– Kam probleme me njollat kafe n\u00eb l\u00ebkur\u00eb, sidomos n\u00eb fytyr\u00eb kam shum\u00eb. Ju lutem, m\u00eb thoni nga vijn\u00eb dhe si mund t\u00eb trajtohen, sepse m\u00eb shqet\u00ebsojn\u00eb shum\u00eb. Jam p\u00ebrpjekur me kremra q\u00eb jan\u00eb p\u00ebr zbardhje, por gjer tani s\u2019kan\u00eb pasur asnj\u00eb efekt, ndaj iu drejtova mjek\u00ebve tuaj. Faleminderit.
\nDr. Albana Lufi, mjeke \u2013 dermatologe: – E kuptoj shqet\u00ebsimin tuaj, ndaj po ju shpjegoj si m\u00eb posht\u00eb: Njollat kafe ose hiperpigmentimet jan\u00eb nj\u00eb gjendje e zakonshme ku l\u00ebkura b\u00ebhet m\u00eb e err\u00ebt sesa l\u00ebkura normale rreth saj, si pasoj\u00eb e prodhimit t\u00eb tep\u00ebrt t\u00eb melanin\u00ebs, pigmentit q\u00eb \u00ebsht\u00eb p\u00ebrgjegj\u00ebs p\u00ebr krijimin e ngjyr\u00ebs normale t\u00eb l\u00ebkur\u00ebs. Melanina prodhohet nga melanocitet n\u00eb shtres\u00ebn e poshtme t\u00eb epiderm\u00ebs dhe \u00ebsht\u00eb p\u00ebrgjegj\u00ebse p\u00ebr ngjyr\u00ebn e l\u00ebkur\u00ebs e t\u00eb flok\u00ebve. Melanina sh\u00ebrben p\u00ebr t\u2019u mbrojtur nga rrezet ultraviolet dhe gjendet e zhvilluar n\u00eb m\u00ebnyr\u00eb t\u00eb ndryshme n\u00eb trup. Rrezatimi ultraviolet stimulon aktivitetin e melanociteve dhe kur p\u00ebrqendrimet e tyre n\u00eb zona t\u00eb caktuara, jan\u00eb m\u00eb t\u00eb dendura e shkaktojn\u00eb hiperpigmentime, pra, njollat kafe. Njollat mund t\u00eb jen\u00eb t\u00eb p\u00ebrhapura ose t\u00eb lokalizuara kryesisht n\u00eb fytyr\u00eb dhe n\u00eb pjes\u00ebn e kurrizit dhe t\u00eb duarve. Njollat shfaqen si pasoj\u00eb e d\u00ebmtimit t\u00eb l\u00ebkur\u00ebs pas kalimit t\u00eb akne vulgaris, psoriasis, djegieve ose si pasoj\u00eb e ekspozimit ndaj kimikateve t\u00eb ndryshme, ose pas trajtimeve t\u00eb ndryshme estetike t\u00eb b\u00ebra nga persona me kualifikim jo t\u00eb duhur. Kemi edhe njolla t\u00eb mosh\u00ebs, t\u00eb cilat b\u00ebhen m\u00eb t\u00eb theksuara me rritjen e mosh\u00ebs. 90 % e personave me l\u00ebkur\u00eb t\u00eb bardh\u00eb mbi mosh\u00ebn 60 vje\u00e7, njollat nuk i kan\u00eb direkt nga procesi i plakjes, por si pasoj\u00eb e ekspozimit n\u00eb diell. Kemi njolla kafe q\u00eb shfaqen si pasoj\u00eb e ndryshimeve hormonale te grat\u00eb shtatz\u00ebna ose te femrat q\u00eb p\u00ebrdorin kontraceptiv\u00eb. Por njollat shkaktohen edhe pas p\u00ebrdorimit t\u00eb solucioneve zbardhuese t\u00eb l\u00ebkur\u00ebs. Edhe p\u00ebrdorimi i disa medikamenteve gjat\u00eb ver\u00ebs mund t\u00eb shkaktoj\u00eb shfaqjen e njollave n\u00eb l\u00ebkur\u00eb. Ka raste q\u00eb njollat jan\u00eb t\u00eb lidhura me nj\u00eb s\u00ebr\u00eb s\u00ebmundjesh t\u00eb tilla, si: S\u00ebmundja e adisonit, cushing, Acanthosis nigricans, porfiria, infeksionet mykotike etj. Lind pyetja: Si t\u00eb trajtohen njollat?
\n– Trajtimi i njollave nuk \u00ebsht\u00eb gjithmon\u00eb i leht\u00eb. N\u00eb disa raste, \u00ebsht\u00eb m\u00eb i leht\u00eb parandalimi sesa mjekimi. P\u00ebr t\u00eb pasur nj\u00eb rezultat t\u00eb mir\u00eb e t\u00eb suksessh\u00ebm trajtimi, \u00ebsht\u00eb e nevojshme s\u00eb pari nj\u00eb analiz\u00eb e detajuar e l\u00ebkur\u00ebs dhe nj\u00eb anamnez\u00eb e kujdesshme. Ndaj \u00ebsht\u00eb e domosdoshme konsulta me dermatologun, p\u00ebr t\u00eb kuptuar mir\u00eb origjin\u00ebn e problemit dhe zgjedhjen e duhur t\u00eb skem\u00ebs s\u00eb trajtimit. Trajtimi i tyre p\u00ebrfshin p\u00ebrdorimin n\u00eb vatrat hiperpigmentuese t\u00eb medikamenteve lokale t\u00eb tilla: hydroquinone, acidi jojic, alpha hydroxy acid, acidi azelaic, acidi askorbik dhe tretinoina. Procedura t\u00eb tjera me efikasitet m\u00eb t\u00eb lart\u00eb jan\u00eb edhe p\u00ebrdorimi lokal i kremrave, q\u00eb p\u00ebrfshijn\u00eb mikrodermoabrazionin, peeling kimik dhe trajtimin me lazer. P\u00ebr shembull, peelingu kimik \u00ebsht\u00eb nj\u00eb procedur\u00eb q\u00eb p\u00ebrdoret p\u00ebr t\u00eb pak\u00ebsuar dhe eliminuar rrudhat e sip\u00ebrfaqshme rreth syve, goj\u00ebs dhe n\u00eb t\u00ebr\u00ebsi, t\u00eb l\u00ebkur\u00ebs s\u00eb fytyr\u00ebs. I trajton mjaft mir\u00eb njollat dhe hiperpigmentimet n\u00eb l\u00ebkur\u00eb, l\u00ebkur\u00ebn e plakur dhe me pamje t\u00eb lodhur, shenjat e lehta dhe t\u00eb mesme t\u00eb akneve. Peelingu kimik, n\u00ebp\u00ebrmjet aplikimit t\u00eb solucioneve kryesisht acide n\u00eb p\u00ebrqindje t\u00eb ndryshme nga 30-70%, realizon eliminimin e qelizave sip\u00ebrfaq\u00ebsore t\u00eb l\u00ebkur\u00ebs dhe stimulon krijimin e nj\u00eb l\u00ebkure t\u00eb re. L\u00ebkura e re \u00ebsht\u00eb m\u00eb e l\u00ebmuar, m\u00eb e but\u00eb, e shndritshme, me m\u00eb pak rrudha. Procedura e peelingut kimik mund t\u00eb shkaktoj\u00eb m\u00eb pas p\u00ebrkoh\u00ebsisht nj\u00eb skuqje t\u00eb leht\u00eb q\u00eb zgjat zakonisht disa dit\u00eb, n\u00eb var\u00ebsi t\u00eb p\u00ebrqendrimit dhe llojit t\u00eb substanc\u00ebs se perdorur. \u00cbsht\u00eb nj\u00eb procedur\u00eb q\u00eb aplikohet pas shtatorit deri n\u00eb mars, pra, jo n\u00eb periudh\u00ebn e rrezatimit t\u00eb fort\u00eb diellor. Peelingu kimik \u00ebsht\u00eb nj\u00eb procedur\u00eb mjek\u00ebsore dhe aplikohet nga mjeku dermatolog. Para fillimit t\u00eb procedur\u00ebs, merret nj\u00eb anamnez\u00eb e holl\u00ebsishme n\u00eb lidhje me tipin dhe ndjeshmerin\u00eb e l\u00ebkur\u00ebs, alergjit\u00eb ose patologjit\u00eb e tjera n\u00eb zon\u00ebn ku do aplikohet. P\u00ebr trajtimin e hiperpigmentimeve dhe shenjave t\u00eb akneve, nevojiten 4 deri 6 seanca, me interval 2 javor. P\u00ebr t\u00eb ndihmuar n\u00eb parandalimin e hiperpigmentimeve, rekomandohet p\u00ebrdorimi rregullisht i kremrave fotombrojt\u00ebs me filt\u00ebr t\u00eb lart\u00eb. Mungesa e kremit fotombrojt\u00ebs n\u00eb periudh\u00ebn e rrezatimit diellor, qoft\u00eb edhe n\u00eb nj\u00eb dit\u00eb t\u00eb vetme, mund t\u00eb sjell\u00eb shfaqjen e hiperpigmentimeve, pra, njollave kafe n\u00eb fytyr\u00eb.<\/p>\n","protected":false},"excerpt":{"rendered":"
– Kam probleme me njollat kafe n\u00eb l\u00ebkur\u00eb, sidomos n\u00eb fytyr\u00eb kam shum\u00eb. Ju lutem, m\u00eb thoni nga vijn\u00eb dhe si mund t\u00eb trajtohen, sepse m\u00eb shqet\u00ebsojn\u00eb shum\u00eb. Jam p\u00ebrpjekur me kremra q\u00eb jan\u00eb p\u00ebr zbardhje, por gjer tani s\u2019kan\u00eb pasur asnj\u00eb efekt, ndaj iu drejtova mjek\u00ebve tuaj. Faleminderit. Dr. Albana Lufi, mjeke \u2013 dermatologe: […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[],"class_list":["post-5613","post","type-post","status-publish","format-standard","hentry","category-mjeku"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/5613","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/comments?post=5613"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/5613\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=5613"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=5613"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=5613"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}