Ko maonde anoita sei? Zvose zvinonzi acne chirwere che pilosebaceous unit , iyo inogadzirwa nehuputi hwebvudzi, zvinyunyu zvisingabviri, uye bvudzi. Aya maumbirwo anowanikwa pose pose pamuviri kunze kwezvanza zvemaoko, zviso zvetsoka, kumusoro kwetsoka, uye muromo wakadzika. Nhamba yezvikwata zvepa pilosebaceous ndeyepamusoro pameso, pamutsipa wepamusoro, uye pachipfuva.
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Kazhinji PoreZvirwere zvinopisa zvinokonzera zvinhu zvinonzi sebum, izvo zvinoita kuti kuchengetedza ganda nemvere zvigadzikane. Munguva yevechiri kuyaruka, zvipembenene zvinorema zvinowedzera uye zvinowedzera sebum dzakawanda pasi pesimba rehomoni inonzi androgens. Mushure memakore anenge 20, sebum inotengeswa inotanga kuderera.
Sebum yakakonzerwa nemucheka weganda unobatanidza nemasero ari kuputirwa mukati mebvudzi rebvudzi uye anozadza follicle yebvudzi . Apo follicle yakazara, sebum inopararira pamusoro peganda, ichipa iyo kuonekwa kwemafuta. Kana izvi zvichishanda zvakanaka, ganda rinogadziriswa uye rinoramba rine utano. Kana izvi zvisingashande zvakanaka, ganda rinogona kuva rakanyanya kuoma kana kuti mafuta akawanda, iyo yekupedzisira iyo inokonzera ngozi yezvinyuchi.
Iyi nyanzvi yemifananidzo inoratidza maitiro emhando dzakasiyana dzemakemoni anokura uye maitiro ekubata marudzi ose. Uyu mufananidzo wokutanga unoratidzira pore yakajairika kuti iwe uenzanise nemamwe mifananidzo yemakona pamusoro payo.
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Microcomedone (Early Acne)Zvikonzero zvakasiyana-siyana zvinobatsira kutanga kwechirwere chechigunhi:
- Korneocytes , kana kuti masero echepa , anova akaoma zvakanyanya sezvaanenge avhiringidzika uye anowedzera mune pore panzvimbo yekuyerera kunze kweganda.
- Mamwe masero eganda anodururwa kumusoro kwepore kupfuura pasi.
- Sebum production inowedzera.
Munguva iyi, pore inoratidzika zvakanaka kune kunze, asi pane kuchinja kwakasiyana mumasero akakomberedza pore. Sezvo zvinhu zviri mumapore zvinowedzera, zvinoumba chigadziro chinodzivirira kupera. Izwi rezvokurapa kwechidzidzo ichi i microcomedone.
Iyo bhakitiriya Propionibacterium acnes , kazhinji inopfupiswa kuP. acnes , kazhinji inogara munzvimbo dzino. Inoshandisa sebum semuviri wekukura. Sebum production ye sebum inowedzera, nhamba yeP. acnes bacteria inowedzera mune pore. Muchikamu che microcomedone, mabhakitiriya haabvumiri kutapukirwa nokuti ari mune zvinyorwa chete mukati mepore, kwete kutapukidza ganda.
Izvi ndeimwe mishonga inogona kubatsira panguva iyi.
- Over-the-counter benzoyl peroxide inouraya mabhakitiriya uye inobatsira kudzivirira P. acnes kubva pakuwedzerwa.
- Zvinyorwa zvinonzi prescription tretinoin zvakadai seRetin-A, Retin-A Micro, uye Avita vanodzokorora kunyanya kwemasero eganda, zvichivabvumira kuti vatsvedze kazhinji.
- Pasi-the-counter salicylic acid 2% lotion ibhea hydroxy acid iyo inoshandura zvakare kutendeka kwemasero eganda.
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Whitehead kana Yakavharwa ComedoneSebum sebum kubva kumatare egaceous uye masero echepa akaputika, anonziwo corneocytes, anovaka, anowirirana uye akaoma. Kana kuzarura kwepore kwakamanikana kana kwakapfigwa, ichi chinova comedone yakavharwa, inozivikanwa seye whitehead (nokuti chironda chacho chinomutswa uye chakachena pakuonekwa).
Sezvo zvinhu zvisingabatsiri zvinowedzera, kupisa kunowedzera mumasero akakomberedza pore. Whiteheads inogona kutapukirwa kana kuti haina kutapukirwa, zvichienderana nokuti P. acnes mabhakitiriya akwanisa kutapura masero akapoteredza pore.
Izvi ndeimwe mishonga inogona kubatsira panguva iyi.
- Over-the-counter benzoyl peroxide inouraya mabhakitiriya uye inobatsira kudzivirira P. acnes kubva pakuwedzerwa.
- Zvinyorwa zvinonzi prescription tretinoin zvakadai seRetin-A, Retin-A Micro, uye Avita vanodzokorora kunyanya kwemasero eganda achivabvumira kuti vatsve.
- Pasi-the-counter salicylic acid 2% lotion ibhea hydroxy acid iyo inoshandura zvakare kutendeka kwemasero eganda.
- Chirongwa chepachirongwa chemashure mishonga inouraya inouraya P. acnes mabhakitiriya uye inogona kushandiswa kana mamwe machena ari kutapukirwa.
- Chirongwa chemishonga inorwisa antibiotics inourayawo P. acnes mabhakitiriya uye inogona kushandiswa kana yakawanda yemhemberero ine utachiona kana kana ine mapepa ane hutachiwana kana pustules.
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Blackhead kana Open OpenSebum sebum kubva kumatare egaceous uye masero echepa akaputika, anonziwo corneocytes, anovaka, anowirirana uye akaoma. Kana kuzarura kwepore kunogara kwakasununguka, ino inova comedone yakasununguka, inozivikanwawo sechitsvuku (nokuti pore rinotarisa rima).
Sezvo zvinhu zvisingabatsiri zvinowedzera, kupisa kunowedzera mumasero akakomberedza pore. Blackheads inogona kutapukirwa kana kuti haina kutapukirwa, zvichienderana nokuti P. acnes mabhakitiriya akwanisa kuvhara masero akapoteredza pore.
Izvi ndeimwe mishonga inogona kubatsira panguva iyi.
- Over-the-counter benzoyl peroxide inouraya mabhakitiriya uye inobatsira kudzivirira P. acnes kubva pakuwedzerwa.
- Zvinyorwa zvinonzi prescription tretinoin zvakadai seRetin-A, Retin-A Micro, uye Avita vanodzokorora kunyanya kwemasero eganda achivabvumira kuti vatsve.
- Pasi-the-counter salicylic acid 2% lotion ibhea hydroxy acid iyo inoshandura zvakare kutendeka kwemasero eganda.
- Chirongwa chepachirongwa chemashure mishonga inouraya inouraya P. acnes mabhakitiriya uye inogona kushandiswa kana dzimwe dzemafupa dzichibatwa.
- Chirongwa chemishonga inorwisa antibiotics inourayawo P. acnes mabhakitiriya uye inogona kushandiswa kana vazhinji vane mishonga yakasvibirira kana kuti vane mapiritsi ane hutachiwana kana pustules.
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Pimple kana Inflammatory PapuleSebum iyo sebum kubva kumucherechedzo weganda uye masero emakanda akaputika, anozivikanwawo sekorococytes, anovaka, anoisa kumanikidzwa kumasero akakomberedza pore. Kana kukanganiswa kwakakwana kuchiwedzerwa, mapande emapore anoputika uye zvinhu zvinoputika zvinoputika mukati meganda rakapoteredza. Sezvo zvinhu zvisingabatsiri zvine zvakawanda zveP. acnes bacteria, ganda rakapoteredzwa rinotapukirwa uye rinogadzira bump tsvuku (zvaungadaidza kuti pimple). Izwi rezvokurapa rebvu tsvuku iyi inoputira papule.
Izvi ndeimwe mishonga inogona kubatsira panguva iyi.
- Over-the-counter benzoyl peroxide inouraya mabhakitiriya uye inobatsira kudzivirira P. acnes kubva pakuwedzerwa.
- Zvinyorwa zvinonzi prescription tretinoin zvakadai seRetin-A, Retin-A Micro, uye Avita vanodzokorora kunyanya kwemasero eganda achivabvumira kuti vatsve.
- Pasi-the-counter salicylic acid 2% lotion ibhea hydroxy acid iyo inoshandura zvakare kutendeka kwemasero eganda.
- Zvinyorwa zvepiritsi zvinonzi antibiotics zvinouraya P. acnes mabhakitiriya uye zvinowanzoshandiswa kana munhu ane mapfupa ane kupisa.
- Chirongwa chemishonga inorwisa antibiotics inourayawo P. acnes mabhakitiriya uye inowanzoshandiswa kana munhu ane zvakawanda zvekuvhiringidza papules.
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PustulePustule yakasiyana nechirwere chete nokuti ine machena masero eropa. Sezvo masimba ezvirwere mumuviri ari kurwisana nehutachiona hweP. acnes , dzimwe nguva masero eropa eropa (ayo ari chikamu chemuviri wezvirwere zvemuviri) anowedzera, achiita pus mu pore. Izvi zvinonzi pustule. Tinoziva kuti zvikamu zvipi zvehutachiona hunobatanidzwa mukugadzira zvinyuchi uye pustules, asi hazvisanzwisisi kuti sei zvimwe zvipembenene zvichitura mavari uye vamwe havasi. Izvi zvinongobatsira chete kubva mune zvesayenzi nekuti, zvese, zviputi uye pustules zvinorapwa nenzira imwechete.
Izvi ndeimwe mishonga inogona kubatsira panguva iyi.
- Over-the-counter benzoyl peroxide inouraya mabhakitiriya uye inobatsira kudzivirira P. acnes kubva pakuwedzerwa.
- Zvinyorwa zvinonzi prescription tretinoin zvakadai seRetin-A, Retin-A Micro, uye Avita vanodzokorora kunyanya kwemasero eganda achivabvumira kuti vatsve.
- Pasi-the-counter salicylic acid 2% lotion ibhea hydroxy acid iyo inoshandura zvakare kutendeka kwemasero eganda.
- Chirongwa chepiritsi chinonzi antibiotics chinouraya P. acnes mabhakitiriya uye inowanzoshandiswa kana munhu ane zviputi.
- Chirongwa chemishonga inorwisa antibiotics inourayawo P. acnes bacteria uye inowanzoshandiswa kana munhu ane zvakawanda zvepistules.
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Cyst kana NoduleDzimwe nguva apo zvinhu zvinoputika uye mabhakitiriya zvinoputika mucheka rakapoteredza, utachiona hunopararira zvakadzika uye hukadzika, zvichikonzera kuora uye kuumbwa kweva nodules kana cysts. Iyi ndiyo yakadzika "pizza uso" mavhinga emakumbo anorwadza zvikuru uye asingagamuchiri kune-over-the-treatments.
Izvi ndeimwe mishonga inogona kubatsira panguva iyi.
- Zvinyorwa zvinonzi prescription tretinoin zvakadai seRetin-A, Retin-A Micro, uye Avita vanodzokorora kunyanya kwemasero eganda achivabvumira kuti vatsve.
- Chirongwa chemishonga inorwisa antibiotics inourayawo P. acnes mabhakitiriya uye inowanzoshandiswa kugadzirisa utachiona ne cystic acne.
- Isotretininoin (Accutane) inogona kurongerwa kuti iite zvishoma nezvishoma kusvika kune yakanyanya cystic acne. Ichi chemishonga ine migumisiro yakakomba uye inoda kuongororwa zvakanyanya kana ichishandiswa.