Y KHOA


GEN UNG TH VU____BS ANG C NGHIEM

MUN____MICHAEL DAO M.D

QU V PHAI LAM G NEU B HOI MIENG____MICHAEL DAO M.D

MUN

Neu ban b mun, ban khong phai b n oc, v 80% cua dan so nc My se b mun khong t th nhieu trong khoang thi gian t 12 en 25 tuoi.

NGUYEN NHAN GAY RA MUN

Lo chan long tren da mat va da co co mot loai te bao ac biet tao thanh tuyen chat nhn. Chat nhn nay gi cho nc khoi bay hi va gi cho da khoi b kho can.
Khi con ngi ta ang phat trien en tuoi trng thanh (tro ma), co mot so chat hormones kch thch nhng tuyen chat nhn lam cho nhng tuyen nay ln hn va lam viec nhieu hn. Do o nhng chat nhn san xuat d lam nghet cac lo chan long. Cong them vao o, vi trung song ngoai da va trong lo chan long b nghet gay nen nhiem trung va tr thanh mun.
Di truyen la mot yeu to quan trong quyet nh ai se co mun, ai khong co, va ng nhien viec nay chung ta khong the thay oi c. Co mot so yeu to khac khong lien quan en di truyen chang han nh kh hau (ac biet la kh hau am t va nong), than kinh/the xac cang thang, va s thay oi cua cac chat hormones lien quan en kinh nguyet hang thang cua phai n. Mot so thuoc men cung co lam ngi ta ra mun.
Noi ve thc an, khoa hoc cha co chng minh c cu the rang thc an co the lam mun moc ra. Nhng neu ban cam thay mot loai thc an nao o lam mun moc ra them, th khong nen dung loai thc an o na !

CACH CHA TR MUN

a so cac trng hp mun thng hay bie: la mot loai thuoc mi can toa bac s tac dung giong nh thuoc benzoyl peroxide nhng manh hn, nen co gay ra nhieu kho chu ngoai da. Benh nhan dung thuoc nay nen tranh ra nang va en cc tm. Thi tiet lanh va gio cung co the lam tang them s nhay cam oi vi thuoc nay.
4. Thuoc tru sinh: nh tetracycline, clindamycin, vacan toa bac s, va co the bao che trong hai dang thuoc uong hoac thuoc boi ngoai da.
5. Isotretinoin: loai thuoc can toa bac s nay rat la cong dung trong viec cha tr mun loai nang. Nhng ben canh nhng hau qua bat li thong thng nh kho da, moi & mieng, au nhc & te cng mnh may, va o mat; loai thuoc nay co the gay ra bat bnh thng cho em be trong bung ngi me, do o thuoc nay tuyet oi khong c dung cho phu n co thai, ang chuan b e co thai, hoac nghi ng ang co thai.

Noi chung, neu ban co mot lan da e b mun, xin hay nh nhng ieu can ban sau ay:
Ra mat hai hoac ba lan mot ngay bang xa bong ra mat nhe va nc. Nhng phai lam nhe nhang, khong nen cha mat qua manh v no co the lam b nhieu mun hn. Ch nen lam kho da mat bang cach cham, khong nen lau.
Tranh dung my pham c tron vi chat m, ch nen dung neu my pham c hoa tan vi nc.
Khong c cha hoac nan mun. Tranh mat nhng o co the cha ung len da mat.
Bat ky ban dung thuoc tr mun nao, nen nh boi hoac uong nhieu hn ch dan cua bac s se khong lam het mun sm hn. Va ra mat trc khi boi thuoc.

Bac s ao Minh Hng Michael

Acne

People with acne at least aren't alone in their suffering: about 80% of the population will face the problem between the ages of 12-25.

WHAT CAUSES ACNE

In the area of the face and neck, skin pores serve as openings to specialized clusters of cells called sebaceous glands. These glands secrete a waxy substance known as sebum, some of which is needed to help keep the skin from losing too much water and drying out.
As people reach puberty, certain hormones in their bodies cause these glands to grow in size and become too active. The surplus sebum they produce clogs the pores. When mixed with the bacteria normally found on the skin and in the glands, this waxy debris can "flare up", causing a pimple.
Heredity plays a significant role in determining who will have problem skin- and this, of course, is something you can't control.
Other factors that aren't tied to bloodiness include climate (particularly the hot and humid climate), stress, and the hormonal changes associated with menstruation. A number of drugs are also known to bring on attacks of acne.
Where diet is concerned, there is no scientific proof that certain foods have any impact. However, if you notice that some of the things you eat seem to make the condition worse, it makes sense to avoid them and get your nutrition from alternatives.

HOW TO TREAT ACNE

Though most cases of acne tend to clear up eventually on their own, it is estimated that 350,000 Americans seek medical treatment of the disorder each year. The common goal of therapy is to prevent scarring and minimize further outbreaks. General measures are aimed at keeping the skin clean and allowing the pores to drain.
Good hygiene helps a lot to control mild cases of acne, but effective treatment of more severe cases may call for stronger measures.
1. Benzoyl peroxide: this is the active ingredient of many popular nonprescription products. In addition to killing bacteria and reducing fatty acids on the skin, they also cause a fine peeling of the skin, thus reducing blemishes.
2. Sulphur products: are antibacterial medications available in many dosage forms without prescription.
3. Tretinoin: is a new prescription medication that works like benzoyl peroxide, but is stronger and may cause more irritation to the skin. Patients using tretinoin should avoid excessive sunlight and ultraviolet lamps. Cold weather and wind may also increasesensitivity to the medication.
4. Antibiotics: such as tetracycline, clindamycin, and erythromycin are sometimes used to treat moderate to severe acne. They are available on prescription in either oral or topical forms.
5. Isotretinoin: use of this prescription product can dramatically improve severe acne, but side effects are common: dry skin and mouth, stiffness and soreness, and conjunctivitis among them. Because it has been linked to birth defects, it should never be used by women who are or plan soon to become pregnant.

In general, if you have an acne prone skin, you should remember the follwing:
Wash your face two or three times daily with soap and water. But be gentle about it-vigorous scrubbing can make the condition worse. And it's better to blot dry than wipe.
Avoid the use of oily and greasy cosmetics. If you're going to wear makeup, make sure it's water based.
Don't rub or pick at the skin. And avoid wearing clothing-for example, chin straps and headbands-that has tendency to rub against the skin.
Whichever acne treatment you use, it is important to remember that more is not necessarily faster or better. And, of course, always carefully wash the skin prior to applying any medication.

Michael M. Dao, M.D.

QU V PHAI LAM G NEU B HOI MIENG

Dung thuoc ra mieng, nhai keo "chewing gum", hoac ngam keo thm e "ieu tr" mieng hoi giong nh dung nc hoa e che ay mui hoi cua c the. No khong the giai quyet c van e dai han.
Co nhieu nguyen nhan lam mieng hoi nh nhiem trung xoan mui, l loet bao t, hoac chua; mot nguyen nhan chnh khac lam mieng hoi la benh rang va li.
Neu qu v cho phep vi trung nay n trong mieng, qu v se b hoi mieng v vi trung lam thc an con xot lai trong mieng thoi ra giong nh vi trung lam thoi thc an e ngoai tu lanh lau ngay.
Thong thng ngi ta khong biet mnh b mieng hoi en khi ban be ngi than noi cho biet. e tranh ngi khac che mnh b hoi mieng, qu v nen lam nhng ieu sau ay e giup hi th thm tho va gi rang tot:

*anh rang va xa bang ch xa rang (dental floss) sau moi ba an. Cha rang vai phut, va cha ca li na.
*Dung kem anh rang co chat 'baking soda', v chat nay lam vi trung kho song trong moi trng kiem.
*Neu qu v co rang gia, nen ngam va ra hang ngay. Suc mieng that ky trc khi bo rang gia vao.
*Neu qu v b l mieng, hoac nhiem trung trong mieng, nen suc mieng bang nc co chat thuoc sat trung.
*Nen i gap nha s e kham rang moi nam.
Ngoai viec gi gn mieng sach se, con vai cach khac qu v co the lam e bt hoi mieng:
*Tranh hut thuoc la; an sang; uong nc lanh thay v ca-fe, tra, nc ngot, hoac bia/ru; tranh an hanh toi; nen an cac thc an co kha nang chong lai s ong voi tren rang (plaque) nh ca rot, au phung, celery; uong nc lanh va suc mieng sau khi an; va tranh e mieng kho.
Noi tom lai, neu qu v lam theo nhng ieu viet tren ma van con b hoi mieng, th nen en gap bac s va nha s e kham lai.

Bac s Nguyen H. Hung va Bac s ao M. Hng

WHAT'D YOU DO IF YOU HAVE BAD BREATH

Using mouthwash, gum, or mint candies to 'treat' bad breath is like using perfume to cover up body odor. They won't solve the problem, at least not for long.
There are many causes of bad breath, including sinus infections, and stomach ulcers. Another major source of bad breath is the teeth & gums.
If you let bacteria build up in your mouth, you'll get bad breath as the bacteria rot leftover foof particles like they rot leftover foods in your garbage can.
Unfortunately, most people don't realize they have bad breath unless friends/relatives clue them in. Instead of waiting for the word, here are some precautions that will be good for your teeth as well as you breath:

*Brush and floss after every meal. Brush your teeth for several minutes. Brush the top of your tongue too.
*Using toothpaste with baking soda. It makes the acid level in your mouth less hospitable to bacteria.
*If you have dentures, clean them well every day and rinse your mouth thoroungly before re-inserting them.
*If you have an infection or ulcer in or on your mouth, gums,tongue, rinse out your mouth with an antiseptic mouthwash for a few days.
*Have a dental checkup at least once a year.
In addition to a clean mouth, there are several ways you can lessen bad breath:
*Stop smoking; eat breakfast; quench your thirst with water instead of coffee, tea, soft drinks, or alcohol, which can leave a residue in your mouth, causing bad breath; finish each meal with a drink of water or by rinsing your mouth; avoid garlic & onions; eat plaque-fighting foods such as carrots, peanuts, low-fat cheese, and celery, these foods not only fight plaque but possibly mouth odors as well; and avoid dryness in the mouth.
If you still have bad breath after following above instructions, it's time to see a doctor &/or dentist.

Hung H. Nguyen, M.D. & Michael M. Dao, M.D.