olubizwa ngokuthi ``Cutibacterium acnes`` (``C. acnes``) oluhlala esikhumbeni sethu lubhajwa ngaphakathi kwalezi ziqhubu, okubangela ukutheleleka nokuvuvukala. Yingakho zibuhlungu kakhulu.

Lesi simo, esibizwa ngokuthi i-nodular acne, kufanele nakanjani selashwe udokotela wesikhumba . Ngoba, uma singelashwa kahle, la maqhubu angabangela izibazi ezihlala njalo nezinzima . Ngakho-ke, ukuqala ukwelashwa ngokushesha ngangokunokwenzeka kunganciphisa ingozi yalezi zibazi.

Ivame kangakanani i-nodular acne?

I-acne empeleni ingenye yezifo zesikhumba ezivame kakhulu emhlabeni. Kodwa-ke, i-nodular acne uhlobo lwe-acne olubi kakhulu noluvuvukalayo. Cishe abantu abangama-20% abane-acne bahlakulela lolu hlobo lwe-acne olubi kakhulu . Lokhu kusho ukuthi akwenzeki kuwo wonke umuntu, kodwa kungenzeka nakubantu abambalwa.

Kungani kuvela induna enamaqhubu? Ziyini izimbangela?

Lolu hlobo olubi lwe-acne lukhula ngendlela efanayo nezinye i-acne ezivamile. Okusho ukuthi, lwenzeka lapho i-pores esikhumbeni sethu ivalekile . Lezi pores zivaleka ngamaseli esikhumba afile, ama-follicle ezinwele, kanye ne-sebum (amafutha akhiqizwa yimizimba yethu ukugcina isikhumba sethu simanzi). Ngemuva kwalokho, amagciwane abizwa ngokuthi 'C. acnes' ahlala ngokwemvelo esikhumbeni ayabhajwa ngaphakathi kwalezi pores, okubangela ukutheleleka, ukuvuvukala, nobuhlungu.

Kulungile, manje ake sibone ukuthi yiziphi izizathu eziyinhloko zokuvaleka kwama-pores:

• Ukukhiqizwa kwamafutha amaningi (i-sebum) emzimbeni: Imizimba yabanye abantu ikhiqiza amafutha amaningi ngokwemvelo, okwenza izikhala zibe sengozini enkulu yokuvaleka.
• Ukungahlanzi isikhumba ngendlela efanele: Uma ungasusi kahle ukungcola, uthuli, namaseli afile aqongelela usuku lonke, ama-pores angavaleka.
• Ukujuluka ngokweqile:Uma ujuluka, isikhumba sakho siba manzi. Lokhu kukwenza uthambekele kakhulu ekutholeni induna, ikakhulukazi uma ugqoka izingubo eziqinile ezingamunci umjuluko. Abantu abanesifo esibizwa ngokuthi "i-Hyperhidrosis", esibangela ukujuluka ngokweqile, banamathuba amaningi okuthola lolu hlobo lwenduna enezimbotshana.
• Ufuzo: Uma othile emndenini wakho eke waba nomkhuhlane omkhulu, kungenzeka kakhulu ukuthi ube nawo. Lokhu kubangelwa ufuzo.
• Ama-hormone: Lena inkinga ebaluleke kakhulu.
• Ukuthomba: Njengoba sikhula, amazinga ethu ama-hormone ayashintsha. Ikakhulukazi, amazinga ama-hormone abizwa ngokuthi ama-androgens ayanda. La ma-hormone angabangela isikhumba ukuthi sikhiqize uwoyela owengeziwe, okungavimba izikhala ngokushesha. Abafana abancane banala ma-hormone amaningi, ngakho-ke banamathuba amaningi okuthola induna.
• Kwabesifazane: I-nodular acne ingavela ngenxa yezinguquko zama-hormone ngesikhathi sokukhulelwa, ukuya esikhathini, kanye nokunqamuka kokuya esikhathini.
• Imithi ethile: Imithi ethile, njenge-corticosteroids, ingenza kube kubi kakhulu i-nodular acne.
• Imikhiqizo yokunakekelwa kwesikhumba: Amanye ama-lotion, ama-creams, kanye ne-makeup kungavimba izikhala. Ukusebenzisa lokhu kungabangela nokuthi kwakheke la maqhubu nama-pimples.
• Ukucindezeleka nokukhathazeka: Ungamangali, lapho ukucindezeleka kukhuphuka, imizimba yethu ikhulisa ukukhiqizwa "kwe-hormone yokucindezeleka" ebizwa ngokuthi "i-Cortisol." Lokhu kungabangela nokuthi umzimba ukhiqize uwoyela owengeziwe (i-sebum) futhi kubangele induna.

"Cabanga nje, isikhumba sethu sifana nedolobha elincane. Lelo dolobha linemigwaqo (izimbobo). Uma le migwaqo ivinjelwa ukungcola (amangqamuzana afile, uwoyela), izimoto (amagciwane) ziyabhajwa, bese kuvela izinkinga. Yileyo ndlela induna eba ngayo."

Ziyini izimpawu ze-nodular acne?

Ungase ube neqhubu elilodwa lodwa. Noma ungase ube namaqhubu amaningana ahlangana ndawonye. Ngenxa yokuthi aqala ngaphansi kwesikhumba, odokotela ngezinye izikhathi bawabiza ngokuthi 'amaqhubu angaboni.' Izimpawu eziyinhloko yilezi:

• Amaqhubu ezinduna: Lawa azwakala njengezigaxa uma ethintwa. Avame ukutholakala ebusweni, emhlathini, esilevini, emhlane, noma esifubeni.
• Ubuhlungu noma ukuzwela: Kubuhlungu kakhulu uma kuthintwa noma kucindezelwa. Ngezinye izikhathi, ungase uzizwe ubuhlungu ngisho noma umi nje.
• Amaqhubu aphakanyisiwe: Lawa avame ukubonakala ebomvu, kodwa ngezinye izikhathi angaba nombala ofanayo nowesikhumba sakho.

Kungenzeka ukuthi uke wezwa odokotela bekhuluma 'nge-nodular acne' kanye 'ne-cystic acne' ndawonye. Ngezinye izikhathi ibizwa nangokuthi 'i-nodulocystic acne'. I-cystic acne nayo uhlobo lwe-acne oluvela ngaphansi kwesikhumba. Kodwa-ke, i-cystic acne inokubukeka okuhlukile kancane.Amaqhubu athambile namanzi. Kodwa amaqhubu e-acne anezimbotshana aqinile , azwakala sengathi amaqhubu, futhi abuhlungu kakhulu. Abanye abantu bangakha zombili izinhlobo ngesikhathi esisodwa.

I-acne e-nodular itholakala kanjani?

Ukuze uxilonge lokhu, kufanele nakanjani ubonane nodokotela wesikhumba . Uzohlola isikhumba sakho futhi akubuze ngezimpawu zakho. Uzokubuza imibuzo efana nokuthi amaqhubu abuhlungu kangakanani nokuthi atholakala kuphi. Kuzodingeka futhi umtshele ukuthi imiphi imithi oyiphuzayo nokuthi ngabe kukhona yini emndenini wakho onomlando we-acne.

Lokhu ngokuvamile kungatholakala ngokuhlolwa kwangaphandle kuphela. Ukuhlolwa okukhethekile akuvamile.

Indlela yokwelapha induna enezimbotshana?

Lokhu kuyinto ebaluleke kakhulu. I-nodular acne kufanele ilashwe udokotela wesikhumba . Ama-acne cream atholakala ngaphandle kwemithi ngeke asebenzele lokhu. Ungalokothi uwacindezele, uwacindezele, noma "uwavule" la maqhubu. Ukwenza kanjalo kuzokwenza abe mabi kakhulu futhi kwandise ingozi yokuba nezibazi ezinkulu .

Kulungile, manje ake sibone ukuthi hlobo luni lokwelashwa olungase lunconywe udokotela wesikhumba ngalokhu:

• Imithi yomlomo:
• Uma kwenzeka induna enkulu, imithi efana ne-"Isotretinoin" inganconywa (kufanele uxoxe ngemiphumela emibi yalokhu nodokotela wakho).
• Ama-antibiotic afana ne-Tetracycline kanye nezindlela zokuvimbela inzalo ngomlomo angasiza ekunciphiseni ukuvuvukala nokwelapha induna.
• Umuthi othi "Spironolactone" unganciphisa ukukhiqizwa kwama-hormone abangela induna noma avimbele ukusebenza kwawo.
• Ukwelashwa okudalwe ngudokotela:
• Lokhu kufaka phakathi izinto ezifana ne-benzoyl peroxide, i-salicylic acid, kanye nama-retinoids anamandla kadokotela.
• Udokotela uzokunika lokhu njengokhilimu, ijeli, noma igwebu ukuze ukufake esikhumbeni sakho.
• Imijovo ye-Cortisone:
• Ukuze unciphise amaqhubu amakhulu kakhulu, abuhlungu, noma asebenesikhathi eside, udokotela wakho angase akuncomele imijovo ye-cortisone.
• Udokotela wesikhumba ufaka umuthi we-steroid ngqo eqhubuni ngenaliti encane. Lokhu kunciphisa ukuvuvukala futhi kusize ukuthi kuphole ngokushesha.

Khumbula, lokhu kwelashwa kufanele kwenziwe kuphela ngaphansi kokuqondisa kukadokotela. Ungenzi isimo sibe sibi kakhulu ngokwenza noma yini ozizwa uthanda ukuyenza.

Ingabe induna enezimbotshana ingavinjelwa?

Kungase kungabi yinto engavinjelwa ngokuphelele, njengoba kunethonya lezakhi zofuzo kanye nelama-hormone. Kodwa-ke, ukulandela imikhuba emihle yokuhlanzeka kunganciphisa ingozi yokuyithola.

• Gcina isikhumba sakho sihlanzekile: Geza isikhumba sakho kahle ngesihlanzi esithambile ekuseni, ebusuku, nangemva kokujuluka. Gwema ukusebenzisa insipho eqinile, engomisa isikhumba sakho futhi ibangele izinkinga ezengeziwe.
• Lawula ukucindezeleka: Zama ukunciphisa ukucindezeleka ngezinto ezifana nokuzivocavoca ukuphefumula nokuzindla.
• Sebenzisa izimonyo ezisezingeni eliphezulu: Gwema ukusebenzisa izimonyo kanye nama-lotion avala ama-pores (`comedogenic`). Khetha imikhiqizo ebhalwe ukuthi ``non-comedogenic``. Lokhu kusho ukuthi ngeke ivale ama-pores.
• Yidla ukudla okunempilo: yehlisa ukudla okunoshukela namafutha, yidla imifino nezithelo eziningi, bese uphuza amanzi amaningi.
• Shintsha ama-pillowcases namathawula njalo: Lokhu kungaba namagciwane.

Yini okufanele ngiyilindele uma ngine-nodular acne?

Ungakhohlwa ukuthi uma kungelashwa, la maqhubu ezinduna angabangela izibazi ezinkulu . Abantu abaningi bathola impumuzo ngemva kokwelashwa ngudokotela wesikhumba. Kodwa-ke, kungathatha isikhathi ukuthi la maqhubu aphulukiswe ngokuphelele. Mhlawumbe izinyanga eziningana.

Futhi, khumbula ukuthi ukuthola ukwelashwa okufanele kungadinga inhlanganisela yokwelashwa noma imithi. Udokotela wakho uvame ukukunikeza imithi yokwelapha esetshenziswa endaweni yokwelapha kanye neyomlomo. Uma uthatha imithi efana ne-Isotretinoin, kungadingeka ukuthi uthathe izifundo ezimbili zemithi ukuze uhlanze isikhumba sakho ngokuphelele.

Into ebalulekile ukuba nesineke ngokwelashwa. Ungalindeli ukwelashwa ngobusuku obubodwa.

Kufanele ubonane nini nodokotela mayelana ne-nodular acne?

Uma wena noma ingane yakho ninezimpawu ze-nodular acne, bheka udokotela wesikhumba ngokushesha okukhulu. Kubalulekile ukuqala ukwelashwa ngokushesha okukhulu ukuze uvimbele amanxeba amakhulu. Awukwazi ukwelapha lolu hlobo lwe-acne ngokwakho noma ngokhilimu otholakala ngaphandle kwemithi kadokotela. Kudinga iseluleko sezokwelapha kanye nokwelashwa.

Uhlala kanjani uqinile engqondweni kulesi simo?

Uma une-acne enzima kakhulu, abanye abantu bangase bazizwe becindezelekile, benamahloni, futhi bedumele . Lokhu kuvamile kakhulu. Uma i-acne yakho ikukhathaza noma ithinta ukuzethemba kwakho, khuluma nodokotela wakho ngakho. Angakunikeza iseluleko sokuthi ungaluthola kanjani usizo oludingayo, mhlawumbe ngokukudlulisela ku-psychotherapy noma, uma kudingeka, imithi.

I-nodular acne ingathinta ikhwalithi yempilo yakho, ukuzethemba, kanye nenhlalakahle yengqondo. Kodwa khumbula, kunezindlela zokwelapha eziphumelelayo.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho-ke kusukela kulokho esikuxoxile, ngithemba ukuthi usuqonde kangcono nge-nodular acne. Nazi ezinye zezinto ezibaluleke kakhulu okufanele uzikhumbule:

• I-nodular acne uhlobo lwe- acne olubangela amaqhubu amakhulu, abuhlungu, futhi ajulile .
• Kubalulekile ukufuna ukwelashwa okusheshayo kudokotela wesikhumba , ngaphandle kwalokho kungase kuvele izibazi ezihlala njalo .
• Ungalokothi ucindezele noma ucindezele la maqhubu. Lokho kuzokwenza isimo sibe sibi kakhulu.
• Sebenzisa ukwelashwa (imithi, amafutha okugcoba) okunqunywe udokotela njengoba nje kunqunyiwe, isikhathi eside.
• Gcina isikhumba sakho sihlanzekile, wehlise ukucindezeleka, futhi usebenzise izimonyo ezingavali izikhala.
• Uma uzizwa ucindezelekile ngokwengqondo ngalesi simo, khuluma nodokotela wakho ngaso futhi.

Uma unale nkinga, ungesabi. Ingelapheka ngokwelashwa okufanele. Into eyinhloko ukufuna usizo endaweni efanele nangesikhathi esifanele.

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` I-acne yamaqhuqhuva, i-acne yamaqhuqhuva, i-acne, i-dermatology, izifo zesikhumba, ama-hormone, ukwelashwa kwe-acne