Daim tawv nqaij yog tib neeg lub cev loj tshaj plaws. Nws raug rau ib puag ncig txhua hnub. Nrog kev tiv thaiv muaj zog, kev hloov pauv tsis tshwm sim lossis tsis pom. Txo kev tiv thaiv kev ua haujlwm ntawm lub cev, kev tsis sib haum xeeb tuaj yeem ua rau ntau yam kab mob ntawm daim tawv nqaij lossis kab mob dermatitis.
Dab tsi yog dermatitis
Dermatitis yog ib lo lus dav dav rau qhov mob ntawm daim tawv nqaij. Feem ntau, cov txheej txheem no yog tshwm sim los ntawm allergens ntawm ntau lub hauv paus chiv keeb. Niaj hnub no, cov kws kho mob ntseeg tias kev tsis haum tshuaj tau dhau los ua thoob ntiaj teb, tab sis tsuas yog 100 xyoo dhau los, feem coob ntawm cov pejxeem tsis tau ntsib cov xwm txheej zoo li no. Feem ntau, dermatitis tshwm sim los ntawm cov stimuli sab nraud, tab sis muaj cov kab mob ntawm daim tawv nqaij tshwm sim los ntawm malfunctions nyob rau hauv lub hormonal system, metabolism, dysbacteriosis thiab lwm yam kab mob zes nyob rau hauv lub plab hnyuv ib ntsuj av.
Cov pab pawg muaj kev pheej hmoo suav nrog cov neeg uas muaj mob los yog kis tau tus kab mob dermatitis. Kev tsis haum tshuaj yuav tshwm sim los ntawm kev siv tshuaj ntev ntev, kev noj zaub mov tsis zoo monotonous, ua rau lub cev tsis muaj zog,kab mob fungal thiab ntau lwm yam laj thawj. Txij li thaum pom qhov tshwm sim ntawm qhov khaus tau pom ntawm daim tawv nqaij, kev kho mob feem ntau yog tshuaj pleev rau dermatitis.
Nyob ntawm kab mob
Kev kho mob dermatitis yuav tsum tau yuav tsawg kawg ib zaug hauv lub neej los ntawm txhua tus neeg. Txhua txhua hnub muaj ntau yam ua rau, exogenous, endogenous yam uas ua rau lub cev thiab ua rau reactive irritation.
Hnub no, cov kws tshaj lij paub qhov txawv ntawm cov kab mob dermatitis hauv qab no:
- Xerosis (dry dermatitis). Feem ntau pom nyob rau hauv cov neeg laus ntawm ko taw nyob rau hauv daim ntawv ntawm tev. Qhov ua rau ntawm qhov tshwm sim yog psychosomatic yam, ib qho tshuaj tiv thaiv rau huab cua qhuav qhuav, qee yam kab mob. Kev kho mob yog siv los ntawm kev tshem tawm cov hauv paus hauv paus, rau kev siv sab nraud dermatitis tshuaj pleev nrog cov nyhuv moisturizing, nrog rau cov emollients - muaj roj zoo li cov tshuaj uas muaj cov nyhuv softening ntawm stratum corneum.
- Tiv tauj tus kab mob dermatitis - yog cov tshuaj tiv thaiv rau cov kab mob uas ua rau khaus (tsiaj plaub hau, zaub mov ntses, paj paj ntoo, thiab lwm yam). Nws raug pom zoo kom tshem tawm qhov ua rau muaj kev fab tshuaj, nrog rau kev siv tshuaj hormonal tshuaj pleev rau dermatitis hauv kev kho mob.
- Tiv tauj dermatitis. Qhov ua rau ntawm qhov tshwm sim yog cov tshuaj tiv thaiv rau cov tshuaj - ntxuav hmoov, tshuaj tsw qab, cov kuab tshuaj, thiab lwm yam, kuj tuaj yeem ua rau muaj kev sib txhuam hnyav. Txhawm rau tshem tawm cov teebmeem ntawm khaus khaus, siv ntau hom tshuaj, nyob ntawm qhov hnyav ntawm rooj plaub.
- SeborrheicCov kab mob dermatitis yog provoked los ntawm active reproduction ntawm cov poov xab fungus Malassezia nyob rau hauv cov cheeb tsam ntawm lub dermis nrog ib tug siab secretion ntawm sebum. Rau kev kho mob, cov tshuaj tiv thaiv kab mob yog siv nrog rau kev tshem tawm thiab cov tshuaj hormonal (thaum mob hnyav).
- Atopic dermatitis, lossis eczema. Cov menyuam yaus feem ntau cuam tshuam los ntawm hom kab mob no. Qhov ua rau ntawm qhov tshwm sim tuaj yeem dag hauv kev xeeb tub lossis tshwm sim los ntawm kev tsis haum tshuaj. Kev kho mob yuav tsum pib tam sim ntawd, vim eczema feem ntau ua mob ntev. Txoj kev kho siv emolens, tshuaj hormonal tshuaj npaj.
- Toxidermia yog lub cev cov tshuaj tiv thaiv rau kev noj tshuaj, tshuaj, tshuaj lom neeg. Ntxiv nrog rau kev noj qhov ncauj, nws tseem tuaj yeem txhaj, nqus tau, qhov quav, thiab lwm yam.
- Kab mob dermatitis yog ib qho tshwm sim ntawm tus kab mob (qhua pias, kab mob qaib, thiab lwm yam), kuj ua rau cov kab mob (streptococcus, staphylococcus aureus). Kev xaiv cov tshuaj yog txiav txim los ntawm tus kab mob.
Principles of diagnosis
Qhov muaj qhov khaus khaus thiab nws txoj kev koom nrog kev ua xua yog txaus rau kev kuaj thawj zaug ntawm dermatitis. Yog tias, thaum lub sijhawm kuaj thawj zaug thiab nug, qhov tshwm sim sai ntawm daim tawv nqaij tshwm sim, cov ciam teb ntawm qhov txhab raug txiav txim siab thiab ua tiav qhov ploj ntawm cov tsos mob tom qab tshem tawm cov tshuaj tiv thaiv kab mob, ces hu rau dermatitis tuaj yeem hais. Hauv cov xwm txheej nyuaj dua, tus kws kho mob ua qhov kev kuaj mob ntxaws, uas suav nrog:
- Kev kuaj mob (rau kev tsis haum dermatitis hauvntshav nco ntsoov muaj eosinophils).
- Immunological tests siv cov allergens.
- daim ntawv thov daim tawv nqaij ntev li ntawm 48 mus rau 72 teev (ib daim kab xev tshwj xeeb nrog cov tshuaj tsis haum rau sab nraub qaum, tus kws kho mob ntsuas cov tshuaj tiv thaiv 20 feeb tom qab tshem daim ntawv thov).
Kev kuaj kab mob sib txawv (rau herpes, seborrheic thiab atopic dermatitis, bullous pemphigoid).
Cov tshuaj pleev rau cov kab mob dermatitis tau muab tshuaj tom qab kuaj pom tias yog kev kho mob nkaus xwb lossis hauv cov kev kho mob dav dav ntawm kev ntsuas. Kev kho sab nraud rau kev kho mob ntawm kev khaus khaus yog tsim nyob rau hauv ob hom - tsis yog hormonal thiab hormonal. Lawv txawv nyob rau hauv muaj pes tsawg leeg thiab lub hauv paus ntsiab lus ntawm kev ua.
YNon-hormonal tshuaj pleev rau dermatitis
Muaj ntau yam tshuaj no hauv lub tsev muag tshuaj. Tshuaj pleev los ntawm dermatitis ntawm daim tawv nqaij yuav tsum tau xaiv nruj me ntsis raws li kev pom zoo los ntawm kws kho mob. Cov tshuaj uas tsis yog tshuaj hormones raug suav hais tias muaj kev nyab xeeb dua, tab sis tsis muaj zog ntawm lawv cov txiaj ntsig, nrog rau lawv qhov kev ua nws tsis yog ib txwm muaj peev xwm ua tiav kev kho mob, kev kho mob tuaj yeem ncua sij hawm ntau lub hlis. Qhov zoo ntawm cov tshuaj pleev no yog lawv cov naturalness thiab kev nyab xeeb ntawm kev siv.
Qhia txog qhov tsis zoo ntawm cov tshuaj pleev uas tsis yog tshuaj hormones, uas yog:
- Nyob rau hauv cov neeg uas muaj kev tsis haum tshuaj, cov tshuaj pleev ib ce tuaj yeem ua rau khaus ntxiv.
- txhais tau tias siv tau rau qee qhov kev khaus khaus.
Tshuaj pleev rau daim tawv nqaij ntawm daim tawv nqaij tau muab faib ua ntau pawg raws li qhov kev txiav txim:
- Antiseptic -muaj cov tshuaj tua kab mob, rhuav tshem cov kab mob pathogenic thiab tsim kev thaiv rau lawv nkag mus rau hauv qhov txhab qhib.
- Anti-inflammatory - txo lossis tshem tawm khaus, kub hnyiab thiab lwm yam khaus, txo qhov mob.
- Regenerating - txhawb kev kho cov tawv nqaij, ua kom lub qhov txhab zoo.
- Moisturizing - tshem tawm cov tawv nqaij qhuav, pab kho cov dej metabolism hauv ntuj thiab ua kom lub qhov txhab zoo sai.
Feem ntau, pheej yig tshuaj pleev rau dermatitis yog non-hormonal, lub sij hawm ntawm kev kho mob yog tsis ntau tshaj li ob lub lis piam, tom qab uas cov kev quav tshuaj tau teeb tsa thiab hloov cov tshuaj yog tsim nyog rau kev kho ntxiv. Kev ua tau zoo tsuas yog ua tiav los ntawm kev siv cov tshuaj pleev kom tsis tu ncua kom txog thaum rov ua tiav. Thaum tsis pom qhov hloov pauv, cov tshuaj pleev tsis yog tshuaj hormonal hloov los ntawm cov tshuaj hormonal, kev xaiv yog ua los ntawm tus kws kho mob.
Review of zoo non-hormonal ointments
Cov chaw tsim khoom tsim ntau yam khoom siv rau kev kho mob ntawm daim tawv nqaij, suav nrog tshuaj pleev rau dermatitis. Ntau tus ntawm lawv tau ntseeg thiab sim los ntawm ntau tus neeg mob, qhov nrov tshaj plaws yog:
- "Eplan". Cov khoom xyaw nquag (dej, glycolan, glycerin, ethyl carbitol, triethylene glycol) txo qhov khaus, moisturize ntawm daim tawv nqaij, txhawb kev tsim kho ntawm daim npog thiab kho qhov txhab. Siv los ua tshuaj pleev rau daim tawv nqaij ntawm lub ntsej muag thiab lwm qhov ntawm lub cev, thiab kuj txo qhov khaus ntawm kab tom.
- Y "Bepanthen", "Panthenol". Cov khoom xyaw nquagCov khoom xyaw yog dexpanthenol. Cov tshuaj muaj cov nyhuv softening, pib cov txheej txheem ntawm cell regeneration thiab normalizes intracellular metabolism. Cov khoom ntawm cov kab no yog siv los ntawm cov neeg noj qab haus huv los tiv thaiv daim tawv nqaij ntawm lub ntsej muag thiab tes hauv qhov xwm txheej tsis zoo.
- "Skin-Cap" - tshuaj pleev nrog zinc rau dermatitis, muaj zinc pyrithione activated. Kev siv tau pom zoo rau txhua pawg ntawm cov pej xeem, suav nrog cov menyuam yaus hnub nyoog 1 xyoos. Cov cuab yeej muaj anti-inflammatory, antifungal, antimicrobial kev ua. Siv qhia rau eczema, atopic dermatitis, seborrhea, psoriasis, thiab lwm yam.
- "Radevit" yog ib qho ntawm cov kev kho mob nrov tshaj plaws, vim nws muaj pes tsawg leeg thiab cov nyhuv. Cov khoom xyaw tseem ceeb yog cov vitamins (A, E, D), glycerin, cawv, ciab. Nws yog siv los ua ib qho tshuaj uas kho cov txheej txheem tiv thaiv kab mob hauv daim tawv nqaij, kho qhov txhab thiab qhov txhab, muaj cov nyhuv softening ntawm daim tawv nqaij, stimulates cell regeneration. Nws raug sau tseg rau yuav luag txhua hom kev ua xua ntawm daim tawv nqaij, suav nrog ua tshuaj pleev rau atopic dermatitis thiab lwm yam kab mob ntawm daim tawv nqaij.
- "Losterin" - muaj cov tshuaj tiv thaiv kab mob, tshuaj tua kab mob, tshuaj tua kab mob. Nyob rau hauv muaj pes tsawg leeg - urea, natural oils, salicylic acid, deresined naftalan, cog rho tawm. Qhia rau siv raws li ib tug tshuaj pleev rau dermatitis nyob rau hauv cov neeg laus. Nws muaj ib qho exfoliating, regenerating nyhuv ntawm epidermis, tshem tawm irritation, txo khaus, thiab nkoos regenerative txheej txheem.
- "Solcoseryl" muaj lub zogcuam tshuam rau ntawm daim tawv nqaij - zoo kho qhov txhab, hlwv, rwj, nkoos zus tau tej cov collagen thiab lub restoration ntawm lub epidermis, ua raws li ib tug catalyst rau metabolic dab nyob rau hauv daim tawv nqaij hlwb. Cov tshuaj yog qhia tsis tau tsuas yog rau kev kho mob ntawm dermatitis, tab sis kuj rau kev kho sai ntawm qhov txhab los ntawm kub hnyiab, abrasions, thiab kuj ho txo cov caws pliav.
tshuaj pleev tshuaj rau dermatitis
Tsis muaj ntau cov tshuaj hormonal rau kev kho mob dermatitis. Cov tshuaj pleev tau muab faib ua 7 chav kawm. Kev siv cov tshuaj hormonal yuav tsum tau muab los ntawm kws kho mob, thiab kev kho yuav tsum nyob rau hauv kev saib xyuas ze ntawm tus kws tshaj lij.
Kev hem thawj ntawm cov tshuaj no nyob rau hauv cov teeb meem, xws li:
- Txaus. Nrog rau kev siv ntev, daim tawv nqaij tsis teb cov tshuaj zoo, tab sis cov kev mob tshwm sim tuaj yeem tshwm sim lossis qhov teeb meem tuaj yeem ua phem dua.
- Kev nyuaj siab. Hormonal tshuaj pleev ua rau pigmentation, kab mob fungal, atrophy ntawm epidermis, raum tsis ua hauj lwm thiab lwm yam tshwm sim.
- Cancellation syndrome. Nrog ib tug ntse tshem ntawm cov tshuaj, tus kab mob tau ib tug relapse thiab ib tug ntau ntawm kev phiv. Qhov ntau npaum li cas ntawm cov nyiaj thov raug tso tseg maj mam.
Contraindications rau kev siv cov tshuaj hormonal rau dermatitis:
- Ib leeg intolerance.
- Cov kab mob STDs tam sim no.
- Kab mob - tuberculosis, kab mob qhua pias, helminthiasis, herpes, fungal thiab kab mob ntawm lub epidermis.
- Cov menyuam yaus hnub nyoog qis dua 2 xyoos, cev xeeb tub thiab lactatingniam.
Cov lus qhia rau kev siv tshuaj hormonal:
- Neurodermatitis, xav tias eczema.
- Relapse of dermatitis.
- Sib cuag, tsis haum dermatitis, nyuaj los ntawm o ntawm daim tawv nqaij.
- Raws ib kauj ruam tom ntej ntawm kev kho mob dermatitis (yog tias cov tshuaj tsis yog tshuaj hormone tsis ua haujlwm).
- Allergic erythema.
Tshuaj xyuas cov tshuaj hormonal zoo
Hom tshuaj yog kws kho mob sau, lub sijhawm thiab ntau npaum li cas yog txiav txim los ntawm tus kws kho mob tshwj xeeb. Feem ntau cov tshuaj hormonal muaj nyob rau hauv cov tshuaj. Txog niaj hnub no, cov tshuaj pleev hauv qab no tau pom zoo siv:
- "Flucinar", cov tshuaj nquag yog fluocinolone acetonide. Feem ntau pom zoo rau lichen, dermatitis, eczema thiab psoriasis.
- Dermatitis ointment "Akriderm" yog kev npaj ua ke uas muaj ob yam khoom xyaw - salicylic acid thiab betamethasone dipropionate. Nws muaj antiseptic, soothing, exfoliating, anti-inflammatory thiab anti-allergic nyhuv.
- "Advantan" - tshuaj pleev rau seborrheic dermatitis, eczema, txhua yam kev ua xua. Cov khoom xyaw nquag yog methylprednisolone aceponate, beeswax, paraffin. Cov cuab yeej muaj ib tug calming, qhov txhab-kho, anti-inflammatory nyhuv. Ib qho ntawm cov khoom muaj txiaj ntsig zoo yog kev kho dua tshiab ntawm qhov sib npaug ntawm cov tawv nqaij oily. Cov tshuaj tau pom zoo siv txij li hnub nyoog 4 hli.
- "Fucicort" yog cov tshuaj pleev ib ce dav dav thiab raug tshuaj rau txhua hom kab mob dermatitis. Cov tshuaj muaj xws libetamethosone varerate, fusidic acid, cawv, paraffin, dej, thiab lwm yam Kev Ua - tshuaj tua kab mob, soothing, anti-inflammatory, antipruritic.
- "Celestoderm" muaj betamethasone 17-valeriate, paraffin. Nws yog siv rau txhua hom dermatoses (xws li eczema, neurodermatitis, psoriasis). Nws muaj cov tshuaj tiv thaiv kev ua xua, tiv thaiv kab mob.
Dermatitis los ntawm daim pawm
Diaper dermatitis tshwm sim hauv cov menyuam mos uas cov tawv nqaij los ntawm daim pawm lossis daim ntaub pawm. Qhov ua rau pob khaus ntawm daim tawv nqaij yog raws li nram no:
- ib puag ncig ntub (nyob hauv daim ntaub ntub dej ntev ntev) lossis daim ntaub qhwv tsis raug.
- Tus neeg ua phem rau hauv zais cia.
- Tshuaj cov kab mob thiab kab mob (Streptococcus, Candidaalbicans fungus, Staphylococcus, thiab lwm yam).
Kev tshwm sim ntawm tus kab mob yog reddening ntawm epidermis, tev los yog ntub dej, npuas ntawm daim tawv nqaij ntawm cov ntsiab lus ntawm kev sib cuag nrog ntaub los yog pawm.
Kev kho mob, nyob rau hauv cov xwm txheej tsis yooj yim los ntawm kev kis kab mob, nqes mus rau cov txheej txheem kev tu cev - kev hloov pauv ntawm daim pawj nquag, txawm tias cov peev txheej tseem tso cai rau koj ua yam tsis muaj kev hloov pauv. Lub pawm hloov tam sim ntawd tom qab ntub dej. Ib qho tshuaj pleev rau daim ntaub dermatitis kuj tseem siv, uas yog xaiv nyob ntawm qhov tshwm sim ntawm kev khaus:
- Thaum tev, siv cov emollient thiab exfoliator.
- Thaum quaj dermatitis yuav tsum muaj tshuaj pleev kom qhuav thiab tiv thaiv kab mob.
Tshuaj yuav tsum tau muab los ntawm tus kws kho mob tshwj xeeb hauv txhua qhovHauv ib rooj plaub tshwj xeeb, feem ntau pom zoo kom siv Desidin, Bepanten thiab Bepanten-plus, Banetsion, Dexpanthenol ointments, tseem hu ua D-panthenol.
Children's problems
Atopic dermatitis yog ib qho ntawm feem ntau tshwm sim ntawm kev ua xua nyob rau hauv thaum yau, vim yog ib tug genetic predisposition. Cov neeg ua haujlwm tshaj plaws uas ua rau lub cev tsis muaj zog yog:
- Khoom noj - tag nrho cov mis nyuj, nqaij qaib, txiv ntoo, qee cov txiv hmab txiv ntoo thiab zaub, txiv ntoo, cov khoom soy, thiab lwm yam.
- Air allergens - tsev neeg plua plav, huab cua fresheners thiab lwm yam aerosols, fungus, plua plav mites, tsiaj plaub hau, thiab lwm yam.
- kab mob nyob txhua qhov chaw, cov kab mob fungal, kab mob, thiab lwm yam.
Feem ntau, atopic dermatitis muaj teeb meem nyob rau hauv daim ntawv ntawm bronchial hawb pob, conjunctivitis, urticaria los yog allergic rhinitis. Hom kev tiv thaiv ntawm daim tawv nqaij no yog nyob ntawm caj ces. Txhawm rau tiv thaiv tus kab mob los ntawm kev mob ntev, nws yog ib qho tsim nyog yuav tsum pib kho thaum thawj qhov tshwm sim ntawm kev khaus.
Txhawm rau txiav txim siab tus kab mob, koj yuav tsum tau hu rau tus kws kho mob menyuam yaus, kws kho hniav lossis tus kws ua xua. Nyob ntawm seb qhov degree ntawm qhov nyuaj ntawm tus kab mob, tus kws kho mob tshwj xeeb txiav txim siab cov tswv yim thiab cov kev kho mob. Cov kev ua ub no suav nrog cov neeg ua haujlwm sab nraud - tshuaj pleev rau atopic dermatitis nrog ob qho kev qhia ua haujlwm:
- Anti-inflammatory (Friderm, Bufeksamak, Advantan, thiab lwm yam).
- Antimicrobial ("Dioxidin", "Hexicon", thiab lwm yam).
Tseem kev kho mob ntxivtshuaj, noj zaub mov thiab kev tiv thaiv.
sijhawm tshwj xeeb
Seborrheic dermatitis sawv cais nyob rau hauv cov kev ua xua. Nws cov chav kawm yog nrog los ntawm cov kab mob fungal. Rau kev ua tiav thiab kev kho mob ntawm hom kab mob no, siv cov tshuaj hormonal lossis non-hormonal ointments, nrog rau cov tshuaj tua kab mob, ib qho ntawm lawv yog Clotrimazole. Tshuaj pleev los ntawm dermatitis thiab fungus yog xaiv los ntawm ib tug kws kho mob. Kev siv tsuas yog "Clotrimazole" tsuas yog kev kho mob hauv kev tawm tsam seborrhea yuav tsis muaj txiaj ntsig.
Kev cev xeeb tub yog lub sijhawm hloov kho ntawm tus poj niam lub cev, thaum muaj lub ntiaj teb, tab sis kev hloov pauv ib ntus hauv keeb kwm hormonal. Nyob rau lub sijhawm no, lub cev tuaj yeem pom cov tshuaj tiv thaiv tsis zoo, suav nrog kev ua xua rau cov khoom tsis zoo tshaj plaws. Tshuaj pleev rau dermatitis thaum cev xeeb tub yog xaiv nrog kev saib xyuas zoo thiab tsuas yog los ntawm tus kws kho mob tuaj koom. Cov tshuaj uas tsis yog tshuaj hormones raug suav hais tias muaj kev nyab xeeb - Losterin, Radevit, Solcoseryl thiab tshuaj kho pej xeem.
Kev khaus khaus thiab pob khaus ntawm lub ntsej muag ua rau muaj kev tu siab ntau, cov neeg feem coob nrhiav kom tshem lawv, npog qhov khaus khaus, tso siab rau kev ua tiav ntawm cosmetology thiab kho kom zoo nkauj. Txoj hauv kev no feem ntau ua rau tus mob hnyav dua, thiab tom qab ntawd cov tshuaj muaj zog thiab kev kho mob ntev yuav xav tau. Nws yog qhov ntse dua los sab laj tus kws kho mob thiab nrhiav kom paub qhov ua rau khaus khaus, raug kuaj xyuas. Feem ntau cov teeb meem yog daws los ntawm cov tshuaj pleev los ntawm dermatitis ntawm lub ntsej muag. Qhov twgkev kho mob yuav tsum tau nyob ntawm seb hom kev tsis haum thiab kev noj qab haus huv ntawm tus neeg mob.
