Yini i-Azelaic Acid: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Azelaic acid iyimithi yendawo ethambile kodwa esebenzayo esiza ukwelapha izinduna, i-rosacea, nezinkinga ezithile zokushintsha umbala kwesikhumba. Le acid eyenzeka ngokwemvelo isebenza ngokunciphisa ukuvuvukala, ukubulala amagciwane abangela izinduna, nokusiza isikhumba sakho ukuthi sichithe amaseli afile ngempumelelo. Abantu abaningi bakuthola kuwusizo ikakhulukazi ngoba kuvame ukucasula kancane kunezinye izindlela zokwelapha izinduna ngenkathi kusahlinzeka ngemiphumela eqinile.

Yini i-Azelaic Acid?

I-Azelaic acid iyi-dicarboxylic acid eyenzeka ngokwemvelo okusanhlamvu okufana nokolweni, i-rye, nebhali. Ifomu lendawo elisetshenziswa ekunakekelweni kwesikhumba ngokuvamile lenziwa emalabhorethri ukuqinisekisa ukuhlanzeka nokuvumelana. Iza ngamandla amabili amakhulu: 15% gel (itholakala ngemiyalelo kadokotela) kanye ne-20% cream (nayo iyimiyalelo kuphela), nakuba eminye imikhiqizo engathengiswa ngaphandle kwemiyalelo iqukethe ukugxila okuphansi.

Le mithi ingeyeqembu lezindlela zokwelapha ezisebenza ezinkingeni zesikhumba eziningi ngasikhathi sinye. Ngokungafani nezinye izindlela zokwelapha izinduna ezinzima ezingashiya isikhumba sakho sibomvu futhi siqeba, i-azelaic acid ivame ukubekezelelwa kahle ngabantu abaningi, okuhlanganisa nalabo abanesikhumba esibucayi.

Isetshenziselwani i-Azelaic Acid?

I-Azelaic acid iphatha izimo eziningana zesikhumba ezivamile ezingathinta ukuzethemba kwakho nokunethezeka kwakho. Udokotela wakho wesikhumba angase akutuse ngezinduna vulgaris, i-rosacea, noma i-post-inflammatory hyperpigmentation (lawo mabala amnyama ashiywe ngemuva ngemva kokuthi izinduna ziphole).

Ukwelashwa kwezinduna, kusebenza kahle kakhulu kuzo zombili izinduna ezivuvukalayo (ama-pimples abomvu, avuvukele) kanye nezinduna ezingavuvukali (ama-blackheads nama-whiteheads). Abantu abaningi babona ukuthuthuka ekuthungeni kwesikhumba sabo nethoni phakathi kwamasonto ambalwa okusetshenziswa okuqhubekayo.

Uma kuziwa ku-rosacea, i-azelaic acid ingasiza ukunciphisa ububomvu, ama-bumps, nokucasuka okubonisa lesi simo. Kuyasiza ikakhulukazi kubantu abahlangabezana nokushuba kwe-rosacea okubangelwa ezinye izindlela zokwelapha zendawo.

Isebenza Kanjani I-Azelaic Acid?

I-Azelaic acid isebenza ngezindlela eziningi ukuthuthukisa ukubukeka kwesikhumba sakho nempilo. Ikhuhla ngobumnene ungqimba olungaphezulu lwesikhumba, okusiza ukuvula izimbotsholo futhi ivimbele ukuvela kwamabala amasha. Le nqubo futhi isiza ukunciphisa amabala amnyama futhi ilingane ithoni yesikhumba sakho ngokuhamba kwesikhathi.

Umuthi unempahla yokulwa namagciwane eqondiswe ngqo ku-Propionibacterium acnes, amagciwane abangela i-acne evuthayo. Ngesikhathi esifanayo, inciphisa ukuvuvukala esikhumbeni sakho, okusiza ukuthulisa ukuqubuka okukhona futhi kuvimbele okusha ekubeni kubomvu noma kuvuvuke.

Uma kuqhathaniswa nokwelashwa okuqinile njenge-tretinoin noma i-benzoyl peroxide, i-azelaic acid ithathwa njengenketho yamandla aphakathi nendawo. Isebenza ngokwanele ukukhiqiza imiphumela ebonakalayo kodwa ithambile ngokwanele ukusetshenziswa isikhathi eside ngaphandle kokubangela ukucasuka okukhulu kubantu abaningi.

Kufanele Ngiyithathe Kanjani I-Azelaic Acid?

Sebenzisa i-azelaic acid esikhumbeni esihlanzekile, esomile kabili ngosuku, ngokuvamile ekuseni nakusihlwa. Qala ngokuwasha ubuso bakho ngesihlanzi esithambile bese usula ngokuphelele ngaphambi kokusebenzisa. Akudingeki ukuthi uyithathe nokudla ngoba isetshenziswa ngaphezulu, kodwa isikhathi esihambisana nomkhuba wakho wokunakekela isikhumba sibalulekile.

Sebenzisa ungqimba oluncane bese uluthambisa ngobumnene ezindaweni ezithintekile kuze kube yilapho selugxilile ngokugcwele. Uma usebenzisa eminye imikhiqizo yokunakekela isikhumba, sebenzisa i-azelaic acid ngemva kokuhlanza kodwa ngaphambi komswakama kanye ne-sunscreen. Abantu abaningi bakuthola kuwusizo ukuqala ngokusetshenziswa kanye ngosuku ngesonto lokuqala ukuvumela isikhumba sabo ukuthi sizivumelanise.

Ungasebenzisa i-azelaic acid esikhumbeni esimanzi kancane uma uzwa ukoma, kodwa gwema ukuyisebenzisa ngemva nje kokukhuhla okunzima noma ezinye izindlela zokukhipha isikhumba. Njalo landela ngomswakama, ikakhulukazi ngesonto lokuqala lokusebenzisa lapho isikhumba sakho sizivumelanisa nokwelashwa.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Azelaic Acid?

Abantu abaningi baqala ukubona ngcono esikhumbeni sabo phakathi kwamasonto angu-4 kuya kwangu-8 ngemva kokusebenzisa nsuku zonke ngokuqhubekayo. Nokho, kungathatha amasonto angafika kwangu-12 ukubona izinzuzo eziphelele, ikakhulukazi uma kukhona izinduna eziqinile noma ukushintsha kombala okukhulu. Udokotela wakho wesikhumba uzokusiza ukuthi unqume isikhathi esifanele esekelwe ezinkingeni zakho ezithile zesikhumba.

Ngokungafani nokwelashwa kwezinduna okuthile okusebenzisa isikhathi esifushane, i-azelaic acid iphephile ukusetshenziswa isikhathi eside. Abantu abaningi baqhubeka beyisebenzisa njengokwelashwa kokugcina ngisho nangemva kokuthi izinkinga zabo zokuqala zithuthuke. Lokhu kusetshenziswa okuqhubekayo kusiza ekuvikeleni ukuqubuka okusha futhi kugcina ngcono okutholile.

Uma welapha i-post-inflammatory hyperpigmentation, ungase udinge ukusebenzisa i-azelaic acid izinyanga eziningana ukuze ubone ukushabalala okukhulu. Amabala amnyama angaba qinile, futhi ukusetshenziswa kwansuku zonke okuqhubekayo kukunika ithuba elingcono lokubona imiphumela.

Yiziphi Imiphumela Eceleni ye-Azelaic Acid?

Imiphumela emibi ejwayelekile ye-azelaic acid ngokuvamile ithambile futhi ivame ukuthuthuka njengoba isikhumba sakho sizivumela ekwelashweni. Ungase uhlangabezane nokucasuka kokuqala, okuhlanganisa ububomvu, ukugwaza, noma umuzwa ovuthayo uma uqala ukuyisebenzisa.

Nansi imiphumela emibi ongase uhlangabezane nayo, uqala ngaleyo ejwayelekile kakhulu:

• Umuzwa wokushisa noma wokugwaza omnene lapho usetshenziswa (ngokuvamile kuyancipha ngemizuzu embalwa)
• Ububomvu besikhashana noma ukucasuka endaweni yokusebenzisa
• Ukomisa noma ukuxebuka, ikakhulukazi ngesonto lokuqala
• Ukuqina noma umuzwa wokuluma
• Ukukhanya kwesikhashana kombala wesikhumba endaweni yokusebenzisa

Le miphumela ngokuvamile iyancipha kakhulu ngemva kwamasonto ambalwa okuqala ukusetshenziswa. Nokho, abanye abantu bangase bahlangabezane nokucasuka okuqhubekayo okudinga ukulungiswa kwemvamisa yokusebenzisa noma ukushintshela ekwelashweni okuhlukile.

Imiphumela emibi engavamile kodwa ebucayi ingabandakanya ukusabela okukhulu komzimba, nakuba lokhu kungavamile. Uma uhlangabezana nokuqubuka okukhulu, ubunzima bokuphefumula, noma ukuvuvukala ebusweni bakho, izindebe, ulimi, noma umphimbo, funa usizo lwezokwelapha ngokushesha.

Ubani Ongafanele Athathe I-Azelaic Acid?

I-Azelaic acid ivame ukubekezelelwa kahle, kodwa abanye abantu kufanele bayigweme noma bayisebenzise ngokucophelela okwengeziwe. Uma unokungezwani komzimba okwaziwayo ne-azelaic acid noma yiziphi izithako ezisetshenziswayo, akufanele usebenzise lo muthi.

Abantu abanezimo zesikhumba ezibucayi kakhulu njenge-eczema enzima noma i-dermatitis kufanele baxoxe ngezindlela ezingezinye nodokotela wabo wesikhumba. Ngenkathi i-azelaic acid ithambile kunezindlela eziningi zokwelapha izinduna, ingase ibangele ukucasuka kubantu abanezithiyo zesikhumba ezilimele.

Uma ukhulelwe noma uncelisa, i-azelaic acid ngokuvamile ithathwa njengephephile, kodwa kufanele njalo uxhumane nomhlinzeki wakho wezempilo ngaphambi kokuqala noma yikuphi ukwelashwa okusha kwesikhumba. Umuthi uye wafundwa kwabesifazane abakhulelwe futhi ubonakala unokumuncwa okuncane kohlelo.

Izingane ezingaphansi kweminyaka engu-12 ubudala akufanele zisebenzise i-azelaic acid ngaphandle uma kunconywe ngokuqondile udokotela wezingane. Ukuphepha nokusebenza kuleli qembu leminyaka akukamiswanga ngokugcwele.

Amagama Omkhiqizo we-Azelaic Acid

I-Azelaic acid iyatholakala ngaphansi kwamagama amaningi omkhiqizo, kuye ngokugxila kanye nokwakheka. Imikhiqizo kadokotela ejwayelekile ihlanganisa i-Azelex (15% gel), i-Finacea (15% gel), kanye ne-Finevin (20% cream).

Ezinye izinto ezingaphandle kwe-counter ziqukethe ukugxila okuphansi kwe-azelaic acid, ngokuvamile okungaba ngu-10%. Lokhu kufaka phakathi imikhiqizo evela kumabhrendi afana ne-Paula's Choice, The Ordinary, kanye ne-Naturium. Ngenkathi le mikhiqizo yokugxila ephansi ingaba usizo, ingase ingasebenzi njengoba kwenziwa imithi kadokotela wezinduna ezinzima noma i-rosacea.

Udermatologist wakho uzokusiza ukhethe uhlobo olufanele kanye nokugxila okusekelwe ohlotsheni lwesikhumba sakho, ubukhulu besimo sakho, nokuthi isikhumba sakho sivame ukusabela kanjani ekwelashweni kwendawo.

Ezinye izindlela zika-Azelaic Acid

Uma i-azelaic acid ingasebenzi kahle kuwe noma idala ukucasuka okuningi, ezinye izindlela ezingase zixazulule izinkinga zesikhumba ezifanayo. I-Salicylic acid enye inketho emnene esiza ngamabala ngokukhipha ngaphakathi kwezimbotshana zakho nokunciphisa ukuvuvukala.

Ukuze uthole amabala aqinile, udermatologist wakho angase ancome i-tretinoin noma i-adapalene, okuyi-retinoids esebenza ngokwandisa ukuguquka kwamaseli. Lezi zivame ukuba namandla kune-azelaic acid kodwa zingase zibangele nokucasuka okuningi ekuqaleni.

I-Benzoyl peroxide enye indlela ejwayelekile yokwelapha amabala ebulala amagciwane futhi isiza ekuvimbeleni ukuqubuka okusha. Ivame ukuhlanganiswa nezinye izindlela zokwelapha ukuze kutholakale imiphumela engcono. Ngokuqondile i-rosacea, i-metronidazole gel iyindlela ethandwayo abantu abaningi abayithola isebenza kahle.

I-Niacinamide iyindlela emnene engasiza ngamabala nobubomvu. Ilungele ikakhulukazi abantu abanesikhumba esibucayi abangakwazi ukubekezelela ukwelashwa okuqinile.

Ingabe i-Azelaic Acid ingcono kune-Salicylic Acid?

I-Azelaic acid ne-salicylic acid zisebenza ngendlela ehlukile futhi ngalinye linamandla alo. I-Azelaic acid ivame ukuba ngcono kubantu ababhekene namabala ne-rosacea, noma labo abafuna ukubhekana ne-post-inflammatory hyperpigmentation kanye nokuqubuka.

I-Salicylic acid iphumelela ekungeneni ngaphakathi kwezimbotshana futhi incibilikise ukwakheka okubangela ama-blackhead nama-whitehead. Isebenza kahle ikakhulukazi kubantu abanesikhumba esinamafutha kanye ne-comedonal acne (ama-blackhead nama-whitehead amaningi kunamathumba avuvukele).

Uma unesikhumba esibucayi, i-azelaic acid ingase ibe yindlela engcono ngoba ngokuvamile ayicasuli kangako kune-salicylic acid. Kodwa-ke, i-salicylic acid itholakala kalula ngaphandle kwe-counter futhi ivame ukungabizi kakhulu.

Odokotela abaningi bezikhumba batusa ukuzama eyodwa amasonto amaningana ukuze babone ukuthi isikhumba sakho siphendula kanjani ngaphambi kokwenza isinqumo. Abanye abantu basebenzisa zombili, bezishintshana noma bezisebenzisa ngezikhathi ezahlukene zosuku.

Imibuzo Evame Ukubuzwa Mayelana ne-Azelaic Acid

Ingabe i-Azelaic Acid iphephile esikhumbeni esizwelayo?

Yebo, i-azelaic acid ngokuvamile ithathwa njengenye yezindlela zokwelapha izinduna ezinobungane ezitholakalayo. Ivame ukunconywa kubantu abanesikhumba esizwelayo abangakwazi ukubekezelela ukwelashwa okuqinile njenge-tretinoin noma i-benzoyl peroxide enokugxila okuphezulu. Kodwa-ke, kufanele uqale kancane futhi uqaphele ukuthi isikhumba sakho siphendula kanjani.

Uma unesikhumba esizwelayo kakhulu, cabangela ukuqala ngokusebenzisa nsuku zonke ngolunye usuku ngesonto lokuqala noma amabili. Ungase futhi uyisebenzise phezu kwe-moisturizer elula ekuqaleni ukuze unciphise noma yikuphi ukucasuka okungenzeka.

Ngingenzani uma ngisebenzisa i-Azelaic Acid eningi ngengozi?

Uma ngengozi usebenzisa i-azelaic acid eningi, geza ngobumnene okweqile ngamanzi abandayo nensipho ethambile. Ukusebenzisa okuningi ngeke kukwenze kuphumelele kakhulu futhi kungase kwandise ingozi yakho yokucasuka, ububomvu, noma ukusha.

Sebenzisa i-moisturizer ethambile ukusiza ukuthoba isikhumba sakho futhi cabangela ukweqa ukusetshenziswa kwakho okulandelayo okuhleliwe ukunika isikhumba sakho isikhathi sokululama. Uma uhlangabezana nokucasuka okukhulu noma ukusabela komzimba, xhumana nomhlinzeki wakho wezempilo.

Ngingenzani uma ngiphuthelwa umthamo we-Azelaic Acid?

Uma uphuthelwa ukusetshenziswa, vele uyisebenzise ngokushesha lapho ukhumbula, ngaphandle kokuthi sekuyisikhathi somthamo wakho olandelayo ohleliwe. Ungasebenzisi okwengeziwe ukuze ubuyisele ukusetshenziswa okuphuthelwe, ngoba lokhu kungandisa ukucasuka ngaphandle kokunikeza izinzuzo ezengeziwe.

Ukuqina kubalulekile ekutholeni imiphumela emihle kakhulu e-azelaic acid, ngakho zama ukusungula inqubo esebenza ngeshejuli yakho. Ukusetha izikhumbuzi zocingo noma ukuyihlanganisa nenqubo yakho yokunakekela isikhumba ekhona kungakusiza ukuthi ukhumbule.

Ngingayeka nini ukuthatha i-Azelaic Acid?

Ngokuvamile ungaqeda ukusebenzisa i-azelaic acid uma izinkinga zesikhumba sakho zithuthukile futhi zihlale zizinzile amasonto amaningana. Kodwa-ke, abantu abaningi bakhetha ukuqhubeka beyisebenzisa njengokwelashwa kokugcina ukuvimbela ukuqubuka okusha noma ukugcina ukuthuthuka kwesikhumba sabo.

Sebenza nodokotela wakho wesikhumba ukuze unqume isikhathi esifanele sokuyeka noma ukunciphisa imvamisa. Bangase batusa ukunciphisa kancane kancane ukusetshenziswa kunokuyeka kungazelelwe, ikakhulukazi uma ubusisebenzisa izinyanga eziningana.

Ngingayisebenzisa i-Azelaic Acid neminye imikhiqizo yokunakekela isikhumba?

Yebo, i-azelaic acid ingahlanganiswa nezinye izithako eziningi zokunakekela isikhumba, kodwa isikhathi nokubeka izendlalelo kubalulekile. Isebenza kahle ngama-moisturizers, i-sunscreen, kanye nezinto zokuhlanza ezimnene. Ungayisebenzisa futhi ne-niacinamide, i-hyaluronic acid, nezithako eziningi ezimnene.

Qaphela lapho uyihlanganisa nezinye izithako ezisebenzayo njengama-retinoids, i-benzoyl peroxide, noma ama-alpha hydroxy acids, ngoba lokhu kungandisa ukucasuka. Uma ufuna ukusebenzisa izinto eziningi ezisebenzayo, cabangela ukuzishintshanisa noma ukuzisebenzisa ngezikhathi ezahlukene zosuku. Njalo yazisa imikhiqizo emisha kancane kancane futhi ubheke ukusabela kwesikhumba sakho.