Ziphuphu zakumaso mu achinyamata: mankhwala osiyanasiyana, mankhwala. Ziphuphu zakumaso mu Achinyamata

Ziphuphu zakumaso - lalikulu yotupa matenda a khungu. Kumachitika mu otchedwa nyumba pilosebaceous wa anthu. nyumba izi zigwirizana zopangitsa za sebaceous ndi follicles tsitsi.

History akuti

Mau amenewa kuti imalongosola matenda monga ziphuphu zakumaso mu achinyamata, anaonekera ku Greece. Kwa nthawi yoyamba akutchula ntchito za Aetius Amidskogo, amene ankagwira ntchito monga dokotala pa Byzantine Mfumu Justinian Ine mu 6 m'ma AD.

Mfundo kwambiri za "ziphuphu zakumaso" - lachokera ku mfundo wakale Greek omwe amatanthauza kwenikweni "pamwamba, heyday, mfundo."

Zimayambitsa matenda

Akatswiri kudziwa zifukwa ziphuphu zakumaso amapezeka achinyamata. Chithandizo cha zimenezi, koma pamafunika khama ndi kukhazikitsa bwino malangizo adokotala onse.

Imodzi mwa ntchito zomwe zikuluzikulu za ziphuphu zakumaso - chibadwa. Komanso, madokotala kusiyanitsa ntchito m'thupi pa unyamata, pamene atsikana amayamba kusamba ndi ziphuphu zakumaso mu achinyamata-anyamata kuonekera mu msinkhu.

Ziphuphu zakumaso zingachitikenso chifukwa cha mavuto ndi kapepala m'mimba, nkhawa, hyperactive sebaceous zopangitsa, lalikulu kudzikundikira maselo a khungu akufa, ingakhalenso zotsatira za ntchito anabolic mankhwala ndi formulations munali halogens.

Mu mankhwala Baibulo ambiri anali kuti ziphuphu zakumaso mu achinyamata chifukwa ntchito yekha m'thupi. Kenako, asayansi apeza kuti matenda amakwiya mahomoni ambiri. Mu testosterone makamaka.

Mu positi-pubertal ziphuphu zakumaso mu atsikana n'zochepa. Pankhaniyi, ndi chizindikiro cha matenda aakulu, monga matenda Cushing a. Pa nthawi yomweyo, kupunduka khungu chifukwa chakudya owonjezera mu chakudya.

gulu la matenda

Kumvetsa mmene kuthandiza ndi vutoli, ndikofunika kumvetsetsa zomwe mtundu wa ziphuphu zakumaso amapezeka achinyamata. Chithandizo kumatengera mtundu wa matenda zingasiyane.

Madokotala apeza angapo mitundu zofunika. Choyamba, comedonal. Iwo amakhala ndi maonekedwe a chatsekedwa ziphuphu zakumaso pa chibwano, mphumi ndi mphuno mapiko. Pamene kutupa nthawi zambiri zisadzachitike.

Mtundu wina - papules, pustular. Kumaonetsa maonekedwe a purulent formations onse poyera ndi chatsekedwa. Chiwerengero cha pustules yaing'ono.

Ziphuphu zakumaso mu achinyamata anyamata zambiri anawonetseredwa mu mawonekedwe a mfundo ndi. malo awo lililonse - pamphumi, chibwano, mphuno ndi masaya. Choncho pali osachepera 25-30 pustules.

Kwambiri mabvuto - mawonekedwe kwambiri. Mu ziphuphu zakumaso izi achinyamata merges ndi pustules, pali kwambiri ndiponso yopweteka malo, malo akulu a pakhungu kukhala chofuna. Ngati mulibe kuthandizapo yake, mawonekedwe ndi zinadzala ndi maonekedwe a zipsera pa khungu.

chithunzi matenda

Madokotala atadziwa zosiyanasiyana mitundu ya zipsera ndi ziphuphu zakumaso mu achinyamata. Chithandizo n'zotheka, nthawi zambiri, khungu sakhala ngakhale kotsalira ka matenda. Kuwonjezera pa nkhope, kutupa angayambe pa chifuwa, makamaka pa pamwamba, ndi kumbuyo. Ndi m'madera izi ndi waukulu zopangitsa sebaceous. Ziphuphu zakumaso komanso zimachititsa njira yotupa, chifukwa muli mafinya mapangidwe.

Mafinya thovu, zomwe akatswiri otchedwa pustules adzauma pambuyo kutsegula. Chifukwa cha zimenezi, anapanga mkate, pambuyo zotsalira zipsera kuwoneka.

Ziphuphu zakumaso zipsera angakhale mitundu yambiri. The owopsa ndi zosasangalatsa - kwambiri, ndi mapangidwe asidi khalidwe cutaneous.

zipsera okhota zimakhala pa masaya ndi akachisi. Iwo amafanana kwambiri ndi zotsatira za pox nkhuku. Komanso, pangakhale keloid zipsera.

Nthawi zambiri, chithunzi matenda wakufayo kwa ziphuphu zakumaso mu achinyamata. Chithandizo kungakhale kopweteka, ndondomeko akhoza muchokera kwa zaka zambiri.

zizindikiro

Nthawi zambiri kumachitika matenda unyamata ndi Latin dzina la ziphuphu zakumaso vulgaris. Achinyamata zaka 14 makamaka atengeke fomu iyi. Vutolo limachitika chifukwa zopangitsa owonjezera sebum, omwe amaononga pores. Kudzikundikira zinthu izi kumachitika chifukwa matenda a ndondomeko keratinization. Njirayi imatchedwa keratinization, pamene maselo amafa mu epidermal wosanjikiza a khungu.

Potsilizira pake, zonse izi zimabweretsa exfoliation maselo a khungu. Sebum Motero anaikira mu pores, oletsedwa matenda. Mfundo zonsezi ndiwo malo abwino kwa kuswana tizilombo zoipa.

Mabakiteriya amene amayambitsa ziphuphu zakumaso

Pamene pores wa ziphuphu zakumaso mu achinyamata kukhala chofuna chifukwa kukula kwa bakiteriya ndipo akuluakulu amene - propionibacterium acnes. Izo wakudya zidulo sebum mafuta. Dzina limeneli kwa ndilochokera mmodzi wa metabolites wa - asidi butyric.

Bakiteriya amakhudzidwa kwambiri mankhwala a gulu tetracycline, ndi kulimbana ntchito mankhwala ftorhinolongovogo zino. Mmodzi wa anthu otchuka pakati pawo - "Adifloksatsin".

Popeza mabakiteriya bwino kumenyana cheza ultraviolet. Komanso, madokotala ena kulengeza ntchito asidi aminolevulinic. Komabe, nthawi zambiri amayambitsa zotsatira zina zoyipa odwala.

Nthawi zambiri, bakiteriya izi zimakhudza nkhope ndi khosi chapamwamba, ngakhale pali kuchotserapo. Mwa mawonetseredwe kawirikawiri angachititse bakiteriya, - mapangidwe mafinya ndi cysts sebaceous. Iwo akhoza mabala pa khungu.

ziphuphu zakumaso chithandizo

Chithandizo cha ziphuphu zakumaso mu achinyamata amafuna kuleza mtima ndiponso kupirira, kugonjetsa matendawa pa nthawi ina analephera. Cholinga chachikulu ndi kuthetsa zimene zimayambitsa - a seborrhea.

Ndi chikhalidwe chowawa khungu anthu, chifukwa excretions amphamvu kwambiri sebaceous. mavuto uka chifukwa kuyan'anila za munthu kapena ntchito angapo a zopangitsa sebaceous wa khungu. Mwachitsanzo, mantha kapena endocrine.

Chotsani zizindikiro za seborrhea wodwala - wochuluka chonyezimira khungu, kuyabwa khungu, tsitsi imfa ndipo dandruff. Lusoli kuonekera ngati thickening wa wosanjikiza tentha mthupi la khungu.

Kuchotsa matenda, njira ntchito "selenium disulphide," "Ketoconazole", "lifiyamu succinate." Patsogolo ntchito mankhwala chofunika kukaonana ndi dokotala.

Kugwiritsa ntchito mankhwala

Nthawi zambiri, mankhwala abwino kwambiri ziphuphu zakumaso mu achinyamata - ndi mankhwala. Iwo ayenera matenda aakulu. Mu masiku akale ntchito njira zomwe zimathandiza pa mphindi alibe zatsimikiziridwa. Izi kuika mtima pa mwazi wake, ndi estrogens, ndi kupukuta ndi njira salicylic ndi dzuwa limakhala lamphamvu, ndi cryotherapy.

Kuthana ndi ziphuphu zakumaso comedones kuchotsa n'kofunika - mtundu wapadera wa cysts kuti kuonekera pa mapangidwe tsitsi clogging pakamwa pa misa tentha mthupi. Izi zikhoza desquamated epithelium ndi nyama yankhumba wandiweyani. Ziphuphu zakumaso linatseguka.

aluso

Pofuna ziphuphu zakumaso Akatswiri ntchito Desincrustation. Izi ndondomeko ya kuchotsa adipose tsinde njoka yam'madzi ndi zingalowe kapena electroplating.

Electrotherapy zikusonyeza zimakhudza mwachindunji pa mtima zonse ndi mosalekeza panopa mphamvu ang'ono ndi voteji. The cholinga ichi achire kwambiri ndi prophylactic. Galvanization ikuchitika kudzera superimposed pa thupi la maelekitirodi wodwala, iwo ayenera amakhudzana ndi malo vuto la pakhungu, atengeke ambiri matenda.

ziphuphu zakumaso Kuteteza

Pofuna kuteteza zosayembekezereka wa ziphuphu zakumaso vulgaris ndi totupa nditasinkhuka yofunika njira ina ndi yake mankhwala a seborrhea.

Komanso, pali zinthu zingapo zofunika zimene adzakupulumutsa ku matenda. kutsatira izi. M'pofunika nthawi yokwanira kupereka thanzi labwino kugona, yogwira moyo. Kodi nthawi yambiri panja zambiri kuyenda, musaiwale za thupi.

Chinthu chofunika kuteteza ziphuphu zakumaso - kugwilizana ndi zakudya kwambiri. Ngati mukufuna kumenya achinyamata ziphuphu zakumaso, izo m'gulu kukusalani zakudya zanu mafuta, makamaka zitsulo refractory ndi mafuta.

Akatswiri ambiri amalangiza ntchito ngati mankhwala otetezera zochokera nthaka. mankhwala kumabwezera mmbuyo ntchito za zopangitsa za sebaceous, mosavuta kutupa wotsatira ndi pang'onopang'ono mpaka kusanduka ziro.

Monga poyamba ankachita ziphuphu zakumaso

Anthu ali kwa zaka anayesa kupeza njira ndi apamwamba a kuchitira ziphuphu zakumaso. Ndi vuto anthu akumana mu mbiri yake.

Ngakhale mu Roma, kulimbana ndi ziphuphu zakumaso achinyamata ntchito osamba wapadera ndi kumwa madzi mchere. M'zaka za m'ma XIX mwachangu ntchito sulfure kuchitira ziphuphu zakumaso ndi ziphuphu. Mu 1920s ndi madokotala ayamba benzoyl peroxide. Izi wapadera organic pawiri, ntchito zomwe Komabe, kodi si kutsimikizira kugwira kwake. Mu 1930s ndi madokotala American kuti modzaza odwala awo Mankhwalawa kulimbana ziphuphu zakumaso.

Izo zinali kokha kwa 1950s anayamba kugwiritsa ntchito mankhwala. Mu 1960, iwo anayamba mwakhama ntchito tretinoin. Izi yokonza pharmacological munali wambirimbiri vitamini A. ali ndi kanthu protivoseboreynoe, komanso amawathandiza zotupa, kutupa m'deralo. Nthawi ntchito kuchepetsa makwinya. Zotsatira anakhumba zimatheka ndi kuchepetsa phindu ntchito ya maselo zosintha anayamba.

Pa msika lero mungapeze zosiyanasiyana formulations osiyana munali tretinoin maziko. Pali Mwachitsanzo, ndi kothandiza kwambiri komanso zothandiza creams chifukwa ziphuphu zakumaso.

mankhwala Current

Kuyambira 1980s, ndi madokotala mwakhama ntchito mankhwala "Isotretinoin". Izi mankhwala - chipulumutso chenicheni matenda ambiri dermatological. Pakati pake penipeni, ndi structural analogi wa vitamini A.

Pamene ziphuphu zakumaso akafuna kanthu ili. Mankhwala koyamba yafupika makulidwe a wosanjikiza chapamwamba khungu. Mwamsanga afika pa khungu lanu, iwo amayamba pang'ono bwanji maselo stratum corneum. Chifukwa cha ichi, iwo shelled ndi exfoliated. Ukuchoka zotsatira amapezeka. Choncho, makulidwe a wosanjikiza tentha mthupi la khungu yafupika maximally. Izi ndi zothandiza, chifukwa tichipeza makamaka maselo kale akufa. Zimenezi zimapangitsa khungu pores lotseguka, amene kumathandiza mapangidwe ziphuphu zakumaso kapena matumba mafuta.

Komanso, mankhwala ntchito komedonoliticheskie katundu wawo. Amasungunula ndi Nkhata Bay mafuta, chifukwa cha zimene pores wa khungu zonse mu chikhalidwe losindikizidwa. Khungu chachoka ku ziphuphu zakumaso. Komanso, ndi kupewa bwino mapangidwe ziphuphu zakumaso mu unyamata.

Komanso, "Isotretinoin" maximally kuchepetsa ntchito ya zopangitsa sebaceous. Koma ichi ndicho chimodzi mwa zinthu zazikulu chifukwa cha zomwe pali blackheads, ziphuphu. Kuwonjezeka kwa ntchito ya zopangitsa za sebaceous mapeto chakuti ducts lotseguka, ndi kuchuluka kupanga zamadzimadzi katulutsidwe amakwiya pore blockage.

"Isotretinoin" angathandize kwambiri matenda ntchito ya zopangitsa za sebaceous ndi kuchepetsa katulutsidwe awo.

Mu 1990s mu zipatala kulimbana ziphuphu zakumaso anayamba mwakhama ntchito zipangizo laser.

Kukonzekera ndi ziphuphu zakumaso

Today pa maalumali wa pharmacies mungapeze ambiri mankhwala, ndi osiyana a bwino akhoza kuthana ndi ziphuphu zakumaso.

Izi zikhoza kukhala microbicides m'deralo. Iwo ntchito m'njira wofatsa. Komabe, kawirikawiri mwa njira imeneyi kumayambitsa khungu kwambiri dryness, redness ndi kuyabwa.

Timitu ntchito mankhwala apakhungu, monga "mankhwalawa" ndi kumwa mankhwalawa mankhwala.

Kulandiridwa mu mankhwala abwino monga "Doxycycline", "Limetsiklin" nthawizina dermatologists mankhwala "TMP".

M'zaka zaposachedwapa, anayamba ntchito timadzi mankhwala. Makamaka zothandiza akazi. Kukonzekera ayenera kumwedwa mu zovuta ndi. Mwachitsanzo, esitirojeni ndi progestogen.

The efficacy wa retinoids ambiri, makamaka ali angakhale angelo ndi zodzola. Mwachitsanzo, ndi "Effezel", "Klenzit", "Izotreksin".

Retinoids amagwiritsidwa ntchito mkati. Izi ndi zofunika m'njira choopsa cha ziphuphu zakumaso. Pankhaniyi, dermatologists mankhwala kwa wodwala "Isotretinoin".

Chabwino anasonyeza njira ofala kwambiri monga phototherapy. Kuchipatalako ntchito nyale wapadera kapena laser, amene yolera yotseketsa zotsatira zimatheka m'dera kutupa foci.

Nthawi zina, dermatologists amagwiritsidwa ntchito pofuna kuchiza ziphuphu zakumaso asidi azelaic (kawirikawiri ndi njira bata matendawa) ndi nthaka.