Kev tsis haum rau cov kab mob dermatitis, cov tsos mob thiab kev kho mob uas yog kev ua xua tsis haum, yog cov txheej txheem inflammatory ntawm daim tawv nqaij. Cov kab mob ua rau cov kab mob sib kis ntawm daim tawv nqaij tuaj yeem yog zaub mov, tsiaj plaub hau, tshuaj, paj paj ntoo, thiab lwm yam. Cov tawv nqaij khaus, lossis pruritus, tuaj yeem tshwm sim yuav luag txhua qhov chaw ntawm daim tawv nqaij. Txawm li cas los xij, feem ntau cov kab mob pruritic ntawm lub cev ua rau daim tawv nqaij ua pob khaus hauv puab tais, ntawm lub taub hau (tshwj xeeb tshaj yog hauv pob ntseg lossis tom qab pob ntseg), ntawm ob txhais ceg thiab caj npab. Allergic contact dermatitis (raws li ICD-10) yog muab faib ua pawg L25.
Type, ua rau thiab kos npe
Dermatitis, prurigo prurigo lossis strophulus yog lub npe nrov rau cov txheej txheem inflammatory uas ua rau khaus tawv nqaij. Lub sij hawm yoglub npe collective rau heterogeneous allergic daim tawv nqaij o. Muaj ntau hom kab mob ntawm daim tawv nqaij uas tshwm sim los ntawm kev raug mob los ntawm kev puas tsuaj rau lub cev thiab / lossis biochemical puas rau ntawm daim tawv nqaij.
Seborrheic dermatitis yog tshwm sim los ntawm o ntawm cov qog sebaceous, txhim kho nyob rau hauv kev cuam tshuam ntawm kev hloov kho ntawm cov tshuaj muaj pes tsawg leeg hauv subcutaneous rog txheej. Raws li txoj cai, pruritus cuam tshuam rau lub ntsej muag tseem ceeb: tus choj ntawm lub qhov ntswg, nasolabial quav, plaub muag, pob muag thiab puab tsaig. Feem ntau, seborrheic o ntawm daim tawv nqaij tau sau tseg tom qab pob ntseg lossis hauv thaj tsam ntawm auricle. Tus neeg sawv cev ntawm seborrheic dermatitis yog cov kab mob zoo li cov kab mob ntawm hom Malassezia restricta thiab / lossis Malassezia globosa. Nyob rau hauv rooj plaub ntawm nws tshwm sim, koj yuav tsum nrhiav kev pab los ntawm cov kws kho mob tshwj xeeb rau kev pab thiab kev kho mob complex. Allergic contact dermatitis (daim duab ntawm kev sib kis ntawm qhov chaw ntawm daim tawv nqaij hauv qab no) yog cov tshuaj tiv thaiv rhiab ntawm daim tawv nqaij tom qab kev cuam tshuam nrog kev ua xua, uas yog ntes los ntawm cov hlwb ntawm cov epidermis thiab tsim cov kab mob dermatitis. Cov ua rau o, raws li txoj cai, yog cov caj ces predisposition ntawm lub cev mus rau ib tug tshwj xeeb allergen, uas yog, nws yog inherited. Yog li ntawd, kev tsis haum tshuaj dermatitis feem ntau pom nyob rau hauv cov menyuam yaus (me nyuam mos), uas muaj qhov tshwm sim tsis haum.
Atopic dermatitis yog ib hom kab mob ua xua dermatitis, uas yog ua raws li kev ua neej nyob rau ntau yam kab mob ua xua. Txoj kev rov tshwm sim ntawm atopic eczema muaj ntau yam kev kho mobmanifestations nyob ntawm seb lub hnub nyoog yam ntxwv ntawm tus neeg. Tus kab mob no muaj cov yam ntxwv ntawm lub caij nyoog meej, thaum exacerbation los yog tsis tiav kev tso cai tshwm sim nyob rau lub caij ntuj no, thiab ib feem los yog tag nrho ploj ntawm cov tsos mob yog pom nyob rau hauv lub caij ntuj sov.
Txhim kho daim tawv nqaij mob
Nyob rau hauv kev sib cuag dermatitis, cov tsos mob thiab kev kho mob yog txiav txim los ntawm theem ntawm tus kab mob. Yog li, cov qauv hauv qab no ntawm daim tawv nqaij yog qhov txawv:
- ntse pin;
- subacute contact;
- kev sib cuag.
Symptomatic signs of acute dermatitis
theem mob ntawm daim tawv nqaij pob khaus yog qhov tshwm sim sai sai ntawm tus kab mob tom qab kev sib cuag nrog cov khoom ua xua. Raws li txoj cai, cov tsos mob tshwm sim thiab qhov mob tshwm sim nres tom qab kev cuam tshuam tshuaj, yog tias cov tshuaj tiv thaiv raug txheeb xyuas raug. Cov tsos mob ntawm tus mob dermatitis:
- mob hnyav reddening ntawm daim tawv nqaij nto vim kev nthuav dav ntawm cov hlab ntsha;
- daim tawv nqaij ua pob khaus khaus;
- pom papular nodules uas muaj cov ntsiab lus serous;
- dryness thiab / lossis tev ntawm txheej txheej epidermis tau sau tseg.
hom kab mob dermatitis no tsis kis tau, thiab, raws li txoj cai, tom qab kev kho mob tsim nyog, cov pob khaus ploj mus yam tsis muaj kab.
Lub sijhawm ntev ntawm daim tawv nqaij o muaj cov tsos mob tshwm sim ntau dua vim yog qhov ntev ntev ntawm kev tsis haumchim siab.
Cov tsos ntawm pinkish los yog liab doog hyperemic me ntsis ntawm tej thaj chaw ntawm daim tawv nqaij yog vim lub sij hawm ntev combing ntawm qhov chaw puas. Cov txheej txheem inflammatory yog nyuaj los ntawm kev kis kab mob nyob rau hauv txheej txheej ntawm daim tawv nqaij. Qhov yuav tshwm sim ntawm qhov txhab yog qhia hauv daim duab saum toj no. Cov tsos mob thiab kev kho mob ntawm kev tsis haum tshuaj dermatitis nyob rau hauv cov ntaub ntawv no yog nyuaj thiab yuav tsum tau ib tug ntev kho nyhuv. Cov nqe lus ntawm kev kho mob yog txiav txim nyob rau hauv lub chav kawm ntawm kev kho mob nws tus kheej. Kev kho tshuaj muaj xws li kev siv ntau yam gels thiab / lossis tshuaj pleev rau kev kho mob thiab kev tswj hwm qhov ncauj ntawm cov tshuaj pharmacological. Cov tshuaj pleev rau kev ua xua rau cov kab mob dermatitis yog tus kws kho mob tshwj xeeb. Thaum kho cov txheej txheem, tus kws kho mob tshwj xeeb yuav sau ntau hom tshuaj pleev. Nyob rau hauv cov txheej txheem ntawm kev kho mob, nws tseem yuav tsum tau so los ntawm kev siv cov tshuaj pleev ib ce, tshwj xeeb tshaj yog nyob rau hauv cov me nyuam.
Cov ntawv hnyav
Subacute allergic contact dermatitis (daim duab hauv qab no) yuav tsum tau saib xyuas tshwj xeeb los ntawm cov kws kho mob, vim cov pob khaus ntawm daim tawv nqaij ua xim daj, nrog rau cov teeb meem ua xua, hay fever lossis hawb pob.
Daim ntawv mob hnyav tshaj plaws yog cov kab mob dermatitis. Qhov ua rau ntawm kev kho mob pathology nyob rau hauv qhov tsis saib xyuas ntawm qhov ua xua. Cov neeg mob muaj o ntawm daim tawv nqaij, hnyav heev tev thiab dryness ntawm lub dermis, qee zaum nrog ib coarsened thickening ntawm qhov chaw cuam tshuam. Los ntawm sab ntawm daim tawv nqaijnpog, microtraumas thiab venous hyperemia tau sau tseg.
Yuav ua li cas kho cov kab mob dermatitis
Ua ntej pib ua kev kho mob, nws yog ib qho tsim nyog yuav tsum tau ua kom meej meej hom kab mob ua rau muaj kev fab tshuaj - ib qho tsis haum. Qhov no yuav pab kom paub meej txog cov kab mob dermatitis. Raws li cov txiaj ntsig ntawm kev kuaj pom ntawm tus neeg mob thiab cov ntaub ntawv ntawm kev tshawb fawb biochemical, tus kws kho mob tuaj koom txiav txim siab qhov mob hnyav thiab cov txheej txheem ntawm kev kho mob. Txoj kev kho mob zoo tshaj plaws rau kev tsis haum tshuaj dermatitis yog txoj kev kho mob uas suav nrog:
- tshuaj kho los ntawm pawg kws tshuaj;
- cov txheej txheem kho lub cev;
- kev noj zaub mov nruj tshaj plaws hypoallergenic.
Tshuaj kho mob: tshuaj tiv thaiv kab mob thiab glucocorticosteroids
Rau kev kho cov kab mob ntawm daim tawv nqaij los ntawm pawg neeg sib cuag, siv tshuaj tua kab mob thiab glucocorticosteroids. Cov pab pawg kws tshuaj no muaj kev ua haujlwm thiab muaj txiaj ntsig zoo rau kev kho mob ntawm daim tawv nqaij. Ntawm cov tshuaj kho mob, cov tshuaj tiv thaiv hauv qab no tuaj yeem paub qhov txawv:
- "Suprastin" yog ib qho kev kho mob zoo rau atopic dermatitis ntawm lub caij nyoog thiab / lossis cov ntaub ntawv mob ntev ntawm daim tawv nqaij o.
- Claridol yog ib qho tshuaj npaj tshuaj tiv thaiv ntau yam kev tsis haum xeeb.
- "LoraGeksal" yog ib qho tshuaj zoo rau ntau yam kev ua xua, tiv taujdermatoses, angioedema thiab lwm yam mob.
- "Kestin" yog ib qho tshuaj ua ke uas thaiv cov tshuaj histamine.
Kev noj tshuaj thiab kev kho mob yuav raug txiav txim los ntawm kws kho mob dermatologist lossis GP.
kho lub cev
Ib txoj hauv kev zoo los kho cov kab mob dermatitis yog kev siv lub cev los ntawm kev siv hluav taws xob tsawg zaus ntawm cov tawv nqaij puas. Laser raug nyob rau hauv cov kab mob dermatological yog txwv rau 3 mus rau 5 feeb ntawm hluav taws xob. Nrog txoj kev kho lub cev ib zaug ib hnub, cov kev kho mob yog tsim los rau 10-15 zaug, nrog rau rov ua dua lub laser raug rau lub cev tom qab 1-3 lub hlis.
Kev noj haus
Yog tias pom muaj zaub mov tsis haum, yuav tsum tau ua raws li kev noj zaub mov nruj hypoallergenic uas tsis suav nrog cov zaub mov uas ua rau muaj kev fab tshuaj.
Qhov kev pheej hmoo ua rau lub chaw kho mob ua xua tuaj yeem tshwm sim los ntawm cov khoom noj, uas tau muab faib ua peb pawg nyob ntawm qhov hnyav ntawm lawv qhov kis.
Qhov stimuli muaj zog tshaj muaj:
- miv;
- nqaij rog;
- nqaij nruab deg, suav nrog ntses;
- citrus;
- txiv ntseej;
- niam;
- txhua yam khoom lag luam chocolate;
- txiv lws suav;
- nqaij;
- strawberries, thiab lwm yam
Medium-risk allergens suav nrog:
- qos;
- nqaij npuas;
- qaib ntxhw;
- rice, pob kws;
- txhua yam kua txob liab.
Tus kab mob tsis haum tsawg tshaj plaws muaj nyob hauv cov khoom xws li:
- mutton;
- apples, plums;
- -zucchini, cucumbers, taub dag thiab squash.
Nov yog ib daim ntawv teev npe luv luv ntawm cov khoom noj uas ua rau muaj kev tsis haum rau tib neeg lub cev.
Ua ntej tsim cov khoom noj, nrog koj tus kws kho mob lossis tus kws paub txog zaub mov.
kev kho neeg zoo
Ntxiv rau cov tshuaj ib txwm siv thiab cov hau kev kho mob khaus khaus khaus khaus, muaj ntau txoj hauv kev kom tshem tau tus kab mob no. Raws li cov kev ntsuas kho mob tau sau tseg los ntawm tus kws kho mob tshwj xeeb, kev siv tshuaj ib txwm siv yuav ua tau zoo nyob rau hauv cov ntaub ntawv thaum cov tshuaj tiv thaiv tsis haum tsis tau kis tus kab mob ntev thiab / lossis kab mob dav dav. Xav txog txoj hauv kev zoo los kho cov kab mob dermatitis nrog cov tshuaj pej xeem:
- Daim ntawv naj npawb 1. Qos yaj ywm compress. Peeled medium-qhov loj me qos txiv hmab txiv ntoo yog rubbed on ib tug nplua grater. Cov txiaj ntsig kho tau yog siv rau thaj chaw mob ntawm daim tawv nqaij rau 1.5-2 teev.
- Recipe number 2. St. John's wort ointment. Freshly khaws nyom (250 g) yog tov nrog 500 ml ntawm zaub roj thiab infused rau 7-10 hnub nyob rau hauv qhov chaw qhuav thiab tsaus. Tom qabstraining cov tshuaj rau kev kho mob hauv tsev yog npaj txhij. St. John's wort ointment muaj cov tshuaj tua kab mob thiab tshuaj tua kab mob, ua kom lub paj hlwb, tshem tawm khaus thiab kub hnyiab ntawm thaj chaw cuam tshuam ntawm daim tawv nqaij.
- Recipe number 3. Nettle decoction. Lub crushed nyom ntawm cov nroj tsuag (2 tablespoons) yog nchuav nrog ib khob ntawm boiling dej thiab infused rau 1.5-2 teev. Tom qab txias rau qhov kub thiab txias, cov tshuaj decoction yog siv nyob rau hauv daim ntawv ntawm cov tshuaj, soothing lotions.
- Daim ntawv naj npawb 4. Dandelion tshuaj yej. Rau 100 g ntawm dandelion nplooj, 500 ml ntawm boiling dej yog xav tau. Cov tshuaj homemade rau daim tawv nqaij khaus yog brewed zoo li cov tshuaj yej li niaj zaus, thiab tom qab 5-7 feeb ntawm infusion, nws yog npaj txhij rau siv. Kev kho mob yog npaj rau ob qho tib si rau compress rau qhov txhab ua xua, thiab nyob rau hauv daim ntawv ntawm haus dej haus uas yuav muaj ib tug calming nyhuv ntawm irritated receptors ntawm lub paj hlwb.
- Daim ntawv naj npawb 5. Thyme ointment. Thyme ua rau ntawm daim tawv nqaij raws li ib tug antiseptic. Ib tug teaspoon ntawm qhuav tshuaj ntsuab hmoov yog tov nrog ib tug tablespoon ntawm zoo butter.
Cov qhov txhab ua xua rau ntau qhov chaw ntawm daim tawv nqaij yog smeared nrog tshuaj pleev kom zoo.
Cov me nyuam
Kev ua xua rau dermatitis hauv menyuam yaus feem ntau tshwm sim los ntawm kev hnav khaub ncaws tsis zoo. Cov tshuaj tiv thaiv tuaj yeem tshwm sim los ntawm folds ntawm cov khaub ncaws uas cuam tshuam nrog kev nplij siab ntawm tus menyuam. Cov khau nruj thiab tsis xis nyob kuj tuaj yeem ua rau qhov no. Hauv kev xyaum, feem ntau muaj cov xwm txheej thaum dermatitis yog tshwm sim ntawm khau tsis raug. Ntau tus niam txiv yuav khau lojntau, nrog rau lawv qhov kev txiav txim nrog cov kab lus "rau kev loj hlob." Los yog tus me nyuam yuav tsum hnav khau rau ib tug neeg, tab sis nws sai sai tawm ntawm lawv, uas ua rau tsis xis nyob. Ua ntej tshaj plaws, cov kws kho mob tsuas yog nrhiav cov lus nug no txhawm rau txiav txim siab txog kev kho mob ntxiv. Allergic contact dermatitis kuj tshwm sim hauv cov menyuam yaus hnyav, uas yog tshwm sim los ntawm kev sib cuag ntawm lub cev (tshwj xeeb) nrog cov khaub ncaws (tsuas yog cov khoom siv hluavtaws lossis cov khoom uas ua rau muaj kev fab tshuaj). Dermatitis nws tus kheej yog nrog los ntawm qhov mob thiab khaus.
Vim vim lub cev tsis muaj zog, cov menyuam mos thiab cov menyuam yaus hnub nyoog qis dua peb xyoos feem ntau tsim kab mob dermatitis thaum huab cua txias (feem ntau qis dua xoom). Lub sijhawm no, tus menyuam muaj kev ua txhaum ntawm innervation ntawm daim tawv nqaij (muab cov kabmob thiab cov ntaub so ntswg nrog cov paj hlwb), thiab cov qib ntawm refractory fatty acids nyob rau hauv lub cev kuj nce. Kev sib xyaw ua ke ntawm tag nrho cov xwm txheej no ua rau pom kev sib cuag dermatosis. Qhov chaw cuam tshuam ntog rau ntawm ob sab plhu, qhov ntswg, pob ntseg thiab ntiv tes. Allergic contact dermatitis nyob rau hauv cov neeg laus yog raws li ib tug txawv kiag li symptomatology. Qhov no yog vim lub cev tsis muaj zog ntawm tus neeg laus, tsis zoo li menyuam yaus.
Kev ceev faj rau cov menyuam yaus hnub nyoog qis dua ib xyoos
Ntawm no yog dab tsi los saib:
- Ib tug menyuam muaj hnub nyoog ib xyoos yuav tsum tsis txhob kov cov tshuaj chlorine. Chlorinated dej ib txwm ntws hauv peb cov kav dej, yog li kev da dej tus menyuam tuaj yeem ua rau nws mob. Xws li cov dej yuav tsum tau boiled los yog sab laug rau 6-8 teev nyob rau hauvqhib cov thawv kom tag nrho cov chlorine tau evaporated. Rau kev da dej me me, nws raug nquahu kom nruab lub tshuab lim dej ntawm lub faucet.
- Thaum ntxhua khaub ncaws menyuam yaus, tsuas yog siv xab npum menyuam yaus lossis cov hmoov me me tshwj xeeb xwb. Nws tseem tsim nyog muab cov khaub ncaws ntxhua kom huv si tom qab ntxuav.
- Nws pom zoo kom siv cov khaub ncaws dawb nkaus xwb ua los ntawm cov paj rwb zoo. Cov khaub ncaws uas yuav hauv khw yuav tsum tau ntxuav tes nrog xab npum thiab dej ua ntej muab pov rau hauv lub tshuab ntxhua khaub ncaws.
- Cov khoom siv tu menyuam mos (xws li xab npum, tshuaj zawv plaub hau thiab gels) yuav tsum siv tsis pub ntau tshaj ib zaug lossis ob zaug hauv ib lub lis piam. Qhov tseeb yog tias tag nrho cov khoom siv tu cev (tsis hais cov cim "cov me nyuam / cov me nyuam") muaj surfactants uas neutralize thiab qee zaum rhuav tshem cov txheej txheem rog rog ntawm tus menyuam daim tawv nqaij.
- Cov menyuam yaus cov khoom ua si thiab lwm yam khoom uas tus menyuam tuaj yeem tiv nrog yuav tsum tsis txhob ntxuav nrog tshuaj chlorine. Feem ntau, cov khoom siv tu tsev yuav tsum khaws cia kom deb ntawm koj tus menyuam.
- Thaum siv cov pawm, xyuas kom tus menyuam tsis nyob hauv lawv ntev tshaj plaub teev. Yog hais tias tus me nyuam defecation nyob rau hauv lub pawm, ces tam sim ntawd hloov nws. Kev sib cuag nrog tej yam ntuj tso zais cia tuaj yeem ua rau dermatitis.
Lwm yam kev kho mob
Ntxiv nrog rau ntau yam tshuaj pleev, tshuaj pleev thiab compresses, nws tsis muaj txiaj ntsig zoo rau kev siv da dej kom zoo uas yuav txo tau cov tawv nqaij mob, soo khaus thiab kub hnyiab. Rau kev kho mob, ob lub raum yog ntxiv rau cov dej.pines thiab/los yog coniferous koob. Qhov zoo sib xws yog kev kho mob dermatitis nrog cov tshuaj tsis muaj zog ntawm hiav txwv ntsev, uas muaj cov nyhuv calming ntawm lub cev o. Tag nrho cov txheej txheem no kuj tau siv los tiv thaiv kev tsis haum tshuaj dermatitis.
