Njira yodziwika bwino yodziƔira zodwala zamphepete ndizosavuta kuyang'anitsitsa chiwombankhanga. Mphungu imapanga mphutsi yosaoneka bwino yomwe imakhala yosavuta kuizindikira kamodzi komwe mwaiwona (ngakhale kuthamanga kumawoneka mosiyana malingana ndi kumene kumapezeka mthupi).
Kuyesedwa / Kuyesedwa Kwapanyumba
Ngati muli ndi nthendayi, inakulirakulira, yomwe imakhala yoboola pakati pang'onopang'ono pamene imafalikira panja pamene ikufalikira, zimakayikira zowopsya.
Komanso, yang'anani zolinga. Mankhusu amatha kulengeka kuchokera ku nyama (tizilombo, agalu, kapena ziweto) kwa anthu. Amphaka amakhala otengekeka kwambiri. Kutaya tsitsi kumutu kapena madera a khungu lofewa ndi zizindikiro kuti pet wako ali ndi ziphuphu. Ngati mutayanjana ndi zinyama izi, mwinamwake mwakhala mukugwidwa ndi mphutsi ngakhale mutakhala kuti simunadziwonetse nokha.
Kawirikawiri, simungadziwe kumene mungatenge zinyama. Nthawi iliyonse yomwe muli ndi mphutsi yosadziwika, ndibwino kuti dokotala ayang'ane. Ziphuphu zina zimatha kufanana ndi ziphuphu, ndipo nthawi zina zimakhala zovuta kunena kusiyana. Kuchiza tizilombo toyambitsa matenda kapena kutupa kulikonse molakwika kungachititse kuti ziphuphu ziwonjezeke.
Mapulogalamu ndi Mayesero
Dokotala wanu amatha kudziwa kuti mphuno zimakhala ndi khungu kosavuta.
Pamene ziphuphu zimawonekera pa thupi, miyendo, ndi manja, zimapanga chiphuphu chofiira, chomwe chimapangitsa kuti azindikire bwinobwino.
Komabe, ngati ziwombankhanga zikuwonekera pambali zina za thupi, matendawa akhoza kukhala achinyengo-nthawi zina, ziphuphu zingasonyeze ngati zowopsya, zowopsya, zowopsya zomwe zimafanana ndi mavuto ena a khungu.
KOH Test
Ngati pali kusatsimikizika kulikonse, dokotala wanu adzachita mayeso a KOH . Izi ndi mayeso osavuta, omwe nthawi zina amatchedwa khungu, akhoza kuchitidwa ku ofesi ya dokotala.
Dokotala wanu amagwiritsa ntchito scalpel kapena pamphepete mwa galasi kuti agwetse khungu laling'ono. Zowonongeka zidzasonkhanitsidwa pa microscope slide kapena mu chubu choyesera.
Dokotala wanu amangofuna maselo a khungu kuti ayese; simudzadula. Kuwongolera wokha kungakhale kosasangalatsa koma sikumvetsa chisoni.
Ngati mukuganiza kuti mphutsi zakutchire zikuwombera m'mimba mwanu kapena ndevu, dokotala wanu akhoza kutenganso tsitsi kuti afufuze. Kwa misomali yokhazikika, adokotala adzatengeka msomali wa msomali ndi kudula pansi pa msomali.
Zitsanzozi ndizokonzekera ndi potassium hydroxide (KOH) ndi kuyang'ana pansi pa microscope kuyang'ana nkhungu zomwe zimayambitsa matenda opatsirana. Ngati dermatophytes amapezeka, dokotala wanu amadziƔa bwino lomwe kuti nyongolotsi ndizowopseza. Ngati palibe bowa wapezeka, chinthu china chosiyana ndi nyongolotsi chikupangitsa kupsa.
Fungal Culture
Ngati zotsatira za kuyesedwa kwa KOH sizidziwika, kutanthauza kuti iwo sapereka yankho mwa njira imodzi, dokotala wanu akhoza kuchita chikhalidwe cha fungal. Kuchotsa khungu kumachitika monga kale, koma nthawi ino idzatumizidwa ku labu komwe idzaphatikizidwa. Fungula iliyonse yomwe ilipo mu chitsanzo imakula.
Chokhumudwitsa ndi chakuti zingatenge masabata angapo kuti zipeze zotsatira za mayesero awa.
Chotsatira ndi chakuti ndi zotsatira, mutha kudziwa mtundu weniweni wa bowa umene ukupangitsa kuti ukhale wothamanga.
Matenda ena akhoza kukhala olimba komanso ovuta kuchiza. Ngati mankhwala anu sakugwira ntchito, dokotala wanu akhoza kuchita chikhalidwe kuti apeze mtundu wa bowa umene ukupangitsa tizilombo toyambitsa matenda. Kudziwa izi kungathandize dokotala kupeza mankhwala ogwira mtima kwambiri kwa inu.
Kusanthula Kusiyanasiyana
Tizilombo toyambitsa matenda tingathe kulakwitsa chifukwa cha mavuto ena a khungu, makamaka pamene amapita kumadera ena osati mikono, miyendo, ndi thunthu.
Nkhumba za thupi zimatha kufanana:
- Eczema , makamaka kuchuluka kwa nyengo (mtundu wa dermatitis umene umayambitsa kuzungulira, kuwuka, zofiira zofiira)
- Pityriasis rosea
- Psoriasis
- Matenda a Lyme (matendawa sali ocheperapo kusiyana ndi mbozi)
Phokoso la nkhono za m'mimba kapena ndevu zingakhale ngati:
- Folliculitis (makamaka kumbali ya ndevu)
- Alopecia areata
- Seborrheic dermatitis
Kupeza bwino matendawa ndi chinthu chofunika kwambiri kuti vuto lanu likhale lopweteka, choncho musadikire kuti muitane dokotala wanu.
> Zotsatira:
> Ely JW, Rosenfeld S, Stone M. Mnyanja ya Seabery "Kuzindikira ndi Kulamulira Matenda a Tinea." American Family Physician. 2014 Nov 15; 90 (10): 702-10.
> Laniosz V, Zambezi DA. "Kodi chatsopano mu chithandizo ndi chidziwitso cha Dermatophytosis?" Seminars mu Cutaneous Medicine ndi Surgery. 2014 Sep; 33 (3): 136-9.
> American Academy of Dermatology. "Nyongolotsi: Kuzindikira, Kuchiza, ndi Zotsatira. "