Seborrheic dermatitis yog ib qho teeb meem tshwm sim los ntawm tib neeg tsis hais hnub nyoog thiab poj niam los txiv neej. Txoj kev loj hlob ntawm tus kab mob yog txuam nrog impaired excretion thiab kev hloov nyob rau hauv lub zoo muaj pes tsawg leeg ntawm sebum. Cov kab mob zoo li no yuav tsum tau kho raws sijhawm.
Tau kawg, niaj hnub no ntau tus neeg xav paub ntxiv txog tus kabmob. Vim li cas seborrheic dermatitis tshwm sim? Cov duab ntawm cov neeg uas tau ntsib tus kab mob no, cov tsos mob, cov teeb meem tshwm sim, txoj kev kho mob zoo - tag nrho cov no yuav nthuav tawm hauv kab lus.
Vim li cas pathology txhim kho? Kab mob fungal
Raws li kev txheeb cais, seborrheic dermatitis feem ntau yog tshwm sim los ntawm kev ua ntawm cov poov xab zoo li cov kab mob Malassezia furfur. Cov kab mob no pub rau kev tso tawm ntawm cov qog sebaceous. Feem ntau, tus naj npawb ntawm opportunistic fungi yog tswj los ntawm lub cev tiv thaiv kab mob. Tab sis qee zaum cov txheej txheem tiv thaiv tsis ua haujlwm, vim tias cov poov xab pib ua kom nquag plias. Cov yam pheej hmoo suav nrog:
- kab mob ntawm cov kab mob hauv nruab nrog cev, kab mobhormonal theem;
- immunodeficiencies tsis hais keeb kwm;
- kab mob ntawm lub plab zom mov;
- paj hlwb puas;
- kev nyuaj siab;
- noj qee yam tshuaj.
YHormonal disorders
Seborrheic dermatitis feem ntau tsim tawm tsam keeb kwm ntawm hormonal imbalances. Raws li koj paub, testosterone thiab nws cov derivatives txhim kho kev ua haujlwm ntawm cov qog sebaceous, uas tsim cov xwm txheej zoo tshaj plaws rau kev yug me nyuam ntawm cov fungi.
Raws li kev txheeb cais, hauv cov poj niam uas muaj mob seborrheic dermatitis, qhov sib piv ntawm estrogens thiab androgens feem ntau cuam tshuam. Tej yam tshwm sim muaj xws li:
- adrenogenital syndrome;
- adrenal qog;
- polycystic zes qe menyuam;
- qog nqaij hlav zes qe menyuam;
- Itsenko-Cushing's disease;
- rog (cov ntaub so ntswg adipose synthes me me ntawm cov tshuaj hormones);
- kev yug me nyuam thiab kab mob gynecological;
Feem ntau tsim cov kab mob seborrheic dermatitis hauv cov menyuam yaus hnub nyoog qis dua, uas, dua, cuam tshuam nrog kev hloov pauv hauv cov tshuaj hormonal thiab kev loj hlob ntawm cov kabmob ntawm cov menyuam yaus.
Kab mob dermatitis vim pathologies ntawm lub paj hlwb
Raws li koj paub, kev ua haujlwm ntawm cov qog sebaceous yog tswj tsis tau tsuas yog los ntawm cov tshuaj hormones, tab sis kuj los ntawm lub paj hlwb, tshwj xeeb, nws cov kev faib tawm. Tias yog vim li cas qhov secretion ntawm sebum nce tawm tsam keeb kwm yav dhau ntawm txhua yam kev mob ntawm lub paj hlwb. Cov xwm txheej hauv qab no muaj peev xwm txaus ntshai:
- reinforcedkev ua ntawm cov qauv ntawm lub paj hlwb parasympathetic (vagotonia);
- psychoses uas txhim kho tawm tsam keeb kwm ntawm kev kis kab mob;
- Parkinson's disease;
- ntau hom kab mob vwm;
- schizophrenia;
- lethargic encephalitis.
Kab mob ntawm plab zom mov
Raws li pov thawj los ntawm kev txheeb cais, kev txhim kho ntawm seborrheic dermatitis feem ntau cuam tshuam nrog qee yam kab mob ntawm lub plab zom mov. Qhov tseeb yog tias puas / mob plab hnyuv mucosa ua rau cov kab mob metabolic. Cov tawv nqaij tsis tau txais cov vitamins thiab cov as-ham txaus, cov khoom tsim kev puas tsuaj pib tsim nyob rau hauv nws. Tej yam xwm txheej txaus ntshai yog:
- dysbacteriosis (ua txhaum ntawm cov yam ntxwv zoo thiab ntau yam ntawm txoj hnyuv microflora);
- nkag mus rau cov kab mob hauv lub cev;
- mob plab thiab hnyuv;
- colitis;
- -gastritis, gastroduoddenitis;
- mob plab hnyuv, uas yog nrog cem quav thiab raws plab;
- kab mob ntawm lub gallbladder, nrog rau stagnation ntawm cov kua tsib.
Lwm yam ua rau mob dermatitis
Tau kawg, tej zaum yuav muaj lwm yam ua rau seborrheic dermatitis:
- Piv txwv li, kev ua haujlwm ntawm lub cev tiv thaiv kab mob tseem ceeb heev. Raws li cov txiaj ntsig ntawm kev tshawb fawb txheeb cais, yuav luag 90% ntawm cov neeg mob AIDS raug kev txom nyem los ntawm qee yam ntawm seborrheic dermatitis. Tau kawg, kev tiv thaiv kab mob tsis yog ib txwm tshwm sim los ntawm tus kab mob HIV. Kev ua haujlwm ntawm lub cev tiv thaiv kab mobtxo qis tiv thaiv keeb kwm yav dhau los ntawm cov kab mob sib kis.
- Cov npe ntawm cov laj thawj kuj suav nrog kev noj qee yam tshuaj, tshwj xeeb yog cov uas cuam tshuam rau tus neeg mob cov keeb kwm hormonal. Tej zaum txaus ntshai yog cov tshuaj tiv thaiv qhov ncauj. Cov txiv neej uas noj qee yam androgens kuj muaj kev pheej hmoo.
- Muaj peev xwm txaus ntshai yog qhov tsis quav ntsej txog kev tu cev (nws yuav tsum nco ntsoov tias daim tawv nqaij xav tau kev ntxuav thiab saib xyuas tas li), cov txheej txheem tshuaj pleev ib ce hnyav, nrog rau kev siv cov khoom tu cev tsis raug.
Cov tsos mob tseem ceeb ntawm tus kab mob
Seborrheic dermatitis yog kab mob ntawm daim tawv nqaij uas muaj cov tsos mob zoo heev:
- Raws li txoj cai, me me me uas muaj qhov pom tseeb ntawm liab lossis liab tshwm thawj zaug ntawm daim tawv nqaij. Cov neeg mob yws yws ntawm khaus khaus hnyav thiab kub hnyiab, uas cuam tshuam nrog kev ua haujlwm ntawm pathogenic microflora. Maj mam, cov kab mob tau npog nrog cov nplai daj.
- Yog tias seborrheic dermatitis cuam tshuam rau daim tawv nqaij quav (piv txwv li, axillary lossis qab pob ntseg), cov ntaub so ntswg tsis tsuas yog liab, tab sis kuj o. Qee lub sij hawm cov cheeb tsam cuam tshuam tau npog nrog cov kab nrib pleb, uas qee zaum los ntshav.
- Raws li tus kab mob tshwm sim, tus neeg mob daim tawv nqaij pib tev tawm, uas cuam tshuam nrog kev tsis lees paub ntawm cov tawv nqaij tuag. Peeling kuj nrog khaus thiab lwm yam tsis kaj siab.
- Maj mam, cov tawv nqaij ntawm daim tawv nqaij yog impregnated nrog sebum, vim lawv nyob twj ywm rau ntawm qhov chaw ntawm integument, tsim cov nplai. Thaum xub thawjlawv yog me me, dawb, tab sis maj mam sib tshooj, tsim yellowish seborrheic plaques. Yog hais tias cov ntaub so ntswg kis tau, ces daim tawv nqaij nyob rau hauv cov nplai yuav o thiab pib ntub. Kev tsim cov kua paug kuj tseem tuaj yeem ua tau, vim qhov tshwm sim ntawm cov purulent lossis txawm tias ntshav crusts tshwm rau ntawm integument.
- Cov pob khaus tuaj yeem raug ntaus nqi los ntawm cov tsos mob ntawm seborrheic dermatitis, txawm li cas los xij, lawv cov tsos, raws li txoj cai, cuam tshuam nrog cov kab mob thib ob. Cov pob liab liab nyob rau hauv cov ntaub ntawv no yog polymorphic - papules, me me vesicles nrog ntau yam ntsiab lus ntawm daim tawv nqaij.
- Hauv qhov mob hnyav dua, seborrheic dermatitis yog nrog los ntawm cov tsos mob ntawm pob txuv. Pob txuv yog tshwm sim los ntawm qhov teeb meem ntawm tus kab mob ntau dua li nws cov tsos mob. Qhov tseeb yog tias sebum thiab cov hlwb tuag ntawm cov epidermis kaw cov ducts ntawm cov qog sebaceous, uas ua rau o.
Tau kawg, cov tsos mob ntawm tus kab mob ncaj qha nyob ntawm nws daim ntawv thiab theem ntawm kev loj hlob.
kab mob daim ntawv
Hnub no, muaj peb yam tseem ceeb ntawm seborrheic dermatitis:
- Feem ntau yog oily seborrhea, nyob rau hauv uas hypersecretion ntawm sebum yog pom. Nyob rau tib lub sij hawm, cov neeg mob raug kev txom nyem los ntawm pob txuv, pob txuv, tsis tu ncua oily sheen ntawm lub ntsej muag.
- Dry hom seborrhea yog nrog los ntawm kev txo qis ntawm sebum secretion. Cov tawv nqaij qhuav, thiab feem ntau cov khaubncaws sab nraud povtseg tawg. Hom kab mob no feem ntau cuam tshuam rau cov tub ntxhais hluas ua ntej puberty.
- Tseem muaj qhov hu ua sib xyaw. Nyob rau tib lub sijhawm, muaj foci ntawm ob qho tib si qhuav thiab oily ntawm daim tawv nqaij ntawm tus neeg mob lub cev.seborrhea.
Seborrheic dermatitis ntawm lub ntsej muag: duab thiab nta ntawm daim duab kho mob
Txhua hom kab mob muaj nrog nws tus kheej, cov tsos mob zoo heev. Seborrheic dermatitis ntawm lub ntsej muag yog feem ntau. Feem ntau, cov tub ntxhais hluas, nrog rau cov tub ntxhais hluas hnub nyoog qis dua 25 xyoos, ntsib teeb meem zoo sib xws. Qhov tseeb yog tias daim tawv nqaij ntawm no muaj ntau cov qog sebaceous, uas yog qhov txaus ntshai.
Seborrheic dermatitis ntawm lub ntsej muag yog qhov yooj yim los txheeb xyuas. Ua ntej, me me reddish me ntsis tshwm rau ntawm daim tawv nqaij, uas maj mam them nrog nyias daj plaques. Cov txheej txheem zoo li no nrog khaus, kub hnyiab thiab lwm yam kev xav tsis zoo. Qee lub sij hawm cov kab mob coalesce ntawm cov npoo, tsim cov discs loj heev.
Seborrheic dermatitis yog qhov mob hnyav tshaj plaws rau cov txiv neej laus uas loj hlob hwj txwv lossis hwj txwv. Nws yog nyob rau hauv cov chaw ntawm cov plaub hau kev loj hlob uas loj plaques yog localized. Qee zaum cov txheej txheem purulent koom nrog dermatitis.
Qee zaum tus kab mob kis mus rau daim tawv nqaij ntawm daim tawv muag. Cov ntaub so ntswg o, tig liab, qee zaum npog nrog cov kab nrib pleb. Me me seborrheic scales tsim raws cov plaub hau. Kev loj hlob ntawm blepharitis.
YSeborrheic dermatitis ntawm tawv taub hau
Cov txheej txheem pathological feem ntau cuam tshuam rau ntawm daim tawv nqaij ntawm tawv taub hau. Thawj cov tsos mob hauv qhov no yog dandruff. Cov theem no yog nrog rau khaus khaus, kub hnyiab thiab khaus.
Maj mam nrog seborrheic dermatitis rauthickened nplai, yellowish crusts saturated nrog sebum tshwm rau ntawm lub taub hau. Thaum lub sij hawm, lawv npog yuav luag tag nrho saum npoo ntawm lub taub hau. Yog hais tias muaj cov kab mob thib ob, tom qab ntawd cov hauv paus plaub hau ua o, pustules tsim nyob rau hauv lawv qhov chaw. Cov nplai daj ploj, thiab nrog rau cov plaub hau - tus neeg mob cov plaub hau ua thinner, thinner.
Muaj Teeb Meem
Ntau tus neeg tau ntsib seborrheic dermatitis. Kev tshuaj xyuas ntawm kws kho mob qhia tias tus kab mob feem ntau teb tau zoo rau kev kho mob. Txawm li cas los xij, qhov muaj peev xwm tsim teeb meem yuav tsum tsis txhob txiav tawm.
Qee zaum, tawm tsam keeb kwm ntawm kev mob, pob txuv tob tshwm rau ntawm daim tawv nqaij, uas nyuaj rau kho. Tsis tas li ntawd, cov kab mob ntawm daim tawv nqaij feem ntau dhau los ua lub qhov rooj rau kev kis kab mob - cov ntaub so ntswg puas tuaj yeem ua tau. Yog tias peb tab tom tham txog seborrheic dermatitis ntawm lub taub hau, ces muaj peev xwm ua tiav lossis ib nrab baldness.
Kev kho mob
Yuav ua li cas kho seborrheic dermatitis? Kev kho mob hauv qhov no yuav tsum tau ua kom tiav, vim ntau qhov no nyob ntawm qhov ua rau thiab theem ntawm kev loj hlob ntawm tus kab mob:
- Qhov tseem ceeb hauv qhov no yog siv cov tshuaj tiv thaiv kab mob. Lawv muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj (lawv tau siv nyob rau hauv cov ntaub ntawv hnyav ntawm seborrhea), nrog rau cov tshuaj pleev rau ntawm daim tawv nqaij thiab tshuaj zawv plaub hau rau cov plaub hau. Cov tshuaj muaj fluconazole, ketoconazole thiab clotrimazole yog suav tias yog siv tau.
- Cov neeg mob tau sau tshuaj tiv thaiv kab mob. Xws liCov tshuaj pab txo qhov o, liab thiab khaus uas thab tus neeg mob heev. Siv tau yog "Loratadin", "Cleastin". Hauv cov xwm txheej hnyav dua, cov kws kho mob pom zoo kom siv tshuaj intramuscular lossis intravenously tswj cov tshuaj hyposensitizing, tshwj xeeb yog sodium thiosulfate thiab calcium gluconate.
- Yog tias muaj cov txheej txheem inflammatory, cov neeg mob tau muab tshuaj glucocorticoid rau hauv daim ntawv ntawm cov tshuaj pleev lossis tshuaj pleev rau kev kho mob ntawm daim tawv nqaij. Cov tshuaj siv ntau tshaj plaws yog hydrocortisone thiab beclomethasone.
- Yuav kom muag cov epithelial integument, tshem tawm seborrheic plaques thiab nplai, cov tshuaj keratolytic yog siv, tshwj xeeb, cov khoom uas muaj urea, salicylic acid, zinc.
- Yog tias muaj kab mob kis thib ob, ces tus neeg mob txoj kev kho mob ntxiv nrog tshuaj tua kab mob.
tshuaj zawv plaub hau rau tawv taub hau
Yuav ua li cas kho seborrheic dermatitis ntawm tawv taub hau? Cov kws kho mob yuav tsum muaj cov tshuaj zawv plaub hau tshwj xeeb hauv kev kho mob. Muaj qee cov tshuaj zoo tshaj plaws thiab nrov tshaj plaws:
- Cov kws kho mob feem ntau sau tshuaj zawv plaub hau Friderm rau cov neeg mob. Lub ntsiab active ingredient ntawm cov tshuaj yog zinc pyrithione. Hauv thawj 14 hnub, cov plaub hau yog ntxuav ob zaug hauv ib lub lis piam, tom qab ntawd - ib zaug txhua 7 hnub rau ib hlis.
- Sebozol suav hais tias yog tus neeg sawv cev zoo tshuaj tiv thaiv kab mob, cov khoom tseem ceeb uas yog ketoconazole. Cov tshuaj no cuam tshuam rau phab ntsa ntawm cov fungi, tiv thaivKev txhim kho ntxiv ntawm cov kab mob pathogenic, normalizes kev ua haujlwm zais cia ntawm cov qog sebaceous, txo qhov khaus thiab tawv nqaij tawv.
- Qee zaum cov neeg mob tau qhia kom siv tshuaj zawv plaub hau Keto Plus. Qhov no yog ib qho khoom ua ke uas muaj zinc pyrithione thiab ketoconazole.
- Cov txiaj ntsig zoo yog kev siv tshuaj zawv plaub hau "Sulsena" (cov tshuaj nquag - selenium disulfide). Cov cuab yeej no inhibits kev tsim tawm ntawm fungi, txo tev tawm, ntxuav cov txheej txheem ntawm daim tawv nqaij, thiab kuj normalizes cov txheej txheem ntawm cov ntaub so ntswg keratinization.
- Qee zaus, nrog seborrheic dermatitis, "Skin-cap" tshuaj yog siv. Cov tshuaj zawv plaub hau no kuj muaj cov tshuaj tua kab mob, tab sis inhibits kev ua ntawm cov kab mob pathogenic. Tsis tas li ntawd, nws txoj kev siv tsis tu ncua tiv thaiv kev tsim cov plaques thiab nplai ntawm cov tawv taub hau.
kev kho neeg zoo
Tau kawg, koj tuaj yeem pab koj tus kheej hauv tsev. Cov tshuaj ib txwm muaj ntau cov zaub mov txawv:
- Burdock daim npog qhov ncauj siv tau. Kev npaj nws yog yooj yim: sib tov ib teaspoon ntawm zib mu thiab burdock roj nrog ob teaspoons ntawm burdock kua txiv thiab dos kua txiv. Cov khoom tshwm sim yog tov nrog me me ntawm cov tshuaj zawv plaub hau thiab siv rau ntawm daim tawv nqaij. Cov plaub hau yuav tsum tau npog nrog ib zaj duab xis thiab qhwv nrog ib daim phuam sov. Lub npog ntsej muag tuaj yeem ntxuav tom qab ib teev.
- Yog tias peb tab tom tham txog cov kab mob ntawm daim tawv nqaij, cov tshuaj pleev ib ce los ntawm decoction ntawm chamomile yuav pab tau. Cov nroj tsuag no tau hais tawm cov khoom tiv thaiv kab mob, pab txo qhov mob thiabkhaus. Cov txheej txheem niaj hnub txhim kho tus neeg mob tus mob.
- Decoctions of sage and nettle yog siv los ntxuav cov plaub hau thiab tawv taub hau.
- Decoction of oak bark yuav siv tau los ntxuav cov plaub hau tom qab ntxuav, nrog rau so tej qhov chaw ntawm daim tawv nqaij.
- Ib decoction ntawm blackcurrant ceg suav hais tias muaj txiaj ntsig, uas tuaj yeem noj qhov ncauj (hloov tshuaj yej).
Nws yuav tsum nkag siab tias kev siv cov nyiaj no tsuas yog ua tau nrog kev tso cai los ntawm tus kws kho mob tuaj koom. Tsis muaj teeb meem koj yuav tsum tsis quav ntsej qhov teeb meem, vim qhov no yuav ua rau muaj kev cuam tshuam ntawm daim tawv nqaij thiab plaub hau.
