Kufanele ubuze nini udokotela wakho wesikhumba mayelana nokulawulwa kokuzalwa kanye nezinduna?

Sonke sizwile ukuthi ezinye izinto zokuvimbela inzalo zisetshenziswa njengamahomoni. ukwelashwa kwama-acne, kodwa kunini lapho kunengqondo ukuphakamisa lolu daba kudokotela wesikhumba? Lapha, UDkt. Tzipora Sheinhaus и UDkt Brendan Camp, odokotela besikhumba abaqinisekisiwe kanye nochwepheshe be-Skincare.com babelana ngemibono yabo.* 

“Amaphilisi okuvimbela inzalo angasiza ekulawuleni induna ye-hormonal ezigulini futhi ingase isize ngezinye izinhlobo zezinduna, kuhlanganise nezinduna nesikhumba esinamafutha,” kusho uDkt. Scheinhaus. Akuvamile futhi ukuthi abantu bathathe ukulawula inzalo ngenxa yezizathu ezingahlobene nokunakekelwa kwesikhumba futhi babhekane nezinduna eziba zimbi. Ngakho-ke kungani amaphilisi esebenza njengokwelashwa okuphumelelayo kwezinduna kwabanye futhi imbangela yezinduna Kwabanye?

Kungani ukulawulwa kokuzalwa kusetshenziselwa ukwelapha izinduna

Izinduna zingenzeka lapho amahomoni akho eshintshashintsha ngaphambi nangesikhathi sokuya esikhathini. “Ukulawula inzalo okufanele kungasiza ekugcineni amazinga e-estrogen ezinzile, okungasiza ekunciphiseni ukukhiqizwa kwe-sebum ngokweqile okubangelwa i-androgen,” kusho uDkt. Scheinhaus. Uchaza ukuthi i-androgens, njenge-testosterone, ingaholela ekuvinjeni kwama-pores nokuvuvukala futhi, ngenxa yalokho, induna. 

Ezinye izinto zokuvimbela inzalo ziboniswe zisebenza ngokwanele ukuba zibonwe yi-US Food and Drug Administration (FDA) njengokwelashwa kwezinduna. Kodwa-ke, izivimbela-nzalo zomlomo aziphephile kuwo wonke umuntu futhi, nakuba zingaphezu kwalesi sihloko, zithwala ingozi yemiphumela emibi kanye nezenzakalo ezimbi. Udokotela wakho angakusiza ukuthi ubone ukuthi izivimbela-nzalo ezithathwa ngomlomo zikulungele yini.

Kungani Ezinye Izindlela Zokuvimbela Inzalo Zingabangela Amaqhubu

Khumbula ukuthi kunezinhlobo eziningi zamaphilisi okulawula inzalo kanye nokwelashwa. Amaphilisi okulawula ukuzalwa, isibhamu, izimila, noma ama-IUD ane-progesterone ephezulu noma aqukethe i-progesterone kuphela, i-hormone eyaziwa ukuthi ishukumisa ukukhiqizwa kwe-sebum, angabangela izinduna, kusho uDkt. Scheinhaus.

“Kunemithi yokuvimbela inzalo egunyazwe yi-FDA ye-acne,” kusho uDkt. "Iphilisi ngalinye liyiphilisi elihlanganisiwe le-estrogen ne-progesterone." Lawa ama-Yaz amathathu, i-Estrostep ne-Ortho-Tri-Cycle. “Uma izinduna zingasabeli kwenye yalezi zindlela zokwelapha, kungasho ukuthi kudingeka olunye uhlobo lokwelapha, noma ezinye izici ezibangela izinduna zingaba ngcono,” usho kanje.

Futhi, hlala uthintana nodokotela wakho noma udokotela wesikhumba mayelana nenketho engcono kakhulu yomzimba wakho nezidingo.

Kuthatha isikhathi esingakanani amaphilisi okulawula inzalo ukuqala ukwelapha izinduna

UDkt. Scheinhaus uthi ngezivimbela-nzalo ezifanele, kufanele ulinde imijikelezo emibili kuya kwemithathu yokuya esikhathini ngaphambi kokubona ukuthuthuka. Kuze kube yileso sikhathi, ungase ube nokuqubuka njengoba isikhumba sakho sijwayela amahomoni.

UDkt. Camp uphawula ukuthi izinto zokuvimbela inzalo ngomlomo zivame ukusetshenziswa ngokuhambisana nezinye zokwelapha izinduna ukuze kube nemiphumela engcono kakhulu. “Le mithi isebenza kahle kakhulu uma iyingxenye yomuthi owenzelwe isiguli ngasinye kanye nokukhathazeka kwaso ngezinduna, ngosizo lukadokotela wesikhumba ogunyazwe yibhodi,” usho kanje.

Ezinye izindlela Zokulawula Ukuzalwa

Uma ungafuni ukuthatha ukulawulwa kokuzalwa noma uzimisele ukuyeka ukuyisebenzisa, kuneminye imithi evunyelwe induna. "I-Spironolactone iyisidakamizwa esiphuzwayo esinganikeza umphumela ofanayo kwabesifazane abaningi," kusho uDkt. Scheinhaus. Njengezinto zokuvimbela inzalo ezithathwa ngomlomo, i-spironolactone iwukwelashwa ngamahomoni okungafanelekile kuwo wonke umuntu. Xhumana nodokotela wakho wesikhumba ukuze uhlaziye izinzuzo nezingozi ezingaba khona futhi ubone ukuthi ingabe i-spironolactone ingase ikulungele yini.

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