{"id":6546,"date":"2020-04-22T04:41:37","date_gmt":"2020-04-22T07:41:37","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/acne-comedonal\/"},"modified":"2020-04-27T17:20:11","modified_gmt":"2020-04-27T20:20:11","slug":"acne-comedonal","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-comedonal\/","title":{"rendered":"Acne comedonal"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Conte\u00fado<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-comedonal\/#Que-son-comedones\" >O que s\u00e3o comed\u00f5es?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-comedonal\/#Comedones\" >Comed\u00f5es<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-comedonal\/#%C2%BFQue-es-el-acne-comedonal\" >O que \u00e9 acne comedonal?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-comedonal\/#Acne-comedonal\" >Acne comedonal<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-comedonal\/#%C2%BFQue-causa-los-comedones\" >O que causa comed\u00f5es?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-comedonal\/#%C2%BFCual-es-el-tratamiento-para-el-acne-comedonal\" >Qual \u00e9 o tratamento para acne comedonal?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-comedonal\/#Electrocirugia-a-comedones-cerrados\" >Eletrocirurgia em comed\u00f5es fechados<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-son-comedones\"><\/span>Que s\u00e3o <span class=\"term\" data-term-id=\"328\">comed\u00f5es<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Os comed\u00f5es s\u00e3o pequenas protuber\u00e2ncias da cor da pele (<span class=\"term\" data-term-id=\"366\">p\u00e1pulas<\/span>) \u00e9 frequentemente encontrado na testa e no queixo de pessoas com acne. S\u00f3 um <span class=\"term\" data-term-id=\"164\">ferimentos<\/span> \u00e9 um <span class=\"term\" data-term-id=\"40\">venha fazer<\/span>.<\/p>\n<ul>\n<li>Comed\u00f5es abertos s\u00e3o cravos; preto na superf\u00edcie <span class=\"term\" data-term-id=\"231\">pigmento<\/span> (<span class=\"term\" data-term-id=\"180\">melanina<\/span>), em vez de sujeira<\/li>\n<li>Comed\u00f5es fechados s\u00e3o espinhas; o <span class=\"term\" data-term-id=\"1300\">fol\u00edculo<\/span> est\u00e1 completamente bloqueado<\/li>\n<li>Os microcomed\u00f5es s\u00e3o t\u00e3o pequenos que n\u00e3o s\u00e3o vis\u00edveis a olho nu.<\/li>\n<li>Macrocomed\u00f5es s\u00e3o comed\u00f5es faciais fechados com mais de 2\u20133 mm de di\u00e2metro.<\/li>\n<li>Um comedo gigante \u00e9 um tipo de <span class=\"term\" data-term-id=\"49\">cisto<\/span> em que h\u00e1 uma abertura clara semelhante a um cravo na pele<\/li>\n<li>\n<p>Os comed\u00f5es solares s\u00e3o encontrados nas bochechas e no queixo de pessoas idosas e acredita-se que sejam causados por danos causados pelo sol.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Comedones\"><\/span>Comed\u00f5es<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='comedos2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-3175874-5557815' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comedos2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-3175874.jpg'>\n<\/div>\n<p class=\"p-small\">Comed\u00f5es abertos<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='comedos__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8513276-9532119' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comedos__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8513276.jpg'>\n<\/div>\n<p class=\"p-small\">Comed\u00f5es fechados<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='comedos3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-1069843-4437472' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comedos3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDM2XQ-1069843.jpg'>\n<\/div>\n<p class=\"p-small\">Comedo gigante<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-el-acne-comedonal\"><\/span>O que \u00e9 acne comedonal?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A acne comedonal \u00e9 um padr\u00e3o de acne em que a maioria das les\u00f5es s\u00e3o comed\u00f5es. A acne comedonal afeta mais comumente a testa e o queixo.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Acne-comedonal\"><\/span>Acne comedonal<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='comed1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5970482-7748800' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comed1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5970482.jpg'>\n<\/div>\n<p class=\"p-small\">Comed\u00f5es abertos<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='comed5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-2547405-8800916' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comed5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-2547405.jpg'>\n<\/div>\n<p class=\"p-small\">Acne comedonal<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='comedones1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildbd-6498515-4327312' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comedones1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDBd-6498515.jpg'>\n<\/div>\n<p class=\"p-small\">Acne comedonal<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-los-comedones\"><\/span>O que causa comed\u00f5es?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Os comed\u00f5es surgem quando as c\u00e9lulas que revestem o <span class=\"term\" data-term-id=\"262\">seb\u00e1ceo<\/span> os dutos proliferam (cornifica\u00e7\u00e3o) e aumentam <span class=\"term\" data-term-id=\"898\">sebo<\/span> Produ\u00e7\u00e3o. Um comed\u00e3o \u00e9 formado por detritos que bloqueiam o ducto seb\u00e1ceo e <span class=\"term\" data-term-id=\"122\">cabelo<\/span> fol\u00edculo. Sabe-se agora que os comed\u00f5es tamb\u00e9m envolvem <span class=\"term\" data-term-id=\"148\">inflama\u00e7\u00e3o<\/span> (Veja causas da acne).<\/p>\n<p>O desenvolvimento de comed\u00f5es pode envolver os seguintes fatores:<\/p>\n<ul>\n<li>Atividade excessiva do homem. <span class=\"term\" data-term-id=\"1167\">sexo<\/span> horm\u00f4nio 5-<span class=\"term\" data-term-id=\"567\">testosterona<\/span> (DHT) dentro das c\u00e9lulas da pele<\/li>\n<li>Linoleato reduzido (o sal do \u00e1cido graxo essencial, \u00e1cido linol\u00e9ico) no sebo causando mais <span class=\"term\" data-term-id=\"320\">escala<\/span> e fun\u00e7\u00e3o de barreira reduzida<\/li>\n<li>\n<span class=\"term\" data-term-id=\"566\">Pr\u00f3-inflamat\u00f3rio<\/span> <span class=\"term\" data-term-id=\"434\">citocinas<\/span> (prote\u00ednas de sinaliza\u00e7\u00e3o celular), como <span class=\"term\" data-term-id=\"915\">Interleucina<\/span> 1 (IL-1) e IL-8, produzidas pelas c\u00e9lulas que revestem o fol\u00edculo em resposta \u00e0 ativa\u00e7\u00e3o do sistema imunol\u00f3gico inato<\/li>\n<li>\u00c1cidos graxos livres produzidos a partir de sebo acneico <span class=\"term\" data-term-id=\"935\">bact\u00e9rias<\/span>\n<\/li>\n<li>Pele superhidratada no per\u00edodo pr\u00e9-menstrual, com hidratantes ou em <span class=\"term\" data-term-id=\"710\">\u00famido<\/span> termos<\/li>\n<li>Contato com certos produtos qu\u00edmicos, incluindo \u00f3leos <span class=\"term\" data-term-id=\"1200\">unguentos<\/span>, miristato de isopropila, propilenoglicol e alguns corantes em cosm\u00e9ticos<\/li>\n<li>Ruptura do fol\u00edculo devido a les\u00f5es como espremer espinhas, esfrega\u00e7\u00e3o abrasiva, peelings qu\u00edmicos ou <span class=\"term\" data-term-id=\"1617\">Ser estar<\/span> neg\u00f3cios<\/li>\n<li>\n<p>Tabagismo: a acne comedonal \u00e9 mais comum em fumantes do que em n\u00e3o fumantes<\/li>\n<li>Certos fatores diet\u00e9ticos podem contribuir para a acne comedonal, especialmente latic\u00ednios e alimentos com alto \u00edndice glic\u00eamico (a\u00e7\u00facares e gorduras).<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-el-acne-comedonal\"><\/span>Qual \u00e9 o tratamento para acne comedonal?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Se voc\u00ea tem acne comedonal, escolha cosm\u00e9ticos sem \u00f3leo e lave-os duas vezes ao dia com \u00e1gua e sab\u00e3o neutro. O melhor \u00e9 parar de fumar e seguir uma dieta pobre em a\u00e7\u00facar, gordura e latic\u00ednios.<\/p>\n<p>Escolha \u201ccomedol\u00edtico\u201d <span class=\"term\" data-term-id=\"1330\">atual<\/span> medicamentos Devem ser aplicados uma ou duas vezes ao dia como uma mancha fina em toda a \u00e1rea afetada. Pode levar v\u00e1rias semanas ou meses at\u00e9 que ocorra uma melhoria significativa. O tratamento deve ser continuado a longo prazo (\u00e0s vezes por muitos anos).<\/p>\n<p>Os agentes t\u00f3picos adequados incluem:<\/p>\n<ul>\n<li>Per\u00f3xido de benzo\u00edlo<\/li>\n<li>\u00c1cido azelaico<\/li>\n<li>\n<p>\u00c1cido salic\u00edlico +\/- enxofre e resorcinol<\/li>\n<li>\u00c1cido glic\u00f3lico<\/li>\n<li>\n<span class=\"term\" data-term-id=\"762\">Retin\u00f3ides<\/span> como tretino\u00edna, isotretino\u00edna, adapaleno (estes requerem receita m\u00e9dica)<\/li>\n<\/ul>\n<p>Os medicamentos orais prescritos para acne comedonal incluem:<\/p>\n<ul>\n<li>Terapia hormonal<\/li>\n<li>Isotretino\u00edna<\/li>\n<\/ul>\n<p>Os antibi\u00f3ticos tamb\u00e9m podem melhorar a acne comedonal, mas geralmente s\u00e3o prescritos para <span class=\"term\" data-term-id=\"490\">inflamat\u00f3rio<\/span> acne (acne vulgar)<\/p>\n<p>Tratamentos cir\u00fargicos \u00e0s vezes s\u00e3o recomendados para remover comed\u00f5es teimosos:<\/p>\n<ul>\n<li><span class=\"term\" data-term-id=\"1145\">Crioterapia<\/span><\/li>\n<li>\n<p>Eletrocirurgia (<span class=\"term\" data-term-id=\"1616\">cauteriza\u00e7\u00e3o<\/span> ou diatermia)<\/li>\n<li>Microdermoabras\u00e3o<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Electrocirugia-a-comedones-cerrados\"><\/span>Eletrocirurgia em comed\u00f5es fechados<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='comed4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7605562-6575168' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comed4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7605562.jpg'>\n<\/div>\n<p class=\"p-small\">Eletrocirurgia em comed\u00f5es<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Qu\u00e9 son comedones? Los comedones son peque\u00f1as protuberancias del color de la piel (p\u00e1pulas) se encuentra con frecuencia en la frente y el ment\u00f3n de las personas con acn\u00e9. Un&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6546","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6546","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/comments?post=6546"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6546\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=6546"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=6546"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=6546"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}