A kutarisa mharidzo, zvinokonzera, uye nzira yemashura akasiyana-siyana.
Zvose zvinokanganisa zvakasiyana: Zvinoratidzwa zvakasiyana, zvinokonzera, uye kurapwa.
Vanachiremba vanofungidzira rashes inobva pakuzivikanwa kwemaitiro. Kana rudzi rwekumhanyisa rwakajeka, kana kuti chiremba ane ruzivo, kubvuma kwomuitiro kunoshanda zvakanaka kana uchinge uchitarisa kuputika.
Zvisinei, mumutsara Chiratidzo cheKutsvaga: Chimwe Chinyorwa-Chinyorwa-Chinyorwa , Stern uye vanyori vanyori vanotaura zvinotevera:
Iyo ngozi nekutaridzirwa kwezviratidzo ndeyokuti kuongororwa kwepfungwa kunonyanya kuchinjwa nezviitiko zvenguva ichangopfuura, kuwanikwa kashoma kunowanzosingazivikanwe, uye vanachiremba vanowanzosvika kugadziriswa kusati kwasvika pakusarudzwa kusina kunaka.
Mune mamwe mazwi, kunyange vanachiremba vanogona kuwana kuongororwa kwekuputika kwakaipa.
Tisati tatarisa runyora rwemaarabheti rwemarudzi akasiyana-siyana echisimba, tinoda kutsanangura mamwe mazwi anowanzoshandiswa kurondedzera zvipembenene izvi. Tichashandisa mamwe emashoko aya muchidimbu chebhuku rerahes, saka iwe unogona kuda kudzokera kune urongwa apo iwe unoshandisa iyi nyaya.
Basic Definitions
Izwi rokuti dermatitis rinoshandiswa kurondedzera kushanyira nyore. Heano mamwe mazwi anowanzoshandiswa kurondedzera kurasa.
- Patch: Chirwere chepfudze chinopfuura 1 cm muupamhi.
- Papule: Izvo "bump" yakasimba isingasviki 1 masendimita.
- Plaque: Chirwere chakakura chakafanana neganda uye chinenge chakasiyana-siyana. Kakawanda, ibwe rinoumbwa nekushandura kwemapules maduku.
- Gorosi: Chidimbu chinoputika kana papule pamwe chete nekuputika uye kunhuwa.
- Macule: Chirwere chakavharidzirwa chisingasviki 1 masendimita.
- Pustule: Blister yakakwirira chero upi hwakakura huzere nepus.
- Bulla (yakawanda bullae): Pustule inopfuura 1 cm muupamhi.
- Nodule: Yakasimba, yakasimudza chironda pakati pe1 ne5 cm muhupamhi.
- Lichenification: Chimiro chakareba kana chechivara kune ganda.
- Comedone: Ipaki yakaitwa nemafuta eganda uye keratinous zvinhu zvakawanikwa mu follicle. Komedone yakazaruka yakasviba ("mutsvuku") uye yakavharwa comedone yakachena ("whitehead").
- Papulosquamous: Chirwere chinosanganisira mapepa uye mapeti ane kujekesa.
- Vesicle: krisiti yakazadzwa nemvura
- Purpura: Purple mavara paganda rinokonzerwa neropa pasi peganda.
- Petechia: Chiratidzo chepepuru kana tsvuku tsvuku inokonzerwa nokubuda ropa pasi peganda.
Acne Vulgaris
Clinical presentation : Pustules, papules, comedones, nodules pameso, chifuva, uye kumashure
Mazana ezera remakore (s) : Adolescents
Chikonzero : Kushamwaridzana nehomoni inoshanduka pakuyaruka. Uturu hwakanyanya hunoenda mumhuri. Kuwana rutivi rwekudya kune nzvimbo inoshingaira yekufarira.
Nzira : Acne inowanzoenda panguva yevanhu vakuru asi kuputika kwechigamba uye kukonzera kubva pachigunwe chechigunha kunogona kurarama nokusingaperi.
Acne vulgaris , kana "acne," yakakurumbira zvokuti maitiro maduku akave ainzi "physiologic," uye unyoro hwemafuta hausi chirwere kana chirwere chega.
Heano matanho ekugadzira maitiro:
- Overgrowth ye follicles (comedones)
- Kuwedzera sebum production
- Kuvhiringidza
- Kurwara neBhakitiriya Propionibacterium acnes
Acne inowanzodikanwa kurapwa nachiremba kuti kuderedze kusagadzikana uye kuderedza dambudziko rekupera kwenguva refu.
Acne inofanira kurapwa mavambo, uye masikati anowanzobatwa achishandisa mishonga yakasiyana-siyana. Kuchenesa kunokosha zvakare. Zvimwe zvinoshandiswa pakushandisa kurapa zvinosanganisira retinoid kusanganiswa kunoshandiswa paganda, antibiotics, uye benzoyl peroxide. Zvichida, izvo zvinozivikanwa pamusoro pe-the-counter treatment, zvine. benzoyl peroxide uye salicylic acid uye inoparidzirwa kuchenesa, inzwi, hydrate, uye kudzivirira ganda kubva zuva.
Atopic Dermatitis (Atopic Eczema)
Clinical presentation : Itchy papules, lichenification, rash pane chiso uye maoko
Mazana ezera remakore (s) : Vana vacheche, vana vaduku
Chikonzero : Kushamwaridzana nemishonga
Nzira : Kusingaperi uye kudzokazve, vamwe vana vari kunze kwayo
Atopic dermatitis , inonziwo atopic eczema, inobata pakati pe15 ne20 muzana yevana vanogara munyika dzakabudirira. Icho chinyararire cheganda mamiriro uye chinomhanya mumhuri. Zvinyoro zviitiko zve atopic dermatitis zvinogona kurapwa ne-topical steroids (glucocorticoids), iyo inowanika pane-the-counter. Mamwe maitiro akaoma angarapwa ne tacrolimus uye pimecrolimus, iyo inofomodulator inorayirwa nachiremba. Vanhu vane atopic dermatitis vanofanira kudzivirira zvirwere zvinokonzera izvo zvinokonzera mamiriro ezvinhu, zvakadai sedergent uye mhuka dander.
Bullous Pemphigoid
Clinical presentation : Bullae
Mazana ezera remakore (s) : Vakwegura vanhu
Chikonzero : Chengetedza
Nzira : Mumazi kana kuti matsi, kuregererwa muzhinji
Bhuti pemphigoid chirwere chisina kujairika, chinokonzera kupisa chinokonzera kuputika kweganda uye mutsara mumakwegura akwegura. Kurapa kwekunzi bullous pemphigoid kwakaoma uye inoda kupiwa kubva kune vadzidzisi vakasiyana-siyana, kusanganisira dermatologists, ophthalmologists, uye vanachiremba vekuchengeta vana. Kurapa kunobva pakupararira kwayo, uye steroid inowanzogara yakashanda. Zvimwe zviitiko zvakakomba zvingada kurapwa nema immunomodulator zvakadai setipiyoti tacrolimus.
Dermatitis Herpetiformis
Clinical presentation : Papules uye vesicles pamakumbo emakumbo nemakumbo
Mazana ezera remakore (s) : Pakati pemakore makumi matatu nemakumi mana
Nzira : Yenguva refu asi inogona kupinda mukuregererwa, kukanganwirwa kunotsanangurwa sekugara kwemakore maviri pamwe chete
Dermatitis herpetiformis ishashoni inopisa inowanikwa muchimiro chechimiro pamusoro pekudzivirira kwemuviri. Izvo zvipembenene nemablister ehutano uyu zvinofanana nehutachiona nehapepes virus. Vanhu vane dermatitis herpetiformis vanowanzova nekusagamuchirwa kwe-gluten, uye kuputika uku kunowanikwa munenge 10 muzana yevanhu vane chirwere ichi. Izvo zvinowanzozivikanwa nevanhu uye kazhinji zvinokanganisa vanhu vokuNorthern Europe vanobva. Zviratidzo zveDermatitis herpetiformis inowanzobuda mushure mekudya kweguten-isina kudya.
Erythema Multiform
Kliniki mharidzo : Target zvipembenene
Principal age group : Vechiduku vakuru
Chikonzero : Allergic reaction
Nzira : Nguva duku, masvondo 1 kusvika ku2
Erythema multiforme ndeyecheputi-gara rinoputira ganda renyama. Iko kusviba kunoonekwa sekundwa kwekundu uye kunobata maziso, muromo, uye dzimwe nzvimbo mumcosal. Kurwiswa kwe erythema mutliforme kunotora maitiro ezvakawandisa kana zvirwere zvinokonzera.
Ichi chimiro chechimiro chezvimwe zvinopesana uye zvinogona kuonekwa sechipiri kusvika kumaronda anonzi herpes, zvirwere zvefungal, zvirwere zve streptococcal, kana kuti tuberculosis. Erythema multiform inogonawo kuguma nemakemikari kana mishonga, zvakadai seNSAIDs, allopurinol, uye mamwe maantibioti . Pakupedzisira, erythema multiforme inogona kuenderera mberi nekuputira chirwere chepachifu uye lupus.
Kune marudzi maviri eerythema multiform. Chokutanga, erythema multiform madzimai inoguma nekurwara zvishoma kunokanganisa ganda chete uye dzimwe nguva kunokonzera maronda emuromo. Erythema multiform inotanga ne systemic zviratidzo zvinoshandisa muviri wose, zvakadai sokuputika muzvibatanidza uye fevha. Zvironda zvinogona kuva zvakakomba uye zvinokanganisa mazamu, mhepo, gumbo, kana maziso.
Heano zvimwe zviratidzo zvinogona kuenderera mberi nekukurumidza mu erythema multiform zvikuru:
- Fever
- Malaise
- Akiness
- Ganda rinopisa
- Achy joints
Kazhinji, erythema multiforme inofamba iri yoga isingashandisi. Zvimwe zvirwere zvinogona kugoverwa kusanganisira steroids, antihistamines, antibiotics, compresses yakanyorova, nemishonga inorwadza. Zvakakosha kuchengetedza zvipembenene zvakachena uye kuchengetedza hutano hwakanaka hwekudzivirira kukanganisa kutapurirwa kwechipiri.
Erythema Nodosum
Kliniki mharidzo : Dzakashata zvakasvibiswa, zvinorwadza, zvigaro zvakatsvuka zvinowanzowanikwa pahupamhi hwemagetsi, mhuru, maoko, uye mahudyu; kwemavhiki, mapepa akavharidzirwa uye anotora maitiro ekuvhiringidza
Mazana ezera remakore (s) : Mazera ose
Chikonzero : Munenge hafu yezviitiko, chikonzero hachizivikanwi. Zvimwe zvinokonzera zvinosanganisira zvirwere uye mishonga, zvakadai semishonga inorwisa mabhakitiriya. Erythema nodosum inogonawo kuitika panguva yekuzvitakura, leukemia, sarcoidosis, uye rheumatic fever.
Nzira : Haunzwisisiki, kazhinji inogadzirisa mushure memasvondo matanhatu
Erythema nodosum isiri yepanniculitis, kana kuputika kwehutete hwemafuta pasi peganda. Ganda reganda rinotanga sechinhu chakareruka, chakasimba, chinoputika, chinenge 1 inch in diameter. Izvi zvinoshungurudza zvinogona kuve zvakachena pashure pemazuva mashoma. Mushure mevhiki dzinoverengeka, zvipembenene izvi zvinosvibiswa, zvipfeko zvakadzika. Pamusoro pezvipembenene zveganda, erythema nodosum inogonawo kukonzera zviratidzo zvakawanda, kusanganisira fevha, general malaise, achiness, uye kuzvimba. Kurapa kunoenderana nechinokonzera chinokonzera uye kunogona kusanganisira kana kurapwa kwehutachiona hwehutachiona kana chirwere kana kuregererwa kwemishonga. Mimwe mishonga inosanganisira steroids, NSAIDs, inotonhora kana inotonhorera, kana mishonga inorwadza.
Folliculitis
Kliniki mharidzo : Infected pustules inowanzokonzera chiso, zvigunwe, migumo, uye trunk.
Mazana ezera remakore (s) : Mazera ose
Chikonzero : Bhakitiriya, hutachiona, kana fungal
Nzira : Zvose zvinogadziriswa
Folliculitis utachiona hwehuputi hwemvere. Inogona kunge iri pamusoro uye inopinda chete yepamusoro yechinyorwa follicle. Kana kuti, folliculitis inogona kumhanya zvakadzika nekuvhiringidzika kunogona kukanganisa kukwirira kwose kwe follicle. Utachiona hwakawanda hunogona kutungamirira kumamota. Folliculitis inogona kuva yebhakitiriya, chirwere chetachiona, kana fungal kubva. Uyezve, folliculitis inogonawo kukonzerwa nevasina zvirwere zvinoshandiswa zvakadai sekupfeka-zvakakodzera, zvipfeko steroid, mafuta, mazamu, uye lotions. Mishonga inogadziriswa nechikonzero che folliculitis uye inosanganisira maitiro antiviral, antibiotic, kana antitifungal mishonga.
Herpes
Kliniki mharidzo : "Zvironda," vesicles, uye ulcers; pakati pevana, kuputika kwechidzitiro chemuromo uye gumbo (kureva, gingivostomatitis)
Mazana ezera remakore (s) : Mazera ose
Chikonzero : Viral
Nzira : Zvose zvinogadziriswa
I WHO inofungidzira kuti vanhu vanosvika mabhiriyoni 3,7 vaduku vanopfuura makumi mashanu vakwegura vane utachiona hweHerpus simplex virus (HSV-1) muna 2012. HVV-1 utachiona hunopararira kuburikidza nemuromo. Kunyange zvazvo zvionda zvinotonhora zvingave zvisinganzwisisi uye zvisinganzwisisiki, zvinokonzera pasina zvimwe zviratidzo. Antiviral mafuta anonhuwira kana zvipfeko zvinogona kubvisa kupisa, kutema, uye kusagadzikana kunosangana nemaronda anotonhora.
Pamusoro pezvinyorwa zvine chokuita, utachiona neye herpes simplex chirwere chechipiri 2 (HSV-2) chinokonzera genital herpes . Genital herpes inopararira pabonde. Zvisinei, HSV-2 inogona kukonzerawo maronda anotonhora. I WHO inofungidzira kuti 11 muzana yevanhu vepasi rose vane utachiona hwemakumbo ake.
Herpes Zoster (Shingles)
Clinical presentation : Redness, vesicles
Chikonzero : Varicella zoster virus reactivation
Mazana ezera remakore (s) : Vakwegura vanhu
Nzira : Mavhiki maviri kusvika matatu
Herpes zoster, kana shingles , inorwadza uye inorwadza ne varicella zoster virus. Ichi chirwere chinokonzera chickenpox. Kunyanya kunyanya, utachiona hwekutanga ne varicella zoster virus hunokonzera chickenpox muhuduku. Mushure mokunge chickenpox ichigadzirisa, hutachiona hunoramba huchigara mumasero emagetsi kwemakore akawanda. Kubudirira kwehutachiona kunotungamirira kumakumbo.
Neye herpes zoster, kurwadziwa kunotangira kupera. Iro rinoparadzirwa pamwe nedermatomes kumashure, chiso, meso, mutsi, kana muromo. Zvimwe zviratidzo zvehepepe zoster dzinosanganisira kushaya simba, fivha, kurwadziwa pamwe chete, uye kuvhuvhuta glands. Hakuna mushonga we hepes zoster. Mishonga inosanganisira marwadzo emarwadzo, steroid, maitiro anorwisa maitiro, uye antihistamines. Ikoko kune chirwere chemakumbo ake, iyo yakasiyana nechirwere chechickenpox, uye yakadana chirwere cheShingles. Ikoko shingles vaccine inoderedza ngozi yezvinetso zvechirwere chacho.
Impetigo
Kliniki mharidzo : Pustules, vesicles, mavara-mavara-mavara, nzvimbo dzakasvibiswa dzekukura kweganda
Mazana ezera remakore (s) : Vana vari pakati pemakore maviri nematanhatu
Chikonzero : Bhakitiriya
Nzira : Kugadzirisa mushure memazuva mashoma
Impetigo ndiyo yepamusoro-soro yehutachiona hweganda. Impetigo inokonzerwa naS S. aureus kana Stretptococcus bacteria. Impetigo inopararira uye inopararira pakati pemhuri yemhuri imwe chete. Impetigo inowanzoonekwa munzvimbo dzisingakwanisi kuwana sese uye mvura yakachena, yakadai semunyika dzichiri kusimukira. Impetigo inowanzonziwo pakati pevanhu vasina pokugara. Zvose zvemashoko ehutachiona nemuromo zvinogona kushandiswa kubata impetigo. Kana iyo impetigo inokonzerwa neRSASA, mabhakitiriya asingagadzirisi zvinodhaka, zvino remuromo ma antibiotic anodiwa. Nzira yakanakisisa yekudzivirira MRSA ndeyokuita maitiro akanaka ehutano uye urege kugovana zvipfeko uye tirasi.
Lichen Simplex Chronicus
Clinical presentation : Plaques, lichenification
Nheyo yezera remakore (s) : Vanhu vane makore ari pakati pe30 ne50
Chikonzero : Hazvizivikanwi
Nzira : Yenguva refu, inogadzirisa nemishonga
Lichen simplex chronicus chirwere chisingaperi chine muviri chinokonzerwa nekucheka nekupwanya. Kushungurudzika, kuzvidya mwoyo, kushungurudzika kunokonzera kusuruvara, uye kuvhiringidzika kwehope zvese zvinogona kuita basa rinokosha mubasa racho uye rakaramba richienderera mberi rechichenus simplex chronicus. Vanhu vane zvipembenene uye zvinyorwa zvinowanzogadziriswa pakuvandudza lichen simplex chronicus. Kurwiswa kunoramba kuchiita kunogona kutungamirira munzvimbo dzakaoma dzeganda. Antihistamine uye steroid zvinogona kushandiswa kuderedza danda re lichen simplex chronicus. Kana imwe tsvina ikarongedzwa, lichen simplex chronicus inogona kubvisa.
Pityriasis Rosea
Clinical presentation : Herald patch, papules uye zviyero (kureva, papulosquamous)
Nheyo yezera remakore (s) : Zera ripi zvaro asi rinowanzoonekwa kuvanhu pakati pe10 ne35
Chikonzero : Hazvizivikanwi
Nzira : Muna 80 muzana yevanhu, rash rinogadzirisa mumavhiki masere. Kazhinji, kupisa kunogona kupfuurira pakati pemwedzi 3 ne5.
The herald patch ndiyo chiratidzo chepityriasis rosea uye inowanikwa padanda. The herald patch ndega yega, yakasviba, nyama-kana saroni-yegununu yakagadzirwa nekwenyasi pamuganhu. Icho chiri pakati pe 0,8 uye 4 masendimita muhupamhi. Rimwe kana masvondo maviri mushure mekuonekwa kwechidimbu chechimiro pachigamba, zvipembenene zviduku zvepulosquamous zvinosangana nemabvu muKrisimasi-mufananidzo. Kunze kweganda zviratidzo, hapana zvimwe zviratidzo zvepityriasis rosea. Munenge chikamu chechina chevanhu, izvi zvinenge zvakashata. Pityriasis rosea resolves pachayo uye haifaniri kurapwa. Zvisinei, mapeti steroid uye antihistamine zvinogona kubatsira kuderedza kupisa.
Psoriasis
Kliniki mharidzo : Papules kana plaques ane zviyero zveseri (kureva, papulosquamous)
Mazana ezera rezera (s) : Zvikuru zvevanhu vakuru asi rinogona kuitika chero ipi zvayo
Chikonzero : Chengetedza
Nzira : Nguva refu
Psoriasis inogara isingagumi, inogadzirisa muviri, inoputira chirwere cheganda chinokonzera kukwidza, zvipembenene zvitsvuku zvine silvery zvikero. Plaque psoriasis ndiyo yakanyanya kunyanya ye psoriasis, inotarisa inenge 90 muzana yezviitiko zvose zvechirwere. Maiti acho anowedzera kuwedzera zvishoma nezvenguva uye zvino zvinowirirana zvakanamatira pamakumbo, mabvi, scalp, mabheji, nezvakadaro.
Izvi zvinokanganisa 3 muzana yeAmerica. Psoriasis inogonawo kuchinja majoints, zvichiita kuti psoriatic arthritis . Kutsvakurudza kutsva kunoratidza kuti psoriasis inorwara yakaremara yokuputika iyo inogona kukonzera mungozi yemwoyo, kusanganisira kushungurudzika, kushaya mwoyo, uye rufu.
Nyaya ye psoriasis inogona kurapwa ne hydrocortisone kana zvimwe zvinokonzera maruva. Moderate to severe psoriasis inogona kurapwa nema immunomodulator.
Rocky Mountain Spotted Fever
Mharidzo yeKliniki : Petechiae pamichindwe kana mumatope
Nheyo yezera remakore (s) : Zera ripi neripi
Chinokonzera : Bhakitiriya inotakurwa necheki inonzi Rickettsia rickettsii
Nzira : Mavhiki maviri kusvika maviri
Rocky Mountain inoona fever classically inounza nehasha, musoro, uye fevri inowanikwa mushure mekukanganisika kwekemikari. Zvisinei, 30 kusvika ku40 muzana yevarwere vose havangarondedzeri chirwere chinoruma, uye varwere vazhinji havaoni kukurumidza.
NeDyty Mountain inonzi fever, vana vakwegura nevakuru vanotanga kukura musoro wekuteverwa nemarwadzo uye aches mumisungo nemasangano.
Kunyange zvazvo Rocky Mountain ichiona fever inowanikwa muUnited States yose, inowanzoonekwa mukumaodzanyemba kweAtlantic uye nechekumaodzanyemba kwenyika. Inowanikwawo mu Oklahoma. Kazhinji, vanhu vane utachiona hweDyyy Mountain hunoonekwa pamhepo pamwedzi inodziya yegore apo makatekiti ari kushanda.
Nhanho dzinoverengeka dzinogona kutorwa kuti dzidzivirire howa dzinosanganisira dzinotevera:
- Kupfeka zvipfeko zvemaoko refu
- Kushandisa zvipfeko uye gear inorapwa ne premethrin
- Kuita zvikwereti chekuongorora iwe pachako uye mhuka dzemhuka
- Kupembera nokukurumidza paunodzokera kumusha kubva kunzvimbo ine miti
Rush is first maculopapular (kubatanidza zvinhu zve macules nemapules) uye inowanikwa pamakumbo nemakumbo. Izvo zvinopararira zvino zvinopararira kumuviri apo zvinoratidzira sa petechiae. Thrombocytopenia, kana kuti pasi yeplatelet count, inowanzove neDheyy Mountain inowanikwa fever uye inokonzera petechiae.
Mishonga inorwisa mabhakitiriya doxycycline inoshandiswa kubata chirwere ichi. Kurapa ne doxycycline kunoshanda zvikuru pawakatanga mukati memazuva matatu kusvika ku5 ekurwara. Varwere vane zviratidzo zvepfungwa, kurutsa, kusagadzikana zviratidzo zvinokosha, kana kuti mafungiro epfungwa anokanganisa anofanira kuiswa muchipatara.
Rosacea
Clinical presentation : Redness of the central face and pustules
Principal age group (s) : Vakwegura-vakuru uye vakwegura
Chikonzero : Hazvizivikanwi
Nzira : Nguva refu; kupisa-ups uye kugadziriswa
Rosacea chirwere chisingagumi chinoguma nehutsvuku uye mazamu echiso uye acne. Anofungidzirwa mamiriyoni gumi nemaviri eAmerica ane rosacea. Icho chirwere chekuvhiringidza chinokanganisa chiso uye maziso uye zvinowanzofambira mberi kwenguva. Rosacea inogona kukonzera kushungurudza chiso.
Nokufamba kwenguva zvinotungamirira kune zvinotevera:
- Dzorera mhino
- Ganda rakakomberedzwa nechiso
- Flushing
- Mitsvuku yakatsvuka pameso
- Visible midziyo yeropa pane chiso
- Dzvuku, maziso anoyemura
Rosacea inowanzoonekwa pakati pevakadzi vachena. Zvichienderana nemhando uye zvakasimba, rosacea inogona kurapwa nemishonga inorwisa mabhakitiriya, lasers, kana kuvhiyiwa.
Seborrhea
Kliniki yehurukuro : Dzakasarudzwa zvishoma, mavara matsvuku nemafuta, mashizha matsvuku zvinowanzokomba kumativi ose, mashizha, pamberi, masaya, nemhuno; inogonawo kuchinja muviri
Mazana ezvizvarwa mazera (s) : Varume vane makore pakati pe20 ne50
Chikonzero : Hazvizivikanwi
Nzira : Nguva refu, kudzokera zvakare
Seborrhea isingaperi, chirwere chinopisa chinokanganisa zvikamu zvechiso chinogadzira sebum. Sebum inonzi oily secretion yakabudiswa nemasikirwo emhepo. Vana vacheche vanogona kuita seborrhea yeecalp (chikafu chevha) kana seborrhea inobata nzvimbo yekucheka. Vanhu vane seborrhea vanogona kunge vakanyatsobatanidzwa neMalassezia , rudzi rweviramu. Kunyange zvazvo vanhu vane HIV / AIDS vanowanzova seborrhea, ruzhinji rwevanhu vane seborrhea vane zvirwere zvekuzvidzivirira. Seborrhea inonyanya kurapwa nemishonga inonzi antifungal mishonga.
Tinea
Kliniki mharidzo : Dzvuku, mabhandi akafanana nechemberi, uye scaly border; kubviswa kwepakati kunogona kunge kusina kuchena
Chikonzero : Fungus
Mazana ezera remakore (s) : Mazera ose
Nzira : Kazhinji inogadzirisa mushure mekunge-over-counter antitifungal kurapwa
Tinea inoreva boka rezvirwere izvo zvose zvinokonzerwa nefungus inonzi dermatophytes. Tinea inogona kupararira nevanhu shure kwekubatana ne tirasi, imba yezvokuchengetera pasi, nezvimwe zvakadaro. Iyi fungus inogona kukanganisa zvikamu zvakasiyana zvemuviri uye inokonzera zviratidzo zvakananga kune iyo nzvimbo dzinosanganisira:
- Ringworm umo kupisa kunotora maitiro echindori pamutsipa, maoko, makumbo, kana trunk
- Gumbo rekucheka
- Athitete rutsoka
- Jock itch
Mafuta e-over-the-counter nezvikanda zvinowanzobata tinea munguva pfupi. Mamwe matambudziko akaoma angada kurapwa nemishonga yemishonga.
Urticaria (Hives)
Clinical presentation : Wheals
Mazana ezera remakore (s) : Mazera ose
Chikonzero : Kurwara kwemhuka kune zvekudya kana zvinodhaka
Nzira : Kazhinji inogadzirisa mushure memazuva mashomanana kana mashomanana mashoma
Urticaria, kana mikoko , uye angioedema zvinowanzoitika pamwe chete. Angioedema inoreva kuzvimba kweganda. Hives inowanikwa mu20 muzana yevanhu pane imwe nguva. Vanenge 0.5 kubva muzana yevanhu vane chisingagumi, kana kuti kwenguva refu, urticaria, iyo inosangana nehurumende. Urticaria inobatwa ne steroid uye antihistamines pamwe nekubviswa kwemishonga chero ipi zvayo kana zvokudya zvinokonzera iyo.
Varicella (Chickenpox)
Chirongwa cheKliniki : mapepa, vesicles, pustules uye kuputika, kupararira kubva pakati (kureva, centrifugal)
Principal Age Group (s) : Vana
Chikonzero : Varicella zoster virus
Nzira : Nguva duku, inopedza vhiki mbiri
Chirwere chepakutanga ne varicella zoster virus chinowanzoitika kune vana pakati pemakore 1 ne9 uye chinoguma mukoko . Kune vanhu vakuru, utachiona hwekutanga-hutachiona hwehutachiwana hunowanzova hwakaoma uye hunotungamirirwa nepineumonia. Chiratidzo chekuongororwa pamwe ne varicella chirwere chekudzivirira kwechirwere, chinotanga sepapules zvino chinoshandura mu vesicles uye pustules vasati vakurira. Iyo yekutanga inosanganisira chiso, chitima, uye chikafu. Pakupedzisira, kumhanya kunofamba kune maoko nemakumbo. Zvimwe zviratidzo zvekukutuka zvinosanganisira kuora musoro, kushaya simba, uye kurasikirwa kwechido. Kurapa kwechickenpox chiratidzo, uye acetaminophen inopiwa fever; mvura inoshandiswa ye hydration; uye antihistamines, calamine lotion, uye colloidal oatmeal mabhati anoshandiswa paganda. Antiviral therapy ne acyclovir inogona kuderedza nguva yefivha uye kuoma kwezviratidzo. Kurwisa kwechidiki kurwisa chickenpox inokurudzirwa neCDC.
> Sources:
> Chitsauko 116. Impetigo. Mu: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. eds. The Color Atlas of Family Medicine, 2e New York, NY: McGraw-Hill; 2013.
> Culton DA, Liu Z, Diaz LA. Chitsauko 56. Bullous Pemphigoid. Mu: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K. eds. Dermatology yeFitzpatrick muna General Medicine, 8e New York, NY: McGraw-Hill; 2012.
> Jaffe J, Ratcliff T. Chitsauko 42. Zvirwere Zvinotapukira Mungozi. Mu: Stone C, Humphries RL. eds. CURRENT Diagnosis & Treatment Emergency Medicine, 7e New York, NY: McGraw-Hill; 2011.
> Leung DM, Eichenfield LF, Boguniewicz M. Chitsauko 14. Atopic Dermatitis (Atopic Eczema). Mu: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K. eds. Dermatology yeFitzpatrick muna General Medicine, 8e New York, NY: McGraw-Hill; 2012.
> Zaenglein AL, Graber EM, Thiboutot DM. Chitsauko 80. Acne Vulgaris uye Acneiform Eruptions. Mu: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K. eds. Dermatology yeFitzpatrick muna General Medicine, 8e New York, NY: McGraw-Hill; 2012.