They are pimples located on the face, neck, back and body, caused by the activity of the sebaceous glands, appear as raised skin
and can sometimes become inflamed. It is the most common dermatological
disease during adolescence. It is seen in approximately 40% of individuals between the ages of 12-18.
What causes acne?
Many factors play a role in its formation. An important factor in genetically predisposed individuals is the thickening of the hair-
sebaceous gland duct, through which the oil secretion is expelled from the skin, and the tendency for the duct to become blocked due to the stickiness of the cells there
. Other factors are that increased oil secretion (sebum) during adolescence accumulates in this channel and forms black or white spots called comedones. Physical factors as well as genetic factors play a role in clogging of pores
. Physical factors include applying oily creams, hot weather, increased sweating, make-up and not using appropriate skin cleansers. Other reasons that cause acne include; What happens is that bacteria settle in the sebum in these clogged pores and cause inflammation here. In acne that occurs in this way, redness and inflamed pimples may appear on our skin.
Is the cause of acne a liver disorder?
There is no relationship between acne and liver disorder, and there is no strict established relationship between these two diseases.
The link is entirely a superstition.
Is there a genetic predisposition to acne?
In individuals with severe acne problems in their family, acne may be seen more intensely, or acne may not be observed at all.
However, there is still a genetic predisposition.
Is there a relationship between diet and acne?
Some scientific studies have not found a direct connection between acne and the foods we eat.
However, recent studies have shown that acne can be prevented by foods with a high glycemic index (foods with a high glycemic index
cause blood sugar to rise rapidly and, as a result, the stored insulin of the pancreas to be rapidly released into the blood, rapidly increasing the amount of insulin in the blood). It is stated that /> was triggered. Therefore, excessive intake of such foods and it is not recommended to use it unidirectionally. Foods with a high glycemic index; potatoes, white bread, white rice, white sugar, processed fruit juices, bananas (ripe), watermelon, crackers, corn chips and cereal. Apart from this, some patients describe an increase in the severity of acne after eating fatty, high-calorie foods such as beans, deep-fried foods, chocolate, and foods that immediately mix with the blood. These patients should stay away from such foods, which they think increase their acne complaints.
It is beneficial to keep it.
Is there a connection between menstrual irregularity and acne?
If the female patient's acne starts at an older age even though it is not in adolescence, accompanied by menstrual
irregularity and weight loss. If there is one or more of the following complaints: straining, excessive hair growth around the chin, abdomen, back and nipple, it should be evaluated for hormone disorder. In these
patients, ovarian cyst, that is, polycystic ovary disease, is especially suspected. In this disease, the acne complaint is quite resistant and its treatment is quite different from the acne treatment used in men. In general, what should not be forgotten is that acne complaints may increase in most women during menstrual periods. This
is a natural process caused by hormones and is not a symptom of a disease. Also, during pregnancy, acne may worsen under the influence of hormones.
Is squeezing acne recommended?
No, squeezing or playing with acne is definitely not recommended. In some types of acne, acne lesions can only be drained under the supervision of a doctor. Inflammation in acne can spread, redness may increase, and the risk of scarring also increases.
How is acne treated?
There are many treatment alternatives for a very common disease such as acne. . While only washing products and creams may be sufficient for mild acne, oral pills should be used for medium-severe acne and hormonal acne. Among these pills, the most commonly used ones are antibiotics, vitamin A-derived drugs and birth control drugs, but these should be administered under the supervision and control of a doctor. Apart from this, laser,
chemical skin peeling (peeling), and injection of medication into the skin are also among the methods used.
Everything that should not be forgotten The patient is different from each other and the treatment of each patient is different.
Today, there are 4 main ways to treat acne.
1) Supportive treatment: In this treatment, many cleansing cosmetic products are offered to the patients to cleanse the skin. , syndets, rose water, soda and soaps are recommended.
2) Topical treatment: In this step, comedolytics (azelaic acid, retinoic acid, benzoyl peroxide, salicylic acid
etc.), antibiotics (tetracycline, nadifloxacin, clindamycin, sodium sulfacetamide, azithromycin) or combinations of these are recommended under the supervision of a doctor and used for a certain period of time. 3) Systemic Treatment: Cases in which the first two treatments are inadequate are treated with systemic treatments. Although this treatment is very effective, it also has various side effects, but the majority of these side
effects disappear during or after treatment. Therefore, you should definitely consult the physician who follows you regarding any
complaints you may have. The most important side effects are the effects of dryness on the skin. It may increase blood fats and rarely affect liver tests negatively
. For this reason, you will generally need to have blood tests at certain intervals upon the decision of your physician. The most important point when using the drug is that you definitely do not get pregnant. It is recommended that women of childbearing age
be protected with at least two contraceptive methods. A pregnancy test must be taken before treatment. A pregnancy test may be requested throughout the treatment. Pregnancy can be achieved 2 months after stopping the treatment.
4) Other methods: Various light
treatments and laser treatments have started to be used today due to the relief of acne after sun exposure. For this purpose, there are studies on KTP (potassium titanyl phosphate)
laser, 585 and 595-nm pulsed dye laser, diode laser, radiofrequency and phototherapy. The effectiveness of these treatments is different and controversial, and their costs are high. Especially in the treatment of acne
scars, ablative (treating by peeling the skin) and nonablative lasers are successfully
applied.
5) Combined treatment: Various combinations of the treatments mentioned in the first four articles are used by the physician
It can be recommended.
There is a relationship between the sun and acne. Is it possible?
Sun rays can alleviate acne. Ultraviolet is effective by suppressing inflammation. However,
oil-free sunscreen products suitable for the skin type should be preferred and should not be exposed to direct sunlight.
Can acne be left untreated?
Acne is chronic, creates psychological stress, It is a disease that needs to be treated because it can leave permanent scars if left untreated. For many reasons, such as the existence of different accompanying diseases, the fact that some drugs cause acne, and the fact that many inappropriate products on the market have been tried in the treatment of acne, it must be consulted by a doctor, preferably (especially in severe cases) by a dermatologist
It is a disease that needs to be treated. Patients who do not apply for treatment are usually people who have lost their belief that their disease will go away or who do not see acne as a disease and think that it will go away without treatment. Therefore, one should know that this disease, which is seen in adolescence when body and self-anxiety is high and affects the psychology of patients, is a treatable disease and should seek appropriate treatment by consulting a dermatologist. Additionally, at least 2-3
weeks must be waited for the treatments given to take effect. Therefore, the most important point in treatment is; To be patient, to be in harmony with the doctor, to comply with the recommendations given. Compatibility of the patient will make it easier to achieve the desired result
in this disease, which has many treatment options.
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