Mune zviitiko zvakawanda, kusiyana pakati peatopic dermatitis uye kubata dermatitis zviri pachena. Mune dzimwe nguva, hazvisi pachena. Vamwe varwere vanogona kunyange kuva neatopic uye vanobatana nedermatitis panguva imwe chete, izvo zvakanyanya kuoma kuongorora. Nepo kune kuenzana kwakawanda pakati pemamiriro maviri aya akafanana, pane zvimwe zvakasiyana-siyana zvakanyanya kunyanya kana zvinosvika kune zvinokonzera dermatitis.
Kufanana pakati peAtopic uye Contact Dermatitis
Zvose zviri zviviri uye zvekubatana nedermatitis kune maitiro e eczema . Eczema haisi kuongororwa. Pane kudaro, eczema inoreva kurwiswa kwechokwadi kunowanzoitika nekuda kwemamiriro aya. Iko kune zvikamu zvitatu zvakasiyana-siyana zveEczema:
- Maitiro ehutachiona anonyanya kuratidzika nechechichera blisters (vesicles) pamusoro peganda rakatsvuka.
- Chimiro chakaoma eczema chinhu chinotyisa, chakaoma, chinokanganisa, chinoputika, kana chikafu cheganda.
- Chisingagumi eczema inoratidzirwa ne lichenification, kuchenesa kweganda reganda rinowanzoitika nekuda kwekusagadzikana kusingaperi.
Chirwere cheganda chechipiri uye chekubata dermatitis chicharatidza zvimwe zvakafanana-zvinonzi spongiotic kuchinja kwepidermis, kurira kwemasero epachimbaradzi epachivharasi anowanikwa seponjiko pasi pe microscope. Nokudaro, chigadzirwa cheganda hachizoparadzanisa pakati pemamiriro maviri aya.
Kusiyana pakati peAtopic uye Contact Dermatitis
Pane zvakawanda zvakasiyana-siyana pakati peatopic uye kuonana dermatitis, uye inonyanya kukosha kuva kukanganisa kwomunhu kuti akure mamiriro acho.
Munhu ane atopic dermatitis anowanzova nehutano hwechimiro muprotheni mucheka ravo rinonzi filaggrin.
Kushandurwa kwe filaggrin kunokonzera kuparara kwezvipingamupinyi pakati pepidermal cell cells. Izvi zvinokonzera kupera simba kweganda pamwe nekukwanisa kweaerallergens, kufanana nechikafu cheduru uye guruva mite, kupinda mukati meganda.
Izvozvo zvinokonzerwa nehutachiona hwemagetsi uye kushungurudzika kwakasimba. Kuchengeta kunowedzera kukanganisa ganda uye kunokonzera kuvhiringidza uye kuwedzeredza.
Chimwe chinhu chinokonzera kurwisa zvinogona kukonzera kuti eczema ikure semugumisiro wekudya zvokudya izvo munhu ane allergiki, zvichiita kuti T-lymphocytes (rudzi rwechichena chemuviri weropa) dzisvikire kune ganda uye zvinokonzera kuvhiringidzika kwegorosi . Pasina izvozvi, zvinoita kuti munhu asave atopic dermatitis.
Shingairira dermatitis, kune rumwe rutivi, inokonzerwa nekupindurwa kwekemikari inowanika zvakananga paganda. Inowanikwa pakati pehuwandu hwevanhu kubva mukubatana nehupfu hwehu (anenge 90 muzana) uye yakajairikawo painoiswa kune nickel , zvipfeko, uye vhudzi rebvudzi . Munhu achiripo anofanira kunge ane mano eT-lymphocytes kuti aone kemikemikari sechinhu chekune imwe nyika uye aite nayo kuitira kuti atange kuonana nehutachiona.
Zera remunhu ane atopic dermatitis chinhu chakakosha pakati pemamiriro maviri aya. Vanhu vazhinji vari kuwedzera atopic dermatitis vane makore mashanu kana kuti vaduku, nepo kuonana dermatitis hakusi nyore muvana vaduku.
Nzvimbo ye eczema ndiyo inonyanya kukosha pakusiyanisa pakati pekutengesa uye kusangana dermatitis.
Atopic dermatitis inowanzobatanidza kushanduka kwemapapu echando, zvakadai semapanga emakumbo (antecubital fossa), kumashure kwemabvi (popliteal fossa), pamberi pemutsipa, mapanga emakumbo, maziso, uye shure kwe nzeve.
I-flexural areas inowanzowanzobatanidzwa kune vakwegura nevakuru nekuda kwekuti nzvimbo idzi dziri nyore kupinda. Sezvo atopic dermatitis ichitsva, kuti kana yakatsvaira, inoguma nekukurumidza, zvinonzwisisika kuti nzvimbo dzakanyanya kutsvaga dzichava nzvimbo dzinokurudzira kuputika. Kune rumwe rutivi, shandisa dermatitis inowanzoitika panzvimbo yekemikari yakasununguka, uye saka inogona kuva chero kupi zvako mumuviri.
Kuziva
Kuongororwa kweatopic dermatitis kunosanganisira kuvapo kwechizema, kuvapo kwekuchenesa (pruritus) , uye kuvapo kwemishonga. Kurwara kwezvirwere kunorapwa kunoshandisa chirwere cheganda kana kuongororwa kweropa, uye naizvozvo atopic dermatitis inokonzera kukanganisa.
Kuongororwa kwekubatanidza dermatitis kunosanganisira kuvapo kwechizema, izvo zvinowanzonyangadza, uye kukwanisa kugadzirisa chinetso nekushandiswa kwekugadzira patch . Kubata dermatitis haisi kukonzerwa nehutachiona, asi semugumisiro weT-lymphocyte mediated retarded type hypersensitivity.
Pasinei kana eczema inobva kuatopic dermatitis kana kuti kuonana nedermatitis, kuziva uye kudzivisa chinokonzera kana huru yekurapa modality.
> Sources:
> Atopic Dermatitis Practice Parameters. Ann Allergy Chirwere Immunol; 93: S1-21.
> Beltrani VS, Bernstein IL, Cohen DE, Fonacier L. Kubata Dermatitis: A Parameter Practice. Ann Allergy Chirwere Immunol; 97: S1-38.