Розацеа (розовые угри) – это хроническое кожное заболевание неинфекционной природы, которое характеризуется сильным покраснением лица, появлением гнойников и сосудистых бугорков. На последних стадиях болезнь приводит к ощутимым изменениям во внешности пациента: утолщается кожа на лбу, носу, скулах, подбородке, щеках. Симптоматика воспринимается как значительный косметический дефект, замаскировать который довольно проблематично. Именно поэтому лечением заболевания нужно заниматься как можно скорее. В некоторых случаях из-за розацеа у пациентов начинаются проблемы со зрением, так как болезнь сопровождается поражением глаз.
Причины появления розацеа
У детей этот диагноз практически не встречается. Женщины сталкиваются с заболеванием чаще, чем мужчины, но у них оно протекает сложнее и часто сопровождается серьезными осложнениями. Розацеа появляется у людей со светлой кожей и, как правило, в зрелом возрасте.
Точная причина развития болезни научным сообществом на данный момент не установлена. Ранее предполагалось, что провоцировать развитие розацеа способны микроскопические подкожные клещи, которые обитают в сальных железах волосяных фолликул. Сейчас же считается, что их наличие у больного второстепенно и является не причиной, а последствием изменений кожных покровов на лице. Таким образом истинная этимология болезни остается неизвестной, хотя существует ряд теорий, указывающих на различные факторы распространения розацеа.
Основным предположением о возникновении хронического диагноза является повышенная чувствительность сосудов к различным раздражителям. Причины розацеа могут быть следующие:
- Инфекция. Существует мнение, что гнойники появляются по причине инфекционного распространения, хотя в гнойном субстрате нет бактерий, которые могли бы являться возбудителем патологии. Считается, что антибактериальная терапия поможет избежать повторного высыпания.
- Нарушения и сбои в работе иммунной системы. Снижение иммунитета может отразиться на кожных покровах лица, что приведет к появлению сосудистых звездочек и распространению покраснения, сыпи.
- Генетика. Как уже упоминалось выше, люди со светлым типом кожи более предрасположены к розацеа. Так же влияет и генетический фактор: в медицинской литературе часто описываются случаи с поражениями на лице сразу у нескольких членов семьи. Практически половина пациентов имеет родственные связи с человеком, страдающим от аналогичной проблемы.
- Нарушения и сбои в работе эндокринной системы. Неправильный метаболизм, овариальная недостаточность, сахарный диабет, климакс и прочие факторы способны провоцировать воспалительные процессы на коже.
- Психиатрия и психосоматика. В исключительных случаях розацеа может протекать тяжелее у тех пациентов, кто страдает от психиатрических заболеваний. Это способствует еще большему покраснению на лице. Однако данная причина не может быть единственной, она способна лишь усугублять состояние больного.
- Болезни пищеварительного тракта. Врачи установили связь между развитием хронического дерматологического заболевания и болезнями пищеварительной системы. Большая часть обращающихся к дерматологу пациентов имеет симптоматику нарушений в работе тонкого кишечника, гастриты или язвы.
- Влияние продуктов питания, алкоголя, специй. Врачи полагают, что раздражение слизистой желудка может негативно отразиться на коже лица пациента. Это способствует рефлекторному расширению сосудов, отчего появится покраснение и гнойная сыпь. Пациентам, страдающих от распространения розацеа, рекомендуется отказаться от алкогольных напитков, цитрусовых фруктов, кофе, слишком острой или пряной пищи.
Так же на состояние пациента может влиять климатическая среда, образ жизни, прием лекарственных препаратов, качество косметических средств и состояние нервной системы.
Стадийность, симптоматика и диагностические исследования
К основным симптомам розацеа относят:
- Стойкая краснота на лице. Иногда появляется и на шее, спине, ушах и грудной клетке.
- Ринофима. Изменение тканей, уплотнение, огрубение кожи на носу или вокруг носа.
- Высыпания, гнойники на лице. Сначала появляются папулы, которые с течением времени превращаются в гнойные пустулы – маленькие белые прыщики.
- Расширение сосудов. На коже появляется рельефная красная сетка из расширенных сосудов.
- Поражение зрительных органов. Присуще большей части пациентов. Сопровождается резью в глазах, сухостью, слезотечением.
Так же возможны другие проявления: ощущение стянутой кожи, зуд, шелушение, боль, жжение.
Симптомы разнятся от стадийности заболевания. Условно их можно разделить на три типа:
- Эритематозная стадия. Кожа становится плотнее, толще, начинает краснеть. В некоторых местах образуется высыпание. Проявления зависят от того, какой образ жизни ведет пациент, как он питается, загорает ли на солнце, пьет ли спиртные напитки, посещает ли бани, сауны и тому подобное. Если раздражающих факторов минимум, то состояние кожных покровов относительно нормальное – косметические недостатки присутствуют, но выражается это не так сильно, как на второй стадии.
- Папуло-пустулезная стадия. Кожа начинает отекать, появляется гнойная сыпь. На данной стадии кожные покровы очень чувствительны,особенно к ультрафиолетовому излучению – солнечному свету.
- Фиматоидная стадия. Патология прогрессирует: на лице, ушах, шее уплотняется кожа – визуально она становится похожей на апельсиновую корку. Поверхность дермы бугристая, красная, воспаленная. На этой стадии образуется ринофима, носовые пазухи увеличиваются в размерах, глаза заплывают. У мужчин симптоматика выражена ярче, чем у женщин – обусловлено это влиянием эстрогена.
Врач-дерматолог способен поставить диагноз уже визуально – по внешнему виду пациента. Розацеа выделяется на фоне других хронических дерматологических заболеваний. В зависимости от тяжести диагноза могут понадобиться дополнительные обследования: взятие крови на анализ, исследования микрофлоры кожи, осмотр расширенных сосудов пациента.
Медикаментозное лечение
Важно вовремя обратиться к врачу, чтобы остановить развитие этого заболевания. Розацеа в тяжелых стадиях поддается лечению с трудом, поэтому при первых признаках необходима консультация специалиста. Самолечение или использование косметики не дадут результата, а иногда поспособствуют прогрессу болезни. Применение всех лекарственных препаратов должно быть согласовано с лечащим врачом.
Проверенный способ лечения розацеа – комплексный подход к проблеме. Для устранения симптоматики используются наружные средства – гели, крема, мази. А для предотвращения ее появления – антибиотики. И те, и другие назначаются специалистом, так как на разных стадиях используются разные медикаменты.
Крема и мази обычно содержат в своем составе ихтиол, метронидазолол, нафталин, растительные экстракты или эфирные мала. А гели прописывают для того, чтобы обеззараживать кожу и снимать воспаление.
Самые распространенные из препаратов при розацеа для наружного применения:
- Ованте. Не имеет противопоказаний, обладает антиотечным и противовоспалительным действием, так же содержит в своем составе ингредиенты растительного происхождения.
- Проверенный препарат Розамет. Уничтожает болезнетворные бактерии, отчего снижается количество гнойных прыщей на лице.
- Руборил. Результат будет заметен уже после нескольких применений. К преимуществам средства можно отнести безопасный состав – крем не имеет противопоказаний.
- Скинорен. Снимает воспаление, предотвращает появление новых гнойников.
- Демотен. Применяется для лечения различных дерматологических заболеваний, в том числе хронических. Обладает противовоспалительными и успокаивающими кожу свойствами.
- Азелик. Обеззараживает кожу, снимает отечность и устраняет гнойные высыпания.
- Метрогил гель. Можно использовать как детям, так и взрослым. Помогает побороть распространения воспалительного процесса, снижает отечность кожных покровов.
- Эритромицин. В составе мази присутствуют антибиотики, помогающие снять красноту в короткие сроки. При регулярном применении поможет устранить покраснение и сыпь.
- Цинковая мазь. Сможет успокоить раздраженную кожу, снять воспаление и красноту.
Курс лечения колеблется от нескольких недель до нескольких месяцев. Иногда это занимает большее время – особенно если человек обратился с запущенной формой розацеа.
Из антибиотиков чаще всего выписывают Супрастин, Кларитин, Метронидазол, Тавегил, Окситетрациклин, Тетрацилина гидрохлорид, Минолексин. В зависимости от индивидуальных особенностей пациента также могут прописать прием успокаивающих препаратов или антидепрессантов, лекарств для пищеварительной системы, витаминных комплексов, гормональных таблеток.
В сложных, запущенных ситуациях врачи прибегают к таким процедурам как дермабразия, фотокоагуляция, лазерная терапия, воздействие слабым зарядом электрического тока, воздействие жидким азотом. Иногда эффективным способом лечения розацеа на лице являются грубые пилинги – но делается процедура не в домашних условиях, а в кабинете дерматолога.
Медикаментозное лечение предполагает строгий контроль пациента специалистом. Самолечение или прием других препаратов должны быть согласованы с врачом. Нужно помнить, что роцазеа может протекать болезненно, в том числе из-за неправильного приема медикаментов.
Лечение народными средствами
Применение народных средств также согласовывается с доктором. Обычно применяют различные компрессы, маски или масла. Делать это необходимо комплексно с медикаментозной терапией.
Существуют рецепты приготовления настоек и отваров, которые употребляются внутрь – считается, что это способно снять сильное воспаление на лице. К таким относят травяные чаи из крапивы, череды и фиалки, настои из цветков тысячелистника, отвары из листьев грецкого ореха или земляники. При ежедневном употреблении целебных трав кожа будет выглядеть здоровее.
В качестве масок для лица при розацеа рекомендуется:
- Огуречная маска. Мякоть натертого огурца смешать с 3-4 каплями репейного, после чего аккуратно распределить по лицу и оставить на 10-15 минут.
- Авокадная маска. Авокадо размять в пюре, смешать с кокосовым маслом, нанести на лицо на 15-20 минут.
- Картофельная маска. Сырую картофелину натереть на мелкой терке, добавить пару капель оливкового или льняного масла, тщательно перемешав смесь. Нанести на лицо на 15 минут.
- Маска с маслом лаванды и овсяными хлопьями. Хлопья залить кипятком, накрыть крышкой и дать настояться. После добавить 4-6 капель масла лаванды. Наносить на кожу остывшим. Выдержать на лице 10-15 минут.
Для приготовления масок и другой домашней косметики можно воспользоваться следующими маслами:
- льняным;
- пшеничным;
- виноградным;
- камфорным;
- касторовым;
- кокосовым;
- миндальным;
- розовым;
- чайного дерева;
- жожоба.
Масло при лечении розовых угрей может быть любым. Главное, чтобы в продукте не содержалось каких-то неизвестных ингредиентов – красителей, добавок и прочего. Исключением являются лишь витаминные добавки. Так же стоит избегать продукции с добавлением агрессивных компонентов. К примеру, в репейное масло могут добавить настой красного перца, который усилит жжение кожи.
Рекомендуется делать различные компрессы из трав или пользоваться ими вместо магазинного тоника для умывания. Следует использовать:
- ромашка;
- лепестки розы;
- шалфей;
- липовый цвет;
- сок клюквы;
- зеленый чай;
- шиповник;
- алоэ.
Растения заливают горячей водой и дают настояться. Горячими их использовать нельзя, нужно подождать, пока жидкость остынет хотя бы до комнатной температуры.
Соблюдение диеты
Рацион питания согласовывается с врачом. При тяжелых формах розацеа необходимо придерживаться строгой диеты – избегать употребления сладкого, соленого, жареного, копченого. Нельзя пить алкогольные напитки, кофе и крепкий чай. Не рекомендуется употреблять цитрусовые фрукты, шоколад, выпечку. Животные жиры в рационе пациента, страдающего от хронического дерматологического заболевания, сводятся к минимуму.
Можно есть тушеное, вареное, запеченное, а так же приготовленное на гриле с минимальным добавлением масла. Очень рекомендуется есть больше свежих овощей и фруктов, орехов, зелени, круп, бобовых. Допускается употребление кисломолочной продукции и нежирного мяса, птицы, морепродуктов. Полезно пить большое количество минеральной воды – до 2 литров в сутки.
Человеку, страдающему от розацеа, как уже упоминалось, прописывают курс витаминов. Так же необходимые вещества должны поступать в организм из уже готовой пищи – именно поэтому в рационе присутствует много продуктов растительного происхождения.
Вылечить розацеа навсегда проблематично, так как для заболевания свойственны рецидивы. Но диета, уход за лицом и применение медикаментов могут помочь в поддержании здорового состояния кожных покровов.
Розацеа является хроническим заболеванием кожи лица, склонным к постепенному прогрессированию. Причины, которые приводят к появлению данного заболевания, пока не установлены окончательно, поэтому и лечение может разниться от одного пациента к другому. В медицинской практике известны и такие случаи, когда все симптомы заболевания проходили самостоятельно, без обращения пациента к врачу. Определяющую роль при этом играет клиническая форма розацеа и стадия развития заболевания.
Самостоятельное лечение розовых угрей практикуется многими пациентами. Дело в том, что при розацеа практически нет серьезных общих симптомов, как например высокая температура или общая слабость. Все проявления болезни ограничиваются кожей лица или, реже, шеи и волосистой части головы. С ними многие люди пытаются бороться самостоятельно с помощью народных средств.
В лечении угревой сыпи при розацеа активно используются следующие народные средства:
- Спиртовой настой чеснока. Спиртовой настой чеснока считается весьма эффективным средством против розацеа, вызванной патогенными микроорганизмами. Для его приготовления необходимо мелко нарезать 400 г чеснока, залить их спиртом или водкой и настаивать на солнце до появления желтоватого окраса смеси. После этого настой процеживают, и протирают им лицо дважды в день, разбавляя в воде. В среднем рекомендуют брать 5 – 10 капель на 50 мл воды. Повторять процедуру нужно до исчезновения выраженных симптомов заболевания.
- Настой из огурцов. Чтобы приготовить настой из огурцов необходимо мелко нарезать несколько молодых огурцов и залить их кипятком. На 3 столовые ложки кашицы необходим 1 стакан воды. После этого смесь настаивают 2 – 3 часа и протирают ей кожу лица. Иногда во время настаивания можно добавить половину чайной ложки меда. Это лучше делать до того как смесь остынет, чтобы добиться полного растворения меда.
- Настой листьев алоэ. Настой листьев алоэ готовят на воде. Для этого необходимо мелко нарезанные листья залить теплой кипяченой водой в соотношении 1 к 5. Настаивание длится 1 час. После этого смесь нужно прокипятить в течение 2 – 3 минут. Охлажденное средство процеживают и растирают им лицо после умывания, нанося на чистый ватный тампон.
- Настой календулы. Настой календулы можно эффективно применять, смешивая его с медом. 1 чайную ложку сухой календулы (из аптеки) заливают 1 стаканом кипяченой воды. После этого в смеси размешивают 1 чайную ложку меда до полного растворения. Настаивание длится 2 – 3 часа.
Кроме того, существует ряд элементарных рекомендаций, которые если и не устранят причину заболевания, то уменьшат его проявления и замедлят прогрессирование. Подобные меры, по сути, относятся к элементам профилактики розацеа, но их знание и выполнение является также важной частью любого лечения.
Для замедления прогрессирования розацеа желательно соблюдать следующие правила:
- Необходимо поменьше находиться на солнце. Воздействие ультрафиолетового излучения негативно сказывается на коже лица. При розацеа в частности оно приводит к еще более сильным нарушениям обмена веществ в коже и замедлению регенеративных процессов.
- Важно соблюдать правила личной гигиены и следить за чистотой кожи лица на любой стадии болезни. При наличии гнойных очагов необходимо аккуратно протирать лицо чистой ватой, смоченной в дезинфицирующих растворах.
- Нельзя выдавливать угри, так как это поспособствует попаданию микробов в пустулы и началу гнойного процесса.
- Необходимо соблюдать диету. Исключить нужно острую и пряную пищу, так как вещества, содержащиеся в ней, приводят к расширению сосудов лица и приливу крови. Этот же эффект дает употребление алкоголя или очень горячего чая.
- Нужно избегать переохлаждения или обветривания кожи лица, так как это ведет к ее огрубению и ускоряет патологический процесс при розацеа.
- Желательно избегать ношения тесных шляпок и узких воротничков (не говоря уже о галстуке). Дело в том, что это нарушает отток крови из вен и лимфатических сосудов лица и усиливает отек.
Однако соблюдение этих правил и применение народных средств далеко не всегда гарантирует исчезновение симптомов и тем более полное выздоровление. Большинство таких средств местного действия направлены на элементарную дезинфекцию кожи и улучшение обмена веществ в этой области. Проблема заключается в том, что у многих пациентов розацеа развивается на фоне других, более серьезных нарушений. Таким образом, состояние кожи от применения вышеперечисленных народных средств и профилактических методов может улучшиться, но полное выздоровление не наступит. Если не определить и не устранить причину, вызвавшую болезнь, все симптомы вернутся снова через некоторое время.
Возможными причинами образования розацеа могут быть следующие заболевания:
- язвенная болезнь желудка и двенадцатиперстной кишки;
- гастриты, вызванные Helicobacter pylori;
- холецистит;
- хронический панкреатит;
- болезни яичников;
- нарушения работы гипофиза;
- нарушения работы щитовидной железы;
- нарушения иннервации сосудов лица (на фоне травм головы, неврозов или невритов).
При наличии данных заболеваний розацеа может являться их следствием. Патогенные же микробы присоединяются позднее, когда в коже уже имеются серьезные нарушения обмена веществ. Тогда локальное применение компрессов, мазей или настоев может устранить угревую сыпь или гнойнички на коже. Однако первопричина останется. Для диагностики и лечения вышеперечисленных заболеваний лучше обратиться к врачу.
На поздних же стадиях заболевания, когда помимо инфекционного процесса наблюдается выраженный отек и огрубение кожи, самолечением заниматься бесполезно. При первых признаках фимы (характерное для розацеа осложнение) необходимо обратиться за квалифицированной медицинской помощью. На этой стадии речь идет уже не о воспалительном процессе или застое крови, которые можно попробовать вылечить самостоятельно, а об изменениях в структуре кожи. Без квалифицированной помощи кожа может настолько измениться, что впоследствии понадобится прибегать к пластической хирургии, чтобы устранить косметический дефект.
Ввиду возможности таких осложнений лучше все же обратиться к врачу на первых стадиях заболевания. Специалист определит причины развития болезни и объяснит наилучшую тактику лечения.
Автор: Пашков М.К. Координатор проекта по контенту.
Одно из распространенных кожных неинфекционных заболеваний, которое чаще поражает кожу лица и носит хронический характер, – это розацеа (розовые угри, обычно на лице или носу). Встречается данный кожный недуг в основном у женщин в возрастном диапазоне от 30 до 50 лет. Заболевание имеет характерные признаки, но неясные причины возникновения, что усложняет лечение.
Но опытные врачи медицинского центра "Энерго" смогут подобрать индивидуальный план лечения и либо полностью избавить пациента от симптомов и косметических дефектов, либо значительно улучшить качество его жизни.
Розацеа: что это такое и чем опасно, если не лечить?
Это заболевание, которое поражает сосуды и характеризуется покраснением лица или отдельных его участков. Его появление приводит к ухудшению внешнего вида из-за возникших косметических дефектов, а также к связанным с этим психологическим проблемам. Кроме того, розацеа (розовые угри) на лице, если поражены глаза, может спровоцировать кератит и изъязвление роговицы.
Также к осложнениям относятся:
- утолщение кожи подбородка с приобретением кожей синюшного или бордового оттенка (встречается крайне редко и появляется преимущественно у мужчин);
- утолщение мочки уха (также встречается редко и может вызвать снижение слуха);
- утолщение кожи лба, что приводит к сильной асимметрии лба, особенно на фоне хронического воспаления и застоя крови;
- утолщение кожи век, при котором сужается глазная щель в горизонтальном направлении и опускается верхнее веко (вызывает чувство серьезного дискомфорта);
- склерит (воспаление склеры глаза), который сопровождается болью, ухудшением зрения, раздражением глаз; возможна полная потеря зрения.
Заболевание протекает в несколько стадий, и раннюю форму развития лечить и остановить намного легче, поэтому при первых признаках необходимо сразу же обратиться к дерматологу.
Как лечить розацеа на лице и можно ли вылечить его навсегда?
Эффективное, качественное и с длительным результатом лечение возможно только под контролем специалиста, который определит причину и стадию болезни и назначит курс лечения согласно индивидуальным особенностям пациента (пол, возраст, клиническая картина и т.д.).
В очень редких случаях заболевание может проходить самостоятельно, но в основном розацеа (розовые угри) – болезнь, которая носит хронических характер и с возрастом может прогрессировать. Этим розацеа отличается от акне (угревой сыпи), часто исчезающей сама по себе при выходе из подросткового возраста. Поэтому лечение должно быть таким, чтобы увеличить время ремиссии, и уменьшить частоту возникновения рецидивов и их продолжительность. Лечение, как и профилактика, должно носить комплексный характер и, как уже говорилось, проводиться только под контролем врача.
Розацеа: симптомы и формы
- покраснение кожи лица преимущественно в Т-зоне (лоб, нос, подбородок) и на щеках (покраснение стойкого характера);
- распространение покраснения возможно на область спины и груди;
- появление розовых бугорков без лечения переходит в гнойнички, угри и прыщи;
- кожа на пораженных местах уплотняется;
- обильное слезотечение на последних стадиях;
- ринофима (покраснение и уплотнение кожи в области носа, чаще всего у мужчин);
- покраснение, сухость, зуд и шелушение вокруг глаз.
Есть разные определения стадий розацеа, как и их симптомов. Согласно этому определяется и степень тяжести заболевания, и методы и сроки его лечения. Для избавления от симптомов необходим целый комплекс мер, которые должны быть подобраны индивидуально.
Стадии розацеа
Как правило, первые стадии протекают незаметно для пациента. Но нужно обратиться к врачу, если вы заметили:
- появление красных длительно не исчезающих пятен после контакта с горячей или холодной водой, а также после горячих напитков или алкоголя;
- стойкое расширение капилляров при местном повышении температуры;
- появление бугорков и образование неровностей на коже с дальнейшим их превращением в гнойнички;
- расширение сосудистой сетки, то есть появление покраснений и бугорков без провоцирующих факторов;
- образование буровато-красных папул и узелков с утолщением мест покраснений.
Как правило, усиление признаков происходит постепенно, но в некоторых случаях заболевание розацеа развивается стремительно, например, при беременности или после родов. Если вовремя не начать лечение, то последующие беременности могут осложняться более интенсивными формами болезни и требовать более длительного лечения.
Розацеа: причины
Заболевание может возникнуть достаточно легко, особенно у тех, кто к этому расположен. Например, если покраснение кожи происходит достаточно часто, то необходимо задуматься о мерах предупреждения заболевания в будущем. Для этого можно проконсультироваться у специалиста и принимать определенные профилактические меры.
Основные причины появления розацеа (розовых угрей):
- повышенная чувствительность сосудов (тонкие, хрупкие и ломкие сосуды);
- генетическая предрасположенность;
- наличие такого заболевания, как гастрит;
- длительное употребление ряда лекарственных средств (кортикостероидные мази).
Факторы риска и возможные причины розовых угрей:
- употребление горячих или алкогольных напитков, острой или пряной пищи;
- влияние погодных условий (слишком жаркий или слишком холодный климат);
- аллергические реакции на косметические средства;
- изменение гормонального фона (например, в период менопаузы);
- определенный тип внешности (женщины со светлыми или рыжими волосами, а также с тонкой чувствительной кожей);
- нарушения желудочно-кишечного тракта (реакция на определенные виды продуктов);
- нестабильность работы или нарушения иммунной системы;
- вегетососудистая дистония.
Точно установить причины может только врач после осмотра пациента и/или проведения диагностических процедур.
Розацеа у детей
Иногда диагностировать данное заболевание приходится не только у взрослых, но и у детей. Чаще всего причинами детской формы болезни могут выступать такие факторы, как:
- индивидуальные анатомические и физиологические особенности ребенка;
- гормональная перестройка, когда периоды активного роста и покоя сменяются резко и часто, что может привести к сбою в работе той или иной системы организма;
- сложные нарушения работы эндокринной системы, вызванные серьезными заболеваниями;
- врожденная предрасположенность, когда существует ряд наследственных заболеваний (часто наследственность приводит к хронической форме развития болезни, и в этом случае розацеа у ребенка поражает нос и щеки);
- несоблюдение личной гигиены также может привести к появлению и развитию болезни, особенно в период гормональных перестроек, когда уход за кожей ребенка должен быть тщательно подобран и сбалансирован.
Диагностирование, как и лечение, данного заболевания у детей должен осуществлять только специалист, чтобы не только назначить грамотный курс, но и не навредить ребенку, особенно если речь идет об изменениях гормонального фона. Как и в случаях со взрослыми, при обнаружении заболевания у ребенка ни в коем случае нельзя заниматься самолечением, это может повлечь за собой серьезные осложнения и нанести вред его здоровью.
В нашем медицинском центре применяют комплексную диагностику и лечение кожных заболеваний. Для этого будут использованы специализированная экспертная клиническая и клиники-биохимическая микроскопия, культуральная диагностика и дерматоскопия. Для каждого клиента подбирается индивидуальная программа по лечению и восстановлению, а также целая программа профилактических мер.
Первичный прием
Чаще всего для диагностики розацеа требуется только осмотр врача на первичном приеме, но для определения причин и подбора точных методов борьбы с недугом чаще всего требуется сдать ряд анализов.
Диагностика
В качестве дополнительных диагностических исследований (для исключения разных заболеваний) могут быть назначены:
- бактериологический посев для изучения микрофлоры кожи, чтобы исключить фолликулит;
- если есть сильное шелушение очагов воспаления при болезни розацеа на любой из стадий, то проводится тест на исключение грибковой инфекции;
- возможно назначение биопсии (необходимо редко и только для исключения диоксидной красной волчанки).
План лечения
Курс лечения всегда направлен на то, чтобы значительно улучшить качество жизни пациента, то есть устранить симптомы и исключить все внешние и внутренние причины возникновения этих симптомов.
Если на фоне или параллельно с болезнью возникают и другие, то врач подбирает более сложный комплекс мер, который потребует больше времени и на лечение, и на восстановление здоровья.
Повторный прием
По результатам обследований назначается курс лечения, который может включать:
- если у пациента имеют место гнойнички и обильные высыпания, то для эффективного лечения назначают гели, мази, кремы и средства от розацеа, в состав которых входят антибиотики;
- назначение приема антибиотиков в виде таблеток для более сильного воздействия, если мази не помогают;
- также возможно назначение местных примочек и компрессов с определенными средствами или настоями лекарственных трав;
- не менее хорошее и долговременное действие оказывает лечение розацеа лазером.
Для избавления от сосудистой сетки могут быть применены такие методы, как фотокоагуляция или местная криотерапия. Поскольку точных и конкретных схем лечения не существует, то в каждом случае схема подбирается индивидуально. Заболевание может быть спровоцировано какой-либо пищей, а это значит, что для лечения назначается диета при розацеа.
Также врач для контроля лечения составляет индивидуальный план последующих визитов. Если того будет требовать ход лечения, то потребуется повторная диагностика или дополнительные обследования на наличие других заболеваний.
Контрольный прием
Назначается после прохождения пациентом целого курса лечения розацеа (розовых угрей) на лице. На контрольный прием обычно приглашают через 21–30 дней после начала лечения. В этот прием могут быть назначены комплексы по физиотерапии для быстрой реабилитации и восстановления после приема антибиотиков, а также для закрепления результата лечения и укрепления иммунитета.
Заболевание можно вылечить, но степень и сроки излечения строго индивидуальны и обсуждаются на приеме у врача.
Профилактика
Следование всем рекомендациям врача при розацеа поможет в течение длительного времени забыть о проявлениях данного недуга. Следует:
- избегать переохлаждения или перегрева кожи;
- пореже находиться на открытом солнце или наносить при этом на лицо хорошие солнцезащитные кремы от розацеа с высоким фактором защиты;
- скорректировать режим питания (исключить острую и очень пряную пищу, не рекомендуется употреблять чрезмерно горячую или холодную пищу, напитки и алкоголь, любые другие продукты, которые вызывают прилив крови к лицу);
- применять индивидуально подобранные лекарственные препараты, кремы и средства от розацеа;
- исключить любые индивидуальные факторы, которые вызывают появление симптомов болезни;
- соблюдать правила личной гигиены;
- не выдавливать гнойнички и угри, чтобы избежать распространения болезни и занесения инфекции, что может вызвать еще более серьезные последствия и длительное лечение;
- исключить любые индивидуальные факторы, которые вызывают появление симптомов болезни.
Несмотря на то что заболевание достаточно легко диагностируется и можно определить его причины, лечение не всегда бывает легким. Как правило, пациенты поздно обращаются к врачу, когда заболевание уже достигло серьезной стадии и возникли параллельные заболевания. Поэтому одна из рекомендаций, которую дают специалисты, – не затягивать с визитом к врачу, даже если симптомы не причиняют Вам особого дискомфорта и быстро проходят.
Чтобы записаться на прием или консультацию к дерматологу в нашем центре, вы можете воспользоваться онлайн-формой на сайте или позвонить по телефону, указанному наверху справа.
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