Vulgar acne is an inflammatory disease,arising from the abnormal operation of the sebaceous glands. In the hair follicles accumulates sebum and keratinized skin particles, because of this creates a favorable environment for the reproduction of bacteria (staphylococcal infection). Both girls and boys are ill, but basically the severe form of the disease affects exactly the strong half. Usually, the disease begins to manifest itself during puberty, when the body has many changes. Also plays the role of hereditary predisposition, the environment, increased sweating, malnutrition (which is dominated by fat, spicy and sweet food), the use of drugs, disruption of the endocrine system, the disease of the gastrointestinal tract. Acne can also appear due to intolerance to certain medicines, for example, even such as iodine or bromine. In women, the cause of acne can be a change in the hormonal background during pregnancy or during the menstrual cycle.
What is vulgar acne?
So, how do vulgar acne appear? To begin with, acne (another name for this disease) can be both inflammatory and non-inflammatory; all depends on how big the role played by the bacteria Propionibacterium acnes in the inflammation of the follicle. Non-inflammatory acne manifests itself in the form of gums - it's non-infectious fatty plugs located tightly in the mouth of follicles. They, in turn, are divided into white and black. If the follicle is closed or narrowed on the surface of the skin, the acne will be white, and if open, the horny masses move upward, at the mouth of the follicle, and due to oxidation and the ingress of dust and dirt onto its surface it will be black. Inflammatory acne includes papules, pustules, nodules and cysts. When forming fatty acids, which cause irritation of the walls of the follicles, papules are formed. If the infection causes inflammation inside the follicle, then there are pustules, and after the rupture of the follicle after physical manipulation or after the fatty acids get into the tissues due to bacteria (which leads to inflammation of the soft tissues) nodules and cysts are formed. Usually, only cystic acne brings with it painful feelings, and other types of vulgar blackheads bring only moral stiffness and low self-esteem. In different stages of the disease, different types of acne accompany each other. Comedones with white heads (closed comedones) are soft, palpable formations of white color with a size of 1 to 3 millimeters in diameter, and comedones with black heads (open comedones) look similarly closed, but have a black center. Pustules and papules are red conical points from 2 to 5 millimeters in diameter. In these cases, the disease of the epithelium of the follicles is damaged due to the accumulation of lymphocytes and neutrophils. The content of comedones during the rupture of the epithelium causes a very strong inflammatory reaction of the dermis. Papules also form a relatively deep inflammation, they are more superficial. But the nodes are larger, deeper and denser than the papules, they resemble an inflamed cyst, although they do not have a cystic structure. And finally, the cyst is the nodes that have undergone purulent fusion. Sometimes even a cyst becomes infected and an abscess is formed from it. If the cystic form of the disease lasts for a long time, then after healing, the scars appear on the sites of the affected areas, they appear as depressions, unevennesses, shallow skin sagging. Still it is possible to allocate globular eels. They are the most severe form of acne vulgaris; most often globular acne affects men, while the patient suffers from abscesses, sinuses, hollow comedones and atrophic scars are formed. In this case, a person is severely affected as a region of back and chest, and it is possible that blackheads appear on the hands, abdomen, buttocks and even on the head. Lightning acne manifests itself in the form of sudden formation of ulcerative globular acne, characterized by the appearance of merging abscesses leading to hemorrhagic necrosis. In this stage of the disease, leukocytosis, edema and joint pain can be detected. But pyoderma of the face is found in young women, it also manifests as fulminant pink acne in the central part of the face. Pyoderma can be analogous to fulminant acne. Rashes also affect the cheeks, nose, chin and forehead, and they consist of pustules and erythematous plaques. The exact diagnosis is made clinically, with three degrees of severity of the disease: mild, moderate and severe, depending on the number and type of rashes.
Features of vulgar acne
Vulgar acne is not just a teenagedisease, many adults often have light, isolated, acne eruptions. Usually remission for any severity of the disease occurs after 20 years, but in some cases, the disease can occur in 40 years, especially in women. The choice of medicines for women can be limited to the bearing of a child. Acne with mild inflammation or non-inflammatory acne usually does not leave scarring after healing of the foci. But the moderate and severe form of acne, unlike the mild, in most cases leaves scars, which can lead to emotional stress in patients, especially in adolescents. In such cases, one should not neglect psychotherapeutic help, otherwise a person can lose himself as a person, become closed and unsociable.
Treatment of acne vulgaris
Vulgar acne is in the first placedisease. Which requires a complex, stage-by-stage treatment, which includes a course of antibiotics, retinoids, vitamins and immunopreparations. Also used are ultraviolet irradiation, lotions with sulfur, alcohol and salicylic acid. In addition, to remove vulgar acne, you need to use special ointments. Only self-medication can not be done - it is absolutely necessary to consult a doctor. Treatment of vulgar acne is aimed at reducing the production of sebum, reducing inflammation and infection, as well as the formation of comedones. When choosing the treatment of acne, you need to take into account the severity of the disease. Affected skin areas need to be treated every day; But excessive enthusiasm for this occupation also will not be of use. The use of antibacterial soap can over-dry the skin, which does not in any way affect positively the process of restoring the balance of sebum secretion.
An easy degree of the disease is treated with monotherapy,usually this is enough to get rid of comedones; when papules and pustules need treatment with a double action, that is, combine antibiotics topical and tretinoin with benzoyl peroxide. This treatment is from six weeks until the rash disappears completely. And at the heart of the treatment of comedones is the daily topical application of tretinoin with a smooth increase in concentration. If the patient is intolerant to tretinoin, an alternative may be the daily use of tazarotene (cream) or gel / cream containing azelaic acid, or glycolic, or salicylic acid with propylene glycol.
- Systemic treatment
With average severity of acne, it is best to usesystemic treatment with antibiotics, such as tetracycline, minocycline, erythromycin; the duration of treatment is twelve weeks. When treated with antibiotics, the dosage gradually decreases after about 4 weeks, but in especially severe cases, the dose should even be increased. But even after curing acne, preventive use of drugs is necessary in order to avoid relapse. It should also be noted that with the use of antibiotics, disruption of the gastrointestinal tract is possible; you should familiarize yourself with the list of possible side effects of the drugs you are offered and choose together with your doctor the most suitable for you. In women, prolonged use of antibiotics can cause candidal vaginitis (thrush). If from antibiotics there is no supposed effect of curing acne, it is necessary to stop their application. The best way to treat moderate severity with failure of antibiotics and with severe degree of inflammatory acne is the oral use of isotretinoin. It is enough to take it once a day for 16-20 weeks, and if the drug is poorly tolerated, you should reduce the dosage by half.
It should be remembered that after the treatment of acne diseasecan resume, in such cases, treatment can be repeated only 4 months after discontinuation of medication. The recurrence of acne is observed in the case of a low initial dosage of treatment, or if the course has not been completed.
Removal of acne should be performed incosmetic surgery. If you want to do this at home, you first need to take a steam bath or apply a hot wet compress. It is best to use a decoction of chamomile for these purposes - place five tablespoons of chamomile in a pan, pour half a liter of water and bring to a boil. Wrap the pan with a towel and leave it for two hours, then strain it and, if necessary, heat it to the optimum temperature - beware of burns. Instead of a steam bath, you can use salt procedures. For oily skin, a soap solution is used with the addition of salt, if the skin is dry, then before the procedure, the face should be greased with a fat cream or oil. Salt not only very well expands the pores, but also cleans them. To avoid skin irritation and the appearance of acne, you need to remove acne no more than 2 times a week, and do it with extreme caution. And you must remember that at home you can only remove blackheads. And do not forget that you must disinfect your hands! After removing acne, the face is also wiped with a disinfectant. You do not want to earn a boil, too?
Folk recipes for the treatment of vulgar acne
You can use other cosmeticprocedures that contribute to the fight against acne: rubbing, lotions, compresses, masks. Wipe the tool yourself. For this type of procedure, you can use soda, salt, calendula infusions, chamomile, aloe, St. John's wort, oak, birch, white lily tincture. All these preparations are prepared as standard - two tablespoons of the chosen raw material pour half a liter of hot water and leave to infuse for an hour, then necessarily strain. After the preparation of the solution, wool, gauze or bandage should be wiped. And watch your movements - they should be neat, so as not to injure the skin. Still it is possible to make lotions with fresh juice of leaves of an aloe, infusion of a root of an altea, from broth or the present chistotela - moisten a gauze napkin and put to problem zones for 30 minutes. As drying, be sure to moisten the napkin.
Compresses for acne are done once a day. With oily skin, hot compresses are made, and when dry, warm ones are used to avoid irritation. For compresses you can use honey, celandine, ammonia. If you chose ammonia, observe the proportions: three drops per glass of water.
- Steam baths
Heat from the steam trays opens the pores thatcontributes to better secretion of sebaceous glands. Baths should be taken no more often than once a week; and make them better from herbs containing essential oils with disinfectant and medicinal properties. Before using the steam bath you need to thoroughly clean the face, but do not use scrub or peeling. Take a wide bowl, not less than half a liter. At the bottom, put the herbs chosen for your skin type and, with hot water, let it brew for 5-10 minutes. Do not use too hot steam, as it can damage the skin. The water temperature should be about 43 degrees. You need to bend over the water and cover yourself with a towel. With dry skin it is enough for 10 minutes, with oily, you can stay under the towel for 20 minutes. The distance between the face and water should be at least 20 cm. After the procedure, you should not rub your face, you just need to get a little wet with a towel or napkin.
- Yeast Mask
For the treatment of blackheads are successfully usedyeast mask. But remember that to achieve the result you need at least twenty procedures. The mask is prepared very simply - take one tablespoon of live yeast, pour water and stir - you should get a creamy consistency. Apply it to problem areas of the skin and leave for 20 minutes, then rinse with warm water.
- Mask with a skin
In the treatment of black, white and inflammatory acneeffective masks from the bodyagi. To make a mask, mix the fresh water with warm water so that it turns out a gruel. This very gruel and put on rashes, approximately for 10 minutes. If you feel uncomfortable, immediately wash off the mask - you have too sensitive skin. And remember that the main key to success is systematic. If you will treat vulgar blackheads as expected, and not occasionally, very soon your skin will improve several times. And once again draw your attention - in any case do not ignore the need to visit a dermatologist! We advise you to read: