Acne
☆ Yng nghanlyniadau Stiftung Warentest 2022 o’r Almaen, roedd boddhad defnyddwyr â ModelDerm ond ychydig yn is nag ymgynghoriadau telefeddygaeth taledig.
Acne yn yr ardal torso. Mae rhan uchaf y torso a'r cefn yn feysydd cyffredin o acne.
References
Mae acne, y cyflwr croen mwyaf cyffredin yn yr Unol Daleithiau, yn broblem croen llidiol barhaus. Nod triniaeth yw mynd i'r afael â phedwar prif ffactor sy'n cyfrannu at acne: cynhyrchu gormod o sebum, cronni celloedd croen, cytrefu Propionibacterium acnes, a llid sy'n deillio o hynny. Mae retinoidau argroenol yn rheoli briwiau llidiol ac anlidiol yn effeithiol trwy atal a lleihau comedonau wrth fynd i'r afael â llid. Mae perocsid benzoyl, sydd ar gael dros y cownter, yn asiant bactericidal heb hyrwyddo ymwrthedd bacteriol. Er bod gwrthfiotigau argroenol a geneuol yn gweithio ar eu pen eu hunain, mae eu cyfuno â retinoidau argroenol yn gwella eu heffeithiolrwydd. Mae ychwanegu perocsid benzoyl at therapi gwrthfiotig yn lleihau'r risg o ymwrthedd bacteriol. Mae isotretinoin llafar, a gymeradwywyd ar gyfer acne difrifol ac ystyfnig, yn cael ei weinyddu trwy'r rhaglen iPLEDGE.
Acne, the most common skin condition in the United States, is a persistent inflammatory skin problem. Treatment aims at addressing four main factors contributing to acne: excessive sebum production, skin cell buildup, Propionibacterium acnes colonization, and resulting inflammation. Topical retinoids effectively manage both inflammatory and non-inflammatory lesions by preventing and reducing comedones while addressing inflammation. Benzoyl peroxide, available over-the-counter, is a bactericidal agent without promoting bacterial resistance. While topical and oral antibiotics work alone, combining them with topical retinoids enhances their effectiveness. Adding benzoyl peroxide to antibiotic therapy lowers the risk of bacterial resistance. Oral isotretinoin, approved for severe and stubborn acne, is administered through the iPLEDGE program.
Acne, the most common skin condition in the United States, is a persistent inflammatory skin problem. Treatment aims at addressing four main factors contributing to acne: excessive sebum production, skin cell buildup, Propionibacterium acnes colonization, and resulting inflammation. Topical retinoids effectively manage both inflammatory and non-inflammatory lesions by preventing and reducing comedones while addressing inflammation. Benzoyl peroxide, available over-the-counter, is a bactericidal agent without promoting bacterial resistance. While topical and oral antibiotics work alone, combining them with topical retinoids enhances their effectiveness. Adding benzoyl peroxide to antibiotic therapy lowers the risk of bacterial resistance. Oral isotretinoin, approved for severe and stubborn acne, is administered through the iPLEDGE program.
Mae triniaethau cyfoes cyffredin ar gyfer acne yn cynnwys benzoyl peroxide (BP) , salicylic acid, antibiotics, combinations of antibiotics with BP, retinoids, combinations of retinoids with BP or antibiotics, azelaic acid, sulfone agents. Mae gwrthfiotigau geneuol wedi bod yn rhan allweddol o driniaeth acne ers tro, yn enwedig ar gyfer achosion cymedrol i ddifrifol. Maent yn gweithio orau pan gânt eu defnyddio ochr yn ochr â retinoid amserol a BP. Tetracycline, doxycycline, minocycline, trimethoprim/sulfamethoxazole (TMP/SMX) , trimethoprim, erythromycin, azithromycin, amoxicillin, cephalexin wedi dangos tystiolaeth o effeithiolrwydd.
Common topical treatments for acne include benzoyl peroxide (BP), salicylic acid, antibiotics, combinations of antibiotics with BP, retinoids, combinations of retinoids with BP or antibiotics, azelaic acid, sulfone agents. Oral antibiotics have long been a key part of acne treatment, especially for moderate to severe cases. They work best when used alongside a topical retinoid and BP. Tetracycline, doxycycline, minocycline, trimethoprim/sulfamethoxazole (TMP/SMX), trimethoprim, erythromycin, azithromycin, amoxicillin, cephalexin have all shown evidence of effectiveness.
Common topical treatments for acne include benzoyl peroxide (BP), salicylic acid, antibiotics, combinations of antibiotics with BP, retinoids, combinations of retinoids with BP or antibiotics, azelaic acid, sulfone agents. Oral antibiotics have long been a key part of acne treatment, especially for moderate to severe cases. They work best when used alongside a topical retinoid and BP. Tetracycline, doxycycline, minocycline, trimethoprim/sulfamethoxazole (TMP/SMX), trimethoprim, erythromycin, azithromycin, amoxicillin, cephalexin have all shown evidence of effectiveness.
Mae retinoidau argroenol bob amser yn cael eu hargymell ar gyfer trin acne. Wrth ddefnyddio gwrthfiotigau systemig neu amserol, mae'n bwysig eu cyfuno â perocsid benzoyl a retinoidau, ond dim ond am hyd at 12 wythnos. Isotretinoin yn cael ei gadw ar gyfer achosion difrifol o acne nad ydynt wedi ymateb i driniaethau eraill. Er bod rhywfaint o dystiolaeth o driniaethau corfforol fel therapi laser a philion cemegol, yn ogystal â dulliau cyflenwol fel gwenwyn gwenyn wedi'i buro a rhai dietau penodol, mae eu heffeithiolrwydd yn ansicr o hyd.
Topical retinoids are always recommended for treating acne. When using systemic or topical antibiotics, it's important to combine them with benzoyl peroxide and retinoids, but only for up to 12 weeks. Isotretinoin is reserved for severe cases of acne that haven't responded to other treatments. While there's some evidence for physical treatments like laser therapy and chemical peels, as well as complementary approaches such as purified bee venom and certain diets, their effectiveness is still uncertain.
Topical retinoids are always recommended for treating acne. When using systemic or topical antibiotics, it's important to combine them with benzoyl peroxide and retinoids, but only for up to 12 weeks. Isotretinoin is reserved for severe cases of acne that haven't responded to other treatments. While there's some evidence for physical treatments like laser therapy and chemical peels, as well as complementary approaches such as purified bee venom and certain diets, their effectiveness is still uncertain.
Mae sawl astudiaeth wedi edrych ar sut mae gwahanol fwydydd yn effeithio ar acne mewn cleifion. Canfuwyd bod pobl ag acne sy'n bwyta bwydydd â llwyth glycemig isel yn tueddu i gael llai o smotiau acne o'u cymharu â'r rhai sy'n bwyta bwydydd â llwyth glycemig uchel. Mae llaeth hefyd wedi'i astudio mewn perthynas ag acne. Mae'n ymddangos y gallai rhai proteinau mewn llaeth gyfrannu mwy at acne na'r braster neu'r cynnwys llaeth cyffredinol. Mae ymchwil arall wedi canolbwyntio ar asidau brasterog omega-3 ac asid γ-linoleic. Mae'n awgrymu y gallai pobl ag acne elwa o fwyta mwy o bysgod ac olewau iach i gynyddu eu cymeriant o'r asidau brasterog hyn. Mae astudiaethau diweddar ar probiotegau ar gyfer acne yn dangos canlyniadau addawol, ond mae angen mwy o ymchwil i gadarnhau'r canfyddiadau cynnar hyn.
Several studies have evaluated the significance of the glycemic index of various foods and glycemic load in patients with acne, demonstrating individuals with acne who consume diets with a low glycemic load have reduced acne lesions compared with individuals on high glycemic load diets. Dairy has also been a focus of study regarding dietary influences on acne; whey proteins responsible for the insulinotropic effects of milk may contribute more to acne development than the actual fat or dairy content. Other studies have examined the effects of omega-3 fatty acid and γ-linoleic acid consumption in individuals with acne, showing individuals with acne benefit from diets consisting of fish and healthy oils, thereby increasing omega-3 and omega-6 fatty acid intake. Recent research into the effects of probiotic administration in individuals with acne present promising results; further study of the effects of probiotics on acne is needed to support the findings of these early studies.
Several studies have evaluated the significance of the glycemic index of various foods and glycemic load in patients with acne, demonstrating individuals with acne who consume diets with a low glycemic load have reduced acne lesions compared with individuals on high glycemic load diets. Dairy has also been a focus of study regarding dietary influences on acne; whey proteins responsible for the insulinotropic effects of milk may contribute more to acne development than the actual fat or dairy content. Other studies have examined the effects of omega-3 fatty acid and γ-linoleic acid consumption in individuals with acne, showing individuals with acne benefit from diets consisting of fish and healthy oils, thereby increasing omega-3 and omega-6 fatty acid intake. Recent research into the effects of probiotic administration in individuals with acne present promising results; further study of the effects of probiotics on acne is needed to support the findings of these early studies.
Yn y ddau ryw, mae'n ymddangos bod hormonau o'r enw androgenau yn rhan o'r mecanwaith sylfaenol, trwy achosi mwy o gynhyrchu sebum. Ffactor cyffredin arall yw twf gormodol y bacteriwm Cutibacterium acnes, sy'n bresennol ar y croen.
Mae triniaethau sy'n cael eu cymhwyso'n uniongyrchol i'r croen yr effeithir arnynt, fel asid azelaidd, perocsid benzoyl, ac asid salicylic, yn cael eu defnyddio'n gyffredin. Mae gwrthfiotigau a retinoidau ar gael mewn fformwleiddiadau sy'n cael eu rhoi ar y croen a'u cymryd trwy'r geg i drin acne. Fodd bynnag, gall ymwrthedd i wrthfiotigau ddatblygu o ganlyniad i therapi gwrthfiotig. Gall sawl math o bilsen rheoli geni helpu i atal acne mewn menywod. Gall triniaeth gynnar ac ymosodol o acne gan ddefnyddio isotretinoin fod yn ddefnyddiol i leihau'r cymhlethdod hirdymor ar unigolion.
○ triniaeth
Gellir defnyddio gel adapalene yn eang oherwydd ei fod yn atal y secretion o sebum ac yn cael yr effaith o atal acne rhag digwydd eto. Gall gel adapalene lidio'r croen os caiff gormod ei gymhwyso i ddechrau. Ar y llaw arall, gellir defnyddio perocsid benzoyl ac asid azelaic ar safleoedd acne llidiol oherwydd eu bod yn helpu gyda llid. Yn gyffredinol, mae angen triniaeth hirdymor o 1 mis neu fwy i weld effaith.
#Benzoyl peroxide [OXY-10]
#Adapalene gel [Differin]
#Tretinoin cream
#Minocycline
#Isotretinoin
#Topical clindamycin
#Comedone extraction