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What's Up TopDoc?

Introducing the 1st medical blog
Reliable health information & tips, brought to you by HK doctors.
<<暗瘡物語>>
Posted by Dr. Shiu Kee Hui on June 11, 2019
青春期開始出現的青春痘,是少男少女時代極其常見的皮膚問題。由於人臉的外貌主要由膚質和輪廓兩者決定,而暗瘡引起的膿點、紅疹、紅印、啡色印及凹凸洞會大大破壞皮膚膚質外觀,所以要改善外觀的男男女女,很多時候都會從改善暗瘡及其一系列相關症狀開始。另外,如果暗瘡處理不當,它會引起很多嚴重的疤痕,令人的外貌大打折扣,甚至影響心理發展的平衡。 其實暗瘡雖然俗稱青春豆,但是男女到了四十五歲左右,仍然有8-15%有暗瘡問題。 現代人的生活水準提高了很多,上一代人很多時都會為口奔馳,未能照顧到自己的外表,現在的男男女女則會比較講究,條件許可的話,都會花一點時間精神去處理一下。 如果情況比較嚴重,又或者患者希望盡快改善病情的話,經過醫生正確診斷之後,醫生會給予患者適當的口服及外用藥物治療。 而作為患者本身,無論是否需要用到藥物,有四個治本之道是必須知道和切實執行的。 一)徹底清潔皮膚,每天兩次。 暗瘡、油性皮膚與濕疹、乾性皮膚不同,暗瘡及油性皮膚比較合適用pH值較高的清潔用品(普通的肥皂),而濕疹患者及乾性皮膚的人則比較合適用pH值比較低的清潔用品。皮膚經過清潔之後,摸上去最好有摩擦力大的感覺,(像濕手指在沒有油的玻璃上擦一樣,吱吱聲);如果皮膚乾些,便用些水凝霜(gel)或溶液(Lotion)劑型的潤膚產品。 二)千萬不要用力擠壓 由於暗瘡皮脂腺開口處角化程度嚴重,其實已經很堵塞,而皮脂腺的囊壁則相對薄弱,所以擠壓時皮脂腺內的脂肪酸大量爆出到周圍的組織中,引起異物反應(foreign body reaction), 結果本來兩個月消退的瘡要八個月才能消退。 三)戒口 有研究發現牛奶製品及太甜的食物與暗瘡形成有關聯。至於其他食物未經科學實驗研究的,患者可以憑自己的確實經驗去判斷,吃了令病情惡化的便應該避免了。 四)精神壓力 男女都有男性荷爾蒙(雄激素)產生,分別來自睪丸和卵巢,而男性荷爾蒙則是暗瘡的致病因素。身體亦有性激素結合蛋白(sex hormone binding protein),它會令男性荷爾蒙活性減少。當女性月經週期前幾天時,這種蛋白質水平下降,所以暗瘡增加,另外,精神壓力也會令這種蛋白質減少。所以有效控制好自己的精神壓力,是治療暗瘡的重點之一。 做好上述四個治本的方法,加上合適的藥物和儀器,暗瘡是絕對可以有效改善的。
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