Dermatitis chithandizo

M'zaka zaposachedwapa, anthu ambiri kudandaula kuoneka zosiyanasiyana dermatitis kuti amachepa chifukwa cha zifukwa. Mokulira zikuphatikizapo pafupifupi yotupa anachita khungu pa kukhudzana zikuchitika osiyana. Dermatitis chithandizo anayamba pokhapokha chifukwa cha matenda ndi bwino anakhazikitsa.

Dermatitis lagawidwa kukhudzana ndi anachita mankhwala. Contact zimachitika chifukwa chikoka cha zinthu zina pakhungu. Ndipo pamene toksidermii mfundozi oyamba kulowa mu thupi ndiye zimapezeka pa khungu. Kugwiritsa mankhwalawa dermatitis N'zosatheka akudzizindikiritsa etiology ake ndi pathogenesis. zikuchitika onse amene amayambitsa matenda, ndi mankhwala, kwachilengedwenso kapena thupi chikhalidwe. Chophweka njira udayesedwa chithandizo cha dermatitis chifukwa cha mkwiyo thupi. Izi kuthamanga, mikangano, kutentha, ndi cheza padzuwa, zochita za zidulo ndi alkalis. Zimachititsa mkwiyo wa zomera monga spurge, acrid buttercup, nettle, fraxinella, ng'ombe parsnip, ndi ena.

Otchedwa "optional" irritants zingachititse kutukusira kwa khungu pa anthu okhawo amene ali ndi kuchuluka tilinazo. Amayambitsa matupi awo sagwirizana dermatitis. Nthawi zambiri, matenda amayambitsa zinthu zotsatirazi: formalin, turpentine, mankhwala, ma polima, detergents, zonunkhira, mafuta odzola tizirombo kuphatikizapo wa faifi tambala, cobalt, chromium. Zomera monga aloe, fodya, snowdrop, adyo, geranium, Primrose, kuyambitsa matenda.

Pathogenesis ochiritsira dermatitis yafupika yekha kuti khungu minofu, kotero ndende ake anatsimikiza mawonetseredwe (mphamvu), chikhalidwe ndi nthawi yopeza nzothandiza lapansi. Choncho khungu chotupa limapezeka nthawi yomweyo pambuyo kukhudzana ndi chakunja, ndi malo ake chikugwirizana ndi malo kukhudzana.

Sensitizers kuchititsa matupi awo sagwirizana dermatitis, kulumikiza ndi mapuloteni khungu minofu kupanga conjugates amene ali ndi katundu wa allergens. Mchikakamizo cha kupangidwa ndi analimbikitsa lymphocytes, imbaenda chitukuko cha dermatitis, umene ndi mochedwa mtundu matupi awo sagwirizana anachita. Big mbali kudziwitsa limagwirira atenge katundu aliyense wa chamoyo, ndicho chikhalidwe cha wamanjenje dongosolo, kutengera za kumtundu, ndi matenda a khungu, ndi matenda concomitant ndi ntchito ya thukuta ndi zopangitsa sebaceous. Monovalent zina amasankha otaya makhalidwe a dermatitis amenewa: pamaso pa nthawi zobisika, mphamvu ya zochita yotupa wa khungu, ndende nyengo nzothandiza ndipo zotsatira zake, malo owonongeka.

dermatitis chithandizo imayamba ndi tanthauzo la matenda matenda. Zambiri dermatitis kumachitika mu mawonekedwe yopweteka kwambiri kapena yokhalitsa. Mawonekedwe pachimake ali 3 magawo: erythematous (edema ndi hyperemia), vesicular (kuwira mapangidwe, crusts ndi erosions), necrotic (linawola minofu ndi wotsatira amamuyambitsa timabala). Mawonekedwe pachimake limodzi ndi kuyabwa kwambiri, ululu, yoyaka zotengeka. Mawonekedwe aakulu, omwe chifukwa cha kukhudzana yaitali zikuchitika, ndi osiyana congestive erythema, lichenification, kusalola, akulimbana, kuzikonzanso keratinization, khungu manja.

Dermatitis matenda ikuchitika ntchito mayeso zotsatirazi: urinalysis ndi magazi immunogram, fecal helminth mazira, fluorography, proteinogramma seramu. Kuchokera pa machitidwe awo mankhwala, zomwe limapangidwa: zakudya; hyposensitization, mankhwala, mankhwala; Kupha allergen ya; ziŵalo za zinkakhala m'dera; mankhwala a matenda osadziwika; corticosteroids; Mavitamini C, B; asidi nicotinic; adaptogens; immunomodulatory mankhwala.

Contact Dermatitis Chithandizo Imayamba ndi kutanthauzira za kuwalimbikitsa ndi kutha kwa naye. Therapy zimatanthauza hydrocortisone mafuta ena steroid zodzola, ntchito compresses mvula ndipo ozizira zotupa.

Chithandizo cha dermatitis pa nkhope angayambe pokhapokha chifukwa cha matenda. Mtundu uwu wa dermatitis kuyamba kuchiza pambuyo kuchotsa irritants (Zodzoladzola, fluorinated mankhwala otsukira mano, toning wothandizira, tamaliza dzuwa padzuwa, kukhudzana ndi nyengo). Imachitika tinafotokoza mwatsatanetsatane za mtima, mankhwala ikuchitika comorbidities endocrine ndi machitidwe m'mimba. Pamafunika kusamala chisamaliro chakhungu. Malinga ndi vuto mankhwala ntchito ndi asidi azelaic, amatanthauza "Clindamycin", "Metronidazole". Good thandizo ndi zipangizo ozizira ndi utoto njira acid boric. Kwambiri chotsimikiziridwa ndi mankhwala a sulfa mankhwala.