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毛周角质化怎么治疗?

发布时间:2016-06-16   问大夫  责任编辑:红豆

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毛周角质化,很多人都不会在意,因为它既不痛,也不痒。但是对于爱美的女性就是很严重的问题了,因为毛孔被角化的角质塞住,会出现毛孔粗糙的小红疹。有些人会误以为红疹是粉刺或痘痘,用手指挤压或抠抓,会造成严重的发炎和色素沉淀。毛周角质化怎么治疗?下面小编给大家介绍一下。

什么是毛周角质化

毛周角质,又称毛周角质华、毛周角质症、毛孔角化症。所谓的毛周角质化,顾名思义就是一种毛孔周围角化过度导致的毛病;病人因为毛孔被角化的角质塞住,所以出现毛孔粗糙的小红疹。

一般来说,毛周角质化以女性的发生率最高;由于它是一种具有遗传特性的皮肤毛病,因此,好发对象依家族体质而定。至于发生部位则以双臂、小腿、大腿或是脸颊下方最常见。基本上,毛周角质化并不会有任何症状,但虽说不致有严重症状,有些患者面对偶尔出现的发红、瘙痒,或是摸到一点一点突起的小点点时,就会忍不住抓它,或是乱挤,结果经由严重搔抓、乱挤,反造成伤口感染。尤其夏天一到,有些人稍一运动,就汗流浃背,这些出现角化的毛孔会有刺刺、痒痒的感觉,不少人就因为耐不住这些折腾,手就往上一抠,结果就抠成红豆冰了。

毛周角质化这毛病算是造物弄人。因为它让皮肤外观不好看,但偏偏好发对象又以特别重视外表的三、四十岁女性居多,害得她们每到夏天总是得和一些性感服饰绝缘。但到五、六十岁时,这些粗粗的、分布均匀的小点点就都会随著老化而消失不见。由于它与体质有关,因此,要断根并不容易,但也不是从此宣判绝症。经由皮肤科医师诊治,虽在发作期间无法让它完全根治,但却可以做到控制病情的效果。一般来说,只要能配合医师建议给予适当保养,这些困扰的外表均可获得极佳改善。

毛周角质化的病理

1、这是一种遗传性皮肤病,它是由于毛囊口角化,影响了毳毛的生长,所以皮肤表面摸起来不光滑,象鸡皮疙瘩,的确在每个小丘疹中都有一卷曲的汗毛。这种疾病目前还没有根治的方法,但适当应用一些药物可以改善病情。

2、从中医上来讲,毛周角化症主要由于肝气郁结、肝木克土、脾胃虚弱所致,众所周知,脾胃为后天之本,脾胃虚弱,势必导致皮肤失养,终致此病。

3、此病是因人体的第12对染色体变异而发生的显性遗传。此外,所发生的症状还与甲状腺功能不全、维生素A缺乏等有关。

由于毛囊皮脂腺管之开口处有角化现象,形成所谓的“角栓”,而硬化之后会导致毛孔闭塞。外观有如针点般的小丘疹,散在性的分布,颜色呈肤色、红褐色或棕色,大部份的疹子均无关痛痒。外观很像“鸡皮疙瘩”,粗粗的且像砂纸一样,摸起来很粗糙,看起来更碍眼,但鸡皮疙瘩乃因气候,情绪等所产生的竖毛肌收缩,为一种暂时性的皮肤变化;而毛孔角化症所形成的丘疹,则是一种持续性的状态。

毛周角质化怎么治疗

众所周知,毛周角化症的病理改变是毛周角质增厚,皮下毛脂毛细阻塞而形成。治疗时:

1、尽量不要随意挤压这些丘疹,以免不慎引发毛孔发炎感染。

2、口服维生素或多吃富含维生素A的食物对本病有一定帮助;此外,外用皮肤角质软化或角质溶解剂,可以减轻症状,使皮肤表面变的比较光滑。如外用维甲酸、水杨酸药膏等,维甲酸的应用应该从低浓度开始,如从0.05%-0.1%,以避免对皮肤产生刺激,每天晚上用一次。药物需要长期坚持使用才能有效果。

3、部分患者的毛周角化病则比较严重,对美观影响不小,得了这讨厌的病,许多人夏天不敢穿短袖衣服。所以此病也可称得上是美丽的天敌之一啦!严重影响心情,部分患者甚至因此而产生严重的心理问题。对于这部分患者,为了美观的需要,是应该考虑做系统性的治疗的。另外,毛周角化症还非常容易遗留色素沉着,更有碍观瞻!

4、需要特别指出的是:严重的毛周角化症贵在早期治疗,因为延误治疗不仅容易形成难看的色素沉着,而且还可大大增加治疗的难度!

5、毛囊角化症是相当常见的皮肤问题,痊愈难,只能改善。由于毛孔角化是与角质有关的疾病,所以一般的治疗都是以去角质药膏为首选,像是A酸、果酸、水杨酸及尿素等。

A酸的作用较为深入,可直接影响到细胞核,去除不正常的角化,长期使用将可达到一定的治疗效果。另外像尿素,则具有保水的功能,对于去除角质,也有一定的功效,是在临床上常被使用的外用药。

高浓度如3.5%的水杨酸,有相当好的疗效。水杨酸本身为脂溶性,刚好可以沿着毛囊开口,顺着皮肤油脂到达角化部位,进而溶解角质,改善症状。此外,水杨酸价格不高,经济实惠,作用又较为温和,可用较高的浓度来制剂使用,达到良好的改善。不过,很难说哪一种药的效果最好,因为不同的人,对于各种药的接受度不同,有些人觉得A酸好,有些人则认为水杨酸有效,药的疗效会因人而异。患者只要配合医师的指示耐心擦药,都可以获得一定程度的改善。

不过,角质的生成有一定的周期,通常是一个月。但这都是“治标不治本”,因为先天的基因无法改变,所以再次新生的角质,仍会有毛囊角化的现象。通常一个月后,又逐渐恢复到原来的样貌。

洗完澡时皮肤含水度高,角质也变得软化,这时涂抹药膏,会有较好的效果。但若皮肤感到太过刺激,则建议30分钟后再擦药。除了擦药外,自己也可以做一些保湿的动作。例如涂抹一些保湿功能的保养品,减少皮肤干燥的情形,皆有一定的帮助。

有些患者会自行使用去角质沐浴用品,像是磨砂膏、去角质刷、丝瓜布等等。适度的去角质有一定的帮助,但过头就会造成皮肤的伤害。过度的摩擦不只会使皮肤受伤,还会使角质层变得更厚。因此,去角质的动作一个月一至两次就已足够。

严重的毛周角化注意事项

1、最好早期治疗!因为发病早期,不仅皮疹容易祛除一些,而且一般不会遗留明显的色素沉着。而如果发病时间过长,不仅皮疹变得根深蒂固,治疗难度要大得多,而且还会遗留难以消退的色素沉着!

2、轻度的毛周角化病患者一定要慎用西药维A酸类治疗,因为口服用的这些药物副作用非常大。

A酸的副作用

价格平民的维A酸是个相当诱人的成分,抗角化、抑制粉刺、降低黑色素形成、减轻色素沉着、增加胶原蛋白、抗炎──难道维A酸对皮肤真的有百利而无一害么?其实不然,不要忘记,维A酸是一种药物,是个很刺激的成分,会有很多副作用:

1、维A酸性皮炎:发红,脱皮,干燥,痒,痛。

2、光敏性:对紫外线的防护能力减弱。

3、初期恶化现象:前3个月,色素沉淀皮肤会变得更黑,痤疮皮肤的痤疮情况会恶化,细纹也有可能变得更深。

4、皮肤变薄:维A酸促进血管增生,使最外层角质稍微变薄。如果是红血丝皮肤,慎用。

看了小编以上的介绍,大家都知道了毛周角质化该怎么治疗。最后小编提醒大家,毛周角质患者要慎用护肤品。如果严重的话,及时寻医治疗。

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