Allergic dermatitis nyob rau hauv cov me nyuam mos, diathesis, thaum yau eczema … Thaum lawv tsis hu ua kev tsis haum tshuaj nyob rau hauv daim ntawv ntawm daim tawv nqaij pob khaus nyob rau hauv cov me nyuam mos. Tus kab mob no ntawm ib qho kev tsis haum tshuaj yog ib qho tshwm sim tsis tau tsuas yog nyob rau hauv cov me nyuam mos, tab sis kuj nyob rau hauv cov me nyuam loj. Yog tias koj tsis mus ntsib kws kho mob tam sim ntawd kom tau txais kev kho mob zoo, tus kab mob tuaj yeem loj hlob mus rau hauv daim ntawv ntev. Xav txog yog vim li cas cov kab mob dermatitis tshwm nyob rau hauv cov me nyuam mos, hom kab mob dab tsi tshwm sim thiab yuav kho li cas.
Yog vim li cas
Nyob rau xyoo tas los no, tus naj npawb ntawm cov neeg uas muaj kev fab tshuaj tiv thaiv tau nce ntxiv. Lub cev teb rau sab nraud stimuli ua ceeb. Allergic dermatitis feem ntau tshwm sim nyob rau hauv cov me nyuam mos. Ntau tus niam txiv tsuas tsis paub yuav ua li caskho. Los ntawm nws tus kheej, tus kab mob yuav tsis ploj mus. Yuav tsum tau kuaj xyuas kom zoo thiab kho tau zoo.
Causes of allergic form of dermatitis:
- plab zom mov vim muaj kab mob hauv plab;
- dysbacteriosis;
- tsis muaj zaub mov noj (qhia txog cov khoom noj ntxiv thaum ntxov, suav nrog kev noj zaub mov ntawm citrus txiv hmab txiv ntoo, txiv ntoo, zib ntab, ntses, nqaij npuas rog, nqaij nruab deg);
- thaum siv cov tshuaj pleev ib ce me me uas tsis zoo thiab cov khoom siv tu cev (zaj zawv plaub hau, xab npum, cream, tshuaj pleev);
- khaub ncaws hluavtaws nrog dyes ntawm cov ntaub hnav los ntawm tus menyuam;
- noj qee yam tshuaj;
- kis kab mob hauv keeb kwm;
- tawm tsam rau cov tshuaj lom neeg xws li kua qaub thiab alkali;
- raug hluav taws xob, hloov pauv kub;
- tsev plua plav;
- paj paj;
- -wool thiab excretions ntawm tsiaj.
Kev tsis haum dermatitis hauv cov menyuam mos tuaj yeem tshwm sim txawm tias thaum noj ntau dhau lossis vim muaj teeb meem digestive. Nws yog ib qho nyuaj rau tus menyuam txoj hnyuv kom zom tag nrho cov zaub mov noj. Yog tias koj txo cov load ntawm lub plab zom mov, ces cov tsos mob yuav ploj mus. Cov kab mob dermatitis feem ntau raug rau cov menyuam mos uas muaj kab mob tshwm sim.
Vim li cas tus menyuam lub cev thiaj li muaj kev fab tshuaj? Qhov tseeb yog qhov kev hloov kho tshiab yuav tshwm sim hauv lub cev ntawm tus menyuam mos. Cov txheej txheem no cuam tshuam rau ntau lub cev, suav nrog kev tiv thaiv kab mob. Txhua txhua hnub, tus me nyuam lub cev yog ntsib nrog ib tug lojtus nqi ntawm allergens. Txij li thaum lub cev tiv thaiv kab mob tseem tsis paub qab hau, ib qho kev tiv thaiv kab mob tsis raug rau kev txhawb nqa sab nraud yog tsim. Vim li ntawd, ua xua rau tus menyuam lub cev.
Muaj peb txoj hauv kev uas cov tshuaj tsis haum nkag rau hauv tus menyuam lub cev:
- Nrog zaub mov thiab dej haus (yog zaub mov tsis haum).
- Nyob rau ntawm daim tawv nqaij ncaj qha nrog cov allergen (cov tshuaj hauv tsev, khaub ncaws hluavtaws).
- Ntawm qhov nqus ntawm qhov khaus (kev ua xua rau plua plav, vaj tsev, paj ntoos).
Cov tshuaj tsis haum tshwj xeeb tuaj yeem txheeb xyuas los ntawm cov tshuaj tiv thaiv ntawm daim tawv nqaij. Yog tias muaj kev tsis haum tshuaj dermatitis tshwm sim hauv tus menyuam tom qab noj ib yam khoom, ces nws yog hu ua zaub mov. Qhov no yog qhov ua rau muaj kev tsis haum dermatitis. Lwm hom kab mob no hu ua non-food dermatitis.
Cov kws kho mob txheeb xyuas ntau yam ua rau muaj kev tsis haum dermatitis provoked los ntawm zaub mov:
- nrog kev pub mis;
- ua txhaum kev noj haus;
- thaum qhia txog kev noj zaub mov tsis haum (qe, ntses, txiv hmab txiv ntoo citrus, mis nyuj, liab berries, zaub, strawberries, raspberries thiab chocolate);
- nrog kev pub ntxov ntxov.
Cov khoom noj tshiab me me yuav tsum tau nthuav tawm maj mam. Lub plab zom mov yuav tsum muaj zog.
Risk factors
Nyob rau hauv cov npe ntawm cov kev pheej hmoo uas ua rau cov tsos mob ntawm kev tsis haum dermatitis, muaj qee yam kab mob. Cov npe ntawm cov kab mob pathological ntawm cov menyuam mos:
- immunodeficiencies ntawm ntau yam etiologies;
- lub cev tsis muaj zog ntawm tus menyuam lub cev tiv thaiv kab mob (txoKev tiv thaiv kab mob feem ntau hauv cov menyuam mos ntxov ntxov thiab cov neeg muaj kab mob hauv lub cev, nrog rau cov neeg uas tau noj lub raj mis);
- dysbacteriosis;
- plab zom mov vim tsis muaj pancreatic enzyme tsim tawm;
- kab mob plab hnyuv;
- kev hloov pauv rau cov kab mob ua xua.
Cov menyuam mos noj zaub mov thaum ntxov (mus txog 4 lub hlis) kuj muaj kev pheej hmoo. Kev haus luam yeeb los ntawm cov niam txiv hauv chav uas tus menyuam nyob, kev saib xyuas tsis txaus rau ntawm daim tawv nqaij ntawm tus menyuam, kev tsis huv thiab qhov kub tsis zoo hauv chav. Tag nrho cov xwm txheej no cuam tshuam rau tus menyuam tus mob thiab tuaj yeem ua rau muaj kev tsis haum tshuaj.
Symptoms
Cov tsos mob tshwm sim tsis tau tsuas yog nyob rau hauv daim ntawv ntawm pob khaus ntawm daim tawv nqaij, tab sis kuj nyob rau hauv lub yeej ntawm lub cev systems. Tshwj xeeb, lub plab zom mov thiab ua pa cuam tshuam.
Cov tsos mob tseem ceeb ntawm kev tsis haum dermatitis hauv tus menyuam:
- Hyperemia ntawm daim tawv nqaij. Allergic dermatitis nyob rau hauv ib tug me nyuam feem ntau yog nyob rau ntawm txhais ceg. Qhov no cuam tshuam rau cov quav (ntawm tes ib yam), lub luj tshib thiab lub hauv caug folds. Ntawm lub ntsej muag, kev tsis haum dermatitis nyob rau hauv cov me nyuam mos manifests nws tus kheej, kis mus rau lub caj dab, nraub qaum thiab txawm mus rau lub hauv siab.
- thaj chaw mob zoo li pob txuv, npuas me.
- Cov tawv nqaij qhuav, flaky.
- Ib daim ntawv nplaum rau ntawm tus menyuam lub taub hau (saib hauv qab no rau daim duab ntawm kev tsis haum dermatitis hauv tus menyuam mos).
- khaus khaus ntawm daim tawv nqaij.
- o ntawm cov mucous ntawm qhov muag, qhov ncauj thiab qhov ntswg kab noj hniav. Cov txheej txheem no yog khoNws tshwm sim raws li kev tsis haum rhinitis, conjunctivitis thiab bronchial hawb pob. Qhov tshwm sim txaus ntshai tshaj plaws yog Quincke's edema. Hauv qhov no, yuav tsum tau mus pw hauv tsev kho mob tam sim ntawm tus menyuam.
- Kev ua haujlwm ntawm cov plab hnyuv siab raum tsis zoo: raws plab, cem quav, regurgitation, quav xim hloov.
- Tus me nyuam txoj kev noj qab haus huv raug cuam tshuam: nws ua rau lub cev tsis zoo, qab los noj mov thiab pw tsaug zog cuam tshuam.
Yog tias koj tsis nrhiav kev kho mob raws sijhawm, cov teeb meem purulent tuaj yeem tshwm sim. Qhov xwm txheej txaus ntshai no yog fraught nrog tus kab mob thib ob.
Localization
Kev tsis haum dermatitis yog nrog los ntawm khaus hnyav. Cov pob liab liab tshwm rau ntawm ob sab plhu, ob txhais ceg, caj npab. Yog tias cov tshuaj tiv thaiv kab mob muaj zog, ces qhov chaw ntawm lub plab thiab sab nraub qaum raug cuam tshuam. Weeping ulcers tuaj yeem tsim ntawm thaj tsam ntawm daim tawv nqaij.
Xav txog qhov chaw nyob ntawm tus kab mob:
Ntawm lub ntsej muag: diathesis nrog hnoos, qhov ntswg congestion thiab dej qhov muag. Cov pob khaus ntawm daim tawv nqaij ntawm lub ntsej muag feem ntau provoked los ntawm txiv hmab txiv ntoo, zaub, flavors thiab dyes. Cov tsos mob ntawm kev ua xua tshwm sim sai txaus - hauv 30 feeb
Ntawm txhais tes: qhov no yog ib qho chaw rau thaj chaw ntawm diathesis. Nyob rau hauv kev sib cuag ncaj qha nrog cov allergen (cov tshuaj hauv tsev, tshuaj pleev ib ce), liab tshwm nyob rau sab nraum qab ntawm tus me nyuam xib teg. Cov tawv nqaij qhuav thiab nruj. Kev khaus thiab tev tawm tshwm sim. Feem ntau, kev ua xua ntawm tes tshwm tom qab kab tom. Kev khaus hnyav ua rau tus menyuam mus tas li khawb qhov chaw cuam tshuam. Qhov no ua rau mob hnyav heev. Qauv duabKev tsis haum dermatitis hauv cov menyuam mos hauv qab no
- Kev tsis haum dermatitis ntawm tes tuaj yeem tshwm sim tom qab haus cov khoom qab zib, kas fes, cocoa thiab qee yam tshuaj. Txawm tias huab cua hloov pauv los cuam tshuam rau kev noj qab haus huv ntawm tus menyuam. Cua, Frost ua rau liab, o thiab khaus khaus ntawm tes. Yog li ntawd, nws yog ib qho tsim nyog yuav tsum tau siv cov tshuaj pleev tshwj xeeb rau tus menyuam, hnav hnab looj tes sov thaum huab cua txias.
- Ntawm ob txhais ceg, kev tsis haum dermatitis hauv cov menyuam yaus (duab hauv qab no) yog nyob rau hauv cov kab mob loj - tus ncej puab, pob txha, shins thiab hauv caug.
- Ntau zaus, kev ua xua tshwm rau ntawm ko taw. Pimples ntawm ntau yam duab, pustules yog tsim. Nyob rau tib lub sijhawm, qhov chaw mob ntawm daim tawv nqaij o.
- Kev tsis haum dermatitis ntawm pope nyob rau hauv ib tug me nyuam manifests nws tus kheej nyob rau hauv daim ntawv ntawm tus kab mob. Ib qho laj thawj yog kev tu cev tsis zoo.
- Kev tsis haum dermatitis ntawm lub taub hau ntawm tus menyuam yog qhov chaw kho mob tshwm sim nyob rau hauv daim ntawv ntawm scaly crusts.
hom kab mob dermatitis kawg feem ntau tshwm sim nws tus kheej hauv daim ntawv seborrheic, uas yuav tau tham ntxiv hauv qab no.
Cov ntawv dermatitis
Daim duab kho mob, nyob ntawm seb qhov etiological yam, yuav txawv. Cov kws kho mob faib cov kab mob dermatitis rau hauv cov ntawv hauv qab no:
- Seborrheic hom kev tsis haum dermatitis. Cov xim daj thiab lub teeb xim av ua rau ntawm tus menyuam lub taub hau. Qhov cuam tshuam ntawm daim tawv nqaij yog flaky heev. Feem ntau cov plaub hau oib feem ntawm lub taub hau. Yog hais tias daim ntawv ntawm tus kab mob yog nyob rau hauv ib tug mob daim ntawv, ces crusts tshwm nyob rau ntawm lub ntsej muag, caj dab, hauv siab, pob ntseg. Daim ntawv no ntawm kev tsis haum dermatitis tuaj yeem kho tau. Feem ntau cov tsos mob ploj mus ntawm lawv tus kheej, yam tsis muaj kev cuam tshuam los ntawm kws kho mob.
- Diaper allergic dermatitis. Daim ntawv no ntawm tus kab mob manifests nws tus kheej nyob rau hauv daim ntawv ntawm daim pawm ua pob khaus ntawm daim tawv nqaij folds. Feem ntau, daim tawv nqaij ntawm pob tw thiab hauv perineum raug cuam tshuam. Yog tias koj tsis ua raws li cov cai ntawm kev nyiam huv, ces tus menyuam tus mob yuav hnyav dua.
- Atopic form of allergic dermatitis. Daim ntawv ntawm tus kab mob no yog txuam nrog rau lub caij nyoog exacerbation. Cov pob khaus tshwm nyob rau hauv lub caij tawm. Kev zam txim feem ntau tshwm sim thaum lub caij ntuj sov thiab lub caij ntuj no. Cov provocateurs ntawm daim ntawv no ntawm dermatitis yog zaub mov allergens thiab hereditary predisposition.
Ntau xyoo, tus menyuam tuaj yeem kis tus kabmob no. Txawm li cas los xij, muaj cov xwm txheej thaum atopic dermatitis yog supplemented los ntawm lwm yam allergens. Nyob rau tib lub sijhawm, tus menyuam loj tuaj yeem ua xua rau paj ntoos, tsiaj dander, plua plav, thiab lwm yam khoom.
Tus kab mob mus li cas: theem
Thaum kuaj mob, tus kws kho mob txiav txim siab theem ntawm tus kab mob ntawm tus neeg mob me. Muaj plaub theem ntawm kev ua xua ntawm dermatitis:
- pib yog tshwm sim los ntawm o ntawm daim tawv nqaij, tev thiab hyperemia. Yog tias kho tsis tau raws sijhawm, lwm theem yuav maj mam txhim kho.
- Qhov hnyav tshwm sim hauv cov ntawv mob hnyav thiab mob ntev. Cov tsos mob tshwm sim thaum kawg hloov mus ua pob zeb thiab nplai.
- theem ntawm kev zam txim yog qhov txo qis thiab ploj ntawm cov tsos mob tsis zookab mob. Kev zam txim tuaj yeem kav ntev li ob peb lub lis piam, thiab qee zaum rau xyoo.
- Kev kho mob rov qab: nyob rau theem no, cov tsos mob ntawm dermatitis ploj tag rau ntau xyoo.
Kev kho mob raws sij hawm ntawm dermatitis ua rau theem ntawm kev tshem tawm thiab kev kho mob rov qab los ze dua.
Diagnosis
Ua ntej sau tshuaj kho tau zoo, tus kws kho mob yuav tsum txheeb xyuas qhov xwm txheej thiab thaj chaw ntawm qhov exacerbation. Kev kuaj mob suav nrog cov kev kuaj hauv qab no:
- kuaj ntshav thiab zis;
- kev tshuaj ntsuam xyuas immunological thiab serological;
- tissue analysis rau histology;
- biopsy;
- kev ntsuas ntsuas rau cov tshuaj tsis haum.
Raws li cov txiaj ntsig ntawm kev sim, tus kws kho mob yuav tuaj yeem txiav txim siab qhov ua rau ntawm kev loj hlob ntawm kev tsis haum dermatitis hauv tus menyuam. Tom qab ntawd, kev kho tshwj xeeb raug sau tseg. Raws li cov lus pom zoo kho mob, nws muaj peev xwm xav tias muaj lub sijhawm rau qhov pib ntawm kev zam txim.
Kev kho mob
Thaum muaj kev tsis haum dermatitis hauv cov menyuam mos, kev kho mob yuav tsum tam sim ntawd. Qhov tseem ceeb tshaj plaws yog tshem tawm qhov ua rau tus kab mob. Kev kho mob yuav tsum muaj kev dav.
Cov kws kho mob pom zoo kom siv cov tshuaj no los ntawm pawg kws tshuaj:
Antihistamines, uas yog tsom rau txo qhov khaus, hyperemia thiab o ntawm tus menyuam daim tawv nqaij. Yuav kho cov kab mob dermatitis hauv tus menyuam mos "Fenistil", "Zodak", "Suprastin" hauv daim ntawv gels, tshuaj pleev lossis ntsiav tshuaj
- Immunomodulators, vitamin thiab mineral complex yog pom zoo kom siv los normalize kev tiv thaiv thiab khoCov txheej txheem metabolic hauv lub cev.
- Enterosorbents: "Smekta", "Laktofiltrum", "Polysorb". Cov tshuaj no tau sau tseg kom tshem tawm cov co toxins, allergens thiab tshuaj lom metabolic hauv lub cev.
- enzymes kom rov qab plab zom mov.
- Ua ntej thiab probiotics kom normalize qhov muaj pes tsawg leeg ntawm microflora ntawm txoj hnyuv.
- Cov tshuaj pleev uas ua kom cov tawv nqaij rov ua dua tshiab: Sudocrem, Radevit, Depanthenol.
- Glucocorticoids nyob rau hauv daim ntawv ntawm cov tshuaj pleev: "Advantan", "Elokom", "Fucicort". Me nyuam mos - nruj me ntsis raws li kws kho mob tau sau tseg.
- Antiseptics thiab antifungals raws li kev tiv thaiv thiab kho cov kab mob thib ob lossis thaum muaj teeb meem.
kws kho mob dermatologist (yog tias cov tsos mob me me) thiab tus kws ua xua (yog tias ua xua rau zaub mov) pom zoo.
Physiotherapy
Yog tus menyuam muaj kev tsis haum dermatitis, kev kho mob yuav suav nrog kev kho lub cev. Txoj kev no yog siv rau cov menyuam mos uas nyob ruaj khov. Kev kho lub cev zoo tshaj plaws: laser kho, electrosleep, hydrotherapy, av nkos kho, reflexology, ultraviolet irradiation, PUVA therapy.
Tshuaj hauv tsev
Yog tus me nyuam niam paub tias qhov ua xua ua pob khaus, nws yog qhov tsim nyog los tiv thaiv tus menyuam los ntawm kev sib cuag nrog nws. Yog tias qee yam khoom noj ua rau muaj kev tsis haum, ces nws yuav tsum raug tshem tawm ntawm tus menyuam noj.
Ntau zaus, kev ua xua rau tus me nyuam tshwm sim vim raug cuam tshuam rau sab nraud. Lub luag haujlwm tseem ceeb ntawm leej niam yog tswj kev huv hauv tsev thiab qee qhov kub thiab txias, huab cua noo. Los ntawmcov ntaub pua plag thiab feather hauv ncoo yog qhov zoo tshaj plaws pov tseg. Thiab muab tsiaj rau cov phooj ywg zoo.
Yuav ua li cas kho cov kab mob dermatitis hauv cov menyuam mos? Tus menyuam hnub nyoog qis dua ib xyoos yuav tsum tau hloov mus rau kev noj zaub mov hypoallergenic. Cov kws kho mob pom zoo kom siv sparing antihistamines thaum lub sij hawm kho, uas yog sau los ntawm yug. Piv txwv li, gel thiab tee "Fenistil". Thiab txij li rau lub hlis koj tuaj yeem siv Zyrtec tee.
kev kho neeg zoo
tshuaj ntsuab rau kev ua xua dermatitis yog siv tsis tau. Txawm li cas los xij, nws tsim nyog sim. Txhawm rau npaj tshuaj ntsuab decoction, koj yuav xav tau cov khoom xyaw hauv qab no:
- 3 tbsp. l. qhuav tws nroj tsuag (tsim hlua, periwinkle, celandine, hops);
- 1 l boiling dej.
Nyom yuav tsum tau nchuav nrog dej kub thiab cia nws brew rau 4 teev. Qhov no decoction yuav tsum tau siv los lubricate qhov chaw ntawm daim tawv nqaij los yog pleev xim.
Mom's Diet
Nws yog ib qho tsim nyog yuav tsum tshem tawm cov zaub mov tsis haum los ntawm kev noj zaub mov tsis yog rau tus menyuam xwb, tab sis kuj yog leej niam. Yog li, nws yog ib qho tsim nyog yuav tsum txwv koj tus kheej hauv kev siv cov hmoov nplej, qab zib thiab ntsev. Koj yuav tsum tsis txhob noj zib ntab, txiv ntoo, txiv hmab txiv ntoo citrus, strawberries, chocolate thiab txuj lom. Tus neeg ua xua tuaj yeem yog semolina lossis oatmeal, nrog rau cov khoom uas muaj gluten.
thawj zaub mov yuav tsum yog zucchini lossis zaub qhwv. Tom qab ntawd, koj tuaj yeem ntxiv cov khoom noj tsis muaj mis nyuj. Thaum tus me nyuam muaj 8 hli, koj tuaj yeem qhia nws rau qaib ntxhw lossis luav nqaij.
Kev Tiv Thaiv
Cov kws kho mob sau tseg: menyuam yaus,leej twg pub niam mis, tsis tshua muaj kev ua xua. Yog li ntawd, niam yuav tsum ua raws li kev noj haus thiab tsis txhob ua txhaum txoj cai rau kev qhia txog cov khoom noj ntxiv.
Thaum tus me nyuam niam txiv pom dermatitis ntawm nws lub cev, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Yog tias kuaj pom tus kab mob hauv lub sijhawm thiab kho, ces qhov mob khaus thiab liab tuaj yeem hnov qab sai sai.
Raws li kev tiv thaiv, nco ntsoov ua kom cua nkag hauv chav, saib xyuas qhov ntsuas kub hauv tus menyuam chav. Nws yuav tsum yog los ntawm 18 txog 20 degrees, thiab huab cua av noo yuav tsum tsis pub tsawg tshaj 60%.
Tsis nco qab haus luam yeeb hauv ib chav nrog koj tus menyuam. Cov txheej txheem tu cev txhua hnub, kev siv cov khoom siv tu cev zoo nkauj xwb, hloov cov ntaub pua chaw pw thiab cov ris tsho hauv qab rau tus menyuam yuav pab tiv thaiv tus menyuam los ntawm qhov pib ntawm "tus yeeb ncuab" - dermatitis.
