I-acne conglobata iyindlela enamandla kakhulu kodwa engavamile kakhulu. I-acne conglobata ibangela ama-pimples amakhulu, ama-papules, nama-nodules ajulile. Ama-neodules akhula kakhulu futhi ngokuvamile ahlotshaniswa. Ama-breakout avame ukukhipha ipusi elimnandi.
Okuhlukanisa i-acne conglobata esivumelwaneni esivame kakhulu se- nodulocystic ukuthi i-acne conglobata ibangela ama-abscesses amakhulu kanye namapheshana e-sinus.
Manje, lezi zincwajana ze-sinus azihlangene naso nezono zesiphetho sakho sokuphefumula. Amapheshana e-Sinus ahlala isikhathi eside, ahlanganisa amanxeba ngaphansi kwesikhumba.
Nge-acne conglobata, ukuqhuma okujulile kukhula futhi kwandlala ngaphansi kwesikhumba. Ama-breakout ajoyina, okwenza lezi zilonda ezijulile.
Yini Ebangelwa Ama-Acne Conglobata?
Njengamanye amacala amaningi, akakho impendulo ecacile yokuthi kungani ama-acne conglobata evele ngokuzumayo. I-acne conglobata ivame ukuqala njenge- acne vulgaris evame kakhulu. Ngezinye izikhathi kubonakala sengathi kuvele kungazelelwe, isikhathi eside ngemuva kwenkinga yangaphambili yezinyosi isuliwe.
Ukucatshangelwa ukuthi umzimba ngokungazelelwe uba yi- Propionibacteria acnes , ama-bacteria ayingxenye ebalulekile ekuthuthukiseni ama-acne, nokucindezela, okwenza ukuvuvukala okukhulu nokuthuthukiswa kokuphumula.
I-acne conglobata ikude kakhulu futhi ingavamile kakhulu emadodeni, ikakhulukazi lapho umuntu esemdala (20s no 30s).
Kuyinto engavamile kakhulu kwabesifazane futhi kuyinto engavamile kakhulu ezinganeni noma kubantu abadala.
Lokho esikuziyo yizinto ezithile ezivame ukuzenza njengezimbangela. Ngenxa yokuthi i-congnebata ye-acne ibonakala kaningi emadodeni, i-testosterone cishe iyinxenye ekuthuthukiseni kwayo.
Ukusebenzisa i-anabolic steroid kuyinhloko enkulu. Lolu hlobo lwe-acne lubonakala ngesilinganiso esiphezulu kubakhi bomzimba kunabantu abaningi.
Uma uhlakulela ama-acne aqinile futhi usebenzisa (noma usetshenzisile) i-steroids yokwakha umzimba, ake udokotela wakho azi. Ukwaziswa oluyinhloko lwazi kungasiza u-dermatologist wakho aphathe kahle i-acne yakho.
Ezinye izimbangela ze-androgen ezikhiqiza izicubu nemithi ye-thyroid. Kwabesifazane, i- polycystic ovary syndrome (i-PCOS) ingaba yi-trigger eyinhloko. Kubuye kubonakale kaningi emadodeni asethathe imithi ye-testosterone futhi ingavela emva kokwelashwa kumisiwe.
I-acne conglobata igijima emindenini, ngakho-ke ingase ibe nesakhi sofuzo. I-acne evamile ibonakala igijima emindenini, ikakhulukazi izinhlobo ezinzima zama-acne . I-acne conglobata ixhunywe ne- hidradenitis suppurativa ne- pyoderma gangrenosum futhi ibonakala kaningi kubantu abanezimo.
I-Acne i-Conglobata Izimpawu
I-acne conglobata ngokuvamile ivela ngemuva nangesifuba, amahlombe, amathanga, nezinyawo, kanye nobuso. Uzothola imigqa yokuphumula, kunokuba kube nezinkinga ezingashadile, njengoba zikhula futhi zixhuma ngaphansi kwesikhumba. Kunemibono embalwa eyisihluthulelo engasiza ukuhlukanisa ama-acne conglobata ezigabeni ezinzima ze-acne nodulocystic (ngokuvamile ebizwa nge- cystic acne ).
Enye indlela ama- blackheads athuthuka ngayo. Ama-Blackheads, ngokusobala, ajwayelekile kakhulu futhi cishe wonke umuntu uyabathola, ngisho nabantu abangenayo i-acne.
Nakuba, ngokuvamile, ama-blackheads avela ngokubodwa, nge-acne conglobata blackheads njalo ivela emaqenjini amabili noma amathathu. Lezi zivutha futhi zikhule zibe ezinkulu, izinambuzane ezibuhlungu.
Ama-blackheads namanye ama-comedones angenabuthi ( ama- aka pore blockages) angakhula amakhulu kakhulu, kuze kube ngu-3 centimitha ngaphesheya. Lezi ziphazamiso ezinkulu ze-pore zibizwa ngokuthi "ama-macrocomedones."
Njengoba isikhumba sizama ukuphulukisa, isikhumba siba phakathi kwesici. I-acne conglobata nodules iyakwazi ukuphulukisa abagulayo futhi iqhubeke isakazeka ngaphandle njengoba isikhumba siqala phakathi nokuphumula.
I-Acne Conglobata vs. Acne Fulminans
I-acne conglobata ibheka kakhulu njengenye uhlobo engavamile ye-acne okuthiwa "i-acne fulminans." Umehluko omkhulu phakathi kwalezi zinhlobo ezimbili ze-acne wukuthi abantu abane-acne conglobata nabo banokuphumula okungafani, njengalabo bantu abamnyama esiwakhulume ngaphambili.
Ukuphumula okungekho okuvulekile akubonakali kulabo abanezintambo ze-acne fulminans.
Futhi, nge-acne fulminans, i-breakouts ijwayele ukuhlala ivulekile futhi ingase ikhale, kunokuba igwebe. I-acne fulminans ijwayele ukukhula ngokushesha kakhulu kune-acne conglobata futhi ingabonakala ne-fever nobuhlungu emathanjeni nasemalungeni.
Ukwelapha i-Acne Conglobata
I-acne conglobata inselele ukuphatha. Lolu hlobo lwe-acne kufanele lugcinwe ngokuphelele yi-dermatologist. I-Isotretinoin yindlela ejwayelekile kakhulu yokwelashwa futhi ngokuvamile yindlela yokwelashwa yokuqala eyabelwe.
Ama-antibiotic omlomo angenye yokukhetha ukwelashwa okuvamile. Zingase zisetshenziswe ngemuva kwe-isotretinoin eyekile, noma esikhundleni se-isotretinoin uma leyo mithi ingasetshenziswa.
I-Tetracycline , i- minocycline , ne- doxycycline ngokuvamile ibhalwe. Ngezinye izikhathi i-dapsone yomlomo isetshenzisiwe uma ungagcini imiphumela ngemithi elwa ngenhla.
Ama-steroids omlomo afana ne-prednisone angase anqunywe ukuze asize ukunciphisa ukuvuvukala. Kuneminye imibiko yokuthuthukisa nge-immunosupressive imithi infliximab.
Abanye odokotela baye baba nemiphumela emihle nge-CO2 laser kanye ne-tretinoin yama-topical, ikakhulukazi lapho izidakamizwa zomlomo zingasiza.
Uma i-acne conglobata ingatholi kangcono kungakhathaliseki ukuthi isetshenziswa kanjani, isinyathelo esilandelayo ukuzama ukukhipha umzimba ama-nodules anegciwane. Ama-neodules angasuswa esikhumbeni, noma asuswe ngokuhlinzwa. I-Cryotherapy ingasetshenziselwa ukuqeda izilonda. I-dermatologist yakho ingabuye ijobe i-triamcinolone emaqenqeni ukuze ibasize futhi ihlinzeke ukuphulukiswa.
Isihluthulelo ukuthola ukwelashwa kuqala; I-acne conglobata ingasakazeka ngokushesha. Njengoba i-congnebata ye-acne yenza umonakalo okwedlulele kwesakhiwo sesikhumba, cishe njalo ushiya ukushayeka, ngeshwa. Ukuthola ama-nodules ngaphansi kokulawula kungumgomo wokucindezela. Uma i-acne ilawulwa ngokufanele, wena kanye nesikhombisi sakho singakwazi ukuqala ukukhuluma ngezinketho zokwelashwa ezinzima .
Yazi ukuthi ukwelashwa kuthatha izinyanga ezimbalwa ukuqala ukusebenza. Ngalesi sikhathi uzobe uhlolwe eduze ngu-dermatologist yakho ukuqinisekisa ukuthi konke kuhamba ngendlela ehlelwe, futhi angenza amaphuzu ohlelweni lwakho lwezokwelapha njengoba kudingeka. Kuyinto ebaluleke kakhulu ukuthi uhlangane nesidumbu sakho njalo futhi uhlale uphambene nesiphakamiso sakho sokwelashwa.
Izwi elivela
Ngenxa yokuthi i-acne yakho inzima, akusho ukuthi une-acne conglobata. I-acne conglobata ayiyinto engavamile, ngakho-ke lokho okwenayo ngempela kuyi-nodulocystic acne vulgaris.
Zonke izinhlobo ezinzima ze-acne kumele ziphathwe yi-dermatologist noma kunjalo, ngakho-ke uma unamafutha amakhulu, yenza i-ASAP yokuqashwa. I-dermatologist yakho izohlonza ngokunembile inkinga yakho yesikhumba futhi, okubaluleke kakhulu, iza nehlelo lokukwelapha ukusiza ukuthuthukisa isikhumba sakho.
I-acne ejulile ingaba yinciphisa, kokubili ngokomzimba nangokomzwelo. Gcina udokotela wakho, umndeni wakho nabangane abasondelene nabo ukuthi wenza kanjani. Uma uzizwa ukhululekile noma ucindezelekile, noma ubonisa noma yiziphi izimpawu zokucindezeleka, ake udokotela wakho azi. Ncika kubathandekayo bakho ukusekela. Ukubhekana ne-acne conglobata kuyinselele, kodwa ungayithola.
> Imithombo:
> Dessinioti C, uKatsambas A. "Kunzima futhi Kunamafomu Omzimba Wama-Acne." Imitholampilo eDermatology. 2017 Mar - Apr; 35 (2): 138-146.
> Hafsi W, Badri T. "I-Acne, i-Conglobata." I-StatPearls [I-intanethi]. I-Treasure Island (FL): I-StatPearls Publishing; 2017.