Nthaŵi zambiri, kusiyana pakati pa dermatitis ya atopic ndi contact dermatitis n'kosavuta. Nthawi zina, osati zoonekeratu. Odwala ena akhoza ngakhale kukhala ndi atopic ndi kulankhulana ndi dermatitis nthawi imodzi, yomwe ndi yovuta kwambiri kuwunika. Ngakhale pali kusiyana kwakukulu pakati pazirombo ziwirizi, pali kusiyana kwakukulu makamaka makamaka pazifukwa za dermatitis.
Zomwe Zili pakati pa Atopic ndi Contact Dermatitis
Zomwe zimachitika komanso zogonana ndi dermatitis ndi mitundu ya chisanu . Eczema sichidziŵika. M'malo mwake, chikanga chimatanthauza kuthamanga komwe kumachitika chifukwa cha izi. Kawirikawiri pali magawo atatu a chilengedwe:
- Chikanga chachikulu chimakhala ndi zilonda zamoto zonyezimira.
- Chikanga chaching'ono chimakhala chowopsya, chouma, chosakanizika, chokuta, kapena chopukuta khungu.
- Chilengedwe chamakono chimakhala ndi lichenification, chikopa cha chikopa cha khungu chomwe chimapezeka chifukwa cha kuphulika kosatha.
Chikopa cha khungu cha ponseponse ndi chokhudza dermatitis chidzawonetsa zinthu zofanana-monga kusintha kwapangidwe ka epidermis, kutupa kwa maselo a khungu la epidermal omwe amawoneka ngati siponji pakompyuta. Choncho, chidziwitso cha khungu sichidzasiyanitsa pakati pa zinthu ziwirizi.
Kusiyanasiyana pakati pa Atopic ndi Contact Dermatitis
Pali kusiyana kwakukulu pakati pa atopic ndi contact dermatitis, ndi chofunikira kwambiri kukhala chikhumbo cha munthu kuti apange vutoli.
Munthu amene ali ndi dermatitis ya atopic nthawi zambiri amakhala ndi kusintha kwa majini mu mapuloteni m'matumba awo otchedwa filaggrin.
Kusintha kwa filaggrin kumabweretsa kusokonekera pakati pa maselo a khungu la epidermal. Izi zimayambitsa kutaya thupi kwa khungu komanso kuthekera kwa khungu, monga pet dander ndi nthata, kuti alowe pakhungu.
Mankhwala oterewa amachititsa kuti kutupa kwapadera komanso kuyamwa kwakukulu. Kuwombera kumapangitsa kuti khungu lisokonezeke ndipo kumayambitsa kutupa komanso kuyabwa kwambiri.
Zomwe zimayambitsa zowopsa zingayambitsenso kuti chilengedwe chikhalepo chifukwa cha kudya chakudya chimene munthu ali nacho, ndipo amachititsa kuti T-lymphocytes (mtundu wa maselo oyera a magazi) apite ku khungu ndipo izi zimapangitsa kuti kutupa kwapweteke . Popanda zowonjezera izi, munthu sangathe kukhala ndi dermatitis yowopsa.
Kuthana ndi dermatitis, kumbali inayo, ndi chifukwa chochitidwa ndi mankhwala omwe amapezeka pakhungu. Chimachitika pakati pa anthu ambiri pochita mgwirizano ndi poizoni oak (pafupifupi 90 peresenti) ndipo amakhalanso wamba poyerekeza ndi nickel , opaka zodzoladzola, ndi utoto wa tsitsi . Munthu ayenera kukhala ndi mphamvu za ma T-lymphocyte awo kuti azindikire mankhwala monga chinthu chachilendo ndikuchitapo kanthu kuti apange chithandizo cha dermatitis.
Msinkhu wa munthu yemwe ali ndi dermatitis ya atopic ndi kusiyana kwakukulu pakati pa zinthu ziwirizi. Anthu ambiri omwe ali ndi dermatitis ya atopic ali ndi zaka zisanu kapena zing'onozing'ono, pomwe chiwerengero cha dermatitis sichithawirika kwambiri kwa ana aang'ono.
Malo a eczema ndi chofunika kwambiri posiyanitsa pakati pa dermatitis.
Dermatitis yapamwamba imaphatikizapo malo osinthasintha a khungu, monga mapanga a antecubital fossa, kumbuyo kwa mawondo (popliteal fossa), kutsogolo kwa khosi, mapepala, zikopa, ndi kumbuyo kwa makutu.
Malo osinthasintha amapezeka nthawi zambiri mwa ana ndi akulu akulu chifukwa malowa ndi osavuta kuwombera. Popeza dermatitis ya atopic imakhala yovuta, imakhala yowonongeka, imakhala yowonongeka, ndizomveka kuti malo ophweka kwambiri adzakhala malo omwe akuphulika. Kumbali inayi, kukhudzana ndi dermatitis kumachitika pamalo omwe amapezeka mankhwala, choncho akhoza kukhala paliponse pamthupi.
Kudziwa
Kutulukira kwa atopic dermatitis kumaphatikizapo kupezeka kwa chikanga, kukhalapo kwa kuyabwa (pruritus) , ndi kukhalapo kwa chifuwa. Matendawa amapezeka pogwiritsa ntchito kuyezetsa khungu kapena kuyezetsa magazi, choncho matenda a dermatitis amatha kuthamanga.
Kupezeka kwa dermatitis kumakhudzana ndi kukhalapo kwa chizungu, chomwe nthawi zambiri chimakhala chowoneka, komanso kuthetsa kuyesa pogwiritsa ntchito kuyesera . Dermatitis yothandizira siyiyambitsa matenda, koma chifukwa cha mtundu wa T-lymphocyte womwe umatsutsana kwambiri ndi mtundu wa hypersensitivity.
Ziribe kanthu ngati eczema ikuchokera ku dermatitis ya atopic kapena kukhudzana ndi dermatitis, kuzindikira ndi kupeŵa chifukwa ngati njira yaikulu ya mankhwala.
> Zotsatira:
> Dokotala wotsegula m'mimba Chitani Parameters. Ann Zozizira Msampha Immunol; 93: S1-21.
> Beltrani VS, Bernstein IL, Cohen DE, Fonacier L. Kuthana ndi Dermatitis: Njira Yoyesera. Ann Zozizira Msampha Immunol; 97: S1-38.