Acne - Hakihaki
https://en.wikipedia.org/wiki/Acne
☆ I te 2022 Stiftung Warentest hua mai i Tiamana, he iti noa iho te pai o nga kaihoko ki a ModelDerm i nga korero mo te waea rongoa utu. relevance score : -100.0%
References
Diagnosis and treatment of acne 23062156Ko te hakihaki, te mate kiri tino noa i te United States, he raruraru kiri mumura tonu. Ko te tikanga o te maimoatanga ki te whakatika i ngā take matua e whā e pā ana ki te hakihaki: te nui o te hanga sebum, te hanga kiri kiri, Cutibacterium acnes colonization, me te hua o te mumura. He pai te whakahaere a ngā retinoids o runga i ngā whiu mumura me te kore mumura mā te aukati me te whakaiti i ngā comedones i te wā e whakatika ana i te mumura. Ko te Benzoyl peroxide, e wātea ana i runga i te kaute, he kaihoko huakita me te kore e whakatairanga i te parenga huakita. Ahakoa e mahi takitahi ana ngā patu paturopi o runga me te waha, ko te whakakotahi ki ngā retinoid o runga ka pai ake te whai huatanga. Ko te tāpiri i te benzoyl peroxide ki te rongoā paturopi ka whakaheke i te tūpono o te atete huakita. Ko te isotretinoin, kua whakaaetia mō te hakihaki nui me te pakeke, ka whakahaerehia mā te kaupapa 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 26897386Ko nga maimoatanga kaupapa noa mo te hakihaki ko te benzoyl peroxide (BP) , salicylic acid, antibiotics, combinations of antibiotics with BP, retinoids, combinations of retinoids with BP or antibiotics, azelaic acid, sulfone agents. Kua roa te rongoa paturopi waha he waahanga nui mo te maimoatanga hakihaki, ina koa mo nga keehi ngawari ki te taumaha. He pai ake te mahi ina whakamahia ki te taha o te retinoid kaupapa me te BP. Tetracycline, doxycycline, minocycline, trimethoprim/sulfamethoxazole (TMP/SMX) , trimethoprim, erythromycin, azithromycin, amoxicillin, cephalexin kua whakaatu katoa nga taunakitanga o te whai huatanga.
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 31613567I nga wa katoa ka tūtohuhia nga retinoids mo te rongoa i te hakihaki (acne). I te wa e whakamahi ana i nga patu paturopi (antibiotics) ranei, he mea nui ki te whakakotahi ki te benzoyl peroxide me te retinoids, engari mo te 12 wiki anake. Kua rahuitia a Isotretinoin mo nga mate hakihaki (acne) kino kaore ano kia aro ki etahi atu maimoatanga. Ahakoa kei reira etahi taunakitanga mo nga maimoatanga tinana penei i te whakamaarama taiaho me nga kiri matū, tae atu ki nga huarahi taapiri penei i te weriweri pi (laser therapy) me etahi momo kai, kaore i te tino mohio te whai huatanga.
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
He maha nga rangahau i titiro ki te paanga o nga momo kai ki te hakihaki (acne) ki nga turoro. I kitea e rātou ko ngā tangata whai hakihaki (acne) e kai ana i ngā kai me te iti o te taumaha glycemic (glycemic load); he iti ake ngā wāhi hakihaki (acne) ki te hunga e kai ana i ngā kai he nui te uta glycemic (glycemic index). Kua rangahau anō te miraka (milk) mō te hakihaki (acne). Te āhua nei he nui ake te pā o ētahi pūmua i roto i te miraka (milk) ki te hakihaki (acne) i te ngako (acid). Ko ētahi atu rangahau kua arotahi ki ngā waikawa momona omega‑3 (omega‑3 fatty acids) me te waikawa γ‑linoleic (γ‑linolenic acid). E tohu ana tēra pea ka whai hua te hunga whai hakihaki (acne) ki te kai i ngā ika me ngā hinu hauora hei whakanui ake i te kai o ēnei waikawa ngako (fatty acids). Ko ngā rangahau o tata nei mō te probiotic mō te hakihaki (acne) e whakaatu ana i ngā hua pai, engari me nui ake ngā rangahau hei whakapumau i ēnei kitenga moata.
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.
I roto i ngā tāngata e rua, ko ngā homoni e kīia nei ko te androgens te āhua o te wāhanga o raro, nā te mea ka nui ake te hanga o te sebum. Ko tētahi atu take nui ko te tipu nui o te huakita Cutibacterium acnes, kei runga i te kiri.
Ko ngā maimoatanga e pā ana ki te kiri kua pangia, pērā i te azelaic acid, te benzoyl peroxide, me te salicylic acid, ka whakamahia. Kei te wātea ngā antibiotics me ngā retinoids i roto i ngā hanganga ka pā ki te kiri ka tangohia e te māngai mō te maimoatanga o te hakihaki (Acne). Heoi, ka tupu pea te antibiotic resistance ki ngā antibiotics nā te rongoā. He maha ngā momo birth‑control pills ka taea te aukati i te hakihaki (Acne) i roto i ngā wahine. Ko te maimoatanga wawe me te kaha o te hakihaki (Acne) mā te whakamahi i te isotretinoin ka awhina pea ki te whakaiti i te raru mō te wā roa mō te tangata takitahi.
○ Maimoatanga
Ka taea te whakamahi whānui te gel Adapalene nā te mea ka peehia te hunanga o te sebum me te whai hua ki te pēhi i te hokinga mai o te hakihaki (Acne). Ka taea e te gel Adapalene te whakapouri i te kiri mēna ka nui rawa te tono i te tuatahi. Ko te Benzoyl peroxide me te azelaic acid, i tētahi atu ranga, ka taea te whakamahi i runga i ngā wāhi o te inflammatory acne nā te mea ka awhina i te mumu. I te nuinga o te wā, ko te maimoatanga mō te wā roa mō te 1 marama neke atu rānei e hiahiatia ana kia kitea he painga.
#Benzoyl peroxide [OXY-10]
#Adapalene gel [Differin]
#Tretinoin cream
#Minocycline
#Isotretinoin
#Topical clindamycin
#Comedone extraction