Seborrheic dermatitis yog ib yam kab mob uas cuam tshuam rau tib neeg daim tawv nqaij. Nws mas nws ua tau nws tus kheej ntawm lub ntsej muag, taub hau. Tus kabmob yog qhov txawv txav ntawm cov txheej txheem ntawm daim tawv nqaij yog vim qhov ua haujlwm tsis zoo ntawm cov qog sebaceous. Nws yog nrog los ntawm pawg los ntawm cov tsos mob tsis zoo. Cov kws kho mob kuj tseem hu xov tooj hais txog dermatitis eczema seborrhea. Tus kab mob pathology tuaj yeem tshwm sim rau cov laus thiab menyuam yaus. Tus kab mob tuaj yeem ua rau ntau yam teeb meem, yog li ntawd, seborrheic dermatitis yuav tsum tau kho nyob rau hauv lub sijhawm. Txoj kev kho suav nrog kev siv cov tshuaj rau sab nraud nrog rau sab hauv. Nws yog ib qho tseem ceeb kom nco ntsoov tias cov neeg mob kuaj mob seborrheic dermatitis yuav tsum tau ua tib zoo xaiv. Nws yog ib qho tseem ceeb tshaj plaws kom tsis txhob muaj qhov tshwm sim ntawm kev fab tshuaj.
Qhov tseem ceeb ua kom tshwm sim thiab tsos mob ntawm eczema seborrhea
Nws muaj ntau lub ntsiab lus ua kom muaj kev loj hlob ntawm seborrheic dermatitis.
Cov laj thawj tseem ceeb muaj xws li:
- kev ua kom lub cev tsis muaj zog,
- kev ntxhov siab
- tawm hws ntau dhau
- cuam tshuam txog keeb kwm hormonal,
- cov kab mob mob hlwb
- mob ntshav qab zib,
- hypovitaminosis,
- zaub mov tsis zoo,
- Parkinson tus kab mob
- teeb meem plab zom mov.
Seborrheic dermatitis hauv cov neeg laus tuaj yeem cuam tshuam nrog ntau yam kabmob ntawm cov kabmob ntawm kev ua me nyuam, endocrine, cov hlab ntsha hauv lub cev, vim tias qhov kev hloov pauv hauv keeb kwm yav dhau los hormonal. Cov tsos mob ntawm tus kab mob feem ntau nyob ntawm hom seborrhea. Muaj ntau hom sib xyaw, qhuav thiab oily ntawm hom kabmob.
Cov tsos mob ntawm ntau yam mob seborrheic dermatitis
- txo cov sebaceous caj pas ua haujlwm,
- tawg thiab tev ntawm daim tawv nqaij,
- daim tawv nqaij qhuav,
- qhov tsim ntawm crusts ntawm daim tawv nqaij,
- khaus
- lub xub ntiag ntawm dandruff,
- brittle plaub hau
- daim tawv liab
Npuag hom
- copious sebum kev zais,
- oily tawv thiab tawv taub hau,
- muaj siab xav khij qhov teeb meem,
- cov tsos ntawm ntub nplai ntawm daim tawv nqaij,
- qhov tshwm sim ntawm blackheads,
- hyperemia ntawm daim tawv nqaij.
Hom sib xyaw ua ke muaj qhov cim los ntawm qhov pib ntawm cov tsos mob, ob qho tib si qhuav thiab oily hom seborrhea, plaub hau poob yog yam ntxwv, qhov tsim ntawm thaj chaw nrog cov txheej txheem purulent yog ua tau.
Yog tias cov tsos mob no tshwm sim, nws yuav tsum tau sab laj ib tus kws kho mob tshwj xeeb, vim tias kev tsis txaus kho mob seborrheic dermatitis tuaj yeem ua rau muaj kev cuam tshuam ntau yam mob.
Kev kho mob ib txwm ntawm pathology
Yuav kho tus mob seborrheic dermatitis zoo li cas hauv qee kis tshwj xeeb yuav pom zoo los ntawm cov kws tshaj lij. Kev kho mob ntawm tus kab mob yuav tsum tau nqa nrog kev sib txuam. Cov tshuaj kho mob muab tshuaj los ntawm tus kws kho mob mus kawm, muab qhov pom ntawm cov kab mob sib xyaw ua ke hauv tus neeg mob, tus yam ntxwv ntawm lub cev thiab qhov tshwm sim ntawm tus mob pathological. Cov tshuaj tseem ceeb uas kws kho mob sau los ntawm tus kws tshaj lij rau seborrheic dermatitis yog cov tshuaj noj tshuaj hauv qab no:
- Cov tshuaj ntsiav antihistamine.
- Antifungal tshuaj.
- Cov tshuaj tsis haum xeeb.
- Tshuaj tua kab mob.
- Corticosteroids.
- Npaj raws li salicylic acid lossis zinc.
- Xob
- Vitamin complexes.
Cov tshuaj antihistamines feem ntau yog txhawm rau txo cov tsos mob ntawm tus kab mob, xws li hyperemia, o thiab khaus ntawm daim tawv nqaij. Cov tshuaj zoo ntawm cov pab pawg no yog Loratadin, Telfast, Clemastine, Chloropyramine, Citrine.
Cov tshuaj tua kab mob tuaj yeem yuav tom lub tsev muag tshuaj hauv daim ntawv ntawm tshuaj pleev, ntsiav tshuaj lossis tsuaj zawv plaub hau. Kev npaj rau kev siv sab nraud yog siv yog seborrheic dermatitis tshwm sim hauv cov ntawv me lossis ntsis. Rau ntau theem ua ntu zus, cov tshuaj rau kev siv sab hauv yog kho.
Antimycotic tshuaj tiv thaiv kev txhim kho cov fungus, ua kom nrawm nrawm ntxiv. Feem ntau ntawm cov tshuaj no tuaj rau hauv daim ntawv ntawm tshuaj pleev, cream thiab gels. Ntawm cov tshuaj no, Ketoconazole, Clotrimazole, Bifon, Fluconazole tshwj xeeb tshaj yog nrov.
Kev siv tshuaj tiv thaiv kev mob siab yog muab tshuaj intramuscularly lossis intravenously. Cov tshuaj txhaj rau hyposensitizing feem ntau yog sodium thiosulfate thiab calcium gluconate. Lawv pab tshem tawm intoxication, o thiab khaus.
Cov kab mob kis tau rau hauv cov chaw raug mob ntawm daim tawv nqaij tau yooj yim kho nrog tshuaj tua kab mob, uas yog los ntawm koob tetracycline, piv txwv li, Metacyclin. Corticosteroids
Nquag siv tshuaj kho rau kev kho mob corticosteroid. Cov tshuaj no suav nrog Cortade, Soderm, Lorined, Poltokortolon. Cov tshuaj no zoo kawg nkaus tshem tawm kev voos thiab hyperthermia. Txawm li cas los xij, lawv tsis pom zoo kom ntev, zoo li lawv muaj yees.
Nrog seborrheic dermatitis, kev kho mob suav nrog kev noj cov vitamin ntau uas muaj cov vitamins E, A, C, nrog rau cov vitamins B (feem ntau yog B1 thiab B2 yuav tsum muaj). Feem ntau, Multitabs, sau ua niam ntawv, Perfectil npaj tau yog qhov no.
Txawm hais tias muaj kev tsis haum txog "saib tsis taus" tuaj yeem kho hauv tsev. Tsuas nco ntsoov haus dej haus ib hnub.
Cov cim tseem ceeb thiab tsos mob ntawm tus kab mob
Seborrheic dermatitis (seborrheic eczema) tshwm sim vim kev tsim cov qe ntshav ntau dhau los ntawm cov qog sebaceous. Cov cim ntawm seborrheic dermatitis suav tias yog khaus, uas yog nrog los ntawm liab ntawm daim tawv nqaij ntawm qee qhov chaw thiab tee tawv nqaij, uas peb paub zoo li dandruff. Yog hais tias dermatitis tsis raug kho, tom qab ib theem ntxiv, qhov ntsuas tau hloov mus ua pob zeb tawv tawv.
Cov tsos mob ntawm seborrheic dermatitis yog ua pob rau lub cev ntawm cov plaub hau follicular tshwj xeeb, lawv nkag mus rau hauv cov quav hniav uas muaj xim daj-liab los yog xim liab. Plaques flaky, zoo li yog tias them rau hauv cov hmoov nplej, thiab tus neeg mob yog quaj los ntawm khaus. Nws yog qhov zoo dua tsis ncua kev kho mob, txwv tsis pub seborrheic dermatitis yuav siv ntau hom qauv, plaques tig mus rau hauv erythematous pob nrog cov ntshav crusts.
Vim yog cov txheej txheem mob ntev ntev, nti nti tshwm rau ntawm daim tawv nqaij, thiab tom qab ntawd koj tsis tuaj yeem ua yam tsis muaj qhov txheej txheem hu ua "dermabrasion". Nws yog nqa tawm hauv chav tsev zoo nkauj.
Lub foci ntawm seborrheic dermatitis yog ib ncig hauv zos, raws li tuaj yeem pom hauv daim duab hauv qab no, hauv cov chaw uas muaj ntau ntau ntawm cov qog sebaceous. Cov no tuaj yeem yog thaj chaw: pob muag thiab tawv muag, daim di ncauj, pob ntseg hauv qab pob ntseg, tawv taub hau, qhov tso quav, tawm pob txhaws, hlab ntaws thiab genitalia sab nraud.
Cov tsos mob ntawm seborrheic dermatitis tshwm sim maj mam, feem ntau nws pib nrog dandruff ntawm lub taub hau. Tom qab ntawd muaj liab liab thiab tev qab ntawm auricles, hauv nyias qhov chaw ntawm lub ntsej muag. Cov kab nrib pleb, txaij daj lossis xim daj zoo li teev hauv cov plaub hau, uas ua rau khaus thiab mob.
Tus kws paub txog kws tshuaj hais txog kev paub tseeb txog cov tsos mob ntawm tus kab mob hauv daim vis dis aus.
Vim li cas rau qhov tsos
Tus kab mob yog mob ntev thiab nyuaj kho nrog tshuaj. Cov kws tshawb fawb tau ua pov thawj tias seborrheic dermatitis ua rau nws tus kheej tawm ntawm cov neeg uas muaj kev tiv thaiv qis.
Staphylococcus bacilli thiab cov poov xab fungi uas tso tawm qee yam enzymes ua rau muaj mob seborrhea. Thaum lawv cov lej hauv lub cev tau nce mus txog qee yam, tus neeg lub cev muaj kev noj qab haus huv zuj zus - kev tiv thaiv kab mob ua rau muaj kev kub ntxhov, kev mob tshwm sim los ntawm hormonal. Raws li qhov tshwm sim, kev ua haujlwm ntawm cov qog sebaceous thiab kev tso tawm rog ntau yog pom, tom qab ntawd tua kab mob thiab kis mob.
Kev pab txhawb nqa kev txhim kho seborrheic dermatitis yog yam xws li kev rog rog, kev haus dej haus cawv, kev nyuaj siab ntxhov siab, caj ces tsis meej pem, lub sijhawm xyoo.
Cov tsos mob ntawm seborrheic dermatitis
Nws yog qhov nyuaj kom tsis txhob pom cov tsos mob ntawm seborrheic dermatitis. Hauv thawj theem ntawm tus kab mob, cov nplai dawb me me tshwm rau saum tawv taub hau, uas tom ntej zoo li zoo li dandruff. Tab sis, tsis zoo li seborrheic dermatitis, plhaws tsis ua rau khaus heev thiab daim tawv nqaij liab. Cov pob liab liab, tuab tsim ua qauv ntawm cov nplai thiab txawm ua ntshav nrog lub ntsej muag yuav tshwm rau saum tawv taub hau. Feem ntau plaub ya ri ua ib “crown” raws ciam ntawm cov plaub hau. Maj mam, seborrheic dermatitis tau kov yeej thaj chaw tshiab, hla mus rau lub ntsej muag, lub ntsej muag liab tshwm rau ntawm daim tawv nqaij ntawm lub ntsej muag, tsis tshua muaj purulent formations uas tshwm sim hauv pliaj, hauv pob muag, hauv qab tis ntawm qhov ntswg, hauv pob ntseg sab nraud. Nrog rau cov ntawv hnyav ntxiv ntawm seborrheic dermatitis, tev thiab tawv nqaij liab tuaj yeem mus rau ntawm daim tawv nqaij hauv siab thiab txhais tes.
Seborrheic dermatitis tsis tuaj yeem pib, nws tuaj yeem thiab yuav tsum tau kho nrog ob qho tib si kev kho mob thiab pej xeem, tab sis tsuas yog kev kho lub sij hawm ntev tuaj yeem txuag koj ntawm kev tiv thaiv tsis zoo ntawm tus kab mob.
Kev kuaj mob los ntawm kws kho qhov tawv nqaij nrog seborrheic dermatitis
Kev kho cov dermatitis seborrheic yuav tsum tsis txhob pib nrog kev siv tshuaj ntawm pej xeem tshuaj, tab sis nrog rau kev mus ncig ntawm trichologist lossis dermatologist. Tsuas yog tus kws kho mob tshwj xeeb tuaj yeem paub qhov tseeb tshwm sim ntawm tev ntawm tawv taub hau, vim tias raws li lub npe "dandruff" seborrheic dermatitis, oily seborrhea lossis dandruff vim li ntawd tuaj yeem muab zais. Nws yog qhov nyuaj rau nws tus kheej txheeb xyuas qhov ua rau ntawm tus kab mob.
Seborrheic dermatitis yog daim tawv nqaij mob ntev. Raws li Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv, los ntawm 3 txog 5% ntawm cov pej xeem raug mob hnyav ntawm seborrhea, thiab los ntawm cov mob me me seborrhea, qhov kev tshwm sim ntawm uas suav nrog dandruff tiv thaiv keeb kwm yav dhau los ntawm daim tawv nqaij liab, raws li qee qhov kwv yees, txog 20% ntawm lub ntiaj teb cov neeg mob. Seborrheic dermatitis tso nyiaj txog li 10% ntawm tag nrho cov kev mus ntsib kws kho mob nqaij tawv.
Thaum ua kev kuaj mob, tus kws kho mob tshwj xeeb yuav tsum tsis suav cov kab mob ntawm daim tawv nqaij xws li psoriasis, mob dopatitis atopic, qee cov kab mob fungal (mob txhab txiag), eczematide, thiab tawv nqaij mob nqaij tawv. Rau qhov no, tus kws kho mob yuav coj ob peb daim tawv nqaij flakes rau kev tshawb pom microscopic thiab mycological ntawm pathogenic fungi. Qee zaum, hauv kev kuaj mob seborrhea, kev kawm ntxiv ntawm tus neeg mob qhov xwm txheej yuav tsim nyog los sau tshuaj kho kom raug.
Yuav kho tus mob seborrheic dermatitis li cas
Yuav ua li cas tiv nrog manifestations ntawm tus kab mob? Nws yog qhov tseem ceeb heev kom nkag siab tias seborrheic dermatitis yog tus kab mob ntev ntev tam sim no nrog lub sijhawm ntawm kev tshem tawm thiab exacerbations.
Nco ntsoov tias cov tshuaj zawv plaub hau tsuas yog ua kom haum, koj tuaj yeem kho tsis tau seborrheic dermatitis tsuas yog zawv plaub hau xwb. Rau cov khoom siv kho mob, kws kho mob yuav tsum tau sau tag nrho cov kev npaj tshwj xeeb - cov vitamins A, D, E, amino acids thiab tshuaj uas cuam tshuam ncaj qha rau cov ua kom muaj tus kab mob.
Cov tsos mob ntawm seborrhea yog tshwm sim los ntawm cov kab mob pathogenic fungi ntawm cov genus Malassezia, cov khoom noj khoom haus nruab nrab rau lawv yog lub tso pa tawm ntawm cov qog sebaceous. Txog rau hnub no, tsis muaj cov tshuaj uas ua rau txoj kev ua haujlwm ntawm cov qog sebaceous, yog li kev kho mob ntawm seborrheic dermatitis tsuas yog kho kho cov tsos mob tshwm sim. Yog li, piv txwv li, nrog mob txhab rau tawv taub hau, kev kho mob tshwj xeeb nrog cov tshuaj zawv plaub hau uas muaj cov tshuaj tua kab mob xws li cyclopirox lossis ketoconazole, ntxiv rau zinc pyrithione, tar yog qhov zoo dua.
Yog tias seborrheic dermatitis tsis tuaj yeem raug kho los ntawm cov tshuaj saum toj no, kws kho mob dermatologist tuaj yeem muab tshuaj ua ke, uas suav nrog cov tshuaj tiv thaiv hormonal thiab antifungal. Kev siv tus kheej ntawm cov tshuaj yuav tsum tsis yog, raws li lawv muaj ntau phiv thiab contraindications.
Yog tias cov txheej txheem o seborrheic cuam tshuam rau ntawm daim tawv nqaij ntawm lub ntsej muag, tus kws kho mob tshwj xeeb tshaj tawm txog kev kho kom haum rau daim tawv nqaij ntawm lub ntsej muag, feem ntau siv cov tshuaj hormonal. Thaum lub sijhawm nws raug mob, nws yog qhov yuav tsum tau siv cov khoom uas tsis ua rau tawv nqaij, nws yog qhov zoo dua los ntxuav koj lub ntsej muag tsis nrog dej, tab sis nrog tshuaj pleev kom huv. Cov kab Sensibo ntawm lub tuam txhab kho kom zoo nkauj Bioderma tau ua pov thawj nws tus kheej.
Cov zaub mov dab tsi exacerbate nrog seborrhea
Cov neeg mob seborrheic dermatitis raug pom zoo kom txo qis kev noj ntawm cov tsiaj cov rog, ntsim, kib thiab zaub mov qab, tsawg dua rau haus kas fes, haus dej cawv, vim tias cov khoom no ua rau lub qog sebaceous qog, ua li ntawd kom ua rau muaj kev cia siab rau seborrhea.
Nws yog qhov muaj peev xwm yuav kho tus mob seborrheic dermatitis nrog cov kev kho mob pej xeem, lawv ua nrog dermatitis zoo heev, kev sib xyaw nrog kev noj tshuaj feem ntau muab cov txiaj ntsig zoo. Feem ntau cov feem ntau, hauv pej xeem txoj kev kho mob, kev siv cov tshuaj kho kom zoo nkauj, siv lub qhov ncauj qhov ntswg thiab pleev qhov thaum lub sijhawm ua kom tsis zoo ntawm cov txheej txheem inflammatory.
Nyob rau lub sijhawm exacerbation, thaum lub plhaws tsim tau ntau dua, cov neeg mob tau hais kom tsis txhob mus ntsib tus da dej, nyob hauv ib chav nrog lub qhov kub thiab noo ntawm lub microclimate kom cov tawv nqaij uas puas lawm yuav tsis ua paug. Thaum lub sijhawm dhau los ntawm kev tshem tawm, thaum tawv taub hau tsis pliav tawm, nws yog ib qho tseem ceeb heev uas yuav tsum saib xyuas nws kom tsis txhob ua rau kev npau taws ntawm seborrheic dermatitis. Nws raug nquahu kom siv cov tshuaj zawv plaub hau me ntsis nrog qhov ua kom zoo rau kev txo qis.
Dab tsi yog seborrheic dermatitis ntawm tawv taub hau
Ib tug kab mob tshwm sim los ntawm kev ua ntawm cov kab mob raug mob Malassezia fungi thiab ua rau daim tawv nqaij ua paug yog seborrheic dermatitis (seborrhea). Nyob rau hauv tus txheej txheem ntawm kev loj hlob ntawm pathology, ntau dhau ntawm sebum, hloov hauv kev muaj pes tsawg leeg los ntawm cov kab mob phem, tshwm sim. Nyob rau hauv cov ntaub ntawv no, daim ntawv dandruff loj, ntom, flaky crust tshwm ntawm lub taub hau. Raws li cov ntaub ntawv kho mob, seborrhea muaj ntau rau tus txiv neej vim tias lawv cov txiv neej pw ua rau muaj qhov cuam tshuam ntawm cov qog ua haujlwm ua haujlwm.
Lub hauv paus tseem ceeb hauv kev txhim kho cov kabmob yog ib qho kev kis mob los ntawm fungi ntawm genus Pityrosporum ovale. Kwv yees li 90% ntawm tib neeg muaj lawv cov noob kab mob rau ntawm daim tawv nqaij, tab sis cov kab mob tsis zoo muaj kev ua haujlwm tsuas yog muaj theem siab ntawm kev tsim cov sebaceous zais cia ntawm daim tawv nqaij lossis muaj qhov txo qis hauv kev tiv thaiv. Muaj ntau tus lej ntawm sab hauv thiab sab nraud qhia ua rau kev tsim txom ntawm seborrheic dermatitis. Yam sab nraud:
- noob neej
- cov khoom noj tsis raug, tsis muaj kev sib npaug,
- dysbiosis,
- kev ntxhov siab heev
- hyperhidrosis (tawm hws ntau dhau),
- vitamin tsis zoo PP,
- mob ntshav qab zib,
- siv cov tshuaj (cov tshuaj psychotropic, cov tshuaj hormones, tshuaj tiv thaiv kab mob),
- zinc tsis muaj zog nyob rau hauv lub cev,
- siv rau kev tu lub cev thiab tsev neeg xab npum alkaline.
Muaj ntau tus lej ntawm sab hauv ntawm seborrhea ntawm tawv taub hau. Cov no suav nrog:
- cov kab mob ntawm cov hlab ntsha hauv nruab nrab (CNS),
- pathologies ntawm endocrine system, keeb tshuaj tiv thaiv kev puas tsuaj,
- mob vwm sib ntaus sib tua
- txhaj tshuaj tiv thaiv kab mob kas cees (AIDS, kev txhaj tshuaj tiv thaiv kabmob ntshav qab zib, HIV),
- Tus kab mob Parkinson.
Qhov cim tseem ceeb ntawm kev txhim kho seborrhea rau saum tawv taub hau yog dandruff. Cov roj ntawm daim tawv nqaij yog hloov kho tsis tu ncua, lub sijhawm ntawm ib txwm ua exfoliation ntawm tuag epidermis kav ntev li ib hlis. Thaum cov tawv nqaij cuam tshuam los ntawm cov pwm, lub voj voog poob mus rau 5-7 hnub. Cov qe ntshiv tsis muaj sijhawm tsis muaj sijhawm mus dhau ntawm lub cev qhuav dej, uas ua rau muaj ntau cov plhaws nyob rau saum tawv taub hau. Muaj ob peb hom mob seborrhea, uas yog nrog nrog cov yam ntxwv tshwm sim. Cov dermatitis qhuav yog:
- cov tsos ntawm dandruff, uas yog ib cheeb tsam hauv cov yas ntawm taub hau thiab caj dab (qee zaum nws kis tau thoob plaws hauv lub taub hau),
- fuzzy ciam teb ntawm kev ua kom pom tseeb ntawm cov kab mob fungal,
- nplai ntawm dandruff - xoob, me me, muaj xim dawb-grey xim,
- kab plaub hau yog qhuav heev, thaum kos khawb los yog txhuam taub hau, dandruff yooj yim tawg.
Ib hom rog rog ntawm seborrheic dermatitis tseem yog cais. Nws cov tsos mob yog:
- exfoliated sebaceous nplai, lo ua ke, sib txawv hauv cov daj zas,
- hom kab mob dandruff yog lub zog txuas rau daim tawv nqaij, yog li thaum nws chwv cov tawv nqaij, nws tau sib cais los ntawm cov nplaim dej loj,
- plaub hau sai sai ua roj, lo ua ke,
- daim tawv nqaij liab, khaus, khaus, tawm pob (thaum ua ke, zam kev tuaj yeem tshwm sim - qhov ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij).
Lwm hom dermatitis yog ib hom mob ua paug. Hom mob seborrhea muaj cov tsos mob li nram no:
- daim tawv taub hau ua liab heev, lub qhov txhab nrog cov npoo ntshiab yog tsim,
- cov plaques nrog cov nplai dawb lossis daj tuaj yeem ua ke rau hauv foci loj uas faus tag nrho plaub hau saum taub hau,
- Feem ntau, "seborrheic crown" yog tsim - thaj chaw muaj tsawg ntawm pob,
- khaus khaus tawv nqaij,
- qee lub sij hawm grey-daj tawv tawv nrog daim ntawv tsis hnov tsw muaj nyob rau saum npoo ntawm foci ntawm seborrhea (yog tias tshem tawm, pom ntawm qhov tawv nqaij ntawm daim tawv nqaij).
Kev kuaj mob
Thaum thawj cov tsos mob seborrhea tshwm rau lub taub hau, koj yuav tsum nrhiav kev pab ntawm kws kho mob nqaij tawv nqaij tam sid. Yog tias qhov xav tau ntawd tshwm sim, tus kws kho mob tau sau ib qho kev soj ntsuam ntxiv nrog tus kws kho mob endocrinologist, andrologist, tus kws kho mob tshwj xeeb, tus kws kho mob poj niam, kws kho mob hlwb, kws kho mob hlwb. Txhawm rau kom paub tseeb tseeb kev kuaj mob, tus kws kho mob yuav xub mloog tus neeg mob cov lus tsis txaus siab.
Tom qab ntawd nws pom cov ntsiab lus tseem ceeb hauv kev txhim kho mob caj dab, tshuaj xyuas thaj chaw cuam tshuam los ntawm fungus, ntsuas kev mob ntawm cov plaub hau thiab tawv nqaij. Tom qab xa tus neeg mob mus kuaj (OAM thiab UAC). Txhawm rau txhawm rau soj ntsuam cov kev pheej hmoo thiab qib qog nce qib, cov kws kho mob tshwj xeeb tau kuaj cov ntshav biochemical. Tseem xav tau ib qho ultrasound ntawm lub plab zom plab thiab cov thyroid caj pas.
Yuav ua li cas kom tshem tau cov mob seborrheic dermatitis
Raws li txoj cai, txoj kev kho seborrheic dermatitis ntawm lub ntsej muag thiab taub hau yog txoj. Tus neeg mob yuav tsum kawm paub tu plaub hau thiab tawv nqaij kom zoo, ua kom haum thiab kev noj zaub mov zoo. Ib tug xov tooj ntawm cov tshuaj yog kws kho rau kev kho, thiab ib txwm muaj tshuaj thiab kho lub cev yog ib qho tseem siv. Ua ntej pib txoj kev kho mob, koj yuav tsum tau sab laj nrog ib tus kws kho mob tshwj xeeb.
Txog kev tiv thaiv thiab kho cov kab mob tsis zoo fungal, kev tu kom zoo rau saum tawv taub hau nrog seborrhea yog xav tau. Cov kev ntsuas no muaj nyob rau hauv qhov ua kom tsis zoo ntawm cov kabmob epidermis thiab qhov txo qis hauv kev ua haujlwm ntawm kev zais ntawm cov qog sebaceous. Saib xyuas cov khoom lag luam yuav tsum moisturize zoo thiab muaj qhov ua tau zoo ntawm kev tiv thaiv ua haujlwm ntawm daim tawv nqaij.
Nws raug nquahu kom tsis txhob siv lossis tsawg dua kev siv tshuaj pleev ib ce, vim nws txhaws qhov hws thiab tsuas ua rau tus neeg mob qhov mob ntau dua. Nws yog qhov zoo dua los kho cov tawv nqaij nrog cov tshuaj pleev ib ce uas tsis muaj dej cawv (nws ua rau tawv nqaij heev, txhawb kev ua kom tawv ncauj ntawm cov rog). Thaum xaiv cov khoom tu, koj yuav tsum yuav qhov khoom uas yog npaj kom tshem tawm cov mob seborrhea. Xws li tshuaj zawv plaub hau, cream, muab tshuaj pleev suav nrog cov khoom siv tiv thaiv kev tiv thaiv, ua kom haum thiab ua kom noo.
Kev ua raws li kev noj zaub mov tshwj xeeb rau seborrheic dermatitis ntawm tawv taub hau yog qhov tseem ceeb heev. Lub hom phiaj tseem ceeb ntawm kev noj haus:
- lwm cov microflora kho tshiab,
- tshem tawm ntawm cov ib puag ncig uas haum rau cov tawm ntawm fungus,
- kev cais tawm ntawm cov zaub mov ntawm cov khoom ua xua uas tuaj yeem ua rau kev txhim kho ntawm seborrhea,
- tshem tawm cov co toxins los ntawm lub cev,
- rov qab los ntawm kev ua haujlwm ntawm lub plab zom mov,
- saturation ntawm lub cev nrog cov vitamins thiab cov zaub mov tseem ceeb.
Cov khoom noj khoom haus txheeb xyuas ntau cov khoom noj uas tsis tuaj yeem noj nrog seborrheic dermatitis. Cov no suav nrog:
- haus, roj thiab kib,
- txiv qaub
- txiv pos nphuab
- caviar (muaj)
- qaub zaub
- cov khoom noj ceev
- nceb.
Kev noj haus ntawm tus neeg mob yuav tsum yog cov zaub mov zoo xwb. Cov ntawv qhia zaub mov yuav tsum muaj:
- qaub mis nyuj (kefir, tsev me cheese, yogurt),
- Cov nqaij uas muaj roj tsawg (hau nqaij los yog ci nqaij, nqaij qaib, qaib cov txwv, nqaij luav),
- haus hnyav (dej, kua txiv, haus kua txiv, tshuaj yej tsis qab zib),
- cov txiv ntoo (currants, cherries, gooseberries, cranberries, dib liab),
- muaj roj ntau hom ntses (steamed),
- hauv ib qho nyiaj tsawg uas tso cai zucchini, taub dag, asparagus, seaweed thiab lwm yam zaub.
Kev kho mob seborrheic dermatitis ntawm lub taub hau nrog kev npaj tshuaj
Seborrheic dermatitis mob siab rau txoj kev kho kom zoo. Feem ntau, kev kho mob cuam tshuam nrog kev siv ntau pab pawg tshuaj (ntsiav tshuaj, tshuaj ntsiav, txhaj tshuaj, tshuaj pleev ib ce - tshuaj pleev, pleev tshuaj, pleev rau seborrhea ntawm lub taub hau). Kev kho mob seborrheic dermatitis ntawm daim tawv taub hau yuav tsum yog tus kws kho mob tsim nyog, tom qab tau ua kom paub tseeb. Cov pawg tseem ceeb ntawm cov tshuaj uas zoo rau tus kabmob:
- glucocorticosteroids,
- tshuaj tua kab mob
- antihistamines thiab hypersensitizing tshuaj,
- keratolytic cov neeg sawv cev
- tshuaj tiv thaiv kab mob
- antifungal tshuaj.
Txhais tau tias hauv ntsiav tshuaj daim ntawv zoo tiv thaiv cov teeb meem fungus thiab nws cov tsos mob. Ntsiav tshuaj rau kev kho mob ntawm seborrheic dermatitis tau faib raws li hauv qab no:
- Cov tshuaj tua kab mob yog cov tseem ceeb rau kev kho mob ntawm daim tawv nqaij seborrhea. Lawv thaiv cov kev ua kom rov ua dua tshiab ntawm Malassezia cov kab mob me me, ua kom nrawm kho kom zoo. Cov tshuaj zoo li no feem ntau tsim hauv cov ntsiav tshuaj, uas tau sau tseg rau qhov muaj mob ceev ceev. Cov ntsiav tshuaj tau noj ob peb zaug hauv ib hnub, qhov tsuas tshuaj yog tus kws kho mob sau tseg. Cov tshuaj uas nrov tshaj plaws ntawm cov pab pawg no: Clotrimazole, Fluconazole, Ketoconazole, Terbinafine, Bifonazole, Beclomethasone, Hydrocortisone.
- Hyposensitizing thiab antihistamines. Lawv raug xaj kom tshem tawm puffiness, liab thiab khaus. Qhov ntau npaum li cas tau muab tshuaj kho tus kheej, lub sijhawm ua kom tsis muaj kev kho mob yuav tsum tsis pub tshaj 8-10 hnub. Feem ntau siv Chloropyramine, Clemastine, Loratadine, Diphenhydramine, Diazolin, Suprastin.
- Muaj qee kis, xav tau tshuaj tua kab mob hauv lub cev. Lawv xav tau los kho tus mob dermatitis nyuaj los ntawm kev kis tus kab mob. Cov tshuaj tua kab mob los ntawm seborrhea ntawm lub hau yog ua ke nrog probiotics kom tsis txhob dysbiosis. Feem ntau siv tshuaj tetracycline (Metacyclin, Doxycycline, Cefazolin) lossis cov tshuaj sib xyaw ua ke (Metronidazole, Oletetrin, Levofloxacin. Raws li txoj cai, tshuaj tua kab mob pib noj hauv cov tshuaj poob siab, uas maj mam txo qis.
- Dermatitis feem ntau kho nrog keratolytic tshuaj, uas ua kom cov quav hniav zoo, ntuag ntuag ntawm daim tawv nqaij ntawm lub taub hau. Cov ntsiav tshuaj zoo li no tau txais txiaj ntsig los ua ke nrog cov tshuaj tua kab mob. Kev npaj zinc thiab salicylic acid feem ntau siv.
- Glucocorticosteroids hauv ntsiav tshuaj tshem tawm qhov mob. Cov no suav nrog hydrocortisone, beclomethasone, prednisolone, diprospan, prednisolone.
Npaum li cas thiab yuav kho kho seborrheic dermatitis ntawm lub ntsej muag li cas?
Pom cov cim ntawm seborrheic dermatitis ntawm lub ntsej muag, tib neeg feem ntau muaj kev ntshai heev. Ua ntej tshaj plaws, lawv muaj kev txhawj xeeb txog cov lus nug, yog seborrheic dermatitis puas sib kis lossis tsis yog?
Nws tsim nyog rov ua rau cov neeg uas tsis paub tseeb tias seb puas muaj peev xwm ua rau daim tawv nqaij ua paug. Tus kabmob tsis siv rau cov kabmob sib kis, txawm hais tias nws muab rau ib tus neeg ntau txoj kev paub vim qhov tsos mob zoo nkauj. Seborrheic dermatitis tsis kis los tau. Yog tias lwm tus tsis paub dab tsi seborrheic dermatitis zoo li, tsuas yog saib daim duab thiab txhua yam yuav pom tseeb.
Nws yog qhov tsim nyog kom nyob hauv ntau qhov kev qhia ntxiv ntawm cov hau kev ntawm kev kho mob thiab cov lus pom zoo ntawm cov kws tshaj lij hais txog kev tshem tawm ntawm ib tus scourge.
Xijpeem yam rau kev tshwm sim ntawm seborrheic dermatitis, nws txoj kev kho yuav tsis muaj txiaj ntsig zoo thaum tus neeg mob tsis ua raws li kev noj haus uas kws kho mob tau hais tseg. Nws muab rau kev siv tsuas yog cov khoom uas tsis ua rau ua xua. Nws yuav tsum txo cov khoom noj uas qab ntsev, qab zib thiab ntsim zaub mov ntau li ntau tau, kom tso tseg cov zaub mov muaj txiaj ntsig. Cov txiv hmab txiv ntoo thiab zaub tshiab yog pom zoo yog tias tshiab stains los ntawm seborrheic dermatitis tsis tshwm sim los ntawm lawv.
Feem ntau siv rau hauv kev kho mob ointments muaj lub ntsej muag ua haujlwm:
- Ketodyne
- Nizb
- Lamisil
- Mikospor
- Clotrimazole
- Bifasam
- Cyclopirox.
Thaum lawv tsis qhia txog qhov ua tau zoo ntawm kev kho mob, tus kws kho mob kho mob tau sau tshuaj pleev ib ce nrog cov tshuaj hormones me me (Elok). Lwm txoj hauv kev rau lawv yog cov tshuaj tiv thaiv kab mob - Elidel thiab ProtopicCov. Qhov muag muag ntawm tev ntawm lub ntsej muag yog tsom kwm los ntawm kev siv cov tshuaj pleev, cov tshuaj salicylic thiab oichthyol, tshuaj yaj yeeb Bepanten. Muaj qee kis, cov neeg mob tau pom zoo corticosteroids.
Nws kuj tseem pom zoo kom siv cov cream uas tiv thaiv daim tawv nqaij ntawm cov pathogens. Cov no suav nrog cov khoom lag luam raws li urea, tar xab npum, lwm yam khoom muaj qib siab ntawm acidity, thiab tshuaj tua kab mob.
Kev daws teeb meem
Nyob rau hauv muaj cov seborrhea qhuav, nws raug nquahu kom so lub ntsej muag nrog kev daws teeb meem ntawm cov kua qaub:
- vinegar
- salicylic
- ntsev
- txiv qaub
- boric,
- sodium bicarbonate.
Thaum cov kev mob tshwm sim ploj, cov tshuaj uas muaj cov txiaj ntsig exfoliating siv. Lawv cia koj ntxuav koj lub ntsej muag ntawm comedones.
Kev kho mob seborrheic dermatitis hauv cov menyuam yaus
Thaum seborrheic dermatitis tshwm rau ntawm lub ntsej muag ntawm tus menyuam, txoj kev kho mob tsuas yog ua raws li daim ntawv ntawm tus kabmob. Feem ntau, seborrheic dermatitis hauv cov menyuam mos tau muaj qhov tsis tseem ceeb, yog li ntawd, cov tsos mob ntawm tus kab mob yuav ploj nthawv li ob hlis ntawm lub neej.
Koj tuaj yeem pom zoo kom cov niam uas pom muaj seborrheic dermatitis hauv menyuam mos ntxuav lawv tus menyuam lub taub hau txhua hnub nrog tshuaj zawv plaub hau rau kev tu cev, thiab tom qab ntawd ntub cov tawv nqaij thiab tawv taub hau nrog cov ntxhia lossis roj txiv roj. Ntawm lub ntsej muag tom qab da dej, nws yog qhov zoo dua kom thov ib cov tshuaj thaiv thaiv.
Koj kuj tseem yuav txaus siab rau:
Lwm txoj kev kho mob
Txawm hais tias yam ua rau mob dermatitis, lwm txoj kev kho rau tus kabmob no qhia tau zoo kawg nkaus. Cov kws kho mob feem ntau pom zoo kom kho txhua yam kev kho mob ntuj kom pab daws qhov teeb meem zoo sib xws. Cov lus qhia uas neeg nyiam siv feem ntau yog qhov no:
- sib tov ib me nyuam diav ntawm qej kua txiv nrog kua txiv qaub,
- thov kua rau cov tawv nqaij ntawm lub ntsej muag,
- sawv ntsug li 10 feeb
- yaug, so nrog daim ntaub mos muag,
- thov pleev roj rau koj lub ntsej muag,
- cia nws qhuav
- ntxuav koj tus kheej hauv ob peb teev.
Tsis hais txog qhov ua rau seborrheic dermatitis ntawm lub ntsej muag, yaug daim tawv nqaij nrog dej hiav txwv muab ib qho txiaj ntsig zoo:
- noj ib lub tais, nchuav dej sov rau hauv nws thiab ncuav ntau hiav txwv ntsev,
- sib xyaw kom huv si
- ntxuav lub ntsej muag nrog kev daws teeb meem, qhib lub qhov hws,
- koj tuaj yeem muab koj lub ntsej muag rau hauv ib lub tais
- txais dej ntsev rau hauv koj lub qhov muag tsis txaus ntshai, nws zoo li ua luam dej hauv hiav txwv, nws yog qhov kev txob siab, tab sis nws mus deb,
- ntawm qhov kawg ntawm cov txheej txheem, lub ntsej muag yuav tsum tau muab dej yaug nrog dej txias, thiab tom qab ntawd pat nrog qhuav nrog phuam huv.
Kev Tiv Thaiv
Txawm hais tias tom qab tshem tawm cov tsos mob ntawm seborrheic dermatitis ntawm lub ntsej muag, kev tiv thaiv yuav tsum tau ua:
- zam kev ntxhov siab
- taug kev ntau zaus
- ua kev tu tawv nqaij
- saib xyuas lub sijhawm niaj hnub
- qee zaus mus rau chaw so.
Nws yuav tsum nco ntsoov tias xws li pathology yog qhov yooj yim dua rau kev kho mob thaum pib pib tshem tawm sai sai tom qab pib qhov tsos mob. Tsuas yog lub sijhawm mus ntsib ib tus kws tshaj lij kom lav qhov ua tau zoo ntawm qhov tshwm sim.
Cov txheej txheem tu cev
Nrog seborrheic dermatitis, koj yuav tsum ntxuav koj cov plaub hau thiab lub cev siv cov tshuaj tua kab mob zawv plaub hau. Qhov no tseem yog tus kho.
- Tshuaj zawv plaub hau. Thaum siv cov tshuaj no rau 2-4 lub lim tiam, koj tuaj yeem txo qhov ntau thiab dandruff, txo qhov khaus. Ua ib feem ntawm cov zawv plaub hau - ketoconazole, 2%, nws muaj cov nyhuv antimycotic, txo kev loj hlob ntawm cov kab mob hu ua fungi.
- Daim tawv nqaij cap Cov tshuaj sib xyaw cov tshuaj no yog ua kom tiav zinc pyrithione. Kev npaj ntawm hom no muaj cov antimicrobial, antifungal nyhuv. Tsuaj zawv plaub hau txo cov tawv nqaij o, qhuav tawm foci noo.
- Keto ntxiv. Cov khoom lag luam muaj nyob hauv ketoconazole thiab zinc pyrithione. Tsuaj zawv plaub hau txo cov tawv nqaij tawv, pab tshem tawm cov dandruff, muaj cov antipruritic thiab antifungal zoo.
- Sebiprox. Nws muaj cov antimycotic, cov nyhuv fungicidal. Nws muaj cov khoom exfoliating. Hom tshuaj no yuav tsum tau siv ob zaug ib asthiv. Thaum ntxuav cov plaub hau, tsuaj zawv plaub hau yog thov ob zaug, cov plaub hau thiab tawv taub hau yog zaws 5 feeb, tom qab ntawd cov khoom lag luam ntxuav tawm. Qhov ua tau zoo tuaj yeem ua tiav nyob hauv ib hlis.
Nws yog qhov yooj yim siv cov tshuaj zawv plaub hau uas muaj tar. Tar tsuaj zawv plaub hau, zoo li tar xab npum, pab tiv thaiv kev txhaus, txo kev khaus ntawm lub taub hau.
Nws tuaj yeem siv tau rau lwm cov tshuaj zawv plaub hau.
Nws yog ib qho tseem ceeb kom soj ntsuam kev tu lub ntsej muag. Tsis txhob ntxuav koj tus kheej nrog tus kais dej, nws yog qhov zoo dua los siv tshuaj ntxuav, ua npuas ncauj thiab ntsej muag gels nrog antiseptic thaj chaw.
Tar xab npum zoo rau kev ntxuav cov tawv nqaij. Cov tshuaj no tau ua rau muaj kev tiv thaiv, kev tsim kho tshiab. Nws tuaj yeem siv txhua zaus koj ua tus txheej txheem dej.
Kev kho daim tawv yog ua nrog salicylic acid. Nws muaj cov nyhuv antimicrobial, pab ua kom cov tawv nqaij tuag rov qab los ntawm daim tawv nqaij, thiab txhawb txoj kev tsim dua tshiab rau saum tawv taub hau thiab ntsej muag.
Txhais tau tias yog siv rau daim tawv nqaij
Txawm hais tias koj siv cov tshuaj zawv plaub hau tshwj xeeb, tar xab npum, qhov no yuav tsis zoo txaus kom tshem tawm cov kab mob. Thaum zoo li no, koj yuav tsum xaiv cov tshuaj pleev zoo (lossis pleev) rau seborrheic dermatitis.
Cov tshuaj pleev roj thiab tshuaj pleev nrog cov nyhuv antimycotic feem ntau siv rau seborrhea.
- Haum rau kev thov rau ntawm daim tawv nqaij Nizoral cream muaj ketoconazole, uas inhibits kev loj hlob ntawm cov hu ua fungi. Cov tshuaj yog siv rau qhov chaw txhab nrog ib txheej nyias nyias ib hnub ib zaug, kev kho yuav tsum ua 2-4 lub lis piam.
- Cream thiab aerosol Tsinokap. Cov tshuaj no yog siv nyob rau ntau theem ntawm tus kab mob. Nyob rau hauv daim ntawv mob, nrog quaj, nws yog qhov zoo dua los siv aerosol. Ntxiv nrog rau antifungal tivthaiv, nws muaj ethyl cawv, uas muaj lub ziab khaub ncaws, tiv thaiv kev ua haujlwm. Rau cov mob voos me, koj tuaj yeem siv cov tshuaj Tsinokap qab zib. Nws txhawb nqa cov tawv nqaij ua kom rov zoo dua, raws li dexpanthenol yog tam sim no muaj pes tsawg leeg.
- Lamicon. Muaj nyob hauv daim ntawv pleev pleev, tshuaj tsuag thiab txawm ntsiav tshuaj. Nws muaj cov nyhuv antifungal. Tshuaj pleev yuav siv tau rau hauv siab, ntsej muag. Nws txo qis kev txhim kho seborrheic dermatitis.
Cov tshuaj zoo rau seborrheic dermatitis uas muaj corticosteroids tuaj yeem txiav txim siab yog tias seborrhea muaj teeb meem los ntawm eczema. Koj tuaj yeem siv cov tshuaj hormonal rau lub sijhawm luv luv kom tsis txhob siv thiab ua kom tawv nqaij.
- Rau cov laj thawj no, Triderm haum. Nws muaj cov antimycotic, anti-inflammatory, antibacterial siv.
- Tshuaj pleev Belosalik. Raws li ib feem ntawm cov tshuaj, salicylic acid thiab betamethasone. Yog hais tias kho cov tshuaj no tau ua tiav, tus neeg mob muaj khaus khaus, mob ntawm daim tawv nqaij. Betamethasone muaj cov lus hais los tiv thaiv kev tsis haum.
- Elidel qab zib muaj qhov ua los tiv thaiv, tawm tsam kev ua kom tsis haum. Cov tshuaj no tuaj yeem siv ntev, qhov tshuaj no tau pom zoo siv los ntawm peb lub hlis ntawm lub neej. Cov tshuaj nplaum pleev rau thaum sawv ntxov thiab yav tsaus ntuj nrog ib txheej nyias nyob rau ntawm daim tawv nqaij cuam tshuam los ntawm seborrhea.
- Tshuaj pleev protopic. Cov tshuaj no muaj cov nyhuv tawm tsam, txhawb kev tsim cov ntaub so ntswg. Nws tau thov thaum hmo ntuj, hauv txheej nyias nyias, koj tuaj yeem siv nws li peb lub lis piam.
- Sulphur, oichment ichthyol muaj cov khoom ua exfoliating. Cov tshuaj no tau thov rau ntawm daim tawv nqaij nrog tu hnyav ntawm cov epidermis.
Txhawm rau kho seborrheic dermatitis sai, tus neeg mob yuav tsum noj cov vitamins:
- Vitamin A (retinol). Koom hauv oxidative thiab kho cov txheej txheem ntawm lub cev, cuam tshuam cov synthesis ntawm cov protein nyob hauv cell daim nyias nyias, ua rau lub cev tsis ua haujlwm li qub.
- Cov vitamins B (thiamine, riboflavin, cyanocobalamin). Lawv pab txhawb rau kev ua haujlwm ntawm cov metabolism hauv lub cev ua kom lub cev, koom nrog kev tsim cov protein, thiab txhim kho lub cev kev noj cov pa oxygen.
- Vitamin E (tocopherol acetate). Antioxidant. Nws txhawb cov tawv nqaij ua kom rov zoo, muaj qhov ua kom tawv nqaij ntawm daim tawv nqaij, thiab tiv thaiv kev tsim cov roj ntau dhau.
Txhawm rau txo qhov khaus, nrog rau kev tshwm sim ntawm kev tsis haum tshuaj mus rau cov khoom pov tseg ntawm cov hu ua fungi, antihistamines tuaj yeem siv. Haum rau cov tshuaj zodak no. Lawv tuaj yeem siv 1 pc. ua ntej mus pw, tsis pub ntev tshaj 1 hli.
Txhawm rau txhim kho kev mob ntawm cov epidermis, UV txheej txheem tuaj yeem ua. Raug tiv tshav yog tuag rau fungi.
Kev tiv thaiv kev ntsuas
Txhawm rau kom tshem tawm cov mob qog ntawm seborrheic dermatitis, kev siv cov tshuaj sab nraud tsis txaus.
Txog ntawm txoj kev kho kom zoo, tus neeg mob yuav tsum:
- Saib kev tu cev ntawm lub taub hau thiab lub cev.
- Tswj kev tiv thaiv nrog kev nquag taug kev hauv huab cua ntshiab.
- Noj kom zoo, tsis txhob ua phem rau dej cawv, luam yeeb ntau dhau, cov rog thiab cov zaub mov muaj suab thaj.
Txhua cov txheej txheem tshuaj yuav tsum muaj kev sib koom tes nrog koj tus kws kho mob. Txawm muaj kev nyab xeeb, thaum xub thawj siab, tar xab npum tuaj yeem qhuav ntawm daim tawv nqaij. Tsuas yog tus kws kho mob tshwj xeeb tuaj yeem txiav txim siab ntev npaum li cas kev kho mob yuav tsum tau noj thiab cov tshuaj kho kom haum.