Kungani kunendwangu ebusweni bami noma esikhunjeni? . I-Melasma yisimo sesikhumba esivamile lapho kuvela khona amabala ansundu esikhunjeni. I-Melasma ivame ukuthinta isikhumba sobuso. Ingakhula futhi ezingalweni nasentanyeni.
I-Melasma ayisona isimo esibi. Kepha kungathinta indlela obukeka ngayo nokuthi uzizwa kanjani ngayo.
Yini Ebangela iMelasma noma Indwangu?
Odokotela abazi kahle ukuthi yini ebangela i-melasma. Kungenzeka kwenzeke lapho amangqamuzana akhiqiza imibala esikhumbeni akhiqiza umbala omningi kakhulu.
Noma ngubani angayithola, kepha kuvame kakhulu kwabesifazane abasebasha.
Isimo sivame ukuhlotshaniswa ne- Ama-hormone abesifazane i-estrogen ne-progesterone. Usengozini enkulu yokuthola i-melasma uma ungowesifazane:
- Thatha amaphilisi okuvimbela inzalo.
- Thatha ukwelashwa kokufaka ama-hormone.
- Ukhulelwe
I-Melasma ivame ukuvela ngesikhathi sokukhulelwa, ku-trimester yesibili noma yesithathu. Ngezinye izikhathi ibizwa ngokuthi i- imaski yokukhulelwa .
Ukuhlala elangeni isikhathi eside futhi kaningi futhi kukubeka engcupheni yalesi simo. I-Melasma ijwayelekile kubantu abahlala ezindaweni ezishisayo. Abantu abanesikhumba esimnyama nabo banamathuba amaningi okuthi basithole.
Itholakala kanjani i-melasma?
Udokotela wakho uzokwazi ukunquma ukuthi une-melasma ngokubheka isikhumba sakho.
Udokotela angasebenzisa isibani esikhethekile ( okuthiwa isibani sikaWood ) esebenzisa ukukhanya i-ultraviolet ukuhlola isikhumba sakho eduze. Ezimweni ezingavamile, udokotela wakho angafuna ukuthatha isiqeshana esincane kakhulu sesikhumba sakho ( i-biopsy ) ukuqinisekisa ukuthi amabala ansundu yi-melasma.
Ungayisusa kanjani indwangu
Ungayisusa kanjani indwangu ebusweni ngesonto
Ungayisusa kanjani indwangu ebusweni ngokwemvelo. Abantu abaningi abane-melasma abadingi ukwelashwa. I-Melasma ingakwazi d izovela kancane uma uyeka ukuphuza amaphilisi okuvimbela inzalo noma ukwelashwa kwe-hormone replacement .
Uma i-melasma ivele ngesikhathi sokukhulelwa, ingahle inyamalale ezinyangeni ezimbalwa ngemuva kokuthola umntwana.
Uma i-melasma ingasuki noma ikuhluphe, ingalashwa. Udokotela wakho mhlawumbe uzonikeza ukhilimu oqukethe i-hydroquinone .
Okhilimu abahlanganisa i-hydroquinone ne-kojic acid, i-azelaic acid, i-tretinoin, i-corticosteroids, noma i-glycolic acid nayo ingalapha i-melasma.
Kwezinye izimo, udokotela angancoma a ikhasi lamakhemikhali , a umabhebhana noma ukwelashwa nge Uku ukusiza ukukhanyisa izindawo ezimnyama.
Ukwelashwa nokuvinjelwa kwendwangu ekhaya
Amakhambi endwangu . Amakhambi asekhaya endwangu. Ungaphatha ukwelashwa kwakho kwe-melasma ekhaya. Ukuphatha lesi simo sesikhumba kusho ukuqonda izimbangela nokwenza konke okusemandleni akho ukuzigwema.
Uma ulwa ne-melasma, qiniseka ukuprakthiza okulandelayo ukusiza ukudala ithoni yesikhumba eyengeziwe.
Sebenzisa i-sunscreen nsuku zonke
Enye yezindlela ezinhle kakhulu zokwelapha nokuvimbela i-melasma inokuvikelwa kwelanga okufanele. Ngoba ukushiswa yilanga kudala lesi simo sesikhumba, kufanele ugqoke i-sunscreen nsuku zonke, noma ngabe libalele noma liguqubele.
Ngaso sonke isikhathi khetha ama-sunscreen anokuvikelwa okubanzi okubanzi, futhi uqiniseke ukuthi uphinde uwafake okungenani njalo emahoreni amabili. Uma uhlela ukubhukuda noma wenze umsebenzi obangela ukujuluka okusindayo, faka isicelo sokuzivikela elangeni kaningi.
Gqoka izingubo zokuzivikela
Isikrini selanga siyindawo yokuqala, kepha ungakhuphula ukuvikela kwakho ilanga ngokungeza isigqoko esinomphetho obanzi, ikepisi le-baseball, nezingubo ezigqokiwe ekhabethe lakho.
Gqoka izibuko zelanga
Gqoka izibuko zelanga ukuvikela isikhumba esibucayi ngamehlo akho, kodwa qiniseka ukuthi ukhethe isitayela esifanele. Gwema imiphetho yensimbi kwizibuko zelanga; Lezi zingadonsela ukushisa, futhi lapho zibekwa esikhunjeni sakho, zenza i-melasma ibe yimbi kakhulu.
Ungagundi
Zama ukungagcini i-wax, ngoba lokhu kungadala ukuvuvukala kwesikhumba ngokushesha okungenza i-melasma ibe yimbi kakhulu.
Izinketho zokwelashwa kwesikhumba
Indwangu esikhunjeni. Kwabanye, i-melasma inamathela izinyanga ezimbalwa noma iminyaka embalwa, kepha abanye bangalwa nalesi simo sesikhumba amashumi eminyaka. Kulezi zimo, ukwelashwa ngochwepheshe kungaba yisixazululo esihle kakhulu.
Odokotela besikhumba abangochwepheshe bangakwazi ukubhekana ne-melasma yakho ngezindlela eziningi:
I-Hydroquinone
Ukhilimu osebenzayo ukususa indwangu. Le inketho yokwelashwa ejwayelekile kakhulu ye-melasma. Ukufaka i-hydroquinone esikhunjeni kuyayisula, futhi lo muthi ungawuthola njengokhilimu, i-lotion, ijeli noma uketshezi.
Ezinye zalezi zinketho ziyatholakala ngaphezu kwekhawunta, kepha ngokuvamile azinamandla kangako (funda: azisebenzi kangako) kunezinketho udokotela wesikhumba wakho angakunika zona.
I-Tretinoin
Ukuze uthuthukise futhi usheshise imiphumela ye-hydroquinone, udokotela wakho wesikhumba angakunikeza iTretinoin.
Ama-Corticosteroids
Ochwepheshe abaningi bezokunakekelwa kwezempilo bakhuthaza imikhiqizo enikezwe izithako ezintathu:
i-hydroquinone, i-retinoid ne-corticosteroid okukhulunywe ngayo ngenhla. I-retinoid isiza ukusheshisa inzuzo yeseli lesikhumba, kuyilapho i-corticosteroid isiza ukunciphisa ukuvuvukala.
Ngokuya kocwaningo olwenziwe eSt Luke's Roosevelt Hospital, cishe amaphesenti angama-70 eziguli abona ukwenyuka okungaba ngamaphesenti angama-75 kwi-melasma yabo ngemuva kwezinyanga ezimbili nje besebenzisa lolu hlobo lomkhiqizo.
Amakhemikhali amakhemikhali
Amakhemikhali amakhemikhali amnene asebenzisa i-salicylic acid, i-glycolic acid, noma amanye amakhemikhali ukususa izingqimba ezingaphezulu zesikhumba sobuso ukuze zenze ithoni lesikhumba elilinganayo.
Ngemuva kwale nqubo, isikhumba sakho sizoba pinki futhi sithambe; abaningi bathi kuzwakala njengokushisa kwelanga okuncane. Ngemuva kwezinsuku ezimbalwa, isikhumba sizoqala ukuphuma. Izikhumba zesikhumba ezinomusa zingenziwa njalo ezinyangeni ezimbili.
I-Microdermabrasion
Ukwelashwa okuvamile kwe-microdermabrasion kungasiza ekunciphiseni ukubukeka kwe-melasma, ngoba le nqubo isiza ukukhulisa inzuzo engenayo yamaseli, isiza ukususa amaseli asevele ethintekile yi-hyperpigmentation. Ungalokothi uzame lolu hlobo lwenqubo ngaphandle kosizo lochwepheshe onolwazi.
Ukwelashwa nge-Laser
Ama-lasers amaningi angenza i-melasma ibe yimbi kakhulu, kepha kunezinhlelo ezithile ezingasiza ukunciphisa ukubukeka kwalesi simo sesikhumba. Lokhu kungaba inqubo ebizayo, futhi amajaji okwamanje awazi ukuthi isebenza kanjani le ndlela yokwelapha.
I-Stable Vs. I-Melasma Engazinzile
Ngokuvamile, kunezigaba ezimbili eziyinhloko zeMelasma: Uzinzile futhi Awuzinzile.
Isitebele Melasma
Kalula nje, i-melasma ezinzile ingenye engashintshi okuningi usuku nosuku noma isonto ngesonto. Ihlala icishe ifane. Futhi, i-melasma ezinzile ayikhuphi kalula lapho ivezwa imizuzu embalwa yelanga.
Ukuqonda kangcono lokhu, cabanga ngowesifazane okhulelwe, okhula ne-melasma ngesikhathi sokukhulelwa kwakhe. Ngokusobala, ukuguquguquka kwamahomoni okhulelwe kwabangela i-melasma yakhe.
Lapho nje ingane yakho izelwe futhi ama-hormone akhe ebuyela kokujwayelekile, i-melasma ijwayele ukuzixazululela yodwa njengoba ama-melanocyte aqine ngokweqile ehlisa umoya.
Kodwa-ke, kwezinye izimo i-melasma iyaqhubeka, kepha izinzile. Kuqondakala kalula, njengoba ukuguquguquka kwamahomoni okubangele ukuthi i-melasma ixazululwe, i-melasma ayisakhuthazwa ukukhula noma ukusabalala. Ngakho-ke, kubonakala sengathi ama-melanocyte akhiqiza i-melanin eningi ngesikhathi sokukhulelwa manje abambeke kuleli zinga eliphakeme lokukhiqizwa kwe-melanin.
Isifaniso esihle yindlu enamakamelo amaningi, ngalinye lalo line-thermostat ebekelwe amazinga aphelele angama-72. Kepha-ke kwenzeka okuthile endlini, futhi i-thermostat egumbini elilodwa iyahamba futhi inamathele kuma-degree angama-80, ngakho-ke ihlala ishisa ukwedlula wonke amanye amakamelo.
Empeleni, ku-melasma ezinzile, ama-melanocyte asendaweni ethile yesikhumba ayaphazamiseka futhi abhajwe ezingeni eliphakeme lokukhiqizwa kwe-melanin.
Lolu hlobo lwe-melasma ezinzile lunethuba elihle kakhulu lokwelashwa ngempumelelo, njengoba ngizochaza kamuva kulesi sihloko ekwelapheni i-melasma.
I-melasma engazinzile
Kalula nje, i-melasma engazinzile iyashintsha njalo, idaleka kalula ukuba mnyama, futhi izwela kakhulu kunoma iliphi ilanga. Ngisho nokuchayeka ekushiseni, ngosuku olushisayo, noma kubhavu oshisayo kungadala ukuthi i-melasma ivuthe. Kuchazwe nje, kunembangela eyimbangela eyenza lo mama onelishwa le-melanocyte abe nokuzwela futhi abe namandla kakhulu.
Ku-melasma engazinzile, noma ngabe i-melanin eyengeziwe isuswe ngempumelelo esikhunjeni sowesifazane, ijwayele ukubuya emasontweni ambalwa, ngisho nasezinsukwini ... ngoba isimo esithile esiyindida sihlala sigqugquzela ama-melanocyte ukuthi akhiqize i-melanin eyengeziwe.
Ingabe kunezinhlobo ezahlukahlukene zeMelasma?
Yebo, kunezinhlobo ezintathu zokuxilongwa kwe-melasma: i-epidermal, i-dermal, ne-mixed.
I-Epidermal
Lolu hlobo lubonakala ngamabala ansundu amnyama anomngcele ochazwe kahle. Lolu hlobo lwe-melasma luvame ukuphendula kahle ekwelashweni futhi kulula ukuluthola ngaphansi kokukhanya okumnyama.
I-Dermal
Lolu hlobo lubonakala ngamabala ansundu noma aluhlaza okwesibhakabhaka onomngcele ongachaziwe kangako. Lolu hlobo aluphenduli kahle ekwelashweni futhi ukubukeka kwalo akushintshi ngaphansi kwelambu elimnyama.
Kuxubile
Lolu uhlobo oluvame kakhulu lwe-melasma olutholakele, futhi lubonakala ngenhlanganisela yezindawo ezikhanyayo nezinsundu ngokumnyama nokuqhamuka kombala okuluhlaza okwesibhakabhaka. Lolu hlobo lubucayi ngokwelashwa.
Izinganekwane ngoMelasma
Kukhona izinganekwane ezisabalele mayelana ne-melasma ezingelona neze iqiniso. Lokhu kufaka phakathi
Abesifazane abakhulelwe kuphela abathola i-melasma: I-melasma ingathinta abesilisa nabesifazane bayo yonke iminyaka, kuzo zonke izigaba zokuphila.
I-Melasma ihamba yodwa: Ngeshwa, uzodinga ukuphatha i-melasma yakho ngokunakekela; ayithambekele ekuhambeni yodwa.
Awungehlisi ukubukeka kwe-melasma: Kunezinketho eziningi zokwelashwa ezingasiza ukunciphisa ama-melasma patches.
izimbangela ze-melasma
Izimpawu ze-melasma
Ukushintsha kombala wesikhumba kuwukuphela kwesifo se-melasma . Amabala ansundu awakulimazi, angalume noma akuthinte ngokomzimba. Ngokuvamile amabala anombala onsundu ofanayo futhi ngokuvamile ayalingana. Zivame ukuvela ezihlathini, ebunzini, ekhaleni, noma endebeni engenhla.
Ingabe i-melasma ingavinjelwa noma igwenywe?
Ngoba odokotela abazi njalo ukuthi yini ebanga i-melasma, kungaba nzima ukuyivimba. Indlela engcono yokugwema lokhu ukusebenzisa i-spectrum ebanzi, i-sunscreen ephezulu nsuku zonke. Kufanele futhi ufake isigqoko esinomphetho obanzi ukuvikela ubuso bakho njalo lapho uphuma elangeni.
Ukuphila ne-melasma
Kungathatha izinyanga ezimbalwa ngaphambi kokuthi ubone imiphumela yokwelashwa. Kubalulekile ukuthi ulandele izincomo zikadokotela wakho, noma ngabe ungakakuboni ngcono okwamanje.
Ungadinga ukuqhubeka uphatha isikhumba sakho noma ngabe sekukhanyiswe i-melasma. Lokhu kungasiza ukuyivimba ukuthi ingabuyi. Kubalulekile futhi ukugwema ukuba selangeni nokusebenzisa i-sunscreen nsuku zonke. Lokhu kuzosiza futhi ekuvimbeleni i-melasma ukuthi ingabuyi.
Izinkomba:
- I-Melasma. (ng). aad.org/public/diseases/color-problems/melasma
- I-Melasma: Ngubani otholayo nobangela (nd). aad.org/public/diseases/color-problems/melasma#izimbangela
- URajaratnam R., et al. (2010). Ukungenelela kwe-melasma. OKBILI: 10.1002 / 14651858.CD003583.pub2
Okuqukethwe
- Yini Ebangela iMelasma noma Indwangu?
- Itholakala kanjani i-melasma?
- Ungayisusa kanjani indwangu
- Ungayisusa kanjani indwangu ebusweni ngesonto
- Ukwelashwa nokuvinjelwa kwendwangu ekhaya
- Sebenzisa i-sunscreen nsuku zonke
- Gqoka izingubo zokuzivikela
- Gqoka izibuko zelanga
- Ungagundi
- Izinketho zokwelashwa kwesikhumba
- I-Hydroquinone
- I-Tretinoin
- Ama-Corticosteroids
- Amakhemikhali amakhemikhali
- I-Microdermabrasion
- Ukwelashwa nge-Laser
- I-Stable Vs. I-Melasma Engazinzile
- Isitebele Melasma
- I-melasma engazinzile
- Ingabe kunezinhlobo ezahlukahlukene zeMelasma?
- I-Epidermal
- I-Dermal
- Kuxubile
- Izinganekwane ngoMelasma
- Izimpawu ze-melasma
- Ingabe i-melasma ingavinjelwa noma igwenywe?
- Ukuphila ne-melasma
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