修复重建-arpat 发表于 2023-8-4 16:53:38

常规痤疮的病因以及防治方法介绍

常规痤疮的病因以及防治方法介绍

文章摘要:痤疮在临床上越来越高发,很多朋友很是苦恼,本文对于痤疮的病因以及防治方法进行了详细介绍,大家多了解一下!
  中国疤痕网(微信公众号:scarbbs)讯:痤疮是一种与皮脂代谢有关的毛囊、皮脂腺单位的慢性炎症病变,因好发于青春期,所以老百姓俗称为“青春痘”。痤疮的发病与皮脂的代谢有关,只要有生命存在就会有皮脂代谢,所以就会有发生痤疮的可能性,只是在不同年龄阶段有不同的发病率而已。青春发育期高发。data:image/png;base64,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  一、痤疮的病因:  痤疮的主要原因是皮脂腺分泌皮脂增加,在青春发育期,雄性激素可刺激皮脂腺分泌增加;性腺、皮脂腺发育良好,腺体肥大增生,分泌也会增加。因此,青春期的发病率会高一些,这就是“青春痘”的来由。  第二个原因为毛囊堵塞,毛囊是管道系统,毛囊口、管腔出现问题,都会发生炎症。雄性激素影响毛囊皮脂腺腺体角化,毛囊细胞过度角化以后,在脱落的时候就会堵塞毛囊,使毛囊口变小,管腔狭窄、闭塞,皮脂淤积于毛囊口而形成脂栓。这就是我们常见的长在脸上的白色小颗粒,称之为白头粉刺或粟丘疹。  第三个原因就是细菌感染,除了堵塞毛囊管道系统以外,还跟微生物的增多与聚集有关系,在人体的皮肤表面,皮肤及毛囊内有一些常驻菌,本身并不致病,但这些微生物在痤疮形成过程中,在特定环境下会发生问题,特别是汗液,皮脂是含脂类的物质,皮脂分泌多了,皮脂很浓稠的时候,加上环境污染的粉尘,脱落的角化细胞混合在一起,就会堵塞毛囊,这个时候毛囊的环境发生的改变是缺氧了。有一种细菌叫痤疮丙酸杆菌,对缺氧环境非常敏感,所以缺氧时它生长的数目增多,体积增大,立即聚集在一起,并且繁殖强了以后,还会向皮肤的管道里面渗透进去,从而产生丘疹、脓疱、结节和囊肿。因此长了这东西以后,由于长期的皮脂腺堵塞毛囊,毛囊呈扩张的状态,毛孔就粗大、扩张,还可能会发生疤痕,有增生性的疤痕和凹陷性的疤痕两种形式。  第四个原因是遗传,基本上有60%左右的患者跟家族史有关。  第五个原因跟药物有关,特别是含碘剂、溴剂的药物、还有长期吃激素也容易引起痤疮、还有化妆品,某些化妆品加了激素,长期使用带有激素的化妆品,可使皮肤变薄、毛囊萎缩,毛细血管扩张,皮肤抵抗力下降。毛细血管扩张以后,血管的通透性增强,血管内的一些大分子物质容易漏出,因此容易发生过敏症状,也容易发生感染和炎症。  第六个原因是环境因素,主要包括自然环境和社会环境,大气的污染、饮食结构的变化、粉尘的增多、激素的滥用、生活节奏的加快等,都是发生痤疮的诱因,值得一提的是精神因素,精神因素非常重要。  二、痤疮的防治:  首先,治疗上要抓准病因和诱因,痤疮的发生是因为皮脂腺分泌增加,所以要降低皮脂腺分泌,我们可以选用一些雄性激素拮抗剂,雄性激素对皮脂腺有刺激作用,我们可以选择雄性刺激拮抗剂来降低分泌,常用的有螺内脂、维胺脂,用这两种药来调节皮脂腺分泌。时间可以长一点,可以用二到三个月。小剂量的长期使用能很好地抑制皮脂腺的分泌,减少堵塞毛囊发生痤疮的机率,同时我们还外用一些控油霜和爽肤水。  第二抗感染,如果不严重的话,可以用甲硝唑,脓疱比较重的,建议使用二甲胺四环素,多西环素,美他环素等药物口服,当然感染重的时候,也可以注射给药。  第三保持皮脂管道的通畅,根据管道学说原理,皮脂腺哪里被堵塞了,哪里就会长痤疮,发生炎症,因此对已成熟的粉刺、脓疱、囊肿,在严格无菌条件下进行穿刺引流。  其次,饮食上要注意避免吃辛辣、油腻、高脂高糖、高蛋白的食物,火锅禁食,应该吃清淡的饮食,控制食量。



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