Przeglądanie według Autor "Kurzeja, Jacek"

Aktualnie wyświetlane 1 - 2 z 2

Acne vulgaris during pregnancy – management ensuring both maternal and fetal safety
(Publishing Office of the University of Rzeszow, 2024-09) Kurzeja, Jacek; Maciejewska, Danuta; Bartczak, Magdalena; Guderska, Urszula; Urbanek, Agnieszka; Rasmus-Czternasta, Adrianna; Czternasty, Filip
Introduction and aim. Acne vulgaris represents a condition commonly encountered by women during pregnancy. However, its treatment becomes particularly demanding when occurring during gestation. The aim of this review is to present multiple strategies for management of acne in pregnant women, prioritizing both maternal and fetal safety. Material and methods. Review and analysis of the scientific literature available in November and December 2023. Analysis of literature. The study describes commonly used topical treatments and oral medications emphasizing difficulty and responsibility of assessing the safety of drug use during pregnancy. Apart from that, the importance of skin care is stressed with a focus on usage appropriate to the condition and pregnancy-safe cosmetics. The influence of diet and physical activity on acne development is also underlined, as well as the significant association between acne and mental health. Conclusion. Dealing with acne during pregnancy might be difficult; however, there are effective and safe acne treatments suitable for pregnant women, along with various supportive approaches. Considering above, the authors highlight a holistic nature of acne management that includes not just medication but also procedural interventions, skin care practices, diet, physical activity, and psychological support.
Endogenous and exogenous factors influencing anti-Müllerian hormone levels in women of reproductive age
(Rzeszów University Press, 2025-06) Jankowska, Olga; Kraśnik, Wojciech; Kurzeja, Jacek; Piotrowicz, Katarzyna; Piotrowicz, Hubert; Bajkacz, Agnieszka; Rogala, Anna; Osmólska, Joanna
Introduction and aim. Anti-Müllerian hormone (AMH) is a key marker of ovarian reserve (OR), which declines with advancing reproductive age. Certain pathological conditions can reduce OR or lower AMH levels independently of age, potentially impairing fertility. This study aims to review the scientific literature on factors influencing AMH levels and the causes of diminished OR, including lifestyle, diet, supplementation, pathogenic factors, environmental influences, and genetic predispositions. Material and methods. This review was conducted using electronic databases, including PubMed and Google Scholar. A comprehensive search was carried out across these databases, covering the period from 2007 to 2024. The inclusion criteria encompass studies on AMH and factors influencing ovarian reserve, that present either quantitative or qualitative data. Analysis of the literature. The most important factor determining the level of AMH is age. In addition, factors that may influence hormone levels include genetic background, autoimmune diseases, polycystic ovary syndrome (PCOS), environmental toxins, diet, supplementation, oral contraception, physical activity, and smoking. Conclusion. The causes of reduced OR and abnormal AMH levels remain unclear in many cases. Recommendations for the prevention of pathologically reduced OR include lifestyle modifications, a diet rich in antioxidants, avoiding toxins, refraining from smoking, appropriate supplementation, genetic testing, and regular blood tests.