Ringworm kwiScalp
I-Tinea capitis igama lenzululwazi ye- worm on the scalp. I-Tinea capitis iyaqhelekanga kubantwana, ngokukodwa kwiminyaka emi-3 ukuya kwe-7. Uninzi lwezifo ezifayo zibangelwa zizifungi ezimbini ezahlukeneyo:
- ITrochophyton tonsurans
- Microsporum canis
Ukuthunyelwa
I-fungi eyenza i-tinea capitis ivelise i-spores echithwa kwimpahla yengane esulelekileyo, i-brushes okanye i-combs, kwaye ingena emoyeni emntwaneni.
Ezi zixhobo zingaphila kwiinyanga kwizinto. Abantwana bafumana i-tinea capitis emva kokuba badibane nomntu osulelekileyo okanye isilwanyana, okanye emva kokuba badibana ne-spores ngezinye iindlela. Ngokomzekelo, omnye umthombo oqhelekileyo we-spores ungumfundi ofunda nabo okanye abantu abadala abaphethe i-spores kwesikhumba okanye isikhumba sawo ngaphandle kokusuleleka.
Ezi zinto zilandelayo zandisa ithuba lomntwana lokufumana i-tinea capitis infection:
- Ukuba neentsapho ezinkulu
- Izimo ezininzi
- Imeko ephantsi kwezoqoqosho
Kubonakala
Uphawu oluqhelekileyo lwe-tinea capitis lulahlekelwa yintlungu. Kukho ukukhawuleza, okungajonga ngendlela eyahlukileyo kuxhomekeke ekubeni ingaba i-fungus ingena ngaphakathi kweenwele zeenwele okanye ihlala ngaphandle kweenwele zeenwele. Ukubonakala ngokuqhelekileyo kubandakanya:
- Isicatshulwa esibomvu: Inkqutyana yokulahleka kweenwele kunye namachashazi amnyama kwi-scalp ebangelwa zizikhwebu eziphukile phantsi kwezantsi kwesikhumba
- I-Gray patch : Iindawo zokulahleka kweenwele kunye noomileyo, izilwanyana ezinqabileyo kwi-scalp
- I-Kerion : Iindawo zokulahleka kweenwele kunye ne-boggy, i-scalp enxinyiweyo kunye nama-pustules obangelwa yimpendulo yokugonywa kwe-immune system kwi-infection fungal
Ukuxilongwa
I-Tinea capitis ifumaneka ngeendlela eziliqela. Uviwo lwesibane se-Wood lungabonisa iintloko ezinobumba obuhlaza okwesibhakabhaka. Uvavanyo lwe- KOH kwizinwele okanye kwesikhumba sesibonakaliso singabonisa isikhunta phantsi kwe-microscope.
Ekugqibeleni, isiko lesibhokhwe seenwele okanye isikhumba se-scalp singabonisa ukuba luhlobo luni lwefungus olubangela ukusuleleka.
Unyango
Kubalulekile ukuba uqaphele ukuba i-tinea capitis ayikwazi ukuphathwa ngamagqabi antifungal. Kufuneka uphathwe ngamachiza antifungal ngomlomo, ngezinye iinyanga eziliqela. Amachiza aqhelekileyo antifungal asetyenziswayo afaka:
- Griseofulvin
- ILamisil (terbinafine)
- Sporanox (itraconazole)
- Diflucan (fluconazole)
Thintelo
Indlela efanelekileyo yokukhusela isifo se-tinea capitis kukusebenzisa ingqiqo. Musa ukwabelana ngama-combs, i-brushes, okanye iinqanawa nomntu ongekho kwintsapho yakho, kwaye ungathinti nabanye abantwana abanokuqhaqhazela kwi-scalp yabo okanye izilwanyana ezinobunzima naphi na.
Ukukhusela intsholongwane ephindaphindiweyo okanye ukuthintela isifo kubantu abasondeleyo kunye nomntwana osulelekileyo (njengamalungu entsapho) kunzima kakhulu.
- Amaqhina, iibhothi, kunye neengubo zomntu osulelekileyo kufuneka zikhutshelwe i-disinfected okanye zilahlwe.
- Amalungu entsapho kufuneka ahlolwe ngamagciwane afanayo.
- Amalungu entsapho angathanda ukusebenzisa i-shampoo e-antitifungal njenge-ketoconazole i-2% okanye i-selenium i-sulfidi 2.5%, efuna zombini imithi e-US Oku kunokunceda ukuthintela ukuhanjiswa kwe-tinea capitis, nangona kungekho datha ethembekileyo yokuqinisekisa oku.
Imithombo:
Mounsey, AL, & SW Reed. Ukuchonga nokuphathwa kweentlungu. I-American Family Physician, 80.4 (2009), 356-362.
Sobera, uJenny & Boni Elewski. "Izifo ezifayo." I-Dermatology, 2 uEd. Eds. UJean Bolognania kunye ne-et. al. Mosby, 2008. 1141-3.
Habif, uTomas. "Izifo ezifayo." I-Clinical Dermatology, i-4 Edition. Ed. UThomas Habif, MD. ENew York: uMosby, 2004. 427-33.