Milia: Ukuqonda Ama-Cysts Amancane Amaphansi Esikhumba Sakho

IMilia ama-cyst amancane, anjengama-dome, aqhamuka ngaphansi kobuso besikhumba lapho i-keratin — iprotheni eqinile etholakala ngokwemvelo esikhumbeni, ezihlalweni, nasezandleni — igcinwa ngaphansi kwe-epidermis. Ziveza njengama-bumps aqinile, ajikelezayo, anombala omhlophe-ophuzi, avamise ukuba naphakathi kuka-1 kuya ku-2 millimeters ububanzi. Ngokwehlukile kumapustules e-acne noma ama-whiteheads, i-milia ayigcwele i-pus noma i-sebum; ziqukethe ama-plugs aqinile ezicubu zesikhumba ezifelekile ezingenakukhipha ngokujwayelekile.

I-Milia ingavela kumuntu noma ngubani nganoma yisiphi isikhathi, kusukela ezinsaneni ezisanda kuzalwa kuze kube kubantu abadala. Ezinzaneni, i-milia ivamise ukuba yinto evamile, ithinta kuze kube ku-50% kwezinsana, ivamise ukuvela emlonyeni, ezindebeni, nase-chin phakathi nezinsuku ezimbalwa zokuphila. Lezi zinsana ze-milia zixazululwa ngokwemvelo phakathi kwezinsuku kuya ezinyangeni njengoba isikhumba sesinsana sithuthuka futhi siqala ukukhipha ngokujwayelekile.

Kubantu abadala, i-milia ivamise ukuba yinde, kwesinye isikhathi ihlala izinyanga noma ngisho neminyaka ngaphandle kokungenelela. Zivame ukuvela ebusweni, ikakhulukazi ezindlebeni, ezindebeni, emlonyeni, nase-nose, nakuba zingavela noma kuphi emzimbeni kuhlanganise nomzimba nezitho zokuzala. I-Milia iphelele futhi ayinayo ingozi empilweni — iyinkinga yokubukeka kuphela. Nokho, ukuhlala kwazo okungapheli kanye nendawo yazo ebusweni kwenza kube umthombo ojwayelekile wokukhathazeka kulabo abathintekayo.

IMilia iqhamuka lapho i-keratin eyenziwe ngamaseli esikhumba igcinwa ngaphansi kobuso esikhundleni sokukhipha ngokwemvelo. Le ndlela ihluka kuye ngohlobo lwe-milia. I-milia eyinhloko ivela ngokwemvelo kusuka ku-pilosebaceous unit — isakhiwo esihlanganisa i-hair follicle kanye ne-sebaceous gland ehambisanayo — noma kusuka ku-eccrine sweat duct.

Kucatshangwa ukuthi ziqhamuka ngenxa yokungathuthukiswa kahle noma inqubo yokukhipha esheshayo lapho amaseli afelekile aqoqwa futhi agcinwe esikhundleni sokukhipha. Ukutholakala kwemvelo kudlala indima, njengoba abanye abantu bephakeme ekutholeni i-milia kunabanye. I-milia yesibili ivela njengomphumela wokulimala kwesikhumba noma ukuphazamiseka.

Ukushisa, ukulimala okubangela ama-blister, i-dermabrasion, i-laser resurfacing, ukulimala kwelanga okuqhubekayo, kanye nezifo ezithile zesikhumba ezibangela ama-blister njenge-epidermolysis bullosa kanye ne-porphyria cutanea tarda zingase zikhuthaze ukuvela kwe-milia yesibili. Ukusetshenziswa kwe-corticosteroid ye-topical, ikakhulukazi amafomula anamandla asetshenziswa ebusweni, kuyimbangela eyaziwayo. Imikhiqizo yokunakekela isikhumba esinzima, esivimbela ama-pores futhi siphazamise ukukhipha okujwayelekile kungaba nomthelela ekuthuthukiseni i-milia kubantu abathintekayo.

Ukulimala kwelanga kwandisa ungqimba lwangaphandle lwesikhumba ngokuhamba kwesikhathi, kuthinta ikhono lesikhumba lokukhipha amaseli afelekile kahle futhi kudala izimo ezivumelayo zokugcina i-keratin.!! I-milia en plaque iyinhlobo eyinqaba lapho amaqoqo e-milia aqhamuka esisekelweni esivuvukalayo, imvamisa ezindlebeni, ngemuva kwezindlebe, noma ezindebeni, futhi ingase ihlotshaniswe nezimo ezizenzekelayo ezifana ne-lupus noma i-lichen planus.

Enye yezinkolelo ezivamile mayelana ne-milia ukuthi ziyama-whiteheads ezinzima noma uhlobo lwe-acne. Le miphumela yokungaqondi kahle iholela ezizamezini zokwelapha ezingafanele ezingenza kahle kakhulu futhi zibe yingozi kakhulu. Ama-whiteheads (ama-comedones avaliwe) uhlobo lwe-lesion ye-acne evela lapho i-hair follicle igcwala ngohlu lwe-sebum (oyela) kanye namaseli afelekile.

Zithambile, zikhuphuka kancane, futhi zivame ukujolisa ukungezwani okuncane. Ama-whiteheads aphendula ezelaphweni ze-acne eziqukethe i-salicylic acid, i-benzoyl peroxide, noma ama-retinoids ngoba lezi zinto zixazulula ukukhiqizwa kwe-oyela okweqile kanye ne-keratinization engajwayelekile eyabangela i-acne ye-comedonal. IMilia, ngokuphambene, ayiyona i-acne.

Ziyi-cyst ze-keratin ezigcinwe ngaphakathi kwe-dermis ephezulu noma endaweni ye-dermo-epidermal. Ziqinile uma uthinta, hhayi zithambile noma zicindezelwe njenge ama-whiteheads, futhi zinephuzu elihlukile lempilo emhlophe, elijikelezayo ngaphandle kokuphazamiseka noma ukungezwani. Njengoba i-milia ingaveli ngenxa yokukhiqizwa kwe-oyela okweqile noma ukuhlanganiswa kwamagciwane, ezelaphweni ze-acne ezijwayelekile azisebenzi kakhulu kuzo.

Ukuzama ukuqinisa noma ukuphula i-milia njengoba ungakwenza nge-whitehead akuphumelelanga futhi kuyingozi — okuqukethwe kwe-cyst kuyi-keratin eqinile, hhayi i-pus, futhi udonga lwe-cyst lukhuni futhi luhlala luphikisana nokukhishwa ngesandla.!! Ukucindezela okukhulu kubeka engcupheni yokushiya izilonda, ukutheleleka, nokuhlaselwa, ikakhulukazi esikhumbeni esithambile se-periorbital lapho i-milia ivame ukuvela khona. Ukukhomba kahle kuthinta ukwelashwa okufanele, yingakho ukuqonda lokhu kuhlukaniswa kubalulekile kulabo abahlangabezana nalezi ziqhamo ezinzima ezimhlophe.

Kukhona izinhlobo ezihlukene ze-milia, ngayinye inezixhumanisi ezihlukene nezibalo. IMilia yezinsana iyinhlobo evamile kakhulu, ivela cishe emaphesheya kwazo zonke izinsana njengezikhumba ezimhlophe ezihlukene ebusweni. Ziqhamuka ezindaweni ezisencane ze-pilosebaceous futhi zixazululwa ngokwemvelo phakathi nezinyanga zokuqala zokuphila ngaphandle kokwelashwa — abazali kufanele bazi ukuthi lezi ziqhamo ziyi-njengoba zikhona futhi zikhona isikhathi esifushane.

IMilia eyinhloko ezinganeni nasezindaweni ezinkulu ivela ngokwemvelo, ivame ukuvela ezindlebeni, ezindebeni, nasechaphazweni. Azinayo imbangela yangaphandle ebonakalayo futhi zingase ziveze umkhuba ophakeme wokungajwayelekile kwe-keratinization. Abesifazane babonakala bethinteka kakhulu kunabesilisa, mhlawumbe ngenxa yokuthonywa kwe-hormonal ekuguqulweni kwamacell esikhumba nokusetshenziswa kwemikhiqizo yokubukeka evimbela.

IMilia yesibili noma eyokulimala ivela ezindaweni zokulimala kwesikhumba — izilonda zokuhlinzwa, izilonda zokushisa, izindawo eziphathwe nge-laser noma i-dermabrasion, kanye nezindawo ezithintekile ngezifo ezibangela ama-blister. Zingavela ezinsukwini kuya ezinyangeni ngemva kokulimala kokuqala njengoba isikhumba esiphilayo sigcina i-keratin ngesikhathi sokuphulukiswa. I-Milia en plaque iyinhlobo eyinqaba kodwa ehlukile ebonakalayo ngama-milia amaningi aqhamuka esisekelweni esivuvukalayo, imvamisa ezindlebeni, ngemuva kwezindlebe, noma emlonyeni nasezindebeni.

Le ndlela ivame ukuthinta abesifazane abaphakathi neminyaka futhi ivela ezindlebeni, ngemuva kwezindlebe, noma emlonyeni nasezindebeni. Le ndlela ingase ihlotshaniswe nezimo ezizenzekelayo noma ezivuvukalayo futhi ingase ibe nzima kakhulu ekwelashweni. I-Milia eningi evuthwa iyinhlobo engajwayelekile lapho ama-milia amaningi ebonakala ezinsukwini kuya ezinyangeni ebusweni, emzimbeni ophakeme, nasezandleni, kwesinye isikhathi ehambisana nokukhathala okuncane. Le ndlela ingase ibe nezingxenye zezakhi zofuzo futhi ivamise ukuba yinde futhi ibuyiselwe.

Ngenkathi i-milia ingeyona ingozi futhi ezinye zixazululwa ngokwemvelo, abaningi abadala bafuna ukwelashwa ngezizathu zokubukeka, ikakhulukazi uma i-milia ihlangana ezindaweni eziphawulekayo zobuso. Ukukhipha okuqeqeshiwe ngudokotela wezokwelapha kuyindlela evamile futhi ephumelelayo yokwelapha. Ngokusebenzisa i-lancet ehlanzekile noma i-needle encane, udokotela udala umgudu omncane esikhumbeni esingaphezulu kwe-milium bese ekhupha i-keratin plug esebenzisa i-comedone extractor noma ingcindezi ethambile.

Le nqubo iyashesha, ayinankinga kakhulu, futhi iyaphola ngaphandle kokushiya izilonda uma yenziwa kahle ngochwepheshe oqeqeshiwe. Lokhu kuhluke kakhulu kokuzama ukujova i-milia ekhaya, okuthinta ingozi yokulimala kwezicubu nokutheleleka. Ama-retinoids aphumayo — kuhlanganise ne-tretinoin, adapalene, kanye ne-tazarotene — akhuthaza ukuhamba kwezicubu futhi angasiza ukuvimbela i-milia entsha ekwakhekeni futhi kwesinye isikhathi axazulule ezikhona phakathi nezinsuku kuya ezinyangeni zokusetshenziswa okuqhubekayo.

Ziyasebenza kakhulu kubantu abathanda i-milia ephindaphindayo. Nokho, ama-retinoids kufanele asetshenziswe ngokucophelela eduze kwamehlo futhi angadala ukuvuvukala esikhumbeni esithambile. Ukuhlanzwa kwekemikhono nge-glycolic acid noma ama-lactic acid peels kusiza ukunciphisa isikhumba esingaphezulu futhi kukhuthaze ukuhamba okujwayelekile, kwenza kube lula ukuthi i-keratin ebambekile ifinyelele phezulu.

I-electrodesiccation isebenzisa i-probe kagesi encane ukuze ibhujise udonga lwe-cyst, kanti i-cryotherapy ifaka i-nitrogen liquid ukuze iqandise futhi ibhujise i-milium. I-laser ablation nge-CO2 noma ama-erbium lasers iyasebenza kumilia amaningi noma aphindaphindayo. Ukuze uvimbele, sebenzisa imikhiqizo yokunakekela isikhumba ethambile, engakha i-comedogenic, faka ama-exfoliants amancane ohlelweni lwakho, uvikele isikhumba ekukhanyeni kwelanga okweqile, futhi ugweme ama-creams anesisindo ezindaweni ezithintekayo ku-milia. Uma unomlando we-milia yesibili ngemuva kwezinyathelo zokwelapha, xoxa ngezindlela zokuvikela nodokotela wakho wezokwelapha ngaphambi kokwelashwa okuzayo.

Amabhamuza amancane amhlophe ebusweni angamela izimo ezahlukene — i-milia, ama-whiteheads, i-sebaceous hyperplasia, i-syringoma, noma ngisho nama-cysts amancane — futhi ukuchazwa kahle kuyisinyathelo sokuqala sokuphatha kahle. I-Skinscanner isebenzisa ukuhlaziywa kwesithombe okujule ukuze ikusize uhlukanise phakathi kwalezi zibhamuza ezivamile zobuso ngokuhlola usayizi, ifomu, umbala, iphethini yokwabiwa, nezici zephezi. Ngokuthwebula izithombe zezinkinga zakho zesikhumba, uthola impendulo esheshayo mayelana nokuthi amabhamuza akho ahambisana ne-milia noma angase abe nesimo esihlukile esidinga indlela yokwelapha ehlukile.

Lokhu kubaluleke kakhulu ngoba ukuphatha i-milia njenge-acne — noma ngokuphambene — kuholela ezinsukwini eziningi zokuzama okungaphumeleli ngemikhiqizo engasebenzi. Kubantu abathanda i-milia ephindaphindayo, ukuhlola okujwayelekile kungasiza ukulandela ukuthi izindlela zakho zokuvikela (ama-retinoids, ukuhluza, ukusebenzisa i-sunscreen, izinguquko zemikhiqizo) zigcina i-milia entsha ibanjwe noma uma ukukhipha okuqeqeshiwe kudingeka. I-Skinscanner iphinde ikusize uqaphe izindawo eziphathwe ukuze ubone ukuphindaphinda futhi uthole i-milia entsha ethuthukiswa ezindaweni ezahlukene.

Ngenkathi i-milia ingeyingozi futhi ayinayo ingozi, noma yimaphi amabhamuza amhlophe noma anombala wesikhumba akhula ngokushesha, aphumelele, noma athuthukise izici ezingajwayelekile kufanele ahlaziywe ngochwepheshe ukuze kuqinisekiswe ukuthi awekho amanye ama-diagnoses. I-Skinscanner ayithathi indawo yokuhlolwa kwezokwelapha, kodwa inikeza umhlahlandlela ofinyeleleka, osheshayo okwenza uqonde isikhumba sakho futhi wenze izinqumo ezicacile mayelana nezikhathi lapho ukwelashwa kochwepheshe kufanelekile uma kuqhathaniswa nezikhathi lapho ukubekezela nokunakekela ukuvimbela kuhle.