Senin, 18 Oktober 2010

Jerawat merah membara di daerah hidung & dagu? Jangan-jangan Rosacea..

Penyakit yang satu ini terkadang salah di-diagnosis sebagai jerawat. Padahal, rosacea membutuhkan terapi dan pencegahan yang berbeda dari jerawat. Hasilnya, bisa-bisa tidak terkontrol dan bertambah luas.. 

Jadi, yuk kita berkenalan dengan rosacea.. 
Sementara dalam bahasa Inggris dulu ya..  translate-an nyusul ya.. 

Rosacea

Rosacea is a common skin disease that causes redness, papules, and swelling on the face. Often referred to as "adult acne," rosacea frequently begins as a tendency to flush or blush easily.  It may progress to persistent redness in the center of the face that may gradually involve the cheeks, forehead, chin, and nose. The eyes, ears, chest, and back may also be involved.  With time, small blood vessels and tiny pimples begin to appear on and around the reddened area; however, unlike acne, there are no blackheads.
When rosacea first develops, the redness may come and go.  Some people may flush or blush and never form pustules or papules.  Small dilated vessels also may be present due to prolonged sun exposure.  Then the skin doesn't return to its normal color, pimples and enlarged blood vessels become visible. The condition may last for years, rarely reverse itself, and can become worse without treatment.
About 50% of people with rosacea have eye involvement (ocular rosacea).  Some rosacea patients experience burning and grittiness of the eyes, a common condition known as conjunctivitis.  If this condition is not treated, it can lead to more serious eye complications.
How to Recognize Rosacea

Small red bumps, some of which may contain pus, appear on the face.  These may be accompanied by persistent redness and the development of many tiny blood vessels on the surface of the skin.
In more advanced cases, a condition called rhinophyma may develop.  The oil glands enlarge causing a bulbous, red nose, and puffy cheeks.  Thick bumps may develop on the lower half of the nose and nearby cheeks.  Rhinophyma occurs more commonly in men.
Who is at Risk for Rosacea?
Adults between the ages of 30 and 50 may develop rosacea.  It affects men and women of any age, and even children.  Since it may be associated with menopause, women are affected more often than men and may notice an extreme sensitivity to cosmetics.  An occasional embarrassment or a tense moment also may trigger flushing.
Tips for Rosacea Patients
·     Avoid triggers, including hot drinks, spicy foods, caffeine and alcoholic beverages that make the face red or flushed.
·     Practice good sun protection. Seek shade when possible and limit exposure to sunlight, wear hats and use broad spectrum sunscreens with SPF of 15 or higher; reapply every 2 hours.
·     Avoid extreme hot and cold temperatures which may exacerbate the symptoms of rosacea.  Exercise in a cool environment.  Do not overheat. 
·     Avoid rubbing, scrubbing or massaging the face.
·     Avoid  cosmetics and facial products that contain alcohol. Use hair sprays properly, avoiding contact with facial skin. 

Treatment
Many people with rosacea are unfamiliar with it and do not recognize it in its early stages. Identifying the disease is the first step to controlling it. Self-diagnosis and treatment are not recommended since some over-the-counter skin products may make the problem worse.
Dermatologists often recommend a combination of treatments tailored to the individual patient.  These treatments can stop the progress of rosacea and sometimes reverse it.
Creams, lotions, foams, washes, gels, and pads that contain various topical antibiotics, metronidazole, sulfcetimide, benzoyl peroxide, and retinoids may be prescribed. A slight improvement can be seen in the first three to four weeks of use. Greater improvement is usually noticed in two months.
Oral antibiotics tend to produce faster results than topical medications. Cortisone creams may reduce the redness of rosacea; however, they should not be used for longer than two weeks since they can cause thinning of the skin and flare-ups upon discontinuation. It is best to use these creams only under the direction of a dermatologist.
The persistent redness may be treated with a small electric needle (electrodessication) or by laser surgery to close off the dilated blood vessels. Cosmetics may be helpful. Green tinted makeup may mask the redness.
Rhinophyma is usually treated with surgery using a scalpel, laser or electrosurgery. Dermabrasion, a surgical method that smoothes the top layer of the skin, will help improve the look of the scar tissue.
The key to successful management of rosacea is early diagnosis and treatment. It is important to follow all of your dermatologist's instructions. Rosacea can be treated and controlled if medical advice is sought in the early stages. When left untreated, rosacea will get worse and may be more difficult to treat.

7 komentar:

  1. perkenalkan doketr nama saya dina di jawa timur...
    saya sejak umur 13 tahun (sekarang umur 27) sering mengalami jerawat bernanah dan memerah di daerah hidung dan dagu...kedua daerah wajah itu aja dok yang diserang..
    di daerah hidung lama2 pembuluh darah nya jadi semakin kelihatan...dan memperparah penampakan merah di hidung saya...
    saya sudah sering ke dokter kulit...tapi juga gak tampak signifikan hasilnya...
    apakah jerawat yang saya alami termasuk rosacea dokter??mengingat umur saya yang masih menginjak usia 13 ketika mulai jerawatan...
    terima kasih sebelumnya dokter...

    BalasHapus
  2. Halo Dina..
    Kalau dari keterangan Dina, memang ada kemungkinan Dina menderita Acne Rosacea. Apalagi bila dengan terapi standar pengobatan jerawat tidakan memberikan hasil yang bermakna.
    Sebaiknya Dina berkonsultasi dengan SpKK di jawa timur, supaya dapat langsung memeriksa kelainan kulitnya, dan tanyakan kemungkinan Acne Rosacea kepada dokter, juga ceritakan riwayat pengobatan selama ini, sehingga dokter tidak mengobati dari awal lagi..
    Mudah-mudahan cepat teratasi ya..

    BalasHapus
  3. terima kasih banyak atas jawabannya dokter...
    apa ada ramuan alami (buah/sayuran) yang bisa mengurangi peradangan pada jerawat rosacea dokter?

    BalasHapus
  4. Dear Dina, secara umum semua buah dan sayuran baik dikonsumsi untuk kesehatan kulit.. Untuk mengurangi pencetus, sebaiknya Dian menghindari makanan/minuman yang panas, makanan pedas, minuman yang mengandung alkohol dan kafein..

    BalasHapus
  5. dokter,,,,selama ini saya pasien dokter,,,dan dkasih obat2an jerawat masih mempan, tapi akhir2 ini tiba2 timbul jerawat kecil2 dan tersebar di dagu,hidung dan bag bawah hidung, dan di hdung saya tersebar urat kemerahan,,,sekarang di pipi saya juga kemerahan banget dengan jerawat nanah super besar,,,apa say juga menderita rosacea??? ttrims dokter

    BalasHapus
  6. Halo dee.. kapan ya kita terakhir ketemu? coba kontrol sesuai jadwal kontrol atau setelah krim yang terakhir habis ya.. umumnya jerawat yang muncul tiba-tiba ada pencetus dari faktor luar, atau hormonal. Kita periksa bersama saat kontrol ya.. Umumnya perlu perubahan obat bila ada perubahan jenis jerawat.. Trims..

    BalasHapus
  7. saya juga begitu sering tumbuh jerawat di hidung,bahkan kadang di dalam hdung sakit banget`hilang satu tumbuh lagi begitu terus sejak sma sekarang usiaku 21 tahun.

    BalasHapus