Cov kab mob dermatitis yog kab mob dermatological uas tsim los teb rau txhua tus kab mob. Qhov xwm txheej ntawm tus kab mob yog qhov ua xua nyob rau hauv qhov xwm txheej, uas yog, tib neeg lub cev, rau ib qho laj thawj lossis lwm qhov, teb rau qhov kev txiav txim ntawm kev irritant nrog siab rhiab heev. Yuav kom paub txog tus kab mob no, ib tug yuav tsum xeem dhau classic allergological xeem, ua tsaug uas nws muaj peev xwm mus txiav txim lub irritant.
Pathogenesis of simple contact dermatitis
Raws li txoj cai, kev sib cuag dermatitis yog ib yam kab mob uas siv sijhawm ntev los tsim. Cov tsos mob tshwm sim tsuas yog nyob rau hauv cov ntaub ntawv ntawm kev sib cuag ntev ntawm ib tug neeg uas muaj kev chim siab. Hauv kev sib raug zoo no, allergens sau tias allergens feem ntau suav hais tias yog cov ntsiab lus uas tus neeg tau txais kev sib cuag ntawm qhov chaw ua haujlwm, lossis cov no yog allergens uas tus neeg mob niaj hnub ntsib hauv tsev. Ntawm cov khoom ua xua hauv tsev, tshuaj pleev ib ce thiab tshuaj ntxuav tes, tshuaj, hniav nyiaj hniav kub, khoom siv hauv tsev, xim, hlau thiabLwm yam khoom uas tuaj yeem ua rau muaj kev tsis haum tshuaj.
Nws tsim nyog kawm ntxiv txog kev tiv thaiv kab mob dermatitis yooj yim, cov tsos mob thiab kev kho mob rau cov neeg laus thiab menyuam yaus.
Yog vim li cas
Kev sib cuag yooj yim dermatitis tuaj yeem tshwm sim los ntawm kev cuam tshuam ncaj qha ntawm kev ua xua, thiab ua rau muaj kev cuam tshuam ntawm kev tiv thaiv kab mob. Rau kev tsim ntawm tus kab mob, ib tug thib ob los yog ntev nyhuv ntawm irritant ntawm daim tawv nqaij yog tsim nyog. Thaum thawj qhov kev sib cuag ntawm cov khoom ua xua rau ntawm daim tawv nqaij, cov txheej txheem hu ua sensitization tshwm sim. Qhov no yog kev ua kom lub cev tiv thaiv kab mob, kev loj hlob ntawm ib hom tshuaj tiv thaiv kab mob. Nws tsis tshwm sim nyob rau hauv tsos. Nrog rau qhov thib ob raug rau cov allergen, nws tau lees paub thiab cov lus teb tiv thaiv kab mob yog tshwm sim los ntawm qhov mob tshwj xeeb. Cov kab mob sib kis nyob ib puag ncig, feem ntau yog enterobacterial.
Key Factors
Ua rau muaj kev phom sij (allergens) rau tus mob dermatitis:
- zaub (biologically active ntsiab ntawm organic keeb kwm).
- Cov khoom siv dag zog.
- Cov tshuaj hauv tsev (cov kuab tshuaj, hmoov, xim, kua nplaum, tshuaj ntxuav tes, suav nrog cov khoom siv xab npum).
- Kev lag luam chemistry (phenols, alkalis, acids, aldehydes, kerosene, alloys thiab lawv cov tebchaw).
- Tshuaj pleev ib ce (kev tu tawv nqaij thiab tshuaj pleev ib ce).
- jewellery (cov khoom siv los ua cov hlau thiab cov xim siv rau cov khoom).
- Tshuaj rau kev siv sab nraudsiv.
- Roj Hmab (cov ntsiab lus suav nrog hauv nws cov qauv).
Symptoms
Txij li tus kab mob tuaj yeem muaj qhov mob hnyav thiab mob ntev, theem ntawm qhov hnyav thiab tus nqi sib kis kuj tseem nyob ncaj qha rau ntawm qhov no. Cov tsos mob tshwj xeeb ntawm kev sib cuag dermatitis yuav yog: o, liab, tawv nqaij pob, khaus. Tsis tas li ntawd, muaj txhua lub caij nyoog ntawm cov pob khaus thiab quaj qw hauv thaj chaw cuam tshuam. Yog tias peb tab tom tham ncaj qha txog kev ua xua dermatitis, tom qab ntawd cov kev tshwm sim ntxiv yuav nyob ncaj qha ntawm qhov chaw ntawm daim tawv nqaij nrog cov reagent. Thiab nws tau raug sau tseg tias tus neeg mob yau dua, cov txheej txheem qhia ntau dua. Thaum lub sij hawm, uas yog, nyob rau hauv lub sij hawm ntev ntawm tus kab mob, daim tawv nqaij nyob rau hauv lub cheeb tsam ntawm kev sib cuag nrog cov allergen ua nruj nreem, thickens, qhuav, thiab nws cov qauv intensifies. Kev tawg yuav tshwm sim. Nyob rau hauv cov ntaub ntawv loj ntawm cov kab mob dermatitis, cov xwm txheej ntawm tus neeg tuaj yeem cuam tshuam thiab tshee, ua npaws, impotence, thiab lwm yam tshwm sim.
Kev tiv thaiv kab mob dermatitis hauv menyuam yaus
Cov menyuam yaus tau ua thiab tseem muaj feem cuam tshuam rau kev cuam tshuam ntawm ntau yam tshuaj reagents. Hauv cov menyuam mos, txhua yam tuaj yeem tshwm sim los ntawm thawj cov pacifier lossis cov mis mos me me, cov khoom ua si lossis undershirts. Thiab ntxiv mus, tus laus tus menyuam kawm ntawv preschool dhau los, qhov ntau nws muaj kev sib cuag nrog ib puag ncig nws, qhov kev hem thawj rau nws. Thiab txhua yam yog qhov hnyav dua los ntawm qhov tseeb tias cov txiv neej xav tau ntau npaum li cas thiab lub sij hawm raug rau kom tau txais daim duab tiav ntawm dermatitis. Cov me nyuam, koj yuav tsum nco ntsoov qhov nontau lub hlwb tsis ruaj khov. Yog li ntawd, nws yuav tshwm sim rau tus neeg mob me yog tias nws ua capricious, ua kua muag thiab absurd. Thiab nws yuav ib txwm nce nrog tes mus rau thaj chaw cuam tshuam. Qhov no yuav tsum tau tiv thaiv. Yog tias koj tsis ua raws li kev ua ntawm tus menyuam mos, ntxiv rau txoj kev kho mob ntev, tus menyuam kawm ntawv preschool kuj tseem tuaj yeem qhia txog kev kis kab mob los ntawm khawb nws daim tawv nqaij. Thiab cov no yog cov teeb meem uas twb tshwm sim lawm, tiv thaiv kev kho.
Diagnosis
Kev kuaj mob feem ntau tuaj yeem ua raws li daim duab kho mob ntawm daim tawv nqaij thiab keeb kwm tiv tauj. Nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus account cov ntaub ntawv hais txog tus neeg mob txoj haujlwm, nws txoj haujlwm nyiam, kev sib cuam tshuam nrog cov khoom siv hauv tsev, so haujlwm, khaub ncaws, thiab siv ntau yam tshuaj pleev ib ce. Yog tias koj xav tias tus kab mob no tshwm sim vim muaj tshuaj tsw qab, tshuaj zawv plaub hau, lossis lwm yam kev siv hauv tsev, nws muaj peev xwm los soj ntsuam. Cov tshuaj npaj yuav tsum tau siv rau ntawm daim tawv nqaij tej thaj chaw deb ntawm qhov chaw ntawm qhov pib ntawm kev loj hlob ntawm dermatitis, piv txwv li, ntawm lub puab tsaig.
Daim ntawv xeem
Kev kuaj mob ntawm tus kab mob sib kis tau yooj yim kuj muaj nyob rau hauv kev ua daim ntawv thov daim tawv nqaij. Nws tau ua nrog kev kuaj pom tsis zoo thiab tsis muaj txiaj ntsig los ntawm kev kho. Nrog nws, cov tshuaj tiv thaiv kab mob raug siv rau ntawm daim tawv nqaij ntawm sab nraub qaum los ntawm sab saud los ntawm gluing ib thaj ua rau qhov tsawg kawg nkaus ntawm cov tshuaj tiv thaiv kab mob lossis cov khoom yas sib xyaw ua ke. Daim ntawv thov epicutaneous nrog rau lub sij hawm luv luv ntawm ib txheej nyias ntawm cov khoom yog nqa tawm siv ob daim nplaum nplaum, uasmuaj peev xwm thov thiab txhais txhua tus kws kho mob. Cov tawv nqaij hauv qab thaj yog ntsuas ob mus rau plaub hnub tom qab thov. Cov txiaj ntsig tsis raug raug muab sau tseg yog tias cov khoom siv hauv kev siv cov concentration ua rau muaj qhov ua rau khaus, thiab tsis tsim cov tshuaj tiv thaiv kab mob, thiab yog tias cov tshuaj tiv thaiv rau ib qho antigen ua rau cov tshuaj tiv thaiv tsis tshwj xeeb rau lwm cov antigens los yog antigens uas cuam tshuam cov tshuaj tiv thaiv. tsim. Cov tshuaj tiv thaiv tsis zoo yog tsim yog tias daim tawv nqaij ua xua tsis suav nrog antigen uas ua rau mob. Txhawm rau ua pov thawj qhov kev kuaj mob, cov ntaub ntawv ntawm kev sib cuag nrog cov tshuaj tiv thaiv yuav tsum tau ua.
Koj ua tau koj tus kheej li cas?
Txhawm rau rov ua dua daim tawv nqaij puas, koj yuav tsum ua raws li ob peb txoj cai yooj yim:
- Hnav hnab looj tes thaum huab cua txias.
- Txhawm rau ntxuav tes, siv dej sov thiab xab npum me me.
- Yaug tes kom qhuav.
- Siv nquag moisturizers, daim tawv nqaij softeners, thiab cov khoom tiv thaiv lub cev qhuav dej. Cov no yog, raws li txoj cai, cream nrog roj av jelly, lanolin, glycerin, ceramides, dimethicone, propylene glycol, urea, thiab lwm yam.
Yuav ua li cas txo qhov mob?
Nws raug pom zoo kom tshem tawm qhov mob nrog corticosteroids. Yog tias tus kab mob hnyav los yog mob ntev, nrog cov tawv nqaij loj, tsis muaj nyob hauv lub ntsej muag lossis hauv thaj tsam ntawm daim tawv nqaij, ces Clobetasol lossis Diflucortolone yog siv rau 2-4 lub lis piam. Hauv qhov xwm txheej tsawg duathov "Kuterid", "Mometasone" (tseem nyob rau hauv 2-4 lub lis piam). Yog tias muaj qhov mob hauv qhov chaw mos, ces cov tshuaj corticosteroids tsis muaj zog yog siv ntawm qhov qis dua: Triamcinolone, Betamethasone, Hydrocortisone rau 1-2 lub lis piam.
Nws yog qhov zoo tshaj plaws kom tsis txhob khawb qhov chaw tsis zoo, txwv tsis pub ntxiv kev puas tsuaj rau daim tawv nqaij tuaj yeem tsim qhov chaw zoo rau tus kab mob enterobacterial.
Kev rov qab yuav siv sijhawm li ib hlis yog tias tsis muaj kev cuam tshuam tom qab ntawm tus neeg ua haujlwm khaus. Hauv daim ntawv mob ntev, cov tsos mob tuaj yeem tshwm sim tau ntau lub hlis lossis xyoo.
Koj yuav tsum ceev faj txog cov khoom uas ua rau tus kab mob, thiab tshem tawm qhov mob. Cov hau kev zoo ib yam: hnav hnab looj tes, zuag qhia tag nrho, daim npog qhov ncauj thiab tsom iav, siv corticosteroids rau 1-2 lub lis piam los yog calcineurin inhibitors (piv txwv li, pimecrolimus cream).
Cream thiab tshuaj pleev rau kev sib cuag dermatitis ntawm lub ntsej muag thiab lub cev yog siv los ntawm glucocorticosteroids. Lawv zoo tshem tawm qhov mob thiab tiv thaiv cov txheej txheem los ntawm kev txhim kho. Tab sis lub sij hawm ntawm lawv cov kev siv yog txo (tsis pub ntau tshaj 14 hnub) thiaj li yuav zam tsis tsim cov kev phiv, uas muaj xws li: dryness thiab thinning ntawm daim tawv nqaij, tshwm sim ntawm stretch marks, rosacea ntawm lub ntsej muag. Nyob ntawm seb hom mob, ntau hom kev npaj tshuaj pleev ib ce:
- Mob pob khaus ntub dej - emulsion.
- Subacute nrog crusts - cream los yog lipocream.
- Ntshai nrog tawg thiabpeeling - tshuaj pleev.
Nrog ntau yam tshuaj pleev ib ce (rau siv rau ntawm daim tawv nqaij) glucocorticosteroids, muaj 3 qhov zoo tshaj plaws: Lokoid, Elokom thiab Advantan. Thaum koom nrog cov kab mob fungal thiab enterobacterial flora, ua ke cov tshuaj pleev ib ce thiab tshuaj pleev rau dermatitis yuav tsum tau siv, uas, ntxiv rau cov tshuaj tiv thaiv hormonal, muaj cov tshuaj tua kab mob thiab tshuaj tua kab mob, piv txwv li, "Pimafukort"..
Kev mob, cov cim qhia uas tau tso tseg, tawm hauv qab ziab thiab shabby integuments. Nyob rau lub sijhawm no, tus kws kho mob dermatologist muaj peev xwm sau cov tshuaj uas txhawb nqa cov cell rov qab los thiab rov tsim lawv cov metabolism. Tus neeg sawv cev tseem ceeb yog suav tias yog "Bepanten" (ib hom tshuaj rau dermatitis), siv los kho cov kab nrib pleb thiab tshem tawm cov tawv nqaij qhuav thiab flaking.
Tab sis feem ntau siv Akriderm ointment, cov lus qhia rau kev siv, nqe thiab tshuaj xyuas uas tau piav qhia hauv qab no. Cov lus qhia rau kev siv yog ntau haiv neeg, tab sis thaum cev xeeb tub nws yuav tsum tau siv nrog ceev faj. Tus nqi sib txawv ntawm 100 txog 200 rubles. Kev txiav txim los ntawm kev tshuaj xyuas, cov tshuaj no sai sai tiv nrog txhua qhov tshwm sim ntawm dermatitis, uas yog vim li cas nws thiaj li hu ua ib qho kev kho zoo tshaj plaws.
tshuaj thiab cov tshuaj tua kab
Ntxiv rau cov tshuaj pleev thiab tshuaj pleev rau cov kab mob dermatitis, kws kho mob muaj lwm yam tshuaj hauv Tshuag. Qee tus ntawm lawv yog cov tshuaj tiv thaiv kab mob ("Loratadine", "Cetirizine", "Fexofenadine"),uas tau sau tseg kom txo tau qhov khaus thiab cov tsos mob ntawm o: o thiab liab. Lawv tseem ceeb tshwj xeeb tshaj yog nyob rau hauv daim ntawv tsis haum ntawm tus kab mob.
Enterosorbents, uas muaj peev xwm haus cov co toxins hauv lub lumen ntawm txoj hnyuv, ua lub luag haujlwm tseem ceeb hauv kev kho cov kab mob dermatitis. Tshwj xeeb tshaj yog tias tus neeg ua txhaum ntawm tus kab mob yog cov khoom siv tshuaj lossis cov khoom noj. Nyob rau hauv cov ntaub ntawv ntawm ib tug complex txoj kev ntawm tus kab mob, uas yog tsis muaj peev xwm tiv nrog lub zos kev kho mob nkaus xwb, nws muaj peev xwm siv tshuaj hormonal nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, txhaj tshuaj thiab droppers.
Kev noj tshuaj thiab kev tswj hwm raug xaiv los ua tus lej ntawm qhov hnyav ntawm qhov tshwm sim. Cov chav kawm yog luv luv, zoo copes nrog exacerbation, thiab cov qhabnias theem nrab yog tsawg. Thaum siv glucocorticosteroids, nws yog ib qho tseem ceeb los tiv thaiv lub plab mucosa los ntawm kev tau txais Omeprazole capsules kom tsis txhob muaj qhov mob ntawm cov mucosa. Daim ntawv mob hnyav ntawm tus kab mob, kev kho mob uas tau pib ua raws sijhawm thiab ua tau raws li cov qauv thoob ntiaj teb, txo qis sai sai thiab, nrog tsawg kawg nkaus, rov tshwm sim lossis dhau mus ntev.
Kev noj haus thiab kev ua neej
Thaum ib tus neeg raug kuaj pom tias muaj kab mob sib kis tau yooj yim thiab cov xwm txheej ua rau nws raug tsim, nws tau txais cov lus qhia hauv qab no:
- Nws yog ib qho tsim nyog yuav tsum ceev faj txog cov laj thawj uas ua rau muaj kab mob dermatitis; sim hloov cov khoom nrog hypoallergenic sawv daws yuav.
- Yuav tsum tswj txhua yam khoom noj uas yuav khoom kom muaj cov tshuaj phem rau tus neeg mob.
- Khaub ncaws thiab khau yuav tsum yogua los ntawm cov ntaub ntawv ntuj, nws yog qhov tseeb dua los siv cov hmoov hypoallergenic tshwj xeeb rau cov khoom ntxhua.
Tus neeg mob noj zaub mov txawv nyob ntawm tus kab mob. Tshem tawm cov khoom noj uas dhau los ua qhov cuam tshuam rau kev ua xua thiab ua rau pom cov tsos mob ntawm daim tawv nqaij. Feem ntau, nws yog qhov zoo dua rau kev ceev faj ntawm kev siv cov tshuaj tua kab mob, tshuaj zawv plaub hau, tshuaj tsw qab, thiab lwm yam.
Result
Raws li koj tuaj yeem pom, cov lus pom zoo hauv chaw kho mob rau kev tiv thaiv kab mob dermatitis yooj yim muaj ntau yam. Tom qab tag nrho, qhov no yog ib qho kab mob tsis kaj siab uas ua rau muaj kev tsis xis nyob thiab ua rau muaj teeb meem zoo nkauj thiab teeb meem. Qhov tsim nyog tshaj plaws yog kev siv cov tshuaj pleev Akriderm, cov lus qhia rau kev siv, nqe thiab tshuaj xyuas uas tau hais los saum toj no. Yog tias koj tswj kom kov yeej tus kab mob, thaum tib lub sijhawm kho koj txoj kev ua neej thiab kev noj haus, ces koj tuaj yeem hnov qab tag nrho.
