Acne: what treatment?
On average, acne begins at age 12 in girls and 13 boys. If the acne usually disappears spontaneously to 19 years, several years elapse with an unsightly skin, sometimes very difficult to cope.Treatments against acne are specific and effective. They do not cure, but significantly improve the skin condition.
Skin and acne
Acne, the most common form is acne, about 80% of adolescents and heals spontaneously by the age of 19 years in 90% of cases, leaving no scars. This condition is caused by hormonal disorders: at puberty, the sebaceous secretion, which depends on androgen (male sex hormones) and estrogens (female sex hormones) produced by the adrenal gland and testis or ovary, increased important. Sebum (oily substance secreted by sebaceous glands of the skin) accumulates, and there is also a hyperkeratosis (overproduction of keratin) and bacterial overgrowth. It occurs when inflammation of the pilosebaceous follicles, causing the formation of open comedones (blackheads) or closed (microcysts), papules, pustules (whiteheads) or nodules (lumps). Acne occurs primarily in areas of high concentration of sebaceous glands, especially on the face, neck, chest and back.
Upon the occurrence of acne, it is advisable to seek the advice of a doctor. The more buttons, more treatment will be difficult and long. Also, be aware that most acne develops early, especially if there is a notion of acne in the father, mother or brothers and sisters, the more it may be difficult to handle.
Salaries: What promises?
Today there are many treatments, administered either topically or orally. Your doctor is, after a longer or shorter, the one that suits you best. Beware, they do not permanently cure acne, but to improve or even remove the lesions. And stopping treatment, the buttons will be back. It must therefore follow very regularly and respect the dosages.
Gel, cream, lotion, ointment, soap, foam, dermatological bread, all are applied directly to the skin, which must be dry and clean. The choice depends on skintype. Generally, these treatments are given in minor to moderate forms of acneor in combination with oral therapies.
Indicated in moderate to severe acne, it is the antibiotics, zinc and isotretinoin. They Antibiotics work by killing or inhibiting the bacteria involved in inflammatory buttons. The treatment duration is at least three months, but relapse is frequent stop. It is advisable to renew the course of three months. A complementary local treatment is often associated. Zinc He also serves on the buttons inflammatory. In the absence of improvement after the first month, another treatment is considered. Isotretinoin (Roaccutane ?) Because of its limitations and its side effects, isotretinoin tablet is reserved for severe acne or with acne who resisted conventional therapies (antibiotics combined with topical treatments). This substance acts on multiple targets, the main one being the inhibition of secretion of sebum by the sebaceous gland. Treatment is started at low doses and should generally be continued over more than 6 months. Often, improvement begins at the end of the first month after an apparent worsening of the buttons at day 15. Again, there is a risk of relapse upon discontinuation of treatment.
Dry lips, eye irritation, nose bleeds, skin fragility, etc.. Its effects are not disturbing reasons for decision of treatment because the doctor can find a drug solution for supporting these symptoms: decrease the dose, eye drops, lip balm ... And last, but rarely, isotretinoin can act on liver cells or circulating fats, explaining the need for some blood work monitoring.
Isotretinoin no pregnancy!
This medication is strictly cons-indicated for pregnancy. Indeed, it can cause serious fetal malformations, imposing abortion. Thus, before initiating this treatment, the law requires:
- a pregnancy test not older than three days before treatment and every month;
- the introduction of contraception one month before treatment, and to continue at least one month after stopping treatment;
information all patients including boys (with signature mandatory) so make clear this medication must not be "past" a girlfriend.
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