00:27Dr. R.J.
00:30Dr. Agbon, good morning, Doc.
00:32Good morning, Doc.
00:34Hello po, good morning po.
00:35Okay, Doc, simulan natin. Ano nga ba itong acne at back knee?
00:41Okay, so yung acne po, ito po yung pimples or tigyawat.
00:45It's a common skin condition that usually happens kapag nagdadalaga, nagbibinata.
00:51Doon po nagsa-start during puberty or adolescence kasi nakakaroon po ng changes in the hormones,
00:57basta nagiging oily po yung balat.
00:59Yung back knee naman po, it's still acne pero apektado po yung likod, kaya back knee.
01:05Kapag apektado po yung ibang parte ng katawan, katulad po ng dibdib, ng likod, at even yung upper arms,
01:11we call it truncal acne.
01:13So, parte po ng truncal acne yung back knee.
01:16So, yung pimples, hindi lang po siya nangyayari sa muka,
01:19pwede rin po siya sa ibang parte ng katawan.
01:22Dr. Doc, how do we know the difference between a pimple, ordinary na pimple, sa acne?
01:29At when do we go to a doctor?
01:32When do we consult?
01:34Okay, so ang pimple po, technically, ang medical term po nun is acne or acne vulgaris.
01:40So, paano po natin malalaman na hindi po siya pulang bump lang,
01:45like what we call folliculitis or kung ma-infection po yung hair follicle compared to acne or pimples.
01:51Usually po, kapag pimples, syempre nangyayari po siya sa each group kung saan may tumabago po sa hormones.
01:58Usually, teen-agers up to around 30 or 40 years old.
02:02Kapag masyadong bata, baka hindi po yung pimples.
02:04Kapag masyadong matanda, baka hindi rin po yung pimples.
02:09So, kapag pimples po, usually may mga kasama po itong mga,
02:12o may dones po yung tawag namin, ito po yung mga whiteheads and blackheads.
02:16So, yun po yung acne vulgaris.
02:19So, kailangan po magpunta sa doctor or sa dermatologist kapag nagkakaroon na po ng complications
02:26katulad po ng mga red marks, brown spots, at yung scars na lubog or yung atro.
02:32Okay, Doc RJ, meron bang mga food or mga daily activities na pwedeng magpalala nitong acne at mga bakni?
02:40Okay, so in terms of food po and diet, it's an ongoing debate about the association or yung cost po
02:50ng acne.
02:51Sa pagkain naman po, wala naman pong specific na pagkain na nagsasanti po ng pimples or acne.
02:57Pero meron po mga pagkain na nakaka-increase po ng inflammation in the body.
03:02Ibig sabihin, tumataas po yung inflammation sa katawan.
03:05So, kung meron ng pimples, tapos tumaas pa yung inflammation, all the more po na magwe-break out.
03:11So, ito po usually, syempre, number one, alak, specifically wine, cheese, soy, desame, eh.
03:18Super sugary foods or yung mga tatamis po na pagkain.
03:23Hindi po sila yung cost ng acne, pero pag napasobrahan po, pwede po mag-trigger ng flare-up.
03:29In terms of activity naman po, syempre, kapag hindi po na-wash yung skin, hindi po na-cleanse na maayos,
03:35after sweaty activities, exposed po sa araw, exposed sa labas, yun po yung usual triggers.
03:41Kapag sa katawan naman po, syempre, kapag nakakaskas po yung balat at hindi na nalilinis na maayos,
03:48pwede po mag-trigger ng break-up.
03:50Yeah, and also, syempre, nag-makeup din tayo everyday.
03:53We have to clean it. Don't go to sleep without removing the makeup.
03:57Dok, ano naman yung skincare products at ingredients na dapat hanapin natin para sa mga acne-prone skin?
04:06Okay, so for oily and acne-prone patients, we usually advise to look for specific acne ingredients na anti-acne.
04:16For example, in the cleansers po, I usually recommend cleansers na meron pong tinatawag na hydroxy acids,
04:22katulad po ng salicylic acid or glycolic acid.
04:25And then we can also look for over-the-counter products na meron pong salicylic acid, P3 oil, niacinamide,
04:34pwede pong azelaic acid, and benzoyl peroxide.
04:38So, follow-up question lang, Dok.
04:41Is it a possibility rin na bukod sa mga lifestyle or kinakain natin,
04:46nagko-caution ng pimple and acne,
04:49posibilidad din po na sensitive lang yung skin at dapat mild din ba ang products kung ganun?
04:57Okay, correct po.
04:58So, meron pong mga pasyente na mas sensitive po yung balat kita.
05:02So, kailangan po mild products or yung hindi po sobrang harsh na cleansers and products.
05:08Kasi kung sensitive po, lalo po, magkakaroon ng inflammation kapag na-irritate yung skin.
05:13So, kung kapag na-irritate po, mas mataas po yung chance na magkaroon pa ng further breakouts.
05:19So, in active patients, we also usually prescribe po kasi ng mga anti-acne medications
05:24that can potentially irritate po yung balat.
05:28Kaya, we recommend other products na medyo mas mild po sa balat.
05:33Hindi naman po ibig sabihin na harsh or strong po yung produkto ay mas effective.
05:38Dok, merong mga ibang kababayan natin na mahilig pumisil na kanilang mga pimples.
05:44Actually, guilty pleasure ko na nanonood ako ng mga videos.
05:47Medyo kadiri.
05:48Tereputic siya.
05:49Yung iba algorithm, ganun eh.
05:51So, ano pa yung pwedeng mangyari, Dok, kapag laging ganyan yung ginagawa sa mga pimples?
05:58Yes, po.
05:59Siyempre, we try to advise patients na huwag pong pisilin or squeeze po yung mga pimples
06:05kasi kapag tin-risk po natin yung pimples, lalo pong kakalat yung dumi at inflammation sa ilalim.
06:13At siyempre, masakit po yun.
06:15Pwede magdugo.
06:16Pwede pong ma-infect lalo po yung balat.
06:19At mas papangit po kasi yung complication kung baga mas magigong dark po siya, mas ma-puta.
06:26At pwede pong mag-scar.
06:28So, as much as possible po, huwag po natin tirisin or squeeze yung pimple.
06:33Ayun.
06:34So, Dok, ano naman yung pang everyday routine natin?
06:37In the morning, afternoon, evening.
06:39Ano po yung sunod-sunod na maaring gawin para maiwasan to?
06:43And for our daily skincare.
06:46Yes po.
06:47So, I usually recommend to my patients to follow a simple routine para pag siyempre po, mas madali pong sundin,
06:54mas mataas po yung tsansa na mas maging consistent po tayo because consistency is key.
06:59So, in the morning, usual steps dyan ay mag-hugas ng muka, mag-hugas po ng balat with a mild
07:07cleanser and then you apply a moisturizer na plain moisturizer.
07:12In the Philippines, we recommend lightweight moisturizers para hindi po masyadong heavy at makakat.
07:17And then of course, sunscreen in the morning.
07:19Sa gabi po, dito po natin mapasok yung cleanser again, moisturizer, and yung anti-acne product that can be over
07:27-the-counter.
07:28Pero kapag hindi na po gumagana yung mga over-the-counter product, sabihin na try na po natin ng matadral
07:35or marami na po na tayong nasubukang mga produkto,
07:37pero hindi pa rin po na po control yung breakouts, at nagkakaroon na po yung complications, dark spots, red marks,
07:45at especially yung mga scars na lubog,
07:47may crater po on the skin, it's best to consult your board-certified dermatologist already.
07:54Okay, lastly, Doc, ano yung advice ninyo sa mga taong nakakaranas nga nitong acne at backne, lalo na sa mga
07:59sensitive skin,
08:00para mapanatiling healthy at maalagaan nila ng wasto yung kanilang balat, lalo na sa mga teenagers?
08:07Okay, lalo na po sa mga teenagers, at yung mga pasyente na mayroon pong sensitive skin,
08:12it's good to follow a very simple routine, start with a good cleanser na gentle on the skin,
08:19but good enough para po matanggal yung dumi and excess oil on the skin.
08:24It's very important to moisturize because when you apply anti-acne product, it usually dries up, irritates the skin,
08:31so it's important na meron po tayong moisturizer.
08:35Sunscreen is also very important kasi kapag hindi po naprotektahan po yung balat from UV exposure or UV radiation,
08:42mas lalo pong magpa-flare yung acne at lalo pong magda-darken yung mga brown spots or dark marks.
08:49And kapag hindi na nga po gumagaling or mas nagiging complicated po yung prepos or acne,
08:55especially if mayroon pong ibang parte ng katawan na apektado,
08:58katulad ng likod, chest, other parts of the body, best to consult your dermatologist na po.
09:04Ayan na, maging maingat sa mga ginagamit nating products, mga ka-RSP.
09:08Maraming salamat sa pagbibigay sa amin ng tips, Doc RJ.
09:14Thank you, Bob.
