I-acne conglobata yindlela enamandla kakhulu, kodwa engavumelekanga. I-acne conglobata ibangela izibilini ezinkulu, iimpapule kunye neengqungquthela ezinzulu. Iimodyuli zikhula kakhulu kwaye zivame ukuma. Ukuqhaqhaqho ngokuqhelekileyo kudla i-pus-smelling bad.
Oko kwahlula i-acne conglobata kwi- acne yogonywa yinto eqhelekileyo kukuba i-acne conglobata ibangele ama-abscesses kunye namaphetshana e-sinus.
Ngoku, amaphecana e-sinus ayinanto enokuyenza ngayo ngesono sephepha lakho lokuphefumula. Iiphetshana zeSinus zide, ziphazamisa amanxeba phantsi kobunqabileyo.
Kwi-acne conglobata, ukuphuka okujulileyo kukukhula kwaye kwandiswe ngaphantsi kwesikhumba. Ukuqhaqhaqhaqhaqhaqhaqhalelana kunye, kubangele amanxeba aphantsi.
Yintoni ebangela iConnebata?
Njengamanye amaninzi amathambo, akukho mpendulo ecacileyo yoko kutheni i-acne conglobata ngokukhawuleza ikhula. I-acne conglobata iqala ngokuqhelekileyo njenge- acne vulgaris ehamba kancane. Ngamanye amaxesha kubonakala ngokukhawuleza, emva kwexesha elidlulileyo le-acne ikhutshiwe.
Ukucatshulwa kukuba umzimba ngokukhawuleza uba yi- Propionibacteria acnes , ibhaktheriya eyinxalenye ebalulekileyo ekuphuhliseni ama-acne, kunye nokunyamezela, kubangela ukuvuvukala okukhulu nokuphuhliswa kokuphuhliswa.
I-acne conglobata ikude kwaye ingabonakali ngokuqhelekileyo kumadoda, ingakumbi ngexesha lokukhula kwabantu abadala (20s no-30s).
Akuqhelekanga kubafazi kwaye kunqabile kakhulu kubantwana okanye kubantu abadala.
Oko sikuyaziyo izinto ezithile zivame ukwenza izinto. Ngenxa yokuba i-congnebata ye-acne idla ngokubonakalayo kumadoda, i-testosterone inokubangela ukuba kuphuhliswe.
Ukusetyenziswa kwe-Anabolic steroid yinto enkulu. Olu hlobo lwe-acne luyabonakala kwinqanaba eliphakamileyo kumaziko emzimbeni kunabantu bonke.
Ukuba uhlakulela i-acne kwaye usebenzise (okanye usetyenzise) i-steroids yokwakha umzimba, vumela ugqirha wakho azi. Ingqungquthela engundoqo yenkcazelo inokukunceda i-dermatologist yakho ithathe impumelelo yakho.
Ezinye izinto ezibangela ukuba i-androgen ivelise izicubu kunye neyeza. Kubafazi , i- polycystic ovary syndrome (i-PCOS) ingaba yinkohlakalo engundoqo. Kwakhona kubonakala ngokuphindaphindiweyo kwindoda ethathe unyango lwe testosterone kwaye inokuvela emva kokuba unyango luyekile.
I-acne conglobata isebenza kwiintsapho, ngoko ke inokuthi ibe neyomzimba. I-acne ebonakalayo ibonakala iqhutyelwa kwiintsapho, ingakumbi iintlobo ezinzima ze-acne . I-acne conglobata idibene ne- hidradenitis suppurativa kunye ne- pyoderma gangrenosum kwaye ibonakala rhoqo kubantu abanemiqathango.
I-Acne Conglobata Symptoms
I-Acne conglobata ngokuqhelekileyo ivela emva nasesikhumeni, emahlombe, emathangeni, nakumabhokhwe, kunye nobuso. Uza kufumana imigca yokuphulukana, kunokuba ube neenxeba ezingatshatanga, njengoko zikhula kwaye zidibanisa phantsi kwesikhumba. Kukho iinkalo ezimbalwa eziphambili ezinokukunceda ukuhlukanisa i-acne conglobata kwiimeko ezinzima zesifo se-nodulocystic (esivame ukubizwa ngokuthi i- cystic acne ).
Enye indlela yokuphuhla kwamnyama . Ama-Blackheads, ngokusobala, aqhelekileyo kwaye aphantse kuwo wonke umntu, nakubantu abangenawo umlomo.
Nangona, ngokuqhelekileyo, iintlobo zamnyama zivela ngaphandle, kwi-acne conglobata blackheads ziphantse zivele kumaqela amabini okanye amathathu. Ezi zivuthayo kwaye zikhula zibe zikhulu, iigununu ezibuhlungu.
Ama-Blackheads kunye namanye ama-comedones angabhalwayo (ama-pore blockages) angakhula ngokwenene kunye, ukuya kuma-3 centimitha ngaphesheya. Le mibhobho enkulu yepore ibizwa ngokuba yi "macrocomedones."
Njengoko ulusu luzama ukuphilisa, i-scab ifom phakathi kwesiphene. I-acne conglobata nodules iyaziqhenqa kwaye iqhubeka isasazeka kwangaphandle njengoko i-scab ikhula phakathi kwekhefu.
Acne Conglobata vs. Acne Fulminans
I-acne conglobata ibonakala kakhulu njengenye inqabileyo ye-acne ebizwa ngokuthi "acne fulminans." Umehluko omkhulu phakathi kwezi zimbini ze-acne yukuthi abantu abane-acne conglobata nabo banokuphulukana nokungaphumeleli, njengalezo zinyundu esathetha ngazo ngaphambili.
Ukungaphumeleli okwenziwe kakubi akubonakali kulabo abane-acne fulminans.
Kwakhona, nge-acne fulminans, i-breakouts ihlala ivulekile kwaye inokulila, kunokuba igwebe. I-Acne fulminans ihlakulela ngokukhawuleza ngakumbi kune-acne conglobata kwaye ingabonakala nangomkhuhlane kunye nentlungu emathanjeni nasemalathweni.
Ukuphatha i-Acne Conglobata
I-Acne conglobata inzima ukunyanga. Olu hlobo lwe-acne lufanele lugqirwe ngedermatologist. I-Isotretinoin yinkqubo eqhelekileyo yonyango kwaye ngokuqhelekileyo yonyango lokuqala oluchanekileyo.
I-antial antibiotic enye yonyango yokukhetha unyango. Zingasetyenziselwa emva kohlobo lwe-isotretinoin luyekile, okanye endaweni ye-isotretinoin ukuba loo mayeza ayinakusetyenziswa.
I-Tetracycline , i- minocycline , kunye ne- doxycycline ngokuqhelekileyo ibelwe. Ngamanye amaxesha i-dapsone yomlomo isetyenziselwa ukuba awukho iziphumo zokuthobela izixhobo ezichazwe ngasentla.
I-oral steroids njenge-prednisone inokumiselwa ukunceda ukunciphisa ukuvuvukala. Kukho iingxelo zentuthuko kunye neyeza lokugonywa kwe-immunosupressive infliximab.
Abanye abaphengululi baye bafumana iziphumo ezintle nge-laser le-CO2 kunye ne-tretinoin ye-topical, ikakhulukazi kwiimeko apho imithi yomlomo ayinakunceda.
Ukuba i-congnebata ye-acne ayifumani nto engcono kungakhathaliseki ukuba yintoni unyango olusetyenziswayo, isinyathelo esilandelayo kukuzama ukukhupha izigulane ezinamayeza. Ama-neodules angashenywa ngaphandle kwesikhumba, okanye ususwe ngugqirha. I-Cryotherapy ingasetyenziselwa ukukhupha izilonda. I-dermatologist yakho ingaphinda ijobe i-triamcinolone kwiinqununu ukuze incedise ukunciphisa nokuphulukisa.
Isiphambili kukufumana unyango kuqala; i-congnebata ye-acne inokusasazeka ngokukhawuleza. Ekubeni i-congnebata ye-acne yenza umonakalo omkhulu kunokwakheka kwesikhumba, phantse ihlale ishiya, ngenhlanhla. Ukufumana iigununu phantsi kolawulo yinjongo yokuchukumisa. Xa i-acne ilawulwa ngokufanelekileyo, wena kunye nodokotela wakho we-dermatologist unokuqala ukuthetha malunga neendlela zokunyanga zonyango .
Yazi ukuba unyango luthatha inyanga eziliqela ukuba luqale ukusebenza. Ngeli xesha uza kuhlolisiswa ngokusondeleyo ngudokotela wakho wegazi ukuze uqinisekise ukuba yonke into iya kulungiswa, kwaye unokuyenza i-tweaks kwisicwangciso sonyango njengoko kufuneka. Kubaluleke kakhulu ukuba udibane kunye nesidumbu sakho rhoqo kwaye uhlale uhambelana nokucwangcisa isicwangciso sakho sonyango.
ILizwi
Kungenxa yokuba i-acne yakho inzima, akuthethi ngokuthe ngqo ukuba une-acne conglobata. I-acne conglobata ayinqabile, ngoko ke unako ukungena kwi-nodulocystic acne vulgaris.
Zonke iifom ezinzima ze-acne kufuneka ziphathwe yi-dermatologist nantoni na, ngoko ke ukuba unesicaka esinzima, yenza i-ASAP ye-aphoyintimenti. I-dermatologist yakho iya kuchonga ngokucacileyo ingxaki yakho yesikhumba kwaye, ngokubalulekayo, iza neprogram yonyango ukunceda ukuphucula isikhumba sakho.
I-acne ebonakalayo inokukhubaza, emzimbeni nangokomzwelo. Gcina ugqirha wakho, intsapho yakho kunye nabahlobo abasondeleyo kwiindlela ozenzayo. Ukuba ukhathazekile okanye uxinezelekile, okanye ubonisa nayiphi na imiqondiso yokudakumba, mazazi ugqirha wakho. Uncike kubathandekayo bakho ngenkxaso. Ukujongana ne-acne conglobata inzima, kodwa ungayifumana.
> Imithombo:
> Dessinioti C, uKatsambas A. "Kunzima kunye neendlela eziqhelekileyo ze-Acne." Iiklinikhi kwiDermatology. Ngo-2017 ngoMatshi-ngoMatshi; 35 (2): 138-146.
> Hafsi W, Badri T. "I-Acne, iCongobata." I-StatPearls [Intanethi]. Isiqithi se-Treasure (FL): i-StatPearls Publishing; 2017.