Ungayelapha kanjani i-perioral dermatitis ngokushesha ngama-antibiotic

Imfundo Yezempilo

Ngangineminyaka engama-35 ubudala lapho ngibona iqoqo lezinduna elincane elizungeza ikhala lami. Ngaphatha lezo zingcezu ezincane njengoba ngangingenza noma ikuphi ukuphuka — ngokukhipha uqweqwe nokugcoba ubuso bami kokhilimu.

Ngakusasa, yonke indawo yayibomvu futhi iluhlaza. Emasontweni alandelayo, yonke into engangizama ukuyisula isikhumba sami — kusukela kobuso kuya kokhilimu bama-steroid — yasenza saba sibi kakhulu isimo.

Ngosizo lweGoogle, ngagcina ngitholile ukuthi nginawo i-perioral dermatitis (esibizwa nangokuthi i-periorificial dermatitis), isimo sesikhumba esivuthayo udokotela wami ekugcineni wangitshela ukuthi singaba yinto ejwayelekile kwabesifazane beminyaka ethile. Amaqhuqhuvana amancane engangikade ngawaphutha ngezinduna ekuqaleni kwaba ngama-pustules. Njengoba zaqhamuka, la ma-pustule asakaza ukuqubuka futhi ashiya isikhumba sami somile, sibomvu, futhi sibhakuza.

Kwaphela izinyanga eziyisikhombisa, ngafuna i-inthanethi ngamakhambi emvelo e-perioral dermatitis — amafutha abalulekile, i-apple cider uviniga, ukudla okulwa nokuvuvukala, ngishintshela kumuthi wokuxubha ongenayo i-fluoride, ngilahla imikhiqizo engiyithandayo yokunakekelwa kwesikhumba, ngikhipha izimonyo ngokuphelele — ayikho neyodwa yazo kusebenze. Eqinisweni, ukuqubuka kwavele kwaba kubi kakhulu, kwasakazeka emakhaleni nasemlonyeni kuze kufike nasemehlweni ami.

Kungaleso sikhathi lapho ngangazi ukuthi ukukhipha ubuso bami kulokhu kuqhuma kungadinga izinyathelo ezinqala. Ngifunde ukwelapha i-perioral dermatitis ngokushesha ngokushintshanisa ama-steroids kanye nokwelashwa okunamandla kwama-acne ngama-antibiotics kanye nokudla okulwa nokuvuvukala.

Yini ebangela i-perioral dermatitis?

I-Perioral dermatitis yisimo sesikhumba esivuselelekayo esivame ukuthinta indawo ezungeze umlomo, kepha singathinta nezinye izingxenye zobuso ngisho nentamo nesifuba ezimweni ezingandile, kusho UTodd Schlesinger , MD, udokotela wesikhumba oqinisekiswe yibhodi kanye nenhloko yeSouth Carolina Medical Association. Ifana nerosacea, kepha inokubukeka okuhlukile nendawo esikhunjeni.

I-Perioral dermatitis empeleni ingafana nezimo zesikhumba eziningana kufaka phakathi i-seborrheic dermatitis, i-atopic dermatitis, kanye nezinduna, okusho ukuthi ukuhlangana nodokotela wesikhumba kuvame ukudingeka.

Akunasizathu esisodwa esaziwayo se-perioral dermatitis, kepha odokotela besikhumba bayavuma kuthinta kakhulu abesifazane abaphakathi kweminyaka engama-20 nengama-45. Cishe 90% kuwo wonke amacala e-perioral dermatitis avela kwabesifazane abaneminyaka ephakathi kuka-18 no-50.

Ngenkathi zingekho izimbangela zesimo esaziwayo, izici ze-hormonal zingadlala indima futhi ukucindezeleka kuye kwahlotshaniswa nokubuyela emuva kokuqubuka ukuhlelwa kocwaningos . Kunezimbangela ezimbalwa ezingadala ukuthi i-perioral dermatitis ibe yimbi kakhulu, kufaka phakathi:

• Umuthi wokuxubha okhanyayo
• Amafutha e-steroid, kufaka phakathi i-hydrocortisone engaphezulu kwekhawunta
• Ama-inhalers e-Steroid
• Ukwelashwa kwama-acne
• Okhilimu abalwisana nokuguga
• Ukutheleleka ngamagciwane noma ukhunta

Itholakala kanjani i-perioral dermatitis?

I-Perioral dermatitis ivame ukuxilongwa ngudokotela wesikhumba ebheka ukubukeka kwayo, indawo nokusatshalaliswa kwayo esikhunjeni nangokubuza imibuzo emayelana nomlando, kusho uDkt.Schlesinger.

Uthi ekuthatheni umlando, odokotela besikhumba kwesinye isikhathi bangasiza iziguli ukukhomba izinto ezizibangela zona, kungaba ukudla okuthile (kufaka phakathi izinongo ezithile njengesinamoni), imithi ( ibuprofen noma ezinye izidakamizwa ezilwa nokuvuvukala ), izimonyo, kanye / noma umuthi wokuxubha we-fluoridated.

Okunye ukuhlangana okuvamile kukusetshenziswa kwama-topical steroid okungapheli futhi kubikwe futhi ngemuva kokusebenzisa ama-nasal steroids noma ama-inhalers, kusho uDkt. Schlesinger.

Ukudla kanye nokwelashwa kwempilo ye-perioral dermatitis

Ngamacala amancane we-perioral dermatitis, udokotela wakho noma udokotela wesikhumba angancoma ukwenza ushintsho oluthile ekhaya ukuze ubone ukuthi ungakwazi yini ukuqeda ukuqhuma ngokwakho. Uma ukwazi ukubona okucasulayo okwenza ukuqhuma kwakho kuqhume (njenge-topical steroids) futhi uqede lokho okucasulayo esimisweni sakho sansuku zonke, kungenzeka ukusula i-perioral dermatitis ngaphandle kokungenelela kwezokwelapha.

Izindlela zokwelapha zemvelo ze-perioral dermatitis zifaka:

• Ukuyeka ukusetshenziswa kwe-steroids
• Ukwamukela ukudla okulwa nokuvuvukala ukuthuthukisa impilo yamathumbu
• Ukuqeda ukwelashwa kwezinduna nemikhiqizo yokulwa nokuguga kusuka esimisweni sakho sokunakekelwa kwesikhumba
• Kusetshenziswa into yokuhlanza emnene nesithambisi eyenzelwe isikhumba esibucayi
• Ukugcina isikhumba sakho singenamakhemikhali kuze kuphele ukuqubuka
• Ukushintshela kumuthi wokuxubha ngaphandle kwe-fluoride
• Ukukhetha isivikelo selanga esingokwemvelo ngokwengeziwe
• Ukugwema ukuhlala elangeni isikhathi eside, amazinga okushisa adlulele nomoya

Xhumana nodokotela wakho ngaphambi kokuzama noma yimaphi amakhambi we-homeopathic, ngoba amanye angenza isimo sibe sibi kakhulu. Kepha uma une-perioral dermatitis emnene, futhi ikakhulukazi uma ukwazi ukukhomba okubangela wena uqobo, kungenzeka ukusula i-perioral dermatitis ngaphandle kwemithi.

Ama-antibiotic e-perioral dermatitis

I- Ikholeji yaseMelika Osteopathic College of Dermatology (AOCD) ibiza ama-antibiotic omlomo ukwelashwa okuthembeke kakhulu kwe-perioral dermatitis. Ama-antibiotic amathathu anqunywa kakhulu we-perioral dermatitis afaka:

• I-Tetracycline (amakhuphoni we-Tetracycline | imininingwane ye-Tetracycline)
• I-Doxycycline (Amakhuphoni e-Doxycycline | Imininingwane ye-Doxycycline)
• I-Minocycline (amakhuphoni e-Minocycline | imininingwane ye-Minocycline)

Isizathu sokuthi abanye odokotela bangakhuthaza iziguli ukuthi zizame izindlela zokwelashwa zemvelo nemikhuba yokuqeda okokuqala ukuthi ukwelapha i-perioral dermatitis ngemithi elwa namagciwane ngomlomo kudinga inkambo ende yemithi. Kuvamile ukuthi kunqunywe noma yikuphi kusuka emavikini ayisishiyagalombili kuya kwayi-12 ama-antibiotic ansuku zonke, futhi lawo ma-antibiotic kwesinye isikhathi eza nemiphumela yawo emibi, kufaka phakathi ukucasuka kwesisu kanye imvubelo izifo . Kepha ezimweni ezinzima kakhulu, ama-antibiotic omlomo ajwayele ukuba yindlela eqinisekile kakhulu yokwelapha i-perioral dermatitis ngokushesha. Inhloso yokwelashwa ngomlomo ngama-antibiotic ukuhlinzeka ngokuthuthuka okusheshayo, ngokusho kwabaphenyi .

Perioral dermatitis ukhilimu

Yize i-AOCD incoma ukuthi okhilimu be-topical steroid bayekiswe ngokushesha, njengoba okhilimu be-steroid bangenza isimo sibe sibi kakhulu, hhayi i-steroidal Imithi yokwelapha ingasetshenziswa ngasikhathi sinye.

Imithi yokwelapha engeyona i-steroidal engasetshenziswa kanye nama-antibiotic ifaka phakathi metronidazole (i-antimicrobial), U-Elidel (pimecrolimus), noma ama-antibiotics, njenge clindamycin into yokugcoba, futhi ukhilimu we-erythromycin .I-topical pimecrolimus, eyi-calcineurin inhibitor, nayo isetshenziselwa ukwelapha i-perioral dermatitis, noma kunjalo, kuyindlela ebizayo.Sebenzisa lokhu njengongqimba omncane endaweni ethintekile, imvamisa kabili ngosuku. Ukwelashwa kwezihloko kungathatha izinyanga ezintathu ukufinyelela ekusebenzeni okuphezulu kepha kusetshenziswe eceleni kwama-antibiotic omlomo, i-perioral dermatitis ingahle icace kumaviki ambalwa.

OKUSHIWO: Imininingwane yeMetronidazole | Imininingwane ka-Elidel | Imininingwane kaClindamycin | Imininingwane ye-Erythromycin

Zama ikhadi le-SingleCare

Kuthatha isikhathi esingakanani ukuqeda i-perioral dermatitis?

Ngenze konke engingakwenza ukuqeda izinto ezibangela ukuthi ngiqhume ekhaya isigamu sonyaka futhi ngisebenzise ukhilimu kadokotela we-metronidazole izinyanga. Akukho okwakusebenzile, futhi ukuqubuka kwakuqhubeke nokusabalala kuphela. Kulabo kini ababuza ukuthi bangasusa kanjani i-perioral dermatitis ubusuku bonke, impendulo ithi: awukwazi.

Udokotela wami wanginikeza umuthi kadokotela wezinyanga ezintathu we-doxycycline. Udokotela wami, owayekade elwa nodaba lwakhe lwe-perioral dermatitis esikhathini esedlule, wachaza ukuthi lesi simo sinendlela yokubuyela emuva uma uyeka ukwelashwa ngaphambi kokuthi kuphele nya, ngakho wangitshela ukuthi qhubeka nokuthatha ama-antibiotic okungenani izinyanga ezimbili, noma kuze kube yilapho ukuqubuka sekucacile amasonto amabili agcwele.

Uphinde wangitshela ukuthi ngiqhubeke ngisebenzise ukhilimu we-metronidazole kuze kuphele ukuqubuka.

Ngaqala ukubona umehluko ezimpawu zami cishe amasonto amabili enkambweni yami yama-antibiotic. Ukucasuka bekuphansi futhi ubomvu buyehla. Isikhumba sami sasingasabukeki sivutha njalo.

Cishe kwaphela amasonto amahlanu ukuqubuka sekuqede nya, ngakho-ke ngaqhubeka nemithi elwa namagciwane esifundweni sezinyanga ezimbili esasinconyiwe. Ngemuva kokumisa ukwelashwa, ukuqubuka kwahlala kude.

Ezinyangeni ezalandela, ngaqala kancane ukufaka imikhiqizo engangiyisusile emuva esimisweni sami sokunakekelwa kwesikhumba. Ngaqala ngokwenza izimonyo zamehlo. Futhi-ke i-exfoliator engiyithandayo. Futhi ekugcineni, ngazizwa ngikhululekile ukufaka ubuso obugcwele bezimonyo futhi, ngaphandle kokwesaba ukuqhuma.

Angikaze ngiphinde ngifake okhilimu bami bokulwa nokuguga, noma kunjalo. Nginqume ukuthi kungcono ngibe nemibimbi kunobuso obunamawala.

Ungayivimba kanjani i-perioral dermatitis

Ukube bengazi imbangela yangempela yesikhumba sami sangaphambi kwesikhathi, bengingakwazi ukuvimbela ukuqhuma okungcono. Kodwa-ke, uma usunayo, kunethuba eliqinile lokuthi izobuya ngesinye isikhathi. Shaya ukhuni, ngikwenze unyaka nohhafu ngaphandle kokuphindeka kuze kube manje.

Into engcono kakhulu ongayenza ukuvimbela i-perioral dermatitis ukuba mnene esikhunjeni sakho. Futhi ukubona udokotela ngokushesha uma uqala ukubona ukuphindeka. Ukuphela kokuzisola kwangempela enginakho ukungacabangi ngama-antibiotic e-perioral dermatitis ukuqala ngawo. Kwakungafanele ngifihle ubuso bami kumakhamera noma ngizizwe nginamahloni okuphumela ngaphandle isigamu sonyaka.

Uma kwenzeka ibuya, ama-antibiotic azoba yindlela yami yokuqala yokwelashwa.