Acne
https://en.wikipedia.org/wiki/Acne
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References
Diagnosis and treatment of acne 23062156Tha acne, an suidheachadh craiceann as cumanta anns na Stàitean Aonaichte, na dhuilgheadas craiceann leantainneach leantainneach. Tha làimhseachadh ag amas air dèiligeadh ri ceithir prìomh nithean a tha a’ cur ri acne: cus cinneasachadh sebum, togail cheallan craiceann, tuineachadh Propionibacterium acnes, agus sèid mar thoradh air. Bidh retinoids cuspaireil gu h-èifeachdach a’ riaghladh an dà chuid leòintean sèid agus neo-sèid le bhith a’ casg agus a’ lughdachadh comedones fhad ‘s a tha iad a’ dèiligeadh ri sèid. Tha benzoyl peroxide, a tha ri fhaighinn thar-chunntair, na àidseant bactericidal gun a bhith a’ brosnachadh strì an aghaidh bacteria. Fhad ‘s a bhios antibiotaicean gnàthach is beòil ag obair leotha fhèin, bidh iad gan cur còmhla ri retinoids gnàthach a’ neartachadh an èifeachd. Le bhith a’ cur peroxide benzoyl ri leigheas antibiotic a’ lughdachadh cunnart strì an aghaidh bacteria. Tha isotretinoin beòil, a chaidh aontachadh airson acne cruaidh agus neònach, air a rianachd tron phrògram 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.
Guidelines of care for the management of acne vulgaris 26897386Am measg leigheasan gnàthach cumanta airson acne tha benzoyl peroxide (BP) , salicylic acid, antibiotics, combinations of antibiotics with BP, retinoids, combinations of retinoids with BP or antibiotics, azelaic acid, sulfone agents. Tha antibiotaicean beòil air a bhith na phrìomh phàirt de làimhseachadh acne o chionn fhada, gu sònraichte airson cùisean meadhanach gu dona. Bidh iad ag obair as fheàrr nuair a thèid an cleachdadh còmhla ri retinoid gnàthach agus BP. Tha Tetracycline, doxycycline, minocycline, trimethoprim/sulfamethoxazole (TMP/SMX) , trimethoprim, erythromycin, azithromycin, amoxicillin, cephalexin uile air fianais èifeachdais a nochdadh.
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.
Acne Vulgaris: Diagnosis and Treatment 31613567Thathas an-còmhnaidh a’ moladh retinoids cuspaireil airson a bhith a’ làimhseachadh acne. Nuair a bhios tu a 'cleachdadh antibiotics siostamach no gnàthach, tha e cudromach an cur còmhla ri benzoyl peroxide agus retinoids, ach dìreach airson suas ri 12 seachdainean. Tha Isotretinoin glèidhte airson fìor chùisean acne nach do fhreagair leigheasan eile. Ged a tha beagan fianais ann airson leigheasan corporra leithid leigheas laser agus peitean ceimigeach, a bharrachd air dòighean-obrach co-phàirteach leithid puinnsean seillean fìor-ghlan agus cuid de bhiadhan, tha an èifeachdas fhathast mì-chinnteach.
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.
Effects of Diet on Acne and Its Response to Treatment 32748305 NIH
Tha grunn sgrùdaidhean air coimhead air mar a bheir diofar bhiadhan buaidh air acne ann an euslaintich. Lorg iad gu bheil daoine le acne a bhios ag ithe biadhan le luchd ìosal glycemic buailteach a bhith nas lugha de spotan acne an taca ris an fheadhainn a bhios ag ithe biadhan le luchd àrd glycemic. Thathas cuideachd air sgrùdadh a dhèanamh air bainne co-cheangailte ri acne. Tha e coltach gum faodadh cuid de phròtainean ann am bainne barrachd a chuir ri acne na an geir no an ìre iomlan de bhainne. Tha rannsachadh eile air fòcas a chuir air searbhagan geir omega-3 agus searbhag γ-linoleic. Tha e a 'moladh gum faodadh daoine le acne buannachd fhaighinn bho bhith ag ithe barrachd èisg agus olaichean fallain gus na tha iad a' gabhail a-steach de na h-aigéid shailleil sin a mheudachadh. Tha sgrùdaidhean o chionn ghoirid air probiotics airson acne a 'nochdadh toraidhean gealltanach, ach tha feum air barrachd rannsachaidh gus na co-dhùnaidhean tràth sin a dhearbhadh.
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.
Anns an dà ghnè, tha coltas gu bheil hormonaichean ris an canar androgens mar phàirt den inneal bunaiteach, le bhith ag adhbhrachadh barrachd cinneasachadh de sebum. Is e feart cumanta eile an cus fàs anns a’ bacterium Cutibacterium acnes, a tha an làthair air a’ chraiceann.
Thathas gu tric a’ cleachdadh leigheasan a tha air an cur gu dìreach ris a’ chraiceann air a bheil buaidh, leithid searbhag azelaic, peroxide benzoyl, agus searbhag salicylic. Tha antibiotics agus retinoids rim faighinn ann an cumaidhean a tha air an cur a-steach don chraiceann agus air an toirt le beul airson làimhseachadh acne. Ach, dh’ fhaodadh cur an aghaidh antibiotics a thighinn air adhart mar thoradh air leigheas antibiotic. Faodaidh grunn sheòrsaichean de philean smachd breith cuideachadh gus casg a chuir air acne ann am boireannaich. Is dòcha gum bi làimhseachadh tràth agus ionnsaigheach air acne a’ cleachdadh isotretinoin na chuideachadh gus an duilgheadas fad-ùine air daoine fa-leth a lughdachadh.
○ làimhseachadh
Faodar gel adapalene a chleachdadh gu farsaing leis gu bheil e a ’cuir às do secretion sebum agus a’ toirt buaidh air casg a chuir air ath-chuairteachadh acne. Faodaidh gel Adapalene an craiceann a mhilleadh ma thèid cus a chuir an sàs an toiseach. Faodar benzoyl peroxide agus searbhag azelaic, air an làimh eile, a chleachdadh air làraich acne inflammatory oir tha iad a ’cuideachadh le sèid. San fharsaingeachd, tha feum air làimhseachadh fad-ùine de 1 mìos no barrachd gus buaidh fhaicinn.
#Benzoyl peroxide [OXY-10]
#Adapalene gel [Differin]
#Tretinoin cream
#Minocycline
#Isotretinoin
#Topical clindamycin
#Comedone extraction