{"id":1192,"date":"2016-06-10T11:28:32","date_gmt":"2016-06-10T11:28:32","guid":{"rendered":"http:\/\/lopezgil.com\/enconstruccion\/?page_id=1192"},"modified":"2019-12-05T22:32:14","modified_gmt":"2019-12-05T22:32:14","slug":"melasma","status":"publish","type":"page","link":"https:\/\/www.lopezgil.com\/ca\/dermatologia-clinica\/melasma\/","title":{"rendered":"Melasma"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n<p style=\"text-align: justify;\">[vc_row][vc_column][vc_row_inner][vc_column_inner]<script type=\"text\/javascript\">jQuery(function() { _initLayerSlider( '#layerslider_18_1uq4evipb5ewc', {sliderVersion: '', responsiveUnder: 0, layersContainer: 0, hideUnder: 0, hideOver: 100000, pauseOnHover: 1, skin: 'v5', sliderFadeInDuration: 350, useSrcset: true, skinsPath: 'https:\/\/www.lopezgil.com\/wp-content\/plugins\/LayerSlider\/assets\/static\/layerslider\/skins\/', type: 'responsive', showCircleTimer: false, performanceMode: true}); });<\/script><div id=\"layerslider_18_1uq4evipb5ewc\" class=\"ls-wp-container fitvidsignore\" style=\"width:600px;height:200px;margin:0 auto;margin-bottom: 0px;\"><div class=\"ls-slide\" data-ls=\"duration:4000;\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"200\" src=\"https:\/\/www.lopezgil.com\/wp-content\/uploads\/drlopezgil_dermatologia_barcelona_600x200_melasma_mancha_hormonal_frente_labios.jpg\" class=\"ls-bg\" alt=\"drlopezgil_dermatologia_barcelona_600x200_melasma_mancha_hormonal_frente_labios\" srcset=\"https:\/\/www.lopezgil.com\/wp-content\/uploads\/drlopezgil_dermatologia_barcelona_600x200_melasma_mancha_hormonal_frente_labios.jpg 600w, https:\/\/www.lopezgil.com\/wp-content\/uploads\/drlopezgil_dermatologia_barcelona_600x200_melasma_mancha_hormonal_frente_labios-300x100.jpg 300w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/div><\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;3\/4&#8243; css=&#8221;.vc_custom_1473066092346{margin-top: 0px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1473066053815{margin-top: 0px !important;}&#8221;]\n<h2 style=\"text-align: justify;\"><span style=\"color: #75c9d3;\">Qu\u00e8 \u00e9s el melasma?<\/span><\/h2>\n<p style=\"text-align: justify;\">El melasma, tamb\u00e9 conegut com a cloasma o careta de l\u2019embar\u00e0s, \u00e9s una afecci\u00f3 molt com\u00fa que es caracteritza per una hipermelanosi de la pell. Consisteix en l\u2019 aparici\u00f3 de taques (m\u00e0cules) fosques generalment irregulars, bilaterals i sim\u00e8triques en les zones exposades al sol com la cara (front, bigoti i galtes), coll i avantbra\u00e7os. Solen durar anys i sol augmentar la coloraci\u00f3 durant els mesos d\u2019estiu degut a l\u2019exposici\u00f3 solar.<\/p>\n<h2 style=\"text-align: justify;\"><span style=\"color: #75c9d3;\">A qui afecta?<\/span><\/h2>\n<p style=\"text-align: justify;\">Afecta principalment al sexe femen\u00ed de mitjana edat (90% dels casos) i sobretot de pell fosca. En els homes que reben tractament amb estr\u00f2gens pel c\u00e0ncer de pr\u00f2stata l\u2019ocurr\u00e8ncia \u00e9s major, tot i que no \u00e9s gaire freq\u00fcent (10%).<\/p>\n<h2 style=\"text-align: justify;\"><span style=\"color: #75c9d3;\">Simptomatologia<\/span><\/h2>\n<p style=\"text-align: justify;\">L\u00b4\u00fanic s\u00edmptoma del melasma \u00e9s un canvi en el color de la pell provocant un efecte antiest\u00e8tic i en alguns casos pot provocar pru\u00efja.<\/p>\n<h2 style=\"text-align: justify;\"><span style=\"color: #75c9d3;\">Causes<\/span><\/h2>\n<p style=\"text-align: justify;\">L\u2019aparici\u00f3 d\u2019aquesta lesi\u00f3 pot ser provocada pels seg\u00fcents factors:<\/p>\n<ul style=\"text-align: justify;\">\n<li>Factor gen\u00e8tic<\/li>\n<li>Factors hormonals (embar\u00e0s, anticonceptius orals, menopausa)<\/li>\n<li>Excessiva exposici\u00f3 al sol<\/li>\n<li>Reacci\u00f3 medicaments o cosm\u00e8tics<\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\"><span style=\"color: #75c9d3;\">Tipus<\/span><\/h2>\n<p style=\"text-align: justify;\">Segons si es tornen <u>cr\u00f2nics<\/u> podem diferenciar entre:<\/p>\n<ul style=\"text-align: justify;\">\n<li><em>Melasma transitori: <\/em>desapareix al cap d\u2019un any despr\u00e9s de parar els est\u00edmuls hormonals (embar\u00e0s, anticonceptius)<\/li>\n<li><em>Melasma persistent: <\/em>principalment s\u00f3n els ocasionats per una exposici\u00f3 extremada de sol. Es caracteritzen per no desapar\u00e8ixer.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Segons la <u>profunditat<\/u> podem diferenciar entre:<\/p>\n<ul style=\"text-align: justify;\">\n<li><em>Melasma epid\u00e8rmic o superficial: <\/em>afecta la capa superior de la pell, color marr\u00f3 i vores ben definides.<\/li>\n<li><em>Melasma d\u00e8rmic o profond: <\/em>afecta el nivell m\u00e9s profund de la dermis i es caracteritza per presentar taques de color blau-gris.<\/li>\n<li><em>Melasma mixta: <\/em>es una combinaci\u00f3 dels melasmes comentats anteriorment. Presenta un color marr\u00f3 grisenc.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\"><span style=\"color: #75c9d3;\">Tractament del melasma a Barcelona<\/span><\/h2>\n<p style=\"text-align: justify;\">Abans de prescriure el tractament \u00e9s molt important informar al pacient que \u00e9s un proc\u00e9s efica\u00e7 per\u00f2 molt lent i que existeix la possibilitat de que el melasma torni a apar\u00e8ixer despr\u00e9s de la seva eliminaci\u00f3. Per aquest motiu \u00e9s molt important dur a terme un manteniment, en cas de no haver cap contraindicaci\u00f3 deixar l\u2019\u00fas d\u2019anticonceptius i utilitzar protectors solars SPF50 com a prevenci\u00f3.<\/p>\n<p style=\"text-align: justify;\">Segons el tipus de melasma, es realitzar\u00e0 un tractament o un altre. Mitjan\u00e7ant la l\u00e0mpada de Wood, es determina la profunditat del melasma i en conseq\u00fc\u00e8ncia el tractament.<\/p>\n<p style=\"text-align: justify;\">Els tractaments poden ser:<\/p>\n<ul style=\"text-align: justify;\">\n<li><em>F\u00e0rmacs despigmentants<\/em><\/li>\n<li><em>Peeling qu\u00edmic<\/em><\/li>\n<li><em>Tractament amb l\u00e0ser<\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify;\">En l\u2019escenari m\u00e9s favorable, amb l\u2019abs\u00e8ncia d\u2019anticonceptius i sense previsi\u00f3 d\u2019embar\u00e0s de forma immediata, el tractament m\u00e9s efectiu es basa en la combinaci\u00f3 de l\u00e0ser fraccionat no ablatiu (3-4 sessions\/any) amb productes despigmentants t\u00f2pics en forma de cremes o locions. S\u2019ha d\u2019explicar clarament que l\u2019\u00fas combinat \u00e9s la clau de l\u2019\u00e8xit en aquesta afecci\u00f3. Si tractem el melasma nom\u00e9s amb l\u00e0ser obtindrem escassos resultats. Si apliquem nom\u00e9s cremes despigmentants obtindrem un aclariment parcial o cap resultat.<\/p>\n<p style=\"text-align: justify;\"><em><u>F\u00c0RMACS DESPIGMENTANTS<\/u><\/em><\/p>\n<p style=\"text-align: justify;\">Sobre els productes despigmentants, l\u2019ideal \u00e9s utilitzar la <em>Hidroquinona <\/em>al 2-5% de forma discontinua, combinar etapes de tractament amb etapes de descans. \u00c9s el producte blanquejador m\u00e9s efica\u00e7, encara que no es pot aplicar en dones embarassades o en dones que es volen quedar embarassades, i en certes dones produeix irritacions i vermellors, fet que pot obligar a abandonar-la.<\/p>\n<p style=\"text-align: justify;\">En casos d\u2019intoler\u00e0ncia a la Hidroquinona, es prescriu l\u2019<em>Arbutina <\/em>que \u00e9s un precursor de la Hidroquinona, per\u00f2 cal saber que no t\u00e9 la mateixa efic\u00e0cia.<\/p>\n<p style=\"text-align: justify;\">Juntament amb la Hidroquinona s\u2019utilitza l\u2019\u00c0cid Kojico que realitza un efecte benefici\u00f3s i augmenta els resultats de la Hidroquinona. Afegir \u00c0cid Retinoic o \u00c0cid Glic\u00f2lic incrementa l\u2019efecte de penetraci\u00f3 de la Hidroquinona. Pot tenir l\u2019inconvenient, segons en quines pells s\u2019utilitzi, d\u2019incrementar tamb\u00e9 la irritaci\u00f3. Si la pell tolera aquestes combinacions de Hidroquinona + \u00c0cid Kojico + \u00c0cid Retinoic o \u00c0cid Glic\u00f2lic, els resultats satisfactoris arriben abans. Sol introduir-se un corticoide o algun altre antiinflamatori per minimitzar la previsible irritaci\u00f3 de la pell.<\/p>\n<p style=\"text-align: justify;\"><em><u>TRACTAMENT AMB L\u00c0SER<\/u><\/em><\/p>\n<p style=\"text-align: justify;\">Sobre el l\u00e0ser s\u2019ha de saber que nom\u00e9s el l\u00e0ser fraccionat no ablatiu, preferentment d\u2019 Erbi, \u00e9s l\u2019adequat. Els altres l\u00e0sers utilitzats com els Q switched de Neodimi o Alejandrita o IPL, no nom\u00e9s no solucionen el melasma sin\u00f3 que poden empitjorar-lo.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_row_inner][vc_column_inner][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;3\/4&#8243; css=&#8221;.vc_custom_1473066092346{margin-top: 0px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1473066053815{margin-top: 0px !important;}&#8221;] Qu\u00e8 \u00e9s el melasma? El melasma, tamb\u00e9 conegut com a cloasma o careta de l\u2019embar\u00e0s, \u00e9s una afecci\u00f3 molt com\u00fa que es caracteritza per una hipermelanosi de la pell. Consisteix en l\u2019 aparici\u00f3 de taques (m\u00e0cules) fosques generalment irregulars, bilaterals i sim\u00e8triques en les zones exposades al [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":1136,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"soulmedic\/tpl-feature.php","meta":{"footnotes":""},"class_list":["post-1192","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.12 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Melasma | Dr. Lopez Gil | Cl\u00ednica Teknon, Barcelona<\/title>\n<meta name=\"description\" content=\"El melasma produeix una hipermelanosis de la pell. 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