Momwe mungachiritsire dermatitis ya seborrheic mu mwana

Madera omwe amadalira Androgen - madera pakhungu ndi kudzikundikira kwa gwero la sebaceous (scalp, auricles, nkhope: dera la nsidze, m'mphepete mwa nasolabial, kumtunda kwachitatu kwa chifuwa ndi kumbuyo, ntchafu zamkati)

Othandizira a Keratolytic - awa ndi mankhwala akunja omwe amagwiritsidwa ntchito kufewetsa ndikukana strne corneum ya epidermis, tsitsi, misomali yamatenda osiyanasiyana a pakhungu.

Ndalama za Seboregulatory - awa ndi mankhwala okonzekera komanso zodzikongoletsera zomwe zimapangitsa kuti minyewa ya sebaceous izitulutsa ntchito.

Zochita imathandizira kuchepetsa kuchepa kwa chinyezi cha transepidermal ndipo imayamba chifukwa chogwiritsa ntchito ndalama zina zakunja.

1.2 Etiology ndi pathogeneis

Kuchuluka kwa matenda ashuga m'makanda chifukwa cha kukhalapo kwa zotupa zazikulu za sebaceous komanso kuchuluka kwa katulutsidwe ka sebum, kufananizidwa ndi akulu. Izi zimatha kuphatikizidwa ndi mawonekedwe apamwamba ochulukitsa mahomoni a amayi kapena kuwonjezeka kwa adrenocorticosteroids adakali ana, komanso kusintha kwa mapangidwe a biochemical a lipids pamwamba pa khungu. Kafukufuku wamakono ambiri sanatsimikizire tanthauzo la etiopathogenetic lamatumbo a Malassezia furfur mu matenda a seborrheic dermatitis [5,6,7,8].

Kuwoneka kwa matenda ashuga kutha msinkhu komanso kukalamba kumachitika chifukwa chazinsinsi zambiri za zotupa za sebaceous, kupatuka pakupanga milomo yokhala ndi cholesterol, triglycerides, etc., komanso gawo lofunikira la lipophilic bowa Malassezia [6,7].

Achinyamata mawonekedwe a seborrheic dermatitis nthawi zambiri amagwirizanitsidwa ndi matenda amitsempha, kuwonjezera pamenepo, mumakonda kufalikira kwa matenda ashuga pambuyo kuwonekera pazinthu zovuta. Kubwerezedwanso pafupipafupi kwa anthu akuluakulu kumatha kukhala chizindikiro cha khungu la anthu omwe ali ndi immunodeficiency syndrome.

Kusintha kwa nyengo ndi kutentha komanso chinyezi kumakhudza matendawa, kotero kuti nthawi yozizira, kuchuluka kwa matenda ashuga kumachitika kawirikawiri.

1.3 Epidemiology

Matenda a shuga a ana ndi achinyamata amayambitsidwa ndi zifukwa zingapo za etiopathogenetic.

Mu ana, matendawa amakula m'miyezi yoyambirira ya moyo, nthawi zambiri mkati mwa masabata khumi [5,6]. Kuchuluka kwa seborrheic dermatitis mwa akhanda m'miyezi itatu yoyambirira. moyo umafika 70% [6,7].

Matenda a matenda a shuga a achinyamata amakula msinkhu akamakula komanso achikulire, nthawi zambiri pakati pa amuna.

1.5 Zitsanzo za matenda

• • Dermatitis ya seborrheic ya khungu.
  • Dermatitis ya seborrheic ya nkhope.
  • Dermatitis ya seborrheic ya khungu ndi nkhope.
  • Seborrheic blepharitis.
  • Dermatitis ya seborrheic ya nkhope ndi thunthu.
  • Dermatitis ya seborrheic, mawonekedwe.

1.6 Gulu

Gawani matenda ashuga aubwana komanso matenda ashuga a achinyamata.

Matenda a shuga a Ana:

• Matenda a m'magazi ("bonnet yatsopano"),
• Matenda a shuga a Torso
• Leiner-Mousse matenda (desquamative erythroderma).

Matenda a achinyamata:

• Matenda a pakhungu,
• Nkhope ya SD
• Matenda a shuga a Torso
• Mtundu wamagulu a shuga.

2.1 Madandaulo ndi mbiri yakale yazachipatala

• Mukakusonkhanitsa anamnesis ndi madandaulo omwe ali ndi ana omwe amakayikiridwa kuti ali ndi vuto linalake, tikulimbikitsidwa kuyang'anira:

• nthawi yoyamba matendawa,
• mtundu wa kudyetsa (mawere / yokumba),
• pamaso pa zotupa pakhungu la khungu, nkhope, malo ozungulira,
• kukhalapo kapena kusapezeka kwa kuyabwa.

• Ngati mukukayikira matenda ashuga achinyamata, tikulimbikitsidwa kuti mupereke chidwi ndi:

• maonekedwe a totupa (prepubertal / kutha msinkhu),
• kukhalapo kwa zotupa pakhungu lolemera mu zotupa za sebaceous (khungu, nkhope, chifuwa, kumtunda kwachitatu kumbuyo, ntchafu zamkati),
• mbiri ya banja (kukhalapo kwa zizindikiro pamwambapa).

2.2. Kuyeserera kwakuthupi

• Pa mayeso a chipatala omwe akuyembekezeredwa seborrheic dermatitis yaubwana, tikulimbikitsidwa kuyesa kuyenderana kwa kukula kwa thupi kwa mwana, komanso kupezeka kwa zizindikiro zazikulu zamatenda a matenda a shuga a ana:

• mafuta amaso achikasu (crusta lactea - mkaka kutumphuka) pakhungu, makamaka kumadera akumaso,
• Hyperemia, ikutsalira kumbuyo kwa tsitsi komanso kumbuyo kwa auricles,
• zotupa tserythematous, maceration pakhungu la khomo pachibelekeropo, axillary, inguinal folds,
• kuyabwa (kuyambira pang'ono mpaka kwambiri), nkhawa.

Ndemanga:Matenda a shuga a ana amapezeka, nthawi zambiri, mkati mwa theka loyamba la moyo ndipo amakhala ndi zotupa zambiri za scalp komanso zolumikizirana.

Ndi matenda a shuga a m'mimba, machitidwe nthawi zambiri amakhudza mbali yakumaso, tsitsi siligwera, kutupa sikokwanira, kuyabwa kulibe.

Ndi matenda a shuga a mthupi, zikwama zamkati zimakhudzidwa ndi njirayi: khomo lachiberekero, axillary, inguinal, diaper ndi kuwonongeka kwa khungu. Mitundu ya totupa imatha kukhala ngati mphete, yoboola ndalama ndi polycyclic. Kapangidwe kazinthu kamwazikana kapena kowonekera mwachilengedwe [5,6,11].

• Ngati mukukayikira erythroderma Leiner-Moussa, tikulimbikitsidwa kuyesa kupezeka kwa:

• gawo kapena khungu lathunthu la pakhungu,
• kusenda
• kuchepa magazi
• kutsegula m'mimba
• malungo
• kuwonda
• lymphadenopathy.

Kuphatikizidwa kwa zizindikirozi kumayambitsa vuto lalikulu.

Ndemanga:Nthawi zina, odwala matenda ashuga, amaphatikizika modzidzimutsa ndi zomwe zimapangitsa kuti einthroderma Leiner-Mousse aziwoneka. Izi zamatumbo zimayamba, monga lamulo, m'miyezi itatu yoyambirira. moyo ndipo amawoneka ngati complication ya seborrheic dermatitis. Zoyambitsa thupi zomwe zimayambitsa kupsinjika sizikudziwika, koma chidwi cha matenda omwe amabwera ndi zovuta za metabolic zimatha kupangitsa kuti matendawa atukuke.

• Ngati mukukayikira seborrheic dermatitis mu achinyamata, tikulimbikitsidwa kuwunika mtundu wa sebum pakhungu la madera omwe amadalira androgen, komanso kukhalapo kwa:

• pityriasis peyala pa khungu la khungu,
• kulowetsedwa erythematous foci, zigawo za mafuta achikasu otumphukira pamalo a khungu lomwe lili ndi zotupa za sebaceous.

Ndemanga:Matenda a shuga achichepere amatha kuchitika motsutsana ndi msinkhu wakutha msinkhu, komanso ngakhale paukalamba. DM imadziwika ndi njira yokhazikika yobwereza, nyengo yowonjezera. Ndi mtundu uwu wa matenda ashuga, njira ya pathological imapangidwira m'malo omwe ali ndi zotsekemera za sebaceous (fronto-parietal dera la mutu, nsidze, dera la pakati, maselo a nasolabial, chifuwa, interscapular dera). Nthawi zambiri zotupa za khungu ndi nkhope zimadziwika.

• Ngati mukukayikira kuti pali shuga wambiri, tikulimbikitsidwa kupenda kupezeka kwa zipilala zachikasu zowoneka bwino komanso kukhazikika pakhungu la thupi, kuwonongeka kwa makola, kulira ndikulumikizana ndi matenda ena achiwiri, omwe amathandizira kukulitsa malo owonongeka.

Ndemanga:Mitundu yapadera ya kapangidwe ka dermatitis ya seborrheic ndi zotupa za phula lakunja ndi ngalande.

Mitundu yonse ya seborrheic dermatitis imatha kutsagana ndi kuyabwa pamtunda kuchokera paofatsa mpaka pakakulu.

Algorithm yofufuza matenda a shuga imaperekedwa mu Zakumapeto G1.

2.5 matenda osiyanasiyana

Kuzindikira matenda a shuga kwa ana kumakhazikitsidwa ndi zidziwitso kuchokera kuchipatala. Imachitika ndi matenda ena amkhungu a chaka choyamba cha moyo, omwe amadziwika ndi kukhalapo kwa erythematous foci ndi phenezena.

1. Dermatitis ya Atopic imayambika pambuyo pake (masabata a 8-12), nthawi zambiri mbiri yapaubwino imawonedwa, zotupa zimakonda kupezeka pakhungu la nkhope, malo ophatikizika ndi osowa kwambiri, nthawi zonse kuyabwa kulipo.
2. Psoriasis muzochuluka mwazinthu zambiri sizofanana ndi zomwe zachitika m'badwo uno. Mapilala ndi opindika kwambiri, ali ndi malire omveka bwino, osenda pansi. Dera la diaper lingakhudzidwe. Zowonera zingapo zikuwonetsa mbiri ya banja. Kufufuza zakale kumafunikira pakukayikira.
3. Dermatophytosis ya khungu losalala imadziwika ndi kukhalapo kwa zotupa zotchulidwa bwino za erythematous ndi zotumphukira zokhala ndi zotumphukira. Pali mbiri yokhudzana ndi nyama. Kusanthula kwa Microscopic ndi KOH kutsimikizira kukhalapo kwa matenda oyamba ndi fungus.
4. Histiocytosis yochokera ku maselo a Langerhans imayendera limodzi ndi kukhalapo kwa totupa pachimake, thunthu, mapangidwe, momwe zinthu zitha kuyimilidwa ndi mapepala a erythematous, malo ang'onoang'ono osakhazikika omwe amakhala ndi masamba, okutidwa ndi khungu la chikasu. Ngati mukukayikira matenda kuwunika kwa histological kumafunika.

Kusiyanitsa kwakukulu kwa matenda ashuga achinyamata kumakhazikika pa kuthekera kwa zotupa za khungu:

1. Zilonda zam'maso zama scalp ndi auricles zimadziwika ndi hyperemia yowonjezereka komanso kulowetsedwa kwa zinthu, kupindika kwa masokono a silvery, ndi zochitika zabwino za psoriatic. Zowonongeka pambale za msomali, kukhalapo kwa totupa ya malo ena ndikotheka.
2. Ndi atopic dermatitis, matupi awo amatha kutsata, zotupa m'mbali zina za thupi zimatsimikizika, pamakhala kuyabwa kwambiri.
3. Kukhudzana ndi dermatitis kumadziwika ndi malire omveka a foci, omwe amafanana ndi gawo lowonekera ndi kukondoweza, kusowa kwa mawonekedwe a peel, crusts.
4. Pamaso pa zotupa pakhungu la thupi, kuwunika kosiyanitsa kumachitika ndi ma pinki akalumikizana, komwe kumadziwika ndi mawonekedwe otupa, kupezeka kwa mawonekedwe ofatsa pakati penipeni.

Pamaso pa foci kunja kwa ngalande, kuwunika kosiyanaku kumachitika ndi zotupa za khungu la etiology.

Nthawi zambiri, matenda a shuga a ana amakonzedwa pawokha ndipo safunikira chithandizo chamankhwala. Kusankha kwa njira zamankhwala zothandizira odwala matenda ashuga kumadalira kuchuluka komanso kuwuma kwa mawonetseredwe azachipatala, nthawi yayitali ya matendawa, komanso chithandizo chamankhwala am'mbuyomu.

3.1 Njira zochizira

Zolinga zakuchiritsa matenda osavuta shuga:

• kumasula ndikuchotsa ma flakes ndi crusts,
• kuchepetsa kwa erythema
• chitetezo chachiwiri.

• Ndi matenda a shuga a m'mimba, kuikidwa kwa ma keratolytic othandizira akulimbikitsidwa [1,5,7].

(Mphamvu zolimbikitsa - III, kudalirika kwa umboni - D)

Ndemanga:- zonona ndi 1-2% salicylic acid g (ATX code D01AE12,

- compress ofunda ndi mafuta (maolivi, pichesi, amondi), Zomwe zimagwiritsidwa ntchito pa zotupa Mphindi 40-60 musanatsukidwe.

• Pambuyo pochotsa mamba ndi ziphuphu, tikulimbikitsidwa kuti mupereke mankhwala ofunikira a corticosteroids ofooka ngati mankhwala othana ndi kutupa [1,3,10].

(Mphamvu zolimbikitsa - II, kudalirika kwa umboni - C)

Ndemanga:mafuta ndi 1% hydrocortisone w, bk (ATX code D07AA02), kuyambira wazaka 2,

zonona za 0,1% prednisolone aceponate g, bk (ATX code D07AC14), zimagwira ntchito kuyambira wazaka 4;

zonona za 0,1% hydrocortisone 17-butyrate (ATX code D07AB02), zimagwira ntchito kuyambira wazaka 6;

Kugwiritsa ntchito mankhwala kumachitika 2 pa tsiku kwa masiku 5-7.

• Monga wothandizirana ndi keratoregulatory, kuyambira nthawi yamatumbo aumuna, ndikulimbikitsidwa kupaka mafuta omwe amakhala ndi malic acid ester, batala la sheya, batala la sheya, glycerin [11,12].

(Mphamvu zolimbikitsa - IV, kudalirika kwa umboni - D)

• Pakawonongeka magawo olowererapo, njira zamankhwala zochizira zimayang'ana kuti muchepetse vuto la hyperemia, kupewa matenda opatsirana, chifukwa chaichi ndikulimbikitsidwa kuti mupeze othandizira ophatikizika [5,6,7].

(Mphamvu zolimbikitsa - II, kudalirika kwa umboni - C)

Ndemanga:kirimu wokhala ndi hydrocortisone / natamycin / neomycin (ATX code D07CA01), gwiritsani ntchito kuyambira pobadwa, mpaka chaka chimodzi - mosamala [9,12].

Mapulogalamu amachitika kawiri pa tsiku kwa masiku 5-7.

• Ngati mumanyowa, ndikofunikira kuwonjezera mayankho a utoto wa aniline ndi ma pastes okhala ndi antiseptic ndi adsorasing othandizira mankhwalawo, kuwagwiritsa ntchito musanayambe kugwiritsa ntchito mankhwala opangira mankhwala apamwamba.

(Mphamvu zolimbikitsa - V, kudalirika kwa umboni - D)

Ndemanga:kuzimitsa ndi mayankho amadzimadzi a gentian violet kapena methylene buluu 2 pa tsiku kwa masiku 5,

-Kuyika kwa phala ndi zinc kwa masiku atatu.

• Pankhani ya matenda a shuga, chithandizo chamankhwala chimalimbikitsidwanso kuti muchepetse vuto la kutupa, kupewa matenda opatsirana, chifukwa chaichi tikulimbikitsidwa kuti apereke mankhwala ophatikizira apadera [7,8].

(Mphamvu zolimbikitsa - II, kudalirika kwa umboni - C)

Ndemanga:kirimu wokhala ndi hydrocortisone / natamycin / neomycin (ATX code D07CA01) ndi pafupipafupi kugwiritsa ntchito 2 kawiri pa tsiku kwa masiku 5-7.

• Pankhani ya kuyabwa, tikulimbikitsidwa kupereka mankhwala a antihistamines [5,6].

(Mphamvu zolimbikitsa - III, kudalirika kwa umboni - C)

Ndemanga:dimetinden (ATX code R06AB03) 3-5 imatsika katatu patsiku,

cetirizine g, bk (ATX code R06AE07) 5 imatsika nthawi imodzi patsiku kuyambira wazaka 6.

Kugwiritsa ntchito antihistamines kumachitika isanathetse kuyabwa.

• Mu zovuta zovuta za shuga ndi chitukuko cha erythroderma yocheperako, tikulimbikitsidwa kuti tizitha kulandira chithandizo kuchipatala pogwiritsa ntchito njira zazifupi za mankhwala a mahomoni ndi antibacterial [6,7].

(Mphamvu zolimbikitsa - III, kudalirika kwa umboni - C)

Ndemanga:Zolinga zakuchipatala zokhudzana ndi matenda achinyamata

• Kuchotsa khunyu ndi erythema m'malo omwe akhudzidwa,
• Kuchepetsa
• chitetezo chachiwiri.

• Mukamafotokozera za matenda a shuga pamalonda ngati keratolytic, anti-yotupa, antipruritic, tikulimbikitsidwa kupereka mankhwala okhala ndi salicylic acid ndi glucocorticosteroids [4,5].

(Mphamvu zolimbikitsa - II, kudalirika kwa umboni - C)

Ndemanga:mafuta odzola ndi betamethasone dipropionate / salicylic acid (ATX code D07XC01) ndi muyezo wa 2 kawiri pa tsiku kwa masiku 7-10, kuloledwa kuyambira wazaka 6.

• Poletsa kufalikira kwa bowa wa Malassezia pakhungu la khungu komanso pakhungu la thupi, tikulimbikitsidwa kugwiritsa ntchito shampoos okhala ndi zigawo za antifungal [11,12,14].

(Mphamvu zolimbikitsa - II, kudalirika kwa umboni - A)

Ndemanga:2% ketoconazole shampoo (ATX code D01AC08), gwiritsani ntchito 2 kawiri pa sabata kwa masabata 3-4, ndiye kuti 2 pa mwezi popewa kubwereranso m'mbuyo [8,9,12,14].

- shampoo ndi cyclopirox (ATX code G01AX12), gwiritsani ntchito kawiri pa sabata kwa masabata 3-4, kenaka 2 pa mwezi popewa kuyambiranso, gwiritsani ntchito kuyambira zaka 10.

• Monga othandizira operekera sebum, odana ndi kutupa, antifungal kanthu, tikulimbikitsidwa kupereka mankhwala okonzekera ndi pyrithione-zinc.

(Mphamvu zolimbikitsa - III, kudalirika kwa umboni - D)

Ndemanga:-1% shampoo, 0,2% aerosol yokhala ndi pyrithione-zinc (ATX code D11AX12), yomwe imaloledwa kuyambira wazaka 1, gwiritsani ntchito 2 pa sabata kwa masabata 2-3 ndikuchoka pang'onopang'ono kwa mankhwalawa.

• Pakawonongeka khungu la nkhope, ngalande yakunja yam'mimba, thunthu panthawi yazowawa zotupa, tikulimbikitsidwa kupereka mankhwala omwe ali ndi corticosteroids mu mafomu omwe samayambitsa mphamvu ya occlusive [5,8,11].

(Mphamvu zolimbikitsa - II, kudalirika kwa umboni - C):

Ndemanga:kirimu wa 0% mometasone furoate g, bk (ATX code D07AC13) pafupipafupi wa kugwiritsa ntchito nthawi 1 patsiku kwa masiku 5 mpaka 10, amaloledwa kuchokera zaka 2,

kirimu 0,05% betamethasone dipropionate W, BK (ATX code D07AC01) imagwiritsidwa ntchito mosamala kuyambira zaka 6 miyezi, pafupipafupi kugwiritsa ntchito nthawi 1 patsiku osapitilira masiku 5.

• Mukapeza kachilombo, ndikulimbikitsidwa kuti mupereke mankhwala othandizira [5,7,8].

(Mphamvu zolimbikitsa - II, kudalirika kwa umboni - C)

Ndemanga:- zonona ndi betamethasone /neneamicin / clotrimazole (code ATX D07XC01) amaloledwa kuchokera zaka 2, pafupipafupi ntchito 2 kawiri tsiku kwa masiku 5-10,

- zonona ndi hydrocortisone / natamycin / neomycin (code ya ATX CA01) kuyambira kubadwa, mpaka chaka 1 - mosamala, pafupipafupi kugwiritsa ntchito kawiri pa tsiku kwa masiku 5-10,

• Pambuyo kuyimitsa kutupa pachimake, tikulimbikitsidwa kuti muphatikizirenso kukonza mankhwala:

kirimu wokhala ndi 0,2% pyrithione-zinc (ATX code D11AX12) amaloledwa kuyambira azaka 1, gwiritsani ntchito 2 kawiri pa tsiku kwa masiku 10 mpaka 10 pang'onopang'ono posiya mankhwala.

- zonona ndi pimecrolimus (code ya ATX D11AH02) imaloledwa kuchokera pamiyezi 3. Gwiritsani ntchito 1-2 pa tsiku kwa masiku 10 mpaka 10 pang'onopang'ono kusiya kwa mankhwalawa

(Mphamvu zolimbikitsa -III, kudalirika kwa umboni - C)

• Pamaso pa kuyabwa, tikulimbikitsidwa kupereka antihistamines a m'badwo wachiwiri [1,5,7].

(Mphamvu zolimbikitsa -III, kudalirika kwa umboni - C)

Ndemanga:

-cetirizine g, bk (ATX code P06AE07) 10 mg kamodzi patsiku kwa masiku 7-10,

-levocetirizine (ATX code R06AE09) 5 mg kamodzi patsiku kwa masiku 7-10,

-loratadine g, bk (ATX code R06AX13) 10 mg kamodzi patsiku kwa masiku 7-10,

-desloratadine (ATX code R06AX27) 5 mg kamodzi patsiku kwa masiku 7-10.

• Mu shuga yayikulu mellitus, yodziwika ndi njira yodziwika bwino kapena yotsikira, kuyikidwa kwa mankhwala antifungal ogwiritsira ntchito pakamwa ndikulimbikitsidwa [8,11].

(Mphamvu zolimbikitsa -II, kukhulupirika kwa umboni - B)

Ndemanga:- ketoconazole, tabu. (ATX code J02AB02), yololedwa kuyambira zaka 2, kwa ana masekeli 15-30 kg 100 mg 1 nthawi patsiku, zoposa 30 kg - 200 mg patsiku kwa masabata anayi [11,14],

- Zachikoka -itraconazole. (ATX code J02AC02) 200 mg 1 nthawi patsiku kwa sabata, ndiye 200 mg milungu iwiri iliyonse,

-bwinoko, tabu. (ATX code D01BA02), kuloledwa kuyambira wazaka 2, kulemera kwa thupi loposa 40 kg, 250 mg kamodzi patsiku kwa masabata a 4-6,

fluconazole zisoti. g, bk (ATX code J02AC01), 50 mg 1 nthawi patsiku kwa masabata awiri kapena 300 mg 1 nthawi pa sabata kwa masabata awiri.

3.3 Mitundu ina yamankhwala

• Odwala omwe ali ndi leiner-Mousse erythroderma, pamodzi ndi gastroenterologist ndi akatswiri azakudya, amalimbikitsidwa kuti azichita mankhwala opatsa thanzi kuti akonze matenda am'mimba.

(Mphamvu zolimbikitsa -V, kudalirika kwa umboni - D)

• Malangizo ambiri kwa ana omwe ali ndi madera akumidzi a shuga amaphatikizanso zakudya zabwino kwa mwana ndi mayi. Mu shuga ya achinyamata, tikulimbikitsidwa kuti muzitsatira zakudya zamagulu komanso zoletsa zina zowonjezera, kupatula kugwiritsa ntchito mankhwala onunkhira, komanso kuvala zovala zopangidwa mwaluso.

(Mphamvu zolimbikitsa -V, kudalirika kwa umboni - D)

• Ndikulimbikitsidwa kukhalabe ndi malingaliro abwino okhudzana ndi nkhawa popanda kuphatikizidwa ndi zinthu zomwe zimayambitsa nkhawa.

(Mphamvu zolimbikitsa -V, kudalirika kwa umboni - D)

• Ngati kuwonongeka kwa khungu la thunthu ndi madera otakataka, malo osambira mpweya, kusamba m'madzi ofunda ndikugwiritsa ntchito mafuta odzola ndikulimbikitsidwa.

(Mphamvu zolimbikitsa -V, kudalirika kwa umboni - D)

5. Kupewa ndi kutsatira

Odwala ambiri omwe ali ndi matenda a shuga aubwana ndi achinyamata amalandila chithandizo chanthawi. Pankhani ya generalization a khungu ndondomeko, wamkulu ana a chaka choyamba cha moyo, kukula kwa einthroderma, inpatient chithandizo akuwonetsedwa.

Kutalika kwakukhala kuchipatala kumatha kukhala masiku 10-14.

Makhalidwe oyeserera mtundu wa chisamaliro

Gome 1 - Mabungwe ndi ukadaulo popereka chithandizo chamankhwala.

Mtundu wa chithandizo chamankhwala

Thandizo Lapadera Lamadokotala

Migwirizano ya chisamaliro

Kusamalira / kusamalira tsiku

Fomu Yothandizira Maudokotala

Gawo 2 - Njira zoyenera kusamaliridwa

Zimayambitsa seborrheic dermatitis

Zomwe zimapangitsa kukula kwa seborrheic dermatitis mwa ana sizimamveka bwino, koma lero umboni wotsimikiziridwa ndi kupezeka kwa causative wothandizila wa pathological Mkhalidwe - bowa Malassezia furfur. Amaonedwa kuti ndi tizilombo tating'onoting'ono tomwe timayambitsa matenda, omwe amathandizira pamaso pa zinthu zabwino pakubala kwawo.

Zoyambitsa zazikulu za seborrhea mu makanda ndi ana aang'ono zimagawika m'magulu awiri: mkati ndi kunja.

• kusalinganika kwa mahomoni, kuchuluka kwama mahomoni m'magazi a mwana, endocrine pathologies,
• kupsinjika kapena matenda amanjenje,
• kuchepa chitetezo chokwanira,
• Kuperewera kwa biotin (Vitamini a gulu B) komwe kumayendetsa kagayidwe kazinthu ndi kagayidwe kachakudya mthupi.

• kudziwikiratu banja
• kusokonezeka kwa thukuta ndi zotupa za sebaceous, kusintha kwa mapangidwe awo mu nthawi ya owerengeka,
• zovuta zachilengedwe
• kupukuta ndi shampoos okhala ndi alkali.

Matenda a matenda a seborrhea mwa ana

Zizindikiro zoyambirira za seborrheic dermatitis mu makanda amawoneka masabata awiri mpaka atatu atabadwa. Amalumikizidwa ndi kuchuluka kwamahomoni m'magazi a mwana wakhanda, yemwe amalowa mthupi lake ndi mkaka wamawere, komanso ndi chiyambi cha kugwira ntchito kwa ziwalo za sebaceous.

Choyamba, zinthu za zotupa zimawonedwa pakhungu m'malo ang'onoang'ono ofiira, ophimbidwa ndi mamba oyera oyera kapena achikasu. Ndiye totupa timasandulika gneiss. Amapangidwa kuchokera kuzinthu zokhudzana ndi khungu la epithelial ndi sebum ndipo imakwirira mbali zina za khungu la khungu ndi nsidze m'mayendedwe amisempha yosiyanasiyana yamagawo osiyanasiyana. Komanso, seborrheic foci imatha kuwoneka m'makhola amtundu, pamapiko a mphuno, m'manja.

Ngati zizindikiro zoyambirira za matenda a seborrheic dermatitis zimawonekera mwa ana, muyenera kulumikizana ndi katswiri - wa matenda a ana kapena dermatologist ya ana.

Mfundo za chithandizo cha matenda a zam'thupi pogwiritsa ntchito njira zosiyanasiyana

[adrotate ban = "4 ″] Dermatitis ya seborrheic muubwana ndi matenda ovuta, koma osati owopsa, omwe, mwa chisamaliro choyenera ndi malamulo aukhondo, amadzisowa pawokha pakatha milungu ingapo. Nthawi yomweyo, munthu sangathe kudzimangiriza - chiwonetsero cha seborrhea mu ana chimatha kusokonezeka ndi zovuta zina, chifukwa chake ndikofunikira kufotokoza bwino za matendawa, ndipo chithandizo chikuyenera kuchitika pokhapokha kuyang'aniridwa ndi dokotala.

Therapy ya seborrheic dermatitis imachokera pa njira yophatikizika ndipo imaphatikizapo:

• kuchapa mutu wa mwana ndi ma shampoos apadera a khungu (Skin-Cap, Mustela Bebe shampoo, Ionel), omwe amachepetsa ntchito za bowa komanso amachepetsa kutupa kwa khungu,
• Kuchotsa modekha ndi burashi wofewa kapena chisa chapadera,
• Zakudya zopatsa mphamvu za amayi oyamwitsa, kuyambitsa koyenera kwa zakudya zowonjezera,
• kugwiritsa ntchito mankhwala (antifungal agents, mafuta okhala ndi mahomoni am'deralo komanso maantibayotiki akaphatikizidwa).
• wowerengeka azitsamba zochizira mitundu yosiyanasiyana ya seborrheic dermatitis (mankhwala othandizira mankhwala opaka pakhungu, ntchito kuchokera ku koloko, mchere wamchere ndi mankhwala ena othandizira, mafuta ofunikira ndi mafuta opaka).

Chithandizo cha seborrheic dermatitis mwa ana omwe ali ndi wowerengeka azitsamba

Zochizira matenda a seborrheic dermatitis mwa ana omwe ali ndi wowerengeka azitsamba, mafuta ofunikira ndi zitsamba amagwiritsidwa ntchito omwe ali ndi zotsutsana ndi kutupa, kuyanika, kupatsa mphamvu ndi kupatsira tizilombo matenda:

• maluwa a daisy ndi calendula
• masamba a sage, nettle, yarrow ndi plantain,
• khungwa la oak
• maluwa okongola
• kuphatikiza kwapadera kwa zitsamba ndi mafuta ofunikira (mtengo wa tiyi, bulugamu ndi lavenda).

Kugwiritsa ntchito wowerengeka azitsamba

Khungu la pakhungu la akhanda ndi ana ang'ono ali ndi zochitika zina zothandizira:

• kusatetezeka
• kapangidwe kapadera ka khungu,
• yogwira magazi.

Chifukwa chake, si mankhwala onse achikhalidwe omwe angagwiritsidwe ntchito mwa makanda. Zochizira seborrheic dermatitis ana kwa chaka chimodzi ntchito:

• msuzi wa chamomile (kutsanulira supuni ziwiri zamaluwa ndi lita imodzi ya madzi otentha, kunena kwa theka la ola) - - womwe umagwiritsa ntchito kutsuka mutu wamwana mutatsuka ndi shampoo yapadera kapena kupaka mafuta ambiri mutatha kutulutsa matumba a seborrheic,
• kulowetsedwa kwamaluwa: thirani maluwa zana limodzi ndi madzi otentha ndikuwasiya kwa mphindi 30 mpaka 40 - umagwiritsidwa ntchito kutsuka khungu mukatsuka,
• msuzi wa nettle kapena sage (kutsanulira 100 malita a madzi owiritsa mu magalamu 100 a zosaphika zouma, kuphika mumadzi osamba kwa mphindi 10, kunena kwa mphindi 20) - umagwiritsidwa ntchito kutsuka kapena kutsuka mutu.

Mafuta ofunikira pakadali pano amagwiritsidwa ntchito mosamala kwambiri, okhawo omwe akuwongoleredwa ndi dokotala.

Asanaphatikizike gneiss, mutu wa mwana umadzola mafuta ndi zonona za mwana, mafuta a amondi kapena mafuta a azitona kapena mafuta odzola a petroleum. Valani chipewa ndipo pakatha mphindi 20 - 30 chisa chimatuluka ndi burashi yapadera. Pambuyo pa njirayi, ma lotions ochokera ku khungwa la oak kapena kutolera zitsamba (sage, chamomile, calendula ndi nettle) amagwira ntchito.

Mitundu yayikulu ya seborrhea ndi zizindikiro za matendawa

Seborrheic dermatitis ndi matenda apakhungu amayamba chifukwa cha fungus mabakiteriya amtundu wa Malassezia. Seborrhea mwa ana imatha kupezeka mwanjira iliyonse: yofatsa, yochepa kapena yoopsa.

1. Mawonekedwe ofatsa amadziwika ndi kufalikira kwa khungu, ndipo nthawi zina mawonekedwe a mamba.
2. Mtundu wapakati umawonetsedwa ndi kufalikira kwa kukhazikika ndi redness pamtengo wa mwana ndi miyendo. Zotupa za pakhungu zimatha kuwoneka m'makola akhungu.
3. Fomu yolimba imalumikizidwa ndi kufalikira kwa zigamba za nkhope kumapewa, mapewa, thunthu ndi makutu.

Kumayambiriro kwa matendawa, redness imawoneka pamutu wa mwana, womwe umatha kutuluka pang'onopang'ono.

Popita nthawi, mwana amakhala wopanda nkhawa, pamakhala mavuto m'matumbo.

Woopsa matenda a seborrhea wakhanda mu wakhanda, zizindikiro zotsatirazi zimadziwika:

• kugona kuwonongeka
• nkhawa
• kusanza
• kusowa kwa chakudya
• ulesi.

Chithandizo cha zizindikiro ziyenera kuyamba ndi kufafaniza kwa mizu.

Folk zochizira matenda a seborrheic dermatitis mu achinyamata

Choyambitsa chachikulu cha zizindikiro za seborrhea mu achinyamata ndi kusintha kwa mahomoni m'thupi ndi kusokonezeka kwa magwiridwe antchito a ziwalo za sebaceous ndi thukuta. Chifukwa chake, chithandizo chamankhwala ndicholinga chokweza kagayidwe kachakudya mthupi komanso kuchepetsa kutupa.

Kukonzekera kwazitsamba kumagwiritsidwa ntchito kwambiri pochiza matendawa.

• madzi a masharubu
• decoction wa burdock, sage ndi mtengo wa oak,
• Kulowetsedwa kwa wort wa St.
• decoction wa maluwa tansy.

Onetsetsani kuti mukudalitsa zakudya za mwana wanu ndi zinthu zomwe zimakhala ndi mavitamini ndi michere:

Ndikulimbikitsidwa kugwiritsa ntchito mankhwala apadera ochiza pakhungu pakhungu:

• mowa wa camphor, viniga ndi msuzi wa aloe,
• Mchere wamchere wosungunuka m'madzi ochepa,
• Kulowetsedwa kwa Kombucha
• mafuta ofunikira amtengo wa tiyi, lavenda ndi bulugamu wokhala ndi ntchito ya antifungal,
• mafuta apadera amadzimadzi a golide wamlomo (1 tbsp.spoon), kulowetsedwa kwa valerian (1 tbsp.spoon) ndi zonona za mwana ndi mafuta a maolivi 1 tbsp aliyense. opaka pakhungu tsiku lililonse kwa maola atatu, njira ya mankhwalawa ndi masabata awiri.

Kuteteza kagayidwe, kutenga makulidwe a currant, kulowetsedwa kwa hypericum ndi yarrow.

Ndikofunika kukumbukira kuti ndalama zonsezi ndi gawo la zovuta zochizira matenda a seborrheic dermatitis ndipo adalembedwa ndi dokotala.

Zimayambitsa seborrheic dermatitis ana

Inde, sikuti mwana aliyense amadwala matenda a seborrheic dermatitis. Matendawa amapezeka pazifukwa izi:

1. Ngati mwana amakhalabe ndi mahomoni a mayi m'thupi, omwe amakhala nawo m'mimba mwake. Chiwerengero chachikulu cha mahasoni chimakwiyitsa ntchito yogwira gland. Khungu lachifundo limayamba kutumphuka komanso kufiyira.
2. Kuwonongeka kwa mtima kwa chiwindi, komwe amadziwika ndi matupi awo sagwirizana ndi matenda, kusagwira bwino kwam'mimba, dysbiosis. Chifukwa chiyani gwero la sebaceous limagwira kwambiri.
3. Kulimbana ndi bowa Malasseriafurfur. Ndi kuchepa chitetezo chokwanira, bowa amachulukana mwachangu. Kuwachotsa kungakhale kovuta kwambiri.

Ngati matendawa ndi ofatsa ndipo palibe zovuta zake, amatha kumangoyambira pawokha. Komabe, pali zochitika pamene dermatitis ya seborrheic mu ana imapita ndikufika zaka zingapo. Fomuyi imafunika chithandizo.

Zokhudza dermatitis mwa ana okulirapo, ndikofunikira kudziwa chomwe chimayambitsa matendawa. Kupatula apo, njira yochizira imalimbana ndikuchotsa chinthu china. Zomwe zimayambitsa kutupa pakhungu pamutu zitha kukhala motere:

• kusowa kwa chisamaliro choyenera cha ana,
• amakhala pafupi ndi malo ogulitsa mafakitale kapena zitsulo, fakitale yodetsa chilengedwe ndi zinyalala zamankhwala, mipweya yambiri yopopera,
• mankhwala osankhidwa molakwika othandizira dermatitis mwa mwana,
• kulumikizana ndi khungu la nkhani.

Zizindikiro za seborrheic dermatitis

Zizindikiro za matendawa mu ana zimatsimikiziridwa ndi mfundo izi:

• Ziphuphu pamutu zimayambitsa kuyabwa, komwe kumapangitsa kuti mwana azikhala wodandaula ndipo nthawi zambiri amalira,
• mafangayi akalumikizidwa, khungu limakutidwa ndi zikanga zofiirira zokhala ndi zolembera (zolembera zimasiyana m'malire osalala, mapangidwewo amapangidwa ndikuphatikiza timiyala tophimbidwa ndi mamba m'miyeso imodzi)
• matendawa akakula, malembawo amasandulika kukhala ngati zomata zomwe zungulira mutu wa mwana,
• kumbuyo kwamakutu, dermatitis ya seborrheic imakhala ngati mamba omata komanso ming'alu yolira,
• Khungu limakhomedwa, kumayambiriro kwa tsitsili kuli zikopa zambiri zachikaso zokhala ngati mandala.

Mukapanda kuchiritsa khungu pamenepa, mwana amatha kutaya tsitsi lonse kumutu. Madera omwe akhudzidwa amatupa, pamakhala chiopsezo chotenga kachiromboka. Kuthekera ndikotheka. Mwana amakhala woopsa, amayamba kuda nkhawa, kuda nkhawa, thupi limayamba kuchepa.

Mitundu yamankhwala

Mwa chikhalidwe cha zotupa, mitundu inayi ya seborrheic dermatitis imasiyanitsidwa.

1. Mafuta. Zimaphatikizidwa ndikuwonjezeka kwa ntchito ya sebaceous glands, mapangidwe a mamba akulu a lamellar pamutu, womwe, akaphatikizidwa, amapanga kwambiri foci. Sebaceous secretion imakhala malo abwino pakupanga mabakiteriya, kotero kutupa kumatha kusokonezeka ndi matenda.
2. Zouma. Amadziwika ndi kuchepetsedwa katulutsidwe ka sebum, kapangidwe ka khungu loyera kapena lachikasu loyera lophimba mbali yonse ya mutu (kuchotsedwa mosavuta mutasenda). Nthawi yomweyo, kuwonda kwa tsitsi kumachitika, amakhala ochepa, amayamba kugwa. Ndi mtundu wouma wa seborrhea womwe umapezeka kwambiri makanda.
3. Zosakanizidwa. Njira yophatikizira ya matenda momwe seborrhea yowuma imatha kupezeka pamutu, komanso mafuta a seborrheic dermatitis pakhungu la nkhope.
4. Zachilengedwe. Nthawi zambiri amakula mu unyamata chifukwa cha kusintha kwa mahomoni. Poterepa, zotsatira za kukanika kwa zotupa za sebaceous ndi ziphuphu.

Nthawi zambiri, vuto lochepa m'mimba mwa mwana limayamba masabata awiri atabadwa. Foci ya seborrhea imakhudza mutu, imatha kupezekanso m'makola a pakhungu. Malinga ndi kukula kwa zizindikiro zamankhwala, madigiri atatu a seborrhea mwa mwana amadziwika.

1. Zosavuta - zotupa za kutupira zimakhazikika pamutu, sizikhudza khungu pamphumi, masaya, kumbuyo kwa makutu. Komanso, zinthu zomwe mwana amakhala nazo sizikukula.
2. Kuletsa mwamphamvu - kuyaka kwa foci kufalikira mpaka pakhungu la thunthu ndi malekezero. Zizindikiro za dermatological zimathandizidwa ndi Zizindikiro Zambiri: kupukusa m'mimba (kutsegula m'mimba, kupatsirana pafupipafupi), kukondoweza mtima.
3. Kwambiri - ⅔ malo athunthu a khungu amakhudzidwa ndi ma pathological. Madera omwe akukhudzidwawo amakhala ofiira, otupa, ophatikizidwa ndi kachilombo. Kufooka ndi kupitiliza kwa cholumikizira infi yotukuka. Chikhumbo cha mwana chikuipiraipira, kulemera kwa thupi kumachepa, kutsekula m'mimba kumakhalapo nthawi zonse. Amakhala woopsa, wopuma, wogona bwino.

Kuphwanya kwachiwiri kwa khungu kumatha kubweretsa kukula kwa blepharitis, otitis media, pyoderma ndi zovuta zina zama bacteria.

Zochizira ana, monga lamulo, kugwiritsa ntchito shampoos kwapadera komanso kuphatikiza mosamala crump ndi chipeso cha ana ndikokwanira. Ngati seborrheic dermatitis yapezeka mwa mwana wachikulire, ndiye kuti mawonedwe owonjezera amafunikira (kuyezetsa magazi, ma ultrasound am'mimba komanso chithokomiro cha chithokomiro, maphunziro a bacteriological) kuti mudziwe chomwe chimayambitsa matendawa. Ngati ndi kotheka, dokotala amatumiza mwana kuti akakumane ndi gastroenterologist, endocrinologist, psychotherapist.

Pambuyo pofufuza zomwe zimayambitsa ndikudziwikitsa moyenera, muyenera kulandira chithandizo choyenera: seborrheic dermatitis ya scalp mu ana imalandira bwino mankhwala, malinga ndi malingaliro a dokotala, kukhazikitsa njira zothandizira kusamalira scalp, komanso bungwe lazakudya la mwana.

Mankhwala a seborrheic dermatitis mu ana akuyamba ndi ntchito yapadera pharmacological shampoos:

1. Nizoral - shampoo yochokera ku ketoconazole ili ndi mphamvu yotsatsira, imagwira ntchito motsutsana ndi tizilombo tomwe timayambitsa kukula kwa dermatitis ya seborrheic. Mankhwala amathetsadi kusenda komanso kuyunkhira, alibe malire. Itha kugwiritsidwa ntchito kutsuka tsitsi lanu kulandira chithandizo (kawiri pa sabata kwa masiku 15-30) kapena kupewa kubwezeretsanso (kamodzi pa sabata kwa mwezi).
2. Ionel, analogue ya Nizoral yochokera pa ketoconazole, imawonetsa zinthu zosagwirizana, imachepetsa kuyaka ndi kuyabwa kwa khungu, redness ndi peeling. Amagwiritsidwa ntchito kawiri pa sabata. Njira yonse ya chithandizo - kuyambira 2 mpaka 4 milungu.
3. Khungu-Cap - shampoo yochokera ku zinc pyrithionate imawonetsa ntchito yopanga ma antifungal ndi antibacterial, suppress process of the kwambiri yogawa maselo. Chidacho chimachepetsa kutupa ndi zizindikiro za seborrheic dermatitis. Ntchito kutsuka tsitsi katatu pa sabata kwa masiku 14. Amawalembera ana azaka zopitilira chaka chimodzi.
4. Tsinovit - kuphatikiza shampoo yochokera ku zinc pyrithione, dexpanthenol, klimbazola ali ndi anti-yotupa, antibacterial ndi antifungal, sebostatic komanso regenerative. Amagwiritsidwa ntchito katatu pa sabata kwa mwezi. Amawerengera ana kuyambira chaka choyamba cha moyo.

Kuphatikiza pa shampoos, mafuta a sulfure amatha kuyikidwa pochiza seborrhea. Sulufule yolimbikira, yomwe ndi gawo la malonda, ili ndi antiseptic, disinfectant, antimicrobial and antiparasitic effect. Komabe, mafuta amakwiyitsa khungu, chifukwa chake amalekanitsidwa ndi ana osakwana zaka 3.

Ngati mankhwala atachitika ndi shampoos ndi mafuta, sizingatheke kuchiritsa matenda a seborrheic dermatitis mwa mwana, adotolo angadziwitse okhawo mahomoni akunja. Ngati seborrhea imakhala yovuta ndi pyoderma, mafuta opaka ndi maantibayotiki amawonjezeranso mankhwala. Mankhwala amasankhidwa munjira iliyonse payekhapayekha, poganizira kuopsa kwa matenda komanso zaka za mwana.

Imodzi ndi chithandizo cha mawonekedwe a dermatological of seborrhea, mankhwala othandizira amafunikira kuthetseratu chomwe chimayambitsa matenda. Gawirani:

• sedative (zochokera ku valerian, mankhwala a mandimu, mamawort ndi zitsamba zina zotonthoza),
• Kukonzekera kubwezeretsanso kwamatumbo (Atzilact, Hilak Forte),
• Katemera wa antiinostimulating (Viferon, Derinat),
• mavitamini tata (Pikovit, Alfabeti, Aevit).

Zithandizo za anthu

Mankhwalawa seborrheic dermatitis mu mwana, komanso mankhwala, mankhwala wowerengeka azitha kugwiritsidwa ntchito:

• kulowetsedwa kwa khungwa la oak (kumathandizira kuchepetsa mawonekedwe amafuta a seborrhea, opaka pakhungu tsiku lililonse),
• kulowetsedwa kwa chomera, calendula, chamomile (kuzikika mkati mwa chofukizira m'mawa uliwonse),
• mafuta a azitona kapena mafuta a amondi (opaka pachilondacho mphindi 20 asanasambe, kufewetsa mabowo, kuwathandizira kuchotsa),
• sopo ochapira (wogwiritsa ntchito kutsuka tsitsi mwa ana opitilira zaka 5),
• kulowetsedwa kwa sage kapena chamomile (amagwiritsidwa ntchito ngati mafuta odzola).

Ndikofunikira kumvetsetsa kuti kugwiritsa ntchito mankhwala ochizira wowerengeka ndi njira yothandizira ndipo sikuchotsa chithandizo chachikulu chamankhwala.

Kuphatikiza pa kupereka mankhwala ndi malingaliro a chisamaliro chaukhondo, madokotala amapanga zakudya kwa odwala achichepere, zomwe zimatengera kumwa kwa mwana kapena mayi woyamwitsa zakudya zopezeka ndi mavitamini A, C, gulu B, zinc, ndi selenium. Ndikofunikira kuti muchepetse mankhwala osokoneza bongo ochulukirapo, apo ayi, zotupa zimachepa.

Pakumala ndi kutha kwa chithandizo, madotolo, kuphatikiza mwana wodziwika bwino wa ana E.O. Komarovsky, amalimbikitsa kuti mwana ndi mayi wolera ayamwitsa zakudya zoyenera: osapatula zakudya zomwe zimayambitsa matenda (sitiroberi, zipatso za zipatso, uchi, uchi, bowa, nsomba zam'madzi), ufa, lokoma, mafuta, kusunga ndi marinade.

Ndi seborrheic dermatitis, maziko a zakudya za tsiku ndi tsiku za mwana kapena amayi oyamwitsa ayenera kukhala:

• zopangidwa mkaka,
• nsomba zamafuta ochepa, nyama,
• masamba, zipatso ndi zipatso (kupatula zomwe zilipo),
• chimanga
• mazira a nkhuku
• Zakudya zochokera ku gelatin (odzola, zotsekemera),
• mkate wa rye
• mafuta a masamba (azitona, mpendadzuwa, alimbane).

Mbale zonse zimalimbikitsidwa kuti ziziphikidwa, kuphika kapena kuwotchera. Zowuma kuchokera muzakudya sizimadziwikanso.

Zomwe zimayambitsa matendawa

Dermatitis ya seborrheic imatha kupezeka mwa ana pazifukwa zosiyanasiyana, nthawi zambiri imayambitsa matendawa:

• chibadwa
• kulephera kwa mahomoni
• matenda opatsirana komanso osachiritsika
• kusokoneza ntchito kwam'mimba,
• ukhondo, kusamalidwa bwino,
• kumwa mankhwala osokoneza chitetezo chokwanira,
• kupsinjika
• zodzoladzola zosankhidwa bwino.

"Chovuta" chachikulu cha seborrheic dermatitis ndi bowa wa Malassezia. Bowa ngati yisiti mumakhala pafupifupi thupi lonse la munthu, koma kutsegula kwawo kumachitika m'mikhalidwe yabwino kwa iwo, mwachitsanzo, kuchepa kwa chitetezo chokwanira kapena kusintha kwa acidity pakhungu.

Mitundu ndi zamankhwala matenda ake

Seborrhea pamutu pa mwana imatha kukhala yamitundu yosiyanasiyana: yamafuta, yowuma komanso yosakanizidwa. Kukhazikika kwa mtundu wina wa seborrhea kumadalira zinthu zosiyanasiyana komanso kumadziwonetsera mosiyanasiyana munjira iliyonse:

1. Fomu yolimba. Imachitika chifukwa cha kuchuluka kwa magawo a sebaceous tiziwalo timene timagona mwana. Fomuyi imadziwika ndi mawonekedwe akuluakulu, omwe amaphatikiza malo amodzi mosalekeza. Chifukwa cha kuchuluka kwa mafuta pamutu, njira zosiyanasiyana zodwala zimatha kuchitika. Ndi mawonekedwe a seborrhea wamafuta mu unyamata, ziphuphu zimatha kuchitika nthawi imodzi. Werengani zambiri za mankhwalawa mtundu wa seborrhea munkhaniyi.
2. Sebryhea wouma. Pankhani yogwira ntchito pang'onopang'ono pamatenda a sebaceous, mawonekedwe owuma a seborrhea pamutu wa mwana amatha kuchitika. Mtunduwu umawonekera kwambiri mwa ana aang'ono. Poterepa, miyeso imakhala ndi imvi kapena yoyera. Dermatitis youma imawopseza kupatulira ndi tsitsi lophweka, zigamba zazing'ono zazidonthanso zitha kuwoneka. Zambiri zamtunduwu apa.
3. Maonedwe ophatikizika. Mtundu wosakanizika wa matendawa umadziwika ndi kupezeka kwa mamba onse amafuta ndi owuma. Kuuma kumawonedwa pafupipafupi pamutu, ndipo malo opaka mafuta amawonekera pakhungu la nkhope.

Chithandizo cha seborrhea mu ana

Choyamba, ndikofunikira kuzindikira bwino ndikudziwa chomwe chimayambitsa khungu. Kugwiritsa ntchito njira zosiyanasiyana sikofunikira nthawi zonse, nthawi zina, seborrhea imadutsa palokha.

Zofunika! Nthawi zina makolo amagwiritsa ntchito wowerengeka azitsamba pochiza matenda a seborrhea. Nthawi zonse samakhala ndi zotsatira zabwino komanso amatha kuvulaza. Osamaika pachiswe thanzi la mwana.

Othandizira zakunja amagwiritsidwa ntchito pochiza matenda a seborrheic dermatitis mu khungu la ana. Pamaso pa nkhanu zachikaso mwa ana aang'ono, m'malo ocheperako, ndikokwanira kugwiritsa ntchito shampoos zapadera posamba, kenako ndimitsani mosamala zotumphukira ndi chisa cha ana.

Nthawi zina, mankhwala ovuta amathandizidwa pogwiritsa ntchito:

• mankhwala kukonzekera monga mafuta ndi mafuta,
• physiotherapy
• ma shampoos apadera ndi zodzola zina
• zakudya zapadera.

Zodabwitsazi monga dermatitis mwa ana siziyenera kunyalanyazidwa ndikudikirira kuti zidutse, apo ayi mutha kuyambitsa vutoli. Sitikulimbikitsidwanso kusankha nokha othandizira kapena ayi, makamaka, kuti musankhe mankhwala azikhalidwe musanapemphe katswiri.

Kuchiza sikungakhale kolondola popanda kutsatira zakudya zapadera. Kuchokera pachakudya, ndikofunikira kuti musatenge: zakudya zamafuta, ufa ndi zonunkhira, maswiti, chakudya chofulumira, zakudya zamzitini, nyama zosuta, marinade, zokhwasula-khwasula, masoseji ndi madzi otsekemera.

Komanso, nthawi zina, muyenera kusiya zinthu zomwe zingayambitse vuto: uchi, mtedza, bowa, zipatso za m'madzi ndi zina zambiri.

Kwa wamkulu komanso mwana yemwe ali ndi vuto la khungu, ndikofunikira kuphatikiza zotsatirazi muzakudya:

• nyama zonda: nkhuku, nkhuku, kalulu, nyama yamwana,
• masamba, zipatso ndi zipatso zomwe sizingagwiritsidwe ntchito,
• dzinthu: buluwheat, oatmeal, barele,
• mkate wa rye
• mafuta: azitona, mpendadzuwa, zopendekera ndi ena,
• nsomba yamafuta ochepa, ngati mwana sachitapo kanthu,
• mkaka: kefir, kirimu wowawasa ndi yogurt,
• mazira a nkhuku.

Mavitamini amathandizanso kupewa kuteteza matenda a seborrheic dermatitis. Mafuta a nsomba, mavitamini a magulu A, E ndi B makamaka amathandizira kuteteza ku seborrhea.

Ma vitamini mavitamini ndi abwino: Pikovit, VitaMishki, Alfabeti, Aevit ndi ena. Musanagwiritse ntchito, onetsetsani kuti mwawonana ndi dokotala.

Mafuta ndi mafuta

Ndi dermatitis mu mwana, nthawi zambiri, osagwiritsa ntchito mahomoni amalembedwa, omwe ndi osokoneza, anti-allergic, cosmetic, immunostimulating, etc. Choipa chokhacho ndikuti chithandizo chosakhala cha mahomoni nthawi zambiri chimakhala chotalikirapo kuposa mankhwala osokoneza bongo.

Nthawi zambiri makolo amagwiritsa ntchito zinthu zopangidwa ndi zinc, komanso mafuta a ichthyol. Kuphatikiza apo, kuchokera ku ndalama zamankhwala ndikofunikira kudziwa izi:

• Mafuta a La Cree - amathandizira kuchotsa kufiyanso, kutsekemera ndi kuyabwa, kugwiritsidwa ntchito kuyambira pobadwa,
• mafuta a syntomycin - mankhwala oletsa kupweteka ndi odana ndi kutupa omwe amagwiritsidwa ntchito chaka chatha ataloledwa,
• Bepanten - chida chotetezeka chomwe chimalimbikitsa kubwezeretsa mwachangu maselo, chimagwiritsidwa ntchito ngakhale mwa akhanda.

Mu malo omwe kugwiritsa ntchito zinthu zomwe zili ndi mahomoni sangapewe, palinso zambiri zoti musankhe. Mu milandu yonyalanyazidwa makamaka, mankhwalawa ndi omwe amathandizira kuchotsa mwachangu Zizindikiro ndikuchepetsa mkhalidwe wa mwana. Ndikofunikira kusankha mankhwala oyenera ndikugwiritsa ntchito kwa nthawi yochepa.

Pankhani ya chithandizo cha mahomoni, ziyenera kudziwidwa kuti mpaka zaka 7, mankhwalawa amawonetsedwa ndi adokotala okha! Kwa ana obadwa kumene ndi makanda, mafuta okhala ndi mahimoni samagwiritsa ntchito.

Mwa mankhwala ogwira, ndikofunikira kuzindikira:

• Hydrocortisone ndi mafuta otchuka omwe amagwiritsidwa ntchito kwambiri mu mankhwala a ana,
• Advantan - imakhala ndi methylprednisolone pakapangidwe ndipo imagwiritsidwa ntchito padera lililonse pakhungu pakatha miyezi isanu ndi umodzi,
• Flucinar - gawo lomwe limagwira ndi flucionol acetonide, mpaka zaka ziwiri ndi zotsutsana.

Ndikofunika kusankha mosamala mafuta kapena kirimu wokhala ndi mahomoni, chifukwa onsewa ali ndi zotsutsana zingapo komanso zotsatirapo zoyipa. Pachifukwa ichi, kudzipereka nokha sikulimbikitsidwa!

Zinthu zodzikongoletsera

Ma shampoos wamba amatha kuyambitsa mkwiyo kwa mwana, motero tikulimbikitsidwa kugwiritsa ntchito njira zapadera zosambitsira tsitsi ndi mutu ndi mawonekedwe:

• Friderm shampoo-foam,
• Psoriloma
• Mustela Bebe.

Makampani odziwika bwino amapanga mzere wama shampoos kwa ana osakwana zaka ziwiri. Mwachilengedwe, kapangidwe kake sikosiyana kwambiri ndi mtundu wachikulire, kusiyanaku kumangokhala kogwiritsa ntchito zigawo zina.

Kodi seborrhea wa scalp mwa mwana

Mu ana, seborrhea ya scalp imadziwoneka mu mawonekedwe a khunyu ndi kosasangalatsa kuyabwa. Vutoli limayambika chifukwa chakuchita bwino kwa mapapu a sebaceous. Ngati sebum yaying'ono yatulutsidwa, ndiye kuti dandruff ndi yoyera.

Pakakhala katulutsidwe kwambiri, tinthu tina tokhala ngati keratinized timagundana limodzi ndikupeza tint yachikasu.

Kusintha kwa khungu kumatchedwa seborrheic dermatitis (seborrhea m'Chigiriki amatanthauza "kutayikira"). Amakhulupirira kuti wothandizila wake wa causative ndi bowa, yemwe amayamba kuchulukirachulukira ngati akusemphana ndi lipid bwino pakhungu.

Chithunzi chotsatira cha mwanayo chikuwonetsa momwe seborrheic dermatitis kapena "mkaka wamkaka" wakhanda umawonekera.

Mitundu ndi zizindikiro za seborrhea

Pali mitundu ingapo yamatenda:

1. Zouma. Amalumikizidwa ndi ntchito yoyipa ya sebaceous gland. Monga lamulo, seborrhea yotere imachitika mwa akhanda. Imawoneka ngati masikelo achikasu kapena achikuda.
2. Mafuta. M'malo mwake, zimagwirizanitsidwa ndi kubisala kwambiri kwa sebum. Mutu umakhala wowoneka bwino, wowoneka bwino. Mulingo umayamba kulumikizana, kumadzaza gawo lalikulu pakhungu.
3. Zosakanizidwa. Madera ena akuwonetsa zizindikiro za khungu louma, pomwe enanso akuwoneka ngati timiyala tambiri. Zimachitika pazaka zilizonse.

Kuti akwaniritse bwino mankhwalawa, amayi ayenera kuwongoleredwa ndi zomwe zimawonetsa matendawa.

Zizindikiro za dermatitis mu mwana ndi:

• kapangidwe ka mamba achikaso, oyera kapena oyera otuwa kwambiri makamaka m'magawo a mutu ndi pa korona.
• kupezeka kwa zotupa za seborrheic m'malo ena a khungu mwa ana, mwachitsanzo, nsidze, khosi, kumbuyo kwa makutu (makanda, seborrhea imatha kusinthana ndi mikondo, poyambira, matako),
• Palibe zotumphukira zotchulidwa kwambiri (mukachotsa zinyalala, khungu limakhala ndi thanzi, mwina loyera pang'ono),
• kusenda sikubweretsa vuto kwa mwana, makamaka ngati "mkaka" ukukhala makanda,
• kuchepa kwambiri kwa tsitsi
• Nthawi zina - thukuta kwambiri la manja, mapazi komanso zikondwerero.

Nthawi zina khungu limayamba kupeza mpumulo, wokutidwa ndi ma tubercles. Madera oterewa amatchedwa seborrheic zinthu kapena magawo. Nthawi zambiri, amapezeka pankhope, nsidze, khungu.

Zimachitika kuti zinthu zina za seborrheic zimapangidwa kumtunda - kumbuyo kwake.

Dermatitis ya Atopic, mosiyana ndi seborrheic dermatitis, imawonetsedwa ndi chithunzi chamankhwala chodziwika bwino ndi kutupa kwambiri, kuyabwa komanso ngakhale ma vesicles ang'ono. Ndizosavomerezeka chifukwa cha zakudya kapena zowonjezera pazinthu, pazowongolera. Pakadwala thupi lomwe limatulutsa thupi, kutentha thupi kumatha.

Mfundo yofunika! Mukufuna kuyang'ana khungu lamafuta a mwana? Tengani chopukutira chopukutira ndi kupukuta ndi nkhope yanu, makamaka zonunkhira pamphuno. Onetsetsani kuti zisanachitike izi mwana sanagwiritse ntchito zodzoladzola - mafuta odzola, mafuta a khungu, ndi zina zambiri. Ngati mavuto atatsalira pakapukutira, ndiye kuti mwana ali ndi chinsinsi cha sebum.

Seborrhea mu makanda pamutu

Ziphuphu zosasangalatsa mu makanda obadwa kumene a mayi zimatha kuwonekera kale sabata lachiwiri la moyo wa mwana. Makala ochita kupanga amapangika m'miyezi itatu yoyambirira, mapangidwe a machitidwe onse amthupi la crumb amapezeka. Monga lamulo, zimazimiririka pafupi ndi chaka, koma zitha kuchepetsedwa mpaka zaka 2-4.

Pakhungu ndi pakhungu 50% ya makanda, dermatitis imachitika. Popita nthawi, zimadutsa, koma sikelo zimayenera kuchotsedwa pamakina.

Ngati tizingolankhula zazomwe zimayambitsa izi, siziphunziridwa bwino. Madokotala amakhulupirira kuti seborrhea mwa akhanda amawonekera chifukwa cha:

• kusintha kwa mahormoni (monga mukudziwa, pambuyo pobadwa, mahomoni omwe adatenga kuchokera kwa mayi mu intrauterine amachotsedwa mwa makanda - mkhalidwe wawo wa mahomoni umapangidwa, wodziwika ndi kugwira bwino ntchito kwa gasi la sebaceous),
• zinthu zakunja (kukhazikika mu chipewa, kusamba ndi shampoos, kudyetsa mayi woyamwitsa, zosakaniza zosafunikira ndikudya koyambirira)
• kuswana kwa bowa wa Malassezia furfur, womwe umakhala pachilalacho ndipo umatsogolera pakupanga dandruff,
• kufooka kwa chitetezo chathupi (matenda am'mbuyomu, kunenepa kwambiri, kudziwikiratu ma genetic kungakhale zomwe zimayambitsa matenda),
• kuphwanya njira zoperekera mankhwala, zomwe zimachitika kwa ana mpaka chaka chimodzi (chifukwa cha kukulunga kwa mwana pafupipafupi, matenthedwe a magazi amalephera, omwe amakhudza magwiridwe amtundu wa sebaceous).

Dermatitis ya ana mu achinyamata

Kukula paubwana ndi tsamba losaiwalika komanso losangalatsa m'moyo wa munthu aliyense. Pakadali pano, ana akuyesera kuyimirira kuchokera pagulu, chifukwa mapangidwe awo "Ine" akuchitika. Kwa nthawi yoyamba iwo amakondanadi ndipo akufuna kukhala okongola momwe angathere. Koma apa, chifukwa cha zochitika zina, totupa, kusenda pakhungu ndi kusamva bwino foto limasokoneza chithunzicho.

Ngati seborrheic dermatitis wazaka zosakwana chaka chimodzi zimakhudza tsitsi, mosaganizira jenda, ndiye kuti achinyamata, atsikana amavutika makamaka ndi matendawa.

Mu unyamata, monga mukudziwa, kusintha kwa mahomoni m'thupi kumachitika. Ichi ndi chifukwa chake pakhungu mumatha kuwona madontho akuda (ma mutu akuda, ma comedones), kupendekera, komanso kutsekeka kwa tsitsi.

Zomwe zimayambitsa dermatitis:

• m'mimba thirakiti ya pathologies (dysbiosis imayambitsa matenda a metabolic, omwe, amakhudzanso kubisala, amapezeka mwa ana a zaka 5 mpaka 12, ndipo atha kukhala mu achinyamata chifukwa cha kuperewera kwa zakudya m'thupi),
• kupsinjika kwapafupipafupi (“kosakhazikika mtima”) m'maganizo mumakhala zosokoneza m'misempha ya sebaceous, chifukwa zimadziwika kuti ana omwe ali ndi zaka 13 amayesera kuyang'ana pakati pa anzawo, koma sikuti nthawi zonse amakhala opambana, kapena amakhala ndi chikondi chosayenera - chifukwa cha izi, zovuta zomwe zimachitika pafupipafupi),
• ntchito yogwira ntchito ya bowa wa Malassezia furfur, yomwe, monga lamulo, imayamba pakhungu, imayambitsa kusokonekera (zaka 13-16),
• zakudya zopanda thanzi (ngati maswiti ndi ufa ndi alendo omwe amapezeka pafupipafupi pakudya kwa mwana, ndiye bowa pakhungu, wopatsidwa zinthu zotere, amayamba kumva bwino, ndipo kusowa kwa Vitamini A ndi E mwachindunji kumathandizira kuti matumbo azosokonekera).
• kugwiritsa ntchito zodzikongoletsera zokhala ndi zakumwa zoledzeretsa (monga mukudziwa, achinyamata amapukuta khungu lawo ndi zotupa, osaganizira mawonekedwe awo),
• Kusankha shampoo molakwika (ngati simuganizira mtundu wa khungu, mutha kungokulitsa vuto lakelo),
• kuwonetsedwa pafupipafupi ndi dzuwa kapena hypothermia nthawi yozizira kumayipa khungu (atsikana ndi anyamata achichepere nthawi zambiri amakana kuvala zipewa, kenako amavutika ndi mawonekedwe osangalatsa pakhungu).

Mfundo yofunika! Nthawi zina atsikana achichepere amagwiritsa ntchito chobisalira kubisa mawonetsedwe osangalatsa a seborrhea. Kuletsedwa kwathunthu kuchita izi, chifukwa chifukwa kutsekedwa kwa pores, vutoli limangokulirakulira.

Zochizira

Dermatitis ya seborrheic yamakanda mwa mwana siipha. Koma chifukwa cha kuphatikiza kwina, zovuta zamatenda zimatheka, zomwe zimadziwoneka ngati:

• kuyabwa kwambiri komwe kumakwiyitsa mwana kufuna kuphatikiza khungu ndi magazi,
• Makala amene amayala kupitirira khungu,
• Kuwala kwambiri kwa dermis pamalo opatsirana kutulutsa,
• Matenda a streptococci ndi staphylococci, omwe amawoneka chifukwa cha kufalikira kwa njira zotupa.

Chifukwa chake, pofuna kupewa zovuta izi. muyenera kuyamba kulandira chithandizo mosachedwa.

Musanachiritse seborrhea, tikulimbikitsidwa kukaona dermatologist. Dokotala wokhala ndi chidwi kwambiri amathandizira kuti adziwe matendawa komanso kupaka kuyesedwa pakhungu kuti pakhale kupezeka kwa bowa komanso kuyesa kwa magazi m'thupi la ma cell. Nthawi zina, ultrasound ya chithokomiro England ndi m'mimba zimachitika. Pokhapokha mutazindikira kuti mwazindikira kuti mwazindikira mozama mungathe kuchotsetsa dermatitis mosavuta.

Palibe chifukwa chomwe muyenera kuthira sopo wa ana kumalo a seborrheic, chifukwa umawuma pakhungu. Kwa ana, kugwiritsa ntchito shampoos kwa akuluakulu kumaletsedwa - shampoo yapadera yokha ya mwana ndi yoyenera khungu lawo.

Dermatitis ya seborrheic imatha kusokonezeka ndi atopic, psoriasis, eczema komanso ngakhale ricores. Chifukwa chake, lingaliro lokhalo loyenera ndi ulendo wopita kwa dermatologist.

Mankhwala

Njira ina yothandizira ndikupita ku pharmacy, komwe amsokosi amapeza njira yothetsera kusanza ndi kuchiritsa matenda a dermatitis.

Pakati pa mankhwala omwe amagwiritsidwa ntchito:

• mafuta oyeretsa a jojoba, maolivi, pichesi, amondi, omwe amfewetsa mamba kuti athandizenso kuchotsera makina.
• mafuta, ma gele, ma foams, ma lotion amapangidwanso kuti athane ndi kuchotsa mamba ndi kuyeretsa pore (zimayikidwa usiku, ndikungotsuka m'mawa, zodzoladzola zolimbana ndi seborrhea, komwe kumayang'anira kubisala kwa zotupa za sebaceous, ndiyo njira yothandiza kwambiri yazigawo za ku France zotengera DS Urance, Mustela Stelaker),
• mafuta othandizira (omwe amagwiritsidwa ntchito kangapo patsiku koma osatsukidwa, cholinga chofuna kuthana ndi tiziromboti ndi kukhazikitsa zotupa za sebaceous, ndi zinthu zotchuka kwambiri Bioderma Sensibio DS +, Saforel, zomwe zimagwiritsidwanso ntchito pakhungu la ana akhanda),
• antiseborrheic shampoos (ali ndi cholinga chothana ndi bowa komanso kubwezeretsa bwino lipid, mwachitsanzo, Friederm, Nizoral, Sebozol, Sulsen) ndi sopo wa phula,
• Zokonzekera zochokera ku zinc zogwiritsira ntchito kunja zomwe zidzaumitsa scalp, salicylic acid ndi mafuta a sulfure,
• ndalama zogwiritsira ntchito mkati (bifonazole, ketoconazole), kupeza kwake komwe kumalimbikitsidwa ngati wapezeka ndi bowa.

Mankhwalawa onse alibe mphamvu yowunikira. Pamafunika miyezi iwiri kuti muwone kusintha.

Zofunika! Ngati mwana wanu wapeza matenda a atopic dermatitis, mafuta a antifungal apadera sangaperekedwe nawo. Monga lamulo, mafuta amafuta amaperekedwa, omwe amaphatikizapo betamethasone, clobetasol ndi hydrocortisone.

Kuchiza ndi wowerengeka azitsamba

Pabwino kwambiri polimbana ndi dandruff angakuthandizeni ma decoctions kutengera mankhwala azitsamba:

Mukamasamba khanda, onetsetsani kuti mwawonjezera zingwe zopsinjika, ma cones a hop, oak bark ku bafa.

Kuti muthane ndi dandruff, konzekerani decoction yochokera pa St. wort, mizu ya burdock ndi mphamvu zisanu ndi zinayi. Sakanizani zosakaniza zophwanyika zofanana ndikuthira moto kwa mphindi 20. Pambuyo pobwezeretsedwayo, gwiritsani ntchito sume ndikuyamba kupukutira pakhungu. Valani tsitsi ndi chipewa cha pulasitiki ndikukulunga ndi thaulo.

Kwa mwana wamkulu wazaka zopitilira 5, ndikulimbikitsidwa kupaka mafuta a castor, mwatsopano odziwiritsa msuzi wa aloe ndi yolk ya dzira.

Achinyamata amatha kuyesa chida champhamvu polimbana ndi kupindika: kuphatikiza muyezo wa anyezi wofanana, vodika ndi mafuta a castor. Opaka khungu ndikuyang'anana ndi ola limodzi madzi asanachitike.

Ngati mukufuna kufewetsa ziphuphu, Mutha kukonza mafuta apadera. OZinthu zophika:

• phatikizani masamba ophwanyidwa, maluwa a hypericum ndi calendula,
• wiritsani pamoto kuti muchepetse kusakaniza ndi theka,
• onjezerani Vaselini pang'ono kapena batala wopanda mafuta,
• opaka pafupipafupi pachimake mpaka zizirizo zitatha.

Kuti muchepetse mawonekedwe a seborrhea, gwiritsani ntchito parsley watsopano. Kuwaza za 3 tbsp. l amadyera ndi kudzaza ndi kapu ya madzi otentha. Lolani kuti liduze kwa theka la ora ndipo mutha kuyamba kumasula khungu. Njira ya mankhwala osachepera mwezi.

Njira zina

Njira ina yothandizira ndikuchotsa zinyalala zomwe zimaphikidwa kale ndi mafuta kuti azifewetsa.

Kuti muchotse "makhaka amkaka" kwa khanda, tsatirani malangizo awa:

1. Sambani manja anu musanachitike njirayi.
2. Ola limodzi asanasambe, pakani mafuta abwinobwino m'manda - ayenera kutentha.
3. Tsopano mangani bonnet yofunda ndipo mutha kusewera ndi mwana.
4. Atangosamba, kapuyoyo amachichotsa ndikusenda ndi pulasitiki ndikuchotsa ndi pulasitiki yaying'ono. Yesetsani kuthana ndi masikelo ndi chisa, muchigwire pakhale madigiri 30 mpaka 40.
5. Tsopano mutha kuyamba kusambira.
6. Mukamaliza njira yamadzi, bwerezaninso chisa, chifukwa mutu wa zinyenyeswazi sutha bwino.

Yang'anani! Kuchita izi, sikuletsedwa kupukutira khungu lanu ndi misomali yanu kapena kusisita pakhungu louma, chifukwa mutha kuvulaza khungu la mwana wosakhazikika ndikuyambitsa matenda.

Tsoka ilo, kuchotsedwa kwa makoko sikuti nthawi zonse kumabweretsa zotsatira zomwe mukufuna. Njira zosachepera 2-3 ziyenera kumalizidwa kuti zitheke. Kuphatikiza apo, nthawi zambiri kutumphuka kwatsopano kumawonekeranso pamutu wa tsitsi, chifukwa chomwe chimayambitsa sichinachotsedwe.

Komanso nditha kuyesa mchere wam'nyanja. Konzani njira yotsuka ma curls kuchokera pamenepo mutatsuka.

M'malo mwa shampu, tikulimbikitsidwa kugwiritsa ntchito kawiri pamwezi kuchepetsedwa ndi mpiru (kokha kwa ana azaka 13).

Kuti muchotse mafangayi omwe amakhala pachimake, muzimutsuka ndi wamba madzi ndi kuwonjezera kwa viniga kapena salicylic acid.

Mnyamata akagwiritsidwa ntchito ndi kutsuka tsitsi ndi sopo, ndibwino kuti musinthe phula wothandizira.

Kuchepetsa kuyimitsidwa, mutha kugwiritsa ntchito mandimu kuchepetsedwa ndi madzi.

Kupewa matenda

Monga lamulo, seborrheic dermatitis yokhala ndi kutha kwa msambo imachoka. Koma kuti asawoneke, muyenera kutsatira izi:

• Onani nthawi masana (osapatula mphamvu yayikulu yolimbitsa thupi, yang'ani kutalika kwa kugona kwa usiku - osachepera maola 8, komanso kwa ana aang'ono, kuphatikiza maola angapo masana),
• bwezeretsani zakudya (maswiti ndi makeke ayenera kukhala ochepa, m'malo mwake, lowetsani zipatso ndi ndiwo zamasamba zatsopano, onetsetsani kuti mugwiritsa ntchito mapuloteni 40 (nyama kapena tchizi, nyemba) pa chakudya chilichonse),
• tengani maultivitamini monga lamulo (mufamuyo mupeza vitamini wambiri wa ana, onetsetsani kuti akuphatikiza vitamini B, yemwe amatulutsa timinyewa tambiri),
• Lingalirani zodzoladzola za mwana (kupatula mafuta okhala ndi zakumwa zoledzeretsa, sankhani mafuta ndi ma shampoos kutengera mtundu wa khungu),
• onetsetsani kuti mwachiritsa matenda onse omwe amatsogolera pakhungu pakhungu.
• Ngati mankhwalawa akuvuta kwambiri, musayanjane ndi wamisala kapena wamisala,
• kulimbitsa chitetezo chokwanira (chakudya choyenera, kugona mokwanira, kuyenda mu mpweya wabwino, masewera olimbitsa thupi, kupatsa mphamvu dzuwa),
• samalani khungu lanu (ndikofunikira kusankha zodzola mutakambirana ndi dermatologist).

Ngati mukuchotsa dermatitis ya seborrheic kwa nthawi yayitali, ndizoletsedwa kutsuka tsitsi lanu pafupipafupi - nthawi 1 m'masiku atatu.

Chidziwitso kwa amayi a akhanda: Lekani kukulunga mwana wanu ngati chipinda kapena msewu ndi wotentha mokwanira. Pulumutsani mwana wanu wakhanda pafupipafupi ndipo nthawi yotentha imayenda panja kangapo patsiku. Amayi oyamwitsa sayenera kuyiwala za zakudya zawo, kuti pasakhale dermatitis, chotsani zakudya zamafuta.

Mavuto

Monga tanena kale, mawonekedwe apamwamba kwambiri a seborrhea amatsogolera ku kufalikira kwina kumadera ena. Ngati simupereka chithandizo chamankhwala panthawi yake, mwana akhoza kuyamba kutsegula m'mimba komanso kudzutsa miyendo - uchidakwa, kugona kapena kusowa tulo, kusowa chilimbikitso komanso kuchepa magazi.

Ndi chitetezo chofooka komanso kuchepa kwa chithandizo cha panthawi yake, matenda amatha kuwonjezeredwa ndi dermatitis wamba. Kupezeka kwake kumafunikira kulowererapo kwa madokotala (mapiritsi, jakisoni).

Chifukwa chake, seborrhea mwa mwana imatha kuchitika chifukwa cha zochitika zosiyanasiyana. Ngati mamba achikasu akuwonekera pamutu pa mwana, ayenera kungochotsedwa. Ndi kapangidwe ka dongosolo logaya chakudya m'mimba ndi kusanja kwa mahomoni, kutsekeka kudzathekanso. Ngati mukakayikira matenda a dermatitis mwa ana okulirapo, pezani thandizo kwa dermatologist yemwe akupatseni chithandizo choyenera, kuzindikira zomwe zimayambitsa.

Zimayambitsa dermatitis ana

Zomwe zimayambitsa seborrhea mwa ana ndi:

1. Kuchuluka kwa mahomoni akuchipatala m'thupi la mwana nthawi yapakati. Chifukwa cha kupezeka kwawo, gland ya sebaceous imagwira ntchito mwachangu, zomwe zimapangitsa kuti maonekedwe a crusts ndi mawanga.
2. Cholowa.
3. Kufalikira kwa yisiti ya Malassezia furfur, yomwe imayamba chifukwa cha zovuta zina mthupi la mwana. Izi zimabweretsa chiwonetsero chachikulu cha matendawa ndipo zimathandizira kwambiri mankhwalawo.
4. Matenda opatsirana.
5. Dysbacteriosis
6. Matenda am'mimba.

Zina zoyambitsa kuphwanya izi ndi izi:

• kusamalira ana
• kukhala nthawi yayitali m'malo oyipitsidwa ndi mankhwala, mpweya wotulutsa ndi mpweya wopezeka m'mabizinesi akampani,
• chithandizo chosaphunzira
• kukhudzana ndi utoto.

Nthawi zina zomwe zimayambitsa matendawa zimatha kukhala zingapo pa zomwe zikukula. Pankhaniyi, mankhwalawa adzakhala ovuta.

Kuzindikira ndi kuchiza matendawa

Matenda ambiri ndi ofanana kwambiri muzochitika, seborrhea yaubwana ndiwonso. Chifukwa chake, kudziwa komwe kumayambitsa matenda oyamba ndi akatswiri sikungakhale kokwanira. Ndikofunikira kupanga zowunikira zingapo:

• kusanthula kwamatsenga pakhungu,
• khungu tinthu tambiri,
• ma microscopy amakuwa,
• kutsimikiza kwa mahomoni.

Athandizanso kudziwa zomwe zimayambitsa matenda a seborrhea mwa mwana, komanso kupereka mankhwala molingana ndi chizindikiro cha matendawa.

Njira zochizira zimadalira momwe mwana aliri komanso zomwe zimayambitsa matendawa.

Ngati seborrhea mwa mwana ikuwonekera mwa mwana ndipo chifukwa cha kukonzanso kwakumbuyo ya mahomoni, chithandizo sichingafunike: Pafupifupi miyezi isanu ndi umodzi amadzionekera okha. Koma ziyenera kukumbukiridwa kuti ngati dermatitis ili pakhungu, kutumphuka kwa seborrheic mu makanda kungasokoneze njira za metabolic ndi kayendedwe kabwinobwino ka okosijeni m'mkhungu. Kuti muchepetse vutoli, mutha kuchita izi:

1. Unikani zakudya zomwe amayi adya kuti apewe zomwe zingachitike.
2. Pazakudya za mwana, ndibwino kusankha zosakanikirana za hypoongegenic.
3. Posamalira, muyenera kugwiritsa ntchito shampoos zamankhwala ndi mafuta omwe amawongolera kupanga kwa saline.
4. Mukamaliza njira zaukhondo, wothandizila kuyanika uyenera kugwiritsidwa ntchito:

• Bioderm
• Friderm
• Sulsena.

Mutha kugwiritsa ntchito mafuta azomera. Kuti muchite izi, ola limodzi musanatsuke tsitsi lanu, mafuta a maolivi kapena mafuta apadera a mwana amawaika pakhungu lomwe lakhudzidwa. Chovala chakotoni chimayikidwa pamwamba. Pambuyo kutsuka tsitsi, kutumphuka kumayenera kumachotsedwa ndi chisa ndi mano ang'ono. Ndondomeko ziyenera kubwerezedwa musanayambe kusamba.

Ngati bowa ndi zomwe zimapangitsa kuti mabowo aziwoneka, mungagwiritse ntchito shampoos apadera:

Ngati njira zonse zamankhwala sizipereka zotsatira zomwe zimafunikira, mafuta onunkhira omwe ali ndi zosakanikirana zamafuta amatha kukhazikika.

Matenda oyambitsidwa ndi bakiteriya amayenera kuthandizidwa ndi antimicrobial agents ndi mankhwala kuti alimbikitse chitetezo chokwanira.

Mankhwalawa seborrhea mwana wazaka 5 ndi akulu, kugwiritsa ntchito mafuta abwino ndi koyenera:

Ngati njirayi yayamba kufalikira pakhungu, kugwiritsa ntchito madzi a Castellani ndikofunikira.

Kugwiritsa ntchito wowerengeka azitsamba zochizira dermatitis

Kwa iwo omwe akuopa kuchitira mwana mankhwala, mutha kugwiritsa ntchito maphikidwe a wowerengeka. Dermatitis ya seborrheic mu mwana amathandizidwa ndi decoctions ndi infusions mankhwala azitsamba:

1. Ndikulimbikitsidwa kupukuta madera omwe akhudzidwa ndi decoction ya chamomile kapena tchire.
2. Zotsatira zabwino zimaperekedwa ndi mafuta ochulukirapo a khungwa la oak, lomwe limakonzedwa motere: supuni ya kapu yamadzi.
3. Mutha kuphika kulowetsedwa, kuphatikizapo uchi. Itha m'malo mwake kuyimitsa mafuta ndi othandizira.

Ndalamazi zimachotsa kusakhazikika, kuthandizira kuyabwa ndikumauma khungu.

Malamulo Osamalira

Kuti mankhwalawa a seborrheic dermatitis mu mwana akhale othandiza, ndikofunikira:

• Sambani mutu wa mwana wanu pafupipafupi
• osagwiritsa ntchito sopo, shampoos zopangidwa kuti achikulire azisamba,
• osagwiritsa ntchito matawulo a anthu ena,
• Chotsani zotupa pakhungu, koma osagwirizana ndi zotupa (mutha kubweretsa matenda),
• Sinthani mapepala ogonera mlungu uliwonse,
• muziyenda mlengalenga komanso kugona mokwanira,
• Chotsani zoonjezera zowonjezera zamaphunziro ndi kupsinjika.

Khungwa labala

Kutsika kwa khungwa la oak kumathandiza kuthana ndi matenda ammutu bwino.

Kuti apange muyenera kutenga spoonful bark, kuthira madzi otentha pamwamba pake. Kenako sungani thermos kapena pogaya posamba madzi. Ndipo onjezani uchi wokazinga pano. Chidachi chimakhuthulidwa m'maso. Kenako muzimutsuka ndi madzi ofunda. Zimachitika tsiku limodzi.

Momwe mungagwiritsire dermatitis ya seborrheic mu ana

Mwana akapanda kudwala matenda amisala pamutu, matendawa sayenera kuthandizidwa. Makolo amalangizidwa kuti azitsatira zoyambira zaukhondo ndipo izi ndizokwanira. Koma nthawi zina matendawa amakhala ovuta. Kenako dermatologist amatengedwa kuti akalandire chithandizo. Mikhalidwe yabwino kwambiri imapangidwira ana akhanda - mwana amasankhidwa zovala zopangidwa kuchokera ku nsalu zachilengedwe zomwe sizimakwiyitsa khungu, muyenera kusiya zipewa ndi searar.

Mankhwala a anthelmintic ndi njira ya antimycotic amalembedwa pogwiritsa ntchito mankhwala omwe atsimikiziridwa. Ndikulimbikitsidwa kusinthana ndi zakudya zomwe zimalepheretsa matenda:

• chokoleti sichimachotsedwa pakudya kwa mwana,
• siyani mtedza kwakanthawi,
• uchi ungakhale ngozi
• zinthu zopanda pake zimapezeka mu mazira ndi zipatso, masamba ofiira.

Mwana akamayamwa, mayi amasinthana ndi chakudya chokhala ndi zinc, selenium, mavitamini A, C, gulu B. Kuchulukanso kwa bongo sikungaloledwenso, apo ayi kutupa kwa khungu la mwana kumangokulira.

Mankhwala

Mankhwala omwe adapangidwa ndi dermatologist adapangidwa kuti asinthe ma gace a sebaceous a mwana. Chifukwa cha iwo, ziphuphu ndi mamba amachoka pachikopa msanga. Ngati dermatitis yapezeka mwa mawonekedwe ofatsa, shampu, chitho, gel. Madokotala amatenga Friderm, Saforel, Sensibio Bioderma, Mustela Bebe ngati mankhwala othandiza.

Sopo wa makanda wowerengera satha. Komanso, imawuma kwambiri dermis. Ziphuphu zikafewetsa, zimapatsidwa mafuta. Pachifukwa ichi, mafuta osalala otetezeka kwa ana kapena mafuta owiritsa ndi owuma amumika. Pambuyo pothira mutu wa mwana, amayi amadutsa mosamala mabokosi ndi chisa ndi maraya ang'ono.

Ndi mawonekedwe amafuta a dermatitis, mankhwala omwe ali ndi zinc amagwiritsidwa ntchito. Amawuma pang'ono khungu, amachepetsa kutupa, kutupa. Ngati mankhwalawa adapezeka kuti sagwira ntchito, yesani antifungal, pogwiritsa ntchito Miconazole, Nizoral. Ndemanga zabwino zatola mapulogalamu ndi mafuta a keratolytic. Muzovuta kwambiri, pitani ku chithandizo cha mahomoni.

Zomwe Komarovsky amaganiza pa matenda a seborrheic dermatitis, muphunzirapo mwakuonera vidiyo iyi:

Kupewa kwa Dermatitis ya Seborrheic mu Makanda

Kupewa ndi njira yabwino kwambiri yopewera chithandizo cha nthawi yayitali. Kuti muchepetse vuto la dermatitis, njira zotsatirazi zikulimbikitsidwa:

• pakati pa mayi ayenera kuyang'anira zakudya,
• mwana wakhanda amafunika kupatsidwa malamulo onse,
• mukamayambitsa zakudya zowonjezera, muyenera kufunsa dokotala wa ana ndikuwatsatira
• kusamalira mwana (makamaka mpaka chaka), muyenera kugwiritsa ntchito zodzola za hypoallergenic kuti mupewe kuchitika kwa matenda a seborrheic dermatitis mwa mwana,
• posamalira mwana muyenera kugwiritsa ntchito zinthu zopangidwa ndi nsalu zachilengedwe.

Njira zoyambira zimakhudzanso thanzi la mwana komanso kupatula kuwonekera kwa matenda ena a pakhungu.