CCTV International March 2, 2005 08:30
Professor Yang Rongya, director and chief physician of dermatology department of Beijing Military Region General Hospital, studied in the United States. Currently, he is a member of the Standing Committee of China Dermatovenereal Professional Committee and a member of the Dermatovenereal Professional Committee of American Young and Middle-aged Society. Published scientific research papers 1 10, and won 9 military scientific and technological progress awards (left).
Xu Yang, MD, attending physician in dermatology department of General Hospital of Military Region, mainly engaged in dermatology treatment and laser medicine. Familiar with high-tech dermatology treatment methods such as laser photons and high-energy ultraviolet photons, and good at treating refractory dermatoses such as pigmented dermatoses, vascular dermatoses, acne and psoriasis (right).
Hello, host and audience, this is the live broadcast of the road to health. Welcome to watch and participate in our program. After doing health programs for so long, I actually have health problems, that is, acne. Before doing a program every day, you always have to wash your face before facing the audience. To tell you the truth, I am ashamed. What is acne, like half of my current itinerant doctors can't cure it themselves? Today, we invite experts to tell us that the two experts present today are Professor Yang Rongya and Dr. Xu Yang from the Department of Dermatology, General Hospital of Beijing Military Region. Welcome them. We can learn about their professional background through short films.
Moderator: In today's program, four dermatologists from the General Hospital of Beijing Military Region are answering questions. If you have problems with acne or other diseases, please contact us by hotline, Internet or SMS. Of course, I am not a lonely dermatosis patient, and many friends around me are also troubled by this problem. Let's have a look.
Short film:
Explain that the first thing fans do after getting up every morning is to carefully observe the situation of peas on their faces. The problem of peas affecting Fan Xi's face began as early as when he was in high school. Peas didn't grow as much at that time as they do now. Now Francisco and her family are worried about peas.
Mom, did you eat fish last night?
Fan Xi. Yes
Mom, go and wash your face.
Fan Xi. Yes
Francisco used to be on and off for a long time, but it will be better in a few days. Now it feels a little long and I can't control that feeling. The problem is, I'm not ignoring it, but I'm thinking about various treatments, but they really don't work well.
In order to treat acne, Fanxi found many ways and tried many methods, but why can't Doudou get down?
Anyway, Francesco tried many methods introduced by her friends that she had heard of, but they just didn't have a very stable effect. She may use something or take medicine at first, but after a long time, she will repeat it and become almost the same as before.
Commentary recalled the days when there were no peas on his face. How nice it is to have a clean face. Not like now. Every time you go out, you should apply a thick covering cream on your face, covering it layer by layer. It's greasy and annoying. But which girl doesn't care about her image?
The commentary first talks about Xiao Zhang who just joined the army for half a year. Xiao Zhang went home to visit relatives this time. His mother found him different. He didn't have pimples when he left, and now his face is covered with peas.
Mom hasn't seen you for half a year. He came back on February 24th, 65438. When I saw him, I was startled by his face. I said, "What happened to your face, son?" .
Explain that Xiao Zhang himself does not know what is going on. He was fine when he left. Only half a year, peas are surging. No, Xiao Zhang's troubles followed.
Xiao Zhang feels that his face is covered with pimples and pimples. Not good at all. I just feel embarrassed to go out. I feel embarrassed.
Comments get annoyed at the thought of Doug Xiao Zhang with a full face, and I don't know when it will be better.
Mom and son, don't always pick your face.
I can't be small, it itches to death.
Mom can't touch it when it itches. Take it off. Let's go
Explain that Xiao Zhang's mother is most worried about leaving a scar on Xiao Zhang's face, and she is very concerned about Xiao Zhang's every move. She is thinking, are all adolescent children like this? How long will this zit last?
Moderator In fact, we acne patients all have a psychology. In the face of acne, we are actually on the verge of anger, but acne will not care about you so much. Or this angry guy who was born again for no reason. But why do you get old? What disease is acne? It's too difficult.
Yang Rongya acne, we are all familiar with, because it mainly occurs in adolescence and grows vigorously, so it is commonly known as acne. In fact, from a medical point of view, we call it a kind of acne. Mainly chronic inflammation of sebaceous glands in hair follicles on the surface of human skin.
In fact, many times people call it acne, a pimple, but sometimes it means to comfort themselves.
Yang Rongya is a beautiful and young bean.
This is an inflammation of sebaceous glands in hair follicles.
Chronic inflammation in Yang Rongya.
Moderator: What happened to our hair follicles and sebaceous glands?
Xu Yang: Why does our skin have this kind of inflammation? Mainly refers to the sebaceous gland problem of the skin. So what's wrong with sebaceous glands? Let's have a look.
Moderator, let's learn about the changes in the skin. On this slide, we can see the meaning of this square.
Idy, this is a small piece of human skin. Skin is divided into dermis, epithelium and subcutaneous tissue. Sebaceous glands are mainly concentrated in dermal tissue. In adolescence, under the action of androgen, sebaceous glands secrete too much, and at the same time, under the action of androgen, it will lead to the twisted transition of hair follicle duct epithelium. In this case, the sebaceous glands are blocked, and sebum cannot be discharged normally, thus forming bald acne. When the hair follicle pores intersect with the outside world, a large amount of sebum secreted by sebaceous glands condenses with epithelial exfoliated cells and some dust and dirt in the outside air to form blackheads. A large amount of sebum accumulates, which will cause the growth of bacteria over time, thus causing inflammation of the surrounding skin, redness of the skin and formation of cysts. On the basis of the cyst, the inflammation is further aggravated, and the sebaceous duct is further ruptured to form pustules, which are the red papules and cyst heads on the faces of two patients we just saw.
The host has inflammation. It's actually a disease caused by blockage.
Xu Yang Generally, we divide acne into two steps: one is non-inflammatory, including what we call hoary heads and blackheads; There is also inflammation. If there is inflammation, it is the pus head, which can form a large abscess and fuse into a relatively large pus bubble.
Just now, the director emphasized that acne is called acne when it breaks out in adolescence. Then why did it break out in adolescence? What kind of soil bred it?
Xu Yang: Our puberty function is relatively vigorous. In the case of exuberant endocrine, excessive secretion of androgen, whether it is a boy or a girl, will lead to excessive sebum secretion on the one hand, and on the other hand, it will distort and block the pores of the bursa, so that excessive secretion of oil can not be discharged, and acne will gradually form. In addition, in adolescence, there are other factors, such as changes in hormone levels in the body, such as premenstrual or taking some drugs, such as birth control pills, diet pills and even digestive system problems, such as constipation and habitual diarrhea in some people; Even hyperacidity and ulcers. These conditions will cause toxins in the body to accumulate in the gastrointestinal tract and cannot be discharged, thus forming acne. There are also situations like tension and stress. Now the pace of life is relatively fast, and many people are under great pressure. For example, we often say that going to school, taking exams, getting married and having children, and buying a house will all cause certain psychological pressure and gradually form acne.
Moderator: No wonder, people like me who are far away from adolescence are still troubled by peas. It is related to the following reasons.
Yang Rongya is. Because we say that the occurrence of acne is not a single factor, it is simply understood as an inflammation of hair follicles and sebaceous glands. Mainly as Dr. Xu said just now. There are many reasons. If these aspects are not taken care of or adjusted properly, it is likely to lead to acne.
The host, like me, often comforts himself with five factors: endocrine, hygiene, diet, sleep and mental state. I know the reason, and I usually find a way to handle it myself. So before talking about my method, let's listen to how other friends deal with acne.
Short film:
Everyone knows that everyone loves beauty, and the treatment of acne is always our topic. Now let's see what treatment experience everyone has.
Reporter: Do you usually grow peas?
1 Patient is very long.
Reporter: What was your experience when you treated this bean?
Patient 1 Just let nature take its course. Don't deliberately use some cosmetics, acne water and the like. Just wash your face with clear water.
Patient No.2 went to the beauty salon for some professional medical beauty treatments. The main thing is to find out the peas and then apply the medicine.
Patient 3: Some pus heads may feel inflammation when they feel serious. I feel that taking some anti-inflammatory drugs or sometimes using some topical drugs will have a good effect. Sometimes it's not very serious. Pay attention to diet adjustment, and you will recover slowly.
Patient No.4 insisted on washing his face with clean water three or four times a day, and then smeared it with pollen and pollen mixed honey at night. Apply for more than half an hour, and then add some vinegar. It may be ok to stick to the effect every day.
Patient 5: If I have pimples on my face, I will sleep. I think sleeping is the best way. As long as you sleep, the bag will go down.
Patient 6 feels that his mentality has been adjusted, and it is sunny every day. At this time, maybe this bean will heal itself.
We searched online and found that there are too many ways to treat acne, such as acne remedies, acne remedies and so on. Faced with so many choices, how should acne be treated?
There are indeed many people in the host who have this problem. I know what the first young man said. Like him, my policy is not to resist or resist. Whatever you want, do we have any questions about the concept of these practices?
Due to work pressure, Yang Rongya may not have time to take care of this acne.
The host has this factor.
Yang Rongya has this factor, and some patients may have this mentality: long peas may be a normal phenomenon, and the skin is on the surface of the human body, which is a kind of protective organ. It is normal for me to plant peas as a way of excretion and metabolism, so I ignored it. Others will consider that maybe the acne will not grow again after this adjustment. What's more, I don't have much time to pay attention to my peas.
Moderator, take my own feelings as an example. I think this bean is the vitality of two or three weeks. I don't care if I give it in two or three weeks. Like this, I think this kind is ok, I will be fine by myself.
Xu Yang's approach is wrong. Why do you say that? Because acne has a certain growth period. In most cases, it lasts for a few days, three or four days, something like this. Either disappear or come out with pus. But if ignored, it will aggravate inflammation. If you ignore it in the aggravated situation, it will grow to the dermis of the skin, and if you go deeper, you will form a certain scar, which is more serious and may not be easy to eliminate.
No wonder the host sometimes feels quite unsafe and uneasy because of our connivance.
Yang Rongya: Yes, many patients didn't care too much at first, but in the later stage, alas, I grew a lot of peas, so I really have to see a doctor. See a doctor at this time.
The host, but sometimes it's a coincidence. My friend was cured by some unexpected methods, such as using some herbs and applying some unheard-of prescriptions to his face.
Yang Rongya's small folk prescription or something.
Does this situation of the host also prove that there is no need for special treatment? .
Yang Rongya: Because I think there are still many treatments for acne, and there are also many small remedies, including what we saw in the film just now. Many people use honey to recuperate, or take some antibiotics, or I just sleep, and it may be better if I get enough sleep. Then these methods can also be adopted. In short, we said that there are many reasons for acne. You care about it, you find the reason, you try to overcome it, then this acne may decrease and disappear.
It is accidental that the host may be cured once.
Xu Yang: Yes, it was an accident. It has no universal therapeutic significance. Why do you say that? We say there are many treatments for acne. For example, we pay attention to keeping a good sleep in our daily life. We say that sleep is the best way of beauty, so we should pay attention to reducing staying up late and keeping enough sleep. In addition, maintain a balanced diet, a happy mood and relieve stress. On this basis, there are some local drugs and systemic drugs, which belong to more systematic treatment.
The host may have happened to be cured once with a folk prescription, which is a truth for this patient, but it is an axiom for other patients and cannot be generalized. Still suggest going to a regular hospital.
Idy: Yes, if the acne is really serious, I suggest going to a regular hospital to see a doctor.
Moderator: What I want to recommend to you today is a unique treatment method in the dermatology department of the General Hospital of Beijing Military Region. Photons treat acne, and we usually know something about photons. I think advertisements often say, so what is the difference between this photon therapy and what is said in advertisements?
Yang Rongya laser photons are familiar to everyone. Now you can feel or hear with your own ears in advertisements, newspapers, all kinds of publicity, or when you go to beauty salons, but photons are a little different from lasers. The so-called photon, such as photon rejuvenation and photon hair removal, which we are familiar with. As our treatment method, it is photon acne treatment. They are all photon series. In fact, we use photons with a specific speed of light and a specific wavelength to treat this acne.
Compere: It is processed by light beam.
Yang Rongya beam therapy for acne.
Moderator: We know that light is visible, but we can't touch it, we can't feel it, but this is skin. How does this light act on the skin?
Why can photon xuyang achieve the purpose of treatment? Let's see how it works.
Good host, let's find out. What do the flashing blue and green dots mean?
The red dot in Xuyang is a kind of bacteria, which is what we usually call Propionibacterium acne.
It is because of it that the owner planted peas.
Idy, yes.
Moderator: This is a red dot, so what is the flashing green dot?
The green spot in Xuyang is a purine substance, which is the product of normal metabolism of bacteria.
The host is a product secreted by Bacillus.
Idy, yes. Metabolites of Bacillus. The substance we act on ...
Moderator: Then they are in the same group.
Xu said so.
Moderators, see what has changed.
Xu Yang, what our blue light does is this substance called Prin. Under the action of blue light, Prin is activated.
The host computer has now changed from a point to an arrow, which means it is activated, right?
Idy, yes. It's activated. After activation, it acts on the cell membrane, producing a series of biochemical reactions, leading to bacterial death, thus achieving the purpose of treating acne and diminishing inflammation.
So the host thinks Blu-ray is doing Plin's ideological work. Let it rebel. Prin defected from the front line, took aim at the pox Bacillus, then took care of his own people, and finally didn't grow peas.
Yang Rongya is equal to saying that this strong light and blue light killed Propionibacterium with the help of purine, and finally achieved the purpose of anti-inflammation.
Moderator But Prin is a substance, but why does it reflect light when it shines?
Yang Rongya It absorbs light, and light can activate it, making it an unstable state and an unstable institution.
Moderator: In fact, we can't feel this kind of reflection ourselves. I thought it was very simple at that time, thinking that the knife touching the skin was treatment. It is also a kind of treatment that the skin reacts to light. Ok, just now we have learned some principles of photon treatment of acne, so what are the characteristics in the actual operation? Let's have a look.
Short film:
Introduced by a friend, Fan Xi came to the dermatology department of the General Hospital of Beijing Military Region for photon therapy. As soon as she came here, the doctor first asked her to go to the beauty room for beauty treatment.
After the explanation, she was taken to the photon acne treatment room.
At first glance, the host feels like sunbathing on the beach.
Yang Rongya is very comfortable.
After this treatment, the owner still needs to smear something before lighting the lamp. I don't know why. Does cleaning have anything to do with this?
Yang Rongya has contacts. Because the treatment of acne is not a single exposure, according to the procedure, we should clean the face first, because some powder layers on our faces are still very dirty. Of course, there are still some pus heads that need to be cleaned before light therapy, which can improve the curative effect.
Moderator: I think both doctors and patients have something similar to sunglasses.
Yang Rongya: It's like walking in the snow. We will feel that the light is too strong and reflective. If we operate for a long time, light itself won't do us any harm. However, after a long period of intense light irradiation, our eyes will have some visual problems.
Moderator: So this blue light itself has to activate some substances inside the skin, so is there any side effect when it is activated?
Yang Rongya didn't. This blue light is still a specific wavelength. Although it is strong light, it is safe. It is irradiated on human skin, mainly playing an anti-inflammatory role. At the same time, some people may also care about whether my skin will be damaged while diminishing inflammation. Even one of our patients mentioned such a question in the middle of treatment, saying whether this blue light is radiation or ultraviolet light. Will it cause my genetic mutation? This is worrying. It is still relatively safe.
Director Yang, the host, just answered a friend from Jilin whose mobile phone number is 0405. He asked if it would kill cells.
Yang Rongya won't.
What is the difference between the host's treatment of acne with photons and some oral drugs and some topical drugs we usually use?
In Xuyang, we use photon therapy mainly to shorten its course of treatment, because we usually use internal medicine and external medicine, and the clearance rate will reach more than 60% after about 12 weeks. When we use photons, the time can be shortened to 1/3. This is one of its advantages.
The host's time has been shortened. What about the cure rate?
Yang Rongya, judging from our current treatment, the cure rate is still relatively high, which means that the overall time spent by the patient is much shorter than his traditional treatment time. It is also affordable economically.
Moderator: I usually make my own peas and some small medicines, which are quite a lot.
Yang Rongya is. It takes a lot of time and experience. Many patients we see come here to see a doctor, and the first thing they say is that my peas are very upset and can't look well after several years. I drank soup, took a lot of medicine and tried my best. In fact, he still spent a lot of time and experience.
When the host is like photon therapy, this blue light shines on the skin. Since it has a therapeutic effect, will it also improve some structures and improve some environments?
Yang Rongya, that's a really good question. Patients often ask us this question, saying that this has other functions besides anti-inflammation. Therefore, this kind of blue light irradiation, in addition to anti-inflammatory, has another advantage. It can reduce the secretion of skin oil through illumination, which means that there are many normal parasitic bacteria on the surface of our skin, so under normal circumstances, these bacteria will not over-multiply and cause inflammation. But once inflammation occurs, it will over-multiply and over-increase, so it needs to have a hotbed, which is oil-resistant, that is, it prefers to live in an oily environment.
The owner likes oil fields.
Yang Rongya likes oil fields, so the more oil there is, the more inflammation there is and the more bacteria there are. So this will also cause pores to be blocked, pores to open or pores to become larger. Then, at the same time of blue light irradiation, if the oil is controlled, the oil is reduced, the inflammation disappears, and the ducts of sebaceous glands in hair follicles are relatively contracted, which can improve the structure of sebaceous glands in skin hair follicles.
The host's first question is easy to understand. After these bacteria are killed, they will not stimulate us to secrete more sebum, so they will reduce oil production. How to understand the second question? Why does a photo shrink pores?
Xu Yang: We say that the growth of bacteria will further promote sebum secretion, so that the more sebum secretion, the more hair follicle pores will open.
Compere: Just like a bag.
Yang Rongya is loading more and more. The bigger the bag, the bigger it becomes.
Xu Yang: Our blue light acts on bacteria. What happens when bacteria are killed? When sebum secretion is less, natural pores will shrink.
Moderator: It is a related problem, so it acts on bacteria first, and bacteria acts on grease, which is less, so our bag is small, so the hole is also small.
Yang Rongya, that's right.
Is host photon therapy suitable for all mild to moderate patients?
Yang Rongya: Yes, all patients are suitable. We say that the initial stage of acne is mainly manifested in whitehead acne and blackhead acne. These are non-inflammatory manifestations, because we just mentioned that it can inhibit oil secretion and shrink pores, so the effect on these non-inflammatory manifestations is very good. In addition, mild to moderate acne is characterized by some papules and pustules. We combine the true feelings to irradiate again, and the curative effect is also very exact. Then there are some serious acne, such as some deep nodules, cysts and penetrating acne. We cooperate with some systemic therapy, such as using some antibiotics with light, so the effect is also very good.
Just now, the host Dr. Xu mentioned who can use this photon to treat acne. At the same time, a friend whose mobile phone number is 0405 asked who can't do it and what are the taboos.
Yang Rongya, that's right. This question is a very good one. In the course of treatment, it is necessary for us to explain clearly to the patients. Not everyone has access to light, so he has some contraindications. Then these contraindications mainly include photosensitive patients. This photosensitivity means that I am only allergic to ultraviolet rays, or when I am exposed to light, my skin will cause some other objects, as well as some chronic skin diseases, such as erythema abscess and patients with chronic skin diseases, and others. I need to take some drugs for a long time, including taking hormones, or some female patients take some contraceptives and some maintenance agents for a long time. In short, I have taken too many drugs in these areas, and I still take photosensitive drugs, especially photosensitive drugs, such as tetracycline or vitamin A, which are all photosensitizers. While taking photosensitizers, we do not advocate their use. In addition, there are some skin tumors and other patients with this chronic disease. We don't advocate light.
There is also a specific population in Xu Yang, that is, pregnant women are not allowed to shine.
The host said no many times. We think that although the effect of photon therapy is very obvious, there are still many patients with this need who suffer from other skin diseases at the same time, which may be carefully considered.
Yang Rongya should think it over.
Moderator But in general, its application scope may be wider, so let's learn about it through short films now. What is the effect of Fanxi after photon therapy?
Short film:
After more than a month of treatment, we saw Fan Xi again. She told us happily that she was satisfied with the treatment effect.
Fan's effect this time is quite obvious compared with before. So people will think that I am really different this time, my skin is better, and then it will be much more convenient and relaxed. Moreover, my family and friends saw that the effect was really obvious after my treatment, and then after seeing me, they all said that Doudou was really much better this time. Then I am very happy to hear this.
Commentary: Now, Francisco has regained his former self-confidence, and his youthful and cheerful atmosphere is written on his face. She said that she would face the future with a more calm mind.
Moderator: We see that Pan Xi is recovering well now. How long has she been in treatment?
Yang Rongya, she happens to be a course of treatment, eight times. Twice a week. It will be finished in one month.
Moderator: So now it seems that you are satisfied with her conditions?
Yang Rongya: I feel fine, especially during our treatment. If the patient is satisfied, I think our doctor will be satisfied.
Moderator: So in front of us, we also saw a young soldier, and his face was not light. How is he now?
Xu Yang is a soldier in the army. He has something to go home after the holiday and can't go to the scene, so we asked him for some digital photos he has taken now.
Now the host's photo?
Idy, yes.
Moderator: Let's take a look and see his recovery now. It's much cleaner than when I saw it just now.
Xu Yang, he received eight treatments.
The host, a young man, is very thoughtful. In the upper left corner of the photo, he found two young men as reference objects, and saw that my skin was as good as theirs. Let's take a look at the recovery effect of some other patients and compare the photos.
Yang Rongya, this is also a patient with facial acne. He belongs to moderate and severe acne, such as heavy forehead and cheeks. After two treatments, he achieved the present effect, probably because the economic conditions did not allow, so he stopped the treatment. He feels very satisfied himself.
The host has at least changed from severe to moderate.
Yang Rongya is lighter.
Moderator, let's look at the next photo. In the picture just now, we saw an obvious change process. Did they all use at least one course of treatment?
Yang Rongya, that's right.
Host.
In Yang Rongya, under normal circumstances, a course of treatment is enough for most patients.
Moderator, this is the third time.
Yang Rongya, these three times are less than one course of treatment. Some patients say that I don't want to take pictures because I think about economic problems or think I am satisfied. When they appear again, I will take pictures. There is also this kind, which is also a small misunderstanding.
Moderator: But we also noticed a detail, that is, after treatment, there will be more or less traces on the face. Another netizen asked online, what about acne marks? What should I do with this mark?
Yang Rongya's photon acne treatment actually has another advantage, which we didn't mention above, that is, it can diminish inflammation and shrink pores, and at the same time, it has a certain brightening and whitening effect on the skin, that is to say, it can eliminate some marks, or at least dilute them.
Moderator: What if there are still some diehards who can't get rid of them?
Yang Rongya: What about after the treatment? You can take the second course of treatment. In this case, it may be good for you to eliminate the imprint and improve the texture of the skin without inflammation.
Moderator: Under normal circumstances, assuming that I have not received any treatment and let it die, how long will it take for this mark to disappear?
After about three to six months, Xu's illness basically subsided.
Compere: It's so torturous. It takes three to six months, face printing.
Yang Rongya, if you are in a hurry, this mark can still be easily removed now. For example, if there is no inflammation, simple imprinting can be replaced by photonic skin, so one of the biggest advantages of photonic skin is that it can remove pigments.
Moderator: So how long can this effect last after photon therapy, and will it last long?
Xu Yang, we say that photon acne treatment can basically last for about a year.
Moderator of course, we just mentioned that there are many factors that induce acne. If possible, it will happen again if you are not careful.
Xu Yang: Yes, we should also pay attention to other aspects. Then this mark, we use photon snow skin to solve it, and it will not be seen after about three or five times.
The host just mentioned that photon therapy will improve the skin environment of this face and do a lot of work on the possibility of recurrence.
Yang Rongya made a lot of preparations. Judging from our treatment, most patients are satisfied after completing the course of treatment, and some peas may appear sporadically. We have mentioned many reasons above, and some people may say that I have been too busy recently. Recently, I worked overtime, and several peas appeared. This situation sometimes happens again.
Moderator: So I spent money on treatment, so I have to be worthy of the money, pay attention to my life behavior, adjust it, and put an end to the emergence of inducing factors.
Yang Rongya is.
Moderator: Now I'd like to invite two experts to answer some questions from the audience. There is a netizen named "go without leaving a trace" I think this is his greatest wish now. He asked a question. What disease does he say back pox is?
Xu Yang: We say that the back is also the part where sebaceous glands secrete more vigorously. The acne we usually say mainly grows on the face, neck, chest and back. After the acne grows on the back, it may be a bacterial infection on the one hand, and we can also use this photon to treat it.