Ukunyanga i-Steroid Acne

Umxholo

• Ziintoni iimpawu?
• Izizathu eziqhelekileyo
• I-Anabolic steroids esetyenziselwa ukwakha umzimba
• Amayeza e-corticosteroids, anje nge-prednisone
• Kwenzeka njani
• Izinketho zonyango
• Amayeza okubulala iintsholongwane
• I-peroxide yeBenzoyl
• Ifotootherapy
• Amatyala amancinci
• Iingcebiso zokuthintela
• Ukuthatha

Yintoni i-acne acne?

Ngokwesiqhelo, amabala kukudumba kwamadlala eoyile kulusu nakwingcambu yeenwele. Igama lobugcisa yi-acne vulgaris, kodwa ihlala ibizwa ngokuba ngamaqhakuva, amabala, okanye i-zits. IntsholongwaneIpropionibacterium acnes) zidityaniswe nezinye izinto zibangela ukudumba kwamadlala eoyile.

I-Steroid acne ineempawu ezifanayo nezamabala aqhelekileyo. Kodwa nge-acne acne, ukusetyenziswa kwenkqubo ye-steroid yeyona nto yenza i-oyile (sebaceous) idlala ngokuthamba ukudumba kunye nosulelo. I-steroids ingaba yimithi yonyango, njenge-prednisone, okanye ukwakhiwa komzimba.

Olunye uhlobo lwe-acne, olubizwa ngokuba yi-malassezia folliculitis okanye i-fungal acne, lubangelwa lusulelo losuleleko lwee-follicles zeenwele. Njenge-acne vulgaris, inokwenzeka ngokwendalo okanye njengesiphumo sokusetyenziswa ngomlomo okanye ngenaliti ye-steroid.

Zombini ii-acne eziqhelekileyo kunye ne-steroid zihlala zenzeka kwinqanaba lokufikisa, kodwa zinokwenzeka nangaliphi na ixesha lobomi.

I-Steroid acne yahlukile kwi-steroid rosacea, nesiphumo sokusetyenziswa kwexesha elide kwecorticosteroids.

Ziintoni iimpawu?

I-Steroid acne ihlala ibonakala esifubeni sakho. Ngethamsanqa, kukho iindlela ezininzi ezifanelekileyo zokuphelisa amabala esifubeni.

Ingabonisa ebusweni, entanyeni, emqolo, nakwiingalo.

Iimpawu zingabandakanya:

• Amnyama amnyama avulekileyo kunye namhlophe (ii-comedones)
• amaqhuma amancinci abomvu (iipilisi)
• amabala amhlophe okanye amthubi (iipustules)
• amaqhuma amakhulu abomvu abuhlungu (maqhuqhuva)
• ukudumba okufana necyst (pseudocysts)

Unokuba nefuthe lesibini ekukhetheni okanye ekukrwemeni amabala. Oku kunokubandakanya:

• amanqaku abomvu avela kwiindawo ezisandula ukuphiliswa
• amanqaku amnyama kwiindawo ezindala
• amanxeba

Ukuba i-acne acne yohlobo lwe-acne vulgaris, amabala anokufana ngakumbi kunamaqhakuva aqhelekileyo, angenayo i-steroid.

Ukuba i-acne acne yohlobo lwefungal (malassezia folliculitis), uninzi lwamabala amabala aya kubulingana. I-Comedones (i-whiteheads kunye ne-blackheads) zihlala zingabikho.

Izizathu eziqhelekileyo

I-Steroid acne ibangelwa kukusetyenziswa kwe-systemic (ngomlomo, inaliti, okanye inhaled) iziyobisi ze-steroid.

I-Anabolic steroids esetyenziselwa ukwakha umzimba

I-Steroid acne ibonakala malunga neepesenti ezingama-50 zabantu abasebenzisa i-anabolic steroids kumanani amakhulu ekwakheni umzimba. Ukuqulunqwa okubizwa ngokuba yi-sustanon (ngamanye amaxesha kuthiwa "uSus" kunye no "Deca") yimbangela eqhelekileyo ye-acne acne kubakhi bomzimba.

Idosi ephezulu ye testosterone inokuba negalelo kuqhushumbo lwamabala amabala.

Amayeza e-corticosteroids, anje nge-prednisone

Ukusetyenziswa okwandayo kwe-corticosteroids emva kotyando lokufakelwa komzimba kunye nakwichemotherapy yenze ukuba i-acne acne ixhaphake.

I-acne acne ihlala ibonisa emva kweeveki ezininzi zonyango kunye ne-steroids emiselweyo. Kusenokwenzeka kubantu abangaphantsi kweminyaka engama-30. Ikwaxhaphake kakhulu kwabo banesikhumba esikhanyayo.

Ubunzima buxhomekeke kubungakanani bethamo le-steroid, ubude bonyango, kunye nokuchaphazeleka kwakho kwi-acne.

Nangona i-acne acne ihlala ibonakala esifubeni, ukusetyenziswa kwemaski kunyango lwe-inhalation ye-corticosteroids kunokwenza ukuba kube lula ukubonakala ebusweni bakho.

Kwenzeka njani

Ayaziwa ncam ukuba i-steroids inyusa njani amathuba akho okuba ne-acne. Izifundo ezininzi zibonisa ukuba ii-steroids zinokuba negalelo kwimveliso yomzimba wakho ye-immune system receptors eyaziwa ngokuba yi-TLR2. Kunye nobukho bentsholongwane Ipropionibacterium acnes, Ii-receptors ze-TLR2 zinokudlala indima ekuziseni ukuqhuma kwamabala.

Izinketho zonyango

Unyango lwe-acne acne, njengaleyo yamabala aqhelekileyo (i-acne vulgaris), kubandakanya ukusetyenziswa kwamalungiselelo ahlukeneyo esikhumba kunye ne-antibiotics yomlomo.

I-Steroid-indased acne fungal (malassezia folliculitis) inyangwa ngee-antifungals, ezifana ne-ketoconazole shampoo, okanye i-antifungal yomlomo, njenge-itraconazole.

Amayeza okubulala iintsholongwane

Amayeza okubulala iintsholongwane omlomo kwiqela le-tetracycline amiselwe iimeko ezinobuzaza nezimodareyitha ze-steroid acne, kunye nalo naliphi na ityala elibonisa ukonakala. Oku kubandakanya i-doxycycline, minocycline, kunye ne-tetracycline.

Ezi zintsholongwane zibulala iintsholongwane ezandisa amabala kwaye zisenokuba nezinto ezithile ezichasayo. Ezinye iindlela zimiselwe abantwana abangaphantsi kweminyaka esi-8 ubudala.

Ingathatha iiveki ezine ukuya kwezisibhozo zokusetyenziswa rhoqo kwee-antibiotiki ngaphambi kokuba ubone umphumo wokucoca ulusu. Impendulo epheleleyo ingathabatha iinyanga ezintathu ukuya kwezintandathu.

Abantu abanemibala banokuchaphazeleka ngakumbi kukuqhekeka kwamabala amabala kwaye banokucetyiswa ukuba bathathe amayeza okubulala iintsholongwane ngomlomo, nokuba kunetyala elincinci.

Ngenxa yomngcipheko okhulayo wokunganyangeki kwee-antibiotiki kunye nokuqala kancinci kokuthatha amanyathelo, iingcali ngoku ziyakudimaza ukusetyenziswa kwee-antibiotics zamathumba.

I-peroxide yeBenzoyl

I-Benzoyl peroxide yintsholongwane esebenzayo enceda ukubulala ibacteria yamabala kunye nokunciphisa ukudumba. Kuyacetyiswa ukuba isetyenziswe kunye namayeza okubulala iintsholongwane ngomlomo, kwaye nakwimeko ezinobulali ezingadingi zintsholongwane.

I-Benzoyl peroxide iyafumaneka kuninzi lwe-counter-counter-counter-acne unyango. Ngamanye amaxesha idibene ne-salicylic acid.

Xa usebenzisa naluphi na ulungiselelo lweengqungquthela ebusweni bakho, kubalulekile ukuba ulusebenzise ebusweni bakho bonke, kwaye kungekhona nje kwiindawo ozibonayo. Kungenxa yokuba amaqhakuva akhula kwiindawo ezincinci ezincinci ebusweni bakho ongaziboniyo.

Musa ukubugquma ubuso bakho ngoburhalarhume xa ucoca okanye usebenzisa amayeza, kuba oku kunokwandisa ukuvela kwamabala.

Ifotootherapy

Kukho ubungqina bokusebenza kwefototherapy ngokukhanya okuluhlaza okwesibhakabhaka nobomvu ukuze kunyangwe amabala.

Amatyala amancinci

Kwimeko enobulali, ugqirha wakho unokuzama ukunqanda ukusetyenziswa kwezibulala-ntsholongwane zomlomo, endaweni yoko amisele uhlobo lolungiselelo lolusu olubizwa ngokuba yitopic retinoid. Oku kubandakanya:

• I-tretinoin (iRetin-A, uAtralin, uAvita)
• adalpene (Differin)
• itazarotene (Tazorac, Avage)

Iingqungquthela ze-retinoids ziyi-creams, i-lotions kunye negel ezivela kwi-vitamin A.

Basebenza ngokunceda ukuveliswa kweeseli zolusu ezisempilweni kunye nokunciphisa ukudumba. Akufanele zisetyenziswe ngexesha lokukhulelwa okanye ukuncelisa.

Iingcebiso zokuthintela

I-Steroid acne, ngokwenkcazo, ibangelwa kukusetyenziswa kwe-steroids. Ukuyeka okanye ukunciphisa ukusetyenziswa kwe-steroid kuya kunceda ekupheliseni i-acne.

Kodwa oku akusoloko kunokwenzeka. Ukuba i-steroids imiselwe ukuthintela ezinye iziphumo ezibi, njengokukhatywa kwelungu elifakelweyo, akukho khetho lokuyeka ukuzithatha. Ngokuqinisekileyo kuya kufuneka uphathwe i-acne.

Ukutya okunamafutha, ezinye iimveliso zobisi, kwaye ngakumbi iswekile zinokuba negalelo kuqhamko lwamaqhakuva. Unokufuna ukuzama ukutya okuchasene namabala. Izinto zokuthambisa eziqukethe i-lanolin, i-petrolatum, ioyile yemifuno, i-butyl stearate, i-lauryl alcohol kunye ne-oleic acid nayo inokuba negalelo kumabala.

Ngelixa okunye ukutya kunye nezithambiso kunganegalelo ekuqhambukeni kwamabala, ukuzisusa akuyi kwenza ukuba amabala akho ahambe.

Ukuthatha

I-Steroid acne sisiphumo esiqhelekileyo secandelo le-corticosteroids, njenge-prednisone, kunye nokusetyenziswa kwe-anabolic steroids ekwakheni umzimba.

Apho kunokwenzeka, ukuyekiswa kwe-steroid kunokucacisa ukuqhambuka. Ngaphandle koko, unyango ngamalungiselelo eengxoxo, i-antibiotics yomlomo, okanye i-antifungals kufuneka isebenze.