Reporter Zhang Jiazhen
As the weather gets hotter, various health problems with the skin gradually become apparent, especially pimples. The heart of love of beauty, everyone has it, but the acne on the face will often give a big discount to the "appearance", if you do not pay attention, these pimples will also leave uneven acne pits and acne marks on the face.
Recently, with the end of the college entrance examination and the middle school entrance examination, students are looking forward to a new stage of learning with a new look, and the number of teenagers who go to the dermatology clinic of major hospitals to diagnose and treat acne has gradually increased, and how to correctly fight "acne" has become the key.
Why do you have "pox"
The scientific name of acne is acne, the cause of which is complex and is often associated with an imbalance in the proportion of androgens in the body. Irregular diet, eating too much spicy and irritating food, excessive stress, excessive staying up late, etc. will promote the formation of pimples.
Acne is a chronic inflammatory skin disease of the hair follicle sebaceous glandular unit, many people have been plagued by acne at different stages of life, especially in adolescent populations, the incidence of acne is as high as 80%, which has a great psychological and social impact on adolescents, but it can often be naturally alleviated or healed after puberty. The clinical manifestations of acne are characterized by polymorphic lesions such as acne, papules, pustules, and nodules that occur frequently on the face.
Acne is more common during adolescence. During puberty, sebaceous gland hyperplasia is active, which can easily cause blockage of the sebaceous duct, followed by the proliferation of Propionibacterium acnes, causing a series of inflammatory reactions. "Every summer vacation is the peak period for acne patients, mainly students who have completed the college entrance examination and the middle school examination." Zhao Yue, attending physician of the Plastic Surgery Hospital of Xi'an International Medical Center Hospital, said.
At present, acne is usually divided into mild, moderate and severe according to the severity of the disease, of which mild acne is manifested as sporadic to multiple blackheads, which can be accompanied by inflammatory papules; moderate acne is manifested as multiple pimples and large amounts of inflammatory papules and pustules; severe acne is in addition to acne and inflammatory papules and pustules, there are nodules, cysts, scarring.
Usually, mild acne gradually improves or even heals itself as puberty passes, but for patients with moderate to severe acne, timely treatment is critical. Zhao Yue believes that if the treatment is not timely, it may not only lead to more and more serious acne, but also may leave acne marks, acne pits, scars, etc. on the face, which will seriously affect the appearance and bring psychological problems to patients.
Because of the alias of acne, acne has always been considered a "patent" for young people, but in recent years, more and more middle-aged people have suffered from acne. Why middle-aged people also have pimples, this question confuses many people. In fact, this condition is medically known as "postpubertal acne", characterized by the onset of patients more than 25 years old, and some patients continue to 25 years of age from puberty. The onset of postpubertal acne is related to genetic factors, life stress, dietary structure, occupational characteristics, medication, internal medicine diseases and other factors. Among them, excessive consumption of spicy, greasy and sweet foods is one of the reasons for the frequent occurrence of acne. Long-term occupational exposure, such as gasoline, diesel, kerosene, and engine oil, can easily induce acne, and the incidence of acne in people who use computers for a long time is also significantly higher. In addition, in some people, acne is a skin manifestation of medical diseases, such as polycystic ovary syndrome, hyperandrogenemia, etc.
How to cure "acne"
Different age groups and different genders have different causes of acne. Ren Jianwen, deputy chief physician of the Dermatology Department of the Second Affiliated Hospital of Xi'an Jiaotong University, suggested that the causes of acne should be sought as much as possible, the severity of acne, the type of facial skin and the condition of skin barrier function should be assessed, and the methods of graded treatment and combination treatment should be adopted to formulate corresponding treatment measures.
The purpose of treatment is to control acne inflammation, shorten the course of acne, prevent and alleviate acne scars and scarring after acne, and delay the recurrence of acne. Among them, mild acne treatment is mainly used with external drugs, and the main topical drugs are adapalene gel, benzoyl peroxide gel, supramolecular salicylic acid preparations, etc., and can also be combined with medical skin care products with antibacterial effects. Severe acne is a serious type of acne that can easily cause pimples or proliferative scars, so early and timely treatment is the most effective measure.
In recent years, people often say that "brush acid" to treat acne is actually a chemical peel. Acne treatment often uses superficial chemical peels, which exfoliate and are therefore effective for acne treatment. Ren Jianwen said that the commonly used "acid" has a concentration of 35% fruit acid and 30% supramolecular salicylic acid, compared with fruit acid, supramolecular salicylic acid is lipophilic, can remove sebum at the same time, improve acne oily skin, so for acne patients supramolecular salicylic acid is a very good skin resurfacing agent. Supramolecular salicylic acid has a good effect on patients with mild acne, especially those with acne onset and oily skin. A course of 4 to 6 treatments, every 2 weeks, requires hydration, moisturizing, and sun protection after surgery. Although there will be transient erythema, dryness, desquamation, and occasional "bursting" after surgery, the final treatment results are obvious.
In addition, for acne, it is very important to maintain good living habits, a reasonable diet, adjust your mood and reasonable skin care in your life. Ren Jianwen pointed out that in daily life, we should avoid staying up late, long-term contact with computers, exposure to the sun, etc., while paying attention to facial skin cleaning, moisturizing and reducing sebum secretion; diet should avoid sweet, spicy, greasy, high-protein diet, avoid tobacco and alcohol, low-sugar diet and zinc-containing diet can improve acne; timely adjustment of mood, if necessary, through psychological counseling and biofeedback therapy, to maintain a positive and optimistic state of life; long-term oral and topical tretinoin drugs need to cooperate with medical skin care products to maintain the skin barrier. In addition, skin care products containing niacinamide, linoleic acid, linolenic acid, zinc, salicylic acid, lauric acid and other ingredients have a certain anti-inflammatory, anti-keratinizing and inhibition of sebum, and corresponding suitable skin care products can be selected according to the state of facial skin.
"Due to the chronic process of acne and the clinical characteristics of easy recurrence, mainly affected by genetic factors and androgen levels in puberty, the so-called youth, but the battle 'acne' is not stopped." Therefore, regardless of the degree of acne, maintenance therapy after a significant improvement in symptoms is necessary. Most treatments take 2 to 4 months or more. During the treatment process, it is also necessary to avoid acne-inducing factors as much as possible in life. Ren Jianwen stressed.
Source: Shaanxi Daily