Derma Health

Записи с меткой «Acne»

The treatment options for acne have increased dramatically in recent years, but acne remains a disease with a chronic nature. Acne does not disappear from one day to another. Most acne treatments are designed to calm down until eventually the acne heals. Even the milder forms of acne generally ask prolonged attention. A standard treatment for acne, however. Depending on the severity of acne, the type of acne, skin type, age and gender will be a means of enabling the treatment will be started. Since not certain how one will respond to treatment and it may take some time before a plea is working, acne is a condition that requires customization. An example where acne blackheads on the ground requires a different approach than one with predominantly inflammatory acne symptoms.

There is a sort of fixed sequence in which one starts with resources, such as creams, lotions directly on the skin should be made, then finally with antibiotics and other medicines for internal use. In most cases, one local, external treatment, but severe oral medication will be taken. The review contains a general comment after the treatment depending on the degree of acne treatment.
Washing of the skin for treatment

In any form of acne is important but the skin gently cleaned with mild soap and lukewarm water. After washing the skin should be wiped gently but gedept to be dry to prevent damage from the acne. Excessive washing with soap and water is useless and even harmful to the skin. After washing the skin is ready for making drugs.
Light Acne Treatment

Mild forms of acne treated by lotions and creams to put on the skin. Some of these drugs without prescription at the pharmacy to pharmacy or be bought. The drugs used in this degree of Acne be used as the function hyperkeratosis disorder and thus closing the drain current of sebum to counteract.

One of the most used tool in the form of benzoyl peroxide gel at a pharmacy and drugstores under various brand names available. By using benzoyl peroxide flake the horny layer of the skin, making the content of the pimples may come out easily. In addition, benzoyl peroxide also inhibit bacterial properties, which means it is suitable for use with an acne pimples and acne with a mild inflammation. The disadvantage of this means is that many people Benzoyl hypersensitivity reaction of the skin caused. Also cause products containing benzoyl peroxide in contact with textiles colored spots appeared. Given the hypersensitivity reaction is advisable to first start with once a day to make this plea. If the appropriate gel or cream is well tolerated, the strength / concentration may be increased.

There are other resources that can be used for the same purpose. Of the other funds, which go against the hyperkeratosis disorder called salicylic acid, resorcinol, sulfur and only prescription cream containing vitamin A acid.
Treatment of moderate forms of acne

Does treatment with above mentioned resources are not the desired result or is there more serious inflammation then you take the antibiotics to reduce the number of bacteria. Antibiotics can reduce the inflammation, but its impact is only visible after 1 to 2 months. Antibiotics that are externally applied erythromycin and clindamycin. The external antibiotics are becoming less used, because the bacteria are becoming desensitized to this treatment.

Erythromycin cutaneous (locally applying antibiotic)

benefits is a good choice if the therapies described for treating mild acne sufficiently effective. Both “depflacon” and available as a gel. 1-2 weeks after the initial effects are often visible. also be used during pregnancy disadvantages sometimes irritation

Clindamycin cutaneous (locally applying antibiotic)

benefits “depflacon” verkrijgbaar.na 1-2 weeks are often the first visible effects. disadvantages sometimes skin irritation. not during pregnancy

There are several oral antibiotics may be prescribed. These are powerful drugs for acne and have two modes of action. The suppression of bacterial growth and an anti-inflammatory effect. Most antibiotics are used internally tetracycline and minocycline. Women can opt for treatment with oral contraceptives. It contains two hormones: oestrodiol ethinyl estradiol (an estrogen) and Cyproterone (anti-androgen). Especially the Diane-35 ® is suitable. Including the Diane 35 reduces sebum production in the skin. If you swallow an oral contraceptive or want to swallow is a choice for Diane-35 to consider.

The use of oral antbiotica also has some potential drawbacks such as,

* A possible allergy to the respective antibiotic
* Gastro-intestinal complaints, mainly by disruption of the balance of bacteria in the intestines.
* Hypersensitivity to sunlight on the skin.
* Increased risk of candida infection.
* The contraceptive pill is less reliable by the antibiotics.

Diane-35 ®

Advantages simple to apply therapy. often very effective. well combined with other therapies. Oral contraceptives, such as Diane 35, have some drawbacks, including: increased risk of thrombosis and embolism (blood clots in the veins). Patients who ever had a thrombosis or embolism, the use of Diane-35 for the treatment of acne discouraged.

Disadvantages: risk of headache, nausea and breast pain. chance of darkening in the face (melasma).

Let your good advice by your doctor about possible side effects of antibiotics and read the leaflet carefully.

Moderate acne with blackheads above can best be fought with the following products for external use are used:

* Tretinoin,
* Adapalene,
* Azelaic acid and
* Salicylic acid.

These products are identical in terms of development. Tretinoin is the best known product. Adapalene is currently the preferred product. Adapalene gel, like tretinoin cream, a retinoid. It works about as powerful as tretinoin cream, but causes less irritation and need only be applied once daily. Adapalene can not be used during pregnancy.

For women with contraception like the pill is recommended to norgestimate

Tretinoin has the disadvantage that the results worsened in the first weeks of use by skin irritation. Only six weeks after a speedy recovery to enter. Also, the skin hypersensitivity to the Sun Is not recommended during pregnancy and lactation. Only on prescription.

Adapalene is a newly synthesized retinoid-like molecule with antiproliferative and anti-inflammatory effect. It has the same therapeutic efficacy as tretinoin, but causes less irritation. Is not recommended during pregnancy and lactation. Only on prescription.

Azelaic acid is inhibitory to bacteria and inflammatory and prevents the formation come done as tretinoin. Only on prescription.

Salicylic acid is less effective and is suggested as second choice. The effect depends on the percentage of active substance and dosage form. Is not recommended during pregnancy and lactation. Only on prescription.

Acne with papules and pustules can essentially be treated with topical benzoyl peroxide, Azelaic acid and antibiotics. Benzoyl peroxide is the first choice, but it has little effect on comedones.

The most frequent side effect of Azelaic acid is a mild erythema and skin irritation, characterized by scaling, itching and a moderate burning sensation. Normally, the twice daily in a thin layer to be applied on cleansed skin. If irritation occurs, this will be on once a day. After application, the hands are washed. Existing injuries are thus not eliminated, but it prevents the development of new lesions. It should not be used in people susceptible to contact allergy to propylene glycol. Can it be used during pregnancy. Only on prescription.

The antibiotics can be divided into topical antibiotics and oral antibiotics. The topical antibiotics clindamycin, erythromycin and tetracycline are known. The number of papules and pustules decreased. The number of comedones not. Fact is that no topical antibiotic was superior to benzoyl peroxide. Erythromycin for the topical treatment of acne can also be used by pregnant women.

Oral antibiotics are prescribed more than topical. Oral antibiotics to suppress bacterial growth and have an inflammatory effect. Using the oral antibiotic therapy is more rapid recovery than with topical antibiotics. When the antibiotic Minocycline is because one dose per day is enough, it is very effective against acne occurring in bacteria and little indigestion, the first choice. Possible side effects of this antibiotic are hyper pigmentation and severe hypersensitivity reactions. At the least side effects you should immediately contact your physician record. Second choice is Doxycycline. This antibiotic has the serious disadvantage that a hypersensitivity of the skin to sunlight occurs.

In women with a desire contraception or women who are not contra-indications for contraception or women with painful menstruation, the choice of the hormonal preparation are important for the treatment of acne. The contraceptive pill for two to four months should be given before improvement occurs, the hervalkans is not small. Sometimes years of therapy. Norgestimate pill (Cilest) is preferable because there is no increased risk of tromose described. The pill Cyproterone (Diane 35 for) is the most powerful anti-androgen but is expensive.

Generally speaking, antibiotics that:

* Benzoyl peroxide is first choice and as long as possible should be given in monotherapy. Insufficient results benzoyl peroxide can be readily combined with an oral antibiotic.
* The duration of treatment with antibiotics should be kept as short as possible.
* If further antibiotic treatment is necessary, the same antibiotic (except for loss of effectiveness) are used.
* Avoid simultaneous use of different topical and oral antibiotic.
* A good patient compliance is very important for the success of the treatment and to avoid antibiotic resistance.

Treatment of severe acne

The most severe form of acne is usually characterized by a severe form of sebum secretion. This form of acne is not only present a serious skin condition, but there is also the danger that extensive scar formation occurs. This is largely irreversible. Therefore it is usually justified to treat severe acne with a heavy tackle. Generally these treatments are carried out under supervision of a dermatologist. Very serious cases are treated with isotretinoin, the sebum production and inhibits growth of the causative bacteria. As with all powerful drugs, there are possible side effects: these range from mild to very severe. To the side an eye to keeping your doctor will want to check your blood regularly. The concentration of various fats in the blood may increase. During the treatment so try not to eat fat. Isotretinoin can not be used during pregnancy. It is therefore essential that you are not pregnant or during treatment. Isotretinoin can cause serious deformities in unborn children. Another factor to take into account is that oral contraceptives may be less reliable in combination with isotretinoin. Also, the treatment should not be combined with antibiotics in the tetracycline family (tetracycline, doxycycline, minocycline) related risk of intracranial hypertension. Finally, if your blood donor during the 1 months of treatment and after treatment give blood. The course of isotretinoin does o.h.a. 6 months. The good news is that the vast majority of acne patients is extinguished and then not come back.

In women with severe acne the pill prescribed by Cyproterone. In women who swallow the pill, a hormonal treatment should be considered with an oral anticoncepticum that inhibits acne.

Some side effects of isotretinoin include:

* Dry lips. This reaction occurs in almost everyone who used to isotretinoin. A cream for the fat lip to keep is useful (almost always occurring).
* Dry skin. A skin cream that is fat is useful, but not used in the face: this can worsen the acne again (often occurring).
* Dry eyes. Especially in people with contact lenses. Art Tears often provide outcome (often occurring).
Sunlight * Hypersensitivity (quite often acting).
* Worsening of acne symptoms during the first weeks of treatment (regularly occurring).
* Changes in mood, sometimes depression: please contact your family doctor or dermatologist (rare occurrence).
* Increase of fat in the blood (serum lipids), not to eat high fat foods during treatment (occurring quite rare).
* Night-blindness (rare occurrence)
* Joint and muscle pain (rare occurrence)
* Inflammation of the nail walls (quite rare acting)
* For a complete list of possible side effects you should consult your doctor and read the leaflet.

In severe or prolonged acne is certainly important to visit your GP who will refer you to a dermatologist, the dermatologist.
What can you do about acne
Washing

It is enough to your face once or twice a day to wash. The skin should be washed with lukewarm water. Use for washing preferably an unscented soap without dyes or tonic specially designed for washing acne. A good alternative to the soap cleansing gels. Do not use abrasive agents with, because this may worsen acne. After washing, the blotted dry skin and absolutely no scrubbing. Make sure you do not accidentally open a pimple have rubbed. If this is the case then that dep with a handkerchief or tissue paper. Note as by washing your face often with one of these resources disappear sebum from your skin. This fat does have a protective function. If the fat is washed away your skin dries out, the red, and scaly, it may even start showing cracks.
The squeezing of pimples

It is not wise to sit on your pimples. By squeezing the pimples is likely that improper squeezing operative scars. If you still can not resist the temptation it is recommended that the following points carefully to take

* Give your face first a steam bath of approximately 10 minutes, so the skin is softer, the pores are open and the steaming blackheads are easier.
* Wash your hands beforehand and use some alcohol (70 percent) to disinfect your fingertips.
* Start with this design never before a party! Chances are that your skin looks worse after that time and must recover from the pinch!

There are spots that really should be left alone. These are the red inflamed pimples. If a yellow cup on the pimple is inflamed, you can use a disinfected or sterile needle a small hole in the gall prick. The result is that the pressure is taken off the comedone and tallow can be removed. How much sebum also come out, be satisfied with. Try no more pimples sebum from the key. By pressing hard it is possible that the sebaceous gland bursts. The contents will enter the surrounding skin tissue correctly, causing inflammation in the skin may occur. This can lead to large or small scars result. Sterile needles you can buy at the pharmacy. After expressing the spots always disinfect with alcohol or sterilon.
Removing blackheads

To remove blackheads you at the drugstore buying a cheap comedone spoon. This is a spoon with a hole in the center, for sight of the black blackhead should be put. The contents of the blackhead will enter the spoon correctly. Another way is to spoon against the blackhead and then gently put uitlepelen. It is not easy and chances are that you start the surrounding skin damaged by hard pushing. Another option is to use a tissue or a piece of sterile gauze to your fingers along the black-eater trying to express. Press again not too hard and definitely not with your nails. You can ugly skin damage and infections can occur. If the blackhead is not, then let it sit. It’s really better not wait to remove the blackhead or a damaged skin to get the rest of your life.
Acne Litekens

Scars can occur at any acne, but they are mainly caused by severe forms of acne. Scars are actually areas that the body tissue to repair damage to the skin. This tissue has a different structure than that of normal skin. This is seen both as to feel. There are several ways to treat acne scars. Scars over the years may have slightly improved, but never disappear completely. We will always traces of the scars can still see. Scars may look like,

* Deep wells, especially in the face.
* Thin white paper-like scars (atrophic scars)
* Thick, horizontal scars on the skin especially on the chest and back (hypertrophic scars).

There are several treatments for acne scars slightly less striking to make. However, not all scars and not all skin types are suitable for the treatments, which will be discussed below. There are several private clinics located in the treatment of acne scars have specialized.
Treatment of acne scars

The following treatments are possible:

* Dermabrasion, in this technique the skin epidermis mechanically sanded. After healing the scars less visible.
* Chemical peeling, by applying an etching fluid, the skin removed. The connective tissue is thus deeper into the skin affected. The connective tissue is also slightly tightened, making the scars less visible.
* Laser treatment, using the laser, the epidermis layer to layer burned away. Also by this treatment attracted the connective tissue in the skin. In some cases prior to the laser cut and attached the deepest scars.
* Finally, a combination of sand blasting, tretinoinecreme and V-beam laser (EOS-method). This treatment ensures an increase in subcutaneous tissue as a positive effect on the scars may have. This safe method has the disadvantage that the results are temporary. The treatment can be repetitive.

Ask a prior opinion on these treatments with your dermatologist. As with any surgery is mainly the experience of the treating physician determines the final outcome.
Deviations in acne skin dying

If acne disappear spontaneously or after treatment, there are a red or purple discoloration of the former inflammation on the skin show. These are the characteristics of the skin that is recovering. These discolorations are postinflammatoir called erythema. This postinflammatoir erythema may eventually fade dark: post inflammatory hyper pigmentation. This is especially seen in people with dark skin. This post inflammatory hyper pigmentation, often as a cosmetic to be disturbing is frequently over the years. One can try to speed up the hyper pigmentation bleaching. This should always be supervised by a physician to ensure that the treatment “by shooting”.
Finally

Nobody likes to have pimples. One gets his shoulders and can live with, the other makes a problem and thinks that his or her happiness depends on one face with blackheads. Disheartening is that everyone at least once a remark or even worse, you uitscheldt for puistenkop tile or gravel. Do not put off and not spoil your mood by such remarks. Sooner or later the acne is really less. Learn to accept that you have acne. Someone may find themselves ugly, but another might think it quite differently. Every man has his strengths, use that. Self-confidence plays a major role. Let everyone see that you are happy with your figure, your hair, your clothes. The film stars head is finally not guarantee a happy life.

Acne is the medical term for acne and it is one of the most common skin disorder in humans. Almost everybody gets in his teenage years in more or less acne. There are even people who still suffer in later life of “acne” have. Acne often starts one years before puberty to play, but shall still so little that you do not even know it. Acne or acne is most common in the face, chest and back. The skin does not look at all the same and the degree of acne can vary from person to person. In one are the only spots, the other is a severe form of Acne. Most cases of acne however, mild. The severe forms of acne can disfigure the face and major psychological problems. Mainly for psychological reasons and to avoid complications such as scars, it is important to quickly intervene in acne.

About acne are many questions and misunderstandings. Nutrition now plays a role or not? Is acne hereditary? Why have you so long sometimes suffer from “acne”? Is it a form of allergy? How can you clean your skin the best? Should you choose to take your pill with acne? How Acne scars can be treated? The following items will be taken on these questions. First, the causes of acne treatment. Subsequently, the different treatments of Acne to address them.

There are a few common disorders of the skin glands that are useful to identify. If you know how you can recognize these conditions, then you’ll know better when you go to a doctor for treatment.

Disorders of the sebaceous glands:

Blackheads (black) – These are called comedones and blackheads look like worm-like clots hydrogenated oil in a hair follicle. They commonly occur on forehead and nose. When the follicle fills with too much oil from the sebaceous glands, comedones are then formed at the opening of the follicle block. Severe forms of blackheads should be treated by a dermatologist.
Blackheads (white) – These are called milia and blackheads look like small pear-like clots on the surface, due to the stop of oil. You can blackheads across the face, and also in the neck, chest and shoulders. They are associated with skin types that have a fine texture and dry.
Acne – Acne is characterized by inflammation of the sebaceous glands due to retained secretions. Acne is most common in the face, back and chest. Simple acne spots can be treated with cleaners and treatments that are freely available, while more severe forms of acne should be treated by a dermatologist.
Seborrhea – seborrhea is a disease caused by an abnormal increase in discharge from the sebaceous glands. A greasy or shiny condition indicates the presence of seborrhea.
Asteatosis – Asteatosis is a condition of dry, scaly skin caused by a deficiency or absence of sebum (tallow). Asteatosis is common in older people and exposure to cold.
Rosacea – Rosacea is a chronic blockage of the sebaceous glands, in the first place of the cheeks and nose. This disease is characterized by redness, expansion of the blood vessels and the formation of papillae and pimples. If you think you have rosacea, then certainly to a dermatologist.

Disorders of sweat glands:

Anhidrosis – Anhidrosis is a lack of sweating is usually caused by fever or some skin diseases. Medical treatment is needed here.
Bromhidrosis – Bromhidrosis is a disease of smelly sweating, usually observed in the forearms and feet.
Hyperhidrosis – Hyperhidrosis is excessive sweating caused by heat or general body weakness. Medical treatment is required.
Miliaria rubra – Miliaria rubra is an acute inflammation of the sweat glands, characterized by small vesicles and accompanied by burning, itchy skin. This disease is caused by exposure to extreme heat.

Inflammation of the skin:

Dermatitis – Dermatitis is an inflammation of the skin that may take various forms, including sores or pimples.
Eczema – Eczema is one of inflammation, painful skin disorder in which various types of dry or wet injuries occur. Eczema may be acute or chronic and the cause is not known. For treatment must go to a doctor.
Fever Blisters – Fever blisters are caused by the Herpes Simplex virus. Separate blisters or blisters in groups that are red and swollen break, usually around or close mouth and nose. Rare fever blisters remain visible for more than one weeks. They are infectious.
Psoriasi – Psoriasis is characterized by red spots on the skin covered with scales witzilveren. You will usually psoriasis on the scalp, elbows, knees, chest and lower back. If irritation occurs, then the skin bleed. Psoriasis is not contagious.