Ukwelashwa kwama-Nodular Acne: Yiziphi izinketho zami?

-Delile

• Imikhiqizo ye-Over-the-counter (OTC)
• Imithi kadokotela
• Amakhambi asekhaya
• Ezinye izindlela zokwelapha
• Ukudla okudlela endlini

Ukubuka konke

Induna yama-Nodular iyindlela ebucayi yezinduna. Yize kungaba nzima ukuphatha nokulawula, kunezindlela eziningi zokwelashwa ezitholakalayo.

Imikhiqizo ye-Over-the-counter (OTC) nemikhuba emihle yokunakekelwa kwasekhaya kunganikeza usizo.

Kodwa-ke, induna ye-nodular ingaqhubeka. Cishe uzodinga usizo lukadokotela wakho ukuze ululawule. Udokotela wesikhumba oqinisekiswe yibhodi angakunika ukwelashwa okusebenzayo futhi akunikeze namathiphu okuphatha izinduna.

Ngokwelashwa, ungasusa ukuqubuka futhi usize ukuvimbela okusha. Ungakugwema futhi ukuthuthuka kwezibazi noma ukuguqulwa kwesikhumba unomphela kwesikhumba sakho.

Qhubeka ufunde njengoba sihlola i-OTC nezinketho zemithi. Sizophinde sihlole amanye amathiphu okunakekelwa kwasekhaya.

Imikhiqizo ye-Over-the-counter (OTC)

Imikhiqizo ye-OTC okufanele uyicabangele yileyo esiza ukunciphisa uwoyela esikhunjeni sakho futhi ikhuthaze ukuxebuka.

Ama-topical cream noma ama-gel ane-benzoyl peroxide njengesithako esisebenzayo angakhetha kahle. I-Benzoyl peroxide isiza ukunciphisa ukuvuvukala namagciwane, kanye nenani lamakhanda amnyama namhlophe.

I-benzoyl peroxide ingenza isikhumba sakho sizwele kakhulu elangeni. Gwema ukuba selangeni isikhathi eside futhi uqiniseke ukuthi ugcoba i-sunscreen. Lesi sithako sinomphumela wokukhanyisa ezingutsheni, ngakho-ke qaphela lapho usisebenzisa.

Funda ukufakwa kwephakeji ngokucophelela ukuze uqonde ukuthi ungayisebenzisa kanjani imikhiqizo. Ngezinye izikhathi kungathatha amasonto ambalwa ngaphambi kokuthi ubone umehluko esikhunjeni sakho. Ukuze uthole okuningi kule mikhiqizo, hlamba isikhumba sakho njalo ngaphambi kokufaka imithi yokwelapha.

Lapho uqala ukusebenzisa imikhiqizo yezinduna ye-OTC, ungahle uqaphele ukukhuphuka kokukala noma ukubomvu kwesikhumba. Lokhu kuvame ukuba kwesikhashana futhi kufanele kuthuthuke ngemuva kwamasonto ambalwa.

Izinduna ezinzima kungenzeka zingaphenduli kumikhiqizo ye-OTC. Uma induna yakho ingabi ngcono noma imiphumela emibi iba mibi, yeka ukuyisebenzisa bese ubona udokotela wakho. Gcina udokotela wakho esesikhathini kuyo yonke imikhiqizo oyisebenzisile.

Imithi kadokotela

Izinduna ze-Nodular zivame ukuphendula kangcono ekwelashweni kwesistimu. I-dermatologist yakho cishe izoncoma umuthi womlomo ozowusebenzisa kanye nokwelashwa okunezihloko.

Ezinye izindlela zokwelapha izinduna zomlomo zifaka:

• Imithi elwa namagciwane. Ama-antibiotic omlomo asiza ukuqeda amagciwane futhi anciphise ukuvuvukala. Le mithi ingenza isikhumba sakho sizwele kakhulu elangeni. Zijwayele ukusetshenziswa kanye nama-retinoid ama-topical noma i-benzoyl peroxide.
• Ama-Corticosteroids. Kutholakala kwifomu lephilisi, ama-systemic corticosteroids angasiza ekunciphiseni ukuvuvukala okukhulu futhi asule isikhumba sakho.
• Izindlela zokuvimbela inzalo zeHormonal (abesifazane kuphela). Inhlanganisela ye-estrogen kanye ne-progestin amaphilisi angasiza ekuthuthukiseni izinduna. Kungathatha izinyanga ezimbalwa ukuthi baqale ukusebenza.
• Ama-anti-androgens (abesifazane kuphela). Lawa ma-ejenti asebenza ngokuvimba umphumela wamahomoni e-androgen ezingqungqutheleni ezikhiqiza uwoyela. Imiphumela emibi ingafaka ubungozi bokukhubazeka kokuzalwa. Akufanele usebenzise ama-anti-androgens uma ukhulelwe noma uhlela ukukhulelwa.
• Isotretinoin. Lesi sidakamizwa sibhekana namagciwane, ukuvuvukala, uwoyela oweqile, kanye nama-pores avalekile. Udokotela wakho kungenzeka ukuthi ayincome uma uzame yonke eminye imishanguzo futhi ayisebenzanga ukusula induna yakho. Cishe amaphesenti angama-85 abantu babika ukususwa ngemuva kwendlela eyodwa yokwelashwa. Imiphumela emibi engaba khona ibucayi. Imiphumela emibi ibandakanya ingozi ephezulu kakhulu yokukhubazeka okukhulu kokuzalwa uma ukhulelwa ngenkathi uthatha i-isotretinoin kunoma yiliphi inani, noma ngabe isikhathi esifushane. Uma ufanelekile ukusebenzisa lo muthi, kuzofanela uvumelane nohlelo lokuqapha.

Eminye imishanguzo yokwelashwa evela ezihlokweni yilena:

• Ama-retinoids. Lawa ma-lotion, okhilimu nama-gel atholakala ku-vitamin A. Retinoids asiza ukususa amaseli esikhumba afile. Zisiza futhi nasekuvikeleni izinwele zezinwele ezivalekile. Ama-retinoids angakwenza uzwele kakhulu elangeni. Zingadala ukukhubazeka kokuzalwa.
• I-salicylic acid ne-azelaic acid. Le mikhiqizo ingasiza ekulweni namagciwane. I-salicylic acid nayo ingasiza ekuvikeleni izinwele zezinwele ezixhunyiwe.
• Imithi elwa namagciwane. Ama-antibiotic ezihloko nawo asiza ukulwa namagciwane. Ngokuvamile zihlanganiswa nolunye ukwelashwa, njenge-benzoyl peroxide.
• UDapsone. Le ijeli engasiza ukulwa nokuvuvukala.

Yonke imithi ingaba nemiphumela engemihle. Khuluma nodokotela wakho ngezinzuzo ezingaba khona, ubungozi, nokuhlangana kwezidakamizwa zayo yonke imithi yakho ngaphambi kokuba uqale ukuyithatha.

Amakhambi asekhaya

Izinduna ze-Nodular azibangelwa inhlanzeko embi. Kodwa-ke, ukuthi unakekela kanjani isikhumba sakho kubalulekile. Nawa amanye amathiphu okunakekela ubuso nesikhumba sakho:

• Geza ubuso bakho kanye nanoma yiziphi ezinye izindawo ezithintekile kabili ngosuku.
• Geza futhi ngemuva kokujuluka, kodwa ungagezi ngokweqile.
• Uma uvame ukujuluka uzungeze izinwele zakho, shambisa izinwele zakho nsuku zonke.
• Sebenzisa insipho emnene noma umhlanzi.
• Gwema izikhuhla ebusweni, ama-astringents, nezifihla-buso zobuso.
• Sebenzisa iminwe yakho kunokuba usebenzise indwangu yokuwasha. Ungahlikihli kakhulu.
• Yiba mnene ngokwengeziwe lapho ushefa.
• Lapho ukhetha izimonyo, izivikelo zelanga, nemikhiqizo yezinwele, gwema lezo ezizwakala zinamafutha noma zinamafutha.
• Bheka imikhiqizo esekwe emanzini noma engavumelekile (okungenzeka ivimbele izimbotshana).
• Ungasebenzisi okufihla izinduna.
• Ungakhethi induna yakho noma uzame ukuqhuma izinduna.

Ilanga lingayicasula induna yakho. Eminye imithi yezinduna yenza isikhumba sakho sizwele kakhulu elangeni. Nazi ezinye izindlela zokuzivikela:

• Ungangeni elangeni ngqo lapho kungenzeka.
• Gqoka isigqoko esinomphetho obanzi ukumboza ubuso nentamo yakho.
• Uma uvame ukuthola izinduna emhlane nasesifubeni, gcina lezo zindawo zimboziwe.
• Gqoka isivikelo selanga. I-dermatologist yakho ingancoma eyodwa.
• Ungasebenzisi imibhede yokushuka noma amanye amadivayisi okushuka.

Nazi ezinye izixazululo ezisheshayo zokuqubuka okubuhlungu:

• Sebenzisa amakhaza ukudambisa izinhlungu nokuvuvukala. Faka i-ice cube kuthawula lephepha noma indwangu yokugeza ehlanzekile bese uyibamba endaweni ethintekile kuze kube yimizuzu eyi-10. Ungayiphinda le nqubo izikhathi ezimbalwa kepha vumela isikhumba sakho siphumule imizuzu eyi-10 phakathi kokufaka isicelo.
• Sebenzisa ukushisa kunoma yimaphi ama-whiteheads akhulayo. Okokuqala, cwilisa ithawula elincane elihlanzekile emanzini ashisayo. Ungavumeli amanzi ashise kakhulu. Ngemuva kokuyikhipha, bamba ithawula elifudumele esithubeni sakho imizuzu engaba ngu-15. Ungakwenza lokhu izikhathi eziningana ngosuku ukusiza ubomvu wokukhishwa kwezinduna.

Njalo vumela udokotela wesikhumba wakho azi izindlela ozisebenzisa ekhaya.

Ezinye izindlela zokwelapha

Ngaphandle kokwelashwa okuhleliwe nokwezihloko, udokotela wesikhumba sakho anganikeza ngezinye izindlela ezimbalwa zokwelapha induna ye-nodular. Ezinye zalezi zindlela zifaka:

• ama-lasers kanye nezindlela zokwelapha ze-photodynamic
• amakhasi ekhemikhali kadokotela
• ukukhishwa kwamakhanda amnyama namhlophe
• ukusika kanye nokudonsa amanzi ukusula i-nodule
• imijovo ye-corticosteroid ngqo endaweni ethintekile ukunciphisa usayizi we-nodule nokunciphisa ubuhlungu

Ayikho yalezi zinqubo okufanele izanywe ngokwakho. Khuluma nodokotela wesikhumba sakho ngemiphumela emibi nezinzuzo ezingaba khona zalezi zindlela.

Ukudla okudlela endlini

Awudingi ukuhlala nezinduna ezibuhlungu ze-nodular. Kunezindlela zokwelashwa eziningana ezisebenzayo ezingasiza ukusula isikhumba sakho. Ngenkathi kungathatha ukulingwa namaphutha, i-dermatologist yakho ingakusiza uthole ukwelashwa okukusebenzela kangcono.