Izinduna zibangelwa izici eziningi, ezihlobene nokudla, imvelo, i-endocrine, impilo kanye nemikhuba yokunakekela isikhumba.Ngakho-ke, kunconywa ukwelashwa okuphelele ngezinduna ezilinganiselayo neziqinile (ukulawula ukudla, ukulungisa ubuthongo, ukulungiswa kwesithiyo sesikhumba, izidakamizwa eziphuzwayo, izidakamizwa ze-topical, ukwelapha ngokomzimba kanye nokubhoboza kwamakhemikhali), ukulawula okusebenzayo kokuvuvukala, ukunciphisa izinkinga ezinzima zezinduna (i-pigmentation). nesibazi), kanye nokuvimbela ukuphindeka.
Ukudla: gwema ukudla okumnandi (okuhlanganisa neziphuzo), udle ukudla okunamafutha amancane, okubabayo.
Ukunakekelwa kwesikhumba: gwema ukuhlanza ngokweqile isikhumba sakho, futhi umswakama futhi uvimbe ilanga ngemva kokuhlanza (i-sunscreen ebonakalayo iyona eyinhloko).Gwema ukusetshenziswa kokuzihlukanisa, ukhilimu we-concealer wesisekelo kanye nezinye izimonyo zombala ukwandisa umthwalo wesikhumba.
Izidakamizwa zomlomo:
1. I-Minocycline Hydrochloride: ye-propionibacterium acnes, inkambo yokwelashwa ngamaviki angu-6-8.Uma kungekho ukungakhululeki okukhethekile, sicela ungawuyeki umuthi uwedwa.
2. I-Tanshinone Capsule: vimbela i-hormone yesilisa, i-anti-inflammatory, insikazi esikhathini sokuya esikhathini, ukugwema umthamo omkhulu wokuya esikhathini.
3. I-Isotretinoin Capsule: inkambo yokwelashwa izoba yizinyanga ezingu-4-6, futhi izimpawu zamehlo omile, izindebe ezomile nesikhumba esomile zizovela phakathi nesonto eli-1 lokuthatha umuthi.Izimpawu zizokhululeka ngokuzenzakalelayo lapho uphuza umuthi, futhi ukuthambisa nokuvikela ilanga kuzokwenziwa kahle.Isikhathi sokuqala singamaviki angu-2-4 (okumbalwa ngaphezu kwamaviki angu-6).Ukukhulelwa kungahlelwa kuphela ngemva kwesigamu sonyaka sokuhoxiswa kwezidakamizwa.
Izidakamizwa eziphezulu:
1. I-Fusidic Acid: sebenzisa ukuvuvukala (ubomvu, ubuhlungu) induna
2. I-Benzoyl Peroxide: ihlanganiswe namafutha e-antibiotic, ayilwa nokuvuvukala futhi ayinakho ukumelana nezidakamizwa.
3. Amafutha e-Vitamin A acid: ama-acne, ama-papules avuthayo, ukucasuka okunamandla, inani elincane lendawo le-smear, sebenzisa njalo ebusuku.
4. I-2% ye-Supramolecular Salicylic Acid: ihlanganiswe ne-30% ye-supramolecular salicylic acid yokunakekelwa kwe-acne, ama-papules avuthayo kanye nezimpawu zezinduna.
Ukwelashwa ngokomzimba nokucwecwa kwamakhemikhali:
1. Ukwelashwa kokukhanya okubomvu nokuluhlaza okwesibhakabhaka: kunomphumela we-bactericidal ku-propionibacterium acne, umphumela omuhle wokulwa nokuvuvukala futhi ungalungisa umgoqo wesikhumba.
Izikhathi eziyisi-8 njengesifundo esisodwa nesikhawu sezinsuku ezimbili
2. I-asidi yesithelo kanye ne-supramolecular salicylic acid inemiphumela esobala kuma-acne, ama-papules avuthayo kanye nezimpawu zezinduna.Phatha cishe imizuzu engama-30 kanye njalo emavikini amabili kuya kwamane.Ukugxiliswa kwe-asidi yezithelo: okuhlukile emikhiqizweni yokunakekelwa kwesikhumba engezwe ekugxilweni okuphansi kwe-asidi.I-Supramolecular salicylic acid : I-soluble yamanzi, ehlukile ku-salicylic acid yendabuko yamafutha, inokucasuka okuncane kwesikhumba futhi ifaneleka ukwelashwa kwe-acne yesikhumba ebucayi.Umphumela wokulwa nokuvuvukala ugqame kakhulu.
3. Ukwelashwa okuqinile kwe-pulsed light: okuqondiswe kwezinye izinduna ezivuvukalayo, izibazi zezinduna (ikakhulukazi izinduna ezibomvu), nezimbotshana zesikhumba.
Izikhathi ezi-4 Isifundo esi-1 nenyanga engu-1 ehlukene Asikho isikhathi sokuphumula.
4. I-E-Matrix Fractional CO2 Laser: izibazi zezinduna, izibazi nezimbotshana ezikhulisiwe.
Iviki elilodwa ukuphumula nokuvinjelwa kwelanga okufanele
5. I-Micro Neliti RF: Izinduna ezivuvukalayo, izibazi zezinduna, imigqa yokukhulelwa, izimbotshana ezinkulu.
Kunconywe ukwelapha ndawonye nge-CO2 laser Ematrix eyingxenye.
Isikhathi esincane sokuphumula, akukho ukukhwehlela.
Buyela endleleni evamile ngemva kwamahora angu-24.
Ngemva kwamahora angu-24, ungakwazi ukugeza ubuso bakho futhi uvikele isikhumba sakho ngendlela evamile.
Izikhathi ezi-2 kuya kwezi-3 njengesifundo esisodwa kanye nesikhathi sokuphumula sezinyanga ezi-2.
Kusuka ku:
UMnyango Wezesikhumba.
Sichuan University Wangjiang Hospital
Isikhathi sokuthumela: Nov-25-2021