灏辨ょ锛

涓姣瀛涓㈢涓

姣瀛璞′釜跨浜锛涓㈤や姝ｅ姣锛浜澹杩涓颁袱涓锛哄澶ф恒姣涓ゆ涓瀹炬瑙搴垮猴洪甯歌翰ㄩ瑙ｈ竟锛ㄨ绐涔虫澶淬ㄨ澶ф猴甯歌翰ㄩ瑙ｈ竟姣釜姣瀛や跨哄锛朵哄娉哄

涓烘逛究瑙ｏ归涓缁骞抽㈠:

浜灏辨ょ锛

涓т圭涓绉淇绉般姣ょ榧荤孩绮ㄧ虹(缁х‖)娓ｉ蓟棰㈡ｆх绮肩锛藉浠ヨ〃涓虹锛浣瀹浠哄躲ㄥ涓害瀵诲父ょ浠ョО涓虹锛杞诲害绮猴搴/缁ょ瀵逛褰㈡锛ょ缉сссэ搴э甯告э扮跨ょ澶靛发хょ绫汇甯歌杩甯哥ょ涔硅杩扮绫诲

涓ょ褰㈡锛

涓昏璁や负浠ヤ绱:

1.姣哄绠＄澧(瑙杩搴)锛靛浜哄锛浠ょ娉恒

2.缁ㄨ浜哄绠★瀵艰存㈡х搴

3.婵绱烘哄浣瀵归婵绱杩锛浠ょ娉澧澶

4.浼楗娲讳蹇濡╃绱涔褰卞ょ灞

瑕娉ㄦ浠ヤ浠讳涓绱涓藉舰ょ

ょ娉锛

寰澶ょｈ琚ュ娉浣寰撅骞舵病浠讳涓哥炬版娉涓涓娉绯荤卞娉哄甯浜跺ㄥ娉缁缁锛娑娉娉杩璺娉绁缁娉绛瑙ｅ虹锛ょ澶靛发缁煎хょ娉娌℃瑙ｅ瀛蹇寰剧ラ澶靛发

浜哄绠＄涓轰涔浼澧杩搴

1.涓娓哥稿涓浜澧澶у瀛(涓昏IgF-1)存烘姣瀵肩寮璧风搴瑙璐ㄥ

2.ょ浜娌归(LA--omega6)浜娌归稿虹锋璋浣浜娌归告按骞充浼瀵艰存瀵肩瑙杩搴浣跨娉虹纰

3.浜缁寸绱寰绱缂轰╃ㄧ浣涓瑰ょ稿崇涓昏淮绱ABE拌哄寰绱纭

ょ杩锛

宸茶璇瀹骞跺箍娉璁ゅ瑙蹇碉瀵诲父ょ灞浜х剧锛㈡хх剧缁锛涓告锛锛绌绉瀛㈠锛ㄨ浠瀵肩搴瀵艰存绠″锛舵ｈ琛娓涓害甯告涓涓ラф稿崇IgG浣姘村钩浠崇缁ㄤょ剧ㄨ绋锛骞跺寸孩叉ょ绛瀹炽娓杩哄讹瀵瑰荤甯搁瑕锛杩灏存褰卞剧瑙娌荤崇

涓婵绱浣褰卞娉锛

浜轰婵绱ユ浜袱涓版癸句父/靛发句虹缃跺甫婵绱濂藉绉锛涓昏鹃(T)锛辩句父/靛发浜х锛澶杩ㄥヨ句虹缃跺甫锛辨阿琛ㄩ剁～搁浠ヤ杩浜婵绱缁绯诲杞锛ㄧ瀵肩褰㈡浜姘㈢鹃DHT)锛杩涓ょ讹瀵艰寸瀵肩娉澧澶

夸ょ璇ュ逛涔锛

1.椋锛瑰琛绯伴┿

琛绯帮Glycemic index锛绠绉GI锛David J. Jenkins绛浜轰1980骞达1981灞璧锋ョGI　╁璧蜂汉浣椁绯搴瑕锛ュ悍浜烘ュ50告剁绫荤椋╀¤绯告锛寮璧烽瀹堕村琛绯搴茬嚎涓㈢Н惧姣锛GI澶т70椋╀负楂GI椋╋绫崇锛ゅ璞锛缇瑙㈠锛介㈠绛楂GI楗浠ュ磋板绱т锛涓ф绱缁斤SHBG锛藉姝ｇ稿炽褰板绱戒瀵艰SHBG藉涔涓SHBG娉缁村娓哥婵绱锛琛娑蹭腑娓哥婵绱澧澶锛杞涓哄ぇDHT寸哄娉浜㈣锛ょ

2.濂跺跺

涓绠″ㄨ濂惰辫濂堕戒ょ濂朵腑涓浜锋тㄧ瀛濡IgF-15alpha杩躲浜皑哥ㄧ浜ц绋涓句互琚椿锛涓濂朵腑戒わ杩浜╄川甯稿父寰浠ヨ翰杩娑绯荤瑙ｈ存杩ヤ

浜ヨ韩卞ソㄨˉ涔虫藉氨跨ょ涓轰钩娓芥版版瀹规浜хIgF-1斤跺杩浼淇杩板绱娉锛浠ュㄥ讹ㄨ寰ゅ娌圭抽跨杩涓ㄤ浣稿ザ村灏瀵艰寸ょ寰芥钩歌ㄥ典腑浼╃IgF-1锛姝ｉ稿ザ涓IgF-1句跺濂跺跺IgF-1绉тㄧ板绱风垮瀛锛锋淇杩瑙璐ㄧ锛姣瀵肩瑙璐ㄥ浣ㄣ杩澶瑙璐ㄤ娣峰褰㈡瑙璐ㄦ锛涓虹ㄨ濂界绘IgF-1IgF-BG3锛涓ф绱缁(SHBG)濂藉哄锛戒板绱у姝ｇ稿筹瀹涓浣浠ョ杩澶IgF-1,朵藉寮虹瀵肩瀵圭淮A哥╃垮姣瀵肩杩搴

3.楗卞搞

璁や负楗卞歌藉IgF-1楗卞告甯歌浜缇绛ㄧ╂补涓

涔夸ょ璇ュ逛涔锛

1.娴烽绫汇ょ涓瑕蹇娴烽锛撮瑕娴烽浠ヨˉ浠ュ澶涓楗卞革╁ょ

2.榛/楂绾ょ淮¤瑗跨孩跨锛瑕椋锛锛借硅瑗垮拌辩浠ヨˉ姘у

3.ㄩ害㈠绫筹瀵绱椋┿

4.缁胯躲濡涓借瀹″锛浠ヨ缁胯舵╋EGCG(跺)浜у涓轰锛浠ュDHT

5.浠ヨㄧ琛ュ楹荤苯娌癸朵腑lignanㄨ绱浠ユDHT锛跺朵腑浜楹婚镐藉钩琛＄舵锛浠ユ10-15gラギ椋涓ャ澶杩sal palmetto姒绮惧甯歌ㄩ160mg锛姣ヤ袱娆°

夸ょ璇ユょわ

1.娓娲ゃ姣2锝3娆＄ㄦ俯姘存绮哄浠ョㄧ（棰绮娲㈠ザ锛浠ュ姣靛

2.娲㈠椤诲敖蹇娇ㄦ娌逛婀跨涔宠ゅㄨ棣浣ㄤ锛浼娉村娌硅

3.叉叉藉娇ㄩ叉锛浠ラ垮ょ茬娌

涓ょ父ㄧ╂锛

灞ㄧㄨ胯揪甯浠姹寮缁A搞ㄥ寮淮A搞缁磋洪杩姘у查般绱圭澶タ伴搞澹搞纭纭搞

绯荤ㄨ绫宠绱澶瑗跨绱垮绱寮缁A搞垮(濂虫)哄

ょㄨㄤ娇ㄦ规涓浠涔璁茬┒锛

1.翠舵㈡х灞эょ不涓搴浠灞浜ゆ㈠锛杩堕查挎锛濡ょ叉锛锛蹇椤婚茬扮锛蹇不╄缂剧骞跺涓搴

2.翠甯哥ょ浜涓村规э㈠浠ㄧょ虹灞ㄧ硅瑰淇浜搴璇ュ澶瑙よ琛舵不锛杩娌荤抽浣涓灏荤ｈ瀵规瑙蹇佃涓

3.涓哄绱э灏介ㄦ绱涓娉锛寤鸿澶ㄨ姘у查帮

浜ょ父ㄧ╃娌荤锛

涓昏ㄥ娌荤锛PDT)ょ告韩藉ㄥ澶ч锛褰撮插ㄧ瑰婧涓锛婵瀛搴锛浜х澶ч姘у卞猴村ょ告瀵艰寸姝讳骸姝ゅ锛ㄥ娌荤杩杩瀵艰磋〃杞诲井瑰姣瑙璐ㄥ舰缁杩搴锛杩浣ㄤ洪鸿缉锛剁娉锛淇杩锛棰叉ょ㈢娈

甯哥ㄧ规:

锛1锛绾㈣:ㄤ浼缁娌荤涓借绾㈠绌块уソ锛界┛扮よ娣辩浣缃(绾550 渭m)ょ涓绾跨浣瀵圭孩告剁楂锛ㄧ孩у杩姘у姘㈤舵椿у锛缁伴浠ｈ阿澧寮猴界芥楂浣绾㈠у杩戒杩宸ㄥ剧瀛锛烘绾ょ淮缁澧娈锛浜х垮瀛锛淇杩扮琛绠″舰锛浠蹇浼ょ缁淇杩绋婵娲诲杈绾㈠寮40锛浣┛ゅ搴娴(90锝150渭m)绾㈠(660nm)(415nm)娣峰х娉瀵圭хょ杈76%锛瀵圭烘涓58%

锛2锛5-姘ㄥ洪稿ㄥ娉(ALA-PDT)5-姘ㄥ洪(ALA)骞村绗2浠ｅ锛绉浣琛绾㈣藉杩绋韬┿澶婧ALA杩ヤ琚娲昏缁╂у告跺绉疮锛骞跺ㄧ杞涓哄PP绛绫荤╄川哄ALA楂锛PPIX楂搴锛褰剁瑰娉㈤跨婧уPPlX琚娲伙瀛搴浜х娲绘ф哀锛瀵圭洪ф浼わ存虹娉ALA杩ヤ蹇浠ｈ阿锛涓ㄤ浜х绉浜烘不瑕垮锛涓浜х搴

涓规碉缁ょ锛

澶х害60%濂虫уㄧ浼虹ょ锛骞朵澶浜ㄥ涓棰浣缃寰戒缁ユ疆瀛按骞宠楂锛轰瀵瑰朵唬璋骇╁搴筹涔戒缁琛绠¤ㄧ缁鸿介纰筹逛浣垮ㄥ㈤杩瀵圭О垮ㄨ函骞层㈠澶村锛杩绉靛浜缁癸menstrual eruption)锛韩杩у涓灞浜ょ涓杩璋撮ギ椋瑙寰杩ㄥ冲娓㈠锛涓ラ跺浠ユ╀荤

涓绉典婵绱ら锛婵绱姘村钩稿楂炽濡ょ骞跺姣卞缁欢杩涓瀛ヨ绛锛寤鸿板婚㈠ф绱B瓒妫ヤ互ゅ靛发缁煎寰

规:瀛舵ｄょ锛

1.╂涓娆℃ㄨㄥ革╂俯娲㈠ザ娓╂按锛娉ㄦ璇ヨ交版娲

2.垮,,瑁ゅ绮虹

3.濡浣瑕浣跨ㄥ濡锛搴╅娌规у涓寸烘浜у

4.瀛娌荤ょ╃╁孩绱绱澹搞

5.杩姘у查版不濡濞ょ灏涓锛涔娌℃澶灏瀵瑰浣跨ㄥㄦх绌讹灏介瑕ㄣ

6.娌荤ょ缁A哥被浜у濡濞界涓6涓瑰瀛

锛浣锛￠￠锛

涓戒复搴ょ瀛2012.璧佃鲸绛.

缁寸绱跨╄川琛ュㄥ绉甯歌ょ叉不涓涓村搴涓瀹跺辫.涓复搴ュ绘蹇,2013.

Evolving Concepts in the Pathogenesis of Acne Vulgaris.Leon H. Kircik MD.

Journal of Drugs in Dermatology,June 2014.

Acne in the adult female patient: a practical approach;International Journal of Dermatology, Volume 51, Issue 10, pages 11621174, October 2012.

5-姘ㄥ洪稿ㄥ娉娌荤瀵诲父ょ辫.涓藉诲ょ诲浼ゆ浜涓涓濮浼,2011.

澶靛发缁煎寰璇腑汉姘卞藉琛涓.涓浜х蹇,2012.

What's the best way to treat pregnancy acne? http://www.mayoclinic.org/healthy-living/pregnancy-week-by-week/expert-answers/pregnancy-acne