Yintoni ebangela amaqhakuva, kwaye aPhathwa njani?

Umxholo

• Yintoni ipapule?
• Zenzeka njani ifom acne papules?
• Yintoni ebangela iipilisi?
• Ukunyanga iipilisi
• Isenokungabi yipapule
• Yise kude

Amabala yimeko yesikhumba exhaphake kakhulu. Ichaphazela abantu abaninzi kwiminyaka yonke, isini, nakwimimandla.

Zininzi iintlobo ezahlukeneyo zamabala, nazo. Ukwazi uhlobo oluthile lwe-acne kuya kukunceda ukhethe unyango olufanelekileyo.

Amabala akhula xa isikhumba (isikhumba seenwele) sivaleka ngeoyile kunye neeseli zolusu. Ukutya kweBacteria kule oyile ingaphezulu kwaye kuyanda. Kule nqanaba, i-pore evaliweyo inokukhula ibe yinye yeendidi ezimbini ze-acne:

• Induna yokudumba. I-acne evuthayo iquka iipilisi, i-pustules, i-nodules kunye ne-cysts.
• Amabala angavukiyo. Olu hlobo lubandakanya amabala amnyama kunye namhlophe.

Funda ukuze ufunde ukuba kutheni iifom zefomule kunye nendlela yokuzinqanda kwiindlela zabo.

Yintoni ipapule?

Ipapule liqhuma elincinci elibomvu. Ubukhulu bayo buhlala bungaphantsi kweemilimitha ezi-5 (malunga ne-1/5 ye-intshi).

Iipapu zingenayo iziko elityheli okanye elimhlophe lobofu. Xa ipapule iqokelela ubofu, iba sisiqhulo.

Uninzi lweepilisi luba ziipustules. Le nkqubo ihlala ithatha iintsuku ezimbalwa.

Ngelixa ulinga, kuyacetyiswa ukuba kungaphumi iipustules. Ukwenza njalo kunokuba semngciphekweni wokusasazeka kweentsholongwane kunye nokuqhekeka.

Ukuba kufuneka wenze i-pustle, landela la manyathelo. Unokuzama i-patch patch.

Zenzeka njani ifom acne papules?

Xa ioyile egqithileyo kunye neeseli zolusu zivale ipore yolusu, ukucinywa kuyaziwa njenge-comedo. Ioyile kule pore ivalekileyo ityisa iintsholongwane ezihlala kulusu lwakho olubiziweyo Ipropionibacterium acnes (P. acnes).

Kwenziwa le microcomedone kule nkqubo. Rhoqo unokubona kwaye uve imicrocomedone. Ingakhula ibe sisakhiwo esikhulu ekuthiwa yi-comedone.

Ukuba i-comedone iyaphuka kwaye isasaze iibhaktheriya kulusu lolusu-ngokuchasene nomphezulu wolusu-umzimba wakho uya kuphendula ngokudumba ukuze ulwe neentsholongwane. Esi silonda sidlamkileyo yipapule.

Yintoni ebangela iipilisi?

Izizathu eziphambili zepapuli, kunye ne-acne ngokubanzi, kubandakanya:

• iintsholongwane
• Imveliso yeoyile egqithisileyo
• Umsebenzi ogqithisileyo wee-androgens (iihomoni zesini esingamadoda)

Amabala anokubangela okanye anyanzeliswe ngu:

• uxinzelelo
• ukutya, njengokutya iswekile eninzi
• amayeza athile, anjengee-corticosteroids

Ukunyanga iipilisi

Ugqirha wakho unokucebisa ukuba uqale ngokunyanga amabala angabhaliswanga, njenge-benzoyl peroxide okanye i-salicylic acid. Ukuba ezi azisebenzi emva kweeveki ezimbalwa, ugqirha wakho unokukuthumela kugqirha wesikhumba onokunika amayeza anamandla.

Kwi-acne yokuvuvukala, ugqirha wakho wesikhumba unokumisela i-dapsone ye-topical (Aczone). Ezinye iingcebiso ngezihloko zinokubandakanya:

• I-Retinoid (kunye ne-retinoid-like) iziyobisi. I-Retinoids ibandakanya i-adapalene (Differin), tretinoin (Retin-A), kunye ne-tazarotene (Tazorac).
• Amayeza okubulala iintsholongwane. Amayeza okubulala iintsholongwane angabulala amagciwane angaphezulu kwesikhumba kwaye anciphise ubomvu. Ziqhele ukusetyenziswa nolunye unyango, njenge-erythromycin ene-benzoyl peroxide (iBenzamycin) okanye i-clindamycin ene-benzoyl peroxide (BenzaClin). Ngamanye amaxesha i-antibiotics isetyenziswa kunye ne-retinoids.

Ngokusekwe kubukhali be-acne yakho, ugqirha wakho wesikhumba unokucebisa amayeza omlomo, anje ngala:

• Amayeza okubulala iintsholongwane. Imizekelo ibandakanya i-macrolide efana ne-azithromycin okanye i-erythromycin, okanye i-tetracycline efana ne-doxycycline okanye i-minocycline.
• Iipilisi zokulawula inzala(yabasetyhini). Ukudityaniswa kwe-estrogen kunye neprogestin kunokunceda amaqhakuva, anje ngeOrtho Tri-Cyclen okanye iYaz.
• Iiarhente ezichasene ne-androgen(yabasetyhini). Umzekelo, i-spironolactone (Aldactone) inokuthintela ifuthe lehomoni ye-androgen kwincindi yeoyile.

Isenokungabi yipapule

Ukuba unayo ipapule enkulu kwaye ibonakala ngathi idumbile kwaye ibuhlungu, isenokungabi yipapule. Ingaba yi-acne nodule.

Amaqhuqhuva kunye neepapuli ziyafana, kodwa amaqhuqhuva aqala nzulu kulusu. Amaqhuqhuva abukhali ngakumbi kunamaphepha. Bahlala bethatha ixesha elininzi ukuphilisa kwaye banomngcipheko ophezulu wokushiya isikhumba.

Ukuba ukrokrela ukuba une-acne yamaqhuqhuva, jonga ugqirha wesikhumba. Banokukunceda ufumane isiqabu kwaye uyithintele ekungcolisweni.

Yise kude

Ipapule ikhangeleka ngathi yibhampu encinci, ephakanyisiweyo kulusu. Ikhula kwioyile egqithisileyo kunye neeseli zesikhumba ezivale ipore.

Ipapules ayinabofu bubonakalayo. Ngokwesiqhelo ipapule iya kugcwalisa ubofu kwiintsuku ezimbalwa. Xa ubofu bubonakala kumphezulu wolusu, bubizwa ngokuba yipustule.

Ipapapu luphawu lwamaqhakuva arhabaxa. Ukunyanga ngokungaphezulu kwekhawuntareni kunye nokunyanga ngonyango kunokunyanga iipapuli, ngokuxhomekeke kubukhali bazo. Ukuba unyango lwe-counter-counter alusebenzi emva kweeveki ezimbalwa, jonga i-dermatologist yakho.