Dermatitis yog ib qho mob ntawm daim tawv nqaij, uas ncaj qha cuam tshuam rau lub xeev ntawm endocrine thiab lub cev tiv thaiv kab mob ntawm lub cev. Tus kab mob tuaj yeem yog ob qho tib si ywj pheej thiab nyuaj, cuam tshuam nrog lwm cov txheej txheem pathological.
Cov tsos mob thiab kev kho mob ntawm daim tawv nqaij ntawm cov neeg laus thiab cov menyuam yaus muaj kev cuam tshuam. Cov tsos mob ntawm tus kab mob sib txawv heev nyob ntawm seb tus kab mob, tab sis qhov tseem ceeb yog qhov tshwm sim ntawm ntau yam inflammatory txheej txheem ntawm daim tawv nqaij: papules, pob khaus, pustules, exfoliating nplai, erythema, thiab lwm yam. los ntawm khaus hnyav, qee zaum mob heev. Mob tshwm sim tsawg zaus.
Cov tsos mob feem ntau ntawm cov kab mob dermatitis kuj suav nrog kev ua txhaum ntawm qhov rhiab heev ntawm cov tawv nqaij puas. Nws tuaj yeem ua kom siab lossis, hloov pauv, txo, mus txog rau qhov tsis muaj. Cov kab mob dermatitis ntawm lub cev thiab lub ntsej muag nyiam tshwm sim raws caij nyoog - kev zam txim thaum lub caij ntuj sov thiab exacerbations thaum lub caij txias. Cov tshuaj lom neeg ntawm tus kab mob tuaj yeem nrog rau kev tsis zoo ntawm kev noj qab haus huv: qhov tsos mob taub hau thiabmob nqaij thiab pob qij txha, kub taub hau, tsis muaj zog. Txawm li cas los xij, feem ntau, cov tsos mob ntawm tus kab mob dermatitis yog txwv rau qhov tshwm sim hauv zos ntawm daim tawv nqaij.
Ntau zaus, cov kab mob dermatitis tshwm sim hauv cov menyuam yaus, vim muaj hnub nyoog cuam tshuam txog kev tiv thaiv kab mob thiab tsis haum rau kev ua xua. Feem ntau hom kab mob dermatitis nyob rau hauv cov menyuam yaus yog exudative diathesis ntawm ib qho kev tsis haum tshuaj. Thaum menyuam yaus, cov kab mob dermatitis tshwm sim sai heev, tab sis tsis tshua muaj tus cwj pwm mus sij hawm ntev thiab kho tau zoo tom qab tshem tawm qhov ua rau tshwm sim.
Nrog atopic dermatitis hauv cov menyuam yaus, feem ntau muaj lub nra hnyav hauv tsev neeg keeb kwm ntawm kev tsis haum tshuaj (bronchial hawb pob, noj zaub mov tsis haum, hay fever, thiab lwm yam). Kev pheej hmoo yog cov menyuam mos noj mis uas muaj zaub mov, tshuaj, paj ntoos lossis kev ua xua hauv tsev, nquag kis kab mob thiab kis kab mob, kab mob plab hnyuv, tiv thaiv kab mob.
Cov kab mob dermatitis tshwm sim vim kev saib xyuas tus menyuam tsis zoo lossis tsis tsim nyog. Nws provokes ntev ntawm daim tawv nqaij sib cuag nrog txhua yam (paj rwb los yog ntaub ntaub ntaub), lub cev (humidity thiab kub), tshuaj (ammonia, bile ntsev, digestive enzymes) thiab microbial (kab mob thiab kab mob, poov xab fungi ntawm Candida genus) yam.
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Kev kho mob ntawm cov kab mob no nyob ntawm nws daim ntawv thiab yog qhov txawv ntawm tus kheej ntawm cov kev xaiv kho mob. Nws yog ib qho tsim nyog los pib kho nrog kev kuaj mob thiab txheeb xyuas qhov ua rau. Koj yuav tsum tau nruabirritant (tshuaj lom, ua xua, microbe) thiab tshem tawm nws. Yog hais tias nws tsis tau txhais, raws li feem ntau yog cov teeb meem nrog neuro-allergic daim tawv nqaij dermatitis, kev kho mob yuav ua rau cov tsos mob, uas yog, tsom mus rau tshem tawm cov tsos mob thiab tswj lub remission theem. Kev kho mob ntawm tus kab mob no yog kev saib xyuas, muaj kev kho dav dav thiab hauv zos. Kev mob dermatitis hauv cov menyuam yaus, raws li txoj cai, tsuas yog kho nrog kev siv tshuaj kho hauv zos, thiab cov kab mob ntev ntev yuav tsum tau kho kom yooj yim.
Kev kho hauv zos yog kev kho mob ntawm thaj chaw ntawm daim tawv nqaij. Cov pob khaus raug kho nrog cov tshuaj tua kab mob thiab cov tshuaj tiv thaiv kab mob hauv daim ntawv ntawm kev daws teeb meem, tshuaj pleev, hmoov - nyob ntawm seb hom kab mob inflammatory thiab theem ntawm nws txoj kev loj hlob. dermatitis ntawm lub ntsej muag (seborrheic type) yog kho nrog tshuaj tua kab mob. Cov kab mob dermatitis ntev - nrog kev siv tshuaj tiv thaiv kab mob corticosteroid, kho nrog aniline dyes. Cov kab mob ulcerative raug kho hauv tsev kho mob.
Kev kho mob ntawm daim tawv nqaij dermatitis yog noj tshuaj tiv thaiv kab mob, tshuaj tiv thaiv kab mob, tshuaj sedatives, nyob ntawm qhov ua rau ua rau tus kab mob no. Nws tseem yog ib qho tsim nyog los tshem tawm txhua qhov chaw ntawm tus kab mob ntev, piv txwv li, cov txheej txheem carious hauv cov hniav, tonsillitis ntev, sinusitis, thiab lwm yam.
Tshuaj xyuas cov tshuaj tiv thaiv kab mob dermatitis nrog ntws thiab quaj
Txawm qhov ua rau mob dermatitis hauv cov menyuam yaus thiab cov neeg laus, kev kho tshuaj pleev ib ce muaj nyob rau hauv kev thov compresses nrog tsis muaj zogKev daws ntawm poov tshuaj permanganate lossis boric acid. Cov neeg hais lus npaj hauv lub tsev muag tshuaj kuj tseem siv tau. Tom qab compresses, gels yog siv rau qhov chaw mob, raws li ib tug antihistamine tshuaj, piv txwv li, "Psilobalm" los yog "Fenistil-gel".
Thaum cov tawv nqaij khaus tsis ntub, txhawm rau ua kom cov txheej txheem tsim dua tshiab, koj tuaj yeem siv Bepanten (D-panthenol) dermatitis cream, uas, nkag mus rau ntawm daim tawv nqaij, hloov mus rau hauv cov vitamin thiab koom nrog hauv cov metabolism hauv. daim tawv nqaij. Hloov cov tshuaj dexpanthenol, Solcoseryl lossis Actovegin gels tuaj yeem siv. Cov tshuaj tsis yog tshuaj hormonal no txhim kho cov khoom noj khoom haus ntawm daim tawv nqaij. Levosin tshuaj pleev kuj pab, los ntawm nws yog dab tsi, peb yuav qhia hauv qab no.
Hormonal Review
Yog tias tus neeg mob muaj kev tsis haum dermatitis, nws feem ntau cuam tshuam rau thaj chaw loj ntawm daim tawv nqaij. Yog tias cov tshuaj antihistamine hauv zos tsis muaj qhov xav tau (qhov no tsis suav nrog cov txiaj ntsig ntawm kev ua xua), steroid ointments raug sau tseg uas muaj cov tshuaj ntsuam xyuas-npaj glucocorticosteroid hormones. Cov tshuaj hauv zos no muaj cov lus hais tawm los tiv thaiv edematous, tiv thaiv kab mob thiab tiv thaiv kev ua xua.
Corticosteroid (hormonal) tshuaj pleev siv rau kev ua xua ntawm cov kab mob dermatitis tau muab faib raws li qhov hnyav ntawm lawv cov kev kho mob:
- Tsis muaj zog: "Prednisolone" thiab "Hydrocortisone" tshuaj pleev.
- Cov nyhuv nruab nrab: "Afloderm",Flixotide, Dermatotop, Lokoid.
- Strong: Flucinar, Cutiveit, Advantan, Triamcinolone, Celestoderm-B thiab Elokom.
- muaj zog heev: "Chalciderm" thiab "Dermovate".
Cov tshuaj no yuav tsum tau muab los ntawm kws kho mob nkaus xwb vim tias lawv yuav muaj qee qhov contraindications thiab phiv.
Cia peb mus saib seb cov tshuaj twg yog siv los kho cov tawv nqaij dermatitis.
Kev tshuaj xyuas tshuaj rau cov kab mob kis kab mob dermatitis
Yog cov kua paug pib tawm ntawm qhov chaw ntawm daim tawv nqaij, los yog cov ntsiab lus ntawm cov hlwv los ua dawb, qhov no txhais tau hais tias tus kab mob tau nkag mus rau hauv lub qhov txhab. Nyob rau hauv kev kho mob ntawm xws pathologies, tshuaj pleev thiab tshuaj pleev rau kev tsis haum dermatitis nrog ib tug kab mob txuam nrog. Cov nyiaj no kuj raug sau los ntawm kws kho mob. Lawv muaj peb hom:
- Tshuaj tsuas muaj tshuaj tua kab mob ("Tetracycline", "Erythromycin" ointment).
- Kev npaj ua ke hauv zos suav nrog tshuaj tua kab mob lossis tshuaj tua kab mob thiab qee yam tsis yog tshuaj hormones, piv txwv li, Levomekol (cov tshuaj tua kab mob + cov ntaub so ntswg rov tsim dua tshiab), Oflokain (tshuaj loog + tshuaj tua kab mob) thiab lwm yam.
- Cov khoom sib xyaw ua ke raws li cov tshuaj tua kab mob, tshuaj tiv thaiv kab mob thiab tshuaj hormonal, piv txwv li, Pimafukort lossis Triderm.
Tshuaj xyuas cov tshuaj rau kev kho mob atopic dermatitis
Yog li, qhov ua rau mob dermatitis hauv menyuam yaus feem ntau yog kev ua xua. Rau kev kho mob ntawm tus kab mob yog sivcov tshuaj uas kws kho mob tau sau tseg. Ntawm lawv yog hormonal, thiab antiseptic, thiab antihistamines uas maj mam rau ntawm daim tawv nqaij. Nrog rau qhov exacerbation ntawm cov txheej txheem pathological, thaum lub foci ntawm qhov mob me me thiab pom tsuas yog nyob rau sab, daim ntawv teev cov tshuaj pleev rau dermatitis yog nqaim: feem ntau siv cov tshuaj tsis muaj zog, xws li Prednisolone ointment lossis Hydrocortisone cream. Yog tias thaj chaw cuam tshuam tsis ntub, hauv cov menyuam yaus, Lokoid lossis Afloderm npaj tau siv. Txwv tsis pub, cov tshuaj "Afloderm" lossis "Flixotide" raug sau.
Yog tias muaj kab mob ntawm daim tawv nqaij ntawm cov kab mob dermatitis hauv tus menyuam hnyav heev, thiab nws cov foci nyob hauv thaj chaw ntawm lub cev, lub ntsej muag thiab ceg tawv, kev kho yuav tsum tau pib nrog cov neeg ua haujlwm xws li Advantan, Elocom, Celestoderm B, Polcortolon, "Triamcinolone. ", "Mometasone furoate".
Tshuaj xws li Galcinonide, Dermovate, Diflucortolone Valerate, Halciderm, uas muaj cov txiaj ntsig ntev ntev thiab kev nkag mus tob, raug tso cai siv rau cov neeg laus xwb.
Cov tshuaj no yog contraindicated rau pob txuv, kab mob thiab fungal ntawm daim tawv nqaij kab mob, herpes, scabies, daim tawv nqaij tuberculosis thiab shingles. Lawv yuav tsum tsis txhob siv yog tias atopic dermatitis tau tsim tom qab txhaj tshuaj. Thaum cev xeeb tub thiab menyuam yaus hnub nyoog qis dua ib xyoos, cov nyiaj no tsis raug sau tseg.
daim tawv nqaij ntawm lub ntsej muag tsis kho nrog tshuaj hormonal. Kev siv cov moisturizers thiab calcineurin inhibitors raug pom zoo.
Yog tus kws kho mob xav tias muaj kab mob los yog kab mob fungalflora rau thaj tsam ntawm atopic dermatitis, tom qab ntawd tus neeg mob tau muab tshuaj pleev nrog tshuaj tua kab mob thiab tshuaj tua kab mob, piv txwv li, Pimafukort, Triderm.
Moisturizers rau daim tawv nqaij nrog dermatitis
Thaum muaj daim tawv nqaij dermatitis hauv cov menyuam yaus hnub nyoog qis dua 7 xyoo, cov tshuaj hormonal yog siv rau lub dermis, yav tas los kho nrog emollient. Cov tshuaj no muaj cov ntsiab lus muaj roj txaus, uas tsim nyog rau kev tsim cov yeeb yaj kiab tiv thaiv. Cov tshuaj zoo los ntawm cov koob no suav nrog Emolium, La Roche-Posay, Topicrem.
Cov khoom no yog emulsions ntawm cov khoom xyaw ntuj uas tau yooj yim faib rau tus menyuam daim tawv nqaij thiab qhuav li ob peb feeb. Lawv tuaj yeem siv tsis tau tsuas yog ua "hauv paus" rau cov tshuaj hormonal, tab sis kuj nyob rau lub sijhawm ntawm kev siv cov tshuaj steroids, nrog rau ua ntej tawm mus sab nraud. Xws li emollients suav hais tias yog cov tshuaj zoo tshaj plaws rau dermatitis thaum cev xeeb tub. Nov yog lwm txoj hauv kev zoo rau kev kho tshuaj hormonal.
Dab tsi ntxiv tuaj yeem kho cov pob khaus tawv nqaij nrog dermatitis?
tshuaj xyuas cov tshuaj rau seborrheic daim tawv nqaij qhov txhab
Cov tshuaj tseem ceeb rau seborrheic dermatitis yog ib qho tshuaj tua kab mob. Nws yuav muaj cov tshuaj xws li Nizoral, Ketoconazole, Nizorex, Sebozol, Mycozoral. Tsis tas li ntawd, nws yog ntshaw kom kho cov cheeb tsam cuam tshuam nrog cov tshuaj keratoregulatory ("Mustela Stelaker"). Hauv cov xwm txheej hnyav tshwj xeeb, cov tshuaj pleev hydrocortisone yog siv, tab sis nyiam yog muab rau kev kho mob ntawm hom kab mob no.physiotherapy techniques.
Lwm cov tshuaj tsis yog tshuaj hormones
Nrog cov kab mob dermatitis hauv cov menyuam yaus thiab cov neeg laus, ntxiv rau cov tshuaj suav nrog, cov tshuaj hauv qab no tuaj yeem siv tau:
- "Eplan" - ib qho tshuaj uas muaj cov kab mob bactericidal, kho qhov txhab thiab ua kom muaj zog.
- Tshuaj pleev rau dermatitis nrog zinc ("Desitin", "Zinc ointment", "Zinocap"), uas muaj cov tshuaj tua kab mob zoo, tiv thaiv kab mob thiab tshuaj tiv thaiv kab mob.
- Calcineurin inhibitors ("Protopic", "Elidel"), inhibiting kev tso tawm cov tshuaj uas ua rau muaj kev tsis haum rau ntawm daim tawv nqaij. Cov tshuaj no txo qhov hnyav ntawm cov txheej txheem inflammatory. Lawv yog siv los kho cov quav, tawv nqaij ntawm caj dab thiab lub ntsej muag. Cov tshuaj no tsis yog siv rau cov pob khaus herpetic, muaj cov pob qij txha lossis cov pob qij txha ntawm qhov chaw mos, nrog ultraviolet irradiation.
- "Radevit" yog cov tshuaj tiv thaiv uas muaj cov nyhuv softening thiab anti-inflammatory, tshem tawm khaus.
- Dab tsi pab Levosin tshuaj pleev? Qhov no yog ib tug ua ke tshuaj nrog anti-inflammatory, antibacterial, tshuaj loog, regenerating zog. Cov tshuaj muaj xws li chloramphenicol, sulfadimethoxine, trimecaine, methyluracil. Lub hauv paus ntawm cov tshuaj pleev yog dej-soluble polyethylene glycol. Cov tshuaj no muaj zog tiv thaiv meningococci, streptococci, tus kab mob ua rau mob gonorrhea, Escherichia thiab Haemophilus influenzae, Salmonella, Klebsiella, Shigella, Serrations, Proteus, Yersinia, Spirochetes. Methyluracil los ntawm cov tshuaj muaj pes tsawg leeg ntawm cov tshuaj no muaj cov tshuaj tiv thaiv kab mob, ua kom cov txheej txheem rov tsim dua tshiab.
- Furacilin ointment thiab analogues ("Lifuzol", "Furacilin") - tshuaj tua kab mob raws li nitrofural. Siv nyob rau hauv cov tsos mob ntawm kev kho mob ntawm ntau yam dermatitis, nyob rau hauv kev kho mob ntawm tus thib ob kis kab mob ntawm daim tawv nqaij.
- "Gistan" - ib yam khoom muaj nyob rau hauv chav kawm ntawm cov khoom siv roj ntsha thiab npaj los ntawm kev rho tawm ntawm cov tshuaj ntsuab, betulin thiab dimethicone.
- Hauv cov kab mob dermatitis thiab rau kev tiv thaiv rau menyuam yaus txij li 3 lub hlis, cov tshuaj "Dermazin" tau siv dav hauv kev kho mob, uas yog ua raws li sulfanilamide tshuaj tua kab mob - nyiaj sulfadiazine. Cov khoom no muaj txiaj ntsig zoo tiv thaiv ntau cov kab mob microbes, tshem tawm cov kab mob quaj.
Cov tshuaj pleev tshuaj hormonal ua rau mob dermatitis li cas?
Lawv yog tsim los ntawm glucocorticoids, uas cuam tshuam rau cov protein thiab carbohydrate metabolism hauv lub cev. Cov tshuaj no pab kom tshem tawm cov tsos mob ntawm tus kab mob sai sai, tab sis suav tias yog qhov tsis zoo. Kev siv cov tshuaj pleev no mus ntev rau daim tawv nqaij dermatitis, tshwj xeeb tshaj yog nyob rau hauv cov koob tshuaj loj, ua rau muaj qhov tshwm sim tsis zoo:
- kev txhim kho pob txuv;
- kho tau sai ntawm kev txiav thiab qhov txhab;
- alopecia lossis hypertrichosis;
- subcutaneous hemorrhages;
- pom kab laug sab leeg;
- hyperpigmentation;
- atrophy;
- txhim kho cov kab mob fungal lossis kab mob ntawm qhov chaw sivtshuaj pleev;
- txo qis hauv kev tiv thaiv hauv zos;
- thim nyiaj.
Zoo kawg
Hnub no, cov khw muag tshuaj tuaj yeem yuav ntau yam tshuaj rau dermatitis. Txawm hais tias qhov no, tsis yog txhua qhov kev kho mob tsim nyog hauv ib kis lossis lwm qhov, uas yog, tsis muaj kev kho mob thoob ntiaj teb rau tus kab mob no. Qhov no txhais tau hais tias thaum xaiv cov tshuaj, koj yuav tsum sab laj nrog kws kho mob, tshwj xeeb tshaj yog thaum nws los kho tus menyuam.
