Dyshidrosis ntawm daim tawv nqaij yog ib yam kab mob uas tshwm sim los ntawm qhov tshwm sim ntawm qhov mob hlwv uas muaj cov kua dej ntawm cov epidermis. Feem ntau, qhov teeb meem tshwm sim ntawm cov ntiv tes, ntawm xib teg lossis ko taw. Cov kab mob no tsis yog nyob rau hauv qeb ntawm kev ua phem rau lub neej thiab txaus ntshai heev, txawm li cas los xij, yog tias xav tau nws txoj kev kho mob tsis quav ntsej, muaj kev pheej hmoo ntawm dyshidrosis los ua mob ntev.
Vim li cas kab mob ntawm daim tawv nqaij tshwm sim
Dyshidrotic eczema yog lwm lub npe tsis tshua muaj npe rau tus kab mob hauv nqe lus nug. Feem ntau, nws tsim tawm tsam keeb kwm ntawm kev puas siab puas ntsws, kev ntxhov siab, kev paub ntev ntev. Qhov zoo tshaj plaws keeb kwm yav dhau rau kev loj hlob ntawm daim tawv nqaij dyshidrosis yog qhov tsis muaj zog ntawm lub cev tiv thaiv kab mob, uas feem ntau tshwm sim los ntawm pathologies ntawm plab hnyuv thiab kab mob fungal. Yuav kom ua tiav cov txiaj ntsig zoo hauv kev kho tus kab mob no, kev siv tshuaj ib leeg yuav tsis txaus. Tus neeg mob yuav tau ua kom cardinal hloov nyob rau hauv txoj kev ntawm lub neej - ces nws yuav ua tau kom ua tau zoo nyob rau hauvkev kho mob.
YYuav ua li cas pathology manifests nws tus kheej thaum pib
Qhov tshwm sim tseem ceeb ntawm daim tawv nqaij dyshidrosis yog cov npuas tuab, hauv cov kua exudative translucent pom. Cov pob khaus tuaj yeem tshwm sim ntawm caj npab lossis txhais ceg. Thaum xub thawj, dyshidrosis tsis thab tus neeg mob tshwj xeeb, tab sis raws li tus kab mob loj hlob tuaj, daim duab kho mob tau nthuav tawm ntau dua. Cov npuas ntawm daim tawv nqaij nce ntim, qee zaum ncav cuag qhov loj ntawm pea.
Dyshidrosis ntawm tes thiab ko taw tshwm sim rau cov neeg ntawm txhua lub hnub nyoog. Qhov tsis xis nyob loj tshaj plaws uas tus kab mob no coj los yog cuam tshuam nrog khaus hnyav. Npuas pob khaus ua rau kub hnyiab, o, o. Sij hawm dhau mus, cov cheeb tsam ntawm daim tawv nqaij uas tsim cov hlwv pib roughen, ua tawv thiab tuab.
Lwm cov tsos mob
Lub voj voog ntawm tus kab mob no yog 10-14 hnub. Tom qab lub sijhawm no, cov npuas pib sib txuas, sib koom ua ke, uas provokes tsim cov kab mob ntau dua. Tawm tsam keeb kwm ntawm kev loj hlob ntawm cov txheej txheem inflammatory, mob rwj tshwm sim ntawm daim tawv nqaij. Thaum lub qhov txhab pib tawg, tus neeg mob yuav hnov mob hnyav. Nws yog ib qho tseem ceeb heev los tiv thaiv kev raug mob rau cov npuas, txwv tsis pub qhov chaw no yuav kho tau ntev heev, nrog rau cov tsos mob ntawm cov kab nrib pleb. Yog tias thaj chaw muaj kab mob puas lawm, piv txwv li, nrog kev sib tsoo hnyav, edema yog tsim, cov txheej txheem inflammatory raug pom. Yog tias cov ntsiab lus ntawm vial hloov xim, feem ntau yuav muaj tus kab mob thib ob.
YLamellar dyshidrosis
Cov kab mob uas tau tshwm sim ntawm qhov chaw ntawm cov npuas npuas qhuav sai sai. Nyob rau hauv qhov chaw ntawm hlwv, qhuav, flaky crusts tshwm. Tab sis qee zaum tus kab mob no tshwm sim asymptomatically. Tsis tas li ntawd, cov npuas dej ntawm cov xib teg tuaj yeem tsis tuaj. Hloov chaw, tiaj tus nplhaib-puab peelings muaj nyob rau ntawm lub epidermis. Daim ntawv no yog hu ua lamellar thiab, tsis zoo li "classic" dyshidrosis, cov tsos mob tshwm sim nyob rau hauv ntub dej txias, manifests nws tus kheej nyob rau hauv lub sov thiab qhuav lub caij. Taw, raws li txoj cai, tsis cuam tshuam los ntawm pathology, pob khaus tshwm sim ntawm tes.
Ntau tus kab mob no tshwm sim nyob rau hauv daim ntawv ntev, hloov nrog lub sij hawm ntawm exacerbations thiab remissions. Yog tias tus neeg mob muaj lub zog tiv thaiv kab mob, tus kab mob yuav tsis tshwm sim nws tus kheej mus ntev. Kev tso cai yuav kav mus txog thaum lub cev tsis muaj zog, piv txwv li, thaum lub cev muaj kab mob. Lwm yam tseem ceeb kuj muaj peev xwm ua rau muaj kev rov tshwm sim ntawm dyshidrosis.
Yuav ua li cas thiaj li muaj kab mob
Txog hnub tim, qhov tseeb ntawm qhov ua rau pathology tsis paub. Vim li cas qee cov tib neeg uas muaj, piv txwv li, ib qho kev hloov pauv ntawm kev hloov pauv, tsim dyshidrosis, thaum lwm tus tsis? Tsis muaj kws kho mob tuaj yeem teb cov lus nug no. Thiab tseem cov kws kho mob tau pom muaj qee yam kev pheej hmoo.
Hais txog qhov feem ntau yuav ua rau dyshidrosis, nws yog ib qho tsim nyog los faib lawv ua ob pawg. Thawj pab pawg muaj xws li cov yam uas ua rau kev loj hlob ntawm pathology, pab pawg thib ob suav nrog cov stimuli sab nraud uas ua lub luag haujlwm ntawm kev ua haujlwm ncaj qha.mechanism ntawm kev pib ntawm cov txheej txheem pathological. Qhov ua rau ntawm tus kab mob tsis yog nyob ntawm ib leeg, tab sis lawv lub xub ntiag ua rau muaj kev pheej hmoo ntawm nws qhov tshwm sim. Cov xwm txheej zoo rau dyshidrosis tuaj yeem pab:
- xeev kev nyuaj siab, ntev apathy;
- ua haujlwm tsis zoo ntawm endocrine system;
- kab mob ntawm daim tawv nqaij ntawm qhov tsis muaj kab mob hauv anamnesis ntawm cov txheeb ze;
- kev ua haujlwm uas cuam tshuam nrog cov tshuaj lom neeg thiab tshuaj lom;
- mob plab hnyuv.
Qhov laj thawj tseem ceeb
Feem ntau, dyshidrosis yog suav tias yog kev ua txhaum ntawm polyetiological xwm. Ua ntej ntawm tag nrho cov, kev loj hlob ntawm pathology yog tshwm sim los ntawm kev tsis haum tshuaj rau tsev neeg tshuaj, tshuaj pleev ib ce, zaub mov thiab tshuaj. Hauv qee cov neeg mob, tus kab mob no tshwm sim thaum lub sij hawm active flowering ntawm cov nroj tsuag. Yog tias dyshidrosis tshwm sim los ntawm ib qho ntawm cov khoom sab nraud, ces nws yuav zoo li tus kab mob yuav rov qab los ntawm nws tus kheej.
Diagnosis
Nws yog qhov nyuaj heev kom tsis meej pem palmar dyshidrosis nrog lwm tus kab mob ntawm daim tawv nqaij. Txawm li cas los xij, txhawm rau txhawm rau kuaj mob thiab pib kho, nws yog ib qho tseem ceeb uas yuav tau ua qhov kev kuaj mob sib txawv kom tsis suav nrog lwm cov kab mob uas muaj cov tsos mob zoo sib xws (thaum pib ntawm psoriasis, mycosis).
Tus neeg mob uas tau pom cov tsos mob ntawm dyshidrosis yuav tsum sab laj nrog kws kho hniav. Txawm hais tias muaj tseeb tias cov kev tshawb fawb tshwj xeeb thiab kev kuaj sim tsis tau siv los lees paub qhov kev kuaj mob no, tus kws kho mob yuav tuaj yeem txiav txim siab txog tus kab mob tom qab.kev kawm ntxaws txog daim duab kho mob, nug txog tus neeg mob txoj kev ua neej. Txhawm rau tshem tawm cov kab mob fungal los yog paub meej tias nws, kev khawb yog muab rau qhov muaj cov kab mob microflora hauv hlwv, thaj chaw flaky. Tsis tas li ntawd, tus kws kho mob tshwj xeeb yuav xav tau kev xav ntawm cov npoj yaig - tus kws kho mob endocrinologist, tus kws kho mob ua xua, kws kho mob plab, kws kho mob neuropathologist.
Yog tias koj xav tias keeb kwm ntawm tus kab mob ntawm qhov ua xua, nws yog ib qho tseem ceeb rau kev txiav txim siab qhov khaus. Rau qhov no, kev kuaj tawv nqaij tau ua tiav, kev tshuaj xyuas rau immunoglobulins tau muab. Nyob rau hauv rooj plaub no, txoj kev qhia paub ntau tshaj plaws yuav yog txoj hauv kev kuaj kev sib piv ntawm tus neeg mob cov ntshav kuaj nrog lub vaj huam sib luag zaub mov.
Tom qab kev tshuaj xyuas dav dav thiab qhia meej txog kev kuaj mob, tus kws kho mob dermatologist yuav tuaj yeem sau tshuaj kho rau tus neeg mob raws li tus kheej cov tswv yim.
Cov ntsiab cai dav dav ntawm kev kho mob
Nrog dyshidrosis ntawm daim tawv nqaij ntawm tes, kev kho mob yog siv cov tshuaj complex. Yog hais tias daim tawv nqaij mob tsis nyuaj los ntawm kev kis kab mob, tus neeg mob tau muab tshuaj desensitizing, anti-inflammatory, sedative thiab immunostimulating tshuaj. Txwv tsis pub, daim ntawv teev cov tshuaj tau ntxiv nrog cov tshuaj tua kab mob lossis tshuaj tua kab mob.
Yog tias tus kab mob ua rau muaj teeb meem, kev kho nrog tshuaj pleev xim glucocorticoid tshuaj tiv thaiv kab mob pib. Nws yog tsis yooj yim sua kom kho koj tus kheej nrog xws li cov txhais tau tias: kev xaiv ntawm ib tug tshuaj pleev hormonal, tsim lub zaus thiab lub sij hawm ntawm nws siv yog prerogative ntawm ib tug tshwj xeeb. Nrog rau qhov tsis paub siv cov tshuaj corticosteroids, kev quav tshuaj sai sai.lub cev, tshwm sim tshwm sim.
Nyob rau hauv cov mob dyshidrosis, cov neeg mob tau pom zoo kom siv cov dej-soluble emollients uas muaj cov nyhuv moisturizing, txo qhov khaus thiab kub hnyiab, txhawb kev rov ua haujlwm ntawm qhov chaw puas ntawm cov epidermis thiab ntxiv dag zog rau kev tiv thaiv hauv zos. Nws yog ib qho tsim nyog yuav tsum tau siv cov kua dej tawm sab nraud tsis yog tsuas yog thaum lub sij hawm exacerbation ntawm tus kab mob, tab sis kuj thaum lub sij hawm tshem tawm. Qee cov emollients muaj cov tshuaj tua kab mob hauv lawv cov muaj pes tsawg leeg, uas tiv thaiv kev tsim tawm ntawm cov kab mob pathogenic hauv thaj chaw muaj kev cuam tshuam thiab pab txhawb kev noj zaub mov txaus ntawm daim tawv nqaij qhuav.
Ntxiv rau cov tshuaj rau kev siv sab nraud, cov txheej txheem kho lub cev muaj txiaj ntsig zoo hauv kev kho dyshidrosis:
- raug rau kua nitrogen;
- ultraphonophoresis;
- daim ntawv thov ntawm diadynamic tam sim no;
- laser kho;
- endonasal electrophoresis.
Cov neeg mob tau qhia kom ua tib zoo saib xyuas tus kheej ntawm daim tawv nqaij thiab noj kom raug. Txhawm rau ua kom cov txheej txheem ntawm kev rov ua kom cov ntaub so ntswg ntawm daim tawv nqaij, nws yog ib qho tseem ceeb uas yuav tsum tau muab cov khoom noj kom txaus nrog cov khoom noj fermented, zaub tshiab thiab txiv hmab txiv ntoo, txiv hmab txiv ntoo citrus (thaum tsis muaj kev fab tshuaj ntawm lub cev). Cov carbohydrates ceev, ntawm qhov tsis sib xws, raug pom zoo kom tso tseg. Raws li kev txwv nruj tshaj plaws poob dej cawv, txawm tias tsawg heev. Kev siv cov khoom qab ntsev, ntsim thiab haus luam yeeb yuav ua rau muaj kev cuam tshuam tsis zoo; cov kaus poom thiab cov khoom noj qab zib yuav tsis muaj txiaj ntsig. Kev ceev faj heev yuav tsum tau mus ze rau kev siv cov tshuaj tsis haum (qe, strawberries, chocolate, zib ntab,txiv ntseej, nqaij nruab deg).
Yuav kho dyshidrosis thiab tiv thaiv kom tsis txhob mob ntev, nws yog ib qho tseem ceeb ua raws li tag nrho cov kws kho mob cov lus qhia. Rau kev rov zoo, kev so zoo kuj tseem ceeb, uas lub xeev ntawm lub paj hlwb ncaj qha nyob ntawm. Kev ntxhov siab thiab kev ua haujlwm ntau dhau yuav tsum raug zam tsis yog thaum lub sijhawm exacerbation, tab sis kuj txhawm rau tiv thaiv kev rov qab los.
Dyshidrosis tshuaj
Peb yuav tau poob siab rau cov uas vam tias yuav pom ntawm no cov npe tshuaj universal rau tus kab mob no. Kev kho mob yuav tsum tau complex. Raws li qhov kev iab liam ua rau pathology, tus neeg mob tau muab tshuaj rau kev siv lub cev:
- tshuaj tiv thaiv kab mob uas txo cov qib ntawm desensitization hauv lub cev (Zodak, Fenistil, Suprastin, Erius, Zyrtec);
- sedative homeopathic tshuaj uas pab stabilize lub psycho-kev xav tom qab, rov ua hauj lwm ntawm lub paj hlwb ("Sedaten", "Novo-Passit", "Persen");
- enterosorbents xav tau los tshem tawm cov tshuaj lom hauv lub cev (activated carbon, Enterosgel, Atoxil).
Yog tias cov kab mob ntawm lub plab zom mov tau lees paub, tus neeg mob yuav raug tshuaj kho ntxiv.
Npaj rau kev siv sab nraud
txhawm rau txo qhov mob hnyav ntawm daim tawv nqaij, tus neeg mob tau muab tshuaj pleev tshuaj hormonal "Ftorokort", "Triderm", "Polcortolone", "Elokom", "Laticort". Cov chav kawm ntawm kev kho mob nrog cov tshuaj steroid sab nraud feem ntau tsis pub dhau ib lub lis piam, tom qab ntawd tus neeg mob raug xa musrau cov tsis-hormonal compounds. Yog tias tus kab mob tau koom nrog qhov chaw ntawm qhov txhab, kev kho mob ntxiv nrog tshuaj tua kab mob tes (tetracycline ointment, Levomekol). Ntawm ob txhais ceg, dyshidrosis feem ntau nyuaj los ntawm cov kab mob, yog li ntawd, nrog rau cov tshuaj tiv thaiv kab mob, tus neeg mob tau muab tshuaj tua kab mob ("Lamikon", "Amiclon", "Exoderil").
Zinc-based tshuaj pleev
Ib qho tshuaj uas siv los kho cov kab mob ntawm daim tawv nqaij yog zinc ointment. Los ntawm qhov kev kho no pab tau dab tsi, nws nyuaj rau sau. Qhov tseeb yog tias tus neeg sawv cev hypoallergenic no muaj qhov ziab, adsorbing, astringent thiab tshuaj tua kab mob, txo exudation thiab quaj, relieves lub zos manifestations ntawm o. Nov yog yam tshuaj pleev zinc pab nrog, ntxiv rau dyshidrosis:
- daim ntaub npuag;
- polyweed;
- daim tawv nqaij;
- dermatitis;
- herpes;
- streptoderma;
- burns;
- bedsores.
Lub tsev muag tshuaj muag xws li kev npaj sab nraud raws li zinc xws li Valiskin, Desitin, Sudocrem, Tsindol, Zinc Paste. Cov khoom zoo sib xws kuj muaj los ntawm cov khoom raws li ichthyol, birch tar, salicylic acid.
Antiseptics
Ua ntej siv cov tshuaj pleev rau qhov chaw cuam tshuam, nws tau kho nrog tshuaj tua kab mob ntawm fucorcin lossis resorcinol. Nyob rau hauv thawj theem ntawm tus kab mob, kws kho mob feem ntau qhia cov pej xeem tshuaj rau dyshidrosis (piv txwv li, da dej nrog ib tug decoction ntawm ntoo qhib bark, dej qab zib, hiav txwv ntsev).
kab mob tawv nqaij hauvme nyuam
Dyshidrosis ntawm daim tawv nqaij hauv tus menyuam teb zoo rau kev kho mob. Feem ntau, tus kab mob no tau kuaj pom thaum muaj hnub nyoog ntxov, txog li peb xyoos. Yog tias koj pib kho raws sijhawm thiab ua raws li tag nrho cov lus pom zoo kho mob, tus kab mob yuav rov zoo dua. Tab sis tsis muaj kws kho mob tuaj yeem lav tias tus kab mob yuav tsis rov qab los thaum muaj hnub nyoog laus dua.
Nyob rau hauv cov menyuam yaus, qhov ua rau ntawm tus kab mob feem ntau yog kev tsis haum tshuaj, yog li thaum cov tsos mob ntawm tus kab mob tshwm sim, kev ntsuam xyuas zoo los ntawm kws kho mob dermatologist thiab tus neeg ua xua yog qhov yuav tsum tau ua. Cov tshuaj rau kev kho mob dyshidrosis raug xaiv nyob ntawm lub hnub nyoog ntawm tus menyuam thiab qhov hnyav ntawm tus kab mob.
