Iyini I-Melasma Futhi Iyiphi Indlela Engcono Kakhulu Yokuyelapha?

-Delile

• Izindlela Ezingcono Kakhulu Zokwelapha I-Melasma
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Ngasekupheleni kweminyaka engama-20, amabala amnyama aqala ukuvela ebunzini lami nangaphezulu komlomo wami ongaphezulu. Ekuqaleni, ngangicabanga ukuthi yimiphumela emibi nje engenakugwemeka yobusha bami engiyichithe ngifaka ilanga laseFlorida.

Kodwa ngemva kokuvakashela udokotela wesikhumba, ngathola ukuthi la mabala amnyama empeleni ahlotshaniswa nesifo sesikhumba esibizwa ngokuthi i-melasma. "IMelasma yisimo esivame kakhulu, futhi imvamisa ibonakala njengezindawo ezimnyama ezicwebezelile esikhunjeni ezivezwe yilanga," kusho uPaul B. Dean, MD, udokotela wesikhumba e-Grossmont Dermatology Medical Clinic futhi ongumsunguli weSkinResourceMD.com.

Imvamisa iqhamuka ezinhlangothini zezihlathi, maphakathi nebunzi, udebe olungaphezulu, nesilevu, kanye nezingalo-futhi, empeleni, akubangelwa ukukhanya kwelanga. "I-Melasma yisimo esibangelwa i-hormone," kusho uMelissa Lekus, isazi sokunakekelwa kwesikhumba futhi onelayisense. "Kuvela ngaphakathi ngaphakathi, okungenza kube nzima ukwelashwa." (Nakhu ukuthi ungabhekana kanjani namabala amnyama angenayo i-melasma esikhunjeni sakho.)

Icala eliyinhloko: ukwanda kwamazinga e-estrogen. "Izinga le-Estrogen liyakhula ngesikhathi sokukhulelwa nalapho kuthathwa umuthi wokuzala ngomlomo," kusho uDkt Dean. (I-PS ukulawula kwakho ukubeletha kungahle kuphazamise nombono wakho futhi.) Kungakho abesifazane besethubeni lokuzwa i-melasma lapho beqala iPilisi noma bekhulelwa. (Kulokhu, kwaziwa njenge-chloasma, noma "imaski yokukhulelwa.")

Yingakho futhi abesifazane besengozini enkulu yokuthola la mabala amnyama kunabesilisa. Eqinisweni, amaphesenti angama-90 abantu abane-melasma ngabesifazane, ngokusho kwe-American Academy of Dermatology. Abantu abanamathoni esikhumba amnyama nabo banamathuba amaningi okukuthola.

Umshwana wokuzihlangula: Nakuba kubangelwa ama-hormone, akukuniki amandla okubhaka elangeni. "Ukukhanya kwelanga kungayandisa i-melasma ngoba ukushiswa yilanga kuvula amangqamuzana e-melanin avikelayo, okwenza ubuso besikhumba bube mnyama ngokwengeziwe," kusho uLekus.

Izindlela Ezingcono Kakhulu Zokwelapha I-Melasma

Okokuqala, izindaba ezinhle: I-Melasma ivame ukuthuthuka uma amazinga e-estrogen ehla, njengalapho uyeka ukuthatha ukulawulwa kokubeletha, lapho ungasakhulelwe nangemva kokuya esikhathini. Ungazami ukulwa ne-melasma ngenkathi ukhulelwe, ngoba impi ehlulekayo, kusho u-Lekus-futhi ngokuvamile iyanyamalala ngemva kokubeletha. Manje can uyenza?

Vikela isikhumba sakho. Manje, ngenxa yezindaba engangizithanda kakhulu ilanga, umuntu oneminyaka engu-16 ubudala owayesaba kakhulu: "Ukwelashwa okubaluleke kakhulu kwe-melasma ukugcina imisebe ye-ultraviolet esikhumbeni," kusho uCynthia Bailey, MD, isikhulu se-American Board of Dermatology kanye nomsunguli weDrBaileySkinCare.com.

Ngamanye amazwi, asikho isikhathi sokuchayeka elangeni. Yenza lokhu ngokugqoka isikrini selanga esinobubanzi obubanzi nsuku zonke (ngisho nangezinsuku zemvula nasendlini, lapho imisebe ye-UV isengalimaza isikhumba sakho!), izigqoko ezinyakazayo ezinompheme obanzi, nokugwema ukukhanya kwelanga phakathi namahora ashisa kakhulu emini (imvamisa ngo-10 ekuseni ukuya ku-2 ntambama) , kusikisela uDkt. Dean.

U-Lekus uncoma le mikhiqizo:

• Inkungu yokusetha iSuper Goop ene-SPF 50, ongayifafaza phezu kokwenza kwakho, nasezindlebeni nasentanyeni yakho. ($ 28; sephora.com)
• I-EltaMD's sunscreen ene-SPF 46 iphelele uma ufuna umkhiqizo wokuvikela wonke umuntu. ($ 33; dermstore.com)
• I-Eminence Sun Defense Minerals ene-SPF 30 iyi-brush ekhanyisa ilanga okulula ukuyifaka kabusha, imunca uwoyela nomjuluko, futhi iza ngemibala eyisithupha. ($55; amazon.com)

Zama i-hydroquinone kadokotela. Ukuze uthole indlela esebenzayo, khuluma nodokotela wakho wesikhumba mayelana nemithi kadokotela ebizwa ngokuthi i-hydroquinone, kuphakamisa uDkt. Dean. "Lokhu ukwelashwa okuhle kakhulu kwe-melasma, okuza njengokhilimu, i-lotion, ijeli noma uketshezi." Ungayithola esitolo, kodwa lokho kungamaphesenti angu-2, kuphawula uDkt. Dean. Ifomu kadokotela lifinyelela emaphesentini ayi-8 lokuhlushwa, futhi liphumelela kakhulu.

Yenza umkhuba othile wokunakekela isikhumba. Ngaphezu kwalokho, ama-retinoid afana ne-Retin-A ne-glycolic acid azosiza ekunciphiseni ukukhiqizwa kombala ngezinye izindlela, kusho u-Bailey. "Ukwenza inqubo egqinsiwe yokunakekelwa kwesikhumba ngamalambu amaningi e-pigment kanye nezinciphisi zokukhiqiza i-pigment ezinesikrini selanga esibanzi kuthola imiphumela emihle kakhulu."

Ungakwazi futhi ukunciphisa ukubukeka ngemikhiqizo ye-OTC equkethe izithako ezikhanyisa njenge-kojic acid, i-arbutin, ne-licorice extract, kusho u-Lekus. Isibonelo esisodwa: Ama-glycolic nama-retinol pads weSkrip Skin aqukethe i-kojic ne-arbutin. I-Eminence's Bright Skin Overnight Correcting Cream enye inketho esebenzisa enye i-hydroquinone yemvelo ukuze kukhanye isikhumba ngenkathi ulele.

Futhi, zama ukukhipha uketshezi ekhaya okususa ungqimba oluphezulu lwamaseli esikhumba afile. “Lokhu kuvumela amangqamuzana esikhumba anempilo ukuthi akhule kabusha, futhi kuvumela ibala lakho likhanye naphezu kombala,” kusho uLekus.

Zama i-laser enolaka noma ukwelashwa kwe-peel. Ukulungele ukukhipha izibhamu ezinkulu? Udokotela wesikhumba angenza i-peel ejulile noma ukwelashwa kwe-laser ukunciphisa i-melasma, kusho uLekus. Kepha lokhu kufanele kube yindlela yakho yokugcina ngoba izindlela ezithile zokwelashwa ezihlosiwe zingenza i-melasma ibe mnyama ngenxa yalokho. (Bheka: Ungayikhipha Kanjani Ithoni Yakho Yesikhumba Usebenzisa Ama-Lasers nama-Peels)

Buza imibuzo eminingi ngaphambi kokuzibophezela kunoma yiliphi ikhasi noma i-laser ukwelapha i-melasma, uyancoma. Ukubheja okuphephile, xoxa nodokotela wesikhumba sakho kuqala mayelana nokuhlola kabusha inqubo yakho yokunakekelwa kwesikhumba-futhi, ngaphezu kwakho konke, vikela isikhumba sakho elangeni (okufanele ngabe uyasenza noma kunjalo.)

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