Chithandizo cha cicatricial alopecia

Muzochita zamankhwala, ndichizolowezi kupatula khola kukhala mitundu yambiri, kutengera mtundu wa chithunzi. Cicatricial alopecia ndimatenda osowa. Ndi mawonekedwe amtunduwu, omwe amakhudza makamaka azimayi opitilira 40, mawonekedwe amatsitsi amawonongeka, ndipo mabala amapanga mawonekedwe. Cicatricial alopecia ndizovuta kuchiza.

Zomwe zimayambitsa chitukuko cha cicatricial alopecia sizikudziwika. Kukhazikitsidwa kuti matenda am'mimba sakhala chifukwa cha chibadwidwe. Komabe matendawa amatha kuchitika chifukwa cha zovuta za majini:

ichthyosis (yambitsa kuwonongeka kwa khungu),
khungu lotupa,
kukula zachilendo kwa follicles ndi zina.

Chiwopsezo cha chitukuko cha cicatricial alopecia chimaphatikizapo anthu omwe amapezeka ndi matenda opatsirana komanso otupa ena: syphilis, chifuwa chachikulu, psoriasis, lichen ndi ena.

Maonekedwe a matendawa amathanso kuwononga khungu pamakina: kuvulala, kuwotcha, kukhudzana ndi mankhwala.

Zofunika! Dazi lamtunduwu limabwera chifukwa cha kusintha kwa minyewa yofananira ya minofu kapena kusintha kwa khungu la atrophic.

Zophwanya izi zimabweretsa kuwonongeka kwa khungu. Zotsatira zake, ma minofu am'deralo amadzaza. Pambuyo pake, khungu lowonongeka limatsekedwa ndi ma granulations a pinkish.

Pamapeto omaliza a chitukuko cha matenda am'magazi, madera okhala ndi minyewa yokhazikika amapangidwira kumalo ovuta. Mkati mwa chomaliza mulibe mitsempha yamagazi yomwe imadyetsa mafosilo. Chifukwa cha kuchepa kwa okosijeni, omalizirawo amafa, chifukwa cha chomwe kukula kwa tsitsi kumayima m'malo ovuta.

Cicatricial alopecia agawika:

Poyamba. Ndi mawonekedwe awa, dazi limamera pambuyo pake kuwonongedwa kwa tsitsi.
Sekondale. Pathology imachitika chifukwa cha kupita patsogolo kwa njira yotupa. Mtundu wachiwiri wa dazi suchiritsidwa.

Kutengera chifukwa cha causative khalacicia alopecia umayamba:

exfoliating panniculitis,
eosinophilic pustular folliculitis,
follicular degeneration syndrome
Brock's pseudo-pelads,
decalcifying folliculitis,
follicular lichen planus.

Mtundu wa x-ray wamaphunziro ulinso wokha. Matendawa amatenga nthawi ya mankhwalawa. Kuchiza kwa X-ray kumapangitsa kuti tsitsi lizisosoka komanso kumawononga khungu.

Malinga ndi kutchukitsa, cicatricial alopecia agawika kutsogolo (pamphumi) ndi androgen-kudalira (makamaka - korona).

Chithunzi cha kuchipatala

Makhalidwe azachipatala mu cicatricial alopecia amatsimikiza ndi mtundu wa zomwe zimapangitsa kuti matendawa akule. Zizindikiro zokhazokha zokhazokha za kukhalapo kwa matenda am'mimba zimayambira mbali yina ya mutu ndikutupa kwa zimakhala. Zizindikiro zotsalazo zitha kukhala izi:

ululu
kuyabwa kwambiri ndi moto,
kutupa ndi kufiyira khungu.
kusenda.

Zofunika! Tsitsi lomwe lili ndi cicatricial alopecia limatsikira pambuyo podziwonekera mwanjira ya causative kapena pakapita nthawi pamene dongosolo lotupa likukula.

Njira Zodziwitsira

Cholinga chodziwitsa anthu za matenda acicatricial alopecia ndikuzindikira zomwe zimayambitsa matendawa. Ma pathologies otsatirawa nthawi zambiri amayenda ndi masamba amtunduwu:

mycosis,
chifuwa chachikulu
keloid kutupa kwa masamba,
matenda oyamba ndi mabakiteriya,
sarcoidosis ndi ena.

Maziko omwe amadziwika ndi matendawa ndi biopsy ya zimakhala zomwe zatoleredwa kuchokera ku vuto. Njira imakuthandizani kuti mufufuze momwe khungu limathandizira kuti mudziwe momwe mungawonongere tsambalo.

Trichoscopy ndi Phototricoscopy zimapereka zotsatira zolondola. Njira zonsezi zimakuthandizani kuti mukhale:

khungu
mawonekedwe a tsitsi
kachulukidwe ndi kuchuluka pakati pa tsitsi labwino ndi lowonongeka,
gawo lamadazi tsopano.

Trichoscopy ndi Phototricoscopy zimapangidwanso kupatula mitundu ina ya alopecia.

Cholinga chothana ndi matenda acicatricial alopecia ndikuchotsa zomwe zimapangitsa kuti muchepetse khosi. Malangizo a mankhwalawa amasankhidwa poganizira zomwe zimayambitsa kukonzekera kwa matenda amisempha.

Ndi mycoses, dermatoses ndi matenda ena Mankhwala otsatirawa akuwonetsedwa:

antimalarial,
immunosuppressants
antibacterial
thiazolidinediones (mankhwala antidiabetesic).

Kuphatikiza pa kumwa mankhwala okhazikika, ndikofunikira kuchitira mankhwala pafupipafupi khungu, lomwe limaphatikizapo corticosteroids ndi cyclosporin. Ndikulimbikitsidwanso kugwiritsa ntchito mankhwala kumalo omwe akukhudzidwa omwe amalepheretsa kapena kutsitsimutsa (kutengera zisonyezo) chitetezo chakudziko.

Ndikotheka kubwezeretsa ntchito ya follicle mu mawonekedwe oyamba a alopecia. Ngati minofu ya bulb ikakhalabe yothandiza, mankhwala a antihypertensive amaphatikizidwa mwachindunji m'malo ovuta. Mankhwalawa amathandizira kukula kwa tsitsi.

Cicatricial alopecia imafuna chithandizo cha nthawi yayitali. Chithandizo cha mankhwala osokoneza bongo adapangidwa kuti aletse kuchepa kwa tsitsi ndikuchotsa zizindikiro zomwe zimatsata. Kuphatikiza apo, ndikofunikira kuchiza matenda ophatikizika, nthawi yomwe imayendetsedwa ndi khosi m'malo osiyanasiyana a thupi.

Zofunika! Ngakhale mkhalidwe wamutu ukhazikika, kuthekera kwa kubwerezanso kwa cicatricial alopecia akadali zaka zingapo atamaliza chithandizo.

Ngati matendawa sanadutse pakatha chaka chimodzi kapena kupitirira apo, opaleshoni yothandizira tsitsi imayikidwa.

Njira, yotchedwa follicular micrographing, imaphatikizira kusinthika kwa khungu la owonongera okhala ndi masamba oyenera kupita kumadera ovuta. Pambuyo pa opaleshoni yotere, dera la scalp limachepa.

Kupewa

Chifukwa chakuti chifukwa chenicheni cha chitukuko cha cicatricial alopecia sichinakhazikitsidwe, Madokotala sanapange njira zachindunji za prophylactic zomwe zimalepheretsa kumeta kwamutu. Kuti muchepetse kuthekera kwa matendawa, tikulimbikitsidwa kuti mulimbikitse tsitsili pogwiritsa ntchito mavitamini ndi masks apadera. Kuphatikiza apo, ma pathologies omwe amachititsa kutupa kwa minofu amayenera kuthandizidwa moyenera.

Cicatricial alopecia sichiwopseza moyo ndi thanzi la munthu. Kuphatikiza apo, matenda am'mawonekedwe amathandizira mawonekedwe a wodwala, zomwe zimapangitsa kuti pakhale zovuta zamaganizidwe. Chithandizo cha acicatricial alopecia sichitha kuletsa kukonzanso kwa matendawa.

Makanema ogwiritsira ntchito

Mitundu yamdazi: nesting, androgenic (androgenetic), cicatricial, focal, kusokoneza, yonse.

Alopecia - zimayambitsa, mawonekedwe ndi chithandizo.

Zomwe zimachitika

Nthawi zina matendawa amapezeka chifukwa chowonekera pafupipafupi ndi munthu pama x-ray. Zolimba za kutaya tsitsi zimawonekera pamutu mosasamala ndikukhala ndi mawonekedwe olakwika. M'malo amdazi, kuwonekera kwa pakhungu kumawonedwa, komwe sikumayendetsedwa ndi kupindika kapena kupindika. Popita nthawi, mafupa amisempha pamalo omwe akhudzidwa, chifukwa chomwe mafutawo atsitsi adawonongeka.

Cicatricial alopecia imakhala yovuta kuchiza chifukwa zomwe zimayambitsa mtundu uwu wamadazi zimatha kukhala zosiyana ndipo sizotheka nthawi zonse kuzizindikira.

Mtundu wamtundu wamatsitsi otayika mu chithunzi.

Mitundu ya acicatricial alopecia:

Cicatricial alopecia yoyamba (imachitika chifukwa cha kuwonongeka kwa babu mu tsitsi mkati mwa kutupa).
Second cicatricial alopecia (pali kutayika kochuluka kwa tsitsi chifukwa cha kupita patsogolo kwa matendawa ndi kuvulala kosiyanasiyana).

Mu mtundu wachiwiri wa matenda, kuwonongeka kwa follicle kumachitika nthawi yomweyo ndipo sikungasinthe.

Zomwe zimathandizira pakuwoneka ngati acicatricial alopecia:

neoplasms m'thupi,
makonzedwe obadwa nawo (mwachitsanzo, kutayika kwa pigment),
matenda opatsirana (syphilis, chifuwa chachikulu, khate, ndi zina).
amayaka, onse mankhwala ndi mafuta,
kuwonongeka kwamakina pakhungu,
Lassuer-Little matenda,
matenda osachiritsika.

Kuwonongeka kwa babu ya tsitsi ndikutupa.

Tcherani khutu! Matendawa amatha kuchitika chifukwa chogwiritsa ntchito mankhwala a steroid kapena frostbite nthawi yayitali.

Zizindikiro

Cicatricial alopecia mwa akazi ndi amuna amisinkhu yosiyanasiyana ayenera kupezeka ndi katswiri wodziwa bwino. Kuti akhazikitse matenda olondola, madandaulo a odwala sangakhale okwanira. Ndikulimbikitsidwa kuti khungu la scalp khungu lipangidwe, lomwe lingangoganiza gawo lachiwonongeko cha tsitsi, komanso gawo la mapangidwe a khungu. Kuti mupeze zowonjezera, madokotala amalimbikitsa kupanga trichograph, chifukwa cha momwe mungadziwire mkhalidwe ndi kupingika kwa tsambalo. Pazifukwa zosadziwika zopanga matenda otere, odwala ayenera kufunsa dermatologist ndi akatswiri othandizira omwe angakupatseni mayeso owonjezera.

Matenda ogwirizana ndi matenda:

lupus erythematosus,
sarcidosis,
lichen planus
matenda a pustular, etc.

Tsitsi laling'ono ndi njira imodzi yodziwira matenda a alopecia.

Mfundo yayikulu yothandizira matenda a cicatricial alopecia ndiyoti muimitse khungu, komanso kuti muchotse chomwe chimayambitsa matendawa. Kukonzanso odwala omwe ali ndi vutoli kumayambira ndikuwunika mwatsatanetsatane, kutsimikiza komwe kulipo kwathanzi komanso kupezeka kwa matenda omwe ali ndi zovuta komanso kuvulala komwe kungapangitse kukulitsa kwa cicatricial alopecia. Njira yokhayo yopulumutsira wodwalayo dazi ndi kulowererapo kwa opaleshoni, chifukwa chomwe chilondachoichichotsa, m'malo mwake madotolo adayika chikopa chokwanira chomwe chili ndi minofu yamafuta, mitsempha yamagazi ndi mafayilo obisika.

Kumayambiriro kwa matendawo. Matendawa amatha kuthetsa vutoli m'njira yachipatala. Chithandizo choterechi chitha kusiya kukhetsa tsitsi kwambiri. Nthawi zambiri, madokotala amatipatsa mankhwala oteteza ku matenda osiyanasiyana, komanso ma immunostimulants. Kuchiza ndi mankhwala kumathandizanso kuti muchepetse zomwe zimayambitsa matendawa, kuti mutha kukwanitsa zotsatiradi zabwino.

Musanagwiritse ntchito mankhwala, muyenera kufunsa dokotala.

Njira yocheperako yopweteka komanso yowopsa kwa cicatricial alopecia ndi kugwiritsa ntchito tsitsi. Njira iyi yolowera tsitsi lanu ndiyotchuka padziko lonse lapansi, chifukwa chifukwa chake mutha kuyang'ana mwachangu komanso kwamuyaya. Makina amatsitsi ndi mawonekedwe a tsitsi lachilengedwe pamtambo wochepa thupi wa silicone pamutu pa wodwalayo. Kutalika, mthunzi, kapangidwe kake tsitsi limatsimikizika payekhapayekha.

Njira yochizira khonde.

Cicatricial alopecia imabweretsa zovuta zambiri, imakhala yodzidalira ndipo imatha kudzipatula kotheratu ndi munthu wakunja. Kuti mupewe izi, ndikofunikira kulumikizana ndi katswiri yemwe adzayankhe kaye chomwe chimayambitsa kuthothoka tsitsi ndikupereka mankhwala othandiza. Ngati matenda a pathological apezeka, muyenera kufunsa dokotala.

Kuzindikira

Kudziwa mtundu wa alopecia ndi kufotokoza magawo a mankhwalawa. kuyesedwa kwapadera kwapadera kumachitikaZotsatira zake zimayesedwa ndi dokotala:

Kuyendera kowoneka m'deralo.
Kuyesedwa kwa magazi kwa mahomoni, syphilis, parameter ya biochemical. Kuwerengera magazi kwathunthu.
Rheoencephalography (REG) - kudziwa kuthamanga kwa magazi m'mitsempha yama cranial dera.
Ma microscopy a tsitsi - kuphunzira kusintha kwa mawonekedwe mumachitidwe a tsitsi.

Pansipa mutha kuwona chithunzi cha momwe ma cicatricial alopecia amawonekera:

Zifukwa zachitukuko

Cicatricial formations ndi chifukwa cha matenda opatsirana kapena anasamutsidwa ndipo ndi achiwiri mwachilengedwe. Zoyipa zawo pakuwonekera pakhungu, chifukwa cha kuchepa tsitsi, zimatha kukhala zoyambitsa, komanso matenda amtundu wosapatsirana komanso wopanda matenda:

Kuvulala kwakuthupi ndikuwotcha.
Herieri kusokonezeka ndi vuto lakumeta.
Matenda osachiritsika.
Mitundu yosiyanasiyana ya matenda.

Zizindikiro ndi magawo

Cicatricial alopecia amakula pakapita nthawi ndipo amatha kuchita mosiyanasiyana:

Nthawi zina, anthu nthawi yomweyo amayamba kuyang'ana kuyabwa, kuwotcha komanso kumva kusowa kwawoko.
Nthawi zina, zipsera zimatha kukhala zopanda tanthauzo, popanda chizindikiro.

Mosasamala kanthu kuti kakulidwe ka matenda kakuwoneka, chiwonetsero chachipatala chimawoneka chimodzimodzi: njira yotupa imayambira, zomwe zimayambitsa kuphedwa kwa zithunzi za tsitsi ndikupanga zida zolumikizana m'malo mwake. Itha kutsagana ndi zopweteka pakhungu, matuza okhala ndi madzimadzi, omwe pambuyo pake amasinthidwa ndi mabala osalala. Follicles amafa kwathunthu ndipo sathanso kugwira ntchito.

Mankhwala osokoneza bongo komanso njira

Choyamba, njira ndi njira zimakhazikitsidwa zomwe zimathandizira kuchotsedwa kwazomwe zimayambitsa ndi zoyambitsa za cicatricial alopecia pofuna kupewa kufalikira.

Kumayambiriro koyambirira (pamene foci analibe nthawi yochira), mankhwala omwe amapezeka nthawi zonse amatha kusiya tsitsi. Alopecia, yowonetsedwa chifukwa cha kutukusira kwa mafayilo amatsitsi, mwachitsanzo, ndi sycosiform folliculitis kapena lichen planus, amathandizidwa ndi ma anti-spectrum anti-virus komanso ma immunostimulants. Corticosteroids imatha kutumikiridwa - mu mawonekedwe a mafuta apakhungu ndi jakisoni m'dera lomwe lakhudzidwa ndi khungu.

Mankhwala a Psychotropic ndi nootropic (sibazon, azafen, nootropil).
Mavitamini (A, E, multivitamini, kuphatikizapo omwe ali ndi zinthu zina), phytin, biotin.
Mankhwala a Immunocorrective (decaris, methyluracil, T-activin).

Zithandizo za anthu

Kuti muchepetse kusintha kwa dazi, mutha kugwiritsa ntchito mankhwala achikhalidwe. Ngati mugwiritsa ntchito maphikidwe oyenera a matenda enaake, chithandizo chitha kukhala chothandiza. Nthawi zina, dokotala yekha amalangiza njira zina, mwachitsanzo, ndi ziwopsezo zamankhwala.

Garlic ndi njira yothandiza yothandizira alopecia - chifukwa cha zomwe zili ndi mavitamini C ambiri komanso mafuta ofunikira. Kugwiritsira ntchito maphikidwe opangira adyo kumapereka zotsatira zoyipa ndipo kumabwezeretsa mizu ya tsitsi.

Pali njira zina zochitira zina:

Decoctions a sea buckthorn, mizu ya burdck - kudyetsa khungu ndi zinthu zofunika.
Mowa kulowetsedwa calendula - kumwa pakamwa 2 pa tsiku.
Zodzikongoletsera za linden ndi chamomile - yankho limagwiritsidwa ntchito popaka tsitsi.

Kupatsirana tsitsi

M'magawo amtsogolo, odwala amalimbikitsidwa kupatsirana tsitsi.

Njira yophatikizira yophatikizira masamba imachotsa zolemba zopereka ndikuziyika pamalo a dazi. Kuti muchite opareshoni, tsitsi kuchokera mbali zosiyanasiyana za thupi.

Njira yosinthira khungu kuyambira ku occipital kupita ku ma frontal ndi parietal lobes imakuthandizani kuti mubwezeretsenso kukula kwa tsitsi limodzi, makamaka ndi alopecia.

Kuchepetsa tsitsi kumachitika kawirikawiri mwa anthu, mosatengera zaka komanso jenda.Makhalidwe ndi zotsatira za matendawa ndizosiyanasiyana monga zomwe zingayambitse. Chithandizo cha cicatricial alopecia ndi njira yayitali komanso yayikulu. Njira ndi maphunziro achitetezo amaphatikizidwa pawokha kwa wodwala aliyense. Chifukwa chake ndikofunikira kutsatira malingaliro a katswiri ndikuwachita moyenera.

Njira yopanga

Zovuta zazinthu zoyipa pamisempha.
Maonekedwe a malo otupa omwe maselo omwe amachiritsa minofu ndi collagen amatulutsidwa, ndikubwezeretsa chilonda.
Pambuyo pa kupangika kwa chilonda, kufa kwa masamba a tsitsi kumayamba.

Nthawi zina, mwakufunsana ndi katswiri, njira yokhayo yopangira khungu imatha kusintha. Chipsacho chimapangidwa pamapeto pake pambuyo pa miyezi 4-6 kuyambira pachiyambi cha matenda a pathological.

Malangizo onse

Ngati mukukayikira matenda omwe amapangitsa kuti alopecia, kapena ali ndi vuto lakusamba, ndikofunikira kuti wodwalayo azifunsa katswiri munthawi yake. Kuzindikira matenda m'miyeso yoyambirira kungathandize kupewa mavuto. About acicatricial alopecia, ndikofunikira kudziwa:

Cicatricial alopecia yabwino wolemala pachaka pambuyo pakuyamba kwa njirayi.
Kusamalira tsitsi ndi khungu kumakhala kofatsa komanso kosadetsa. Kugwiritsa ntchito zouma zodekha kumalimbikitsidwa. Pafupipafupi amasankhidwa payekha, koma osachepera kamodzi pa sabata.
Kulandila kuvomerezedwa kwa zotchulidwa mankhwala ndi mavitamini.

Cicatricial alopecia ndimatenda osasangalatsa omwe amakhala ndi matenda osakwanira mu mawonekedwe. Mukayamba kuonana ndi dotolo, zotsatirapo zoyipa zomwe matendawa amakhala nazo.

Zoyambitsa dazi

Munthu aliyense amasilira mosiyanasiyana, koma chifukwa cha kuchuluka kwa alopecia, mapangidwe angapo mu mawonekedwe ake amatha kutsatiridwa. Nthawi zambiri androgenicdazi Imayamba kuonekera msanga mukamakula ndipo pofika zaka makumi atatu zimayamba kuoneka bwino. Chifukwa chake chachikulu chimatchedwa kuti cholowa chaumunthu.

Ndi kuchuluka kwa mahomoni achimuna m'magazi aumunthu, tsitsi kumutu kwake limayamba kuonda ndipo limasinthidwa ndi fluff, yomwe pang'onopang'ono imayamba kusiya mtundu wake ndikuyamba kuwonda. Zimadziwonetsera koyamba pamakachisi onse, kenako ndikusinthira korona. Pamenepo, tsitsi limayamba kuonda. Ndi kukula kwa madera awa, kuphatikiza kwawo pang'onopang'ono kukhala malo amodzi kumayang'aniridwa.

Dazi lonse wokwiyitsidwa makamaka ndi zinthu zakunja. Izi zitha kukhala poizoni ndi zinthu zosiyanasiyana zamankhwala - thallium, bismuth, arsen (arsenic), mafutulo a asidi (mwachitsanzo boric acid), matenda a fungal a scalp, radiation process. Ngati mankhwala omwe amachepetsa kukula kwa maselo amagwiritsidwa ntchito ngati njira zochizira zotupa, izi zimathandizanso kuti mababu azitha komanso kuti tsitsi lipere.

Zifukwa sokonezadazi kusintha kwa mahomoni m'thupi la munthu nthawi yapakati kapena kutha msinkhu, kupsinjika, kusowa kwa zinthu zina zofunikira monga mavitamini azitsulo kapena B, zizolowezi zoyipa ndikugwiritsa ntchito njira zakulera zitha kuchitika. Ngati mahomoni asokonezeka, amakhala osakhalitsa, amasowa pambuyo pobwerera. Nthawi zina, pamafunika kulowererapo.

Makani oyang'ana chifukwa cha kupezeka kwa thupi la munthu yemwe akuvutika ndi machitidwe a autoimmune. Matendawa amatenga ma follicle ngati achilendo. Nthawi zambiri amapezeka mwa amuna ndi akazi a tsitsi lakuda. Zifukwa zazikulu ndi izi:

Heredity (oposa kotala onse omwe akhudzidwa ali ndi matenda a mabanja).
Kupsinjika ndi kupsinjika kwamalingaliro.
Ntchito yolakwika ya tiziwalo tina tathupi - adrenal gland, gland pituitary ndi gland ya chithokomiro.
Matenda opatsirana - caries, rhinosinusitis.
Mavuto ndi magazi chifukwa cha kusintha kwa mamasukidwe akayendedwe ka magazi ndi kutuluka kwa magazi.
Matenda opatsirana ndi ma virus.

Mwa abambo, zimatha kuwonetseranso ngati kusowa kwa kukula kwa ndevu ndi ndevu.

Kutayika kwa tsitsi la seborrheic

Ndi kuchuluka secretion wa sebum Pamaso pamutu pansi pa tsitsi, matenda monga seborrhea kapena seborrheic dermatitis amatha kuchitika. Nthawi zambiri zimayambitsa kuwonda, kuwonongeka ndi kuwonongeka kwa tsitsi m'malo omwe amakhudzidwa.

Zomwe zimayambitsa kupezeka kwake sizingadziwikebe pano. Akatswiri ambiri amavomereza kuti izi ndizovuta za majini, matenda omwe amaphatikizana ndi endocrine gland, kusintha kwa ma horoni komanso chisonkhezero chazinthu zowononga zachilengedwe. Yemwe amagwiritsa ntchito chotupa cha seborrhea ndi mtundu wapadera wa bowa - Malassezia furfur, yomwe imapezeka mwa anthu ambiri mu microflora ya scalp (imatha kupanga pafupifupi hafu ya mabacteria ake).

Madazi amapezeka pafupifupi kotala imodzi ya seborrhea. Kukula kwake kumayendetsedwa ndi kuwonjezeka katulutsidwe ka sebum pansi pa tsitsi, chifukwa chomwe amapeza mafuta owala ndikumamatira palimodzi, ndi chikanga pakhungu. Zotsatira zake, zikopa za pakhungu zimatsekeka, tsitsi sililandira zakudya zokwanira ndipo pang'onopang'ono limayamba kuwonda. Madera okhudzidwa amakhala makamaka m'mphepete mwa kukula kwa tsitsi, kapena kuchokera kutsogolo mpaka gawo la occipital. Nthawi zonse amazunguliridwa ndi mizere yowala ya tsitsi labwino.

Mankhwala osamala

Choyamba, muyenera kudziwa chifukwa chake.. Alopecia yoyambitsidwa ndi zinthu zakunja kapena matenda amkhungu amathandizidwa mosiyana ndi zomwe zimayambitsa chibadwa kapena mahomoni.

Cicatricial alopecia imatha kuchiritsidwa ndi kupatsirana tsitsi. Asanakhazikitsidwe, ndikofunikira kuchotsa madera omwe anakhudzidwa ndi scalp opaleshoni ndikudikirira kuchiritsidwa kwathunthu kwa mabala. Kuika ndi bulb kumachitika kuchokera kumadera ena khungu lomwe limakutidwa ndi tsitsi labwino, monga chifuwa, kumbuyo, kapena matako. Tsitsi kuchokera pamiyendo kuti ndikwaniritse siliyenera.

Njira zochizira mitundu yosagwiritsa ntchito bala

Alopecia osakhala cicatricial ali ndi mankhwalawa angapo.

Mankhwala a Finasteride ndi Minoxidil omwe amathandizira kukula kwa tsitsi. Ndikofunikira kuzigwiritsa ntchito mosamalitsa pamaphunzirowo osasokoneza, popeza izi zikuwopseza kubwereranso.
Physiotherapy, ngati palibe kuwonongeka kwa khungu - kutikita minofu khungu, Darsonval, magetsi ndi kuwala kwa laser, kugwiritsa ntchito zopatsa khungu komanso zolimbikitsa (chitsanzo cha tincture ndi tsabola).
Mankhwala osokoneza bongo omwe amapereka magazi pang'ono ndikulimbikitsa njira zama metabolic m'malo omwe akhudzidwa. Izi zikuphatikizapo Heparin, Aminophylline, Trenal ndi ena.
Kusungabe moyo wabwino ndikuchotsetsa zinthu zoyipa monga kupsinjika, zakudya zosayenera komanso zosagwirizana, kusayang'anira njira yatsiku ndi nthawi yogonera komanso kugona.
Ngati mawonekedwe a autoimmune a thupi apezeka, omasulira ma follicles a tsitsi, glucocorticosteroids ayenera kugwiritsidwa ntchito - pamalo a lesion kapena makamaka osasamalidwa komanso ovulaza piritsi.
Njira ya mavitamini, kuphatikizapo zinthu zomwe zikuwoneka.

Mutha kuyesa kuchiritsa khansa ndi wowerengeka azitsamba. Mitundu yosiyanasiyana yopaka mafuta, mafuta ndi makilogalamu amtundu wazomera zamankhwala monga burdock ndi burdock, ndikuphatikiza uchi ndi mowa, ndizothandiza pano. Mutha kugwiritsa ntchito mchere wamchere woponderezedwa ngati poyambira pokhapokha. Iyenera kuzikika pakhungu musanatsuke, ndikuchita kusenda ndi kuyeretsa khungu lakufa, zomwe zimapangitsa kukula kwa masamba atsopano komanso kufalitsa magazi pakhungu.

Kufotokozera mwachidule zavutoli

Kodi acicatricial alopecia ndi chiyani? Cicatricial alopecia ndi mtundu wamitundu yomwe imasiyana pang'ono kuchokera kumadazi amitundu ina. Kusiyana kwakukulu ndi njira yosasangalatsa komanso kudalirika kwa matendawa.

Matendawa zimakhudza tsitsi lanuzomwe zikuwonongeka pang'onopang'ono.

Pamalo owonongeka a khungu, zisindikizo zimawonekera - zipsera zophatikizika ndi minofu yolumikizika.

Zisindikizo izi zimadutsa timabowo tatsitsi, kenako masamba sangathe kugwira ntchito yakeTsitsi limaleka kukula.

Mtundu wamitundu iyi ndi osowa..

Amadziwika pafupifupi 3% ya odwala omwe adapita kwa dotolo ali ndi vuto lakusowa tsitsi.

Zomwe zimayambitsa matendawa

Zomwe zimapangitsa kuti pakhale cicatricial alopecia ndizosiyanasiyana komanso zambiri. Vutoli nthawi zambiri zitha kuwonetsa matenda akulu, mavuto muzochita zamkati ndi machitidwe.

Zina mwazinthu zomwe zimapangitsa kuti cicatricial alopecia ikhale ndi:

Zomwe Zimayambitsa. Chifukwa cha kutengera kwa chibadwa, matenda a khungu amayamba kuyambira masiku oyamba a moyo wa mwana.
Matenda a matenda opatsiranamonga syphilis, chifuwa chachikulu.
Matenda a oncological (zotupa ndi zotupa), kugwiritsa ntchito chemotherapy ndi njira zina zamankhwala. Alopecia pamenepa sikuti nthawi zonse amakula, zonse zimatengera kulimba ndi nthawi yodziwika ndi mankhwala m'thupi.
Zowonongeka zamakina khungu (kuwotcha, kuvulala, chisanu).
Ma autoimmune pathologies.
Matenda a khungu (mwachitsanzo, lichen).

Zizindikiro za cicatricial alopecia

Mawonetsedwe azachipatala a matendawa, ngakhale atayambitsa chifukwa chake, ali motere:

Maonekedwe pamphepete mwa malo omwe akhazikitsidwa, omwe poyamba anali aang'ono.
Popita nthawi, madera awa amawonjezeka ndikuwonekera kwambiri.
Wodwalayo amadandaula za kusapeza bwino pamalo owonongeka. Imakumana ndi kuyabwa, kuwotchera, ndi kumva zopweteka kumawonekera pakapita nthawi.
Kutupa, kutupa, zilonda ndi zilonda kumachitika m'malo akhudzidwa ndi khungu, khungu limakhala louma, kusenda. Komabe, pali zochitika pamene mawonekedwe amtunduwu samawonedwa, khungu limakhala losalala popanda zizindikiro zowonongeka.
Pakapita kanthawi, zotupa zimachepa, kusowa kwathunthu kwa tsitsi kumayikidwa m'malo omwe akhudzidwa.

Onani momwe alicecia amawonekera pachithunzichi:

Pathogenesis yamatenda

Cicatricial alopecia imayamba pang'onopang'ono, m'magawo oyamba a matendawo zizindikiro zake zimakhala zochepa, zosadziwika.

Pa gawo loyamba, kuwonongeka kwa zigawo zapamwamba za khungu chifukwa cha zoyipa zomwe zimawonongeka kumadziwika.
Maselo owonetsedwa pamenepa amayamba kubisa zinthu zazamoyo.
Zolimba za kutupa zimawoneka pakhungu, kuyabwa, khungu lowuma.
M'malo owonongeka a khungu, chinthu chimapangidwa mwachangu - collagen, ndi kudzikundikira komwe khungu lofiira limapangidwa. Zizindikiro za matendawa zimasinthika.
Vutoli limayamba kupindika, pang'onopang'ono limakhazikika, limakhazikika (gawo ili lingakhale ndi nthawi yosiyana: miyezi 1-3.)
Gawo lomaliza ndikuwonongeka kwa tsitsi la tsitsi, amachepetsa, sangathe kukwaniritsa ntchito yopanga tsitsi. Pa scalp, zipsera zimasinthidwa kukhala zipsera zolimba zomwe zitha kuwoneka osati kokha mwa kukhudza, komanso zowoneka.

Chithandizo cha cicatricial alopecia

Kuchita bwino kwa mankhwalawa kumatengera gawo la matendawa. Mu magawo oyamba kukula kwa dazi, ndikotheka kuyimitsa njirayi ndikuchotsa chachikulu chomwe chikukula.

Pankhaniyi opaleshoni yokha ndi yomwe ingathandize. Tikuyankhula za kufalikira kwa tsitsi pogwiritsa ntchito khungu la opereka. Mutha kudziwa zambiri za njira zamakono zosinthira, kuphatikiza njira yopanda opareshoni ndi mtengo wa njirayi patsamba lathu.

Komabe, apa naponso Zoneneratu zakuphatikizika: Popeza khungu la wodwalayo laphimbidwa ndi zipsera, mawonekedwe owondera m'mene magazi amayatsidwa, magazi opatsirana sangathe kuzika mizu.

Cicatricial alopecia - yamtundu wina wowopsa kwambiri wamadazi. Ndi matenda amtunduwu, kuwonongera kwa ma follicles a tsitsi, kuwonongeka kwathunthu kwa tsitsi m'malo omwe akukhudzidwa kumawonedwa.

Njira zachikhalidwe pano zilibe mphamvu pano. Mafuta ndi mafuta, mankhwala sangapereke zotsatira zomwe zikuyembekezeka. Kuti muchiritsidwe bwino, kuthandizira opaleshoni ndikofunikira, komanso, kuchotsa komwe kumayambitsa matendawa.

Kufotokozera ndi chithunzi cha matenda

Cicatricial alopecia ndimatenda a polyetiological. Zikachitika Kuchepetsa tsitsi chifukwa cha kufa kwa mafalasi panthawi yotupa kapena njira ina yamatumbo.

Mapeto a matendawa ndi khosi komanso chilonda. Pambuyo pamadazi chifukwa cha matendawa, sizingatheke kubwezeretsa tsitsi lakale lonse - mawonekedwe amatsitsi amawonongeka kwathunthu kapena sangathe kugwira bwino ntchito yawo.

Mosatengera chomwe chimayambitsa matendawa, chithunzi cha chipatala chimadziwika. Choyamba, dazi limayambira m'malo ang'onoang'ono, malo a zotupa amawonjezeka pang'onopang'ono. Nthawi yomweyo, wodwalayo amayamba kusokonezedwa ndi zizindikiro monga kutentha, kupweteka, kuyabwa.

Kuwonongeka kwa malo am khungu kumachitika m'magawo:

Minofu yowonongeka.
Maselo amayamba kupanga zinthu zogwirizana ndi chilengedwe.
Njira yotupa imayamba ndipo maselo opanga collagen amakopeka ndi malo owonongeka.
Kuphatikiza kwa Collagen kumayamba, zomwe zimatsogolera pakupangidwe kwa "chichepere" bala.
Pakatha miyezi 1-3, chilondacho chimakhazikika, chimayamba kugundika ndipo chimatuluka pakhungu.
Pamapeto omaliza, omwe amatenga gawo limodzi mwa magawo atatu a chaka mpaka miyezi 12, chilondacho chimasintha - zotengera kuchokera ku khungu zimasowa, ndipo ulusi wa collagen, womwe m'mbuyomu unkakhazikika m'miyala, umakhala mzere umodzi.

Koma nthawi zina matendawa amaphatikizidwa ndi kupangika kwa njira yotupa - maonekedwe a zilonda, kutsekemera, matuza ndi mafinya ndi ena, omwe pambuyo pake amachira ndikukhala khungu losalala. Ngati, pakapangika khungu, vuto lawoneke limachitika, ndiye kuti chilondacho chingakhale chopanda, chopanda kanthu, kapena chokhala ngati bala la keloid.

Zimayambitsa ndi mitundu ya matenda

Cicatricial alopecia imayamba pang'onopang'ono, m'magawo angapo, ndipo zinthu zotsatirazi zimayambitsa kudwala:

chotupa kapena chosaopsa,
zovuta zobadwa nazo ndi zolakwika za kukula (ichthyosis, pigment incinuence ndi ena),
kuvulala (kuwotcha, mabala, mabala ndi ena),
kobadwa nako ka follicle,
kuyang'anira ma radiation
Matenda oopsa, kuphatikizapo lupus erythematosus, basal cell carcinoma, lichen planus, ndi ena,
matenda opatsirana monga matenda a khate, favus, chifuwa chachikulu, leishmaniasis, ndi zina zotere.

Mkhalidwe wa pakhungu umatengera chifukwa chake matendawa akuwonekera - zipsera zonse komanso khungu la khungu limakhazikika pakhungu.

Kuti mudziwe chithandizo, ndikofunikira kuzindikira mawonekedwe a alopecia awa. Zodziwika bwino zimaphatikizapo:

Little Lassuer syndrome
decalcifying folliculitis,
exfoliating panniculitis,
follicular lichen planus,
eosinophilic pustular folliculitis,
follicular degeneration syndrome
Brock's pseudo-pelad.

Tikukulangizani kuti muwerenge:

Zizindikiro ndi Kudziwitsa

Chizindikiro chowonekera cha kakulidwe ka matenda kuyamba kwamadazi pamalo ocheperako pakhungu. Pathology imatha kupezeka pang'onopang'ono (pamenepa, mawonetseredwe azachipatala samadziwika mwachangu), ndipo mwachangu (mawonekedwe amomwe akupita patsogolo, ndipo matendawa pawokha amatsatiridwa ndi desquamation, ululu, kuyabwa, ndi zizindikiro zofananira).

Dera lomwe lakhudzidwalo limakonzedwa mozungulira kuzungulira kwa dermis yokhala ndi mawonekedwe oyipa, ndipo pazotupa ndi khungu ndi tsitsi lopendekeka zimakhalabe chimodzimodzi. Zithunzi zophuka zomwe zimachira pakapita nthawi zimatha kutsalira kunja kwa dazi.

Njirayi imakuthandizani kuzindikira:

mawonekedwe a matenda
kuchuluka kwa mababu,
pa gawo liti?

Kuphatikiza apo, ndikofunikira kusiyanitsa ma cicatricial atrophy kuchokera kuzowoneka - zimachitika powerengera malire amomwe tsitsi limatsalira komanso zizindikilo zopezekanso pakhungu.

1 Amayambitsa Cicatricial Alopecia

Kuwonongeka kwa follicles tsitsi kumatha kuchitika pazifukwa zotsatirazi:

Zowopsa ndi zowonongeka zamankhwala pakhungu: kuvulala, kuwotcha, frostbite, kukhudzana ndi asidi ndi alkali. Ngati chiwonongeko chachindunji chikazungulira pakhungu, khungu lake limasokonekera, tsitsi limayamba kutuluka, kukula kwawo kwamtsogolo kumatha,
Kuwonetsedwa kwa X-ray - ma X-ray amayambitsa kuwonongeka kwa maselo am'mimba m'mbali mwa tsitsi.
Flat tsitsi lopanda
Autoimmune pathologies: discoid lupus erythematosus, sarcoidosis.

Zomwe zimayambitsa cicatricial alopecia, zimapangitsa kuti pakhale chopanga m'malo mwa chopukutira tsitsi, zomwe zikutanthauza kuti zimalepheretsa kubwezeretsanso kwake ndipo sizipereka mwayi pakukula kwa tsitsi latsopano.

Mwayi wa kubwezeretsanso kwa tsitsi mu ma cicatricial alopecia ndi kusintha kwacicatricial mu follicular zone ndikochepa kwambiri.

2 Momwe khungu limapangidwira mdera la tsitsi

Matenda a pathological amatendawa amapita pang'onopang'ono. Magawo otsatirawa adadziwika mu kapangidwe kake m'gawo la masamba:

1) gawo lowalowetsedwa - limayendetsedwa ndi njira yotupa yomwe imayandikira pafupi ndi follicle komanso mkati mwake. Zinthu zambiri zogwira ntchito yothandizira, zoteteza pakatikati, zimapangidwa m'maselo, kufalikira kwa fibroblast kumachitika.

2) gawo la kupanga kwa collagen - ma fibroblasts omwe ali m'malo opukusa tsitsi amayamba kupanga bwino collagen, m'malo mwake maselo abwinobwino amakhala ndi collagen fibers

3) gawo la fibrosis - maselo ambiri amoyo, omwe amayamba kusintha amayamba kusinthidwa ndi minyewa yam'mimba, kuwonongeka kwa follicle kumayamba, kufa kwake. Pakadali pano, minyewa yofiira imakhala yofiyira, ikhoza kukwera pang'ono pamwamba pa khungu

4) siteji ya keloid - m'malo mwa babu a tsitsi, kokhadzula, minofu yokhazikika imapangidwa. Imakhala yotuwa, imatha kukhala ngati chilonda, chosabowoka kapena kutulutsa pang'ono

Ngati bala layamba kale, sizotheka kubwezeretsa kukula kwa tsitsi pamalo ano. Pa nthawi yobwera kapena kupanga koyamba kwa collagen, mwayi wotere ulipo.

Koma popeza mwayi wowulula zam'mbuyomu ndiwocheperako, mawu oti "cicatricial alopecia" nthawi zambiri amakhala ndi tsitsi losasinthika.

3 Zizindikiro

Chithunzi cha matenda a cicatricial alopecia chimatha kuyamba ndi gawo laling'ono la dazi, ndipo matendawa akamakula, zigawo zazikulu za scalp zimatha kuphatikizidwa mu pathological process.

Ndi cicatricial alopecia, mosiyana ndi mitundu ina yambiri, zizindikiro zotsatirazi zimawonedwa limodzi ndi kuchepa kwa tsitsi: kuyabwa, kuyaka kwa khungu, redness, khungu.

Ndi zida zowononga zamankhwala, zakuthupi komanso zamafuta, malo owonongera tsitsi akufanana ndi dera lomwe lakhudzidwalo lomwe limayang'aniridwa ndipo ubale wa dazi ndi izi umatsatiridwa bwino.

5 mankhwalawa acicatricial alopecia

Cholinga cha chithandizo cha matendawa ndikuletsa kuwonongeka kwa malo atsopano a tsitsi, kusiya mapangidwe atsopano ndikuchotsa zomwe zimayambitsa cicatricial alopecia (ngati etiological factor ndi matenda ena).

Ndi cicatricial alopecia, ndikofunikira kukhazikitsa nthawi yodziwikiratu komanso kupereka mankhwala. Kukula kwa Tsitsi pamalo ovala khungu sikubwezeretsedwanso ndipo ntchito ya dotolo ndikusunga madera athanzi momwe madera amakulira momwe angathere.

Zomwe zikugwira ntchito:

mafuta a corticosteroid
topical immunomodulators
Kukonzekera kwa vitamini
retinoids

Kuikamo glucocorticosteroids, vitamini B12, mu scalp yomwe imakhudzidwa imachitidwa. Njira izi zitha kuchitika pang'onopang'ono.

Limagwirira a achire kanthu ndi odana ndi yotupa, kagayidwe kachakudya, kusintha minofu kubadwanso.

Mankhwalawa acicatricial alopecia, njira zofufuza zolimbitsa thupi zimagwiritsidwa ntchito mwachangu:

mankhwala a laser
electrophoresis
admsakhalin
oxygen ozone mankhwala

Ozone imayendetsa njira za redox mthupi, imalimbikitsa chitetezo cha mthupi, imakhala ndi anti-yotupa, immunomodulating effect. Mtsempha wa magazi ozonized zokhudza odwala, autohemotherapy ndi ozone imachitidwa.

Pofuna kutseka zolakwika zodzikongoletsera - madera akhungu lowoneka bwino la khungu popanda tsitsi, njira zogwiritsira ntchito opaleshoni zimagwiritsidwa ntchito - kuchotsa zotupa komanso kulumikizana pakhungu ndi tsitsi lanu.

Koma kupatsirana kumachitika pazochitika zina: pamaso pa wopereka woyenera, komanso ngati palibe zizindikiro zakupsinjika komwe kukuchitika.

Kutsata sikukutenganso mizu m'malo atsopano, izi zimachitika chifukwa cha kutsika kwa magazi m malo osungidwa komanso chiopsezo chotenga chitetezo cha mthupi.

Pali njira zosapweteketsa komanso zosasokoneza.