Kumvetsa Photodermatoses ndi Zoona Zowona Zoona
Anthu nthawi zonse amatha kupwetekedwa ndi zinthu monga mungu, phalala, mapeyala, latex, ndi nkhono, koma zomwe zimawoneka ngati zosawoneka ndizomwe zimawombera dzuwa. Komabe, ofufuza tsopano akungoyamba kumvetsa momwe dzuwa limagwirira ntchito-zomwe zimatchulidwa molondola monga photodermatoses-zenizeni.
Ndipotu, phunziro la 2011 kuchokera ku Universität Witten-Herdecke Center of Dermatology ku Germany linanena kuti anthu 20 peresenti ya anthu ku US, Scandinavia, ndi Central Europe akhala ndi vuto lofala kwambiri la matenda omwe amadziwika kuti kupasuka kwa mpweya (polymorphous light eruption ( PMLE).
Zonse zanenedwa, pali mitundu yoposa 20 ya photodermatoses yomwe imakhala yovuta kwambiri kuchokera ku zofatsa ndi zosakhalitsa mpaka kuopseza moyo. Zizindikiro zikuphatikizapo:
- Mikoko
- Kupepuka ndi Kukhetsa
- Anasokoneza ziphuphu pa khungu loyera kapena kukulitsa ziphuphu zamatope
- Ziphuphu
- Makhalidwe okulitsa ndi otukuka
Izi sizikutanthauza kuti zonse zomwe khungu limagwira ku dzuwa ndizowona bwino . Ngakhale kuti anthu ena ali ndi hypersensitivity kwa dzuwa, ena "mazira a dzuwa" amayamba chifukwa cha mankhwala kapena mankhwala omwe amachititsa kuti khungu likawonekere.
Kumvetsa Photodermatoses
Asayansi sadziŵa kwenikweni chifukwa chake anthu amamva mmene dzuwa limakhudzidwira koma amakhulupirira kuti chibadwa chimathandiza kwambiri. Mofanana ndi matenda onse, photodermatoses imayambitsa pamene palibenso vuto linalake lopanda vutoli-pakadali pano, kuwala kwa dzuwa kumayambitsa matenda osadziwika.
Ultraviolet (UV) kuwala kumawonekeratu kuti ndiwopweteka. Zingayambitse mtundu wa photoallergic reaction (zowononga zokhudzana ndi chitetezo cha m'thupi) kapena phototoxic imodzi (yomwe imachititsa kuti thupi liziyenda, likufuna kuwala, zomwe sizikukhudzana ndi chitetezo cha mthupi).
Pali mitundu yoposa 20 ya photodermatoses. Zina ndizofala ndipo zina ndizosawerengeka. Izi zimaphatikizapo zochita za khungu zomwe zimapangitsa dzuwa kukhala ndi anthu omwe ali ndi matenda omwe amadziwika ngati lupus ) komanso zinthu zomwe zimakhala zosavuta pakhungu.
Kuphulika kwa Kuwala kwapopoporphous
Kuphulika kowala (PMLE) ndi mtundu wambiri wa photodermatoses.
Amatchedwa polymorphous chifukwa maonekedwe a khungu amatha kusiyana pakati pa munthu ndi munthu.
Khungu limatuluka nthawi zambiri pakapita masiku angapo kutuluka dzuwa. Ziwoneka ngati zowonjezereka, zofiira zofiira pamodzi ndi kuyabwa ndipo nthawi zina zimayaka. Nthawi zambiri zimakhala zachilengedwe (zomwe zimadziwika ndi zovuta zopanda madzi). Kuthamanga kumakhala kofala kwambiri pamtanda, mikono, kumbuyo kwa manja, ntchafu, ndi mbali za nkhope.
Zilondazi zimawoneka mwadzidzidzi m'masiku angapo ndipo musasiyirepo chilichonse. Mankhwala a antihistamines amathandiza kuchepetsa kuyabwa koma samapanga pang'ono kuti asinthe mphutsi. Nthawi zambiri, nthawi yokha imathetsa vutoli. PMLE silingaganizire za kuopsa kwa moyo.
Urticaria ya dzuwa
Solar urticaria ndi mawonekedwe osatha a photodermatoses. Anthu omwe ali ndi vutoli amatha kuyabwa, kufiira, ndi ming'oma m'malo mwa khungu lomwe limatulukira ku dzuwa. Ngakhale kuti nthawi zina zizindikiro zimasokonezeka ndi kutentha kwa dzuwa, dzuwa la urticaria limatha kukhala mkati mwa mphindi zochepa ndipo limachoka mofulumira kwambiri (kawirikawiri osakwana tsiku) utatha dzuwa litasiya.
Dzuwa la urticaria ndilosawoneka koma limakhala loopsya nthawi zina.
Anthu amadziwika kuti amafa, thupi lonse limatayika, limatchedwa anaphylaxis, potengera dzuwa. Kupewa dzuwa ndiko njira yabwino kwambiri yotetezera. Ngati akuganiza kuti anaphylaxis , mankhwala ofulumira ayenera kufunidwa.
Cholinergic Urticaria
Urlinaria ya cholinergic, yomwe imadziwika kuti kutentha kwa dzuwa, ndi mtundu wa mng'oma womwe umayambitsidwa ndi kutentha kwa thupi. Izi sizikuphatikizapo kuyang'ana kuwala kwa dzuwa koma chilichonse chomwe chingathe kutentha thupi lonse, kuphatikizapo kutentha, kuchita masewera olimbitsa thupi, zakudya zokometsera zokometsera, kapena kusungunuka usiku. Maganizo amphamvu amadziwikanso kuti amayambitsa ming'oma mwa anthu odwala urticaria.
Chithandizo chabwino cha cholinergic urticaria ndi antihistamines. Ngakhale antihistamine iliyonse ingathandize, okalamba, monga hydroxyzine , amawoneka kuti akugwira ntchito bwino.
Zozizira za dzuwa
Ngakhale kuti dermatitis yothandizira ku sunscreen si yowoneka ngati zowononga zodzoladzola, sizinali zachilendo. Chodziŵika ngati chithunzi chojambula chithunzi, chikhalidwecho chimakhala ndi zomwe zimagwira ntchito yamtundu winawake (monga kuteteza dzuwa, tizilombo toyambitsa matenda, tizilombo toyambitsa matenda, kapena mafuta onunkhira) pokhapokha ngati atadziwika ndi kuwala kwa UV.
Khungu limatha kuchitika pa gawo lirilonse la thupi limene mankhwalawa amagwiritsidwa ntchito koma nthawi zambiri amatchulidwa kumadera a malo omwe dzuwa limawonekera. Izi zimaphatikizapo nkhope, "V" ya chigawo chakumtunda ndi khosi la pansi, kumbuyo kwa manja, ndi mawonekedwe.
Kujambula zithunzi zothandizidwa ndi dermatitis kumaonedwa kuti ndi phototoxic ngakhale kuti zomwe sizikanati zichitike ngati sunitetezedwe. Kupewa mankhwalawa ndi njira yabwino kwambiri yothetsera vutoli.
Zotsatira za Chithandizo
Nthawi zambiri masewera a dzuwa amawongolera okha ndi nthawi. Mabala a khungu monga calamine lotion ndi aloe vera angathandize kuchepetsa mavuto, makamaka ngati kuwonjezeka kapena kuphulika kumachitika. Mavuto amatha kupatsidwa mankhwala osokoneza bongo monga Advil (ibuprofen). Matenda ovuta kwambiri angafunike njira zowonongeka kapena zowonjezera steroids kuti zithandize kuchepetsa kutupa.
Zirizonse zomwe zimayambitsa, anthu omwe amadziwika ndi dzuwa amafunika kuyesetsa kuphimba kapena kukhala m'nyumba ngati dzuwa liri lamphamvu kwambiri. Sunscreen samapereka chitetezo ku photodermatoses ndipo, nthawi zina, amatha kuipitsa.
Ngati vuto lililonse la photodermatoses likuphatikizapo kupuma, kutsokomola, kutentha kwa malungo, kutupa kwa nkhope, kuthamanga kwa mtima mofulumira kapena mopanda chizolowezi, chizungulire, chisokonezo, mseru, kapena kusanza, imbani 911 kapena muthamangitse munthu ku chipinda chapafupi. Zizindikiro izi ndizofanana ndi anaphylaxis yomwe, ngati yosasamalidwa, ikhoza kufooka kupuma, kugunda, kukhumudwa, kuphweteka, ngakhale imfa.
> Chitsime:
> Lehmann, P. ndi Schwarz, T. "Photodermatoses: Kuzindikira ndi Chithandizo." Dtsch Arztebl Int . 2011; 108 (9): 135-141. DOI: 10.3238 / arztebl.2011.0135