Ho Phekola Mafura a Steroid

Litaba

• Matšoao ke afe?
• Lisosa tse tloaelehileng
• Li-Anabolic steroids tse sebelisoang ho aha 'mele
• Ngaka corticosteroids, joalo ka prednisone
• Ho etsahala joang
• Khetho ea kalafo
• Lithibela-mafu tsa molomo
• Benzoyl peroxide
• Phototherapy
• Liketsahalo tse bonolo
• Malebela a thibelo
• Tsela

Steroid acne ke eng?

Hangata makhopho ke ho ruruha ha litšoelesa tsa oli letlalong la hao le metso ea moriri. Lebitso la tekheniki ke makhopho a makhopho, empa hangata le bitsoa lihloba, matheba kapa linoko. Baktheria (Propionibacterium acnes) e kopantsoe le lintlha tse ling e baka ho ruruha ha litšoelesa tsa oli.

Steroid acne e na le matšoao a tšoanang le a makhopho a tloaelehileng. Empa ka li-acne acne, tšebeliso ea systemic steroid ke eona e etsang hore litšoelesa tsa oli (sebaceous) li khone ho ruruha le tšoaetso. Steroids e ka ba meriana ea ngaka, e kang prednisone, kapa mekhoa ea ho aha 'mele.

Mofuta o mong oa makhopho, o tsejoang e le malassezia folliculitis kapa makhopho a fungal, o bakoa ke tšoaetso ea tomoso ea methapo ea moriri. Joalo ka li-acne vulgaris, e ka hlaha ka tlhaho kapa ka lebaka la ts'ebeliso ea molomo kapa e entiloeng ea steroid.

Maqoqomete a tloaelehileng le a steroid hangata a hlaha bohlankaneng, empa a ka etsahala neng kapa neng.

Steroid acne e fapane le steroid rosacea, e bakoang ke tšebeliso ea nako e telele ea li-topical corticosteroids.

Matšoao ke afe?

Steroid acne hangata e hlaha sefubeng sa hau. Ka lehlohonolo, ho na le mekhoa e 'maloa e sebetsang ea ho felisa makhopho a sefubeng.

E ka bonts'a sefahleho, molala, mokokotlo le matsoho.

Matšoao a ka kenyelletsa:

• li-blackheads tse bulehileng le tse koetsoeng (li-comedones)
• maqhutsu a manyane a mafubelu
• mabala a masoeu kapa a mosehla (pustules)
• maqhubu a khubelu a maholo a bohloko
• ho ruruha ho kang cyst (pseudocysts)

U kanna oa ba le litlamorao tsa ho khetha kapa ho ngoapa makhopho. Tsena li ka kenyelletsa:

• matshwao a mafubedu a matheba a sa tswa fola
• matšoao a lefifi a tsoang matheba a khale
• mabadi

Haeba makhopho a steroid e le a mofuta oa makhopho a makhopho, matheba a ka ba a ts'oanang ho feta a makhopho a tloaelehileng, a seng a steroid.

Haeba makhopho a steroid e le a mofuta oa fungal (malassezia folliculitis), boholo ba matheba a makhopho bo tla lekana ka boholo. Li-comedone (whiteheads le blackheads) hangata ha li eo.

Lisosa tse tloaelehileng

Steroid acne e bakoa ke ts'ebeliso ea systemic (molomo, ente, kapa ho hema) lithethefatsi tsa steroid.

Li-Anabolic steroids tse sebelisoang ho aha 'mele

Steroid acne e hlaha liperesente tse ka bang 50 tsa batho ba sebelisang li-anabolic steroids ka tekanyetso e kholo bakeng sa ho haha ​​'mele. Sebopeho se tsejoang e le sustanon (eo ka linako tse ling e bitsoang "Sus" le "Deca") ke sesosa se tloaelehileng sa makhopho a steroid ho baetsi ba 'mele.

Tekanyetso e phahameng ea testosterone le eona e ka kenya letsoho ho phatloheng ha makhopho.

Ngaka corticosteroids, joalo ka prednisone

Ts'ebeliso e ntseng e eketseha ea corticosteroids kamora ho buuoa ka setho le chemotherapy e entse hore makhopho a steroid a atisehe.

Hangata makhopho a steroid a hlaha kamora kalafo ea libeke tse 'maloa ka li-steroid tse laetsoeng. Ho ka etsahala ho batho ba ka tlase ho lilemo tse 30. E boetse e atile haholo ho ba nang le letlalo le bobebe.

Ho tiea ho latela boholo ba lethal dose ea steroid, bolelele ba kalafo, le ts'oaetso ea hau ea makhopho.

Le ha hangata makhopho a steroid a hlaha sefubeng, ts'ebeliso ea mask ea kalafo ea inhalation bakeng sa corticosteroids e ka etsa hore e khone ho hlaha sefahlehong sa hau.

Ho etsahala joang

Ha ho tsejoe hantle hore na li-steroid li eketsa menyetla ea hau ea ho ba le makhopho joang. Liphuputso tse 'maloa li fana ka maikutlo a hore li-steroid li ka kenya letsoho tlhahiso ea' mele oa hau ea li-immune system tse tsejoang ka hore ke TLR2. Hammoho le boteng ba baktheria Propionibacterium acnes, li-receptor tsa TLR2 li ka bapala karolo ea ho tlisa ho phatloha ha makhopho.

Khetho ea kalafo

Kalafo ea makhopho a steroid, joalo ka makhopho a tloaelehileng (acne vulgaris), a kenyelletsa tšebeliso ea litokisetso tse fapaneng tsa letlalo le lithibela-mafu tsa molomo.

Steroid e bakoang ke li-acne fungal (malassezia folliculitis) e phekoloa ka li-antifungal tsa lihlooho tse kang ketoconazole shampoo, kapa antifungal ea molomo, joalo ka itraconazole.

Lithibela-mafu tsa molomo

Likokoana-hloko tsa molomo tsa sehlopha sa tetracycline li laeloa bakeng sa maemo a matla le a itekanetseng a makhopho a steroid, le bakeng sa nyeoe efe kapa efe e bonts'ang mabali. Tsena li kenyelletsa doxycycline, minocycline, le tetracycline.

Lithibela-mafu tsena li bolaea libaktheria tse mpefatsang makhopho hape li kanna tsa ba le thepa e khahlanong le ho ruruha. Mefuta e meng ea lithibela-mafu e laeloa bakeng sa bana ba ka tlase ho lilemo tse 8.

Ho ka nka libeke tse 'ne ho isa ho tse robeli tsa ts'ebeliso e tloaelehileng ea lithibela-mafu pele o bona litlamorao tsa ho hlatsoa letlalo. Karabelo e felletseng e ka nka likhoeli tse tharo ho isa ho tse tšeletseng.

Batho ba mmala ba kotsing ea ho hlaseloa ke makhopho 'me ba ka eletsoa ho noa lithibela-mafu, leha e le nyeoe e bobebe.

Ka lebaka la kotsi e eketsehang ea lithibela-mafu le ho lieha ho qala ho sebetsa, litsebi joale li nyahamisa ts'ebeliso ea lithibela-mafu bakeng sa makhopho.

Benzoyl peroxide

Benzoyl peroxide ke sebolaya-mafu se sebetsang hantle se thusang ho bolaea baktheria ea makhopho le ho fokotsa ho ruruha. E khothalletsoa hore e sebelisoe hammoho le lithibela-mafu tsa molomo, hape le maemong a bobebe a sa hlokeng lithibela-mafu.

Benzoyl peroxide e fumaneha mefuteng e mengata ea kalafo ea makhopho. Ka linako tse ling e kopantsoe le salicylic acid.

Ha u sebelisa boitokisetso bofe kapa bofe ba sefahleho sefahlehong sa hau, ho bohlokoa ho e sebelisa sefahlehong sa hau kaofela, eseng feela libakeng tseo u li bonang. Lebaka ke hore makhopho a hlaha libakeng tse nyane tse sefahleho sa hau tseo u ke keng ua li bona.

U se ke ua itlotsa sefahleho ka matla ha u hloekisa kapa u sebelisa moriana, kaha sena se ka mpefatsa ho qhoma ha makhopho.

Phototherapy

Ho na le bopaki bo bong ba katleho ea Phototherapy ka leseli le leputsoa le buluu bo bofubelu ho phekola makhopho.

Liketsahalo tse bonolo

Bakeng sa boemo bo bonolo, ngaka ea hau e kanna ea leka ho qoba tšebeliso ea lithibela-mafu tsa molomo, mme ho fapana le moo e fane ka mofuta oa boitokiso ba letlalo o tsejoang ka hore ke retinoid ea lihlooho. Tsena li kenyelletsa:

• Tretinoin (Retin-A, Atralin, Avita)
• adalpene (Differin)
• tazarotene (Tazorac, E fumaneha)

Li-retinoids tsa lihlooho ke litlolo, litlolo le li-gel tse tsoang ho vithamine A.

Li sebetsa ka ho thusa tlhahiso ea lisele tsa letlalo tse phetseng hantle le ho fokotsa ho ruruha. Ha lia lokela ho sebelisoa nakong ea bokhachane kapa ho anyesa.

Malebela a thibelo

Steroid acne, ka tlhaloso, e bakoa ke tšebeliso ea li-steroids. Ho emisa kapa ho fokotsa tšebeliso ea steroid ho tla thusa ho felisa makhopho.

Empa sena ha se khonehe ka linako tsohle. Haeba li-steroids li laetsoe ho thibela litlamorao tse ling tse mpe, joalo ka ho lahla setho se seng se jetsoeng, ha ho na khetho ea ho emisa ho li noa. Mohlomong u tla tlameha ho phekoloa makhopho.

Lijo tse nang le mafura, lihlahisoa tse ling tsa lebese, haholo-holo tsoekere li ka tlatselletsa ho phatloha ha makhopho. U kanna ua batla ho leka phepo e khahlanong le makhopho. Litlolo tse nang le lanolin, petrolatum, oli ea meroho, butyl stearate, joala lauryl le asiti ea oleic le tsona li ka tlatsetsa makhopho.

Le ha lijo le litlolo tse ling li ka kenya letsoho ho phatloheng ha makhopho, ho li felisa ho ke ke ha etsa hore makhopho a hao a fele.

Tsela

Steroid acne ke litla-morao tse tloaelehileng tsa li-corticosteroids tse tlamang, joalo ka prednisone, hammoho le ts'ebeliso ea li-anabolic steroids ho aha 'mele.

Moo ho khonehang, ho emisoa ha steroid ho ka hlakisa seoa. Ho seng joalo, kalafo ka litokisetso tsa lihlooho, lithibela-mafu tsa molomo, kapa li-antifungal li lokela ho sebetsa.