Ama-acne nokuqhuma okuningi kuvela emzimbeni wengane kusukela ekuzalweni. Futhi enye yezinhlobo zemisipha iyimfucumfucu - induna ikakhulu ebusweni. Ezinsana ezisanda kuzalwa, kanye nasezinsaneni ezineminyaka eyizinyanga ezingu-3-11, lesi sifo siqala ngokulinganisela hhayi isikhathi eside.
Noma kunjalo, lokhu akusho ukuthi udinga ukuphazamisa izinyosi ezinganeni, ukwelashwa kungadingeka. Kuyenzeka ukuthi induna engaphenduliwe ezinganeni "iyavela" ebusheni ngokuhlukumezeka okukhulu ebusweni. Indlela yokwelapha inqunywe udokotela wezingane kuphela, ngoba ukuqhuma kungase kube nomphumela ohlukile, isibonelo - ukugula.
I-acne ibangelwa ukungaxilisi kwezingqungquthela ze-sebaceous, ezibangelwa ithonya lama-androgens avela ku-correx ye-adrenal. Uma izinga le-serum legazi landa kakhulu izinga lika dehydroepiandrosterone sulfate, khona-ke ukuthuthukiswa kwe-acne esinamandla kungenzeka. Ukwelashwa kwe-acne ezinsaneni kuyindlela yokwelashwa yendawo.
I-Neonates yama-acne
Kubonakala ku-20% wezingane kakade kusukela ezinsukwini zokuqala zokuphila. Umlingiswa ojwayelekile we-rash yi-papulo-pustular erythematosis. Ama-comedones ngokuvamile ayengekho. Ukuqhuma kuvela emathunzini, ebunzini, enkingeni, emahlombe, esikhumbeni, esifubeni esiphakeme, entanyeni. Ubukhulu besifo buyingcosana, ngaphandle kokulandelela, ezinyangeni ezingu-1-3. Noma kunjalo, ukuqhuma kungase kuqhubekele ezinsaneni kuze kufike ezinyangeni ezingu-6-12.
Njengoba kunikezwa ukuthi ama-acne ezinsana aphethwe ngokuziqhenya okuzimele, ukwelashwa ezimweni eziningi akudingeki. Kodwa-ke, uma izilonda eziningi zesikhumba zibonwa, ukusetshenziswa kwendawo yokwelapha okwelashwa nge ketoconazole kubonisiwe. Lezi zidakamizwa zinciphisa kakhulu ubude besifo se-acne.
Ama-Acne Babies
I-acne ezinsaneni zenzeka kaningi kakhulu kunezintambo ezisanda kuzalwa - phakathi kwezinyanga ezintathu nezinyanga ezingu-16. Abafana bavame ukugula. Uma abazali behlushwa induna, lesi sifo sinzima nakakhulu ezinganeni. I-acne ebantwaneni ibonakala ngokubunjwa kwama-comedones avaliwe avulekile, ama-pustules nama-papules. Ukuqhuma okusabalalisa ngokuphindaphindiwe kaningi kuqukethe izitho zokuvuvukala. Ngezinye izikhathi ama-cysts ahlanzekile akhiwa, okwenza kube lula. Ukuqhuma kutholakala ikakhulukazi emahlathini. Ama-acne anganyamalala eneminyaka engu-1-2, kepha kaningi kuze kube ngu-5 iminyaka. Uhlobo olunzima lwe-acne luyi-acne conglobata, lapho ama-node ahlangana khona nama-conglomerate. Ama-abscesses nama-scars avela. Izinsana ze-acne, ikakhulukazi ifomu le-conglobate, zingaholela ekuthuthukisweni kwesifo esibi ngesikhathi sokukhula.
Lapho ukwelashwa nge-acne ezinganeni, ama-retinoids angama-topical asetshenziswa. Ukuhlanganiswa nama-antibiotic wendawo (i-clindamycin, i-erythromycin) ne-benzoyl peroxide kuvunyelwe. Ifomu elibi lesi sifo yi-lesion yokuvuvukala ngokubunjwa kwamafindo namapulethi aye ahlupha izinyanga ezimbalwa. Kulesi simo, i-erythromycin inikwe amaphilisi. Uma i-erythromycin iphikisana, i-trimethoprim / sulfamethoxazole ingabekwa. Ukusetshenziswa kwe-tetracycline ekwelapheni izinsana akukhuthazwa, njengoba ukuthuthukiswa kwamazinyo namathambo kungaphumeleli.
Ama-bladders amakhulu kanye nama-node angaphathwa ngokujova i-triamcinolone acetonide ngesilinganiso esincane. Uma kungekho nhlobo yokwelapheka, udokotela angancoma i-isotretinoin. Isidakamizwa siboniswa izingane ezindala. Kunalokho ukubekezelela, imiphumela emibi ayifani. Lapho umuthi unikezwa izinsana, isithiyo kuphela yisimo esingakhululekile sokukhululwa kwezidakamizwa ngendlela yegelatin capsules. Kusukela ngaphansi kwethonya lomoya-mpilo ne-sun isotretinoin libhujiswa, ama-capsules avuliwe egumbini elincane futhi ngokushesha axutshwe ne-jam noma ibhotela. Ukwelapha kufanele kuhambisane nesampuli segazi njalo ukulawula izinga le-cholesterol, i-triglycerides, umsebenzi wesibindi.
Ubude besikhathi esiphathelene nokwelashwa kwamacne yizinyanga ezingu-6-11. Abazali kufanele baqaphele ukuthi ngesikhathi sokukhulelwa, izinkukhu zingabuya.