Izidakamizwa ezintsha zinikeza intukuthelo encane kakhulu esikhwameni esithintekayo
Zimbalwa izinto ezingase zikhungathekise kakhulu ukuthi isifo esingapheli sezintambo. Sekuyiminyaka eminyaka abantu befunda isayensi yezinyosi ukuze benze izixazululo eziphuthumayo nakancane kakhulu kuzo zonke izinhlobo zesikhumba.
Ezinye zezokwelapha ezidumile kakhulu ziqukethe amakhemikhali abizwa ngokuthi i-retinoids esebenza ngokuvimbela amaseli afile ukuba avimbele amaphuzu.
I-Anatomy ye-Acne Breakbreak
I-acne ibangelwa yimiphumela yama-hormone enyunithi ye-pilosebaceous , isakhiwo esikhumbeni esiqukethe izinwele zezinwele , u-sebaceous gland, nezinwele. Uma i-follicle ivinjelwa, ibangela kokubili ukuqoqwa kwamafutha (okubizwa ngokuthi i-sebum) nokukhuphuka kwebhaktheriya ehlukile ebizwa nge- Propionibacterium acnes .
Lokhu kudala kubangela ukulimala emgqeni we-follicle futhi kuvumela ukuthi ukutheleleka kungene. Amasosha omzimba aphendula ngokuthumela amaseli amhlophe egazi kusayithi lokutheleleka ukubulala amabhaktheriya. Lokhu kubangela ukwakheka kwe-pus-fill filled-pimple.
(I-pus ngokwayo ingaphezu kokuhlanganiswa kwe-sebum, amangqamuzana esikhumba afile, amasosha omzimba afile, namabhaktheriya afile.)
Ngenkathi i-follicle izoziphulukisa kancane kancane, ukuqubuka okuphindaphindiwe noma okubanzi kungabangela ukubonakala okukhanyekayo, isikhumba obomvu nokuphuza okujulile.
Indlela I-Retinoids Ephatha Ngayo I-Acne
Kukhona izindlela ezehlukene zokwelapha induna.
Eminye imikhiqizo iqukethe i- benzoyl peroxide noma i-salicylic acid ehlose ukusula ama-pores avinjelwe. Amacala acindezelayo ngokuvamile afaka ama-antibiotic omlomo noma ama-topical (njenge-minocycline) eceleni kwalezi zihlungi ze-pore.
Imithi yokubuyisela kabusha isebenza ngokuhlukile. Lezi zokhilimu ze-topical kanye nama-gels zithathwe yi-Vitamin A futhi zibhekwa njengokwelashwa kokukhethwa kwe-comedonal acne (blackheads and whiteheads).
Basebenza ngokukhuthaza ukukhiqizwa kwamangqamuzana omzimba wesikhumba ukuze baphuthukise ngokuphumelelayo amafutha nezikhumba ezifile ngaphandle kwama-pores avinjelwe.
Ngokwenza kanjalo, zivimbela nokwakhiwa kwamnyama amasha namhlophe.
Uhlobo lwezokwelapha ze-Retinoid
Ama-retinoids abhekwa njengokwelashwa okunamandla kakhulu futhi kufanele njalo enqunywe udokotela. Kukhona izinhlobo ezihlukahlukene zokwelapha ezifaka ukusetshenziswa komuthi owodwa we-retinoid: i-tretinoin, i-adapalene, ne-tazarotene.
I-Tretinoin imithi yokwelapha i-retinoid yesizukulwane sesithathu futhi enye yemikhiqizo eyaziwa kangcono kuma-shelf ekhefini. Zithengiswa ngaphansi kwegama elithi Retin-A, Avita, neRenova kodwa zitholakalayo njengesijwayelekile.
Amanothi womkhiqizo engeziwe:
- Umkhiqizo utholakala njengekhilimu (0.025%, 0.05%, 0.1%), i-gel (0.01%, 0.025%), kanye noketshezi (0.05%).
- I-Creams ayinamandla kunama-gel, kuyilapho ama-gel engaphansi kwamanzi.
- I-Tretinoin iphuka phansi uma ixubene ne-benzoyl peroxide ukuze ingasetshenziswa ngesikhathi esifanayo.
- Imiphumela emibi ihlanganisa ukucasuka kwesikhumba ukuze kuqashwe izinyathelo zokuqapha uma uqala. Ukusetshenziswa kwe-tretinoin kwandisa ingozi yokushisa ilanga.
- Kumikhiqizo etholakalayo okwamanje, i-Retin-A Micro 0.1% yinketho yokukhululwa kancane okucasula kakhulu esikhumbeni.
I-Adapalene ngumkhiqizo omusha osetshenziselwa ukwelapha induna enomthelela olinganiselayo futhi uthengiswa ngaphansi kwegama elithi Differin.
Amanothi womkhiqizo engeziwe:
- I-Adapalene iyatholakala njengejelisi noma ukhilimu ku-0.1% no-0.3% amandla.
- Izinzile uma isetshenziselwa i-benzoyl peroxide ukuze isetshenziswe ngesikhathi esifanayo.
- Libi kakhulu esikhumbeni kunamanye imikhiqizo ye-retinoid.
- Kuyaziwa ukuthi kukhona kokubili ukukhishwa kwesimo kanye nezakhiwo eziphikisayo.
- Kubhekwa njengokulingana okulinganayo uma kuqhathaniswa ne-tretinoin.
I-Tazarotene iphinde ibe ne-retinoid yesizukulwane sesithathu edayiswa ngaphansi kwegama elithi Tazorac, Avag, Zorac, noFabior.
Amanothi womkhiqizo engeziwe:
- I-Tazarotene itholakala njenge-gel ku-0.05% no-0.1% amandla.
- Ibiza kakhulu kunezinye imikhiqizo ye-retinoid
- Kungaba okucasula kakhudlwana esikhumbeni kunezinye i-retinoids (nakuba izimpawu zivame ukuzixazulula ngaphakathi kwamasonto amabili kuya kokuqala okusetshenziselwa ukusetshenziswa).
- Ngenkathi kungavamile, kuye kwaba khona izimo zokwehla komzimba ngamanye.
- Abantu abaye babhekana nokucasula isikhumba kufanele baqaphele ngokukhethekile ukugwema ukuvezwa kwelanga ngokweqile.