Acne - Fuafuahttps://en.wikipedia.org/wiki/Acne
Fuafua (Acne) e tupu mai sela pa'u mate ma le suau'u mai le pa'u ua poloka ai follicles lauulu. O uiga masani o le maʻi e aofia ai ulu uliuli poʻo ulu paʻepaʻe, pimples, ma paʻu gaʻo. E matua afaina ai le paʻu ma se numera maualuga o suauʻu suauu, e aofia ai foliga, vaega pito i luga o le fatafata, ma tua. O le tino e masani ona tupu i le talavou ma aafia ai le tusa ma le 80-90% o tupulaga i le lalolagi i Sisifo. O nisi o nuu i tua latou te lipotia le maualalo o fua o siama nai lo fale gaosi oloa.

I itupa uma e lua, o hormones e taʻua o androgens e foliga mai o se vaega o le faiga faʻavae, e ala i le faʻateleina o le gaosiga o le sebum. O le isi mea masani o le tupu tele o le siama Cutibacterium acnes, lea e maua i luga o le paʻu.

Togafitiga fa'atatau tonu ile pa'u ua a'afia, e pei ole azelaic acid, benzoyl peroxide, ma le salicylic acid, e masani ona fa'aaogaina. O vaila'au fa'ama'i ma retinoids o lo'o maua i fua fa'atatau e fa'aoga i le pa'u ma ave i le gutu mo le togafitia o siama. Ae ui i lea, o le tetee atu i vailaau faʻamaʻi e mafai ona atiaʻe ona o se taunuuga o togafitiga faʻamaʻi. Ole tele o ituaiga o fuala'au fa'anatinati e mafai ona fesoasoani e puipuia le pa'u ile tama'ita'i. O togafitiga vave ma fa'amalosi ole siama ile fa'aogaina ole isotretinoin e mafai ona fesoasoani e fa'aitiitia ai le fa'alavelave umi i tagata ta'ito'atasi.

Togafitiga
E mafai ona fa'aoga lautele le gel Adapalene ona e taofiofia ai le fa'alilo o le sebum ma e iai le a'afiaga o le taofiofia o le toe fo'i mai o siama. E mafai e le gel Adapalene ona fa'afefe le pa'u pe a fa'aaoga muamua. O le Benzoyl peroxide ma le azelaic acid, i le isi itu, e mafai ona faʻaogaina i luga o nofoaga faʻamaʻi faʻamaʻi aua latou te fesoasoani i le mumū. I se tulaga lautele, o togafitiga umi o le 1 masina pe sili atu e manaʻomia e iloa ai se aafiaga.

#Benzoyl peroxide [OXY-10]
#Adapalene gel [Differin]
#Tretinoin cream

#Minocycline
#Isotretinoin
#Topical clindamycin
#Comedone extraction
☆ I le 2022 Stiftung Warentest i'uga mai Siamani, o le fa'amalieina o tagata fa'atau i ModelDerm sa na'o sina maualalo ifo nai lo fa'atalanoaga telemedicine totogi.
  • Acne i le vaega o le tino. O le pito i luga o le tino ma tua o vaega masani ia o siama.
  • alafau masani.
  • Acne e mafai ona tupu i tua. Afai e fa'afuase'i ona tupu fa'afuase'i le pa'u i tua, drug eruption e ono mafaufauina.
  • La'au muaulu masani. O le tino i le talavou e masani ona amata i le muaulu.
  • I le ogatotonu o le ata, o loʻo vaʻaia se paʻepaʻe paʻepaʻe, e le faʻafefe.
References Diagnosis and treatment of acne 23062156
Acne, o le tulaga sili ona taatele o le paʻu i le Iunaite Setete, o se faʻafitauli faifai pea o le paʻu. Togafitiga e fa'atatau i le fa'atalanoaina o mea taua e fa e mafua ai le pa'u: o le fa'atupuina o le sebum tele, fa'atupuina o le pa'u o le pa'u, Propionibacterium acnes colonization, ma fa'atupu ai le mumū. Topical retinoids e fa'atautaia lelei le fa'aleaga ma le le fa'ama'i e ala i le puipuia ma le fa'aitiitia o comedones a'o fa'atalanoaina le mumu. Benzoyl peroxide, o lo'o maua i luga o le fa'atau, o se vaila'au fa'ama'i e aunoa ma le fa'aolaina o le fa'ama'i. A'o galue na'o vaila'au fa'ama'i ma vaila'au fa'aonaponei, e fa'aopoopoina fa'atasi ma retinoids e fa'aleleia atili ai lo latou aoga. O le fa'aopoopoina o le benzoyl peroxide i vaila'au fa'ama'i e fa'aitiitia ai le lamatiaga o le tete'e i siama. Oral isotretinoin, fa'amaonia mo siama tuga ma le ma'a'a, e fa'atinoina e ala i le polokalame 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 26897386
Togafitiga fa'atūtū masani mo su'ega e aofia ai le benzoyl peroxide (BP) , salicylic acid, antibiotics, combinations of antibiotics with BP, retinoids, combinations of retinoids with BP or antibiotics, azelaic acid, sulfone agents. O vaila'au fa'ama'i gutu ua leva ona avea ma vaega taua o togafitiga fa'ama'i, aemaise lava mo fa'ama'i feololo ma ogaoga. E sili atu le aoga pe a faʻaaogaina faʻatasi ma le retinoid autu ma le BP. Tetracycline, doxycycline, minocycline, trimethoprim/sulfamethoxazole (TMP/SMX) , trimethoprim, erythromycin, azithromycin, amoxicillin, cephalexin ua fa'aalia uma fa'amaoniga o le aoga.
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 31613567
E masani ona fautuaina le retinoids mo le togafitia o siama. Pe a fa'aogaina vaila'au fa'apitoa po'o fa'ama'i, e taua le tu'ufa'atasia ma le benzoyl peroxide ma retinoids, ae na'o le 12 vaiaso. Isotretinoin o lo'o fa'aagaga mo tulaga ogaoga o siama e le'i tali atu i isi togafitiga. E ui o loʻo i ai ni faʻamaoniga mo togafitiga faʻaletino e pei o le laser togafitiga ma vailaʻau vailaʻau, faʻapea foʻi ma auala faʻapitoa e pei ole oona pi mama ma nisi meaʻai, e le o mautinoa lava lo latou aoga.
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
E tele suʻesuʻega ua vaʻavaʻai pe faʻafefea ona aʻafia meaʻai eseese i tagata mamaʻi. Na latou iloa o tagata e maua i le pa'u o lo'o 'ai mea'ai e maualalo le glycemic load e foliga mai e itiiti ni togi fa'atusa pe a fa'atusatusa i latou e 'ai mea'ai e maualuga le glycemic load. Sa su'esu'eina fo'i le susu e fa'atatau i siama. E foliga mai o nisi polotini i le susu e mafai ona sili atu le sao i siama nai lo le gaʻo poʻo le aofaʻi o meaʻai susu. O isi suʻesuʻega ua taulaʻi i omega-3 fatty acids ma le γ-linoleic acid. O lo'o fa'ailoa mai e ono manuia tagata e maua i le pa'u mai le 'ai atili o i'a ma suau'u maloloina e fa'ateleina ai lo latou taumafaina o nei ga'o. O suʻesuʻega talu ai nei i probiotics mo siama o loʻo faʻaalia ai taunuuga lelei, ae e manaʻomia nisi suʻesuʻega e faʻamaonia ai nei suʻesuʻega muamua.
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.