Zaj lus tham txog cov tshuaj pleev rau kev kho mob dermatitis.
Qhov no yog daim tawv nqaij mob - uas yog, qhov mob ntawm tib neeg lub cev, uas nyob rau ntawm qhov chaw thiab tau noj los ntawm cov vascular network. Thaum tsis muaj kev ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij npog, thiab nws muaj cov kua qaub pH, qhov thaiv kev ua haujlwm tau ua tiav zoo, cov tshuaj uas tau poob rau ntawm qhov chaw tsis raug tso cai kom nqus tau. Thaum ua xua lossis kab mob microbial tshwm sim, lossis mob tshwm sim los ntawm qhov kub hnyiab, cov epidermis yuav permeable rau ntau yam khoom. Cov cuab yeej no yog siv los ntawm cov kws kho mob dermatologist thaum xaiv cov tshuaj pleev rau dermatitis.
Hom thiab kev faib tawm
Txhawm rau tshem tawm cov kab mob, cov tshuaj pleev hauv qab no tau siv, uasraug cais raws li cov yam ntxwv ntawm qhov kev txiav txim:
- Anti-inflammatory - lawv muaj corticosteroids uas coj lawv kev ua kom tshem tawm qhov mob thiab khaus. Txawm li cas los xij, nws yuav tsum tau hais tias muaj kev xav tias cov tshuaj no tuaj yeem cuam tshuam rau kev ua haujlwm ntawm cov qog adrenal.
- Non-steroidal anti-inflammatory tshuaj. Nws raug nquahu kom siv lawv tsuas yog thaum pib ntawm tus kab mob, vim tias lawv muaj cov txiaj ntsig kho mob qis dua piv rau cov tshuaj hormonal.
- Antihistamines - pab tshem tawm khaus.
- Moisturizers - txij li cov tsos mob tseem ceeb ntawm kev ua xua dermatitis yog ziab ntawm daim tawv nqaij, kev siv cov roj nplaum yuav ua tau zoo heev.
- Tshuaj nrog rau qhov ziab kom qhuav. Yog hais tias lub pathology yog nyob rau hauv lub soaking theem, ces nws yog ib qhov zoo tshaj plaws los xaiv cov txhais tau tias ntawm cov pab pawg neeg no, vim hais tias lawv pab tshem tawm inflammatory manifestations thiab qhuav lub epidermis..
Cia peb kawm seb yog vim li cas thiaj xaiv ib tus kws kho mob tshwj xeeb ntawm qhov no lossis cov tshuaj pleev rau cov kab mob dermatitis.
Kab mob hauv daim ntawv quaj thiab o
Nyob rau hauv rooj plaub no, kev kho mob hauv zos muaj nyob rau hauv kev siv cov compresses nrog ib tug aqueous tov ntawm boric acid los yog ib tug qaug zog daws ntawm poov tshuaj permanganate. Cov neeg hais lus kuj tau siv, uas tau npaj hauv lub tsev muag tshuaj.
Tom qab tus neeg hais lus lossis ib qho compress, gels tiv thaiv kab mob dermatitis, uas yog raws li cov tshuaj tiv thaiv kab mob, raug siv rau thaj tsam cuam tshuam. Cov no suav nrog "Psilobalm" lossis "Fenistil-gel". Thaum twgQhov chaw kub hnyiab tau ntub heev, txhawm rau txhawm rau kho kom zoo, lawv siv cov tshuaj dermatitis xws li D-panthenol (Bepanten). Nws yog absorbed los ntawm daim tawv nqaij thiab hloov mus rau hauv ib tug vitamin, muaj nyob rau hauv ib txwm metabolism ntawm daim tawv nqaij hlwb thiab stimulating division. Kev npaj Dexpanthenol tuaj yeem hloov cov tshuaj pleev ua xua xws li Solcoseryl lossis Actovegin. Cov tshuaj uas tsis yog tshuaj hormonal no txhim kho cov khoom noj khoom haus ntawm daim tawv nqaij cuam tshuam los ntawm dermatitis.
YHormonal Therapy
Thaum ua xua dermatitis cuam tshuam rau thaj chaw loj lossis qhov ua tsis tau zoo ntawm kev npaj tshuaj tiv thaiv hauv zos (tus neeg txiav txim siab tawm ntawm cov tshuaj ua xua rau ntawm daim tawv nqaij), tshuaj pleev tshuaj steroid. Lawv muaj cov analogs ntawm cov tshuaj hormones-glucocorticosteroids, ua nyob rau hauv ib qho kev kuaj, lawv "keeb kwm" yog tsim los ntawm cov qog adrenal. Cov kev npaj hauv zos no muaj qhov pom tseeb los tiv thaiv kev ua xua, tiv thaiv kab mob thiab ua kom tsis muaj zog.
YCorticosteroids
Corticosteroid tshuaj pleev tiv thaiv kab mob dermatitis raws li qhov hnyav ntawm cov nyhuv tau muab faib ua hom hauv qab no:
- Tsis muaj zog: prednisolone thiab hydrocortisone ointments.
- Medium: Locoid, Flixotide, Dermatotop, Afloderm.
- Strong: Celestoderm-B, Cutiveit, Elocom cream thiab tshuaj pleev, Flucinar, Triamcinolone, Advantan cream thiab tshuaj pleev.
- muaj zog heev: "Chalciderm", "Dermovate" nyob rau hauv daim ntawv ntawm cov tshuaj pleev los yog cream.
Cov tshuaj pleev no rau kev ua xua dermatitis rau cov neeg laus tuaj yeemtsuas yog tus kws kho mob yuav qhia txog lub sij hawm ntawm kev siv cov tshuaj (cov tshuaj muaj zog feem ntau yog siv tsis pub ntev tshaj peb hnub, thaum cov tshuaj "tsis muaj zog" potency - mus txog rau xya hnub), tham txog gradual tshem tawm thiaj li. Tsis txhob ua mob rau tus kheej ntawm daim tawv nqaij los ntawm kev tshem tawm sai sai ntawm corticosteroid.
Yuav ua li cas lwm cov tshuaj pleev rau dermatitis yuav ua tau zoo?
Kab mob hauv cheeb tsam cuam tshuam
Yog cov kua paug pib tawm ntawm qhov chaw mob, lossis cov ntsiab lus ntawm cov hlwv hloov mus rau xim dawb, tshuaj pleev rau hauv zos kho mob ntawm cov kab mob dermatitis nrog cov kab mob thib ob uas tau koom nrog nws kuj tau sau los ntawm kws kho hniav. Hauv qhov no, tej zaum yuav muaj peb txoj kev xaiv:
- Ib tshuaj tsuas muaj tshuaj tua kab mob (tetracycline thiab erythromycin ointment).
- Muab tshuaj tua kab mob hauv zos lossis tshuaj tua kab mob ua ke nrog cov tshuaj uas tsis yog tshuaj hormonal: Levomekol (ntxiv rau cov tshuaj tua kab mob, cov tshuaj tiv thaiv kho kom zoo), Oflokain (tshuaj loog + tshuaj tua kab mob).
- Kev npaj ntawm cov tshuaj tua kab mob, tshuaj tua kab mob thiab tshuaj hormones: Pimafucort, Triderm.
Cov tshuaj pleev thiab cov tshuaj pleev rau cov kab mob ua xua tuaj yeem yuav ntawm txhua lub tsev muag tshuaj.
Kev Kho Mob Atopic Dermatitis
Vim tus kab mob no ua rau muaj kev txhawj xeeb ntau dua rau cov neeg mob hluas, yuav tsum xav txog seb pab pawg twg ntawm cov tshuaj pleev dermatitis yog siv los kho cov menyuam yaus.
Kev kho cov menyuam yaus pib nrog lub zos ntawdKev kho mob rau exacerbation ntawm atopic dermatitis. Cov tshuaj tib yam tuaj yeem siv los ua kev kho mob pib yog tias mob hnyav.
Thaum muab, kev suav ua raws li hauv qab no:
- Yog hais tias tus kab mob no zuj zus, thiab foci ntawm redness me me, tsuas yog tshwm sim ntawm cov ceg thiab lub cev, cov npe ntawm cov tshuaj hormonal tshuaj tiv thaiv kab mob dermatitis suav nrog cov tshuaj xws li Hydrocortisone cream 1%, Prednisolone ointment. Thaum tsis quaj - "Lokoid" thiab "Afloderm" (cov tshuaj pleev). Yog tias qhov chaw mob ua rau ntub dej, Afloderm thiab Flixotide npaj rau hauv daim ntawv ntawm cov qab zib.
- Nyob rau hauv cov ntaub ntawv ntawm exacerbation hnyav (qhov mob yog tsim los ntawm ib tug kws kho mob dermatologist) thiab localization ntawm o ntawm daim tawv nqaij ntawm extremities, lub ntsej muag thiab lub cev, kev kho mob yuav tsum tau pib nrog tshuaj xws li Advantan (nyob rau hauv daim ntawv ntawm ib tug cream. los yog emulsion nrog quaj, nyob rau hauv nws tsis muaj - nyob rau hauv daim ntawv ntawm ib tug tshuaj pleev), "Elocom", "Celestoderm B" (thaum ntub - nyob rau hauv daim ntawv ntawm ib tug qab zib los yog lotion), "Mometasone furoate", "Polcortolone", "Triamcinolone". ".
Thov ntau ntau
Qhov zaus ntawm kev siv cov tshuaj pleev rau kev ua xua dermatitis yog txiav txim los ntawm tus kws kho mob. Feem ntau, cov menyuam yaus hnub nyoog 6 lub hlis "Advantan" tuaj yeem thov ib hnub ib zaug, ob zaug ib hnub - "Afloderm", txog peb zaug - "Lokoid". "Elokom" tsuas yog siv tau los ntawm ob xyoos xwb, ib hnub ib zaug, chav kawm yuav kav ntev txog ib lub lim tiam.
Yog tias pob khaus hauv atopic dermatitis tau txo qis hauv qhov hnyav, qhov kev kho mob sai sai yog qhov tsis xav tau. Nws yog qhov zoo dua los hloov mus rau ib chav kawm thaum cov cheeb tsam cuam tshuam yog lubricated ob zaug hauv ib lub lis piam rau 1-2 lub lis piam, nyob rau lwm hnub lawv tau thov.nourishing thiab moisturizing npaj.
Tshuaj "Diflucortolone valerate", "Chalciderm", "Galcinonide", "Dermovate", uas muaj lub zog ntev ntev thiab qhov siab tshaj plaws ntawm daim tawv nqaij nkag mus - cov no yog cov tshuaj pleev siv rau dermatitis hauv cov menyuam yaus tom qab 14 xyoo. hnub nyoog thiab cov laus rau kev kho mob.
YContraindications
tshuaj pleev tshuaj hormonal rau kev kho mob dermatitis yog contraindicated nyob rau hauv kab mob thiab fungal kab mob ntawm daim tawv nqaij, pob txuv, herpes, scabies, tuberculosis, shingles. Lawv yuav tsum tsis txhob siv yog tias ua xua dermatitis tshwm sim tom qab txhaj tshuaj. Thaum cev xeeb tub thiab menyuam yaus hnub nyoog qis dua ib xyoos, cov tshuaj no tsis raug sau tseg. Cov menyuam yaus hnub nyoog qis dua xya xyoo yuav tsum tau muab tshuaj steroid cream thiab tshuaj pleev los ntawm tus kws kho mob tshwj xeeb.
KOJ
Hais txog cov tshuaj pleev, cov hauv qab no yuav tsum tau hais:
- nyob rau hauv cov xwm txheej ntawm dermatitis, qhov siab tshaj plaws ntawm peb cov tshuaj tau siv rau txhua txhais tes (ib qho yog cov nyiaj uas tau muab tso rau ntawm phalanx ntawm tus neeg mob tus ntiv tes);
- ib ko taw - tsis ntau tshaj ib chav;
- puab tsaig - ib chav nyob ntawm txhua sab;
- ib lub cev - tsis tshaj 14-15 units.
Cov lus qhia tshwj xeeb
tshuaj pleev tshuaj hormonal yuav tsum tsis txhob siv rau ntawm lub ntsej muag. Tsuas yog calcineurin inhibitors thiab moisturizers yuav tsum tau siv rau hauv cheeb tsam no.
Yog tias koj xav tias muaj kab mob lossis cov kab mob fungal tau txuas rau thaj chaw ntawm cov kab mob dermatitis, cov tshuaj pleev uas muaj cov tshuaj tiv thaiv kab mob thiabTshuaj tua kab mob: Pimafukort, Triderm.
Tshuaj pleev rau kev kho mob ntawm cov tawv nqaij ua xua ntawm tes feem ntau nug.
Cov menyuam yaus hnub nyoog qis dua xya xyoo yuav tsum tsis txhob siv cov tshuaj hormonal rau ntawm daim tawv nqaij mob, tab sis ntawm pre-lubricated emollient, uas yog, ib yam khoom uas muaj cov ntsiab lus muaj roj txaus thiab, thaum ua ntawv thov, ua rau zaj duab xis ntawm daim tawv nqaij. Cov emollients zoo yog Emolium, Topikrem, Mustela Stelatopia, La Roche-Posay.
Mustela Stelatopia yog ib qho emulsion cream ua los ntawm cov khoom xyaw ntuj uas kis tau yooj yim ntawm tus menyuam daim tawv nqaij thiab qhuav hauv feeb. Nws tuaj yeem siv tsis tau tsuas yog lub hauv paus rau cov tshuaj hormonal, tab sis kuj nyob rau lub sijhawm ntawm kev siv tshuaj steroids, nrog rau ua ntej tawm mus, tshwj xeeb tshaj yog thaum lub caij txias. Cream emulsion kuj pab tshem tawm qhov khaus ntawm daim tawv nqaij, yam ntxwv ntawm atopic dermatitis. Nws tuaj yeem hloov nrog Fmisiogel AI, nrog rau lwm cov tshuaj. Physiogel kuj tseem muaj cov lipids hauv daim nyias nyias, uas zoo ib yam rau cov uas tiv thaiv cov tawv nqaij tsis zoo los ntawm cov kab mob sab nraud. Nws tshem tawm cov tsos mob me me ntawm atopic dermatitis, khaus thiab khaus.
zoo li emollients yog cov tshuaj pleev zoo rau dermatitis thaum cev xeeb tub, lawv yog ib qho kev xaiv zoo tshaj yog tias cov tshuaj hormonal yog contraindicated.
Emollients yuav tsum tau siv tsawg kawg peb zaug hauv ib hnub, suav nrog tom qab da dej. Lawv yuav tsum tau hloov txhua txhuapeb mus rau plaub lub lis piam kom tsis txhob txo cov nyhuv kho.
Ntau tus neeg xav nrhiav cov tshuaj pleev zoo tshaj plaws rau kev ua xua dermatitis.
Lwm cov tshuaj tsis yog tshuaj hormones
Nrog tus kab mob no, cov menyuam yaus, cov poj niam cev xeeb tub, cov neeg laus yog cov tshuaj uas tsis yog tshuaj hormones tiv thaiv kab mob dermatitis, uas tuaj yeem sib txawv:
- "Bepanten" ("D-panthenol", "Dexpanthenol", "Pantoderm"). Absorbed los ntawm daim tawv nqaij hlwb, nws hloov mus rau hauv pantothenic acid, uas accelerates kho ntawm lub epidermis. Yuav siv tau thaum lactation thiab me nyuam.
- "Eplan". Cov khoom xyaw nquag yog glycolan, uas muaj cov nyhuv analgesic, bactericidal thiab kho qhov txhab. Tsis muaj kev qhia siv rau hauv lactation lossis cev xeeb tub.
- Anti-dermatitis ointment uas muaj zinc (Desitin thiab Zinc Ointment rau kev tsis haum dermatitis, nrog rau Zinocap raws zinc pyrithione) muaj cov tshuaj tua kab mob zoo, tshuaj tua kab mob thiab tiv thaiv kab mob. Kuj tseem siv tau thaum ntub. Thaum lub sij hawm lactation thiab cev xeeb tub, nws yog siv raws li qhia los ntawm ib tug kws kho mob dermatologist.
- "Radevit" yog cov tshuaj pleev raws li cov vitamins (A, E, D2), uas muaj softening thiab anti-inflammatory nyhuv, tshem tawm khaus.
- Calcineurin inhibitors ("Protopic" thiab "Elidel"), txo qis kev tso tawm ntawm cov tshuaj uas ua rau cov tawv nqaij ua xua, txo qhov mob hnyav. Lawv siv los kho cov quav, caj dab, ntsej muag. Cov tshuaj pleev zoo tshaj tawm tsam khaus yog Protopic. Tsis sivcov nyiaj no rau herpetic ua pob liab vog, warts, qhov chaw mos warts, nrog ultraviolet hluav taws xob kho. Tsis pom zoo thaum pub niam mis thiab cev xeeb tub.
- "Fenistil-gel", raws li cov tshuaj tiv thaiv antihistamine dimethindene maleate. Nws muaj cov tshuaj loog hauv zos thiab tshuaj tua kab mob.
- "Gistan" yog kev noj haus ntxiv ntawm ib hom hauv zos, raws li betulin, dimethicone, rho tawm ntawm cov nroj tsuag tshuaj.
- "Losterin" raws li dexpanthenol, urea (softens lub epidermis), salicylic acid (tawm qhov mob thiab softens ntawm daim tawv nqaij).
- Naftaderm yog liniment raws li Naftalan roj. Nws muaj cov nyhuv antiseptic, softening thiab analgesic.
Kev saib xyuas tshwj xeeb yuav tsum tau ua thaum xaiv cov tshuaj pleev rau cov kab mob ua xua rau cov menyuam yaus.
Means "Dermazin"
Rau kev tiv thaiv thiab yog tias muaj tus kab mob, cov menyuam yaus hnub nyoog peb lub hlis tau muab tshuaj Dermazin, raws li sulfanilamide tshuaj tua kab mob, uas yog nyiaj sulfadiazine. Nws yog zoo tiv thaiv ntau yam microbes, tshem tawm me ntsis ntub dej. Nws yog siv rau ntawm daim ntaub so ntswg, siv rau thaj tsam dermatitis tsuas yog tom qab cov tawv nqaij mob tau ntxuav nrog dej thiab qhuav nrog gauze.
