A method of treating acne

 

The invention relates to medicine, cosmetology and can be used to treat acne. Treatment in 3 phases of different duration, as antiseptic used by a particular method combined drug BUTAL, in complicated form of acne or secondary infection alternate application of Butola with Baneuoqin, their effects reinforce infrared radiation within 5-7 minutes After applying antiseptic drug use ultrasonography, methods, ultrasonic peeling, monotherapie, cryotherapy, conduct the test for latent infection in the form of provocations alcohol or beer. After a preliminary psychological training are dermabrasion with postoperative care within 1-2 months. This invention contributes to the high efficiency of the method for the treatment of acne and prevention of exacerbations. table 1.

The invention relates to medicine, namely to cosmetology.

Acne is a chronic disease of the sebaceous glands, which often occur as a consequence of seborrhea with the emergence of elements of acne, non-inflammatory (open and closed comedones) and inflammatory (papules, pustules), vstrechayushiesa significant increase in the number of outbreaks of a severe form of acne, especially in individuals over the age of 25 years, which has important socio-psychological significance. The complexity of treatment increases due to individual differences of the parameters of skin structures, the level of sensitivity of the cells of the sebaceous glands to exposure of sexual organs and endocrine glands, local cellular immunity, as well as for reinforcement of the negative external influence. Stimuli acne (according to Fulton D. E. Acne in adult women // news aesthetics, 1999. - 6. - C. 6-9) are: stress (75%), menstrual factors (70%), skin damage (53%), pregnancy (35%), drugs and contraceptives (29%), cosmetics (21%) and other (3%). The total classification of acne, based on the work Kligman A. M., leads N. Polonskaya (Acne: classification, pathogenesis, treatment. // Cosmetics and medicine, 4, 2000. - S. 77-83), in which there are 4 different severity of disease manifestations and 6 groups of forms of acne, dependent 15 reasons (subgroups) of the disease. The disease development is clearly contributes to increasing the pH of the skin in an alkaline environment, which leads to a decrease in bactericidal properties of sebum and to a sharp increase in growth and reproduction of representatives saprophytic and opportunistic microtom modified sebum, so appear inflamed damaged scaly patches and plaques (seborrheic dermatitis), and violated the outflows of fat, forming microcity, when the gap which occurs in the immune response. Biopsy (Fulton D. E.) showed that the white blood cells moving in the wall of the follicle, or destroy it, the epithelium, or moving on to the surface between the wall of the follicle and acne form pustules, which subsequently generates a residual scar. In this case, the inner surface of the follicle or restored without causing clinical inflammation, or it is destroyed, which causes inflammation. Thus, skin patterns undergo irreversible changes in acne so that they cannot be put in perfect condition without radical microsurgical techniques change the architectonics of skin capillaries and skin structures. Post acne is characterized by the following residual changes: enlarged pores, dilated capillaries, uneven pigmentation, uneven texture and microrelief of the skin, which is associated with atrophic or hypertrophic scars. In the first months of treatment in modern ways worsened disease, which is associated with the dynamics of the current Bo the treatment, because achieved a temporary improvement of the skin can be replaced by the new aggravation of the situation. The existing General plan of treatment adopted for the prototype has the following steps: 1. Deep cleansing of the skin with a gradual removal of comedones and surface contamination carried out by means of therapeutic cosmetology, including: vaporization, desincrustation, vacuum-mechanical ultrasonic cleansing and peeling.

2. Antibiotic therapy with tetracycline or erythromycin.

3. Elimination of dysbiosis, deficiency of vitamins and minerals.

4. Suppression of foci of chronic infection and parallel treatment of major chronic diseases relevant experts; and in severe social maladjustment patient treatment by neuropsychiatrist.

5. In severe cases use 5-10% gel with benzoyl peroxide, conditioning gel with vitamin a, roacutane.

If necessary, designate re-4-6-month course of treatment.

The disadvantage of the prototype is that the treatment using these modern methods is long and consists of several courses (one course of treatment for at least 6 months), and without the treatment boleznennym acute process, reaching at best remission in 61% of patients at the end of the first course of treatment, and 85% when repeated courses, and in other patients develop resistance to treatment (Pisklakova, Etc., et al. Comparative analysis of the effectiveness of drugs used for the treatment of acne. // Abstracts of the VIII all-Russian Congress of Dermatovenereology, part 1, Dermatology. - M., 2001. - S. 44). When this treatment is accompanied by side effects: exacerbation of the process, redness, peeling, burning (Malykhina Acting derma-cosmetic treatment and rehabilitation of patients with acne // abstracts of the VIII all-Russian Congress of Dermatovenereology, part 1, Dermatology. - M., 2001. - S. 143-144). The reason for the formation of the most severe forms of acne (conglobata and abstemiously) is the presence of microbial associations (type aerobe + gone anaerobic) with a high degree of contamination of lesions (Springis L. G., brown J. E., Acteva, M. Microbial Association is the possible cause of complicated forms of acne // abstracts of the VIII all-Russian Congress of Dermatovenereology, part 1, Dermatology. - M., 2001. - S. 203). This situation indicates a clear lack of chemotherapeutic effectiveness Leche is AE (penicillin, streptomycin or their derivatives) does not give the same result, because they are focused on selective interaction mainly with only some of the biochemical structures of the germ (Buchin P. I. Current issues in Microbiology anaerobic clostridial infection // proceedings of the scientific session, Kuibyshev, cgmi, 1989. - S. 38-40). Therefore, when acne is so important the choice of antimicrobial agent containing several chemically and physically compatible antiseptics that can, in combination enhance the activity and to broaden the spectrum of antimicrobial action. This product is obtained Tolstov Century A. "Combined chemotherapeutic agent BUTAL for local treatment of wound infections and inflammatory diseases" (patent of the Russian Federation 2115418 from 23.01.98 year ). Another medication overseas production "Baneocin" (hereinafter "BANEUOQIN") consists of 3 components - antiseptics. However, previously they were not used in the complex treatment of acne.

The essence of the proposed method lies in the fact that the treatment of acne has 3 stages. stage 1, further 1-2 months, includes basic traditional techniques deep cleansing facial, elimination of dysbiosis and deficiencies of vitamins A, b1In6In12C, zinc pay specialists for suppressing chronic infection. However, as an antiseptic used by a particular method combined drug BUTAL for skin treatment before cleaning the face in the form of applications of gauze swabs soaked in 10-15 ml of solution Butola, during the procedure of cleaning your face in the form of wetting of the treated surface, after cleaning the skin in the form of applications of gauze swabs soaked in 10-15 ml of solution Butola, and then 2-3 times a day at home within 15-25 days until spontaneous healing of the epidermis. In complicated form of acne or secondary infection alternate application of Butola with Baneuoqin. This BANEUOQIN used in the form of powders on the surface of the skin, cleansed from inflamed infiltration. Of physiotherapeutic methods in the completion of the procedures used ultrasonography and infrared radiation. stage 2, a continuation of 1-2 months, includes traditional treatments for skin care. Using methods of ultrasonic peeling, monotherapie, cryotherapy. The stage is a check for outbreaks of acne and preparatory to the operation of dermabrasion. At stage 3 carry out mechanical dermabrasion with postoperative Whakatane of the Russian Federation. The number of priority help 2001114571 / 14(015296) 18.06.2001 year). The assessment of acne treatment is carried out on generally accepted in the world practice the SCORAD system.

The method is as follows: At stage 1, the continuation of 1-2 months, carry out a deep cleansing facial, back and chest cleavage. Carry out a deep cleansing facial mechanically using a spoon unna. Remove all closed and open comedones. Inflamed elements of the open method of electrocoagulation using the hair of the electrode, which also removes the miliums. Elimination of dysbiosis and deficiencies of vitamins A, B1B6B12C, zinc with parallel treatment of major chronic diseases in patients (3-5% of the total) is performed according to the recommendations of experts for suppressing chronic infection. As antiseptic use combined drug BUTAL for skin treatment before cleaning the face in the form of applications of gauze swabs soaked in 10-15 ml of solution Butola, during the procedure of cleaning your face in the form of wetting of the treated surface, after cleaning the skin in the form of applications of gauze swabs soaked in 10-15 ml of solution Butola, and then 2-3 times denoy the surface of the alcohol - and metal-containing solutions. In complicated form of acne or secondary infection alternate application of Butola with Baneuoqin. This BANEUOQIN used in the form of powders on the surface of the skin, cleansed from papulopustules elements and inflammatory infiltrates. After the procedure, and after each further application of Butola or Baneuoqin, increase their infra-red radiation within 5-7 minutes After applying antiseptic drug use ultrasonography. In phase 2, a continuation of 1-2 months, conduct traditional treatments for skin of the patient. Using methods of ultrasonic peeling, monotherapie, cryotherapy. Check for outbreaks of acne. To do this, use the methods of ultrasonic peeling, provocation small alcohol or beer. Upon detection acne spend additional treatment similar to stage 1. Regardless of the presence of acne outbreaks preventive treatment acne menstrual syndrome, severe stress. At the final stage of this phase, conduct psychological preparation of the patient for surgery. At stage 3 carry out mechanical dermabrasion with postoperative care within 1-2 months previously stated the 01114571 / 14(015296) 18.06.2001 year). This assessment acne treatment at all stages carried out on generally accepted in the world practice the SCORAD system.

Effective acne treatment is shown in the following example.

Patient A. , W.R., 30. 2.05.2001, I went to the doctor complaining of pain in the area of the rash of acne and psychological discomfort from the disease. Examination: on both cheeks and Malar areas multiple infectious pustular elements and long-established standard atrophic scars from acne, increased intensity of erythema, body temperature of 36.7oC. revision of inflamed element found scant detachable gel-like character. Processed elements of acne, manual cleaning, ultrasonograpy the affected area, imposed wet-drying bandage with a solution of Butola produced infrared radiation cheeks. Treatment was prescribed using Butola as previously described in the next two weeks. Fresh purulent more elements was not observed immediately after the first procedure. Inflammatory redness disappeared after the third procedure. On the 7th day the skin was cleansed of elements of acne. Erythema was observed within 3 weeks. Further treatment included egene is on of the motor (infrared radiation). After a month - alignment on the color of the skin on the entire surface of the face. In the future, without complications, and new outbreaks of acne with traditional skin care. 1.5 months produced mechanical dermabrasion cheek-cheek areas. The postoperative period without infectious complications. Postoperative erythema was observed within 1 month. The skin from post acne marks aligned to 2 months after surgery. Psychostatus patient is stable in the norm. Total treatment time is 5 months.

The above example allows you to clearly see the approver fact: the advantage of the application of the method is obvious. The claimed method cured 137 patients (1998-2002 gg). In the comparison (control group) was 1398 patients (1982-1996 gg), treatment was carried out traditional ways of preventing acne. The results of the effectiveness of acne treatment method proposed by the author, are shown in the table.

In any case, a severe form of acne, to suppress which was used this way, there was no evidence of recurrence of acne in the acute form. The presence of recurrence after 1 year of treatment in a small number (about 7%) patients due to lack of preventive treatment of chronic diseases. Prime an average of 3.730.32 days). For comparison, the traditional treatment of this term is equal to 111.2 days, i.e. clearly more almost 3 times. It does not require additional use of chemotherapeutic drugs and pre-decrypt any microbiological method etiological patterns of microbial contamination of the skin and infectious inflammation of acne items. This circumstance is especially valuable when small cosmetic salons and offices where there is no possibility of using research in the Microbiology laboratory.

Thus, the clinical observations confirm the high efficiency of the method for the prevention and treatment of acne. Developed by the author of the method, as claimed in the invention may be recommended for implementation in modern cosmetology.

Claims

A method of treating acne comprising the common methods of deep cleaning facial, electrocoagulation miliums, elimination of dysbiosis and vitamin deficiency with concurrent treatment of major chronic diseases in patients on recommendations made by relevant specialists, preparation for surgery and complexities fact, the treatment consists of 3 phases; and on the 1st stage continuation 1-2 months carry out a deep cleansing facial, back and chest cleavage, removing all closed and open comedones mechanically using a spoon unna and inflamed elements of the open method of electrocoagulation using the hair of the electrode, which should be removed and the miliums, and as an antiseptic use combined drug Butal for skin treatment before cleaning the face in the form of applications of gauze swabs soaked in 10-15 ml of Butola, during the procedure of cleaning your face in the form of wetting of the treated surface, after cleansing skin in the form of applications of gauze swabs soaked in 10-15 ml of Butola, and then at home the patient imposes the application of gauze napkins with Butola 2-3 times a day for 15-25 days, it does not combine Butal processing skin alcohol - and metal-containing solutions, and in complicated form of acne or secondary infection alternate application Butal with Baneuoqin, while Baneuoqin used in the form of powders on the surface of the skin, cleansed from papulopustules elements and in which, their effects reinforce infrared radiation within 5-7 min, and after the application of antiseptic drugs use ultrasonometry; on the 2nd stage continuation 1-2 months performing the traditional treatments for the skin, using methods of ultrasonic peeling, monotherapie, cryotherapy, and the presence of latent infection check with provocations process the alcohol or beer, and only when it detects acne spend additional treatment, similar to the 1st stage, but regardless of whether outbreaks of acne menstrual syndrome and severe stress preventive treatment of acne in the form of applications of gauze napkins, soaked in 10-15 ml of Butola, 2-3 times a day and at the final stage of this phase, conduct psychological preparation of the patient for surgery; on the 3rd phase will cover the mechanical dermabrasion with postoperative care within 1-2 months; the treatment of acne is produced on generally accepted in the world practice the system of the SCORAD index.

 

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