Mphuno ndi chikopa chomwe chimakhudza anthu oposa 80% ali ndi zaka makumi awiri ndi makumi awiri, komanso akuluakulu asanu (5%). Ngakhale kuti anthu ambiri amatha kupuma kuchokera ku ziphuphu popanda zotsatira zamuyaya, anthu ena amasiyiratu kusokoneza ziphuphu. Pali mankhwala ena othandizira khungu komanso mankhwala omwe angachepetsere pang'ono, koma zipsera zambiri zamkati zimagwiritsidwa ntchito pophatikizapo opaleshoni ndi kukonzanso khungu .
Zowawa Zakale Zakale
Pambuyo poyambitsa matendawa, amatha kuchoka chizindikiro chofiira kapena chosakanizidwa pakhungu. Izi sizowopsa ayi, koma m'malo mwake zimasintha. Kufiira kapena hyperpigmentation kumawonekera ngati khungu limadutsa njira yake yowonongeka ndi yokonzanso, yomwe imatenga pafupifupi miyezi 6-12. Ngati palibe zilonda zotupa kumakhala m'deralo, khungu limatha kuchiza bwinobwino. Kusintha kwa mtundu uliwonse kapena khungu la khungu lomwe limakhalapo pakatha chaka chimodzi limaonedwa ngati chosowa chosatha kapena chofiira.
Kupewa Ziphuphu Zakale Kumayambiriro
Njira yabwino yothetsera kusintha kwapambuyo kwa kutukuka komwe kumayambitsa matendawa ndi kuteteza ziphuphu zamtundu kuti zichitike. Izi zimachitika pozindikira zinthu zomwe zimayambitsa ziphuphu komanso kugwiritsa ntchito mankhwala oyenera osiyanasiyana. Onani nkhani zotsatirazi kuti mudziwe zambiri za ma acne omwe amachititsa ndi mankhwala:
- Mankhwala Osakaniza Mankhwala Opaka Mavitameni
- Zojambula Zojambula Zam'mimba Zambiri za Acne
- Kuchiza Acne ndi Accutane
Kuchepetsa Ziphuphu Zakale Zakale
Kusintha kwapambuyo kotupa chifukwa cha ziphuphu ndi mbali ya machiritso achilengedwe a khungu. Pali zizoloŵezi zina ndi mankhwala omwe angathandize kuthandizira njira yakuchiritsira.
- Kutsekeka kwa dzuwa kosatetezeka kumayambitsa khungu lowonjezereka ndipo limachedwa kuchepetsa machiritso, choncho kuvala kuwala kwa dzuwa ndikofunika.
- Kugwiritsira ntchito tretinoin (Retin-A, Renova, Avita) imachepetsa njira yothetsera khungu ndipo imathandizira kusintha kwapambuyo kotentha.
- Mankhwala oyenera a Alpha-Hydroxy Acids (AHAs) ndi Beta-Hydroxy Acid (BHA) omwe ali ndi malo oyenera ndipo ali pa pH yoyenerera amathandizanso kukonzanso khungu.
- Kutenga pa scabs kuyenera kupeŵa nthawi zonse. Zilonda zimateteza kuteteza machiritso omwe akuchitika pansi pawo. Kuchotsa nkhanambo musanayambe kukonzekera ndondomeko ya machiritso ndi kukonzanso, kupititsa patsogolo nthawi yomwe kusintha kotuluka m'mbuyo kudzaonekera.
Antioxidants ndi Kusintha Komwe Kumapweteka
Pamene tikudziŵa zambiri za kuwonongeka kwa khungu kuchokera ku zowonongeka, zikuwoneka kuti kugwiritsa ntchito antioxidant kungathandize kutentha kusintha kwapambuyo kapena ngakhale zilonda zosatha . Mwamwayi, palibe maphunziro abwino a sayansi omwe asonyeza kuti pamlomo uliwonse kapena mankhwala onyoza antioxidant amathandiza kapena amachiza khungu. Ndipotu, Vitamini E, ikagwiritsidwa ntchito pamutu kuti imve zilonda, zasonyezedwa kuti zimapweteka kwambiri kuposa zabwino. Monga momwe kafukufuku wa antioxidant akupitilira, asayansi angapeze malemba omwe amathandiza kuti khungu liwonongeke, koma mpaka pomwepo zonena za kubwezeretsa khungu pogwiritsira ntchito antioxidants zimangokhala zonyansa.
Mu Julayi 2001 Jacob et al analimbikitsa njira zochepetsera ziphuphu zomwe zimathandizanso pakupeza njira zoyenera zothandizira odwala . Malinga ndi dongosolo lino, zikopa zimayikidwa ngati zopanda pake, kupukuta, ndi bokosi lochokera ku maonekedwe a chilonda. Pambuyo pogwiritsa ntchito ntchito yapamwamba ya Accutane , zipsera za nkhope zimapangidwira ndipo dongosolo lokonzekera la mankhwala likukonzedwa.
Mitsuko Yamakono - Icepick
Mipukutu ya Icepick ndi yopapatiza, zowopsya zomwe zimapangitsa kuti khungu liwoneke lomwe lagwedezeka ndi chisankho cha madzi. Nthawi zambiri zimakhala zochepa kuposa 2 mm ndipo zimapitilira m'madzi otsika kapena pansi. Mabala a Icepick amakhala ozama kwambiri kuti asakonzedwe ndi khungu akuwongolera mankhwala monga dermabrasion kapena resurfacing laser.
Mitsuko Yamakono - Bokosi
Mabokosi a boxcar ndi ozungulira mazenera ozungulira omwe ali ndi m'mphepete mwachindunji. Mosiyana ndi zida zazing'onoting'ono za ayisi, sizilemba mpaka pamunsi. Mipira yazing'ono zabasiketi ndi 0.1-0.5 mm mozama ndipo kawirikawiri amachiritsidwa ndi njira zamakono zokonzanso khungu. Mabokosi aakulu a bokosi ndi> 0,5 mm mozama ndipo amafunika njira zowonjezera zothandizira.
Zojambula Zachimake - Zowamba
Zilonda zotukira zimachitika chifukwa cha kutsekemera kwa khungu linalake lachibadwa kwa minofu yapansi pansi. Izi zimathandiza kuti khungu likhale looneka kapena losaoneka. Njira zamakono zokonzanso khungu sizimagwira ntchito pazowonongeka . Ayenera kuwongolera mwa kuphwanya magulu a subcutaneous fibrous.
Mphuno Zopweteka Zopweteka Pambuyo pa Accutane
Chofunika kwambiri pa chithandizo cha zipsera zamakono ndizogwiritsidwa ntchito kale kwa accutane
Pali njira zambiri zomwe zingagwiritsidwe ntchito pokonza zipsera zamakono. Njira iliyonse imakhala ndi ubwino wake komanso phindu lake, ndipo njira zambiri zimagwirizanitsidwa kuti apange khungu looneka bwino. Pano pali kukambirana mwachidule za njira zothandizira odwala mankhwala.
Zodzola
Pali mitundu yambiri yazaza zamadzimadzi zomwe zingayambe kuikidwa mu zikopa zamakono kuti zikwezere pamwamba pa khungu ndikuyang'ana bwino. Zitsanzo za kudzaza kwa mankhwala ndi mafuta, collagen ya bovine, collagen ya anthu, hyaluronic acid derivatives , ndi polytheyl-methacrylate microspheres ndi collagen. Jekeseni wa zipangizozi sizimasintha ndondomeko zamakono, choncho jekeseni yowonjezera ndi yofunikira.
Punch Excision
Njira iyi yothetsera opaleshoni yamakono imagwiritsidwa ntchito pa zipsera zakuya monga zisankho za ayisikili ndi zida zakuya. Njirayi imagwiritsira ntchito chida chogwiritsira ntchito phokoso chomwe chimakhala chodabwitsa kwambiri, chomwe chimakhala ndi diameter kuyambira 1.5 mm mpaka 3.5 mm. Kukula kwa chidachi chikufanana ndi kukula kwa chilonda chophatikizapo makoma a chilonda. Pansi pa anesthésia, malowa amawoneka bwino kwambiri ndi chida cha phokoso ndipo khungu lawo limagwidwa palimodzi. Kachilombo kamene kamangoberedwa kameneka kamatha ndipo sikungadziŵike. Ngati izo ziwonekeratu, ndizowonjezereka tsopano kuti zipangidwe zamakono.
Punch Excision With Skin Graft Replacement
Ndi njira iyi, chilondacho chimakondwera ndi chida cha punch monga pamwambapa. M'malo mogwedeza khungu limodzi palimodzi, chilemacho chimadzazidwa ndi khungu la khungu lachikopa lomwe limatengedwa kumbuyo kwa khutu. Ndi njirayi, kusiyana kwa mtundu ndi kapangidwe kungaoneke, koma njira yowonongeka khungu ingagwiritsidwe ntchito masabata 4-6 mutatha kusonkhanitsa kukonza kusiyana kumeneku.
Punch Elevation
Njira iyi yothetsera opaleshoni yamakono imagwiritsidwa ntchito pamakutu akuluakulu a bokosilo omwe ali m'mphepete mwenimweni ndi zowoneka bwino. Chida chimodzimodzi cha phokoso monga pamwambapa chimagwiritsidwa ntchito kuti chikhale chokwera pambali pa chilondacho chichoke pamakoma a chilondacho. Madzi okongoletsera amawonekera pamwamba pa khungu ndipo amamangiriridwa ndi sutures, steri-strips, kapena khungu la khungu lotchedwa Dermabond. Njira imeneyi imachepetsera zovuta za mtundu kapena maonekedwe kusiyana ndi momwe zimawonetsedwera ndi kusinthanitsa ndi kutsekemera ndi kuchepetsa chiopsezo chowombera chiwonetsero chomwe chikhoza kuwonedwa pamene mapiri akugwedezeka.
Subcutaneous Incision
Subcutaneous incision , yomwe imadziwikanso kuti Subcision, imagwiritsidwa ntchito kuthetseratu magulu omwe amachititsa kuti ziphuphu ziziyenda. Nkhokweyi imagwiridwa ndi anesthesia kumaloko mwa kuika singano yapadera yomwe ili pansi pa khungu kotero kuti ikufanana ndi khungu. Pokhala mu ndege pakati pa dermis ndi minofu yapansi, singano imapititsa patsogolo ndi kubwezeretsedwa mu kayendetsedwe kake ka pistoni kudula magulu omangirira. Njirayi imayambitsa kuvulaza kumene kumakhala patangotha pafupifupi sabata imodzi. Zoopsa za subcision zimaphatikizapo kutuluka kwa magazi komanso kupanga mapuloteni otchedwa subcutaneous nodules. Kutsekemera kumatha kuyendetsedwa bwino pogwiritsira ntchito anesthetics ndi bandaging, ndipo mankhwala osokoneza bongo amatha kuchiritsidwa ndi jekeseni wa corticosteroids mu nodula.
Laser Resurfacing
Laser resurfacing ndi mankhwala otchuka chifukwa cha zilema zambiri za khungu. Mitundu yotchuka kwambiri ya laser yogwiritsidwa ntchito popanga mpweya wa acne ndi carbon dioxide (CO2) ndi erbium: YAG (Er: YAG) imayipitsa. Laser imagwira ntchito yotentha kwambiri pamwamba pa khungu. Ndiye khungu limachiza m'malo mwazitsulo zotentha ndi khungu loonekera. Kusamalira bwino khungu kwa khungu komwe kwapangidwa ndi kukonzanso laser ndi chinthu chofunikira kwambiri chodziŵira kupambana kwa ndondomekoyi.