Acne - Akne
https://en.wikipedia.org/wiki/Acne
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References
Diagnosis and treatment of acne 23062156L-akne, l-iktar kundizzjoni komuni tal-ġilda fl-Istati Uniti, hija problema persistenti infjammatorja tal-ġilda. It-trattament għandu l-għan li jindirizza erba 'fatturi ewlenin li jikkontribwixxu għall-akne: produzzjoni eċċessiva ta' sebum, akkumulazzjoni ta 'ċelluli tal-ġilda, kolonizzazzjoni ta' Propionibacterium acnes, u infjammazzjoni li tirriżulta. Ir-retinojdi topiċi jimmaniġġjaw b'mod effettiv kemm leżjonijiet infjammatorji kif ukoll mhux infjammatorji billi jipprevjenu u jnaqqsu l-comedoni filwaqt li jindirizzaw l-infjammazzjoni. Il-perossidu tal-benzoyl, disponibbli mingħajr riċetta, huwa aġent batteriċida mingħajr ma jippromwovi reżistenza batterjali. Filwaqt li l-antibijotiċi topiċi u orali jaħdmu waħedhom, il-kombinazzjoni tagħhom ma 'retinojdi topiċi ttejjeb l-effettività tagħhom. Iż-żieda ta 'benzoyl peroxide mat-terapija antibijotika tnaqqas ir-riskju ta' reżistenza batterjali. Isotretinoin orali, approvat għal akne severa u stubborn, huwa amministrat permezz tal-programm 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 26897386Trattamenti topiċi komuni għall-akne jinkludu benzoyl peroxide (BP) , salicylic acid, antibiotics, combinations of antibiotics with BP, retinoids, combinations of retinoids with BP or antibiotics, azelaic acid, sulfone agents. L-antibijotiċi orali ilhom parti ewlenija tat-trattament tal-akne, speċjalment għal każijiet moderati għal severi. Jaħdmu l-aħjar meta jintużaw flimkien ma 'retinojde topiku u BP. Tetracycline, doxycycline, minocycline, trimethoprim/sulfamethoxazole (TMP/SMX) , trimethoprim, erythromycin, azithromycin, amoxicillin, cephalexin kollha wrew evidenza ta’ effettività.
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 31613567Retinojdi topiċi huma dejjem rakkomandati għat-trattament tal-akne. Meta tuża antibijotiċi sistemiċi jew topiċi, huwa importanti li tgħaqqadhom ma 'benzoyl peroxide u retinojdi, iżda biss sa 12-il ġimgħa. Isotretinoin hija riservata għal każijiet severi ta 'akne li ma rrispondewx għal trattamenti oħra. Filwaqt li hemm xi evidenza għal trattamenti fiżiċi bħal terapija bil-laser u peels kimiċi, kif ukoll approċċi komplementari bħal velenu purifikat tan-naħal u ċerti dieti, l-effettività tagħhom għadha inċerta.
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
Diversi studji ħarsu lejn kif ikel differenti jaffettwa l-akne fil-pazjenti. Huma sabu li n-nies bl-akne li jieklu ikel b'tagħbija gliċemika baxxa għandhom it-tendenza li jkollhom inqas spots tal-akne meta mqabbla ma 'dawk li jieklu ikel b'tagħbija gliċemika għolja. Il-ħalib ġie studjat ukoll fir-rigward tal-akne. Jidher li ċerti proteini fil-ħalib jistgħu jikkontribwixxu aktar għall-akne mill-kontenut ta 'xaħam jew tal-ħalib ġenerali. Riċerka oħra ffukat fuq aċidi grassi omega-3 u aċidu γ-linoleic. Jissuġġerixxi li n-nies bl-akne jistgħu jibbenefikaw milli jieklu aktar ħut u żjut b'saħħithom biex iżidu l-konsum tagħhom ta 'dawn l-aċidi grassi. Studji riċenti dwar probijotiċi għall-akne juru riżultati promettenti, iżda hija meħtieġa aktar riċerka biex tikkonferma dawn is-sejbiet bikrija.
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.
Fiż-żewġ sessi, ormoni msejħa androġeni jidhru li huma parti mill-mekkaniżmu sottostanti, billi jikkawżaw żieda fil-produzzjoni ta 'sebum. Fattur komuni ieħor huwa t-tkabbir eċċessiv tal-batterju Cutibacterium acnes, li huwa preżenti fuq il-ġilda.
It-trattamenti applikati direttament fuq il-ġilda affettwata, bħall-aċidu azelaic, il-perossidu tal-benżoil, u l-aċidu saliċiliku, huma komunement użati. L-antibijotiċi u r-retinojdi huma disponibbli f'formulazzjonijiet li huma applikati fuq il-ġilda u jittieħdu mill-ħalq għat-trattament tal-akne. Madankollu, ir-reżistenza għall-antibijotiċi tista' tiżviluppa bħala riżultat tat-terapija antibijotika. Diversi tipi ta 'pilloli għall-kontroll tat-twelid jistgħu jgħinu biex jipprevjenu l-akne fin-nisa. Trattament bikri u aggressiv ta 'l-akne bl-użu ta' isotretinoin jista 'jkun ta' għajnuna biex titnaqqas il-kumplikazzjoni fit-tul fuq l-individwi.
○ Trattament
Ġell Adapalene jista 'jintuża b'mod wiesa' minħabba li jrażżan is-sekrezzjoni ta 'sebum u għandu l-effett li jrażżan ir-rikorrenza ta' l-akne. Il-ġell Adapalene jista' jirrita l-ġilda jekk jiġi applikat wisq fil-bidu. Benzoyl peroxide u azelaic acid, min-naħa l-oħra, jistgħu jintużaw fuq siti ta 'l-akne infjammatorji minħabba li jgħinu fl-infjammazzjoni. B'mod ġenerali, trattament fit-tul ta 'xahar jew aktar huwa meħtieġ biex tara effett.
#Benzoyl peroxide [OXY-10]
#Adapalene gel [Differin]
#Tretinoin cream
#Minocycline
#Isotretinoin
#Topical clindamycin
#Comedone extraction