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。455Please respect copyright.PENANAXGI4jCYzRE
455Please respect copyright.PENANAnKxHzcGnm2
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。455Please respect copyright.PENANAfmHWYJ4gQy
455Please respect copyright.PENANAL8pMJWENfy
455Please respect copyright.PENANA1CVq9ajaLH
(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。455Please respect copyright.PENANAPNzWUZDTkb
455Please respect copyright.PENANAYNIgpGbgXd
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。455Please respect copyright.PENANAkRjjbZEzer
455Please respect copyright.PENANABYv7APyc0H
455Please respect copyright.PENANAmA4zD2jl86
455Please respect copyright.PENANAiCroJIikzx
(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。455Please respect copyright.PENANA561RKRuKBJ
455Please respect copyright.PENANAAGfP7MJtxg
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。455Please respect copyright.PENANA3m4cuzgweB
455Please respect copyright.PENANASl19hXXopz
455Please respect copyright.PENANA2fExcOphjm
455Please respect copyright.PENANAqYLS2h2vQM
(圖3)暗瘡的形成,與那些表層細胞有著莫大的關係。455Please respect copyright.PENANAVC0gudHx27
455Please respect copyright.PENANAvwZVjtAnVo
以下為形式暗瘡的簡略三步曲:455Please respect copyright.PENANAXlsoa20oOB
455Please respect copyright.PENANAGe21XT37Bm
1.皮膚表面已死細胞脫落到髮囊裡頭。455Please respect copyright.PENANAIL80O0zwRb
455Please respect copyright.PENANA2OwfAXTGqI
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。455Please respect copyright.PENANAoOAJhiPbcr
455Please respect copyright.PENANA2VM5uCWrs4
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。455Please respect copyright.PENANAcCV4arOe5y
455Please respect copyright.PENANAindV9Gg9KA
455Please respect copyright.PENANAA73vbBtx8A
455Please respect copyright.PENANATDk2qRjsJ9
(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。455Please respect copyright.PENANAMnHu8nUjTv
455Please respect copyright.PENANAJ4z9zR9IDJ
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?455Please respect copyright.PENANAk3A7pH7gqr
455Please respect copyright.PENANAAayZfRQOvB
455Please respect copyright.PENANAyMjF7Hq7cu
455Please respect copyright.PENANAdDbRjtmfcu
(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。455Please respect copyright.PENANAGy6piidNJK
455Please respect copyright.PENANAaPourtUxA4
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。455Please respect copyright.PENANAl57ytgsc0I
455Please respect copyright.PENANAojWmHpRa0H
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。455Please respect copyright.PENANAEe7e4xTAT7
455Please respect copyright.PENANAijzog8Xc66
455Please respect copyright.PENANAhjRqEF77Xi
455Please respect copyright.PENANA5koH4j9Ja1
(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。455Please respect copyright.PENANAyYFYHujEKg
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。455Please respect copyright.PENANAPRfpKx4WV8
455Please respect copyright.PENANAtAZdOEemmY
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。455Please respect copyright.PENANA5R3R4nXk8G
455Please respect copyright.PENANAQoOCFR7gyv
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。455Please respect copyright.PENANAnBExi5h31N
455Please respect copyright.PENANAOYKiUSaxIM
2.把失去化謝油脂能力的C. acnes取代舊有的C. acnes。455Please respect copyright.PENANAcyc6dC3CB1
455Please respect copyright.PENANAW142l2wJBD
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。455Please respect copyright.PENANApcJphcVh7n
455Please respect copyright.PENANAW0gOKk7aZE
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。455Please respect copyright.PENANAhk0X9H3GPW
455Please respect copyright.PENANAcpCBhZ0jLk
455Please respect copyright.PENANAbjN4wWJLKJ
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。455Please respect copyright.PENANAeT5vckTBkN
455Please respect copyright.PENANAxl0Uarb2rW
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/toc455Please respect copyright.PENANA2rdPzal9mq
455Please respect copyright.PENANA10lOPQGdPY
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。455Please respect copyright.PENANARptH6yb8dD
455Please respect copyright.PENANARJP1weG14o
Link:455Please respect copyright.PENANAOrLfZawhzy
https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio455Please respect copyright.PENANAofOlYeFJ0s
455Please respect copyright.PENANAX5TwpPrNPl
455Please respect copyright.PENANAKhVJOlswOL
有興趣接收科學資訊的話,歡迎follow IG: potatopigtongue。
455Please respect copyright.PENANA8w5NRYfdqP