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In this video, we're going to talk about a condition that a lot of people know about but don't really understand- 脂漏性皮膚炎 (AKA Seborrhea, AKA seborrheic dermatitis, AKA 脂溢性皮炎). We're going to delve deep into the condition, its symptoms, and the treatments that are available.
If you're suffering from seborrhea and steroid-withdraw syndromes, this video is for you! We'll talk about the causes of seborrhea, the treatments that are available, and what you can do to get rid of seborrhea for good. By the end of this video, you'll understand seborrhea and acne better than you ever have before, and be able to treat it effectively if you find it’s solution.
Hello everyone,
I am Dr. Song Fengyi, a Capricorn.
A dermatologist who only talks about scientific evidence.
This month we are going to attack rosacea and seborrheic dermatitis.
Seborrheic dermatitis and rosacea
have an interesting common phenomenon.
They are both chronic diseases. Inflammation
, regardless of seborrheic dermatitis or rosacea dermatitis,
they will have a rash similar to acne.
Therefore, in seborrheic dermatitis, rosacea skin and
even sensitive skin,
the treatment of red rash is also
one of the very important treatments for it.
The important factor is that
in the traditional understanding of dermatology,
doctors all know
that steroids should not be used to treat rosacea,
because
if you use steroids to treat rosacea,
it will make the condition of rosacea worse.
However , steroids can be used for
seborrheic dermatitis. The treatment
then includes sensitive muscles.
Sensitive muscles are also allowed to use steroids for treatment.
This creates a paradox.
The first thing
to do is whether steroids should be used when facing red rash
. At this time, you must make a correct diagnosis.
If your diagnosis is wrong,
that is It is said that the patient actually has seborrheic dermatitis, but you misdiagnose it as rosacea.
As a result, you still use steroids,
which becomes very strange.
Of course, it may also make your treatment ineffective
and ineffective.
Patients often ask me that
rosacea skin
is sensitive to
lipids .
Is there any secret recipe that can effectively treat leaky dermatitis
? In fact, there is no secret recipe.
Correct diagnosis is necessary and correct.
People often pursue secret recipes
, but what people should really pursue is
Hua Tuo’s
medical skills. All
treatments are good.
If you give a wrong diagnosis
and give anything, it will worsen and it will be bad.
The second point
is just like what we just mentioned,
whether it is rosacea, seborrheic dermatitis
, or simple acne
sensitive skin.
It will all cause rashes
, so doctors may use antibiotics.
At this time, another problem arises.
Antibiotics . Antibiotics
can also cause some
skin metabolism problems
during the sterilization process.
This part has also been confirmed
in the literature. If confirmed by the literature,
should you use it? Antibiotics
must be diagnosed more rigorously and accurately.
Whether you should use antibiotics,
how much dosage, and
how long should be used.
These must be diagnosed repeatedly.
So in the current
very rapid treatment situation,
it is actually more difficult to be cautious
in the very rapid diagnosis process. And multiple diagnoses,
which is why
patients often come to us and tell us that
they have been diagnosed with disease A
or disease B
, and then they use
it this way and
that way to kill
mites and pimples all at once
to kill this and that, and the
result is skin. The recovery is getting worse.
Basically, your diagnosis
must be very accurate .
Skin monitoring
has the advantage of being more scientific than the traditional outpatient naked eye examination and memory record.
Because you take photomicrographs
, you will see some
very initial signs of the skin. The changing trend,
whether it is a good trend
or a bad trend,
so you can find out very early
whether your treatment is right or wrong.
We often talk to patients
, for example, as mentioned before about
the use of steroids. The situation is right or wrong.
The situation of using antibiotics is right or wrong.
Then the dose is used.
Even if the treatment is chosen correctly,
the total dose used is right or wrong.
How long does the whole process really take
? In fact, it can be imagined like this:
you have applied antibiotics
or steroids.
The condition has been good to
a certain extent , and then when
the dose accumulates to a certain turning point
and the symptoms suddenly worsen
, if we use traditional naked eye observation, we
often have to wait until the symptoms turn and it is obvious
that it becomes inflamed and swollen again
before we change the treatment and use steroids. Stop
, but if you do skin monitoring,
at the moment when the turning point occurs,
about a week or so,
you can easily catch the trend turning point and stop steroids.
So skin monitoring can help you
because skin monitoring is more Accurately
and more carefully observing
the progress of symptoms during the entire treatment process
will make it easier for you to complete a correct diagnosis.
Regarding scientific diagnosis and scientific treatment, what
I want to emphasize to you is that
skin monitoring is not a natural therapy
or unnatural treatment. The treatment
of all situations
is actually based on the real immediate reaction of the skin. The
so-called correct treatment
is just
what you should use at this time.
This is the doctor's judgment.
We call it diagnosis
in English.
The official translation is called speculation
and guessing diagnosis
. Then at this time you Just follow this diagnosis and treat for a week.
At the same time, you do skin monitoring.
If you have the opportunity to monitor carefully,
you can be sure that your treatment direction is correct.
So you continue to go in the second week,
and then you find that the direction is correct,
so you continue to go in the third week,
but Diseases change at any time.
Maybe the cumulative dose of your treatment has reached enough.
For example, the dose of antibiotics you use
has killed enough bacteria.
If it continues,
it will start to inhibit the normal metabolism of the skin.
At this time, you should stop the antibiotics.
Therefore, you have to How to confirm
your first week,
second week, and
what to do
in the third week ? How to grasp
the real-time situation
? This is why you need scientific diagnosis
and scientific monitoring
, and then
only under the guidance of very detailed and complete diagnostic evidence
can you have How to deal with such
potentially subtle inflammatory diseases.
This is why you see many doctors for sensitive skin. You
often find that the effect of your treatment is difficult to grasp.
In fact, it is very simple.
If your diagnosis is more detailed,
the effect of your treatment will be easy to grasp. It will be effective.
I am a Capricorn. Dr. Song Fengyi
uses skin monitoring to
preserve the integrity and safety of human beings. A dermatologist
bumps his head. This is not right.