{"id":4452,"date":"2026-01-11T20:39:01","date_gmt":"2026-01-11T12:39:01","guid":{"rendered":"https:\/\/www.argentumix.com\/?p=4452"},"modified":"2026-01-11T21:21:07","modified_gmt":"2026-01-11T13:21:07","slug":"cutibacterium-acnes","status":"publish","type":"post","link":"https:\/\/www.argentumix.com\/vi\/cutibacterium-acnes\/","title":{"rendered":"Cutibacterium m\u1ee5n tr\u1ee9ng c\u00e1: Hi\u1ec3u s\u1ef1 c\u00e2n b\u1eb1ng vi sinh v\u1eadt da v\u00e0 ph\u00f2ng ng\u1eeba khoa h\u1ecdc"},"content":{"rendered":"

Anh bi\u1ebft kh\u00f4ng?<\/b><\/strong><\/span><\/h2>\n

Khi m\u1ee5n tr\u1ee9ng li\u00ean t\u1ee5c “ giai \u0111o\u1ea1n bi\u1ec3u t\u00ecnh” trong g\u01b0\u01a1ng, b\u1ea1n c\u00f3 bao gi\u1edd xem x\u00e9t r\u1eb1ng \u0111\u1eb1ng sau \u0111i\u1ec1u n\u00e0y n\u1eb1m m\u1ed9t “ n\u0103ng l\u01b0\u1ee3ng ch\u01a1i” trong l\u00e0n da c\u1ee7a b\u1ea1n’ microbiome?<\/span><\/p>\n

H\u00e0ng tri\u1ec7u vi sinh v\u1eadt s\u1ed1ng tr\u00ean m\u1ed7i centim\u00e9t vu\u00f4ng da, v\u00e0 Cutibacterium m\u1ee5n tr\u1ee9ng c\u00e1<\/em>\u00a0l\u00e0 m\u1ed9t trong nh\u1eefng “ phim k\u1ecbch” di\u1ec5n vi\u00ean trong s\u1ed1 h\u1ecd. N\u00f3 c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t vi khu\u1ea9n commensal l\u1eb7ng l\u1ebd b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe da, nh\u01b0ng trong \u0111i\u1ec1u ki\u1ec7n c\u1ee5 th\u1ec3, n\u00f3 c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n qu\u00e1 m\u1ee9c, k\u00edch ho\u1ea1t m\u1ee5n \u0111\u1ecf, s\u01b0ng, v\u1ebft m\u1ee5n sau m\u1ee5n tr\u1ee9ng c\u00e1 c\u1ee9ng \u0111\u1ea7u, v\u00e0 th\u1eadm ch\u00ed tr\u1edf th\u00e0nh m\u1ed9t y\u1ebfu t\u1ed1 ti\u1ec1m n\u0103ng cho nhi\u1ec5m tr\u00f9ng sau ph\u1eabu thu\u1eadt. \u0110\u00e1ng lo ng\u1ea1i h\u01a1n, kho\u1ea3ng 85% thanh thi\u1ebfu ni\u00ean v\u00e0 40% ng\u01b0\u1eddi l\u1edbn tr\u00ean to\u00e0n th\u1ebf gi\u1edbi b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi m\u1ee5n tr\u1ee9ng c\u00e1 (T\u1ea1p ch\u00ed H\u1ecdc vi\u1ec7n Da khoa M\u1ef9, 2022), v\u00e0 l\u1ea1m d\u1ee5ng kh\u00e1ng sinh \u0111ang \u0111\u1ea9y nhanh s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a “ c\u00e1c ch\u1ee7ng si\u00eau kh\u00e1ng. ”<\/span><\/p>\n

H\u00f4m nay, ch\u00fang t\u00f4i s\u1ebd ti\u1ebft l\u1ed9 s\u1ef1 th\u1eadt \u0111\u1eb1ng sau \u0111i\u1ec1u n\u00e0y “ c\u00e2n b\u1eb1ng vi khu\u1ea9n da” T\u1eeb \u0111\u1eb7c \u0111i\u1ec3m sinh t\u1ed3n c\u1ee7a C. m\u1ee5n tr\u1ee9ng c\u00e1<\/i><\/em>s \u0111\u1ebfn c\u00e1c chi\u1ebfn l\u01b0\u1ee3c ph\u00f2ng ng\u1eeba khoa h\u1ecdc, hi\u1ec3u c\u00e1ch h\u1ed7 tr\u1ee3 m\u00f4i tr\u01b0\u1eddng da l\u00e0nh m\u1ea1nh th\u00f4ng qua b\u1ea3o tr\u00ec h\u00e0ng ng\u00e0y.<\/span><\/p>\n

 <\/p>\n

\u0110i\u1ec1u g\u00ec l\u00e0 <\/b><\/strong>Cutibacterium m\u1ee5n tr\u1ee9ng c\u00e1<\/i><\/b><\/em><\/strong>?<\/b><\/strong><\/span><\/h2>\n

Cutibacterium m\u1ee5n tr\u1ee9ng c\u00e1<\/i><\/em>\u00a0(tr\u01b0\u1edbc \u0111\u00e2y Propionibacterium acnes) l\u00e0 m\u1ed9t Gram d\u01b0\u01a1ng t\u00ednh (G \u207a), vi khu\u1ea9n h\u00ecnh thanh, kh\u00f4ng kh\u00ed ho\u1eb7c kh\u00f4ng kh\u00ed t\u1ef1 ch\u1ecdn thu\u1ed9c v\u1ec1 Actinobacteria phylum. N\u00f3 th\u01b0\u1eddng s\u1ed1ng trong c\u00e1c nang t\u00f3c c\u1ee7a con ng\u01b0\u1eddi v\u00e0 tuy\u1ebfn m\u1ee1. N\u00f3 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a da’ C\u1ed9ng \u0111\u1ed3ng vi khu\u1ea9n b\u00ecnh th\u01b0\u1eddng nh\u01b0ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 da nh\u01b0 m\u1ee5n tr\u1ee9ng c\u00e1 trong c\u00e1c \u0111i\u1ec1u ki\u1ec7n c\u1ee5 th\u1ec3.<\/span><\/p>\n

<\/b>1. \u0110\u1eb7c \u0111i\u1ec3m k\u00ednh hi\u1ec3n vi<\/b><\/strong><\/span><\/p>\n

\u00b7 H\u00ecnh d\u1ea1ng h\u1ecdc: Thanh ng\u1eafn ho\u1eb7c h\u00ecnh c\u00e2u l\u1ea1c b\u1ed9 (1-5 \u03bcm), kh\u00f4ng b\u1ecb x\u01b0\u01a1ng, kh\u00f4ng h\u00ecnh th\u00e0nh b\u00e0o t\u1eed, kh\u00f4ng di chuy\u1ec3n.<\/span><\/p>\n

\u00b7 S\u1eafp x\u1ebfp: C\u00f3 th\u1ec3 x\u1ea3y ra m\u1ed9t m\u00ecnh, trong c\u1eb7p, ho\u1eb7c trong chu\u1ed7i ng\u1eafn.<\/span><\/p>\n

\u00b7 \u0110\u1eb7c t\u00ednh nhu\u1ed9m: Xu\u1ea5t hi\u1ec7n m\u00e0u t\u00edm trong b\u1ee5i Gram; axit nhanh v\u1ebft b\u1ea9n \u00e2m t\u00ednh.<\/span><\/p>\n

<\/b>2. \u0110\u1eb7c \u0111i\u1ec3m sinh s\u1ea3n<\/b><\/strong><\/span><\/p>\n

Ph\u01b0\u01a1ng ph\u00e1p sinh s\u1ea3n: Ch\u1ee7 y\u1ebfu ph\u00e1t tri\u1ec3n th\u00f4ng qua ph\u00e2n h\u1ea1ch nh\u1ecb ph\u00e2n (sinh s\u1ea3n v\u00f4 t\u00ecnh d\u1ee5c).<\/span><\/p>\n

\u00b7 T\u1ed1c \u0111\u1ed9 t\u0103ng tr\u01b0\u1edfng: t\u0103ng tr\u01b0\u1edfng t\u01b0\u01a1ng \u0111\u1ed1i ch\u1eadm; C\u00e1c thu\u1ed9c \u0111\u1ecba c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n trong \u0111i\u1ec1u ki\u1ec7n kh\u00f4ng kh\u00ed sau 24-48 gi\u1edd.<\/span><\/p>\n

<\/b>3. Kh\u1ea3 n\u0103ng th\u00edch \u1ee9ng m\u00f4i tr\u01b0\u1eddng<\/b><\/strong><\/span><\/p>\n

\u00b7 Y\u00eau c\u1ea7u m\u00f4i tr\u01b0\u1eddng: kh\u00f4ng kh\u00ed ho\u1eb7c microaerophilic. Nhi\u1ec7t \u0111\u1ed9 t\u1ed1i \u01b0u 30-37 \u00b0 C, pH ph\u00f9 h\u1ee3p 6,0-6,5 (g\u1ea7n b\u1ec1 m\u1eb7t h\u01a1i axit c\u1ee7a da).<\/span><\/p>\n

\u00b7 Nhu c\u1ea7u dinh d\u01b0\u1ee1ng: D\u1ef1a v\u00e0o lipid (nh\u01b0 triglyceride) trong m\u1ee1 nh\u01b0 ngu\u1ed3n carbon ch\u00ednh c\u1ee7a n\u00f3; \u0111\u00f2i h\u1ecfi axit amin (v\u00ed d\u1ee5: proline) v\u00e0 vitamin (v\u00ed d\u1ee5: biotin) \u0111\u1ec3 ph\u00e1t tri\u1ec3n.<\/span><\/p>\n

\u00b7 \u0110\u1eb7c \u0111i\u1ec3m trao \u0111\u1ed5i ch\u1ea5t: C\u00f3 th\u1ec3 l\u00ean men \u0111\u01b0\u1eddng nh\u01b0 glucose v\u00e0 lactose, s\u1ea3n xu\u1ea5t axit propionic; c\u00f3 th\u1ec3 ph\u00e2n h\u1ee7y triglyceride m\u1ee1, t\u1ea1o ra axit b\u00e9o t\u1ef1 do k\u00edch th\u00edch vi\u00eam nang.<\/span><\/p>\n

<\/b>4. Kh\u00e1ng kh\u00e1ng (Kh\u00e1ng dung v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 v\u1eadt l\u00fd v\u00e0 h\u00f3a h\u1ecdc)<\/b><\/strong><\/span><\/p>\n\n\n\n\n\n\n\n\n
Y\u1ebfu t\u1ed1<\/b><\/strong><\/span><\/td>\nM\u1ee9c kh\u00e1ng c\u1ef1<\/b><\/strong><\/span><\/td>\nL\u1eddi gi\u1ea3i th\u00edch<\/b><\/strong><\/span><\/td>\n<\/tr>\n
Nhi\u1ec7t \u0111\u1ed9<\/span><\/td>\nTrung b\u00ecnh<\/span><\/td>\nb\u1ecb gi\u1ebft tr\u00ean 60\u00b0C; S\u1ed1ng t\u01b0\u01a1ng \u0111\u1ed1i t\u1ed1t \u1edf nhi\u1ec7t \u0111\u1ed9 ph\u00f2ng.<\/span><\/td>\n<\/tr>\n
C\u1ef1c t\u00edm (UV)<\/span><\/td>\nth\u1ea5p<\/span><\/td>\nPh\u01a1i nhi\u1ec5m \u00e1nh s\u00e1ng m\u1eb7t tr\u1eddi (UV) c\u00f3 th\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a n\u00f3.<\/span><\/td>\n<\/tr>\n
S\u1ea5y kh\u00f4<\/span><\/td>\nth\u1ea5p<\/span><\/td>\nD\u1ec5 b\u1ecb v\u00f4 ho\u1ea1t h\u00f3a trong m\u00f4i tr\u01b0\u1eddng kh\u00f4 nh\u01b0ng t\u1ed3n t\u1ea1i t\u1ed1t trong \u0111i\u1ec1u ki\u1ec7n \u1ea9m \u01b0\u1edbt, gi\u00e0u m\u1ee1.<\/span><\/td>\n<\/tr>\n
Thu\u1ed1c kh\u1eed tr\u00f9ng<\/span><\/td>\nTrung b\u00ecnh<\/span><\/td>\nNh\u1ea1y c\u1ea3m v\u1edbi r\u01b0\u1ee3u (70%) v\u00e0 benzoyl peroxide (ch\u1ea5t kh\u00e1ng khu\u1ea9n), nh\u01b0ng t\u01b0\u01a1ng \u0111\u1ed1i kh\u00e1ng x\u00e0 ph\u00f2ng th\u00f4ng th\u01b0\u1eddng.<\/span><\/td>\n<\/tr>\n
Thu\u1ed1c kh\u00e1ng sinh<\/span><\/td>\nBi\u1ebfn<\/span><\/td>\nNh\u1ea1y c\u1ea3m v\u1edbi clindamycin, erythromycin, nh\u01b0ng d\u1ec5 ph\u00e1t tri\u1ec3n kh\u00e1ng kh\u00e1ng; tetracyclines c\u0169ng c\u00f3 hi\u1ec7u qu\u1ea3, nh\u01b0ng s\u1eed d\u1ee5ng l\u00e2u d\u00e0i c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn kh\u00e1ng.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/b>5. T\u1ea7m quan tr\u1ecdng c\u1ee7a nghi\u00ean c\u1ee9u<\/b><\/strong><\/span><\/p>\n

C\u00e1c nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y cho th\u1ea5y kh\u00e1c nhau C. m\u1ee5n tr\u1ee9ng c\u00e1<\/i><\/em>\u00a0C\u00e1c ch\u1ee7ng c\u00f3 th\u1ec3 c\u00f3 vai tr\u00f2 k\u00e9p trong s\u1ee9c kh\u1ecfe da:<\/span><\/p>\n

\u00b7 C\u00e1c ch\u1ee7ng g\u00e2y b\u1ec7nh (v\u00ed d\u1ee5: Lo\u1ea1i IA) th\u00fac \u0111\u1ea9y m\u1ee5n tr\u1ee9ng c\u00e1;<\/span><\/p>\n

C\u00e1c ch\u1ee7ng th\u01b0\u01a1ng m\u1ea1i (v\u00ed d\u1ee5: Lo\u1ea1i II) c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n b\u1ea3o tr\u00ec r\u00e0o c\u1ea3n da.<\/span><\/p>\n

(T\u00e0i li\u1ec7u tham kh\u1ea3o: Journal of Investigative Dermatology, 2018).<\/span><\/p>\n

 <\/p>\n

Nguy hi\u1ec3m li\u00ean quan \u0111\u1ebfn <\/b><\/strong>Cutibacterium m\u1ee5n tr\u1ee9ng c\u00e1<\/i><\/b><\/em><\/strong><\/span><\/h2>\n

C. m\u1ee5n tr\u1ee9ng c\u00e1<\/em> <\/i><\/em>ch\u1ee7 y\u1ebfu n\u1eb1m trong c\u00e1c \u0111\u01a1n v\u1ecb pilosebaceous c\u1ee7a da con ng\u01b0\u1eddi, \u0111\u1eb7c bi\u1ec7t t\u1eadp trung \u1edf c\u00e1c khu v\u1ef1c c\u00f3 ti\u1ebft m\u1ee1 cao. M\u1eb7c d\u00f9 m\u1ed9t c\u01b0 d\u00e2n da b\u00ecnh th\u01b0\u1eddng, trong \u0111i\u1ec1u ki\u1ec7n c\u1ee5 th\u1ec3, s\u1ed1 l\u01b0\u1ee3ng c\u1ee7a n\u00f3 c\u00f3 th\u1ec3 t\u0103ng b\u1ea5t th\u01b0\u1eddng, d\u1eabn \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 da.<\/span><\/p>\n

<\/b>1. M\u1ee5n tr\u1ee9ng c\u00e1 Vulgaris (M\u1ee5n tr\u1ee9ng c\u00e1)<\/b><\/strong><\/span><\/p>\n

\u00b7 C\u01a1 ch\u1ebf g\u00e2y b\u1ec7nh:<\/b><\/strong><\/span><\/p>\n

\u00b7 Ph\u00e2n h\u1ee7y triglyceride m\u1ee1, gi\u1ea3i ph\u00f3ng axit b\u00e9o t\u1ef1 do k\u00edch th\u00edch keratinization nang nang b\u1ea5t th\u01b0\u1eddng, t\u1eafc l\u1ed7 ch\u00e2n l\u00f4ng v\u00e0 h\u00ecnh th\u00e0nh comedones (\u0111\u1ea7u \u0111en \/ \u0111\u1ea7u tr\u1eafng).<\/span><\/p>\n

\u00b7 C\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a vi khu\u1ea9n (v\u00ed d\u1ee5: axit propionic, protease) k\u00edch ho\u1ea1t h\u1ec7 mi\u1ec5n d\u1ecbch, gi\u1ea3i ph\u00f3ng c\u00e1c cytokine h\u1ed7 tr\u1ee3 vi\u00eam (IL-1\u03b2, TNF-\u03b1), g\u00e2y \u0111\u1ecf, s\u01b0ng v\u00e0 m\u1ee5n (m\u1ee5n tr\u1ee9ng c\u00e1 vi\u00eam).<\/span><\/p>\n

\u00b7 Nhi\u1ec5m tr\u00f9ng nang s\u00e2u c\u00f3 th\u1ec3 h\u00ecnh th\u00e0nh m\u1ee5n tr\u1ee9ng c\u00e1 nang, d\u1ec5 b\u1ecb s\u1eb9o (s\u1eb9o s\u00e2u) ho\u1eb7c t\u0103ng s\u1eafc t\u1ed1 sau vi\u00eam (\u0111\u1ed1m t\u1ed1i).<\/span><\/p>\n

<\/b>\u00b7 T\u1ea1i h\u1ea1i:<\/b><\/strong><\/span><\/p>\n

\u00b7 C\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u1eb9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 xu\u1ea5t hi\u1ec7n; c\u00e1c tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n th\u00e0nh b\u1ec7nh vi\u00eam da m\u00e3n t\u00ednh.<\/span><\/p>\n

Vi\u00eam t\u00e1i ph\u00e1t c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n h\u1ea1i c\u1ea5u tr\u00fac da v\u00e0 l\u00e0m t\u0103ng kh\u00f3 \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

<\/b>2. C\u00e1c v\u1ea5n \u0111\u1ec1 da kh\u00e1c<\/b><\/strong><\/span><\/p>\n

Rosacea: M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y C. m\u1ee5n tr\u1ee9ng c\u00e1 <\/i><\/em>c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng m\u00e0u \u0111\u1ecf m\u1eb7t v\u00e0 m\u1ee5n nang (T\u1ea1p ch\u00ed da khoa Anh, 2020).<\/span><\/p>\n

R\u1ed1i lo\u1ea1n c\u00e2n b\u1eb1ng vi sinh v\u1eadt da: S\u1ef1 ph\u00e1t tri\u1ec3n qu\u00e1 m\u1ee9c c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf vi khu\u1ea9n commensal, d\u1eabn \u0111\u1ebfn dysbiosis v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng r\u00e0o c\u1ea3n da.<\/span><\/p>\n

Nhi\u1ec5m tr\u00f9ng v\u1ebft th\u01b0\u01a1ng sau th\u1ee7 t\u1ee5c: C\u00f3 th\u1ec3 g\u00e2y nhi\u1ec5m tr\u00f9ng c\u1ee5c b\u1ed9 sau khi \u0111i\u1ec1u tr\u1ecb m\u1ef9 ph\u1ea9m nh\u01b0 laser ho\u1eb7c microneedling.<\/span><\/p>\n

<\/b>3. Nhi\u1ec5m tr\u00f9ng h\u1ec7 th\u1ed1ng (g\u00e2y b\u1ec7nh c\u01a1 h\u1ed9i)<\/b><\/strong><\/span><\/p>\n

Khi vi khu\u1ea9n x\u00e2m nh\u1eadp v\u00e0o m\u00e1u ho\u1eb7c c\u00e1c m\u00f4 s\u00e2u (v\u00ed d\u1ee5: sau ph\u1eabu thu\u1eadt, ch\u1ea5n th\u01b0\u01a1ng), ch\u00fang c\u00f3 th\u1ec3 g\u00e2y ra:<\/span><\/p>\n

\u00b7 Nhi\u1ec5m tr\u00f9ng kh\u1edbp gi\u1ea3 (\u0111\u1eb7c bi\u1ec7t l\u00e0 sau khi thay th\u1ebf vai \/ h\u00f4ng).<\/span><\/p>\n

\u2022 X\u01b0\u01a1ng s\u1ed1ng ho\u1eb7c n\u00e3o (hi\u1ebfm nh\u01b0ng nghi\u00eam tr\u1ecdng, \u0111\u00f2i h\u1ecfi \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh l\u00e2u d\u00e0i).<\/span><\/p>\n

\u00b7 Vi\u00eam tim n\u1ed9i m\u1ea1ch (nhi\u1ec5m tr\u00f9ng van tim; nh\u00f3m nguy c\u01a1 cao: b\u1ec7nh tim b\u1ea9m sinh ho\u1eb7c b\u1ec7nh nh\u00e2n thay th\u1ebf van).<\/span><\/p>\n

<\/b>4. Nguy c\u01a1 gi\u00e1n ti\u1ebfp<\/b><\/strong><\/span><\/p>\n

Kh\u00e1ng kh\u00e1ng sinh: S\u1eed d\u1ee5ng l\u1ea1m d\u1ee5ng kh\u00e1ng sinh (v\u00ed d\u1ee5: clindamycin l\u00e2u d\u00e0i) l\u00e0m t\u0103ng c\u00e1c ch\u1ee7ng kh\u00e1ng sinh, t\u1ea1o ra m\u1ed9t chu k\u1ef3 \u00e1c li\u1ec7t v\u00e0 l\u00e0m t\u0103ng kh\u00f3 kh\u0103n \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

T\u00e1c \u0111\u1ed9ng t\u00e2m l\u00fd: M\u1ee5n tr\u1ee9ng c\u00e1 c\u1ee9ng \u0111\u1ea7u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn l\u00f2ng t\u1ef1 tr\u1ecdng th\u1ea5p, lo l\u1eafng v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 t\u00e2m l\u00fd kh\u00e1c.<\/span><\/p>\n

<\/b>5. Li\u00ean k\u1ebft ti\u1ec1m n\u0103ng v\u1edbi m\u00f9i<\/b><\/strong><\/span><\/p>\n

\u00b7 S\u1ea3n ph\u1ea9m ph\u00e2n h\u1ee7y m\u1ee1: ph\u00e2n h\u1ee7y m\u1ee1 t\u1ea1o ra axit b\u00e9o t\u1ef1 do (v\u00ed d\u1ee5: axit propionic), c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y ra “ m\u1ee1” m\u00f9i, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi l\u00e0m s\u1ea1ch kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7.<\/span><\/p>\n

\u00b7 Nhi\u1ec5m tr\u00f9ng h\u1ed7n h\u1ee3p l\u00e0m m\u00f9i t\u1ed3i t\u1ec7 h\u01a1n: N\u1ebfu vi\u00eam nang ho\u1eb7c nhi\u1ec5m tr\u00f9ng th\u1ee9 c\u1ea5p do vi khu\u1ea9n kh\u00e1c (v\u00ed d\u1ee5: Staphylococcus aureus) ho\u1eb7c n\u1ea5m (v\u00ed d\u1ee5: Malassezia) x\u1ea3y ra, n\u00f3 c\u00f3 th\u1ec3 t\u0103ng c\u01b0\u1eddng m\u00f9i t\u1ed3i t\u1ec7 ho\u1eb7c chua.<\/span><\/p>\n

C\u00e1c khu v\u1ef1c c\u00f3 ti\u1ebft m\u1ee1 cao nh\u01b0 da \u0111\u1ea7u, ng\u1ef1c v\u00e0 l\u01b0ng d\u1ec5 b\u1ecb m\u00f9i d\u1ea7u nhi\u1ec1u h\u01a1n, c\u00f3 th\u1ec3 tr\u1ed9n v\u1edbi m\u1ed3 h\u00f4i \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng m\u00f9i c\u01a1 th\u1ec3.<\/span><\/p>\n

L\u01b0u \u00fd: M\u00f9i th\u01b0\u1eddng nh\u1eb9 v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n v\u1edbi ki\u1ec3m so\u00e1t d\u1ea7u v\u00e0 l\u00e0m s\u1ea1ch th\u00edch h\u1ee3p.<\/span><\/p>\n

Th\u1eadt th\u00fa v\u1ecb, nghi\u00ean c\u1ee9u m\u1edbi nh\u1ea5t cho th\u1ea5y C. m\u1ee5n tr\u1ee9ng c\u00e1<\/i><\/em>\u00a0c\u00f3 th\u1ec3 \u0111\u00f3ng vai tr\u00f2 kh\u00e1c nhau \u1edf c\u00e1c v\u1ecb tr\u00ed c\u01a1 th\u1ec3 kh\u00e1c nhau. Trong m\u00f4i tr\u01b0\u1eddng da \u0111\u1ea7u, m\u1ed9t s\u1ed1 C. m\u1ee5n tr\u1ee9ng c\u00e1<\/i><\/em>\u00a0C\u00e1c ch\u1ee7ng ng\u0103n ch\u1eb7n s\u1ef1 ph\u00e1t tri\u1ec3n qu\u00e1 m\u1ee9c c\u1ee7a Malassezia b\u1eb1ng c\u00e1ch s\u1ea3n xu\u1ea5t axit propionic, do \u0111\u00f3 gi\u00fap ng\u0103n ch\u1eb7n s\u1ef1 h\u00ecnh th\u00e0nh v\u1ecf l\u00f4ng. \u0110i\u1ec1u n\u00e0y nh\u1ea5n m\u1ea1nh t\u1ea7m quan tr\u1ecdng c\u1ee7a s\u1ef1 c\u00e2n b\u1eb1ng vi khu\u1ea9n - b\u1ea3n th\u00e2n vi khu\u1ea9n kh\u00f4ng ho\u00e0n to\u00e0n “ t\u1ed1t” or “ bad”; ch\u00eca kh\u00f3a n\u1eb1m trong s\u1ed1 l\u01b0\u1ee3ng c\u1ee7a ch\u00fang v\u00e0 m\u00f4i tr\u01b0\u1eddng vi m\u00f4 m\u00e0 ch\u00fang s\u1ed1ng.<\/span><\/p>\n

 <\/p>\n

M\u00f4i tr\u01b0\u1eddng s\u1ed1ng chung v\u00e0 tuy\u1ebfn \u0111\u01b0\u1eddng truy\u1ec1n <\/b><\/strong>Cutibacterium m\u1ee5n tr\u1ee9ng c\u00e1<\/i><\/b><\/em><\/strong><\/span><\/h2>\n

<\/b>1. M\u00f4i tr\u01b0\u1eddng s\u1ed1ng ph\u1ed5 bi\u1ebfn<\/b><\/strong><\/span><\/span><\/p>\n

\u00b7 Da kh\u1ecfe m\u1ea1nh (thu\u1ed9c \u0111\u1ecba b\u00ecnh th\u01b0\u1eddng)<\/b><\/strong><\/span><\/p>\n

\u00b7 V\u1ecb tr\u00ed: Ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c ph\u00e2n ph\u1ed1i \u1edf c\u00e1c khu v\u1ef1c c\u00f3 ti\u1ebft m\u1ee1 cao: khu\u00f4n m\u1eb7t, ng\u1ef1c, l\u01b0ng, da \u0111\u1ea7u.<\/span><\/p>\n

\u00b7 S\u1ed1 l\u01b0\u1ee3ng: Tr\u00ean da kh\u1ecfe m\u1ea1nh, C. m\u1ee5n tr\u1ee9ng c\u00e1 <\/i><\/em>duy tr\u00ec s\u1ef1 c\u00e2n b\u1eb1ng v\u1edbi c\u00e1c commensals kh\u00e1c (v\u00ed d\u1ee5: Staphylococcus epidermidis) v\u00e0 kh\u00f4ng g\u00e2y b\u1ec7nh.<\/span><\/p>\n

<\/b>\u00b7 Ch\u1ea5n th\u01b0\u01a1ng m\u1ee5n tr\u1ee9ng c\u00e1<\/b><\/strong><\/span><\/p>\n

\u00b7 S\u1ef1 ph\u00e1t tri\u1ec3n qu\u00e1 m\u1ee9c: Khi nang b\u1ecb t\u1eafc ngh\u1ebdn v\u00e0 m\u1ee1 t\u00edch l\u0169y, C. m\u1ee5n tr\u1ee9ng c\u00e1 <\/i><\/em>ph\u00e1t tri\u1ec3n r\u1ea5t nhi\u1ec1u, ph\u00e2n h\u1ee7y m\u1ee1 v\u00e0 k\u00edch ho\u1ea1t vi\u00eam, h\u00ecnh th\u00e0nh comedones, nang v\u00e0 nang.<\/span><\/p>\n

S\u1ef1 kh\u00e1c bi\u1ec7t ch\u1ee7ng: M\u1ed9t s\u1ed1 ch\u1ee7ng lo\u1ea1i IA c\u00f3 li\u00ean quan m\u1ea1nh m\u1ebd \u0111\u1ebfn m\u1ee5n tr\u1ee9ng c\u00e1 vi\u00eam, trong khi c\u00e1c ch\u1ee7ng lo\u1ea1i II c\u00f3 th\u1ec3 v\u00f4 h\u1ea1i ho\u1eb7c th\u1eadm ch\u00ed c\u00f3 l\u1ee3i cho da.<\/span><\/p>\n

<\/b>\u00b7 Nhi\u1ec5m tr\u00f9ng li\u00ean quan \u0111\u1ebfn ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe<\/b><\/strong><\/span><\/p>\n

\u00b7 Nhi\u1ec5m tr\u00f9ng sau ph\u1eabu thu\u1eadt: Sau ch\u1ec9nh h\u00ecnh (thay th\u1ebf kh\u1edbp), tim (thay th\u1ebf van), ho\u1eb7c ph\u1eabu thu\u1eadt th\u1ea7n kinh, C. m\u1ee5n tr\u1ee9ng c\u00e1 <\/i><\/em>c\u00f3 th\u1ec3 x\u00e2m nh\u1eadp v\u00e0o c\u00e1c m\u00f4 s\u00e2u, g\u00e2y nhi\u1ec5m tr\u00f9ng tr\u00ec ho\u00e3n (xu\u1ea5t hi\u1ec7n t\u1eeb v\u00e0i tu\u1ea7n \u0111\u1ebfn v\u00e0i th\u00e1ng sau ph\u1eabu thu\u1eadt).<\/span><\/p>\n

C\u00e1c bi\u1ebfn ch\u1ee9ng t\u1eeb c\u00e1c th\u1ee7 t\u1ee5c m\u1ef9 ph\u1ea9m: Nhi\u1ec5m tr\u00f9ng c\u1ee5c b\u1ed9 c\u00f3 th\u1ec3 x\u1ea3y ra sau khi laser, microneedling ho\u1eb7c ch\u1ea5t \u0111i\u1ec1n ti\u00eam n\u1ebfu kh\u1eed tr\u00f9ng kh\u00f4ng \u0111\u1ee7.<\/span><\/p>\n

<\/b>\u00b7 M\u00f4i tr\u01b0\u1eddng \u0111\u1eb7c bi\u1ec7t kh\u00e1c<\/b><\/strong><\/span><\/p>\n

B\u1ec7nh nh\u00e2n c\u00f3 \u1ed1ng th\u00f4ng l\u00e2u d\u00e0i (v\u00ed d\u1ee5: \u1ed1ng th\u00f4ng t\u0129nh m\u1ea1ch trung t\u00e2m) c\u00f3 th\u1ec3 tr\u1ea3i qua C. m\u1ee5n tr\u1ee9ng c\u00e1 <\/i><\/em>\u6b96\u6c11\u5316, l\u00e0m t\u0103ng nguy c\u01a1 nhi\u1ec5m tr\u00f9ng m\u00e1u.<\/span><\/p>\n

\u00b7 Nh\u1eefng c\u00e1 nh\u00e2n b\u1ecb suy gi\u1ea3m mi\u1ec5n d\u1ecbch (v\u00ed d\u1ee5: HIV, b\u1ec7nh nh\u00e2n h\u00f3a tr\u1ecb) c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n nhi\u1ec5m tr\u00f9ng h\u1ec7 th\u1ed1ng hi\u1ebfm hoi (v\u00ed d\u1ee5: v\u1ebft n\u00e3o, vi\u00eam x\u01b0\u01a1ng).<\/span><\/p>\n

<\/b>2. Tuy\u1ebfn truy\u1ec1n<\/b><\/strong><\/span><\/p>\n

<\/b>T\u1ef1 truy\u1ec1n da (ch\u1ebf \u0111\u1ed9 ch\u00ednh)<\/b><\/strong><\/span><\/p>\n

\u00b7 Ph\u00e1t t\u00e1n m\u1ee1: C. m\u1ee5n tr\u1ee9ng c\u00e1 <\/i><\/em>d\u1ef1a v\u00e0o m\u1ee1 \u0111\u1ec3 t\u1ed3n t\u1ea1i v\u00e0 c\u00f3 th\u1ec3 lan sang c\u00e1c khu v\u1ef1c da l\u00e2n c\u1eadn th\u00f4ng qua nang.<\/span><\/p>\n

\u00b7 \u0110i\u1ec1u khi\u1ec3n c\u01a1 h\u1ecdc: \u00e9p m\u1ee5n, l\u1ed7 da, v.v., c\u00f3 th\u1ec3 l\u00e0m h\u1ecfng r\u00e0o c\u1ea3n nang, c\u00f3 kh\u1ea3 n\u0103ng l\u00e2y lan vi khu\u1ea9n \u0111\u1ebfn da xung quanh ho\u1eb7c c\u00e1c m\u00f4 s\u00e2u h\u01a1n, g\u00e2y m\u1ee5n nang ho\u1eb7c vi\u00eam nang.<\/span><\/p>\n

S\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng vi sinh v\u1eadt da: C\u00e1c y\u1ebfu t\u1ed1 ch\u1ee7 (v\u00ed d\u1ee5: s\u1ea3n xu\u1ea5t m\u1ee1 qu\u00e1 m\u1ee9c, l\u1ea1m d\u1ee5ng kh\u00e1ng sinh) g\u00e2y ra vi khu\u1ea9n chuy\u1ec3n t\u1eeb tr\u1ea1ng th\u00e1i b\u1eaft \u0111\u1ea7u sang tr\u1ea1ng th\u00e1i g\u00e2y b\u1ec7nh, d\u1eabn \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng n\u1ed9i sinh.<\/span><\/p>\n

<\/b>\u00b7 Giao ti\u1ebfp gi\u1eefa c\u00e1 nh\u00e2n (hi\u1ebfm nh\u01b0ng \u0111\u01b0\u1ee3c tranh lu\u1eadn)<\/b><\/strong><\/span><\/p>\n

Li\u00ean h\u1ec7 tr\u1ef1c ti\u1ebfp: V\u1ec1 m\u1eb7t l\u00fd thuy\u1ebft c\u00f3 th\u1ec3 th\u00f4ng qua vi\u1ec7c chia s\u1ebb kh\u0103n, dao c\u1ea1o ho\u1eb7c m\u1ef9 ph\u1ea9m, nh\u01b0ng da kh\u1ecfe m\u1ea1nh th\u01b0\u1eddng ch\u1ed1ng l\u1ea1i s\u1ef1 thu\u1ed9c \u0111\u1ecba.<\/span><\/p>\n

C\u00f3 th\u1ec3 x\u1ea3y ra th\u00f4ng qua ti\u1ebfp x\u00fac da g\u1ea7n v\u1edbi m\u1ed9t ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m tr\u00f9ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi ng\u01b0\u1eddi nh\u1eadn c\u00f3 s\u1ea3n xu\u1ea5t m\u1ee1 cao ho\u1eb7c r\u00e0o c\u1ea3n da b\u1ecb \u1ea3nh h\u01b0\u1edfng (v\u00ed d\u1ee5: sau khi c\u1ea1o r\u00e2u).<\/span><\/p>\n

<\/b>\u00b7 Giao truy\u1ec1n Iatrogenic:<\/b><\/strong><\/span><\/p>\n

Kh\u1eed tr\u00f9ng kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7 c\u1ee7a c\u00e1c d\u1ee5ng c\u1ee5 ph\u1eabu thu\u1eadt ho\u1eb7c thi\u1ebft b\u1ecb ti\u00eam c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec5m tr\u00f9ng ch\u00e9o (v\u00ed d\u1ee5: v\u1ebft x\u01b0\u01a1ng ti\u00eam sau m\u1ef9 ph\u1ea9m).<\/span><\/p>\n

\u00b7 Nghi\u00ean c\u1ee9u cho th\u1ea5y m\u1ed9t s\u1ed1 nhi\u1ec5m tr\u00f9ng sau ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 xu\u1ea5t ph\u00e1t t\u1eeb b\u1ec7nh nh\u00e2n’ th\u1ef1c v\u1eadt da c\u1ee7a ri\u00eang m\u00ecnh, kh\u00f4ng ph\u1ea3i truy\u1ec1n t\u1ea3i b\u00ean ngo\u00e0i.<\/span><\/p>\n

<\/b>\u00b7 Truy\u1ec1n t\u1ea3i m\u00f4i tr\u01b0\u1eddng (c\u1ef1c k\u1ef3 hi\u1ebfm)<\/b><\/strong><\/span><\/p>\n

<\/i>\u00b7 C. m\u1ee5n tr\u1ee9ng c\u00e1 <\/i><\/em>c\u00f3 kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t y\u1ebfu b\u00ean ngo\u00e0i c\u01a1 th\u1ec3 v\u00e0 th\u01b0\u1eddng kh\u00f4ng truy\u1ec1n qua kh\u00f4ng kh\u00ed, n\u01b0\u1edbc ho\u1eb7c b\u1ec1 m\u1eb7t.<\/span><\/p>\n

 <\/p>\n

C\u00e1ch ng\u0103n ch\u1eb7n c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn <\/b><\/strong>Cutibacterium m\u1ee5n tr\u1ee9ng c\u00e1<\/i><\/b><\/em><\/strong><\/span><\/h2>\n

\u0110\u1ed1i v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 da g\u00e2y ra b\u1edfi Cutibacterium m\u1ee5n tr\u1ee9ng c\u00e1<\/i><\/em>Vi\u1ec7c \u00e1p d\u1ee5ng c\u00e1c chi\u1ebfn l\u01b0\u1ee3c ph\u00f2ng ng\u1eeba khoa h\u1ecdc quan tr\u1ecdng h\u01a1n l\u00e0 \u0111i\u1ec1u tr\u1ecb sau khi th\u1ef1c t\u1ebf x\u1ea3y ra. Ch\u00eca kh\u00f3a n\u1eb1m trong vi\u1ec7c ki\u1ec3m so\u00e1t s\u1ef1 ph\u00e1t tri\u1ec3n qu\u00e1 m\u1ee9c c\u1ee7a n\u00f3, duy tr\u00ec s\u1ef1 c\u00e2n b\u1eb1ng vi khu\u1ea9n da v\u00e0 gi\u1ea3m c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y vi\u00eam.<\/span><\/p>\n

<\/b>1. Chi\u1ebfn l\u01b0\u1ee3c c\u1ed1t l\u00f5i: Duy tr\u00ec v\u1ec7 sinh da c\u00e1 nh\u00e2n<\/b><\/strong><\/span><\/p>\n

L\u00e0 m\u1ed9t m\u1ea7m b\u1ec7nh c\u00f3 \u0111i\u1ec1u ki\u1ec7n c\u01b0 tr\u00fa, c\u1ed1t l\u00f5i c\u1ee7a vi\u1ec7c qu\u1ea3n l\u00fd C. m\u1ee5n tr\u1ee9ng c\u00e1<\/i><\/em>\u00a0l\u00e0 duy tr\u00ec m\u00f4i tr\u01b0\u1eddng da l\u00e0nh m\u1ea1nh, kh\u00f4ng lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n.<\/span><\/p>\n

<\/b>\u00b7 L\u00e0m s\u1ea1ch trung b\u00ecnh: <\/b><\/strong>S\u1eed d\u1ee5ng ch\u1ea5t l\u00e0m s\u1ea1ch axit nh\u1eb9 v\u1edbi pH kho\u1ea3ng 5,5, 1-2 l\u1ea7n m\u1ed7i ng\u00e0y, \u0111\u1ec3 lo\u1ea1i b\u1ecf m\u1ee1 d\u01b0 th\u1eeba v\u00e0 b\u1ee5i b\u1ea9n, tr\u00e1nh l\u00e0m s\u1ea1ch qu\u00e1 m\u1ee9c l\u00e0m t\u1ed5n h\u1ea1i r\u00e0o c\u1ea3n da.<\/span><\/p>\n

<\/b>\u00b7 Ki\u1ec3m so\u00e1t d\u1ea7u v\u00e0 qu\u1ea3n l\u00fd vi khu\u1ea9n<\/b><\/strong><\/span><\/p>\n

\u00a0 \u00a0\u0110\u1ed1i v\u1edbi m\u1ee5n tr\u1ee9ng c\u00e1 hi\u1ec7n c\u00f3, c\u00e1c bi\u1ec7n ph\u00e1p nh\u1eafm m\u1ee5c ti\u00eau d\u1ef1a tr\u00ean lo\u1ea1i:<\/span><\/p>\n

M\u1ee5n tr\u1ee9ng c\u00e1 kh\u00f4ng vi\u00eam (\u0111\u1ea7u \u0111en \/ \u0111\u1ea7u tr\u1eafng): C\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a n\u1ed3ng \u0111\u1ed9 axit salicylic th\u1ea5p ho\u1eb7c AHA c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3i t\u1eafc l\u1ed7 ch\u00e2n l\u00f4ng.<\/span><\/p>\n

\u00b7 M\u1ee5n tr\u1ee9ng c\u00e1 vi\u00eam nh\u1eb9: S\u1eed d\u1ee5ng t\u1ea1i ch\u1ed7 c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a benzoyl peroxide ho\u1eb7c kh\u00e1ng sinh.<\/span><\/p>\n

\u00b7 M\u1ee5n tr\u1ee9ng c\u00e1 trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng: T\u01b0 v\u1ea5n b\u00e1c s\u0129 da li\u1ec5u; Thu\u1ed1c u\u1ed1ng ho\u1eb7c \u0111i\u1ec1u tr\u1ecb chuy\u00ean nghi\u1ec7p c\u00f3 th\u1ec3 l\u00e0 c\u1ea7n thi\u1ebft.<\/span><\/p>\n

<\/b>\u00b7 Gi\u1eef da kh\u00f4:<\/b><\/strong><\/span><\/p>\n

\u0110\u1eb7c bi\u1ec7t l\u00e0 sau khi \u0111\u1ed5 m\u1ed3 h\u00f4i trong khi t\u1eadp th\u1ec3 d\u1ee5c, h\u00e3y l\u00e0m s\u1ea1ch v\u00e0 kh\u00f4 c\u00e1c khu v\u1ef1c gi\u00e0u m\u1ee1 nh\u01b0 khu\u00f4n m\u1eb7t, ng\u1ef1c v\u00e0 l\u01b0ng.<\/span><\/p>\n

Ch\u1ecdn qu\u1ea7n \u00e1o tho\u00e1t th\u1edf (v\u00ed d\u1ee5: b\u00f4ng) \u0111\u1ec3 tr\u00e1nh vi\u00eam nang nang do ma s\u00e1t g\u00e2y ra tr\u00ean ng\u1ef1c \/ l\u01b0ng.<\/span><\/p>\n

<\/b>\u00b7 Tr\u00e1nh ch\u1ea1m v\u00e0o: <\/b><\/strong>Gi\u1ea3m thi\u1ec3u ch\u1ea1m ho\u1eb7c \u00e9p m\u1ee5n \u0111\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 l\u00e2y lan c\u1ee7a vi khu\u1ea9n ho\u1eb7c vi\u00eam t\u1ed3i t\u1ec7 h\u01a1n.<\/span><\/p>\n

<\/b>2. H\u1ed7 tr\u1ee3 m\u1ed9t vi sinh v\u1eadt da l\u00e0nh m\u1ea1nh<\/b><\/strong><\/span><\/p>\n

<\/b>\u00b7 L\u1ef1a ch\u1ecdn s\u1ea3n ph\u1ea9m ch\u0103m s\u00f3c da: <\/b><\/strong>Xem x\u00e9t c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a prebiotics (v\u00ed d\u1ee5: inulin) ho\u1eb7c c\u00e1c th\u00e0nh ph\u1ea7n l\u00e0m d\u1ecbu (v\u00ed d\u1ee5: niacinamide, k\u1ebdm) \u0111\u1ec3 gi\u00fap duy tr\u00ec s\u1ef1 c\u00e2n b\u1eb1ng c\u1ee7a th\u1ef1c v\u1eadt da.<\/span><\/p>\n

<\/b>S\u1eed d\u1ee5ng kh\u00e1ng sinh c\u1ea9n th\u1eadn: <\/b><\/strong>Tr\u00e1nh s\u1eed d\u1ee5ng kem kh\u00e1ng sinh l\u00e2u d\u00e0i, kh\u00f4ng \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 ng\u0103n ch\u1eb7n ph\u00e1 v\u1ee1 c\u00e2n b\u1eb1ng vi sinh v\u1eadt v\u00e0 g\u00e2y kh\u00e1ng.<\/span><\/p>\n

<\/b>3. T\u1eadp trung v\u00e0o l\u1ed1i s\u1ed1ng v\u00e0 v\u1ec7 sinh h\u00e0ng h\u00f3a<\/b><\/strong><\/span><\/p>\n

<\/b>\u2022 Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 th\u00f3i quen:<\/b><\/strong><\/span><\/p>\n

<\/b>Tr\u00e1nh: th\u1ef1c ph\u1ea9m c\u00f3 t\u1ea3i l\u01b0\u1ee3ng \u0111\u01b0\u1eddng cao (v\u00ed d\u1ee5: \u0111\u1ed3 u\u1ed1ng c\u00f3 \u0111\u01b0\u1eddng), s\u1eefa tr\u01a1n (ch\u1ee9a IGF-1 k\u00edch th\u00edch m\u1ee1).<\/span><\/p>\n

\u00b7 T\u0103ng l\u01b0\u1ee3ng: axit b\u00e9o Omega-3 (c\u00e1 bi\u1ec3n s\u00e2u, d\u1ea7u h\u1ea1t lanh), k\u1ebdm (h\u00e0u, h\u1ea1t) \u0111\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ed1ng vi\u00eam.<\/span><\/p>\n

Th\u00f3i quen th\u01b0\u1eddng xuy\u00ean: \u0110\u1ea3m b\u1ea3o gi\u1ea5c ng\u1ee7 \u0111\u1ea7y \u0111\u1ee7, gi\u1ea3m t\u1ec9nh mu\u1ed9n, gi\u00fap \u0111i\u1ec1u ch\u1ec9nh ti\u1ebft m\u1ee1.<\/span><\/p>\n

\u00b7 Qu\u1ea3n l\u00fd c\u0103ng th\u1eb3ng: c\u0103ng th\u1eb3ng m\u00e3n t\u00ednh k\u00edch th\u00edch ti\u1ebft m\u1ee1, m\u1ee5n tr\u1ee9ng c\u00e1 tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n.<\/span><\/p>\n

<\/b>\u00b7 \u0110\u1ed3 d\u00f9ng c\u00e1 nh\u00e2n \u0111\u1ec3 s\u1eed d\u1ee5ng c\u00e1 nh\u00e2n: <\/b><\/strong>Kh\u00f4ng chia s\u1ebb kh\u0103n, dao c\u1ea1o, b\u1ecdt bi\u1ec3n trang \u0111i\u1ec3m, v.v., ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi da.<\/span><\/p>\n

<\/b>\u00b7 R\u1eeda th\u01b0\u1eddng xuy\u00ean \/ Thay \u0111\u1ed5i: <\/b><\/strong><\/span><\/p>\n

Thay \u0111\u1ed5i v\u1ecf g\u1ed1i v\u00e0 kh\u0103n gi\u01b0\u1eddng th\u01b0\u1eddng xuy\u00ean (khuy\u1ebfn ngh\u1ecb 1-2 l\u1ea7n m\u1ed9t tu\u1ea7n), gi\u1eb7t b\u1eb1ng ch\u1ea5t t\u1ea9y r\u1eeda nh\u1eb9. <\/span><\/p>\n

\u00b7 \u0110\u1ed1i v\u1edbi d\u1ec7t nh\u01b0 kh\u0103n v\u00e0 v\u1ecf g\u1ed1i, ngo\u00e0i vi\u1ec7c gi\u1eb7t th\u01b0\u1eddng xuy\u00ean, th\u1ec9nh tho\u1ea3ng ng\u00e2m trong dung d\u1ecbch nh\u01b0 n\u01b0\u1edbc ion b\u1ea1c c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m s\u1ef1 tu\u00e2n th\u1ee7 c\u1ee7a vi khu\u1ea9n, kh\u00f4ng \u0111\u1ec3 l\u1ea1i s\u1ef1 lo ng\u1ea1i v\u1ec1 d\u01b0 l\u01b0\u1ee3ng h\u00f3a h\u1ecdc.<\/span><\/p>\n

<\/b>\u00b7 L\u00e0m s\u1ea1ch b\u1ec1 m\u1eb7t: <\/b><\/strong><\/span><\/p>\n

\u00b7 Th\u01b0\u1eddng xuy\u00ean l\u00e0m s\u1ea1ch b\u1ec1 m\u1eb7t c\u1ee7a c\u00e1c v\u1eadt ph\u1ea9m th\u01b0\u1eddng xuy\u00ean ch\u1ea1m v\u00e0o nh\u01b0 m\u00e0n h\u00ecnh \u0111i\u1ec7n tho\u1ea1i, k\u00ednh v\u00e0 \u00e1o trang \u0111\u1ea7u. L\u1ecdc b\u1eb1ng v\u1ea3i s\u1ee3i vi h\u01a1i \u1ea9m l\u00e0 c\u01a1 b\u1ea3n. <\/span><\/p>\n

\u00b7 \u0110\u1ec3 l\u00e0m s\u1ea1ch k\u1ef9 l\u01b0\u1ee1ng h\u01a1n, c\u00e1c gi\u1ea3i ph\u00e1p nh\u01b0 n\u01b0\u1edbc ion b\u1ea1c, d\u1ec5 chu\u1ea9n b\u1ecb, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t \u0111\u1ec3 lau ph\u1ee5 tr\u1ee3, v\u00ec \u0111\u1eb7c t\u00ednh c\u1ee7a ch\u00fang gi\u00fap \u1ee9c ch\u1ebf s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi khu\u1ea9n qu\u00e1 m\u1ee9c.<\/span><\/p>\n

<\/b>4. X\u1eed l\u00fd t\u00ecnh hu\u1ed1ng \u0111\u1eb7c bi\u1ec7t<\/b><\/strong><\/span><\/p>\n

Tr\u01b0\u1edbc v\u00e0 sau c\u00e1c th\u1ee7 t\u1ee5c m\u1ef9 ph\u1ea9m (v\u00ed d\u1ee5: laser, microneedling), h\u00e3y l\u00e0m theo h\u01b0\u1edbng d\u1eabn l\u00e0m s\u1ea1ch c\u1ee7a c\u00e1c chuy\u00ean gia.<\/span><\/p>\n

N\u1ebfu c\u00e1c v\u1ea5n \u0111\u1ec1 da v\u1eabn t\u1ed3n t\u1ea1i ho\u1eb7c t\u1ed3i t\u1ec7 h\u01a1n, h\u00e3y tham kh\u1ea3o \u00fd ki\u1ebfn \u200b\u200bb\u00e1c s\u0129 da li\u1ec5u \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n \u0111i\u1ec1u tr\u1ecb c\u00e1 nh\u00e2n h\u01a1n l\u00e0 t\u1ef1 ch\u1eefa tr\u1ecb.<\/span><\/p>\n

<\/b>5. R\u00f5 r\u00e0ng nh\u1eefng quan ni\u1ec7m sai l\u1ea7m<\/b><\/strong><\/span><\/span><\/p>\n

** \u00dd t\u01b0\u1edfng sai 1: Kh\u1eed tr\u00f9ng ho\u00e0n to\u00e0n l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 ch\u1eefa tr\u1ecb m\u1ee5n tr\u1ee9ng c\u00e1.<\/span><\/p>\n

S\u1ef1 th\u1eadt: C. m\u1ee5n tr\u1ee9ng c\u00e1<\/i><\/em>\u00a0l\u00e0 m\u1ed9t da commensal. X\u00f3a tr\u1eeb ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn kh\u00e1ng kh\u00e1ng ho\u1eb7c nhi\u1ec5m tr\u00f9ng n\u1ea5m (v\u00ed d\u1ee5: Malassezia ph\u00e1t tri\u1ec3n qu\u00e1 m\u1ee9c).<\/span><\/p>\n

** \u00dd t\u01b0\u1edfng sai 2: Da d\u1ea7u kh\u00f4ng’ t c\u1ea7n kem \u1ea9m.<\/span><\/p>\n

S\u1ef1 th\u1eadt: M\u1ed9t r\u00e0o c\u1ea3n b\u1ecb h\u01b0 h\u1ea1i t\u0103ng t\u1ed1c s\u1ef1 x\u00e2m l\u01b0\u1ee3c c\u1ee7a vi khu\u1ea9n. S\u1eed d\u1ee5ng kem \u1ea9m kh\u00f4ng d\u1ea7u (v\u00ed d\u1ee5: ch\u1ee9a ceramides).<\/span><\/p>\n

It’ \u0110\u00e1ng nh\u1ea5n m\u1ea1nh r\u1eb1ng s\u1ef1 c\u00e2n b\u1eb1ng vi khu\u1ea9n l\u00e0 ch\u00eca kh\u00f3a \u0111\u1ec3 ph\u00f2ng ng\u1eeba m\u1ee5n tr\u1ee9ng c\u00e1. Nghi\u00ean c\u1ee9u m\u1edbi nh\u1ea5t ch\u1ec9 ra r\u1eb1ng ch\u1ec9 \u0111\u01a1n gi\u1ea3n l\u00e0 ti\u00eau di\u1ec7t t\u1ea5t c\u1ea3 vi khu\u1ea9n (bao g\u1ed3m c\u1ea3 nh\u1eefng vi khu\u1ea9n c\u00f3 l\u1ee3i) kh\u00f4ng ph\u1ea3i l\u00e0 chi\u1ebfn l\u01b0\u1ee3c t\u1ed1t nh\u1ea5t. M\u1ee5c ti\u00eau l\u00e0 kh\u00f4i ph\u1ee5c l\u1ea1i s\u1ef1 c\u00e2n b\u1eb1ng l\u00e0nh m\u1ea1nh trong vi khu\u1ea9n da.<\/span><\/p>\n

 <\/p>\n

Hi\u1ec3u s\u1ef1 c\u00e2n b\u1eb1ng: C\u1ed1t l\u00f5i c\u1ee7a ph\u00f2ng ng\u1eeba<\/b><\/strong><\/span><\/h2>\n

Khi \u0111\u1ed1i ph\u00f3 v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 da li\u00ean quan \u0111\u1ebfn Cutibacterium m\u1ee5n tr\u1ee9ng c\u00e1<\/i><\/em>nguy\u00ean t\u1eafc “ ph\u00f2ng ng\u1eeba h\u01a1n \u0111i\u1ec1u tr\u1ecb” \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng. Da li\u1ec5u h\u1ecdc hi\u1ec7n \u0111\u1ea1i nh\u1ea5n m\u1ea1nh r\u1eb1ng m\u1ee5c ti\u00eau kh\u00f4ng ph\u1ea3i l\u00e0 lo\u1ea1i b\u1ecf t\u1ea5t c\u1ea3 vi khu\u1ea9n, m\u00e0 l\u00e0 duy tr\u00ec m\u1ed9t m\u00f4i tr\u01b0\u1eddng vi m\u00f4 da c\u00e2n b\u1eb1ng v\u00e0 l\u00e0nh m\u1ea1nh.<\/span><\/p>\n

H\u00e3y nh\u1edb r\u1eb1ng l\u00e0n da \u0111\u1eb9p, kh\u1ecfe m\u1ea1nh \u0111\u1ebfn t\u1eeb s\u1ef1 ch\u0103m s\u00f3c nh\u1ea5t qu\u00e1n, ch\u00fa \u00fd. B\u1eb1ng c\u00e1ch hi\u1ec3u c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a Cutibacterium m\u1ee5n tr\u1ee9ng c\u00e1<\/i><\/em>\u00a0v\u00e0 tu\u00e2n th\u1ee7 c\u00e1c th\u00f3i quen v\u1ec7 sinh c\u00e1 nh\u00e2n khoa h\u1ecdc, ch\u00fang ta c\u00f3 th\u1ec3 qu\u1ea3n l\u00fd s\u1ee9c kh\u1ecfe da c\u1ee7a m\u00ecnh m\u1ed9t c\u00e1ch kh\u00f4n ngoan h\u01a1n, tr\u00e1nh c\u00e1c b\u1eaby nh\u01b0 l\u00e0m s\u1ea1ch qu\u00e1 m\u1ee9c ho\u1eb7c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u00e2n bi\u1ec7t.<\/span><\/p>\n

 <\/p>","protected":false},"excerpt":{"rendered":"

Do You Know? When pimples persistently “stage protests” in the mirror, have you ever considered that behind this lies a “power play” within your skin’s microbiome? Millions of microorganisms reside on every square centimeter of skin, and Cutibacterium acnes\u00a0is one of the most “dramatic” actors among them. It can be a commensal bacterium quietly safeguarding […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33,31],"tags":[65,66,51,67,63,62],"class_list":["post-4452","post","type-post","status-publish","format-standard","hentry","category-bacteria-archive","category-microbe-encyclopedia","tag-cutibacterium-acnes","tag-silver-ion-enriched-water","tag-silver-ion-generator","tag-silver-ion-solution","tag-silver-ion-technology","tag-silver-ion-water"],"_links":{"self":[{"href":"https:\/\/www.argentumix.com\/vi\/wp-json\/wp\/v2\/posts\/4452","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.argentumix.com\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.argentumix.com\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.argentumix.com\/vi\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.argentumix.com\/vi\/wp-json\/wp\/v2\/comments?post=4452"}],"version-history":[{"count":11,"href":"https:\/\/www.argentumix.com\/vi\/wp-json\/wp\/v2\/posts\/4452\/revisions"}],"predecessor-version":[{"id":4463,"href":"https:\/\/www.argentumix.com\/vi\/wp-json\/wp\/v2\/posts\/4452\/revisions\/4463"}],"wp:attachment":[{"href":"https:\/\/www.argentumix.com\/vi\/wp-json\/wp\/v2\/media?parent=4452"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.argentumix.com\/vi\/wp-json\/wp\/v2\/categories?post=4452"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.argentumix.com\/vi\/wp-json\/wp\/v2\/tags?post=4452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}