Nhamba yeEczema: zvinokonzera uye kurapa

Eczema yemumwe ndeimwe yemhando dzechirwere chakadai se eczema. Iyo inoratidzika nechitarisiko chediki kumativi mavara pamuviri. Panguva imwe chete navo kune tsvimbo yakasimba, isingakanganwiki. Asi usati waongorora mubvunzo uyu, unofanirwa kuziva kuti chaizvo chii ichi eczema, uye chiizve icho?

Chii chiri eczema?

Eczema inosuruvara, isingatapuriki dermatological pathology, iyo inozviratidza mumhando dzakasiyana-siyana dzeganda nemanzwiro mumufananidzo uye mararamiro, kupisa kunzwa uye kuchenesa. Ichi chirwere chaizivikanwa kwemazana maviri emakore tisati tambova. Zvinogona kufungidzirwa kuti Hippocrates naAvicenna vakatarisana nezviratidzo zvakafanana kune varwere vavo. Panguva iyoyo, inenge ipi zvayo yakasuruvara paganda yainzi eczema. века Уиллен, Бейтмен и Рейс с интервалами в десять лет обратили свое внимание на эту болезнь и вывели присущие ей закономерности. Chero bedzi pakati pezana remakumi mana nezana remakore rechina, Willen, Bateman naReis, panguva dzenguva yemakore gumi, vakashandura chirwere ichi uye vakaratidza maitiro ayo.

Nhamba ye eczema inogara ichiita acute dermatitis, iyo inoratidzirwa nediki shoma rakashata risina nzvimbo yakananga. Inogona kuratidza sechinhu chisina kuroorwa, izvo zvisingaoneki zvisikwa, uye zvinogona kuvhara muviri wose. Varume vanowanzorwara.

Kurongwa

Kune mhando dzakawanda dzemhando dzakadai dzine chimiro chechimiro chechimiro chinonyanya kuonekwa pamusana pezviratidzo zvinozivikanwa zvechirwere ichi.

1. Idiopathic eczema. Mune nguva yakaoma yechirwere, ganda rinokurira uye mabhuru maduku anotaridzika pairi, iyo inokurumidza kuputika uye inobudisa zvironda, zvinonzi maseri serous. Iyo ronda rinenge risati rabuda, asi kubuda kwakachena mvura kunomesa kuti iite majeko echitsvuku. Pasi pavo, kusununguka kunoporesa, uye chirwere chinoguma mushure mekudzokerazve.
2. Microbial eczema. Kubva pazita racho, rinosanganiswa nekubatanidzwa kwebhakitiriya maruva munzvimbo dzekuparadzwa kwechigarire cheganda uye mucous membrane. Mukuwedzera kune zvakakosha zviratidzo zviri mudivi idiopathic eczema, iyi fomu inobatanidza mumatanda kubva pamatanda emagetsi akaoma. Nzira yekuonekwa kwezvinhu zvekushanduka nekukura kwayo inosangana nekucheka nekukurumidza. Nhamba ye eczema iyi yakasiyana-siyana iyi fomu.
3. Mycotic eczema. Chirwere ichi chinowanikwa sechikonzero chekuvhiringidza kwemaitiro kune kuiswa kwefungal spores mumuviri. Muviri unobereka zvirwere zvepuroteni kune dzimwe nyika uye saka unoedza kubvisa fungus, asi nzvimbo iyo micelles yakaumbwa nayo inotambura nemigumisiro ine utsinye yehutachiona hwemuviri.
4. Seborrheic eczema. Inoratidzika, iyo inonzwisisika, kune varwere vanenge vatambura nedzimwe dermatological pathologies. Rashes inowanikwa panzvimbo dzeganda dzine mazamu akawanda anokonzera (semuenzaniso, shisa, nzeve, nasolabial folds, etc.). Mavara acho anosangana pamwe chete, achiumba mufananidzo wemaronda.
5. Unyanzvi eczema inowanikwa kune vanhu vanogara vachitarisana nemakemikari anoshingaira.
6. Chimiro (horny) eczema inongororwa chete pamichindwe nemaruva. Inoratidzika muhutano hwekudaidza uye kuputika kwechirwere.
7. Kuchema kwevana kunobatanidzwa nehutano hwemwana hunokonzerwa nokuremerwa kwehutano (kuvapo kwechirwere mumhuri yepedyo). Ndiyo imwe yenzira dzakajairika dzechirwere ichi.

Zvimwe zvinokonzera kutaridzika kwemazamu eczema

Ngatitangei nekunyatsorondedzera, nekuda kweiyi ecumema yeveumusine inooneka zvakadaro. Zvinokonzera kukanganisa kuonekwa kwezviratidzo zvechirwere zvinogona kunge zvakasiyana chaizvo. Izvi ndizvo zvinonaka zvekudya, uye mishonga, uye makemikari anoshingaira. Asi kwete chete zvinhu zvinoshamisa zvinogona kuita kuti kuonekwa kwechizema. Zvimwe zvezvehutano zvirwere zvinogonawo kuita sechinhu chinokonzera. Izvi zvinosanganisira:

- chirwere cheshuga mellitus;
- zvirwere zvehutachiona;
- hyperhidrosis kana exsicosis;
- kushungurudzika kwemagetsi;
- hormonal pathologies;
- kunetseka;
- kutyora kwemhirizhonga kupararira.

Pathophysiologists vanobvuma kuti chikonzero chinonyatsooneka chechizema ndechokuvhiringidza kwekushanda kwechiganda, kuderera kwemuviri wake wekuzvidzivirira uye kuraramazve.

Zviratidzo

Nummular dermatitis (disk-like eczema) inozviratidza nenzira yepamativi ose uye nzvimbo dzakakura dzine miganhu yakajeka uye inoputika pamusoro pepamusoro peganda rakapoteredzwa risina kukwana. Iyo yakakura haina kudarika masendimita matatu. Ruvara runogona kubva kubva kumucheka wakajeka kusvika kune mutsvuku uye kunyange violet-bhuruu.

Chimiro chemashes chinosangana nekukuvadza kwakanyanya, izvo zvinogona kutambudza zvakanyanya murwere, zvichivhiringidza tsika yake yezuva nezuva. Muzviitiko zvisingawanzoitiki, kuzvimba kwee exudate kunowedzerwa kumamiriro e-rash - madonhwe akajeka emvura anoonekwa pamusoro penzvimbo. Mushure mechikamu chakaoma, chronic rinotanga. Iyo yepamusoro yekumhanya inenge yakaoma, ganda rinotarisa uye rinoputika, zviputi zvinowoneka.

Kukanganiswa kunowanzoonekwa pamakumbo, asi kunogona kuitika pane dzimwe nhengo dzomuviri. Zvaunofarira nzvimbo dzisina mavara. Mumatambudziko akaoma, kuwedzera kune kuchinja kwemuganhu, kune kuwedzera kuduku kwekushisa, kushaya simba, kunyengera, kurara. Mushure mekunyangarika kwekumhanya, ganda riri panzvimbo dzakapararira rinoramba kwenguva yakareba rakatetepa, rakafukidzwa nekuputsana.

Matambudziko echirwere chacho

Mazuva ano, kufanana nedzimwe zvirwere zvinowanzopesana nechekudzikira kwekuderera kwemuviri kana wehutachiona huripo, zvine matambudziko muhutano hwekubatanidza kwechirwere chechipiri chekubhakitiriya. Izvi zvinokonzerwa nekuti munhu anobata nzvimbo dzakapararira dzeganda, uye zvigunwe zvitsvina zvinotanga ma microbial agents.

Muchipatara, izvi zvinoratidzika nekuwedzera kamwe kamwe kwekushisa, chills, musoro wemusoro, chirwere, chirwere uye kunyange kurutsa. Mune nzvimbo dzeharura dzinouya mabhudzi azere nezvakanyanyisa maru, semutemo, ndeye pus. Kana iyo yakasvibiswa ichivharwa kana yakabvamburwa, nzvimbo yakasara icharamba iri panzvimbo yayo, iyo inofadza kunakidza ichabva.

Chipiri chekunyanya kukuru kwechimiro chechizema ichi chinogona kunge chichiita kana kuti zvinonzi erythroderma. Kuvhiringidzika kunosanganisira nzvimbo huru dzeganda, mavara matsvuku uye kuzvimba kunooneka. Vanachiremba vanofanira kuchenesa varwere pamusoro pengozi yezviratidzo zviri pamusoro uye kuvakurudzira kuti vaende kuchipatara nokukurumidza.

Diagnostics

Chiremba anodii kuongorora "nummular eczema"? Mufananidzo weganda rakapararira reganda, rakagadzirwa nedermatoscope. Izvi zvinobatsira kuwana kukura kwakakwana kwakakwana kuitira kuti uone zviduku zvishoma zvepidermis. Mukuwedzera kune nzira iyi, zvakakosha kuunganidza nhoroondo yakakwana yehupenyu hwomurwere uye utano. Izvi zvichabatsira kuziva chikonzero chechirwere.

Muzviitiko zvisingawanzoitiki, kana kunze kwezvinhu zvinonzi rashes zvinofanana ne psoriasis, scabies kana fungal utachiona, zvinokurudzirwa kuitisa mishonga ye microbiological yezvinyorwa-zvinyorwa kubva munzvimbo dzakakanganiswa. Mhedzisiro, sekutonga, inova inozivikanwa mukati mevhiki.

Kurapwa kwemishonga yemutemo

Nzira yakabatana yekuregererwa kwechirwere chakadai seyema eczema inodiwa. Kurapa kunogona kutora nguva refu uye iwe unoda kushivirira. Zvinotanga kutanga nekuti chokwadi chokuti eczema chiratidzo cheumwe, chakavanzika chekudzivirira, naizvozvo zvinokosha kuti uzviite pakutanga. Kubudirira pakuzadzisa kukanganiswa kunobva mukuchiva uye mafungiro evarwere, saka zvakakosha zvikuru kuti tibatsirane kutaurirana uye kuvimba pakati pechiremba uye murwere.

Nzira yakakura yekurapa iko kushandiswa kwemafuta e-steroid. Vanoderedza kupisa, kuchenesa uye kubwinya. Zvakakosha kutevera zvinorayirwa zveyanyanzvi zvakajeka, sezvo madhiragi ane madhara akaipa. Uyezve, chiremba anokwanisa kupa runyoro, antihistamine, pamwe nemishonga inovandudza kuwedzerwa kweropa mukuyerera mubhedha re microcirculatory.

Diskovnaya eczema (nummular dermatitis): kurapwa nemishonga yevanhu

Kana mishonga yemagariro yemurwere pane chimwe chikonzero isingakodzeri, saka iye akasununguka kuteterera kune iyo inyanzvi yakaenzana. Mishonga yemasikirini inogona kugovera makomera kubva kuna amai namaikadzi, mafuta anonhuwira neii nevhiniga kana mafuta emakwenzi, kubhururuka kubva panyama yemadhiro machena.

Zvakakosha kuyeuka kuti mari iyi iri kuita mumwe nomumwe uye iyo inobatsira munhu inogona kukurisa nzira yechirwere mune imwe. Nokudaro, mitemo yose yakadaro inofanira kurapwa nekuchenjerera, uye nezviratidzo zvishoma zvishoma zvekuwedzera kana kuonekwa kwekuwedzera maharashi kunokosha kwete kunonoka kupinda kuchipatara.

Zviratidzo uye kudzivirira

Mari yakafanana neyema eczema inobvumirana zvikuru. Mukana wekudzorera zvakakwana inenge zero. Chirwere chinowanzodzoka nekuguma kwemishonga.

Kuti udzivirire chirwere ichi, iwe unogona kurayira nenzira yakakodzera panguva uye kunyatsoporesa mabhakitiriya, zvirwere zvehutachiona. Rongedza ganda rekubatana nemakemikari anoshingaira kubasa uye kumba, pamwe nekubatanidza kupisa muviri.