Fopal, nesting kapena gawo pang'ono alopecia ndi amodzi ndi matenda omwewo, omwe amadziwika ndi kukhalapo kwa madazi, nthawi zambiri ozungulira kapena ovoid, pakhungu. Amuna amakhalanso ndi ndevu ndi ndevu. Nthawi zina malo ngati dazi amenewa amatchedwa alopecia areata. Ziwerengero zikuwonetsa kuti kuchepa kwa tsitsi kumakhudza anthu mosaganizira jenda ndi msinkhu. Mwa anthu onse, pafupifupi 1.7% ya anthu amavutika ndi vutoli.
Zomwe zimayambitsa matendawa
Ngakhale kufala kwa alopecia, malingaliro ake sanaphunzirebe mosadalirika. Madokotala sanganene motsimikiza chomwe chinayambitsa kupangika kwa matenda a pathological mu vuto linalake lachipatala. Kuperewera kwa umboni wokhazikika kwaumbali kumapangitsa kuti pakhale algorithm yokwanira yamankhwala, omwe nthawi zambiri amasankhidwa poyesa komanso zolakwika.
Zinapezeka kuti zinthu zotsatilazi zitha kukhala zifukwa zoyambitsa alopecia mwa amayi ndi abambo:
- cholowa m'malo mwake (zimatsimikiziridwa kuti 20-25% ya milandu yamatenda am'mimba ndi matenda am'banja),
- matenda oyambitsidwa ndi mavairasi oyamba (matenda aliwonse akuphatikizidwa:
- kuwonongeka kwa thupi chifukwa cha matenda opatsirana amtundu uliwonse,
- kupsinjika kwambiri m'maganizo kapena kuwonekera nthawi zonse pamavuto akuchulukitsa (dazi limatha kuyambika chifukwa chakuthwa nthawi yomweyo kwamanjenje kapena kumakula pang'onopang'ono,
- kulakwitsa kwa dongosolo la endocrine (kuchuluka kwa kusayenerera kwa mahomoni kumabweretsa mavuto amatsitsi, makamaka alopecia ya malo oyambira),
- kusowa kapena kusowa kwa mavitamini aliwonse mthupi,
- autoimmune kuwonongeka kwa masamba a tsitsi,
- kusokonezeka kwa dongosolo la Autonomic mantha, lomwe limayambitsa mwachindunji magazi m'magawo a tsitsi (pafupipafupi komanso mwamphamvu ma spillms amatsogolera ku ischemia ya scalp, zomwe zimapangitsa kuti ziwonongeke komanso kutayika kwa tsitsi).
Dokotala wothandizira alopecia areata ayenera kuyesetsa kwambiri kuti adziwe zomwe zingayambitse matenda.
Ngakhale njira zakuchiritsira zimafalikira paliponse, momwe zimakhalira pazotsatira zathu zimathandiza kuti munthu ayambenso kuchira mwachangu komanso moyenera.
Zizindikiro za pathological process zimakhala ndi izi:
- alopecia areata amawonekera pang'onopang'ono (mawonekedwe ochepa a khonde, omwe akupitiliza kukula),
- mawonekedwe amalo oyambira nthawi zambiri amakhala ozungulira kapena ozungulira,
- nkhope ya malo osowa tsitsi imatha kukhala yosalala komanso yonyezimira kapena yoyipa yokhala ndi zizindikiro za kutupa,
- kuyabwa m'dera la alopecia sikumavutitsa odwala, ndipo ululu samachitika konse,
- gawo limodzi la kusowa kwa tsitsi ndilofala kwambiri, nthawi zambiri odwala samazindikira mbali ziwiri zamadazi (pakachitika zambiri, thupi lonse limakhudzidwa).
- pali kutaya kwa nsidze ndi eyelashes, omwe amatha kukhala athunthu, amodzi amodzi kapena ochepa,
- mavuto ndi mbale ya msomali mwanjira yochepetsera, kupindika, kupindika, ndi zina zotero (kuwonongeka kwa misomali chifukwa chakuti ali ndi mawonekedwe ofanana ndi tsitsi).
Tisaiwale kuti mitundu ina ya matenda amisala imatha kupangitsa munthu kutulutsa tsitsi lake. Njira yotaya tsitsi imatha kutchedwa alopecia areata, ndipo safunikira chithandizo. Kuchepetsa kwa tsitsi kumatha kuzindikiridwa ndi kukhalapo kwa zidutswa zazitali zosiyanasiyana.
Mfundo zoyenera kutsata poyambira dazi ndi izi:
- Kuchita ma psychotherapy ndikukhazikika kwa magawo azinthu.
- Kugwiritsira ntchito mafuta ochulukitsa a homoni kuti muchepetse kuwonongeka kwa autoimmune.
- Kugwiritsa ntchito jakisoni wa corticosteroid (chithandizo choterechi chimachitika mosamala komanso pokhapokha pazoyambira kwambiri).
- Kulandila kwa mitundu yamapiritsi a glucocorticoids (okhawo akuwuzidwa ndi dokotala mosamala mosamala).
- Phototherapy (imaphatikizapo kukhudzana ndi madera omwe akhudzidwa ndi kuwala kwa ultraviolet).
- Kugwiritsa ntchito kwa Ditranol (mankhwalawa alopecia areata mwa amayi ndipo abambo omwe ali ndi mankhwalawa sanaphunziridwe pang'ono, koma mankhwalawa akadathandizidwabe).
Tisaiwale kuti pa chithandizo cha alopecia areata, chidwi chachikulu chiyenera kulipira ku etiological factor.
Kuthetsa zoyambira zamakhalidwe ndi njira yodalirika kwambiri yothandizira.
Kuchiritsa kwathunthu alopecia areata sizotheka nthawi zonse. Chofunika kwambiri ndikutengera kwa matenda. Mwachitsanzo, kuchepa kwa kanthawi kochepa chifukwa cha kuchepa kwa mavitamini kapena matenda oyamba ndi fungus amathanso kuchiritsidwa msanga kamodzi. Ndi mitundu ya cholowa cha alopecia kapena khonde yoyambitsidwa ndi kupsinjika, ndizovuta kwambiri kuthana ndi vutoli ndipo sizipezeka nthawi zonse ngakhale mothandizidwa ndi akatswiri odziwa ntchito.
Pazonse, alopecia yokhazikika sikusokoneza wodwala kuti azitha kugwira ntchito, ndipo wachibale wosagwirizana ndi zomwe zimachitika zimagwirizanitsidwa ndi chinthu. Kwa anthu ambiri, matendawa amayambitsa moyo wotsekedwa, womwe umayambitsa kupsinjika kwamaganizidwe ndi kukula kwa matenda.
Mwapeza cholakwika? Sankhani ndikusindikiza Ctrl + Lowani
Zizindikiro zamatsenga
Alopecia wa Nest samaphimba mbali yonse ya mutu. Zinthu zingapo zing'onozing'ono za mawonekedwe ozungulira kapena mawonekedwe ofunda, ngati chisa, zimapangidwa.
Zizindikiro zazikulu za matenda:
- khungu losalala pamalo otayika, nthawi zina pamakhala kutentha pang'ono,
- Madera opanda kanthu amakula pang'onopang'ono, omwe ali pafupi amatha kuphatikizika,
- mawonekedwe amalo ozungulira ndi ozungulira kapena awiri m'lifupi kuchokera 1 mpaka 10 cm, ali ndi malire omveka,
- Zingwe zimakoka mosavuta kumalire ndi zone,
- kutupa m'malo a dazi ndi kotheka,
- alopecia areata akhoza kukhala limodzi ndi kuyabwa kwa khungu, koma palibe ululu,
- Nthawi zambiri pamakhala dazi limodzi pamasamba awiri, matenda amafalikira thupi lonse.
Kuwonetsera kwapadera, ndizovuta kusokoneza ndi matenda ena.
Zimayambitsa maonekedwe a matenda
Musanalandire chithandizo, muyenera kukhazikitsa chomwe chimayambitsa matendawa. Zinthu zambiri zimatha kukhudza tsitsi. Nthawi zambiri, kubadwa kwa makolo kumapangitsa kuti mwana akhale wopanda pakati pa mzere wa amuna.
Matenda opumira kwambiri omwe amakhalapo osachiritsidwapo amapezeka mthupi nthawi zonse, ndizotsatira za alopecia. Makina okhazikika, matenda opatsirana oyambitsidwa ndi kupuma kwambiri, omwe amalephera kuthandizidwa pano, akhoza kuwonjezeredwa pano, kuwatenga kuti akhale nawo nthawi yayitali ndi yophukira.
Matenda onsewa popanda kulandira chithandizo amatsogolera kuti tizilombo toyambitsa matenda timalowa m'magazi. Kutupa kwa mtima kumalowa m'mababu. Chitetezo cha mthupi chimayamba kulimbana ndi ma virus, tsitsi limakhalanso ndi (ma virus angapo amakhala osasunthika polimbana ndi mphamvu zamthupi). Izi zimatsogolera ku imfa ya babu.
Kupanikizika kosalekeza, kupsinjika kwanthawi yayitali kumakhumudwitsa dongosolo lamagazi. Pali kuwonjezeka kwa mamasukidwe amwazi, kuphipha kwa ziwiya zazing'ono. Kuchulukitsa kwa magazi kumasokonekera m'malo ambiri amthupi, kuphatikiza ndi khungu. Tsitsi sililandira michere ndi okosijeni, ichi ndiye chifukwa chinanso cha kutayika kwawo.
Kulephera kwa endocrine system kumatha kubweretsanso ku alopecia areata. Kugwira ntchito kwa chithokomiro cha chithokomiro, adrenal cortex imasokonekera, yomwe imakhudza kugwira ntchito kwa pituitary gland. Zonsezi zimabweretsa kuwoneka kwa foci yakuwonongeka kwa tsitsi.
Chifukwa china ndi kusalinganika kwa mahomoni. Nthawi zambiri izi zimachitika pa nthawi ya kusintha kwa msambo, panthawi yoyembekezera, kutenga njira zakulera za mahomoni. Amayi oyembekezera samalandira chithandizo, chivundikirocho chimabwezeretseka pakokha pakabadwa mwana. Nthawi zonse, muyenera kukaonana ndi dokotala.
Sayansi ya zamankhwala imangotengera mtunduwu kuti chifukwa chachikulu chomwe chimapangitsa mtundu uwu wa kutayika kwa tsitsi ndikudziwikiratu. Thupi limatha kuthana ndi zinthu zina zonse.
Zojambula pachipatala
Pangokhala ndi alopecia areata pamakhala kusintha kwa msomali. Zimakhala zowonda, zopunduka. Nthawi zambiri pamakhala kusintha kwa misomali pomwe akatswiri odziwa tsitsi (trichologists) amafotokoza za momwe mababu amapangidwira.
Misomali ndi tsitsi zilinso ndi mawonekedwe omwewo, kotero kuti kusintha kowawa mthupi kumawakhudza iwo chimodzimodzi. Komanso, ndi alopecia yokhazikika, eyelashes ndi nsidze zimayamba kutuluka. Chizindikiro choyipa ndi chotupa cha msomali wooneka chomwe chidayamba kale kuposa mawonekedwe a dazi pamutu. Ichi ndi chizindikiro cha kusokonezeka kwakukulu m'thupi.
Gulu
Alopecia wa Nest ali ndi mitundu ingapo, kutengera mankhwala omwe adalandira:
- Pafupi - momwe muli gawo limodzi kapena awiri a alopecia.
- Ophiasis a Celsus - Uwu ndi mawonekedwe ofanana ndi riboni, pomwe tchuthi chachilendo cha mitundu yoyera pakhungu kuyambira pakachisi mpaka kumbuyo kwa mutu. Nthawi zambiri ndimadwala ndili mwana.
- Chachikulu - malo angapo ophatikizika, ndikupanga madera akuluakulu a alopecia.
- Zonse -Palibe mbewu pamutu ponse. Nthawi zina matope ndi nsidze zimatuluka.
- Ponseponse - tsitsi limagwera thupi lonse. Kenako zimatha kubwereranso, ndikugwera pansi. Nthawi za paroxysmal zoterezi zimachitika pachikuto. Kuchuluka kwa moyo kumapita popanda tsitsi.
- Wachikazi - zimachitika ndi kuwonongeka kwa misomali. Awa ndi matenda oopsa.
Mitundu ya dazi imatha kutembenukirana, zinthu zikuipiraipira pakakhala chithandizo choyenera, osatsatira zomwe dokotala akutsimikiza.
Magawo a chitukuko cha matenda
Mukukula kwake, matendawa amadutsa pamagawo angapo:
- Pang'onopang'ono. Madera a tsitsi lotayika akukula. Kuyang'ana zatsopano. Mababu amataya mphamvu zawo. Ndikosavuta kutulutsa tsitsi lokoka pokhapokha. Kuchepetsa pang'ono pa khungu.
- Zosasunthika. Njira zatsopano zamadazi sizimawoneka. Khungu lomwe limakhala m'malo a alopecia limalefuka, limatembenuka, limakhala losalala. Pambuyo polimbitsa, kuzikoka kumakhala kovuta.
- Zachisoni. Phata la dazi pang'onopang'ono limakulidwa ndi tsitsi latsopano losalala ngakhale lopanda utoto. Mtsogolomo, kukula ndi kutulutsa kwake kumachitika, ngati pali nyengo yabwino. Koma kuchuluka kwa matendawa kumatha kuchitika, ndiye kuti kusintha kwa gawo loyamba kumachitika.
Makamaka olandila ndi mankhwala othandizadi
Dazi lam'maso limatha kutsimikizika ndi zizindikiro zakunja, zomwe ndizodziwika bwino kwambiri pamatenda amtunduwu. Mwa akazi, amakhala owonekera kwambiri.
Dokotalayo amagwiritsa ntchito njira zina zowunika zomwe zimamuthandiza kudziwa chifukwa chake khola limonekera. Mukamagwiritsa ntchito dermatoscope, mutha kuwunika mwatsatanetsatane mababu, khungu la mutu, ndikuwona momwe alili. Kuyesa kwa smear ndikofunikira kuti pakhale matenda oyamba ndi mafangasi amthupi. Ngakhale amakhulupilira kuti matenda ngati amenewa samayambitsa alopecia, sikofunikira kuti musankhe mwanjira imeneyi.
Kudula kwamaso ndi chizindikiro cha zovuta zina, chifukwa chake dokotala amalembera mayeso amunthu payekha kuti adziwe matenda. Izi zitha kukhala mayeso amomwe am'magazi kuti adziwe matenda, kusintha kwa endocrine, kuchepa kwa mavitamini ndi matenda ena.
Mfundo zakuchiritsa matenda
Njira yosakanikirana imafunikira kuti athetse alopecia areata. Ndi iyo, zotsatira zake zimakhala pazisonyezo, zomwe zimayambitsa matendawa. Nthawi zambiri, madokotala samatsimikizira kupambana kwa mankhwalawa, chifukwa zinthu zambiri zimakhudza njira yobwezeretsa chivundikirocho.
Mfundo za mankhwalawa zozungulira dazi zimaphatikizapo:
- kuchititsa maphunziro a psychotherapy kuti abwezeretse malingaliro anu osakhazikika,
- kugwiritsa ntchito mafuta opangira mafuta kuti muchepetse njira zowonongeka za autoimmune,
- kukhudza madera omwe akhudzidwa ndi mkwiyo wakomweko kuti awonjezere kuyambiranso kwachuma,
- kukonza zoyenera dongosolo.
Njira yodziwika bwino ya chithandizo imatenga miyezi iwiri. Tsamba lamdazi yokhala ndi chithandizo choyenera limasowa pambuyo pa miyezi 6. Tsitsi limafunikira nthawi yayitali bwanji kuti libwerere kumbuyo.
Kutaya komaliza kwa focal alopecia zimatengera zomwe zimachitika. Ngati tsitsi latha chifukwa cha zotupa za pakhungu ndi bowa kapena vuto la vitamini, ndiye kuti kuchira kumachitika kwathunthu. Ndikosavuta kuthana ndi matenda a m'matumbo ngati amayamba chifukwa cha chibadwa chathu kapena nkhawa.
Alopecia areata sichikhudza kutalika kwa moyo, magwiridwe antchito, komanso nthawi ya nthenda zina zoyipa. Koma imakhala ndi vuto lalikulu pamaganizidwe, ena amatsogolera moyo wotsekedwa, womwe umakulitsa kukhumudwa, umabweretsa kuwonjezeka.
Chithandizo chakunja
Ngati mawonekedwe a alopecia pamutu ndi osakwatiwa, mainchesi ake osapitirira 3 cm amangoyang'aniridwa kwa miyezi itatu. Panthawi imeneyi, imatha kusefukira. Ngati izi sizingachitike, muyenera kuyamba kulandira chithandizo.
Kuchotsa matenda otere kuyenera kuchitika limodzi ndi adokotala. Katswiri yekha ndi amene amasankha mankhwalawa moyenerera, kuperekera zovuta, kuganizira zolakwika. Kudzichitira nokha mankhwala kungayambitse vutolo.
Ma glucocorticosteroids amawagwiritsa ntchito kwambiri ngati mafuta ndi mafuta. Woopsa, jakisoni wothandizirana ndi ma hormonal amachitidwa ku malo a lesion. Mwachitsanzo, yankho la Minoxidil limapukutidwa pakhungu. Zoyipa za njirayi ndizosatheka, zimangogwira ntchito m'malo ochepa. Osakhala oyenera kumera konse.
Njira ina yotsogola ndi nicotinic acid. Ichi ndi antispasmodic wabwino, amathandiza kubwezeretsa magazi m'dera lomwe lakhudzidwa. Mbaleyi imatsegulidwa, zomwe zimaphatikizidwa zimaphatikizidwa m'gawo lotayika tsitsi tsiku lililonse. Kuchokera kwa wowerengeka azitsamba - kugwiritsa ntchito mchere wamchere. Massage yokhala ndi makhiristo akulu kumathandizanso kuthamanga kwa magazi kumalo a alopecia, omwe angathandize kubwezeretsa chivundikirocho.
Chithandizo chachikulu
Ndi njira yophatikizira ya chithandizo, muyenera kuchotsa vuto lalikulu, chizindikiro chomwe chingakhale chakukhwima. Ma immunomodulators, njira zowongolera magazi, ndipo kukonzekera kwa Vitamini kumagwiritsidwa ntchito. Pamaso pa matenda, amathetsedwa ndi chithandizo cha munthu payekha.
Actovegin, Solcoseryl amagwiritsidwa ntchito kukonza tsitsi. Mankhwala a nootropic amagwiritsidwa ntchito kuti athetse mitsempha yamitsempha yamagazi. Nthawi zambiri zotchulidwa Piracetam, Nootropil. Ndikofunikira kuti muchepetse kukhumudwa, komwe nthawi zambiri kumawonedwa mwa odwala omwe ali ndi matenda amtunduwu. Kugwiritsa Novopassit, Persen.
Kusisita ndi physiotherapy
Pali njira zina zothandizira poyambira makonda. Nthawi zambiri kutikita minofu kumathandiza. Ziyenera kuchitika ndi katswiri woyenera. Ndondomeko iyenera kuchitidwa muofesi ya adokotala patebulo lapadera. Kusisita kumatenga pafupifupi mphindi 30. Pali zovuta pamalo a alopecia, khosi ndi mapewa.
Mothandizika umagwiritsidwa ntchito mozungulira dazi ndi physiotherapy.Ndikofunikira kukumbukira za contraindication pochita njirazi - oncological ndi matenda opatsirana, kupezeka kwa pacemaker, pakati.
Njira Zakuchipatala:
- Electrophoresis - kutengera zomwe zikuchitika pakalipano. Patsamba la dazi pali mankhwala (nicotinic acid), omwe, chifukwa cha zomwe zilipo, amalowa pakhungu. Mitsempha imakulitsa, magazi am'deralo amayenda bwino.
- Kuthandizira - mothandizidwa ndi zamakono, khungu limatenthedwa. Kuchita kwa metabolism kumasintha, kuthamanga kwa magazi kumakhazikika.
- Darsonvalization - zida za Darsonval zimagwiritsidwa ntchito. Mothandizidwa ndi mphuno yapadera, kutikisika kwa madazi kumachitika kwa mphindi 10. Kukondoweza kwa magazi ndi kukula kwa babu kumachitika.
Pa njira zonse za physiotherapy, nthawi 10 mpaka 15 ndizokwanira kuwona zotsatira zabwino.
Mankhwala othandizira
Gawo lotsiriza la khola lozungulira silichizidwa ndi mankhwala. Mankhwala opangira opaleshoni amakhalabe - kupatsirana tsitsi. Izi, nazonso, sizingaganizidwe kuti yankho la ponseponse, chifukwa kufalikira kwa matenda kungayambitse kuchepa kwa tsitsi lowonjezedwa.
M'pofunika kukhazikitsa chifukwa cha kuswana alopecia, kuthetsa. Ndi chibadwa chamunthu, palibe njira zothetsera vutoli. Mutha kuchedwetsa nthawi yakumeta. Kuti muchite izi, muyenera kuphunzira momwe mungathanirane ndi kupsinjika, kuti muthe kupambana kuchokera kumayiko ovuta.
Zomwe zimayambitsa matendawa
Zomwe zimayambitsa alopecia areata sizinakhazikitsidwe kwenikweni. Amaganiziridwa kuti zamatsenga ndizachilengedwe cha autoimmune. Thupi laumunthu limayamba kuwona mawonekedwe amatsitsi ngati achilendo, ndikuwakana. Choyamba, dera laling'ono lozungulira limawonekera pamutu, kenako limakula.
Zinthu zotsatirazi zimatha kuyambitsa matendawa:
- Khalidweli. Nthawi zambiri focal alopecia imadziwika mu makolo komanso abale apafupi a odwala.
- Matenda opumira kwambiri. Makina a mano osasinthika, matenda oyambitsa kupuma komanso ma fuluwenza amachititsa mabakiteriya ndi ma virus kulowa m'magazi. Tizilombo tating'onoting'ono kameneka timakhala m'mabowo a tsitsi. Chitetezo chamunthu chikamalimbana ndi matenda, sikuti chiwonongeko cha ma virus chimachitika chokha, komanso kuwonongera kwa tsitsi.
- Kupsinjika ndi mitsempha. M'mikhalidwe yodetsa nkhawa, magazi amawonjezeranso tsitsi limayamba kuwonongeka, zomwe zimawachititsa kuwonongeka. Kuphatikiza apo, popsinjika, kugwira ntchito kwa chitetezo chamthupi kumasokonekera, ndipo thupi limayamba kulimbana ndi mawonekedwe ake a tsitsi.
- Matenda a Endocrine. Matenda a chithokomiro, chithokomiro cha adrenal komanso gland pituitary zimakhudzanso tsitsi.
- Kuperewera kwa mahomoni. Alopecia areata mwa azimayi nthawi zambiri amapezeka nthawi yoyembekezera, kusintha kwa thupi kapena akamamwa mankhwala oletsa kubereka a mahomoni. Pakubala kwa mwana wosabadwayo, chithandizo cha dazi sichimachitika, nthawi zambiri mkhalidwe wa tsitsi umakhazikika pakubala. Nthawi zina, muyenera kupita kwa dokotala.
- Kuukira kwa Helminthic. Alopecia a Nest nthawi zina amapezeka motsutsana ndi maziko a helminthiases. Chitetezo cha mthupi chimalimbana ndi majeremusi ndipo nthawi yomweyo zimatha kukhudzana ndi tsitsi.
Choyambitsa chibadwa chimagwira ntchito yayikulu pakuchitika kwa matendawa, chifukwa chake matendawa ndi ovuta kuchiritsa. Zina zonse zoyambitsa dazi zimatha kuchotsedwa.
Magawo a matenda
Mukukula kwake, alopecia areata akudutsa magawo angapo:
- Kupita patsogolo. Pakadali pano, makulidwe amatsitsi amatha mphamvu mwa anthu. Magazi okhala ndi khungu lowala amawoneka pamutu. Nthawi zina kuyuma pang'ono kumawonekera. Tsitsi limawoneka lothothoka ndipo limachotsedwa mosavuta ku bulb ikadulidwa.
- Poyimirira. Dazi limasiya kupita patsogolo. Kutupa kwa pakhungu kumazimiririka. Tsitsi limaleka kutuluka.
- Gawo la kukwiya. M'madera omwe akukhudzidwa, tsitsi lankhondo lamtchire limamera. Pakakhala zabwino, amakhala olimba, opakidwa utoto ndipo amasintha kukhala tsitsi labwinobwino. Koma mwakuchulukitsa kwa matendawa, dazi limatha kuyambiranso.
Zizindikiro
Chizindikiro choyamba cha matendawa ndi mawonekedwe a madazi. Nthawi zambiri amakhala ndi mawonekedwe ozungulira komanso kukula kwa 1 cm mpaka 10 cm. Nthawi zambiri tsamba limodzi la alopecia limadziwika, koma nthawi zina pamatha kukhala zingapo. Mawonekedwe amdazi amatha kuphatikizana.
Khungu m'malo omwe akhudzidwa amasintha pang'ono. Nthawi zina kufiyanso pang'ono kumadziwika. Ziphuphu ndi kubowola sizimawonedwa. Tsitsi pafupi ndi dera la alopecia siligwira bwino m'magulu ndipo limakoka mosavuta.
Kuchepa kwa tsitsi kumawonekera. Amakhala ndi muzu wabwinobwino, koma tsinde loonda kwambiri. Nthawi zambiri tsitsi limasweka kutalika pafupifupi 3 mm.
Pali mtundu wapadera wamatenda (ofiasis) omwe mawanga a dazi samakhala ozungulira, koma otalika monga mawonekedwe a mzere. Misomali itha kuthandizidwanso mu pathological process, mkhalidwe wawo umakulirakulira. Mitundu yamtunduwu ya alopecia imawerengedwa kuti ndiyoyipa kwambiri ndipo siyiyankha bwino povomera.
Alopecia areata mwa akazi nthawi zambiri amapezeka azaka zapakati pa 15 ndi 35. Nthawi zambiri matendawa amakhudza odwala omwe ali ndi tsitsi lakuda. Pathology nthawi zambiri imayenda bwino kwambiri kuposa amuna. Estrogens amakula mthupi la mkazi, izi zimalepheretsa kuchepa kwa tsitsi kwambiri. Komabe, ngati wodwalayo ali ndi kusokonekera kwa mahomoni, ndiye kuti makani amatha kukhala ochulukirapo. Chifukwa cha alopecia, azimayi nthawi zambiri amakhala ndi nkhawa komanso nkhawa, zomwe zimapangitsa tsitsi kutsitsidwa.
Alopecia areata mwa amuna amayamba nthawi zambiri ndi korona. Pamwambapa mutu, chotupa chimapangidwa. Ngati palibe chochitidwa, dera lothothoka tsitsi limakula pakapita nthawi. Muzochitika zapamwamba, wodwalayo amadzichotsa tsitsi.
Zinthu za khola mwa ana
Alopecia areata mwa ana ndimwadzidzidzi. Nthawi zambiri matenda amtundu wa khungu amalumikizana ndi matendawa: atopic dermatitis, matupi awo sagwirizana, vitiligo. Ndi alopecia, mwana nthawi zambiri amataya tsitsi pamutu pake, komanso nsidze za m'maso.
Nthawi zambiri, matendawa amakhudza ana okulirapo kuposa zaka zitatu. Chizindikiro choyipa cha prochnicic ndikudziphatika kwa dermatitis ya atopic, kuwonongeka kwa msomali ndikukhazikika kwa matendawa adakali aang'ono. Muzochitika izi, zamatsenga zimachiritsidwa movutikira kwambiri. Komabe, mitundu yoyipa yamatendawa siyowoneka kwambiri mwa ana. Mwambiri, tsitsi limatha kubwezeretsedwa kwathunthu.
Zizindikiro
Zizindikiro zoyambirira za alopecia zikaonekera, muyenera kufunsa katswiri wodziwa zam'mimba. Nthawi zambiri, kufufuza kwakunja kwa wodwala ndikokwanira kuzindikira. Nthawi zina, mayeso owonjezera a labotale ndiofunikira:
- Zithunzi. Tsitsi zingapo zimatulutsidwa kuchokera kwa wodwala pafupi ndi malo omwe akhudzidwa ndipo mawonekedwe ake amawunika pansi pa microscope.
- Biopsies. Kuchokera kudera lomwe lakhudzidwalo, tinthu tating'onoting'ono ta khungu timatengedwa kuti timakaunikidwe. Izi zimakuthandizani kuti mulekanitse alopecia oyang'ana ku kuwonongeka kwa scalp ndi lupus ndi lichen zotupa.
- Kufufuza ndi dermatoscope. Timaphunzira kapangidwe ka tsitsi lanu komanso momwe khungu limakhalira.
- Wofuulira kuchokera kumadera omwe akhudzidwa ndi matenda oyamba ndi fungus. Phunziroli limathandizira kusiyanitsa kwa alopecia kuchokera ku mphete.
Nthawi zina alopecia ndi mawonekedwe a kuchepa kwa vitamini, komanso endocrine komanso matenda opatsirana. Kuti mupeze ma pathologies oterowo, maphunziro a serological, kuyezetsa magazi kwa zamankhwala am'madzi ndi mahomoni amaperekedwa.
Mankhwala
Ngati pali danga laling'ono pamutu (osapitirira 3 cm), ndiye kuti kuwunika kwamphamvu ndikofunikira kwa miyezi itatu. Ngati munthawi imeneyi malowo samaphimbidwa ndi tsitsi la Canon, ndiye kuti njira yothandizira alopecia areata ndiyofunikira.
Mafuta ndi mafuta a corticosteroid omwe atchulidwa komweko: "Celestoderm", "Dermoveyt", "Clobetasol", "Fluorocort". Amagwiritsidwa ntchito kumadera amdazi. Amagwiritsidwanso ntchito ndi corticosteroid mankhwala Diprospan mu njira yothetsera. Imayendetsedwa mosavuta m'malo omwe akukhudzidwa. Mankhwalawa amathandizira ndikuthothoka tsitsi kosaposa 50%.
Mankhwala a alopecia areata mwa akazi, mankhwalawa "Cimetidine" amapereka zotsatira zabwino. Imakhala ndi antiandrogenic ndipo imasintha matupi a mahomoni m'thupi la wodwalayo. Amatulutsidwa monga mapiritsi, makapisozi ndi yankho la jakisoni. Amuna sayenera kumwa mankhwalawa, chifukwa amatha kusokoneza kupanga ma androjeni.
Mankhwala a alopecia areata mwa amuna, mankhwala Finasteride amagwiritsidwa ntchito. Zimalepheretsa kuchuluka kwa dihydrotestosterone ya mahomoni m'dera la babu ndikuletsa tsitsi. Chida ichi sichikulimbikitsidwa kwa ana ndi amayi apakati. Mankhwala amatha kuyambitsa chibadwa cha mwana wosabadwa.
Pochiza odwala amuna ndi akazi, mafuta a Ditranol amagwiritsidwa ntchito. Imakhala ndi zoyipa kwanuko. Patsamba la mankhwalawa, khungu limayamba kuwoneka pang'ono. Maselo oyipa amathandizidwa kuti athane ndi zotupa komanso kusokonezedwa ndi tsitsi. Mankhwala Antralin, tincture wa tsabola wofiira, lemongrass, mafuta a burdock amakhalanso ndi katundu wokwiyitsa. Ndalama zoterezi zitha kugwiritsidwa ntchito poyambira matenda atayamba kutha tsitsi.
Zotsatira zabwino zimaperekedwa ndi mankhwala "Minoxidil". Ili ndi yankho lomwe limapaka pakhungu m'malo opaka tsitsi. Imalimbikitsa tsitsi kukula.
Kuphatikiza pa mankhwala am'deralo, lipatseni mankhwala othandizira pakamwa:
- mavitamini a "Perfect", "Pantovigar", "Nutricap".
- sedatives: Persen, Novopassit.
- kuthamanga kwa magazi othandizira magazi: Nootropil, Actovegin.
Woopsa, immunosuppressants amagwiritsidwa ntchito: Cyclosporin A, Timopentin, Groprinosin. Amatha kukhudza chikhalidwe cha autoimmune matendawa. Mutha kumwa mankhwala amphamvu ngati mukumvera. Mankhwalawa ali ndi mavuto ambiri.
Physiotherapy
Physiotherapy imakwaniritsa zochizira zamankhwala. Kusintha tsitsi lanu, njira zotsatirazi zimayikidwa:
- Electrophoresis yokhala ndi nikotini acid. Mankhwalawa amalowetsedwa pakhungu pogwiritsa ntchito galvanic yamakono. Izi zimathandizira kukonza kukoka kwa magazi m'magazi komanso ma metabolism. Mankhwala amalowetsa mababu ndikuthandizira kukula kwa tsitsi.
- Ma Microcurrents. Madera okhudzidwa amakhudzidwa ndi mafunde amagetsi. Chifukwa cha mankhwalawa, zakudya zamafuta a tsitsi zimayenda bwino.
- Chithandizo cha laser. Rays imalowa bulb ndikulimbikitsa tsitsi kukula.
- Darsonvalization. Pogwiritsa ntchito zida zapadera, mafunde ang'onoang'ono osakanikirana amaperekedwa m'malo omwe akhudzidwa. Zotsatira zake, kuchuluka kwa magazi kwa ma follicles ndi kukula kwa tsitsi kumakhala bwino.
Kuti mukwaniritse izi, njira 10 physiotherapy zofunika.
Ndemanga za Chithandizo
Mutha kupeza ndemanga zambiri zabwino zothandizira alopecia areata ndi darsonvalization. Odwala anasiya kutaya tsitsi pambuyo pa njira za 7-10. Pakupita kwa nthawi, pang'onopang'ono mawonekedwe a tsitsi adatulukira m'malo a dazi. Njirayi idathandiza azimayi ambiri omwe ali ndi vuto lodyera pambuyo pake.
Palinso malipoti okhudza luso la Minoxidil. Zimathandizira ngakhale ndi mitundu yayikulu ya alopecia areata. Mu ndemanga, akuti pambuyo panjira ya chithandizo, odwala adayamba kukula pang'ono pang'onopang'ono madera, pamutu ndi m'thupi. Chida ichi chinali chothandiza ngakhale kutayika kwa tsitsi kupitirira 60%.
Nthawi zina, othandizirana kwanuko athandiza kuletsa tsitsi. Ngati ndemanga zabwino za kugwiritsa ntchito mafuta a burdock ndi tincture wa tsabola wotentha. Komabe, zithandizo zoterezi zimathandizira pakukhazikitsa njira yothetsera tsitsi. Ndi chidwi chokhala ndi tsitsi lotayirira, othandizira akumaloko amatha kukulitsa khonde.
Kupewa
Ngati munthu ali ndi vuto lofuna kutsuka tsitsi, ndiye kuti ndikofunikira kuchitapo kanthu kuti awalimbikitse. Kuti muchite izi, muyenera kusamba tsitsi lanu pafupipafupi ndi ma shampoos apadera okhala ndi mavitamini owonjezera, komanso kugwiritsa ntchito mankhwala azitsamba pakutsuka ndi masks azachipatala. Simukuyenera kuvala zolimba tsitsi ndikukoka tsitsi lanu. Ndikofunikira kuti musinthe momwe mungathere.
Ndikofunikanso kudya bwino ndikupewa kupsinjika nthawi zonse ngati zingatheke. Pachizindikiro choyamba cha kuwonjezeka kwa tsitsi, muyenera kupita kukaonana ndi trichologist. Izi zithandiza kupewa alopecia.
Amayambitsa ndi pathogenesis
Zomwe zimayambitsa alopecia areata sizinakhazikitsidwe. Alopecia areata ndi heterogeneous matenda azachipatala, momwe amakhudzidwa ndimatenda, matenda owopsa komanso osachiritsika, kuvulala thupi, komanso majini. Genetic heterogeneity yamatendawa imafotokoza ake polymorphism, omwe amadziwika bwino ndi madokotala.
Alopecia areata imawerengedwa ngati matenda apadera a autoimmune, monga momwe zimatsimikizidwira ndi cholowa chamtsogolo, kuwonjezeka pafupipafupi kwa kuzindikiritsa chitetezo cha mthupi komanso kusokoneza chitetezo cha chitetezo cha mthupi.
Zizindikiro za alopecia areata
Zizindikiro za matendawa zimayamba ndi kuwonekera kwadzidzidzi kuzungulira kwazungulira popanda kugundika kwamalingaliro, odwala ena amangotchula paresthesia. Malire oyang'ana ndiwonekeratu, khungu mkati mwake silisinthidwa kapena kufooka, nthawi zina limakhala losasinthika ndipo limakhala losavuta kuposa momwe lingakhalire bwino, milomo ya mafilidwe tsitsi imasungidwa. Pang'onopang'ono, tsitsi looneka bwino m'mphepete mwa chotupa limasokonekera mosavuta (gawo la tsitsi lomasulidwa), chizindikiro cha pathognomonic ndikuwoneka ngati tsitsi pamtundu wa mawu owonetsa. Uwu ndi tsitsi looneka ngati chibonga lomwe limakhala kutalika pafupifupi 3 mm, ndipo mbali yakumapeto kwake imakhala yong'ambika ndikukula.
Maphunziro ena a matendawa ndi osatsimikizika. Nthawi zina kukula kwa tsitsi poyang'anitsitsa kumabwezeretsedwa kwathunthu. Zowoneka zatsopano zimatha kuwoneka, zina mwaizi zimatha kuphatikizidwa chifukwa cha kuchepa kwa tsitsi kumazipatula. Mwinanso kupukusa tsitsi lanu popanda kupendekeka kwa dazi. Kukhalapo kwa nthawi yayitali kwa foci kumatha kubweretsa kusintha kosasinthika ndi kufa kwa follicles.
Zolinga zoyambirira zimakonda kukhala pakhungu. Mwinanso kuchepa kwa tsitsi m'dera la kukula kwa ndevu, kuchepa kwa tsitsi m'thupi, m'malo a axillary ndi pubic. Nthawi zambiri, nsidze ndi ma eyelasi zimaguluka. Mu 10-66% ya odwala, ma dystrophies osiyanasiyana amisomali amapezeka.
Kodi alopecia ndi chiyani
Mwakutero, kudwala kumeneku kumachitika chifukwa cha zotupa zam'mbuyomu, zomwe zadziwika kwa nthawi yayitali kwa anthu. Koma zomwe zimayambitsa matendawa sizinakhazikitsidwebe. Mtundu wotsatirawu umawerengedwa kuti ndiwofunika kwambiri: thupi la munthu limavomereza zidutswa za tsitsi zomwe zilipo ngati zachilendo kwa iwo ndikuyesera kuzichotsa.
Mbali yodzilekanitsa yocheperako yokhala ndi mitundu ina ya dazi ndikuti tsitsi limatha kuzungulira, ndiye kuti, kuchepa tsitsi kumayambira ngati bwalo laling'ono lomwe limakula pang'onopang'ono.
Amuna ndi akazi onse amakhudzidwa chimodzimodzi. Ndipo, choyipa kwambiri pamtundu wamtunduwu ndikuti zimakhudza ochepa okha (osakwana zaka 25) ndi ana. Muyenera kuvomereza kuti anthu achikulire angathe kuvomereza mosavuta kuti ali ndi vuto laling'ono kuposa unyamata.
Mitundu yotsatirayi ya alopecia areata imasiyanitsidwa:
- sokoneza. Tsitsi limagwera pamutu,
- kwanuko Potere, kuchepa kwa tsitsi kumachitika m'dera limodzi. Potere, chidwi cha lesion chafotokoza bwino malire,
- zonse alopecia. Kuchepetsa tsitsi kumachitika pathupi lonse, ndikokwanira. Matendawa amawoneka mwa ana,
- chapamwamba. Zoposa 40% za tsitsi pamutu zimachoka,
- kuphatikiza. Zikatero, kutayika kumachitika m'mphepete mwa khungu,
- mawonekedwe apadziko lonse. Poterepa, tsitsi limagwa thupi lonse.Izi zimakonda kupezeka mwa ana.
Zilonda zam'mimba zimangokhala zokha, sizingatheke kulosera komwe lesion yotsatira ipumire. Amatha kukhalabe momwe adalili kale, atha kukula, komanso amazimiririka zokha.
Popeza wayamba kuwoneka yekha, chotupa nthawi zambiri chimakula msanga komanso mosavuta mpaka pamitundu yonse. Poterepa, kusintha pakati pa mafomu kumakhala kovuta kuwononga.
Zomwe zimayambitsa matendawa
Monga tafotokozera pamwambapa, zomwe zimayambitsa matendawa sizinadziwikebe. Koma chimodzimodzi, madokotala onse amazindikira kuti zoyambira za matendawo ziyenera kufunidwa muubwana wa wodwalayo. Komanso, zomwe zimayambitsa mwina ndizovuta mu chitetezo cha mthupi, monga tafotokozera pamwambapa. Ndiye kuti, chitetezo cha mthupi, pazifukwa zina, chimazindikira mawonekedwe amatsitsi m'thupi, makamaka pamutu, monga mlendo kwa thupi la munthu ndikuyamba kuchichotsa.
Matendawa amathanso kuchitika chifukwa cha zinthu zachilengedwe, makamaka, chilengedwe. Kuchepetsa tsitsi kumayamba pambuyo pakukhumudwa kwambiri.
Chifukwa chotsimikizika pazifukwa zake, mankhwalawo ndi osiyana ndi amuna ndi akazi.
Chithandizo cha alopecia areata
Chifukwa chakuti zenizeni zomwe zimayambitsa matendawa sizinadziwike, njira yothandizira anthu kulibe. Muli m'mbali zonse zomwe zimasankhidwa payekha. Koma chimodzimodzi, pali china chilichonse chofanana.
Mwachitsanzo, kugwiritsa ntchito glucocorticosteroids kuli ponseponse. Amatha kukhala achikale kapena achibadwa. Potsirizira pake, kapangidwe kazinthu zimapangidwa kuchokera ku adrenal kotekisi ya nyama - agalu, akalulu kapena akavalo.
Koma, musanayambe chithandizo ndi mahomoni, ndichizolowezi kugwiritsa ntchito othandizira. Pomaliza, anthralin, ammonium, carbolic acid, mafuta a crotonic, ndi tsabola wotentha amagwiritsidwa ntchito.
Zinapezeka kuti pambuyo pa chithandizo chotere, mawonekedwe amtsitsi amatha kuchira. Ngakhale patadutsa zaka zingapo pambuyo poyeserera. Koma pali imodzi "koma": njirayi imagwira ntchito pokhapokha, ngati tsitsi silinathe kuposa 50%. Kupanda kutero, chithandizo ndi njira iyi mwina sichingayambe.
Njira ina yochiritsira imakhala ndi othandizira, mankhwala omwe amachititsa chidwi cha ma cell. Kupanda kutero, njirayi imatchedwa topical immunosuppressapy. Njirayi imadziwika kuti ndi yopambana kwambiri pochotsa dazi la pamphuno. Kuphatikiza ndi zotsekemera, njirayi imagwiritsa ntchito mankhwala a immunotropic omwe amawononga maselo oyera a magazi ndi chitetezo cha mthupi - ma lymphocyte ndi maselo oyera amwazi.
Photochemotherapy imakonda kugwiritsidwa ntchito mankhwalawa - ndipamenenso amamugwiritsa ntchito Phototherapy pakhungu. Njirayi imagwira ntchito bwino kwambiri ngati imagwiritsidwa ntchito limodzi ndi mankhwala othandizirana. Njira yokhayo yobwezera mankhwalawa ndikuti ivulaza wodwala. Chifukwa chake, munthawi yamankhwala, chitetezo cha wozunzidwayo chimaponderezedwa, ndipo matenda aliwonse angamukhudze. Ngakhale zosavuta.
Chithandizo chakunja ndi mafuta a turpentine ndi zolimbitsa keratinocyte ndi thandizo lina - awa ndi maselo a gawo lakunja la khungu. Amathandizira pakukula msanga kwa tsitsi la tsitsi.
Physiotherapy samayiwalidwanso - kutikita minyewa, chithandizo cha parafini, chithandizo chamakono (mafunde d, Arsonval). Eya, njira zamakedzana ndi acupuncture ndi electropuncture.
Madokotala nthawi zambiri amagwiritsa ntchito zotsatira za placebo. - Apa ndi pomwe wodwala amangokhulupirira kuti mankhwalawa amuthandiza, ndikuvomera, koma nthawi yomweyo, mankhwalawa alibe.
Kwa iwo omwe safuna kumwa mankhwala osiyanasiyana, pali njira imodzi - iyi ikuyembekezera. Madokotala ena amati njira imeneyi ndi yaulesi. Zimakhala kuti mumangofunika kuyembekeza nthawi inayake. Pafupifupi theka la chaka. Monga momwe masewera amasonyezera, nthawi zambiri, dazi lomwe limawonekera limayamba kukulanso. Ndipo, tili ndi chiyembekezo kuti sipadzakhalanso kubwereranso.
Nthawi zambiri, njira yodikirira imavomerezedwa ndi adotolo enieni kwa odwala omwe madazi ali oyambira.
Chithandizo cha mankhwala: Kusankha mankhwala
Kutengera zomwe zimayambitsa, mankhwala ochiritsira alopecia ayenera kusankhidwa. Chifukwa chake, chifukwa chosowa mavitamini m'thupi komanso kuchepa magazi, kukonzekera kwachitsulo kumalimbikitsidwa:
Pamodzi ndi iwo, mavitamini B-6 kapena 2 mitundu nthawi zambiri amaloledwa.
Ngati dazi limayamba chifukwa cha matenda oyamba ndi fungus, akuwonetsedwa poika:
Zowoneka zakuda kwa eni maso a imvi: mithunzi yamakono ndi maluso
Werengani zambiri za njira zakukonzekera zachilengedwe pano
Ndi endocrine pathologies, pomwe osati ng'ombe pamutu, komanso nsidze zimasowa, lembani:
- levothyroxine sodium ndi T4: L-thyroxine ndi mawonekedwe ake,
- Eselrox,
- Tireokomb ndi Yodokomb, Iodtirok ndi Tireotom pamapangidwe azovuta za mankhwala a mahomoni.
Njira zopewera
Panthawi yakukhumudwa kwamanjenje, ndikulimbikitsidwa kufunsa akatswiri ngati akatswiri amisala kapena ngakhale wamisala. Osamaganiza chilichonse choyipa. Zingokhala kuti ngati ma eybris ndi nsidze ayamba kutuluka ndi tsitsi, ndiye kuti palibe amene amakhala chete. Izi ndizowona makamaka kwa akazi.
Ngati chifukwa chachikulu chakutaya tsitsi chasanduka mitsempha ya m'mphuno, ndiye kuti izi zonse zitha kungowonjezereka. Chifukwa chake, thandizo la akatswiri lidzakhala lofunikira.
Ndi kutayika kwa tsitsi, munthu amakhala ndi malingaliro osasangalala motero ndikofunikira kuchepetsa mawonekedwe ake. Mwachitsanzo, gwiritsani ntchito mawonekedwe a dzuwa panthawi yotentha. Monga mafuta onunkhira, mafuta, magalasi amdima. Wig kapena chovala chamutu chimafunika pamutu.
Kuti mumve zambiri pazochitika ndi chithandizo cha alopecia, onani vidiyo
Chithandizo cha alopecia areata
Chithandizo cha alopecia areata ikuchitika ndikuyambitsa glucocortecosteroids mu pathological foci, tanthauzo la mankhwalawa ndi immunosuppressive mphamvu ya mankhwala. Ngati zotupa zimaposa 50% ya scalp yomwe kukula kwa tsitsi kumachitika, ndiye kuti chithandizo cha corticosteroids sichikhala ndi zotsatira zomwe mukufuna.
Mpaka pano, chithandizo cha mankhwala osokoneza bongo omwe ali ndi mankhwala osokoneza bongo omwe ali ndi corticosteroids adadziwika kuti ndi osathandiza ngakhale kuphatikiza ndi onyamula omwe amathandizira kulowa kolowera kwambiri kwa mankhwala a mahomoni.
Topical immunosuppressive mankhwala a alopecia areata angathe kuchitika pogwiritsa ntchito dinitrochlorobenzene, squaric acid dibutyl ether ndi diphenylcyclopropenone.
Kugwiritsa ntchito bwino mankhwala kwa ma steroid kumatha kusintha alopecia areata omwe akupita patsogolo.
Ndizotheka kupondereza ma cell a lymphocyte omwe amagwiritsidwa ntchito ndi mankhwala a immunotropic.
Nthawi zina, Photochemotherapy imagwira, komanso njira zina zowonetsera zotupa.
Mukamasankha njira zochizira alopecia areata, malamulo a odwala ndi matenda am'mbuyo amatengedwa.
Kugwiritsa ntchito mphamvu za biogenic kungathandizire njira zopangira minofu. Pofuna kuwerengera magazi ena, makonzedwe okhala ndi malovu otseguka amatha kulimbikitsidwa. M'mitundu ina ya alopecia areata, kukonzekera kwa zinc kungasonyezedwe.
Njira zakunja za concomitant Therapy zimaphatikizira mitundu yambiri ya zinthu zomwe zimakhumudwitsa (mafuta a turpentine, efcamon), zolimbikitsa za njira zopitilira muyeso, mankhwala omwe amathandizira minyewa, komanso amathandizanso kukonza minofu yaying'ono. Kunja, mankhwala okhala ndi silicon angagwiritsidwenso ntchito, omwe amatha kukonza mawonekedwe a tsitsi, kapena mankhwala omwe kuchiritsa kwake kumachitika chifukwa cha kuyatsidwa kwa placenta kumadera omwe akhudzidwa ndi khungu.
Nayi mndandanda wazithandizo zodziwika bwino:
Zochita, mankhwalawa alopecia areata, mankhwala ochokera ku mowa wa naphthalan, tinctures wa tsabola wotentha, ntchentche, chilibuh amagwiritsidwa ntchito kwambiri. Kuchita kwawo mwazinthu zina kumatha kufotokozedwa ndi kukondoweza pang'ono, koma nthawi zambiri zotsatira za placebo zimachitika.
Odwala atha kulimbikitsidwa kutikita minofu kapena kukomoka kwa khungu, kugwiritsa ntchito mafuta a parafini (ozokerite), njira ya masiku khumi yothandizidwa ndi mafunde a d'Arsonval, diathermy yamankhwala omvera a khansa pachiberekero.
Mwa njira zamapangidwe azachipatala, ma electrophoresis amagwiritsidwa ntchito kwambiri ndi yankho la reserpine, aminophylline, etc.
Nthawi zina, mphamvu yakuthupi komanso yachilengedwe yochokera pa mphamvu ya reflexotherapy imagwira ntchito. Kutchuka kwakukulu pa chithandizo cha alopecia areata kuchokera ku njira zosiyanasiyana masiku ano alandila zakumwa zam'mbuyomu, ma electropuncture, komanso kuwonetsedwa kwa mitundu ina yamagetsi amagetsi, kugwiritsa ntchito ma radiation a laser, ultraviolet radiation.
Wolemba nkhaniyi: Wachiwiri kwa Germany Leonidovna Germany, trichologist, makamaka pamalowa ayzdorov.ru
Alopecia mwa amayi ndi kuwonongeka kwa tsitsi chifukwa cha kuwonongeka kwa tsitsi. Matendawa amatengera kufooka pang'ono kwa chivundikiro, kapena kutha kwathunthu m'malo ena a mutu ndi thupi. Pali mitundu ingapo yamakhazi mwa akazi - iyi ndi yoyang'ana (nesting), kusokoneza.
Amuna ambiri padziko lonse lapansi amakumana ndi vuto longa kuperewera kwa tsitsi. Ngakhale kuti oimira theka lolimba laumunthu amakonda kwambiri alopecia, vutoli siliri la kugonana kokha. Akazi nawonso amakonda kuchita dazi, koma pakuwona.
Maphikidwe achikhalidwe omwe atsimikiziridwa kuti azitsatira tsitsi akuphatikiza zosakaniza zomwe zimagwiritsidwa ntchito pazodzikongoletsera zamankhwala - amino acid, mavitamini, mchere, mafuta acids ndi zinthu zina zomwe zimapangitsa kukula kwa tsitsi, kuyambitsa tsitsi la tsitsi.
Njira isanakwane yosankhidwa, dokotala amayesa kuwunika tsitsi. Nyali ya ultraviolet kapena infrared ingagwiritsidwe ntchito pa izi. Ngati mukukumana ndi mavuto ena azaumoyo, muyenera kuyesetsa kuchita zina mwazithandizo zamankhwala.
Kuphatikiza pa termal alopecia, mutha kukumana ndi mawu akuti alopecia areata, kapena alopecia areata. Zonsezi zitanthauza matenda omwewo. Ponena za zifukwa zomwe tsitsi limayamba kuperewera, silinafotokozedwe bwino. Kuphatikiza apo, sizikudziwika kuti matendawa adzayamba bwanji mtsogolo.
Kuchepetsa tsitsi chifukwa cha kusintha kwokhudzana ndi ukalamba m'thupi la munthu kumatchedwa amuna androgenic alopecia. Izi zimadalira pakupanga mahomoni - androgens. Mtunduwu wamadazi umafala kwambiri mwa amuna. Mothandizanazi, ma trichologists amalandila madandaulo ambiri monga awa.
Odwala nthawi zambiri amakhala ndi chidwi ndi funso loti kuthandizira pochita kubereka sikungathandize. Kupatula apo, Tsitsi lomwe limasinthidwa ndikuchita opaleshoni limatha kugweranso chimodzimodzi momwe limakhalira, ndipo ntchitoyo pakokha imatenga nthawi yambiri ndipo siyotsika mtengo.
Kodi alopecia areata ndi chiyani?
Mwakutero, kudwala kumeneku kumachitika chifukwa cha zotupa zam'mbuyomu, zomwe zadziwika kwa nthawi yayitali kwa anthu. Koma zomwe zimayambitsa matendawa sizinakhazikitsidwebe.
Mtundu wotsatirawu umawerengedwa kuti ndiwofunika kwambiri: thupi la munthu limavomereza zidutswa za tsitsi zomwe zilipo ngati zachilendo kwa iwo ndikuyesera kuzichotsa.
Alopecia areata
Mbali yodzilekanitsa yocheperako yokhala ndi mitundu ina ya dazi ndikuti tsitsi limatha kuzungulira, ndiye kuti, kuchepa tsitsi kumayambira ngati bwalo laling'ono lomwe limakula pang'onopang'ono.
Amuna ndi akazi onse amakhudzidwa chimodzimodzi. Ndipo, choyipa kwambiri pamtundu wamtunduwu ndikuti zimakhudza ochepa okha (osakwana zaka 25) ndi ana. Muyenera kuvomereza kuti anthu achikulire angathe kuvomereza mosavuta kuti ali ndi vuto laling'ono kuposa unyamata.
Mitundu yotsatirayi ya alopecia areata imasiyanitsidwa:
- sokoneza. Tsitsi limagwera pamutu,
- kwanuko Potere, kuchepa kwa tsitsi kumachitika m'dera limodzi. Potere, chidwi cha lesion chafotokoza bwino malire,
- zonse alopecia. Kuchepetsa tsitsi kumachitika pathupi lonse, ndikokwanira. Matendawa amawoneka mwa ana,
- chapamwamba. Zoposa 40% za tsitsi pamutu zimachoka,
- kuphatikiza. Zikatero, kutayika kumachitika m'mphepete mwa khungu,
- mawonekedwe apadziko lonse. Poterepa, tsitsi limagwa thupi lonse. Izi zimakonda kupezeka mwa ana.
Choyambitsa chachikulu cha matenda, madokotala amatcha kusagwira bwino ntchito m'thupi lanu. Thupi limazindikira kuti tsitsi limayenda ngati kanthu kenakake, ndipo limazichotsa.
Mtsempha umakhudza masamba, osati tsitsi lonse, chifukwa mafutawo amatha kukhala ndi mawonekedwe osiyana, kotero kuti tsitsi lokha ndi lomwe limakhala lodana ndi chitetezo cha mthupi.
Malingaliro awa amatengera mayesero azachipatala. Madokotala akadali amanenabe kuti izi ndizomwe zimapangitsa kuti pakhale chitetezo chamthupi chotere.
Zoyipa zingapo zimatchedwa.
Zomwe zimayambitsa chidwi cha tsitsi
Zoyambitsa alopecia areata:
Monga tafotokozera pamwambapa, zomwe zimayambitsa matendawa sizinadziwikebe. Koma chimodzimodzi, madokotala onse amazindikira kuti zoyambira za matendawo ziyenera kufunidwa muubwana wa wodwalayo.
Komanso, zomwe zimayambitsa mwina ndizovuta mu chitetezo cha mthupi, monga tafotokozera pamwambapa. Ndiye kuti, chitetezo cha mthupi, pazifukwa zina, chimazindikira mawonekedwe amatsitsi m'thupi, makamaka pamutu, monga mlendo kwa thupi la munthu ndikuyamba kuchichotsa.
Matendawa amathanso kuchitika chifukwa cha zinthu zachilengedwe, makamaka, chilengedwe. Kuchepetsa tsitsi kumayamba pambuyo pakukhumudwa kwambiri.
Chifukwa cha kusatsimikiza kwa zifukwa, chithandizo chimasiyanasiyana mwa amuna ndi akazi.
Ndikosatheka kuzikhazikitsa ndendende, mtundu uwu wa alopecia ukhoza kuyamba mwa mwayi wamunthu, koma pali zinthu zingapo zomwe zimapangitsa kuti matenda awonekere:
- Khalidweli. Ana mwa majini amalandira kuchokera kwa makolo awo osati zikhalidwe zabwino zokha, komanso matenda osiyanasiyana. Ngati dazi limawonedwa pamzere wa amuna, ndiye kuti limathanso kuchitika mwa ana awo.
- Njira za Autoimmune. Maselo othandizira chitetezo cha m'thupi amateteza tsitsi kukula kapena kuwononga. Koma chithandizo chomwe amathandizira pama cell awa sichikukonzanso, chifukwa chake sichikhala chosavomerezeka.
- Matenda opatsirana. Matenda akuluakulu am'mbuyo amatha kubweretsa tsitsi, osati pamutu pokha. Kupatuka kotereku kumatha kuonedwa ndi matenda osiyanasiyana a fungus a pakhungu.
- Kupsinjika Mwa odwala ena, dazi linayamba pambuyo poti launduka kwambiri.
- Kuvulala komanso kudula. Nthawi zina, munthu akumenya mutu wake amatha kuvulaza ma curls ake ndikuvulaza kwambiri masamba awo, omwe amatha kutaya tsitsi.
Chochititsa chodalirika cha matendawa sichinaphunzirepo. Ma pathologies otsatirawa akukhudzidwa ndikukula kwa matendawa:
Kuperewera kwa kudziwa matendawa masiku ano sikulola kutchula mwachindunji zomwe zimayambitsa matendawa ndi alopecia. Pakadali pano, ndizotheka kuzindikira zinthu zina zowopsa zomwe, ndi gawo lokwanira, zomwe zingayambitse kuyambika kwa matenda
Zotsatira zamaganizidwe
Akatswiri ambiri amakhulupirira kuti zovuta zomwe sizingakhudze mwachindunji chitukuko cha alopecia areata, koma zimangoyambitsa kukhazikitsidwa kwa njira zosinthira chibadwa, chifukwa chake musaziphatikizire nawo mndandanda wazomwe zingayambitse, poganiza kuti sizili mokhazikika.
Koma, popeza momwe limapangidwira chitukuko cha matendawa silinaphunziridwe mokwanira, sizothekanso kuthetsa kwathunthu mphamvu ya kupsinjika.
Matenda osiyanasiyana amitsempha yamaofesi
Malinga ndi malingaliro amakono, zomwe zimayambitsa chidwi cha alopecia zimaphatikizidwa ndi chibadwa chamtunduwu ndizomwe zimayambitsa zovuta zomwe zimayambitsa kusokonezeka kwa autoimmune pakhungu ndi tsitsi.
Zomwe zimayambitsa matendawa:
- Mitundu
Pakadali pano, majini 8 adapangidwa omwe amakhudza kukhazikika kwa focal alopecia. Mwambiri, matendawa ali ndi cholowa chamtundu wa polygenic. - Makina a Autoimmune.
Ndi dazi lakhazikika, mawonekedwe amatsitsi amatsutsidwa ndi chitetezo chawo chamthupi ndikukula kwa mawonekedwe amtundu wa autoimmune. - Matenda opatsirana.
Pali kulumikizana kwenikweni pakati pa matenda ndi khonde. Makamaka, izi zimagwira ntchito pa cytomegalovirus, mavairasi a chikuku, rubella, komanso matenda apakhungu am'deralo. - Zinthu zakuthupi.
Pali umboni wa ubale pakati pa mapuloteni otentha (HSP) ndi mawonekedwe a kuwonongeka kwa chitetezo chathupi. Kuvulala kwina kwamthupi (ultraviolet, radiation, ndi zina) kumakhudzanso zovuta za mawonekedwe a tsitsi. - Kuperewera kwa magazi m'deralo.
Chiphunzitso cha zovuta zam'magazi m'matumbo a scalp, chifukwa chachikulu cha alopecia areata, chimatsimikiziridwa mosakwanira.
Zomwe zimayambitsa matenda ndi izi:
- kupsinjika mtima
- katemera
- zamankhwala antioxotic mankhwala,
- kuvulala kwakuthupi
- matenda pachimake (somatic komanso matenda).
Zomwe zimatsogolera pakupanga kwa alopecia osakhazikika sizikudziwika bwinobwino. Amaganiza kuti mu 20% ya milandu pamakhala zifukwa zobadwa nazo.
Ngakhale sizomwe zimayambitsa matendawa sizikudziwika, zimaganiziridwa kuti mawonekedwe amtundu, kupsinjika, kusokonezeka kwa malingaliro, kusokonekera kwa magwiridwe amtundu wa endocrine komanso zokhudzana ndi chitetezo cha mthupi zimakhudza kwambiri.
Palinso malingaliro ena ambiri pazomwe zimayambitsa matendawa.
Chimodzi mwazinthu zomwe zimatsogolera kutsika kwambiri kwa tsitsi ndi mahomoni omwe ali ndi vuto lachitukuko cha amuna. Zimasokoneza maselo a tsitsi ndipo zimapangitsa kuti ntchito yawo ithe.
Ma follicles a tsitsi lowonongeka sangathe kupanga tsitsi kapena kulipangitsa kuti likuphwanya kapangidwe kake. Kusamala kumathanso kugwirizanitsidwa ndi kusintha kwakanthawi kwa mahomoni (mwachitsanzo, kubereka kapena kusamba kwa azimayi) kapena kusintha kwadzidzidzi kwa mphamvu ya mahomoni.
Kuchepetsa tsitsi kwambiri kumatha kuchitika chifukwa chamakina (mwachitsanzo, kutulutsa tsitsi), zovulaza (mwachitsanzo, poyizoni wazitsulo), kapena chifukwa cha matenda ophatikizika.
Mankhwala ambiri, monga cytotoxic drug, immunosuppression, antithyroid, and anticoagulants, amathanso kusiya “chizindikiro” chifukwa chakusamba.
Mapeto ake, kuchepa tsitsi kumatha kuchitika chifukwa chokhala nthawi yayitali yotupa.
Asayansi ena amawona chomwe chimayambitsa kutsekeka kwa tsitsi ndikuphwanya mzere wowerengeka wa tsitsi, kutanthauza kusintha kofulumira kwambiri kuchokera gawo la anagen kupita gawo la catagen.
Mpaka pano, malingaliro awa sanatsimikizidwe ndipo zomwe zidayambitsa chiyambi cha dongosolo lonse la dazi sizinadziwike. Chinthu chimodzi chomwe chimatsalabe ndichakuti kuchepa kwa tsitsi kumatha kukhala ndi mawonekedwe a kutupa, ngakhale kuti palibe kusintha kowoneka mu njira yotupa pakhungu, mawonekedwe ofiira kapena kutentha thupi.
Focal alopecia nthawi zambiri imayamba mothandizidwa ndi makina a autoimmune. Kuteteza thupi kungazindikire molakwika masamba amtsitsi, kuwasokoneza ndi minofu yakunja.
Odwala omwe ali ndi chidwi chachikulu cha alopecia kapangidwe ka mapikisidwe, ma immunoglobulins amapezeka kawirikawiri, matenda a immunoglobulins mu plasma ndi kusowa kwa chitetezo chokwanira.
Matendawa amakhudza azimayi omwe ali ndi tsitsi lakuda kwambiri.
NKHANI za matenda
Dazi la Nesting lili ndi magawo akuluakulu angapo:
- Gawo lothandizika (nthawi zina limatchedwa lopita patsogolo) - amawunika kufupika kwa khungu, kutupa komanso kumva kutentha. M'mphepete mumatha kumva kugunda kwamphamvu. Turichologist, phwando, angaone kuti tsitsi lodulidwa ndilofanana ndi zodzikanira. Idziwonetsanso dera lomwe tsitsi limakhala ndi mizu yofooka, i.e. pakuyesayesa pang'ono adzagwera kapena, atha kutulutsidwa. Nthawi zambiri, malire sawapitilira 12 mm. Ngati muchita bwino kwambiri, i.e. Ngati mungayang'anire tsitsili pakuwonjezeka kokwana 100, mutha kuwona kuwonda ndi utoto wamizu, kwenikweni, zimawoneka ngati chingwe choluka.
- Pamalo osunthira, mawonekedwe amtundu wa khungu amazimiririka, koma palibe malo okhala ndi tsitsi lofooka.
- Gawo lodzikongoletsa - pamalo oyang'anitsitsa dazi, mizere ya tsitsi lopanda utoto litayamba kuwoneka, m'malo ena mutha kuwona kukula kwa tsitsi wamba, koma ndi utoto.
Zosintha mu msomali wa msomali sizimasiyanitsidwa mu gawo lina, chifukwa zimalowa mu mawonekedwe ofewa a alopecia. Matendawa amadziwika ndi kupindika kwa mbale, nthawi zambiri, imapanikizidwa, pomwe imakhala yofanana ndi thimble.
Nthawi zina, mbaleyo imapeza zokongoletsera zazitali, mawonekedwe, koma m'mphepete wokulirapo mulibenso. Anthu 12 mwa 100 aliwonse omwe ali ndi vuto lotchedwa alopecia ali ndi vuto lotere. Mukazindikira mitundu ina ya alopecia, pafupifupi 95% ya anthu adzakhala ndi kusintha koteroko ndi misomali yawo.
Amadziwika ndi kukhalapo kwa dystrophy ya mizu ya tsitsi komanso zochitika zina zosasangalatsa: kuyabwa kapena kuwotcha m'mbali mwa dazi, redness ndi kutupa kwa khungu pakukhazikika kwa matendawa.
Gulu la anthu ambiri padziko lonse lapansi (ICD-10) limazindikira izi monga gawo la alopecia areata.
Magawo a matenda
Magawo atatu a matendawa:
- Zonsezi zimayamba ndi zisonyezo zogwira ntchito: kutupa ndi kufupika kwa khungu pakhungu. Pafupi ndi malire ake, kumverera kodabwitsa ndi kumva kuyaka pang'ono. Mofulumira kwambiri, malo a alopecia m'mimba mwake amafika 1 cm. Mukamayang'ana m'dera lomwe lakhudzidwalo, "hemp" yotsalira yathothoka tsitsi imawonekera bwino. Zingwe zomwezo zomwe zimasungidwabe pakuphulika zimagwedezeka ndikuchotsa mosavuta.
- Gawo lotsatira la alopecia ndi lopumira, i.e. chidwi chinasiya kukula. Khungu lidatenga utoto wotumbululuka, ndipo palibe zotupa pakati pa "zisa".
- Mgawo lakusintha, njira ya alopecia yasintha; potengera, mawonekedwe atsitsi latsopano amatha kuonedwa. Zina mwa izo zimafanana ndi khungu lopanda utoto, zina zimakhala ndi utoto wakuda.
Chikhalidwe cha chisa alopecia sichimveka bwino ndi asayansi. Sizikudziwika bwino kuti cholinga chake chimapangidwa bwanji koyamba, ndiye kuti chimaleka kukula ndipo chikuchitika miyezi ingapo (kapena ngakhale zaka). Kenako makutu pawokha amakula ndi tsitsi latsopano.
Khalidwe la matendawa silikudziwikiratu, ma alopecia areata amatha kudziwonetsa m'njira zosiyanasiyana.Mwa amuna, zizindikiro zonse za kusankha pamadazi zimawonekera nthawi yomweyo. Ngakhale alopecia areata mwa akazi sangawonekere nthawi yomweyo. Ena atha kukhala zaka zingapo, osasamala za zosasangalatsa zomwe zimakhala ndi alopecia yomwe ikupita patsogolo. Chilichonse chimadalira pamawonekedwe omwe matendawa amawonekera.
Male alopecia areata akafufuzidwa ndi trichologist.
Mitundu ya alopecia areata
- Pamene ntchito yotaya zingwe pamutu yatchulidwa, amalankhula za mawonekedwe a alopecia. Zimakhudza mbali yonse ya tsitsi.
- Local pathological alopecia amawonetsedwa ndi ozungulira ozungulira ozungulira omwe ali ndi malire omveka.
- Alopecia yozungulira m'mphepete mwa kukula kwa tsitsi ndi mawonekedwe a ophthalmic. Nthawi zina ndimakachisi ndi mphumi kapena kumbuyo kwa mutu komwe zimakhudzidwa. Alopecia pankhaniyi ali ndi mawonekedwe a tepi.
- Ndi mawonekedwe apamwamba kwambiri, 40% ya tsitsi lakelo amavutika. Apa, zoyang'ana zazing'ono zamtundu wapomwe zimayamba kuphatikizana ndi wina ndi mnzake, ndikupanga madera akuluakulu owonongeka.
- Alestecia yam'mimba yonse imakhudza khungu lonse, ndikupanga munthu wadazi. Tsitsi limagwa kwambiri mbali zina za thupi.
- Palinso mawonekedwe apadziko lonse lapansi pamene chiwonetsero cha alopecia chikuwonekera osati pakhungu - matendawa amakhudza nsidze, eyelashes, ndi tsitsi la thupi. Mwa amuna, mutha kuwona zozungulira zamatazi pachibwano. Ndi mtundu uwu wa alopecia, gawo lowongolera lingayambenso kugwira ntchito, ndikuwononga kuwoneka ngati fumbi.
Dazi lamtunduwu limasiyanitsidwa ndi mitundu yosiyanasiyana yomwe imasiyana ndi inzake pamlingo wowonongeka ndi malo. Universal alopecia pakupita mobwerezabwereza imatha kudziwonetsa mwa mtundu wina uliwonse womwe wafotokozedwera pamwambapa ndipo imakhala yofatsa, zomwe zimapangitsa kuti mankhwalawa azigwirizana. Mtundu uliwonse wa alopecia wozungulira ungachitike mosavuta komanso pang'onopang'ono, ndipo nthawi yomweyo umatha kuyamba mwamphamvu. Potsirizira pake, matendawa amakhudza msomali.
Munthu m'modzi amatha kuwonetsa mitundu ingapo ya alopecia areata nthawi imodzi, kapena imodzi mwanjirayo imasunthira ina. Khalidwe la matendawa limapangitsa kukhala kovuta kuchiza.
Zomwe zimayambitsa matendawa
- Matenda opatsirana am'mimba omwe amapezeka m'thupi, matenda opumira kwambiri, makhosi am'mano, komanso kutupa kwa ziwalo zamkati, ngati sanasungidwe nthawi, kumayambitsa ma virus atalowa m'magazi. Ndi iye, nthendayo imafalikira kudzera mthupi ndikufikira m'mabowo a tsitsi. Mababu okhudzidwa amadziwika ndi chitetezo cha mthupi monga matupi akunja ndikukumana ndi autoimmune.
- Pakakhala kulephera mu endocrine dongosolo, kukanika kwa chithokomiro England ndi adrenal cortex. Izi zimakhudza ntchito ya pituitary ndi hypothalamus. Zonsezi zimabweretsa kukula kwa focal alopecia.
- Mchitidwe wamagulu amanjenje ungayambitse kuphwanyidwa kwa magazi, komwe kumayambitsa kukokana kwa arterioles ndi precapillaries. Mitsempha yamagazi imakwera, yomwe imachepetsa kuyenda kwake. Mababu omwe amalandila zakudya zochepa amayamba kuvutika.
- Kupsinjika kumayambitsa magawo a mitsempha yamagazi. Amayambitsa matenda m'thupi, omwe mwadzidzidzi amakhala "khungu."
Alopecia areata ali ndi zifukwa zomwe sizivuta kuthana nazo, komanso, matendawa ndi amodzi mwa matenda. Autoimmune syndrome imayesedwa kuti ndiyo imayambitsa mlandu. Zinthu zonse zomwe zafotokozedwazi sizingakhudze kukula kwa alopecia areata ngati munthu sanadziwike mwanjira imeneyi.
Odwala ambiri, kukula kwa alopecia kumalumikizidwa ndendende ndi kufooka kwa chibadwa cha follicles.
Maso okongoletsa sayenera kunyalanyazidwa, mwa mtundu uliwonse ndi mawonekedwe ake. Mukangoyamba chithandizo, zimakhala zosavuta kuthana ndi matendawa. Ndi mutu umodzi wocheperako, chithandizo chokwanira cholimbitsa chidzakwanira. Zimaphatikizidwa ndi mavitamini amtundu (A, magulu B, C, E, PP) ndi kukonzekera kwachitsulo. Dokotala amafotokozera kuchuluka kwa mchere ndi mavitamini osakanikirana ndi amino acid. Mitundu ina yoopsa kwambiri ya alopecia imafunikira chithandizo chamankhwala, chomwe chimaphatikizapo zotsatira zachipatala ndi zovuta.
Njira zolimbitsa thupi
- Yambitsani maphunzirowa pogwiritsa ntchito alopecia yokhazikika corticosteroid mahomoni. Itha kukhala zodzola kapena mafuta omwe amayikidwa m'malo omwe akhudzidwa. Ngati wodwalayo alola, ndi bwino kugwiritsa ntchito mankhwala osokoneza bongo a corticosteroid mothandizidwa ndi jakisoni. Mankhwala monga "Diprostan" kapena "Triamcinolone Acetonide" amapereka zotsatira mwachangu.
- Nthawi zina, muzigwirabe ntchito Anthralin. Mankhwalawa amachititsa kuti pakhale kulumikizana kwa khungu la khungu, motero "amadzitsitsa chidwi" cha ma antibodies okha. Chifukwa cha mphamvu ya wothandizirayi, ntchito ya autoimmune system ndi yoletsedwa.
- Mu milandu yomwe kugonjetsedwa kwa alopecia kumafika zoposa 30%, ma immunomodulators a mtunduwo "Diamincyclopropenone". Kugwiritsa ntchito popanda kuyang'aniridwa ndi dokotala kumakhala koopsa, chifukwa chake, mankhwalawa amangoikidwa kuchipatala.
- Limbikitsani zotsatira za mankhwala am'deralo pa alopecia amathandiza admsakhalin.
- Zotsatira zabwino zitha kuchitika ndi kachikachiyama, laser chithandizo, kugwiritsa ntchito zida Darsonval etc.
Kukonzekera kwachipatala
- Pamaso pa matenda oyambitsidwa ndi matenda, chithandizo chamankhwala chimapangidwa kuti chiziwathetsa (munjira iliyonse, yawo).
- Mankhwala a Vasodilator athandizira kukonza ma microcirculation: Cavinton, Troxevasin, Trental, etc.
- Zakudya zamafuta kumalo a tsitsi ndizoperekedwa ndi Actovegin, Solcoseryl.
- Ma Vasospasms amachotsedwa ndi mankhwala a nootropic: Nootropil, Piracetam.
Chithandizo cha mtundu uliwonse wa alopecia woyenera uyenera kuchitika ndi dokotala ndikukhala ndi umunthu. Pankhaniyi, munthu sayenera kungokhala ndi mankhwala amodzi kapena machitidwe - mankhwalawa amayenera kukhala okwanira, omwe cholinga chake ndi kupondereza autoimmune syndrome.