Kodi Dermatitis ya Seborrheic ndi chiyani?
Mwachidule, seborrheic dermatitis ndi matenda ofala kwambiri komanso ochiritsika mosavuta pakhungu. Amapangitsa khungu lanu kukhala lofiira, loyabwa, komanso kukhala ndi mawanga amafuta, okhala ndi ziphuphu. Pamutu, limathanso kukhala ndi ma flakes oyera kapena achikasu kapena ma crusts. Monga momwe dzinalo likusonyezera, "seborrheic" amatanthauza "sebaceous glands" pakhungu lathu. Awa ndi ma glands omwe amapanga mafuta pakhungu lathu. "Derm" amatanthauza khungu. Chifukwa chake uwu ndi vuto lomwe limachitika pokhudzana nawo. Dandruff, yomwe tonse tikudziwa, ndi mtundu wa izi. Madokotala nthawi zina amatcha pityriasis capitis. Ikaonekera pakhungu la makanda ang'onoang'ono, timatcha "cradle cap." Imawoneka ngati baby dandruff. Seborrheic dermatitis imatha kuchitika osati pakhungu lokha, komanso m'malo ena a thupi, makamaka m'malo omwe ali ndi ma sebaceous glands ambiri. Mwachitsanzo:- Kumbuyo kwanu ndi pachifuwa
- Nkhope/pamphumi
- M'mapini mbali zonse ziwiri za mphuno
- Kumbuyo kwa makutu
- Pekaniya (Pekaniya)
- Nsidze
- Pansi pa bere
- M'mapindo a manja, miyendo, ndi m'mimba
Ndani amene ali ndi mwayi waukulu wopeza vutoli?
Akuti pafupifupi 11% ya anthu padziko lonse lapansi ali ndi seborrheic dermatitis. Matendawa amapezeka kwambiri mwa ana osakwana miyezi itatu komanso akuluakulu azaka zapakati pa 30 ndi 60. Matendawa amapezeka kwambiri mwa amuna kuposa akazi. Ngati muli ndi khungu lamafuta mwachibadwa , muli ndi mwayi waukulu wopeza matendawa. Komanso, ngati wina m'banja mwanu ali ndi matenda a pakhungu monga psoriasis, angakukhudzeninso. Ngati mumakhala m'dera louma komanso lozizira, sizimayambitsidwa ndi nyengo yokha, koma vutoli likhoza kukhala loipa pang'ono. Kuphatikiza apo, ngati muli ndi mavuto azaumoyo monga:- Kwa iwo omwe ali ndi chitetezo chochepa chamthupi:
- Anthu olandira ziwalo zoberekera
- Akuluakulu omwe ali ndi Hodgkin's Lymphoma
- Akuluakulu omwe ali ndi Non-Hodgkin's Lymphoma
- Kwa iwo omwe ali ndi kachilombo ka HIV ( HIV - kachilombo koyambitsa matenda a chitetezo chamthupi cha munthu)
- Kwa iwo omwe ali ndi matenda amisala :
- Kuvutika maganizo
- Kwa anthu omwe ali ndi matenda a mitsempha :
- Matenda a Parkinson
- Kusokonezeka kwa Tardive
- Khunyu
- Kufooka kwa mitsempha ya nkhope
- Kwa iwo omwe ali ndi vuto la msana
- Kwa iwo omwe ali ndi zilema zobadwa nazo:
- Matenda a Down
Kodi zizindikiro za izi ndi ziti?
Ngati muli ndi seborrheic dermatitis, zizindikiro zotsatirazi zingawonekere:- Mamba oyera, oyabwa pamutu. Timatcha izi kuti dandruff . Akayabwa, mamba awa amayendayenda ndikukakamira mutsitsi, kapena kugwera pakhosi ndi mapewa.
- Ziphuphu zofiira komanso zotupa pakhungu.
- Chipewa cha Cradle ndi malo achikasu, okwezeka pamutu pa mwana. Nthawi zambiri sichikuyabwa. Komabe, ngati mwana akanda mutu wake, zingayambitse kuvulala kwina komanso mwina matenda ang'onoang'ono.
- Kufiira ndi kutumphuka m'mphepete mwa zikope. Izi zimatchedwa blepharitis .
- Ma plaque a pinki mbali zonse ziwiri za nkhope, komwe khungu limakhuthala ndikutuluka.
- Pali madontho pachifuwa, pamphumi, ndi patsitsi omwe amaoneka ngati duwa kapena bwalo.
- Kufiira m'malo oberekera, m'khwapa, ndi pansi pa mabere.
- Kutupa kwa ma follicle a tsitsi pamasaya ndi kumtunda kwa thupi (ma follicle a tsitsi otupa).
Nchifukwa chiyani seborrheic dermatitis imachitika? N’chiyani chimaipitsa?
Ofufuza sakudziwabe chomwe chimayambitsa izi. Akuganiza kuti pakhoza kukhala zinthu zambiri. Zinthu zazikulu zomwe zikuganiziridwa kuti ndizo zimayambitsa izi ndi izi:- Malassezia ndi mtundu wa yisiti womwe umapezeka pakhungu la aliyense. Komabe, mwa anthu ena, umakula kwambiri.
- Kuwonjezeka kwa androgen mu hormone .
- PakhunguKuwonjezeka kwa milingo ya lipids.
- Kutupa kwa khungu.
- Mbiri ya banja (zomwe zikutanthauza kuti ikhoza kukhala chinthu chomwe chimachokera ku mibadwomibadwo).
- Kupsinjika maganizo
- Nyengo yozizira komanso youma
- Khungu lamafuta
- Kugwiritsa ntchito mafuta odzola okhala ndi mowa
- Kukhala ndi matenda ena a pakhungu monga rosacea , psoriasis, ndi ziphuphu.
Kodi nyengo imakhudza izi?
Inde, ndithudi. Nthawi yamvula, mpweya wouma ukhoza kupangitsa kuti seborrheic dermatitis yanu ikule kwambiri. Koma nthawi yachilimwe, vutoli limakhala bwino pang'ono. Chifukwa chake ndichakuti kuwala kwa UV-A ndi UV-B padzuwa kumatha kupha yisiti yomwe imakula pakhungu la anthu omwe ali ndi seborrheic dermatitis. Koma ndibwino kusamala ndi kutentha kwa dzuwa!Kodi chakudya ndi zakumwa zingawonjezere kapena kuchepetsa vutoli?
Pali maganizo osiyanasiyana pankhaniyi. Komabe, maganizo a akatswiri ndi akuti sizinatsimikizidwebe kuti zakudya zimayambitsa kapena kuchepetsa seborrheic dermatitis . Komanso, zakudya sizimakhudza dandruff.Kodi pali kusiyana kotani pakati pa seborrheic dermatitis ndi psoriasis?
Nthawi zina ziwirizi zimatha kuwoneka zofanana. Zonse ziwiri zimayambitsa mawanga ofiira komanso otupa pakhungu. Zonsezi zimatha kukhudza khungu la mutu. Komabe, psoriasis ndi matenda a pakhungu otupa omwe amakhudza pakati pa 2% ndi 4% ya anthu. Mu psoriasis, mamba amatha kukhala okhuthala kuposa mu seborrheic dermatitis. Ndipo m'mphepete mwa mambawo zimawoneka bwino. Pakhungu la mutu, mu psoriasis, mambawo amakhala asiliva kuposa oyera kapena achikasu. Nthawi zina zonsezi zimatha kuchitika limodzi. Izi zimatchedwa sebopsoriasis . Pankhaniyi, zizindikiro zonse ziwiri zimapezeka.Ngati simukudziwa ngati muli ndi dandruff kapena seborrheic dermatitis, ndi bwino kuonana ndi dokotala kuti akupatseni upangiri , chifukwa chithandizo cha chimodzi sichingagwire ntchito kwa china.
Kodi seborrheic dermatitis imayambitsa kutayika kwa tsitsi?
Ayi. Seborrheic dermatitis siimayambitsa kutayika kwa tsitsi mwachindunji . Komabe, kuyabwa kwambiri kungayambitse kusweka kwa tsitsi.Kodi pali kugwirizana pakati pa izi ndi ziphuphu?
Inde, seborrheic dermatitis ndi ziphuphu zimatha kuchitika nthawi imodzi, m'malo omwewo a thupi. Zonsezi zimakhudzidwa ndi mafuta a khungu lanu. Anthu omwe ali ndi ziphuphu amathanso kukhala ndi dandruff.Kodi izi zimazindikirika bwanji?
Dermatitis ya seborrheic ndi vuto lodziwika bwino.Izi zili choncho chifukwa dokotala amatha kuzindikira vutoli kutengera mawonekedwe a khungu lomwe lakhudzidwa ndi malo omwe limapezeka. Mayeso a magazi, mkodzo, kapena ziwengo nthawi zambiri safunika. Komabe, ngati vuto lanu silikuyenda bwino mukalandira chithandizo, dokotala wa khungu angatenge kachidutswa kakang'ono ka khungu (skin biopsy) kuti apeze vuto lina.Kodi mankhwala ochizira izi ndi otani?
Matenda a seborrheic dermatitis mwa achinyamata ndi achikulire nthawi zambiri satha popanda chithandizo. Chithandizocho chimadalira komwe chili m'thupi lanu komanso momwe chilili choopsa. Cholinga chachikulu cha chithandizo ndikuchepetsa zizindikiro za matenda a seborrheic dermatitis, kuphatikizapo kuyabwa ndi kufiira. Izi zikuphatikizapo zinthu zomwe zimaperekedwa kwa dokotala (OTC) ndi mankhwala omwe amalembedwa ndi dokotala . Mankhwala omwe amalembedwa ndi dokotala amaphatikizapo mankhwala ophera tizilombo toyambitsa matenda, zoletsa calcineurin, ndi corticosteroids. Chithandizo chosamalira nthawi zambiri chimafunika. Nthawi zina, kuphatikiza kwa mankhwalawa kungagwiritsidwe ntchito.Chithandizo cha Khungu
Chipewa cha ana aang'ono
- Chipewa cha Cradle nthawi zambiri chimachira popanda chithandizo mwana akafika miyezi 8 mpaka 12.
- Izi zitha kuchitika mwa kutsuka tsitsi lanu tsiku lililonse ndi shampu yofewa ya ana.
- Mukhoza kupukuta kapena kupukuta khungu lanu ndi burashi yofewa. Chitani izi kangapo patsiku komanso mutatha kutsuka tsitsi. Samalani kuti musawononge khungu , chifukwa lingayambitse matenda.
- Ngati vutoli likupitirira, kapena ngati mwana wanu akukanda mutu wake ngati akumva ululu, pitani kwa dokotala wa ana kapena dokotala wa khungu. Iye angakulangizeni kuti mugwiritse ntchito shampu kapena lotion yapadera.
- Ngati vutoli litachitika m'thupi lina, mungagwiritse ntchito lotion yofatsa ya steroid.
Kwa achinyamata ndi akuluakulu
- Pa milandu yofatsa , mutha kugula shampu yokhala ndi dandruff yokhala ndi selenium, zinc pyrithione, kapena coal tar ku pharmacy. Gwiritsani ntchito kawiri pa sabata kapena motsatira malangizo omwe ali pa botolo.
- Kuti muchepetse vutoli kwa nthawi yayitali , dokotala wanu angakulembereni shampu yoletsa mavairasi yokhala ndi ciclopirox (Loprox®) kapena ketoconazole (Nizoral®). Ma shampu amenewa ayenera kugwiritsidwa ntchito tsiku lililonse kawiri kapena katatu pa sabata kwa milungu ingapo mpaka dandruff itatha. Kenako, gwiritsani ntchito kamodzi pa sabata kapena sabata iliyonse kuti musabwererenso. Dokotala wanu adzakuuzani momwe mungagwiritsire ntchito.
- Kwa matenda apakati komanso ovutaNgati ndi choncho, dokotala wanu angakulembereni shampu yokhala ndi betamethasone valerate (Luxiq®), clobetasol (Clobex®), fluocinolone (Capex®), kapena fluocinolone solution (Synalar®). Izi zingagwiritsidwe ntchito tsiku lililonse, kapena zingagwiritsidwe ntchito kawiri patsiku kwa milungu iwiri, kenako kawiri pa sabata. Gwiritsani ntchito monga momwe dokotala wanu walangizira.
Funsani dokotala wanu za zotsatirapo zoyipa zomwe muyenera kudziwa mukamagwiritsa ntchito shampu izi.
Mankhwala a nkhope ndi thupi
Mankhwala oletsa kutsekula m'mimba, corticosteroids, ndi calcineurin amagwiritsidwa ntchito pochiza seborrheic dermatitis pankhope ndi m'thupi.- Mankhwala ophera tizilombo toyambitsa matenda a pakhungu ndi monga ciclopirox, ketoconazole, kapena sertaconazole. Mankhwalawa amapezeka mu mawonekedwe a kirimu, thovu, kapena gel. Nthawi zambiri amapakidwa pamalo okhudzidwa kawiri patsiku kwa milungu 8, kenako amagwiritsidwa ntchito ngati pakufunika.
- Mankhwala oletsa kutupa m'thupi akuphatikizapo betamethasone valerate, desonide, fluocinolone, kapena hydrocortisone. Amabwera ngati mafuta odzola, mafuta odzola, thovu, ma gels, mafuta odzola, mafuta, kapena zakumwa. Amapakidwa kamodzi kapena kawiri patsiku. Dokotala wanu angakulembereni izi ngati vuto lanu silikuyenda bwino ndi mankhwala opha ma fungus kapena ngati vuto lanu likuipiraipira mwadzidzidzi. Kugwiritsa ntchito mankhwala oletsa kutupa mosalekeza kwa milungu kapena miyezi ingapo kungapangitse khungu lanu kufooka. Choncho musapitirize kuwagwiritsa ntchito popanda upangiri wa dokotala.
- Mankhwala oletsa calcineurin ndi njira ina m'malo mwa corticosteroids. Izi zikuphatikizapo pimecrolimus cream (Elidel®) kapena tacrolimus ointment (Protopic®). Amapakidwa pamalo okhudzidwa kawiri patsiku.
- Ngati vuto lanu ndi lalikulu kwambiri , dokotala wanu angakulembeni mankhwala ophera tizilombo toyambitsa matenda kapena phototherapy kuti muchepetse kutupa kwa khungu.
Kodi mungachepetse bwanji chiopsezo cha seborrheic dermatitis?
Pali zinthu zochepa kwambiri zomwe mungachite kuti mupewe seborrheic dermatitis.Ndi vuto lachilengedwe, lopanda vuto lililonse. Lingathe kuthetsedwa mosavuta kunyumba. Ngati ndinu wachinyamata kapena wachikulire, ngati thupi lanu lili ndi mahomoni a androgen ambiri kuposa omwe ali ndi thanzi labwinobwino, ngati khungu lanu lili ndi mafuta ambiri, kapena ngati muli ndi yisiti yochuluka, muli ndi mwayi waukulu woti mudwale. Koma pali zizolowezi zina zosavuta zaumoyo zomwe mungatsatire kuti muchepetse chiopsezo chanu:- Gonani bwino.
- Lamulirani kupsinjika maganizo.
- Muziika kuwala kwa dzuwa (UV light) kwa kanthawi kochepa (mphindi zochepa) tsiku lililonse. Koma samalani ndi dzuwa lamphamvu masana.
Kodi ndingayembekezere chiyani ndi vutoli?
Matenda a Cradle Cap ndi matenda ofala kwambiri mwa makanda. Nthawi zambiri sapweteka, amayabwa, komanso savulaza. Amaonekera m'masabata ochepa oyamba mpaka miyezi ingapo ya moyo wawo, ndipo makanda ambiri sakhudzidwanso ndi matendawa akafika miyezi 12. Amatha kuchiritsidwa mosavuta kunyumba. Matenda a seborrheic dermatitis, omwe amakhudza khungu la mutu, nkhope, ndi thupi la ana ndi akulu omwe, ndi matenda omwe amakhalapo kwa moyo wawo wonse . Mwamwayi, amatha kuchiritsidwa ndi chithandizo. Ndi chithandizo choyenera, matendawa amachira msanga.Ngati kudzipatsa chithandizo sikuthandiza, kapena ngati malo okhudzidwawo ndi opweteka, otupa, kapena otuluka mafinya, onetsetsani kuti mwaonana ndi dokotala .
Kodi ndiyenera kudzisamalira bwanji?
Ngati muli ndi seborrheic dermatitis pakhungu lanu, mutha kuyesa ma shampoo angapo opangidwa ndi dandruff omwe amagulitsidwa kunja kwa kampani. Ngati shampu imodzi sigwira ntchito, yang'anani chogwiritsira ntchito ndikuyesa china chokhala ndi chogwiritsira ntchito china. Ma shampoo ayenera kupakidwa pakhungu lanu ndikusiyidwa kwa mphindi zosachepera 5 musanatsuke. Ngati mukuganiza kuti muli ndi seborrheic dermatitis pankhope kapena pathupi panu, onani dokotala kapena dermatologist. Akhoza kukuyang'anirani ndikuwona momwe vutoli lilili lalikulu komanso loopsa. Angakuthandizeni kusankha chithandizo chabwino kwambiri, kuwongolera vuto lanu, komanso kuthana ndi kuphulika kwa khungu. Tsatirani malangizo onse ndipo musaope kufunsa dokotala wanu ngati muli ndi mafunso kapena nkhawa.Kodi ndiyenera kupita kwa dokotala liti?
Ngati zizindikiro zanu zikuipiraipira kapena ngati muli ndi kutupa, muyenera kuonana ndi dokotala wa khungu. Dokotala wanu angafunike kusintha mlingo wa mankhwala anu, kuwonjezera mankhwala atsopano pa ndondomeko yanu ya chithandizo, kapena kusintha mankhwala onse.Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?
Mukapita kwa dokotala, mukhoza kufunsa mafunso monga awa:- "Dokotala, kutengera zizindikiro zanga, kodi ndili ndi seborrheic dermatitis, kapena china chake monga eczema, atopic dermatitis, kapena psoriasis?"
- "Ndi mankhwala otani omwe ndingapeze ku pharmacy ndikayamba kumva bwino? Kapena ndikufunika kuchita mankhwala angapo nthawi imodzi?"
- "Kodi pali shampu yapadera yochotsera tsitsi, kirimu, kapena mafuta odzola omwe dokotala akulangiza?"
- "Ngati izi sizikutha ndi mankhwala apakhomo, kodi dokotala angandipatse shampu, kirimu, kapena mafuta odzola?"
- "Ndiyenera kupita kwa dokotala wa khungu kangati chifukwa cha vutoli?"
- "Ndiyenera kuchita chiyani ngati ndili ndi vuto la ziwengo chifukwa cha shampu/kirimu/lotion yomwe ndimagwiritsa ntchito?"
Pomaliza, zinthu zoti muzikumbukira
Matenda a seborrheic dermatitis ndi matenda oyabwa komanso osasangalatsa pang'ono. Komabe, sabweretsa chiopsezo chachikulu pa thanzi . Ndi chithandizo, vutoli limatha kuthetsedwa bwino. Chifukwa chake, khungu loyabwa ndi ma flakes oyera pa shati lanu lakuda siziyenera kukhala gawo la zochita zanu zatsiku ndi tsiku! Ngati muli ndi mafunso ena okhudza izi, musazengereze kulankhula ndi dokotala wanu.👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi matenda a khungu otchedwa Seborrheic Dermatitis ndi chiyani? Kodi ndi matenda a pakhungu?
Uwu ndi mphutsi yachikasu, yotupa yomwe imawonekera m'malo a khungu lathu omwe amapanga mafuta ambiri (khungu la mutu, nkhope, mbali za mphuno, ndi pachifuwa). Izi zikachitika, malowo amakhala ofiira, kuyabwa kwambiri, ndipo kutuluka koyera, kotupa, komanso kofanana ndi ufa kumawonekera.
💬 Kodi chifukwa chachikulu cha matendawa ndi chiyani?
Choyambitsa chenicheni cha vutoli sichinadziwikebe, koma akukhulupirira kuti chimayambitsidwa ndi kukula kwa bowa wotchedwa Malassezia, womwe nthawi zambiri umakhala pakhungu lathu, komanso chitetezo chathu cha mthupi chimachita zinthu mopitirira muyeso ndi bowa uwu.
💬 Kodi pali mankhwala othandiza pa izi omwe angachitike kunyumba?
Ngati ili pakhungu lanu, sambitsani mutu wanu ndi shampu yoletsa dandruff ya pharmacy yomwe ili ndi mankhwala monga ketoconazole kapena selenium sulfide. Ngati ili pankhope panu, mutha kugwiritsa ntchito kirimu wofatsa wa hydrocortisone kwa masiku angapo kuti muchepetse kuyabwa.
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