ื”ืขื“ืคืชื›ื ืขื•ื“ื›ื ื” ืขื‘ื•ืจ ื”ืžืคื’ืฉ ื”ื–ื”. ื›ื“ื™ ืœืฉื ื•ืช ืืช ื”ื’ื“ืจืช ื”ื—ืฉื‘ื•ืŸ ืœืฆืžื™ืชื•ืช, ืขื‘ืจื• ืืœ
ืœื”ื–ื›ื™ืจื›ื, ื ื™ืชืŸ ืœืขื“ื›ืŸ ืืช ื”ืžื“ื™ื ื” ืื• ื”ืฉืคื” ื”ืžื•ืขื“ืคื•ืช ืขืœื™ื›ื ื‘ื›ืœ ืขืช ื‘
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ืื ืขื‘ืจืชื ืื™-ืคืขื ื‘ืžืขื‘ืจ ืขื ืžื•ืฆืจื™ ื˜ื™ืคื•ื— ืขื•ืจ ื‘ื“ืจืื’ืกื˜ื•ืจ ื”ืžืงื•ืžื™, ืื– ืงืจื•ื‘ ืœื•ื•ื“ืื™ ืฉืจืื™ืชื ืืช ื”ืžื“ืคื™ื ืขื ืžื•ืฆืจื™ื ืœื˜ื™ืคื•ืœ ื‘ืืงื ื”. ืื ืืชื ื›ืžื•ื ื™ ื•ื™ืฉ ืœื›ื ืขื•ืจ ื”ื ื•ื˜ื” ืœืืงื ื”, ืื– ืกื‘ื™ืจ ืœื”ื ื™ื— ืฉื—ื™ืคืฉืชื ืืช ื”ืคื™ื ื” ื”ื–ื• ื‘ื—ื ื•ืช ื‘ื›ื•ื•ื ื”, ื‘ื ื™ืกื™ื•ืŸ ื ื•ืืฉ ืœืžืฆื•ื ืžืจืคื ืœื”ืชืคืจืฆื•ื™ื•ืช ื”ืืงื ื” ื”ืขื™ืงืฉื•ืช. ื›ืœ ื”ืื ืฉื™ื ื ืชืงืœื• ืœืคื—ื•ืช ืคืขื ืื—ืช ื‘ืชื•ืคืขื” ื”ืœื ื ืขื™ืžื” ืฉืœ ืคืฆืขื•ื ื™ ืืงื ื” โ€” ื•ื›ื•ืœื ื• ื™ื•ื“ืขื™ื ืฉื”ื ื ื•ื˜ื™ื ืœื”ื•ืคื™ืข ื‘ืชื–ืžื•ืŸ ื”ื’ืจื•ืข ื‘ื™ื•ืชืจ ืฉื™ืฉ โ€” ืื‘ืœ ื—ืœืง ืžืืชื ื• ืžืชืžื•ื“ื“ื™ื ืขื ื”ืชืคืจืฆื•ื™ื•ืช ืืงื ื” ื‘ืชื“ื™ืจื•ืช ื’ื‘ื•ื”ื” ื™ื•ืชืจ.

ืืงื ื” ื”ื™ื ืžื—ืœืช ืขื•ืจ ื ืคื•ืฆื” ื”ื ื’ืจืžืช ืขืœ-ื™ื“ื™ ืฉื™ืœื•ื‘ ืฉืœ ืฉืœื•ืฉื” ื’ื•ืจืžื™ื ืขื™ืงืจื™ื™ื:nbsp;

  • ื“ืœืงืช ื”ื ื’ืจืžืช ืขืœ-ื™ื“ื™ ื—ื™ื™ื“ืง ื‘ืฉื Cutibacterium acnes (C. acnes) โ€Ž
  • ื ืงื‘ื•ื‘ื™ื•ืช ืกืชื•ืžื•ืช
  • ื™ื™ืฆื•ืจ ื—ึตืœึถื‘ (ืฉื•ืžืŸ) ื”ืžืชื•ื•ืš ืขืœ-ื™ื“ื™ ื”ื•ืจืžื•ื ื™ื 

ืืžื ื ืœืจื•ื‘ ื‘ื ื™ ื ื•ืขืจ ื”ื ืฉืกื•ื‘ืœื™ื ืžืืงื ื”, ืืš ื”ืชื•ืคืขื” ื”ื–ื• ืื™ื ื” ื ื“ื™ืจื” ื’ื ื‘ืงืจื‘ ืžื‘ื•ื’ืจื™ื, ื•ื’ื ื™ืœื“ื™ื ื™ื›ื•ืœื™ื ืœืคืชื— ืืงื ื”. ืžืขืจื™ื›ื™ื ื›ื™ ื‘ืืจืฆื•ืช ื”ื‘ืจื™ืช ื›-50 ืžื™ืœื™ื•ืŸ ืื ืฉื™ื ืกื•ื‘ืœื™ื ืžืืงื ื”.

ื™ืฉ ืžื’ื•ื•ืŸ ื“ืจื›ื™ื ืœื˜ืคืœ ื‘ืืงื ื”, ื‘ื”ืชืื ืœื—ื•ืžืจืชื•. ืชื›ืฉื™ืจ ื ื™ืงื•ื™ ืจืคื•ืื™ ื”ื ืžื›ืจ ื‘ื—ื ื•ื™ื•ืช ื™ื›ื•ืœ ืœื”ืกืคื™ืง ืœื˜ื™ืคื•ืœ ื‘ืืงื ื” ืงืœ, ื•ืื™ืœื• ื‘ืžืงืจื™ื ืงืฉื™ื ื™ื•ืชืจ ืœืขืชื™ื ืงืจื•ื‘ื•ืช ื ื“ืจืฉ ื‘ื™ืงื•ืจ ืืฆืœ ืจื•ืคื ืขื•ืจ ื›ื“ื™ ืœืงื‘ืœ ืชืจื•ืคื•ืช ืžืจืฉื. ื‘ืชื•ืจ ืจื•ืคืืช ืขื•ืจ ืžื•ืกืžื›ืช, ืื ื™ ืจื•ืื” ื‘ืžืจืคืื” ืฉืœื™ ืืช ื›ืœ ืžื’ื•ื•ืŸ ื”ืกื•ื‘ืœื™ื ืžืืงื ื”, ื•ืื ื™ ืžืžืœื™ืฆื” ื‘ืื•ืคืŸ ืขืงื‘ื™ ืขืœ ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื›ืื—ื“ ื”ืžืจื›ื™ื‘ื™ื ื”ื™ืขื™ืœื™ื ื‘ื™ื•ืชืจ ืœืžืœื—ืžื” ื‘ืืงื ื”. 

ื‘ืžืืžืจ ื”ื–ื” ืืกื‘ื™ืจ ืœื›ื ื‘ืคื™ืจื•ื˜ ืขืœ ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ โ€” ืื™ืš ื”ื•ื ืขื•ื‘ื“, ืžื” ื”ื™ืชืจื•ื ื•ืช ื”ืคื•ื˜ื ืฆื™ืืœื™ื™ื ืฉืœื•, ื•ืื™ืš ื ื™ืชืŸ ืœืฉืœื‘ ืื•ืชื• ื‘ืฉื’ืจืช ื˜ื™ืคื•ื— ื”ืขื•ืจ ืฉืœื›ื. ื™ื™ืชื›ืŸ ืฉืชื•ืคืชืขื• ืœื’ืœื•ืช ืขืœ ื”ื“ืจื›ื™ื ื”ืจื‘ื•ืช ื‘ื”ืŸ ื ื™ืชืŸ ืœืฉืœื‘ ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“, ืžืขื‘ืจ ืœื˜ื™ืคื•ืœ ื‘ืืงื ื”! 

ืžื”ื• ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“?

ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื”ื•ื ื—ื•ืžืจ ืื ื˜ื™-ื‘ืงื˜ืจื™ืืœื™ ืžื•ึผื›ึผืจ ืœืฉื™ืžื•ืฉ ื—ื™ืฆื•ื ื™ ืฉืื•ืฉืจ ืขืœ-ื™ื“ื™ ืžื ื”ืœ ื”ืžื–ื•ืŸ ื•ื”ืชืจื•ืคื•ืช ื”ืืžืจื™ืงืื™ ืœื˜ื™ืคื•ืœ ื‘ืืงื ื” ืงืœ ืขื“ ื‘ื™ื ื•ื ื™. ื”ื•ื ื ืžื›ืจ ืœืœื ืžืจืฉื (ืื™ืŸ ืฆื•ืจืš ื‘ื‘ื™ืงื•ืจ ืจื•ืคื!), ื•ื–ื” ืื—ื“ ื”ืžืจื›ื™ื‘ื™ื ื”ื ื’ื™ืฉื™ื ื•ื”ืžืฉืชืœืžื™ื ื‘ื™ื•ืชืจ ืœื˜ื™ืคื•ืœ ื‘ืืงื ื”. ื”ื•ื ืžื’ื™ืข ื‘ืžื’ื•ื•ืŸ ืจื™ื›ื•ื–ื™ื, ืž-2.5% ืขื“ 10%, ื•ื ื™ืชืŸ ืœืžืฆื•ื ืื•ืชื• ื‘ืชื›ืฉื™ืจื™ื ื‘ืฆื•ืจืช ื’'ืœ, ืงืจื, ืชื—ืœื™ื‘, ืงืฆืฃ, ืชืžื™ืกื”, ืกื‘ื•ืŸ ื ื™ืงื•ื™ ืื• ืชืจื—ื™ืฅ. 

ืœื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ืœืฉื™ืžื•ืฉ ื—ื™ืฆื•ื ื™ ื™ืฉ ืคืขื™ืœื•ืช ืื ื˜ื™-ื‘ืงื˜ืจื™ืืœื™ืช ื ื’ื“ C. acnes, ื—ื™ื™ื“ืง ื—ืฉื•ื‘ ื”ืžืขื•ืจื‘ ื‘ื”ืชืคืชื—ื•ืช ืฉืœ ืืงื ื”. ื”ื—ื™ื™ื“ืง ื”ื–ื” ื—ื™ ืขืœ ื”ืขื•ืจ ื•ื‘ืชื•ืš ื–ืงื™ืงื™ ื”ืฉื™ืขืจ. ื ื™ืชืŸ ืœื”ืฉืชืžืฉ ื‘ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ืœื‘ื“ื•, ืืš ื”ื•ื ื™ืขื™ืœ ื™ื•ืชืจ ื‘ืฉื™ืœื•ื‘ ืขื ื˜ื™ืคื•ืœื™ื ืื—ืจื™ื ื ื’ื“ ืืงื ื”, ื›ืžื• ืชื›ืฉื™ืจื™ื ืื ื˜ื™ื‘ื™ื•ื˜ื™ื™ื ื•ืจื˜ื™ื ื•ืื™ื“ื™ื ืœืฉื™ืžื•ืฉ ื—ื™ืฆื•ื ื™. 

ืžื”ื ื”ื™ืชืจื•ื ื•ืช ืฉืœ ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“?

ื™ืฉ ืœื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื™ืชืจื•ื ื•ืช ืจื‘ื™ื ืœืขื•ืจ, ืืš ื”ื•ื ืžื•ึผื›ึผืจ ื‘ืžื™ื•ื—ื“ ื‘ื–ื›ื•ืช ื™ื›ื•ืœืชื• ืœื”ื™ืœื—ื ื‘ืืงื ื”. ืœืื—ืจ ืฉื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื ืกืคื’ ื‘ืขื•ืจ, ื”ื•ื ืžื•ืžืจ ืœื—ื•ืžืฆื” ื‘ื ื–ื•ืื™ืช ื•ืžืฉื—ืจืจ ืชืจื›ื•ื‘ื•ืช ื—ืžืฆืŸ ืคืขื™ืœ โ€” ืžื•ืœืงื•ืœื•ืช ืœื ื™ืฆื™ื‘ื•ืช ืฉืžื›ื™ืœื•ืช ื—ืžืฆืŸ ื•ืžื’ื™ื‘ื•ืช ืชื•ืš ื–ืžืŸ ืงืฆืจ ืขื ืžื•ืœืงื•ืœื•ืช ืื—ืจื•ืช ื‘ืชืื™ื โ€” ื”ืžืคืจืงื•ืช ืืช ื”ื“ื "ื ื•ื”ื—ืœื‘ื•ื ื™ื ืฉืœ ื”ื—ื™ื™ื“ืงื™ื ืฉื’ื•ืจืžื™ื ืœืืงื ื”.  

ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ืœื ืจืง ืžื—ืกืœ ืืช ื—ื™ื™ื“ืงื™ C. acnes, ืืœื ื’ื ืขื•ื–ืจ ืœื ืงื•ืช ืืช ื”ื ืงื‘ื•ื‘ื™ื•ืช ืขืœ-ื™ื“ื™ ืกื™ืœื•ืง ืขื•ื“ืคื™ ืฉื•ืžืŸ ื•ืชืื™ ืขื•ืจ ืžืชื™ื. ืฆืžืฆื•ื ืฉืœ ื›ืžื•ืช ื”ื—ื™ื™ื“ืงื™ื ืฉื’ื•ืจืžื™ื ืœืืงื ื” ื•ืกื™ืœื•ืง ืขื•ื“ืคื™ ื”ืฉื•ืžืŸ ืžื‘ื™ืื™ื ืœืฉื™ืคื•ืจ ื”ื ืจืื” ืœืขื™ืŸ ื‘ืืงื ื”. 

ืžืขื‘ืจ ืœื›ืš ืฉื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื™ืขื™ืœ ืžืื•ื“ ืœื˜ื™ืคื•ืœ ื‘ืืงื ื” ืงืœ ืขื“ ื‘ื™ื ื•ื ื™, ื”ื•ื ืžื•ืขื™ืœ ื’ื ื‘ืžืกืคืจ ื‘ืขื™ื•ืช ืขื•ืจ ื ืคื•ืฆื•ืช ืื—ืจื•ืช:

  • ืžืคื™ื’ ืจื™ื—ื•ืช ื’ื•ืฃ ืœื ื ืขื™ืžื™ื: ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ืขื•ื–ืจ ืœื”ืคื™ื’ ืจื™ื—ื•ืช ืœื ื ืขื™ืžื™ื, ื‘ื›ืš ืฉื”ื•ื ืžื—ืกืœ ืืช ื”ื—ื™ื™ื“ืงื™ื ื”ื—ื™ื™ื ื‘ืื–ื•ืจื™ื ื”ืžื™ื•ื–ืขื™ื ื™ื•ืชืจ ืฉืœ ื’ื•ืคื ื• โ€” ื›ืžื• ื‘ื™ืช ื”ืฉื—ื™ ื•ื”ืžืคืฉืขื”.
  • ืžืงืœ ืขืœ ืชืกืžื™ื ื™ ืจื•ื–ืฆื™ืื”: ืกื•ื‘ืœื™ื ืžืจื•ื–ืฆื™ืื”? ื ืกื• ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“! ื”ื•ื›ื— ืฉื”ื•ื ืžืคื—ื™ืช ืืช ื”ืื“ืžื•ืžื™ื•ืช ื•ืืช ื”ืคืฆืขื•ื ื™ื ื”ืžืขืฆื‘ื ื™ื ืฉื”ื ืกื™ืžื ื™ ื”ื”ื™ื›ืจ ืฉืœ ืจื•ื–ืฆื™ืื” ื“ืœืงืชื™ืช.
  • ืžืงืœ ืขืœ ื’ื™ืจื•ื™ ื”ืขื•ืจ ืœืื—ืจ ื’ื™ืœื•ื— ื•ืกื•ื’ื™ ื’ื™ืจื•ื™ ืื—ืจื™ื ื‘ืขื•ืจ: ืกื•ื‘ืœื™ื ืžื’ื™ืจื•ื™ ื”ืขื•ืจ ืœืื—ืจ ื’ื™ืœื•ื—, ืฉืฉืžื• ื”ืžื“ืขื™ ื”ื•ื ืคืกืื•ื“ื•-ืคื•ืœื™ืงื•ืœื™ื˜ื™ืก ืฉืœ ื”ื–ืงืŸ? ื™ื™ืชื›ืŸ ืฉื™ืฉ ืœื›ื ื ื˜ื™ื™ื” ืœืคื•ืœื™ืงื•ืœื™ื˜ื™ืก, ื‘ืขื™ื” ื‘ื” ื–ืงื™ืงื™ ื”ืฉื™ืขืจ ื‘ื—ืœืง ื›ืœืฉื”ื• ืฉืœ ื”ื’ื•ืฃ ื ื”ื™ื™ื ืžื•ื“ืœืงื™ื ื‘ื’ืœืœ ื–ื™ื”ื•ื ื—ื™ื™ื“ืงื™, ืžื” ืฉื’ื•ืจื ืœื”ื™ื•ื•ืฆืจื•ืช ืฉืœ ืžื•ืจืกื•ืช ื•ื’ื‘ืฉื•ืฉื™ื•ืช ื•ืจื•ื“ื•ืช ื‘ืขื•ืจ. ื ื™ื—ืฉืชื ื ื›ื•ืŸ, ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื™ื›ื•ืœ ืœืขื–ื•ืจ ื’ื ื‘ื‘ืขื™ื•ืช ื”ืืœื”.

ื‘ืชื•ืจ ื‘ื•ื ื•ืก, ืžืขื•ืœื ืœื ื“ื•ื•ื— ืขืœ ืขืžื™ื“ื•ืช ืฉืœ ื—ื™ื™ื“ืงื™ื ืœื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“, ื‘ื ื™ื’ื•ื“ ืœืชืจื•ืคื•ืช ืื ื˜ื™ื‘ื™ื•ื˜ื™ื•ืช ืœืฉื™ืžื•ืฉ ื—ื™ืฆื•ื ื™, ืื•ืชืŸ ืจื•ืฉืžื™ื ืœืขืชื™ื ืงืจื•ื‘ื•ืช ืœื˜ื™ืคื•ืœ ื‘ื‘ืขื™ื•ืช ื”ื "ืœ.

ื”ืื ื™ืฉ ืชื•ืคืขื•ืช ืœื•ื•ืื™ ื‘ืฉื™ืžื•ืฉ ื‘ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“?

ืชื•ืคืขืช ื”ืœื•ื•ืื™ ื”ื ืคื•ืฆื” ื‘ื™ื•ืชืจ ืฉืœ ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื”ื™ื ื”ืœื‘ื ื” ืฉืœ ื‘ื’ื“ื™ื ืฆื‘ืขื•ื ื™ื™ื. ืขืฆื” ืฉื™ืžื•ืฉื™ืช ืžื‘ืขืœื™ ื ื™ืกื™ื•ืŸ ืœืืœื” ืฉืขื“ื™ื™ืŸ ืœื ื”ืฉืชืžืฉื• ื‘ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“: ืื—ืจื™ ืฉื˜ื™ืคืช ื”ืคื ื™ื ืื• ื”ื’ื•ืฃ ืขื ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“, ื™ื‘ืฉื• ืืช ื”ืขื•ืจ ื‘ื˜ืคื™ื—ื•ืช ืขื ืžื’ื‘ืช ืœื‘ื ื”, ื›ื“ื™ ืœื”ื‘ื˜ื™ื— ืฉืœื ื™ื•ืคื™ืขื• ืขืœื™ื” ื›ืชืžื™ื.

ื›ืžื• ืขื ืจื•ื‘ ื”ืžืจื›ื™ื‘ื™ื ื”ืคืขื™ืœื™ื ื‘ืžื•ืฆืจื™ ื˜ื™ืคื•ื— ืขื•ืจ, ืงื™ื™ื ืกื™ื›ื•ืŸ ืคื•ื˜ื ืฆื™ืืœื™ ืฉืœ ื’ื™ืจื•ื™ ืžืงื•ืžื™, ื‘ืžื™ื•ื—ื“ ืื ืฉื’ืจืช ื˜ื™ืคื•ื— ื”ืขื•ืจ ืฉืœื›ื ืžื›ื™ืœื” ืžืจื›ื™ื‘ื™ื ืคืขื™ืœื™ื ืžืจื•ื‘ื™ื. ืฉื™ืžื•ืฉ ื‘ืจื™ื›ื•ื–ื™ื ื’ื‘ื•ื”ื™ื ืฉืœ ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื™ื›ื•ืœ ืœื’ืจื•ื ืœื™ื•ื‘ืฉ ืงืœ ื•ืœืื“ืžื•ืžื™ื•ืช, ื•ื–ื• ืœื ืกื™ื‘ื” ืœื“ืื’ื” โ€”ื”ืชืกืžื™ื ื™ื ื”ืืœื” ื ืคื•ืฆื™ื, ื•ื ื™ืชืŸ ืœื”ืฉืชืœื˜ ืขืœื™ื”ื ืขืœ-ื™ื“ื™ ื”ืคื—ืชื” ืฉืœ ืชื“ื™ืจื•ืช ื”ืฉื™ืžื•ืฉ ืื• ืฉื™ืžื•ืฉ ื‘ืงืจื ืœื—ื•ืช ืœืœื™ื—ื•ื— ื”ืขื•ืจ ืœืื—ืจ ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“. 

ืืคืฉืจ ื’ื ืœื ืกื•ืช ืžื•ืฆืจ ืขื ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื‘ื’ื‘ื™ืฉื™ื ื–ืขื™ืจื™ื ื›ื“ื™ ืœืฆืžืฆื ืืช ื”ื’ื™ืจื•ื™. ื”ืžื•ืฆืจื™ื ื”ืœืœื• ืžื›ื™ืœื™ื ื—ืœืงื™ืงื™ื ืงื˜ื ื™ื ื™ื•ืชืจ ืขื ื–ืžื™ื ื•ืช ื‘ื™ื•ืœื•ื’ื™ืช ื’ื‘ื•ื”ื” ื™ื•ืชืจ ืœืขื•ืจ, ื•ื”ืชื•ืฆืื” ื”ื™ื ื—ื“ื™ืจื” ื™ืขื™ืœื” ื™ื•ืชืจ ืœืขื•ืจ.  

ื™ื™ืชื›ื ื• ืื™ื ื˜ืจืืงืฆื™ื•ืช ื‘ื™ืŸ ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ืœืจื˜ื™ื ื•ืื™ื“ื™ื ืžืกื•ื™ืžื™ื ืœืฉื™ืžื•ืฉ ื—ื™ืฆื•ื ื™, ืื ืžื•ืจื—ื™ื ืืช ืฉื ื™ ื”ืžืจื›ื™ื‘ื™ื ื‘ืื•ืชื• ื”ื–ืžืŸ. ื–ื” ื™ื‘ื™ื ืœื™ืจื™ื“ื” ื‘ืคืขื™ืœื•ืช ื”ืจื˜ื™ื ื•ืื™ื“ ื•ืœืžืขืฉื” ื™ื‘ื˜ืœ ืืช ื”ื™ืชืจื•ื ื•ืช ืฉืœื•. ื“ืจืš ืคืฉื•ื˜ื” ืœืžื ื•ืข ืืช ื”ืชื•ืคืขื” ื”ื–ื• ื”ื™ื ืœืžืจื•ื— ืืช ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื‘ื‘ื•ืงืจ ื•ืืช ื”ืจื˜ื™ื ื•ืื™ื“ ื‘ืขืจื‘.

ื”ืงืคื™ื“ื• ืœืžืจื•ื— ืžืกื ืŸ ืงืจื™ื ื” ืื ืืชื ืžื•ืจื—ื™ื ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื‘ืฉืขื•ืช ื”ื™ื•ื, ืฉื›ืŸ ื”ื•ื ืขืœื•ืœ ืœื”ื’ื‘ื™ืจ ืืช ืจื’ื™ืฉื•ืช ื”ืขื•ืจ ืœืฉืžืฉ. 

ื“ืจื›ื™ื ืœื”ืฉืชืžืฉ ื‘ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื‘ืฉื’ืจืช ื˜ื™ืคื•ื— ื”ืขื•ืจ ืฉืœื›ื

ืขื›ืฉื™ื•, ืื—ืจื™ ืฉื”ื‘ื ืชื ืืช ื”ื™ืชืจื•ื ื•ืช ืฉืœ ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“, ื”ื’ื™ืข ื”ื–ืžืŸ ืœื”ืฆื™ื’ ืืช ื”ื“ืจื›ื™ื ื‘ื”ืŸ ืชื•ื›ืœื• ืœืฉืœื‘ ืื•ืชื• ื‘ืฉื’ืจืช ื˜ื™ืคื•ื— ื”ืขื•ืจ ืฉืœื›ื. 

ื‘ืชื•ืจ ื”ืชื—ืœื”, ื‘ื•ืื• ื ืชืื ืฆื™ืคื™ื•ืช. ื™ื™ืชื›ืŸ ืฉื™ื™ื“ืจืฉื• 8 ืขื“ 12 ืฉื‘ื•ืขื•ืช ืฉืœ ืฉื™ืžื•ืฉ ืขืงื‘ื™ ื‘ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื›ื“ื™ ืœื”ื‘ื—ื™ืŸ ื‘ืฉื™ืคื•ืจ ื”ื ืจืื” ืœืขื™ืŸ ื‘ื”ืชืคืจืฆื•ื™ื•ืช ืฉืœ ืืงื ื”. ื›ืžื• ื›ืŸ, ื—ืฉื•ื‘ ืœืฆื™ื™ืŸ ื›ื™ ื”ืืกื˜ืจื˜ื’ื™ื” ื”ื™ืขื™ืœื” ื‘ื™ื•ืชืจ ืœืžืœื—ืžื” ื‘ืืงื ื” ื”ื™ื ืžื ื™ืขื”. 

ื‘ืจื’ืข ืฉื”ืขื•ืจ ืžืชื—ื™ืœ ืœื”ืชื ืงื•ืช ืžืืงื ื”, ื”ื™ืœื—ืžื• ื‘ื“ื—ืฃ ืœื—ื–ื•ืจ ืœืžื” ืฉืขืฉื™ืชื ืงื•ื“ื โ€” ืชืฆื˜ืจื›ื• ืœื”ืžืฉื™ืš ื•ืœื”ืฉืชืžืฉ ื‘ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื›ื“ื™ ืœืฉืžื•ืจ ืขืœ ื”ืชื•ืฆืื•ืช ืฉื”ืฉื’ืชื. ืฉื™ืžื•ืฉ ื‘ืชื›ืฉื™ืจ ื ื™ืงื•ื™ ื‘ืฆื•ืจืช ืงืจื ืื• ื’'ืœ ืื• ื‘ืกื‘ื•ืŸ ืœื ื™ืงื•ื™ ืคื ื™ื ืคืขื ื‘ืฉื‘ื•ืข ื™ื›ื•ืœ ืœื”ื™ื•ืช ื”ืชื—ืœื” ืžืฆื•ื™ื ืช. ื”ืฉืชืžืฉื• ื‘ืจื™ื›ื•ื– ืฉืœ 4% ืขื“ 5% ืœืขื•ืจ ื”ืคื ื™ื, ื›ื“ื™ ืœืžื ื•ืข ื™ื•ื‘ืฉ ื•ื’ื™ืจื•ื™ ืฉืœ ื”ืขื•ืจ, ื‘ืžื™ื•ื—ื“ ืื ืืชื ืจืง ืžืชื—ื™ืœื™ื ืœื”ืฉืชืžืฉ ื‘ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“.

ืœื”ืœืŸ ื”ื”ืžืœืฆื•ืช ื”ืžื•ื‘ื™ืœื•ืช ืฉืœื™ ืœืžื•ืฆืจื™ื ืขื ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ืฉืžืชืื™ืžื™ื ืœืžื’ื•ื•ืŸ ืฉื™ืžื•ืฉื™ื ื•ืœืื–ื•ืจื™ ื’ื•ืฃ ืฉื•ื ื™ื.

ืชื›ืฉื™ืจื™ ื”ื ื™ืงื•ื™ ื”ืžื•ื‘ื™ืœื™ื ืœืคื ื™ื ืขื ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“

ืชื›ืฉื™ืจื™ ื”ืจื—ืฆื” ื”ืžื•ื‘ื™ืœื™ื ืœื’ื•ืฃ ืขื ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“

ืื ื™ืฉ ืœื›ื ืืงื ื” ืขืœ ื”ื’ื• โ€” ื—ืคืฉื• ืชื›ืฉื™ืจ ื ื™ืงื•ื™ ืขื 10% ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“. ืขื•ืจ ื”ื—ื–ื” ื•ื”ื’ื‘ ืคื—ื•ืช ืจื’ื™ืฉ ืžืขื•ืจ ื”ืคื ื™ื ื•ื™ื›ื•ืœ ืœืกื‘ื•ืœ ืจื™ื›ื•ื– ื’ื‘ื•ื” ื™ื•ืชืจ, ืืฆืœ ืจื•ื‘ ื”ืื ืฉื™ื. ืœื”ืœืŸ ื”ื”ืžืœืฆื•ืช ื”ืžื•ื‘ื™ืœื•ืช ืฉืœื™ ืœืชื›ืฉื™ืจื™ ืจื—ืฆื” ืœื’ื•ืฃ ืขื ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“:

ื”ืงืจืžื™ื ื•ื”ื’'ืœื™ื ื”ืžื•ื‘ื™ืœื™ื ืœื˜ื™ืคื•ืœ ื ืงื•ื“ืชื™ ื‘ืคืฆืขื•ื ื™ื

ืื ืœืคืชืข ืฆืฆื• ืืฆืœื›ื ื›ืžื” ืคืฆืขื•ื ื™ื, ืชื•ื›ืœื• ืœื”ืฉืชืžืฉ ื‘ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื‘ืชื•ืจ ื˜ื™ืคื•ืœ ื ืงื•ื“ืชื™. ืœืžื˜ืจื” ื”ื–ื• ืื ื™ ืžืžืœื™ืฆื” ื‘ืงืจื ืื• ื’'ืœ ืœื˜ื™ืคื•ืœ ื ืงื•ื“ืชื™ ื‘ืคืฆืขื•ื ื™ื ืขื ืจื™ื›ื•ื– ื’ื‘ื•ื”, ืฉื™ื›ื•ืœื™ื ืœืขื–ื•ืจ ืœื”ื™ืคื˜ืจ ืžืคืฆืขื•ื ื™ื ื‘ื•ื“ื“ื™ื ืžื”ืจ ื™ื•ืชืจ:

ื”ื˜ื™ืคื•ืœื™ื ื”ื ืงื•ื“ืชื™ื™ื ื”ืžื•ื‘ื™ืœื™ื ืœืขื•ืจ ืจื’ื™ืฉ

ืื ื™ืฉ ืœื›ื ืขื•ืจ ืจื’ื™ืฉ, ืขื“ื™ื™ืŸ ืชื•ื›ืœื• ืœื ืฆืœ ืืช ื”ื™ืชืจื•ื ื•ืช ืฉืœ ืชื›ืฉื™ืจื™ื ืœื˜ื™ืคื•ืœ ื ืงื•ื“ืชื™ โ€” ืื‘ืœ ื™ื™ืชื›ืŸ ืฉืชืฆื˜ืจื›ื• ืœื”ืคื—ื™ืช ืืช ื”ืจื™ื›ื•ื– ืฉืœ ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื‘ื• ืืชื ืžืฉืชืžืฉื™ื. ื‘ืžืฆื‘ื™ื ื”ืืœื”, ืื ื™ ืžืžืœื™ืฆื” ืขืœ ืชื›ืฉื™ืจื™ื ืคื—ื•ืช ื—ื–ืงื™ื ืฉืขื“ื™ื™ืŸ ื”ื•ื›ื—ื• ื›ื™ืขื™ืœื™ื ื ื’ื“ ืืงื ื”, ืœืžืฉืœ ื”ืชื›ืฉื™ืจ ืœื˜ื™ืคื•ืœ ื”ื ืงื•ื“ืชื™ ื”ื–ื” ืฉืœ Neutrogena ืขื ืจื™ื›ื•ื– 2.5%:

ื”ื˜ื™ืคื•ืœ ื”ื™ื•ืžื™ื•ืžื™ ื”ื˜ื•ื‘ ื‘ื™ื•ืชืจ ืœื›ืœ ืขื•ืจ ื”ืคื ื™ื

ืœื˜ื™ืคื•ืœ ืœื›ืœ ืขื•ืจ ื”ืคื ื™ื ืฉื™ืคื—ืชื™ ืืงื ื” ืขื ืคื—ื•ืช ื’ื™ืจื•ื™, ืื•ืชื• ื ื™ืชืŸ ืœืžืจื•ื— ื•ืœื”ืฉืื™ืจ ืœื›ืœ ื”ื™ื•ื, ืฉืงืœื• ืžื•ืฆืจ ืขื ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื‘ื’ื‘ื™ืฉื™ื ื–ืขื™ืจื™ื: 

ื“ื‘ืจื™ ืกื™ื›ื•ื

ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื”ื•ื ืžืจื›ื™ื‘ ืืžื™ืŸ ื•ื•ืชื™ืง ืœื˜ื™ืคื•ืœ ื‘ืืงื ื”, ื•ืœื ื‘ื›ื“ื™. ื‘ื–ื›ื•ืช ื”ืžื—ื™ืจ ื”ืžืฉืชืœื, ื”ื ื’ื™ืฉื•ืช ื•ืคืจื•ืคื™ืœ ืชื•ืคืขื•ืช ื”ืœื•ื•ืื™ ื”ื—ื™ื•ื‘ื™ ืฉืœื•, ืจื•ื‘ ื”ืื ืฉื™ื ื™ื›ื•ืœื™ื ืœืฉืœื‘ ืื•ืชื• ื‘ืฉื’ืจืช ื˜ื™ืคื•ื— ื”ืขื•ืจ ืฉืœื”ื ื‘ืฆื•ืจื” ื™ืขื™ืœื” ื•ื‘ื˜ื•ื—ื”. ื”ืงืคื™ื“ื• ืขืœ ื”ืขืฆื•ืช ื”ื "ืœ ืœืชื•ืฆืื•ืช ืžื™ื˜ื‘ื™ื•ืช ืขื ืžืขื˜ ืชื•ืคืขื•ืช ืœื•ื•ืื™, ืื ื‘ื›ืœืœ. 

ื‘ื™ืŸ ืฉืืชื ืจื•ืฆื™ื ืœื”ื™ืœื—ื ื‘ืืงื ื”, ื‘ืจื™ื— ื’ื•ืฃ ืœื ื ืขื™ื, ื‘ืคื•ืœื™ืงื•ืœื™ื˜ื™ืก ืื• ื‘ื›ืœ ื‘ืขื™ื” ืื—ืจืช ืขื‘ื•ืจื” ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื”ื•ื›ื— ื›ื™ืขื™ืœ, ื‘ื ื–ื•ืื™ืœ ืคืจื•ืงืกื™ื“ ื‘ื”ื—ืœื˜ ื™ื›ื•ืœ ืœืขื–ื•ืจ! ืื ืืชื ืขื“ื™ื™ืŸ ืžืชืงืฉื™ื ืœื”ื™ืคื˜ืจ ืžื”ื‘ืขื™ื”, ื”ื™ืจืฉืžื• ืœื‘ื™ืงื•ืจ ืืฆืœ ืจื•ืคื ืขื•ืจ ื›ื“ื™ ืœืงื‘ืœ ื”ื ื—ื™ื•ืช ื ื•ืกืคื•ืช ืœื”ืฉื’ืช ื”ื™ืขื“ื™ื ืฉืœื›ื ื‘ื˜ื™ืคื•ื— ื”ืขื•ืจ.    

ื”ืคื ื™ื•ืช:

  1. Carley, AC, Stratman, EJ, Lesher, JL Jr, McConnell, RC. โ€œAntimicrobial Drugs.โ€ Dermatology. 4th ed, 2017. Elsevier. 2215-2241.
  2. Eady EA, Bojar RA, Jones CE, et al. The effects of acne treatment with a combination of benzoyl peroxide and erythromycin on skin carriage of erythromycin-resistant propionibacteria. Br J Dermatol. 1996;134:107โ€“113.
  3. Matin T, Goodman MB. Benzoyl Peroxide. In: StatPearls. Treasure Island (FL): StatPearls Publishing; October 10, 2022.
  4. Zaenglein AL, Pathy AL, Schlosser BJ, et al. Guidelines of care for the management of acne vulgaris, J Am Acad Dermatol. 2016; 74(5): 945-973.

โ€‹ื›ืชื‘ ื•ื™ืชื•ืจ:โ€‹ ืžืจื›ื– ื”ื‘ืจื™ืื•ืช ื”ื–ื” ืœื ื ื•ืขื“ ืœืื‘ื—ืŸ,,, โ€‹ื”ืฆื’ ืขื•ื“