Okuqukethwe
Isisekelo esingeyona comedogenic: umkhiqizo omuhle wezinduna?
Ukugcoba izimonyo lapho unesikhumba esinezinduna kuyinkambo yesithiyo. Akukhona mayelana nokwengeza ama-comedone kulawo asevele akhona. Kodwa kuningi okuthiwa yizisekelo ezingezona eze-comedogenic emakethe yezimonyo.
Yini induna?
I-acne yisifo esingapheli sokuvuvukala kwe-pilosebaceous follicle, i-follicle lapho izinwele nezinwele zingakhula khona. Abantu abayizigidi eziyisithupha bahlushwa yiyo eFrance, ukuhlupheka okungokomzimba nangokwengqondo. I-15% inamafomu anzima.
Kuthinta ubuso, intamo, isifunda se-thoracic, futhi kaningi ngemuva kwabesilisa, nobuso obuphansi kwabesifazane. Ngokuvamile ngesikhathi sokuthomba futhi ngakho-ke entsheni ukuthi lesi sifo siqala ngaphansi kwethonya (kodwa hhayi kuphela) lamahomoni ocansi. Kwabesifazane, izinduna zingabangelwa ukuphazamiseka kwehomoni okubandakanya amahomoni wesilisa.
Okungcono kakhulu, isiqephu sithatha iminyaka emi-3 noma emi-4 futhi intsha iyasuswa kuso phakathi kweminyaka eyi-18 nengama-20.
Ayini ama-comedones?
Ukuze uqonde ukuthi ama-comedones ayini, kufanele sikhumbule izigaba ezahlukene ze-acne:
- Isigaba sokugcina (hyperseborrheic): i-sebum ekhiqizwa izindlala ze-sebaceous iyajiya noma iba yichichima ezizungeze izinwele; ikakhulukazi lokho okubizwa ngokuthi indawo ye-T yobuso ethintekayo (ikhala, isilevu, ebunzini). Amagciwane ngokuvamile akhona esikhumbeni (i-flora) ejabulela inala yokudla aqala ukugcwala endaweni;
- Isigaba sokuvuvukala: lawa magciwane amaningi adala ukuvuvukala. Vula ama-comedones noma ama-blackheads (i-amalgam ye-sebum namaseli afile) bese kuvela. Zilinganisa u-1 kuya ku-3 mm ububanzi. Singazama ukuyikhipha ngokucindezela ohlangothini ngalunye kodwa le ndlela yokuqondisa iyingozi (ingozi ye-superinfection). Lawa makhanda amnyama abizwa ngokuthi "izibungu zesikhumba" (okubhekisela ekubukekeni kwazo lapho ziphuma). Ama-comedones avaliwe avela ngesikhathi esifanayo: ama-follicles avinjelwe yi-sebum namaseli afile (ama-keratocytes). Amaqhuqhuva ahlanganisiwe agxile endaweni ephaphathekile: amachashazi amhlophe;
- Izigaba zakamuva (ama-papules, ama-pustules, ama-nodules, ama-cysts amathumba) zishiya isihloko.
Ngakho-ke ama-blackheads angama-blackheads nama-whiteheads.
Iyini into ye-comedogenic?
I-comedogenic substance iyinto ekwazi ukubangela ukuthuthukiswa kwama-comedones, okusho ukufaka isandla ekuvaleni izimbotshana ze-pilosebaceous follicles futhi kubangele ukunqwabelana kwe-sebum namaseli afile. Phakathi kwale mikhiqizo ye-comedogenic, kufanele sikhumbule:
- Amafutha kawoyela wamaminerali (asuka ku-petrochemicals);
- I-PEGS;
- Ama-Silicone;
- Ama-surfactants athile okwenziwa.
Kodwa le mikhiqizo ayiqukethwe kulokho okubizwa ngokuthi izimonyo zemvelo. Ngakolunye uhlangothi, ezinye izimonyo zemvelo ziqukethe amafutha emifino ye-comedogenic.
Kungani usebenzise isisekelo esingeyona i-comedogenic ye-acne?
Kuzoqondakala ukuthi izisekelo ezingezona eze-comedogenic aziqukethe izinto ezibalwe ngenhla ze-comedogenic. Kufanele:
- hhayi ukukhuluphala;
- zimboze ngokwanele;
- ungavali ama-pores;
- gwema umphumela wekhadibhodi ukuze isikhumba sikhazimule;
- vumela isikhumba siphefumule.
Ulwazi okufanele ukwazi:
- akuyona yonke imikhiqizo "engenawo uwoyela" engeyona i-comedogenic ngoba ezinye izisekelo ezingenawo uwoyela zisese-comedogenic;
- asikho ukuhlolwa okuphoqelekile noma isitatimende sokubonisa emikhiqizweni engeyona eye-comedogenic, yingakho kunzima ukuyikhetha;
- kodwa-ke, izinhlobonhlobo zezimonyo eziklanyelwe ngokukhethekile isikhumba esinezinduna ziyatholakala kuwebhu, zenza kube lula ukukhetha.
Isincomo esisha esibalulekile
Izinduna ziyi-topical njengoba i-HAS (Haute Autorité de Santé) isanda kukhuluma ngezinduna ezinzima kanye nokusetshenziswa kwe-isotretinoin kwabesifazane abasebasha abaneminyaka yobudala. Lesi seluleko singase singabaluleki kakhulu ezigulini ezinokugula okuncane, kodwa ngeshwa, izinduna ngezinye izikhathi ziba zimbi kakhulu. Ungangabazi ukubonana nodokotela.