How to leave no trace of "war pox"? Different types of acne treatments are different

Different types of acne treatments are different

Original title: Want to "war pox" without leaving traces, do not squeeze acne, pay attention to sunscreen

　　Medical Instructor / Fang Ruihua, Chief Physician, Dermatology Department, Guangzhou First People's Hospital

　　Two years ago, Xiaojie, who was still a high school student, started to have acne on his face. He just applied some ointment and found some "remedies" to deal with. But the situation on the face was getting worse. A large number of cyst nodules appeared on the face in one or two years, with serious infections. The entire face was covered with pus and thick scab, which affected the appearance and even affected his psychology. Not long ago, Xiaojie came to Guangzhou First People's Hospital for treatment, and was diagnosed with polymerized acne, which was very serious. After a series of treatments, his facial inflammation subsided. Unfortunately, due to the irregular treatment in the early stage, some concave and hypertrophic scars were left on his face.

　　Experts said that acne is not a patent for young people, and it requires different methods to deal with different types of acne. Frequent squeezing of acne can cause damage to the skin, leading to the spread of inflammation, and it is easy to leave acne marks. Washing your face alone will not solve the acne problem, but frequent face washing may worsen acne.

　　Text / Guangzhou Daily All media reporter Wu Cheng Correspondent Yuan Youfen

　　Acne is not a patent for young people

　　"For a long time, acne has plagued many young people, and outpatients often encounter students who feel inferior because of their acne." Fang Ruihua, director of the dermatology department of Guangzhou First People's Hospital, said that Xiaojie's condition is a serious one. The acne on the skin is mostly acne, medically called acne, a chronic inflammatory skin disease of the sebaceous glands of the hair follicles. It is mainly related to factors such as excessive sebum secretion, excessive keratinization of the hair follicle sebaceous duct, bacterial infection (mainly Propionibacterium acnes), and immune inflammation.

　　Don't look at it as acne, but it is not a patent for young people, and people from the teens to the tens of years may grow. "Either male or female, there are androgens in the body. Too much androgen or imbalance of estrogen and androgen secretion, stimulating the sebaceous glands to secrete too much oil, will create conditions for the growth of acne. Adolescent sebaceous glands are strong and prone to acne. During the period or before menstruation, acne on the face is also related to hormone secretion. In addition, anxiety, tension, and lack of sleep may also affect endocrine, thereby stimulating acne growth. Excessive keratinization of the sebaceous ducts of the hair follicles can easily clog pores, resulting Sebum cannot be expelled smoothly, and can also form closed comedones. "Fang Ruihua said.

　　Different types of acne treatments are different

　　According to the severity of acne, medical acne is generally divided into 4 grades, grade I (mild): only acne, no inflammation or pustules; grade II (mild to moderate): in addition to acne, there are inflammation Sexual papules; Grade III (moderate): In addition to acne and inflammatory papules, pustules appear; Grade IV (severe): In addition to the above, nodules, cysts, or scars also appear. In addition to the above performances, there are some special types, such as polymerized acne, fulminant acne, and chemically induced acne. What Xiaojie grows is polymerized acne, with nodules, cysts, sinuses, and scars on his face, which are more serious types.

　　Many people will find that during the "warfare acne" process, some people say that the ointment is very effective, while others use the effect is not ideal. Fang Ruihua explained that this is because different methods are needed to deal with different types of acne.

　　For mild to moderate acne, local treatment is mainly used, that is, only the acne area needs to be treated. Topical retinoic acid is preferred to relieve excessive keratinization of the hair follicle opening, to open up clogged pores, but also to lighten stains and reduce acne marks. In addition, it can be combined with benzoyl peroxide for external use. If the effect is not good, you can use fruit acid, salicylic acid, complex acid, etc. to improve the treatment effect. It should be noted that retinoic acid has certain irritation and photosensitivity, it is generally recommended to use at night, and benzoyl peroxide should be applied to the affected area in small amounts.

　　If it is moderate acne, you need to use antibiotics for a systematic treatment. In addition to topical retinoic acid and benzoyl peroxide, oral antibiotics such as tetracycline, minocycline, or erythromycin can be used to inhibit the growth of bacteria in the hair follicle and reduce inflammation.

　　As for severe acne, in addition to oral antibiotics and retinoic acid drugs, photodynamic therapy can also be used to treat pathogenic microorganisms in the sebaceous glands, inhibit secretion of the sebaceous glands, and promote healing of skin lesions. The photodynamic adverse reactions are mild and can be repeated. Patients with severe acne may be given priority.

　　Should pay attention to sunscreen after acne

　　Some people always "can't control" their hands. When they see acne, they can't help but squeeze it out. In this regard, Fang Ruihua reminded: "One gentle squeeze may not cause too much damage, but frequent squeezing acne will cause skin damage, cause inflammation to spread, and it is easy to leave acne marks." She introduced, want long Acne does not leave acne marks. First of all, during the acne period, do not pick it by hand, "squeezing acne" is easier to leave acne marks or even acne pits. After acne subsides, pay attention to sunscreen, you can shorten the time for acne marks to subside.

　　In addition, you can apply some ointment to lighten the pigment, such as retinoic acid, arbutin, vitamin E milk, etc., have a certain effect on the elimination of acne marks. If the acne marks are deep or even acne pits are formed, ultra-pulse carbon dioxide dot laser can be used to stimulate the growth of collagen and elastic fibers in the subcutaneous dermal tissue, so as to fill the pits, tighten the skin, and eliminate acne marks.

　　Frequent face washing will increase acne

　　In order to completely eliminate acne, some people try to wash their faces frequently. In fact, this may make the situation worse. Fang Ruihua explained: "Acne is not caused by dirt. Washing your face alone will not solve the problem. Excessive cleaning may damage the skin barrier, irritate the skin, make acne worse, or even grow repeatedly." She recommends that you wash your face in moderation, use water containing salicylic acid Cleaning products with sulfur or other ingredients or washing your face with warm water can help reduce acne.

　　She recommends that acne sufferers eat a light diet in their daily lives, stay away from high-calorie, high-sugar foods, eat more vitamin B-rich vegetables and fruits, and maintain a comfortable mood and stay up late. In addition, sun protection measures should be taken to avoid ultraviolet rays in the sun stimulating melanocytes, causing melanin to settle and form acne marks.