Dermatitis - ua rau, tsos mob, kho, noj zaub mov

Cov txheej txheem:

Dermatitis - ua rau, tsos mob, kho, noj zaub mov
Dermatitis - ua rau, tsos mob, kho, noj zaub mov
Anonim

Dermatitis: ua rau, tsos mob, kho

Dermatitis yog kab mob ntawm daim tawv nqaij tshwm sim los ntawm sab nraud lossis sab hauv (lub cev, tshuaj lom neeg, lom neeg) cov neeg ua haujlwm, feem ntau nyob ntawm keeb kwm ntawm keeb kwm yav dhau los thiab kev ntxhov siab. Cov kab mob dermatitis yog tshwm sim los ntawm cov tshuaj tiv thaiv hauv zos thiab dav dav. Nyob ntawm qhov xwm txheej thiab qhov hnyav ntawm cov kab mob pathogenesis, tus kab mob no nrog rau kev txo qis hauv daim tawv nqaij, ua txhaum ntawm lub cev homeostasis.

Dermatitis yog ib lo lus uas muab ntau yam kab mob ntawm daim tawv nqaij mus rau hauv ib pawg nosological. Nyob rau hauv phau ntawv qhia txog kev kho mob dermatology, cov kab mob ntawm daim tawv nqaij raug xa mus rau feem ntau hauv zos (dermatitis) lossis kab mob (toxidermia, dermatosis). Txawm li cas los xij, yuav luag ib txwm muaj kev sib raug zoo ntawm cov kab mob hauv zos thiab kab mob.

Cov yam ntxwv ntawm cov teebmeem tshwm sim hauv dermatitis:

  • Kev nyuaj siab. Nyob rau hauv lub sij hawm ntawm depletion ntawm adaptive cov tshuaj tiv thaiv, kev nyuaj siab tuaj yeem yog qhov tsuas yog tiv thaiv keeb kwm yav dhau los ntawm kev noj qab haus huv tsis ruaj khov (hereditary predisposition, tsis muaj zog tiv thaiv) los yog ua ke nrog lwm yam ntawm cov kab mob pathogenic;
  • Hlawv (thermal, tshuaj, hnub ci, ua xua), frostbite - tag nrho cov no provokes hu rau dermatitis;

  • Infiltration. Cov kab mob nkag mus rau hauv cov ntshav los ntawm txoj hnyuv, ua pa, lossis parenterally (subcutaneously, intramuscularly, intravenously) - ces atopic dermatitis tshwm sim.

Dermatitis tsos mob

dermatitis
dermatitis

Cov kab mob dermatitis zoo sib xws nrog inflammatory thiab tsis haum tshuaj, tshwm sim nyob rau hauv cov ntaub ntawv mob thiab ntev, nyob rau hauv tej lub sij hawm lawv yog yus muaj los ntawm lub caij nyoog exacerbation thiab nyob rau tib lub sij hawm ntawm tus kab mob. Hauv kev kuaj mob sib txawv, qhov yuav tsum tau ua (loj) thiab cov tsos mob ntxiv (me) yog qhov txawv.

Cov tsos mob xav tau rau feem ntau cov kab mob dermatitis, tsis hais seb yuav ua li cas:

  • Itching (prurigo). Nws siv yog nyob ntawm lub zog ntawm kev khaus ntawm daim tawv nqaij cov paj hlwb. Qhov tsis sib xws ntawm lub zog ntawm prurigo thiab cov tawv nqaij tshwm sim (qhov khaus hnyav nrog cov pob me me) yog ib qho kev ua xua hauv atopic dermatitis. Nyob rau hauv kev sib cuag dermatitis, khaus ntawm qhov chaw ntawm daim ntawv thov kab mob yog tsim nyog rau kev puas tsuaj;
  • Redness (erythema). Erythema yog nce ntshav mus rau dermal capillaries. Nyob rau hauv daim ntawv mob, liab nrog fuzzy npoo thiab o yog pom. Rau cov kab mob dermatitis ntev, erythema tsis tas yuav tsum tau. Thaum nias, thaj tsam ntawm daim tawv nqaij hyperemic tig daj ntseg rau ib pliag. Erythema yuav tsum tsis txhob tsis meej pem nrog hemorrhage (los ntshav hauv qab ntawm daim tawv nqaij). Hemorrhage yog suav tias yog ib qho kev tshwm sim ntawm daim tawv nqaij pathologies - hemorrhagic diathesis;
  • Rash (eczema). Lub morphology ntawm cov pob liab liab thiab nws qhov chaw ntawm eczema yog qhov zoo rau ib qho kab mob dermatitis. Qhov tshwm sim feem ntau ntawm cov pob liab liab yog txav ntawm lub cev (daim tawv nqaij hla cov pob qij txha), ntsej muag, tawv taub hau, sab ntawm lub cev, thaj tsam inguinal;
  • Exudation. Nyob rau hauv cov ntaub ntawv mob dermatitis, exudative o nrog copious tawm yog ua tau. Nyob rau hauv cov ntaub ntawv mob - lichenification (thickening ntawm daim tawv nqaij cheeb tsam nrog ib tug ntxhib qauv), tawg nyob rau hauv daim tawv nqaij thiab excoriation (tus kheej-combing);
  • tawv nqaij tawv (desquamation). Pathological desquamation yog tshwm sim los ntawm kev ua kom qhuav (xerosis) ntawm daim tawv nqaij nrog lub cev qhuav dej thiab tsis txaus ntawm cov qog sebaceous. Desquamation thiab xerosis tau sau tseg hauv cov kab mob dermatitis ntev nrog cov txheej txheem ua xua thiab inflammatory.

Cov tsos mob ntxiv yog qhov tseem ceeb hauv kev kuaj mob sib txawv ntawm cov kab mob dermatitis tshwj xeeb, raug kuaj pom thaum nug, kuaj, kuaj kuaj thiab kuaj ua haujlwm.

Caus of dermatitis

Ua rau dermatitis
Ua rau dermatitis

Cov hom phiaj tseem ceeb ntawm cov kab mob inflammatory thiab ua xua ntawm daim tawv nqaij, tsis suav nrog qee lub sijhawm dermatitis, yog qhov tshwm sim ntawm qhov deb (genetic thiab kis tau) thiab kaw (provoked) ua rau.

I. Distant Causes

Tej thaj chaw deb ua rau vim yog caj ces thiab kis tus neeg muaj kev pheej hmoo rau dermatitis:

  • Genetic (hereditary) predisposition rau dermatitis. Qhov ua rau thiab cov txheej txheem ntawm kev ua qub txeeg qub teg ntawm cov noob raug puas tsuaj tsis nkag siab tag nrho. Cov kab mob dermatitis hauv cov menyuam yug tshiab hauv 30-50% ntawm cov neeg mob yog tshwm sim los ntawm kev ua xua ntawm ib tug lossis ob leeg niam txiv. Cov neeg laus cov kab mob dermatitis yog cuam tshuam nrog kev ua xua ntawm lawv niam lawv txiv, uas tuaj yeem ua rau nyuaj rau kev tshawb nrhiav thiab kev kuaj mob;
  • Acquired predisposition rau dermatitis. Nws tau raug tsim los hais tias 50-70% ntawm cov neeg uas thawj zaug poob mob nrog atopic dermatitis tau txais rhiab heev rau dermatitis yam tsis muaj kev koom tes ntawm caj ces kis. Cov niam txiv ntawm cov neeg no tsis muaj kev ua xua. Pov thawj yog qhov ua rau dermatitis kis tau thaum lub neej tiv thaiv keeb kwm yav dhau los ntawm kev tiv thaiv tsis zoo. Nws tau raug pom tias kev cob qhia tsis tu ncua ntawm lub cev tiv thaiv kab mob nrog cov antigens tsis muaj zog, piv txwv li, thaum sib txuas lus hauv cov pab pawg me, txhawb kev txhim kho ntawm kev tiv thaiv kab mob tag nrho (tsis txhob tsis meej pem nrog kev kis kab mob);
  • mob lub cev, kev ntxhov siab ntawm lub hlwb, kev sib raug zoo thiab kev ua neej nyob;
  • Kev rov qab los ntawm kev kis kab mob, kis kab mob, sab hauv tsis sib kis, tshwj xeeb tshaj yog nyob rau hauv daim ntawv mob ntev.

II. Related yog vim li cas

Raws ua rau (dermatitis trigger factor). Thaum ib qho kab mob los ntawm lub xeev ruaj khov nyob rau hauv kev cuam tshuam ntawm cov kab mob pathogenic tshwm sim los ntawm cov kab mob dermatitis, qhov tshwm sim ntawm cov kab mob pathogenesis tuaj yeem yog:

  • Stress. Hauv lub neej txhua hnub, kev ntxhov siab cuam tshuam nrog kev tsis zoo. Qhov no yog ib qho kev xav tsis zoo. Kev ntxhov siab yog ib qho kev tiv thaiv kev tiv thaiv thiab hloov kho cov tshuaj hormones, uas muaj ntau theem. Nyob rau hauv thawj theem, nyob rau hauv tus ntawm cov adrenaline cov tshuaj hormones, lub zog yog tso tawm, thiab nyob rau hauv lub xeem theem, kuj nyob rau hauv cov tshuaj hormones (corticosteroids thiab lwm yam), cov kev tiv thaiv yog depleted thiab lub cev tiv thaiv kab mob yog suppressed. Kev ntxhov siab yog qhov ua rau muaj kev tsis sib haum xeeb ntawm kev txiav txim siab caj ces thiab / lossis tau txais predisposition rau cov kab mob dermatitis thiab tuaj yeem ua ke nrog lwm yam cuam tshuam;
  • Tiv tauj lossis lwm txoj hauv kev nkag mus rau cov ntshav ntawm cov tshuaj tiv thaiv kab mob (tseem ceeb) thiab lawv cov txiaj ntsig ntxiv rau ntawm daim tawv nqaij. Cov qauv ntawm cov protein, cov khoom ntawm cov tshuaj lom neeg, lub cev muaj zog (hnub ci hluav taws xob, cua sov, Frost) tuaj yeem yog cov kab mob (allergens).

Nws tau raug tsim los tias cov kab mob dermatitis tsis tas yuav txhim kho, qee tus neeg muaj kev nkag siab ntawm tus kheej lossis tsis kam. Raws li qhov no, cov xwm txheej (ua rau) ntawm dermatitis tau muab faib ua obligate thiab xaiv tau.

Yam yuav tsum tau ua (obligatory) yam ua rau cov kab mob ntawm cov kab mob dermatitis hauv txhua tus neeg raug cuam tshuam rau cov xwm txheej tsis zoo:

  • Cov tshuaj tsis haum (kev sib cuag thiab lwm yam teebmeem);
  • Radiation (hnub, quartz, hluav taws xob);
  • High kub (dhau 600 C);
  • Tsis kub lossis ua rau tawv nqaij ntev;
  • Cov kua qaub (cov kua qaub, alkalis).

Xaiv (xaiv) yam uas ua rau cov kab mob dermatitis thiab muaj kev cuam tshuam tsis zoo rau cov tib neeg uas muaj qhov tsis txaus ntseeg:

  • Khoom noj khoom haus, tshuaj, paj paj ntoo, kab kab, tsiaj plaub hau;
  • Qee cov tshuaj tsis haum (cov tshuaj ntxuav tes, tshuaj pleev ib ce, kab tom);
  • Kub los ntawm +4 0 С (qhov no yog qhov ntsuas kub ntawm qhov pib ntawm tus kab mob khaub thuas hu ua xua tshwm sim).

Kev txiav txim siab qhov ua rau tus kab mob yog ib kauj ruam tseem ceeb heev rau kev kuaj mob dermatitis thiab muab tshuaj txaus, kho tau zoo.

Yuav ua li cas qhia psoriasis ntawm dermatitis?

psoriasis
psoriasis

Psoriasis yog ib yam kab mob uas tsis kis kab mob autoimmune.

Thaum kuaj sab nraud ntawm tus neeg mob psoriasis, pom daim tawv nqaij:

  • Cov xim liab thiab xim liab nrog cov xim dawb, feem ntau nyob rau sab nraud ntawm cov pob qij txha lossis ntawm lub taub hau;
  • x

Qee zaum, psoriasis kuj kuaj pom:

  • Ntxhais thiab kev puas tsuaj;
  • Daim tawv nqaij thiab daim nyias nyias ntawm qhov muag.

Kev kuaj mob sib txawv ntawm psoriasis yog ua los ntawm kev siv lub dermatoscope (ib qho khoom siv kho qhov muag rau kev tshuaj xyuas ntawm daim tawv nqaij nrog ntau qhov loj). Ntawm thaj chaw muaj kev cuam tshuam, pathognomonic (ua) cov tsos mob ntawm psoriasis pom tias tsis pom nyob rau hauv lwm yam kab mob dermatitis, uas yog, peculiar papules thiab cov tsos mob ntawm "dov ntshav".

Qhov txawv ntawm psoriasis thiab dermatitis:

  • Papules hauv psoriasis muaj cov hlwb tuag ntawm cov epidermis (cov cheeb tsam ntawm daim tawv nqaij uas cov txheej txheem ntawm tev thiab rov ua dua tshiab cuam tshuam);
  • Cov tsos mob ntawm "dov ntshav" yog tshwm sim los ntawm kev nce capillary permeability thiab extravasation (tawm hauv capillaries) ntawm cov kua hauv cov ntshav.

Types of dermatitis:

Cov kab mob dermatitis muaj cov kev faib tawm nyuaj - yuav luag txhua tus kab mob dermatitis muaj ntau lub ntsiab lus. Lub npe raug coj los ua lub hauv paus:

  • Localization ntawm pathogenesis (sib cuag, atopic);
  • Xwm ntawm cov tshuaj tiv thaiv (kev ua xua, ua xua, kis kab mob, fungal);
  • Tus yam ntxwv ntawm cov kab mob (mob, mob ntev);
  • Npe ntawm thawj (bullous, vesicular, thiab lwm yam) lossis theem nrab (scaly, thiab lwm yam) pob;
  • Ntau pob pob (miliary, nummular, thiab lwm yam);
  • Cov tsos mob ua ntej (qhuav, khaus, exudative, thiab lwm yam);
  • Kev kho mob tshwm sim ntawm dermatitis, zoo li txhua qhov tsim uas tsis muaj lub hauv paus etiological rau tus kab mob no (lichen).

Daim ntawv teev tag nrho ntawm hom kab mob dermatitis tuaj yeem pom hauv International Classification of Diseases (ICD). Hauv qab no yog cov lus piav qhia ntawm cov tsos mob ntawm dermatitis yam tsis muaj kev sib txawv.

tshwm sim thaum lub caij txias, feem ntau nyob rau hauv cov neeg laus thiab cov neeg uas muaj tawv nqaij qhuav, nquag ua xua. Tus kab mob nyob rau hauv lub sij hawm ntawm exacerbation ho txo lub neej zoo. Nyob rau hauv cov ntaub ntawv siab heev, nws yog ib tug provocateur ntawm lwm yam dermatitis, complex cov kab mob nyob rau hauv tus neeg mob lub keeb kwm (venous insufficiency, o ntawm lub qis extremities, thiab lwm yam).

Causes of dry dermatitis:

  • huab cua txias thiab qhuav, huab cua qhuav hauv tsev;
  • Cov kab mob organic thiab ua haujlwm;
  • Hereditary factor;
  • Psychosomatic factor.

Cov kab mob qhuav qhuav muaj cov yam ntxwv hauv cheeb tsam ntawm ko taw, tsis tshua muaj tshwm sim hauv lwm qhov chaw ntawm daim tawv nqaij. Tus kab mob yog tus yam ntxwv los ntawm:

Qhuav dermatitis
Qhuav dermatitis
  • Kev kawm (sluggish) thiab hais raws caij nyoog;
  • Xerosis - nce dryness ntawm daim tawv nqaij (qhov tshwm sim ntawm kev ua haujlwm tsis txaus ntawm cov qog sebaceous thiab hws), tawg ntawm daim tawv nqaij hauv thaj chaw cuam tshuam;
  • Prurigo (khaus khaus) vim tsis muaj cov amino acids thiab cov kab hauv cov tawv nqaij thiab lub cev qhuav dej;
  • Kab mob - pom pom qhov liab liab thiab tsim cov exudate hauv cov kab nrib pleb.

x

Daim tawv nqaij prurigo (prurigo) - lub cev cov tshuaj tiv thaiv kom qaug zog tas li ntawm cov paj hlwb. Khaus khaus yog nrog los ntawm khawb thiab nervousness. Muab faib thoob plaws hauv lub cev (hauv lub cev) thiab hauv zos (hauv zos) khaus.

Kev khaus khaus yog qhov tshwm sim ntawm:

  • Atopic allergic dermatitis;
  • mob ntshav qab zib, kab mob siab thiab raum;
  • Kev ua haujlwm thiab kev puas tsuaj rau lub hlwb;
  • Kev cuam tshuam hauv kev ua haujlwm ntawm cov qog sebaceous thiab hws;
  • Kev tsis haum rau tsiaj plaub hau, kab kab thiab kab mob helminthic.

khaus hauv zos yog qhov tshwm sim ntawm:

  • Kab tom;
  • Atopic allergic dermatitis nyob rau hauv thawj theem ntawm pathogenesis;
  • Cov ntaub ntawv tiv thaiv kab mob dermatitis.

Lub zos khaus ntawm ntau yam etiologies raug kuaj pom:

  • Ntawm qhov txav ntawm lub cev;
  • Rau thaj chaw uas muaj tawv nqaij;
  • Ntawm thaj chaw ntawm lub cev.

Kev khaus hauv zos ntawm keeb kwm ntawm venereal, gynecological thiab andrological kab mob, nrog rau candidiasis thiab helminthic invasions, yog kuaj nyob rau hauv cheeb tsam:

  • Nkauj Ntxawm, Ntsuag Thiab Ntsuag;
  • Anus;
  • Nkauj cev nqaij daim tawv.

Khaus khaus hauv zos ntawm keeb kwm ntawm ectoparasites thiab dermatomycosis yog kuaj pom hauv tawv taub hau lossis hauv thaj chaw pubic.

Cov ntaub ntawv kho mob tseem ceeb ntawm pruritic dermatitis:

    Me nyuam pruritus
    Me nyuam pruritus
  • Me nyuam yaus prurigo (Strofulus) loj hlob hauv thawj xyoo ntawm lub neej. Cov pob liab liab tshwm ntawm lub taub hau, ntsej muag, pob tw, caj npab, ceg thiab pob tw nyob rau hauv daim ntawv ntawm ci liab papules nrog edematous infiltration. Thaum nws loj tuaj, cov ntaub ntawv sib xyaw ntawm cov pob liab liab tau tshwm sim - papulovesicles (ua npuas rau saum cov papules). Nrog rau kev kawm ntev, cov pob khaus theem nrab tau pom nyob rau hauv daim ntawv ntawm cov crusts, muaj cov serous-hemorrhagic exudate;
  • Pruritus hauv cov neeg laus. Nws txhim kho raws li kev txuas ntxiv ntawm strofulus, tab sis kev ywj pheej etiology kuj ua tau. Hauv pawg neeg laus, tus kab mob no muaj ntau dua rau cov poj niam laus. Cov kab mob dermatitis tau kuaj pom ntawm sab nrauv (extensor) ntawm cov pob qij txha, nraub qaum, plab, pob tw. Uncharacteristic kev puas tsuaj rau lub ntsej muag thiab sab hauv (flexion) nto ntawm cov pob qij txha. Ib tug diffuse thawj pob yog kuaj nyob rau hauv daim ntawv ntawm papules uas tsis sib koom ua ke rau hauv plaques. Cov pob khaus thib ob - hemorrhagic lossis serous crusts.

kab mob dermatitis

Pathogeny tshwm sim nyob rau hauv txheej txheej thiab tob ntawm daim tawv nqaij.

Ua rau kis kab mob dermatitis:

  • Kab mob (mob me me, qhua pias, ua npaws liab), dermatitis tshwm sim thawj zaug thiab theem ob;
  • daim tawv nqaij qhov txhab, tom qab phais (kev phais) cov teeb meem tshwm sim los ntawm staphylococcus aureus, streptococcus thiab lwm yam kab mob pyogenic.

Ntawm tib neeg daim tawv nqaij, kev phais mob raug kuaj pom raws li:

  • Pustules Superficial pustules tsis muaj ciam teb meej (impetigo);
  • Limited purulent kab noj hniav nyob rau hauv cov ntaub so ntswg subcutaneous thiab ntxaum (abscesses);
  • Pustules nyob ib ncig ntawm ib lub hauv paus plaub hau, qog sebaceous thiab cov ntaub so ntswg ib puag ncig (boils lossis boils);
  • Ntshai ntawm ob peb lub hauv paus plaub hau lossis qog sebaceous (carbuncles);
  • Spilled, tsis muaj ciam teb meej, purulent o ntawm cov ntaub so ntswg subcutaneous (phlegmon).

fungal dermatitis (dermatomycosis)

Ntau tus kab mob fungal dermatitis yog tus cwj pwm los ntawm cov pob liab liab - mycids.

Mikida (pom tsuas yog muaj kab mob fungal) yog cov tawv nqaij ua xua ua pob liab liab uas, nyob rau hauv qhov muaj cov kab mob sib kis, tshwm sim li:

  • Cov pob liab liab (papules, pustules thiab lwm yam);
  • cov pob khaus thib ob (crusts);
  • Raws me ntsis deb ntawm cov kab mob fungus.

Nyob hauv anamnesis ntawm tus neeg mob uas muaj kab mob dermatitis, lawv pom:

  • Kev mob ntawm lub cev tiv thaiv kab mob thiab endocrine;
  • Txo qis hauv lub ntuj tiv thaiv ntawm daim tawv nqaij thiab tag nrho lub cev;
  • Cov tawv nqaij muaj ntau ntxiv.

pob ntseg dermatitis

Nws tshwm sim hauv cov ntawv mob hnyav thiab mob ntev, nrog rau khaus khaus hnyav. Daim ntawv mob hnyav yog tus cwj pwm los ntawm thaj chaw ntawm erythema (redness), o, qhov tshwm sim ntawm thawj cov pob liab liab nyob rau hauv daim ntawv ntawm urticaria, papules thiab vesicles. Nrog rau kev ncua ntev (ntev), tev tawm, quaj qw, yaig, kev hnov ntawm pob ntseg tau pom. Cov chaw quaj tau yooj yim kis thaum puas.

Causes of pob ntseg dermatitis:

  • Auricle khawb;
  • Khawv koob ntawm daim tawv nqaij ncig pob ntseg;
  • kab mob fungal ntawm pob ntseg;
  • tshuaj lom neeg lossis kev puas tsuaj rau daim tawv nqaij.

Yog tias tsis kho, tus kab mob tuaj yeem kis mus rau cov ntaub so ntswg ntawm nruab nrab thiab pob ntseg. Rau pob ntseg dermatitis, relapses thiab ib tug tsis tu ncua ntawm pathogenesis yog yam ntxwv.

YBullous dermatitis

Bulla (npuas) yog hom thawj pob khaus uas muaj qhov loj ntawm 0.5 cm lossis ntau dua. Mature bullae tawg nrog erosion tsim. Lub bulla muaj ib tug hauv qab, uas nyob rau ntawm lub spinous txheej ntawm lub dermis, raws li zoo raws li ib tug kab noj hniav thiab ib tug hau. Cov kab noj hniav yog sau nrog serous (daj) los yog hemorrhagic (liab) exudate.

Bulles yog tsim los ntawm kev degeneration (acantholysis) ntawm cov txheej txheem spinous ntawm epidermis thiab yog nyob rau ntawm:

  • tawv tawv taub hau, nraub qaum thiab hauv siab (rau txiv neej);
  • Cov mucous ntawm qhov ncauj kab noj hniav thiab ciam teb liab ntawm daim di ncauj.

Cov neeg laus bullae tawg, crusts thiab yaig tsim nyob rau hauv lawv qhov chaw. Cov pob khaus khaus nrog khaus khaus, nyob rau hauv bursting bullae, poob ntawm rhiab heev yog ua tau. Nrog rau qhov mob loj heev ntawm qhov ncauj mucosa thiab kab mob ua pa, txawm tias tuag taus.

Liab dermatitis
Liab dermatitis

Red dermatitis

Red dermatitis yog kab mob ntawm daim tawv nqaij ntev uas tshwm sim los ntawm khaus hnyav thiab pob liab liab liab - papules. Cov xim ntawm papules yog liab-liab nrog ib tug liab doog tint. Ib qho tseem ceeb ntawm kev kuaj mob yog ib qho indentation nyob rau sab saum toj ntawm papules. Kev loj hlob papules nthuav dav raws qhov nruab nrab thiab sib koom ua cov plaques 8-10 cm loj. Nyob rau hauv lub sij hawm rov qab, thaj ua rau cov xim av hyperpigmentation nyob rau hauv qhov chaw ntawm cov quav hniav.

Tseeb localization ntawm liab dermatitis:

  • Flexion (sab hauv) nto ntawm cov pob qij txha ntawm tes;
  • Lub cev sab nraud;
  • Cov mucous ntawm qhov ncauj thiab qhov chaw mos.

Food dermatitis (food allergy)

Kuaj los ntawm thawj hnub ntawm lub neej. Tus kab mob yog tus cwj pwm los ntawm kev kawm ntev, nyob rau hauv cov neeg mob siab heev nws yog incurable. Qhov cuam tshuam ntawm kev ua xua rau zaub mov ntawm kev txhim kho mob hawb pob hauv cov menyuam yaus thiab cov neeg laus tau raug pov thawj.

Nyob rau me nyuam

Kev noj dermatitis hauv cov menyuam yaus pib ntxov heev. Thawj cov tsos mob ntawm daim tawv nqaij nyob rau hauv cov me nyuam mos nrog hypersensitivity rau tej yam khoom noj tshwm sim li:

  • Redness ntawm ob sab plhu thiab pob tw;
  • Seborrheic nplai ntawm lub taub hau;

Kev kuaj xyuas kom raug ntawm qhov ua rau muaj kev tsis haum zaub mov yuav cawm tus menyuam los ntawm ntau yam teeb meem yav tom ntej. Ua ntej hu rau tus kws kho qhov tsis haum, koj yuav tsum xyuam xim rau lub neej zoo ntawm tus menyuam thiab ib puag ncig.

Tej yam tshwm sim rau kev ua xua zaub mov hauv cov menyuam yaus suav nrog:

  • Ib puag ncig tsis zoo;
  • Genetic predisposition;
  • Nquag noj cov zaub mov uas muaj allergens.

Tus neeg laus

Cov khoom noj dermatitis hauv cov neeg laus zoo li txawv me ntsis. Hypersensitivity manifests nws tus kheej tom qab noj mov nyob rau hauv daim ntawv ntawm:

  • Flatulence (nce roj tsim) thiab xav tias hnyav hauv plab, kub hnyiab, plab zom mov;
  • tawv nqaij tsis tawm pob;
  • Rhinitis, qhov ntswg congestion, allergic conjunctivitis;
  • Npuag, tsis muaj zog thiab o ntawm caj dab.
  • Ntshai - kub taub hau.

Cov ntawv dermatitis

Cov kab mob dermatitis tuaj yeem tshwm sim hauv daim ntawv mob hnyav thiab mob ntev. Qee tus kws kho mob tshwj xeeb taw qhia rau chav kawm subacute. Txawm li cas los xij, nws yog ib qho nyuaj rau kev tsim cov ciam teb ntawm daim ntawv ntawm tus kab mob no, lub ntsiab lus yog raws li cov kev xav ntawm tus kws kho mob.

Acute dermatitis

Qhov pib ntawm daim ntawv mob hnyav yog tshwm sim los ntawm khaus khaus, kub taub hau me ntsis, tej zaum rhinitis (mob ntawm qhov ntswg mucosa) - qhov no yog qhov zoo rau kev tsis haum atopy. Cov tsos mob tshwm sim hauv cov kab mob hauv qab thiab cov pob liab liab uas muaj cov pob liab liab yog cov tsos mob ntawm tus kab mob dermatitis tshwm sim los ntawm cov kab mob, fungi lossis kab mob. Rau cov mob dermatitis, cov tsos mob tshwm sim ntawm qhov mob ntawm qhov mob hnyav yog cov yam ntxwv (tso liab, o, mob, ua haujlwm tsis zoo, nce hauv zos kub). Raws li rau lub morphology ntawm pob khaus, nyob rau hauv lub mob theem muaj papules, vesicles, tsawg zaus - bullae.

mob dermatitis

Nyob rau hauv lub sijhawm ntev ntawm tus kab mob, cov tsos mob ntawm o raug tshem tawm. Cov pob khaus thib ob muaj nyob ntawm lub cev.

Raws li hom pob khaus thib ob, qee zaum nws tuaj yeem kwv yees qhov tshwm sim ntawm tus kab mob:

  • Qhov tshwm sim tsis zoo - atrophy;
  • Qhov tshwm sim tsis txaus ntseeg - khawb, tawg, nplai, abrasions, rwj, yaig;
  • Ua tiav ntawm cov kab mob - kho tsis muaj kab, hyperpigmentation, dyschromia, depigmentation, lichenification, caws pliav.

YDermatitis Treatment

Vim muaj qhov tshwm sim ntawm cov kab mob dermatitis ntawm ntau yam etiopathogenesis, cov kws tshawb fawb thiab kws kho mob tau tsim cov tswv yim thiab cov txheej txheem rau kev kho cov kab mob ntawm daim tawv nqaij raws li tshuaj thiab kho lub cev. Tsis muaj universal kho rau dermatitis. Yog li ntawd, tag nrho cov kev kho mob, cov tshuaj tsim nyog thiab lub sij hawm ntawm kev kho mob yog txiav txim los ntawm tus kws kho mob tus kheej rau txhua tus neeg mob.

Txhua txoj hauv kev niaj hnub no ntawm kev kho cov kab mob dermatitis yog ua raws li peb lub hauv paus ntsiab lus:

  • Lub hauv paus ntsiab lus ntawm kev kuaj mob dav dav, uas suav nrog cov kev cai tshiab thiab kev tshawb fawb ntawm daim tawv nqaij thiab lub cev ntawm tus neeg mob nrog kev txiav txim siab ntawm qhov ua rau tus kab mob thiab qhov tshwm sim ntawm pathogenesis;
  • Lub hauv paus ntsiab lus ntawm kev cuam tshuam ntau yam ntawm cov kab mob pathogenesis, suav nrog kev ua haujlwm nruab nrab ntawm cov kab mob pathogenic ntawm tus neeg sawv cev, cuam tshuam rau cov tsos mob ntawm tus kab mob txhawm rau txhawm rau tshem tawm cov teeb meem cuam tshuam thiab kho lub cev tiv thaiv (tshuaj thiab kev kho mob hlwb.);
  • Principle of continuity of care. Kev kho mob ntawm cov kab mob dermatitis cuam tshuam nrog lub sijhawm xav tau rau kev ua kom tiav (rov qab) ntawm daim tawv nqaij. Nws tau raug pov thawj tias lub sij hawm ntawm kev ua kom tiav (cell renewal) ntawm daim tawv nqaij yog tsawg kawg yog 28 hnub.

Kev noj zaub mov kom raug

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Nrog rau kev tsis haum dermatitis, kev noj zaub mov tshwj xeeb thiab kev noj zaub mov zoo yog ib feem ntawm tus neeg mob txoj kev rov zoo. Kev noj zaub mov kom raug thiab cov khoom siv hypoallergenic hauv tus neeg mob noj zaub mov yog tus yuam sij rau kev tsis noj tshuaj tshiab ntawm cov tshuaj tsis haum rau hauv lub cev. Ua ntej mus ntsib kws kho mob, koj yuav tsum txiav txim siab ntawm tus kheej yam tsawg kawg nkaus ntawm cov khoom lag luam uas tuaj yeem noj yam tsis muaj kev pheej hmoo ntawm kev ua xua ntau dua.

Thaum kuaj hauv tsev kho mob, cov cim ua xua tuaj yeem ua kom cov txheej txheem tsim cov khoom noj muaj kev nyab xeeb. Yog tias tsis siv cov cim, nws raug nquahu kom maj mam suav nrog cov khoom tshiab hauv cov ntawv qhia zaub mov nrog lub sijhawm ntawm ob lub lis piam. Txhawm rau ua kom yooj yim rau koj taug kev xaiv cov khoom lag luam, peb muab cov npe kwv yees nrog qhov nruab nrab thiab muaj kev pheej hmoo siab ua rau muaj kev tsis haum zaub mov thiab dermatitis.

Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.

khoom pawg

Cov Khoom Noj Tsis Txaus Siab

Medium allergenic foods

Cov zaub mov uas feem ntau ua rau muaj kev fab tshuaj

Protein: Nyob zoo ib tsoom niam txiv kwv tij neej tsa phooj ywg sawv daws yog nej leej twg nyiam no thov pab txhawb nqa kv thiab ua tsaug.. Nqaij, nqaij nyuj rog, mis nyuj, qe qaib, ntses, nqaij nruab deg, caviar, nqaij haus luam yeeb, delicacies, stew.
zaub: Cereals (rice, pearl barley), ntsuab lettuce, dib, zucchini, swede, zaub qhwv tshiab, spinach, zaub roj, pears, gooseberries, dawb cherries thiab dawb currants. Rye, buckwheat, pob kws, txiv hmab txiv ntoo ntsuab, qos yaj ywm. taum, sauerkraut, zaub zaub, tag nrho cov txiv hmab txiv ntoo liab, tag nrho cov txiv hmab txiv ntoo qhuav, nceb, txiv hmab txiv ntoo qhuav (qhuav apricots, raisins, hnub, figs).
Drinks: Sour-milk tsis ntxiv dyes, compotes los ntawm pears thiab txiv apples, rhubarb decoctions, tsawg concentration ntsuab tshuaj yej, tsis-carbonated ntxhia dej. tshuaj yej dub, kua txiv hmab txiv ntoo ntsuab, tshuaj ntsuab decoctions. Sweet sparkling water, puv yogurts, cocoa, kas fes.
khoom qab zib: txiv hmab txiv ntoo qhuav los ntawm qhuav txiv pears thiab txiv apples, prunes. Yyoghurts, mousses, curds. YCaramel, marmalade, chocolate, zib ntab.
Spices and sauces: - - Ketchup, mayonnaise, soy sauce, kaus poom kua zaub, thiab txhua yam khoom noj uas npaj muaj xim, emulsifiers, preservatives thiab lwm yam khoom noj ntxiv.

Nrog dermatitis yam tsis muaj kev tsis haum tshuaj, kev noj zaub mov kom zoo yog qhov tseem ceeb dua. Lub hauv paus ntsiab lus tseem ceeb yog suav nrog cov khoom noj uas muaj calorie tsawg, yooj yim digestible hauv kev noj haus. Tsis muaj cov lus pom zoo thoob ntiaj teb. Koj tuaj yeem kawm paub ntau ntxiv txog cov khoom tau pom zoo rau koj tus kheej los ntawm koj tus kws kho mob thiab kws kho mob noj zaub mov.

Pom zoo: