Kucherechedza NeEczema
Kana dermatologist yako yakakuudza kuti une lichen simplex chronicus (LSC), unogona kunge uri kufunga kuti izvi zvinyi. Sei izvi zvichiitika kune vamwe vanhu vane eczema nemamwe mamiriro eganda uye vangarapwa sei?
Overview
Lichen simplex chronicus, kana "neurodermatitis," inonyanya kuratidza chiratidzo kupfuura chirwere chairo pachako. Kubuda kweganda kunoshandiswa nguva dzose (kazhinji) kuchera imwe nzvimbo yeganda kwenguva yakareba.
Izvi zvinokonzera kukanganisa kuchinja kunoshandiswa, zvakadai sekupenya uye kupenya kweganda, uye kujekesa kwemavara echinyakare. Iko kushanduka kweganda kunonzi "lichenification" sezvo chitarisiko chinogona kutarisa kufanana nechero rinokura pamiti uye matombo musango.
LSC inoonekwa zvikuru kune vanhu vane eczema. Kunyange zvazvo eczema inogona kukanganisa muviri wose, zvisinei, kuputika kweLSC kunowanikwa mune imwe nzvimbo. Izvozvo zvinogumira munharaunda ino zvinosuruvarisa uye zvinokonzera tsvina-nyora-kupisa mhepo. Kunyanya kuputika kwacho kunoputika kana kubviswa, iyo inowedzera kudonha, kufambisa denderedzwa.
Mamiriro ezvinhu anogona kutungamirira kumarara asina kuchena anonyanya kusanganisira yakawanda chero chipi zvacho chinogona kukonzera kunge ichi:
- Mazuva ekuzorora kana atopic dermatitis (eczema yakabatana neutachiona)
- Bata eczema kana kuti taurirana dermatitis (eczema yakabatana nekutsamwa kubva kune zvinhu zvinosangana nekanda)
- Psoriasis
- Fungal zvirwere zveganda
- Insect bites
- Kutevera shingles (herpes zoster)
Zviratidzo nezviratidzo
Kune avo vanoziva nezvenje pamatombo, lichen simplex chronicus ine zvakawanda zvakafanana, asi paganda. Inowanzoonekwa semunhu ari oga kana chidimbu chine chitenderedzwa chakakomberedza.
Nzvimbo inowanzoonekwa yakaoma uye scaly uye ganda rakapoteredza rinogona kunzwa rakasviba uye rine ngozi.
Iko rinowanzosviba, uye kubvongodzwa kunowanzosina uye kushandiswa. Ikoko kunogona kugoverwa mavara matsva pedyo nekumhanya.
Kazhinji Inowanikwa Nzvimbo
Nzvimbo dzakawanda dzinowanzobatwa ne lichen simplex chronicus dzakanyorwa muhurongwa hwekuwandisa:
- Kunze kwechikamu chezasi chegumbo
- Hondo nemakumbo
- Mushure uye kurutivi rwomutsipa (lichen simplex nuchae)
- Shingairira chikamu chekona
- Chikoro, chivako, chinzvimbo, uye pubis
- Mapofu ari kumusoro
- Kuvhura kwezeve
- Fold shure kwekunzwa
Rick Factors
Lichen simplex chronicus inowanzozivikanwa kune vanhu vakuru uye inowanzojairika kuvana. Inowanzoitika kakawanda muvakadzi kupfuura varume uye inowanzoonekwa pakati pemakore makumi matatu nemakumi mashanu.
Iko kusvibiswa dzimwe nguva kunobatanidza nekuzvidya mwoyo kunetseka, zvakadai sekusagadzikana-kusagadzikana kwepfungwa, uye nekuora mwoyo. Inogonawo kubatanidza nemamiriro ezvinhu anotungamirira kuuropathy , zvakadai sechirwere zvirwere mumutsana.
Kuziva
Kuonekwa kwechichenyasi simplex chronicus inowanzoitwa nekubatanidzwa kwezvakawanikwa, zvakadai sezvenhoroondo ye eczema uye telltale scratch marks. Kushanda kweganda kunogona kudikanwa kuitisa kunze kwemamiriro ezvinhu akadai sefungal zvirwere (KOH test) kana shries.
Dzimwe nguva girazi rinoputika rinoitwa kuti ritsigire kuongorora uye kutonga kune zvimwe zvikonzero.
Pane mamiriro ezvinhu akawanda anokwanisa kutarisa akafanana neavochen simplex chronicus, kusanganisira:
- Plaque psoriasis
- Acanthosis nigricans
- Lichen planus
- Scabies
- Acne keloidalis nuchae
- Chronic anorarama spongiotic ermtitides
- Prurigo nodularis
- Pityriasis rubra pilaris
- Psoriaform secondary syphillis
- Reiter syndrome
- Mycosis fungoides (cutaneous T cell lymphoma)
- Amyloidosis
- Dermatitis herpetiformis (iyo "gluten rash")
Nokufamba kwenguva, lichen simplex chronicus inogona kutungamirira kumatambudziko. Zvose zvinowanzosvibira uye zvinoshandiswa pakuchinja kwemavara munzvimbo yakakanganiswa.
Panewo hutachiwana hwehutachiona hutachiona hwehutachiona , kunyanya kune avo vakaderera musimba.
Chikamu chechipiri kazhinji chinoda antibiotics, uye chinogona, mune zvisingakoshi, chinokonzera zvakanyanya systemic infections (sepsis).
Zvimwewo zvinokosha, LSC haina kungogunzva vanhu mumuviri, asi inogona kuva nehukuru hwepfungwa nemagariro pamwe chete. Izvi zvinosimbisa kukosha kwokurapa rash.
Kurapa
Kurapa kwechikafu simplex chronicus kunobatsira kuburikidza nekubatanidzwa kwemishonga yakagadzirirwa kuporesa kurwisa uye kubata chirwere chepfungwa. Kurapa nzira dzinosanganisira:
- Rega kucheka -Chikamu chakakosha chekurapa ndechekuti kunzwisisa kose, kubvongodza, uye kunyange kugunzva kwekukurumidza kunofanira kumira. Sezvo vanhu vakawanda vachirara muhope dzavo, nzvimbo yacho inogona kunge yakafukidzirwa. Imwe nzira yevamwe vanhu yakapfeka makotini gorosi usiku uye kuita kuti misumari inyoreswe pasi kuti kuderedze kukuvadza kana kusvina kuchiitika. Kana zvakanyanya, munhu angada mishonga kuti ibatsire nechitsva kwekanguva pachinenge ichichitora.
- Ita se eczema -Isainese simplex chronicus inorapwa sechisingagumi eczema nekuderedza mvura neshamwari yekubatana nekushandisa emollients.
- Shandisa maitiro etirosiroti steroid creams - Topical steroids inoda nguva dzose inoda kudzora zviratidzo. Sezvo simba reSteroid rinoda kuti rive rakasimba, mupi wehutano anotarisira kuvanyorera uye kuongorora kushandiswa kwavo. Arocortisone cream yakagadzirirwa pamusoro-in-counter inogona kushandiswa kusvikira musangano wapiwa. Kunyangwe nekushandiswa kwezvipembenene izvi (uye zvinopesana nezvinopisa, zvinokonzera, kunotonhora, uye zvinogadzirwa nemethylated), zvisinei, kuchera kunoda kudzorwa. Mune zvimwe zviitiko, chirwere chinonzi steroid zvakananga mumupande chinogona kushandiswa. Kushandiswa kwenguva refu, kunyanya kwechiremba chakasimba chekugadzirira steroid, kunogona kukonzera kuponda kweganda iro rinogona kutungamirira kune mamwe matambudziko.
- Shandisa tarti yemarasha - Mazai emagetsi emalahle akave aripo kwemakore zana asi angaramba achipa rubatsiro mukurapa kweLSC.
- Sarudza zvipfeko zvine njere -Kutsvaga kutora kunogona kuitwa nyore nyore nemamwe marudzi ezvokupfeka kune vamwe. Kune vulvar lichen simplex chronicus, kune humwe uchapupu hwokuti kupfeka zvisikwa zvepasi pasi zvingabatsira.
Sources:
Corazza, M., Borghi, A., MInghetti, S., Toni, G., uye A. Virgili. Kubudirira kweSilk Fabric Pasi pangui seAdjuvant Tool muKutonga kweVulvar Lichen Simplex Chronicus: Zvikamu zveDhiviri-Chirema Chikungotaridzirwa Muedzo. Kusvitsa . 2015. 22 (8): 850-6.
Kouris, A., Christodoulou C., Efstathiou, V. et al. Chidzidzo chekuenzanisa neUnohu hweHupenyu uye Obsessive-Compulsive Tendencies muvarwere vane Chronic Chronic Eczema uye Lichen Simplex Chronicus. Dermatitis . 2016. 27 (3): 127-30.
Wick, M. Psoriasiform Dermatitides: Kuongorora Pfupi. Seminari muDaagnostic Pathology . 2016 Dec 14.