Zingakhale zovuta kuti mupeze nsabwe za mutu, koma mukhoza kutsatira njira zosavuta kuti mugwiritse ntchito nsabwe kunyumba. Zambiri zowonongeka zimatha kukonzedwa ndi shamposi zotsutsana ndi nsabwe komanso kusakaniza konyowa pofuna kuyang'ana nsabwe ndikuchotsa nthiti (mazira a mandimu). Mankhwala ena amachiritso amapezeka kuti amapewe matenda. Ngati mukufuna kupeŵa kugwiritsa ntchito mankhwala, mwakhama kumenyana ndi nit-picking ndi mankhwala onse.
Ndi bwino kupeŵa mankhwala ena apakhomo ndi njira zochiritsira zosagwiritsidwa ntchito kapena zosakhala zoopsa.
Njira Zochiritsira Zambiri
Chithandizo choyamba cha nsabwe pamutu chikugwiritsira ntchito shampoli yotsutsana ndi nsabwe, monga Nix kapena Rid, yomwe mungagule kumalo osokoneza bongo kapena pa intaneti. Izi zimatchedwa pediculicides. Adzapha nsabwe akuluakulu, koma samapha nthiti.
Mitsuko imathamangira masiku asanu ndi awiri kapena khumi ndikuyamba kukhala akuluakulu odyera mazira masiku asanu ndi awiri kapena khumi. Chifukwa cha ichi, nthawi zambiri mumayenera kupiranso mankhwala a anti-nsabwe masiku asanu ndi awiri mutatha chiyeso choyamba kuti muphe nsomba iliyonse yomwe imangomenyedwa kumene ndikusintha moyo wa nsabwe . Akatswiri ambiri amalimbikitsa kupanga mankhwala a nsabwe pamutu pa tsiku lachisanu ndi chinayi.
Nazi zina zowonjezera pazochita zowonjezereka kwambiri za OTC:
- Nix (permethrin): Ichi ndi 1 peresenti yomwe imapangitsa kuti thupi likhale loyamba. Ndi poizoni wochepa kwambiri kwa anthu ndipo ndi ochepa kwambiri kuposa othawa. Amasiya zotsalira pamutu zomwe ziyenera kupha nymphs zomwe zimathamanga kuchoka ku mazira owoneka bwino. Komabe, popeza shampoo yanu yowonongeka ndi yosungirako mankhwala imatha kusunga Nix kuti ikhale yotsamira kumutu, tsitsi lachiwiri likufunika pa tsiku lachisanu ndi chinayi. Permethrin ndi poizoni kwa dongosolo la neuro la nsabwe. Nsabwe zina zakhala zikutsutsana ndi permetrin.
- Chotsani (pyrethrins plus piperonyl butoxide): Kutayira ndi shampoo yopangidwa kuchokera ku chrysanthemum yachitsulo yomwe ili poizoni kwa nsabwe koma imakhala yochepa kwambiri poizoni mwa anthu ndi zinyama zina. Komabe, nthawi zambiri zimakhala zosavomerezeka kwa anthu omwe amasamala maluwa. Mosiyana ndi Nix, imakhalabe tsitsi, choncho ntchito yachiwiri imafunika. Kupambana kwa mankhwalawa kwakhala kuchepa pamene kukana kumakula.
Free LiceMD Pesticide Free ndi mtundu wina wa shampoo ya OTC anti-lice. Wodziŵika ngati wothandizira, amagwiritsira ntchito dimethicone, mtundu wosakhala woopsa wa sililicone mafuta omwe amagwira ntchito potseka mpweya wa mpunga ndi kuwomba. Phindu la mankhwalawa ndiloti limapangitsa tsitsi kukhala lofewa, choncho zimakhala zosavuta kugwiritsa ntchito chisa chachitsulo pa tsitsi lalitali kapena lalitali. Dziwani: Dimethicone ikufufuzidwa ndikuyesedwa; pali kudandaula kuti mankhwala ena omwe ali nawo ali otentha ndipo ayenera kugwiritsidwa ntchito mosamala.
Chisa cha tizilombo chabwino chimaphatikizidwa ndi zonsezi, zomwe mungagwiritse ntchito kuchotsa nitsamba. Mudzapitiriza kuchotsa njuchi mukatha kugwiritsa ntchito mankhwalawa, ngakhale mutayang'ana usiku uliwonse kwa sabata kapena kupitirira mpaka mutapeza zonsezo. Nthitizi zimakhala zokhazikika ndipo mitsuko yapafupi yomwe imakhala yachitsulo, yomwe kaŵirikaŵiri imapangidwa ndi chitsulo, ikhoza kuwapukuta tsitsi. (Zambiri zowonongeka pansipa.)
Musagwiritse ntchito shampoo yamgalu. Ndizowona kuti zikhoza kukhala ndi zowonjezera zomwe zimakhala monga shamposi zotsutsana ndi nsabwe, koma shamposi ya galu sichipangidwira, ndipo sichiyesedwa kwa anthu. Palibe njira yodziwira kuti ndi yotetezeka kapena ikugwira ntchito.
Zothetsera Pakhomo
Ngakhale kusakaniza ndi gawo lovomerezeka la mankhwala a anti-nsabwe, ndi mankhwala othandizira kunyumba.
Kuyeretsa ndi chinthu china chofunika kuti musanyalanyaze. Mankhwala ena am'nyumba sizinatsimikizidwe kukhala othandiza.
Kujambula ndi Kusankha Niti
Mukhoza kuchotsa nthiti ndikukhala ndi mandwe ndi chisa ndi tizilombo. Ichi ndi gawo lovomerezeka la mankhwala a OTC koma limathandizanso ngati njira yowonjezera kwa iwo omwe akufuna njira yachilengedwe. Iyi ndi njira yomwe amalimbikitsa bungwe la National Pediculosis Association.
Pogwiritsa ntchito mankhwala osokoneza bongo, tsatirani malangizowa ndipo musamatsutse tsitsi lanu (masiku amodzi kapena awiri). Mudzachita maola 8 mpaka 12 mutatha kugwiritsa ntchito mankhwala.
Kwa tsitsi losagwira ntchito kapena pambuyo pa nthawi yopanda kuchapa, zimakhala zosavuta kuti mutenge chisala mutasambitsa tsitsi ndi kugwiritsa ntchito tsitsi lopaka tsitsi.
Dziwani kuti zingatenge ola limodzi kapena awiri kuti azitha kusunga nsabwe. Zingatenge nthawi yaitali tsitsi lalitali kapena lalifupi. Tsatirani izi:
- Sungani katundu wanu: chisa chapafupi, chisa chachitsulo chabwino, chitsipa cha madzi, tizilombo tokulitsa, kutsegula mandala, makoswe, mbale ya madzi otentha, zida ndi zida za mphira (kuti muteteze tsitsi pamene mukuphwanya), ndi thaulo.
- Gwiritsani ntchito chithandizocho monga chithunzi, buku, kapena masewera. Ikani thaulo pamapewa a munthu kuti muteteze zovala.
- Pewani tsitsi lochepetsetsa ndi chisa chachizolowezi kotero makoswe onse amachotsedwa. Tsitsi labwino ndilobwino kwambiri. Gwiritsani ntchito botolo lachitsulo pamutu wonyezimira ngati mukufunikira.
- Yambani pamwamba pa mutu. Ikani mano a chisa cha pafupi ndi scalp ngati n'kotheka (kumene mazira atsopano ndi mazira aakulu adzakhale). Kwezani khungu laling'ono, tanizani chisa kumutu kwa tsitsi, ndipo kenani mukwere pamwamba pamutu wa tsitsi ndi zolimba, ngakhale kuyendayenda kumapeto kwa tsitsi.
- Bweretsani chisa chachitsulo pamphuno ndi kusinthasintha madigiri 45 kuchokera pamalo oyambirira. Kachiwiri kachiwiri kuchokera kumutu mpaka kumapeto kwa mthunzi wa tsitsi. Chitani maulendo awiriwa kotero kuti mwasokoneza chitseko kuchokera kuzinayi zinayi. Ngati mumasunga nsabwe kapena nthata zomwe sizingachotsedwe ndi chisa, chotsani ndi zozizira. Mukhoza kugwiritsa ntchito galasi lokulitsa kuti muwawone.
- Dulani mutu wa tsitsi lomwe mwangomaliza ndi tsitsi. Pukutani msuzi wa mpunga nthawi zambiri ndi minofu ndikuwonetsetsa kuti muwone ngati pali nsabwe kapena nthiti zomwe zikuchotsedwa. Kwezani gawo lina ndikuliphwanya mofanana. Pitirizani mpaka mutagwirizanitsa zigawo zonse. Samalani kwambiri kumadera ozungulira makutu ndi tsitsi lomwe lili kumbuyo kwa khosi, zomwe zimakonda nsabwe.
- Onetsetsani kuti tsitsi limadonthowa ndipo chitani nthawi yomaliza ndi chisa cha mpunga, nthawi ino popanda kugawa tsitsi. Izi zingathandize kuti zikhale zosavuta kulumikiza nsabwe.
- Mutatha, yambani tsitsi.
- Sungani chisa cha mandimu ndi mankhwala a tsitsi m'madzi otentha. Chotsani chopukutira ndi zovala zanu.
Muyenera kubwereza ndondomeko tsiku ndi tsiku kwa masiku angapo kuti mupeze nthiti ndi nthiti zonse. Ngati simutero, mazira adzaswa ndipo nsabwe zidzakhalaponso. Kodi nsabwe zikuphatikizanso kachiwiri milungu iwiri chitatha chithandizo kuti zitsimikizo zatha.
Palibe mankhwala kapena mankhwala omwe amati adamasula nthiti za tsitsilo kuti zitsimikizidwe kukhala zogwira mtima, choncho ndi nzeru kuti musagwiritse ntchito. Ena, monga vinyo wosasa, akhoza kusokoneza ntchito yotsalira ya permetrin. Zina, monga WD-40, bleach, kapena acetone zingawononge tsitsi komanso zimayambitsa chiopsezo choopsa kapena chiopsezo choyaka moto.
Pali njira ina imodzi yopitira. Katswiri wa kuchotsa nsabwe adzachita ntchito yonyansa yonse, kunyumba kwanu kapena ku malo ake ogulitsa. N'kutheka kuti inshuwalansi ya umoyo imayang'ana kuchotsa nsabwe pamutu, kapena kuti mukhoza kubwezeretsanso kudzera mu akaunti yanu yosungirako zaumoyo. Ngati ndi choncho, zingakhale zofunikira, makamaka ngati ndiwe amene ali ndi nsabwe; kudziletsa moyenera ndizosatheka. Akatswiri ochotsa maulendo amtunduwu amathandiza kwambiri kuti aliyense azisankhidwa.
Kuyeretsa
American Academy of Pediatrics (AAP) imalimbikitsa kuyeretsa zovala kapena zinthu zina zomwe zakhudzana ndi mutu wa munthu yemwe ali ndi nsabwe m'masiku 24 mpaka 48 apitawo. Sambani zovala ndi zogona m'madzi otentha ndipo zouma mu zouma. Gwiritsani ntchito pulojekiti kuchotsa nsabwe ndi nthiti kuchokera ku mipando, ma carpets, nyama zowakulungidwa, mipando ya galimoto, ndi zinthu zina. Ngati muli ndi zinthu zina zomwe simungathe kuziyeretsa mosavuta, ziikeni mu thumba lalikulu la pulasitiki ndikuzimitseketsa kwa milungu iwiri. Ngati nsabwe iliyonse imatha, idzadya njala popanda kukhala ndi magazi.
Agothering (Occlusive) Agents
Zina zambiri zowonongeka kunyumba zimaphatikizapo kuyika chinachake pa khungu ndi tsitsi kuti " asokoneze " nsabwe za mutu, mofanana ndi LiceMD. Zosankha zambiri zimaphatikizapo mayonesi, mafuta a azitona, ndi Vaseline (mafuta odzola mafuta). Izi nthawi zambiri zimatsalira usiku wonse, nthawi zambiri pansi pa kapu, ndikutsuka tsiku lotsatira. Iwo akhoza kukhala odetsa kwambiri, ngakhale, ndipo sanawonetseredwe kuti azigwira ntchito. Akatswiri ena amakhulupirira kuti kupindula kulikonse komwe njirayi ingakhale nayo kumachokera ku nthiti komanso nsabwe zimachotsedwa pamene mukuyesera kusamba wothandizira tsitsi lanu.
Malemba
Onani dokotala wa ana kapena dokotala wanu ngati simungathe kuchotsa nsabwe. Mphungu ikhoza kukhala wopanikizana , yokhoza kukhala ndi moyo wonse kupyolera mu mankhwala a shambu. Dokotala akhoza kutsimikizira ngati nsomba zamoyo zilipobe ndikukuphunzitsani momwe mungazindikire ndikuchotsa nthiti. Adzakhalanso ndi zidziwitso zotsutsana ndi shampo losakanizidwa m'dera lanu, ngati zingatheke, komanso kuti chithandizo chotsatira chotsatira chingachitike.
Shampoos yosindikiza
Dokotala wanu angapereke mankhwala othandizira mankhwala osokoneza bongo, monga:
- Ovide (malathion): Ili ndilo lamulo lofala kwambiri. Mankhwalawa amagwiritsidwa ntchito kuti aziuma tsitsi ndi kumanzere mpweya wouma, kenako amatsuka maola asanu ndi atatu kapena 12. Idzapha mazira, ndipo ntchito imodzi yokha imafunika. Zili zotentha kwambiri chifukwa zili ndi mowa; Musagwiritse ntchito chowumitsa tsitsi kapena utsi pamene akugwiritsidwa ntchito kapena kuyanika. Sagwiritsidwe ntchito kwa ana osapitirira zaka ziwiri, ndipo chitetezo sichinayesedwe kwa ana a zaka zapakati pa 6. Ngati mwamwayi mwamwa (zomwe sizinafotokozedwe), zikhoza kupondereza kupuma.
- Ulesfia (kumwa mankhwala osokoneza bongo amodzi mwa magawo asanu) : Makolo ndi madokotala a ana angathenso kupita ku Ulesfia ngati mankhwala osakaniza mankhwala ophera tizilombo. Ulesfia ikhoza kugwiritsidwa ntchito ku tsitsi la ana opitirira miyezi isanu ndi umodzi mpaka litakhuta, kutsukidwa patatha mphindi 10, ndikugwiritsiranso ntchito masiku asanu ndi awiri kenako. Mosiyana ndi Nix, Rid, ndi ma shamposi ena ammutu, Ulesfia akuganiza kuti ikugwira ntchito mwa kutseka mpweya wa mpweya, ndikuwatsitsa.
- Natroba (spinosad 0.9 peresenti yaimitsidwa) : Kuyimitsa kwa benzyl mowa ndi mankhwala omwe amapangidwa ndi mabakiteriya a nthaka panthawi ya kuthirira mbewu amavomerezedwa kuti agwiritsidwe ntchito pazithunzi kwa ana a miyezi 6 ndi kupitirira. Zimagwira ntchito ngati permethrin ndipo imatha kukhala ndi zotsatira pa mazira aliwonse omwe amathyoka, koma amafunika ntchito yachiwiri pambuyo pa masiku asanu ndi awiri.
- Chikopa (ivermectin 0,5 peresenti) : Zojambula zamtunduwu zinavomerezedwa ndi FDA mu 2012 kwa ana 6 miyezi kapena kuposerapo. Zimayambitsa minofu ziwalo mu nsabwe. Ntchito imodzi yokha ikufunika.
- Elimite (permethrin peresenti 5 ): Magazi awa-mphamvu ya mankhwalawa alipo, koma ntchito yake kwa mutu wabulu ndi yopezeka (kutanthauza madokotala angasankhe kuika mankhwalawa, ngakhale kuti FDA sanavomereze cholinga ichi ). Ngati nsabwe zimagonjetsedwa ndi mankhwala osokoneza bongo a OTC, zingakhale zosagonjetsedwa ndi ndondomekoyi.
Mankhwala Ovomerezeka Olembedwa
Kuwonjezera pa olemba zamatsenga, pali awiri opatsa pakamwa omwe madokotala angagwiritse ntchito chizindikiro:
- Stromectol (ivermectin) : Ichi ndi mankhwala ophera antiparasitic omwe awonetsa kuti ali ndi mphamvu zothandizira kupweteka kwa mutu wa nsabwe. Amapatsidwa mlingo umodzi, masiku asanu ndi awiri kapena khumi. Chifukwa mankhwalawa aloŵetsanso ubongo waumunthu ndipo angakhudzidwe ndi ntchito yachisudzo, sayenera kupatsidwa kwa ana omwe amalemera mapaundi 33.
- Septra kapena Bactrim (trimethoprim-sulfamethoxazole) : Mutha kudziŵa mankhwalawa chifukwa cha matenda ena. Mumatenga maphunziro a masiku khumi. Awonetseredwa kuti ndi othandiza pochiza matenda osagonjetsedwa a nsabwe za mutu ndipo angagwiritsidwe ntchito pamodzi ndi Nix.
Mankhwala Okwanira
Nthaŵi zina maolivi ofunikira amapangidwa pofuna kuthana ndi kupweteka kwa nsabwe. Phunziro la 2010 la anthu 123 omwe ali ndi nsabwe pamutu adapeza kuti mankhwala opangidwa ndi mitu ya mafuta omwe amathira mafuta a tiyi (melaleuca) ndi mafuta a lavender anali othandiza, ndipo anthu 41 mwa anthu 42 anachitidwa kukhala opanda ufulu pambuyo pa chithandizo chamapeto, poyerekeza ndi 25 okha Peresenti ya odwala amachitidwa ndi shampoo yowononga. Zomwe zili ndi nthanga za mchere zimasonyeza kuti zingathe kupha nsabwe za mutu ndi mankhwala amodzi m'maphunziro ang'onoang'ono. Komabe, kafukufuku wambiri pa izi amachitikira mu test tube, kotero kupambana kwa mankhwalawa mwa anthu ndi kokayikitsa.
Ngati mutayesa mafuta ofunikira, ndikofunikira kuzindikira kuti sayenera kugwiritsidwa ntchito mwamphamvu kwa khungu, chifukwa akhoza kukwiya komanso kukhala ndi zotsatira zovuta pakamwa. Ngakhale kuti palibe kafukufuku wochuluka, sizidziwika ngati mankhwala omwe ali ndi mafuta ochepa kapena ochotsera mavitamini ali otetezeka. Izi ndi zoona makamaka kwa anthu omwe ali otetezeka monga ana, amayi apakati, ndi amayi oyamwitsa. A American Academy of Pediatrics amachenjeza motsutsana ndi mankhwala ogwiritsira ntchito mankhwala osokoneza bongo pa makanda ndi ana.
Ndipo kumbukirani: pankhani ya nsabwe, chithandizo chofunikira kwambiri ndi chofunikira kwambiri pofuna kuthetseratu chifuwa chachikulu ndikuteteza kufalitsa. Kusankha mankhwala ochiritsira omwe amadziwika kuti akugwira ntchito kumakupatsani mpata wabwino pakuika izi kumbuyo kwanu.
> Zotsatira:
> Abdel-Ghaffar F, Al-Quraishy S, Al-Rasheid KA, Meh H. H. Kuchita Kuthandizidwa kwa Modzimodzi kwa Mutu Wa Mutu Ndi Mbewu Yachimake Kuchokera: Mu Vivo ndi mu Vitro Phunziro pa Mitsinje ya Nits ndi Motile. Parasitol Res. 2011 Jun 11.
> Barker SC, PM a Altman. Gulu lopangidwa, Losaoneka, Lofanana ndi Efficacy Trial of Three Products for Treatment of Head Lice in Children - Melaleuca Mafuta ndi Lavender Oil, Pyrethrins ndi Piperonyl Butoxide, ndi "Suffocation" Product. BMC Dermatol. 2010 Aug 20; 10: 6.
> Mutu wa Mutu. Maofesi a Kuletsa ndi Kuteteza Matenda. https://www.cdc.gov/parasites/lice/head/index.html.
> Devore CD, Schutze GE. Mutu wa Mutu. Matenda . 2015; 135 (5). lembani: 10.1542 / peds.2015-0746.
> Meister L, Ochsendorf F. Mutu wa Mutu: Epidemiology, Biology, Kuzindikira, ndi Chithandizo. Deutsches Ärzteblatt International . 2016; 113 (45): 763-772. lembani: 10.3238 / arztebl.2016.0763.