Rashes inogona kuva yakaipisisa, kunyanya kana yakashata. Mamiriro ezvinhu anonzi eczema, anozivikanwawo seatopic dermatitis , ishushi inopisa inowanzotangira zvimwe zviratidzo zvinosanganisira zvirwere zverhinitis, zvirwere zvekudya, uye chirwere chemafi. Kune marudzi akasiyana eEczema, kusanganisira imwe inonzi nummular eczema.
Chii Chinonzi Eczema Eczema?
Kubwinya kwerudzi urwu rudzi rwemazuva echinhu chakafanana nemari.
Izwi rokuti "nummular" rinoreva mari muLatin.
Kana pakaitika eczema, kazhinji kazhinji kuputika kweganda kunobvumira zvinokonzera zvirwere kuburikidza neganda. Izvi zvinogona kukonzera kupera. Atopic dermatitis inowanzotanirana nekurairic kune zvinhu zvakasiyana-siyana asi nhamba ye eczema inowanzobatanidzwa nekutaurirana dermatitis.
Nummular Eczema Symptoms
Mhuka inoita seyakatenderera, yakaita se-disc-like seshungu uye inogona kuonekwa chero kupi pamuviri. Inowanzove yakawanikwa pamaoko nemakumbo.
Zvironda zvinogona kuva zvakanyanya kunaka, asi vamwe vanhu vanoti zvipembenene hazvina maturo pavanenge vachiri kukura. Ikoko kunogona kunge kuine ruzivo pamusoro pezvipembenene uye kuputika kunogona kuva nemvura yakasviba. Ikoko kunogonawo kuva nehukundu zvakakomberedza chironda chacho.
Nhamba ye eczema inogona kukonzera marwadzo uye inogonawo kukonzera kushungurudzika mupfungwa nekuda kwekuoneka kwayo. Asi varwere vakawanda vanogona kuwana rubatsiro kubva kuchiremba wavo.
Nummular Eczema Causes
Mamiriro akasiyana angakonzera kana kuwedzera kuwanda kwema eczema.
Izvi zvinosanganisira:
- Danda rakasviba
- Bata dermatitis
- Weather
- Kushungurudzika mupfungwa (kushungurudzika kunogona kukuita kuti uchinzwe kuora)
- Mishonga yemumuromo inosanganisira interferon (kazhinji inoshandiswa kurapa hepatitis) kana kuti isotretinoin (inozivikanwa nemishonga yemakemikari)
- Mishonga yemitambo inosanganisira mapurogiramu anonzi antibiotic creams akaita seNeosporin
- Kupera kweganda kare kusanganisira kupisa kana imwe maronda, ganda rakazaruka kubva pakutsvaira, kana kuruma kwezvipembenene
Nhamba ye eczema haiwanzokanganisa vana. Izvi zvinowanzoitika kune varume vari pakati pemakore makumi mashanu nemakumi mashanu nemakumi mashanu nemashanu. Vakadzi vanowanzoona mavhesi ekutanga episema pakati pemakore gumi nema13 ne25.
Nummular Eczema Diagnosis
Kurongeka kwakarurama kwemazema ega kunogona kuva kwakaoma sezvo kupisa kunogona kuonekwa kwakasiyana pamhando dzakasiyana dzeganda. Saka chiremba wako angangokubvunza mibvunzo yakawanda.
Uyezve, chiremba wako angada kubuda kunze kwezvirwere zveganda zvinofanana nekasa rekare. Izvi zvinoitwa neganda rechivara . Icho chirevo chinotyisa chinotyisa, asi muedzo unoitwa neanesthesia yepamunharaunda uye varwere vazhinji vanoti hazvisi zvakaipa. Icho chigamba chinobvumira chirwere chekuongorora chirwere pasi pe microscope kubatsira kubvisa chikonzero chekumhanya.
Chikwata chekuedza kutarisa kusangana dermatitis kunogona kubatsirawo kune varwere vane eczema yakawanda. Chikwata chepatch chinobatsira pakutsvaga kana chero zvipi zvako zvega kana zvimwe zviremera zvauri kutaridzirwa zvinogona kuwedzera kukurumidza kwako. Chinhu chinonyanyozivikanwa ndeyekuti nickel, asi zvinonhuwira, mabhizimusi, uye zvimwe zvinogona kuva chikonzero zvakare.
Chikwata chekuongorora chirwere chemazuva matatu chinoiswa pamusana wako. Zvakakosha kuti urege kutora musana wako mvura nemvura kana kutuka sezvo inogona kupindira mavara uye ega kupa migumisiro yakarurama.
Pazuva rokupedzisira rekuedzwa kwako, chiremba achaverenga chikwata chako chekuongorora uye anokupa ruzivo rwezvauri kurwisa. Zvinonakidza kuva nemuedzo wakanaka nokuti zvinoreva kuti iwe unogona chaizvo kudzivisa zvinhu zvinowedzera kuitika kweEczema yako.
Chirwere chinowanzozivikanwa kechizema chinokanganisa chinokanganisa chirwere cheganda. Chirwere chinokonzerwa nehutachiona chinogonawo kuva chinokanganisa chinowedzera kukanganiswa pakati pezvirwere zviviri. Mushonga wemapapiro akasiyana akasiyana zvikuru, saka zvakakosha kuona chiremba wekunyatsoongorora.
Nummular Eczema Treatment
Iyo yakanakisisa kurapwa kwemazzi eczema inonzi steroid inopikiki .
Kazhinji, yakasimba sopodhiyo steroid (panzvimbo yehutomu hwakaoma) inodiwa kuti ibatsire kugadzirisa kupisa.
Nyaya dzepasitio steroid ine zviitiko zvakakosha zvinosanganisira:
- Hyper kana hypopigmentation yeganda zvinoreva kuti inogona kuchinja ruvara rweganda rako
- Telangiectasias (midziyo yakawedzerwa yeropa, kazhinji capillaries)
- Ganda atrophy (ganda rakatetepa)
- Zviri nyore kupwanya
- Kuwedzera kwengozi yehutachiona hweganda
Kazhinji, iwe unongowanikwa rutivi urwu runobata kana ukashandisa steroid yepicalical kwenguva yakareba kana pamusoro peganda rakakuvara.
Chiremba wako angakukumbira kuti uve wakangwarira munzvimbo dzakadai sechiso, mutsi, pasi (axilla) uye nzvimbo yeguruva, seganda rinopenya munzvimbo idzi uye rinowanzotambura nematambudziko anowanikwa pamusoro apa. Iva nechokwadi chokuti iwe uye chiremba wako ari kutarisa steroid yako kushandisa.
Zvimwe zvemashoko ezvematongerwo enyika zvinosanganisira Tacrolimus kana Pimecrolimus vanoshanda pane imwe nzira uye vanogonawo kubatsira nepamusoro pezvese. Aya mazamu haasi steroid, saka anotakura zvido zvishoma zvisingabatsiri asi zvingave zvisina kubatsira sezvinonzi mishonga yokutanga inonzi topical steroids. Zvakakosha kucherechedza kuti izvi zvinyorwa zvemashoko zvinogona kukonzera kupisa mushure mekushanda.
Eucrisa iyi mishonga yemishonga inopisa iyo isiriwo steroid uye inogona kubatsira kune avo vasingakwanisi kushandisa topical steroids.
Antihistamines imwe yeboka guru remishonga yekubatsira nemagetsi akawanda. Antihistamines inogona kusanganisira Cetirizine, Fexofenadine, Levocetirizine, uye Loratadine. Mimwe yemishonga iyi inogona kutorwa kanopfuura kamwe chete pazuva kuti ibvise zvinoshungurudza.
Nhamba ye eczema inogona kutarisa zvishoma kana pane hutachiwana hwehutachiona hunokonzera kupera. Kazhinji, mhuka inowanikwa yakawanda inowanikwa mumutauro ndiStaphylococcus aureus . Kana akawanikwa, inoda kurapa mimwe, kunyanya ine mishonga inorwisa mishonga. Rega chiremba wako azive kana iwe uchitanga fever kana chills sezvo zviratidzo izvi zvingaratidza utachiona.
Oral steroids inogonawo kubatsira kana kukanganisa kwakaipa kudarika nguva dzose. Steroid haisi kazhinji yakanakisisa kurapwa nokuti inogona kukuvadza dermatitis mushure me steroid taper.
Nummular Eczema Prognosis
Nhamba ye eczema inoonekwa sechirwere chisingaperi chinotenderera pakati pemoto uye kuderera. Zvakakosha kuchengetedza ganda re hydrated uye kudzivisa kuwedzera kwezvinhu zvinogona kusanganisira zvinogadziriswa zvinowanika pane patch test yako, mishonga yemasikirwo sezvakanyorwa kare uye kutarisira kudzvinyirira kwako.
> Sources:
> Coondoo A, Phiske M, Verma S, Lahiri K. Zvimwe-zvinoitika zvetiopical steroids: Kudzokorora kwenguva refu. Indian Dermatol Online J. 2014; 5 (4): 416-25. doi: 10.4103 / 2229-5178.142483
> Schneider L, Tiles S, Lio P, et al. Atopic dermatitis: chiito chemuenzaniso parameter update 2012. J Allergy Clin Immunol. 2013; 131 (2): 295-9.e1-27. doi: 10.1016 / j.jaci.2012.12.672
> Todorova A., Bruckbauer H., Ring J. (2015) Nummular Eczema. Mu: Katsambas A., Lotti T., Dessinioti C., D'Erme A. (eds) European Handbook of Dermatological Treatments. Springer, Berlin, Heidelberg