Ngokuthuthuka kwemithi, iya ngokuya iyanda imithi emisha futhi emihle yokwelapha i-psoriasis eminyakeni yamuva. Iziguli eziningi zikwazile ukuqeda izilonda esikhumbeni sazo futhi zibuyele empilweni evamile ngokwelashwa. Kodwa-ke, enye inkinga ilandela, okungukuthi, indlela yokususa i-pigmentation esele (amabala) ngemva kokususwa kwezilonda zesikhumba?
Ngemva kokufunda izihloko eziningi zesayensi yezempilo yamaShayina nezakwamanye amazwe, ngifingqe umbhalo olandelayo, ngethemba lokuba usizo kuwo wonke umuntu.
Izincomo ezivela kodokotela besikhumba basekhaya
I-Psoriasis ibeka isikhumba ekuvuvukeni nasekuthelelekeni isikhathi eside, okuholela esikhumbeni esilimele esinamabala abomvu ezicubu phezulu, okuhambisana nezimpawu ezinjengokudumba nokukalwa. Ngemva kokugqugquzelwa ukuvuvukala, ukujikeleza kwegazi ngaphansi kwesikhumba kunciphisa, okungase kubangele izimpawu zendawo ze-pigmentation. Ngakho-ke, ngemva kokululama, kuzotholakala ukuthi umbala wesikhumba sesikhumba umnyama (noma ulula) kunombala ozungezile, futhi kuzoba nezimpawu zobumnyama besikhumba.
Kulokhu, ungasebenzisa amafutha okugcoba angaphandle ukuze uthole ukwelashwa, njenge-hydroquinone cream, engafinyelela umphumela othile wokuvimbela ukukhiqizwa kwe-melanin futhi ibe nomthelela wokunciphisa i-melanin. Kubantu abanezimpawu ezinzima ze-melanin, kuyadingeka ukuyithuthukisa ngokusebenzisa izindlela ezingokwenyama, njengokwelashwa kwe-laser, okungabola izinhlayiya ze-melanin ezingaphansi kwesikhumba futhi zibuyisele isikhumba esimweni esivamile.
—— U-Li Wei, uMnyango Wezifo Zesikhumba, Isibhedlela Sesibili Esihlobene Sesikole Sezokwelapha sase-Zhejiang University
Ungadla ukudla okuningi okucebile ku-vitamin C no-vitamin E, okuzosiza ukunciphisa ukuhlanganiswa kwe-melanin esikhumbeni futhi kukhuthaze ukuqedwa kwe-melanin deposits. Ezinye izidakamizwa ezinenzuzo ekuqedeni imvula ye-melanin zingasetshenziswa endaweni, njenge-hydroquinone cream, i-kojic acid cream, njll.
Ukhilimu we-retinoic acid ungasheshisa ukukhishwa kwe-melanin, futhi i-nicotinamide ingavimbela ukuthuthwa kwe-melanin kumangqamuzana e-epidermal, wonke anomphumela othile wokwelapha emvuleni ye-melanin. Ungasebenzisa futhi ukukhanya okukhulu kwe-pulsed noma ukwelashwa kwe-pigmented pulsed laser ukususa izinhlayiya ze-pigment esikhumbeni, okuvame ukusebenza kahle kakhulu.
—— Zhang Wenjuan, Department of Dermatology, Peking University People’s Hospital
Kunconywa ukusebenzisa i-vitamin C, i-vitamin E, ne-glutathione emithini yomlomo, engavimbela ngokuphumelelayo ukukhiqizwa kwama-melanocyte futhi inciphise inani lamangqamuzana e-pigment akhiwe, ngaleyo ndlela kuzuzwe umphumela wokuba mhlophe. Ukuze kusetshenziswe ngaphandle, kunconywa ukusebenzisa ukhilimu we-hydroquinone, noma ukhilimu we-vitamin E, ongakhomba ngokuqondile izingxenye ezinemibala ukuze zibe mhlophe.
——Liu Hongjun, Department of Dermatology, Shenyang Seventh People’s Hospital
I-American socialite uKim Kardashian naye uyisiguli se-psoriasis. Wake wabuza ezinkundleni zokuxhumana, "Ungawususa kanjani umbala osele ngemuva kokuqedwa kwe-psoriasis?" Kodwa akuphelanga sikhathi esingakanani, wathumela ezinkundleni zokuxhumana ethi, “Ngifunde ukwamukela i-psoriasis yami nokusebenzisa lo mkhiqizo (isisekelo esithile) lapho ngifuna ukuvala i-psoriasis yami,” futhi walayisha isithombe sokuqhathanisa. Umuntu obonayo angasho shazi ukuthi uKardashian uthatha ithuba lokuletha izimpahla (zokuthengisa).
Isizathu esenza uKardashian asebenzise isisekelo ukumboza amabala e-psoriasis ashiwo. Ngokwami, ngicabanga ukuthi singayilandela le ndlela, futhi kukhona uhlobo lwe-vitiligo concealer olungase lucatshangelwe.
I-Vitiligo nayo iyisifo esihlobene nokuzivikela komzimba. Ibonakala ngamabala amhlophe anemingcele ecacile esikhumbeni, esithinta kakhulu impilo evamile yeziguli. Ngakho-ke, ezinye iziguli ezine-vitiligo zizosebenzisa ama-masking agents. Kodwa-ke, lesi sithako sesembozo ikakhulukazi sikhiqiza uhlobo lwephrotheni yebhayoloji i-melanin elingisa umzimba womuntu. Uma izilonda zakho ze-psoriasis zisusiwe futhi zishiywe nemibala ekhanyayo (emhlophe), ungacabanga ukuyizama. Kunconywa ukubonisana Kuphuma kochwepheshe ukuthi banqume.
Izingcaphuno zezihloko zesayensi yezempilo yangaphandle
I-Psoriasis ixazulula futhi ishiye amabala amnyama noma akhanyayo (hyperpigmentation) angase anyamalale ngokuhamba kwesikhathi, kodwa ezinye iziguli ziwathola ekhathaza kakhulu futhi zifuna ukuthi amabala asheshe asheshe. Ngemuva kokuthi i-psoriasis isixazulule, i-hyperpigmentation enzima ingakhululwa nge-topical tretinoin (tretinoin), noma i-topical hydroquinone, i-corticosteroids (amahomoni). Kodwa-ke, ukusebenzisa i-corticosteroids (amahomoni) ukukhulula i-hyperpigmentation kuyingozi futhi kuthinta iziguli ezinesikhumba esimnyama kakhulu. Ngakho-ke, ubude besikhathi sokusetshenziswa kwe-corticosteroid kufanele bulinganiselwe, futhi odokotela kufanele bafundise iziguli ukuthi zigweme izingozi ngenxa yokusebenzisa ngokweqile.
——UDkt. U-Alexis
Uma ukuvuvukala sekuphelile, ithoni yesikhumba ngokuvamile ibuyela kwesijwayelekile kancane kancane. Nokho, kungathatha isikhathi eside ukushintsha, noma kuphi kusukela ezinyangeni kuye eminyakeni. Ngaleso sikhathi, kungase kubonakale njengesibazi.” Uma i-silver Psoriatic pigmentation yakho ingathuthuki ngokuhamba kwesikhathi, buza udokotela wakho wesikhumba ukuthi ingabe ukwelashwa nge-laser kuyikhandidethi elikahle kuwe.
—Amy Kassouf, MD
Ezikhathini eziningi, awudingi ukwenza noma yini ukwelapha i-hyperpigmentation ku-psoriasis ngoba izisusa ngokwayo. Kungase kuthathe isikhathi eside uma unesikhumba esimnyama. Ungazama futhi imikhiqizo ekhanyayo ukuze ukhanyise i-hyperpigmentation noma amabala amnyama, zama ukubheka imikhiqizo equkethe esinye sezithako ezilandelayo:
● 2% we-hydroquinone
● I-Azelaic acid (i-Azelaic acid)
● I-Glycolic acid
● I-Kojic Acid
● I-Retinol (i-retinol, i-tretinoin, ijeli ye-adapalene, noma i-tazarotene)
● Uvithamini C
★ Njalo thintana nodokotela wesikhumba ngaphambi kokusebenzisa le mikhiqizo, njengoba iqukethe izithako ezingase zibangele ukuqubuka kwe-psoriasis.
Isikhathi sokuthumela: Mar-15-2023