Ma Rashes akhoza kukhala oipitsitsa, makamaka ngati ali ovuta. Matenda otchedwa eczema, omwe amadziwikanso ndi atopic dermatitis , ndi kuthamanga kwachilendo komwe kumayambitsa zizindikiro zina kuphatikizapo matenda oopsa, chifuwa cha zakudya, ndi mphumu. Pali mitundu yosiyana ya kadamsana, kuphatikizapo imodzi yotchedwa ecmema.
Kodi Mafilimu a Nummu ndi Chiyani?
Edzi yamakono ndi mtundu wa kuthamanga kwa dzuwa kumene kuli koboola.
Mawu akuti "nummular" amatanthauza ndalama mu Latin.
Nthendayi ikatha, nthawi zambiri zimasokoneza khungu lomwe limatulutsa khungu. Izi zingayambitse. Dermatitis yapamwamba nthawi zambiri imakhala yokhudzana ndi zinthu zosiyana siyana pamene chiwerengero cha eczema chimagwirizanitsidwa ndi kukhudzana ndi dermatitis.
Zizindikiro za Eczema Zizindikiro
Mazira amtunduwu amawonekera ngati kuzungulira, kutuluka ngati tizilombo tomwe timatha ndipo timatha kuwoneka kulikonse m'thupi. Zikuoneka kuti zimapezeka m'manja ndi miyendo.
Zilonda zingakhale zovuta kwambiri, pamene anthu ena amanena kuti zilondazo zimangokhala zokha pamene akungoyamba kumene. Pangakhale phokoso pa chilonda ndipo kutukuka kungakhale ndi madzi okwanira. Pakhoza kukhala kufiira kuzungulira phokoso.
Mafilimu ambiri angayambitse ululu ndipo angakhalenso chifukwa chovutika maganizo chifukwa cha maonekedwe ake. Koma odwala ambiri amatha kupeza thandizo kwa dokotala wawo.
Zimayambitsa Mauthenga a Eczema
Zinthu zosiyana zingayambitse kapena kuwonjezera kuchuluka kwa nyengo.
Izi zikuphatikizapo:
- Khungu louma
- Dermatitis yothandizira
- Weather
- Kupsinjika maganizo (kupanikizika kungakuchititseni kuti mukumva kuti mukuwoneka)
- Mankhwala am'malamulo kuphatikizapo interferon (kawirikawiri amagwiritsidwa ntchito pochiza chiwindi cha chiwindi) kapena isotretinoin (mankhwala odziwika bwino a mankhwala a acne)
- Mankhwala opatsirana pogwiritsa ntchito mankhwala opangira maantibayotiki monga Neosporin
- Zakale zowonongeka khungu kuphatikizapo kutentha kapena chilonda china, kutsegula khungu kutsegula, kapena kuluma kwa tizilombo
Makondomu ambiri samakhudza ana. Zikuwoneka kuti zimakhudza amuna omwe ali pakati pa zaka zapakati pa 55 ndi 65. Amayi ambiri amakhala ndi chiyambi chachisangalalo cha pakati pa zaka 13 ndi 25.
Kusanthula kwa Eczema
Kuzindikira molondola kwa nyengo kungakhale kovuta ngati kutukuka kungaoneke mosiyana pa mitundu yosiyana ya khungu. Kotero dokotala wanu angakufunseni mafunso ambiri.
Komanso, dokotala wanu angafunike kuthetsa matenda ena a khungu omwe amafanana ndi nyengo. Izi zimachitidwa ndi chikopa cha khungu . Zomwe zimamveka zowopsya, koma mayesero amachitidwa ndi anesthesia ammudzi ndipo ambiri odwala amanena kuti sizoipa. Chidutswachi chimalola katswiri wamagulu kuti afufuze khungu pansi pa microscope kuti athandize kudziwa chomwe chimayambitsa kutupa.
Chiyeso choyesa kuti mupeze chithandizo cha dermatitis chingathandizenso odwala omwe ali ndi eczema. Patch test imathandizira kupeza ngati mankhwala aliwonse kapena othandizira ena omwe mukukumana nawo angakhale akuipiraipira. Chowopsa kwambiri ndi nickel, koma zonunkhira, mankhwala a mphira, ndi ena angakhalenso chifukwa.
Chigamulo choyesa ndi yesero la masiku atatu lomwe laikidwa kumbuyo kwanu. Ndikofunika kuti musabwererenso kumbuyo kwanu ndi madzi kapena thukuta chifukwa zingathe kusokoneza zizindikirozo ndikupereka zotsatira zolakwika.
Pa tsiku lomaliza la yeseso lanu, dokotala adzawerenga chigamulo chanu ndikuyesera mndandanda wa zomwe mukuganiza. Ndizosangalatsa kukhala ndi mayesero abwino chifukwa kumatanthauza kuti mungapewe mankhwala omwe akukulirakulira.
Chidziwitso chodziwika kwambiri cha chizungu chimakhala chosokonezeka ndi matenda a khungu. Matenda a fungus akhoza kukhala ovuta kwambiri omwe amachititsa chisokonezo pakati pa matendawa. Mankhwalawa amasiyana kwambiri, kotero ndikofunikira kuona dokotala kuti adziwe bwinobwino.
Kuchuluka kwa Eczema Treatment
Chithandizo chabwino kwambiri cha kuchuluka kwa maseŵera ndi steroids zam'mutu .
Kawirikawiri, mphamvu yowonjezera steroid (osati mawonekedwe amphamvu) amafunika kuthandizira kuthetsa kuthamanga.
Matenda a steroids ali ndi zotsatira zofunikira kuphatikizapo:
- Manyowa kapena hypopigmentation a khungu omwe amatanthauza kuti akhoza kusintha mtundu wa khungu lanu
- Telangiectasias (mitsempha yowonjezera ya magazi, kawirikawiri capillaries)
- Khungu atrophy (khungu kupatulira)
- Kulira kosavuta
- Kuwonjezeka kwa chiopsezo cha matenda a khungu
Kawirikawiri, mumangoona kuti mbali izi zimakhudza ngati mutagwiritsa ntchito topical steroids kwa nthawi yayitali kapena pa khungu lovulala.
Dokotala wanu angakufunseni kuti mukhale osamala kwambiri m'madera monga nkhope, khosi, pansi (axilla) ndi malo obirira, ngati khungu limakhala lochepa m'maderawa ndipo zimakhala zovuta kuti zisawonongeke. Onetsetsani kuti inu ndi dokotala wanu mukuyang'ana ntchito yanu ya steroid.
Othandizira ena monga Tacrolimus kapena Pimecrolimus amagwira ntchito m'njira zosiyanasiyana ndipo angathandizenso kuti azikhala ndi nyengo. Mankhwalawa samakhala ndi steroids, choncho amakhala ndi zotsatira zochepa koma sangakhale othandiza monga mankhwala oyamba omwe ali ndi ma steroids. Ndikofunika kuzindikira kuti mapuloteniwa amatha kuyaka pambuyo pa ntchito.
Eucrisa ndi mankhwala atsopano omwe sali steroid ndipo angakhale othandiza kwa omwe sangathe kugwiritsa ntchito topical steroid.
Antihistamines ndi mankhwala ena akuluakulu othandizira kuti mukhale ndi chidziwitso. Antihistamines angaphatikizepo Cetirizine, Fexofenadine, Levocetirizine, ndi Loratadine. Zina mwa mankhwalawa zingatengedwe kangapo patsiku kuti athetsedwe.
Mazira ambiri angayang'ane pang'onopang'ono ngati pali matenda omwe amachititsa kuti mphepo ifike. Kawirikawiri, chiwalo chofala kwambiri chomwe chimapezeka mu chikhalidwe ndi Staphylococcus aureus . Ngati atapezeka, amafunika thandizo linalake, makamaka ndi mankhwala opatsirana. Dokotala wanu adziwe ngati mukudwala malungo kapena zizindikiro monga zizindikirozi zingasonyeze matenda.
Mankhwalawa amathandizanso ngati kuthamanga kuli koipitsitsa kuposa nthawi zonse. Steroids si njira yabwino kwambiri yoperekera chithandizo chifukwa imatha kuwononga dermatitis pambuyo pa steroid taper.
Kusintha kwa ma Eczema
Kuchuluka kwa eczema kumaonedwa kuti ndi matenda aakulu omwe amayambira pakati pa moto ndi chipsinjo. Ndikofunika kusunga khungu la mchere komanso kupewa zinthu zoopsa zomwe zingaphatikizepo zotsekula zomwe zimapezeka pa katemera wanu, mankhwala opatsirana ndi mitsempha monga momwe mwalembedwera kale komanso kuyang'anira vuto lanu.
> Zotsatira:
> Coondoo A, Phiske M, Verma S, Lahiri K. Zotsatira zoyipa za topical steroids: Kubwereza kwa nthawi yaitali. Chidakwa cha Indian Online J. 2014; 5 (4): 416-25. do: 10.4103 / 2229-5178.142483
> Schneider L, Tilles S, Lio P, ndi al. Dermatitis yapamwamba: chizoloŵezi chokhazikitsa chiwerengero cha 2012. J Zomwe zimayambitsa matenda a Immunol. 2013; 131 (2): 295-9.e1-27. lembani: 10.1016 / j.jaci.2012.12.672
> Todorova A., Bruckbauer H., Ring J. (2015) Nkhani ya Eczema. Mu: Katsambas A., Lotti T., Dessinioti C., D'Erme A. (eds) Buku la European Handbook of Dermatological Treatments. Springer, Berlin, Heidelberg