1, topical drugs: Topical drugs include tretinoin drugs (adapalene gel) for the treatment of acne, and the onset time is 1-3 months. Antibiotics can also be used for antibacterial therapy, such as lincomycin and benzoyl peroxide.
2, oral drugs: moderate to severe can be combined with oral antibiotics. Minocycline and azithromycin can be selected. Antibiotics can control inflammation quickly and effectively, but have no effect on preventing recurrence. Tailes can be taken for severe acne. You can use the method of starting to take medicine gradually, or you can use the middle dose posture treatment. Taking Thales can prevent recurrence, and if it recurs in time, the symptoms will be alleviated. The main side effect is that the skin and mucosa will feel very dry during taking the medicine, so it is necessary to moisturize the skin and mucosa. Secondly, it has a certain impact on fertility, and pregnancy can only be considered after stopping taking drugs for half a year. If the patient's skin lesions are closely related to the menstrual cycle, or the hormone level is abnormal, you can consider taking birth control pills for treatment. Taking birth control pills helps to establish a stable hormone cycle, control the growth of acne, reduce facial oil and shrink pores.
3. Physical therapy and other therapies
For mild acne, papules and pustules, acne squeezing combined with traditional Chinese medicine facial mask can be selected for treatment, and once a week, chemical skin exchange can also achieve good results: for patients whose main problem is unsmooth pores, fruit acid skin exchange can be used to open their hair follicle openings and discharge oil plugs in pores, thus achieving the purpose of treating acne. Pay attention to sun protection after changing skin, otherwise there is the possibility of deepening skin color. Red and blue light therapy: Red and blue light mixed irradiation therapy has anti-inflammatory and antibacterial effects, and has a high effective rate for mild and moderate acne. The disadvantage is that it needs more times. Photodynamic therapy (ALA-PDT): External application of photosensitizer can shrink sebaceous glands, kill propionibacterium acnes, resist inflammation, etc., with good side effects and prevent recurrence. It is a good choice for treating moderate and severe acne. Sun protection is also needed after treatment, otherwise it may deepen skin color and pigmentation.
4. Treatment of acne sequelae
The sequelae of acne mainly include acne marks and acne scars. The acne marks can be removed by topical drugs or photon rejuvenation, and the acne scars are mainly reconstructed by dot matrix laser. However, due to the high cost, it is best to actively treat it to avoid the formation of acne marks and scars.
Extended data:
Acne is more common in adolescent men and women, slightly more in men than in women, but it occurs earlier in women than in men. 80-90% teenagers have suffered from acne, which often subsides or recovers naturally after puberty, and individual patients can be extended to over 30 years old. Although acne is a self-healing disease, acne itself and scars caused by untimely treatment of acne will seriously affect the quality of life of patients and cause mental stress and economic burden to acne patients, which needs to be paid attention to. Acne mainly occurs on cheeks, forehead, cheeks and nasolabial groove, followed by chest, back and shoulders. Acne lesions generally have no conscious symptoms, and inflammation can be accompanied by pain when it is obvious, which can be divided into the following categories:
1. papule: Inflammatory papule that can develop from acne, and the lesion is red papule.
2. Pustules: On the basis of papules, pustules the size of mung beans can be formed.
3. Cyst nodules: If inflammation continues to develop, dark red nodules or cysts of different sizes can be formed, and there may be a sense of fluctuation when squeezed.
4. Acne: including whitehead acne and blackhead acne. It is a cone-shaped papule consistent with the hair follicle and does not turn red or bulge with the skin surface. If the number is small, it is not easy to detect. You can touch a skin lesion as big as a grain of rice with your hands. It can be closed or open. The top of open acne is yellow and white, and it can also form blackheads due to pigment deposition. Translucent fat plugs with black head and white background can be extruded. Acne is the early damage of acne, which can form inflammatory papules when aggravated.
Baidu Encyclopedia: Acne