Mankhwala atsopano amachititsa kuti asakhumudwe kwambiri ndi khungu lamakono
Pali zinthu zochepa zomwe zingakhumudwitse kuti matendawa ndi aakulu. Kwa zaka zambiri, anthu akhala akuphunzira sayansi ya acne kuti apange mankhwala othandiza komanso osakwiya kwa mitundu yonse ya khungu.
Zina mwa mankhwala odziwika kwambiri ochiritsira ali ndi mankhwala omwe amatchedwa retinoids omwe amagwira ntchito poteteza maselo akufa kuti asatseke pores.
Matenda a Kutupa Kwambiri
Zodzoladzola zimayambitsidwa ndi zotsatira za mahomoni pa chipangizo chopanda phokoso , kapangidwe kamene kamakhala ndi khungu, kansalu ka tsitsi , ndi tsitsi. Pamene follicle imatsekedwa, zimayambitsa mafuta (otchedwa sebum) ndi kupitirira kwa mabakiteriya omwe sali ovomerezeka otchedwa Propionibacterium acnes .
Zambirizi zimayambitsa chiwonongeko cha mankhwalawa ndipo zimalola kuti matendawa alowe. Mmene chitetezo cha mthupi chimayankhira potumiza maselo oyera a m'magazi kumalo a matenda oti aphe mabakiteriya. Izi zimayambitsa mapangidwe a pusple.
(Mafinya omwewo ndi ochepa chabe kuphatikizapo sebum, maselo a khungu lakufa, maselo akufa, ndi mabakiteriya wakufa.)
Ngakhale kuti follicle idzachiritsa pang'onopang'ono, kuphulika mobwerezabwereza kapena kwakukulu kungabweretse khungu lofiira, khungu lofiira ndi kupweteka kwakukulu.
Momwe Retinoids Amachizira Matenda
Pali njira zosiyanasiyana zochizira ziphuphu.
Zina mwa mankhwalawa ali ndi benzoyl peroxide kapena salicylic acid yomwe imayesetsa kuchotsa pores. Milandu yowopsya nthawi zambiri imaphatikizapo mankhwala odzudzula kapena odziteteza (monga minocycline) pamodzi ndi oyeretsa awa.
Mankhwala obwezeretsanso amagwira ntchito mosiyana. Mavitaminiwa ndi mavitaminiwa amachokera ku Vitamini A ndipo amawoneka ngati mankhwala omwe amasankhidwa kuti azisintha mavitamini (blackheads ndi whiteheads).
Zimagwira ntchito popititsa patsogolo maselo atsopano a khungu kuti zitsitsimutse mafuta ndi khungu lakufa popanda kutsekedwa.
Pochita zimenezi, amalepheretsa mapangidwe atsopano a blackheads ndi whiteheads.
Mtundu Wopereka Chithandizo cha Retinoid
Retinoids amaonedwa kuti ndi mankhwala amphamvu kwambiri ndipo nthawi zonse ayenera kuuzidwa ndi dokotala. Pali mitundu yambiri yothetsera yomwe ikuphatikizapo kugwiritsa ntchito mankhwala atatu a retinoid: tretinoin, adapalene, ndi tazarotene.
Tretinoin ndi mankhwala omwe amachititsa kuti mankhwalawa adziwike bwino komanso amodzi mwa mankhwala omwe amadziwika bwino pamasamba. Amagulitsidwa pansi pa mayina a Retin-A, Avita, ndi Renova koma amapezeka ngati ophatikiza.
Zowonjezerapo mankhwala:
- Chomerachi chikupezeka ngati kirimu (0.025%, 0.05%, 0.1%), gel (0.01%, 0.025%), ndi madzi (0.05%).
- Zikondwerero zimakhala zochepa kuposa ma gels, pamene mazira sakhala oposa madzi.
- Tretinoin imathyoka pamene imasakanizidwa ndi benzoyl peroxide kuti ikhale yosagwiritsidwa ntchito nthawi yomweyo.
- Zotsatira zoyipa zimaphatikizapo kukwiya kwa khungu kotero kuti zitha kuchitidwa poyambira. Kugwiritsira ntchito tretinoin kumawonjezera chiopsezo chotentha kwa dzuwa.
- Mwazomwe zilipo pakali pano, Retin-A Micro Micro 0.1% ndi njira yotulutsira pang'onopang'ono yomwe imakhala yovuta kwambiri pakhungu.
Adapalene ndi mankhwala atsopano omwe amagwiritsidwa ntchito popanga acne wofewa pang'ono ndipo amagulitsidwa pansi pa dzina lakuti Differin.
Zowonjezerapo mankhwala:
- Adapalene imapezeka ngati gelisi kapena kirimu pa 0.1% ndi 0,3% mphamvu.
- Imakhala yolimba ngati imagwiritsidwa ntchito ndi benzoyl peroxide kotero ingagwiritsidwe ntchito nthawi yomweyo.
- Imakhala yochuluka khungu kusiyana ndi mankhwala ena a retinoid.
- Amadziwika kuti ali ndi exfoliation komanso anti-inflammatory properties.
- Zimayesedwa mofanana poyerekeza ndi tretinoin.
Tazarotene nayenso ndi retinoid ya zaka zitatu zomwe zimagulidwa pansi pa mayina a Tazorac, Avag, Zorac, ndi Fabior.
Zowonjezerapo mankhwala:
- Tazarotene imapezeka ngati gelisi mu 0.05% ndi 0.1% mphamvu.
- Ndi okwera mtengo kuposa mankhwala ena a retinoid
- Zingakhale zokhumudwitsa kwambiri khungu kuposa ma retinoids ena (ngakhale kuti zizindikiro zimatha kudzipangitsa okha pakatha masabata awiri kapena anayi oyambirira).
- Ngakhale kuti sizowonjezeka, pakhala pali zochitika za kuwonjezeka kwa acne mu zina.
- Anthu omwe adakhumudwa ndi khungu ayenera kukhala osamala kwambiri kuti asamawononge dzuwa.