Yini Ukukheka Kwekhanda Futhi Kungani Kubalulekile?
Ukukheka kwekhanda kubhekisela kumgangatho wesikhumba sakho — ukuthi kuzizwa kanjani lapho kuthintwa nokuthi kubukeka kanjani ezimeni ezahlukene zokukhanya. Isikhumba esithambile, esingenamathambo sikhona kuphela ezithombeni ezihlungiwe kakhulu. Empeleni, umuntu ngamunye unokungafani okuthile kokwakheka, okuhlanganisa amathambo abonakalayo, imigqa emincane, kanye nezikhala ezithile.
Uma amathambo engokukhathazeka kwakho, bheka isihloko sethu esithi ukuchazwa kwamathambo amakhulu. Lokhu kuyi-njengokujwayelekile. Nokho, ukungahambi kahle okuqhubekayo kokwakheka — amaqoqo ezikhala ezincane, izindawo ezinzima, izindawo ezingalingani, noma umuzwa ofana nephepha lesihlabathi — kuvame ukukhombisa isimo esithile se-dermatological esingatholwa futhi sithathwe.
Ngokungafani nezinkinga ezisekelwe kumbala ezifana nokubomvu noma amaphuzu amnyama, izinkinga zokwakheka zibonakala kakhulu ekukhanyeni okuhlangene futhi zivame ukuzwakala kakhulu kumuntu ophila nazo kunokubukeka kwabanye. Izinkinga ezivamile zokwakheka zifaka i-keratosis pilaris (ama-bumps amancane anobukhulu obungama-rough avame ukuba ezandleni eziphezulu nasezitho zomzimba), imilia (ama-bumps amancane amhlophe aqinile), ne-comedones ezivaliwe (ama-bumps anombala wesikhumba abangelwa ukuvaleka kwamathambo), kanye nokungahambi kahle okujwayelekile okubangelwa ukunganele kokuhlanza noma ukulimala kwesithiyo. Ngamunye unomthombo ohlukile futhi uphendula ezithuthukisweni ezihlukene.
Ukukheka kungase kuthonywe futhi ukulimala okubangelwa i-acne edlule, ukulimala kwelanga okushintshile ubuso besikhumba, ukungabi namanzi okudala ukubukeka kokuguguleka, kanye nenqubo yokuguga yemvelo eshintsha izinga lokuvuselela isikhumba. Ukuqonda umthombo othile wokukhathazeka kwakho kokwakheka kubalulekile, ngoba ukusebenzisa ukwelashwa okungalungile kungakhulisa inkinga. Indlela ethambisa i-comedones ezivaliwe ingase ibangele i-keratosis pilaris, futhi ngokuphambene.

I-Keratosis Pilaris Ne-Milia
I-Keratosis pilaris, evame ukubizwa ngokuthi yi-KP noma ngokujwayelekile njengezikhumba zezinhlamvu, iyisimo sesikhumba esivame kakhulu, sithinta kuze kube ngu-40% wabantu abadala. Kubonakala njengezikhala ezincane, ezinzima, ezinemibala yesikhumba noma ezibomvu kancane, ikakhulukazi ezandleni eziphezulu, ezitho zomzimba, ezitho zomzimba, futhi kwesinye isikhathi ezindlebeni. Lezi zikhala zibangelwa ukuhlanganiswa kwe-keratin — iprotein evikela isikhumba — evimba ukuvula kwezinhlamvu zomzimba.
I-KP iyagciwane futhi ayinabungozi. Ijwayele ukuba ibonakale kakhulu ngesikhathi sebusika lapho isikhumba siba sikhulu futhi ivame ukuthuthuka ehlobo lapho kukhula umswakama nokukhanya kwelanga. Nakuba ingalashwa ngokuphelele, iphendula kahle ekusebenziseni njalo kwezinto zokuhlanza ezine-acids ezinjenge-glycolic noma i-lactic acid, kanye nezithako zokunakekela ezine-urea ezingu-10 kuya ku-20%.
Lezi zixazulula ama-plug e-keratin futhi zithambisa ubuso besikhumba. Ukunakekela okuqhubekayo kubalulekile — i-KP ibhujiswa kakhulu uma isikhumba siba sikhulu. I-Keratosis pilaris ivame ukudideka ne-acne, kodwa ngokungafani ne-acne, ayibangelwa amagciwane noma uwoyela owaphezulu, okusho ukuthi ukwelashwa kwe-acne njenge-benzoyl peroxide akusebenzi futhi kungase kubangele ukoma okungadingekile nokuphazamiseka.!!
Ukuhlanza ngokomzimba nge-scrubs ethambile kungasiza kodwa kufanele kube phansi — ukuhlinzwa okukhulu kubhujisa i-KP ngokuvusa ukuvuvukala. I-Milia yizikhala eziqinile, ezimhlophe, ezibhalwe nge-dome ezivame ukuba ngu-1 kuya ku-2 millimeters ububanzi ezivela kakhulu ezindlebeni, ezindlebeni, nasekhanda. Ziqhamuka lapho i-keratin ibanjwa ngaphansi kobuso besikhumba ezincane.
Ngokungafani ne-whiteheads, i-milia ayihambisani nokuvula kwamathambo futhi ayinakuphonswa ngaphandle. Azinabungozi futhi kwesinye isikhathi zixazululwa ngokwemvelo, kodwa i-milia eqhubekayo itholakala kahle ngudokotela wezokwelapha ngokukhishwa okuthambile ngendandatho ethile noma i-lancet. Ama-retinoids angasiza ukuvimbela i-milia entsha ngokukhuthaza ukujikeleza kwezicubu.

I-Comedones Ezivaliwe Nezinye Izikhala Zokwakheka
I-comedones ezivaliwe yizikhala ezinemibala yesikhumba noma ezimhlophe ezivela lapho i-pore ivinjwa ngohlu lokuhlanganiswa kwe-sebum namaseli esikhumba afile kodwa ihlale ivaliwe ngengxenye ethile yesikhumba. Ngokungafani ne-comedones ezivulekile (ama-blackheads), i-comedones ezivaliwe azibanjwa emoyeni futhi ngakho-ke azivumi. Zivame ukuba ezindlebeni, emlonyeni, nasezindaweni zomlomo futhi zakha umuzwa ophukile, ongalingani okubonakala kakhulu ekukhanyeni okuhlangene.
I-comedones ezivaliwe iyifomu ye-acne futhi iphendula ezithuthukisweni ze-acne. I-salicylic acid ku-1 kuya ku-2% ivame ukuba yindlela yokuqala yokwelapha ngoba ihlola uwoyela ukuze icacise ukuvaleka kwamathambo. Ama-retinoids ayasebenza kakhulu kwi-comedones ezivaliwe ngoba alungisa ukuhamba kwezicubu ngaphakathi kwe-follicle, avimbela ukuhlanganiswa okubangela ukuvaleka.
I-Adapalene (etholakala ezitolo eziningi) iyindlela enhle yokuqala ye-retinoid ngenhloso le. Umthombo ovamile wokuvuka kwe-comedones ezivaliwe ngu-umkhiqizo omusha wokunakekela isikhumba noma umkhiqizo wezimonyo oyi-comedogenic — okusho ukuthi uvame ukuvalela amathambo. Amafutha anzima, ama-primer anama-silicone, kanye nezithako ezithile zokunakekela zingavusa ukuvuvukala kwe-comedonal kubantu abathintekayo.
Uma uthola i-comedones ezivaliwe ngokushesha ngemva kokwethula umkhiqizo omusha, lowo mkhiqizo ungumthombo ophakeme. I-acne ye-fungal, eyaziwa ngokomthetho njenge-Malassezia folliculitis, ibonakala njengezikhala ezincane ezifanayo ne-comedones ezivaliwe kodwa empeleni ibangelwa ukuvuvukala kwe-yeast ezindaweni zomzimba, futhi ayiphenduli ezithuthukisweni ze-acne ezijwayelekile — lokhu kuhlukaniswa kubalulekile ukuze ugweme izinyanga zokwelashwa ezingasebenzi.!! I-acne ye-fungal ivame ukucasula, okungajwayelekile kuma-comedones ajwayelekile, futhi ivame ukuvela emzimbeni, emuva, nasekhanda. Ukwelashwa kwe-antifungal njenge-ketoconazole kuyasebenza lapho imikhiqizo ye-acne yehluleka.

Ukuhlanza Kwamakhemikhali vs Ukuhlanza Ngokomzimba Kokwakheka
Ukuhlanza kuyithuluzi eliyinhloko lokuthuthukisa ukukheka kwesikhumba, kodwa ukukhetha indlela efanele kubalulekile. Ukuhlanza kwamakhemikhali nokuhlanzwa ngokomzimba kusebenza ngezindlela ezahlukene, futhi ngayinye inezinzuzo nezikhala. Ukuhlanza kwamakhemikhali kusebenzisa ama-acids noma ama-enzymes ukuze kuhlakazeke ubudlelwano phakathi kwamasekeli esikhumba afile, kuvumela ukuthi ahlale phansi ngokulinganayo.
Ama-alpha-hydroxy acids afana ne-glycolic acid kanye ne-lactic acid ayawamanzi futhi asebenza ikakhulukazi ebusweni besikhumba ukuze athuthukise ukujula kokukhanya nokukhanya. I-beta-hydroxy acid — i-salicylic acid — iyawoyela futhi ifaka phakathi kwamathambo, okwenza kube kuhle kakhulu ekubhekaneni nezikhala ze-comedonal nokuvuvukala. Ama-polyhydroxy acids afana ne-gluconolactone kanye ne-lactobionic acid angama-molecule amakhulu asebenza kancane, okwenza kube kuhle kakhulu ku-isikhumba esithambile.
Ukuhlanza ngokomzimba kuhilela ukususa amaseli afile ngokuhlanza ngephilisi enezinhlamvu noma ithuluzi. Izinketho ezithambile zifaka ama-konjac sponges, ama-washcloths athambile, kanye nezikhuhla ezincane. Izinketho ezinzima ezifana nezikhuhla ze-walnut shell, ama-brushes aqinile, kanye nezinsiza zokuhlanzwa kwe-microdermabrasion zineziqu eziphezulu zokwakha ama-micro-tears nokuphazamiseka, ikakhulukazi ebusweni.
Kwezinye izinkinga zokwakheka, ukuhlanza kwamakhemikhali kuyindlela ephumelelayo kakhulu futhi enengozi ephansi. Kuhlinzeka ngemiphumela engcono, akunciki ekucindezelweni kokufaka, futhi kungagxila ezindaweni ezithile zesikhumba kuye ngama-acid asetshenzisiwe. 5 kuya ku-1% ye-salicylic acid — esetshenziswa izikhathi ezimbili kuya kwezintathu ngesonto, ukwandisa njalo njengoba ukwamukela kukhula.
Ukuhlanza ngokweqile kuyingozi yangempela futhi kukhiqiza umphumela ophambene nalowo obekuhlosiwe. Ukukhishwa kwesithiyo sesikhumba kubangela ukubomvu, ukuvuvukala, ukuqinisa, futhi ngokuphambene, umuzwa ophukile njengoba isikhumba sizama ngempela ukuvuselela. Uma isikhumba sakho sishaya lapho ufaka umkhiqizo wokunakekela, kungenzeka ukuthi uhlanzile ngokweqile futhi udinga ukuwumisa wonke ama-actives kuze kube isithiyo sibuye.

Nini Izinguquko Zokwakheka Zikhombisa Isimo
Iningi lezi zinkinga zokwakheka kwezicubu zikhathazekile ngokubukeka kunokwelashwa. Nokho, ezinye izinguquko ekwakhekeni kwezicubu zidinga ukuhlolwa ngochwepheshe. Iphuzu elisha eliqinile, elinobumba elingaxazululeki ngokufaka umswakama, ikakhulukazi ezindaweni ezithintekayo elangeni ezifana nobuso, izindlebe, isikhumba sekhanda, noma emuva kwezandla, lingaba yi-actinic keratosis — i-lesion engakabikhona eyenziwe ngenxa yokulimala okuqhubekayo kwe-UV.
Lezi zizwa ziqinile njengephepha le-sandpaper futhi zingase zibe lula ukuzizwa kunokubona. Ukwelashwa kwangaphambili nge-cryotherapy noma imishanguzo ye-topical kulula futhi kuyasebenza. Izinguquko eziphuthumayo, ezibanzi zokwakheka ezihambisana nezinye izimpawu ezifana nokukhathala, ububomvu, noma phezulu zingase zibonise isimo se-dermatological esidinga ukuxilongwa.
I-Psoriasis ingadala ama-plaque aqinile, anobumba. I-Lichen planus ikhiqiza ama-bumps anephezi eliphakeme, elikhanyayo. I-Granuloma annulare ikha phezulu ezindaweni ezibhalwe ngering.
Lezi zimo zinezeluleko ezithile ezihlukile kakhulu kumikhiqizo yokuthuthukisa ukwakheka okuthengiswa ngaphandle kokwelashwa. Ukubola kwe-acne kudala izinkinga zokwakheka ezihlala njalo ezihlanganisa izibazi ze-ice pick, izibazi ze-boxcar, nezibazi ezijikijayo. Nakuba kungakhathazeki ngokomthetho, zingathinta kakhulu ukuzethemba.
Izinketho zokwelashwa zifaka i-microneedling, i-fractional laser resurfacing, ama-dermal fillers ezibazi ezithile eziphansi, kanye ne-chemical peels. Lezi zisebenza kakhulu uma ziqhutshwa ngochwepheshe abanolwazi futhi ngokuvamile zidinga uchungechunge lwezikhathi. Ukuze uthuthukise ukwakheka nsuku zonke, ukubekezela kubalulekile.
Ukuphuma kwezicubu kuthatha cishe ezinsukwini eziyi-28 kubantu abasha futhi kancane kancane kuthatha isikhathi eside njengoba umhlaba uhamba. Noma iyiphi imishanguzo yokuthuthukisa ukwakheka idinga okungenani amasonto amane kuya kw six ukuze imiphumela ibonakale kahle.


