Zamkatimu
Dyshidrosis: zimayambitsa, zizindikiro ndi mankhwala
Dyshidrosis ndi chikhalidwe cha khungu chodziwika ndi vesicles pa ofananira nawo pamwamba zala zala ndi zala, komanso pa kanjedza ndi zitsulo. Nthawi zambiri, makamaka m'chilimwe.
Tanthauzo la dyshidrosis
Dyshidrosis ndi mtundu wa eczema wotchedwa vesicular dermatosis wa manja. Dyshidrosis ayenera kusiyanitsidwa ndi mitundu ina ya vesiculo-bullous chikanga cha manja monga:
- le pompholyx, zofanana ndi mwadzidzidzi palmoplantar vesicular ndi / kapena bullous totupa popanda redness, kawirikawiri amatsatiridwa ndi desquamation pafupifupi 2 mpaka 3 milungu ndipo akhoza kubwereza
- ndimatenda vesiculobullous chikanga nthawi zambiri amapita patsogolo mpaka kuphulika ndi kukhuthala kwa khungu
- la hyperkeratotic dermatosis ya manja, Nthawi zambiri amuna azaka zapakati pa 40 ndi 60 amapangidwa ndi zigamba zokhuthala, zoyabwa ndipo nthawi zina ming'alu yapakati pa kanjedza. Nthawi zambiri zimakhala zoyambitsa zingapo, kuphatikizira zokumana nazo, kukwiya komanso kupwetekedwa mtima kosatha (DIY, etc.)
- kuwonongeka kwakukulu kwa vesicular yachiwiri mycosis mapazi kapena manja.
Zifukwa za dyshidrosis
Zochepa zimadziwika za zomwe zimayambitsa dyshidrosis koma zimadziwika kuti zimagwirizana ndi zina:
- ndi mycoses dermatophytes monga phazi la othamanga
- L 'hyperhidrosis palmoplantar kapena kuchuluka thukuta m'manja ndi mapazi. Momwemonso, ndizowoneka bwino kuwona dishidrosis ikuwonekera m'chilimwe pamene kutentha kumawonjezeka.
- ndiatopy : timapeza banja kapena mbiri yakale ya atopy mu maphunziro ena koma osati mwa ena…
- L 'ziwengo zachitsulo (nickel, chromium, cobalt, etc.), mapulasitiki ena (paraphenylene diamine) ndi Beaume du Pérou amapezeka mwa odwala ena.
- le fodya chikhoza kukhala chowonjezera
Kuzindikira kwa dyshidrosis
Pali mitundu iwiri ya dyshidrosis:
- dyshidrosis yosavuta, osati limodzi ndi redness. Pakhungu pali ma vesicles okha
- dyshidrotic eczema, kuphatikiza vesicles ndi redness kapena makulitsidwe.
Pazochitika zonsezi, kuyabwa nthawi zambiri kumakhala koopsa ndipo kumatha kutsogola kapena kutsagana ndi zotupa za matuza.
Izi ndizomveka (monga "matuza amadzi"), nthawi zambiri zimakhala zofanana pa dzanja lililonse ndi phazi, zimakhala zogwirizana, kenako:
- kapena zimauma, ndipo nthawi zambiri zimakhala zofiirira.
- kapena anaphulika, kupanga mabala otuluka
Kuchuluka kwa dyshidrosis
Dyshidrosis imapezeka padziko lonse lapansi koma ikuwoneka kuti ndi yosowa kwambiri ku Asia. Ndilofala kwambiri mwa akulu kuposa ana. Zimakhudza amuna ndi akazi.
Zikuwoneka kuti kukhudzana mobwerezabwereza ndi zinthu zokwiyitsa (zotsukira, ndi zina zotero) ndi madzi, komanso kuvala magolovesi kwa nthawi yaitali, zomwe zimapangitsa kuti dyshidrosis iwonongeke. Choncho ntchito pachiwopsezo cha aggravation dyshidrosis ndi ophika buledi, ophika nyama, ophika ndi Catering malonda, komanso ntchito zaumoyo ndi zambiri zambiri ntchito zonse ndi manja awo m'madzi kapena kutentha ndi chinyezi chikhalidwe. .
Evolution ndi zotheka zovuta za dyshidrosis
Chisinthiko nthawi zambiri chimakhala chobwerezabwereza, nthawi zina chimayikidwa ndi nyengo (kubwereza masika kapena chilimwe mwachitsanzo). Nthawi zina, ma vesicles a dyshidrosis amadwala: zomwe zili mkati mwake zimakhala zoyera (purulent) ndipo zimatha kuyambitsa lymphangitis, lymph node mukhwapa kapena groin ...
Zizindikiro za matendawa
Dyshidrosis amatanthauzidwa ndi maonekedwe kuyabwa matuza pa manja ndi mapazi. Kaya iwo sali limodzi ndi redness, ndi losavuta dyshidrosis.
Kapena pali redness kapena peeling, timalankhula za dishidrotic eczema:
- Pamapazi: kufiyira kumapezeka nthawi zambiri zala zala, m'dzenje la phazi ndi m'mbali mwa mapazi.
- Pamanja: amapezeka kwambiri pa zala ndi pa palmar nkhope
Zowopsa za dyshidrosis
Zomwe zimayambitsa dyshidrosis ndi:
- ndi mycoses Mapazi ndi manja okhala ndi dermatophytes monga phazi la othamanga
- L 'hyperhidrosis palmoplantar kapena kuchuluka thukuta m'manja ndi mapazi.
- ndi chifuwa zitsulo (nickel, chromium, cobalt, etc.), mapulasitiki ena (paraphenylene diamine) ndi Beaume du Pérou
- le fodya chomwe chingakhale chowonjezera kukhudzana mobwerezabwereza ndi zinthu zokwiyitsa (zotsukira, etc.), madzi kapena mpweya wotentha ndi chinyezi komanso kuvala magolovesi kwa nthawi yayitali.
Lingaliro la dokotala wathu Dyshidrosis ndi vuto lalikulu la khungu, koma limatchulidwa kawirikawiri pokambirana chifukwa cha kuyabwa koopsa komwe kumayambitsa. Odwala amaopa kuyambiranso ndipo nthawi zambiri amakhala ndi chubu la kirimu wokonzeka kugwiritsa ntchito ... Komabe, tiyenera kuopa kugwiritsidwa ntchito kosatha kwa topical corticosteroids, magwero azovuta zanthawi yayitali (makamaka atrophy yapakhungu) komanso kudalira. Choncho, dokotala ayenera kupempha odwala ake kuti achepetse zomwe zikuthandizira ndikungogwiritsa ntchito topical corticosteroids pakagwa vuto, kwa masiku ochepa chabe ndiyeno kuwaletsa. Dr. Ludovic Rousseau |
Kupewa dyshidrosis
Ndizovuta kupewa dyshidrosis chifukwa kubwereranso nthawi zina kumachitika ngakhale polemekeza kupewa zinthu zomwe zimathandizira:
- kuchepetsa thukuta,
- kulumikizana ndi zotchinga (zogulitsa zapakhomo…),
- kukhudzana kwanthawi yayitali ndimadzi ndikusamba m'manja pafupipafupi ...
Zina mwazinthu zomwe zikuyenera kutsatiridwa kuti zichepetse chiopsezo choyambiranso ndi:
- Pewani kukhudzana ndi zonyansa ndi madzi.
- Pewani kukhudzana ndi mankhwala amene inu ziwembu ngati dokotala wazindikira kukhudzana ziwengo
- Siyani kusuta chomwe chingakhale chothandizira.
- Kulimbana ndi thukuta ngatihyperhidrosis
Chithandizo cha dyshidrosis
Chithandizo cham'deralo chimachokera ku ma topical corticosteroids amphamvu (chifukwa khungu la manja ndi mapazi ndi lokhuthala), monga Dermoval, nthawi zambiri amagwiritsidwa ntchito muzopaka, madzulo ndi kuchepa kwapang'onopang'ono kwa chiwerengero cha ntchito
Kuchiza kwa UV (UVA kapena UVB), komwe kumagwiritsidwa ntchito m'manja ndi kumapazi kumalo azachipatala, kumatha kuchepetsa dishidrosis ndi kuchuluka kwa moto.
Heliotherapy, njira yowonjezera ya dyshidrosis
Heliotherapy imakhala ndikuwonetsa mozama (mphindi 5 patsiku) manja ndi mapazi omwe akhudzidwa ndi dzuwa lomwe likugwa, pafupifupi 17pm m'chilimwe. Ndizofanana ndi momwe zimakhalira ndi chithandizo cha UV choperekedwa ku ofesi ya dokotala.