Causes of oily and dry seborrhea on the face and methods of treating it
Seborrhea is a skin disease, the main factors of which are disorders in the work of the sebaceous glands. Seborrhea of the dermal scalp is known to all as dandruff. Seborrhea on the face is a bright reddening, can be in the form of a group of very small pimples, on the forehead, in the eyebrows, and also in the area of the so-called "seborrheic butterfly" - around the wings of the nose, and above the upper lip.
The amount of sebaceous glands in a person is huge. There are sites where there are hundreds of them per square centimeter. This is the area of the forehead, the overbrain, the chin, the nose, the scalp, on the back between the shoulder blades and the chest. These skin areas are conditionally called seborrhoeic, since they are the most susceptible to the disease.
Sebaceous glands perform an important function in the human body: they produce sebum (sebum), which softens, protects and nourishes the skin due to the content of proteins and fatty acids in it. But if too much sebum is secreted, it begins to become a means of clogging pores on the skin and change its composition, turning into a favorable environment for all kinds of infections. In a healthy person, up to 20 g of sebum can be secreted in a day, in patients, its number may increase by one and a half to two times.
In addition, in different parts of the body the sebaceous glands have a different size. In seborrheic zones, they are large enough in themselves, and during puberty there is also a sharp increase in size. The largest sebaceous glands of a person remain from 18 to 35 years. Accordingly, they secrete more sebum. Therefore, there is an opinion that the treatment of seborrhea in this period is inconclusive.
There are two "levers" that control the secretion of the sebaceous glands of a person. It is a vegetative nervous system and a hormonal system. These glands are equipped with receptors for hormones. The number of receptors depends on the location of the glands. Therefore, the area of skin lesions in all people is different: someone, for example, has only a chin inflamed, someone has a spinal injury .
Secretion of the sebaceous glands directly depends on the action of the male hormone - testosterone. Through it, and the development of sebum. Therefore, in children, most of the sebaceous glands are in a "dormant" state, but with the onset of puberty, the production of sebum increases. Age, which is considered critical for the onset of the disease - from 12 to 24 years. During this period, the production of testosterone increases and the level of estrogen (the female hormone) decreases. This seborrhea is called physiological. Symptoms should disappear on their own, as soon as the hormonal balance of the body is normalized.
But there are cases when the disease does not pass, and this is the reason for the visit to a dermatologist and a serious examination. Since seborrhea is caused by the intense work of male hormones, then most often, it affects men. Although in women, this disease also occurs against a background of increased testosterone in the blood and a decrease in the level of estrogen. Usually, the cause of this hormonal imbalance can be ovarian disease, obesity or the onset of menopause.
Studies of specialists have also proved the genetic "binding" of this disease. Another cause of seborrhea manifestation may be Parkinson's disease, GI tract, epilepsy and schizophrenia. The problem is exacerbated by the use of excessive sweet, spicy and salty foods, steroids, as well as vitamin deficiency and failure to comply with the appropriate hygiene rules .
Treatment of seborrhea
Methods of treatment depend on the type of disease. There is dry and oily seborrhea or, as they call it, thick and thin. Sometimes there are cases of mixed seborrhea, when symptoms of two types appear on one skin area. Dry seborrhea is accompanied by dry skin, itching, flaking and irritability. With oily - skin fat spreads over the surface and gives the skin a permanent sebaceous appearance. The face shows the mouth of the hair follicle, from which the fat is secreted. When dry - there is a big threat of eczema, whereas with fatty - the occurrence of copious acne.
How to treat seborrhea, a dermatologist or trichologist can tell a doctor only after careful diagnosis and identification of concomitant pathologies.
Treatment of oily seborrhea
Locally, fatty seborrhea is treated by rubbing the skin with preparations containing sulfur , aqueous solutions of sodium thiosulfate, tetraborate or bicarbonate at a concentration of 1.2%. Then, after eliminating acute symptoms, they switch to alcoholic tinctures of hawthorn, valerian, lily of the valley. Facilitates the state of rubbing with a solution of boric acid and powdering the face with talcum powder with zinc oxide .
Treatment of dry seborrhea
Treatment of dry seborrhea can be done by rubbing the affected areas with 1% aqueous solution of acetic acid, hydrochloric acid, 70% salicylic acid solution, solutions of citric, boric acid, and also lubricating the skin with so-called " talkers " - sulfur or ichthyol based suspensions. Good results were shown by the use of creams and pastes based on selenium sulfide (such as Sulsen cream). To some extent, skin irritation in dry seborrhea can be treated with creams based on herbs or furacilin.
You can apply for treatment and antifungal medicines. They must be combined with antibacterial ointments or creams.
Under the constant supervision of a doctor-endocrinologist, estrogen or synthetic analogs of female sex hormones are treated. Women are prescribed external preparations containing estrogen, which need to be applied a couple of days after the end of menstruation and end the application one week before the next menstrual period . Men can use these drugs continuously for 5-7 weeks.