Nyob rau hauv tsab xov xwm no, peb yuav txiav txim siab txog hom kab mob ko taw.
Txhua tus kab mob fungal raug hu los ntawm cov lus dav dav mycosis. Cov kws tshaj lij faib lawv ua ob pawg tseem ceeb - onychomycosis thiab ringworm. Hauv thawj kis, cov kab mob nkag mus rau hauv qab tus ntsia thawv, hauv qhov thib ob, cov tawv nqaij raug cuam tshuam. Tsis tas li ntawd, txhua yam ntawm cov kab mob ko taw tau raug cais raws li tus neeg sawv cev ntawm tus kab mob thiab cov tsos mob tseem ceeb.
hom tsiaj
Ua ntej tshaj plaws, hom kab mob uas cuam tshuam rau ob txhais ceg yog nyob ntawm tus kab mob ua rau tus kab mob. Cov kab mob pathogenic tau muab faib ua ntau pawg: dermatophytes, poov xab thiab pwm. Lawv muaj peev xwm ua rau muaj kab mob xws li:
- Onychomycosis;
- Candidiasis;
- Addermophytosis;
- YRubrophytia.
Qhov kawg yog lub npe dav dav ntawm ib pawg kab mob uas cuam tshuam rau ko taw. Tag nrho cov kab mob kuj tau muab faib uapawg raws li kev kho mob tshwm sim: membranous, moccasin-zoo li, vesicular.
Hom kab mob ko taw, duab thiab kho nrog pej xeem txoj kev yuav tham hauv qab no.
YRubrophytia
Lub npe thib ob ntawm tus kab mob no yog rubromycosis. Nws yog qhov txawv los ntawm overcrowding ntawm cov hlab ntsha, dryness thiab loj tev. Pathology loj hlob qeeb heev thiab yuav luag imperceptibly rau tus neeg uas tau kis tus kab mob.
Npau taws khaus khaus khaus khaus khaus khaus khaus khaus khaus khaus khaus khaus khaus khaus khaus khaus khaus khaus khau khau khau khau khau khau khau khau khau khau khau khau khau khau khau khau
thawj cov cim qhia yog khaus thiab tev, uas dhau los pom pom nyob rau theem tom ntej ntawm tus kabmob. Kev puas tsuaj rau cov rau tes kuj tshwm sim nyob rau theem no. Outwardly, tus kab mob yog manifested los ntawm cov tsos ntawm hlwv, crusts, plaques, pustules, uas yog localized nyob rau hauv tag nrho cov nto ntawm ib leeg. Thaum muaj ntau cov plaques thiab vesicles tshwm, ib tug neeg pib mob thaum taug kev.
Kev txiav txim siab hom kab mob ko taw (daim duab) hauv kev kho mob ua lub luag haujlwm tseem ceeb. Ua ntej muab tshuaj rubrophytia kev kho mob, nws yog ib qho tsim nyog yuav tsum tau ua cov tshuaj microscopy thiab kawm cov duab kho mob. Kev tshem tawm ntawm qhov txhab yog ua nrog kev pab ntawm exfoliating (keratolytic) cov neeg ua haujlwm. Rau feem ntau, cov no yog cov tshuaj pleev thiab cream raws li salicylic acid. Kev kho mob feem ntau yog nyuaj. Nyob rau tib lub sijhawm nrog cov neeg ua haujlwm sab nraud, cov tshuaj tiv thaiv kab mob tau sau tseg, xws li Triderm, Mycozolon, Nizoral, Ketaconazole.
Yog tias tus kab mob hnyav, koj yuav tsum pib noj tshuaj hauv cov ntsiav tshuaj. Kev puas tsuaj rau cov ntsia hlau daim hlaukho los ntawm kev tshem tawm lawv nrog emollients xws li Batrafen, Demicten, Loceryl, Exoderil.
Hom kab mob ko taw no (saib daim duab saum toj no) yog tus cwj pwm los ntawm kev kis kab mob siab. Nws yog txaus los kov cov khoom siv los ntawm tus neeg nqa khoom ntawm tus kab mob. Qhov yuav kis tau tus kab mob ntau zaus yog tias tus neeg mob tawm hws ntau dhau, muaj lub cev tsis muaj zog thiab muaj kev puas tsuaj rau ko taw.
Tus kab mob ua rau tus kab mob yog fungus Tr. Mentagrophytesvar. Nws muaj peev xwm nkag mus rau hauv granular thiab horny khaubncaws sab nraud povtseg ntawm daim tawv nqaij, kis tau thiab ua rau mob loj heev tshwm sim ntawm allergic thiab lwm yam hom:
- mob thaum taug kev, hlawv thiab khaus;
- deformation thiab yellowing ntawm cov rau tes;
- tsos ntawm crusts, nplai, mob tawg;
- corrosion ntawm daim tawv nqaij (maceration);
- pom pustules, edema;
- -pob ntawm npuas nrog lub ntsej muag ntom ntom.
Kev kuaj mob ntawm cov kab mob ko taw no yog kawm txog cov cim sab nraud thiab daim duab kho mob. Yog tias tus neeg sawv cev ntawm tus kab mob pathology tsis pom tseeb, kev tshawb fawb soj ntsuam yuav xav tau, piv txwv li, kev tshawb fawb ntawm scrapings nyob rau hauv lub tshuab ntsuas.
Kev kho tus mob rubrophytia cuam tshuam nrog kev siv tshuaj raws li nyiaj nitrate 0.25%, calcium 10% thiab resorcinol 1%. Yog tias muaj kev tsis haum tshuaj, yuav tsum siv cov tshuaj tiv thaiv kab mob, piv txwv li, Dimedrol, Suprastin lossis Diazolin. Kev xaiv ntawm tus neeg sawv cev antifungal nyob ntawm nkaus xwbchav kho mob ntawm tus kab mob thiab tus yam ntxwv ntawm tus neeg mob.
Yuav ua li cas lwm hom kab mob ko taw muaj?
Stop candidiasis
Hom kab mob no tshwm sim hauv cov neeg mob tsawg dua li epidermophytosis lossis rubromycosis. Pathology tshwm sim nyob rau hauv tus ntawm ib tug fungus los ntawm genus Candida. Cov kab mob zoo li no nyob hauv lub cev ntawm txhua tus neeg, tab sis lawv suav tias yog cov kab mob kis tau zoo. Ntawd yog, lawv tsis ua rau muaj kev hem thawj me me, tab sis lawv cov kev loj hlob sai tuaj yeem ua rau cov tsos mob tsis zoo thiab qhov tshwm sim. Kev tswj tsis tau rov ua dua ntawm cov fungus pib yog tias muaj qhov txo qis hauv kev tiv thaiv kab mob thaum lub sij hawm hypothermia, los ntawm kev ua haujlwm dhau los lossis kev ntxhov siab. Lwm yam muaj xws li:
- hnav, tshwj xeeb tshaj yog lub caij ntuj sov, khau tsis xis nyob;
- raug mob hauv tsev lossis tom haujlwm;
- Ntse maceration ntawm daim tawv nqaij ntawm ko taw (exfoliation ntawm daim tawv nqaij vim raug dej ntev).
Muaj ob hom kab mob ko taw candidiasis: hyperkeratotic thiab vesicular-pustular. Thawj daim ntawv ntawm candidiasis yog tus cwj pwm los ntawm thickening ntawm stratum corneum. Heev dav furrows ntawm lub teeb xim av xim pib tshwm rau nws, uas yog tas li tev tawm. Rau lub hom phiaj ntawm kev kuaj mob, exfoliation yog nqa tawm, thiab kev kawm ntxiv txog cov kab mob uas Candida fungi pom.
Visicular-pustular daim ntawv ntawm candidiasis manifests nws tus kheej nyob rau hauv daim ntawv ntawm hyperemia (overcrowding ntawm cov hlab ntsha), loj o, maceration. Cov cheeb tsam ntawm cov tawv nqaij cuam tshuam yog npogpustules thiab me me ca vesicles. Tom qab extinction ntawm cov txheej txheem inflammatory, peeling tsim. Kev teem caij kho mob tsuas yog ua tau tom qab txiav txim siab qhov tseeb. Kev xaiv cov tshuaj rau hom kab mob ko taw no nrog cov hlwv yog nqa tawm ntawm tus kheej. Feem ntau, cov tshuaj rau cov kab mob hauv lub cev thiab hauv zos tau pom: Itraconazole, Fluconazole.
Onychomycosis
Tus kab mob no yog hom kab mob ko taw, tus cwj pwm los ntawm cov kab mob fungal ntawm tus ntsia thawv. Koj tuaj yeem kis tus kab mob hauv pej xeem da dej, saunas, da dej, pas dej ua ke. Cov nplais uas muaj cov kab mob pathogenic microorganisms tau yooj yim sib cais los ntawm cov ntsia hlau phaj thiab tuaj yeem nyob twj ywm rau hauv pem teb, ntaub pua plag, txaj, rooj zaum tsis muaj xim. Cov av noo siab tso cai rau lawv tsis yog tsuas yog muaj sia nyob, tab sis kuj txhawb nqa kev loj hlob, thiab yog li ntawd qhov kev pheej hmoo ntawm kev kis kab mob nce ntau.
Thaum pib, tus kab mob nkag mus rau hauv lub epidermis ntawm ko taw, ua rau khaus hnyav. Txhawm rau kom yooj yim qhov tsis xis nyob, ib tus neeg pib txhuam cov kab mob, tab sis qhov xwm txheej tsuas yog hnyav dua los ntawm qhov no. Cov cheeb tsam ntawm daim tawv nqaij cuam tshuam los ntawm cov fungus yog npog nrog me me khawb thiab tawg, cov kab mob pib kis, nkag mus rau hauv cov ntsia hlau phaj, tom qab uas lawv pib sib faib uncontrollably.
Cov kab mob hnyav xws li ntshav qab zib lossis HIV, kev ua haujlwm tsis zoo, kev raug mob ntawm tus ntsia thawv ua rau muaj kev pheej hmoo kis mob.
Onychomycosis muab faib ua 3 hom.
- Normotrophic. Nrog rau hom onychomycosis no, muaj kev hloov pauv ntawm cov xim ntawm tus ntsia thawv los ntawm ib txwm mus rau daj-xim av. Ntuj ci, ntsia thawv duab thiab thickness nyob twj ywm tsis hloov.
- Hypertrophic. Muaj qhov kev hloov pauv zaum kawg hauv cov xim ntawm tus ntsia thawv, nws ci ploj mus, cov duab hloov pauv, thickening tsim thiab kev puas tsuaj ib nrab pib.
- Onycholytic. Cov xim ntawm cov ntsia hlau cuam tshuam hloov mus rau xim av, nws ua thinner, pib tawg. Nws pib maj mam cais ntawm lub txaj. Cov khaubncaws sab nraud povtseg tuaj yeem pom ntawm qhov pom ntawm tus ntsia thawv txaj.
Kev kho cov kab mob no ntawm cov xib teg thiab ko taw nrog cov tshuaj pleev ib ce tsis zoo vim qhov tseeb tias cov kab mob fungus nyob hauv qab tus ntsia thawv. Ua ntej pib kho, tus ntsia thawv yuav tsum tau muab tshem tawm. Qhov no yog ua tiav nrog kev pab ntawm cov tshuaj keratolytic, thaj ua rau thaj kuj siv. Qee zaum, nws muaj peev xwm tshem tawm cov ntsia hlau mechanically: ntsia thawv cov khoom uas tau tuag raug txiav tawm nrog cov ntsia thawv ntawv lossis cov nippers. Nws yog ib qho tseem ceeb kom nco ntsoov tias txhua yam cuab yeej siv yuav tsum tsis muaj menyuam.
Kev siv ua ke ntawm kev tshem tawm txhua yam thiab keratolytic thaj ua rau thaj yog txoj hauv kev zoo tshaj plaws los tshem tawm tus ntsia thawv mob. Los ntawm cov neeg ua haujlwm keratolytic, koj tuaj yeem siv cov khoom npaj ua Mykospor. Nws muaj cov tshuaj pleev tshwj xeeb, cov ntaub ntawv ntsia thawv rau scraping tawm ntawm tus ntsia thawv, thiab plaster. Tom qab tshem tawm cov ntsia hlau phaj, koj yuav tsum pib noj cov tshuaj tiv thaiv kab mob: Terbinafine, Intraconazole, Ketoconazole lossis Griseofulvin. Tsis yog txhua tus paub cov tshuaj nonpe.
Nws nyuaj heev los txiav txim seb hom kab mob ko taw ntawm daim duab.
Interdigital (intertriginous) form
Hom kab mob feem ntau thiab tsis zoo siab yog qhov sib cuam tshuam ntawm cov kab mob fungal. Feem ntau tshwm sim nyob rau lub caij ntuj sov, pib tsim ntawm tus ntiv tes thib peb thiab plaub. Sij hawm dhau mus, qhov txhab kis mus rau thaj chaw ntawm lwm tus ntiv tes.
Thaum pib, qhov tawg me me, funnel los yog mob tshwm nyob rau hauv lub crease ntawm tus ntiv tes. Nws yog ib puag ncig los ntawm daim ntaub npuag lossis daim tawv nqaij scaly ntawm cov xim ntsuab me ntsis. Feem ntau, qhov kev puas tsuaj ua ntub dej, qee zaum cov kua paug tawm ntawm nws. Cov hom kab mob uas tshem tawm yog tus cwj pwm los ntawm kev hais tawm los yog floury tev, zoo li muaj hmoov nplej ntawm tus ntiv tes. Ib qho kev xav zoo sib xws yog tshwm sim los ntawm ntau qhov cuam tshuam ntawm cov nplai uas sib cais ntawm daim tawv nqaij. Qhov khaus me me tsis muaj qhov tsis xis nyob.
Nyob rau hauv daim ntawv ntawm tus kab mob siab heev, muaj stratification ntawm cov rau tes, hnyav coarsening, ntau kab nrib pleb, callus zoo li horny seals, pronounced yellowing.
Nyob tsis tshua muaj neeg, tus kab mob quaj quaj - ib qho fungus exudative. Nws qhov sib txawv tseem ceeb yog cov vesicles tau nchuav rau ntawm qhov chaw cuam tshuam - npuas uas muaj cov kua hauv. Kev kho mob yuav tsum tau ua kom tiav. Mycozoral, Lamisil, Clotrimazole yog siv los ua cov tshuaj pleev ib ce. Nws yog ib qho tsim nyog los kho cov ntsia hlau nrog Oflomil, Batrafen, Loceril. Cov kab mob siab heevKev noj cov tshuaj tiv thaiv kab mob hauv lub cev: Terbinafine, Fluconazole, Lamisil. Kev kho mob yuav tsum tau txuas ntxiv mus kom txog thaum cov fungus ploj tag.
Squamous-hyperkeratotic form
hom kab mob ko taw (daim duab hauv qab no) tsis muaj ntau.
Squamosis yog cov txheej txheem nkag mus ntawm cov kab mob fungi mus rau sab nrauv ntawm daim tawv nqaij. Hyperkeratosis yog tsim ntawm stratum corneum, uas ua rau lub thickening ntawm lub dermis. Hauv qhov no, daim ntawv squamous-hyperkeratotic ntawm mycosis muaj ntau lub npe, piv txwv li, "moccasin fungus" thiab "tus neeg ncaws pob ko taw".
Squamous-hyperkeratotic hom mycosis yog cov tsos mob hauv qab no.
- Cov ko taw ib leeg yog npog nrog cov txheej txheem keratinized ntawm lub dermis, ua rau pom tias txhais ceg hnav moccasins.
- Qhov roughness ntawm ib leeg tshwm sim heev uas nws pib npog nrog dav thiab tuab calluses.
- Mob pob tawg tshwm rau ntawm calluses.
- Kev tev tau ib hom hmoov nplej, cov qauv ntawm daim tawv nqaij pom ntawm qhov muag liab qab.
- Ib qho khaus khaus tshwm sim.
- Lub sijhawm dhau mus, cov ntsia hlau pib nyias, tawg thiab tawg.
Thaum kho cov kab mob moccasin, nws yog thawj qhov tseem ceeb heev kom tshem tawm cov stratum corneum ntawm daim tawv nqaij. Qhov no yog ua tiav siv xab npum thiab dej qab zib da dej, qhwv, salicylic compresses, ichthyol ointment. Salicylic ointment yog siv nyob rau hauv ntau npaum li 10%. Siv taucream raws li petroleum jelly, tshuaj pleev uas muaj lactic acid. Yog tias koj tsis tuaj yeem tiv nrog txoj haujlwm no hauv tsev, koj yuav tsum nrhiav kev pab los ntawm lub chaw podiatric. Nrog kev pab los ntawm kev kho vajtse manicure, tus kws tshaj lij yuav ua tib zoo tshem tawm cov keratinized dermis.
Kev kho mob tom ntej ntawm hom kab mob ko taw yuav nyob ntawm seb hom kab mob. Nws yuav tsum tau pib tsuas yog tom qab kuaj xyuas kom raug. Nws tsis pom zoo kom kho moccasin mycosis yam tsis tau tshem tawm cov txheej txheem keratinized ntawm daim tawv nqaij - cov khoom siv tseem ceeb hauv cov tshuaj yuav tsis tuaj yeem nkag mus los ntawm nws thiab mus txog qhov chaw ntawm tus kab mob. Vim li ntawd, txhua qhov kev siv zog yuav raug muab tshem tawm.
Cov duab ntawm hom kab mob ko taw tsis tuaj yeem cuam tshuam tag nrho cov tsos mob tsis zoo uas tus neeg tau ntsib.
Dishydrating form
Vesicular fungus, lossis, raws li nws tseem hu ua, dyshydric mycosis yog hom kab mob tsawg tshaj plaws. Nws lub ntsiab manifestation yog ntau vesicles ua ke rau hauv conglomerates. Cov vesicles yog cov hlwv uas muaj cov kua paug los yog cov kua dej tawm hauv sab hauv. Thaum lub turbidity ntawm cov kua pib, vesicles tawg, thiab rwj nyob rau hauv lawv qhov chaw. Lawv pib sib koom ua ke rau hauv ib txoj kab, tsim cov nti tawm ntawm daim tawv nqaij. Qhov no yog vim qhuav thiab flaking ntawm daim tawv nqaij txheej.
Kwv yees li 70% ntawm cov kab mob vesicular fungus yog nrog los ntawm kev ua xua pob. Ntau yam kab mob thiab kab mob pib nkag mus rau hauv cov kab mob. Raws li qhov tshwm sim, tus kab mob ua rau sib xyaw, lub ntsiab lus ntawm tus thawj kab mobua nyuaj dua. Yog li ntawd, tus kws kho mob yuav tsum tau sab laj nrog tus kws kho mob sai li sai tau thaum cov tsos mob tshwm sim (daim duab): nws tuaj yeem txheeb xyuas cov kab mob ko taw sai thiab pib kho.
Thiab qhov no yuav tsum ua tam sim. Ua ntej tshaj plaws, ua ntej siv cov tshuaj antimycotic, cov txheej txheem mob yuav tsum raug tshem tawm. Nws yog qhov zoo dua los tso siab rau txoj haujlwm no rau tus kws tshaj lij: nws yuav muaj peev xwm maj mam tho cov hlwv, kho cov kab mob ntxiv nrog 2% boric acid thiab smear nrog cov tshuaj ntsuab ci ntsa iab lossis methylene xiav.
Kev kho tus kab mob siab heev suav nrog kev siv tshuaj pleev corticosteroid. Tom qab tshem tawm cov txheej txheem inflammatory, nws raug nquahu kom siv cov tshuaj antimycotic hauv zos. Qhov no yuav txwv tus kab mob.
Peb tseem xav txog cov npe thiab hom kab mob ko taw.
Erased shape
Mycosis ntawm daim ntawv tshem tawm yuav luag tsis pom, nws cov tsos mob tsawg heev. Cov no muaj xws li: khaus me ntsis, kub hnyiab, tev ntawm hom hmoov nplej, microcracks nyob rau hauv cov cheeb tsam interdigital. Yog tias koj tsis hu rau tus kws kho mob tshwj xeeb thaum thawj cov tsos mob tshwm sim, cov kab mob tuaj yeem hloov mus rau hauv daim ntawv ntawm onychomycosis, uas yog qhov nyuaj rau kho. Hauv qhov no, tus ntsia thawv exfoliated yuav loj hlob los ntawm ib mus rau rau lub hlis.
Lawv kho mycosis ntawm daim ntawv tshem tawm nrog kev npaj hauv zos: tshuaj pleev, cream, foams. Lawv tso cai rau koj los tsim ib txheej ntawm ko taw uas yuav tiv thaiv kab mob nrog rau lwm yam kab mob. Tsis pub dhau ib hnub tom qab siv cov tshuaj no, tsis txhob uaKev ntxuav ko taw tau pom zoo.
Tsuas yog nyob rau hauv cov xwm txheej hnyav heev tuaj yeem raug tshuaj. Qhov teeb meem yog tias cov tshuaj no muaj tshuaj lom thiab cuam tshuam rau qee yam hauv nruab nrog cev, xws li daim siab. Raws li, yog tias muaj kev cuam tshuam los ntawm kev siv cov tshuaj hauv zos, ces nws yog qhov zoo dua tsis txhob noj tshuaj.
Kev kho mob ntawm ko taw fungus nrog pej xeem txoj kev
Cov duab ntawm cov kab mob uas tau nthuav tawm hauv kab lus hauv cov lej loj tsis thim rov qab mus rau tus kws kho mob.
Kev xaiv tshuaj tam sim no yooj yim heev. Txawm li cas los xij, ntau tus neeg nyiam kho cov kab mob nrog cov tshuaj pej xeem. Peb muab ob peb daim ntawv qhia ua pov thawj.
- Ntxhais taw. Cov taw yog sov so rau hauv ib lub phiab dej kub, rubbed liberally nrog ntxhua khaub ncaws xab npum thiab kho nrog ib tug tawv txhuam rau ob txhais taw rau tsib feeb. Ua npuas ncauj yog ntxuav tawm. Kev ua yog rov ua 4-5 zaug. Ces ob txhais taw yuav qhuav thiab smeared nrog cream.
- Da dej ntawm celandine. 50 g ntawm nyom yog poured nrog 1.5 liv ntawm boiling dej, rhuab rau hluav taws rau 4-5 feeb, txias. Nyob rau hauv ib tug sov so decoction, ob txhais taw yuav tsum tau khaws cia rau 30 feeb. Lub sijhawm ntawm kev kho mob yog 14 hnub.
- Tshuaj yej tsob ntoo roj yog cov tshuaj tua kab mob muaj zog. Nws yuav tsum tau muab rub rov qab rau hauv qhov chaw cuam tshuam.
- Koj tuaj yeem tshem tawm khaus thiab tawg nrog qaub cream. Nws lubricates nws ob txhais ceg ua ntej yuav mus pw. Duration ntawm kev kho mob - 1 lub lis piam.
- Pob haus dej qab zib. Tshem tawm qhov kub hnyiab thiab khaus ntawm daim tawv nqaij. Cov hmoov yog tov nrog dej thiaj li kom tau ib tug tuab tuab. Nws yog siv rau thaj chaw cuam tshuam, tos kom txog thaum nws qhuav, ces ntxuav tawm.
- calendula. Paj (50 gr.) Ncuavboiling dej (1: 2), insist 30 feeb, lim. Txoj kev lis ntshav smears ko taw hmo ntuj.
Kev Tiv Thaiv
Cov kev tiv thaiv yooj yim tshaj plaws yuav txo qis kev pheej hmoo kis mob. Tsuas yog cov khoom ntiag tug yuav tsum tau siv, cov ntsia hlau yuav tsum tau kho nrog cov cuab yeej tsis muaj menyuam. Thaum mus xyuas cov chaw pej xeem, xws li da dej, saunas, pas dej da dej, ntug hiav txwv dej, koj yuav tsum siv koj tus kheej khau. Los ntawm txoj kev, sim xaiv nws kom nws xis nyob thiab tso cai rau koj ob txhais ceg ua pa.
Koj yuav tsum tau saib xyuas kev tiv thaiv ua ntej, kom tom qab ntawd koj tsis tas yuav muaj ntau hom kab mob ko taw. Daim duab qhia tsis yog txhua qhov kev xaiv rau kev txhim kho tus kab mob.
