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Vitiligo
* what is vitiligo?
It is a disappearance of the substance or pigment melanin from the body color as a result of breaking the pigment cells and as a result of excessive activity of the immune system in the body, any malfunction immune body produces antibodies to the fight against pigment cells instead of fighting bacteria and microbes that attack the body, type varies depending on the methods of treatment And the causes of the occurrence and places where the body is infected, the disease is not contagious and accompanied by any other disorder appears on the patient, and there is no basis for the assumption that vitiligo is associated with skin cancer.
* What are the places where vitiligo is shown?
The disease appears in different places of the body, including the limbs
(fingers _ knees _ elbows _ around the mouth opening _ eyelid _ nose opening _ genital organs) and may take the form of spread in the body the body of white spots increase in size with increased complications of the disease, And the color turns to gray or white due to the disappearance of melanin.
* Melanin pigment: her great importance to the body skin are responsible for giving the skin color consistently and absorb harmful UV rays that cause damage to nucleic acids to cells if pierced the skin and are stimulating the skin to produce melanin pigment, different pigment cells size leads to a difference in the amount of melanin pigment or Producing the same dye leading to the emergence of cases of disease as a disease of vitiligo, psoriasis and freckles.
* Doctors sometimes point out that the color cells are present in the skin but do not work properly to spread the pigment in the skin. This is because of the inefficiency of the immune system or the formation of antibodies that work. To paralyze its movement in the dye of the original color of the skin or the effect of sunlight and stop the color cells from work.
* First appearance of vitiligo:
– The disease began in 1000 BC, from the Indian civilization and Buddhism, where there was a reservation in all civilizations of the disease patients, and often were exiled outside the population, and the cause of injuries affected Melanin cells producing melanin.
– The total number of vitiligo cases around the world is 1-2% of the world population. The disease starts in 50% of the cases before the age of 20 years. Recently, the most common country of cases of vitiligo is Egypt, India and some African countries.
* Types of vitiligo:
– The face is the easiest and most simple type of treatment, It is necessary to put the sunscreen every two hours constantly, The patient undergoes simple treatments performed by the doctor to activate the color cells. Most of these cases take only a few months to recover.
– vitiligo that affects the parties: such as (hands – legs – lips – the highest eyes in the eyelid area) is one of the most powerful species and the hardest difficulty in responding to treatment so as to the scarcity of availability of color cells stock in those areas, in addition to exposure to the sun permanently but to undergo surgery only is the solution ideal.
– Infected vitiligo: This type of vitiligo affects all members of the human body, as it changes the color of the body’s natural and natural skin. It is advisable to treat the disease and follow up with the doctor on a continuous basis because negligence of treatment may cause complications with the spread of the disease and its survival for a lifetime to reach the largest area of the body.
– Terminal vitiligo: this type of vitiligo affects a particular part of the body, not the entire body. The patient may develop this type at an early age, such as what happens with children. It may take up to several years. The patient will recover and complete his life normally.
* The speed of vitiligo treatment depends on the condition and color of the skin, characterized by those who enjoy the black skin quickly respond to the treatment of the opposite of the population of Europe and white people, is greatly improved in the summer thanks to the sun by the type of vitiligo and exposed areas of the sun, but not all kinds of injuries improve with exposure to the sun Such as vitiligo, which spreads more in the limbs such as the face, hands and legs.
* Vitiligo treatments and how to accept the disease?
An effective treatment of vitiligo was found to be inexpensive without direct exposure to the sun or ultraviolet rays. It was applied to cosmetic surgery centers in Turkey, a therapeutic course for six months, after which the patient recovered.
– First: light treatments such as cortisone creams, but be careful and follow the doctor’s instructions on the number of times used because of the side effects on the immune imbalance of the body.
– Second: Transplanting the pigment cells by transferring healthy cells to places where vitiligo is spread.
– Third: Treatment using ultraviolet light contributes to the healing of vitiligo cases, especially in cases of large spots and scattered in different parts of the body.
* Psychotherapy for vitiligo patient:
Many of the infected cases, vitiligo feel embarrassed about their outward appearance and color of the skin, which may cause them some kind of lost self-esteem and lack of self-esteem and isolation from participation with friends in social activities of confidence, and it comes to chronic cases of depression so the dialogue with previous cases of those who had been injured in the same Illness and adherence to mental and mental health groups on how to deal with the disease and accept it can be useful and is a vital part of the treatment because the patient’s mental state has a key role in the efficiency of the immune system and thus reduce its spread after treatment again.
* injection therapy: injection of subcutaneous substances that activate the color cells.
* The therapeutic aesthetic for vitiligo?
To reduce the spread of the disease and push the patient to the new life expectancy and has an impact on the alleviation of the psychological situation, especially with children or a girl near the date of marriage or with a young man at the beginning of his life and friction with the outside community.
– Surgical treatment of Vitiligo:
Treatment can be considered for treatment or surgical intervention. If treatment under ultraviolet and laser radiation is unsuccessful, surgery in the treatment of vitiligo is a great success rate, giving hope to many patients. Surgery is performed by skin grafting or pigment cell transplantation.
– Laser treatment for Vitiligo:
Laser treatment is one of the most advanced techniques used in the treatment of many skin diseases, including vitiligo, where laser treatment has responded to more than 50% of chronic cases. The treatment of vitiligo laser achieved a higher success rate when used to treat facial acne, the most success rate if used to treat the rest of the body Such as the hands, feet and knees, and the treatment of vitiligo laser needs to be committed to the number of sessions determined by the competent doctor may reach 3 sessions of treatment per week over several weeks according to the treatment program.
* How to identify and detect it since childhood and its causes:
• what the reason injury vilitiago?
– Acute anemia.
– Promotion gland disorder.
– Diabetes has a potential for infection.
– The psychological state and the constant exposure to tics and psychological disorders.
– The genetic factor of the most important reasons that lead to the infection of vitiligo.
Pregnancy, childbirth and associated stress, which causes an imbalance in the immune system.
– Sometimes a person may be born with the readiness but does not get the disease only if exposed to mental disorders or high tension.
– Direct exposure to the sun without a good protective The sun protection should be chosen carefully and under the supervision of the doctor to be suitable for the skin type does not cause the sensitivity and placed every two hours with the need to contain the UVA / UVB protection and the protection factor SPF 50+ and also must be resistant to water and dust for periods long.
• Children may occur at a very early age in color change and there are devices to help detect and determine the degree and white spots in the body of children do not necessarily indicate the presence of the disease.
• There are types of vitiligo appear in a specific area of the body and does not spread in many areas of the body but does not respond to any type of non-cosmetic surgery by transferring the color cells from the sound area to the affected area, the possibility of return again after treatment because it is immune disease.
* Best cosmetic doctors advice on this disease:
– The need to resort to the doctor when the appearance of any patches of the body because not to undergo treatment at first it is difficult to treat after that and continue for long periods and become a chronic disease.
– The doctor evaluates the condition of vitiligo patient whether it is active or idle.
– Treatment of this disease requires first to the doctor of internal medicine to perform all tests and ensure the safety of liver and kidney functions and the proportion of iron, and then a doctor of the skin determines the condition and type of disease and degree of spread, and finally a cosmetic surgeon who performs most cosmetic treatments according to the nature of the situation.
– At the stage of vitiligo activity, the doctor work to give the patient drugs that help to reduce the activity of the immune system and thus reduce the severity of the spread of vitiligo.
* What are the methods of prevention during treatment?
– Reduce salt, sugar and caffeine.
– Avoid fat and fries in foods.
– Refrain from smoking unequivocally.
– Interested in washing fruits and vegetables well before eating.
– Exercise yoga and try to stay good psychological state constantly.
– Avoid using cosmetics so as not to touch the skin any sensitivity or inflammation.
– The patient must adhere to the doctor’s instructions first to avoid sitting in the sun from 10 am to 4 pm for the absence of burns skin and thus reduce the spread of the disease more, and the best times to exposure to the sun is the time of sunrise or sunset and stay for only a quarter of an hour is enough.
* What age groups are more likely to have the disease?
There is no specific category that may affect humans at any time in any age.
* What is the most likely skin color of vitiligo?
Dark skin is more likely to develop vitiligo.
* What are the best foods that help treat vitiligo?
– Zinc-rich foods:
It is necessary to treat chronic immune diseases under the supervision of a continuous link between the dermatologist and cosmetics and nutrition, so foods rich in zinc have an effective role in reducing the spread of the disease in the body because it affects more than tablets and vitamins and complementary elements, and the most important foods “nuts, chickens, legumes and dairy, The elements restore the skin to its natural color by treating the melanin pigment defect.
– Vitamin C: helps restore the color of the skin and the elimination of vitiligo and found in “Kiwi, lemon, orange, guava”
– Folic acid: The appearance of white spots in the skin and is found in “spinach, broccoli, vitamin B12 (found in salmon and whole grains).”