Dermatitis yog ib pawg ntawm cov kab mob ntawm daim tawv nqaij ntawm inflammatory keeb kwm. Lawv tshwm sim vim qhov cuam tshuam ntawm kev puas tsuaj ntawm cov tshuaj lom neeg, lom lossis lub cev ntawm daim tawv nqaij. Txoj kev kho mob yog txiav txim los ntawm qhov ua rau ntawm cov txheej txheem inflammatory, qhov chaw ntawm qhov chaw, lawv qhov loj, thiab tus nqi sib kis.
Tshuaj npaj rau kev tshem tawm cov kab mob dermatitis tshem tawm cov cim qhia sab nraud thiab ua kom cov txheej txheem kho kom zoo. Nyob rau hauv cov xwm txheej hnyav, cov tshuaj tau sau rau hauv daim ntawv ntsiav tshuaj, uas muaj feem cuam tshuam rau lub cev. Cov tshuaj rau dermatitis ntawm lub cev muaj dab tsi?
Txoj Cai Kev Kho Mob
Dermatitis belongs rau qeb ntawm kev tsis haum tshuaj dermatosis (ib pawg ntawm cov kab mob sib txawv ntawm cov tawv nqaij, lub luag haujlwm tseem ceeb hauv kev txhim kho uas tau muab rau cov tshuaj tiv thaiv kab mob tam sim lossis qeeb), uas tshwm sim lawv tus kheej tawm tsam keeb kwm yav dhau los. kev tsis haum tshuaj tam sim los yogqeeb hom. Cov no suav nrog:
- Actinic dermatitis (tej zaum yuav tshwm sim los ntawm lub hnub ci, khoom siv hluav taws xob UV thiab hluav taws xob ionizing).
- Atopic eczema (kev mob ntawm tib neeg daim tawv nqaij, uas yog raws caij nyoog).
- Hiv
- Toxicoderma (tus txheej txheem inflammatory ntawm daim tawv nqaij thiab mucous daim nyias nyias, tus kab mob no tsis yog kis tau).
- Seborrheic dermatitis (tus kab mob inflammatory uas cuam tshuam rau cov chaw ntawm cov tawv taub hau thiab lub cev uas cov qog sebaceous tsim, tus kab mob ua rau tus kab mob dermatitis yog cov poov xab zoo li fungi).
- Tshuaj dermatitis (kev hloov pauv ntawm daim tawv nqaij uas tshwm sim nrog rau sab nraud, sab hauv lossis kev siv tshuaj ntawm niam txiv).
Ua rau kab mob
Kab mob tshwm sim los ntawm qhov tshwm sim ntawm qhov chaw ntawm daim tawv nqaij ntawm cov khoom tsis zoo (exogenous ua) - tshuaj, tshav ntuj, ultraviolet, hluav taws xob, tshuaj hauv tsev, cov khoom pov tseg ntawm cov kab mob. Lawv kuj tseem tuaj yeem muaj cov kab mob endogenous (qhov ua rau cuam tshuam nrog kev cuam tshuam ntawm lub cev thiab lub cev).
Cov ntsiav tshuaj dermatitis hauv cov neeg laus thaiv cov cim ntawm kev tsis haum tshuaj, yog li txhim kho cov ntaub so ntswg. Lawv xaiv nyob ntawm qhov ua rau tus kab mob, nrog rau qhov xwm ntawm cov txheej txheem inflammatory.
Dab tsiCov tshuaj kws kho mob dermatitis?
Ob hom tshuaj yog muab rau kev kho mob ntawm daim tawv nqaij:
- kev ua haujlwm - txhaj tshuaj, ntsiav tshuaj, tshuaj ntsiav, ncua kev kawm;
- hauv zos ua - tshuaj tsuag, liniments, gels, cream, tshuaj pleev, tshuaj.
Feem ntau, txhawm rau tshem tawm cov tsos mob ntawm tus kab mob, kho cov tawv nqaij tawg, cov ntsiav tshuaj los ntawm cov kab mob dermatitis ntawm lub ntsej muag tau siv, uas tuaj yeem muaj kev cuam tshuam rau tag nrho lub cev.
Tsis tas li, kev kho mob txo qis rau kev siv tshuaj pleev tshuaj hormonal thiab cream nrog cov tshuaj tiv thaiv kab mob thiab tiv thaiv exudative. Lawv yuav tsum tau siv nruj me ntsis hauv cov kev kawm luv luv, txij li corticosteroids provoke qhov tshwm sim ntawm cov kev mob tshwm sim, nrog rau txo cov kev tiv thaiv ntawm lub cev.
Cov ntsiab cai dav dav rau kev tshem tawm cov kab mob dermatitis nrog cov ntsiav tshuaj:
- Enterosorbents ntxuav lub cev ntawm cov tshuaj tsis haum thiab ua rau khaus khaus.
- Antiviral, nrog rau cov tshuaj tua kab mob, tshuaj tua kab mob tshem tawm qhov ua xua.
- Corticosteroids neutralize cov txheej txheem inflammatory, thiab tseem pab kho cov chaw cuam tshuam ntawm cov ntaub so ntswg.
- Antihistamines tshem tawm khaus, flaking, o thiab liab ntawm daim tawv nqaij.
Nyob rau hauv dermatoses ntawm autoimmune genesis, tshuaj nyob rau hauv cov ntsiav tshuaj daim ntawv yog pom zoo, uas suppress lub zog tiv thaiv ntawm lub cev - immunosuppressants. Nrog rau kev siv ntev, lawv txo qhov hnyav ntawm cov txheej txheem inflammatory hauv daim tawv nqaij. Qhov no txhim kho tag nrhomob ntawm tus neeg mob, nrog rau kev kho cov ntaub so ntswg nrawm.
Pills rau daim tawv nqaij dermatitis
Cov tshuaj tiv thaiv kab mob dermatitis yog siv rau qhov mob hnyav ntawm tus kab mob. Lawv cov tshuaj nkag mus rau hauv cov hlab ntsha dav dav, yog li ntawd, lawv muaj kev cuam tshuam rau tib neeg lub cev. Kev xaiv cov tshuaj yog txiav txim los ntawm qhov ua rau mob ntawm daim tawv nqaij.
Nrog rau urticaria, cov tshuaj tiv thaiv tau pom zoo rau kev siv, nrog seborrhea (qhov mob ntawm daim tawv nqaij tshwm sim los ntawm kev nce sebum secretion vim kev ua txhaum ntawm lub paj hlwb thiab neuroendocrine kev tswj ntawm kev ua haujlwm ntawm cov qog sebaceous ntawm daim tawv nqaij) - tshuaj tua kab mob, thiab nrog pyoderma (kab mob dermatological uas tshwm sim nyob rau hauv tus ntawm cov kab mob pyogenic) - tshuaj tua kab mob.
YAllergic dermatitis
Kev txiav txim siab seb cov tshuaj twg yuav haus rau kev ua xua dermatitis, koj yuav tsum txheeb xyuas qhov ua rau nws tshwm sim. Antihistamines rau dermatitis nyob rau hauv cov neeg laus yog muab nyob rau hauv cov xwm txheej uas cov txheej txheem inflammatory tshwm sim vim yog kev sib cuag nrog cov tshuaj irritating. Lawv tshem tawm khaus, pob khaus, tev, o ntawm cov ntaub so ntswg. Txhawm rau kom muaj kev noj qab nyob zoo, siv cov tshuaj hauv qab no:
- "Loratadine" - rau kev ua xua rau kab tom, urticaria thiab khaus khaus.
- "Claritin" - txhawm rau tshem tawm cov tsos mob ntawm pob khaus pob khaus, khaus khaus khaus (ib kab mob raws caij nyoog los ntawm kev tsis haum rau cov paj paj).
- "Telfast" - rau kev kho mob nyuajCov kab mob tsis haum raws caij nyoog.
- "Exifin" - nrog rau chav kawm ntawm kev ua xua dermatoses uas cuam tshuam rau ntawm daim tawv nqaij ntawm pob tw thiab ceg.
- "Zyrtec" - nrog atopic dermatitis hauv cov neeg laus, nrog rau khaus tas li, ua pob liab liab.
Hauv kev kho mob dermatitis, ntsiav tshuaj tuaj yeem ua ke nrog kev npaj raws li cov khoom xyaw tshuaj ntsuab - pob kws lossis linseed roj.
tshuaj Hormonal
Nrog kev sib kis ntawm pob khaus, kev kho tshuaj hormone yog siv. Cov tshuaj corticosteroid yog siv nyob rau hauv cov kev kawm me me ntawm peb mus rau tsib hnub, uas cuam tshuam nrog qhov yuav tshwm sim tsis zoo. Nettle pob khaus thiab lwm yam kab mob ua xua raug tshem tawm los ntawm cov tshuaj hauv qab no:
- "Triamcinolone".
- "Prednisolone".
- "Dexazon".
- "Fortecortin".
- "Megadexan".
Lawv muaj cov tshuaj tiv thaiv kab mob, yog li lawv tam sim tshem tawm qhov o, liab ntawm daim tawv nqaij.
Zyrtec
Cov tshuaj yog nyob rau hauv pab pawg kho mob ntawm antihistamines. Lawv yog siv rau kev kho mob, uas yog lub hom phiaj ntawm kev tshem tawm qhov chaw ntawm cov txheej txheem pathological nyob rau hauv kev tsis haum tshuaj. Cov ntsiav tshuaj tau dav siv rau atopic dermatitis.
Cov kab mob nquag "Zirteka" cetirizine hais txogpawg ntawm cov tshuaj antihistamines. Nws tso tseg cov receptors tshwj xeeb uas cuam tshuam rau qhov kev ua ntawm kev ua xua neumediator tebchaw, tshwj xeeb, histamine. Yog li ntawd, nrog kev nce qib ntawm histamine hauv tib neeg lub cev raws li qhov tshwm sim ntawm qhov tshwm sim ntawm kev tsis haum tshuaj, cov tshuaj nquag muaj cov nyhuv antihistamine.
Yuav ua li cas yog cov tshuaj pharmacological ntawm Zyrtec?
Cov nyhuv ntawm cov tshuaj yog cov teebmeem hauv qab no:
- Txo qhov hnyav ntawm qhov khaus ntawm daim tawv nqaij, uas yog tshwm sim los ntawm excitation ntawm histamine rhiab kawg.
- Tshem cov nqaij mos edema - thaiv cov hlab ntsha xaus rau histamine.
- Kev txo qis ntawm cov leeg nqaij du ntawm cov kabmob hauv nruab nrog cev - ua kom pom cov leeg nqaij, provoked los ntawm histamine.
- Kev tshem tawm pob khaus ntawm daim tawv nqaij, uas yog suav tias yog qhov tshwm sim ntawm cov txheej txheem inflammatory.
Tsis tas li, "Zirtek" ua rau lub xeev ruaj khov ntawm cov ntaub so ntswg tiv thaiv kab mob, uas, thaum muaj kev tsis haum tshuaj loj hlob, tsim cov tshuaj histamine, vim tias nws qib thiab lwm cov tshuaj kho mob txo qis. Lub active tivthaiv ntawm "Zirtek" tsis provoke ib sedative thiab hypnotic nyhuv.
Tom qab noj cov tshuaj hauv qhov ncauj, cov khoom xyaw nquag yog tam sim ntawd thiab tag nrho absorbed los ntawm sab sauv ntawm cov hnyuv mus rau hauv cov ntshav. Nws yog sib npaug faib thoob plaws tag nrho cov ntaub so ntswg ntawm lub cev nrog kev sib pauv tom qab hauv cov hlwb rau cov khoom lag luam metabolic tsis ua haujlwm. Lawv feem ntau yog tawm ntawm lub cev hauv cov zis. Sijhawmib nrab lub neej yog txog kaum teev.
Prednisolone
Cov tshuaj yog nyob rau hauv pab pawg kho mob ntawm cov tshuaj npaj rau kev siv qhov ncauj. Lawv muaj cov tshuaj tiv thaiv kab mob thiab siv rau hauv ntau yam txheej txheem pathological, feem ntau cuam tshuam nrog cov kab mob autoimmune.
Lub active microelement "Prednisolone" yog suav hais tias yog ib tug hluavtaws tshuaj derivative ntawm glucocorticosteroids. Cov tshuaj nquag muaj cov tshuaj tiv thaiv zoo.
Tsis tas li ntawd, cov tshuaj muaj peev xwm tiv thaiv lub cev tiv thaiv kab mob. Tab sis qhov spectrum ntawm kev cuam tshuam niaj hnub no tseem tsis to taub tag nrho. "Prednisolone" ua rau kom rov qab nqus dej thiab sodium ions hauv ob lub raum, ua rau kom cov proteins hauv lub cev, inhibits cov txheej txheem ntawm kev koom nrog cov pob txha, thiab nce ntshav qab zib. Nrog kev noj cov tshuaj nquag mus rau tib neeg lub cev, raws li cov lus pom zoo, kev tsim cov tshuaj adrenocorticotropic hauv cov qog pituitary, uas yog lub luag haujlwm rau kev ua haujlwm ntawm cov qog adrenal, txo qis. Yog li ntawd, tom qab siv cov tshuaj ntev, nws yuav siv sijhawm tsawg kawg ib hlis kom rov ua haujlwm zoo ntawm lub cev.
Tom qab daim ntawv thov ntawm "Prednisolone", cov tshuaj tiv thaiv ntawm qhov ncauj yog tam sim ntawd nqus mus rau hauv cov kev khiav hauj lwm ntawm cov plab hnyuv siab raum, tab sis lub sij hawm ntev yuav xav tau rau cov tsos ntawm cov tshuaj ruaj khov. Cov tshuaj yog sib npaug ntawm cov ntaub so ntswg,qhov twg nws ua rau ntau lub paj hlwb ntawm cov hlwb, muab cov txiaj ntsig kho mob. Lub active tivthaiv yog pauv thiab excreted los ntawm lub siab xwb.
kab mob dermatitis
Kab mob kis ntawm daim tawv nqaij yog tshwm sim los ntawm ntau cov pob liab liab, nrog rau tev, khaus khaus, qhov tsos ntawm vesicles nrog exudate. Txhawm rau tshem tawm lawv, cov ntsiav tshuaj etiotropic yog siv, uas tshem tawm cov txheej txheem inflammatory - cov kab mob pathogenic.
Tshuaj tiv thaiv kab mob dermatitis
Feem ntau, nws yog sawv cev los ntawm cov kab mob los yog kab mob, yog li cov tshuaj hauv qab no rau seborrheic dermatitis yog siv los tshem tawm lawv:
- "Ampioks" - cov tshuaj tua kab mob nyuaj uas tshem tawm cov kab mob purulent ntawm daim tawv nqaij hauv cov kab mob dermatoses.
- Terbinafine yog tshuaj tua kab mob uas tshem tawm kev txhim kho ntawm dermatophytosis, trichophytosis thiab candidiasis.
- "Orungal" yog tshuaj tua kab mob rau cov kab mob seborrheic dermatitis, nrog rau candidiasis, pityriasis versicolor thiab lwm yam dermatomycosis.
- "Flemoxin" yog ib qho tshuaj tua kab mob ib nrab siv tshuaj tua kab mob uas nres purulent o ntawm daim tawv nqaij hauv cov kab mob dermatoses.
- "Oxacillin" yog tshuaj tua kab mob uas tshem tawm cov kab mob staphylococcal.
Txhawm rau txo qhov kev noj qab haus huv sai sai, koj tuaj yeem siv tshuaj tua kab mob - Cetrin, Erius, Tavegil.
Flemoxin
Cov tshuaj yog nyob rau hauv pab pawg ntawm cov tshuaj tua kab mob ntawm cov tshuaj tua kab mob penicillin, uas muaj ntau yam teebmeem.
Cov neeg uas muaj kev tsis haum tshuaj yuav tsum kuaj xyuas qhov rhiab heev rau cov tshuaj ua ntej pib kho cov tshuaj dermatitis. Cov tshuaj no tsis raug muab rau cov neeg mob uas yav tas los muaj qhov tsis zoo rau penicillin.
Lub sijhawm kho yuav tsum ua kom tiav. Kev txiav tawm ntawm chav kawm ua ntej lub sijhawm teem tseg cog lus tias qhov tshwm sim ntawm kev tiv thaiv ntawm cov kab mob mus rau cov tshuaj nquag thiab kev hloov pauv ntawm tus kab mob mus rau theem ntev. Hauv qhov no, ib tus neeg yuav tsum xaiv lwm tus, muaj zog dua cov tshuaj tiv thaiv kab mob. Koj tsis tuaj yeem siv cov tshuaj rau ntau tshaj li ob lub lis piam, txij li qhov tshwm sim ntawm qhov tshwm sim ntawm superinfection thiab exacerbation ntawm tag nrho cov tsos mob ntawm tus kab mob nce. Thaum tsis muaj qhov zoo ntawm kev noj cov tshuaj, tus neeg mob yuav tsum hu rau tus kws kho mob tshwj xeeb kom paub meej qhov kev kuaj mob thiab kho cov kev kho mob.
Nkauj
Lub spectrum ntawm kev ua haujlwm ntawm cov tshuaj tiv thaiv kab mob yog ua raws li kev cuam tshuam ntawm ergosterol compound txheej txheem, uas yog suav tias yog ib qho tseem ceeb ntawm cov kab mob fungal.
Nyob rau hauv cov neeg mob uas muaj kev tiv thaiv kab mob thiab cov neeg uas muaj cryptococcosis ntawm lub paj hlwb, cov tshuaj tsuas yog raug txwv yog tias muaj kev txwv tsis pub siv cov tshuaj thawj zaug. Cov neeg muaj kab mob siab thiab raum yuav tsum tau saib xyuascov ntsiab lus ntawm itraconazole hauv cov ntshav thiab, yog tias tsim nyog, kho qhov ntau npaum li cas. Orungal yuav tsum raug txiav tawm yog tias muaj mob neuropathy (ib yam mob uas tuaj yeem cuam tshuam ntau qhov chaw ntawm lub cev cov hlab ntsha) tshwm sim.
