Dr. Gila Isman Nelkenbaum explains how to treat acne (Walla system)
Acne is a very bothersome phenomenon, but most people try to deal with it alone, or at most with a visit to a beautician.
But the truth is that the world of medicine has a lot to offer in this area as well.
Dr. Gila Isman Nelkenbaum, a senior physician at the Integrated Center for Aesthetics and the Skin Cancer Early Detection Clinic at Ichilov Hospital, was a guest on the "Expert Clinic" podcast to explain what causes acne and how to treat it. The first thing to know about acne is that it is a skin disease, and like
any A disease - you should go to a doctor who specializes in treating it. "A large number of people forget that you should go to a dermatologist, it is ultimately a skin disease, and go around many times by themselves trying to find solutions, when there is an effective, easy and even cheap solution at the dermatologist," said D. R. Isman Nelkenbaum.
Why do we have acne?
Puberty acne starts around the age of 11-12 in girls, around the first period, and in boys at the age of 13-14.
Dr. Eisman Nelkenbaum explained that this happens during puberty because of hormonal effects - hormones that affect the sebaceous gland, which is the source of acne. Excellent because it helps the oiliness and the skin to be smooth and shiny, this is what we want to achieve in the older age, but it also eventually causes pimples," explained Dr. Isman Nelkenbaum, "This mammary gland grows, and when it grows and is full of milk and exposed to light - the milk oxidizes, and this is what is called blackheads. This is the initial acne lesion, this is its beginning."
What do we do with those blacks?
Here there are non-medical solutions such as a special soap or a visit to a beautician who will remove the blackheads, this can reduce the oiliness a bit and can prevent the appearance of new lesions or inflammation of the same lesions.
Dr. Isman Nelkenbaum clarified that it is really not worth taking out blackheads alone, as it may cause scars.
It is better to treat early.
A young woman with acne (Photo: ShutterStock)
"When there is a proliferation of such black dots, or the beginning of lesions that are inflammatory, which means already heads of pus or redness around, or in the next stage it is already large areas of redness on the face - it is very important to know that medical treatment is important to improve the existing situation, But more important than that - the future. Many times inflammatory lesions, even if they are not touched, can leave scars," explained Dr. Isman Nelkenbaum.
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In such cases, you should go to a dermatologist.
"Any dermatologist can treat acne, and there are many, many treatments for acne today," she added.
There are treatments with ointments, liquids for spot treatment that dry wounds.
Simple, cheap and effective drug treatments.
In more advanced stages, there are different types of antibiotics that can bring benefits, and the next, most advanced stage is Roaccutane - a drug that helps a lot, but causes a lot of concern.
"Roaccutane is a derivative of vitamin A and has been in use since 1982, so we have 40 years of good experience. If in the past there was a lot of fear around it because of side effects, today we know that lower doses can be given, and therefore there are also fewer side effects," explained D R. Eisman Nelkenbaum, "I have been giving the drug for many years, and I have hardly seen any side effects for donating."
It is important to know that this is a very effective drug that attacks the acne from all directions, and it can achieve remission for long periods, more than antibiotics.
I am not afraid of the medicine, and neither are my colleagues, because we have accumulated many years of experience, said Dr. Isman Nelkenbaum, "Doctors today are no longer hysterical about taking blood tests every month, we have calmed down a bit, yes it is important to know that there are side effects, the most common of which is dryness of of the skin and lips, there can also be headaches, changes in liver function or an increase in triglycerides - but we monitor this, and it is rare.
" , and the side effects are also rarer.
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acne
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