Lub hnub muab txoj sia rau txhua tus tsiaj thiab nroj tsuag, thiab koj tsis tuaj yeem sib cav txog qhov ntawd. Tab sis cov rays muab txoj sia nyob rau qee qhov ua rau muaj kev phom sij loj: kev tshav ntuj hnyav nyob rau hauv lub hnub ci ntsa iab tuaj yeem ua rau muaj kev loj hlob ntawm lub hnub ci lichen nyob rau hauv ib tug neeg - ib tug mob hnyav ntawm daim tawv nqaij thiab nws cov kev hloov. Kab lus piav qhia txog qhov ua rau thiab cov kab mob, nws cov tsos mob, kev kho mob ntawm pityriasis versicolor, nrog rau kev siv cov kev tiv thaiv.
Kev piav qhia tus kab mob
Pityriasis versicolor yog nrov hu ua "hnub ci fungus" lossis lwm lub npe - "tus kab mob puam", nws kis tau. Feem ntau tus kab mob tshwm sim nws tus kheej nyob rau hauv daim ntawv mob thiab nrog ib tug neeg mus ntev.
Nrog tus kab mob, tsis muaj cov tsos mob tshwm sim. Kev kho mob ntawm pityriasis versicolor nyob rau hauv tib neeg yuav tsum tau pib ntawm thawj qhov kev xav ntawm dermatological abnormalities.
Thaum nws txoj kev loj hlob hnyav, pigmentedscaly thaj ua rau thaj uas txawv xim ntawm cov tawv nqaij ib txwm. Qhov no yog ib lub caij nyoog pathology, uas manifests nws tus kheej nyob rau hauv lub caij ntuj sov nyob rau hauv cov neeg hnub nyoog qis dua 30 xyoo. Tsis tshua muaj neeg kis kab mob hauv me nyuam.
"Sunshine" lichen yog ib yam kab mob uas zoo li rov qab los. Yog li ntawd, txhua tus neeg mob yuav tsum ua raws li qee cov cai (sib tham hauv ntu "Kev Tiv Thaiv").
Hauv kab lus no koj tuaj yeem pom daim duab ntawm pityriasis versicolor hauv tib neeg. Cov tsos mob thiab kev kho mob yuav piav qhia hauv qab no.
Pathogenesis
Qhov laj thawj tseem ceeb uas tib neeg tsim kev kub nyhiab yog qhov ntev ntev ntawm cov hluav taws xob ultraviolet lossis tshav ntuj. Cov kab mob ua rau cov kab mob pathology yog cov kab mob xws li Malassezia furfur, Pityrosporum ovale, thiab Pityrosporum orbiculare hom. Raws li ib txwm muaj, lawv nyob rau saum npoo ntawm daim tawv nqaij yuav luag txhua tus thiab tsis ua rau muaj kev cuam tshuam. Tab sis thaum kev tiv thaiv tsis muaj zog, pityriasis versicolor tam sim ntawd pib loj hlob (raws li hauv daim duab). Kev kho mob yog ua los ntawm kev siv tshuaj complex raws li kev saib xyuas ntawm tus kws kho mob.
Cov neeg tawm hws ntau dhau thiab hnyav hnyav tshwj xeeb tshaj yog kis tau tus kab mob. Feem ntau, lichen tshwm nyob rau hauv qhov chaw ntawm lub nraub qaum, hauv siab, caj dab thiab plab. Nws yog nyob rau hauv cov chaw no uas cov qog sebaceous ntawm lub cev muaj txiaj ntsig zoo tshaj plaws. Hauv cov menyuam yaus thiab cov neeg laus, cov kab mob no feem ntau ua rau seborrhea.
Thaum lub sijhawm ua rau lub cev tsis muaj zog tiv thaiv, cov kab mob pib nce ntxiv. Nws nkag mus rau sab saum toj txheej ntawm daim tawv nqaij thiab nyob rau hauv nws. Cov tsos mob tshwm sim vim muaj kev faib tawm ntawm cov tawv nqaij noj qab haus huv,leej twg tab tom sim "tawm" ntawm tus kab mob. Thaum cov mycelium nkag mus rau hauv cov txheej txheem tob ntawm daim tawv nqaij, tus kab mob nyuaj kho.
Yog vim li cas thiaj pom
Qhov ua rau hom lichen no yog sab hauv thiab sab nraud.
1. Sab hauv suav nrog cov txheej txheem hauv qab no: cov tsos mob ntawm cov kab mob endocrine, kev poob qis hauv kev tiv thaiv, nce tawm hws thiab vegetovascular dystonia. Kuj tseem muaj ntau qhov laj thawj vim li cas thiaj li tsim nyog kho pityriasis versicolor sai li sai tau:
- Tus kab mob fungal: Kev raug lub hnub ntev ua rau kev tsim cov fungi uas cuam tshuam cov kua qaub thiab alkaline ntawm daim tawv nqaij.
- Kab mob ntawm cov ducts, kwj dej thiab daim siab.
- kab mob ua pa.
- Kev rog thiab kev loj hlob ntawm ntshav qab zib.
- Kev siv tus kheej ntawm cov tshuaj tua kab mob thiab lawv qhov kev xaiv tsis raug.
2. Ntawm cov laj thawj sab nraud uas ua rau pathology, muaj:
- Sunbed tsim txom.
- Hnav khaub ncaws tsis zoo, hluavtaws uas tsis haum.
- Siv cov khoom tu cev uas ua txhaum cov kab mob ntawm cov microflora (da dej gels, tshuaj ntxuav tes tshuaj tua kab mob).
- Ntxhais hws ntau dhau lossis hloov pauv ntawm cov hws.
- Kev siv cov tshuaj pleev ib ce tsis raug, suav nrog kev tsim txom ntawm kev siv.
Kev kho mob ntawm pityriasis versicolor hauv tus neeg muaj cov tsos mob (raws li hauv daim duab saum toj no) yog qhov tseem ceebpib raws sij hawm. Nrog rau txoj kev loj hlob ntawm cov kab mob pathology, kev pheej hmoo ntawm kev kis kab mob ntawm thaj chaw ntawm daim tawv nqaij tau nce.
Symptoms of disease
Lub cim tseem ceeb ntawm kev pib txhim kho ntawm tus kab mob no yog qhov pom ntawm ntau qhov chaw asymmetrical nrog cov duab sib npaug thiab txwv, scalloped npoo.
Tseem muaj lwm cov tsos mob ntawm pityriasis versicolor nyob rau hauv ib tug neeg uas yuav tsum tau kho tam sim:
- daim tawv nqaij yuav tsaus, xim av, me ntsis pinkish thiab txawm daj.
- Stains yuav tev thaum khawb tawm.
- Cov pob tsis muaj mob, o thiab liab, tsis txhob tawm mus rau saum tawv nqaij.
- Pigmentation feem ntau tshwm sim hauv plab, ntawm ob sab, hauv siab, nraub qaum thiab caj dab.
- Extremities, armpits thiab tawv taub hau tej zaum yuav cuam tshuam rau cov me nyuam.
- thaj chaw muaj kev cuam tshuam txawv txawv ntawm thaj chaw ntawm daim tawv nqaij tsis muaj kab mob, thiab lawv yuav tsis muaj xim daj.
- Thaum liab lichen tshwm, txhua tus neeg txaus siab rau txoj hauv kev kom tshem tau nws. Tom qab qee lub sijhawm, yam tsis muaj kev kho mob ib txwm muaj, cov cheeb tsam tuaj yeem sib koom ua ke, tsim cov kab mob loj heev.
Cov neeg mob uas muaj tus kab mob no tsis muaj qhov xav tau thiab, raws li txoj cai, tib neeg tsis siv tshuaj kho.
Ib qho cim ntawm pityriasis versicolor thiab kis kab mob ntawm daim tawv nqaij kub hnyiab thiab nws qhov mob ntxiv.
Kev kuaj kab mob
Thaum thawj qhov kev hloov pauv tshwm simCov qauv ntawm daim tawv nqaij, nws yog ib qho tseem ceeb heev kom tiv tauj ib tus kws kho mob tshwj xeeb kom sai li sai tau. Kev kho mob ntawm pityriasis versicolor hauv tib neeg (cov duab ntawm cov neeg uas tau ntsib tus kab mob no tau nthuav tawm hauv tsab xov xwm) yuav tsum tau pib raws sijhawm. Nws yuav pom tus neeg mob kuaj pom, sau tag nrho cov kev ntsuam xyuas tsim nyog (feem ntau yog: ntshav, zis thiab quav) thiab, yog tias tsim nyog, ntxiv cov txheej txheem (ultrasound ntawm lub siab thiab lub gallbladder, fluoroscopic kev tshawb fawb ntawm lub plab). Txhawm rau txiav txim siab qhov xwm txheej thiab qhov xwm txheej ntawm cov txheej txheem pathological, cov neeg mob raug pom zoo kom kuaj xyuas cov hauv qab no:
- Luminescent diagnostics siv ntoo lub teeb. Hauv qab lub teeb, cov tawv nqaij pigmented siv lub xim tshwj xeeb.
- YIodine test of Balzer. Daim tawv nqaij nrog cov kab mob hnub ci lichen tom qab txhuam nrog iodine ua tsaus dua li daim tawv nqaij noj qab haus huv.
- Besnier test. Cov tawv nqaij xoob xoob tau muab pov tseg thiab tshuaj xyuas ntxiv.
Cov qauv tau ua tib zoo tshuaj xyuas hauv lub tshuab ntsuas ntsuas kom paub tseeb tias muaj cov kab mob fungi thiab paub meej tias cov tsos mob.
Kev kho mob ntawm pityriasis versicolor (cov duab ntawm lub ncauj lus no tau nthuav tawm hauv tsab xov xwm) pib nrog kev sib piv ntawm cov kab mob nrog rau lwm yam kab mob: Gibert's kab mob, vitiligo, leukodermatitis, mob ruas lossis syphilitic roseola, thiab tsim kom muaj kev kuaj mob kom raug. Nrog rau kev cais tawm ntawm cov kab mob saum toj no, tus kws tshaj lij qhia yuav ua li cas tshem tawm hnub ci lichen kom sai li sai tau.
Tshuaj kho mob
Kev mus ntsib kws kho mob kom muab tshuaj rau kev kho mob pityriasis versicolor hauv tus neeg yog qhov tsim nyog tam sim tom qab nwskev kuaj pom, txij li hauv daim ntawv tsis saib xyuas nws yuav tsim nyog siv cov tshuaj muaj zog. Nrog cov tshuaj tsis raug, tus kab mob tuaj yeem ua rau mob ntev, nrog kev rov ua haujlwm tsis tu ncua, uas yuav tshwm sim lawv tus kheej hauv lub caij ntuj sov. Kev kho rau lichen muaj nyob rau hauv kev noj cov tshuaj tiv thaiv kab mob zoo. Yog li, ua ntej tshaj plaws, tus kws kho mob tuaj yeem sau ntawv:
- "Ketoconazole";
- YMiramistin;
- "Nkauj";
- YClotrimazole;
- Itraconazole;
- Nizoral thiab lwm tus
Cov tshuaj saum toj no ua rau tus neeg mob zoo dua qub, tshem tawm khaus thiab ua kom cov txheej txheem kho kom zoo, thiab tseem tiv thaiv kev rov qab los. Txhawm rau tshem tawm pigmentation, "Cycloserine" feem ntau yog siv, uas inhibits transaminase. Salicylic acid, uas yog smeared ntawm qhov chaw cuam tshuam ob peb zaug thaum nruab hnub, yuav pab tshem tawm cov tawv nqaij hloov xim. Yog tias kev kho mob hauv zos ntawm cov tshuaj pityriasis versicolor tsis muaj qhov xav tau, tus kws kho mob yuav qhia kom noj tshuaj tiv thaiv kab mob. Kev txhaj tshuaj rau tus kab mob no feem ntau tsis tas yuav tsum tau txhaj tshuaj. Kev tshem tawm ntawm tshav kub yog txheej txheem ntev heev, yog li koj yuav tsum tsis txhob xav tias qhov ntxoov ntxoo ntawm daim tawv nqaij yuav rov qab los hauv ob peb hnub.
Tus neeg mob kuj yuav tsum ua raws li kev noj haus:
- txwv tsis pub muaj rog thiab kib;
- tsis txhob haus kas fes thiab cawv;
- xav noj zaub ntsuab, legumes, zaub tshiab, khoom noj siv mis,cereals, txiv hmab txiv ntoo thiab ntses hiav txwv.
kab mob kev kho mob
Kev kho mob ntawm pityriasis versicolor pib nrog kev noj tshuaj thiab kev noj haus zoo. Tus kws kho mob muab cov lus pom zoo rau kev kho mob ntawm daim tawv nqaij hyperemic thiab flaky, uas yog nqa tawm ob peb zaug hauv ib hnub. Feem ntau cov txheej txheem rov qab yuav siv sijhawm ntev, yog li tus neeg mob yuav tsum ua siab ntev. Tom qab qhov kawg ntawm qhov tshwm sim ntawm tus kab mob, kev kho yog txuas ntxiv mus txog ib lub lim tiam kom tsis txhob rov qab los.
Txoj kev kho mob rau tus kab mob muaj xws li:
- Siv cov tshuaj tiv thaiv kab mob. Nws raug nquahu kom siv nws rau thaj chaw cuam tshuam uas tau ntxuav hauv dej huv. Cov tshuaj tiv thaiv dandruff yog siv rau kev ua: Nizoral, Dermazol, Sebozol, Perkhotal.
- Tom ntej, Clotrimazole ointment lossis lwm yam kev npaj zoo sib xws rau kev kho mob pityriasis versicolor hauv tib neeg tau siv rau thaj chaw cuam tshuam: Miramistin, Lamisil, Cyclopirox, Terbinafine, Bifalazole, thiab lwm yam.
- Kev kho mob tactics yog txiav txim los ntawm tus kws kho mob tus kheej hauv kev cuam tshuam rau txhua tus neeg mob. Feem ntau cov chav kawm yog li 2 lub lis piam. Cov tshuaj noj yog tsim los rau kev siv txhua hnub. Tom qab ntawd tus kws kho mob tau hais kom so rau 1 lub hlis, tom qab ntawd rov kho dua.
- Ua raws li txhua tus kws kho mob cov ntawv sau, kev siv tshuaj ib txhij thiab siv cov tshuaj pleev yuav pab kom tsis txhob muaj cov tsos mob, txwv tsis pub cov fungus rov ua dua thiab ua kom cov txheej txheem kho kom zoo.
zaub mov txawv teb chaws
Koj tuaj yeem ntxiv (tab sis tsis hloov pauv) koj tus kws kho mob cov tshuaj kho mob pityriasis versicolor hauv tib neeg los ntawm kev siv cov pov thawj, cov tshuaj hauv tsev. Hmoov tsis zoo, qee cov neeg mob txiav txim siab kho lawv tus kheej, tab sis yog tias tom qab ib ntus qhov tshwm sim tsis tshwm sim, lawv tseem tig mus rau tus kws kho mob tshwj xeeb. Nyob rau lub sijhawm no, lichen feem ntau ua mob ntev, thiab nws yuav nyuaj heev los txo nws cov tsos mob.
Ua ntej nrhiav txoj hauv kev los kho lichen hauv tsev, koj yuav tsum tuaj ntsib kws kho mob dermatologist. Muaj ntau txoj hauv kev los kho pityriasis versicolor hauv tsev. Hauv qab no yog cov txiaj ntsig zoo tshaj plaws thiab tsis kim:
- Cov tawv nqaij raug mob yuav tsum tau kho nrog undiluted hiav txwv buckthorn roj. Txhawm rau kom muaj txiaj ntsig zoo dua, cov roj tuaj yeem ntxiv rau cov khoom noj khoom haus. Cov tshuaj no muaj cov nyhuv calming thiab kho.
- Ua kom muaj zog tiv thaiv kab mob thiab muab lub cev muaj zog los tiv thaiv kab mob yuav pab tau infusion ntawm qus sawv: nyob rau hauv ib lub thermos koj yuav tsum ncuav 2 tbsp. l. txiv hmab txiv ntoo, ncuav 500 ml ntawm boiling dej tshaj lawv, thiab tom qab 2 teev lim dej. Koj yuav tsum siv nws hauv 2 zaug hauv ib hnub rau ib nrab khob.
- Tsis tas li ntawd, cov stains tuaj yeem kho nrog kev txhaj tshuaj ntawm cov nees lossis cov sorrel qus. Txhawm rau npaj cov tshuaj, koj yuav tsum tau finely chop nplooj thiab sib tov nrog 1 tbsp. l. rog qaub cream. Lub resulting slurry yog siv rau ntawm daim tawv nqaij rau 15 feeb, tom qab uas nws yog huv si ntxuav tawm. Tsis tas li ntawd, koj tuaj yeem so stains nrog rosehip roj.
tshav ntuj lichen hauv me nyuam
Qee zaum cov menyuam yaus tsim ntau xim xim ntawm lawv daim tawv nqaij, uas yog tshwm sim los ntawm cov kab mob fungal ntawm daim tawv nqaij. Cov tsos mob ntawm tus kab mob zoo ib yam li qhov tshwm sim ntawm tus kab mob hauv cov neeg laus.
Tus kab mob cuam tshuam rau lub cev vim li cas:
- Kev ua xua rau lub hnub lub teeb, uas, nrog rau lub sijhawm ntev, ua rau muaj kev tsim cov fungi.
- raug lub hnub ntev yam tsis muaj kev tiv thaiv.
- Kev tiv thaiv tsis muaj zog vim muaj kab mob ua pa, kis kab mob thiab lwm yam kev cuam tshuam ntawm tus menyuam lub cev.
- Hauv cov menyuam yaus, pathology tshwm sim nws tus kheej ntawm ob txhais ceg, caj npab, hauv caj dab thiab ntawm lub taub hau hauv thaj tsam plaub hau. Yog tias qhov chaw tsis paub txog etiology tshwm sim ntawm lub cev ntawm tus menyuam, nws raug nquahu kom mus ntsib kws kho mob lossis kws kho mob dermatologist tam sim.
Cov tsos mob ntawm tus kab mob hauv cov menyuam yaus zoo ib yam li kev loj hlob ntawm tus kab mob hauv cov neeg laus. Pom zoo rau kev kho mob ntawm pityriasis versicolor:
- Kho tus menyuam cov tawv nqaij pigmented nrog salicylic ointment lossis iodine tov (5%).
- Ntxiv rau, tus menyuam yuav tsum noj cov vitamins, ntxiv dag zog rau lub cev tiv thaiv kab mob thiab noj tshuaj tiv thaiv kab mob.
- Yog tias qhov kev kho mob tsis muab qhov xav tau, tus kws kho mob tuaj yeem ntxiv nws nrog kev teem sijhawm ntawm lwm cov tshuaj: Lamisil, Naftilin, Bifazalol, 5% resorcinol cawv lossis 5% sulfuric ointment.
- Ntxiv rau, tus menyuam raug pom zoo kom noj cov tshuaj tiv thaiv kab mob: tshuaj tsuag thiab tshuaj pleev. Cov kev npaj no ua rau nws ua tau kom ntau tusyees kho thaj chaw ntawm daim tawv nqaij raunce kev kho mob.
Ntxiv rau kev sau tshuaj rau kev kho mob pityriasis versicolor hauv cov menyuam yaus, cov kws kho mob pom zoo kom siv sijhawm tsawg ntawm txoj kev thaum lub hnub " phom sij" - txij li 11 teev sawv ntxov txog 4 teev tsaus ntuj.
Kev Tiv Thaiv
Txhua tus neeg yuav tsum paub tiv thaiv lawv tus kheej thiab lawv tsev neeg kom tsis txhob kis tus kabmob.
Rau cov neeg uas nquag mus rau pathology, thiab cov neeg uas raug kho rau pityriasis versicolor, kws kho mob muab qee cov lus pom zoo:
- Txhawm rau tiv thaiv cov kab mob fungal los ntawm kev cuam tshuam ib hnub tshav ntuj, nws tsis pom zoo kom nyob ntawm ntug hiav txwv thaum nruab hnub mus txog 16:00, vim UV hluav taws xob siab heev thaum lub sijhawm no.
- Nws yog ib qho tsim nyog yuav tsum tsis suav nrog kev mus ntsib lub hnub so ntev, thiab tsis txhob siv cov khoom siv tshuaj tua kab mob ntau zaus.
- Kev da dej yog pom zoo tsis nyob hauv qab lub hnub ci, tab sis me ntsis hauv qhov ntxoov ntxoo, thaum sawv ntxov lossis yav tsaus ntuj. Tab sis yog tias ib tug neeg raug yuam kom nyob hauv lub hnub, nco ntsoov siv cov tshuaj nplaum zoo nrog kev tiv thaiv siab.
- Ntxiv mus, hauv kev kho mob pityriasis versicolor hauv ib tus neeg, tus neeg mob yuav tsum tau ua kom lub cev tiv thaiv kab mob thiab cov hlab ntsha, nrog rau kho lub plawv.
- Lub caij ntuj sov, koj yuav tsum xaiv cov khaub ncaws uas muaj cov khoom xyaw ntuj uas yuav tsis hloov cov hws thiab tiv thaiv tawm hws ntau ntxiv. Yog hais tias, txawm li cas los xij, cov hws pib sawv tawm ntau heev, cov pob qij txha yuav tsum tau nchuav nrog talc lossis hmoov, thiab ntxuav nrog dej ntawm cov ntoo qhib tawv.
Tsis ntseeg, nws yog qhov zoo dua los tiv thaiv kev txhim kho ntawm tus kab mob dua li kho pityriasis versicolor tom qab. Yog li ntawd, tsis txhob sim nyuaj rau tan: koj yuav tsum tau ua nws maj mam. Thiab yog tias txawm li cas los xij tshwm sim, qhov tseem ceeb tshaj plaws yog txhawm rau kuaj xyuas kom raug sai li sai tau thiab pib kho kom tus kab mob tsis mob ntev.
