Nrog rau cov kab mob dermatological xws li dermatitis, psoriasis, mycosis, eczema ntawm ob txhais tes yog qhov ntau heev. Cov lus nug txog kev kho tshuaj ntawm tus kab mob no tsis poob lawv qhov tseeb. Txawm hais tias qhov tseeb tias eczema yog ib yam kab mob uas tsis muaj kev sib kis, nws qhov kev nthuav dav tau tshwm sim: txhua xyoo, eczema raug kuaj pom ntau tus neeg mob txhua hnub nyoog, poj niam txiv neej, kev sib raug zoo.
Hnub no, kev lag luam kws tshuaj muaj ntau yam tshuaj los tiv thaiv kab mob dermatosis, tab sis kev xyaum ntau zaus qhia tau tias cov tshuaj hauv khw muag tshuaj tsis kho eczema ntawm tes mus ib txhis. Raws li txoj cai, tus kab mob no kho tau, tab sis tib lub sij hawm nws tau txais kev kawm ntev heev, ntxiv rau kev hloov pauv nrog kev tshem tawm thiab rov ua dua. Hauv tsab xov xwm no, peb yuav nrhiav cov lus teb rau cov lus nug txog cov yam ntxwv ntawm cov kab mob eczema ntawm tes, cov tsos mob, qhov ua rau tus kab mob no thiab cov tshuaj kho mob.
Dab tsiNov yog kab mob
Eczema yog ib qho kev mob tshwm sim ntawm cov txheej txheem sab sauv ntawm cov epidermis. Cov kws tshawb fawb tseem tsis tau hais meej tias qhov ua rau tus kab mob dermatological no, tab sis nws paub tias cov kab mob muaj cov kab mob neuro-allergic ntawm keeb kwm. Cov kab mob ntawm daim tawv nqaij nyob rau hauv hom dermatosis no tsis yog ib qho kev kho mob tshwm sim ntawm ib tug kab mob los yog fungal kab mob, yog li tsis muaj ib tug tsis ntseeg koj yuav teb tau cov lus nug ntawm seb eczema ntawm ob txhais tes yog kis tau. Tsis zoo li cov kab mob fungal, lichen, scabies, herpes, tus kab mob no tsis kis ntawm ib tus neeg mus rau lwm tus.
kab mob eczema tuaj yeem tshwm sim hauv cov mob hnyav, subacute thiab mob ntev. Hauv thawj kis, peb tab tom tham txog cov cim qhia ntawm tus kab mob. Daim ntawv subacute ntawm eczema yog tus cwj pwm los ntawm ib feem ntawm qhov mob ntawm daim tawv nqaij, nws coarsening thiab me ntsis thickening. Nyob rau hauv dermatosis ntev, uas, los ntawm txoj kev, yog kuaj pom nyob rau hauv lub predominant tus naj npawb ntawm mus ntsib ib tug kws kho mob dermatologist, cov txheej txheem pathological tsim maj mam. Tab sis txawm tias thaum lub sij hawm tus kab mob nyob ntsiag to, kev hloov ntawm daim tawv nqaij tseem nyob: nws ua daj ntseg, qhuav, tau txais ib qho piv txwv ntawm ib tug scaly qauv.
Vim li cas eczema tshwm
Dermatosis tuaj yeem cuam tshuam yuav luag txhua qhov chaw ntawm lub cev. Feem ntau, qhov tshwm sim ntawm tus kab mob tshwm sim ntawm lub ntsej muag, tawv taub hau, lub luj tshib, ceg, ntiv tes thiab xib teg. Qhov sib txawv tseem ceeb ntawm cov hom eczema uas twb muaj lawm ntawm tes yog qhov tshwm sim ntawm lawv qhov tshwm sim. Tab sis, txawm hais tias polyetiology ntawm tus kab mob, nws tseem tuaj yeem txheeb xyuas ntau yam kev qhia dav dav uas ua haujlwmfertile av rau kev loj hlob ntawm dermatosis ntawm ob txhais tes ntawm txhua yam thiab daim ntawv:
- nce daim tawv nqaij rhiab heev rau kev ua xua (sensitization);
- kev hloov pauv rau cov kab mob ntawm daim tawv nqaij;
- Impaired immune functions.
Cais, nws tsim nyog sau cia cov xwm txheej uas ua rau muaj kev cuam tshuam hauv kev txhim kho cov txheej txheem pathological ntawm daim tawv nqaij. Hauv qhov kev nkag siab no, qhov ua rau eczema ntawm cov ntiv tes tuaj yeem xav txog:
- Kev noj zaub mov tsis zoo. Nws txhais tau hais tias kev noj zaub mov ntau dhau ntawm cov khoom noj muaj roj, cov khoom lag luam ib nrab tiav, cov khoom khaws cia thiab cov khoom noj tsis txaus uas nkag mus rau hauv lub cev los ntawm cov khoom ntuj tsim.
- Tsis muaj cov vitamins B, omega-3 fatty acids.
- Helminthiasis, muaj cov kab mob sib kis thiab mob ua paug hauv lub cev.
- raug rau cov tshuaj tsis haum (cov tshuaj ntxuav tes, tshuaj pleev ib ce, tsiaj dander, kab tom, ntaub hluavtaws, nroj tsuag, thiab lwm yam).
- Tsis quav ntsej txog kev tu cev thiab kev huv yog tias muaj kev puas tsuaj rau daim tawv nqaij.
- Txoj kev puas siab puas ntsws tsis tu ncua, kev ntxhov siab, overstrain.
- plab hnyuv dysbiosis, nrog los ntawm kev cuam tshuam hauv lub plab zom mov.
- tsis ua haujlwm hauv cov txheej txheem metabolic, hormonal tsis txaus.
- Nyob rau hauv lub raum pathologies.
True eczema
Qhov ua rau tus kab mob no yog qhov tseem ceeb ua ntej hauv kev kho mob. Tab sis, raws li twb tau hais lawm, cov kws tshawb fawb tsuas muaj kev xav txog qhov tshwm sim ntawm lub hauv paus chiv keeb ntawm eczema ntawm tes los yog lwm qhov chaw.lub cev.
Qhov loj tshaj "tsis paub meej" rau cov kws kho mob dermatologist yog etiology ntawm idiopathic (tseeb) ntau yam ntawm tus kab mob - qhov laj thawj tseem ceeb tseem tsis tau tsim. Tab sis tseem, cov kws tshawb fawb ceeb toom: cov neeg uas nws cov txheeb ze tau kuaj pom tias muaj kab mob eczema feem ntau yuav tsim nws. Ntxiv nrog rau cov kab mob ntawm cov kab mob, kev noj qab haus huv ntawm endocrine system thiab lub xeev ntawm lub plab zom mov kuj ua lub luag haujlwm. Qee cov kws tshawb fawb ntseeg tias qhov tseeb eczema ntawm tes tshwm sim tawm tsam keeb kwm ntawm vegetovascular dystonia, tsis muaj kev pw tsaug zog thiab mob hlwb. Yam tsawg kawg ntawm cov xwm txheej no, qhov tshwm sim ntawm dermatosis ntawm tes ntawm cov poj niam uas nyuam qhuav yug me nyuam feem ntau cuam tshuam.
Cov kev kawm ntawm pathology yog tus yam ntxwv los ntawm qhov pib mob hnyav. Tus neeg mob muaj erythema ntawm qhov chaw cuam tshuam, me ntsis o, me me vesicles (me me compacted nodules) tshwm. Raws li cov pob khaus zuj zus, cov hlwv ua rau ntau dua li cov hlwv, uas, tom qab ob peb hnub, qhib thiab tawm cov qhov txhab ntawm qhov txhab. Thaum cov erosion pib crust, lawv hais txog ib tug regression ntawm tus kab mob.
YDyshidrotic eczema
Lwm yam kab mob ntawm daim tawv nqaij, lub hauv paus chiv keeb yog ib feem ntawm cov kws kho mob paub tsis meej. Cov laj thawj tseem ceeb rau nws txoj kev loj hlob tseem tsis tau paub. Nyob rau tib lub sijhawm, cov kws kho mob dermatologist ntseeg tias dyshidrotic eczema tshwm sim ntau zaus hauv cov neeg uas tawm hws ntau. Eruptions yog localized feem ntau ntawm cov ntiv tes, xib teg, thaj tsam ntawm tes, soles.
hom kab mob dermatosis noua raws li qhov scenario tau piav saum toj no. Muaj tseeb tiag, tsis zoo li qhov tseeb eczema ntawm ob txhais tes, lub suab quaj tsis kav ntev. Tightening, erosion hloov mus rau hauv compacted brownish crust. Cov tawv nqaij ntawm qhov chaw ntawm qhov txhab coarsens dhau sijhawm.
Microbial eczema
Hom kab mob dermatosis no yog provoked los ntawm kev ua ntawm cov kab mob microflora. Feem ntau, cov txheej txheem pathological tsim nyob rau hauv thaj tsam ntawm kev puas tsuaj rau ntawm daim tawv nqaij, nyob ib ncig ntawm qhov txhab, txiav, kub hnyiab nrog microbes vim kev tu cev tsis zoo. Kev kho mob ntawm microbial eczema ntawm ob txhais tes yog ua nrog kev siv tshuaj tua kab mob.
Sab nraud, dermatosis yog tshwm sim los ntawm exfoliation ntawm txheej sab sauv ntawm cov epidermis raws cov npoo ntawm lub qhov txhab, tev lossis tso tawm cov kua dej exudative, ua raws li kev tsim cov pob zeb. Ib tug yam ntxwv feature ntawm microbial eczema yog purulent ntsiab, khaus hnyav.
Ib subspecies ntawm hom kab mob no yog mycotic dermatosis. Nws lub npe hais rau nws tus kheej: qhov no eczema yog provoked los ntawm ib tug fungus. Xav txog tias cov poov xab yog cov kab mob txawv teb chaws rau peb, nrog rau cov khoom ntawm lawv cov txheej txheem metabolic, lub cev tiv thaiv kab mob pib tawm tsam lawv. Txawm li cas los xij, yog tias cov haujlwm tiv thaiv tsis muaj zog, ntau cov tshuaj tiv thaiv raug tsim tawm, uas thaum kawg pib "sib tsoo" cov ntaub so ntswg ntawm peb lub cev.
Ntau tus ntseeg tias cov kab mob microbial thiab mycotic eczema ntawm tes yog kab mob sib kis. Qhov tseeb qhov no tsis muaj tseeb. Dermatosis tsis kis ntawm ib tus neeg mus rau lwm tus, tab sis cov kab mob pathogenic microbes thiab fungi tuaj yeem ua tau zookis tau los ntawm kev nkag mus rau hauv cov ntaub so ntswg los ntawm qhov txhab ntawm daim tawv nqaij.
kab mob ua xua
Pab pawg dermatoses no suav nrog atopic thiab kev ua haujlwm eczema. Daim ntawv atopic yog provoked los ntawm lub cev tiv thaiv kab mob rau ib tug irritant, uas yuav ua tau dab tsi los ntawm tsev neeg plua plav thiab tsiaj plaub hau nyob rau hauv lub tsev, xaus nrog zaub mov thiab tshuaj. Sab nraud, atopic eczema txawv ntawm ntau yam ntawm dermatosis yav dhau los. Tus kab mob no tshwm sim nws tus kheej nyob rau hauv daim ntawv ntawm ib tug profuse blistering ua pob liab vog ntawm hyperemic edematous cheeb tsam ntawm daim tawv nqaij, tab sis bypasses lub theem ntawm quaj. Nws muaj peev xwm paub qhov txawv ntawm atopic eczema los ntawm lwm yam kab mob ntawm daim tawv nqaij los ntawm qhov mob dryness ntawm integument, tev thiab khaus khaus khaus.
Kev ua haujlwm eczema kuj muaj qhov tsis haum ntawm keeb kwm. Hom kab mob dermatosis no yog txuam nrog kev ua haujlwm, vim eczema tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev sib cuag nrog cov tshuaj, dyes, formaldehydes. Feem ntau, cov cheeb tsam ntawm daim tawv nqaij raug cuam tshuam, yog li tus kab mob no feem ntau yog nyob rau ntawm xib teg thiab ntiv tes.
Tsis zoo li kev kho kab mob microbial thiab idiopathic, kev kho mob ntawm kev tsis haum eczema tsis tas yuav siv cov tshuaj. Feem ntau, nrog rau chav kawm tsis yooj yim ntawm tus kab mob, nws yog qhov txaus kom tsuas yog tshem tawm kev sib cuag nrog tus kab mob.
Yuav kho eczema ntawm tes
Kev kho mob ntawm daim tawv nqaij no tshwj xeeb vim nws ua rau. Tsis tas li ntawd, rau daim tawv nqaij lesions nrog qhov tseeb, tsis haum los yogNyob rau hauv daim ntawv dyshidrotic, tus kab mob tuaj yeem koom nrog, uas yuav ua rau muaj kev cuam tshuam ntawm cov kab mob thiab ua rau lub sijhawm kho. Qhuav eczema ntawm ob txhais tes feem ntau kho sai dua eczema ntub.
Cov kev kho mob yog tsim los ntawm kws kho mob dermatologist ib leeg rau txhua tus neeg mob, suav nrog hom thiab hom kab mob, theem thiab qhov xwm txheej ntawm chav kawm, tus yam ntxwv ntawm tus neeg mob lub cev, thiab hnub nyoog. Tab sis tsis muaj teeb meem dab tsi uas tus kws kho mob tau sau tseg, kev ua tiav ntawm kev kho mob yuav nyob ntawm seb tus neeg mob tau zoo npaum li cas los daws qhov teeb meem no. Ntxiv nrog rau kev siv tshuaj los kho eczema ntawm tes, nws tseem ceeb heev rau:
- khoom noj;
- tsis quav ntsej txog kev tu cev;
- ua lub neej noj qab nyob zoo yam tsis muaj kev ntxhov siab thiab tus cwj pwm phem.
Tom qab qhov pib ntawm kev zam txim, nws tsis tuaj yeem ua rau tsis muaj kev ceev faj, vim tias tus kab mob tuaj yeem hnyav zuj zus txhua lub sijhawm thaum raug cuam tshuam los ntawm qhov tsis zoo. Raws li kev tiv thaiv, nws raug nquahu kom siv cov tshuaj tiv thaiv hypoallergenic zoo nrog cov khoom xyaw ntuj.
Kev noj tshuaj los ntawm qhov ncauj
Kev kho mob dermatosis ntawm tes muaj ob yam: kev kho mob thiab kev siv tshuaj hauv zos.
Tso thiab ntsiav tshuaj rau eczema ntawm ob txhais tes tau noj txhawm rau txhawm rau txhawm rau tshem tawm qhov tsis hnov tsw rau irritants, kom muaj cov nyhuv desensitizing. Ua ntej ntawm tag nrho cov, nws yog ib qhov tsim nyog los cais cov neurogenic yam ntawm tus kab mob. Rau kev mob me me, cov tshuaj sedatives cog tau raug sau tseg:
- "Persen";
- Sedasen;
- Novo-Passit;
- Ytinctures ntawm valerian, motherwort, peony.
Yog tias lawv tsis coj qhov kev kho mob tiag tiag, tus neeg mob tau muab tshuaj tranquilizers (Nozepam, Phenazepam, Chlosepide).
txhawm rau txo kev qaug cawv, tus neeg mob tau sau cov tshuaj enterosorbents. Feem ntau, siv:
- "Multisorb";
- "Enterosgel";
- "Atoxil";
- Filtrum;
- Polysorb.
Yeej, cov tshuaj hormonal rau eczema yog siv rau hauv zos rau thaj tsam ntawm daim tawv nqaij. Tab sis nyob rau theem kawg ntawm tus kab mob los yog nyob rau hauv cov ntaub ntawv ntawm ib tug kab mob, glucocorticoids qhia nyob rau hauv cov ntsiav tshuaj:
- "Corticotropin";
- "Prednisolone";
- "Dexamethasone";
- "Triamcinolone".
Cov tshuaj Hormonal muaj lub zog tiv thaiv kab mob, pib txheej txheem ntawm daim tawv nqaij, tab sis lawv tsis tuaj yeem siv nws tus kheej. Qhov tshaj plaws yog tias cov tshuaj ntawm pab pawg no muaj cov npe ntawm contraindications thiab cov kev mob tshwm sim, lawv haus lawv nyob rau hauv luv luv los yog ncua kev kawm. Tsis tas li ntawd, nrog kev tswj tsis tau, cov tshuaj steroids tuaj yeem ua rau muaj kev tiv thaiv thiab lawv tsuas yog tsim nyog rau kev kho mob eczema qhuav ntawm tes.
Nyob rau tib lub sijhawm nrog cov tshuaj tiv thaiv kab mob rau kev kho mob eczema, noj tshuaj tiv thaiv kab mob. Lawv siv yog ib qho tseem ceeb ntawm cov kev kho mob complex, vim hais tias nws yog antiallergic tshuaj uas tiv thaiv o, hlawv thiab khaus khaus nrog eczema ntawm ob txhais tes. Ntawm cov tshuaj antihistamines,uas yog siv rau dermatoses, nws yog tsim nyog sau cia:
- Ebastine;
- "Cetirizine";
- "Cetrin";
- Zodak;
- "Loratadine";
- YClaritin;
- "Lorahexal";
- "Erius";
- Desal.
Thaum lub sijhawm tus kab mob lull, cov neeg mob tau qhia kom ua kom lub zog tiv thaiv kab mob. Vitamin-mineral complexes muaj cov vitamins ntawm pawg E, B, C, folic thiab nicotinic acids tuaj yeem pab nrog qhov no. Feem ntau lawv tau muab tshuaj ua ke nrog immunomodulators:
- YPolyoxidonium;
- "Immunofan";
- Plasmol;
- "Timogen";
- echinacea extract.
Kev kho mob sab nraud
Kev kho hauv zos yog ua los ntawm kev thov cov neeg sawv cev sab nraud. Lawv pab txo qhov khaus khaus, txo qhov hnyav ntawm inflammatory edema, hyperemia, pib cov txheej txheem kho cov ntaub so ntswg thiab ntxiv dag zog rau kev tiv thaiv hauv zos. Thaum xaiv cov tshuaj pleev kom zoo rau eczema ntawm ob txhais tes, nws yog ib qho tseem ceeb uas yuav tau sab laj nrog kws kho mob, vim tsis yog txhua yam tshuaj muaj nyob hauv khw muag tshuaj tuaj yeem yuav yam tsis muaj tshuaj thiab siv nws tus kheej.
Nrog rau kev loj hlob ntawm microbial eczema, tshuaj tua kab mob thiab tshuaj tua kab mob yog siv ("Gentian violet", "Methylviolet"), ointments ("Polcortolone", "Levovinizol"), tshuaj pleev ib ce nrog "Resorcinol". Yog tias thaj chaw me me raug cuam tshuam, siv cov tshuaj formulations uas muaj cov nyhuv anti-inflammatory:
- "Zinc sulfate",
- "Copper sulfate";
- "Silver Nitrate";
- "Kev daws teeb meemphenol";
- "Podophyllin tshuaj pleev";
- "Diphenhydramine muab tshuaj"
Nyob rau theem subacute ntawm eczema, cov tshuaj ntawm ib hom indifferent yog siv ("Galascorbin", "boric acid", "tannin", "Borno-zinc ointment", "Ichthyol ointment"). Lawv daim ntawv thov tuaj yeem ua rau muaj txiaj ntsig zoo thaum tsis muaj puffiness, rwj, quaj.
Hauv cov kab mob eczema, txhawm rau tiv thaiv kab mob, feem ntau txaus siv cov tshuaj uas tsis yog tshuaj hormones raws li zinc, tar, thiab ichthyol. Txawm li cas los xij, nyob rau hauv cov ntaub ntawv ntawm kev loj hlob ntawm tus kab mob thiab kev loj hlob ntawm relapse, nws yog feem ntau tsis yooj yim sua yam uas tsis muaj cov tshuaj glucocorticosteroid:
- Elokom;
- "Prednisolone";
- Y"Hydrocortisone";
- "Celestoderm";
- "Advantan";
- Locoid;
- Sinaflan;
- "Afloderm";
- "Flucinar".
Yog tias tus kab mob koom nrog pathology, kev npaj tshuaj hormonal nrog tshuaj tua kab mob hauv cov tshuaj raug xaiv:
- Lorinden C;
- Trimistin;
- Travocort;
- Kremgen.
Yuav tsum tau hloov pauv hauv kev noj haus
txwv tsis pub noj zaub mov rau eczema tuaj yeem txo cov kab mob thiab txo qhov hnyav ntawm nws cov tsos mob. Qhov zoo tshaj plaws, kev noj zaub mov yuav tsum tsis yog ib qho kev ntsuas tsim nyog rau lub sijhawm rov rov ua dua ntawm cov kab mob dermatosis, tab sis kev noj zaub mov tshiab thiab ruaj khov hauv cov neeg mob uas cov dermatoses tsis haum rau qhov xwm txheej.
Kev noj zaub mov rau eczema ntawm tes txhais tau tias muaj kev zam los ntawm cov ntawv qhia txhua hnub:
- ntsimspices thiab seasonings;
- khoom noj khaws cia thiab khaws cia;
- sausages thiab khoom noj ceev;
- zaub thiab txiv hmab txiv ntoo liab, suav nrog txiv lws suav, strawberries, tswb kua txob, txiv apples;
- chocolate thiab nws cov derivatives;
- mayonnaises, ketchups, ntau yam kua ntses;
- niam;
- txiv ntseej;
- whole milk;
- qe dawb.
Ntxiv rau, thaum lub sijhawm ua rau cov tawv nqaij hnyav dua, nws raug nquahu kom tso cov nqaij nplua nuj, cov nqaij kib, cov nqaij haus luam yeeb, cheeses, cawv thiab kas fes.
Nws yuav luag tsis yooj yim sua kom txo tau koj tus mob eczema yam tsis ua raws li kev noj haus. Thaum lub sij hawm rov qab los ntawm tus kab mob, kev noj zaub mov zoo hypoallergenic yuav tsum tau ua raws, feem ntau yog cov zaub thiab fermented mis nyuj cov khoom. Kev xaiv yuav tsum muab rau:
- kefir, tsev cheese;
- Nyob qaib, qaib qus, luav;
- zaub roj;
- zaub tshiab thiab txiv hmab txiv ntoo.
Tau kawg
Hnub no, yuav tsum tsis txhob muaj teeb meem hauv kev xaiv tshuaj rau kev kho mob eczema, txij li ntawm cov chaw muag tshuaj tam sim no koj tuaj yeem nrhiav kev xaiv tsim nyog rau txhua hom kab mob. Tib lub sijhawm, koj yuav tsum tsis txhob noj tshuaj rau tus kheej, thiab xaiv cov tshuaj tsuas yog tom qab sab laj nrog kws kho mob.
Nco ntsoov, eczema ntawm ob txhais tes tsis yog kab mob sib kis. Txawm li cas los xij, tus neeg mob dermatosis yuav tsum tau ceev faj tsis txhob tso cai rau tus kheej siv. Kev tu cev kom tsis txhob kis kab mob thiab, yog li ntawd, exacerbation ntawm tus kab mob. Cov neeg mob uas muaj kab mob eczema nyob rau theem oozing yog qhov tshwj xeeb tshaj plaws - lub cev tiv thaiv kab mob tsis muaj zog, thiab cov foci erosive ua haujlwm tau zoo, yuav luag tsis muaj kev cuam tshuam rau cov kab mob.
