Chithandizo cha matenda a Devergy, zizindikiro, zimayambitsa

Matenda amtundu wa pakhungu nawonso amafanana muubwana komanso ukalamba. Makamaka, lichen. Matendawa ndi ochokera ku tizilombo komanso mafangasi. Mu ma encyclopedia azachipatala, ma dermatoses amawerengedwa molingana ndi zizindikiro zamankhwala komanso zovuta.

Chofala kwambiri ndi mbewa. Mitundu yachilendo imaphatikizanso ndi pityriasis hairy, kapena matenda a Devergey. Pofalitsa masiku ano, tidzafotokozera mwatsatanetsatane chithunzi cha chipatala, kukambirana za zomwe zimayambitsa, njira zochiritsira, komanso njira zodziwira matenda. Kudziwa zenizeni za matendawa kumatithandizira kuti odwala azisiyanitsa ndi zotupa zina komanso kuchezera katswiri munthawi yake.

Kufotokozera Mwachidule

Red pityriasis hodicolor (matenda a Devergey) adafotokozedwa koyamba ndi dotolo waku France mu 1856. Dermatosis ya pakhungu idadziwika pambuyo pake. Keratosis mu zamankhwala ndizosowa kwambiri. Awa ndimatenda a pakhungu, momwe mumakhala kukhuthala kwa chiphuphu chakumaso, chomwe chimatiteteza ku zotsatira zoyipa za zinthu zakunja.

Mwa munthu wokhala ndi tsitsi loterolo, khungu limakhala loyipa, lowuma, loyipa, limawoneka ngati mapapaka amakuluakulu ngati tirigu, wokutidwa ndi mamba oyera. Ma Rash ali ndi chipatala chofananira ndi ma psoriatic plaque, chifukwa cha izi, madokotala nthawi zambiri amapangitsa kuti adziwe zolakwika. Matendawa amasokoneza momwe munthu amakhudzidwira ndipo nthawi zambiri amayambitsa kusokonezeka kwa malingaliro.

Dziwani zoona zenizeni

Tsoka ilo, mankhwala adziko lonse lapansi sanaphunzire za matendawa mokwanira. Kafukufuku wachipatala akuchitika nthawi zonse, akatswiri akuyang'ana njira zatsopano zamankhwala. Malinga ndi ziwerengero zochokera kwa azaumoyo, kuchuluka kwa matenda a kermatosis ndi 0,03% yokha (1/3500). Dziwa ndi oyimira mayiko osiyanasiyana ndi mibadwo yamatendawa Matendawa.

Zomwe zimayambitsa matenda samadziwika bwino. Amakhulupirira kuti matendawa atha kubadwa nawo. Milandu yoyikidwa pamlandu pomwe onse m'banjamo (abale a magazi) adapezeka kuti atsala tsitsi. Komanso, akatswiri amati kuperewera kwa retinol (vitamini A) kumatha kudzetsa matenda.

Komabe, bukuli limakhalabe funso lalikulu, chifukwa mwa odwala ambiri omwe ali ndi matendawa mavitamini ndi abwinobwino. Kuyesa kachipatala kambiri kwawonetsa kuti kuwoneka kwa pityriasis hodicolor kumakhudzidwa ndi zovuta zingapo zamachitidwe amanjenje ndi endocrine. Komanso, zomwe zimayambitsa matendawa zimatha kukhala chifuwa chachikulu, matenda amisala.

Matenda a Devergy: Zizindikiro ndi mawonekedwe

Malinga ndi akatswiri, matendawa amakula ngakhale ali ana. Fomu yomwe mwapeza imapezeka mwa anthu achikulire - zitatha zaka 50. Njira ya keratosis imachitika mu mawonekedwe owopsa: khungu limakutidwa ndi mawanga achikasu, yokutidwa ndi mamba. Matenda a Devergy, makamaka koyambirira, nthawi zambiri amasokonezeka ndi seborrhea ndi psoriasis.

Kusintha kwachilenge kumayambanso patapita miyezi ingapo. Ndi chitetezo chokwanira, chikhululukiro chosakwanira (zotsekera pang'ono) chimatha kukhala zaka zingapo. Wodwalayo molakwika amakhulupirira kuti adachiritsidwa ndipo safuna thandizo, amangochedwetsa njirayo. Pakapita kanthawi, ma papular nodular (zolembera) zokhala ndi ubweya waung'ono kumapeto amapezeka thupi. Nthawi zambiri khungu lozungulira lizolo limakhala lofiira (lotupa).

Chosasangalatsa kwambiri ndichoti zolembera zachikasu zimakula kwambiri mpaka kudzaza malo onse, zomwe zimakhudza khungu labwino. Mukawunika, zotupa zimapezeka pafupifupi thupi lonse (zomata, khosi, mutu, miyendo, manja, kanjira). Nthawi zina, wodwalayo amakumana ndi kuyabwa, kuwawa, khungu, komanso kusokonezeka. Popanda chithandizo choyenera, misomali imakulitsidwa ndikusintha mtundu. Amakhala okhathamira, opyapyala, ndi kukakamiza, ululu amamveka.

Matenda a Devergy amakhudza mucous nembanemba wamkamwa. Malo ofiira amadziwika m'mlengalenga komanso mkati mwamasaya. Matendawa amatha kuchepa ndipo pakapita kanthawi amangodzikumbutsanso. Nthawi zambiri, khansa ya m'magazi, myasthenia gravis (matenda a autoimmune) amalumikizana ndi matenda amtunduwu. Maphunzirowa amayamba kuchuluka kwa akazi m'malo, komanso msambo.

Kodi zimachitika bwanji mayeso?

Njira zomwezi zimagwiritsidwa ntchito kuti mudziwe matenda a Devergy mwa ana ndi akulu. Kufunsirana kumachitika ndi akatswiri odziwa bwino matenda: katswiri wa matenda opatsirana, dermatologist. Kuyendera kowoneka sikumakulolani kuti mupange kuzindikira koyenera. Kuti mudziwe momwe matenda aliri, kudziwa bwino mbiri yachipatala kumafunika, kuphatikizapo kudandaula kwa odwala, kuwunika kwa mbiriyakale, kuyang'anira zotupa pansi pa nyali ya Wood (luminescent). Kukanda kuchokera pakhungu kumatengedwanso kupatula mitundu ina ya matenda (psoriasis, vitiligo, eczema, rubella, chikuku, ziwengo).

Matenda a Devergy: chithandizo cha makolo

Pambuyo pozindikira, njira yothandizira antifungal imalembedwa: kudzera mkamwa ndi pakamwa. Ma creel ndi emulsions amakhazikikanso, omwe amayenera kugwiritsidwa ntchito pafupipafupi kumadera owonongeka a thupi. Zosakaniza zosiyanasiyana, zopopera ndi ma shampoos zomwe zimakhala ndi selenium sulfide zimapangidwa kuti khungu. Ndalamazi zimathandizira kupumula kwa mawonekedwe azizindikiro komanso kutsitsimula khungu.

Kuchiza sikokwanira popanda kugwiritsa ntchito retinol, B, C mavitamini, antihistamines. UV irradiation ndi PUVA mankhwala atha kupatsidwa mankhwala. Amathandizanso tchuthi cha spa. Popewa zotupa, ukhondo uyenera kuyang'aniridwa mosamala.

Njira za anthu

Kuphatikiza ndi njira zamankhwala, othandizira azitsamba ndi ma decoctions amagwiritsidwa ntchito kuthandiza kuchiritsa ndi kuyeretsa khungu mwachangu. Madokotala amalimbikitsa kugwiritsa ntchito phula logulitsidwa mu mankhwala azinyama. Zowona, kununkhira kwa malonda sikosangalatsa, ndipo zomata zimakhala pazovalazo. Chifukwa chake, ndibwino kugwiritsa ntchito usiku kapena kumapeto kwa sabata. Kuthandiza mankhwalawa wamba sorelo. Malingaliro amapangidwa kuchokera kwa iwo.

• Pukuta magalamu 15 a mbewu ndi mizu, kuthira madzi (125 ml), kuvala owotcha kwa mphindi 5-7. Sula msuzi wozirala, nyowetsani chidebe chija ndikuthira m'dera lomwe lakhudzidwalo. Zomera zanthete zimathandiziranso kuyimitsa, kusenda, kupukuta khungu.

Masiku ano, mankhwala akwaniritsa bwino pochiza matenda opatsirana kwambiri. Matenda a Devergy atha kuchiritsidwa kapena kubwereranso m'mbuyo kumatha kuchepetsedwa ngati wodwalayo atsatira malangizo onse a dokotala. Muyenera kumvetsetsa kuti chithandizo chamankhwala chimatenga nthawi yayitali: kuyambira masiku 60 mpaka miyezi 24. Chaka chilichonse, wodwalayo amamwa vitamini-mineral tata.

Njira zopewera

Palibe amene amatetezeka ku matenda. Koma aliyense atha kuchepetsa ngozi. Ngati matendawa sanatengerepo, ndiye kuti muli ndi mwayi. Khalani ndi chizolowezi cha ukhondo wa thupi, zovala zoyera komanso malo okhala. Yesetsani kuti musakhudze nyama zopanda nyumba, chifukwa nthawi zambiri zimakhala zonyamula ma pathologies owopsa. Kuphatikiza apo, perekani thupi mavitamini ofunika, omwe chitetezo chathupi chitha.

Kodi zosinthika zimatsimikiziridwa kuti?

Ndi matenda a Devergy, palibe kutchulidwa kwatsatanetsatane kwa njira ya pathological pakhungu. Nthawi zambiri, zosintha zimapezeka m'mapewa ndi m'mamaondo (nthawi zambiri pamanja). Ngakhale kuti totupa timatha kupezeka pakhungu (scalp), kumaso, kumbuyo, m'mimba, kapena mbali zina zilizonse za thupi. Koma ngakhale pazovuta kwambiri, madera osakhazikika pakhungu amakhalapobe.

Nthawi zambiri, zosintha zimawonedwa pakhungu la kanjedza ndi ma soles (mosiyana ndi matenda a Kirle, keratosis, momwe nthawi zonse pamakhala zosintha zotengera). Pankhaniyi, matenda a Devergey ndi ofanana mawonetsedwe ake kwa Matenda a Reiter'smomwe hyperkeratosis ya kanjedza imawonedwanso.

Misomali imakhudzidwa nthawi zambiri, pali makulidwe ambale a msomali, maonekedwe a mizere yayitali komanso yopingasa, matendawa ndi ofanana ndi psoriasis ya misomali, momwe onychodystrophy imawonedwanso, koma misomali ikukhudzidwa motere, chifukwa chake imawoneka ngati thimble.

Zilonda zam'maso zokhala ndi ma pityriasis ofiira samakhudzidwa kwambiri ndi odwala ambiri, koma nthawi zina, makulidwe achulukidwe amkati am'mkamwa kapena magawo a hyperkeratosis pa mucous membrane wa masaya amatha kuonedwa, omwe amatha kusokonezeka mosavuta ndi leukoplakia.

Matenda mwa ana

Ngati zizindikiro za matenda a Devergy zimawonedwa kale pobadwa kapena paubwana, ndiye kuti amawerengedwa kuti ndi achilengedwe mwachilengedwe. Mwa ana ambiri owonetsa matendawa, kuchira kumachitika muubwana, womwe umalumikizidwa ndi kusintha kwa mahomoni mu nthawi ya kutha.

Odwala Matendawa

Akuluakulu, matendawa nthawi zambiri amawonekera kukalamba, momwe zimakhalira kuti amakhulupirira kuti ali ndi vuto. The pachimake maphunziro amadziwika ndi mawonekedwe a totupa, malungo, kufooka, koma zochitika zimabwezeranso mwachangu momwe zimawonekera.

Njira yayitali ya dermatosis imawonedwa nthawi zambiri, nthawi zambiri kusintha kumayamba pang'onopang'ono, pang'onopang'ono kumapita, koma ndizovuta kuchitira. Nthawi zochotsedwa komanso kufalikira zimathandizana, nthawi zina, kuchotsedwa kapena kuchira kwathunthu kumachitika mwadzidzidzi ngakhale popanda chithandizo.

Zomwe Zimayambitsa Tsitsi Lofiyira

Zomwe zimayambitsa matendawa sizinakhazikitsidwe, mtundu wamtunduwu umalumikizana ndi genetic. Amakhulupirira kuti matendawa amatha kupatsirana kuchokera kwa makolo ndi cholowa chachikulu cha cholowa. Koma izi zimadziwika ndi matenda a Devergy okha mwa ana.

Akuluakulu, matendawa amatengeka kwambiri, i.e. chifukwa cha zinthu zakunja, chitukuko chake chimalumikizidwa ndi:

• kusowa kapena kulowetsedwa kwa vitamini A,
• endocrine pathology (kusintha kwa chithokomiro mu chithokomiro ndimatenda owononga a metabolism angayambitse kukula kwa dermatosis iyi,
• ntchito ya chiwindi matenda mu pityriasis versicolor,
• matendawa amatha kuchitika pambuyo pa matenda, koma gawo la wothandizira pakukhazikitsidwa kwa matenda silinakhazikitsidwe.

Matendawa, omwe amatchedwa lichen acuminatum ku Latin (kuti asasokonezeke ndi shingles), ndizosowa kwenikweni, ndipo kulumikizana kwake ndi zifukwa zakunja sikunayambike, chifukwa chake ndizovomerezeka kuti pali zovuta zomwe zingayambitse matendawa, ndipo palokha ndi polyetiological.

Zizindikiro za mapapu a keratosis Devergy

Chizindikiro chachikulu cha matenda a Devergy's keratosis ndi folicular papular keratosis, i.e. Kapangidwe ka mapapu kuzungulira ma follicles a tsitsi okhala ndi malo a hyperkeratosis pamwamba pawo, mapepala amakonda kukula ndikuphatikizana ndi mapangidwe a foci yokutidwa ndi mamba opepuka.

Mapapu ang'onoang'ono, mpaka masentimita awiri mulifupi, omwe amakwera pamwamba ndipo amakhala ndi khungu loyera kapena lofiirira, amawoneka pakhungu ndi matenda a Devergy. Makala Horny amawonekera pamtunda wawo, omwe amatha kupatukana, kupsinjika kumakhalabe m'malo mwawo, koma palibe madzi omwe amawonedwa (mosiyana ndi malo onyowa ndi hyperkeratosis ina - matenda a Kirle).

Zida zachilendo za pityriasis yofiyira ndi:

• kusowa kwa khungu lonse
• kusuntha kwapang'onopang'ono (m'njira yayitali, yomwe imawonedwa nthawi zambiri),
• kupezeka kwa mapepala ang'onoang'ono omwe amaphatikiza pang'onopang'ono,
• zotupa ndi zofiira chikasu komanso kusiyanasiyana ndi khungu labwino,
• kuyabwa ndi zizindikiro zina zokhala ndi vuto nthawi zambiri kulibe,
• Zinthu sizimavutika
• mucous nembanemba samakhudzidwa kwenikweni, koma pamakhala masinthidwe mkati mwa masaya mwanjira za malo amtundu wa keratinization ndi mapapu mumkamwa yolimba,
• Nthawi zambiri mawonekedwe a kanjedza m'manja ndi mawonekedwe kumapazi a mapazi, pomwe malo a hyperkeratosis amapangidwa,
• misomali imakhudzidwa nthawi zambiri (kukula kwawo kumachitika, mawonekedwe a kukondoweza).

Pityriasis hodicolor (Matenda a Derma)

Njira Zofotokozera

Ndizovuta kwambiri kudziwa komwe kumayesedwa kunja, matendawo amayenera kusiyanitsidwa ndi:

• psoriasis (yodziwika ndi hyperkeratosis ndi malo pamalo owonjezera ogwirizana),
• yachiwiri erythroderma (kukhalapo kwa papules ndi redness pakhungu),
• Matenda a Kirle (kukhalapo kwa zigawo za hyperkeratosis),
• mitundu yosiyanasiyana ya chikanga.

Kuzindikira koyenera kumafunikira kuyesedwa kwa khungu, mawonekedwe a matenda omwe amapezeka ndi parafollicular hyperkeratosis ndi kulowerera kwapang'onopang'ono kwa dermis ya papillary.

Kodi matenda a Devergey amathandizidwa bwanji?

Chithandizo cha mankhwalawa chimakhazikitsidwa pakugwiritsa ntchito Mlingo waukulu wa vitamini A, womwe umapangidwira mayunitsi okwana 100-200 patsiku, maphunziro ochepa ndi miyezi iwiri, pambuyo pake ndikulimbikitsidwa kuti mupumule chimodzimodzi, ngati pakufunika kutero, mubwereze maphunzirowo.

Multivitamin complexes kapena mavitamini B amodzi ndi vitamini E amapatsidwa kuwonjezera, kugwiritsa ntchito kwawo, monga lamulo, kumapereka zotsatira zabwino.

Zotsimikiziridwa bwino polimbana ndi matenda amtunduwu komanso ma retinoids (Roaccount), komabe, lingaliro pazomwe amagwiritsa ntchito limapangidwa ndi adokotala atazindikira moyenera.

Ndikulimbikitsidwa kuti mankhwalawa athandizidwe ndi magawo a PUVA (nthawi zambiri maphunzirowa amakhala ndi magawo 10), chithandizo chotere chimachitika chifukwa cha matenda oopsa komanso chifukwa cha kutsutsana, njira zolimbitsa thupi monga phonophoresis yokhala ndi glucocorticosteroids imagwiritsidwanso ntchito.

Pazithandizo zakomweko, mafuta onunkhira omwe ali ndi vitamini A amawakonda, mafuta onunkhira omwe amakhala ndi acetylsalicylic acid amagwiritsidwa ntchito kwambiri pofuna kuthetsa zotupa pakhungu. Ndi njira yotchulidwa yotupa, mafuta okhala ndi glucocorticosteroids amagwiritsidwa ntchito, muzovuta kwambiri, glucocorticoids wokhazikitsidwa ndi mankhwala.

Kuchiza ndi wowerengeka azitsamba

Kugwiritsa ntchito kwina kwa chithandizo cha matenda a Devergy ndikadali funso lalikulu, komabe, njira zina zitha kuperekera chithandizo chachikulu. Makamaka, kugwiritsa ntchito kaloti kapena msuzi wa karoti, mafuta odzola ndi karoti kapena madzi a beetroot.

Ndikulimbikitsidwa kugwiritsa ntchito mafuta a rosehip (zomwe zili ndi kuchuluka kwa vitamini C zitha kukhala ndi zotsatira zabwino pa matendawa), makungwa a chamomile ndi oak amagwiritsidwa ntchito kukonzekera infusions, amagwiritsidwa ntchito ngati mawonekedwe osamba, omwe amachepetsa kuwonongeka kwa njira yotupa mu dermis.

Pali umboni kuti tar kapena grated sorrel imakhala ndi zotsatira zabwino (pakugwiritsa ntchito kunja), komabe, kugwiritsa ntchito njira ina iliyonse kuyenera kungowonjezera chithandizo chachikulu.

Zotsogola ndi njira zopewera

Kupewa kwa lichen acuminatum sikunapangidwe, chifukwa zomwe zimayambitsa matendawa sizikudziwika, koma kupewa matenda opatsirana, mayeso apanthawi yake ndi chithandizo cha chiwindi, matenda am'mimba komanso endocrine angateteze kuwonekera kwa zizindikiro za follicular papular keratosis.

Matendawa ndi abwino, matendawa amatha kuthandizidwa mosavuta, ndipo nthawi zina amakomoka osatinso mankhwala.

Etiology ndi pathogenesis

Zomwe zimayambitsa matendawa sizikudziwika. Asayansi amatsutsana pa etiology ya pathological process. Lingaliro lalikulu la zomwe zimapangitsa dermatosis kukhala chibadwa chamtsogolo, chomwe chimafalikira mwa njira yayikulu kwambiri.

Kuphatikiza pa lingaliro ili, chifukwa cha kuphunzira kwa papule kulowetsedwa ndi ma immunoblogging, zidapezeka kuti pali kusintha kwa keratin komwe kumapangidwa ndi ma dermatoses ena - kuphwanya ntchito ya keratinization, komwe kumawonedwa ndi ichthyosis komanso njira yowonjezereka ya kuchuluka kwa keratinocyte, monga mu psoriasis. Odwala ambiri omwe ali ndi matenda a Devergy amakhalanso ndi zovuta zina muzochitika zama cell a chitetezo cha mthupi - kuchepa kwa kuchuluka kwa othandizira a T komanso kuchuluka kwa ma T-suppressor.

Malinga ndi ziwerengero, kuchuluka kwa matendawa sikuti kumadalira jenda, ndiye kuti, matendawa amakhudza amuna ndi akazi. Palibenso malire a zaka - kuchuluka kwake kukuchokera zaka 5 mpaka 75. Pathology imadziwika ndi nthawi yayitali, nthawi zambiri mpaka zaka khumi ndi ziwiri, nthawi yayitali.

Chithunzi cha kuchipatala

Mawonetsedwe azachipatala amasiyanasiyana kutengera kuthekera. M'mawonekedwe, mapepala owongoka amadziwika, omwe palpation imawoneka ngati yoyipa, yolimba. Kuphatikiza apo, chidwi chimakutidwa ndi ma blermal flakes mawonekedwe a chinangwa. Erythema (redness ndi kukulira kwa capillaries) amadziwikanso, zomwe zimayambitsa dzina la matendawa - red pityriasis versicolor. Zilondazo zimapezeka pamafinya a miyendo (mawondo, mikono, pamphumi, pakhungu.

Ndi kufananizira kwakunja kwa chotupa cha khungu chokhazikika pamtunda wakutali, ndikuwonetsedwa kwa psoriasis, pali mawonekedwe amtundu - kusintha kwa malo omwe akukhudzidwa komanso athanzi pakhungu momwemo ndikuwonekeranso ndi mapulagini a keratin (ma Beunier cones) m'mapiritsi a zala. Zizindikirozi ndizosiyana pakufotokozera bwino za matendawa.

Ndi matenda a Devergy, kusintha kwa msomali kumachitika. Pansipa ya msomali pali chimbudzi chamimba yam'mimba, chogulitsidwa mwachindunji kumtunda kwa msomali. Mtundu wa misomali ukusintha kukhala tan; kukondoweza kwa kutalika, kukhuthala, ndi Hyperkeratosis kumadziwika. Mukapanikiza msomali womwe wakhudzidwa, wodwalayo amamva kuwawa.

Ndi kukula kwa matenda, komanso nthawi imodzi ndi kuyambika kwake, Hyperkeratosis ya kanjedza imawoneka.

M'mabuku asayansi pali umboni wophatikizidwa wa pityriasis hodicolor wambiri ndi matenda monga hypothyroidism, HIV, leukemia, myasthenia gravis, ndi njira zoyipa mthupi.

Kuchotsa Devergey kumatha kubweretsa zovuta zingapo, mwachitsanzo, monga kupindika kwa kope kuchokera kumaso (ectropion), ndikudziwonetsa kwawokha chidwi cha eyelid ndi erythroderma. Nthawi zambiri kudzera pakhungu lowonongeka limalowa m'mavuto obwera ndi bakiteriya komanso mavairasi, ndikupangitsa kuti matenda a dermatosis.

Njira yachipatalayi ikhoza kusokoneza kapena kusanjidwa bwino, kugwidwa, mwachitsanzo, malo owoneka bwino a malekezero apamwamba kapena otsika.

Kutengera ndi zomwe zidatchulidwa kale za matendawa, munthu amatha kuyankha funso lomwe amafunsidwa kawirikawiri ndi akatswiri a zamankhwala kuti: "Kodi pityriasis versicolor kapena ayi?". Ayi. Matendawa sawononga ena.

Gulu

Kutengera m'badwo wa wodwala komanso mawonekedwe ake, tsitsi la Devergy limasiyanitsidwa ndi gulu ili.

Pathology pagulu la achikulire:

• wapamwamba komanso mtundu wa atypical.

• chapamwamba
• zochepa
• mitundu ya atypical.

Pakadali pano, titapenda mosamala za mawonetseredwe azachipatalawa, adaganizika kuphatikiza mitundu yamagulu akulu ndi ana, popeza kupatula zaka, kusiyana kwina sikumawonedwa. Chifukwa chake, magulu amakono ali ndi mawonekedwe otsatirawa:

• chapamwamba
• achinyamata ochepa
• Zokhudzana ndi HIV.

Zizindikiro za Matenda Ovuta

Matendawa ali ndi mawonekedwe a mawonekedwe, mwanjira ya:

• kupezeka kwa zisumbu za khungu lathanzi, likuphatikizana ndi totupa,
• Khungu lofiirira kapena lofiirira
• kapangidwe ka mapepala okhala ndi keratin plugs.

Zambiri monga:

• kapangidwe kazinthu zingapo za ma diameter osiyanasiyana,
• khungu zopindika ndi mapazi,
• Kusintha ndi kusintha kwa mbale ya msomali,
• Mapangidwe a cone a Beunier.

Zizindikiro za matenda a Devergy zimapezeka mu dermatoses zambiri ndikuwoneka ngati:

• zolimbitsa khungu
• kupweteka chifukwa cha ming'alu hyperkeratosis,
• kuyabwa, kubowola.

Kwa matendawa, momwe zimachitikira wodwalayo sikuti zimachitika. Nthawi zina mu gawo la pachimake limatha kutsagana ndi kusintha pang'ono kwa boma.

Zizindikiro

Kuzindikira kumakhala kovuta, chifukwa palibe njira yodziwira matenda. Mawonetsedwe ndi zizindikiro za pityriasis hodicolor wambiri ali m'njira zambiri zofanana ndi zovuta zovuta za matenda monga:

Zotsatira zakuwunika kwa mbiriyakale sizodalirika, popeza kusintha kwa kapangidwe ka khungu ndi kutupa komwe kumalowa mkati mwa khungu ndikupezeka mu psoriasis ndi lichenization.

Chizindikiro chosiyanitsa chachikulu chimakhalabe zilumba za khungu wathanzi zomwe zimapezeka pakuwunika, zomwe sizimapangidwanso ndi mitundu ina ya dermatoses komanso sanali pathogenetic (popanda kusintha mkhalidwe wamba). Kuphatikiza apo, kuyang'anira wodwala kwamphamvu kumagwiritsidwa ntchito.

Kwa matenda a Devergy, kuphatikizika kwa zisumbu zamapapu chifukwa cha njira ya erythematosquamous kuli kodziwika. Kukhazikitsidwa kwa zizindikiritso ndi zotsatira zakuwunika kwa mbiriyakale zimatithandizira kufotokoza bwino za matendawo.

Chithandizo cha matenda a Devergy ndiwowonekera kwambiri. Kubwezeretsa kapangidwe ka khungu kumachitika mothandizidwa ndi retinoids, monga Neotigazone kapena analogues Beroxan, Oxoralen, Ammifurin. Mankhwalawa ndiwotalikirapo, kuwongolera kumadziwika pambuyo pa mwezi umodzi wololedwa pa mlingo woyenera wa odwala akuluakulu. Nthawi zina kuwonjezeka kwa muyezo kumafunika.

Lingaliro pakusintha kwa mlingo limapangidwa ndi adokotala. Nthawi yayitali yothetsera matenda ndi miyezi 9, koma imatha kuchitika pakatha zaka 4 chithandizo. Kuti muchepetse zotsatira zoyipa za retinoids mawonekedwe a khungu louma komanso mucous membrane, mafuta opaka ndi vitamini A ndi osambira ndi mafuta ofunikira amayikidwa. Chifukwa chakuti zotsatira zoyipa zimadziwika kwambiri mwa odwala ambiri omwe akutenga Neotigozone, momwe amagwiritsidwira ntchito, mlingo ndi nthawi ya maphunzirowo amasankhidwa ndi adokotala.

Pochiza matenda a Devoirgi mwa ana, Neothigozone amagwiritsidwa ntchito kwambiri. Kuti alipire mavuto omwe amakhalapo chifukwa cha mankhwala m'thupi, mankhwala othandizira amakonzedwa ndikugwiritsa ntchito hepatoprotectors, michere ya m'mimba, vitamini B ndi nicotinic acid. Njira zochizira zimapangidwira ndi dokotala pazochitika zonse, kutengera zomwe munthu ali nazo, zaka komanso matenda oyanjana.

Ngati mankhwala a Neothigozone sagwira ntchito, ndiye kuti Methotrexate angafotokozeredwe muyezo wotsika. Njira ya mankhwalawa yokhala ndi vitamini A imawonekeranso, pakadali kokwanira kwa mwezi umodzi. Pambuyo yopuma, maphunzirowo akupitiliza.

Kuti muwonetsetse kuyamwa kwa vitamini A, kugwiritsa ntchito ma androgens ndikulimbikitsidwa kuti muwonjezere mapuloteni omaliza a retin m'magazi. Kuphatikiza apo, vitaminiization imayikidwa pogwiritsa ntchito ma multivitamin complexes kapena monopreparations a mavitamini B ndi E.

Kuchiza kwanuko sikofunika kwambiri, koma kumakongoletsa mkhalidwe wa wodwalayo. Mafuta okhala ndi salicylic, malic acid amapatsidwa mankhwala, omwe amachepetsa zovuta za erythema. Pochiza ana, zokonda zimaperekedwa ku chithandizo chakomweko. Mafuta ndi mafuta a keratolytic kanthu, opatsa thanzi ndi okondweretsa, ndi omwe amapatsidwa. Woopsa milandu ya matenda, mankhwala ndi corticosteroids zotchulidwa.

Monga gawo la chithandizo chokwanira, njira zochiritsira zolimbitsa thupi zimagwiritsidwa ntchito:

• corticosteroid electrophoresis,
• hydrotherapy: sulfide, malo osambira a radon.

Mabukuwa ali ndi zambiri kuchokera ku kafukufuku wazachipatala zomwe zimawonetsa luso pakugwiritsa ntchito mitundu ya retinoids ndi PUVA (Photochemotherapy). Analimbikitsa spa, kusamba panyanja.

Palibe lingaliro lenileni ponena za kulondola kwokhazikitsidwa kwa ma radiation a ultraviolet, popeza kuwonjezereka kwa kufalikira kumayambitsa kukulira kwa njirayi.

Kuchiza kwa nthawi yayitali kumafunikira njira yosamalitsa yosankha mankhwala. Odwala omwe ali ndi matenda a chiwindi, mikhalidwe ina yolemetsa, komanso ana ndi odwala okalamba, ali ndi chithandizo chochepa cha retinoid. Chifukwa chake, ndi dokotala wokhazikika amene amasankha momwe angachitire ndi zomwe, kutanthauza njira yothandizira.

Zotsatira zabwino komanso kusinthasintha kwadzidzidzi ndi chikhalidwe cha ana ndi achinyamata. Pafupifupi theka, mu gulu lino, kuchira kwamatenda a Devergy kumachitika mkati mwa zaka ziwiri. Akuluakulu, njira zochiritsira zimachedwa.

Pambuyo pa chithandizo, wodwalayo amayang'aniridwa ndi dermatologist. Pofuna kupewa kubwereranso m'mbuyo, maphunziro a mavitamini amachitika.

Munthu wamkulu wachikale

Kukula nthawi zambiri amayamba ndi kuoneka ngati totupa m'chigawo chapamwamba cha thupi, nkhope, komanso khungu. Kwa masabata awiri kapena miyezi ingapo, zotupa zimafalikira mpaka theka la thupi.

Fomu yotupa yozizira, mawonekedwe a chikasu cha lalanje. M'malo omwe akhudzidwa, pali zilumba za khungu losawoneka bwino.

Pakakhala zovuta, erythroderma imachitika. Pakatha milungu ingapo, keratinization wambiri ndi kuwonongeka kwa misomali imayamba m'manja ndi kumapazi kwa mapazi. Ndi mtundu uwu, ngakhale ngati kulumala kumadziwika, kuchira kumachitika mwa odwala 8 mwa 10 mkati mwa zaka zitatu. Ziwerengero zake ndi 55%.

Wachikulire wachikulire

Kutalika kwa matenda matendawa kutha kufikira zaka 20 (kapena kupitirira). Palibe kusintha kowonekera komwe kwapezeka. Pali zambiri exfoliation ndi kulekanitsa kuwala imvi tinthu. Kugonjetsedwa kwa zidendene ndi manja ake zikuwonetsedwa ndi peze. Nthawi zina tsitsi limasowa. Ziwerengero zake ndi 5%.

Mwana wachinyamata wapamwamba

Zizindikiro ndi chitukuko zikufanana ndi mtundu wachikale wapamwamba, koma pali mawonekedwe ndi kusiyana. Mtunduwu umadziwika mwa ana kuyambira zaka 5 mpaka 10. Kutupa kumafalikira kuchokera kumunsi kwa thupi. Njira yamatendawa ndiyabwino. Zowombera zimadutsa popanda chaka chimodzi.

Ziwerengero zake ndi 10%.

Wachinyamata wocheperako

Amawonedwa mwa ana kuyambira zaka 3 mpaka 10. Madera omwe akhudzidwa ndi follicular hyperkeratosis ndi erythema zolembera ndizodziwikiratu kuti akudwala. Zowombera zimachitika makamaka pamapewa ndi mawondo. Nthawi zambiri pamakhala zotupa za miyendo ndi manja. Kubwezeretsa kumachitika mu 30 mpaka 32% ya milandu pasanathe zaka zitatu. Ziwerengero zake ndi 25%.

Mwana wachinyamata

Amadziwika ndi ana osakwana zaka 4. Njira yamatendawa ndi yosatha. Pali follicular hyperkeratosis, komanso exfoliation ndi kulekanitsa kuwala kwa imvi tinthu. Gawo lalikulu la milandu yabanja limagwera mtundu uwu. Ziwerengero zake ndi 5%.

Zokhudzana ndi HIV

Red pityriasis versicolor ikhoza kukhala chizindikiro cha HIV. Mosiyana ndi munthu wamkulu wapamwamba, mtundu uwu umakhala ndi vuto labwino kwambiri.

Kumayambiriro kwa matendawa, kubowola kumawonekera limodzi ndi mapepala okhala ndi follicular, wogawanika wogwirizana pamphepete mwa miyendo ndi manja. Ma conini a Beunier (mawonekedwe amtundu wakuda), omwe samapezeka mwa mtundu wakale.

Erythroderma nthawi zambiri amakula. Zowonongeka pamanja, zinsapato, ndi misomali zitha kukhalapo. Nthawi zambiri zimachitika mosiyanasiyana.

Kusiyanitsa mitundu

Njira zofunika zodziwira matenda olondola ndi:

• Kupezeka kwa thanzi labwino, kuchepa kwa kufooka kwa thupi. Izi sizachilendo kwa psoriasis ndi toododerma.
• Mtundu wofiira kapena wachikasu lalanje la omwe akukhudzidwa.
• Kukhalapo kwa zilumba za khungu labwino ndi malire omveka.
• Kuperewera kwa zinthu zabwino munthawi yamankhwala.
• Kupezeka kwa mapapu olasidwa pakati ndi tsitsi.

Njira zochizira

Chifukwa chakulephera kukhazikitsa chomwe chimayambitsa matendawa, mankhwalawa cholinga chake ndikuchotsa zizindikirazo. Kuchita zokhudza zonse mankhwala, njira ya vitamini A muyezo waukulu ndi mankhwala:

• isotretion pakuwerengera 1 mg / kg ya thupi patsiku, kuyambira 12 mpaka 26 milungu, kapena methotrexate kuyambira 5 mpaka 30 mg pa sabata.

Ngati tsankho limapezeka chifukwa cha mankhwalawa. Njira imodzi yochiritsira imagwiritsidwa ntchito:

• acitretin mu gawo la 25 mpaka 50 mg pa tsiku,
• acitretin 25 mg patsiku, UVA-1 Phototherapy,
• 50 mg acitretin patsiku, mankhwala a PUVA,
• cyclosporine mu muyeso wa 5 mg / kg pa thupi patsiku, kutsitsa mlingo mpaka 2-3 mg,
• azithioprine kuyambira 150 mpaka 200 mg patsiku.

Kuti muchepetse mavuto, chithandizo chowonjezera cham'deralo chimachitidwa. Pazinthu zakhudzidwa ndi thupi zimagwiritsidwa ntchito: mafuta onunkhira kapena mchere wa zipatso, mafuta a glucocorticosteroid, mafuta osiyanasiyana odzola.

Chifukwa chakuchira kwanthawi yayitali, njira yosankhira mankhwala iyenera kukhala yayikulu momwe ingathere.

Kuchita bwino kwa mankhwalawa nthawi zambiri sikubweretsa zotsatira, komabe, pali umboni wa kukhazikika kwachangu.

Ngati zotsatira za mankhwala sizichitika, zofunika kukonzekera zimayikidwa monga:

Munthawi yachilengedwe, miyezi itatu iliyonse:

• kuyesa kwa adotolo,
• kuyesedwa ndi katswiri wamitsempha,
• kukambirana ndi mtima
• kuyezetsa magazi
• urinalysis.

Zofunika! Ngati matendawa ndi chizindikiro cha kachilombo ka HIV, mankhwala ochepetsa mphamvu ya kachilomboka ndi mankhwala opatsirana pogonana.

Chithandizo cha ana

Makolo ayenera kulabadira zomwe zimachitika ndi ana aang'ono, ana ochepa, ana aang'ono, okhudzana ndi HIV. Ngati ali ndi mwana, muyenera kupita naye kwa dermatologist.

Zochizira ana, acitretin ndi mankhwala 0,5 mg / kg, komanso ultraviolet.

Kupewa

Popanda kumvetsetsa bwino zamomwe zimachitikira, kupewa kulibe.

Matenda a Devergey ndi vuto lalikulu lomwe likufunika thandizo la akatswiri. Kuperewera kwa chithandizo nthawi zambiri sikuyambitsa mavuto ena akulu kuposa kusasangalala. Komabe, milandu yakusintha kwa totupa kukhala masinthidwe a khansa amadziwika. Chifukwa chake, simuyenera kudziyimira pawokha ndikudziyesa nokha.

Ndi dokotala yekhayo amene angadziwe molondola zomwe zimayambitsa matendawa ndikuwapatsa chithandizo choyenera. Ndikofunikira kuonedwa ndi dermatologist mutachira kwa chaka chimodzi.

Makanema ogwiritsira ntchito

Zhibera pink lichen.

Matenda oyamba ndi fungus - sukulu ya Dr. Komarovsky.

Kufotokozera za matenda a Devergey

Pityriasis kufiyira tsitsi ndi matenda, ngakhale siwofala kwambiri komanso wodziwika bwino, koma woopsa.Amakhulupirira kuti chifukwa chachikulu chowonekera cha matenda amtunduwu ndikuphwanya njira ya keratinization, pomwe njira yotupa imayambira mumtundu wa dermis chifukwa cha kuwonekera kwa mapulagini a nyanga pamenepo.

Dermatosis yamtunduwu, monga lamulo, imakhudza ana, koma achikulire amathanso kudwala matenda a Devergy. Pankhani imeneyi, matenda amtunduwu adagawika m'magulu awiri akuluakulu: lichen ya ana ndi wamkulu. Nthawi zambiri zimavomerezedwa kuti mtundu wa mwana umakhudzanso kuyambira pakubadwa kapena kuyambira paubwana, pomwe umalandira ndi chidziwitso chofunikira kwambiri. Mtundu wachikulire wa matendawa umadziwoneka ngati wokalamba, nthawi zambiri wokalamba, ndipo umapezeka.

Pali malingaliro osiyanasiyana amomwe matendawo amayambira:

• kusakwanira kwa vitamini A ndi thupi,
• kufooketsa chitetezo chamthupi pambuyo pa matenda opatsirana,
• kusokonezeka kwamanjenje, ma pathologies osiyanasiyana a endocrine system ya thupi, poyizoni.

Chotsatira, timaganizira mwatsatanetsatane zizindikiritso ndi chithandizo cha matenda a Devergey.

Zizindikiro za matendawa

Kuwonetsedwa kwa matenda amkhungu Devergy ndikosavuta kusokoneza ndikutulutsa kwa ma pathologies monga psoriasis kapena seborrhea. Zizindikiro zawo ndizofanana ndi wina aliyense, ndipo kuti adziwe zoyenera amafunika kugwiritsa ntchito njira zosiyanasiyana.

Ndi zizindikiro ziti za matendawa zomwe muyenera kulabadira?

• Kukhalapo kwa kufiyira ndi mamba achikasu, okongoletsedwa pansi pa ulalo wamatsitsi.
• Kuluma, kupweteka, kutentha m'malo omwe akhudzidwa.
• Mtundu wa msomali umasintha kuchoka pa wachizolowezi kupita wachikasu.
• Hyperkeratosis
• Matendawa amafikira pakuluma kwa miyendo ndi khungu lanu.

Chithunzi chofanana ndi chitukuko cha matendawa m'magawo oyambilira amakhalanso ndi zotupa zam'madzi pakhungu.

Kodi matenda osokonezeka ndi chiyani

Matenda a mano, kapena red pityriasis versicolor, adapezeka koyamba mu 1828. Patatha zaka 30, dokotala wa ku France, Devergey, patatha maphunziro ambiri, adafotokozera zamatsenga. Matendawa ndi a pagulu la matenda amkhungu ndipo ndi njira yapadera ya keratosis. Matendawa amapezeka pamibadwo iliyonse. Pali mitundu yomwe tinatengera komanso kutengera.

Zizindikiro zimatha kuwoneka mosayembekezereka mwa ana ndi akulu; amatha kusokonezeka mosavuta ndi zizindikiro za matenda ena apakhungu. Kwa matendawa, mawonekedwe osakhazikika amakhala ndi mawonekedwe, pamene kwa masabata, miyezi ndi zaka wodwala alibe nkhawa. Madokotala amalangizidwa kuti alabadire zotsatirazi:

1. Matupi ofiira okhala ndi masikelo achikasu pamwamba ofanana ndi seborrhea kapena psoriasis amapezeka pansi pa tsitsi pamutu.
2. Pakapita kanthawi, mapepala ofiira ambiri amawonekera, omwe amawonjezeka kukula kwake ndikukhudza gawo lalikulu la khungu.
3. Mukagwira dzanja lomwe likhudzidwa ndi dzanja, kuwotcha, kuyabwa, kumva kupweteka.
4. Chotupa chimafalikira mbali zina za thupi, kutikita minofu ya khungu, miyendo yamiyendo.
5. Misomali imapeza mthunzi wamtundu, hyperkeratosis imawonedwa.
6. Mchitidwewu umadziwika ndi kuwonjezeka kwa mapasile kukula kwake, ndi zovuta zomwe angakule, amakhala zolembedwa zolimba.

Chithunzi chachipatalachi chimasokonezeka mosavuta ndi psoriasis. Kuti adziwe matenda ena, dokotalayo amafufuza wodwalayo mozama. Matenda amatha kuzindikiridwa ndi kupezeka kwa mapangidwe ooneka ngati malezala kumapeto kwa zolembazo: akatswiri amatcha izi "anzanu". Maonekedwe a ming'alu m'makondo pansi pa mawondo, maondo, maondo, komanso kukula kwa ziboliboli ndi zizindikiro zowonjezera pityriasis yaubweya.

Zomwe Zimayambitsa Matendawa

Zomwe zimapangitsa tsitsi la Devergee kuchepa kwa thupi sichinafufuzidwebe. Akatswiri akuwonetsa zochitika zosiyanasiyana zomwe zimakhala ndi zotsutsana ndi thupi. M'malingaliro awo, choyambitsa chachikulu cha matenda ndi kufalitsa mtundu wolakwika ndi cholowa. Zina mwa izi ndi izi:

• kusowa kwa vitamini A,
• zovuta pambuyo matenda ena apakhungu.

Zakhazikitsidwa kuti nthawi zina, kutsuka tsitsi kumakhala kosavuta ngati anthu angapo amagwiritsa ntchito zovala. Kubwereza komwe mumakumana nako kumakhudzidwa ndi kuperewera kwa zakudya, kumwa mankhwala, zosayenera tsiku ndi tsiku, komanso chizolowezi chokhala ndi chifuwa. Kuphatikiza apo, odwala omwe adapulumuka:

• poyizoni wazinthu zopweteka,
• kupsinjika ndi mantha amanjenje,
• matenda okhudzana ndi kuwonongeka kwa mahomoni kagayidwe.

Kuchotsa tsitsi

Kuti muchotse tsitsi loperewera la Devergea, muyenera kukayezetsa ndi kuphunzira kwakanthawi ndimankhwala operekedwa ndi dermatologist. Nthawi ya mankhwalawa, mankhwala, mlingo wa mankhwalawa amasankhidwa malinga ndi gawo la matenda omwe ali ndi matenda a Minyewa, zaka komanso momwe wodwalayo alili. Zimatenga miyezi ingapo kuti zinthu zisinthe. Mwana wochepera zaka 5 ayenera kuyang'aniridwa ndi dokotala wa ana.

Mankhwala

Kubwezeretsa khungu kumadera omwe akhudzidwa, mankhwala osokoneza bongo a retinoid gulu okhala ndi vitamini A m'mapulogalamu, makapisozi, mafuta opaka ndi mapiritsi amagwiritsidwa ntchito kunja ndi pakamwa. Mankhwala othandiza kwambiri ndi monga:

Ngati matenda a Devergey atapitilira mawonekedwe owopsa, wodwalayo amayikidwa kuchipatala ndi kukonzekera homeopathic, mankhwala a mavitamini E, B1, B12, jekeseni. Mavuto obwera chifukwa cha erythroderma, muyenera kuyamba kumwa corticosteroids pa mlingo womwe adokotala akuwonetsa. Mitundu yovuta ya matenda a Devergey imathandizidwa ndi Photochemotherapy ndi radiation ya ultraviolet mothandizidwa ndi zida zapadera.

Matenda a Devergy - zizindikiro zazikulu:

• Zotupa pakhungu
• Zofooka
• Thupi
• Khungu peing
• Kulimbitsa khungu
• Maonekedwe a mapapu

Matenda a Devergy amatanthauza keratosis wosakhazikika, wodziwika ndi Hyperkeratosis. Matendawa amadziwika pakhungu ndipo amadziwonetsera okha ngati khungu lofiirira. Matendawa amatha ndi kukhathamira komanso kukhululuka, zotupa zimatha kugwira malo akulu pakhungu.

Matendawa ndi ofala kwambiri kwa akulu ndi ana, ndipo amakula chifukwa kuphwanya njira ya keratinization khungu.

Amapezeka kuti adamupima kunja ndi dermatologist, pomwe ma laboratory amayesedwa kuti asiyanitse matendawa ndi matenda omwewo.

Njira zochizira zimapereka zotsatira zabwino, koma sizotheka nthawi zonse kuthetsa njira ya pathological. Anthu omwe ali ndi vuto lotere ayenera kumalandira chithandizo chamankhwala: kumwa mavitamini, kugwiritsa ntchito mafuta odana ndi kutupa ndikudya bwino.

Izi zimatha kupezeka mwa akhanda komanso mwa okalamba. Mu makanda, matendawa ndiwobadwa mwachilengedwe, amawoneka chifukwa cha kusintha kusintha kwa matupi athu, pomwe pali kuthekera kwakukulu kwa kufalikira kwa matendawa ndi cholowa - kuchokera kwa makolo kupita kwa ana.

Lichen ikawoneka kukalamba, kupezeka kwake kumakhala ndi zifukwa zotsatirazi:

• Vitamini A akusowa komanso vuto logaya chakudya,
• endocrine endological njira yolumikizana ndi kusokonezeka kwa chithokomiro England komanso zosokoneza mu kagayidwe kazachilengedwe.
• zosokoneza mu chiwindi chifukwa cha kagayidwe kachakudya mkati mwa chiwalo,
• atasamukira matenda opatsirana.

Ngati mwa ana matendawa amazimiririka paubwana munthawi ya kusintha kwa mahomoni m'thupi, ndiye kuti mwa akulu nthawi zambiri amakhala osachiritsika. Ngati sanachiritsidwe, zizindikiro zake zimakulirakulira, ndipo matendawa adzagwira mbali zonse zikuluzikulu za khungu.

Malinga ndi ICD-10 (International Classization of Diseases), matenda amtunduwu adalandira L 44.0.

Zovuta zotheka

Nthawi zina, chithandizo chimathandizira mwachilengedwe ndipo chimachepetsa matendawa kwakanthawi, koma pakadali pano wodwalayo amakhala ndi zovuta zosiyanasiyana:

• zotupa zimatha kupatsirana ndikuyambitsa zovuta za matenda,
• kumachitika zotupa zoyipa,
• ndi kufalikira kwa khungu pa chikope, pakhoza kukhala chiopsezo chambiri kupindika kope lanu.

Matenda a Devergy nthawi zambiri amatanthauza zilonda zapakhungu kwa ana ndi akulu, motero, amafunikira chithandizo chanthawi yake, kuwunikiridwa pafupipafupi ndi dermatologist, kuti musataye nthawi yomwe matendawa akuipiraipira.

Zomwe zimachitika

Sizinali zotheka kudziwa zomwe zimayambitsa kufiira kwa ndere. Pali chidziwitso chokha chakuti pali mtundu wamtundu wamatenda omwe amayanjana ndi kusintha kwa majini. Mtundu wofanananso wa matenda a Devergey umachitika mwana.

Ngati matendawa ayamba kukula mwa akulu, ndiye kuti zinthu zakunja zimagwira ntchito yake pakukula kwake:

• hypovitaminosis ndi vitamini A akusowa vitamini,
• kuphwanya mapangidwe ndi kubisala kwa mahomoni a chithokomiro, kusintha kwa kagayidwe kazachilengedwe.
• matenda a chiwindi osakhazikika chifukwa chopanga zovuta za thupi.
• matenda opatsirana a viral - chinthu chotsutsana kwambiri pakati pa zomwe zimayambitsa matenda a Devergee's.

Kodi herpes imawoneka bwanji pamutu: Zizindikiro ndi njira zochizira.

Kutengera izi, titha kunena kuti matendawa ndi achilengedwe mwachilengedwe, chifukwa zimalumikizidwa ndi kukhudzika kwa zinthu zingapo mthupi, zomwe zimakhala ndi chibadwa chamtsogolo pakukula kwa matendawa.

Mawonetsero akulu

Follicular papular keratosis ndiye chiwonetsero chachikulu cha matenda a Devergey. Wodwala, malo ochulukirapo a keratinization omwe amatuluka pamwamba pake amapangidwa pakhungu m'dera la tsitsi. Chowoneka ndi chizolowezi chawo chofuna kuchulukana, kuphatikizana.

Ndi kuchepa kwa tsitsi la Devergy, khungu la wodwalayo limakweza m'mapulogalamu ena mpaka 1.5 cm. Poterepa, zinthu zomwe zimatuluka m'thupi mopangika pamwamba, zimasiyana pakhungu loyera kapena lofiirira. Makala Horny amatuluka pamwamba pa papule, m'malo omwe mapumulowo amakhalapo. Pankhaniyi, palibe zotulutsa kuchokera pansi pa sikelo sizimayang'aniridwa, zomwe ndizofunikira malinga ndi kusiyanasiyana kwa matenda a Kirle, momwe mumatulutsira madzi.

Zomwe amadzichepetsera tsitsi:

• khungu silikhudzidwa kutalika konse,
• kupita patsogolo kwa nthawi yayitali,
• gawo loyambirira la zotupa ndi timapepala tating'ono, tomwe timalumikizana,
• Khungu limakhala lofiirira kapena lofiirira, lowoneka bwino pakhungu labwinobwino,
• odwala samadandaula chifukwa cha zotupa zapakhosi ngati kuyabwa, kukanda,
• Kusintha kwamunthu sikuwoneka,
• zotupa pa mucous nembanemba kwenikweni sizichitika, komabe,
• kuphatikizika kwapafupipafupi kwa kuwonongeka kwa tsitsi ndikuwoneka ndi zotupa pamiyendo ndi manja,
• mwa odwala, kusintha kwa mawonekedwe a misomali, kukula kwawo kungadziwike.

Wodwala akakhala ndi zizindikiro zotere, dokotala yemwe akupezekapo ayenera kukayikira matenda a Devergey ndikupitiliza njira zina zowunika.

Njira zochizira

Kuchiza matenda a Devergey ndi ntchito yovuta komanso yovuta. Njira yapadziko lonse yothandizira pamankhwala imaphatikizapo kugwiritsa ntchito vitamini A mu milingo yayikulu (mayunitsi okwana 5,000-200 patsiku). Maphunzirowa amatha miyezi iwiri, kenako amapuma pakanthawi kochepa. Ngati ndi kotheka, bwerezani maphunziro a vitamini. Nthawi zina vitamini E amaphatikizidwa ndi mavitamini a B.

Nthawi zina zotchulidwa retinoids (Roaccount), zomwe zimagwiritsidwa ntchito mopitirira. Komabe, kuikidwa kwawo kuyenera kuchitika pambuyo pakutsimikizika koyenera kwa matendawa chifukwa choopsa cha zotsatira zoyipa.

Nchifukwa chiyani lichen imawoneka pamutu pa mwana, momwe angachitire ndi mankhwala osokoneza bongo ndi wowerengeka.

Dziwani chifukwa chake ziphuphu zimapezeka pamutu panu komanso momwe mungazichiritsire.

Amayambitsa ndi chizindikiro cha chithupsa pamutu pa tsitsi, chithandizo cha kutupa.

PUVA - kugwiritsa ntchito ma radiation a ultraviolet okhala ndi zinthu zojambula kumawonetsa zotsatira zabwino. Chiwerengero cha magawo ndiosiyanasiyana kwa wodwala aliyense payekha, koma pafupifupi 8-10 magawo azamankhwala. Njira yofananira yamankhwala imasonyezedwa kwa odwala omwe ali ndi mitundu yayikulu yamatendawa pakalibe contraindication. Amaloledwa kugwiritsa ntchito physiotherapy, mwachitsanzo, phonophoresis yokhala ndi mankhwala a glucocorticoid.

Kwa mitundu yofatsa yamatenda a Devergy, njira zamankhwala zam'deralo zimakonda: mafuta onunkhira okhala ndi vitamini A, mafuta okhala ndi mankhwala osapweteka a antiidal, omwe angathandize kuchepetsa kutupa kwa papillary dermis. Ngati mankhwalawa sathandiza, mitundu ya glucocorticoids imagwiritsidwa ntchito.

Zofunika! Mankhwala olimbitsa thupi sayenera kuchitika. Mankhwala onse, pafupipafupi kugwiritsa ntchito, nthawi ya maphunzirayi ndi mankhwala.

Njira zopewera

Matendawa ndi osavuta kupewa kuposa kuchiritsa. Chifukwa chake, kupewa matenda a Devergey ndikofunikira. Tsoka ilo, njira zodzitetezera sizinapangidwe bwino, popeza zomwe zimayambitsa matenda sizinaphunzire.

Komabe, pali malingaliro ena angapo othandizira kuti achepetse matendawa:

• kupewa matenda opatsirana
• pafupipafupi njira zoyeserera zachipatala poyambira matenda a ziwalo zamkati, makamaka, endocrine system.

Mwachidule

Matenda a Devergy ndi chotupa chakhungu cha ana ndi akulu. Njira zamakono zamankhwala zimakhazikitsidwa ndi chithandizo choyambirira cha odwala, kugwiritsa ntchito milingo yayikulu ya vitamini A, mafuta odana ndi kutupa. Nthawi yomweyo, pali yankho labwino ku mankhwala, kuchepa kwa maziko a follicular hyperkeratosis. Ndikofunikira kuti odwala onse azikumbukira kuti ndizosatheka kuchira kwathunthu ku matendawa, komabe, ndi chithandizo chokwanira ndikutsatira malangizo a dokotala, matendawo amakhala chikhululukiro chokhazikika.

Mawonekedwe a matendawa mwa akulu

Mtundu woyamba (wachikulire wodwala) umatha kudziwonekera pang'onopang'ono komanso momveka bwino, pomwe totupa timayatsidwa patokha, ngati lamulo, kumtunda kwa wodwalayo. Zilonda zimatha kukhala mawanga amodzi kapena gulu limodzi la erythematous, kufalitsa thupi. Kumayambiriro kwa matendawa, chizindikiro chachikulu chomwe chimavutitsa wodwalayo chikuyamwa kwambiri. Ndi kupitilirabe kwa matenda am'matumbo, mu 80% ya milandu, odwala amawonetsa Hyperkeratosis ya kanjedza, ndipo mu 50% ya follicular, yotchedwa chizindikiro cha Beenier. Chofunika kwambiri pakuwonetsetsa kuti ndi 1sttype yokhazikika ya matenda a Devergy ndi kupezeka kwa madontho a khungu labwino kumbuyo kwa m'mimba mwake pafupifupi 1 mm.

Mtundu wachikulire wa atypical, monga dzinalo limatanthawuzira, umadziwonetsera wosakhala muyezo: zotupa ndi izo ndizazikulu kuposa mtundu wakale. Subtype iyi imadziwika ndi kukhalapo kwa zotupa zofanana ndi eczema zazikulu kuposa odwala omwe ali ndi subtype yoyamba yamatenda. Nthawi zambiri zotupa zimakhala pamadera am'munsi, kuchepa kwa tsitsi kumutu ndikotheka. Chizindikiro chachikulu chomwe chimapangitsa kuti azindikire matenda a Devergee ndi zotupa zokhazokha zomwe zimakhazikitsidwa kumbuyo kwa chiwalo chakumaso ndi m'chiuno.

Chipatala cha subtype ichi chimafanana ndi chifuwa chachikulu cha m'mimba, seborrhea, psoriasis, neurodermatitis, khungu la lymphoma ndi matenda ena ofanana. Kuphatikiza pa zomwe taziwonetsa pamwambapa, zitha kudziwika kuti kuchulukana kwa mitundu ya atypical ya maphunziro a matendawa ndikutali kuposa chikhululukiro chake, komanso kovuta kwambiri kuchiza.

Matenda a Devergy mwa ana ndi achinyamata

Malinga ndi W. Griffiths, mitundu ya achinyamata yowonetsera matendawa imayamba kuubwana kapena kuubwana. Komanso, pakapita nthawi, matendawa amakhala osachiritsika.

Mtundu wa ana osiyanasiyananso wa zamatsenga sunasiyana kwambiri ndi mtundu wakale wapamwamba, kupatula kutulutsa kwachilonda, komwe kumakhala m'munsi. Kuphatikiza apo, kusiyana kumagonanso poti zisonyezo zimawoneka zofooka pang'ono poyerekeza ndi akulu. Izi subtype zamatenda a Devergey zimapezeka mwa ana a zaka zoyambira ndi ziwiri za moyo.

Mwana wocheperako wokhala ndi matenda, monga lamulo, amakhudza ana azaka za 11 mpaka 12, ndiye kuti mu nthawi ya preubertal ya moyo. Matendawa amakhala ndi zizindikiro zingapo zotchulidwa:

• madera a follicular hyperkeratosis ndi erythema kumadera otsika ali ndi malire omveka,
• maphunziro osatha
• kusowa kwa chizolowezi chowonjezereka.

Ponena za matendawa okhudza matenda aubwana, ndi bwino kunena kuti subtypeyi imalungamitsa dzina lake: erythema imadziwonetsa yokha yofooka kwambiri ndi hyplickeratosis yayikulu. Nthawi zina, zotupa zamkati zimawonedwa.

Mitundu ya atypical imawonekeranso zaka zoyambirira za moyo wa mwana, kenako ndikudwala.

Matenda a Devergy amagawika magawo angapo chifukwa cha mawonekedwe ake osiyanasiyana.

Magawo a chitukuko cha matenda

Matenda a Devergy, monga lamulo, amakula pang'onopang'ono komanso magawo:

• Gawo loyamba. Apa, pamasamba achitetezo a lichen, timadzodzo koyambirira timapangika, pomwe khungu limasintha kuchokera ku kuwala kwa pinki kupita kufiira. Mowoneka, zotupa za khungu m'matendawa zitha kufananizidwa ndi masikelo.
• Fomu yopita patsogolo. Pakakhala chithandizo choyenera komanso chisamaliro cha zizindikiro zoyambirira, matendawa akupitiliza kukula. Pakadali pano, timinofu tosiyanasiyana tomwe timalumikizana.
• Mtundu wonyalanyaza matenda. Kuphatikiza pa zomwe tafotokozazi, khungu lomwe limaderalo lomwe limakhudzidwa limakhuthala, chiwonetsero cha zozama zakuya ndizotheka.

Chithandizo cha anthu wowerengeka

Njira zina zimagwiritsidwanso ntchito komanso kuthandiza odwala omwe ali ndi matenda a Devergy. Izi ndi mafuta odzola komanso zokongoletsera zakonzedwa kunyumba.

Zitsamba zotsatirazi zimagwiritsidwa ntchito pochiza mankhwala a Devyrega ofiira ndi mankhwala wowerengeka:

Mutha kukonza zofunikira zonse palokha ndikuzigulira ku pharmacy. Pachiwiri, ndikofunikira kutsatira mosamala malangizo ogwiritsira ntchito Mlingo wotsatira. Zochizira matendawa, mutha kugwiritsa ntchito maphikidwe angapo omwe ayesedwa kwa nthawi yayitali:

• Birch tar imagwiritsidwa ntchito m'malo omwe akhudzidwa ndi khungu katatu patsiku.
• Supuni ziwiri za chingwe kapena calendula zimathiridwa ndi madzi otentha, kunena, kusefa, ndikupukuta madera akhungu ndi kulowetsedwa.

Pa intaneti, mutha kupeza maphikidwe ena ambiri ochizira matenda a Devergey, koma ayenera kugwiritsidwa ntchito moyang'aniridwa ndi katswiri pokhapokha ngati pali vuto lililonse pazinthu izi.

Ndi chithandizo choyenera cha matenda a Devergey, zomwe zimapangitsa kuti matendawo azichira ndiyabwino. Pambuyo pamankhwala angapo, odwala ambiri amatha kuchotsa matendawa, ngakhale atalandira chithandizo, munthu ayenera kuyang'aniridwa ndi dermatologist.