Eczema yog kab mob polyetiological mob ntev nrog cov tawv nqaij tawv nqaij uas ua rau rov ua dua thiab yog qhov ua rau muaj kev tsis taus ntau tshaj plaws hauv kev coj ua ntawm dermatology. Raws li qhov chaw ntawm pathogenesis thiab etiology, muaj ntau ntau hom kev kho mob ntawm no pathology. Dyshidrotic eczema yog ib qho ntawm lawv.
Kev piav qhia
Hauv cov qauv tseem ceeb ntawm daim tawv nqaij pathologies, daim ntawv kho mob no muaj nyob hauv 8% ntawm cov neeg mob. Txhua tus neeg muaj lub sijhawm los mob khaub thuas, tsis muaj cov ntaub ntawv qhia meej txog kev sib raug zoo ntawm tus kab mob no nrog kev sib deev, lawv raug kuaj pom hauv cov poj niam thiab cov txiv neej sib npaug, cov hnub nyoog ntawm qhov muaj feem ntau yog cov neeg hnub nyoog 25 txog 50 xyoo, qhov no Tus kab mob no tsis tshua pom nyob rau hauv cov neeg mob ntawm lwm lub hnub nyoog, tshwj xeeb tshaj yog nyob rau hauv cov me nyuam. Cov neeg nyob hauv nroog raug tus kab mob no ntau dua li cov neeg nyob hauv zos.
Vim lub hauv paus chiv keeb
Kev tshawb fawb ntev qhia tau tias thawj qhov chaw ntawm qhov ua rau dyshidrotic eczemanyob:
- kev ua haujlwm txaus ntshai;
- nto tiv nrog cov tshuaj nquag;
- misuse of drug;
- siv cov tshuaj ntxuav tes thiab tshuaj pleev ib ce;
- tsis tshua muaj mob tshwm sim los ntawm neuropsychic trauma lossis kev ntxhov siab ntev;
- abrasions, abrasions, kub hnyiab;
- hypothermia;
- hnub ci hluav taws xob;
- kab mob kis.
Tus kab mob puas kis tau?
Dyshidrotic eczema tsis kis ntawm ib tus neeg mus rau lwm tus. Hauv kwv yees li 20% ntawm cov neeg mob, nws tsis tuaj yeem txheeb xyuas qhov tseeb ntawm tus kabmob. Ib nrab ntawm cov tib neeg muaj ib tug kab mob predisposition rau kev ua xua, muaj pollinosis nyob rau hauv cov niam txiv, atopic dermatitis los yog bronchial hawb pob. Qhov ua rau eczema yog kev ua txhaum ntawm hws, feem ntau hyperhidrosis ntawm ob txhais taw thiab txhais tes, uas yog txiav txim siab los ntawm qhov tsis muaj zog ntawm lub paj hlwb, ib qho kev tsis sib haum xeeb ntawm kev tswj hwm neuroendocrine ntawm cov qog endocrine. Hauv cov menyuam yaus, pathology tuaj yeem ua rau neuro-arthritic thiab catarrhal-exudative diathesis. Nyob rau hauv xws li mob, muaj ib tug siab excitability ntawm lub autonomic paj hlwb, tshwj xeeb tshaj yog hyperhidrosis ntawm xib teg thiab ko taw. Dyshidrotic eczema feem ntau pom muaj nyob rau hauv cov ntxhua khaub ncaws, plasterers, cov ntxhua khaub ncaws, cov neeg ua haujlwm hauv cov koom haum tshuaj, cov kev pabcuam tsheb, uas yog, nyob rau hauv cov neeg uas, los ntawm lawv qhov tshwj xeeb, muaj kev sib cuag ncaj qha nrog cov tshuaj phem.
Cov tsos mob thiab cov tsos mob
Nrog kev tawm hws hauv zos, cov kua hauvexcretory ducts ntawm cov qog hws tuaj yeem nyob twj ywm thiab tsim:
- pob txha zoo li pob txha, zoo li cov hlwv me me nrog cov txheej tawv tawv thiab cov khoom pob tshab sab hauv;
- Ua ntej, thawj qhov tshwm sim ntawm cov pob liab liab tshwm nyob rau sab nraud ntawm cov ntiv tes, tom qab ntawd lawv txav mus rau cov xib teg lossis thaj chaw cog qoob loo ntawm cov extremities;
- tus neeg mob khaus khaus heev;
- tom qab o thiab hyperemia ntawm cov ntaub so ntswg hauv zos tshwm;
- vesicles tuaj yeem qhib ntawm lawv tus kheej lossis vim khaus, ua rau me me erosions nrog ntau pob tshab tawm, daim tawv nqaij ntawm xib teg thiab ko taw pib tev tawm;
- kis kab mob thib ob feem ntau tshwm sim, vim qhov tshwm sim ntawm qhov txhab tuaj yeem fester, cov kab nrib pleb tshwm rau ntawm daim tawv nqaij, txheej txheej hyperkeratic, cov qauv ntawm daim tawv nqaij nce (lichenization);
- mob txuas nrog khaus khaus.
theem thiab cov ntawv
Tus kab mob tuaj yeem tshwm sim hauv txhua theem ib zaug, yog li, thaum soj ntsuam, koj tuaj yeem pom cov pob liab liab, purulent vesicles, tawv nqaij tev, yaig thiab lwm yam cim tshwm sim ib txhij. Tus kab mob no feem ntau muaj ib daim ntawv ntev nrog rau theem ntawm remissions thiab exacerbations. Kev kho mob tsis zoo. Exacerbations ua rau muaj kev ntxhov siab, kev sib cuag nrog cov tshuaj, nrog surfactants, microtrauma, abrasions ntawm xib teg thiab ko taw, insolation ntau dhau, thiab ua xua. Kev tshwm sim ntawm pob khaus ntawm dyshidrotic eczema ntawm ob txhais tes (duab hauv qab), uas tshwm sim thaum muaj kev ntxhov siab hnyav, huab cua kub, ploj mus ntawm lawv tus kheej thaumKev cais tawm ntawm qhov ua rau yog tias muaj peev xwm kis tau tus kab mob thib ob raug tshem tawm.
Nws yuav tsum tau ua tib zoo saib xyuas qhov tseeb tias cov neeg tsis muaj kev kawm kho mob yuav tsum tsis txhob txiav txim siab thiab tsim kev kho mob, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias ntau yam kev kho mob tsis raug tshwm sim los ntawm kev ua txhaum ntawm cov neeg mob lawv tus kheej. Untimely thov rau cov kws kho mob rau kev pab, nrog rau kev kho tus kheej, tuaj yeem cuam tshuam cov tsos mob ntawm daim duab, uas tuaj yeem cuam tshuam qhov kev kuaj mob zoo. Eczema ntawm ko taw thiab txhais tes yuav tsum txawv ntawm:
- Ydyshidrotic mycosis;
- xav dermatitis;
- thiab lwm hom kab mob eczema.
YPlantar Psoriasis;
Thiab koj tuaj yeem paub qhov txawv ntawm dyshidrotic eczema (daim duab) thiab mycosis nkaus xwb nyob rau hauv cov phab ntsa ntawm chav kuaj, tshuaj xyuas cov ntaub so ntswg nyob rau hauv lub tshuab tsom. Tsis tas li, ob txoj kab mob no tuaj yeem kuaj tau thiab ua ke hauv ib tus neeg mob.
Diagnosis
Tus kws tshaj lij tshwj xeeb tuaj yeem kuaj pom kab mob tau yooj yim, tsuas yog tso siab rau kev kuaj pom ntawm tus neeg mob, pob pob tshwj xeeb thiab lawv qhov chaw. Kev kawm txog cov ntaub ntawv dav dav ntawm tus neeg mob thiab nws tsev neeg tam sim ntawd yuav qhia tau tias muaj keeb kwm ntawm tus kab mob. Nrhiav kom paub lub sijhawm tiag tiag ntawm qhov pib ntawm cov tsos mob thiab kev kuaj ntshav yuav pab txhawm rau txheeb xyuas lwm yam ua rau pathology. Tsis tas li ntawd, kev soj ntsuam kuaj ntawm scrapings yog ua los xyuas cov kab mob ua rau kis kab mob. Kab lis kev cai ntawm serous sab hauv ntawm lub vesicles tuaj yeem qhia qhov tsis muaj kab mobkab mob. Hom eczema no kuj txawv ntawm ntau yam kab mob ntawm daim tawv nqaij, psoriasis, dermatitis thiab lwm yam eczema. Tom qab tau txais tag nrho cov txiaj ntsig kev xeem, tus kws kho mob tau teeb tsa kev kho tus kheej rau txhua tus neeg mob, suav nrog cov laj thawj ntawm keeb kwm thiab theem ntawm cov tsos mob.
Kev kho mob dyshidrotic eczema
Muaj ob peb txoj hauv kev kho mob, kev vam meej yuav tsum muaj ib tus neeg mus kom ze rau txhua tus neeg mob, cuam tshuam rau cov ntsiab lus tseem ceeb ntawm cov kab mob pathogenetic (ua rau lub hauv paus chiv keeb). Ua ntej kev kho mob, cov kab mob pathological raug kuaj pom thiab tshem tawm, uas ua rau muaj kev txhawb nqa - nti tom qab ntawm daim tawv nqaij, qhov txhab ntawm lub cev, kab mob sib kis, neuroses. Thiab tseem, raws li qhov ua tau, ntau yam xwm txheej sab nraud uas tuaj yeem cuam tshuam rau ntawm daim tawv nqaij thiab lub paj hlwb ntawm tus neeg mob raug cais tawm. Nws tsis yog qhov tsim nyog los siv ntau tus neeg sawv cev sib txawv lossis cov tshuaj noj hauv qhov ncauj tib lub sijhawm, yog tias muaj kev tsis haum, nws yuav nyuaj dua kom paub tias cov tshuaj twg txhawb nws. Txij li thaum pawg neeg mob no muaj kev ntxhov siab rau cov tshuaj, yog li ntawd, cov tshuaj pleev yog thawj zaug siv rau kev kho mob ntawm dyshidrotic eczema hauv thaj tsam txwv, tom qab kev ua siab ntev tau tsim nyob rau hauv txhua qhov chaw cuam tshuam. Nrog eczema, cov ntsiab lus tseem ceeb ntawm cov kab mob pathogenetic yog:
- hormonal cuam tshuam;
- kev tiv thaiv tsis zoo;
- kev ua haujlwm ntawm excretory;
- ua txhaum ntawm carbohydrates, proteinfat metabolism;
- kev ua haujlwm ntawm lub plab zom mov;
- mob ntawm lub hauv nruab nrab paj hlwb;
- cuam tshuam hauv kev ua haujlwm ntawm lub paj hlwb autonomic, uas cuam tshuam nrog kev sib pauv ntawm cov neurotransmitters.
Nrog dyshidrotic eczema ntawm ob txhais tes, kev kho mob yuav tsum ua kom zoo. Lub ntsiab tseem ceeb yog tsom los kho cov haujlwm cuam tshuam ntawm lub cev tag nrho. Cov chav kawm tau raug sau tseg, coj mus rau hauv tus account theem ntawm cov txheej txheem inflammatory, muaj qhov pom ntawm pob liab liab thiab pyoderma. Lub hom phiaj ntawm kev kho mob hauv zos yog txo lossis tshem tawm cov tawv nqaij tshwm sim ntawm tus kab mob, rov ua kom tus neeg mob lub peev xwm ua haujlwm. Hauv qhov no, txhais tau tias yog siv, uas peb yuav xav txog ntau yam ntxiv.
sedatives thiab antihistamines
sedatives (hypnotics, sedatives) yog tshuaj, nrog rau cov tshuaj tiv thaiv, xws li Cetrin, Zirtek, Tavegil, Suparstin, Erius, calcium npaj parenterally. Cov tshuaj no yuav pab txo qhov tsis haum tshuaj thiab ua kom lub siab lub ntsws zoo li qub.
nyiaj hauv zos
Yog hais tias quaj eczema nrog manifestations ntawm pyoderma, tshuaj pleev los ntawm cov kev daws yog muab, hnav khaub ncaws hloov txhua 15-20 feeb:
- Yboric acid 1-2%;
- Yresorcinol 0.25%;
- tannin;
- furatsilin;
Y Cream thiab tshuaj pleev: "De-Panthenol", "Epidel", "Destin", "Losterin", "Eplan", "Radevit", "Aisida", "Solcoseryl", "Timogen", "Fenistil", Gistan, Naftaderm, Videstim.
Thaum ntxiv cov kab mob thib ob, nws yuav tsum tau siv cov tshuaj tua kab mob - "Levosin", "Bactroban", "Fucidin", "Erythromycin" thiab "Gentomycin" tshuaj pleev. Cov tshuaj tua kab mob tuaj yeem siv tau - kev daws teeb meem ntawm Miramistin thiab Chlorhexidine ua ntej siv cov tshuaj pleev. Tom qab tshem tawm cov tsos mob ntawm tus kab mob, yog tias muaj cov kab nrib pleb thiab yaig, cov tshuaj pleev uas muaj cov tshuaj corticosteroids raug pom zoo tsuas yog raws li kws kho mob qhia nrog luv luv ntawm kev kho cov mem tes. Nws yog qhov tsis txaus siab heev los siv cov tshuaj pleev tshuaj hormonal ntev, txij li thaum lawv siv lwm cov tshuaj tiv thaiv sab nraud tuaj yeem ua rau tsis zoo thiab yuav muaj kev cuam tshuam ntawm cov pob khaus, lawv tuaj yeem ua rau muaj kev cuam tshuam rau lub cev, steroid dependence thiab, nrog rau kev siv ntev., tuaj yeem ua rau tawv nqaij atrophy. Dab tsi ntxiv yog kev kho mob ntawm dyshidrotic eczema ntawm tes koom nrog?
Physiotherapy
Txoj kev kho lub cev feem ntau siv. Lub cev muaj zog tuaj yeem muaj txiaj ntsig zoo rau kev txhim kho lub cev tiv thaiv, txhim kho kev tiv thaiv thiab hloov kho cov txheej txheem, thiab txo cov tshuaj:
- Ua ke nrog ultrasonic, laser thiab sib nqus teebmeem.
- Cryotherapy.
- Darsonvalization tseem yuav siv tau.
- Acupuncture.
- tshuaj ntsuab thiab tshuaj tsw qab.
- Electro pw tsaug zog.
- Pom zoo radon, ntxhia, hydrogen sulfide da dej.
- Kev kho av av hauv chav kho mob spa. So nyob rau lub caij ntuj sov thiab lub caij nplooj zeeg ua rau kom ceev ceevrov qab los, thiab kev hloov pauv huab cua kuj muaj txiaj ntsig zoo.
Tom qab kev kho zoo li no, kev ua kom zoo dua ntawm cov tawv nqaij thiab cov xwm txheej ntawm tus neeg mob lub cev raug kaw.
Yuav ua li cas kho dyshidrotic eczema, tsis yog txhua tus paub. Ib tug kws kho hniav uas tsim nyog yuav pab tau qhov no.
YVitamin Therapy
Txhawm rau tiv thaiv kev rov qab los, nws tsis muaj txiaj ntsig tsawg dua los siv phyto-vitamin kho, uas yog xaiv rau txhua hom eczema. Vitamins E thiab A los yog multivitamin npaj uas muaj cov vitamins - nicotinic acid, ascorbic acid, Retinol, Riboflavin thiab B vitamins, tshwj xeeb tshaj yog B1, B6 thiab B12.
Tiv thaiv daim tawv nqaij los ntawm kev cuam tshuam sab nraud
Thaum ua haujlwm nrog cov khoom tsis paub lossis tshuaj lom neeg, koj yuav tsum tiv thaiv koj txhais tes nrog cov hnab looj tes roj hmab kom tsis txhob ua rau cov tawv nqaij puas. Hnav cov hnab looj tes paj rwb hauv qab. Qhov no yog vim qhov saum npoo hauv cov hnab looj tes roj hmab tau kho nrog ntau cov hmoov, uas zoo li ua rau tawv nqaij, thiab nrog rau cov khoom tsim ntawm ntuj ya raws tuaj yeem ua rau maceration.
Hygiene
Nrog dyshidrotic eczema ntawm ob txhais tes, tshuaj zawv plaub hau thiab da dej gels nrog dyes thiab fragrances yuav tsum tsis txhob muab ntxuav; tus me nyuam xab npum los yog ib tug tshwj xeeb tsim hypoallergenic khoom tu tawv nqaij yog suav hais tias zoo tagnrho. Cov lus qhia tib yam rau kev saib xyuas cov ntaub pua tsev thiab cov khaub ncaws uas yuav tsum tau muab yaug ob zaug tom qab ntxuav tsis siv neeg. Yog muajKev tshwm sim ntawm daim tawv nqaij ntawm ko taw, nruj thiab thom khwm ua los ntawm cov khoom siv hluavtaws yuav tsum tsis txhob siv, ntxiv rau qhov tseeb tias lawv tsis tuaj yeem nqus dej noo thiab tso cai rau huab cua kom dhau los ntawm qhov txaus, lawv tuaj yeem tsim kev tsis haum tshuaj. Nws yog ib qho tseem ceeb uas yuav tsum xaiv cov khau uas "ua pa" thiab xis nyob, nyiam dua los ntawm cov ntaub ntawv ntuj. Nkawm khau yuav tsum tau saib xyuas zoo, ntxuav thiab qhuav kom huv si kom tsis txhob muaj kab mob fungal thiab kab mob hauv dyshidrotic eczema ntawm ko taw.
Kev noj haus
Kev tiv thaiv suav nrog kev tswj hwm kev tswj hwm txhua hnub, ua raws li kev noj haus, tshem tawm cov khoom noj uas tuaj yeem ua rau muaj kev fab tshuaj, nrog rau cov khoom noj ntsim, ntsev, cov ntsev, ntau yam nqaij haus luam yeeb, hnyuv ntxwm thiab cheese, cov carbohydrates ceev ceev kuj xav tau. cais - cov khoom hmoov, qab zib, khoom qab zib, khoom qab zib thiab cawv.
Psychologist help
Dyshidrotic eczema ntawm ob txhais ceg (peb nthuav tawm daim duab), ntxiv rau qhov tsis yooj yim ntawm lub cev, ua rau muaj kev cuam tshuam kev ncaj ncees rau tus neeg mob vim nws qhov tsos tsis zoo ntawm qhov chaw ntawm daim tawv nqaij thiab kev saib xyuas ntawm cov neeg nyob ib puag ncig nws. Yog tias tus neeg mob tsis tuaj yeem daws qhov teeb meem nyuaj no ntawm nws tus kheej, ces nws raug qhia kom kho los ntawm kws kho mob hlwb.
