Induna e intsha esikhulakhulile: ukwelashwa, izimbangela, izidakamizwa. Induna intsha

Induna - isifo esiyingozi ukuvuvukala kwesikhumba. Senzeka okuthiwa izakhiwo pilosebaceous kwabantu. Letakhi aqukethe nezindlala sebaceous futhi izinwele follicle.

History of the eside

Igama ukuthi uchaza isifo njengoba induna intsha, uvele eGrisi lasendulo. Ngokokuqala ngqá ke ohlala kuso kuyakhulunywa ngaso imisebenzi Aetius Amidskogo ubesebenza njengodokotela udokotela ngesikhathi uMbusi waseByzantium uJustinian I kule 6th AD leminyaka.

lo mqondo "Induna" - lisuselwa umqondo yamaGreki asendulo ukuthi libhekisela ngokoqobo "ukuphakama, sokuthuthwa kwempahla, iphuzu."

Izimbangela zesifo

Ochwepheshe ukukhomba izizathu ezimbalwa ezenza induna kwenzeka intsha. Ukwelashwa lokhu kuyenzeka, kodwa kudinga ukuzimisela kanye nokusetshenziswa olunzulu yonke imiyalelo kadokotela.

Enye yezimbangela eziyinhloko induna - ufuzo. Futhi, odokotela ukuhlukanisa umsebenzi hormone phakathi nenkathi yokuqhuma kobusha, lapho amantombazane aqala ukuya esikhathini kanye induna e intsha esikhulakhulile-abafana avele nokuthomba.

Induna kungaphinde kwenzeke ngenxa yezinkinga pheshana emathunjini, ukucindezeleka, fuzz ft noh hujan nezindlala sebaceous, ekuqongeleleni enkulu ngokusebenzisa amangqamuzana esikhumba somuntu ofileyo, kungaba futhi umphumela we nokusetshenziswa kwezidakamizwa Anabolic futhi ukwakhiwa equkethe halogens.

Ngo inguqulo evamile yezokwelapha kwaba ukuthi induna e intsha ngenxa yomsebenzi kuphela hormone. Nokho, ngokuhamba kwesikhathi, ososayensi batholé ukuthi lesi sifo kuphakamisa hormone amaningi. Ngo-testosterone ethile.

Ngo induna post-pubertal e emantombazaneni asemasha awavamile. Kulokhu, it is a uphawu lwesifo esibi, ezifana Cushing Syndrome. Ngesikhathi esifanayo, isikhumba ukukhubazeka okuholela carbohydrate ngokweqile ekudleni.

Ukwahlukaniswa izifo

Ukuze uqonde ukuthi ungasiza kanjani le nkinga, kubalulekile ukuqonda ukuthi hlobo luni induna kwenzeka intsha. Ukwelashwa incike uhlobo lwesifo kuzohluka.

Odokotela baye bathola inombolo amafomu eziyisisekelo. Okokuqala, comedonal. It libhekene ukubukeka avaliwe induna esilevwini, emabunzini ekhaleni amaphiko. Uma lokhu ukuvuvukala ngokuvamile kungenzeki.

Olunye uhlobo - papules, pustular. Kubonisa ukubukeka zokwakheka ubovu kokubili ovulekile futhi avaliwe. Isibalo pustules encane.

Induna e intsha, abafana Ngokuvamile ubonakaliswa isimo sengqondo ifomu a engeyokuqala. Indawo yabo ejwayelekile - emabunzini, kwesilevu, ekhaleni nezihlathi. Ngakho kukhona okungenani 25-30 pustules.

Oyinkinga kakhulu - ifomu ezinzima. Kulesi induna eyeve eshumini nambili okuhlanganisiwe ne pustules, kukhona amasayithi ejulile futhi kubuhlungu, izindawo ezinkulu isikhumba babe avuvukele. Uma unganikezi usizo ngesikhathi esifanele, leli fomu igcwele ukubukeka izibazi esikhumbeni.

emitholampilo isithombe

Odokotela ukuhlonza ezihlukahlukene izinhlobo izibazi kanye induna e intsha. Ukwelashwa kungenzeka, ezimweni eziningi, isikhumba asihlali ngisho nokuncane isifo. Ngaphezu ebusweni, ukuvuvukala singenzeka phezu kwesifuba, ikakhulukazi phezulu, futhi ngemuva. Kungenxa kulezi zindawo nezindlala ngobukhulu sebaceous. Induna kuvuse izinqubo ukuvuvukala, ngenxa okuyinto ubomvu lapho kumiswa.

Ubomvu Bubbles, okuyinto ochwepheshe ngokuthi pustules wome emva wokuvula. Ngenxa yalokhu, ikhekhe bakha, ngemva okusalayo izibazi ezibonakalayo.

Acne izibazi kungaba ngezinhlobo eziningi. I esiyingozi kakhulu futhi singathandeki - ngokujulile, lapho kumiswa isici cutaneous acid.

izibazi Angular ngokuvamile ivele izihlathi namathempeli. Bafana kakhulu imithelela inkukhu Pox. Futhi, kungase kube izibazi keloid.

Ngokuvamile, isithombe emtholampilo is nhlobonhlobo ngoba induna e intsha. Ukwelashwa kungase kube buhlungu, inqubo uqhubeke iminyaka eminingi.

izimpawu

Ngokuvamile kwenzeka isifo yobusha egameni lesiLatini induna vulgaris. Intsha engu-14 ubudala yibona ikakhulu abayizisulu singangena kule fomu. It kuvela ngenxa ngokweqile sebum nezindlala, okuyinto clogs the pores. Ukubuthelela lezi zinto kwenzeka ngenxa iziyaluyalu inqubo keratinization. Ibizwa ngokuthi keratinization, lapho amangqamuzana efa ungqimba epidermal kwesikhumba.

Ekugcineni, konke lokhu kuholela eliphathisa kwamangqamuzana esikhumba. Sebum Ngakho bagxila ikhule ezimbotsheni, ivinjiwe isifo. Zonke lezi zici bakha indawo evumayo ezifanelekayo ukufuya nezilwanyana ezincane eziyingozi.

Igciwane kubangele induna

Lapho ezimbotsheni induna e izingane zibe elikhanyayo ngenxa ukukhula kwamagciwane, okusemqoka kakhulu zazo - propionibacterium acnes. It udla sebum fatty acid. It wathola igama layo okwesikhathi esuselwe omunye metabolites - udwi otshekele kwesokunxele.

I-bacterium kakhulu ebucayi nemithi leqembu tetracycline, futhi ukulwa ke ngasebenzisa izidakamizwa ftorhinolongovogo chungechunge. Omunye ethandwa kakhulu phakathi kwawo - "Adifloksatsin".

Njengoba amagciwane alwa kahle imisebe ultraviolet. Futhi, abanye odokotela batusa ukusetshenziswa aminolevulinic acid. Nokho, ngokuvamile kubangela imiphumela eminingi engemihle njengezindlela ezigulini.

Ngokuvamile, lokhu igciwane kuthinta ebusweni nasentanyeni engenhla, nakuba zikhona ezehlukile. Phakathi ukubonakaliswa ezingavamile ukuthi kungabangela igciwane, - ukwakheka kobovu futhi izinhlumba sebaceous. Abakwazi izibazi esikhumbeni.

ukwelashwa induna

Ukwelashwa induna e intsha esikhulakhulile kudinga isineke nokubekezela, ukunqoba lesi sifo ngesinye isikhathi abazange baphumelele. Injongo eyinhloko ukuqeda izimbangela impande - of seborrhea.

It yisimo esibuhlungu kwesikhumba womuntu, kubangelwa Ukunyanyisa sinamandla kakhulu sebaceous. kuphakama izinkinga ezinjalo ngenxa yokwephula eyodwa noma imisebenzi eziningana nezindlala sebaceous kwesikhumba. Ngokwesibonelo, abakaze noma endocrine.

Sula izimpawu seborrhea lesiguli - oily shiny isikhumba, ukulunywa, uyaxebuka, nezinwele futhi dandruff. Kungaphinde ukuzibonakalisa njengoba ukuqina ungqimba Horny we epidermis.

Ukuqeda lesi sifo, indlela ayisebenzisayo "selenium disulphide," "Ketoconazole", "lithium succinate." Ngaphambi ukusetshenziswa kwezidakamizwa liyadingeka kudokotela.

Nokusetshenziswa kwamaphilisi

Ngokuvamile, ikhambi kangcono induna e intsha esikhulakhulile - kuyinto antibiotic. Basuke kuyadingeka ezifweni ezimbi. Ezinsukwini ubudala wasebenzisa izindlela okuyizinto ngempumelelo okwamanje engakaze lawo. Lokhu ukumpontshelwa nesineke ngegazi lakhe siqu, kanye estrogens, futhi esula necebo salicylic acid, futhi emisebe ye-UV, futhi cryotherapy.

Ukuze ulwe ngempumelelo induna comedones ukususwa kuyadingeka - uhlobo olukhethekile izinhlumba evelayo phakathi kumiswa izinwele odla emlonyeni uquqaba Horny. Lokhu kungenziwa desquamated epithelium nge ubhekeni obukhulu. Induna ke wavula.

izindlela eziphumelelayo

Ukuze ulwe induna ochwepheshe isicelo Desincrustation. Le nqubo wokususa adipose stem umbokwane ngu cleaner noma Electroplating.

Electrotherapy kusho kunomthelela oqonde ngqo wamanje nesineke njalo futhi okuqhubekayo kwamandla amancane voltage. Umgomo kule zokwelapha kakhulu futhi prophylactic. Galvanization Kwenziwa ngokusebenzisa contact esikhulu umzimba electrode nesineke, kufanele mbeni ezindaweni inkinga ka esikhumbeni, Lesi sifo siphatha kakhulu yilesi sifo.

induna Prevention

Ukuze uvimbele okuvela kuyo induna vulgaris nesimungumungwane esemncane, isici esibalulekile zokuvimbela impatho esifike seborrhea.

Futhi, kukhona izinto ezimbalwa ukhiye uzokusindisa kusukela izifo ezinjalo. Lokhu ukunamathela. Kuyadingeka ukuba nesikhathi esanele ukunikeza nempilo enhle ukulala, yokuphila asebenzayo. ukuchitha kanjani isikhathi esengeziwe ngaphandle, ngokuvamile ukuhamba, ungakhohlwa mayelana umzimba.

Okuyisici esibalulekile ekugwemeni induna - nokulandela ukudla okuqinile. Uma ufuna ukushaya induna kwentsha, ke sebekubeke ukuwakhipha kusuka ekudleni kwakho amafutha, ikakhulukazi izinsimbi refractory namafutha.

Ochwepheshe abaningi ukweluleka ukusebenzisa njengoba imithi zokuvimbela esekelwe zinc. Le into kuvimbela umsebenzi nezindlala sebaceous, amathuba ukuvuvukala okwalandela kancane kancane zero.

Njengoba induna ngaphambilini iphathwa

Isintu emakhulwini wazama ukuthola indlela ephumelelayo futhi eliphezulu ukwelapha induna. Abanenkinga enjalo abantu abaye babhekana kuwo wonke umlando.

Ngisho eRoma yasendulo, ukubhekana induna intsha wasebenzisa okugeza ekhethekile, waphuza amanzi amaminerali. Ekhulwini XIX, ngenkuthalo esetshenziswa isibabule ukuze aphathe nezinduna. Esikhathini 1920, odokotela sebemukele peroxide benzoyl. Le ngxube ekhethekile organic, ukusetshenziswa okuyinto Nokho, akazange uqinisekise ngempumelelo yayo. Ngo-1930, odokotela Melika eyayigcwele iziguli zabo laxatives ukuze silwe induna.

Kwakungenxa nje kusukela 1950s, baqala ukusebenzisa antibiotic. Ngo-1960, yaqala ukuba ngenkuthalo ukusebenzisa tretinoin. Lokhu ukulungiselela kwemithi oqukethe semali uvithamini A. akanalo nje protivoseboreynoe senzo, kodwa futhi kusiza izimila, ukuvuvukala wendawo. It livame ukusetshenziswa ukuba inciphise imibimbi. Umthelela oyifunayo ibangelwa ukunciphisa umsebenzi nzuzo amaseli bese izibuyekezo zabo okwalandela.

Emakethe namuhla ungathola ezihlukahlukene Ngezakhiwo ezahlukene eziqukethe tretinoin isisekelo. Kukhona, isibonelo, kuyinto okhilimu esebenza kahle kakhulu futhi eliphumelelayo induna.

izidakamizwa yamanje

Kusukela ngeminyaka yama-1980, odokotela ngenkuthalo wasebenzisa isidakamizwa "Isotretinoin". Lesi sidakamizwa - insindiso yangempela izifo eziningi dermatological. Enkabeni yalo, kuba analog isakhi Vitamin A.

Lapho induna imodi yesenzo kanje. Umuthi iqale encishisiwe ukushuba we ungqimba engenhla epidermis. Ngokushesha uthola esikhunjeni, uqala kancane kuthinte amaseli stratum corneum. Ngenxa yalokhu, basuke shelled futhi exfoliated. Uyaxebuka umphumela kwenzeka. Ngakho, ukushuba we ungqimba Horny we epidermis kuyehla Ubuningi bamahora. Lokhu kuwusizo, ngoba bahlanganisa ikakhulu amangqamuzana afile kakade. Le nqubo kwenza isikhumba pores avulekile, okuyinto evimbela ukwakheka induna noma emaphaketheni amafutha.

Ngaphezu kwalokho, izidakamizwa isetshenziswa komedonoliticheskie nezici zabo. Ancibilikisa ukhokho amafutha, ngenxa lapho ezimbotsheni zesikhumba njalo usesimweni uphawu. Isikhumba is ebugqilini induna. Ngaphezu kwalokho, kuyinto zokuvimbela ngempumelelo kwetinhlavu induna entsheni.

Futhi, "Isotretinoin" Ubuningi bamahora ukunciphisa umsebenzi nezindlala sebaceous. Kodwa lena enye yezinto eziyinhloko ngoba zazo zikhona namaqhubu, izinduna. Umsebenzi okwandisiwe nezindlala sebaceous ekugcineni kuholela yokuthi Amapayipi evulekile, futhi umkhiqizo wawanda of lipid uketshezi kuphakamisa Pore ukuvaleka.

"Isotretinoin" kungaba kujwayeleke kakhulu ngempumelelo umsebenzi nezindlala sebaceous futhi ukunciphisa uketshezi yabo.

Ngo-1990 ezibhedlela ukuze silwe induna waqala ngenkuthalo ukusebenzisa amadivaysi laser.

Amalungiselelo ngokumelene induna

Namuhla emashalofini Pharmacy ungathola inqwaba izidakamizwa, ne ntshashintshe okuphumelela ungakwazi ukubhekana induna.

Zingase zibekwe microbicides wendawo. Zisetshenziswa amafomu omnene. Nokho, ukusetshenziswa njalo ngezimpawu ezinjalo kuholela ngokweqile isikhumba ukoma, ububomvu kanye ukucasuka.

Ihlelwe ngokulandelana kwezihloko isicelo imithi elwa namagciwane ngokwezihloko, ezifana "Erythromycin" futhi tetracycline antibiotic.

Ukuba zamukelwe njengeziyingxenye imithi elwa namagciwane ofanele ezifana "Doxycycline", "Limetsiklin" ngezinye izikhathi dermatologists ukunquma "TMP".

Eminyakeni yamuva, zaqala ukusetshenziswa yokwelapha i-hormone. Kuyinto ngempumelelo ikakhulukazi abesifazane. Amalungiselelo okudingeka zithathwe kule eziyinkimbinkimbi. Ngokwesibonelo, i-estrogen nge progestogen.

Kusebenta retinoids abaningi, ikakhulukazi eziqukethwe si namafutha. Ngokwesibonelo, "kuyinto Effezel", "Klenzit", "Izotreksin".

Retinoids nazo asetshenziswa ngaphakathi. Lokhu kuyadingeka amafomu okunzima induna. Kulokhu, dermatologists linqume isiguli "Isotretinoin".

Nokho kwaba indlela enjalo adumile njengoba phototherapy. Ngoba impatho zisebenzisa isibani ekhethekile noma laser, ngawo umphumela inzalo kufinyelelwa ukuvuvukala foci wendawo.

Ezimweni ezingavamile, dermatologists zisetshenziselwa aphathe induna azelaic acid (ngokuvamile amafomu onomoya omnene zesifo) ne-zinc.