이마에 대량의 여드름이
생겨서 낫지 않는다…원인과 치료법
野田 真史 (피부과의사 /피부의 건강가이드)
■이마의 여드름 원인……모공의 막힘, 호르몬밸런스, 수면부족, 화장품 등
![おでこのニキビ](data:image/png;base64,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)
수면부족이나 피로, 스트레스 등도 원인으로 만들어지는
이마의 여드름。올바른 치료방법을 알아둡시다.
이마의
여드름의 원인에는, 모공의 막힘, 피지(皮脂)가 쌓여서 일어나는 염증, 애크니균의
증식, 호르몬의 영향 등을 들 수 있습니다. 수면부족이나
피로 등 불규칙한 생활이 원인이 되는 일도 있으므로, 규칙적인 생활을 염두에 둡시다. 피부에 맞지 않는 화장품이나 자외선차단제를 바름으로써, 새로 여드름이
만들어져 버리는 경우도 있습니다.
별안간
이마에 여드름이 생기면 스트레스가 원인인가 하고 생각하는 사람도 있는 것 같습니다만, 그런 경우도 있겠지요. 스트레스는 여드름에만 국한되지 않고, 다양한 피부병을 악화시키는
인자(因子)라고 생각되고 있기 때문입니다.
어른의
이마 여드름도, 중학생・고교생
등의 사춘기에 생기는 이마의 여드름도, 기본적인 원인은 같습니다. 그러나
사춘기는 가장 여드름이 생기는 빈도가 높은 연대로, 호르몬밸런스의 붕괴도 일어나기 쉽기 때문에, 이마의 여드름도 증가하기 쉬운 시기라고 말할 수 있습니다.
■이마의 여드름을 스스로 고치는 방법・대처법……시판약, 터트려서
고름을 빼내는 방법의 옳고 그름
이마의
여드름을 피부과에 가지 않고 고치고 싶다고 생각한 경우, 시판약으로도 약간의 효과는 기대할 수 있습니다만, 처방약에 비교하면 분명히 효과는 떨어집니다. 제대로 치료하고 싶은
경우는 역시 피부과전문의의 진료를 권합니다. 여드름은 오래 끌면 색소침착을 일으키거나, 피부가 패여서 여드름자국이 되어버리거나 하므로, 조기 치료가 중요합니다.
또, 약이 아니고, 스스로 여드름을 짜서 고름을 빼내는 등 빨리 고치고
싶다고 하는 사람이 있습니다만, 여드름을 손가락이나 손톱으로 짠 경우,
염증을 일으키거나, 상처자국이 되거나, 여드름자국에
검은 색깔이 붙어버리거나, 상처가 부풀어올라 화상의 흔적처럼 되어버리거나, 다양한 Risk가 있습니다. 확실히
고름을 빼내는 것이 치료가 잘 되는 케이스는 있습니다만, 그런 경우도 피부과에서 침(針)과 전용의 기구를 사용해서 고름을 빼도록 합시다. 「여드름압출(圧出)」이라고 부르는 손재주입니다.
■피부과에서 받을 수 있는 이마의 여드름치료법
피부과에서는, 항균약(抗菌薬)의 바르는 약, Peeling의 작용이 있는 바르는 약, 항균약의 먹는 약 등을
조합해서, 보험진료로 치료를 받을 수 있습니다. 여드름에
대해서도 최근 수년에 사용할 수 있는 약의 선택지가 증가했기 때문에, 보험진료의 범위 내에서 효과적으로
치료할 수 있게 되었습니다. 보험진료로 한방약을 사용하는 일도 있습니다. 여드름이 장기화하면 색이 붙거나, 피부가 패이거나 여드름자국이 되므로, 빠른 치료가 중요합니다.
희망하는 치료가 보험진료의 범위 내에서는 어려운 경우는, 남성호르몬의
작용을 억제하는 먹는 약, 비타민A에 가까운 작용이 있는
먹는 약, 글리콜산・살리실산・유산(乳酸) 등에 의한 케미칼필링, 레이저치료 등, 보험외로 하는 치료도 효과적입니다.
또, 여드름은 가려움증이 없는 경우가 많습니다만, 가려움증을 동반하는 경우도 있습니다. 가려움증이 강한 경우에는 여드름
외에 「습진」이라는 피부병을 동반하고 있는 경우가 있습니다. 그런 경우는 다른 계통의 바르는 약이 필요한
경우도 있으므로, 피부과의 진료를 받읍시다.
이마의 여드름이 대량으로 생겨서 낫지 않는 경우, 시판약만으로의
대응은 곤란합니다. 피부과의 처방전인 먹는 약과 바르는 약을 사용해서 적절히 치료하면 많은 경우는 개선할
수 있으므로, 상담하십시오.
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