Ama-shampoos agxiliwe ajwayele ukusetshenziselwa ukwelapha izidakamizwa.
Njengoba umuntu owaziyo, uyaba namahloni ukugqoka amakhanda amnyama uma ehlanganiswa emaphethelweni amhlophe. Ngenhlanhla, ukwelashwa okuphumelelayo kwe-dandruff, uhlobo lwe-seborrheic dermatitis, lukhona.
Kuyini Ukuhlukunyezwa?
I-Dandruff uhlobo lwe- seborrheic dermatitis . I-seborrheic dermatitis iyinhlobo evamile ye-dermatosis engapheliyo evame ukuthinta izindawo zomzimba eziqukethe izinhlayiya eziningi ezinjenge-scalp, ubuso, esifubeni nasemzimbeni womzimba.
Izithobezi ezisabekayo zenza i-sebum, i-waxy substance ehlanza izinwele nesikhumba. I-dermatitis emnene yesibindi esithinta isicwebezelayo ibizwa ngokuthi i-dandruff (pityriasis sicca) futhi ibangelwa ukukhwabanisa okuphawulekayo. Okuphawulayo, ezinsaneni, i-dermatitis ye-seborrheic enomphumela iholela esimweni esibizwa ngokuthi "i-capdle cap".
I-Dandruff ingaqala ebuntwaneni futhi iqala kancane kancane. Inkambo yezintambo ezihamba phambili futhi ihamba nge-flare-ups kanye ne-remissions evamile. Infantile kanye nezingane ezisencane kanye ne-seborrheic dermatitis bangakwazi ukubhekana neminyaka yobudala noma baqhubeke nokudala.
I-dandruff ne-seborrheic dermatitis ithinta ngamaphesenti angu-2 kuya ku-5 amaphesenti omphakathi jikelele futhi kungenzeka ukuthi ithinte amadoda. Abanye abantu bakhononda ukuthi ukukhwabanisa kwabo kudlulela ngesikhathi sokuwa nobusika noma ezindaweni ezomile. Ngaphezu kwalokho, ukukhanya kwelanga kunomthelela oguquguqukayo ekudleni; Abanye abantu bacabanga ukuthi ukukhanya kwelanga kuthuthukisa izinga labo, kanti abanye bacabanga ukuthi ukukhanya kwelanga kwenza okubi kakhulu.
Ukwehliswa okujwayelekile okwenziwe ngama-dandruff ngokuvamile kuthinta lonke isikhumba somzimba futhi kungathinta noshiya kanye ne-eyelashes. Lokhu kukhula ngokuvamile kuvomvu-okumhlophe noma okubomvu okwesibhakabhaka kumbala kanye namagundane angaphandle kwezilonda ezinamaphilisi (ama-macules noma ama-patches) noma izilonda eziphakanyisiwe (amaphepha). (Leli gama: "Isilonda" yi-jargon yezokwelapha ngenxa yokukhula okungavamile kwesikhumba.) Ngaphandle kokwenyuka, i-dandruff nayo ingaba eyomile futhi ibuhlungu, futhi ukuvuvukala kubonakala ekuhlolweni kwe-histologic noma encane.
Izimbangela
Abanye ochwepheshe basikisela ukuthi ama-dandruff futhi, ngokuvamile, i-sebrrheic dermatitis ibangelwa ukufakela kwezakhi zofuzo "esimweni se-seborrheic." Lesi simo se-seborrheic singase sixhunyaniswe ne-"prepsoriasis state". Eqinisweni, abantu abaningi abanezintambo zine-psoriasis emagodini abo. (I-Psoriasis ngokuvamile iveza ngezilinganiso zokuthutha.) Isethulo esibi kakhulu se-seborrhea ne-psoriasis sivame kakhulu kangangokuba abanye baye bahlongoza igama elithi "seborrhiasis."
Ngaphezu kwezinto eziphilayo, i-fungus Malassezia furfur ingadlala indima ekuthuthukiseni kokubili i-seborrhea ne-psoriasis.
I-dandruff ne-seborrheic dermatitis ivame ukuletha ngezimo ezilandelayo:
- Isifo sikaParkinson
- Ama-immunocompromised athiwa njenge-HIV ne-AIDS kanye nokufakelwa kwe-cardiac
- ukwehluleka kokudla okunomsoco we-zinc, i-niacin, ne-pyridoxine
Ngokuphawula, ukukhubazeka kwesibusiso eduze nesifo sikaParkinson noma ezinye izimo kungase kube nendima ekuthuthukiseni izidakamizwa.
Ukwelapha
Njengoba kungenzeka uyazi, ama-shampoos avame ukusetshenziselwa ukwelashwa. Lezi zinhlanzi zivame ukutholakala phezu kwe-counter (cabanga T / Gel). Ama-shampoos e-prescription njenge-Nizoral, aqukethe i-ketoconazole engamaphesenti amabili, nawo asebenza kahle. Isizathu sokuthi imithi e-antitifungal efana ne ketoconazole ingahle isebenze kahle ngoba, njengoba kukhonjisiwe ngaphambili, ama-dandruff angase abe ne-fungal underpinning.
Uma usebenzisa i-shampoo yokwelapha izinhlanzi, kufanele uqale ubole izinwele zakho ngaphambi kokufaka isicelo bese ugeza izinwele zakho emva kokusebenza. Ungashiyi i-shampoo ezinyaweni zakho ngemva kokudonsa. Ukwengeza, ungasebenzisa ama-gelcocorticoid (steroid) gels, lotions noma izixazululo ngemuva kokusebenzisa i-tar noma i-ketoconazole shampoo ukuze usize ukunciphisa izimpawu ezinjenge-itchiness. Amanye ama-creams afaka i-tacrolimus, i-pimecrolimus, ne-hydrocortisone nayo ingasiza ekunciphiseni ukungathandeki kwemikhumbi.
Ngezimo ezinzima ze-dandruff ne-seborrheic dermatitis, i-13-cis-retinoic acid noma i-retinoic acid ingathathwa ngomlomo futhi iphumelele kakhulu.
I-retinoic acid noma i-retinol ivela ku-vitamin A futhi isetshenziselwa ukuphatha izigaxa. Abesifazane abakhulelwe noma abahlela ukukhulelwa akufanele bathathe i-retinoic acid ngoba lesi sidakamizwa sisifo se-teratogen futhi sizolimaza ingane. Uma ukhetha ukuthatha i-retinoic acid ye-dandruff ne-seborrheic dermatitis, sicela uxhumane nodokotela wakho kuqala futhi uqiniseke ukuthi usebenzisa nokukhulelwa komzimba.
Imithombo:
UWolff K, uJohnson R, uSaavedra AP. Isigaba 2. I-Eczema / Dermatitis. Ku: Wolff K, Johnson R, Saavedra AP. ama-eds. Umbala we-Atlas ka-Fitzpatrick kanye ne-Synopsis ye-Clinical Dermatology, i-7e . ENew York, NY: McGraw-Hill; 2013. Ithole ngoJulayi 28, 2015.