{"id":1289,"date":"2016-05-17T15:12:01","date_gmt":"2016-05-17T13:12:01","guid":{"rendered":"http:\/\/hyfac.fr\/?p=1289"},"modified":"2018-09-23T20:53:24","modified_gmt":"2018-09-23T18:53:24","slug":"lacne-et-la-contraception","status":"publish","type":"post","link":"https:\/\/hyfac.fr\/cs\/conseils-dermato\/1289-lacne-et-la-contraception\/","title":{"rendered":"Antikoncepce"},"content":{"rendered":"

QUID DES CONTRACEPTIONS DANS L’ACNE<\/h1>\n

\"antikoncepce-akn\u00e9\"<\/p>\n

Akn\u00e9 je abnormalita pilosebace\u00f3zn\u00edho folikulu (vlasu); androgenn\u00ed hormony (mu\u017esk\u00e9 hormony) hraj\u00ed hlavn\u00ed roli v produkci a sekreci ko\u017en\u00edho mazu.
\nV z\u00e1vislosti na d\u00e1vce androgenu tedy n\u011bkter\u00e9 antikoncep\u010dn\u00ed p\u0159\u00edpravky akn\u00e9 zlep\u0161uj\u00ed, jin\u00e9 zhor\u0161uj\u00ed.<\/p>\n

Le r\u00f4le des contraceptions orales sur l’acn\u00e9<\/h2>\n

Co se t\u00fd\u010de \"pilulek\", v sou\u010dasn\u00e9 dob\u011b existuj\u00ed dv\u011b hlavn\u00ed:.
\nestrogen-progestinov\u00e1 peror\u00e1ln\u00ed antikoncepce a progestinov\u00e1 peror\u00e1ln\u00ed antikoncepce.<\/p>\n

Abyste tomu porozum\u011bli, mus\u00edte v\u011bd\u011bt, \u017ee estrogen-progestinov\u00e1 antikoncepce kombinuje syntetick\u00fd estrogen (ethinyl estradiol (EE)) s progestinem. EE se d\u011bl\u00ed podle d\u00e1vkov\u00e1n\u00ed (50, 30, 20 nebo 15), kter\u00e9 se m\u016f\u017ee v pr\u016fb\u011bhu cyklu m\u011bnit v z\u00e1vislosti na pilulce; jsou zn\u00e1m\u00e9 jako mono-, bi- nebo trif\u00e1zick\u00e9 pilulky.<\/p>\n

V ned\u00e1vn\u00e9 dob\u011b byl na trh uveden nov\u00fd estrogen, estradiol valer\u00e1t (E2).
\nEstrogeny maj\u00ed antiandrogenn\u00ed \u00fa\u010dinek, a proto p\u016fsob\u00ed sp\u00ed\u0161e \"proti akn\u00e9\", ale pr\u00e1v\u011b jejich kombinace s progestageny nakonec rozhodne o tom, zda m\u00e1 pilulka p\u0159\u00edzniv\u00fd \u00fa\u010dinek na akn\u00e9.<\/p>\n

Tak pilulky zn\u00e1m\u00e9 jako 1. a 2. generace a n\u011bkter\u00e9 3. generace budou m\u00edt tendenci podporovat akn\u00e9 na druh\u00e9 stran\u011b jin\u00e9 3. generace a 4. generace ji zlep\u0161\u00ed.<\/p>\n

Pro\u010d nedat v\u0161em \u017een\u00e1m pilulky 3. a 4. generace?<\/h2>\n

Podle nejnov\u011bj\u0161\u00edch doporu\u010den\u00ed francouzsk\u00e9ho N\u00e1rodn\u00edho \u00fa\u0159adu pro zdrav\u00ed by se v p\u0159\u00edpad\u011b pot\u0159eby peror\u00e1ln\u00ed antikoncepce m\u011bly v prvn\u00ed linii p\u0159edepisovat pilulky 1. a 2. generace, proto\u017ee u nich je riziko n\u00edzk\u00e9 (2 nehody na 10 000 u\u017eivatelek oproti 4 nehod\u00e1m na 10 000 u\u017eivatelek u 3. a 4. generace).
\nV ka\u017ed\u00e9m p\u0159\u00edpad\u011b je t\u0159eba respektovat kontraindikace estrogen-progestinov\u00e9 antikoncepce: pozor na osobn\u00ed nebo rodinnou anamn\u00e9zu z\u00e1n\u011btu \u017eil nebo plicn\u00ed embolie, bude nutn\u00e9 d\u016fkladn\u011bj\u0161\u00ed posouzen\u00ed koagulace; je t\u0159eba se tak\u00e9 vyhnout kou\u0159en\u00ed (zaho\u010fte sv\u00e9
\nkrabi\u010dky cigaret!! stejn\u011b to nen\u00ed dobr\u00e9 pro va\u0161e zdrav\u00ed!).
\nV \u00favahu je t\u0159eba vz\u00edt tak\u00e9 nadv\u00e1hu, vysok\u00fd krevn\u00ed tlak a migr\u00e9nu s aurou.<\/p>\n

Kdo v\u00e1m porad\u00ed s \u00fa\u010dinnou antikoncepc\u00ed?<\/h2>\n

S antikoncepc\u00ed v\u00e1m m\u016f\u017ee poradit pouze l\u00e9ka\u0159, kter\u00fd ji m\u016f\u017ee v p\u0159\u00edpad\u011b zhor\u0161en\u00ed akn\u00e9 zm\u011bnit a nab\u00eddnout v\u00e1m novou generaci tablet, pokud nem\u00e1te \u017e\u00e1dn\u00e9 kontraindikace.<\/p>\n

Dr. Aur\u00e9lie Acher - dermatolo\u017eka<\/p>","protected":false},"excerpt":{"rendered":"

QUID DES CONTRACEPTIONS DANS L’ACNE L\u2019acn\u00e9 est une anomalie du follicule pilos\u00e9bac\u00e9 ( le poil ) ; les hormones androg\u00e9niques (hormones masculines) jouent un r\u00f4le majeur dans la production et la s\u00e9cr\u00e9tion de s\u00e9bum. Ainsi en fonction de leur dose androg\u00e9nique, certaines contraceptions am\u00e9lioreront l\u2019acn\u00e9, d\u2019autres l\u2019aggraveront. Le r\u00f4le des contraceptions orales sur l’acn\u00e9 Concernant\u2026 P\u0159e\u010dt\u011bte si v\u00edce >>><\/a><\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"spay_email":""},"categories":[81],"tags":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/hyfac.fr\/cs\/wp-json\/wp\/v2\/posts\/1289"}],"collection":[{"href":"https:\/\/hyfac.fr\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hyfac.fr\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hyfac.fr\/cs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hyfac.fr\/cs\/wp-json\/wp\/v2\/comments?post=1289"}],"version-history":[{"count":9,"href":"https:\/\/hyfac.fr\/cs\/wp-json\/wp\/v2\/posts\/1289\/revisions"}],"predecessor-version":[{"id":4851,"href":"https:\/\/hyfac.fr\/cs\/wp-json\/wp\/v2\/posts\/1289\/revisions\/4851"}],"wp:attachment":[{"href":"https:\/\/hyfac.fr\/cs\/wp-json\/wp\/v2\/media?parent=1289"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hyfac.fr\/cs\/wp-json\/wp\/v2\/categories?post=1289"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hyfac.fr\/cs\/wp-json\/wp\/v2\/tags?post=1289"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}