Melasma (Chloasma)

Melasma (Chloasma) yog dab tsi?

Harvard Health Publishing

Melasma yog ib qho mob uas tej thaj chaw ntawm daim tawv nqaij ua tsaus dua li cov tawv nqaij ib puag ncig. Cov kws kho mob hu qhov no hyperpigmentation. Nws feem ntau tshwm sim ntawm lub ntsej muag, tshwj xeeb tshaj yog lub hauv pliaj, sab plhu thiab saum daim di ncauj. Cov thaj ua rau thaj tsaus feem ntau tshwm sim ntawm ob sab ntawm lub ntsej muag hauv ib qho qauv zoo ib yam. Cov xim tsaus nti ntawm daim tawv nqaij tuaj yeem ua ib qho ntxoov ntxoo, los ntawm tan mus rau xim av. Tsis tshua muaj, cov thaj ua rau tsaus ntuj no tuaj yeem tshwm sim ntawm lwm qhov chaw uas muaj hnub ci ntawm lub cev.

Melasma tshwm sim ntau zaus hauv cov poj niam dua li cov txiv neej, thiab feem ntau yog txuam nrog kev hloov hormonal. Tias yog vim li cas cov thaj ua rau thaj tsam tsaus nti tshwm sim ntau zaus thaum cev xeeb tub, lossis yog tias tus poj niam tab tom noj tshuaj hormone hloov kho (HRT) lossis tshuaj tiv thaiv qhov ncauj. Melasma thaum cev xeeb tub yog qhov tshwm sim. Qee lub sij hawm nws yog hu ua 'daim npog ntawm cev xeeb tub' lossis 'chloasma'. Cov thaj ua rau tsaus nti feem ntau kav mus txog thaum cev xeeb tub tas.



Qhov tseem ceeb tshaj plaws hauv kev loj hlob ntawm melasma yog raug tshav ntuj. Siv cov tshuaj uas ua rau koj nkag siab rau lub hnub (photosensitizing) tuaj yeem ua rau koj muaj kev pheej hmoo ntawm kev tsim melasma. Cov no tuaj yeem suav nrog qee cov tshuaj pleev ib ce thiab tshuaj siv los kho cov zes qe menyuam lossiscov thyroidteeb meem. Kev tiv thaiv los ntawm lub hnub yog ib feem tseem ceeb ntawm kev kho melasma. Piv txwv li, cov poj niam cev xeeb tub los yog noj cov tshuaj hormones thiab zam lub hnub tsis tshua muaj kev tsim melasma ntau dua li cov uas siv sij hawm ntau nyob rau hauv lub hnub.

Cov tsos mob

Tsaus thaj tsam ntawm daim tawv nqaij tshwm sim ntawm lub hauv pliaj, lub tuam tsev, lub puab tsaig los yog saum daim di ncauj. Cov tsos mob yog nruj me ntsis tshuaj pleev ib ce - koj yuav tsis mob, thiab cov tawv nqaij tsaus yuav tsis mob.

Kev kuaj mob

Tus kws kho mob yuav kuaj xyuas melasma tsuas yog saib koj cov tawv nqaij. Koj cov keeb kwm kev kho mob yuav pab txiav txim seb yam twg yuav ua rau muaj teeb meem.

Koj tus kws kho mob tuaj yeem siv lub teeb tshwj xeeb uas tso tawm lub teeb ultraviolet. Qhov no tso cai rau tus kws kho mob pom cov qauv thiab qhov tob ntawm daim tawv nqaij hloov kom meej meej.

ntev npaum li cas rau ambien rau kick nyob rau hauv

Lub sijhawm xav tau

Cov thaj tsam tsaus nti feem ntau kav mus txog thaum cev xeeb tub tas los yog koj tsis noj tshuaj hormonal thiab tiv thaiv lub hnub. Cov thaj ua rau thaj maj mam ploj mus ntau lub hlis. Hauv qee tus neeg, kev hloov pauv tsis tau ploj tag nrho.

Kev tiv thaiv

Txoj hauv kev zoo tshaj los tiv thaiv melasma yog txwv cov tawv nqaij raug tshav. Yog tias koj tawm mus hauv lub hnub, ua cov kev tiv thaiv no:

  • Hnav lub kaus mom nrog lub ntsej muag kom ntxoov ntxoo thiab tiv thaiv koj lub ntsej muag.
  • Siv lub hnub thaiv thaiv (xws li zinc oxide lossis titanium dioxide) rau cov chaw tsis muaj zog.
  • Siv tshuaj pleev thaiv hnub uas tiv thaiv ob qho tib si ultraviolet A thiab ultraviolet B hluav taws xob. Cov tshuaj pleev thaiv hnub yuav tsum muaj qhov tiv thaiv tshav ntuj (SPF) tsawg kawg 30.

Kev kho mob

Raws li cov tshuaj hormones stabilize, qhov tsaus nti thaj tsam ntawm melasma feem ntau ploj mus. Cov poj niam uas tsim melasma raws li kev xeeb tub feem ntau pom thaj ua rau lub hlis tom qab tus menyuam yug los. Cov poj niam uas siv cov tshuaj tiv thaiv qhov ncauj los yog kev kho cov tshuaj hormones feem ntau pom cov kab mob ploj zuj zus thaum lawv tsis noj cov tshuaj.

Ob peb txoj kev xaiv yuav pab kom ploj los yog kho qhov tsaus nti:

    Hydroquinoneyog ib qho cream uas tshem cov pigment tawm ntawm daim tawv nqaij. Nws thaiv cov txheej txheem tshuaj lom neeg uas ua rau tsim cov melanin, uas ua rau cov tawv nqaij tsaus. Tretinoinyog ib hom vitamin A uas pab txhawb tus nqi ntawm cov tawv nqaij tuag tawm thiab cov tshiab tshwm sim. Qhov no ua rau melasma thaj ua rau ploj zuj zus sai dua li cov pigmented hlwb raug tshem tawm. Azelaic acid creamzoo nkaus li ua hauj lwm los ntawm kev ua kom qeeb lossis nres qhov tsim cov xim, cov khoom uas ua rau cov tawv nqaij tsaus. Tshuaj peelsyog cov kua tshuaj siv rau ntawm daim tawv nqaij los muab tshuaj lom neeg kub hnyiab, zoo ib yam li tshav kub kub. Nyob rau tib lub sijhawm, cov khaubncaws sab nraud povtseg tawm, tawm ntawm daim tawv nqaij tshiab. Chemical peels sib txawv ntawm lub zog. Glycolic acid yog ib qho ntawm cov mob me tshaj plaws, thiab yog li ntawd muaj kev pheej hmoo tsawg ntawm kev ua caws pliav lossis tawv nqaij hloov xim. Tshuaj peels yuav siv tau yog melasma tsis teb rau lwm yam kev kho mob. Intense Pulsed Light Therapysiv qee qhov nthwv dej ntev ntawm lub teeb rau lub hom phiaj thiab tshem tawm cov xim pigmented ntawm daim tawv nqaij .

Thaum Hu Rau Tus Kws Tshaj Lij

Mus ntsib koj tus kws kho mob yog tias koj tsim cov tawv nqaij uas tsis tau piav qhia. Txawm hais tias melasma tsis xav tau kev kho mob, tus kws kho mob tuaj yeem paub qhov txawv melasma los ntawm lwm yam kab mob ntawm daim tawv nqaij uas yuav tsum tau kho.

Kev kwv yees

Ntau qhov kev hloov pauv yuav ploj mus lossis ploj thaum cov tshuaj hormones ruaj khov thiab koj nyob tsis deb ntawm lub hnub. Rau cov neeg uas pom cov xim tsis pom kev, kev kho mob yuav pab ua kom tawv nqaij tawv. Koj tseem tuaj yeem siv cov tshuaj pleev ib ce kom txawm tias tawm ntawm daim tawv nqaij.

Cov peev txheej sab nraud

American Academy ntawm Dermatology
http://www.aad.org/

National Institute of Arthritis thiab Musculoskeletal thiab Kab Mob ntawm daim tawv nqaij
http://www.niams.nih.gov/

Cov ntaub ntawv ntxiv

Nco ntsoov sab laj nrog koj tus kws kho mob kom paub meej tias cov ntaub ntawv uas tshwm sim hauv nplooj ntawv no siv tau rau koj tus kheej.

50 mg diphenhydramine thiab cawv