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What
is Acne :
Skin
disorders, such as acne can be irritating and embarrassing
. acne (also known as pimples and blackheads ) is the most
common skin problem and is the number one reason worldwide
for a visit to a dermatologist. In most men, acne is worst
during teenage years and then subsides. In women, menstruation
flares acne, which follows into teenage years and then into
adulthood. If left untreated, acne leads to the formation
of small pockmark- like scars, which are then permanent. This
cosmetic disfigurement has to be then lived with throughout
life. Also , the presence of unseemly acne during teenage
years leads to emotional and social trauma, which hampers
self-confidence .
How
is it caused :
Our
face and back contain a large number of hair follicles which
are associated with sebaceous glands. These sebaceous glands
produce sebum (an oily fluid), which is secreted out to the
skin through a passage called the infundibulum. Under ordinary
and happy circumstances, the sebum produced by the sebaceous
glands is secreted to the skin through open pores on the skin
. however , in not-so- happy circumstances , a plug (blockage)
forms in the infundibulum from cells, sebum, bacteria and
other debris. The sebaceous gland continues to produce sebum,
stretching the infundibulum until either it or some lower
portion of the follicle ruptures. Acne lesions results from
the rupture of a sebaceous follicle, followed by inflection
by acne bacteria commonly found on the skin , leading to inflammation
and pus (a whitehead) . they also result from the accumulation
of plugged material in the sebaceous follicle ( a blackhead).
This pathophysiology has two major requirements- an increase
in sebum production or the plugging of the upper portion of
the infundibulum.
TREATMENT
:
Normal
treatments for acne usually follow one or two lines of treatment
. They try to reduce the pluggung of the infundibulum or its
pore, or they try to reduce the chances of a bacterial infection
. While laser treatment involves the application of an fda
approved light sensitive dye mixed in a special gel . this dye enters the
oil producing glands as well the passages. A laser , which
is specially matched to the dye in terms of wavelength, pulse
width and spot size, is then applied on the skin.this laser
heats up the dye in the glands and the passages. The heating
up leads to a decrease in the production of sebum, which causes
acne. It also leads to an enlargement of the passages. As
a result, these passages do not get blocked easily, leading
to a reduction in acne eruptions.
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