Illustration. Acne caused by hormonal disorders occurs due to an abnormal increase – decrease in the amount of hormones in the body. Typically, hormonal disturbances occur during puberty, but any age is at risk. According to statistics, about 50% of women between the ages of 20 and 29 have acne due to hormonal disorders. In women aged 40 to 49, this number drops to 25%. Hormonal acne is especially common in women. Factors that contribute to acne include menstruation and menopause. Causes of hormonal acne Menstruation: Hormonal fluctuations before the menstrual cycle can contribute to increased sebum production that causes acne. Menopause: A decrease in estrogen and an increase in androgens can also cause hormonal acne flare-ups. Puberty: Increased androgen levels can cause the skin to overproduce sebum, thus facilitating the formation of acne. Polycystic ovaries (PCOS): they contribute to oily skin and lead to hormonal acne. Some other causes: hormonal changes due to pregnancy, postpartum; genetic; the continuation or discontinuation of certain medications; stress. How to treat hormonal acne? Skin care is always one of the important steps to help you minimize and deal with hormonal acne best. Therefore, you should never be “lazy” to forget to take care of your skin, so that your skin will be healthy and prevent acne. However, only facial skin care is not enough because with the name hormonal acne, the acne treatment must also be thoroughly both inside and out: Skin care with external endocrine acne: For acne skin, you need to keep your face clean, preferably twice a day. – Limit makeup, clean makeup after each makeup to avoid hidden acne, more clogged pores. Apply sunscreen and cover your skin every time you go out. – Use skin care products containing retinol, BHA, AHA, or vitamin C to push acne under the skin as well as to quickly ripen acne. – Use topical acne creams containing Benzoyl Peroxide or Tee Tree Oil that are effective against acne and antibacterial, use 1-2 times a day. Remember to test the product before use to avoid skin allergies! Treat acne from the inside: Get enough sleep, at least 7 hours/day. – Add foods rich in zinc, vitamin B, vitamin E… to maintain healthy skin, eat more green vegetables and fruits. – Drink teas to clear heat, cool the liver, detoxify such as green tea, white tea, artichoke tea… In addition to taking care of hormonal acne from the inside and out, and changing your diet and scientific activities, you should also note a few things, because sometimes it’s just because of making small mistakes. Here, you accidentally “green light” for hormonal acne to visit: – Endocrine acne is often very itchy, so women who have it will often have the habit of touching / touching their face. This will make your hormonal acne worse, so it’s best to change this habit first. – Regularly change pillowcases and pillows, clean hair. Drink plenty of water for normal skin hydration. Hopefully, through the above article, you will somewhat reduce your worries about hormonal acne, as well as find yourself an effective hormonal acne treatment, to help you regain smooth skin. , spotless, long-lasting youthfulness.

A case of skin pigmentation disorder caused by using whitening cream, melasma treatment (photo illustration) Nguyen Thu Trang (37 years old) went to the hospital because all the skin on her cheeks was blackened. She said that when she was young, she also had a few cheeks on her cheeks, but in the last few years, especially since her second child, the freckles on her cheeks have increased. “Some rapid blemishes have spread and tend to become spots. I am very worried, so I use “special treatment” cosmetics that have not improved yet. Many experienced people said that I have a hormonal disorder, leading to melasma, freckles. Someone tells me to take hormonal drugs (birth control pills) that can improve melasma, “said Trang. Obediently, she also bought a daily pack of oral contraceptives to try for a month, but the freckles were still thicker and thicker. Not to mention that taking oral contraceptives also made her periods go wrong. Afraid she would go to the hospital for examination Talk to reporters Infonet, Colonel, BSCK II, major in dermatology Nguyen Xuan Except, said melasma is a benign hyperpigmentation disease with a complex pathogenesis mechanism. One of them is the influence of endocrine factors. However, taking hormonal drugs to treat melasma is not recommended by doctors. “Even in a few cases hormonal drugs (birth control pills, hormone replacement …) are the cause of melasma onset or aggravation”, said doctor Nguyen Xuan Except. More ominously, Prof. Dr. Nguyen Viet Tien, Director of the National Fertility Center once emphasized that using any hormonal drug into the body, including birth control pills, must screen for all cancers. breast cancer, cervical cancer, ovarian cancer, .. Incorrect use of hormone supplements increases the likelihood of cancer. Therefore, dermatologists recommend that women do not mistakenly think that taking hormones to treat melasma. Because that’s not exactly, it’s not safe. If you want to take medicine to treat melasma, you should take drugs with ingredients such as: vitamin C, Glutathion, vitamin PP, L-cystin, Explaining this, BSCK II Nguyen Xuan Except said, melasma due to many reasons, can be divided into two groups of major causes: endogenous causes and exogenous causes. Endogenous causes include familial, endocrine factors (puberty, pregnancy and lactation, menopause, thyroid disease, uterus – ovary …) or simply aging. skin chemistry over time and a number of other causes. The leading exogenous cause is due to the UV rays present in sunlight, followed by the overuse of cosmetics of unknown origin, peeling creams, whitening creams, and creams containing corticosteroids. In addition, the polluted environment also significantly affects the skin pigmentation. “To treat melasma safely and effectively, it is necessary to have the examination and consultation of a qualified doctor. At the same time, each person must have a basic skin care process: cleansing – moisturizing – sun protection, especially sun protection in order to improve and maintain treatment results “, Dr. Xuan Except emphasized . According to him, the self-treatment of skin pigmentation by taking hormonal drugs or applying alcohol, betel leaves … by word of mouth is not only ineffective but also has very serious consequences. . Accordingly, women may have to face consequences such as endocrine disorders, pigmentation disorders, darkening of the skin, secondary pigmentation, loss of pigmentation, skin abrasion … These are all extremely disease aspects. difficult to treat. “For example, the application / covering of betel leaves is not communicated by many people, even shared on social networks such as facebook, tiktok … because betel leaves do not contain hydroquinone – a compound that has been Scientifically proven to be effective in treating melasma. However, this compound must be formulated and extracted in the form of a safe and effective pharmaceutical or cosmetic product, but cannot be used in “raw” form, leading to darkening of the skin, pigmentation disorder “. Dr. Xuan Except said. The doctor colonel said, he had encountered countless cases of wrong treatment of melasma. These are the cases of using acid, tattooing skin color on the melasma, burning with CO2 laser, applying / applying alcohol, betel leaves, applying bleaching cream, using cosmetics containing oral contrast or sugar. smear … These actions all leave very unfortunate consequences. The remedial treatment takes time, effort and money, and cannot even return the original skin. Notably, during the epidemic season, the examination is limited, so many women look for ways to cure melasma … However, with personal experience, Dr. Xuan Except said that the information reference in journals Prestige, doctors, experts are essential. Women absolutely do not apply any form of treatment on their face without consulting a specialist. When possible, women should go to reputable facilities to be examined by doctors, skin exams and counseling to make the regimen and therapy most suitable for their skin. Along with that, it is recommended to maintain daily skin care routine including cleansing, moisturizing and sunscreen while combining with a healthy lifestyle of eating and exercising, reducing stress and staying up late.

From the time I was born until now, I have had less pigmentation in the area near my ear, jaw bone. However, at first, the birthmark is quite small, but as it grows and reaches adulthood, the birthmark has become a large patch here. Because of my inferiority, I often have to have my hair cover the side of that area. Currently, I want to be removed but don’t know if there is any cure? Please share! Pigmentation is a disorder of pigmentation on the skin that does not affect the health but has a great effect on the aesthetics. Reply: Pigmentation is a disorder of pigmentation on the skin that does not affect the health but has a great effect on the aesthetics. There are many common birthmarks such as Ota birthmarks, Ito birthmarks … However, the most common and most common birthmarks are Ota birthmarks. Butterflies are characterized by brown, black, or green spots of different sizes and areas. Less is present in all areas of the body, but mainly on the face, maybe one or two sides. In addition, less pigmentation is congenital and initially only small dark spots but it develops as the patient matures. Even so, you don’t have to worry too much. In cases of hypopigmentation, the doctor will prescribe laser treatment with a medical standard treatment regimen to get the best results. There are practically no shortage of cases of definitive treatment to reduce pigmentation, return the face with smooth, glowing skin. wish you happy and healthy!

The content of strategic cooperation between the Central Institute of Hematology – Blood Transfusion and Roche Vietnam includes the following main activities: Organize specialized training programs and conferences to improve the capacity and experience of health workers in the care and treatment of hematological diseases; Support and connect the Central Institute of Hematology and Blood Transfusion to approach and participate in cooperation activities with agencies and organizations in Vietnam as well as internationally with the aim of learning and sharing treatment experiences from domestic and foreign experts and specialized centers; Organize activities aimed at patients and the community to propagate and raise awareness about diagnosis and treatment, focusing on hemophilia and non-Hodgkin lymphoma. The Central Institute of Hematology and Blood Transfusion in collaboration with Roche Vietnam organized a memorandum of understanding TS. BS. Bach Quoc Khanh, Director of the Central Institute of Hematology – Blood Transfusion, said: “We always support all the cooperation and support of prestigious organizations in the world for the development of Vietnamese health. , all for the goal of bringing better quality of treatment for patients who unfortunately suffer from blood clotting disorders and malignant blood diseases ”. Mr. Girish Mulye, General Director of Roche Pharma Vietnam emphasized: “Combining Roche’s global strengths and innovative solutions with expertise with the dedication and expertise from the medical team, we wishes to give more opportunities to those unlucky people suffering from this incurable disease. This is also part of the company’s long-term commitment to public health in reducing mortality caused by this group of diseases ”. Hemophila (also known as hemophilia) is an inherited bleeding disease caused by decreased or abnormal function of clotting factor VIII / IX. It is estimated that in Vietnam, there are more than 6,200 people with hemophilia, of which nearly 40% of the patients have not been diagnosed and treated. Non-Hodgkin’s lymphoma is another malignancy that tends to increase rapidly among the elderly in Vietnam, especially in men. In 2018, Vietnam had more than 3,500 new cases and more than 2,100 deaths, ranking 14th in terms of incidence rates among cancers. Like other hematological diseases, Hemophila and non-Hodgkin lymphoma cannot be completely cured, but if detected early and responded well to treatment, patients can still maintain their health and live almost life. normal. The Memorandum of Understanding between the Central Institute of Hematology – Blood Transfusion and Roche Vietnam is expected to be implemented within a year and will be in operation from April 2021. Through domestic and foreign cooperation, this strategic cooperation is expected to bring about many positive changes, helping to strengthen the capacity for hematological care and treatment.

Psychological effects of patients Many people think that intestinal problems only affect physical health but in fact, the state of the microorganisms inside the intestinal tract is also possible through the vagus nerve and the intestinal nerve transmitted to the brain, thereby affecting human emotions and psychology. Research shows that: intestinal dysbiosis or a deficiency of certain beneficial bacteria increases the risk of depression than normal, healthy people. It can be seen that gut health needs more attention for you to live a healthy and vibrant life. Increased risk of heart and blood vessel disease Health experts recommend: Adjusting groups of bacteria in the gut in a balanced and reasonable level can improve the situation in patients with heart failure. In addition, the cases of miasma, anorexia, perforation, etc., were also mitigated. Therefore, gut health affects not only the digestive system but also the heart and blood vessels. Causes inflammation When the microbial environment in the gut is imbalanced, the pathogenic groups of bacteria can disrupt the stability of the mucosa, weakening the protective effects of this natural barrier, leading to the birth of the body. inflammatory response as a warning signal, long-term cause gastritis, chronic intestinal inflammation. In addition, intestinal dysbiosis also affects the efficiency of food digestion and absorption of nutrients by the body, resulting in harm to the overall health. You are susceptible to being deficient and developing many diseases. Affects brain function The nervous system of the brain is correlated with the immune and endocrine systems. Specifically, the brain can regulate the intestinal permeability, affecting the groups of bacteria inside the digestive system. Conversely, the gut microbiota can release internal hormones, which are like the way that the intestine and brain circulate, thus affecting brain function as well. What should sisters do to enhance the health of the digestive system and improve the balance of intestinal bacteria? Give the bowel time to rest No matter how busy women are, they should pay attention to controlling the eating time as well as the amount of food taken into the body. Besides practicing the habit of eating on time, the time between two meals should limit eating extra snacks. This is when your intestinal function has a chance to regulate and restore and digest food better. Besides, when you sleep is also when your intestines reduce the burden, so dinner should be finished before 20 hours is the most ideal, both help stabilize the digestive system and not affect sleep. In addition, each meal with only 7 servings is also beneficial for the health of the intestine and stomach. Eat slowly, chew thoroughly The habit of eating slowly, chewing thoroughly can cause saliva in the oral cavity to enhance the tolerance with food, reduce the pressure on digestion and absorption, and are also beneficial to enhance feelings of fullness. , helps you limit the amount of food you eat. A glass of warm water after waking up When you wake up early in the morning, you should drink a glass of warm water before doing personal hygiene and breakfast. This habit is not only beneficial for bowel problems but also effectively cleans the “garbage” in the intestines, prevents constipation and limits intestinal dysbiosis. Be physically active Women should base themselves on their health status to choose the right sport and sport. Every day should spend at least 30 minutes to move the body, promote bowel movements, reduce constipation and increase resistance, prevent disease. Supplement foods that are good for the gut Some foods with intestinal protective effects that you can choose from such as seaweed, black fungus, yogurt, etc. In addition, increase your intake of green vegetables and fruits so that your body has enough fiber, vitamins, minerals, helping to balance the microflora in the gut and stimulating the digestive system to function better. Thien Khue ( According to Familydoctor )

Insider Instagram representatives apologized when the system suggested these keywords to people recovering from eating disorders. Cristina Criddle, a spokesperson for the app, told BBC indicates that the above error is now fixed. Having struggled with an eating disorder, Victoria Spence said that the keyword Instagram suggested could hurt newcomers. “To help people discover what they’re interested in, we’ve rolled out a new way to search on Instagram by suggesting keywords as they move to the search bar. Those suggestions, as well as ourselves. search results, limited to common interests, “a Facebook spokesperson – which owns Instagram – said in a statement to Insider . “Losing weight” should not be one of the keywords to suggest, this person added. “We’ve taken steps to prevent these terms from appearing. We apologize for causing any confusion.” Instagram says it doesn’t allow content that encourages eating disorders to appear and deletes posts as soon as it detects them. Users are allowed to talk about recovery from the disorder, but the hashtags associated with it begin with #thinspo , #proana and #anabuddy blocked. The social network also said that posts promoting super speed weight loss products were also banned. According to Dr. Bryony Bamford, Clinical Director at The London Center for Eating Disorders and Body Image, the damage happened when a user saw a keyword on Instagram. “Many people with eating disorders or recovery may be affected by useless messages they see on social media. Diet or weight loss keywords can trigger awareness of the disorder. “After recovery is a time when they are extremely vulnerable, exposure to the above factors has the risk of causing the disease again,” she said. How Instagram recommends search keywords to users. Victoria Spence, an influencer once suffering from an eating disorder, regularly shares articles about her recovery. Spence says she doesn’t believe Instagram promoting diet content is an algorithmic mistake. “Instagram is a platform to advertise, and the diet food industry is a multibillion-pound giant. The problem with content promotion revolves around ‘appetite suppression’ and ‘planning.’ Weight loss ‘on a platform with a large number of young users shows that they are normalizing diets and celebrating weight loss methods’. Spence argues that Instagram needs to improve the algorithm for diet posts to be pushed down. “The question is whether they really care about users or value profit more as businesses,” she said.

The liver and kidney are two organs that excrete drugs, some drugs are eliminated mainly through the liver, others are eliminated mainly by the kidneys. Therefore, when kidney disease, kidney function is impaired, the use of drugs in people with kidney disease has 3 risks, that is, nephrotoxic drugs that decrease kidney function worse.

Second, the drug is eliminated slowly and will accumulate in the body, causing an increased effect.

Third, causing homeostasis due to renal failure, thereby susceptible to drug toxicity even at the appropriate dose.

Some drugs are toxic to the kidneys

With a healthy kidney, when suffering from a certain disease, drugs must be used, the kidneys will be cleaned normally, but for people with kidney disease, especially kidney failure (all kidney functions have been impaired) when Taking certain medications puts you at risk of further kidney damage.

Some drugs can be toxic to the kidneys, especially long-term use, high doses and especially self-medicating for self-healing not under the prescription of the doctor. For example, some antibiotics of the amynoglycoside group (streptomycin, gentamycin, amikacin …), quinolone group (ciprofloxacin, ofloxacin …), vancomycin group, cyclin group, cephalosporin group 1, 2 or antifungal (amphotericin B, ketoconazole …) or Vietnamese, Oriental medicine of unknown origin; Contrast drug used for X-ray with high permeability or some cancer treatment chemicals (cisplatin, methotrexate …).

People with kidney damage should pay attention when using the drug.

In addition, some drugs are not directly toxic to the kidneys but cause kidney anemia, reducing glomerular filtration rate or if used long term will cause renal entity failure. For example, antihypertensive drugs, when used in overdose cause hypotension cause renal anemia and impaired glomerular filtration, especially the class of ACE inhibitors and angiotensin II receptor antagonists. Nonsteroidal anti-inflammatory drugs (indomethacin, diclofenac …), inhibiting prostaglandin synthesis are factors that cause vasodilation leading to kidney anemia.

Note when using drugs in people with kidney problems

We all know, drugs (Western medicine or Vietnamese medicine, Oriental medicine) all have a curative effect and all drugs that are put into the body pass through the kidneys and are filtered here. Therefore, when suffering from kidney disease, especially kidney failure, it is very important to check the function of the kidneys (that is, follow the test order of the doctor) before using the drug to know and know. the exact state of kidney disease, glomerular filtration rate and kidney function must be checked during drug use, especially when taking long-term medication.

Comply with the instructions and instructions when taking drugs of the doctor to avoid adversely affecting the kidneys.

Do not buy, take drugs by yourself or do not change the dosage by yourself or change the drug without consulting your doctor to avoid harming the kidneys due to improper use of the drug.

In addition, drink enough water every day to facilitate drug purification (there are drugs when used need to drink a lot of water to help the kidneys purify drugs better).