Folliculitis amatanthauza matenda a pakhungu ndipo ndi mtundu wa pyoderma wapamwamba.
Folliculitis ndi kutukusira kwa ma follicles a tsitsi lapamwamba. Kutupa komwe kumachitika ndi folliculitis kumapatsirana. Makina a chitukuko cha matendawa ndikuti poyamba papule limapanga pakamwa pa follicle, kenako mafomu a pustule, omwe amabowoledwa pakati ndi tsitsi. Gawo lotsatira ndiko kupangika kwa kutumphuka mu follicle area. Ngati kutupa kumayandikira ndikumakhudza follicle yonse, osati gawo lake lapamwamba, ndiye matendawa amatchedwa sycosis. Matendawa amakhala ndi malo omwe amakonda kwambiri kutulutsa, omwe amaphatikiza ziwalo za thupi zomwe zimakhala ndi tsitsi losalala. Pankhani imeneyi, folliculitis imakonda kukhudza miyendo ndi mikono, khungu.
Epidemiology. Ziwerengero
Folliculitis nthawi zambiri imapezeka m'maiko otentha, pomwe nyengo imakonda kukula kwa matenda otupa a pakhungu. Komanso, matendawa amafala kwambiri m'magulu azikhalidwe zopanda anthu, omwe amathandizidwa ndi mikhalidwe yopanda uve.
Folliculitis imakonda kugwira ntchito mwachilengedwe ndipo imawonedwa mwa anthu omwe ntchito zawo zimagwirizanitsidwa ndi kuyatsidwa nthawi zonse kwa othandizira: mafuta, parafini, phula, mafuta, etc.
Ziwerengero zolondola siziperekedwa, chifukwa nthawi zambiri odwala otere nthawi zambiri safuna thandizo kuchipatala, m'malo mongodzisirira. Pankhani ya madotolo, odwala nthawi zambiri amagwera odwala omwe apanga zovuta za folliculitis: phlegmon, abscess, kapena lymphadenitis.
Zizindikiro zamankhwala a folliculitis
Mu gawo loyambirira la matendawa, khungu limafalikira pakhungu lodzala ndi masamba owoneka bwino. Mwachidule, ma pustules amapanga mozungulira tsitsi pakhungu. Popanda chithandizo cha panthawi yake komanso chokwanira, njira yotupa imayendera ndikupangitsa kuphatikizidwa kwa malo okhudzidwa. Pamaso pakhungu pakhungu lodzala ndi mawonekedwe owoneka ndi mawonekedwe kapena mawonekedwe, ali ndi utoto wachikasu, womwe umalumikizidwa ndi kudzikundikira kwa mafinya. Pambuyo pochotsa tayala la pustule, mafinya amatsimikizika, atachotsa pomwe utoto wofiirira umaonekera.
Chiwerengero cha folliculitis chingakhale chosiyana: kuyambira 1-2 mpaka mtengo wapatali. Nthawi zina, odwala amadandaula za kuyabwa kwambiri m'malo a folliculitis. Muzovuta kwambiri, kuchuluka kwa mapilogalamu obowola kwambiri, wodwala amatha kuwonjezereka ndi ma lymph node (akumudzi).
Zolemba zamitundu mitundu ya folliculitis
Gulu
Folliculitis imadziwika m'magulu osiyanasiyana. Maziko omwe adafotokozeredwa pansipa ndi omwe adachititsa kuti matendawa akhazikike:
- Bacterial (staphylococcal, pseudomonas folliculitis, gram-negative),
- Fungal (pachena, chifukwa cha dermatophytes, folliculitis yoyambitsidwa ndi malassezia furfur),
- Chiphamaso,
- Parasitic (Demodex folliculorum tick),
- Viral (chifukwa cha herpes zoster ndi ma virus a herpes simplex, molluscum contagiosum virus).
Malinga ndi kuchuluka kwa zotupa, folliculitis imagawidwa:
- Pamwamba. Mtunduwu umadziwika ndi ma abscesses ochepa (2-5 mm m'mimba mwake). Pustules imakhala ndi hemispherical kapena conical mawonekedwe, imalowetsedwa pakati ndi tsitsi, ndipo imalumikizidwa molunjika ndi pakamwa pa malilo a tsitsi. Kuzungulira pustules kumakhala kaching'ono kotupa kolekako, komwe kali utoto wofiirira. Ululu ungakhale wopanda kwathunthu kapena wochepa. Kutalika kwa matendawa ndi masiku 2-3, kenako zomwe zili m'mapustule zimasandulika kukhala zouma zouma. Pambuyo kukana kwa peel, kumatha kukhalabe cholinga cha kutulutsa timitundu ndi kusenda.
Malinga ndi kuchuluka kwa zopukusidwa zowonongeka, matendawa amawerengedwa:
- Single folliculitis
- Angapo folliculitis.
Kutsika kwa folliculitis kumatchulidwa:
- Zovuta
- Zosavuta.
Zimayambitsa Folliculitis
Folliculitis ndimatenda amtundu wopatsirana, chifukwa chake, amatha kupezeka ndi tizilombo toyambitsa matenda osiyanasiyana: mabakiteriya, ma virus a herpes, bowa. Ngakhale kuti tizilombo toyambitsa matenda tomwe timayambitsa matenda a folliculitis, zina zambiri ndi matenda ophatikizika amagwira ntchito yofunika. Agawidwa m'magulu awiri:
Zinthu za Exo native (zakunja):
- Microtrauma wa pakhungu,
- Khungu,
- Mavalidwe olakwika kapena osayenera
- Nyengo (kutentha kwambiri ndi kutentha kwanyengo),
- Chizolowezi chovala zoyenera kapena zopangidwa mwaluso,
- Hypothermia.
Zinthu zamkati (zamkati):
- Anemia
- Matenda a shuga
- Kuperewera kwa zakudya zabwino,
- Matenda a chiwindi
- Chithandizo cha mankhwala ochokera ku gulu la immunosuppressants,
- Kugwiritsa ntchito glucocorticosteroids makamaka, makamaka pazovala zamatsenga.
Zovuta zingapo mthupi zimasiyananso zomwe zimathandizira pang'onopang'ono kukula kwa folliculitis. Izi zikuphatikiza:
- Matenda a Periodontal
- Gingivitis
- Caries
- Matenda opweteka kwambiri,
- Matenda a pharyngitis,
- Kunenepa kwambiri
Zonsezi zimadziwika chifukwa zimachepetsa chitetezo cha mthupi, chomwe chimalephera kupereka ulemu kwa matenda opatsirana pakhungu.
Folliculitis Mavuto
Nthawi zambiri, folliculitis imakhala yosavuta ndipo siziwopseza moyo wa munthu. Nthawi zina, kukulitsa zovuta kumatheka. Monga lamulo, zovuta zimayamba pakakhala kuti palibe chithandizo chokwanira, osagwirizana ndi malamulo aukhondo komanso osakwanira poyankha thupi.
Mavuto a folliculitis amaphatikizapo:
- Furuncle (ndipo, pambuyo pake, ingayambitse kukula kwa lymphadenitis ndi hydradenitis),
- Carbuncle
- Muli
- Dermatophytosis ya khungu (ndi folliculitis yoyambitsidwa ndi dermatophytes),
- Mapangidwe a zipsera za follicular.
Nthawi zina, mavuto ovuta omwe amakhudzana ndi folliculitis, monga nephritis, meningitis ndi mitundu yayikulu ya chibayo, amafotokozedwa.
Zizindikiro
Pozindikira matenda a folliculitis, ntchito yofunika imaperekedwa pakuwunika wodwalayo. Kuthamanga ndi folliculitis kumakhala kwambiri ndipo kumakupatsani mwayi wodziwikitsa. Mayeso owonjezera amatilola kukhazikitsa chomwe chinayambitsa matendawa.
Chikhalidwe cha zotupa
Mapapu kapena ma pustule amadziwika chifukwa amapezeka pakamwa pa malembedwe atsitsi. Kuzungulira iwo akufotokozedwa mbali ziwiri za hyperemia. Nthawi zambiri, zithunzi zophatikizidwa zimapezeka pafupi ndi mzake mosasokoneza.
Pozindikira, kuphatikiza kwa anamnesis (zambiri zamomwe matendawa adzayambire, kudziwiratu komanso zinthu zam'mbuyomu) kumathandizanso.
Kuti akhazikitse chikhalidwe cha matendawa, kuwunika kwa ma grramcopic kwa Gram kumachitika, chikhalidwe cha bacteria pazomwe zimapezekanso. Nthawi zina, khungu loteteza khungu limatha kuchitika.
Kuyesedwa kwa magazi kumalimbikitsanso kudziwa kuchuluka kwa shuga m'magazi kuti asatenge matenda osokoneza bongo omwe samadziwika, omwe amathanso kukhala omwe amayambitsa matenda.
Kusiyanitsa mitundu
- Kutupa kwa tsitsi lanu
- Rosacea
- Ziphuphu wamba
- Kuwonetsedwa kwa mankhwala (chlorine),
- Toxicoderma ya mankhwala (lithiamu, corticosteroids, bromine kukonzekera),
- Matenda a Kirle.
- Follicular keratosis,
- Diffuse neurodermatitis,
- Tsitsi la Ingrown
- Vitamini C ndi A
- Matenda a Devergy,
- Lichen planus (mawonekedwe ake),
- Discoid lupus erythematosus,
- Kutukwana
- Ziphuphu zakumaso
- Scurvy,
- Matendawa.
Mu mtundu woyamba wa matendawa, njira zosavuta koma zochizira folliculitis zimagwiritsidwa ntchito. Pustules amathandizidwa ndi 2% camphor kapena mowa wa salicylic, 2% wobiriwira wanzeru, fucorcin kapena methylene buluu. Kumbukirani, mutha kugwiritsa ntchito 1% yokha ndi 2% mowa wotsekemera, kutsika kwakukulu sikumayikidwa. Salicylic acid ndi gawo la mafuta osiyanasiyana a Cleracil, ma gels ndi ma lotions omwe amapangidwira khungu.
Zikachitika kuti folliculitis ndi yakuya komanso kudzikundikira kwa mafinya ndikofunikira, kutsegula mafinya, kuchotsa mafinya, ndikutsatira chithandizo ndi imodzi mwamaudindo omwe atchulidwa ndikulimbikitsidwa.
Ndi mawonekedwe akulu a folliculitis, tikulimbikitsidwa kuyamwa compress ndi ichthyol 1-2 kawiri pa tsiku.
Matenda obwereza a folliculitis amafunika kuikidwa kwa mankhwala amphamvu kwambiri. Muzochitika izi, mankhwala ochokera ku gulu la sulfonamides, maantibayotiki ndi mankhwala. Mwanjira iyi, immunostimulating therapy imasonyezedwanso.
Mukamagwiritsa ntchito ndalama zam'deralo, sizikulimbikitsidwa kufinya omwe akhudzidwa kapena kuyesa kufinya ma pustule, chifukwa izi zimawonjezera mwayi wokhala ndi chithupsa, ndipo nthawi yayikulu, phlegmon.
Kuchokera ku mankhwala osagwiritsa ntchito mankhwala a folliculitis, kuwonetsa ma ray a ultraviolet kwatsimikizira bwino. Pakatha tsiku limodzi kapena tsiku lililonse, mankhwala ochepetsa mphamvu ya mankhwala amadziwika. Maphunziro apadera ndi kutulutsidwa kwa 6-10.
Ngati folliculitis yatuluka motsutsana ndi maziko a matenda osokoneza bongo, ndiye kuti zakudya zowonjezera zimaphatikizidwanso. Ndi matenda a kagayidwe kachakudya, chiwopsezo chobwereranso matenda chimachepetsedwa.
Ganizirani za matenda a folliculitis
Mafuta a mankhwala a mupirocin okhala kwanuko kawiri pa tsiku. Mkati, cephalexin, dicloxacillin, erythromycin kapena methicillin ndi mankhwala. Maantibayotiki amasankhidwa potengera mphamvu inayake ya thupi kupita kwa ma antibacterial.
Pseudomonas folliculitis
Woopsa milandu, ciprofloxacin ndi mankhwala.
Grram-fol folululitis
Maantibayotiki ayenera kusiyidwa. Fotokozerani mankhwala akumaloko ndi benzoyl peroxide.
Fungal folliculitis
Omwe amathandizira antifungal othandizira amadziwika. Mkati mwake tikulimbikitsidwa kutenga itracanozole, terbinafine, fluconazole.
Herpetic Folliculitis
Acyclovir adayikidwa mkati.
Pochiza folliculitis, gawo lalikulu limaperekedwa njira zina zamankhwala, zomwe zidayambitsa zokhazokha ndipo zimadziwika ngati mankhwala ovomerezeka.
Ganizirani zina mwazakudya zodziwika bwino komanso zamankhwala zachikhalidwe.
- A decoction of viburnum ndipo ananyamuka m'chiuno
Kuphatikizidwa kwa msuzi kumaphatikizapo: zipatso za viburnum - 200 magalamu, zipatso za rosehip - 200 magalamu, nettle zouma - 100 magalamu. Mwa izi timawonjezera chipolopolo cha mtedza, wobiriwira - magalamu 10, tchizi chatsopano chopangidwa ndi nyumba - 50 magalamu a, njuchi uchi - 50 magalamu, madzi - 2 makapu.
Momwe mungapangire kulowetsedwa kwamachiritso? Timatenga zipatso zosapsa komanso zotsuka za viburnum, komanso m'chiuno chanyawu, timaziphatikiza ndi maukonde ndi maukonde. Thirani chisakanizo chouma ndi madzi otentha ndikusiya kwa mphindi 10 kuti simmer kwa kutentha kochepa. Zitatha izi, osakaniza amayenera kuthiridwa kwa maola 24, ndiye kuti umasefedwa. Izi takonza maziko a ntchito zamtsogolo. Tikayamba chithandizo, timapanga chisakanizo cha tchizi chatsopano chatsopano ndi uchi ndikuwonjezera supuni ziwiri za decoction kwa iwo. Msakanizo wosakanikirana ndi viburnum decoction umayikidwa pakhungu pakhungu katatu pa tsiku kwa mphindi 20. - Msuzi wa Chamomile
Chamomile ndi amatsenga kuti athetse kutupa. Sambani ndi decoction yokonzekera mogwirizana ndi malangizo omwe ali pabokosi la mankhwala osachepera katatu patsiku. Ndi chimodzimodzi decoction, mutha kusakaniza mafuta ena aliwonse a khungu pakakhala zizindikiro za folliculitis. Chamomile amachotsa zotupa pakhungu ndikuwuma. - Thaulo yotentha
Pofuna kupewa matenda a staphylococcal folliculitis, gwiritsani ntchito njira yakale yotsimikiziridwa, ingakuthandizeni kupewa kuyambika kwa matendawa. Pambuyo pometa, thira thaulo yofinya, yotentha kumaso kwanu kwa miniti yokha. - Dandelion yamankhwala
Kuphatikiza kwazitsamba kotere kumakhala kumledzera mkati. Wokonzedwa kuchokera ku mizu, ikhoza kukhala limodzi ndi masamba.
Thirani makapu awiri amadzi otentha ndi kapu imodzi, popanda pamwamba, supuni zamasamba ang'onoang'ono komanso owuma bwino ndikuphika kwa mphindi 10. Sula msuzi ndi kutenga 4 pa tsiku 50 ml. - Chithawi
Timagwiritsa ntchito nthula ngati chithokomiro chakunja cha wowerengeka. Timatenga 50 g muzu ndi kuphika theka la lita imodzi ya madzi kwa mphindi 30. Chotsani msuzi pamatenthedwe ndikupitiliza kuumirira ola limodzi, musaiwale kusefa. Kugwiritsidwa ntchito ndi odwala ma compress, malo osambira komanso zovala zofowoka. - Wogona pabedi
Pano, timagwiritsa ntchito maluwa ngati zopangira, ndiye kuti, gawo lamafuta pamalowo. Ndi ufa wouma kuchokera kumera, kuwaza malo owawa pansi pazovala zamankhwala. - Wonunkhira bwino
Pano pali chilichonse chosavuta, chatsopano, masamba ongokonzedwa kumene amagwiritsidwa ntchito kwanuko pansi pa chovala chachipatala kupita kumalo achodzala. Timasintha bandeji kawiri pa tsiku. - Spiny Tatarnik
Chomera chimatchulidwanso kuti nthula. Monga momwe tidalankhulira kale, timagwiritsa ntchito kwanuko, pangani zamkati zatsopano kuchokera pamasamba a chomera ndikuchigwiritsa ntchito kumalo omwe akukhudzidwawo. - Burdock chachikulu
Timamwa msuzi mkati. Kuti muchite izi, muzu wosankhidwa wa burdock (supuni 1), kuphika mu 500 ml ya madzi kwa mphindi 10, kunena 1 ora, kusefa. 50 ml amatengedwa 2 kawiri pa tsiku.
Ndi folliculitis, matendawa amadziwika kuti ndi abwino. Ndi kuya kwakukuku kwa chotupa, kumatha kukhalabe cholinga cha kutulutsa utoto utagwa. Folliculitis yovuta ndiyosowa, koma amathandizidwa ndi madokotala.
M'malo abwino, pustule imadzaza kutumphuka, komwe imasowa, kulowetsedwa pang'onopang'ono kumasungunuka, ndipo patatha masiku 6-7 malo omwe kale folliculitis amakhalapo, pigmentation kapena, ndi kukula kwakukulu kwa lesion, kumakhalabe.
Zinthu zachitukuko
Ambiri folliculitis chifukwa staphylococci. Izi tizilomboti tili pakhungu la munthu aliyense. Amatha kupezeka pazinthu zotizungulira, mlengalenga komanso fumbi.
Pali mitundu itatu ya staphylococci:
- Wagolide Ndi mtundu uwu womwe umasokoneza chitukuko cha matenda osiyanasiyana apakhungu.
- Epidermal. Amawerengedwa kuti ndiwofunika kwambiri. Izi zikutanthauza kuti epidermal staphylococcus imatha kupezeka pakhungu la munthu, koma amatha kupangitsa kuti tsitsi liziphira pokhapokha penafunika.
- Saprophytic. Amawonedwa ngati microflora otetezeka a pakhungu. Sizimayambitsa kukula kwa matenda.
The pathogenicity yapamwamba ya Staphylococcus aureus amafotokozedwa ndi kuthekera kwake kupanga coagulase. Kamodzi mu minofu, enzyme iyi imayambitsa magazi. Chifukwa cha izi, kutupa kumayang'ana pakanthawi kochepa komwe kumateteza chitetezo cha mthupi.
Popeza khazikika mu minofu, staphylococcus imatuluka ndikupanga hyaluronidase, zowononga ulusi wolumikizika. Ndi amalola matenda mwachangu pitani pakhungu.
Folliculitis ndiye matenda opatsirana. Itha kufalikira kudzera munjira yoyanjana komanso kudzera pafupi. Ana amatenga kachilombo mosavuta. Khungu lawo lilibe chitetezo chotchinga ndipo wokonda kuchita kutentha pakuwonekera pang'ono kwa mabakiteriya.
Komwe kuli staphylococci pamwamba pa khungu sikokwanira chifukwa cha folliculitis. Zinthu zoyeserera ndizofunikira.
Zili mkati ndi kunja.
Zifukwa zotsatirazi za folliculitis zimatengedwa ngati amkati:
- Matenda a shuga.
- Kupanga kwambiri mahomoni ogonana. Mwa akazi, mahomoni achimuna amayambitsa matendawa, ndipo mwa amuna, mahomoni achikazi.
- Matenda a chithokomiro.
- Kuperewera kwa mapuloteni muzakudya.
- Hypovitaminosis.
- Pachimake kupuma matenda ndi chimfine.
- Matenda a ziwalo zamkati.
- Oncology.
- Edzi
- Kutalika kwa mankhwala opha tizilombo.
Zodziwika: uhozinophilic folliculitis amapezeka mwa odwala omwe ali ndi immunodeficiency syndrome. Nthawi yomweyo etiology Mtunduwu wa folliculitis sunadziwikebe.
Zinthu zakukula zomwe zimayambitsa staphylococcal folliculitis zimaphatikizapo:
- Kuvulala kwina.
- Kuipitsidwa khungu khungu.
- Kusamalira khungu koperewera. Izi ndizowona makamaka kwa akhanda.
- Kulephera kutsatira malingaliro a dokotala pambuyo pa njira zina zodzikongoletsera.
Folliculitis imathanso kuchitika ndi bowa, ma virus, ndi mabakiteriya opanda gramu. Zowona, izi zimachitika kawirikawiri ndipo nthawi zonse zimatsutsana ndi maziko a kufooka kwa chitetezo chathupi.
Kutchulidwa kokhazikika kumafunikira pseudofolliculitis. Chowonadi ndichakuti matendawa amakula popanda kutenga nawo mbali wodwala wopatsirana. Pseudofolliculitis imawoneka m'malo omwe tsitsi limachotsedwa nthawi zonse pamakina: pa nkhope, pang'onopang'ono ndi miyendo.
Kuchita pafupipafupi pa tsitsi kumapangitsa kuti chidendene cha tsitsi chizipindika. Nkhope yake imapuma pa minofu yoyandikana nayo. Tsitsi limangolowa dermis ndipo pambuyo pake limayambitsa kutupa.
Ngakhale kuti mabakiteriya satenga nawo mbali pakukula kwa kutupa, matendawa atha kulumikizana nawo pambuyo pake. Matenda apakati amachititsa kuti asamasokonekere ndipo amayambitsa maabsabscess.
Kutupa kwapamwamba
Folliculitis yotere imadziwikanso kuti ostiofolliculitis. Zimayambitsidwa osati ndi staphylococcus, komanso ndi Pseudomonas aeruginosa.
Tsamba la zotupa limawoneka ngati thovu, kuchokera pakati pomwe tsitsi limakula. Kukula kwa bubble kulibenso mutu wa machesi. Yazunguliridwa ndi chingwe chofiyira cha khungu loyatsidwa.
Osteofolliculitis ndi osakwatiwa komanso gulu. Potsirizira pake, imatha kugwira malo akuluakulu pakhungu.
Matendawa amayamba ndi kutupa kwa banal. Wodwalayo amawona kufiira pang'ono komanso kuwonda pang'ono m'dera la chopingacho. Pambuyo pake, kutupira kumachitika pamalo ano, mkati mwake momwe kuwombera kumawonekera ndi zomwe zili zoyera kapena zoyera.
Pustule imang'ambika mwachangu, kusiya chikho. Mafuta achinyengo amatha kutuluka kwa nthawi yayitali. Pakatha masiku angapo, chosemacho chimatseka ndi kutumphuka. Pambuyo pa kuphatikiza kwake kuchokera ku folliculitis, palibe zotsalira.
Ndi ostiofolliculitis, ma abscesses amatha kukhala pafupi ndi wina ndi mnzake, koma osalumikizana.
Njira yotupa yozama
Folliculitis yozama imachitika pamene tizilombo toyambitsa matenda timalowa kwambiri mkati mwa tsitsi. Pambuyo pake, timinofu tating'onoting'ono timayamba kupindika mozungulira tsitsi, lomwe pambuyo pake limasandulika kukhala mafinya, kenaka limasungidwa. Pakatha masiku angapo, ma pustules amawuma ndikuphatikizana. Pambuyo pawo, chilonda chowoneka chatsalira.
Woopsa matendawa, matendawa amatenga khungu lakuya kwambiri ndipo amakhumudwitsa kukula kwa necrosis.
Folliculitis yozama imapezeka makamaka pakhungu. Nthawi zina amapezeka m'munsi mwa khosi komanso kumbuyo.
Fomu yovuta
Folliculitis yotere imadziwika ndi njira yobwererera. Matenda samachokapo kwathunthu. Zotupa zonse zatsopano zimawoneka pakhungu.
Pathology imayamba m'malo a khungu lomwe limangokhalira kukangana kapena kuvulala pafupipafupi. Kwa anthu achikulire, matenda osachiritsika nthawi zambiri amapezeka pamutu. Izi zimachitika chifukwa cha kusintha kwa ma atherosselotic m'matumbo am'mutu komanso kuperewera kwa khungu la khungu.
Mwa amuna ndi akazi omwe amakhala ndi chitetezo chamthupi chofooka, mawonekedwe a folliculitis nthawi zambiri amakhala m'mitsempha.
Zosiyanasiyana za folliculitis
Madokotala amasiyanitsa mitundu ingapo ya matendawa. Kugawikidwako kwa mitundu kumatsimikiziridwa ndi wothandizira wa matendawa, malo ndi kutengera maphunzirowo.
Mitundu yotchuka kwambiri ya folliculitis ndi:
- Inguinal. Tizilomboti timalowerera ukulu wa khungu ndikupangitsa kutukusira kwa babu wa tsitsi m'mphepete. Matendawa amatha chifukwa cha kachilombo ka herpes, bowa wa Candida, ndi mabakiteriya opanda gramu. Udindo waukulu pakukula kwa matendawa umachitika ndi ukhondo wa munthu.
- Staphylococcal. Matenda amtunduwu nthawi zambiri amapezeka pamasaya, pachifuwa, ndipo makamaka mwa amuna. Matenda amapezeka pakameta. Mwamuna amawononga khungu mosazindikira, ndipo pathogen yomwe ili pamtunda wa genermis imatha kupeza babu la tsitsi. Staphylococcal folliculitis imatha kuvuta ndi sycosis.
- Pseudomonas. Folliculitis yotere imawonekera mutatha kusamba ndi moto wopanda madzi a chlorine. Matendawa nthawi zambiri amapezeka mwa odwala omwe akupezeka ndi maantibayotiki othandizira ziphuphu. Odwala otere, matendawa amawonekera ndi kuwonjezeka kwadzidzidzi kwa ziphuphu zakumaso zophatikizana ndi mapangidwe a purulent pustules.
- Syphilitic, kapena ziphuphu zakumaso. Matendawa akuwonekera m'gawo lachiwiri la syphilis. Mitundu yamtunduwu ya folliculitis imadziwika ndi ma pustule a ndevu ndi ndevu. Pafupipafupi, kutupa kumawonekera pakhungu.
- Gonorrheal. Matenda amtunduwu amapezeka pamene gonococcus yopanda gramu imakwiyitsa kutukusira kwa tsitsi lakumaso kwa thupi. Zomwe zimayambitsa matenda otupa zimakonda kusamuka. Amatha kupita ku khungu la perineum mwa azimayi, mafupa a khungu ndi testicles mwa amuna. Kuchiza matendawa kumatheka pokhapokha poyambira gwero limodzi - chinzonono.
- Candidiasis. Amawoneka chifukwa cha matenda a follicles ndi yisiti ya mtundu wa Candida. Zomwe zimayambitsa zotupa zimapangidwira pansi pa mkono, m'chigawo cha inguinal, pankhope ndi pamutu. Matendawa amawonetsedwa ndi redness pakhungu kuzungulira follicle kachilombo ndikupanga ma pustules. Wotsirizira pambuyo pake amasintha kukhala chilonda kapena zilonda.
- Matenda a Hoffmann a khungu. Zomwe zimayambitsa matenda amtunduwu, madokotala sanathe kukhazikitsa mpaka pano. Mwa odwala ena, kufufuza kumawonetsa gram-staphylococcus, mwa ena sikuwoneka. Pali lingaliro kuti matendawa amapezeka chifukwa chatsekeka pamatumba a sebaceous ducts komanso kuchepa kwa chitetezo chokwanira. Folliculitis ya Hoffmann imadziwika ndi kuphatikizika kwa purulent foci ndi mapangidwe a fistulas. Omaliza amalankhulana.
- Dermatophytic. Poyamba, chidwi cha kutupa chimakhala mu stratum corneum ya epidermis, koma kenako nthendayo imapita kutsinde la tsitsi ndikubwera mu follicle.
- Impetigo Bockhart. Ili ndiye mtundu wapadera wa folliculitis womwe umayamba ndi thukuta kwambiri kapena kuzunza kwawotentha.
Wodwala amatha kudziwa payekha mtundu wina wa folliculitis pazizindikiro zake. Koma matendawa atha kukhala olakwika. Kuti mumvetse bwino, muyenera kukayezetsa kuchipatala.
Njira zochizira
Chithandizo cha mankhwalawa chimatengera kuwonongeka kwa gawo la tsitsi.
Matenda okhathamira amatha kuchotsedwa mosavuta ndi zobiriwira zabwino, Fucorcin, kapena mowa wamchere. Ndikukwanira kutsuka chikho kangapo ndi njira izi. Izi zitha kuchitika kunyumba.
Ndi zotupa zakuya, kupweteka kwa ma pustules ndikofunikira. Pambuyo pochotsa zomwe zili, mabala amayenera kuthandizidwa ndi methylene buluu ndi camphor mowa solution. Mukhonzanso kuthira mafuta ophatikiza ndi ichthyol mafuta 2 kawiri pa tsiku.
Mankhwalawa matenda folliculitis pamafunika osakanikirana akunja ndi antibacterial kwambiri. Mankhwala oterewa amasankhidwa poganizira zomwe zimayambitsa matendawa.
Ndi staphylococcal folliculitis, Erythromycin, Methicillin Cephalexin ndi mankhwala. Matenda a fungus amathandizidwa ndi Itracanozole ndi Terbinafine. Fomu ya herpetic imayendetsedwa ndi Acyclovir.
Pofuna kuthana ndi zotupa za tsitsi, mankhwala azitsamba angagwiritsidwe ntchito. Tikuyankhula za kugwiritsa ntchito msuzi wa chamomile, kulowetsedwa pa zipatso zamtchire zamtchire ndi viburnum, compress yochokera ku chisakanizo cha kanyumba tchizi ndi uchi.
Njira zopewera
Ambiri folliculitis amatha kutetezedwa bwino. Njira zopewera ndi zosavuta ndipo sizitengera nthawi yayitali.
Njira zodzitetezera zimaphatikizapo:
- Kutsukidwa kwa thupi ndi miyala yapadera komanso zopaka.
- Kusamba pafupipafupi. Ndikofunika osachepera 2 pa tsiku.
- Kukana kugwiritsa ntchito zovala za munthu wina.
- Kusambira kokha m'madziwe ndi madzi abwino otchingidwa ndi madzi.
- Kukana kuvala zopangira komanso zovala zolimba kwambiri.
- Gwiritsani ntchito pambuyo pochotsa ndi kufalikira kwa zoledzera zoledzera.
Folliculitis imatha kukhala chifukwa cha matenda abwinobwino. Izi zikutanthauza kuti pofuna kupewa matenda, muyenera kuyezetsa magazi anu kuchipatala kamodzi pachaka.
Zizindikiro za matendawa
Pali kuwonongeka kwakukulu kwa bulb yomwe ili mu epidermis:
Poyambirira, malo okha achinsinsi omwe amawonongeka, chachiwiri, ngati chithandizo sichinayambike, kutupa kumapita mkati mwa follicular patity. Digiri yachitatu, yoopsa kwambiri, imapezeka ndi bulion yonse.
Pofuna kupewa kufalikira kwamatendawa, muyenera kudziwa zoyambitsa matendawa komanso kuwonongeka kwake pamene folliculosis ipita gawo lina:
- kutupa kwamunthu mu mawonekedwe a zotupa zapinki,
- pang'onopang'ono chotupa chimafalikira mozungulira momwe chikuwonekera choyambirira, chikukulira ndikukula mawonekedwe - mawonekedwe akumaso okhala ndi tsitsi pakati pakapangidwe,
- m'malo mwa kuphulika, khungu lowoneka bwino limawonekera nthawi yomweyo,
- Nthawi zina, kutentha kwambiri kumadziwika.
- komwe ma pustule amaluma, ndipo pakusintha kwa ma pustules,
- milandu ya focal alopecia amawona madera sycotic zotupa.
Kutupa kwa tsitsi kumutu kwa ana kumachitika monga njira yothandizira dermatitis (makamaka seborrhea), komanso pokhudzana ndi matenda omwe amafunika kuchepa kwambiri kwa chitetezo chathupi.
Localization of foci
Popeza kutupa kwa tsitsi lanu kumatha kukhala kwakanthawi, maonekedwe a zotupa nthawi zambiri amagwirizana ndi kugwiritsa ntchito zinthu zaukhondo za anthu ena. Monga lamulo, scalp imavutika, koma mawonekedwe akuwoneka ngati opsinjika m'mphepete, kumtunda ndi m'munsi kumapeto, m'mphepete pamanja mulibe.
Kuwoneka kwa zizindikiro za matendawa pamalo a pubic ndi mikwingwirima nthawi zambiri kumakhala kovuta chifukwa cha kuwonjezeka kwa ma lymph node, ndipo pambuyo pochiritsa zilonda, zomwe zili pagawo la zotupa zakuya, osadutsa zilonda kapena zilonda zimakhalabe m'malo mwake. Nthawi yomweyi ikuwonetsedwa ndi gawo la alopecia.
Pamiyendo ndi mikwingwirima, mababuwo amawonongeka chifukwa chakukwiya, kumetedwa koopsa ndi chida chamakina kapena mutatsitsidwa. Folliculitis pamanja imapezeka kawirikawiri kwa amuna omwe akugwira ntchito yopanda ukhondo (pamalo opangira, pobwezeretsanso zinyalala), kapena amayi omwe amagwiritsa ntchito zotchingira zotsukira (kutsuka, kuyeretsa) popanda magolovesi.
Mankhwala a folliculitis
Kutupa kwa minofu ya tsitsi kumathandizidwa kunyumba ndi mankhwala osankhidwa ndi dermatologist. Ndondomeko ya dongosolo la mankhwalawa imayambitsidwa ndikuwonetsetsa komanso kutsimikiza kwa zomwe zimayambitsa matendawa.
Mankhwala zotchulidwa mankhwalawa folliculitis:
- mankhwala a antibacterial am'deralo: "Gentamicin", "Levomekol",
- antiseptics: 3% hydrogen peroxide, zelenka, Miramistin, Fukortsin,
- othandizira antifungal othandizira: Nizoral, Mycozoral,
- mapiritsi akale: "Zodak", "Suprastin".
Mosasamala za woyambitsa matendawa chifukwa cha kuwonongeka kulikonse, mafuta wamba a zinc amamuyendera bwino, omwe amagwiritsidwa ntchito ngati mawonekedwe a malo omwe akukhudzidwa.
Chithandizo cha mafomu obwerera kapena okalamba
Maantibayotiki amatchulidwa ngati matendawa apezeka kale pamlingo wa sycosis, ndiko kuti, pali zotupa zingapo ndi purulent formations yosiyanasiyana ya kusasitsa. Pankhaniyi, sulfonamides ndi mankhwala omwe amalimbikitsa chitetezo cha mthupi amatchulidwa pamodzi ndi chithandizo chachikulu.
Mukafuna kugwiritsa ntchito ndalama zakomweko kumadera okhala ndi mabotolo opasuka kapena otseguka, simungathe kulimbikira m'malo omwe akukhudzidwa kapena yesetsani kutsegulira nokha. Izi zimachitika pokhapokha ngati pali chosabala mu chipinda chothandizira.
Physiotherapy
Ntchito yothandizira folliculitis imaperekedwa kwa wodwala monga gawo la zowonjezera ndipo ndi njira imodzi yothanirana ndi kutupa kwa tsitsi. Kuchokera pamalo owoneka otetezeka komanso kuthamanga kwa zotsatira zabwino, kuwonetsa ma radiation a ultraviolet mpaka kuya kwa 10 mm m'dera lomwe lakhudzidwalo ndikutsimikiziridwa bwino.
Kutalika kwa maphunzirowa kumakambirana payekhapayekha, koma osapitilira njira khumi. Nthawi zambiri kuwunikiridwa kumawongoleredwa pokhapokha chifukwa choopsa cha momwe wodwalayo alili komanso momwe angathandizire kulandira chithandizo.
Njira za anthu
Zithandizo zaumoyo wa anthu sizingabwezeretse chithandizo chachikulu, koma zimagwiritsidwa ntchito bwino ngati chithandizo cha folliculitis chifukwa cha kuchuluka kwa mankhwala azitsamba a tannins, astringents, antiseptics achilengedwe ndi okhazikika a njira zobwererera. Madokotala amathandizira chithandizo chowonjezereka pogwiritsa ntchito njira zina pogwiritsa ntchito zotsatirazi zomwe zimagwiritsidwa ntchito pazinthu zina ndi zina:
- wamba dandelion
- mizu ya burdock (burdock),
- mankhwala a chamomile
- zitsamba
- anyezi
- cranberries.
Zonsezi zomwe zili pamwambazi zimakonzedwa mosamalitsa - chifukwa cha makonzedwe am'kamwa - komanso mwa mawonekedwe ogwiritsira ntchito kwambiri - kuti mugwiritse ntchito kunja.
Kuzindikira komanso zovuta
Ngati matendawa sanathere pakatha milungu iwiri isanayambike zizindikiro zoyambirira, kapena njira zomwe wodwala amagwiritsa ntchito sizikumana ndi cholinga chamankhwala, kukula kwa zovuta monga:
Kukula kwa kudaliraku ndikukula kwa zovuta kumadalira njira yomwe matendawo atenga, ndipo atha kutanthauza chotsatira choopsa, mpaka chowopsa. Ana osakwana chaka chimodzi ali pachiwopsezo chachikulu, motero, chithandizo cha gulu ili la odwala chimachitika pokhapokha pazoyenera.
Folliculitis prophylaxis
Matenda amtundu wa khungu amatha kupewedwa pongotsatira mfundo zoyambirira zaukhondo ndikuchiritsa kwathunthu matenda onse okhudzana ndi kulowetsedwa kwa matenda ndi ma virus. Ngati munthu yemwe ali ndi folliculosis akuwoneka ozunguliridwa ndi abale kapena anzanu, muyenera kusamba ndikusamba manja anu ndi antiseptics pafupipafupi ndikuonetsetsa kuti akuwonana ndi dermatologist pakukayikira koyamba kwa matenda.
Matenda amafalikira, zizindikiro
Nthawi zambiri, matendawa amapezeka m'maiko ofunda ndi otentha. M'mikhalidwe imeneyi, causative wothandizila matenda amachulukitsa kwambiri, kotero folliculitis yakhala yofala matenda. Ndi ya pyoderma.
Folliculitis ya scalp ndiyowopsa makamaka, chifukwa ndi m'dera lino lomwe thumba la tsitsi limakhala lakuzama kwambiri. Kuphatikiza, matenda amatha kubweretsa zovuta zingapo.
Zizindikiro za folliculitis zimaphatikizapo:
- kuchuluka kwa tsitsi lanu
- mapangidwe a mafinya amkati,
- Zilonda zimakhalabe pamalopo a mafinya otumphukira, omwe amawuma,
- Pambuyo pochiritsidwa kwathunthu, chilonda kapena malo owala khungu angatsalire pakhungu.
- kuyabwa, kupweteka m'dera la kutupa m'magawo awiri oyamba.
Ngati matendawa ali ngati mawonekedwe a zotupa, ma follicles ambiri mthupi amakhudzidwa, ndiye kuti wodwalayo ali ndi zonsezi. Zina zozungulira zimangowoneka, zina zayamba kale kuphulika, kuyambira zilonda zakale pali zipsera, zipsera zoyera kapena mawanga amdima akuda.
Zoyambitsa folliculitis ndi mitundu yake
Mchitidwewo umayamba motere: nthendayo imalowa m'thumba la tsitsi ndikukula, ndikuyambitsa kutupa kwa tsitsi. Komabe, pali zifukwa zambiri zomwe zimapangidwira. Choyamba, ndizosasamala komanso zosayenera zaumoyo pakhungu.
Zosasokoneza dontho mu gawo la chitetezo chakwanuko:
- Matenda a shuga.
- Chakudya chopanda malire.
- Matenda angapo opatsirana pogonana.
- Matenda ena a endocrine dongosolo.
- Matenda a autoimmune.
- Matenda a chiwindi.
- Kugwiritsa ntchito mankhwala a corticosteroids ndi maantibayotiki.
- Hypothermia ya thupi.
- Microtrauma wa khungu.
Gulu la folliculitis limatengera zomwe tizilombo toyambitsa matenda timayambitsa matenda a tsitsi. Potere, mtundu wa matenda nthawi zambiri umatha kutsimikizika pokhapokha kuwunika.
Bacteria
Ili ndi matenda ofala kwambiri, omwe amayamba chifukwa cha 90% ya Staphylococcus aureus golide kapena oyera. Pseudomonas folliculitis ndi kutupa komwe kumayambitsa mabakiteriya opanda gramu amapezeka.
Ma bowa amtundu wa Candida ndi ma dermatophytes nthawi zambiri amakhudza mawonekedwe a scalp, ndevu ndi masharubu, ndiko kuti, malo omwe ali ndi matumba akuya tsitsi. Pali mitundu ingapo yambiri ya bowa yomwe ingayambitse matendawa.
Nthawi zambiri zimayamba chifukwa cha kachilombo ka herpes. Amapezeka mwa odwala omwe ali ndi tizilombo toyambitsa matenda.
Mwina zotheka matenda
Mavuto amtunduwu amatenga pomwe wodwala sathandizidwa ndipo samatsatira ukhondo. Nthawi yomweyo, zotupa zapamwamba zimasiya zipsera zoyera zomwe zimasungunuka kwa nthawi yayitali.
Kutupa kwa babu la tsitsi pamutu, komwe kumatha kukhala kozama ndikuzama, nthawi zambiri kumadziwika.
Vuto lodziwika bwino ndi chithupsa, chomwe chimatha kupezeka pamalo a bulabu yoyaka. Mukukhuthala kwa khungu kumawoneka kutukusira kwa masentimita 2-3, omwe amadziwika ndi kupyapyala komanso kuwonda.
Kenako pachimake necrotic imawoneka ngati puroses vesicle, nthawi zina yayikulu kwambiri. Munthu amatha kukhala ndi malungo, zizindikiro za kuledzera zimayamba.
Chithupsa chimatha kukhala chithupsa, chomwe chimadziwika ndi mafinya ambiri. Carbuncle ikhoza kupanganso - zithupsa zingapo, momwe m'malo a necrosis, akhungu akufa khungu.
Ngati tizilombo toyambitsa matenda ndi bowa, dera lalikulu lomwe limakhudzidwa ndi dermatophytosis limatha kupanga.
Pali nthawi zina pamene folliculitis idayambitsa matenda oyipa monga meningitis, chibayo ndi nephritis. Koma zochitika ngati izi ndizosowa kwambiri, ndipo nthawi zambiri zimachitika motsutsana ndi chiyambi cha kufalikira kwamphamvu.
Follicle kutupa mankhwala
Pazoti pomwe zotupa zambiri zimakhala zapamwamba, palibe zoyang'ana pakatupa kwambiri, mafuta onunkhira ndi ma compress amatchulidwa ngati chithandizo.
Zinthu zothandiza zomwe zimakhala ndi salicylic acid, komanso mowa wa salicylic ndi camphor. Chithandizo cha antiseptic chimafunikiranso panjira kuti pakupezeka kwakukulu. Amatsegulidwa ndikutsukidwa.
Autopsy yodziyimira payokha ya mapustule ndi mapapu! Kulowerera osaphunzira kungapangitse kukulira kwa vutoli, kufalikira kwa matenda mu minofu yoyandikana ndi thumba la tsitsi. Kuphatikiza apo, nthawi zambiri zimatsogolera kukuwonekera kwa zipsera m'malo mwa mawonekedwe owala.
Kutengera zomwe zimayambitsa matendawa, maantibayotiki kapena ma immunostimulants, mankhwala antifungal angafunike. Ndikotheka kuwonjezera mankhwalawa a folliculitis ndi physiotherapy, kukonza laser. Mothandizidwa ndi ma radiation a ultraviolet.
Chithandizo chosavuta ndichothandiza, ngakhale kuti wodwalayo ayenera kutsatira malangizo onse a dokotala:
- osasamba madzi osamba, osasambira m'malo osungira anthu, m'mbafa ndi masunsa,
- osafinya zotulutsa zonyansa, yang'anirani zaukhondo,
- Musamavale zovala zakhungu kapena zakukwiyitsani.
Njira zina zochiritsira zimagwiritsidwanso ntchito, zomwe zimakhazikitsidwa ndi kukana kwa kutupa kwazitsamba ndikukonzekera kwa vutoli.
Zomwe zimayambitsa matendawa
Kuphatikizika kwa tsitsi ndi muzu wa tsitsi, lomwe limatha kusinthika kwambiri. Pakhoza kukhala zifukwa zingapo za kupezeka kwa njira zotupa m'mabowo.
Awa ndi machitidwe omwe amayamba chifukwa cholowerera kwambiri mkati mwa masamba a mabakiteriya okhala ndi tizilombo toyambitsa matenda, bowa ndi ma tizilombo tina. Mwa tizilombo toyambitsa matenda, mabakiteriya a staphylococcus, kachilombo ka herpes, nkhupakupa amatha kusiyanitsidwa.
Ukhondo
Kumeta tsitsi pafupipafupi, kumiyendo kapena m'mbali mwa tsitsi. Kumetedwa pakukula kwa tsitsi, monga lamulo, kumayambitsa kuwoneka kowonjezereka kwa tsitsi lolozeka. Tsitsi limakhala lodzuka ndipo limakwiyitsa kukula kwa folliculitis.
Kuvala zovala zamkati zolimba. Chovala chapafupi chimalepheretsanso kukula kwabwino kwa tsitsi, ndikuwapangitsa kuti akule. Ma Synthetics, nawonso, amakhala okwiyitsa ndipo amawononga khungu.
Zowonongeka ndi zowonongeka pakhungu:
- Zowonongeka (zipsera, mikwingwirima, abrasions).
- Thupi lawo siligwirizana.
- Kugwiritsa ntchito molakwika corticosteroids.
- Anachepetsa chitetezo chokwanira.
- Matenda a shuga.
Kuwonetsedwa kwakunja kwa zinthu zamphamvu zamankhwala (ma asidi, alkali, mafuta, mafuta, palafini, ndi zina).
Zizindikiro za matendawa
Nthawi zambiri, matendawa amawoneka ndi khungu lakelo. Kuphatikizanso apo, m'chigawo cha ubweya wa tsitsi, kuwira ndi mafinya. Pakapita kanthawi, valo limatseguka, ndipo zilonda zazing'ono zimawoneka m'malo mwake. Zilonda zake zaphwanyidwa, zapakidwa thovu ndipo zimachita khungu. Nthawi yonse ya kusasitsa ndi kuwonongeka kwa chithupsa kumatenga masiku 6-7.
Kutupa kwa timiyala tatsitsi kumayang'aniridwa kumaso, kumutu, m'mphepete, m'miyendo. Zimachitika kuti kutukusira kwa purulent mwa akazi kumatha kuwonedwa m'chiuno ndi m'miyendo yotsika. Njira zotupa zimayendera limodzi ndi kupweteka, kuyabwa ndi kapangidwe ka mawanga ofiira pakhungu.
Mu magawo otsogola, matendawa amakhala furunculosis omwe ali ndi kutupa pachimake kwamatenda. Ngati zotupa zimachitika m'mphini, ndiye kuti zimavuta kuzichotsa. Kuchiza kumakhala kovuta chifukwa chomangokhalira kukangana kwa minofu mukamayenda.
Mankhwala amasiyanitsa mitundu yotsatirayi ya folliculitis:
- staphylococcal folliculitis (woonekera pamutu, kumaso, m'maso),
- syphilitic folliculitis (yothandizidwa ndi kuchepa tsitsi m'matumbo, m'mutu, ndevu ndi ndevu),
- folliculitis yeniyeni (imachitika ndi bandeji yayitali)
- pseudomonas folliculitis (amapezeka pambuyo pa mankhwala opha maantibayotiki ndikusamba ndi madzi osalala),
- dermatophytic folliculitis (imakhudza kakulidwe ka tsitsi komanso kutsinde kwa tsitsi palokha),
- herpetic folliculitis (khungu limayaka pachibwano komanso m'chigawo cha makona atatu a nasolabial),
- pyoderma yapamwamba (imachitika ndi mapangidwe a ma pustule).
Ngati zizindikiro zoyambirira za matendawa zapezeka, muyenera kulankhulana ndi katswiri yemwe akupatseni chithandizo choyenera.
Kutupa kwa khungu lanu - kulimbana ndi matendawa
Chithandizo cha matendawa chimaperekedwa ndi adokotala atamupima kaye ndi mayeso onse ofunikira. Mankhwalawa amayenera kupewetsa matenda omwe amayambitsa kutupa.
Ndi kachilombo ka bakiteriya, mankhwala othandizira akapatsidwa mankhwala. Chithandizo chimachitika pogwiritsa ntchito mafuta odzola othandizira. Mafutawo amawaika m'malo omwe akhudzidwa ndi khungu kumiyendo, pankhope, pamutu, komanso poyambira. Ndi matenda a staphylococcal, oyang'anira Erythromycin, Dicloxacillin, Cephalexin ndi mankhwala.
Chithandizo cha fungal foci chimachitika pogwiritsa ntchito mankhwala antifungal (Terbizil, Clotrimazole, Exoderil). Mankhwala Acyclovir amagwiritsidwa ntchito polimbana ndi herpetic folliculitis.
Chithandizo cha komweko chimagwira ntchito poyambira matenda. Popewa kufalikira kwamatenda, khungu limathandizidwa ndi Fucorcin, wobiriwira wanzeru, salicylic, boric kapena camphor mowa.
Ndi mawonetseredwe aumwini folliculitis, Itraconazole amathandizidwa.
Kutupa kwa dermatophytic kumachotsedwa ndi terbinafine. Kuphatikiza apo ma immunomodulators, physiotherapy ndi ultraviolet irradiation amagwiritsidwa ntchito.
Kutupa kwa ma follicles siowopsa. Komabe, m'magawo apamwamba kwambiri, amawopseza ndi ma pathologies akulu ndi zovuta.