科普專欄–薯不揀單 - 深入淺出–治理暗瘡的新方向

暗瘡對大部份人來說可謂是一道萬惡的存在，尤其是愛靚唔愛命的女士們的公敵。678Please respect copyright.ＰＥＮＡＮＡEuKOIarmRe
678Please respect copyright.ＰＥＮＡＮＡBJ0OQSvNx2
在講述暗瘡的形成之前，我們首先需要了解一下皮膚的背景資料。678Please respect copyright.ＰＥＮＡＮＡhQN6K8G5ar
678Please respect copyright.ＰＥＮＡＮＡYM64nyXf6B
678Please respect copyright.ＰＥＮＡＮＡ1Xy414c9Ty
（圖1）皮膚是人類最大的器官，它是我們一道抵禦外來物入侵的防線，同時亦提供了一個優良環境給予各式各樣的細菌及真菌成長及聚居。678Please respect copyright.ＰＥＮＡＮＡnIHn9zTJFV
678Please respect copyright.ＰＥＮＡＮＡk8m9tcPJmL
除皮膚表層外，那些細菌及真菌亦可聚居在髮囊、負責散熱的汗腺及負責分泌油脂的皮脂腺裡頭。678Please respect copyright.ＰＥＮＡＮＡhJO3RJViYR
678Please respect copyright.ＰＥＮＡＮＡ6ODDXGjYi9
678Please respect copyright.ＰＥＮＡＮＡKC909hed87
678Please respect copyright.ＰＥＮＡＮＡdFMSKfAsX2
（圖2）皮膚最外層的細胞全都是已死的細胞(Dead Cells)，學名為Enucleated keratinocytes。678Please respect copyright.ＰＥＮＡＮＡqKdQVu3ISI
678Please respect copyright.ＰＥＮＡＮＡngYbdXzD1e
這些已死的細胞會不斷脫落，大概每日總共會脫落50億這些已死的細胞，而下層已死的細胞會逐漸補上，日復如是。678Please respect copyright.ＰＥＮＡＮＡelgpOUjboe
678Please respect copyright.ＰＥＮＡＮＡg4ODpa9ad6
678Please respect copyright.ＰＥＮＡＮＡtaZACDwyDl
678Please respect copyright.ＰＥＮＡＮＡjkEtMmauuL
（圖3）暗瘡的形成，與那些表層細胞有著莫大的關係。678Please respect copyright.ＰＥＮＡＮＡh9rcDs60Kj
678Please respect copyright.ＰＥＮＡＮＡvXf0Xxsmln
以下為形式暗瘡的簡略三步曲：678Please respect copyright.ＰＥＮＡＮＡnEhlXQ1QD3
678Please respect copyright.ＰＥＮＡＮＡly4a0mnLd5
1.皮膚表面已死細胞脫落到髮囊裡頭。678Please respect copyright.ＰＥＮＡＮＡTamxblCqgY
678Please respect copyright.ＰＥＮＡＮＡ9yMdy3JURT
2.皮脂腺釋出油脂，因已死細胞阻窒通道，導致油脂無法離開，久而久之便成為黑頭。678Please respect copyright.ＰＥＮＡＮＡj9cMgAtCY9
678Please respect copyright.ＰＥＮＡＮＡpxKnzBSJuz
3.聚居在油脂腺的細菌分解油脂為更簡單結構的油脂物，而這些油脂物觸動發炎反應，造就暗瘡的誕生。678Please respect copyright.ＰＥＮＡＮＡBwYHf2Ocvm
678Please respect copyright.ＰＥＮＡＮＡARVSNVV6wI
678Please respect copyright.ＰＥＮＡＮＡzQhVH99kim
678Please respect copyright.ＰＥＮＡＮＡPYP1UJPbY0
（圖4）青春期荷爾蒙作怪，油脂分泌特別旺盛，所以年青人特別容易生暗瘡。678Please respect copyright.ＰＥＮＡＮＡGO37XTg1hi
678Please respect copyright.ＰＥＮＡＮＡGib9AQoSoM
但是，有些人就算做足日常護理都會特別容易生暗瘡，而有些不愛日常臉部護理的懶鬼就死都唔會生暗瘡，裡頭究竟是甚麼原因呢？678Please respect copyright.ＰＥＮＡＮＡrIwYUbXxRd
678Please respect copyright.ＰＥＮＡＮＡnyt9ymQwVm
678Please respect copyright.ＰＥＮＡＮＡiUHkTXderm
678Please respect copyright.ＰＥＮＡＮＡBXLXm0oCVC
（圖5）大量的研究指出，Cutibacterium acnes (C. acnes)是人體皮膚最常見且數量眾多的一種細菌，亦是暗瘡促成的元兇。678Please respect copyright.ＰＥＮＡＮＡw39cA91XKS
678Please respect copyright.ＰＥＮＡＮＡfSlNKmA9bK
易生暗瘡以及不易生暗瘡的人，C. acnes 數量並沒有太大的分別，但品種上有著一道顯著的分別。678Please respect copyright.ＰＥＮＡＮＡBxpl5zZghh
678Please respect copyright.ＰＥＮＡＮＡKp30ivQkRe
易生暗瘡人皮膚上的C. acnes 品種更有效率代謝皮脂腺所釋出的油脂，亦即是更容易促成發炎反應形成暗瘡。678Please respect copyright.ＰＥＮＡＮＡZjdluW14G8
678Please respect copyright.ＰＥＮＡＮＡjEYHcVJcZX
678Please respect copyright.ＰＥＮＡＮＡJqFqo8X9Dt
678Please respect copyright.ＰＥＮＡＮＡaQ9Caj7D37
（圖6）現時治理暗瘡的手法大多會用上benzoyl peroxide或retinoic acid，目的是刺激皮膚及減低油脂的分泌。678Please respect copyright.ＰＥＮＡＮＡGnYlbUMFnG
隨著科技的進步及對皮膚細菌的認識，科學界有著思想上的轉變，認為改變皮膚上的細菌群組才是對付暗瘡治標且治本的方法。678Please respect copyright.ＰＥＮＡＮＡvFDSdmqNiI
678Please respect copyright.ＰＥＮＡＮＡvtBjvrwIhx
現時只至有三種治理暗瘡的嶄新手段正進行臨床階段之中。678Please respect copyright.ＰＥＮＡＮＡFieyzpwmop
678Please respect copyright.ＰＥＮＡＮＡJjFDsC9Imc
1.把不易生暗瘡的人皮膚表面上的C. acnes放到易生暗瘡人士上，企圖以良幣消除劣幣的方式取代舊有的C. acnes。678Please respect copyright.ＰＥＮＡＮＡKo5TIwOBDZ
678Please respect copyright.ＰＥＮＡＮＡVSLTQoEZqu
2.把失去化謝油脂能力的C. acnes取代舊有的C. acnes。678Please respect copyright.ＰＥＮＡＮＡfYZ2YciyrM
678Please respect copyright.ＰＥＮＡＮＡHywflAAhW5
3.把懂得釋放抑制發炎化應化學物的C. acnes取代舊有的C. acnes。678Please respect copyright.ＰＥＮＡＮＡXjnx6ivxGk
678Please respect copyright.ＰＥＮＡＮＡPknSGLTubV
今年的十月相信會有這些臨床研究的進一步結果的分析，但願這種治療方式會為暗瘡人士帶來一股新希望。678Please respect copyright.ＰＥＮＡＮＡrQ5u3qXSp8
678Please respect copyright.ＰＥＮＡＮＡZqcl4UEWEc
678Please respect copyright.ＰＥＮＡＮＡJAvHqfBBTu
如果想我快啲出文的話，請入去Penana網站科普專欄–薯不揀單俾一個like以及Bookmark，這對我非常之重要。678Please respect copyright.ＰＥＮＡＮＡlSJqKqGA91
678Please respect copyright.ＰＥＮＡＮＡauCVwpOpRY
Link: https://www.penana.com/story/66244/%E7%A7%91%E6%99%AE%E5%B0%88%E6%AC%84-%E8%96%AF%E4%B8%8D%E6%8F%80%E5%96%AE/toc678Please respect copyright.ＰＥＮＡＮＡjNMGMHR0c7
678Please respect copyright.ＰＥＮＡＮＡb4jiALRzXt
同時亦可以在Penana網站裡按「買一嚿/半嚿薯仔」，以課金的方式推動我繼續搜羅資料寫文，多謝。678Please respect copyright.ＰＥＮＡＮＡi254t0Jfah
678Please respect copyright.ＰＥＮＡＮＡ2bxeP8dA8O
Link:678Please respect copyright.ＰＥＮＡＮＡxVtD2wUNbD
https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio678Please respect copyright.ＰＥＮＡＮＡp7nWkc2VUp
678Please respect copyright.ＰＥＮＡＮＡr9SMqWlrAa
678Please respect copyright.ＰＥＮＡＮＡXODhmOedFN
有興趣接收科學資訊的話，歡迎follow IG: potatopigtongue。