{"id":5547,"date":"2022-05-30T11:43:22","date_gmt":"2022-05-30T10:43:22","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/dermatologija-obicne-bradavice-verrucae-vulgares-copy-copy\/"},"modified":"2022-09-21T11:20:35","modified_gmt":"2022-09-21T10:20:35","slug":"dermatologija-rosacea","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/dermatologija\/dermatologija-rosacea\/","title":{"rendered":"Dermatologija – Rosacea (crvenilo lica)"},"content":{"rendered":"

ROSACEA je \u010desto stanje koje karakteri\u0161e crvenilo obraza, brade, \u010dela i ne\u0161to re\u0111e okoline o\u010diju. Subjektivno je prisutno peckanje, bockanje, neprijatan ose\u0107aj toplote zahva\u0107enih regija lica. Tegobe pogor\u0161avaju kortikosteroidne mast i kremovi, preparati koji iritiraju i uni\u0161tavaju ko\u017enu barjeru (neadekvatni sapuni, losioni sa alkoholom, masne i parfimisane kreme za negu), temperaturne razlike (toplo-hladno), vetar, alkoholna pi\u0107a,\u00a0 vru\u0107i napici, ljuta hrana, zatim forsirano fizi\u010dko ve\u017ebanje, intenzivne emocije, ili\u00a0 pod uticajem lekova kao \u0161to su amiodaron, nitrati, nazalni steroidi, visoke doze B-6 i B-12 vitamina.<\/span><\/p>\n

\u00a0Kako izgleda rozacea?<\/strong><\/p>\n

\u00a0Razlikujemo 4 klini\u0107ka oblika:<\/span><\/p>\n

–<\/span> Rosacea eritemoteleangiectatica:\u00a0 U centralnom delu lica je prisutno crvenilo i pro\u0161irena kapilarna mre\u017ea, \u010dest i tipi\u010dno prolongiran ose\u0107aj toplote i peckanja. Javlja se kod osoba svetilje puti.<\/span><\/p>\n

–<\/span> Rosacea papulopustulosa ( blage i te\u0161ke forme): Promene podse\u0107aju na bubuljice sa crvenilom i otokom, zavisno od forme<\/span><\/p>\n

–<\/span> Rosacea phymatosa – fimatozne promene: Pro\u0161irena folikularna u\u0161\u010da, glandularna hiperplazija, fibroza ko\u017ee, globularni izgled naj\u010de\u0161\u0107e nosa \u2013 rhinophyma, ili drugih regija (brada, \u010delo retko)<\/span><\/p>\n

–<\/span> Rosacea ocularis : Kada su promenama zahva\u0107eni kapci i o\u010di.<\/span><\/p>\n

\u0106esto se sli\u010dne promene mogu javiti kod srodnika. Tako\u0107e, pacijenti sa rozaceom mogu imati udru\u017eene gastrointestinalne i oftalmolo\u0161ke tegobe.\u00a0 U odre\u0111enim slu\u010dajevima je potrebno uraditi slede\u0107a ispitivanja Biopsija sa PH nalazom: u cilju dijagnoze u nejasnim slu\u010dajevima i diferencijalne dijagnoze ( sarcoidosis, lupus miliaris diss.), oftalmolo\u0161ki i gastroenterolo\u0161ki pregled.<\/span><\/p>\n

Kako se le\u010di rozacea?<\/strong><\/p>\n

Za le\u010denje se koriste preparati u vidu kremova, gelova ili losiona koji se nanose na lice prema preporuci dermatologa<\/a>. U odre\u0111enim slu\u010dajevima se piju lekovi tokom du\u017eeg vremenskog proioda, prema savetu dermatologa. Potrebno je veliko strpljenje i disciplina da bi se postigli \u017eeljeni efekti.<\/span><\/p>\n

Uz terapiju je neophodno po\u0161tovati slede\u0107e preporuke:<\/strong><\/p>\n

–<\/span> Izbegavati okida\u010de: alkohol,\u00a0 toplota, vetar, ljuta hrana, vru\u0107i napici, intenzivno ve\u017ebanje i emocije,\u00a0 topikalne preparate koji iritiraju i remete ko\u017enu barijeru, kao i lekove koji uzrokuju flushing\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 ( amiodaron, nitrati, topikalni steroidi, nazalni steroidi, visoke doze B-6 i B-12 vitamina).<\/span><\/p>\n

–<\/span> U sun\u010danom periodu<\/span>\u00a0nanositi na lice fotoprotektivne krem\/gel\/ emulzione preparate SPF 50+ UVA,<\/span><\/p>\n

–<\/span> Koristiti neutralne preparate za pranje i lagane nekomedogene kremove za negu lica prema savetu dermatologa.\u00a0<\/span><\/p>\n

–<\/span> Kod okularnog oblika, pored detaljne higijene ivice kapaka, terapiju dopuniti primenom ve\u0161ta\u010dkih suza vi\u0161e puta dnevno.<\/span><\/p>\n

–<\/span> Dobar kozmeti\u010dki efekat mo\u017ee dati kamufla\u017ena dermokozmetika \u2013 preparati sa zelenim pigmentom.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

ROSACEA je \u010desto stanje koje karakteri\u0161e crvenilo obraza, brade, \u010dela i ne\u0161to re\u0111e okoline o\u010diju….<\/p>\n","protected":false},"author":1,"featured_media":5552,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[490],"tags":[138,164],"class_list":["post-5547","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dermatologija","tag-dermatologija","tag-rosacea"],"yoast_head":"\nDermatologija - Rosacea - Dijagnostika i le\u010denje - Euromedik<\/title>\n<meta name=\"description\" content=\"ROSACEA je \u010desto stanje koje karakteri\u0161e crvenilo obraza, brade, \u010dela i ne\u0161to re\u0111e okoline o\u010diju. 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