Acne - Chunusi
https://sw.wikipedia.org/wiki/Chunusi
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References
Diagnosis and treatment of acne 23062156Chunusi, hali ya kawaida ya ngozi nchini Merika, ni tatizo la ngozi linaloendelea. Matibabu yanalenga kushughulikia mambo manne makuu yanayochangia chunusi: utokaji mwingi wa sebum, mkusanyiko wa seli za ngozi, ukoloni wa Propionibacterium, na uvimbe. Retinoidi za kiwango cha juu husimamia vizuri vidonda vya uchochezi na visivyo na uchochezi kwa kuzuia na kupunguza comedones wakati wa kushughulikia uvimbe. Peroksidi ya benzoyl, inayopatikana kwenye duka, ni wakala wa kuua bakteria bila kukuza upinzani wa bakteria. Wakati antibiotiki za kimoja na za mdomo hufanya kazi peke yake, kuchanganya na retinoidi za kiwango cha juu huongeza ufanisi wao. Kuongeza peroksidi ya benzoyl kwa tiba ya antibiotiki hupunguza hatari ya upinzani wa bakteria. Isotretinoin ya mdomo, iliyoidhinishwa kwa chunusi kali na mkaidi, inasimamiwa kupitia mpango wa 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 26897386Matibabu ya kawaida ya chunusi ni pamoja na benzoyl peroxide (BP), salicylic acid, antibiotics, mchanganyiko wa antibiotics na BP, retinoids, mchanganyiko wa retinoids na BP au antibiotics, azelaic acid, na dawa za sulfone. Antibiotics ya mdomo kwa muda mrefu zimekuwa sehemu muhimu ya matibabu ya chunusi, hasa kwa kesi za wastani hadi kali. Zinapofanywa pamoja na retinoid ya mada na BP, zinafanya kazi vizuri zaidi. Tetracycline, doxycycline, minocycline, trimethoprim/sulfamethoxazole (TMP/SMX), trimethoprim, erythromycin, azithromycin, amoxicillin, na cephalexin zote zimeonyesha ushahidi wa ufanisi.
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 31613567Topical retinoids daima hupendekezwa kwa ajili ya kutibu chunazi. Unapotumia antibiotics ya kimfumo au ya juu, ni muhimu kuchanganya na benzoyl peroxide na retinoids, lakini kwa muda wa hadi wiki 12 tu. Isotretinoin imetengwa kwa ajili ya kesi kali za chunazi ambazo hazijajibu matibabu mengine. Ingawa kuna ushahidi fulani wa matibabu ya kimwili kama vile tiba ya leza na maganda ya kemikali, pamoja na mbinu za ziada kama vile sumu ya nyuki iliyosafishwa na baadhi ya vyakula, bado ufanisi wake hauna uhakika.
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
Tafiti nyingi zimeangalia jinsi vyakula mbalimbali vinavyoathiri chunusi kwa wagonjwa. Waligundua kuwa watu wenye chunusi wanaokula vyakula vyenye kiwango cha chini cha glycemic huwa na madoa machache ya chunusi ukilinganisha na wale wanaokula vyakula vyenye mzigo mkubwa wa glycemic. Maziwa pia yamehusishwa na acne. Inaonekana kwamba baadhi ya protini katika maziwa inaweza kuchangia chunusi zaidi kuliko mafuta au maudhui ya jumla ya maziwa. Utafiti mwingine umezingatia asidi ya mafuta ya omega-3 na asidi ya γ-linoleic. Inapendekeza kwamba watu wenye chunusi wanaweza kufaidika kwa kula samaki zaidi na mafuta yenye afya ili kuongeza ulaji wao wa asidi hizi za mafuta. Tafiti za hivi majuzi kuhusu dawa za kuzuia chunusi zinaonyesha matokeo ya kuahidi, lakini utafiti zaidi unahitajika ili kuthibitisha matokeo haya ya mapema.
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.
Katika jinsia zote, homoni zinazoitwa androgeni zinaonekana kuwa sehemu ya mchakato wa msingi, kwa kusababisha kuongezeka kwa uzalishaji wa sebum. Sababu nyingine ya kawaida ni ukuaji wa kupindukia wa bakteria Cutibacterium acnes, ambayo ipo kwenye ngozi.
Matibabu yanayopakwa moja kwa moja kwenye ngozi iliyoathirika, kama vile asidi ya azelaic, peroxide ya benzoyl, na asidi ya salicylic, hutumiwa kwa kawaida. Antibiotiki na retinoidi zinapatikana katika michanganyiko ambayo hutumiwa topiki na pia kinachuliwa kwa mdomo kwa ajili ya matibabu ya chunusi. Hata hivyo, upinzani wa antibiotiki unaweza kuendeleza kutokana na matumizi ya muda mrefu. Aina kadhaa za dawa za uzazi zinaweza kusaidia kuzuia chunusi kwa wanawake. Matibabu ya mapema na ya ukali kwa kutumia isotretinoin inaweza kusaidia kupunguza athari za muda mrefu kwa mgonjwa.
○ Matibabu
Gel ya Adapalene inaweza kutumika sana kwa sababu inakandamiza uzalishaji wa sebum na ina athari ya kupunguza urejesho wa chunusi. Gel ya Adapalene inaweza kusababisha mkazo wa ngozi ikiwa inatumiwa sana mwanzoni. Peroxide ya benzoyl na asidi ya azelaic, kwa upande mwingine, inaweza kutumika kwenye maeneo yaliyo na uvimbe wa chunusi kwa sababu husaidia kupunguza uvimbe. Kwa ujumla, matibabu ya muda mrefu, angalau mwezi 1, yanahitajika ili kuona athari.
#Benzoyl peroxide [OXY-10]
#Adapalene gel [Differin]
#Tretinoin cream
#Minocycline
#Isotretinoin
#Topical clindamycin
#Comedone extraction