Nkhalango Yopanda Phindu Yomwe Ili ndi Mitengo Yambiri Yopuma
Tinea versicolor, yemwenso amadziwika kuti pityriasis versicolor , ndi matenda opatsirana chabe a khungu lomwe nthawi zambiri limasokonezeka ndi zina zambiri za rashes. Nkhumba zimakhudza mtundu wa khungu ndipo zimabweretsa zolembera zazing'ono, zowala kapena zakuda zomwe zimapezeka pamtengo ndi mapewa.
Zifukwa za Tinea Pamodzi
Tinea versicolor ndi matenda opweteka chifukwa cha yisiti Pityrosporum orbiculare ndi Pityrosporum ovale .
Manyowawa amapezeka pamtunda wa khungu (stratum corneum) ndi tsitsi la tsitsi lachibadwa, la khungu labwino.
Ngakhale kuti sizingakhale zopanda phindu, yisiti imeneyi nthawi zina imatha kuwonjezereka ndikusintha kukhala mawonekedwe a tizilombo otchedwa Malassezia furfur, zomwe zimayambitsa kuphulika.
Pali zinthu zingapo zomwe zimayambitsa yisiti yowonjezereka, kuphatikizapo:
- kuchotsedwa kwa adrenal gland
- Matenda a Cushing
- mimba
- kusintha kwa mahomoni
- kusowa zakudya m'thupi
- zotentha
- mankhwala a steroid
- analetsa chitetezo cha mthupi
- kulera kwachinsinsi
- nyengo yotentha, yamvula
- khungu la mafuta
Tinea versicolor ikhoza kuchitika pa msinkhu uliwonse koma umakhala wofala kwambiri paunyamata ndi msinkhu wokalamba (nthawi imene zofiira za sebaceous zimakhala zogwira ntchito). Amadziwikanso kumadera otentha komanso otentha.
Mwa anthu omwe adatetezedwa kale, tinea versicolor ili ndi kuchuluka kwa pafupifupi 80 peresenti pambuyo pa zaka ziwiri.
Zizindikiro za Tinea Versicolor
Kuthamanga kwa tinea versicolor kungakhale ndi hypopigmented kapena hyperpigmented, ndipo imawoneka ngati kuphulika kofiira, komwe kungasinthe pang'ono n'kukhala mabala akuluakulu.
Nthaŵi zambiri chiphuphuchi chimakhala ndi maonekedwe abwino, makamaka makamaka pa thunthu komanso m'manja ndi miyendo.
Mankhwalawa amapezeka pamene yisiti imapanga mankhwala enaake omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda.
Mankhwalawa amatuluka chifukwa cha kutupa chifukwa cha matenda opatsirana.
Zizindikiro za tinea versicolor zikuphatikizapo:
- zikopa za khungu lomwe limakhala lowala kapena lakuda kuposa lachibadwa
- khungu kutuluka pa thunthu, mapewa, chifuwa, kapena mikono
- kuyabwa kofatsa
- kukulitsa
Pali ziphuphu zambiri zomwe zimasokonezedwa nthawi zambiri ndi tinea versicolor, kuphatikizapo vitiligo, syphilis, pityriasis rosea, pityriasis alba , eczema, psoriasis, ndi seborrheic dermatitis .
Kusanthula kwa Tinea Versolol
Madokotala amatha kudziwa tinea versicolor malinga ndi maonekedwe a kutukumuka. Zowonjezera kuyesedwa kawirikawiri sikofunikira, ngakhale zingagwiritsidwe ntchito pa milandu yovuta kwambiri.
Kunja kwa kuunika kwa thupi, pali mayesero atatu omwe madokotala amagwiritsa ntchito kutsimikizira tinea versicolor:
- Kuyeza kwa KOH kungatsimikizire kuti zizindikiro za "spaghetti ndi nyama za nyama" zikuoneka pansi pa microscope.
- Kuwunika kowala kwa Wood kumapangitsa yisiti kuwala kasupe wotumbululuka pansi pa kuwala kofiira.
- Zikondwerero zamtunduwu , pamene zimagwiritsidwa ntchito mosavuta, zingathe kutsimikizira kuti matendawa ndi kukula kwa bowa pa chikhalidwe cha chikhalidwe.
Chithandizo cha Tinea Versicolor
Pali mankhwala ambiri omwe amagwiritsidwa ntchito pochizira tinea versicolor . Mwa izi, zokometsera zam'madzi, zowonongeka zowonjezera zimakhala zothandiza kuthetsa bowa.
Zimaphatikizapo zotchuka monga:
- Lotrimin AF
- Selsun Blue
- zinki pyrithione sopo
Ngati muli ndi vuto lalikulu la tinea versicolor, kapena ngati thupi lanu silinayankhe pa mankhwala owonjezera, mankhwala oyenera angapangidwe. Mankhwala ovomerezeka, komanso mankhwala osungirako mankhwala ndi mankhwala osungiramo mankhwala, ndi zina mwa njira zomwe madokotala angakambirane.
Pomaliza, nkofunika kukumbukira kuti ngakhale mankhwala akupha yisiti yamatenda, kutuluka kwa khungu kungapitirire kwa masabata mpaka ma melanocyte amatha kutulutsa melanin kachiwiri. Ngakhalenso matendawa atachiritsidwa, nthawi zina chithandizo chamankhwala chingakhale chofunikira chifukwa cha kuchuluka kwa matenda obwereza.
> Zosowa
- > American Academy of Dermatology. "Tinea Versicolor: mwachidule." Washington, DC; 2017.