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Iphilisi lokulawula inzalo elingcono kakhulu lokwelashwa kwezinduna

Imfundo Yezempilo

Izinduna. Amabala. Amachashaza. Noma ngabe yiliphi igama olisebenzisayo ukuchaza lawo maqhubu abuhlungu, aphikelelayo ebusweni noma emzimbeni wakho, iqiniso elilodwa lihlala likhona: Induna yinkinga evamile kubantu abaningi — kuze kufike BaseMelika abayizigidi ezingama-50 —Ngaphezudlwana kweminyaka yobusha babo. Ngokuya ngocwaningo olushicilelwe ku Ijenali yeAmerican Academy of Dermatology , induna yabantu abadala ithinta amaqembu ahlukahlukene yobudala: 50.9% yabesifazane abaneminyaka engama-20, 35.2% yabesifazane abaneminyaka engama-30, 26.3% yabesifazane abaneminyaka engama-40, kanye nabesifazane abangu-15.3% abaneminyaka engama-50 nangaphezulu.

Izinduna yisimo sesikhumba esenzeka lapho uboya bezinwele buvaleka ngamaseli esikhumba afile noma i-sebum (uwoyela), okuholela emakhanda amhlophe, amnyama, nezinduna. Kwabesifazane abadala, amazinga e-hormone aguqukayo (ikakhulukazi amazinga akhuphukile ama-androgens, afana ne-testosterone) avame ukusolwa ngalawa ma-breakout, aziwa nangokuthi yi-hormonal acne. Abesifazane bajwayele ukuzwa ukushintsha kwama-hormone okubangela induna ngesikhathi sokuthomba, ukuya esikhathini, ukuya esikhathini, futhi ngenxa yezimo ezinjenge-polycystic ovarian syndrome (PCOS).

Ukwelapha induna yakho ye-hormonal, udokotela wesikhumba angahle anikeze amaphilisi wokulawula ukubeletha.

Yikuphi ukulawula kokuzalwa okungcono kakhulu ku-acne hormonal?

Kunezindlela eziningana zokulawulwa kokubeletha kwamahomoni emakethe. Amaphilisi okuvimbela ukukhulelwa ngomlomo ahlala engenye yezindlela ezithandwa kakhulu. Bangu izinhlobo ezimbili zamaphilisi okuvimbela inzalo : inhlanganisela amaphilisi (aqukethe womabili ama-hormone estrogen ne-progestin) kanye imishini encane (aqukethe i-progestin kuphela). Izinhlobo ezahlukene zokulawulwa kokuzalwa kwamahomoni zifaka:

izimila (aka I-Nexplanon ),
Ama-IUD (kufaka phakathi UMirena , UKyleena , I-Liletta , futhi USkyla ; kanye nezinguqulo zethusi ezingenawo ama-hormone),
indandatho (aka NuvaRing ),
i Ukuhlolwa Kwedepho wadutshulwa

Ukwelapha induna, udokotela wesikhumba uzokhipha iphilisi elihlanganisiwe lokuvimbela inzalo eliqukethe kokubili i-estrogen ne-progestin. (Amaphilisi ane-progestin nje angenza izinduna zibe zimbi kakhulu.) I-Food and Drug Administration (i-FDA) ivume amaphilisi amane okulawula inzalo okwelashwa induna:I-Ortho Tri-Cyclen, I-Estrostep , Mhlophe , futhi Ehlobo .

OKUSHIWO: Imininingwane ye-Estrostep | Imininingwane kaBeyaz | Imininingwane ye-Yaz

Isiza kanjani inzalo ngenduna?

Inhlanganisela yamaphilisi okulawula ukubeletha isiza ngezinduna ngokuvimbela amazinga e-androgen ekushayeni, nawo, agcina izindlala ezinamakhemikhali ekukhiqizeni uwoyela omningi nokuvala izimbobo. Ingxenye ye-estrogen lapha iyisihluthulelo — iprogestin uqobo lwayo ngeke isebenze, yingakho amapayipi amancane engavunyelwe ukwelashwa induna.

Iyiphi iphilisi yokulawula inzalo engcono kakhulu yezinduna?

Iphilisi lokulawula inzalo elihamba phambili lezinduna iphilisi lenhlanganisela — eliqukethe kokubili i-estrogen ne-progestin. I-FDA igunyaze amaphilisi amane anjalo okuvikela ukwelashwa kwezinduna: i-Ortho Tri-Cyclen, i-Estrostep Fe, iBeyaz neYaz.

Uhlobo lwe-progestin iphilisi eliqukethe nalo lungathinta ukusebenza kwephilisi lokulawula ukuzalwa, ocwaningweni olwenziwa ku- Ijenali Yezidakamizwa kuDermatology . Ngokwalokho abakutholile, i-drospirenone (i-progestin etholakala ku-Yaz) iyona ebisiza kakhulu ekuvikeleni izinduna, kuyilapho i-levonorgestrel ne-norethindrone (ama-progestin atholakala ku-Levora nase-Lo Minastrin Fe, ngokulandelana) kube usizo oluncane.

Eqinisweni, iphilisi elilodwa lokulawula ukuzalwa eliqukethe i-norethindrone acetate,Lo Loestrin (Lo Loestrin amakhuphoni | Yini uLo Loestrin?), empeleni kungadala ukugqashuka (induna ibhalwe njengeminye yemiphumela yayo emibi), ngakho-ke kufanele mhlawumbe ingathathwa uma ufuna ukusula izinkinga zesikhumba. Ngezansi: Akuwona wonke amaphilisi okulawula ukubeletha alapha induna noma ayiphathe ngezinga elifanayo lokusebenza.

Thola ikhadi lesaphulelo sakwaSingleCare

Kuthatha isikhathi esingakanani iphilisi ukusula izinduna?

Lapho usuqale ukuthatha amaphilisi okulawula ukubeletha, kungathatha amasonto ambalwa kuya ezinyangeni ukubona umehluko esikhunjeni sakho. Izifundo eziningi zikhombisa ukuthuthuka okuthile ezinyangeni ezintathu ngentuthuko enkulu kunazo zonke ebonakalayo ezinyangeni eziyisithupha. Lokhu kungenxa yokuthi iphilisi lidinga isikhathi esithile ukubala kabusha amazinga ama-hormone emzimbeni adala izinduna.

Kunemiphumela engemihle ehambisana namaphilisi okulawula inzalo. Ukuphathwa yikhanda, isicanucanu, ukungahambi kahle esikhathini (njengokubonwa phakathi kwezikhathi), ukuzuza kwesisindo, kanye nobumnene besifuba yizona ezivame kakhulu. Yize kungavamile, umphumela obucayi kakhulu ubungozi be-vein thrombosis ejulile-lapho kuvela khona i-clot yegazi emthanjeni wakho, imvamisa ethangeni noma emlenzeni ongezansi.

Uma amaphilisi okulawula ukubeletha engayisusi induna yakho, udokotela wakho angakunikeza olunye uhlobo lomuthi wokusula isikhumba sakho. Imithi yokwelapha efana ne-benzoyl peroxide nama-retinoids, ikakhulukazi asetshenziswa ngokuhlangana, kukhonjisiwe ukusebenza ngempumelelo ekulweni nezinduna. Khonamanjalo, umuthi womfutho wegazi ophezulu i-spironolactone, yize ingavunyelwe i-FDA ukwelapha izinduna, ikhonjisiwe ukuthi iyasebenza, ikakhulukazi kubantu besifazane. I-Spironolactone akufanele isetshenziswe ngokuhlanganyela nemikhiqizo yokulawulwa kokuzalwa komlomo equkethe i-progestin, i-drospirenone, ngenxa yengozi eyengeziwe yemiphumela emibi. Kwezinye izimo ezinzima, i-dermatologist yakho ingacabangela isotretinoin (Isotrentinoin amakhuphoni | Yini i-Isotrentinoin?), isakhi esivela ku-vitamin A esaziwa kakhulu ngaphansi kwegama laso langaphambili lomkhiqizo i-Accutane. Vele, le mithi yonke iza nemiphumela yayo emibi, ngakho-ke uzofuna ukukhuluma ne-docto r yakho ukuthola ukuthi ikulungele yini.