Acne conglobata iyo yakanyanya kwazvo, asi isina zvishoma, iyo yezvokuputika acne . Acne conglobata inokonzera makuhwa makuru emapimples, mapuleti, uye mazamu emvura. Nodules inokura zvikuru uye inowanzove yakafanana. Kuputsika kunowanzova kunhuwa kunotyisa.
Izvo zvinoparadzanisa acne conglobata kubva pane zvakajairika zvinogadzirwa nehutanocystic acne ndechokuti acne conglobata inokonzera kubvumira kukuru kwekubvisa uye mapepa e sinus.
Ikozvino, maturakiti aya e sinus haana chaanoita nezvivi zvemuviri wako wekupemha. Sineti maturakiti akareba, kuisa maronda pasi peganda.
Mumakwenzi conglobata, kuputika kwakadzika kunokura uye kupararira pasi peganda. Izvo zvipfeko zvinowirirana pamwe chete, zvichiita izvi maronda akadzika.
Chii Chinokonzera Acne Conglobata?
Kungofanana nematambudziko akawanda emakwenzi, hapana mhinduro yakasimba yokuti nei acne conglobata kamwe-kamwe inokura. Acne conglobata kazhinji inotanga seyakasikisa acne vulgaris inowedzera kuwedzera. Dzimwe nguva zvinoratidzika zvakangoerekana zvaitika, kwenguva refu mushure mekunge maitiro emapuranga akambomiswa.
Kufungidzira ndechokuti muviri unongoerekana wava hutachiona hwePropionibacteria acnes , mabhakitiriya ari chinhu chinonyanya kubatsira pakugadzirwa kwemazino, nekunyanyisa, zvichikonzera kuvhuvhuta kwakanyanya uye kukura.
Acne conglobata iri kure uye iri kure zvikuru kune varume, kunyanya panguva yekukura (20s uye 30s).
Izvo zvisinganzwisisike kuvakadzi uye zvinowanzosanyanya kuvana kana vanhu vakwegura.
Zvatinoziva ndezvimwe zvinhu zvinowanzoita sechichiita. Nemhaka yekuti acne conglobata inowanzoonekwa mune varume, testosterone inogona kunge ichiita kuti zvive nekukudziridza kwayo.
Anabolic steroid use is a big trigger. Mhando iyi yemakemikari inowanikwa pamwero wakakwirira mumasimba emuviri kupfuura wehuwandu hwevanhu.
Kana iwe uchikurira zvakasimba acne uye uchishandisa (kana wakashandisa) steroids pakuvaka muviri, rega chiremba wako azive. Chikamu ichocho chikuru chemashoko chinogona kubatsira dermatologist yako kubata mushonga wako zvakanaka.
Zvimwe zvinokonzera uye androgen-inogadzira mishonga uye mishonga yehutano. Kune vakadzi, polycystic ovary syndrome (PCOS) inogona kunge iine chinokonzera. Inowanzoonekwawo kakawanda mumarume avo vakatora mishonga ye testosterone uye vanogona kuonekwa mushure mokurapa imiswa.
Acne conglobata inomhanya mumhuri, saka inogona kuva nemagetsi. Chirwere chinowanzoita sechichimhanya mumhuri, kunyanya maitiro akakura emakwenzi . Acne conglobata inobatanidza ne hidradenitis suppurativa uye pyoderma gangrenosum uye inoonekwa kakawanda kune vanhu vane mamiriro aya.
Nyamazipa Conglobata zviratidzo
Acne conglobata inowanzoitika kumashure uye pachipfuva, mapepa, mahudyu, uye zvigaro, pamwe nechiso. Iwe uchatora mitsetse yezvipfeko, panzvimbo pezvisina kuchena, sezvo vachikura nekubatana pasi peganda. Kune maitiro mashomanana anokosha anogona kubatsira kusiyanisa acne conglobata kubva pamatambudziko akaoma anonyanyozivikanwa neve nodulocystic acne (anowanzonzi cystic acne ).
Imwe ndiyo nzira iyo madhehesi anokura. Blackheads, pachena, inoshamisa uye inowanzosvikirwa nevanhu vose, kunyange vanhu vasina acne.
Apo, kazhinji, mashizha anooneka sega, mune acne conglobata blackheads nguva dzose inowanzoonekwa mumapoka maviri kana matatu. Izvi zvinoputika uye zvinokura zvakakura, zvinorwadza mutsvuku.
Blackheads nedzimwe nhengo dzisina kuvharwa (aka pore blockages) dzinogona kukura zvakakura zvikuru, kusvika kune masentimita matatu kubva. Aya mavhareji makuru epore anonzi "macrocomedones."
Sezvo ganda richiedza kuporesa, ganda rinoita pakati pechirema. Acne conglobata nodules vanozivikanwa vanononoka kuporesa uye vanopfuurira kupararira kunze kunze kwekuti ganda rinowedzera mukati mekubuda.
Acne Conglobata vs. Acne Fulminans
Acne conglobata inoratidzika chaizvo seimwe yerudzi rusingawaniki rune acne rinonzi "acne fulminans." Kusiyana kukuru pakati pemhando mbiri idzi dzemaketani ndechokuti vanhu vane acne conglobata vanewo zvisingatauri kuputika, kufanana neavo vatema vakataura pamusoro pekare.
Izvo-zvisingabhadharwi kuputika hazvisi pachena kune avo vane acne fulminans.
Uyewo, ne acne fulminans, kuputika kunowanzogara kwakasununguka uye kunogona kuchema, panzvimbo pekukanda. Acne fulminans inotanga kukura zvakanyanya nokukurumidza kudarika acne conglobata uye inogonawo kuonekwa nefivha uye marwadzo mumapfupa nemajoini.
Kurapa Nyama Conglobata
Acne conglobata inonetsa kukura. Icho chimiro chechigunze zvachose chinofanira kushandiswa nedermatologist. Isotretininoin ndiyo inonyanya kurapwa uye inowanzotanga kurapwa.
Mishonga yemishonga inorwisa mabhakitiriya ndeimwe imwe sarudzo inoshandiswa. Inogona kushandiswa mushure mokunge isotretinoin yakamira, kana panzvimbo ye isotretinoin kana iyo mishonga isingagoni kushandiswa.
Tetracycline , minocycline , uye doxycycline inowanzotaurwa. Dzimwe nguva muromo dapsone unoshandiswa kana iwe usingagadziri migumisiro nemishonga inonzi inonzi antibiotics.
Steroid Oral sezvakaitwa prednisone inogonawo kunyorwa kuti ibatsire kuderedza kuputika. Iko kune dzimwe mitsara yekuvandudzika neye immunosupressive mishonga infliximab.
Vamwe vashandi vakave nemigumisiro yakanaka neC22 laser pamwe nechetoriino, kunyanya mumamiriro ezvinhu apo mishonga yemuromo isingabatsiri.
Kana hutachiona conglobata huri kuwana huri nani pane zvisinei kuti mushandisi unoshandiswa sei, danho rinotevera nderokuedza kubvisa mumuviri mishonga yakakonzerwa nayo. Nodules inogona kubudiswa kubva paganda, kana kuputirwa chirwere. Cryotherapy inogona kushandiswa kupisa zvipembenene. Dermatologist yako inogonawo kuisa triamcinolone mumasumbuti kuitira kuti ibatsire kuvhiringidza nekuita kuporesa.
Chinokosha kuti utange kurapwa kare; acne conglobata inogona kupararira nokukurumidza. Sezvo acne conglobata inokanganisa zvakanyanya kugadzirwa kweganda, inenge nguva dzose inobva kusiya, pasina njodzi. Kuwana mishonga iri pasi pesimba ndiyo chinangwa chinokurudzira. Kana imwe nyuchi inodzorwa zvine musoro, iwe uye dermatologist yako inogona kutanga kutaura pamusoro pekushaiwa maitiro ekurapa .
Ziva kuti kurapwa kunotora mwedzi yakawanda kuti utange kunyatsoshanda. Munguva ino iwe uchacherechedzwa pedyo ne dermatologist yako kuti uone kuti zvinhu zvose zviri kuitika sezvazvakarongwa, uye iye anogona kuita zvirongwa zvepurogiramu yako yekurapa sezvinodiwa. Zvakakosha kunoshamisa kuti iwe unosangana nedermatologist yako nguva dzose uye ugare wakanyatsoenderana neurongwa hwehutano hwako.
Shoko Rinobva
Kungofanana neyekuti acne yako yakaoma, hazvirevi kuti iwe une acne conglobata. Acne conglobata isingawanzoitiki, saka zvisingaiti ndezvauri chaizvo ndeye nodulocystic acne vulgaris.
Zvose zvakakomba zvechigamba zvinofanira kutarisirwa nedermatologist chero zvakadaro, saka kana iwe uine acne yakaoma, ita nguva YAKASA. Dermatologist yako ichanyatsonzwisisa dambudziko rako reganda uye, zvinonyanya kukosha, inouya neurongwa hwekurapa kubatsira kubatsiridza ganda rako.
Yakakura yakanyanyisa inogona kukanganisa, zvose mumuviri uye mupfungwa. Chengeta chiremba wako, mhuri yako, uye shamwari dzepedyo dzakapinda mune zvauri kuita. Kana uri kunzwa uchinetseka kana uora mwoyo, kana uri kuratidza chero zviratidzo zvekuora mwoyo, rega chiremba wako azive. Tendamira kune vaunoda kuti vatsigire. Kutarisana ne acne conglobata inonetsa, asi iwe unogona kupfuura nayo.
> Sources:
> Dessinioti C, Katsambas A. "Zvakaoma uye Zvichida Zviratidzo zveAgne." Makliniki muDermatology. 2017 Mar-Apr; 35 (2): 138-146.
> Hafsi W, Badri T. "Acne, Conglobata." StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2017.