Mitundu ya Chithandizo Kwa Tinea Pamodzi ndi Mmene Zimasiyanitsira
Ngati mwapezekapo kapena mukukhulupirira kuti muli ndi matenda a khungu tinea versicolor, ndi mankhwala ati omwe alipo? Ndi mankhwala ati omwe ali othandiza kwambiri komanso momwe inu ndi dokotala mungapange chisankho chotani chomwe chingachitike kwa inu?
Matenda a Tinea ndi Matenda Achikopa
Tinea versicolor ndi matenda omwe amafala kwambiri pakhungu la fungal omwe amachititsa kuthamanga kwake.
Amadziwikanso kuti pityriasis versicolor ndipo nthawi zambiri amasokonezeka ndi ziphuphu zina. Ngakhale kuthamanga kuli kofala kwambiri paunyamata komanso ukalamba, zikhoza kuchitika pa msinkhu uliwonse.
Kuthamanga kumawonekera ngati velvety hypopigmented (yochepa pigment) kapena hyperpigmented macules (mawanga omwe sali odzutsidwa) kapena ma plaques . Chiphuphuchi chimakhala chowoneka bwino kwambiri ndi khungu. Ndilofala kwambiri pa thunthu, nkhope, ndi mapewa ndipo nthawi zambiri sizingatheke (ngakhale zingatheke kwa anthu ena.) Kukopa khungu ndi utoto kungasonyeze yisiti yeniyeni pansi pa microscope (yomwe imawoneka ngati spaghetti ndi nyama za nyama).
Tinea versicolor imapezeka pamene khungu lachizungu, Pityrosporum orbiculare kapena Pityrosporum ovale, amasintha (kusintha) kukhala mtundu wa tizilombo wotchedwa Malassezia furfur . Tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda timene timagwiritsira ntchito kutulutsa maselo opangira khansa m'thupi ( melanocytes .) Popeza tinea versicolor ikugwirizana ndi nkhungu zachilendo (komanso zoteteza) pakhungu, sizilandira.
Mitundu ya Chithandizo cha Tinea Versolor
Pali njira zosiyanasiyana zochizira pofuna kuchotseratu kuthamanga kwa tinea versicolor. Chifukwa yisiti imakhala pamwamba pa khungu, epidermis , mankhwala opangira fungal amayamba kukhala othandiza kwambiri, mwamsanga kapena poyambira matendawa.
Ngati mphutsiyi ndi yaikulu, mankhwala oletsa fungal amatha.
Chifukwa tinea versicolor imakhala ndi 80 peresenti yowonjezera, anthu ambiri amafunika kuchiritsidwa kapena kuchiritsidwa pofuna kupewa kuthamanga. Tiyeni tiyang'ane pa mankhwala osiyanasiyanawa payekha.
Kuchiza kwa Tinea Kulimbana ndi Zithunzi Zopangira Matenda
Mankhwala osokoneza bongo ndi mankhwala opangira tinea versicolor. Pali mitundu yambiri ya ma anti-fungal regimens yomwe yasonyezedwa kuti imapanga kuchuluka kwa makumi asanu ndi awiri pa 100 peresenti. Izi zikuphatikizapo kupereka odwala 2 peresenti ya Nizoral (ketoconazole) cream yomwe imagwiritsidwa ntchito kamodzi tsiku lililonse kwa masiku khumi ndi awiri kapena khumi ndi awiri.
Mwinanso, pogwiritsa ntchito 2 peresenti ya ketoconazole shampoo regimen (yoweta pamwamba pa malo okhudzidwa ndi oyandikana nawo ndi kusiya kwa pafupi mphindi zisanu musanatsuke) imathandizanso pakagwiritsidwa ntchito kamodzi tsiku lililonse kwa masiku atatu otsatizana. Kuwonjezera pamenepo, 1 peresenti ya Lamisil (terbinafine) yothetsera yogwiritsidwa ntchito kawiri tsiku lililonse kwa sabata imodzi yatsimikizirika kukhala yothandiza, monga momwe zilili ndi 1% Lotrimin (clotrimazole) yankho lomwe limagwiritsidwa ntchito kamodzi tsiku lililonse kwa sabata imodzi.
Chithandizo cha Tinea Pamodzi Ndi Zomwe Zimayambitsa Mlomo
Mankhwala oletsa fungal amatha kupweteka monga chiwindi kapena kuwonongeka kwa chiwindi, koma zotsatirazi si zachilendo ndi maphunziro ochepa omwe amagwiritsidwa ntchito pa tinea versicolor.
Mankhwala a oral or griseofulvin ndi mankhwala osagwiritsa ntchito mankhwala a tinea versicolor, koma mitundu yosiyanasiyana yothandizira pakamwa imasonyezedwa kuti imapanga 90 peresenti ya anthu odwala matendawa.
Ketoconazole 200 mg tsiku kwa masiku asanu ndi awiri kapena mlingo umodzi wa 400 mg ungagwiritsidwe ntchito. Atatha kumwa mankhwala, anthu amauzidwa kuti azichita masewera olimbitsa thupi komanso azigwira ntchito thukuta. Mankhwalawa amagwira ntchito powapatsira khungu ngati mawonekedwe a thukuta, kotero musadye maola 10 mpaka 12 mutatha kumwa mlingo.
Fluconaole, piritsi ya 300 mg yomwe imatengedwa poyamba ndi kubwereza masabata awiri imathandizanso.
Kuchiza kwa Tinea Kulimbana ndi Ziphuphu Zambiri
Mpaka posachedwapa, shamposi zonyamula katundu ndizo zowopsa kwambiri kwa tinea versicolor.
Zili zovuta kwambiri kuposa mankhwala oletsa fungal ndipo zingayambitse kupweteka kwa khungu, koma zimapezeka papepala ndipo sizikhala zodula. Ma regimen angapo asonyezedwa kukhala othandiza.
Izi zimaphatikizapo sulfure salicylic acid shampoo yomwe imagwiritsidwa ntchito usiku uliwonse monga lotion kwa mlungu umodzi kapenanso zinc-pyrithione shampoo regimen (yogwiritsidwa ntchito tsiku ndi tsiku ngati lotion ndi kusiya kwa mphindi zisanu musanatsitsidwe) kwa milungu iwiri. Kuonjezerapo, Selsun Blue (selenium sulfudi) 2.5% ya lotion regimen (ntchito tsiku lililonse ngati lotion ndi kusiya kwa mphindi 10 asanayambe kuchapa) kwa sabata imodzi zatsimikiziridwa bwino.
Kodi Tinea Yatsala Nthenda Yotalika Motani?
Tinea versicolor nthawi zambiri amavomereza mosavuta kuchipatala, ngakhale kubwereza kumakhala kofala monga tawonera kale. Ngakhale mawanga (macules) nthawi zambiri amasintha posakhalitsa, kusintha kwa mtundu wa pigments kungatenge nthawi yaitali kuti athetse ngati melanocyte ikufunika kutulutsa melanin kachiwiri.
Pansi pa Kuchitira Tinea Versololor
Ngati muli ndi tinea versicolor, funsani dokotala za njira zosiyanasiyana zomwe mungapeze mankhwala. Inu ndi dokotala wanu mukhoza kukambirana za mankhwala abwino kwambiri poyerekeza ndi kukula kwake, kwa nthawi yayitali bwanji, ndipo ngati zasintha.
> Zotsatira:
> Gupta, A., ndi D. Lyons. Pityriasis Versicolor: Chotsitsimutsa pa Njira Zopereka Mankhwala. Maganizo a akatswiri pa Pharmacotherapy . 2014. 15 (12): 1707-13.
> Weller, Richard PJB, Hamish JA Hunter, ndi Margaret W. Mann. Dermatology Clinic. Chichester (West Sussex): John Wiley & Son Inc., 2015. Print.