Melasma

Melasma ndimkhalidwe wa khungu womwe umayambitsa zigamba za khungu lakuda m'malo amaso omwe ali padzuwa.

Melasma ndimatenda akhungu wamba. Amawonekera kwambiri mwa azimayi achichepere okhala ndi khungu la bulauni, koma amatha kukhudza aliyense.

Melasma nthawi zambiri imagwirizanitsidwa ndi mahomoni achikazi estrogen ndi progesterone. Ndizofala mu:

• Amayi apakati
• Azimayi omwe amamwa mapiritsi oletsa kubereka
• Amayi omwe amamwa mankhwala othandizira mahomoni (HRT) panthawi yakusamba.

Kukhala padzuwa kumapangitsa kuti melasma ipangidwe mosavuta. Vutoli limapezeka kwambiri kumadera otentha.

Chizindikiro chokha cha melasma ndikusintha khungu. Komabe, kusintha kwamtunduwu kumatha kubweretsa nkhawa pamawonekedwe anu.

Kusintha kwa mtundu wa khungu nthawi zambiri kumakhala kofiirira. Nthawi zambiri zimawoneka pamasaya, pamphumi, pamphuno, kapena pakamwa. Magulu akuda nthawi zambiri amakhala ofanana.

Wothandizira zaumoyo wanu ayang'ana khungu lanu kuti adziwe vutoli. Kuyang'anitsitsa pogwiritsa ntchito chipangizo chotchedwa nyale ya Wood (chomwe chimagwiritsa ntchito kuwala kwa ultraviolet) kungathandize kutsogolera chithandizo chanu.

Chithandizo chitha kukhala:

• Zokongoletsa zomwe zimakhala ndi zinthu zina kuti zisinthe mawonekedwe a melasma
• Mankhwala a mankhwala kapena topical steroid mafuta
• Mankhwala a laser kuchotsa pigment yakuda ngati melasma ndi yayikulu
• Kuyimitsa mankhwala a mahomoni omwe atha kubweretsa vuto
• Mankhwala otengedwa pakamwa

Melasma imatha pakadutsa miyezi ingapo mutasiya kumwa mankhwala a mahomoni kapena mimba yanu itatha. Vutoli limatha kubwereranso m'mimba mtsogolo kapena ngati mugwiritsanso ntchito mankhwalawa. Itha kubweranso kuchokera padzuwa.

Itanani omwe akukuthandizani ngati nkhope yanu ili ndi mdima womwe sutha.

Njira yabwino yochepetsera chiopsezo cha magazi chifukwa cha kutentha kwa dzuwa ndikuteteza khungu lanu ku dzuwa ndi kuwala kwa ultraviolet (UV).

Zinthu zomwe mungachite kuti muchepetse kuwonera dzuwa ndi monga:

• Valani zovala monga zipewa, malaya ataliatali, masiketi aatali, kapena mathalauza.
• Yesetsani kupewa kukhala padzuwa masana, pomwe kuwala kwa ultraviolet kumakhala kolimba kwambiri.
• Gwiritsani ntchito zotchingira dzuwa zapamwamba kwambiri, makamaka ndi mawonekedwe oteteza dzuwa (SPF) osachepera 30. Sankhani zoteteza ku dzuwa zomwe zimatsekereza UVA ndi UVB.
• Pakani zodzitetezera ku dzuwa musanapite padzuwa, ndipo muzigwiritsanso ntchito pafupipafupi - osachepera maola awiri ali padzuwa.
• Gwiritsani ntchito zoteteza ku dzuwa chaka chonse, kuphatikiza m'nyengo yozizira.
• Pewani nyali zadzuwa, mabedi osenda, ndi malo opangira utoto.

Zinthu zina zofunika kudziwa pakudziwika kwa dzuwa:

• Kutentha kwa dzuwa kumakhala kolimba mkati kapena pafupi ndi malo omwe amawunikira, monga madzi, mchenga, konkire, ndi malo opaka utoto woyera.
• Dzuwa limakhala lamphamvu kwambiri kumayambiriro kwa chilimwe.
• Khungu limatentha msanga m'malo okwera kwambiri.

Chloasma; Chigoba cha mimba; Chigoba cha mimba

Dinulos JGH.Matenda okhudzana ndi kuwala ndi zovuta zamatenda amtundu. Mu: Dinulos JGH, mkonzi. Chipatala cha Habif's Dermatology. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 19.

James WD, Elston DM, Chitani JR, Rosenbach MA, Neuhaus IM. Kusokonezeka kwa mtundu wa pigment. Mu: James WD, Elston DM, Tsatirani JR, Rosenbach MA, Neuhaus IM, eds. Matenda a Andrews a Khungu: Clinical Dermatology. Wolemba 13. Philadelphia, PA: Elsevier; 2020: chap 36.