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Acne

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Acne
  • Acne is the most common of all skin conditions.
  • It is almost universal during puberty.
  • Acne affects almost 90% of people at some stage during their life.
  • Comedones are the hallmark of acne vulgaris.
  • Acne vulgaris is more common among teenagers and more severe in males.
  • Acne Treatment should be commenced early to prevent scarring.
  • The patient should be counseled that the improvement may not be seen immediately for at least a few months.
  • Mild to moderate acne is treated with topical preparations.
  • Moderate to severe acne is treated with systemic antibacterial preparations.
  • Hormonal treatment with co-cyprindiol (cyproterone with ethinylestradiol) is only used in women.

What is Acne?

Acne vulgaris is a common, usually self-limiting, multifactorial disease that involving inflammation of the sebaceous follicles of the skin in the face and upper trunk.

Acne is a chronic, inflammatory skin condition that results in spots and pimples, especially on the face, shoulders, back, neck, chest, and upper arms.

What are the types of Acne?

The following are the most common types of acne;

  • Blackheads – These are small black or yellowish bumps that develop on the skin.
  • Whiteheads – These are Similar in appearance to blackheads, but more firm and they do not empty when squeezed
  • Pimples (pustules) – These are small red bumps that may feel tender or sore.
  • Papules – These are similar to papules, but they have a white tip in the center due to pus formation.
  • Cysts – These are large pus-filled lumps with the greatest risk of forming a scar.
  • Nodules – These are painfully hard and large lumps that build up beneath the skin

During puberty, the sebaceous gland is activated so there are more chances of developing acne in that stage, but it can occur at any age. It is not dangerous, but it can cause;

  • Skin scars
  • Spots
  • Oily skin
  • Sensitive skin that’s hot or painful to touch

How Acne occurs?

Acne usually occurs when hair follicles become plugged with oil and dead skin cells. Bacteria worsen the condition by causing infection and inflammation.

  • Small gland known as Sebaceous glands is present near the surface of the skin. The glands are attached to hair follicles.
  • Sebaceous glands secrete an oily substance called sebum which lubricated the hair and skin.
  • In acne, there is over secretion of sebum from sebaceous glands. This excess sebum along with dead skin cells, debris and bacteria forms a plug in the follicle, which results in acne.

 

During puberty increased androgen activity triggers the growth of sebaceous glands which results in enhanced sebum production.

What are the factors involved in Acne?

The four primary factors involved in the formation of acne are;

  • Increased sebum production
  • Sloughing of keratinocytes
  • Bacterial growth
  • Inflammation

 

What are the Risk Factors?

The most common Risk factors for acne are as follows;

  • Genetics – Family history
  • The menstrual cycle
  • Hormonal changes
  • Anxiety and stress
  • Hot and humid climates
  • Using oil-based makeup more frequently
  • Squeezing pimples will worsen the condition
  • Medications like steroids, lithium, androgens
  • Continues Friction against the skin

Acne in males

During puberty, there are more levels of testosterone in the body. Testosterone enhances the production of sebum from a sebaceous gland that results in acne.

Acne in females

Hormonal changes in female occur during;

  • Periods (menstrual cycle)
  • Pregnancy
  • Polycystic ovary syndrome (POS)

 

How Acne Can be Prevented?

  • Wash face with soap and water twice daily can help prevent acne. Particularly when you face more sweating and dirt.
  • Avoid picking, popping, and squeezing pimples, as it may lead to infection and scarring.
  • Avoid skin rubbing and scrubbing
  • Use sunscreen when going outdoors, as too much sunlight has damaging effects on the skin.
  • Avoid oily skincare products.
  • Avoid stressful conditions.

Diagnosis of Acne

Diagnose of acne can be done by careful examination of the skin. It involves examination of face, chest or back for the different types of spots, such as blackheads or sore, red nodules.

The doctor also looks for different signs and symptoms;

  • Mild soreness
  • Pain
  • Itching
  • Lesions over the;
    • Face
    • Neck
    • Upper chest
    • Back
    • Shoulders
  • Comedones, that are the hallmark of acne vulgaris
  • Inflammatory papules
  • Pustules
  • Ecstatic pores
  • Acne cysts
  • Scaring

What is the Treatment for Acne?

Treatment of acne involves the use of Topical and Oral preparations. The goal of treatment is to prevent the formation of new acne lesions, heal existing lesions, and prevent or minimize scarring.

Topical Preparations

Topical preparations for acne include;

  • Benzoyl peroxide
  • Azelaic acid
  • Topical Antibacterial like
    • Erythromycin
    • Clindamycin
  • Topical Retinoid
    • Retinoid
    • Adapalene

 

These preparations are used for Mild to moderate acne, comedones, and inflamed lesions.

Benzoyl peroxide

Benzoyl peroxide (Benzac AC, Acnestar ) is effective against;

  • Mild to moderate acne
  • Comedones
  • Inflamed lesions

Treatment is usually started with low strength; if acne does not respond to the treatment after 2 months then topical antibacterial is recommended.

Azelaic Acid

Azelaic Acid (Aziderm)  is effective against;

  • Mild to moderate acne
  • Comedonal acne of the face

It has antimicrobial and anticomedonal properties. It causes less local skin irritation as compared to benzoyl peroxide.

Topical Antibacterial

Topical erythromycin and clindamycin are used against;

  • Inflammatory acne

These are usually recommended to avoid the oral use of antibacterial.

To avoid antibacterial resistance;

  • Use non-antibiotic antimicrobials (benzoyl peroxide, azelaic acid)
  • If one antibiotic is effective then do not change it without any reason
  • Do not continue treatment for more than recommended

 

Topical Retinoid

Topical retinoid is effective against;

  • Inflammatory lesions
  • Comedones
  • Mild to moderate acne

Retinoid (TRETINOIN) and Adapalene (ADACLENE) are used as a topical retinoid.

Treatment with topical retinoid should be continued for several months until no new lesions are formed.

Oral Preparations

Oral preparations for acne include;

  • Systemic Antibacterial
    • Oxytetracycline
    • Tetracyclin
    • Doxycyclin
    • Minocycline
    • Clindamycin
    • Erythromycin
  • Oral Hormone
    • Co-Cuprinol
  • Oral Retinoid
    • Isotretinoin

Systemic antibacterial treatment

Systemic antibacterial used for the treatment of acne are as follows;

  • Oxytetracycline
  • Tetracyclin
  • Doxycyclin
  • Minocycline
  • Clindamycin
  • Erythromycin

 

  • Systemic antibacterial treatment is useful for inflammatory acne when topical treatment is not useful or it may be used with topical treatment.
  • If there is no result after 3 months then another oral antibiotic should be used.
  • Maximum improvement occurs after 4 to 6 months if treatment
  • In severe cases, the treatment can be continued for 2 years.

 

Oral Hormone Treatment

Co-cyprindiol (an Oral Hormone), is used for the treatment of moderate to severe acne. It has anti-androgen properties. Sebum secretion and hair growth depend on androgen. Co-cyprindiol decreases sebum secretion and it is also used for hirsutism.

Oral hormone treatment is recommended to treat moderate to severe acne in the female.

It is recommended when topical and oral antibacterial therapy does not produce the desired outcome.

Co-cyprindiol also has contraceptive properties.

Oral Retinoid

Oral Retinoid used for the treatment of acne is isotretinoin.  It reduces sebum secretion. Isotretinoin is used for the systemic treatment of;

  • Scarring
  • Severe acne
  • Nodulo-cystic and conglobate acne
  • Acne which has not responded to a systemic antibacterial
  • Acne which is associated with psychological problems

Isotretinoin is useful in women who develop acne in the third or fourth decades of life. Since acne in this age is usually not responsive to antibacterial. Isotretinoin is given for at least 4 months (16 weeks).

Side-effects of isotretinoin include;

  • Severe dryness of the skin and mucous membranes
  • Nose bleeding
  • Joint pains

Isotretinoin is teratogenic and must not be given to pregnant women. Treatment with Isotretinoin should be stopped if psychiatric changes occur during treatment.

Visit https://www.drugscaps.com/product-category/face-care/ to find products online.

Home Remedies

Below mentioned are some home remedies for acne;

Tea tree oil – Tea tree extract has natural antibacterial and anti-inflammatory properties. Teat tree oil can be added in creams, gels, or essential oil.

Jojoba oil – Waxy substances in jojoba oil helps to repair skin. Jojoba oil can be added in creams, gels, essential oils, and clay face masks. It can also be applied directly to acne sore with the help of a cotton pad.

Aloe Vera – Aloe Vera has antibacterial and anti-inflammatory properties. Aloe Vera can be added to creams or gels.

Honey – Honey has anti-oxidant properties that help to clear clogged pores from debris. Honey can be directly applied to pimples using a cotton pad or a clean finger.

Green Tea – Green tea contains antioxidants. Green tea extract can be applied to the skin or it can be used as a drink.

 

 

Visit https://www.drugscaps.com/product-category/face-care/ to find products online.

References

  • Rosacea and Acne. (2016). In British national formulary 70. London: BMJ Publishing and the Royal Pharmaceutical Society.
  • Maxine A. Papadakis

Dermatological Disorders In Current Medical and Diagnosis Treatment. Mc Graw-Hill Education, 55th Edition, 2016. (page: 127-129)

  • Joseph T. Dipiro

Acne Vulgaris In Pharmacotherapy Handbook. The McGraw-Hill companies, 7th edition, 2009. (page: 179-185)

 

 

  • Revol O, et al. Psychological impact of acne on 21st-century adolescents: Decoding for better care. British Journal of Dermatology. 2015;172(suppl.1):52.

 

 

  • Acne: Tips for managing. American Academy of Dermatology website. aad.org/public/diseases/acne-and-rosacea/acne#tips. Accessed March 11, 2018.

Melnik, B. C. (2015, July 15). Linking diet to acne metabolomics, inflammation, and cosmogenesis: An update. Clinical, Cosmetic, and Investigational Dermatology, 8, 371–388
ncbi.nlm.nih.gov/pmc/articles/PMC4507494/

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Does your hair smell greasy? Best way to eliminate bad hair odor

Bobby Jansson

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Does your hair smell greasy? Best way to eliminate bad hair odor

Hair is one of the parts of the body that can reveal a lack of hygiene. However, some people continue to suffer from certain odors, even though they take a bath every day. If your hair odor greasy, try these odor removers.

As a kid, mothers usually smell like “running a goat” and laugh because it looks interesting. When growing up and someone mentions the smell of our head or the greasy smell of our scalp, it’s no longer interesting.

In fact, we shouldn’t be ashamed because it’s not necessarily a sign of unsanitary conditions. There are other factors that may be behind this stench.

Why does my scalp smell bad?

Lack of hygiene is our first idea and has a clear impact. That’s not the only reason. Some skin conditions, oily scalp, sweat, and even hormonal tendencies can affect this malodor. List the most common ones.

Lack of hygiene or excessive dry shampoo

Many stylists agree that it’s best not to wash your hair every day to avoid removing all the natural oils, but spending a few days without washing not only results in poor texture, but also stains. It can accumulate and generate a foul odor. People with greasy hair.

This can also occur for people using blades, dreadlocks, and extensions, as both dirt and moisture can build up without proper care. That’s why it’s important to know your hair needs and listen to expert advice.

Oily scalp

This condition not only gives the peculiar odor of oily hair, but also affects the odor because it can cause a foul odor when sebum and oil combine with bacteria and sweat.

Eliminate bad smell from hair

The main recommendation is to address the problem of origin. If you have proper hygiene, but despite that your hair maintains the bad smell, consult a dermatologist to find out the cause and give it an appropriate treatment. Best way to elimimate bad smell from hair so Purify Your Scalp To End Odor in The Hair and Scalp. A Top Seller for over 10 years!

Zincplex Shampoo, Conditioner & Scalp Lotion)

Zincplex Shampoo 8 oz- A great blend of purifying herbs which have rosemary, thyme, burdock and much more at therapeutic amounts. These herbs deep cleansing influenced sebum which permits fluids and germs to accumulate from the hair follicle. A distinctive kind of antioxidants known as zinc pca gets rid of the bacteria that causes plump scalp odor!

Zincplex Conditioner 8 oz – great purifying herbs together with zinc pca that’s left in little residue once the conditioner is rinsed out. This enables it to operate all day !

Zincplex Scalp Lotion 2 oz – Very penetrating and deep-acting scalp lotion to let the zinc get to beneficial levels within the hair follicle. Quite powerful but very natural to your own hair! Fantastic results!

We recommend you to visit this http://www.scalp-health.com/ website for new solution and best packages.

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HEALTH

VIAGRA PILLS: MECHANISM OF ACTION AND INSTRUCTIONS FOR USE

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VIAGRA PILLS: MECHANISM OF ACTION AND INSTRUCTIONS FOR USE

The drug “Viagra” refers to substances used to restore lost erections during intimacy. The reason for prescribing a therapeutic agent is the organic nature of the problem. The main active ingredient under the blue coating of the tablets is sildenafil. The drug is available in 2 doses of 50 and 100. Relevant information is contained on the package and the tablets themselves. For more details click here.

The mechanism of therapeutic effect on the body

The therapeutic effect is achieved due to the effect of nitric oxide contained in the drug. The substance provokes vasodilation, which in turn increases blood flow to the pelvic region. At the same time there is an increase in libido. It is clinically proven that the achieved result lasts at least 4 hours. It should be remembered that “Viagra” does not cure the problem – impotence. It only temporarily allows a man to maintain physical readiness for intimacy. These pills will not help protect against sexually transmitted diseases, so you should always remember the standard precautions.

Mandatory adherence to the recommended dosages

Self-medication is prohibited. Only a doctor is able to correctly determine the dosage. This is done on the basis of a detailed study of the results of the survey. Regardless of the age and severity of the pathology, the minimum dosage is used for the first few days. Gradually it increases so as to reach a therapeutic level. Strict adherence to the doctor’s recommendations – the key to rapid recovery of potency:

– members of the stronger sex over 65 years and those diagnosed with liver and kidney disease, do not take more than 25 mg of the drug per day;

– the maximum allowable dose does not exceed 25 mg in the case when a man uses drug protease inhibitors;

– The drug is taken 40 minutes before the planned intimacy;

– clinically proven that the positive effect on the body persists for at least 4.5 hours;

– at any age you need to take Viagra no more than once every 24 hours.

In addition to following these recommendations, a man should adjust to sex. A balanced psycho-emotional state will have a positive effect on the planned intimacy. If a member of the stronger sex is bitten by constant depression or other shocks, you must first get rid of them, otherwise the drug “Viagra” will not help much.

An integrated approach to restoring potency

The stronger sex mistakenly believe that the result is felt almost immediately after taking vgr 100. In fact, this is not the case. As mentioned earlier, it takes at least 40 minutes. The specified time interval changes to a greater or lesser extent, based on individual characteristics of the body. The second practical nuance – after the start of the course of admission, the man is obliged to review the diet. Tobacco, alcoholic beverages, fatty and spicy foods are excluded from it. These details several times slow down the onset of therapeutic effect. It is better to choose a light evening of seafood. The drug “Viagra” does not solve all the problems after 1 dose. Do not lower your hands unless the lightning effect has occurred. In particularly severe cases, a longer dose of Viagra is required.

Contraindications and side effects

The drug is not prescribed in cases where a man has individual intolerance or hypersensitivity to sildenafil. The second limitation – the drug is not prescribed together with other drugs designed to increase potency. If we talk about other contraindications for the use of “Viagra”, they are as follows:

– hypertension;

– anemia;

– age up to 18 years;

– retinitis;

– Peyronie’s disease;

– priapism;

– suffered a stroke;

– suffered a heart attack.

There are a number of medications that should not be taken with Viagra. The list is as follows:

– “Erythromycin”;

– Cimetidine;

– substances programmed to eliminate the signs of depression;

– tranquilizers.

Before prescribing the drug, the doctor will talk about possible side effects. They occur very rarely. In most cases, the reason for this will be non-compliance with the recommended dosages. Nasal bleeding, weakness, and even loss of consciousness – these cork effects develop with a systematic violation of the course of the reception. In case of such, the reception should be temporarily stopped. Further instructions will be given by the doctor after a re-analysis of the state of health.

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Hair Transplant in Istanbul

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Female hair transplant types

Hair transplant is an important issue for women. And clinics that perform this important and meticulous procedure and achieve successful results are always at the forefront. Hair Center of Turkey, which has achieved an undeniable success in this regard, does not leave women alone in this regard. Hair Center of Turkey, which has accomplished numerous successful operations with its professional team in Hair Transplant in Istanbul for more than 10 years and provides happy customer satisfaction, is with women …

Women usually want to end this situation as soon as possible because of their troubles and feelings of embarrassment. However, they want to take the right step and do research to eliminate the question marks on this issue. Here, as the Hair Center of Turkey team, we have compiled some of the questions you may have and may be worried about.

Unshaved Hair Transplant in Turkey

Unshaved Hair Transplant in Turkey is also known as FUE. In this technique, hair transplant is performed without shaving the recipient or donor area. It differs from traditional FUE, where the hair must be shaved to facilitate the process of graft removal and placement.

What are the Benefits of Unshaved Hair Transplant?

The biggest advantage of unshaved hair transplant is that it reduces downtime and the degree of detection. In cases where patients have long hair, redness and crusting can be hidden from their existing hair.

Who Are The Ideal Candidates For Unshaved Hair Transplant in Turkey ?

People who do not want their hair transplant surgeries to be noticeable, people in show business, TV personalities and public relations officials prefer unshaved transplants.

What Are The Techniques Used For Unshaved Hair Transplant in Turkey?

The following two techniques are used for Unshaved Hair Transplant in Turkey :

Direct Hair Transplant

In this application, donor hair is taken and implanted directly into the recipient area to minimize downtime.

Follicular Unit Extraction

In this technique, the donor or recipient area is left unshaved and the grafts taken are transplanted into the recipient area where the incisions are made.

Why Should You Prefer Hair Center of Turkey for  your Unshaved Hair Transplant in Turkey?

Hair Center of Turkey guarantees 100% success with a team of dedicated experts with more than 10 years of experience. Hair Center of Turkey is the pioneer of the latest technologies and provides the best pre-operative and post-operative care and support. At the same time plantation produces about prices in Turkey are always solutions alongside their customers.

Can Long Hair Transplant Be Performed?

Long Hair Transplant in Turkey Surgery is a technique used in patients who need a good hair volume in a shorter time. This is mostly preferred by people who have to attend an important function or event, such as a wedding, within the next 15 to 20 days.

What is Long Hair Transplant?

In long hair transplant, long hair from the donor area is taken and transplanted without cutting it short to see immediate results after surgery.

What are the Benefits of Long Hair Transplant in Turkey Surgery?

• Full volume is achieved within 10 to 15 days.

• Usually a single transplant session is needed.

What Are the Various Techniques Used in Long Hair Transplant?

Two techniques are used in long hair transplant surgery:

Direct Hair Transplant

In this technique, long hair taken from the donor area is directly transplanted into the recipient area.

Follicular Unit Extraction

In this technique, long hair is taken from the donor area. They are then placed in small holes created in the receiver.

Why Should You Prefer Long Hair Transplant in Turkey ?

Long hair transplant surgery is performed to obtain a good hair volume in a shorter time. The best results in this surgery can only be achieved if the surgery is performed by experienced and dedicated surgeons. Otherwise, the risk of failure is very high and most of the transplanted hair tends to fall out within the first 3 months. Hair Center of Turkey guarantees 100% results with first class hair restoration experts.

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