Acne

Inā ua ho'āʻo ʻoe i nā huahana ʻili ʻili ma luna o ka kūʻai aku (ʻaʻohe kauoha) no kekahi mau pule a ʻaʻole i kōkua lākou, e nīnau i kāu kauka e pili ana i nā lāʻau lapaʻau i kauoha ʻia. Hiki i ka dermatologist ke kōkua iā ʻoe:

• Ke kaohi nei i kou ʻili
• Pale aku i ka hōʻino ʻana a i ʻole nā ​​hōʻino ʻē aʻe i kou ʻili
• Hana i nā ʻōpala i emi iho ka ʻike Hana nā lāʻau lapaʻau ʻili ma ka ho'ēmi ʻana i ka hana ʻaila a me ka pehu a i ʻole ma ka mālama ʻana i ka maʻi bacteria. Me ka hapa nui o nā lāʻau lapaʻau ʻili i kauoha ʻia, ʻaʻole paha ʻoe e ʻike i nā hopena no ʻehā a ʻewalu mau pule. Hiki ke lilo i mau mahina a mau makahiki paha no kou ʻili e hoʻomaʻemaʻe loa. Loaʻa ka papa hana mālama a kāu kauka e ʻōlelo ai ma muli o kou makahiki, ke ʻano a me ka nui o kou ʻili, a me kāu makemake e hoʻokō. No ka laʻana, pono paha ʻoe e holoi a hoʻopili i nā lāʻau lapaʻau i ka ʻili i pilikia ʻia i ʻelua manawa i ka lā no kekahi mau pule. Hoʻohana pinepine ʻia nā lāʻau lapaʻau topical a me nā lāʻau āu e lawe ai ma ka waha (lāʻau waha) i ka hui pū ʻana. Loaʻa nā koho mālama no nā wāhine hāpai ma muli o ka pilikia o nā hopena. E kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono o nā lāʻau lapaʻau a me nā mālama ʻē aʻe āu e noʻonoʻo nei. A e hana i nā hālāwai hoʻomau me kāu kauka i kēlā me kēia ʻekolu a ʻeono mau mahina a hiki i ka hoʻomaikaʻi ʻana o kou ʻili. ʻO nā lāʻau lapaʻau topical i kauoha ʻia maʻamau loa no ka ʻili:
• Retinoids a me nā lāʻau like me retinoid. Hoʻohana pinepine ʻia nā lāʻau e loaʻa ai nā waikawa retinoic a i ʻole tretinoin no ka ʻili waena. Hiki mai kēia mau mea ma ke ʻano he kirimina, gel a me nā lotions. ʻO nā laʻana ke komo pū me ka tretinoin (Avita, Retin-A, nā mea ʻē aʻe), adapalene (Differin) a me ka tazarotene (Tazorac, Avage, nā mea ʻē aʻe). Hoʻopili ʻoe i kēia lāʻau lapaʻau i ke ahiahi, e hoʻomaka ana me ʻekolu manawa i ka pule, a laila i kēlā me kēia lā e hoʻomaʻamaʻa kou ʻili iā ia. Pale ia i ka hoʻopiʻi ʻana i nā follicle lauoho. Mai hoʻopili i ka tretinoin i ka manawa like me ka benzoyl peroxide. Hoʻonui nā retinoids topical i ka maʻalahi o kou ʻili i ka lā. Hiki iā lākou ke hana i ka maloʻo ʻana o ka ʻili a me ka ʻulaʻula, ʻoi aku hoʻi i nā kānaka me ka ʻili ʻeleʻele a ʻeleʻele paha. Hiki ke ʻae ʻia ʻo Adapalene maikaʻi loa.
• Antibiotics. Hana kēia mau mea ma ka pepehi ʻana i nā bacteria ʻili nui a hoʻemi i ka ʻulaʻula a me ka mumū. No nā mahina mua o ka mālama ʻana, hiki iā ʻoe ke hoʻohana i ka retinoid a me ka antibiotic, me ka antibiotic i hoʻopili ʻia i ke kakahiaka a me ka retinoid i ke ahiahi. Hoʻohui pinepine ʻia nā antibiotics me ka benzoyl peroxide e hoʻemi i ka hiki ke hoʻomohala i ka pale ʻana i nā antibiotics. ʻO nā laʻana ke komo pū me ka clindamycin me ka benzoyl peroxide (Benzaclin, Duac, nā mea ʻē aʻe) a me ka erythromycin me ka benzoyl peroxide (Benzamycin). ʻAʻole manaʻo ʻia nā antibiotics topical wale nō.
• Azelaic acid a me salicylic acid. ʻO ka waikawa azelaic kahi waikawa kūlohelohe i hana ʻia e kahi hū. Loaʻa iā ia nā waiwai antibacterial. ʻIke ʻia he cream a gel paha o ka 20% azelaic acid e like me ka nui o nā mālama ʻili maʻamau ke hoʻohana ʻia i ʻelua manawa i ka lā. ʻO ka azelaic acid i kauoha ʻia (Azelex, Finacea) kahi koho i ka wā hāpai a me ka hānai ʻana i ka umauma. Hiki nō hoʻi ke hoʻohana ʻia e hoʻokele i ka loli kala e kū mai ana me kekahi mau ʻano o ka ʻili. ʻO nā hopena ʻaoʻao ke komo pū me ka ʻulaʻula ʻana o ka ʻili a me ka huhū iki o ka ʻili. Hiki i ka salicylic acid ke kōkua i ka pale ʻana i nā follicle lauoho i hoʻopiʻi ʻia a loaʻa ma ke ʻano he mau huahana holoi a waiho paha. Loaʻa nā haʻawina e hōʻike ana i kona pono. ʻO nā hopena ʻaoʻao ke komo pū me ka loli kala ʻana o ka ʻili a me ka huhū iki o ka ʻili.
• Dapsone. Manaʻo ʻia ka gel dapsone (Aczone) 5% i ʻelua manawa i ka lā no ka ʻili mumū, ʻoi aku hoʻi i nā wāhine me ka ʻili. ʻO nā hopena ʻaoʻao ke komo pū me ka ʻulaʻula a me ka maloʻo. Retinoids a me nā lāʻau like me retinoid. Hoʻohana pinepine ʻia nā lāʻau e loaʻa ai nā waikawa retinoic a i ʻole tretinoin no ka ʻili waena. Hiki mai kēia mau mea ma ke ʻano he kirimina, gel a me nā lotions. ʻO nā laʻana ke komo pū me ka tretinoin (Avita, Retin-A, nā mea ʻē aʻe), adapalene (Differin) a me ka tazarotene (Tazorac, Avage, nā mea ʻē aʻe). Hoʻopili ʻoe i kēia lāʻau lapaʻau i ke ahiahi, e hoʻomaka ana me ʻekolu manawa i ka pule, a laila i kēlā me kēia lā e hoʻomaʻamaʻa kou ʻili iā ia. Pale ia i ka hoʻopiʻi ʻana i nā follicle lauoho. Mai hoʻopili i ka tretinoin i ka manawa like me ka benzoyl peroxide. Hoʻonui nā retinoids topical i ka maʻalahi o kou ʻili i ka lā. Hiki iā lākou ke hana i ka maloʻo ʻana o ka ʻili a me ka ʻulaʻula, ʻoi aku hoʻi i nā kānaka me ka ʻili ʻeleʻele a ʻeleʻele paha. Hiki ke ʻae ʻia ʻo Adapalene maikaʻi loa. Azelaic acid a me salicylic acid. ʻO ka waikawa azelaic kahi waikawa kūlohelohe i hana ʻia e kahi hū. Loaʻa iā ia nā waiwai antibacterial. ʻIke ʻia he cream a gel paha o ka 20% azelaic acid e like me ka nui o nā mālama ʻili maʻamau ke hoʻohana ʻia i ʻelua manawa i ka lā. ʻO ka azelaic acid i kauoha ʻia (Azelex, Finacea) kahi koho i ka wā hāpai a me ka hānai ʻana i ka umauma. Hiki nō hoʻi ke hoʻohana ʻia e hoʻokele i ka loli kala e kū mai ana me kekahi mau ʻano o ka ʻili. ʻO nā hopena ʻaoʻao ke komo pū me ka ʻulaʻula ʻana o ka ʻili a me ka huhū iki o ka ʻili. Hiki i ka salicylic acid ke kōkua i ka pale ʻana i nā follicle lauoho i hoʻopiʻi ʻia a loaʻa ma ke ʻano he mau huahana holoi a waiho paha. Loaʻa nā haʻawina e hōʻike ana i kona pono. ʻO nā hopena ʻaoʻao ke komo pū me ka loli kala ʻana o ka ʻili a me ka huhū iki o ka ʻili. ʻAʻole ikaika ka hōʻike e kākoʻo ana i ka hoʻohana ʻana i ka zinc, sulfur, nicotinamide, resorcinol, sulfacetamide sodium a i ʻole aluminum chloride i nā mālama topical no ka ʻili.
• Antibiotics. No ka ʻili waena a nui, pono paha ʻoe i nā antibiotics waha e hoʻemi i nā bacteria. ʻO ka mea koho mua no ka mālama ʻana i ka ʻili ka tetracycline (minocycline, doxycycline) a i ʻole ka macrolide (erythromycin, azithromycin). Hiki i ka macrolide ke lilo i koho no nā kānaka i hiki ʻole ke lawe i nā tetracyclines, me nā wāhine hāpai a me nā keiki ma lalo o 8 mau makahiki. Pono e hoʻohana ʻia nā antibiotics waha no ka manawa pōkole loa e pale ai i ka pale ʻana i nā antibiotics. A pono e hui pū ʻia me nā lāʻau ʻē aʻe, e like me ka benzoyl peroxide, e hoʻemi i ka pilikia o ka hoʻomohala ʻana i ka pale ʻana i nā antibiotics. ʻAʻole maʻamau nā hopena ʻaoʻao koʻikoʻi mai ka hoʻohana ʻana i nā antibiotics e mālama i ka ʻili. Hoʻonui kēia mau lāʻau i ka maʻalahi o kou ʻili i ka lā.
• Nā contraceptives waha i hui pū ʻia. ʻEhā mau contraceptives waha i hui pū ʻia i ʻāpono ʻia e ka FDA no ka mālama ʻana i ka ʻili i nā wāhine makemake hoʻi e hoʻohana iā lākou no ka pale ʻana. ʻO ia nā huahana e hui pū ana i ka progestin a me ka estrogen (Ortho Tri-Cyclen 21, Yaz, nā mea ʻē aʻe). ʻAʻole paha ʻoe e ʻike i ka pono o kēia mālama no kekahi mau mahina, no laila, hiki ke kōkua ka hoʻohana ʻana i nā lāʻau lapaʻau ʻili ʻē aʻe me ia no nā pule mua. ʻO nā hopena ʻaoʻao maʻamau o nā contraceptives waha i hui pū ʻia he kaupaona, ʻoluʻolu o ka umauma a me ka nausea. Hoʻopili pū ʻia kēia mau lāʻau me ka hoʻonui ʻana i ka pilikia o nā pilikia cardiovascular, ka maʻi ʻaʻai umauma a me ka maʻi ʻaʻai cervix.
• Nā mea hana anti-androgen. Hiki ke noʻonoʻo ʻia ka lāʻau spironolactone (Aldactone) no nā wāhine a me nā kaikamahine ʻōpio inā ʻaʻole kōkua nā antibiotics waha. Hana ia ma ka pale ʻana i ka hopena o nā hormone androgen ma nā gland hana ʻaila. ʻO nā hopena ʻaoʻao hiki ke komo pū me ka ʻoluʻolu o ka umauma a me nā manawa ʻeha. Antibiotics. No ka ʻili waena a nui, pono paha ʻoe i nā antibiotics waha e hoʻemi i nā bacteria. ʻO ka mea koho mua no ka mālama ʻana i ka ʻili ka tetracycline (minocycline, doxycycline) a i ʻole ka macrolide (erythromycin, azithromycin). Hiki i ka macrolide ke lilo i koho no nā kānaka i hiki ʻole ke lawe i nā tetracyclines, me nā wāhine hāpai a me nā keiki ma lalo o 8 mau makahiki. Pono e hoʻohana ʻia nā antibiotics waha no ka manawa pōkole loa e pale ai i ka pale ʻana i nā antibiotics. A pono e hui pū ʻia me nā lāʻau ʻē aʻe, e like me ka benzoyl peroxide, e hoʻemi i ka pilikia o ka hoʻomohala ʻana i ka pale ʻana i nā antibiotics. ʻAʻole maʻamau nā hopena ʻaoʻao koʻikoʻi mai ka hoʻohana ʻana i nā antibiotics e mālama i ka ʻili. Hoʻonui kēia mau lāʻau i ka maʻalahi o kou ʻili i ka lā. Nā contraceptives waha i hui pū ʻia. ʻEhā mau contraceptives waha i hui pū ʻia i ʻāpono ʻia e ka FDA no ka mālama ʻana i ka ʻili i nā wāhine makemake hoʻi e hoʻohana iā lākou no ka pale ʻana. ʻO ia nā huahana e hui pū ana i ka progestin a me ka estrogen (Ortho Tri-Cyclen 21, Yaz, nā mea ʻē aʻe). ʻAʻole paha ʻoe e ʻike i ka pono o kēia mālama no kekahi mau mahina, no laila, hiki ke kōkua ka hoʻohana ʻana i nā lāʻau lapaʻau ʻili ʻē aʻe me ia no nā pule mua. ʻO nā hopena ʻaoʻao maʻamau o nā contraceptives waha i hui pū ʻia he kaupaona, ʻoluʻolu o ka umauma a me ka nausea. Hoʻopili pū ʻia kēia mau lāʻau me ka hoʻonui ʻana i ka pilikia o nā pilikia cardiovascular, ka maʻi ʻaʻai umauma a me ka maʻi ʻaʻai cervix. Isotretinoin. ʻO ka Isotretinoin (Amnesteem, Claravis, nā mea ʻē aʻe) kahi derivative o ka huaora A. Hiki ke kauoha ʻia no nā kānaka i pane ʻole kā lākou ʻili waena a nui paha i nā mālama ʻē aʻe. No kekahi poʻe, hiki ke kōkua nā therapies aʻe, ma kahi hoʻokahi a i hui pū ʻia paha me nā lāʻau lapaʻau.
• Mālama māmā. Ua ho'āʻo ʻia kekahi mau therapies māmā me kekahi holomua. Pono ka hapa nui i nā kipa he nui i ke keʻena o kāu kauka. Pono nā noiʻi hou aku e hoʻoholo i ke ala kūpono, ka kumu māmā a me ka nui.
• Peel kemika. Hoʻohana kēia kaʻina hana i nā noi hou o kahi hopena kemika, e like me ka salicylic acid, glycolic acid a i ʻole retinoic acid. No ka ʻili māmā kēia mālama. Hiki iā ia ke hoʻomaikaʻi i ke ʻano o ka ʻili, ʻoiai ʻaʻole lōʻihi ka loli a pono pinepine nā mālama hou.
• Drainage a me ka unuhi ʻana. Hiki i kāu kauka ke hoʻohana i nā mea hana kūikawā e wehe mālie i nā whiteheads a me nā blackheads (comedos) a i ʻole nā ​​cysts i hoʻomaʻemaʻe ʻole ʻia me nā lāʻau lapaʻau topical. Hoʻomaikaʻi manawa kēia ʻenehana i ke ʻano o kou ʻili, akā hiki nō hoʻi ke hana i ka hōʻino ʻana.
• Hoʻopili steroid. Hiki ke mālama ʻia nā lesions nodular a me cystic ma ka hoʻopili ʻana i kahi lāʻau steroid i loko o lākou. Ua hopena kēia therapy i ka hoʻomaikaʻi wikiwiki a hoʻemi i ka ʻeha. Hiki i nā hopena ʻaoʻao ke komo pū me ka lahilahi ʻana o ka ʻili a me ka loli kala i ka wahi i mālama ʻia. ʻO ka hapa nui o nā haʻawina o nā lāʻau lapaʻau ʻili ua komo nā kānaka he 12 mau makahiki a ʻoi aku paha. Ke hoʻonui nei, loaʻa i nā keiki ʻōpio ka ʻili. Ua hoʻonui ka FDA i ka nui o nā huahana topical i ʻāpono ʻia no ka hoʻohana ʻana i nā keiki. A hōʻike nā kuhikuhi mai ka American Academy of Dermatology e pili ana i ka benzoyl peroxide topical, adapalene a me tretinoin i nā keiki preadolescent he pono a ʻaʻole e hana i ka hoʻonui ʻana i ka pilikia o nā hopena ʻaoʻao. Inā loaʻa i kāu keiki ka ʻili, e noʻonoʻo e kūkā me kahi dermatologist pediatric. E nīnau e pili ana i nā lāʻau e pale aku ai i nā keiki, nā nui kūpono, nā pilina lāʻau, nā hopena ʻaoʻao, a pehea e hiki ai i ka mālama ke hoʻopili i ka ulu a me ka hoʻomohala ʻana o ke keiki. ka loulou unsubscribe ma ka leka uila. Hiki ke kōkua kekahi mau ala lapaʻau ʻē aʻe a me ka hoʻohui i ka hoʻemi ʻana i ka ʻili:
• Tea tree oil. Hiki i nā gels e loaʻa ana ma ka liʻiliʻi he 5% tea tree oil ke like me nā lotions e loaʻa ana he 5% benzoyl peroxide, ʻoiai hiki i ka tea tree oil ke hana mālie. ʻO nā hopena ʻaoʻao hiki ke komo pū me ka ʻū iki, ka puhi ʻana, ka ʻulaʻula a me ka maloʻo, kahi mea hana iā ia he koho maikaʻi ʻole no nā kānaka me ka rosacea.
• Brewer's yeast. ʻIke ʻia kahi ʻano o ka brewer's yeast i kapa ʻia ʻo Hansen CBS e kōkua i ka hoʻemi ʻana i ka ʻili ke lawe ʻia ma ka waha. Hiki iā ia ke hana i ka kinoea (flatulence). Pono nā noiʻi hou aku e hoʻokumu i ka pono hiki a me ka palekana lōʻihi o kēia mau mea a me nā ala hoʻohui ʻē aʻe, e like me ka biofeedback a me nā hui ayurvedic. E kamaʻilio me kāu kauka e pili ana i nā pono a me nā hemahema o nā mālama kūikawā ma mua o kou ho'āʻo ʻana iā lākou.