Mhando dzeZvipatano KwaTinea Versicolor uye Maitiro Azvo Kusiyana
Kana wakamboonekwa kuti kana unotenda iwe unogona kuva nehutachiona hweganda tinea versicolor, ndeapi marapirwo aripo? Ndezvipi zvirwere zvinoshanda zvakanyanya uye iwe nechiremba wako mungagadzira sei sarudzo pamusoro pekupi kurapwa kwakakunakira iwe?
Tinea Anosangana Nezvirwere Zvirwere
Tinea versicolor inowanikwa fungal yepachirwere chirwere chinokonzera kushanya kwechimiro.
Inonziwo pityriasis versicolor uye inogara ichivhiringidzika nemamwe mavara emaganda. Kunyange zvazvo kuputika kwakanyanya kune imwe nguva muhucheche uye kutanga kwekukura, zvinogona kuitika chero ipi zvayo.
Izvo zvinowanzoonekwa sevelvety hypopigmented (less pigment) kana hyperpigmented macules (nzvimbo dzisingamutswi) kana kuti mapepa . Rushino inowanzova yakajeka zvikuru kuoneka nekuchenesa. Iko inowanzova yakawanda padanda, chiso, uye mapepa uye hazviwanzochera (kunyange zvingakwanisa kune vamwe vanhu.) Chivara cheganda uye tsvina zvinogona kuratidza mbiriso inoshandiswa pasi pe microscope (inoratidzika sepaghetti uye nyama dzekudya.)
Tinea versicolor inowanzoitika panguva yakasvibirira yeganda, Pityrosporum orbiculare kana Pityrosporum ovale, kushandura (kuchinja) kuva pathogenic mafomu emusango anonzi Malassezia furfur . Iyo fungus yepathogenic iyo inoshandiswa nokuvhara mashizha anokonzera melanin muganda ( melanocytes .) Sezvo tinea versicolor inobatana nekuwanda kwezvipembenene zvakajairika (uye kunyange zvinodzivirira) paganda, hazvina kupararira.
Mhando dzokurapa kweTinea Versicolor
Kune nzira dzakasiyana-siyana dzakasiyana-siyana dzokurapa kwekubvisa kubvisa tinea versicolor rash. Nemhaka yokuti mbiriso inogara mucheka wepamusoro peganda, epidermis , mishonga inopikisa anti-fungal inowanzove yakabudirira, pakutanga kana kuti panguva yekutanga kwechirwere.
Kana ruzha rukuru, mishonga inorwisa anti-fungal inogona kudiwa.
Nemhaka yokuti tinea versicolor inodzokorora makumi mapfumbamwe kubva muzana, vanhu vazhinji vanoda kudzokorora kurapwa kana kurapwa kwekuchengetedza kudzivirira kupera. Ngatitarise nezvezvipatara izvi zvakasiyana.
Kurapa kweTinoni Kunopesana neTopical Antifungals
Zvinyorwa zvemashoko antifungal mishonga ndiwo mushonga wekusarudza tinea versicolor. Mamwe mazita ekurwisana nemasipirini ekurapa akave akaratidzirwa kuti atange yakawanda kudarika makumi manomwe kubva muzana yemakirini emhinduro yekurapa. Izvi zvinosanganisira kuronga varwere 2 muzana Nizoral (ketoconazole) cream inoshandiswa kamwechete zuva nezuva kwemazuva gumi nemasere kusvika ku22.
Zvimwewo, kushandisa 2 muzana ketoconazole shampoo regimen (inobata pamusoro pevanhu vakavhiringidzika uye inopoteredza nzvimbo uye yakasiyiwa kwemaminitsi mashanu asati ashambidza) inobatsirawo kana inoshandiswa kamwe chete zuva nezuva kwemazuva matatu anotevera. Mukuwedzera, 1 muzana Lamisil (terbinafine) sarudzo inoshandiswa kaviri zuva rimwe nerimwe kwevhiki imwe yakaratidza kuti inoshanda, sezvo ine 1 muzana yeLotrimin (clotrimazole) mhinduro inoshandiswa kamwe kamwe kwevhiki imwe chete.
Kurapa kweTinoni Kunopfurikidza neOral Antifungals
Mishonga inorwisa-fungal mishonga inogona kukonzera migumisiro yakadai seyeusea kana kukuvadzwa kwechiropa, asi izvi zvinowanzovhiringidza nekanguva mazana ekurapa anoshandiswa tinea versicolor.
Oral griseofulvin uye oral terbinafine haisi mushonga unobatsira weTinea versicolor, asi zvirongwa zvakasiyana-siyana zvemurapa zvinoratidzirwa zvinokonzera kusvika kune 90 muzana yehutano inopindurwa.
Ketoconazole 200 mg zuva nezuva kwemazuva manomwe kana kuti 400 mg mgero inogona kushandiswa. Mushure mekutora mishonga, vanhu vanorayirirwa kuti vashandise muviri uye vashandise jira. Mishonga inoshanda kuburikidza nekuendeswa kune ganda nenzira yekutuka, saka haufaniri kushamba kwemaawa 10 kusvika ku 12 mushure mekutora chirwere.
Fluconaole, piritsi ye 300 mg yatorwa pakutanga uye inodzokororwa mumavhiki maviri inoshandawo.
Kurapa kwaTinoni Kunopesana Nekutengesa Shampoos
Kusvikira munguva pfupi ichangopfuura, shampoo dzakashata dzakange dzichinyanya kurapwa kwetinea versicolor.
Havana kupfurikidza kudarika mishonga inorwisa-fungal uye zvinogona kukonzera kushungurudzwa kweganda, asi zvinowanika pane-the-counter uye hazvina mari shoma. Mamiriyoni ehurumende akaratidzwa kuti anoshanda.
Izvi zvinosanganisira sulfuri salicylic acid shampoo inoshandiswa usiku huno sekunyorera kwevhiki imwe chete kana zinc-pyrithione shampoo regimen (inoshandiswa zuva nezuva sechando uye yakasiyiwa kwemaminitsi mashanu isati yacheneswa) kwevhiki mbiri. Mukuwedzera, Selsun Blue (selenium sulfide) 2,5% yelotion regimen (inoshandiswa zuva rega segairo uye yakasara kwemaminitsi 10 isati yacheneswa) kwevhiki imwe yakaratidza kuti inoshanda.
Tinea Inotora Nguva Yakadini?
Tinea versicolor kazhinji inopindura nyore nyore kune kurapwa, asi kudzokorora kunowanzoonekwa sezvakataurwa kare. Kunyange zvazvo mavara (macules) anowanzogadzirisa nekukurumidza, kuchinja kwekushandiswa kwemavara kunogona kutora nguva yakareba kuti ugadzirise sezvo melanocytes inoda kutanga kubudisa melanin zvakare.
Pasi Payo Pamusoro Pokubata Tinea Versicoror
Kana iwe uine tinea versicolor, bvunza chiremba wako nezvenzira dzakasiyana-siyana dzokurapa dzaunogona kuwana kwauri. Imi nachiremba wenyu munogona kukurukura zvakanakisisa kurapwa zvichienderana nekukura kwekutsamwa kwenyu, kwenguva yakareba zvakadini, uye kana yakadzoka zvakare.
> Sources:
> Gupta, A., uye D. Lyons. Pityriasis Versicolor: Chirongwa cheParammac Treatment Options. Expert Opinion pa Pharmacotherapy . 2014. 15 (12): 1707-13.
> Weller, Richard PJB, Hamish JA Hunter, naMargaret W. Mann. Clinical Dermatology. Chichester (West Sussex): John Wiley & Sons Inc., 2015. Print.