Kuchiza Steroid Acne

Zamkati

• Zizindikiro zake ndi ziti?
• Zomwe zimayambitsa
• Anabolic steroids amagwiritsidwa ntchito pomanga thupi
• Mankhwala a corticosteroids, monga prednisone
• Momwe zimachitikira
• Njira zothandizira
• Maantibayotiki apakamwa
• Benzoyl peroxide
• Phototherapy
• Milandu yofatsa
• Malangizo popewa
• Kutenga

Kodi steroid acne ndi chiyani?

Nthawi zambiri, ziphuphu zimatuluka ndimatenda amafuta pakhungu lanu ndi mizu ya tsitsi. Dzinalo laukadaulo ndi acne vulgaris, koma nthawi zambiri limangotchedwa ziphuphu, mawanga, kapena zits. Bakiteriya (Propionibacterium acnes) pamodzi ndi zinthu zina zimayambitsa kutupa kwa ma gland amafuta.

Steroid acne ali ndi zizindikiro zofanana ndi ziphuphu. Koma ndi steroid acne, systemic steroid ntchito ndi yomwe imapangitsa mafuta (sebaceous) mafinya kukhala otupa ndi matenda. Ma steroids atha kukhala mankhwala akuchipatala, monga prednisone, kapena mapangidwe omanga thupi.

Mtundu wina wa ziphuphu, wotchedwa malassezia folliculitis kapena mafangasi acne, amayamba chifukwa cha yisiti matenda amadzimadzi. Monga acne vulgaris, imatha kuchitika mwachilengedwe kapena chifukwa chogwiritsa ntchito steroid pakamwa kapena jekeseni.

Ziphuphu zamtundu wamba komanso steroid nthawi zambiri zimachitika muunyamata, koma zimatha kuchitika nthawi iliyonse yamoyo.

Steroid acne ndi yosiyana ndi steroid rosacea, yomwe imabwera chifukwa chogwiritsa ntchito topical corticosteroids kwakanthawi.

Zizindikiro zake ndi ziti?

Steroid acne nthawi zambiri imawonekera pachifuwa. Mwamwayi, pali njira zingapo zothandiza zothetsera ziphuphu pachifuwa.

Ikhozanso kuwonekera pankhope, pakhosi, kumbuyo, ndi mikono.

Zizindikiro zimatha kuphatikiza:

• mitu yakuda yotseguka komanso yoyera (ma comedones)
• mabampu ang'onoang'ono ofiira (papules)
• mawanga oyera kapena achikasu (pustules)
• zazikulu zazikulu, zopweteka zofiira (ma nodule)
• zotupa ngati zotupa (pseudocysts)

Mwinanso mungakhale ndi zotsatira zina chifukwa chotola kapena kukanda ziphuphu. Izi zingaphatikizepo:

• zofiira kuchokera kumadera omwe achiritsidwa posachedwa
• zizindikiro zakuda kuchokera kumabala akale
• zipsera

Ngati ma acne acne ndi amtundu wa acne vulgaris, mawanga amatha kukhala ofanana kwambiri kuposa ziphuphu wamba, zopanda steroid.

Ngati acne acne ndi amtundu wa fungal (malassezia folliculitis), mawanga ambiri aziphuphu adzakhala ofanana. Comedones (whiteheads ndi blackheads) samapezeka nthawi zambiri.

Zomwe zimayambitsa

Steroid acne imayamba chifukwa chogwiritsa ntchito mankhwala am'thupi (m'kamwa, jakisoni, kapena kupuma) mankhwala a steroid.

Anabolic steroids amagwiritsidwa ntchito pomanga thupi

Steroid acne imapezeka pafupifupi 50 peresenti ya anthu omwe amagwiritsa ntchito anabolic steroids pamlingo waukulu pomanga thupi. Zomwe zimadziwika kuti sustanon (zomwe nthawi zina zimatchedwa "Sus" ndi "Deca") ndizomwe zimayambitsa ziphuphu za steroid kwa omanga thupi.

Testosterone ya mlingo waukulu ingathandizenso kuphulika kwa ziphuphu.

Mankhwala a corticosteroids, monga prednisone

Kugwiritsa ntchito kwa corticosteroids pambuyo poti opareshoni ya ziwalo ndi chemotherapy kwapangitsa kuti ziphuphu za steroid zidziwike kwambiri.

Steroid acne nthawi zambiri imawonekera pakatha milungu ingapo yothandizidwa ndi ma steroids. Ndizotheka kwambiri kwa anthu ochepera zaka 30. Zimakhalanso zofala kwa iwo omwe ali ndi khungu lowala.

Kukula kwake kumadalira kukula kwa mlingo wa steroid, kutalika kwa chithandizo, komanso kutengeka kwanu ndi ziphuphu.

Ngakhale kuti ma acne acne nthawi zambiri amawoneka pachifuwa, kugwiritsa ntchito chigoba popanga mankhwala a corticosteroids kumatha kuwonekera pankhope panu.

Momwe zimachitikira

Sidziwika bwino momwe ma steroids amakulitsa mwayi wanu wopanga ziphuphu. Kafukufuku wambiri akuwonetsa kuti ma steroids atha kuthandizira kuti thupi lanu lipange ma immune receptors omwe amadziwika kuti TLR2. Pamodzi ndi kupezeka kwa mabakiteriya Propionibacterium acnes, zolandilira za TLR2 zitha kutengapo gawo pakubweretsa ziphuphu.

Njira zothandizira

Chithandizo cha ziphuphu za steroid, monga momwe chimakhalira ndi ziphuphu wamba (acne vulgaris), chimaphatikizapo kugwiritsa ntchito mitundu yambiri yazokongoletsa pakhungu ndi mankhwala am'kamwa.

Steroid-induced fungal acne (malassezia folliculitis) amachiritsidwa ndi ma topical fungus, monga ketoconazole shampoo, kapena mankhwala am'kamwa, monga itraconazole.

Maantibayotiki apakamwa

Maantibayotiki apakamwa a gulu la tetracycline amapatsidwa mankhwala azovuta zazikulu komanso zochepa za steroid acne, ndipo mulimonsemo zowonetsa zipsera. Izi zikuphatikizapo doxycycline, minocycline, ndi tetracycline.

Maantibayotikiwa amapha mabakiteriya omwe amakulitsa ziphuphu ndipo amathanso kukhala ndi zotsutsana ndi zotupa. Maantibayotiki ena amapatsidwa kwa ana osakwana zaka 8.

Zitha kutenga milungu inayi kapena isanu ndi itatu yogwiritsa ntchito maantibayotiki musanawone zovuta zakhungu. Kuyankha kwathunthu kumatha kutenga miyezi itatu kapena isanu ndi umodzi.

Anthu amtundu wawo amatha kutengeka ndi ziphuphu ndipo amatha kulangizidwa kuti amwe mankhwala opha tizilombo, ngakhale atakhala ochepa.

Chifukwa cha chiwopsezo chowonjezeka cha maantibayotiki kukana komanso kuchepa kwa kuchitapo kanthu, akatswiri tsopano alepheretsa kugwiritsa ntchito maantibayotiki apakhungu.

Benzoyl peroxide

Benzoyl peroxide ndi mankhwala othandiza kwambiri omwe amathandiza kupha mabakiteriya aziphuphu ndikuchepetsa kutupa. Ndibwino kuti mugwiritse ntchito limodzi ndi maantibayotiki am'kamwa, komanso m'malo ofatsa omwe safuna maantibayotiki.

Benzoyl peroxide imapezeka m'mankhwala ambiri am'ziphuphu. Nthawi zina amaphatikizidwa ndi asidi salicylic.

Mukamagwiritsa ntchito kukonzekera kwamutu pankhope panu, ndikofunikira kuyigwiritsa ntchito pankhope panu, osati m'malo omwe mumawonawo. Izi ndichifukwa choti ziphuphu zimayamba kuchokera kumawonekedwe ang'onoang'ono pamaso panu omwe simungathe kuwawona.

Osakanda nkhope yanu mwamphamvu mukamatsuka kapena kugwiritsa ntchito mankhwala, chifukwa izi zitha kukulitsa ziphuphu.

Phototherapy

Pali umboni wina wokhudzana ndi mphamvu ya phototherapy yokhala ndi kuwala kwa buluu ndi buluu wofiira kuchitira ziphuphu.

Milandu yofatsa

Pazifukwa zochepa, dokotala akhoza kuyesa kupewa kugwiritsa ntchito maantibayotiki apakamwa, ndipo m'malo mwake akupatseni mtundu wamakonzedwe khungu omwe amadziwika kuti topical retinoid. Izi zikuphatikiza:

• chiwerewere (Retin-A, Atralin, Avita)
• adalpene (Differin)
• tazarotene (Tazorac, Kupezeka)

Ma retinoids apakhungu ndi mafuta, mafuta odzola, ndi ma gels ochokera ku vitamini A.

Amagwira ntchito pothandiza kupanga maselo abwinobwino pakhungu ndikuchepetsa kutupa. Sayenera kugwiritsidwa ntchito panthawi yapakati kapena yoyamwitsa.

Malangizo popewa

Steroid acne, mwakutanthauzira, imayamba chifukwa chogwiritsa ntchito ma steroids. Kuyimitsa kapena kuchepetsa kugwiritsa ntchito steroid kumathandizira kuthetsa ziphuphu.

Koma izi sizotheka nthawi zonse. Ngati ma steroids adalamulidwa kuti ateteze zovuta zina, monga kukana chiwalo choikidwa, palibe njira yoti musamwe. Muyenera kuti mudzachiritsidwa ziphuphu.

Zakudya zamafuta, zopangidwa ndi mkaka, makamaka shuga zimatha kupangitsa ziphuphu. Mungafune kuyesa zakudya zotsutsa ziphuphu. Zodzoladzola zomwe zili ndi lanolin, petrolatum, mafuta a masamba, butyl stearate, lauryl mowa, ndi oleic acid zimathandizanso ziphuphu.

Ngakhale zakudya zina ndi zodzola zimathandizira kuphulika kwa ziphuphu, kuzichotsa sikungapangitse kuti ziphuphu zipite.

Kutenga

Steroid acne ndi zotsatira zoyipa za mankhwala a corticosteroids, monga prednisone, komanso kugwiritsa ntchito anabolic steroids pomanga thupi.

Ngati kuli kotheka, kusiya steroid kungathetse kuphulika. Kupanda kutero, chithandizo chamankhwala opaka m'mutu, maantibayotiki am'kamwa, kapena maantifungal ayenera kukhala othandiza.