Created at:1/13/2025
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Ko te waikawa Azelaic he rongoā ā-roto ngawari engari whai hua e āwhina ana ki te rongoā i te hakihaki, te rosacea, me ētahi take mō te huri i te tae o te kiri. E mahi ana tēnei waikawa tūturu mā te whakaiti i te mumura, te patu i ngā huakita e pā ana ki te hakihaki, me te āwhina i tō kiri ki te whakaheke i ngā pūtau mate. He maha ngā tāngata e kite ana he tino āwhina tēnei mea nā te mea he iti ake te riri i ētahi atu rongoā hakihaki i te wā e whakaputa ana i ngā hua pai.
Ko te waikawa Azelaic he waikawa dicarboxylic e puta ana i te taiao i roto i ngā kākano pēnei i te witi, te rai, me te parei. Ko te āhua ā-roto e whakamahia ana i roto i te tiaki kiri ka hangaia i roto i ngā taiwhanga hei whakarite i te mā me te rite. E rua ngā kaha matua: 15% te hēra (e wātea ana mā te rēhitatanga) me te 20% te kirīmi (mō te rēhitatanga anake), ahakoa kei roto i ētahi hua i runga i te porotiti ngā kukū iti ake.
No te akomanga o ngā rongoā tēnei rongoā e mahi ana i ngā take kiri maha i te wā kotahi. Kāore i rite ki ētahi rongoā hakihaki kaha e waiho ana i tō kiri kia whero me te tihore, he pai te aro o te waikawa azelaic e te nuinga o ngā tāngata, tae atu ki te hunga he kiri tairongo.
Ka rongoā te waikawa Azelaic i ētahi āhuatanga kiri noa e pā ana ki tō māia me tō whakamarie. Ka tūtohu pea tō tākuta kiri mō te hakihaki vulgaris, te rosacea, te hyperpigmentation i muri i te mumura (ngā wāhi pouri i mahue i muri i te rongoā o te hakihaki).
Mō te rongoā hakihaki, e mahi ana i te pai ki te hakihaki mumura (ngā pimples whero, pupuhi) me te hakihaki kore-mumura (ngā upoko pango me ngā upoko mā). He maha ngā tāngata e kite ana i ngā whakapainga i roto i te āhua me te oro o tō rātou kiri i roto i ētahi wiki o te whakamahi tonu.
Mō te rosacea, ka āwhina te waikawa azelaic ki te whakaiti i te whero, ngā pūpū, me te riri e whakaatu ana i tēnei āhuatanga. He tino āwhina tēnei mō te hunga e pā ana ki ngā mura rosacea i whakaohohia e ētahi atu rongoā ā-roto.
He maha ngā tikanga e mahi ana te waikawa azelaic hei whakapai ake i te ahua me te hauora o tō kiri. Ka ngawari te whakakore i te paparanga o runga o te kiri, e āwhina ana ki te whakawātea i ngā pores me te ārai i te hanganga o ngā pakarutanga hou. Mā tēnei tukanga ka āwhina hoki i te whakawātea i ngā wāhi pouri me te whakatō i tō kiri i te roanga o te wā.
He āhuatanga antibacterial te rongoā e whai ana i te Propionibacterium acnes, te huakita e kawenga ana mō te mumura o te hakihaki. I te wā kotahi, ka whakaiti i te mumura i roto i tō kiri, e āwhina ana ki te whakamārie i ngā pakarutanga o nāianei me te ārai i ngā mea hou kia kore e whero, kia kore e pupuhi.
Ki te whakataurite ki ngā rongoā kaha ake pēnei i te tretinoin, te benzoyl peroxide rānei, ka whakaarohia te waikawa azelaic he kōwhiringa kaha-āhua. He whai hua ki te whakaputa i ngā hua e kitea ana engari he ngawari ki te whakamahi mo te wā roa me te kore e pōuri nui mō te nuinga o te tangata.
Whakamahia te waikawa azelaic ki te kiri mā, maroke e rua ngā wā i te rā, i te ata me te ahiahi. Tīmata mā te horoi i tō kanohi ki te horoi ngawari me te whakamaroke rawa i mua i te whakamahi. Kāore koe e hiahia ki te tango i te kai mai i te mea ka whakamahia i te taha o waho, engari he mea nui te wā me tō tikanga tiaki kiri.
Whakamahia he paparanga angiangi me te mirimiri ngawari ki ngā wāhi e pā ana kia mimiti katoa. Ki te whakamahi koe i ētahi atu hua tiaki kiri, whakamahia te waikawa azelaic i muri i te horoi engari i mua i te whakamakuku me te rā. He maha ngā tāngata e kite ana he āwhina ki te tīmata me te whakamahi kotahi i te rā mō te wiki tuatahi kia urutau ai tō kiri.
Ka taea e koe te whakamahi i te waikawa azelaic ki te kiri mākū iti mō te hunga e pā ana ki te maroke, engari karo i te whakamahi i muri tonu i ngā kirikiri kaha, i ētahi atu rongoā whakakore. Me whai tonu ki te whakamakuku, ina koa i ngā wiki tuatahi o te whakamahi i te wā e urutau ana tō kiri ki te rongoā.
Ka tīmata te nuinga o te tangata ki te kite i te whakapai ake i o ratou kiri i roto i te 4 ki te 8 wiki o te whakamahi i ia rā. Heoi, ka roa pea te 12 wiki kia kite i nga painga katoa, ina koa mo te hakihaki uaua, te rereke ranei o te tae. Ka āwhina tō tākuta kiri ki a koe ki te whakatau i te wā tika i runga i ō āwangawanga kiri.
Kāore i rite ki ētahi rongoā hakihaki e whakamahia ana e koe mō ngā wā poto, he haumaru te waikawa azelaic mō te whakamahi wā roa. He maha ngā tāngata e whakamahi tonu ana i te rongoā hei tiaki i muri i te whakapai ake o ā rātou āwangawanga tuatahi. Mā tēnei whakamahi tonu e ārai ngā pakarutanga hou me te pupuri i ngā whakapainga kua tutuki i a koe.
Mēnā kei te rongoā koe i te hyperpigmentation i muri i te mumura, tērā pea ka hiahia koe ki te whakamahi waikawa azelaic mō te maha o ngā marama kia kite i te memeha nui. He uaua pea ngā wāhi pouri, ā, ko te tono i ia rā ka whai wāhi pai koe ki te kite i ngā hua.
Ko ngā pānga taha tino noa o te waikawa azelaic he ngawari noa iho, ā, ka pai ake i te wā e urutau ana tō kiri ki te rongoā. Tērā pea ka pā ki a koe ētahi riri tuatahi, tae atu ki te whero, te ngau, te wera rānei i te wā e tīmata ana koe ki te whakamahi.
Anei ngā pānga taha ka pā ki a koe, ka tīmata mai i ngā mea tino noa:
Ka tino heke ēnei pānga i muri i ngā wiki tuatahi o te whakamahi. Heoi, ka pā pea ki ētahi tāngata te riri tonu e hiahia ana ki te whakatika i te auau o te tono, ki te huri rānei ki tētahi rongoā rerekē.
He onge engari he kino ake nga paanga taha ka uru pea ki nga tauhohenga mate pāwera nui, ahakoa he mea noa tenei. Mena ka pa ki a koe te pupuhi whanui, te uaua ki te manawa, te pupuhi ranei o to kanohi, ngutu, arero, korokoro ranei, rapua tonu te rongoa.
Ko te waikawa Azelaic te nuinga e pai ana, engari me karo etahi tangata, me whakamahi ranei me te tupato. Mena he mate pāwera koe ki te waikawa azelaic, ki etahi atu kai ranei i roto i te hanganga, kaua koe e whakamahi i tenei rongoa.
Ko nga tangata e tino tairongo ana ki nga ahuatanga kiri penei i te eczema nui, te dermatitis ranei me matapaki i etahi atu mea me o ratou tohunga kiri. Ahakoa he ngawari ake te waikawa azelaic i te maha o nga maimoatanga hakihaki, ka riri tonu pea i roto i nga tangata he ngoikore te arai kiri.
Mena kei te hapu koe, kei te whakangote u ranei, ko te waikawa azelaic te nuinga e kiia ana he haumaru, engari me korero tonu koe ki to kaiwhakarato hauora i mua i te tiimata i tetahi maimoatanga kiri hou. Kua akohia te rongoa i roto i nga wahine hapu, a he iti noa te ngongo o te punaha.
Ko nga tamariki kei raro iho i te 12 tau kaua e whakamahi i te waikawa azelaic ki te kore e tohutohuhia e te tohunga kiri tamariki. Kare ano i tino whakatauhia te haumaru me te whai huatanga i roto i tenei roopu reanga.
Kei te waatea te waikawa Azelaic i raro i nga ingoa waitohu maha, i runga i te kukū me te hanganga. Ko nga waitohu rongoa noa ko Azelex (15% gel), Finacea (15% gel), me Finevin (20% cream).
Ko etahi hua-a-roto kei roto nga kukū iti o te waikawa azelaic, tata ki te 10%. Kei roto i enei ko nga hua mai i nga waitohu penei i a Paula's Choice, The Ordinary, me Naturium. Ahakoa ka whai hua enei hua iti-kukū, kare pea e whai hua penei i nga hanganga kaha-rongoa mo te hakihaki kino, te rosacea ranei.
Ma te tohunga kiri e āwhina i a koe ki te whiriwhiri i te waitohu me te kaha tika i runga i te momo kiri o tō kiri, te kaha o tō āhua, me te pēhea te urupare o tō kiri ki ngā rongoā ā-rohe.
Mēnā kāore te waikawa azelaic e pai ana mōu, e pōhēhē ana rānei i te nui o te riri, he maha ngā kōwhiringa kē ka taea te whakatika i ngā āwangawanga kiri rite. Ko te waikawa salicylic tētahi atu kōwhiringa ngawari e āwhina ana ki te hakihaki mā te whakawātea i roto i ō pōro me te whakaiti i te mumura.
Mō te hakihaki mārō ake, ka tūtohu pea tō tohunga kiri i te tretinoin, i te adapalene rānei, he retinoids ēnei e mahi ana mā te whakanui i te huri o te pūtau. He kaha ake ēnei i te waikawa azelaic engari ka pōhēhē hoki i te nui o te riri i te tīmatanga.
Ko te benzoyl peroxide tētahi atu rongoā hakihaki noa e patu ana i te huakita me te āwhina i te aukati i ngā pakarutanga hou. He maha ngā wā ka whakakotahitia ki ētahi atu rongoā mō ngā hua pai ake. Mō te rosacea anake, ko te metronidazole gel tētahi kōwhiringa rongonui e kitea ana e te nuinga he whai hua.
Ko te Niacinamide tētahi kōwhiringa ngawari ake ka āwhina i te hakihaki me te whero. He pai rawa atu mō ngā tāngata he kiri tairongo kāore e taea te aro ki ngā rongoā kaha ake.
He rerekē te mahi a te waikawa azelaic me te waikawa salicylic, ā, he kaha anō tō ia tāngata. He pai ake te waikawa azelaic mō ngā tāngata e mahi ana i te hakihaki me te rosacea, i te hunga rānei e hiahia ana ki te whakatika i te hyperpigmentation i muri i te mumura me ngā pakarutanga.
He pai te waikawa salicylic ki te uru hōhonu ki ngā pōro me te whakakore i te hanganga e pā ana ki ngā upoko pango me ngā upoko mā. He whai hua rawa atu mō ngā tāngata he kiri hinu me te hakihaki comedonal (he nui ngā upoko pango me ngā upoko mā, kaua ki ngā pimples mumura).
Mēnā he kiri tairongo tō, ko te waikawa azelaic pea te kōwhiringa pai ake i te mea he iti ake te riri i te waikawa salicylic. Heoi, he wātea ake te waikawa salicylic i runga i te kaute, ā, he iti ake te utu.
He maha ngā tākuta kiri e tūtohu ana kia whakamātau tētahi mō ētahi wiki kia kite me pēhea te urupare o tō kiri i mua i te whakatau. Ko ētahi tāngata e whakamahi ana i ngā mea e rua, e whakawhiti ana i waenga i a rāua, e whakamahi ana rānei i ngā wā rerekē o te rā.
Āe, ko te waikawa azelaic te nuinga e whakaarohia ana ko tētahi o ngā rongoā hakihaki ngawari e wātea ana. He maha ngā wā e tūtohu ana mō ngā tāngata he kiri tairongo e kore e taea te aro ki ngā rongoā kaha ake pēnei i te tretinoin, te benzoyl peroxide rānei i te nui o te kukume. Heoi anō, me tīmata pōturi tonu koe me te aroturuki i te urupare o tō kiri.
Mēnā he kiri tairongo rawa tō, whakaarohia te tīmata ki te tono i ia rā kē atu mō te wiki, e rua rānei tuatahi. Ka taea hoki e koe te tono ki runga i te whakamākū māmā i te tīmatanga hei whakaiti i ngā raru ka puta.
Mēnā ka tono nui rawa koe i te waikawa azelaic, horoia ngā mea nui ki te wai mātao me te horoi ngawari. Ko te whakamahi nui rawa e kore e whai hua ake, ā, ka piki ake pea tō tūponotanga ki te riri, te whero, te wera rānei.
Whakamahia he whakamākū ngawari hei āwhina i tō kiri me te whakaaro ki te karo i tō tono e whai ake nei kia whai wā te kiri ki te ora. Mēnā ka pā tō riri nui, he urupare pāwera rānei, whakapā atu ki tō kaiwhakarato hauora.
Mēnā ka ngaro koe i te tono, tono noa i te wā e mahara ana koe, ki te kore e tata ana te wā mō tō inenga e whai ake nei. Kaua e tono atu kia utu mō te tono i ngaro, nā te mea ka piki ake te riri me te kore e whai hua atu.
He mea nui te rite mō te whai hua pai mai i te waikawa azelaic, nā reira me ngana ki te whakatū i tētahi tikanga e pai ana mō tō wā. Ko te whakatakoto i ngā whakamaharatanga waea, te whakauru rānei ki tō tikanga tiaki kiri o nāianei ka āwhina i a koe ki te mahara.
Ka taea e koe te whakamutu i te whakamahi i te waikawa azelaic ina pai ake o awangawanga kiri, ka noho pumau mo etahi wiki. Heoi, he maha nga tangata e whiriwhiri ana ki te whakamahi tonu hei rongoa tiaki hei aukati i nga pakarutanga hou, hei pupuri ranei i te pai ake o to ratou kiri.
Mahi tahi me to tohunga kiri ki te whakatau i te wa tika ki te whakamutu, ki te whakaiti ranei i te auau. Ka tohutohu pea ratou ki te whakaiti haere i te whakamahi, kaua ki te whakamutu ohorere, ina koa kua whakamahi koe mo etahi marama.
Ae, ka taea te whakakotahi i te waikawa azelaic me te maha atu o nga kai tiaki kiri, engari he mea nui te wa me te paparanga. He pai te mahi tahi me nga whakamakuku, te whakamarumaru ra, me nga horoi ngawari. Ka taea hoki e koe te whakamahi me te niacinamide, te waikawa hyaluronic, me te nuinga o nga kai ngawari.
Kia tupato ki te whakakotahi me etahi atu kai kaha penei i te retinoids, benzoyl peroxide, waikawa alpha hydroxy ranei, na te mea ka piki ake te riri. Mena kei te hiahia koe ki te whakamahi i nga mea kaha maha, whakaarohia te whakawhiti i a raatau, te whakamahi ranei i nga wa rereke o te ra. Whakatakotoria nga hua hou i nga wa katoa, me te aro turuki i te urupare a to kiri.