La i-rosacea is a isifo esingelapheki. Imithi ehlukahlukene ngokuvamile yenza kube nokwenzeka ukuthuthukisa ukubukeka kwesikhumba, noma okungenani ukubambezela ukuqhubeka kwezimpawu. Kodwa-ke, kujwayele ukuthatha amasonto ambalwa ukubona umphumela futhi akukho ukwelashwa okungafinyelela ukuxolelwa okuphelele nokuhlala njalo. Ngakho-ke, ukwelashwa akwenzi ku-telangiectasias (imikhumbi enwetshiwe) futhi ububomvu obukhona ezihlathini nasekhaleni akupheli ngokuphelele. Kodwa-ke, kubalulekile ukuxhumana ne- dermatologist ngokushesha nje lapho izimpawu zivela, ngoba ukwelashwa kusebenza kakhulu uma kusetshenziswe esigabeni sokuqala sesifo.

Ukwelashwa kuyehluka kuye ngesigaba sesifo kanye nokuqina kwezimpawu. Kungase kusebenze kakhulu, kodwa qaphela ukuthi ezimweni eziningi, i-rosacea iba yimbi ngemva kokuyeka ukwelashwa. Ngokuvamile, ukwelashwa cishe okuqhubekayo kuyadingeka ukuze kugcinwe umphumela owanelisayo.

izidakamizwa

Ama-antibiotics. Ukwelashwa okuvame kakhulu ukunikezwa i-rosacea ngukhilimu wama-antibiotic okufanele usetshenziswe esikhunjeni, esenziwe ngawo i-metronidazole (Metrogel®, Rosasol® in Canada, Rozex®, Rozacrème®… in France). Amakhilimu e-Clindamycin nawo angasetshenziswa. Lapho i-rosacea isakazekile noma ihlotshaniswa nokuvuvukala kwamehlo, udokotela wakho angase alawule i-antibiotic yomlomo (kusuka umabhebhana noma ngezinye izikhathi i-minocycline eCanada) izinyanga ezintathu. Nakuba i-rosacea ingaxhumene ngokuqondile namagciwane, ama-antibiotic asiza ekunciphiseni ukuvuvukala esikhumbeni.

I-Azelaic acid. Ifakwe esikhumbeni njengokhilimu noma ijeli, i-azelaic acid (i-Finacea®) isiza ukunciphisa inani lama-pustules futhi inciphise ububomvu. Kodwa-ke, lo mkhiqizo uyacasula kakhulu esikhumbeni, ngakho-ke i-moisturizer efanelekile kufanele isetshenziswe njengesengezo.

I-isotretinoine yomlomo. I-Accutane® eCanada, etholwe nencwadi kadokotela, kwesinye isikhathi isetshenziswa ku umthamo ophansi ukwelapha izinhlobo ezinzima ze-rosacea (uma kwenzeka i-phymatous rosacea noma ama-papules, ama-pustules noma ama-nodules amelana nezinye izindlela zokwelapha²). Njengoba kubangela imiphumela emibi kakhulu, inqunywe ngaphansi kokuqondiswa kwezokwelapha okuseduze. Ngakho-ke, kwandisa ingozi yokukhubazeka kokuzalwa uma isetshenziswa ngesikhathi sokukhulelwa. Abesifazane abangase babe nabantwana abathatha lokhu kwelashwa kufanele babe nokuvimbela inzalo okusebenzayo futhi bahlolwe njalo ukukhulelwa ukuze baqiniseke ukuthi abakhulelwe. Kutuswa ukuthi uhlole udokotela wakho.

ukuhlinzwa

Ukunciphisa ububomvu nokunciphisa ukubukeka i-telangiectasias (imigqa emincane ebomvu elandela ukunwetshwa kwemikhumbi) noma i-rhinophyma, kukhona ukwelashwa okuhlukahlukene okuhlinzayo.

I-Electrocoagulation. Lena indlela ephumelelayo ye-telangiectasias (i-rosacea) engadinga izikhathi ezimbalwa futhi enezinkinga ezihlukahlukene, okuhlanganisa: ukopha okuncane, ububomvu kanye nokwakheka kotwayi oluncane ezinsukwini ezilandelayo, ubungozi bokuba nezibazi noma ukuwohloka unomphela kwesikhumba. Lokhu kwelashwa akukwazi ukucatshangelwa ngesikhathi sasehlobo (ingozi yokwakheka kwamabala ansundu).

Ukuhlinzwa kwe-laser. Isebenza kangcono futhi ibuhlungu kakhulu kune-electrocoagulation, i-laser ngokuvamile ishiya izibazi ezincane. Nokho, kungabangela imihuzuko noma ukuba bomvu kwesikhashana. Kuthatha isikhathi esisodwa kuya kwesithathu endaweni ngayinye ukwelashwa.

I-Dermabrasion. Le nqubo iqukethe "ukuguga" ungqimba olungaphezulu lwesikhumba usebenzisa ibhulashi elincane, eliphenduka ngokushesha.