Ukwelapha ama-Steroid Acne

-Delile

• Ziyini izimpawu?
• Izimbangela ezivamile
• Ama-Anabolic steroids asetshenziswa ekwakheni umzimba
• Ama-corticosteroids kadokotela, njenge-prednisone
• Kwenzeka kanjani
• Izinketho zokwelashwa
• Ama-antibiotic omlomo
• I-Benzoyl peroxide
• I-Phototherapy
• Amacala amancane
• Amathiphu okuvimbela
• Ukuthatha

Yini i-acne acne?

Imvamisa, induna ukuvuvukala kwezindlala zamafutha esikhumbeni sakho nasezimpandeni zezinwele. Igama lobuchwepheshe yi-acne vulgaris, kodwa kuvame ukubizwa nje ngezinduna, amabala, noma ama-zits. Igciwane (I-Propionibacterium acnes) kuhlangene nezinye izinto kubangela ukuvuvukala kwezindlala zikawoyela.

Induna ye-steroid inezimpawu ezicishe zifane nezinduna ezijwayelekile. Kepha ngomqubuko we-steroid, ukusetshenziswa kwe-systemic steroid yikho okwenza izindlala zikawoyela (ezisabekayo) zibe sengozini yokuvuvukala kanye nokutheleleka. I-steroids ingaba yimithi kadokotela, efana ne-prednisone, noma ukwakhiwa komzimba.

Olunye uhlobo lomqubuko, olwaziwa nge-malassezia folliculitis noma umqubuko wefungal, lubangelwa ukutheleleka kwemvubelo yezinwele. Njenge-acne vulgaris, kungenzeka ngokwemvelo noma njengomphumela wokusetshenziswa ngomlomo noma ngomjovo we-steroid.

Zombili izinduna ezejwayelekile kanye ne-steroid zivame ukwenzeka ebusheni, kepha zingenzeka nganoma yisiphi isikhathi sempilo.

I-steroid acne ihlukile kune-steroid rosacea, etholakala ekusetshenzisweni kwesikhathi eside kwama-topical corticosteroids.

Ziyini izimpawu?

Izinduna ze-steroid zivame ukuvela esifubeni sakho. Ngenhlanhla, kunezindlela eziningana eziphumelelayo zokuqeda induna yesifuba.

Ingabonakala futhi ebusweni, entanyeni, emuva, nasezingalweni.

Izimpawu zingafaka:

• ama-blackheads avulekile futhi avaliwe nama-whiteheads (ama-comedones)
• izigaxa ezincane ezibomvu (ama-papules)
• amabala amhlophe noma aphuzi (ama-pustules)
• izigaxa ezibomvu ezinkulu (ezibuhlungu)
• ukuvuvukala okufana ne-cyst (pseudocysts)

Ungaba nemiphumela yesibili ekukhetheni noma ekuklwebheni izinduna. Lokhu kungafaka:

• amamaki abomvu avela ezindaweni ezisanda kuphulukiswa
• amamaki amnyama avela ezindaweni ezindala
• izibazi

Uma induna ye-steroid ingeyohlobo lwe-acne vulgaris, amabala angahle afane kakhulu kunama-acne ajwayelekile, angewona ama-steroid.

Uma induna ye-steroid ingeyohlobo lwefungal (malassezia folliculitis), izindawo eziningi zezinduna zizoba ngosayizi ofanayo. Ama-comedones (ama-whiteheads nama-blackheads) awavamile ukuba khona.

Izimbangela ezivamile

Induna steroid kubangelwa ukusetshenziswa systemic (temlomo, injected, noma ukuhogela) izidakamizwa steroid.

Ama-Anabolic steroids asetshenziswa ekwakheni umzimba

Induna ye-steroid ivela kumaphesenti angaba ngu-50 abantu abasebenzisa ama-anabolic steroids ngemithamo emikhulu yokwakha umzimba. Ukwakheka okwaziwa njenge-sustanon (kwesinye isikhathi okubizwa nge- “Sus” ne- “Deca”) kuyimbangela ejwayelekile yomqubuko wama-steroid kuma-bodybuilders.

Umthamo omkhulu we-testosterone nawo ungaba nomthelela ekuqubukeni kwezinduna.

Ama-corticosteroids kadokotela, njenge-prednisone

Ukusetshenziswa okwandayo kwama-corticosteroids ngemuva kokuhlinzwa kokufakelwa komzimba nokwelashwa ngamakhemikhali kuye kwenza induna yama-steroid yande kakhulu.

Umqubuko we-steroid uvame ukubonakala ngemuva kwamasonto ambalwa wokwelashwa ngama-steroids abekiwe. Kungenzeka kakhulu kubantu abangaphansi kweminyaka engama-30. Kuphinde kuvame kakhulu kulabo abanesikhumba esikhanyayo.

Ubukhulu buxhomeke kubukhulu besilinganiso se-steroid, ubude bokwelashwa, kanye nokuthambekela kwakho ekuziphatheni izinduna.

Yize umqubuko we-steroid uvame ukuvela esifubeni, ukusetshenziswa kwemaski ekwelapheni kwe-inhalation kwama-corticosteroids kungenza ukuthi kube lula ukuvela ebusweni bakho.

Kwenzeka kanjani

Akwaziwa kahle ukuthi ama-steroids awandisa kanjani amathuba akho okuba nezinduna. Ucwaningo oluningi lubonisa ukuthi ama-steroids angaba nomthelela ekukhiqizeni umzimba wakho kwama-immune system receptors aziwa nge-TLR2. Kanye nokuba khona kwamagciwane I-Propionibacterium acnes, ama-receptors e-TLR2 angadlala indima ekuletheni ukuqubuka kwezinduna.

Izinketho zokwelashwa

Ukwelashwa kwe-acne acne, njengaleyo yezinduna ezejwayelekile (i-acne vulgaris), kubandakanya ukusetshenziswa kwamalungiselelo ahlukahlukene wesikhumba kanye nama-antibiotics omlomo.

I-Steroid-induced fungal acne (malassezia folliculitis) iphathwa ngama-antifungal, njenge-ketoconazole shampoo, noma i-antifungal yomlomo, njenge-itraconazole.

Ama-antibiotic omlomo

Ama-antibiotic omlomo weqembu le-tetracycline anqunyelwe amacala abucayi futhi alinganiselayo enduna ye-steroid, futhi kunoma yiliphi icala elibonisa isibazi. Lokhu kufaka phakathi i-doxycycline, i-minocycline, ne-tetracycline.

Lawa ma-antibiotic abulala amabhaktheriya akhulisa induna futhi angahle abe nezindawo ezithile ezilwa nokuvuvukala. Kunikezwa amanye ama-antibiotics ezinganeni ezineminyaka engaphansi kwengu-8 ubudala.

Kungathatha amasonto amane kuya kwayisishiyagalombili ukusetshenziswa okuvamile kwama-antibiotic ngaphambi kokubona imiphumela yokuhlanzwa kwesikhumba. Impendulo ephelele ingathatha izinyanga ezintathu kuya kweziyisithupha.

Abantu abanemibala bathinteka kakhulu ekuqhamukeni kokuqubuka kwezinduna futhi bangelulekwa ukuthi baphuze ama-antibiotic omlomo, noma ngabe kunjalo.

Ngenxa yengozi eyengeziwe yokwenqaba kwama-antibiotic kanye nokuqala ukusebenza kancane, ongoti manje abakukhuthazi ukusetshenziswa kwama-antibiotic e-topical for acne.

I-Benzoyl peroxide

I-Benzoyl peroxide iyi-antiseptic esebenza kahle kakhulu esiza ukubulala amagciwane enduna futhi yehlise ukuvuvukala. Kunconywa ukuthi kusetshenziswe kanye nama-antibiotics omlomo, futhi ezimweni ezimnene ezingadingi ama-antibiotics.

I-Benzoyl peroxide iyatholakala kuzindlela eziningi zokwelapha izinduna. Ngezinye izikhathi kuhlanganiswa ne-salicylic acid.

Uma usebenzisa noma yikuphi ukulungiswa kwesihloko ebusweni bakho, kubalulekile ukukugcoba ebusweni bakho bonke, hhayi nje ezindaweni ozibonayo. Lokhu kungenxa yokuthi izinduna zivela kumasayithi amancane ngobuso obungenakubona.

Ungabusiki ubuso bakho ngolaka lapho uhlanza noma ufaka umuthi, ngoba lokhu empeleni kungabhebhethekisa ukuqubuka kwezinduna.

I-Phototherapy

Kunobunye ubufakazi bokusebenza kwe-phototherapy ngokukhanya okuluhlaza okwesibhakabhaka nokubomvu okwesibhakabhaka ukwelapha induna.

Amacala amancane

Ngecala elincane, udokotela wakho angazama ukugwema ukusetshenziswa kwama-antibiotics omlomo, futhi esikhundleni salokho anikeze uhlobo lokulungiswa kwesikhumba olwaziwa njenge-retinoid yama-topical. Lokhu kufaka phakathi:

• i-tretinoin (Retin-A, Atralin, Avita)
• i-adalpene (Differin)
• i-tazarotene (Tazorac, Avage)

Ama-retinoid ezihloko angokhilimu, ama-lotion nama-gel atholakala ku-vitamin A.

Basebenza ngokusiza ukukhiqizwa kwamangqamuzana esikhumba enempilo nokunciphisa ukuvuvukala. Akufanele zisetshenziswe ngesikhathi sokukhulelwa noma ukuncelisa.

Amathiphu okuvimbela

I-steroid acne, ngencazelo, ibangelwa ukusetshenziswa kwe-steroids. Ukumisa noma ukunciphisa ukusetshenziswa kwe-steroid kuzosiza ukuqeda induna.

Kodwa lokhu akwenzeki ngaso sonke isikhathi. Uma ama-steroids enqunyiwe ukuvimbela eminye imiphumela emibi, njengokwenqatshwa kwesitho esitshalwe kabusha, ayikho inketho yokuyeka ukuzithatha. Kuzofanele uphathwe induna.

Ukudla okunamafutha, eminye imikhiqizo yobisi, futhi ikakhulukazi ushukela kungaba nomthelela ekuqubukeni kwezinduna. Ungahle uthande ukuzama i-anti-acne diet. Izimonyo eziqukethe i-lanolin, i-petrolatum, uwoyela wemifino, i-butyl stearate, i-lauryl alcohol, ne-oleic acid nazo zingaba nomthelela ezinduneni.

Ngenkathi okunye ukudla nezimonyo kungafaka isandla ekuqubukeni kwezinduna, ukuziqeda ngeke kudale ukuthi induna yakho ihambe.

Ukuthatha

Induna ye-steroid ingumphumela ojwayelekile ohlangothini lwe-corticosteroids kadokotela, njenge-prednisone, kanye nokusetshenziswa kwe-anabolic steroids ekwakheni umzimba.

Lapho kungenzeka khona, ukuyekiswa kwe-steroid kungasusa ukugqashuka. Ngaphandle kwalokho, ukwelashwa ngamalungiselelo e-topical, ama-antibiotics omlomo, noma ama-antifungal kufanele asebenze.