Neurodermatitis yog qhov mob ntawm daim tawv nqaij uas tshwm sim tawm tsam keeb kwm ntawm kev poob siab, tsis tu ncua ntawm lub cev, kev ntxhov siab ntev. Feem ntau, kab mob tshwm sim hauv cov menyuam yaus, cov hluas, cov neeg mob hluas thiab yuav siv li 45% ntawm tag nrho cov kev mus ntsib kws kho hniav.
Neurodermatitis feem ntau yuam kev rau cov teeb meem tshuaj pleev ib ce, tab sis nws yog ib yam kab mob uas tuaj yeem ua rau muaj teeb meem loj. Ib qho tseem ceeb ntawm kev kho mob yog kev siv ntau tus neeg sawv cev sab nraud. Tus kws kho mob yuav pab koj xaiv cov tshuaj pleev rau kev kho mob neurodermatitis.
Ntau yam ntawm neurodermatitis
Kev kho mob tsuas yog xaiv tau yog tias hom neurodermatitis raug kuaj pom raug.
Cov kws kho mob dermatologists faib nws ua ob hom ntawv tseem ceeb uas qhia txog qhov tshwm sim ntawm pathology:
- Limited. Nrog rau daim ntawv no ntawm neurodermatitis, daim tawv nqaij lesion cuam tshuam tsuas yog ib cheeb tsam ntawm daim tawv nqaij, muaj thaj tsam ntshiab. NtawmTus kab mob no tau nthuav tawm los ntawm cov tsos ntawm papules uas tuaj yeem sib koom ua ke thiab tsim cov plaques.
- Diffuse. Nrog rau daim ntawv no ntawm neurodermatitis, ntau qhov chaw ntawm daim tawv nqaij raug cuam tshuam, ciam teb ntawm kev noj qab haus huv thiab cuam tshuam ntawm daim tawv nqaij yog qhov tseeb, lichenization (thickening) thiab ntau khawb tuaj yeem pom.
Cov qauv ntawm pathology
Tsis tas li ntawd, tus kab mob tau muab faib ua 5 daim ntawv uas qhia txog cov kab mob pathology:
- Y Hypertrophic neurodermatitis. Nws yog nrog los ntawm kev tsim ntawm ib tug weeping cheeb tsam, uas crusts sai sai daim ntawv. Ces daim tawv nqaij thickens. Feem ntau, hypertrophic neurodermatitis yog nyob rau hauv perineum thiab inguinal cheeb tsam.
- Psoriasiform. Daim ntawv no ntawm pathology yog tus cwj pwm los ntawm cov tsos ntawm cov tawv nqaij qhuav heev, tev tawm. Ib qho chaw hauv cheeb tsam ntawm xws li neuroderma yog tawv taub hau thiab taub hau.
- Txoj kab. Nws yog tus cwj pwm los ntawm cov tsos ntawm furrows, daim tawv nqaij pib tev tawm, ua qhuav thiab ntxhib. Nws yog localized, raws li txoj cai, nyob rau hauv lub cheeb tsam ntawm caj npab.
- Kev txiav txim siab. Tawm tsam nws keeb kwm yav dhau, alopecia tsim, cuam tshuam rau cov plaub hau ntawm lub cev, caj dab, taub hau.
- Follicular. Nws yog tus cwj pwm los ntawm cov tsos ntawm taw tes nodules ntawm daim tawv nqaij. Cov tawv nqaij ntawm ib feem ntawm lub cev tuaj yeem cuam tshuam.
Hauv qab no, xav txog tshuaj pleev rau kev kho mob neurodermatitis.
Drug therapy
Txhua hom kab mob neurodermatitis muaj tib lub noob caj noob ces thiab etiology. Yog li ntawd, txoj kev kho yogsiv ntau yam kev npaj ntawm cov tshuaj pleev los yog cream daim ntawv. Kev kho mob los ntawm tus kws kho mob dermatologist yog xaiv los ntawm tus poj niam txiv neej ntawm tus neeg mob, nws lub hnub nyoog, nrog rau qhov hnyav ntawm cov kab mob, lub sijhawm.
kev kho mob tam sim no suav nrog kev siv tshuaj kho mob. Cov npe tshuaj pleev rau kev kho mob neurodermatitis yog qhov dav heev.
tshuaj raws li tshuaj hormone
tuaj yeem siv tau yog tias cov txheej txheem ntawm pathology yog ncua thiab hnyav. Cov tshuaj hormonal zoo, tab sis muaj ntau yam contraindications, thiab yog li ntawd lawv yuav tsum tau ua los ntawm ib tug kws kho mob. Cov tshuaj nrov tshaj plaws yog: Hydrocortisone, Prednicarb, Prednisolone, Trimestin, Fluorocort, Advantan, Ecolorm.
Ntau zaus tib neeg nrhiav tshuaj pleev rau hauv khw muag tshuaj los kho neurodermatitis ntawm lawv txhais tes.
Emollients
Emollients (cov khoom uas tuaj yeem moisturize ntawm daim tawv nqaij) yog siv los tshem tawm cov dryness uas nrog linear thiab psoriasiform neurodermatitis. Lub ntsiab kom zoo dua ntawm emollients yog qhov yuav luag tag tsis muaj teebmeem. Yog li ntawd, lawv feem ntau raug muab tshuaj rau hauv kev kho mob ntawm cov menyuam yaus. Cov ntsiab lus nrov tshaj plaws yog: Bepanten, Pantesin, Panthenol.
tsis yog tshuaj tshuaj hormonal rau kev kho mob neurodermatitis
Cov no suav nrog cov tshuaj pleev tshuaj tiv thaiv kab mob. Lawv tuaj yeem siv rau kev kho mob ntawm yuav luag txhua hom neurodermatitis, yog tias tus neeg mob tsis muaj contraindications. Ib tug zoo anti-inflammatory nyhuv yog exerted los ntawm: ichthyol ointment, "Radevit",Betasalik.
tshuaj pleev qhov txhab zoo
Cov tshuaj pleev qhov txhab zoo heev rau kev kho mob neurodermatitis. Pom zoo rau txhua daim ntawv ntawm neurodermatitis, tab sis tsuas yog nyob rau theem uas tsis nrog cov tsos mob hnyav. Qhov nrov tshaj plaws yog: Videstim, Levosin, Solcoseryl.
Yuav Anti-irritants
Qhov khaus khaus khaus nrog txhua hom neurodermatitis, yog li cov tshuaj no feem ntau siv. Cov tshuaj pleev zoo tshaj plaws rau kev kho mob neurodermatitis ntawm ob txhais ceg yog Nezulin, Boromenthol, Mesoderm, Gistan N.
Kev npaj kom qhuav
Qhia rau siv hauv cov ntaub ntawv quaj ntawm neurodermatitis (hypertrophic, piv txwv li). Cov tawv nqaij qhuav tau zoo thaum siv "Tsindol", "Desitin", zinc ointment.
Antimicrobials (muaj tshuaj tua kab mob)
Cov tshuaj no tau sau los ntawm kws kho mob dermatologist yog tias tus kab mob dhau mus lossis kis kab mob thib ob koom nrog cov kab mob. Qhov nrov tshaj plaws: "Baneocin", "Levomekol", erythromycin ointment.
Tshuaj pleev rau kev kho mob neurodermatitis yuav tsum tau xaiv los ntawm kws kho mob. Kev noj tshuaj rau tus kheej tsis tsim nyog.
tshuaj loog hauv zos
Lawv raug tshuaj yog tias cov kab mob cuam tshuam rau thaj chaw loj ntawm daim tawv nqaij, nrog rau kev hnov mob. Qhia kev ua haujlwm siab: "Procaine", Vishnevsky cov tshuaj pleev, "Anestezin".
kev npaj nyuaj
Muaj peev xwm muab ntau yam kev kho mob ib zaug. Feem ntau siv hauv kev kho mob: "Fenistil-gel","Protopic", "Triderm", "Skin-Cap", "Losterin". Cov tshuaj pleev nyuaj rau kev kho mob neurodermatitis ntawm lub ntsej muag thiab lwm qhov hauv lub cev tuaj yeem siv los kho txhua hom kab mob.
Nws yog ib qho tseem ceeb uas yuav tau xav txog tias kev kho mob ntawm cov mob hnyav ntawm neurodermatitis cuam tshuam nrog kev siv tsis yog cov tshuaj hauv zos xwb, tab sis kuj yog cov kab mob. Cov kws kho mob pom zoo kom noj tshuaj tua kab mob, tshuaj sedatives, vitamins thiab enterosorbents. Tsuas yog txoj kev kho mob nyuaj yuav tso cai rau koj kom tshem tawm cov cim qhia ntawm neuroderma hauv lub sijhawm luv luv thiab tiv thaiv kev rov qab los ntawm cov kab mob.
Cov tshuaj pleev zoo tshaj plaws rau kev kho mob neurodermatitis
Ntawm caj dab thiab lwm qhov hauv lub cev, tawv nqaij ua rau tsis xis nyob. Feem ntau, cov neeg mob uas tau tshem ntawm pathology qhia tias cov tshuaj siv tau zoo tshaj plaws yog cov uas muaj cov nyhuv nyuaj. Lawv qhov txiaj ntsig tseem ceeb yog qhov tsis muaj qhov xav tau los yuav ntau qhov nyiaj - nws txaus los siv cov tshuaj pleev ob peb zaug hauv ib hnub, uas ua rau ntau qhov kev qhia ib zaug.
Cov tshuaj zoo tshaj plaws cov neeg mob xav txog cov hauv qab no:
- "Losterin". Nws muaj ib tug tshuaj tua kab mob, antipruritic, anti-inflammatory nyhuv. Nws yog ib qho tseem ceeb kom tsis txhob siv cov tshuaj no rau peb lub hlis. Yog tias tus mob no tau ntsib, kwv yees li 90% ntawm cov neeg mob pom tias muaj kev txhim kho tseem ceeb.
- "Naftaderm". Muaj peev xwm txo qhov o, o, khaus, ua kom cov kab mob erosions thiab rwj ntawm daim tawv nqaij, muaj cov tshuaj tua kab mob thiab ua haujlwm zootshem tawm tev tawm.
- "Skin Cap". Cov tshuaj pleev no muaj peev xwm muaj cov kab mob tua kab mob, tshuaj tua kab mob, tshuaj tiv thaiv kab mob. Kwv yees li 80% ntawm cov neeg siv nws nco ntsoov qhov ua tau zoo ntawm Skin Cap.
- "Protopic". Cov tshuaj muaj peev xwm tshem tawm qhov o, mob, thiab txo qhov khaus khaus.
- "Fenistil-gel". Cov tshuaj muaj pes tsawg leeg muaj cov tshuaj antihistamine, uas ua rau vasoconstriction ntawm qhov chaw thov. Yog li ntawd, qhov liab, khaus, o, thiab mob raug txo. Ua haujlwm sai sai, uas yog qhov zoo dua.
- "Triderm". Cov nyhuv ntawm cov tshuaj tsim nyob rau hauv ib tug luv luv lub sij hawm ntawm lub sij hawm, cov nyhuv yog heev pronounced. Cov tshuaj muaj pes tsawg leeg ntawm cov tshuaj ointment muaj peb yam active Cheebtsam uas muaj peev xwm suppress lub reproduction ntawm cov kab mob thiab fungi, txo qhov mob ntawm o. Cov tshuaj yuav tsum tau siv ceev faj, vim nws yog glucocorticosteroid.
- "Celestoderm". Cov tshuaj muaj pes tsawg leeg muaj xws li tshuaj tua kab mob thiab corticosteroid, vim hais tias nws cov nyhuv yog heev pronounced. Cov kev kho mob yuav kav tsis ntev tshaj 10 hnub, thiab kev siv yuav tsum tau saib xyuas los ntawm ib tug kws kho mob.
- "Sinaflan". Muaj peev xwm muaj cov tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kab mob, txo cov tsos mob tsis zoo uas nrog neurodermatitis, pab rov tsim cov tawv nqaij.
- Lorinden. Nws muaj cov tshuaj tua kab mob thiab corticosteroid. Feem ntau siv rau qhov mob loj heev, pab tiv thaiv qhov sib ntxiv ntawm cov kab mob thib ob.
Kev kho mob thoob ntiaj teb,pab txhua tus neeg mob, tsis muaj. Txhua yam tshuaj muaj nws qhov zoo thiab qhov tsis zoo, yog li kev ua tau zoo tsuas yog txiav txim tau los ntawm nws txoj kev siv.
Txoj cai siv tshuaj pleev
Qhov tsim nyog kho cov txiaj ntsig los ntawm kev siv tshuaj pleev rau neurodermatitis tsuas yog ua tiav yog tias tus neeg mob ua raws li tus kws kho mob cov lus pom zoo:
- Thov cov tshuaj tsuas yog siv rau cov tawv nqaij uas tau ntxuav tas lawm.
- Ua ntej siv cov tshuaj pleev, txhais tes yuav tsum tau ntxuav kom huv si nrog xab npum tshuaj tua kab mob.
- Txoj kev ntawm kev siv tshuaj qee yam tau piav qhia hauv cov lus qhia rau kev siv - lawv yuav tsum ua raws. Qee cov khoom raug pom zoo kom rubbed rau hauv thaj chaw cuam tshuam ntawm daim tawv nqaij, lwm tus - sib npaug sib npaug yam tsis rub.
- Yog tias nws tsis tas yuav txhuam cov tshuaj pleev rau hauv daim tawv nqaij, tab sis nws yuav tsum tau thov kom sib npaug, ces nws raug nquahu kom siv cov ntaub qhwv tsis muaj menyuam rau qhov no. Ib qho me me ntawm cov tshuaj yog siv rau nws, thiab tom qab ntawd siv rau ntawm daim tawv nqaij. Txawm daim ntawv thov tuaj yeem ua tiav los ntawm blotting.
- Yog cov tshuaj pleev pom zoo kom muab tshuaj txhuam, ces yuav tsum tau siv me me rau ntawm xib teg, thiab tom qab ntawd kis mus rau qhov chaw cuam tshuam nrog kev txav maj mam.
- Inadmissible yog ib qho kev ywj pheej nce ntawm cov tshuaj muaj pes tsawg leeg, qhov zaus ntawm nws siv.
- Nws tsis pom zoo kom nce kev kho mob, tshwj xeeb, qhov no siv rau cov xwm txheej thaum siv tshuaj. Raws li glucocorticosteroids.
Yog hais tias cov kev cai piav qhia tau ua raws, cov txiaj ntsig kho mob yuav siab tshaj plaws thiab yuav tuaj sai li sai tau.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias neurodermatitis tsis yog tsuas yog kho kom zoo nkauj xwb, nws yog ib qho kab mob puv ntoob uas yuav tsum tau mus ntsib tus kws kho mob kom raws sij hawm thiab kho kom txaus. Nrog rau kev kho tsis raws sijhawm thiab tswj tsis tau, chav kawm ntawm cov kab mob yuav ua rau hnyav zuj zus, kev txhim kho ntawm cov teeb meem tsis suav nrog.
Peb tau tshuaj xyuas cov tshuaj pleev rau kev kho mob neurodermatitis hauv cov neeg laus.
