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Acnas

Sainmhíniú

 
Acne, scarring agus keloids ar aghaidh fear.

Is galar é acne a bhaineann le hailt ola agus follicles gruaige an chraicinn. Is iad na ceantair is coitianta ina dtarlaíonn acne an aghaidh, an muineál, an chliabhán, an chúl, na guaillí agus na lámha uachtaracha. Is féidir le acne teacht i bhfoirm ceann bán agus ceann dubh beaga, ar a dtugtar comedones dúnta agus oscailte, faoi seach. Is féidir le acne teacht freisin i bhfoirm bumps dearga athlastacha agus cysts móra, bog faoin gcraiceann. Is féidir scarring a bheith ann freisin, go háirithe leis na foirmeacha is déine de acne. Cruthaíonn acne strus mothúchánach suntasach freisin agus tá baint aige le dúlagar agus imní.   

Tá cóireálacha éifeachtacha ar fáil, agus tá táirgí nua, níos éifeachtaí á gcur i láthair i gcónaí. Feiceann go leor daoine dochtúir ach amháin nuair a éiríonn an galar dian, ach is fearr cóireáil a thosú chomh luath agus a thosaíonn an riocht, chun scarring, dul in olcas an ghalair, agus strus mothúchánach a chosc. Is féidir le cóireáil éifeachtach cabhrú le daoine a bhfuil acne orthu craiceann soiléir, sláintiúil a bhaint amach le torthaí cosmaideacha den scoth agus leas iomlán feabhsaithe.

Tá córas ag Acadamh Mheiriceánach na Dermatolaíochta chun acne a rangú. Déanann sé cur síos ar thrí leibhéal den ghalar: éadrom, measartha agus dian. Sainmhínítear acne éadrom mar roinnt beag go roinnt papúl agus pustúl (pimpli), ach gan nodúl. Tá acne measartha le roinnt go leor papúl agus pustúl le roinnt beag go roinnt nodúl. Sainmhínítear acne dian mar láithreacht líon mór nó fairsing papúl agus pustúl chomh maith le go leor nodúl agus scarring.

Is éifeachtach agus de ghnáth neamh-idirghníomhach é an craiceann a ghlanadh le táirgí mín chun ola agus cealla marbha craicinn a bhaint. Mar sin féin, faoi chúram gairmí ceadaithe, is féidir le réimse sonrach le aigéid alfa-hydroxy nó beta-hydroxy a tharlaíonn go nádúrtha acne a fheabhsú go mór trí na poirí a dhíghlasáil agus an craiceann a exfoliate go mín. Tá roinnt de na haigéid nádúrtha is coitianta aigéad glicóileach a fhaightear i gcanna siúcra, agus aigéad sailicílic a fhaightear i gcraiceann saileach.

 Cúiseanna
  Oibríonn ceithre fhachtóir le chéile chun acne a chur faoi deara. Is iad seo:  
  1. Ró-mhéadú ar tháirgeadh ola (sebum)
  2. Scaoileadh neamhghnácha de chealla marbha craicinn a chuireann isteach agus a bhacann follicles gruaige
  3. Bac agus carnadh baictéir (Propionibacterium acnes) agus smionagar
  4. Athlasadh a chruthaíonn freagra imdhíonachta an choirp
Méadaíonn athlastán nuair a osclaíonn na follicles gruaige, ag scaoileadh saillte agus baictéir isteach sa chraiceann timpeall orthu. D’fhéadfadh follicle gruaige atá blocáilte dul amach os cionn dromchla an chraicinn chun ceann bán a tháirgeadh. Má tá an bloc oscailte don aer, d’fhéadfadh an t-ábhar dorcha a dhéanamh, ag cruthú ceann dubh. Tugtar pimpli ar spota dearg ardaithe le lár bán. Is féidir le bac ar an follicle agus athlastán domhain faoin dromchla craicinn lumps a chruthú sa chraiceann, ar a dtugtar cysts.   Fachtóirí a d’fhéadfadh acne a dhéanamh níos measa ná:  
  1. Méadaíonn hormóin, ar a dtugtar andróigineacha, le linn na hóige i bhfear agus i mban araon, ag cur leis an méid agus méid na nglaonna sebaceous agus ag déanamh níos mó sebum. Is féidir le frithghiniúnach béil agus toirchis athruithe hormónacha a chur faoi deara a spreagann táirgeadh níos mó sebum.
  2. Tá a fhios go gcruthaíonn roinnt cógais nó go ndéanann siad aicne níos measa, corticosteroids, andróigineacha agus litiam (atá in úsáid chun déine dépholach a chóireáil).
  3. Is féidir le roinnt bia aicne a spreagadh lena n-áirítear táirgí déiríochta agus bia ard-carbaihiodráit, cosúil le arán, bagels, agus sceallóga, a mhéadaíonn siúcra fola.

Is miotas é go gcruthaíonn bia sailleach, seacláid, agus craiceann salach aicne. I ndáiríre, is féidir le scriosadh ró-dhian ar an gcraiceann agus úsáid ceimiceán agus gallúnach dian an craiceann a chur isteach agus aicne a dhéanamh níos measa. Tá sé éifeachtach agus de ghnáth neamh-ionsaitheach an craiceann a ghlanadh le táirgí mín chun ola breise agus cealla craiceann marbh a bhaint.  

Tá roinnt fachtóirí riosca ann a fhéadfaidh aicne a spreagadh agus a dhéanamh níos measa, is iad athruithe hormónacha an ceann is mó, go háirithe i:  

  • Déagóirí de dhá ghnéas
  • Toirchis
  • Dhá go seacht lá roimh ré an mhíostraithe
  • Cineálacha áirithe cógais, go háirithe corticosteroids, andróigineacha agus litiam
  I measc fachtóirí riosca eile tá:
  • Dteagmháil dhíreach athfhillteach le substaintí sailleacha nó olaí cosúil le cosmaidí
  • Stair teaghlaigh aicne
  • Frithchuimilt nó brú athfhillteach ar an gcraiceann, mar shampla fóin phóca agus coiléir
  • Ní chruthaíonn strus aicne ach is féidir leis a dhéanamh níos measa

Comharthaí agus Siomptóim

Taispeánann aicne ar na codanna den chorp leis an tiúchan is airde de ghlaonna sebum a tháirgeann cosúil leis an aghaidh, an muineál, an chliabhán, na guaillí agus na lámha uachtaracha. Is féidir leis roinnt foirmeacha a ghlacadh:  
  1. Léirithe neamh-athlastacha
  2. Comedóin - Tarlaíonn ceannbhánna bána agus dubha nuair a bhíonn oscailtí follicles gruaige clogtha le sebum agus cealla craiceann marbh
  3. Léirithe athlastacha
  • Is papúil iad na papúil, bumpaí beaga ardaithe de bharr athlasadh sna follicles gruaige; d’fhéadfadh siad a bheith dath feola nó dearg agus bog.
  • Is pustúil dearga iad na pustúil le pus bán sa lár
  • Is nodúil iad na nodúil, lumpaí móra, daingean, pianmhara, bog faoi dhromchla na craiceann, gan oscailt don aer; cruthaítear iad de bhailiú sebum agus cealla craiceann marbh go domhain laistigh de follicles gruaige
  • Is cístí iad na cístí pianmhara, bog, lán le pus faoi dhromchla na craiceann; tá an fhéidearthacht is mó acu do scarring

Cosc

Fiú tar éis don chraiceann freagairt don chóireáil agus d’fhéadfadh sé a bheith glan go hiomlán, coinnítear an leigheas de ghnáth chun cosc a chur ar bhriseadh nua. I gcásanna áirithe, úsáidtear leigheas áitiúil ar cheantair chraicinn leochaileacha. D’fhéadfadh do dhochtúir frithghiniúnach béil nó cóireálacha eile a mholadh. I measc leideanna eile chun aicne a chosc tá:  
  • Nigh na ceantair atá seans maith acu aicne ní mó ná dhá uair sa lá chun sebum breise agus cealla craiceann marbh a bhaint. Úsáid glantóir mín agus táirgí cúraim craicinn bunaithe ar uisce, saor ó ola.
  • Bain úsáid as uachtar nó glóthach déirmitis thar an gcuntar chun ola iomarcach a thriomú, le táirgí a bhfuil peróid benzoyl nó aigéad sailicíleach iontu.
  • Seachain cosmaidí troma nó sailleacha; is lú greannú a dhéanann púdar ná uachtair.
  • Bain makeup sula dtéann tú a chodladh, chun cosc a chur ar dhúnadh na n-oscailtí beaga de follicles gruaige. Caith makeup sean agus glan scuaba agus iarratais chosmaideacha go rialta.
  • Cuir éadaí leaisteacha ort chun teas agus taise a ghlasáil i gceantair frithchuimilt i gcoinne an chraicinn a sheachaint.
  • Tóg cith tar éis aclaíochta agus oibre dian, nuair a d’fhéadfadh ola agus allais salachar agus baictéir a ghlasáil ar an gcraiceann.
  • Nigh le glantóir mín ar maidin, agus ansin déan glantachán dúbailte san oíche. Tá glantachán dúbailte comhdhéanta de ghlantóir mín neamhghníomhach ar dtús chun makeup, ola iomarcach, agus salachar a bhailiú le linn an lae a bhaint. Ansin leanann glantóir gníomhach a bhfuil comhábhair ghníomhacha ann mar aigéad sailicíleach chun glanadh níos doimhne a cheadú.
  • Lean le uachtar nó glóthach cóireála, mar shampla peróid benzoyl chun ocsaigin a thabhairt don chraiceann agus chun déirmitis a chóireáil agus a chosc.
  • Bain úsáid as humectant, mar shampla aigéad hyaluronic nó gliséirín chun taise a tharraingt ar ais isteach sa chraiceann chun dul in aois a chosc chomh maith le greannú ó chóireálacha déirmitis a chosc.
  • Lean le taiseadán saor ó ola (occlusive), chun an taise sin a ghlasáil agus caillteanas uisce tras-epidermal a chosc.
  • Déan cuardach ar mhaquillage neamh-choméadogánach chun cosc a chur ar dhúnadh breise na bpóire.
  • Ná brúigh ná ná bac leis an déirmitis, ní dhéanfaidh sé ach leathnú breise ar na baictéir. Ina ionad sin, bain úsáid as rollóir fuar chun an t-áthlasadh a laghdú agus déan coinne le gairmí áitiúil cúram craicinn.
  • Bain úsáid i gcónaí as scáth gréine agus tú ag cóireáil riochtaí craicinn cosúil le déirmitis mar d’fhéadfadh comhábhair i gcóireálacha a bheith ina gcúis le so-ghabháltacht don ghrian.
Tosaíonn an chéim is fearr chun craiceann níos sláintiúla a fháil le seachaint a dhéanamh ar cheimiceáin a d’fhéadfadh a bheith díobhálach agus le húsáid comhábhar 100% glan ina ionad sin. Cliceáil anseo chun ár dtuarascáil saor in aisce a léamh: 'Na Poitíní a Chuireann Tú Ar Do Aghaidh Gach Lá'.    

Cóireáil

ag caitheamh aghaidh mná i gcóireáil aghaidhe

 

Oibríonn cóireálacha déirmitis trí réimse gníomhartha lena n-áirítear: laghdú ar chosaint ola, luasghéarú athchúrsa cille craicinn, laghdú ar ionfhabhtú baictéarach agus athlasadh, nó meascán de ghníomhartha. Féadfaidh sé ceithre go hocht seachtaine a thógáil sula dtosaíonn tú ag feiceáil feabhsúchán beag beann ar an meicníocht gníomhaíochta. D’fhéadfadh an déirmitis dul in olcas le linn an ama feithimh chun an chóireáil a bheith éifeachtach. D’fhéadfadh cógais oideas a mholadh. Tá cuid acu á n-iarradh go háitiúil (curtha i bhfeidhm ar dhromchla na craiceann) nó á n-ithe trí bhéal. Uaireanta úsáidtear iad le chéile. Níor chóir cógais bhéil a úsáid le linn toirchis. I measc na gcineálacha cóireála tá: 

  • Leigheasanna áitiúla thar an gcuntar: Triomaíonn siad ola iomarcach, maraíonn siad baictéir agus baintear cealla craicinn marbh. Bíonn táirgí thar an gcuntar de ghnáth éadrom agus bíonn peróidíd benzoyle, aigéad sailicíleach, nó sulfar iontu. I measc na n-éifeachtaí taobh éadroma tá iritíocht craicinn, tirim agus scaoileadh craicinn. B’fhéidir go mbeidh na héifeachtaí taobh gearrthéarmach.
  • Leigheasanna áitiúla ar oideas: Is samplaí iad Tretinoin, adapalene agus tazarotene de tháirgí a dhéantar as vitimín A. Cuireann siad ar chumas cealla craicinn táirgeadh a luasghéarú agus iad ag scaoileadh na gcealla seanbhunaithe. Tá antibheathaigh áitiúla ann freisin a oibríonn trí bhac a chur ar bhaictéir chraicinn iomarcacha a mharú. B’fhéidir go mbeidh comhiomlán de leigheasanna riachtanach.
  • Antibheathaigh: Do acne measartha go trom, d’fhéadfadh antibheathach béil gearrthéarmach a bheith molta chun líon na mbaictéar ar an gcraiceann agus ann a laghdú. Níl go leor antibheathaigh béil éifeachtach in aghaidh acne níos mó mar gheall ar fhriotaíocht na mbaictéar. Cruthaíonn antibheathaigh béil freisin éifeachtaí taobh a d’fhéadfadh a bheith an-mhíthaitneamhach, fiú contúirteach, lena n-áirítear nausea, meadhrán, agus dathú craicinn. D’fhéadfadh siad neamh-íogaireacht don ghrian a chur faoi deara agus d’fhéadfadh siad cur isteach ar éifeachtacht frithghiniúnach béil.
  • Isotretinoin: Is minic a bhíonn an leigheas cumhachtach seo á choinneáil do chásanna troma acne cystic le féidearthacht scarring. Cruthaíonn sé loit breithe má thógtar é le linn toirchis. Ní mór do mhná atá i ré toirchis aontú le comhaontú monatóireachta nach ndéanfaidh siad iarracht a bheith torrach agus go mbeidh tástálacha toirchis rialta acu chun an leigheas a leanúint. Tá éifeachtaí míchompordacha an-láidir aige amhail liopaí agus béal tirim, srón agus craiceann tirim. D’fhéadfadh sé leibhéil cholesterol a ardú agus feidhm an ae a chur faoi deara. Tá Isotretinoin thar a bheith éifeachtach don iarrthóir ceart ach ní mór monatóireacht a dhéanamh air ag deirmeolaí deimhnithe.
  • Frithghiniúnach béil: Cuimsíonn siad comhiomlána estrogen agus progesterone a d’fhéadfadh acne a fheabhsú i measc na mban. Cruthaíonn siad éifeachtaí taobh eile áfach, amhail tinneas cinn, nausea, dúlagar agus íogaireacht chíche. Is iad na deacrachtaí is tromchúisí ná riosca méadaithe galair croí, brú fola ard, agus clots fola, de ghnáth sna cosa.
  • Teiripe léasair agus solais: Sroicheann an modh seo na sraitheanna níos doimhne den chraiceann gan dochar a dhéanamh don dromchla. D’fhéadfadh sé a bheith éifeachtach trí tháirgeadh ola a chosc. Díríonn sé freisin ar na baictéir ar leith a chuireann acne faoi deara agus d’fhéadfadh sé athlasadh a laghdú. D’fhéadfadh sé feabhas a chur ar uigeacht an chraicinn agus an seans go mbeidh scarring a laghdú. D’fhéadfadh sé a bheith míchompordach áfach agus cosúil le dó gréine dian.
  • Nósanna imeachta cosmaideacha: Is féidir le peilíní ceimiceacha agus micreodhermabrasion cuma dathú agus scáith a laghdú, línte mín agus damáiste gréine a laghdú. I dtéarmaí gearrthéarmacha, d’fhéadfadh deargadh dian, scálaíocht, blisteráil agus dathú craicinn fadtéarmach a bheith ann. Is féidir le duine gairmiúil ceadaithe cúram craicinn a fheiceáil go rialta le haghaidh aghaidheanna agus peilíní ceimiceacha chun déiríocht a laghdú go mór chomh maith le scáith a chosc. Is féidir leo freisin regimen cúram baile pearsantaithe a mholadh chun a chinntiú go leanann tú ar aghaidh leis na torthaí sin sa bhaile. Is féidir cóireálacha níos casta cosúil le micreodhermabrasion, agus fiú micreó-níodóireacht a dhéanamh freisin chun poill a dhúnadh agus scáith déiríochta a chosc i gcásanna níos déine. Iarmhairtí gearrthéarmacha ná deargadh, scála nó scaoileadh craicinn, agus hipir-dhathú sealadach a imíonn laistigh de chúpla lá go seachtain.
    Is é an rogha is fearr do chúram craicinn ná comhábhair plandaí 100% glan a úsáid a ghlanann poill ó salachar agus baictéir go nádúrtha agus ag an am céanna ag cothú cealla do chraicinn leis na cothaithigh atá uathu. Cliceáil anseo chun buidéal SAOR IN AISCE de ár gcóras cúram craicinn 100% glan do mhná agus do fhir a thriail.    
    Stíl Mhaireachtála Agus Leigheas Baile 
    • Nigh na ceantair fhadhbacha le glantóir mín. Ní mholtar mascanna, astringents agus scrúbaí aghaidhe mar go spreagann siad an craiceann agus go ndéanann siad an déiríocht níos measa.
    • Bain triail as lotáin thar an gcuntar chun ola iomarcach a bhaint agus scaoileadh craicinn a chur chun cinn. Déan cuardach ar lotáin a bhfuil peróid benzail nó aigéad sailicíleach mar ghníomhairí gníomhacha iontu.
    • Seachain iritéirí cosúil le cosmaidí ola nó sailleacha, scáthanna gréine, táirgí gruaige agus roinnt ceilt déiríochta. Caithfidh roinnt daoine an ghrian a sheachaint. Méadaíonn roinnt táirgí íogaireacht don ghrian. Úsáid scáth gréine nach gcloíonn do phoill.
    • Coinnigh do chuid gruaige glan agus as do aghaidh. Déan iarracht gan do lámha nó rudaí a chur nó a chur ar do aghaidh. Seachain éadaí daingean. Bain salachar, allas agus ola go pras.

    Leigheas Malartach

      Molann roinnt staidéir go bhféadfadh na forlíonta seo a leanas cabhrú le déiríocht a chóireáil:  

    • Ól ola crann tae: D’fhéadfadh géisí a bhfuil cúig faoin gcéad ola crann tae iontu a bheith chomh héifeachtach le lotáin a bhfuil cúig faoin gcéad peróid benzóil iontu, cé go bhféadfadh sé a thógáil níos faide chun oibriú. Is féidir leis imoibriú craicinn a dhéanamh ar a dtugtar deirmeatítis teagmhála. Tá imní ann freisin go bhféadfadh táirgí áitiúla forbairt chíche a chur faoi deara i mbuachaillí óga.
    • Aigéid Alfa Hidreacsacha: Faightear iad i mbia cosúil le torthaí citris, canna siúcra, úlla agus fíonchaora. Cabhraíonn siad le cealla marbh craicinn a bhaint agus poill a dhúnadh nuair a chuirtear i bhfeidhm go háitiúil. D’fhéadfadh siad cuma scáitheanna déiríochta a fheabhsú. I measc na n-imoibrithe díobhálacha ar na h-aigéid tá deargadh agus iritíocht.
    • Aigéid Beta Hidreacsacha: Faightear iad i gcraiceann saileach agus i n-ailó.
    • Forlíonta Vitimín B5: Léiríodh freisin go laghdaíonn forlíonta aigéad pantatónach deilgneacha déiríochta go sábháilte agus go héifeachtach.
    • Forlíontaí sinc: Tá ról acu i leigheas créachtaí agus laghdaíonn siad athlasadh. D’fhéadfadh sé cabhrú é a thógáil le bia chun fo-iarsmaí a laghdú, lena n-áirítear blas dona i do bhéal agus tinneas an bhoilg.
    • Nicotinamíd: Vitimín B nádúrtha é nicotinamíd, is féidir le forlíontaí nicotinamíde a bheith úsáideach i gcóireáil aicne athlastach.

    Cóireáil Scáithíní Aicne

    Is féidir le scáithíní, go háirithe le aicne cistigh throm, muinín agus cáilíocht an tsaoil a scriosadh. Tá roinnt nósanna imeachta ann a d’fhéadfadh infheictheacht na scáithíní a laghdú:

    • Filleadh fíocháin bog. Is féidir collaigine nó saille ón gcorp féin a instealladh sna ceantair ina bhfuil scáithíní tar éis uigeacht neamhionann a chruthú. Líonann sé nó síneann sé an craiceann, ag déanamh na scáithíní níos lú le feiceáil. Tá na torthaí sealadach agus bíonn cóireálacha athfhillte riachtanach chun an éifeacht laghdaithe scáithíní a chothabháil.
    • Peelings ceimiceacha. Cuirtear aigéad láidir i bhfeidhm ar an gcraiceann chun an ciseal dromchla a bhaint agus scáithíní níos doimhne a laghdú.
    • Déarmabrasion. Baintear an ciseal uachtarach den chraiceann le scuab sreinge ag rothlú go tapa. De ghnáth bíonn sé á choinneáil do na scáithíní is déine. D’fhéadfadh scáithíní dromchla a bheith bainte go hiomlán agus d’fhéadfadh scáithíní níos doimhne a bheith níos lú le feiceáil. D’fhéadfadh sé athruithe pigment a chur faoi deara, go háirithe ar chraiceann níos dorcha.
    • Micreadhéarmabrasion. Is cóireáil níos nuaí é seo ina scaiptear criostail bheaga isteach sa chraiceann chun an dromchla a ghlanadh. Ansin baintear na criostail as an gcraiceann le feadán folúis. Ní chruthaítear damáiste nua agus tá íogaireacht craicinn íseal. Tá sé níos lú éifeachtaí ná déarmabrasion agus d’fhéadfadh scáithíní a bheith le feiceáil fós, fiú tar éis roinnt cóireálacha.
    • Modhanna léasair, foinsí solais agus raidióminicíocht. Baintear an ciseal dromchla den chraiceann (epidermis) le teiripe léasair agus téitear an craiceann níos doimhne (dermis). Téann craiceann nua i bhfeidhm ar na créachtaí. Ní dhéanann léasair níos lú déine (neamh-ablative), solas pulsáilte agus gléasanna raidióminicíochta damáiste don epidermis, ach téitear an dermis, rud a spreagann foirmiú craiceann nua. Tá am téarnaimh níos giorra acu ach tá na torthaí mín, fiú tar éis roinnt cóireálacha.
    • Máinliacht craicinn. Baintear píosaí de fhíochán scáithín (eisceacht punch) as scáithíní aonair. Úsáidtear sutúir (stíoca) nó graft craicinn chun na lochtanna a fágadh ag suíomhanna punch a dhúnadh.
    • Micreathréimhseáil nó teiripe spreagtha collaigine. Is cóireáil nua í micreathréimhseáil nó teiripe spreagtha collaigine ina ndéantar an craiceann a phionósú arís agus arís le micreathréimhseanna steirilithe. Tá feabhas mór léirithe aici ar chuma scáithíní aicne trí tháirgeadh collaigine a mhéadú laistigh den chraiceann. I measc na fo-iarsmaí tá deargadh, mothú dó gréine, agus féidearthacht craiceann a scamhadh ar feadh suas le seachtain nó dhó. Taispeántar na torthaí is fearr le sraith cóireálacha thar thréimhse sé mhí.

    Do Cheisteanna Freagraite Faoi Aicne

    An féidir cnéal a leigheas? Is féidir difríocht mhór a dhéanamh freisin má leanann tú dea-réimse cúraim craicinn baile a mhol do shaineolaí cúraim craicinn ceadúnaithe áitiúil. Bíonn cnéal ag teacht ar ais go minic. Is féidir an chuid is mó den chnéal a rialú go maith, ach tá sé an-deacair cnéal a leigheas go hiomlán. Ceann de na cóireálacha is éifeachtaí do chnéal, idir áitiúil agus béil, ná antaibheathaigh atá éifeachtach i gcoinne na mbaictéar (Propionibacterium acnes) a bhfuil ról acu i gcúiseamh chnéal. Ar an drochuair, tá friotaíocht forbartha ag na baictéir i gcoinne na n-antaibheathach is coitianta. D’fhéadfadh siad cnéal a fheabhsú, fiú leis an bhfriotaíocht, ach níl an éifeacht láidir chéanna acu agus a bhí acu nuair a tugadh isteach iad sna 1960idí. Tá antaibheathaigh nua ann, ach is féidir leo a bheith chomh costasach nach féidir le go leor daoine iad a íoc, go háirithe le haghaidh cóireála leanúnaí, agus d’fhéadfadh pleananna árachais íoc a dhiúltú, ag glacadh leis go bhfuil an chóireáil cosmaideach. D’fhéadfadh drugaí nua freisin friotaíocht a fhorbairt. D’fhéadfadh cnéal a bhaineann le céimeanna éagsúla den saol, cosúil le toircheas nó cnéal réamh-thréimhseach, feabhas a fháil nuair a chuirtear cothromaíocht hormónach ar ais.

    An féidir cnéal a aisiompú? Is féidir cnéal gníomhach a chóireáil ach ní mór an t-ionsaí bunúsach agus na fachtóirí spreagtha a rialú chun loit nua chnéal a sheachaint.

    Conas is féidir liom mo chnéal a chosc ó dul i bhfeabhas níos mó? Féach le do thoil ar an rannóg cosanta san alt seo le haghaidh leideanna chun cnéal a chosc sula dtosaíonn sé. Is é an chúis is coitianta le cnéal a bheith níos measa, fiú le linn cóireála, ná nach n-úsáidtear na cógais go díreach mar a mholtar. Éilíonn rath ar chóireáil chnéal tiomantas agus comhoibriú dlúth le dochtúir craicinn deimhnithe.

    An bhfuil cnéal tógálach? Ní tógálach é cnéal. Cé go bhfuil baictéir le fáil i loit chnéal, níl siad tógálach agus tá siad le fáil ar chraiceann formhór na ndaoine.  

    An féidir le cnéal bás a chur ort? Tá cásanna an-annamh de chnéal a bhaineann le loit phléascacha, athlasadh, pian cnámh, fiabhras, tinneas cinn, agus rashes craicinn eile. Tá na siondróim seo annamh ach d’fhéadfadh siad a bheith an-dona agus fiú bás a chur faoi deara mura n-aithnítear agus mura ndéantar cóireáil orthu.

    Má úsáidim mo antaibheathach uair amháin sa lá ar mo aghaidh, an féidir liom é a úsáid dhá nó trí huaire sa lá chun torthaí níos tapúla a fháil? Ba chóir an leigheas a úsáid go díreach mar a mholtar. Is féidir le róchóireáil greannú craicinn, athlasadh, íogaireacht don ghrian, imoibrithe ailléirgeacha a chur faoi deara, agus fiú an fhadhb a dhéanamh níos measa. 

    An bhfuil sé fíor má ghlacann tú antaibheathaigh béil nach bhfuil táibléid rialaithe breithe chomh héifeachtach chun toircheas a chosc? Cé go bhfuil sé seo ráite go coitianta, léirigh staidéir nach gcuireann an chuid is mó d’antaibheathaigh isteach ar rialú breithe. Mar sin féin, ós rud é nach bhfuil antaibheathaigh sábháilte do thoircheas, ba chóir do dhaoine a ghlacann antaibheathaigh dhá chineál rialaithe breithe a úsáid nó fanacht abstinent le linn na cóireála.

    An bhfuil mo antaibheathach do chnéal ag cosaint mé ó ghalair a tharchuirtear go gnéasach? Níl! 

    Cén bealach is fearr chun cuimhneamh mo chógas a úsáid? Cuir do chógas in aice le do scuab fiacla. Scuabann tú do fhiacla gach lá, agus úsáideann tú do chógas gach lá. 

    Bíonn mo déiríocht an-dona an tseachtain roimh thús mo thréimhse. Cad is féidir liom a dhéanamh? Cabhróidh cúram maith a thabhairt do do chraiceann gach lá den mhí chun éifeachtaí do hormóin atá ag athrú a laghdú an tseachtain roimh do thréimhse. Iarr ar do dhochtúir moladh atá sábháilte le do chógas reatha. D’fhéadfadh sé a bheith cabhrach táirge thar an gcuntar a úsáid le benzoyl peroxide ar na háiteanna fadhbacha. Tosaigh ag úsáid é cúpla lá roimh ré nuair a bheifeá ag súil go dtiocfaidh do chraiceann níos mó fadhbanna. Má mhaireann na léasair, tá teiripí hormónacha béil ar fáil chun an cineál déiríochta seo a chóireáil, is féidir le craiceannóir deimhnithe boird iad a chur in iúl.

    Alt Scríofa ag Sheila M. Krishna M.D., FAAD

    Is craiceannóir deimhnithe boird í an Dr. Krishna. Fuair sí a céim bhunúsach ag Institiúid Teicneolaíochta Massachusetts áit ar rinne sí dhá phríomhábhar i bitheolaíocht agus teangacha eachtracha agus chríochnaigh sí le honórais Phi Beta Kappa. Tá líofacht aici i mBéarla agus i Spáinnis. Fuair an Dr. Krishna a céim leighis ag Scoil Leighis David Geffen ag Ollscoil California, Los Angeles, áit ar bhí sí ina ball den Alpha Omega Alpha Medical Honor Society. Chríochnaigh sí a cónaí craiceann ag Ollscoil Virginia Commonwealth i Richmond, Virginia, agus d’oibrigh sí mar Chathaoirleach Cónaitheach sa Roinn Craiceann. Chríochnaigh sí bliain taighde breise ag UCLA leis an Dr. Lloyd Miller, áit ar ghnóthaigh sí saineolas i modhanna taighde agus dearadh agus cur i bhfeidhm prótacal. Is Comhalta í an Dr. Krishna den American Academy of Dermatology (AAD) agus den American Society for Mohs Surgery (ASMS). Cleachtann an Dr. Krishna i San Diego, California áit a chóireálann sí daoine fásta agus páistí le coinníollacha craicinn. Roghnaíodh an Dr. Krishna mar Dhochtúir Barr ag a comhghleacaithe i San Diego i 2017. Suíomh Gréasáin - https://www.sheilakrishnamd.com/ 

    Alt Athbhreithnithe ag Natalia Kerr, Esthetician Ceadúnaithe/Speisialtóir Aghaidh

    Is esthetician/speisialtóir aghaidhe ceadúnaithe í Natalia Kerr. Chríochnaigh sí Coláiste Teicniúil Orange i 2019 lena dioplóma i Speisialtacht Aghaidh. Tá paisean aici don chúram craicinn agus do shláinte an chraicinn, agus tá sí ag leanúint ar aghaidh lena cuid oideachais ó shin trí bheith ag freastal ar shuirbhéanna éagsúla, oiliúintí, agus taispeántais trádála. Bhí sí ag streachailt le déiríocht ar feadh blianta fada i rith a blianta meánscoile agus ardteiste, agus tá a fhios aici faoin damáiste a dhéanann sé do mhuinín féin. Spreag sé seo a turas isteach i saol an chúraim craicinn, agus tá sí faoi láthair ina húinéir agus ag cleachtadh ag Skin by Natalia i Orlando, Florida. Suíomh Gréasáin - https://skin-by-natalia.square.site/

    Tuilleadh Eolais don Phobal

    Tagairtí
    1. Mayo Clinic: http//www.mayoclinic.com/health/acne/DS00169
    2. Acadamh Mheiriceánach na nDochtúirí Teaghlaigh: Feldman, S. MD, PH.D., et al, Am Fam Physician. 2004 Bealtaine 1;69(9):2123-2130.
    3. Institiúidí Náisiúnta Sláinte: https://www.niams.nih.gov/health_info/acne/
    4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4065280/
    5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556180/

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