Acne mu kuyaruka: kurapwa, chinokonzera, zvinodhaka. Acne mu kuyaruka

Acne - kwakakomba anogumbura chirwere ganda. Richiwanika munyika dzinonzi pilosebaceous hurongwa hwevanhu. zvivako izvi ine mashoko sebaceous omumuviri uye bvudzi follicles.

History rokuti

A izwi kuti rinotsanangura chirwere sezvo mburwa mu kuyaruka, akaonekwa muGirisi yekare. Kokutanga rinotaurwa mune mabasa Aetius Amidskogo, uyo akashanda se chiremba panguva Byzantine Emperor Justinian I muna 6th remakore AD.

The chaizvo yokuti "Acne" - rinobva yekare pfungwa rechiGiriki rinoreva chaizvoizvo kuti "urefu, ichatonga zvine mbiri, pfungwa."

Zvinokonzera chirwere

Nyanzvi kuona zvikonzero zvinoverengeka nei mburwa kunoitika muna kuyaruka. Treatment izvi zvinokwanisika, asi kunoda kushingaira uye kwazvo Implementation ose chiremba mirayiridzo.

Chimwe chikuru zvinokonzera mburwa - nhodzera. Uyewo, vanachiremba kusiyanisa hormone mumwaka kuyaruka, kana vasikana vanotanga kumwedzi uye mburwa mu kuyaruka-vakomana kuoneka mune pakuyaruka.

Acne zvingaitikawo nekuda nezvinetso nemudumbu, kushushikana, hyperactive sebaceous omumuviri, guru kuunganidza ganda masero akafa, vangabatsirawo mugumisiro wokushandiswa anabolic steroids uye Formulations chine halogens.

In yakajairika zvokurapa shanduro yakanga kuti mburwa iri kuyaruka vane yakafanira chete hormone basa. Zvisinei, gare gare, masayendisiti akawana kuti hosha chinokurwadzai mahormone akawanda. Kunyanya testosterone.

In post-pubertal mburwa pavasikana kuyaruka hadziwanzowaniki. Muchiitiko chino, zviri chiratidzo chechimwe chirwere chakakomba, akadai Cushing kuti syndrome. Panguva iyoyowo, ganda zvikanganiso zvichiguma zvakawandisa makabhohaidhiretsi mune zvokudya.

kupatsanura zvirwere

Kuti tinzwisise sei kubatsira dambudziko iri, zvakakosha kunzwisisa kuti mburwa mhando kunoitika muna kuyaruka. Treatment kunobva Chirwere achasiyana.

Doctors kuziva zvinoverengeka zvinokosha siyana. Chekutanga, comedonal. It kunoratidzwa chitarisiko namahwindo mburwa pamusoro chirebvu, huma uye mhino mapapiro. Kana kuzvimba uku Kazhinji hazvina kuitika.

Chimwe chimiro - papules, pustular. Kunoratidza nechitarisiko purulent idzodzo zvose akazaruka uye Akanyatsovharwa. Kuwanda pustules duku.

Acne muna kuyaruka, vakomana kazhinji richiratidzwa muchimiro raiva pedyo nebundu. Avo chaiwo nzvimbo - pahuma, chirebvu, mhuno uye matama. Saka pane zvinenge 25-30 pustules.

The matambudziko akawanda - wakaomarara chimiro. In ichi mburwa kuyaruka merges pamwe pustules, pane yakadzika uye kurwadza nzvimbo, nzvimbo huru ganda kuva zvomoto. Kana musingadi kupa rubatsiro nenguva, chimiro ichi hwakazara chimiro mavanga ganda.

zvekuchipatara mufananidzo

Doctors kudoma zvakasiyana-siyana mhando mavanga uye mburwa mu kuyaruka. Treatment zvinobvira, kazhinji, ganda haagari kunyange aitodada chirwere. Kuwedzera chiso, kuzvimba anogona musiwa mubhokisi, kunyanya panguva pamusoro, uye pamusoro musana. Zviri munzvimbo idzi ndidzo pakukura sebaceous mumasero. Acne kukonzera anogumbura urongwa, nekuti ayo pus inotungamirwa.

Urwa matema, izvo nyanzvi inonzi pustules nokuomesa pashure buri. Nokuda kwaizvozvi, uyewo kuumbwa keke, pashure Vakasara mavanga aioneka.

Acne mavanga rinogona pakubhadhara anoverengeka. Kupfuura ngozi uye kusingafadzi - yakadzika, nokuumbwa noruzhinji cutaneous acid.

Chisina kutsetseka mavanga kazhinji aonekwa pamatama uye temberi. Vanofanira chaizvo zvakafanana zvinokonzerwa huku pox. Uyewo, pangava keloid mavanga.

Kazhinji, ari kurapwa mufananidzo dzaisiyana kuti mburwa mu kuyaruka. Treatment kungarwadza, muitiro unogona munobuda kwemakore akawanda.

zviratidzo

Kakawanda richiwanika munyika kuyaruka chirwere pamwe Latin zita mburwa vulgaris. Teens makore 14 okuberekwa anonyanya kubatwa fomu ichi. It unovapo nokuda zvakanyanya sebum omumuviri, izvo clogs ari pores. Kuunganidza zvinhu izvi kunoitika nokuda kusagadzikana keratinization kwacho. Inonzi keratinization, apo masero tifire epidermal rukoko ganda.

Pakupedzisira, izvi zvose zvinotungamirira exfoliation ganda masero. Saka Sebum iri kusimbiswa pores, kuvharidzirwa chirwere. Zvose izvi vanoumba yakanaka ezvinhu nokuda maberekero anokuvadza tusingaoneki.

Utachiona kuti anokonzera mburwa

Apo pores ose mburwa mu kuyaruka vanova zvomoto nokuda kukura mabhakitiriya, dzakakomba zvikuru iyo - propionibacterium acnes. Rinodya sebum mafuta acids. It vakagamuchira zita raro kuti rinobva rimwe metabolites - butyric acid.

Utachiona zvikuru inonyatsoziva nemishonga yacho tetracycline boka, uye kurwisa richishandiswa zvinodhaka ftorhinolongovogo dzakatevedzana. Chimwe chezvinhu akakurumbira pakati pavo - "Adifloksatsin".

Sezvo utachiona vari zvakanaka achirwa ultraviolet mwaranzi. Uyewo, vamwe vanachiremba vanokurudzira kushandisa aminolevulinic acid. Zvisinei, kazhinji rinoita divi migumisiro Varwere.

Kakawanda, utachiona ichi chinobata chiso uye yokumusoro mutsipa, kunyange pane kusaina. Pakati zvisingawanzoitiki kuratidzwa kuti anogona utachiona, - paumbwe pus uye sebaceous cysts. Vanogona kusiya mavanga ganda.

mburwa kurapwa

Mabatirwo mburwa mu kuyaruka kunoda kushivirira uye nokutsungirira, kukunda chirwere pane imwe nguva havana kubudirira. Chinangwa chikuru chemusha ndiko kubvisa zvinokonzera - kubva seborrhea.

Zviri inorwadza ezvinhu ganda kwevanhu, zvinokonzerwa zvikuru simba sebaceous excretions. Matambudziko akadaro panomuka nokuda kutyorwa mumwe kana akawanda mashandiro ari sebaceous mumasero ganda. Somuenzaniso, huta kana kwemakemikari anobudiswa.

zviratidzo zvakajeka zvomurwere seborrhea - jikichira kupenyerera ganda, kuvaviwa, peeling, bvudzi kurasikirwa uye dandruff. Inogonawo unooneka somunhu thickening pamusoro horny rukoko pakati Epiderme e.

Kubvisa chirwere ichi, nzira inoshandiswa 'selenium disulphide, "" Ketoconazole "," lithium succinate. " kushandisa zvinodhaka riri pamberi kubvunza chiremba.

Kushandiswa kwemishonga inorwisa mabhakitiriya

Kazhinji, yakanakisisa mushonga mburwa mu kuyaruka - iri inorwisa mabhakitiriya. Ivo zvinodiwa chirwere chakakomba. Mumazuva ekare aishandisa nzira iyo dzinobudirira panguva haina zvakaratidza. Izvi murwere kuisira ropa rake, uye estrogens, uye kupukutwa ane mhinduro pamusoro salicylic acid, uye UV nemwaranzi, uye cryotherapy.

To zvinobudirira kukunda mburwa comedones kubviswa kunokosha - rinokosha mhando cysts kuti kuonekwa munguva paumbwe bvudzi clogging muromo horny zvavo. Izvi zvinogona desquamated epithelium pamwe gobvu bhekoni. Acne akabva avhura.

Panzira dzinobudirira

Kuti tikurire mburwa nyanzvi kushandisa Desincrustation. muitiro uyu achibvisa adipose hunde muramba nokuda Vacuum kana electroplating.

Electrotherapy rinoreva zvakananga kukanganisa murwere kugara uye kuramba kwazvino simba duku uye voltage. Vavariro iri chaizvo kuchirapa uye prophylactic. Galvanization rinoitwa kuburikidza kuonana seari pamusoro muviri murwere electrodes, vanofanira kuuya neZvapupu dambudziko nzvimbo ganda, zvikuru kubatwa nechirwere ichi.

mburwa Prevention

Kuitira kudzivirira panowanikwa mburwa vulgaris uye rashes sezvo kuyaruka, unokosha chokudzivirira chinoumba yakakodzera dambudziko seborrhea.

Uyewo, pane zvinoverengeka anokosha kuti achaponesa iwe kubva kuzvirwere zvakadai. nemazvo ichi. Zvakakosha kuti nguva yakakwana kupa utano hwakanaka kurara, kushingaira mararamiro. Sei kupedza nguva yakawanda panze, kazhinji kufamba, usakanganwa pamusoro muviri.

Chinhu chinokosha yokudzivirirwa mburwa - uchiwirirana nokutonga yakaoma kudya. Kana uchida kurova kuyaruka mburwa, categorically nayo haabatanidzi kubva zvaunodya mafuta, kunyanya refractory simbi uye mafuta.

Nyanzvi dzakawanda angarayira kushandisa kuzvidzivirira mishonga inobva zinc. fuma iyi kuchititadzisa basa sebaceous omumuviri, mukana wokuti unozotevera kuzvimba iri zvishoma nezvishoma wakaderedzwa kusvika razero.

Sepakutanga zvakaipa mburwa

Vanhu ane kwemazana emakore vakaedza kuwana zvinobudirira uye yepamusoro nzira kurapa mburwa. Aine dambudziko rakadaro vanhu vakatarisana munhoroondo yacho.

Kunyange muRoma yekare, kubata mburwa okuyaruka akashandisa kugeza chaiyo nokunwa chicherwa mvura. Muzana XIX remakore, achishingaira kushandiswa sarufa kurapa mburwa nemapundu. Munguva 1920s, vanachiremba vava benzoyl peroxide. Ichi chinokosha Organic remubatanidzwa kushandiswa iyo, zvisinei, haana kusimbisa efficacy kwayo. Munguva 1930s, vanachiremba American kunge makazara varwere vavo laxatives kurwisa mburwa.

Yakanga chete kubva 1950s vakatanga kushandisa mishonga inorwisa mabhakitiriya. In kuma1960, zvakatanga nokushingaira kushandisa tretinoin. Izvi gadziriro pharmacological ine yakawanda vhitamini A. It haana chete protivoseboreynoe chiito, asi kunobatsirawo namamota, emo kuzvimba. It inowanzoshandiswa yokuderedza uwandu wrinkles. Zvinozoita kunokwanisika Akaroromesawo pfuma kushanda masero uye kwavakazoita reserved.

On kumusika nhasi unogona kuwana zvakasiyana siyana Formulations siyana ine tretinoin hwaro. Kune Somuenzaniso, ndiye vakarongeka chaizvo uye inobudirira mumakenduru kuti mburwa.

Current zvinodhaka

Sezvo 1980s, vanachiremba achishingaira vakashandisa zvinodhaka "Isotretinoin". mushonga uyu - ruponeso chaicho dermatological zvirwere zvakawanda. At paro, ndiko STRUCTURAL analoginen vhitamini A.

Kana mburwa kwadzinoita kuita riri sezvinotevera. The mushonga ari kutanga kwakaderedza pakukora yokumusoro rukoko pamusoro Epiderme e. Nokukurumidza anowana paganda rako, rwunotanga zvishoma kukanganisa stratum corneum masero. Nokuda kwaizvozvi, vari shelled uye exfoliated. Peeling kushanda kunoitika. Saka, pakukora ari horny rukoko pamusoro Epiderme e ipfupi maximally. Izvi zvinobatsira, nokuti ine kunonyanya kwamakamuri atofa. Izvi zvinoita ganda pores yakashama, kunotadzisa paumbwe mburwa kana muhomwe mafuta.

Uyezve, mushonga unoshandiswa komedonoliticheskie ehupfumi dzavo. It urwa mafuta koko; nekuti icho pores ganda nguva akanamwa ezvinhu. The ganda anosunungurwa kubva mburwa. Uyezve, zviri anobudirira kudzivirira paumbwe mburwa mu kuyaruka.

Uyewo, "Isotretinoin" maximally kuderedza basa sebaceous mumasero. Asi ichi ndicho chimwe chezvinhu zvikuru zvinoita nokuti izvo pane blackheads, mapundu uye mburwa. The zvakawedzera basa iri sebaceous mumasero pakupedzisira inotungamirira kuti ducts rakavhurika, uye vakawedzera kugadzirwa lipid secretion chinokurwadzai pore blockage.

"Isotretinoin" anogona zvinobudirira zvikuru normalize mashandiro ari sebaceous omumuviri uye kuderedza secretion yavo.

Kuma1990 muzvipatara kurwisa mburwa vakatanga kushingaira kushandisa Laser namano.

Kugadzirira pamusoro mburwa

Nhasi pamusoro echiShinto pakati Pharmacies unogona kuwana vakawanda zvinodhaka, pamwe kunosiyana madhigirii kubudirira kunogona kukurira mburwa.

Izvi zvingava vemunzvimbo microbicides. Ivo zvinoshandiswa vanyoro siyana. Zvisinei, kakawanda kushandisa nzira dzakadaro kunotungamirira kunyanya ganda kuoma, akatsvuka uye neshungu.

Topically vakashandisa kukamura uchishandisa nemishonga, akadai "Erythromycin" uye tetracycline inorwisa mabhakitiriya.

Kugamuchirwa kupinda yakakodzera mishonga yakadai se "Doxycycline", "Limetsiklin" dzimwe nguva dermatologists mishonga "TMP".

Mumakore achangopfuura, izvozvo zvakatanga kushandiswa kemikari mishonga. Hazvina kunyanya inobudirira kuvakadzi. Kugadzirira vanofanira kubatwa kunzwisisa. Somuenzaniso, inonzi estrogen pamwe progestogen.

The efficacy pamusoro retinoids zhinji, kunyanya iri gels nezvizoro. Somuenzaniso, zviri "Effezel", "Klenzit", "Izotreksin".

Retinoids anoshandiswawo mukati. Izvi zvinokosha zvikuru siyana mburwa. Muchiitiko chino, dermatologists akarayira kuti murwere "Isotretinoin".

Zvakanaka akaratidza nzira yakadaro yakakurumbira sezvo phototherapy. Nokuti kurapa kushandisa rambi kana Laser, izvo mbereko kwepasi kunokwanisika vemo kuzvimba foci.

Mune zvisingawanzoitiki zvinoitika, dermatologists anoshandiswawo kurapa mburwa azelaic asidhi (Kakawanda munhu munyoro siyana chirwere) uye zinc.