{"id":281,"date":"2024-09-25T21:28:28","date_gmt":"2024-09-25T21:28:28","guid":{"rendered":"https:\/\/saatall.com\/?p=281"},"modified":"2025-09-17T13:37:55","modified_gmt":"2025-09-17T13:37:55","slug":"akne","status":"publish","type":"post","link":"https:\/\/drfatmaerden.com\/akne\/","title":{"rendered":"Akne"},"content":{"rendered":"
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Akne Olu\u015fumunu Kolayla\u015ft\u0131ran Nedenler:<\/strong><\/div>\n
    \n
  • Y\u00fczB\u00f6lgesindeki T\u00fcylerin Al\u0131nma \u015eekli: Usturalama, ip kullan\u0131m\u0131, a\u011fda veya \u00e7ok nadiren epilasyon lazerine ba\u011fl\u0131 olarak ba\u015flayan bat\u0131klar veya g\u00f6zenek enfeksiyonlar\u0131, k\u0131s\u0131r d\u00f6ng\u00fc yaratarak tabloyu \u015fiddetlendirir.<\/li>\n
  • Kozmetik \u00dcr\u00fcn Kullan\u0131m\u0131: Kullan\u0131lan ya\u011flar, pomad tarz\u0131nda merhemler, nemlendiriciler, pudra ve fond\u00f6ten gibi \u00fcr\u00fcnler, g\u00f6zenekler i\u00e7erisini t\u0131kayarak komedon olu\u015fumuna neden olur.<\/li>\n
  • Mesleki Maruziyetler: Katran gibi ya\u011f maruziyetleri akne olu\u015fumuna yol a\u00e7abilir.<\/li>\n
  • Kullan\u0131lan \u0130la\u00e7lar: Kortizon i\u00e7erikli krem ve hap kullan\u0131m\u0131, B vitamini takviyeleri, epilepsi ila\u00e7lar\u0131, kemoterapide kullan\u0131lan baz\u0131 kanser ila\u00e7lar\u0131, oral kontraseptif ila\u00e7lar.<\/li>\n
  • Endokrin Hastal\u0131klar; Polikistik over sendromu, Cushing sendromu gibi hormonal bozukluk yaratan tablolar.<\/li>\n
  • Protein Tozu Kullan\u0131m\u0131: \u00d6zellikle son d\u00f6nemde kasl\u0131 bir g\u00f6r\u00fcn\u00fcm elde etmek isteyen bireylerde akne olu\u015fum yolaklar\u0131 \u00fczerinden metabolik bozukluk yaratarak akneye sebep olabilmektedir.<\/li>\n
  • Bask\u0131 veya Temas ile Yapanlar: Kask, e\u015farp, maske ya da elleri y\u00fcze yaslamak gibi.<\/li>\n<\/ul>\n
    Akne Hangi V\u00fccut B\u00f6lgelerini Etkiler?<\/strong><\/div>\n
    En s\u0131k tutulum yeri, y\u00fcz b\u00f6lgesidir; fakat, y\u00fcz d\u0131\u015f\u0131nda boyun, g\u00f6\u011f\u00fcs, sa\u00e7l\u0131 deri, \u00fcst s\u0131rt ve \u00fcst kollar dahil olmak \u00fczere v\u00fccudun hormonal olarak duyarl\u0131 ya\u011f bezlerine sahip b\u00f6lgelerini de etkileyebilmektedir. Yani sadece y\u00fczde g\u00f6r\u00fclmeyebilir.<\/div>\n
    <\/div>\n
    Akne Lezyonlar\u0131 Nelerdir?<\/strong><\/div>\n
    Akne; a\u00e7\u0131k ve kapal\u0131 komedonlar, pap\u00fcl, p\u00fcst\u00fcl dedi\u011fimiz lezyonlar d\u0131\u015f\u0131nda bazen de biz dermatoloji hekimlerinin sevmedi\u011fi nod\u00fcl, apse, kist, post enflamatuvar hiperpigmentasyon (yani leke), ekskoriasyon (ka\u015f\u0131maya ba\u011fl\u0131 t\u0131rnak izleri) ve akne izlerine neden olabilir.<\/div>\n
    <\/div>\n
    Akne \u015eikayetimin \u015eiddetini Nas\u0131l Anlar\u0131m?<\/strong><\/div>\n
    -Bireyin mevcut akne problemini psikososyal a\u00e7\u0131dan alg\u0131lad\u0131\u011f\u0131 \u015fiddet<\/div>\n
    -Dermatoloji hekim g\u00f6z\u00fcyle;<\/div>\n
      \n
    • Aknenin bulundu\u011fu b\u00f6lgedeki lezyonlar\u0131n say\u0131s\u0131 veya bask\u0131n olan lezyonlar \u00fczerinden<\/li>\n
    • Akne skar\u0131n\u0131n (izlerinin) derecesi ile anla\u015f\u0131labilir.<\/li>\n<\/ul>\n
      Akne Tedavisi<\/strong><\/div>\n
      Akne tedavisinde planlama; akne lezyon tipine, \u015fiddetine ve bireysel fakt\u00f6rlere ba\u011fl\u0131 olarak de\u011fi\u015fmektedir. Bu ama\u00e7la tedaviler; topikal tedaviler, sistemik tedaviler, enerji bazl\u0131 tedaviler, fiziksel tedaviler \u015feklinde s\u0131n\u0131fland\u0131r\u0131labilir.<\/div>\n
      Topikal Tedaviler: Benzoil peroksit, topikal retinoidler veya bunlar\u0131n topikal antimikrobiyaller ile kombinasyonu, adapalen ve dapson jelleri say\u0131labilir.<\/div>\n
      Sistemik Tedaviler: Bu grupta akne hap\u0131 olarak bilinen izotretinoin ve oral kontraseptif gibi hormonal ila\u00e7lar say\u0131labilir.<\/div>\n
      Enerji Bazl\u0131 Tedaviler: Q-Switched Nd:YAG lazerler, Alt\u0131n \u0130\u011fne Radyofrekans Lazerler, Broadband Lazer yani(BBL), mavi \u0131\u015f\u0131k gibi sistemler say\u0131labilir. Her biri farkl\u0131 akne d\u00f6neminde, akne tedavisini desteklemek, h\u0131zland\u0131rmak, iz kalma olas\u0131l\u0131\u011f\u0131n\u0131 azaltmak veya ila\u00e7 kullan\u0131m\u0131n\u0131n m\u00fcmk\u00fcn olmad\u0131\u011f\u0131 durumlarda tercih edilen tedavilerdir.<\/div>\n
      Fiziksel Tedaviler: Peeling uygulamalar\u0131, mekanik bo\u015faltma (\u00f6zellikle yo\u011fun komedonlar\u0131 olan bireylerde) medikal bak\u0131m \u00f6ncesinde veya sonras\u0131nda uygulanarak hem aknenin yang\u0131s\u0131 hem de tedavi yan\u0131t\u0131 h\u0131zland\u0131r\u0131l\u0131r.<\/div>\n
      Bireysel fakt\u00f6rleri a\u00e7acak olursak; bireyin akneyi alg\u0131lama \u015fiddeti, bireysel fakt\u00f6rlerin ila\u00e7 kullan\u0131m\u0131na engel te\u015fkil etmesi (profesyonel sporcu olmas\u0131 gibi) veya e\u015flik hastal\u0131klar, metabolik durumlar tedavi plan\u0131n\u0131 etkileyen \u00f6nemli fakt\u00f6rlerdir.<\/div>\n
      <\/div>\n
      Tekrarlayan Akne \u015eikayeti ve Tedavi Yan\u0131ts\u0131zl\u0131\u011f\u0131<\/strong><\/div>\n
      Bu ba\u015fl\u0131k alt\u0131nda kullan\u0131lan kozmetik \u00fcr\u00fcnler, y\u00fcz b\u00f6lgesindeki epilasyon \u015fekli, daha \u00f6nce \u00f6nerilen tedavilerin nas\u0131l ve ne kadar s\u00fcre kullan\u0131ld\u0131\u011f\u0131 \u00f6ncelikle sorgulanmas\u0131 gereken durumlard\u0131r.<\/div>\n
      Ard\u0131ndan; adet d\u00f6ng\u00fcs\u00fcndeki bozukluk, k\u0131llanma \u015fikayeti, se\u00e7ilen do\u011fum kontrol y\u00f6ntemi (hormonlu spiral, do\u011fum kontrol haplar\u0131\/i\u011fneleri) gebelik\/emzirme s\u00fcreci, bireyin kendisinde ya da ailede ins\u00fclin direnci veya \u015feker hastal\u0131\u011f\u0131 varl\u0131\u011f\u0131 detayland\u0131r\u0131lmal\u0131d\u0131r.<\/div>\n
      Akneli hastalar\u0131n \u00e7o\u011funda e\u015flik eden hormonal bir hastal\u0131k yoktur. Fakat, baz\u0131 bulgular\u0131 olan hastalarda hormonal bozukluk d\u00fc\u015f\u00fcn\u00fclmeli, metabolik ve hormonal de\u011ferlendirme istenmelidir:<\/div>\n
        \n
      • Ani ba\u015flang\u0131\u00e7l\u0131 akne (\u00f6zellikle daha \u00f6nce akne \u00f6yk\u00fcs\u00fc olmamas\u0131)<\/li>\n
      • Ge\u00e7 ba\u015flang\u0131\u00e7l\u0131 akne (3. dekattan sonra)<\/li>\n
      • Tedaviye yan\u0131ts\u0131z olmas\u0131<\/li>\n
      • Hirsutizm (yani kad\u0131nlarda \u00e7ene, favori, b\u0131y\u0131k, \u00fcst kol, \u00fcst bacak, g\u00f6bek ve kuyruk sokumu b\u00f6lgelerinde kal\u0131n, koyu k\u0131llar\u0131n varl\u0131\u011f\u0131)<\/li>\n
      • D\u00fczensiz adet d\u00f6ng\u00fcs\u00fc<\/li>\n
      • Akne lezyonlar\u0131n\u0131n y\u00fcz\u00fcn alt b\u00f6l\u00fcmlerinde, \u00e7ene hizas\u0131nda yo\u011funla\u015fmas\u0131<\/li>\n
      • Ergenlik d\u00f6nemi \u00f6ncesi \u00e7ocuklarda ergenlik bulgular\u0131 ile akne varl\u0131\u011f\u0131<\/li>\n
      • Obezite<\/li>\n<\/ul>\n
        Yukar\u0131da belirtilen durumlarda hastalar\u0131n mutlaka metabolik ve hormonal a\u00e7\u0131dan de\u011ferlendirilmesi \u00f6nerilmektedir.<\/div>\n
        <\/div>\n
        Akneli Bireylerde Beslenme Nas\u0131l Olmal\u0131?\u00a0<\/strong><\/div>\n
        Dermatoloji muayenelerimizde en s\u0131k kar\u015f\u0131la\u015ft\u0131\u011f\u0131m\u0131z problem aknedir.<\/div>\n
        Sanayile\u015fme, g\u00f6\u00e7ler, ya\u015fam tarz\u0131 de\u011fi\u015fiklikleriyle birlikte beslenme al\u0131\u015fkanl\u0131klar\u0131m\u0131z da de\u011fi\u015fti. Sanayile\u015fmemi\u015f, k\u0131rsal kesimde akne g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n modern hayata ge\u00e7i\u015fle birlikte artt\u0131\u011f\u0131 hepimizin bildi\u011fi bir ger\u00e7ek.<\/div>\n
        Hadi bu art\u0131\u015f\u0131n detaylar\u0131n\u0131 inceleyelim:<\/div>\n
        Sanayile\u015fme ile i\u015flenmi\u015f g\u0131dalar, katk\u0131 maddeleri ve karbonhidrat i\u00e7eri\u011fi artan beslenme \u015feklinin yerle\u015fmesi sonras\u0131nda i\u015ftah art\u0131\u015f\u0131, obezite, diyabet ve di\u011fer metabolik problemler giderek artm\u0131\u015ft\u0131r.<\/div>\n
        Akne, klasik olarak ergenlik d\u00f6nemiyle ba\u015flar. Ergenlik d\u00f6nemi ile artan hormon d\u00fczeyleri ya\u011f bezlerini b\u00fcy\u00fct\u00fcr ve fonksiyonunu artt\u0131r\u0131r.<\/div>\n
        Benzer \u015fekilde y\u00fcksek glisemik indeksli g\u0131dalar\u0131n t\u00fcketimi ile ergenlik d\u00f6nemindeki hormon art\u0131\u015f\u0131na benzer \u015fekilde baz\u0131 hormonlar\u0131n art\u0131\u015f\u0131 ve sonucunda da farkl\u0131 metabolik sonu\u00e7lar\u0131 olmaktad\u0131r. Bunlardan biri de akne tablosudur.<\/div>\n
        Karbonhidrat ve \u015feker i\u00e7eri\u011fi y\u00fcksek beslenme, s\u00fct ve s\u00fct \u00fcr\u00fcnlerinin fazla t\u00fcketimi ins\u00fclini art\u0131rarak bir metabolik sendrom benzeri bozukluk yaratarak, akne patogenezinde rol oynar. Bu nedenle, akneli bir hastay\u0131 bu a\u00e7\u0131dan da de\u011ferlendirme yapmak, risk grubundaki hastalarda serum glukoz ve ins\u00fclin d\u00fczeylerini de incelemek \u00f6nerilmektedir.<\/div>\n
        <\/div>\n
        \u00c7o\u011fu hasta veya ebeveynin sordu\u011fu soru: Diyet nas\u0131l olmal\u0131?<\/strong><\/div>\n
        Akdeniz tipi beslenme, temel olarak \u00f6nerilen beslenme \u015feklidir. Peki akne \u015fikayeti olan bireylerin uzak durmas\u0131 gereken g\u0131dalar nelerdir?<\/div>\n
          \n
        • \u015eeker ve glukoz \u015furubu i\u00e7eren g\u0131dalar<\/li>\n
        • Unlu g\u0131dalar (ekmek, makarna, vs.)<\/li>\n
        • Patates, havu\u00e7, pirin\u00e7, m\u0131s\u0131r gevre\u011fi<\/li>\n
        • \u015eeker i\u00e7eri\u011fi y\u00fcksek olan meyveler (karpuz, \u00fcz\u00fcm, muz)<\/li>\n
        • \u0130\u015flenmi\u015f g\u0131dalar<\/li>\n
        • Enerji i\u00e7ecekleri<\/li>\n
        • Protein tozlar\u0131<\/li>\n
        • S\u00fct ve s\u00fct \u00fcr\u00fcnleri, ya\u011f miktar\u0131ndan ba\u011f\u0131ms\u0131z olarak s\u00fct<\/li>\n
        • Sanayi tipi maya ile yap\u0131lan peynir, yo\u011furt, kefir<\/li>\n
        • Dondurma<\/li>\n
        • Peynir alt\u0131 suyu<\/li>\n<\/ul>\n
          Bu t\u00fcr g\u0131dalar\u0131n t\u00fcketiminin azalt\u0131lmas\u0131 \u00f6nerilmektedir. Mutlak eliminasyon yerine t\u00fcketimin azalt\u0131lmas\u0131 gerekti\u011fini vurgulamak isterim.<\/div>\n
          Akneli Hastalarda Deri Bak\u0131m\u0131 Nas\u0131l Olmal\u0131?<\/strong><\/div>\n
          Akneli hastalarda tedavi yan\u0131t\u0131; do\u011fru tedavi se\u00e7imi, hasta e\u011fitimi ve bireye uygun deri bak\u0131m\u0131ndan ge\u00e7er. Hangi kozmetik \u00fcr\u00fcn\u00fc kullanmal\u0131y\u0131m, hangisini kullanmamal\u0131y\u0131m? Bu sorunun yan\u0131t\u0131 hem tedaviye uyum hem de tedavi sonu\u00e7lar\u0131 a\u00e7\u0131s\u0131ndan \u00e7ok \u00f6nemli.<\/div>\n
            \n
          • Derinin uygun \u015fekilde temizlenmesi<\/li>\n
          • Derinin nemlendirilmesi<\/li>\n
          • G\u00fcne\u015f koruyucu kullan\u0131lmas\u0131<\/li>\n
          • Uygun makyaj \u00fcr\u00fcnlerinin se\u00e7ilmesi<\/li>\n<\/ul>\n
            Derinin Uygun \u015eekilde Temizlenmesi;<\/strong><\/div>\n
            Deri temizlenmesindeki ama\u00e7; deriyi kurutmadan ve tahri\u015f etmeden deri y\u00fczeyindeki ter, kir, sebum denen ya\u011f, mikroorganizmalar ve \u00f6l\u00fc deri tabakas\u0131n\u0131 uzakla\u015ft\u0131rmakt\u0131r.<\/div>\n
            Piyasada bu ama\u00e7la bulunan \u00fcr\u00fcnler:<\/strong><\/div>\n
              \n
            • Kal\u0131p temizleyiciler (ger\u00e7ek sabunlar ve sindet barlar)<\/li>\n
            • Likit temizleyiciler<\/li>\n
            • Antiseptikler<\/li>\n
            • Alfa-hidroksi asit i\u00e7eren temizleyiciler (glikolik asit, laktik asit ve mandelik asit)<\/li>\n
            • Benzoil peroksit i\u00e7eren temizleyiciler<\/li>\n
            • Beta-hidroksi asit i\u00e7eren temizleyiciler (salisilik asit)<\/li>\n<\/ul>\n
              Syndet bar sabunlar ve ya\u011f i\u00e7ermeyen likit temizleyiciler akne hastalar\u0131nda ideal temizleyicilerdir. Temizleme s\u0131kl\u0131\u011f\u0131 ideal olarak g\u00fcnde iki kez, ovalama ve f\u0131r\u00e7alama gibi agresif temizleme olmadan yap\u0131lmal\u0131d\u0131r.<\/div>\n
              <\/div>\n
              Peki deri temizli\u011fi s\u0131ras\u0131nda sivilcelerimizi s\u0131kal\u0131m m\u0131?<\/strong><\/div>\n
              Hay\u0131r, dokunmayal\u0131m.<\/div>\n
              A\u00e7\u0131k\/kapal\u0131 komedon\/p\u00fcst\u00fcl yani; siyah\/beyaz noktalar\/sar\u0131ms\u0131 irinli kabar\u0131kl\u0131klar i\u00e7in kulland\u0131\u011f\u0131n\u0131z temizleyici veya ila\u00e7lar, \u00e7o\u011funlukla yeterli olacakt\u0131r. Yetmedi\u011fi takdirde, dermatoloji hekiminiz do\u011fru zamanda m\u00fcdahalesini yapacakt\u0131r.<\/div>\n
              Kist, yani deri alt\u0131nda ele gelen kitleler \u015feklinde ise sistemik tedavi veya ek \u015fikayetler sorgulayarak size uygun bireysel tedavi dermatoloji hekiminiz taraf\u0131ndan ba\u015flanacakt\u0131r.<\/div>\n
              Akneli Bireylerde Nemlendirici, G\u00fcne\u015f Koruyucu Se\u00e7imi ve Makyaj Nas\u0131l Olmal\u0131d\u0131r?<\/strong><\/div>\n
                \n
              • Akne tedavisinde kullan\u0131lan krem ve hap gibi tedaviler, deride kuruluk, soyulma ve yanma gibi yan etkilere sebep oldu\u011fu i\u00e7in bu yan etkileri azaltmak ve hastan\u0131n tedaviye uyumunu art\u0131rmak i\u00e7in nemlendirici mutlaka kullan\u0131lmal\u0131d\u0131r.<\/li>\n
              • \u0130deal bir nemlendirici; g\u00f6zenekleri t\u0131kay\u0131c\u0131 yo\u011funlukta, tahri\u015f ve alerjik \u00f6zellikte olmamal\u0131d\u0131r.<\/li>\n
              • Peki hangi \u00fcr\u00fcn\u00fc se\u00e7elim? S\u0131v\u0131 bazl\u0131 ve ya\u011fs\u0131z bir \u00fcr\u00fcn, g\u00fcnl\u00fck ihtiya\u00e7 s\u0131kl\u0131\u011f\u0131na g\u00f6re s\u00fcr\u00fclebilir.<\/li>\n
              • Hangi g\u00fcne\u015f koruyucu? Fiziksel g\u00fcne\u015f koruyucular yo\u011fun k\u0131vaml\u0131 \u00fcr\u00fcnler olmas\u0131 nedeniyle akneli bireyler i\u00e7in uygun \u00f6zellikte \u00fcr\u00fcnler de\u011fildir. Alerjik bir tablo yoksa kimyasal koruyucu \u00fcr\u00fcnler, kullan\u0131m a\u00e7\u0131s\u0131ndan akneli bireyler i\u00e7in daha \u00e7ok tercih edilmelidir.<\/li>\n<\/ul>\n
                SORU-1: Nas\u0131l bir ila\u00e7?<\/strong><\/div>\n
                  \n
                • Sistemik izotretinoin, aknenin t\u00fcm mekanizmalar\u0131na etki edebilen tek tedavidir.<\/li>\n
                • Bir hormon ilac\u0131 de\u011fildir.<\/li>\n
                • Ya\u011fl\u0131 yiyeceklerle birlikte al\u0131nd\u0131\u011f\u0131nda daha iyi emilir.<\/li>\n
                • \u0130zotretinoin tedavisi kullan\u0131l\u0131rken di\u011fer akne ila\u00e7lar\u0131 (hap ve kremler) kesilmelidir.<\/li>\n
                • \u0130la\u00e7 kullan\u0131m\u0131 s\u0131ras\u0131nda gebe kal\u0131nmamal\u0131 ve kan ba\u011f\u0131\u015f\u0131nda bulunulmamal\u0131d\u0131r.<\/li>\n
                • Bu ilac\u0131 kullanan bireyler k\u0131s\u0131r yani (infertil) bireyler olmaz.<\/li>\n<\/ul>\n
                  SORU-2: Daha \u00f6nce muayene oldu\u011fum bir hekim ba\u015fka bir tedavi planlad\u0131 ama siz?<\/strong><\/div>\n
                  Bu c\u00fcmleler \u00e7ok tan\u0131d\u0131k de\u011fil mi? Ama baz\u0131 durumlarda bu ila\u00e7lar\u0131n kullan\u0131m\u0131n\u0131 \u00f6ne \u00e7ekmek gerekebilir. Asl\u0131nda bu, sadece y\u00fcz\u00fcn\u00fczde akne izleri kalmas\u0131n\u0131 istemedi\u011fimiz i\u00e7in. \u00d6zellikle; aile hikayesi, erken ba\u015flang\u0131\u00e7, a\u015f\u0131r\u0131 ya\u011flanma, g\u00f6vde yerle\u015fimli akne, akne izi varl\u0131\u011f\u0131, s\u00fcre\u011fen kronik ve ge\u00e7 ba\u015flang\u0131\u00e7l\u0131 akne gibi durumlar varl\u0131\u011f\u0131nda izotretinoin karar\u0131 daha erken verilebilir.<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

                  Akne Olu\u015fumunu Kolayla\u015ft\u0131ran Nedenler: Y\u00fczB\u00f6lgesindeki T\u00fcylerin Al\u0131nma \u015eekli: Usturalama, ip kullan\u0131m\u0131, a\u011fda veya \u00e7ok nadiren epilasyon lazerine ba\u011fl\u0131 olarak ba\u015flayan bat\u0131klar veya g\u00f6zenek enfeksiyonlar\u0131, k\u0131s\u0131r d\u00f6ng\u00fc yaratarak tabloyu \u015fiddetlendirir. Kozmetik \u00dcr\u00fcn Kullan\u0131m\u0131: Kullan\u0131lan ya\u011flar, pomad tarz\u0131nda merhemler, nemlendiriciler, pudra ve fond\u00f6ten gibi \u00fcr\u00fcnler, g\u00f6zenekler i\u00e7erisini t\u0131kayarak komedon olu\u015fumuna neden olur. Mesleki Maruziyetler: Katran gibi ya\u011f […]<\/p>\n","protected":false},"author":1,"featured_media":282,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-281","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dermatolojik-tedaviler"],"yoast_head":"\nSivilce (Akne) Tedavisi Ankara - Uzm.Dr. Fatma Erden<\/title>\n<meta name=\"description\" content=\"Akne tedavisi ile sivilcelere veda edin. 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