Hello everyone, I am Dr. Liu Gang, director of the Department of Dermatology, Sichuan Provincial People's Hospital!
A fan sent a private message to Dr. Liu in the background: My wife suffers from vitiligo on her face. She has tried many medicines but nothing works. Her mood is getting more and more pessimistic. I would like to ask Dr. Liu, how should vitiligo be diagnosed and treated? What should we pay attention to in life?
In this regard, Dr. Liu’s reply to her was roughly:
① The treatment effect of vitiligo is affected by the age of the population. Generally speaking, elderly patients have poor recoloration effect of vitiligo due to slow metabolism in the body;
② The causes of vitiligo are complex, and a single medication is very difficult to treat. It is difficult to achieve effective results, and comprehensive treatment is generally recommended;
③ Vitiligo care is very important. Pay attention to diet and exercise, and avoid exposure to the sun to avoid aggravating the condition of white spots .
Many people don’t know much about vitiligo. Dr. Liu would like to remind everyone: Vitiligo is not contagious and is a curable skin disease. You don’t need to be afraid.
After discovering vitiligo, just go to a regular hospital for treatment in time. Do not pay attention to various small advertisements, listen to folk remedies, and frequently change treatment methods. The result will only be: spending a lot of money, but the white spots are not cured!
Vitiligo treatment itself is difficult, and treatment should adopt personalized comprehensive treatment methods as much as possible, such as combination of traditional Chinese and Western medicine, phototherapy and drugs, surgical implants, etc.
① Vitiligo treatment drugs , mainly include compound glycyrrhizin tablets, tacrolimus , Xiaobai ointment, psoralen injection , etc.;
② Vitiligo treatment with traditional Chinese medicine , mainly including medicated bath, fumigation , navel treatment, penetration, etc.
③ Vitiligo phototherapy , American 308 laser (quick effect, green and safe, suitable for teenagers children's vitiligo ), German 311 narrow-spectrum phototherapy (high cost performance, suitable for large areas of vitiligo), etc.;
④ Surgical implantation , white spots are in After the stable period, you can choose to plant, which will provide quick results and even recolor.
From the perspective of the treatment effect of vitiligo, generally those who are younger, have a shorter course of disease, and have smaller white spots are easier to treat and will recolor faster;
Those who are older, have a longer course of disease, and have larger areas are more difficult to treat. Be bigger.
Generally speaking, in terms of the age of the population, the treatment effect of vitiligo in adolescents and children is better than that of adults; the treatment effect of adults is better than that of the elderly;
From the perspective of white spots, the treatment effect of vitiligo on the face and neck is better than that on the limbs.
During the treatment of vitiligo, Dr. Liu also reminds everyone: there is a process from treatment to vitiligo taking effect, which usually takes 3 months. If it is less than 3 months, the patient is advised not to change the treatment plan or stop taking the medicine without authorization. You can persist until 3 months before evaluating the efficacy.
In addition, in terms of vitiligo care, summer is the peak season for white spots and vitiligo. The reason is that the strong ultraviolet rays in the summer sun will hinder the regeneration of melanocytes .
Therefore, you should pay attention to sun protection in summer. In terms of diet, you should pay attention to light taste and avoid spicy and irritating foods.
At the same time, insisting on moderate exercise every day to keep you in a happy mood will help the recoloration of vitiligo.
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