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。695Please respect copyright.ＰＥＮＡＮＡWxIsZ0JLFr
695Please respect copyright.ＰＥＮＡＮＡ8BoqpNIJcg
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。695Please respect copyright.ＰＥＮＡＮＡYNGLNOjNCG
695Please respect copyright.ＰＥＮＡＮＡBCmA9eR2FM
695Please respect copyright.ＰＥＮＡＮＡJKocFf8coh
（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。695Please respect copyright.ＰＥＮＡＮＡRCFAEYfl4w
695Please respect copyright.ＰＥＮＡＮＡVgTukcVv1u
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。695Please respect copyright.ＰＥＮＡＮＡpBIfv039pC
695Please respect copyright.ＰＥＮＡＮＡ6DDHLn2RiX
695Please respect copyright.ＰＥＮＡＮＡOUM1Esu6WF
695Please respect copyright.ＰＥＮＡＮＡdW2MmgBtIg
（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。695Please respect copyright.ＰＥＮＡＮＡILVlN1XJMj
695Please respect copyright.ＰＥＮＡＮＡdSKq66YoCw
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。695Please respect copyright.ＰＥＮＡＮＡkUNqL6UrCk
695Please respect copyright.ＰＥＮＡＮＡdEU13tMq2V
695Please respect copyright.ＰＥＮＡＮＡhH5wB2Ny9P
695Please respect copyright.ＰＥＮＡＮＡ79e93V7jww
（圖3）暗瘡的形成，與那些表層細胞有著莫大的關係。695Please respect copyright.ＰＥＮＡＮＡ7gLzaMmVtq
695Please respect copyright.ＰＥＮＡＮＡjcVtBUfkoa
以下為形式暗瘡的簡略三步曲：695Please respect copyright.ＰＥＮＡＮＡEwjHO3hRrU
695Please respect copyright.ＰＥＮＡＮＡOiDwwftD0m
1.皮膚表面已死細胞脫落到髮囊裡頭。695Please respect copyright.ＰＥＮＡＮＡovnFKutWau
695Please respect copyright.ＰＥＮＡＮＡAXLWltxx84
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。695Please respect copyright.ＰＥＮＡＮＡhhGEW3bpFp
695Please respect copyright.ＰＥＮＡＮＡPCJoUiyP2R
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。695Please respect copyright.ＰＥＮＡＮＡzSwtb643eD
695Please respect copyright.ＰＥＮＡＮＡ3ipwrIG4o2
695Please respect copyright.ＰＥＮＡＮＡR9LAAXZRKl
695Please respect copyright.ＰＥＮＡＮＡlQvVHeBku4
（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。695Please respect copyright.ＰＥＮＡＮＡWgIn6QAEsy
695Please respect copyright.ＰＥＮＡＮＡxBWSZUk23R
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？695Please respect copyright.ＰＥＮＡＮＡGaDVF9GtpE
695Please respect copyright.ＰＥＮＡＮＡee6Sph6rb9
695Please respect copyright.ＰＥＮＡＮＡDNAFoh1CDZ
695Please respect copyright.ＰＥＮＡＮＡGymO42I6Eh
（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。695Please respect copyright.ＰＥＮＡＮＡGCUBVrMnNv
695Please respect copyright.ＰＥＮＡＮＡKIwcQON8gx
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。695Please respect copyright.ＰＥＮＡＮＡuuodnv0Eyo
695Please respect copyright.ＰＥＮＡＮＡ96kefPrZPm
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。695Please respect copyright.ＰＥＮＡＮＡO8Wie1JZaa
695Please respect copyright.ＰＥＮＡＮＡiwTx1acvXH
695Please respect copyright.ＰＥＮＡＮＡuyDkstbhQL
695Please respect copyright.ＰＥＮＡＮＡLwcW6KwmS0
（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。695Please respect copyright.ＰＥＮＡＮＡTHLtIfyPrY
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。695Please respect copyright.ＰＥＮＡＮＡS5X8UzCuzY
695Please respect copyright.ＰＥＮＡＮＡ1A9EItItQ7
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。695Please respect copyright.ＰＥＮＡＮＡxxHpzqxzrM
695Please respect copyright.ＰＥＮＡＮＡ7Pu555Y6Gq
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。695Please respect copyright.ＰＥＮＡＮＡTXgVJ6LEau
695Please respect copyright.ＰＥＮＡＮＡOElqNDFCY4
2.把失去化謝油脂能力的C. acnes取代舊有的C. acnes。695Please respect copyright.ＰＥＮＡＮＡu4L7pu4MRD
695Please respect copyright.ＰＥＮＡＮＡ6hKYJkihkk
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。695Please respect copyright.ＰＥＮＡＮＡ21zpXEB4B3
695Please respect copyright.ＰＥＮＡＮＡrbenc0f8Hx
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。695Please respect copyright.ＰＥＮＡＮＡTN5GELWIKU
695Please respect copyright.ＰＥＮＡＮＡNSxOlMJuYj
695Please respect copyright.ＰＥＮＡＮＡ5peor8YaCs
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。695Please respect copyright.ＰＥＮＡＮＡZ742yRUgdn
695Please respect copyright.ＰＥＮＡＮＡ2qGTcyyHv1
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/toc695Please respect copyright.ＰＥＮＡＮＡGo14NqDEEV
695Please respect copyright.ＰＥＮＡＮＡtiYKI5xfV1
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。695Please respect copyright.ＰＥＮＡＮＡN0rGQagr1N
695Please respect copyright.ＰＥＮＡＮＡHDpDbS82yF
Link:695Please respect copyright.ＰＥＮＡＮＡhwO08SY7LK
https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio695Please respect copyright.ＰＥＮＡＮＡajB0NYthmP
695Please respect copyright.ＰＥＮＡＮＡTw512ShMDB
695Please respect copyright.ＰＥＮＡＮＡutydLrW8zQ
有興趣接收科學資訊的話，歡迎follow IG: potatopigtongue。
695Please respect copyright.ＰＥＮＡＮＡA8j3nxtG0P
