Acne conglobata ndi mawonekedwe amphamvu kwambiri, koma osadziwika, omwe amawotchedwa acne . Matendawa amachititsa ziphuphu zazikulu, mapulogalamu, ndi mitsempha yambiri. Manodoma amakula kwambiri ndipo nthawi zambiri amawonekedwe ofanana. Kuphulika kumatulutsa pus.
Chomwe chimasiyanitsa acne conglobata kuchokera kufala kwambiri ya thotholo ndi mankhwala a acne ndi akuti acne conglobata imayambitsa makina akuluakulu osakaniza ndi timapepala.
Tsopano, timapepala ta sinus mulibe kanthu kochita ndi zizindikiro za kapweya wanu. Mapepala a Sinus ndi yaitali, akuthandiza mabala pansi pa khungu.
Mu mavitamini conglobata, kuzungulira kwakukulu kumakula ndi kufalikira pansi pa khungu. Mapulogalamuwa amaphatikizana, kuchititsa mabala akuyawa.
N'chiyani Chimachititsa Acne Conglobata?
Mofanana ndi ma acne ambiri, palibe yankho lomveka bwino loti n'chifukwa chiyani acne conglobata akudzidzimutsa. Acne conglobata nthawi zambiri imayamba ngati acne vulgaris yomwe imayamba kuchepa. Nthawi zina zimawoneka mwadzidzidzi, patangotha nthawi yayitali yamakono amachotsedwa.
Malingaliro ndi akuti thupi mwadzidzidzi limasokonezeka ndi Propionibacteria acnes , mabakiteriya omwe ndiwothandiza kwambiri pa chitukuko cha acne, ndi kupweteka kwambiri, kuchititsa kutupa kwakukulu ndi chitukuko chopuma.
Acne conglobata ndi kutali kwambiri ndi amuna, makamaka akakula (20s ndi 30s).
Zidzakhala zachilendo kwa amayi ndipo ndizosowa kwambiri kwa ana kapena akuluakulu.
Chimene timachidziwa ndi zinthu zina zomwe zimawoneka ngati zikuyambitsa. Chifukwa chakuti acne conglobata nthawi zambiri amawoneka mwa abambo, testosterone mwachiwonekere ndiwopangitsa kuti ikule.
Saboid ya Anabolic ikugwiritsa ntchito kwambiri. Mtundu woterewu umapezeka pamtunda wapamwamba kwambiri m'magulu a thupi kusiyana ndi anthu ambiri.
Ngati mumakhala ndi ziphuphu zoopsa komanso kugwiritsa ntchito (kapena kugwiritsira ntchito) steroids pofuna kumanga thupi, dokotala wanu adziwe. Chidziwitso chachikuluchi chingathandize dermatologist yanu kuti ikhale yabwino kwambiri.
Zowonjezera zina ndi mankhwala opangira arojeni ndi mankhwala a chithokomiro. Kwa amayi, matenda a polycystic ovary (PCOS) angakhale chinthu choyambitsa. Zikuwonekeranso nthawi zambiri amuna omwe atenga mankhwala a testosterone ndipo amatha kuwonekera chithandizo chitatha.
Acne conglobata imathamangira m'mabanja, kotero ikhoza kukhala ndi chiwalo cha chibadwa. Nthendayi yowoneka bwino imakhala ikuyenda m'mabanja, makamaka mitundu yosiyanasiyana ya acne . Acne conglobata imagwirizanitsidwa ndi hidradenitis suppurativa ndi pyoderma gangrenosum ndipo imawoneka kawirikawiri mwa anthu omwe ali ndi mikhalidwe iyi.
Zizindikiro Zogwiritsa Ntchito Zizindikiro
Mphuno yamagulu imatuluka kumbuyo ndi chifuwa, mapewa, ntchafu, ndi matako, komanso nkhope. Mudzapeza mizere yopuma, m'malo mopweteka, pamene ikukula ndikugwirana pansi pa khungu. Pali kusiyana kochepa komwe kungathandize kusiyanitsa acne conglobata ku matenda akuluakulu omwe amachititsa kuti tizirombo toyambitsa matenda (antulocystic acne) (omwe amatchedwa cystic acne ).
Imodzi ndiyo njira yomwe mitu yakuda imayambira. Mitundu yakuda, mwachiwonekere, imakhala yodabwitsa kwambiri ndipo pafupifupi aliyense amawatenga, ngakhale anthu opanda acne.
Ngakhale, kawirikawiri, mabulosi amtundu amaoneka ngati amodzi, m'matumbo a conglobata wakuda nthawi zonse amapezeka m'magulu awiri kapena atatu. Izi zimakhala zowonjezereka ndipo zimakula kukula, zopweteka kwambiri.
Mitundu yamtundu wina ndi ena omwe sali otenthedwa (aka pore blockages) akhoza kukula kwambiri, mpaka mamita atatu masentimita kudutsa. Mabomba akuluakulu oterewa amatchedwa "macrocomedones."
Pamene khungu limayesera kuchiza, nkhanambo imakhala pakati pa chilema. Mankhwalawa amachititsa kuti odwala am'chepetse komanso apitirize kufalikira monga momwe nkhanambo imapitilira pakatikati.
Acne Conglobata vs. Acne Fulminans
Acne conglobata amawoneka mofanana ndi mtundu wina wosadziwika wa acne wotchedwa "acne fulminans." Kusiyanitsa kwakukulu pakati pa mitundu iwiriyi ya acne ndikuti anthu omwe ali ndi acne conglobata amakhalanso osagwedezeka, monga mdima umene timayankhula nawo kale.
Zosagwedezeka zopanda moto siziwonekera mwa iwo omwe ali ndi acne fulminans.
Ndiponso, ndi acne fulminans, kupuma kumafuna kukhalabe otseguka ndipo kumalira, m'malo molamba. Acne fulminans amayamba kukula mofulumira kuposa acne conglobata komanso amatha kuwoneka ndi malungo ndi kupweteka m'mapfupa ndi mafupa.
Kuchiza Acne Conglobata
Acne conglobata ndizovuta kuchiza. Mtundu woterewu umayenera kuti uchitsidwe ndi dermatologist. Isotretinoin ndi mankhwala ochiritsira kwambiri ndipo kawirikawiri ndi mankhwala oyamba omwe amauzidwa.
Mankhwala oletsa maantibayotiki amachitiranso mankhwala ambiri. Angagwiritsidwe ntchito pambuyo pa isotretinoin yaima, kapena m'malo mwa isotretinoin ngati mankhwalawo sangagwiritsidwe ntchito.
Tetracycline , minocycline , ndi doxycycline nthawi zambiri zimatchulidwa. Nthawi zina dapsone yamlomo imagwiritsidwa ntchito ngati simukupeza zotsatira ndi mankhwala omwe tatchulawa.
Steroids wamlomo monga prednisone angaperekedwe kuti athandizidwe kuchepetsa kutupa. Palinso mauthenga ena ofunikira ndi mankhwala a immunosupressive infliximab.
Ogwira ntchito ena akhala ndi zotsatira zabwino ndi laser la CO2 kuphatikizapo mankhwala osokoneza bongo, makamaka pamene mankhwala amlomo samathandiza.
Ngati acne conglobata sakupeza bwino ngakhale kuti mankhwalawa akugwiritsidwa ntchito, chinthu chotsatira ndi kuyesa kuchotsa mitsempha ya HIV. Mankhwala amatha kuchotsedwa pakhungu, kapena opaleshoni amachotsedwa. Cryotherapy ingagwiritsidwe ntchito kufalitsa zilonda. Dermatologist wanu ingayambitsenso triamcinolone mu mitsempha kuti iwathandize kuchepetsa ndi kuchiritsa machiritso.
Chinsinsi ndicho kupeza chithandizo msanga; Nthendayi ya conglobata ikhoza kufalikira mofulumira. Popeza nthendayi ya conglobata imasokoneza kwambiri khungu, nthawi zambiri imasiya yofiira, mwatsoka. Kupeza mitsemphayi ndi cholinga cholimbikira. Kamodzi kameneka kamayang'aniridwa bwino, inu ndi dermatologist mungayambe kukambirana za njira zochizira matenda .
Dziwani kuti mankhwala amatenga miyezi ingapo kuti ayambe kugwira ntchito. Panthawiyi mudzayang'anitsitsa kwambiri ndi dermatologist kuti muonetsetse kuti zonse zikuchitika, ndipo akhoza kupanga mapulani anu pazomwe mukufuna. Ndikofunika kwambiri kuti mukumane ndi dermatologist nthawi zonse ndikukhala wapamwamba mogwirizana ndi dongosolo lanu la mankhwala.
Mawu Ochokera
Chifukwa chakuti acne yanu ndi yovuta, sizikutanthauza kuti muli ndi acne conglobata. Acne conglobata ndi yosavomerezeka, kotero zovuta ndizo zomwe muli nazo ndi nodulocystic acne vulgaris.
Mitundu yonse ya acne imayenera kuchitidwa ndi dermatologist mwinamwake, kotero ngati muli ndi ziphuphu zoopsa, pangani ASAP. Dermatologist yanu idzazindikira bwino lomwe vuto lanu la khungu, ndipo chofunika kwambiri, ili ndi dongosolo la mankhwala kuti muthandizidwe khungu lanu.
Ziphuphu zazikulu zingakhale zofooketsa, pathupi ndi m'maganizo. Sungani dokotala wanu, banja lanu, ndi abwenzi anu apamtima kuti azichita momwe mukuchitira. Ngati mukuvutika maganizo kapena mukuvutika maganizo, kapena mukuwonetsa zizindikiro za kuvutika maganizo, dokotala wanu adziwe. Khulupirirani okondedwa anu kuti muwathandize. Kuchita ndi acne conglobata ndi kovuta, koma mukhoza kutero.
> Zotsatira:
> Dessinioti C, Katsambas A. "Zovuta ndi Zambiri Zambiri za Acne." Makliniki mu Dermatology. 2017 Mar - Apr; 35 (2): 138-146.
> Hafsi W, Badri T. "Acne, Conglobata." StatPearls [Internet]. Chilumba cha Treasure (FL): StatPearls Publishing; 2017.