Ukujongwa kwenkcazo, izizathu, kunye neendlela ezili-19 ezahlukileyo.
Zonke iindawo ezihlukileyo ziyahlukileyo: Zineentetho ezahlukeneyo, izizathu kunye neyeza.
Oogqirha baxilonga i-rashes ngokusekelwe ekuqaphelweni kwimizekelo. Ukuba uhlobo lokukhawuleza luyabonakala, okanye ugqirha unamava, ukuqaphela iprothementi kusebenza kakuhle xa ufumanisa i-rash.
Nangona kunjalo, kwisicatshulwa seSiboniso sokuSilathisa: Isikhokelo esisekelwe kuBungqina, abaStern and co-authors bathetha oku kulandelayo:
Umngcipheko wokuqaphela iprogram kukuba ukuxilongwa kweengcamango kuthathwa kakhulu ngamava amva nje, ukuxilongwa okungaqhelekanga kuthatha ukungabonakali, kwaye oogqirha bavame ukufikelela kwisantya ngaphambi kokuvavanya.
Ngamanye amazwi, kwanokuba oogqirha banokufumana ukuxilongwa ngokungahambi kakuhle.
Ngaphambi kokuba sibone uluhlu lweelfabhethi lweentlobo ezahlukeneyo zokuhlaselwa, kufuneka sichaze amanye amagama aqhelekileyo asetyenziswa ukuchaza ezi zilonda. Siza kusebenzisa eminye yemigqaliselo kwisihlomelo se-alphabetical of rashes, ngoko unokufuna ukubuyela kuloluhlu njengoko usebenzisa le nqaku.
Iinkcazelo eziSisiseko
Ixesha elithi dermatitis lisetyenziselwa ukuchaza ukugqithwa okulula. Nazi ezinye iimpawu eziqhelekileyo ezisetyenziselwa ukuchaza uhlaselo.
- I-Patch: Isilonda esicatyiweyo esingaphezu kwe-1 cm ububanzi.
- Ipapule: I-"bump" eqinile engaphantsi kwe-1 cm ububanzi.
- I-Plaque: i-lesion ephakanyisiwe efana ne-plateau kwaye ibukhulu besayizi. Ngokuqhelekileyo, i-plaque yenziwe ngokuguquka kwamaphepha amancinci.
- I-Wheal: I-plaque evuyiweyo okanye i-papule ehamba kunye nokuvuvukala kunye nokuhlambalaza.
- Macule: Isilonda esicala esingaphantsi kwe-1 cm ububanzi.
- I-Pustule: I-blister ephakamileyo nayiphi na ubungakanani obuzaliswe yi-pus.
- Bulla (ubuninzi bullae): I-pustule ephezulu kune-1 cm ububanzi.
- I-Nodule: Isilonda esiqinileyo, esiphakamileyo phakathi kwe-1 no-5 cm ububanzi.
- Ukuqhawulwa kwamatyala: Ukubonakala okubonakalayo okanye kwesikhumba kwesikhumba.
- I-Comedone: Iplagi eyenziwe ngamathambo ekhumba kunye neekeratinous impahla efunyenwe kwisilandela. I-comedone evulekile ibumnyama ("umnyama omnyama") kunye ne-comedone evaliweyo imhlophe ("i-whitehead").
- I-Papulosquamous: Isilonda esakhiwa ngamapulules kunye neeplates ngokukhawuleza.
- I-Vesicle: I-cyst egcwele amanzi
- I-Purpura: Amabala ahlambulukileyo elukhumbeni obangelwa ukuphuma kwegazi phantsi kwesikhumba.
- I-Petechia: Indawo ebomvu okanye obomvu ebangelwa ukuphuma kwegazi phantsi kwesikhumba.
Acne Vulgaris
Inkcazo yekliniki : Iipustules, iipules, i-comedones, iigununu ebusweni, esifubeni, nangemva
Iqela leminyaka eliphambili : Ii-Adolescents
Isizathu : Ukudibene neenguqu ze-hormone zokutshatyalaliswa. I-acne ekhulayo isebenza kwiintsapho. Ukufumana ikhonkco kwindawo yokutya yindawo echaphazelekayo yomdla.
I-Course : I-acne ihamba ngoxa ikhulile kodwa ukutshatyalaliswa okubangela ukutshatyalaliswa nokunyuka kwi-acne acne ingaphila.
I-acne vulgaris , okanye "i-acne," ixhaphake ukuba amaxesha amnandi athiwa ngokuthi "physiologic," kunye nomzimba omnene awusona isifo okanye ukugula ngesinye.
Namanyathelo okubunjwa kwe-acne:
- Ukugqithiswa kweentlobo zeentlobo (i-comedones)
- Ukuveliswa kwe-sebum ngaphezu
- Ukuvutha
- Usulelo lwe-bacterial Propionibacterium acnes
I-acne idla ifuna unyango ngugqirha ukunciphisa ukungazinzi nokunciphisa umngcipheko wokukhawulwa kwexesha elide.
I-acne ifanele iphathwe kwangaphambili, kwaye i-acne ihlala iphathwa ngokusetyenziswa kweziyeza ezahlukeneyo. Ukucocwa kubalulekile. Izinyathelo eziqhelekileyo zonyango ziquka ukuhlanganiswa kwe-retinoid esetyenziselwa ulusu, i-antibiotics kunye ne-benzoyl peroxide. I-Proactive, eyaziwayo yonyango olulandelayo, luqulethe. i-benzoyl peroxide kunye ne-salicylic acid kwaye ipapashwa ukuba ihlambulule, ithini, i-hydrate, kwaye ikhusele ulusu elangeni.
I-Atopic Dermatitis (i-Aicic Eczema)
Inkcazo yekliniki : Amaphepha amachiza, i-lichenification, ukugqithisa ngobuso kunye neengalo
Iinqununu (iinqununu) : Iintsana, abantwana abancinci
Isizathu : Ukudibanisa nokuxhatshazwa
I-Course : Ingapheli kunye nokubuyela kwakhona, abanye abantwana bayaphuma
I-dicatitis ephezulu , ebizwa ngokuba yi-atopic eczema, ithintela phakathi kwe-15 ne-20 ekhulwini yabantwana abahlala kumazwe ashishino. Ingumzimba onobuhlungu kakhulu kwaye ugijima kwiintsapho. Amatyala amancinci ye-atopic dermatitis angaphathwa nge-steroids ye-topical (glucocorticoids), ezifumaneka kwi-counter-counter. Iimeko ezinzima kakhulu zinokuphathwa nge-tacrolimus kunye ne-pimecrolimus, e-immunomodulators egqitywe ngugqirha. Abantu abanesifo se-atopic dermatitis kufuneka baphephe izifo eziza kuphazamisa iimeko, ezinjengezitsholongwane kunye nezilwanyana zezilwanyana.
Bullous Pemphigoid
Inkcazo yeklinikhi : Bullae
Iqela leminyaka eliphambili : Abantu abadala
Isizathu : Zenzele ngokuzenzakalelayo
Inkambo : Imijelo okanye i-wanes, ukuxolelwa ezininzi
I-Bullous pemphigoid iyisifo esingaqhelekanga, esichaphazelayo esiphefumulayo esiphumela ekubhentsheni kwesikhumba kunye neembumba ze-mucus kubantu abadala. Unyango lwe-bullous pemphigoid luyinkimbinkimbi kwaye ifuna igalelo kwiingcali ezahlukeneyo, kubandakanywa izidumbu, i-ophthalmologists, kunye noogqirha bezempilo. Unyango luxhomekeke ekusasazeni kwayo, kwaye i-steroid yeengqungquthela isetyenziswa ngokuqhelekileyo. Iimeko ezinzima kakhulu zingadinga unyango nge-immunomodulators ezifana ne-tacrolimus yamaqonga.
Dermatitis Herpetiformis
Inkcazo yezonyango : Iipilisi kunye nama-vesicle kwiindawo ezidlulayo zeengalo nemilenze
Iqela leminyaka eliphambili : Phakathi kweminyaka engama-30 no-40
Inkambo : Ixesha elide kodwa lingena ekuxoxweni, ukuxolelwa kuchazwa njengeminyaka emibili kunye neyesibini
I-herermtiformis ye-Dermatitis yinto ephosakeleyo kakhulu ebonakalayo kumzekelo olinganayo kwiindawo ezidlulayo zomzimba. Iimvumba kunye ne-blisters yalo mqathango zifana nokusuleleka kwintsholongwane ye-herpes. Abantu abane-dermatitis herpetiformis nabo banokubandezeleka kwe-gluten, kwaye oku kuhlaselwa kubonakala malunga neepesenti ezili-10 zabantu abanezifo ezinqabileyo. Kuqhelekileyo kumadoda kwaye ngokuqhelekileyo kuthinta abantu baseMntla Yurophu. Iimpawu ze-dermatitis herpetiformis zidla ngokucacileyo emva kokusetyenziswa kwe-gluten-free food.
Erythema Multiform
Inkcazo yezonyango : Izilonda zamatgethi
Iqela leminyaka eliphambili : abadala abaselula
Isisombululo : Ukuphendulwa komzimba
Inkambo : Ixesha elifutshane, iiveki ezi-1 ukuya kwezi-2
I-Erythema multiform yimeko ekhutshanayo yesikhumba esikhulayo. Ukugqithisa kubonakala ngathi kuluhlaza obomvu kwaye kuyathintela amehlo, umlomo kunye nezinye izinto ze-mucosal. Ukugqithisa kwe-erythema mutliform kuthatha uhlobo lweembalo ezigxilwe okanye izilonda.
Le meko yindlela yokwenza isifo esiphumelelayo kwaye inokubonakala isibini kwisifo sobungozi be-herpes, ukusuleleka kwi-fungal, ukusuleleka kwe-streptococcal, okanye isifo sofuba. I-Erythema multiform ingakhokelela kwakhona kwiikhemikhali okanye kumachiza, njenge-NSAID, i-allopurinol, kunye nee- antibiotics ezithile . Ekugqibeleni, i-erythema multiform inokuhamba kunye nezifo zesifo somzimba kunye ne-lupus.
Kukho iintlobo ezimbini ze-erythema multiform. Okokuqala, i-erythema minform ineyona nto ibangela ukugula okuchukumisayo okuchaphazela kuphela isikhumba kwaye ngamanye amaxesha kubangela izilonda zomlomo. I-Erythema multiform enkulu iqala ngeempawu zenkqubo ezichaphazela umzimba wonke, njengokungenwa kwamalungu kunye namafiva. Izilonda zinokuba zinzulu kakhulu kwaye zichaphazele izitho zangasese, i-airways, gut, okanye amehlo.
Nazi ezinye iimpawu ezingaphumelela ngokukhawuleza kwi-erythema multiform enkulu:
- Fever
- Malaise
- Ubungcwele
- Isikhumba esikhulayo
- Ama-Achy
Ngokuqhelekileyo, i-erythema multiform iyahamba yodwa ngaphandle kwonyango. Ezinye iindlela zonyango zingalawulwa ziquka i-steroids, i-antihistamines, i-antibiotics, i-compresses emanzi kunye namayeza enhlungu. Kubalulekile ukugcina izilonda zihlambulukile kwaye zigcina ucoceko olulungileyo ukuze unciphise umngcipheko wesifo sesibini.
Erythema Nodosum
Inkcazo yeklinikhi : Iiplantshi ezibuhlungu, ezibuhlungu, ezibomvu zifumaneka rhoqo kumanqanaba, amathole, iingalo kunye namathanga; Kwiiveki ezingaphezulu kweeveki, iiplati zicatshulwa kwaye zithatha ukubonakala kweemivimbo
Iqela leminyaka eliphambili : Amaxesha onke
Isizathu : Ngesiqingatha seemeko, isizathu asiyazi. Ezinye izizathu zibandakanya izifo kunye namayeza, njengama-antibiotic. I-Erythema nodosum nayo iyakwenzeka ngexesha lokukhulelwa, i-leukemia, i-sarcoidosis kunye ne-rheumatic fever.
Inkambo : Engonwabiyo, ihlala isombululo emva kweveki ezi-6
I-Erythema nodosum yindlela ye-panniculitis, okanye ukuvuvukala kobunqamlezo beoli ngaphakathi kwesikhumba. Izikhumba zesikhumba ziqala kuqala njengezithele, eziqinileyo, ezivuthayo, ezibubanzi obuyi-intshi. Ezi ziqhumbu ezibuhlungu zingabonakala zihlambulukile emva kweentsuku ezimbalwa. Emva kweeveki ezimbalwa, ezi zilonda ziba zibalabala, iipatches eziphathekayo. Ukongeza kwizilonda zesikhumba, i-erythema nodosum inokubangela izibonakaliso eziqhelekileyo, kuquka imfiva, i-malaise jikelele, ukunyuka, nokuvuvukala. Unyango luxhomekeke kwisisiseko esisisiseko kwaye singaquka okanye unyango lwe-infections okanye isifo okanye ukuyeka ukusetyenziswa kweziyobisi. Ezinye iindlela zonyango ziquka i-steroids, i-NSAID, ukuxinwa okufudumele okanye okubandayo, okanye amayeza eentlungu.
Folliculitis
Inkcazo yezonyango : Ama-pustules anentsholongwane achaphazela kakhulu ubuso, izibonda, iinjongo, kunye ne-trunk.
Iqela leminyaka eliphambili : Amaxesha onke
Isizathu : Ibhakteria, i-viral, okanye i-fungal
Inkambo : Isixazululo ngokuqhelekileyo
I-Folliculitis yintsholongwane yobugqwetha benwele. Inokuba yinto ebusweni kwaye iyathintela kuphela ulandelelwano lweentloko ezingaphezulu. Okanye, i-folliculitis inokusebenza ngokujulile kunye nokuvuvukala kunokuchaphazela ubunzulu bobuqili. Usulelo olunzulu lukhokelela ekubilweni. I-Folliculitis ingaba yintsholongwane ye-bacterial, viral, okanye yefungal. Ukongezelela, i-folliculitis nayo ibangelwa zizixhobo ezingenasifo ezifana nezambatho ezinxibeleleyo, i-steroids ye-topic, i-ointments, i-makeup kunye ne-lotion. Utyando luchongiwe yimbangela ye-folliculitis kwaye ifaka i-antiviral, antibiotic, okanye imithi yokukhusela i-antitifungal.
Herpes
Inkcazo yezonyango : "Izilonda ezinobungozi," ama-vesicle kunye nezilonda; kubantwana, ukuvuvukala kwimbombo yomlomo kunye neentlobo (oko kukuthi, gingivostomatitis)
Iqela leminyaka eliphambili : Amaxesha onke
Isizathu : Intsholongwane
Inkambo : Isixazululo ngokuqhelekileyo
I-WHO iqikelela ukuba abantu abangama-3.7bhilidi abangaphantsi kweminyaka engama-50 ubudala banesifo sengculaza ye-herpes simplex (HSV-1) ngo-2012. Intsholongwane ye-HSV-1 isasazeka ngokuqhagamshelana ngomlomo. Nangona izilonda ezibandayo zingabonakali kwaye zingakhathazeki, azibangeli ezinye iimpawu. I-ointments okanye ama-creams antiviral anokunciphisa ukutshisa, ukubetha, kunye nokungahambi kakuhle kunye nezilonda ezibandayo.
Kwinqaku edibeneyo, ukusuleleka kwintsholongwane ye-herpes simplex 2 (i-HSV-2) ibangela i- herpes yobulili . I-genital herpes iyadluliselwa ngesondo. Nangona kunjalo, i-HSV-2 nayo ingabangela izilonda ezibandayo. I-WHO iqikelela ukuba i-11 ekhulwini labemi behlabathi inesifo se-herpes.
I-Herpes Zoster (i-Shingles)
Inkcazo yeklinikhi : Ubomvu, ama-vesicle
Isizathu : Ukuvuselelwa kwegciwane le-Varicella ye-virusi
Iqela leminyaka eliphambili : Abantu abadala
Inkambo : ezimbini ukuya kwiiveki ezintathu
I-Herpes zoster, okanye i-shingles , yintlungu ekhungulukileyo yesikhumba ebangelwa yi-varicella yoster virus. Le ntsholongwane ibangela ukuba inkukhu ikhuphe. Ngokuthe ngqo, ukusuleleka kwintsholongwane ye-varicella yoster virus kubangelwa inkukhu enobuntwaneni. Emva kokuba inkukhu igqitywe, intsholongwane ihlala ilele kwiiseli zesiswini iminyaka emininzi. Ukusetyenziswa kwakhona kwintsholongwane kubangela ukukhwela.
Nge-herpes zoster, intlungu ibangela ukugqithisa. Ukugqithwa kwintlupheko kuhanjiswa kwiidermom ngasemva, ubuso, amehlo, intamo, okanye umlomo. Ezinye iimpawu ze-herpes zoster ziquka ubuthathaka, umkhuhlane, intlungu kunye, kunye neengqungquthela ezivuvuzayo. Akukho nonyango ye-herpes zoster. Unyango luquka imishanguzo yeentlungu, i-steroids, iziyobisi ze-anti-anti-drug, kunye nama-antihistamines. Kukho isitofu sokugoma i-herpes zoster, eyahlukileyo kwi-vaccine ye-inkukhu, kwaye ibiza ngokuba ngumtshini wokugoma. Ukugonya kwe-shingles kunciphisa umngcipheko weengxaki zokugula.
Impetigo
Inkcazo yekliniki : Iipustules, vesicles, i-honey-colored crusting, indawo ezibomvu zokhuseleko lokukhutshwa komzimba
Iqela leminyaka eliphambili : Abantwana phakathi kweminyaka emi-2 no-6 ubudala
Isizathu : Ibhaktheriya
Inkambo : Isigqibo emva kweentsuku ezimbalwa
I-Impetigo yindlela ekhethekileyo yokusuleleka kwesikhumba. I-Impetigo ibangelwa yi- S. aureus okanye i- Stretptococcus btheriya . I-Impetigo isasazeka kwaye isasazeka phakathi kwamalungu endlu efanayo. I-Impetigo iyaxhaphaka kwiindawo apho abantu abanako ukufikelela okuncinci kwisepha kunye namanzi acocekileyo, afana neentlanga eziphuhlisayo. I-Impetigo iqhelekile kubantu abangenamakhaya. Zombini i-antibiotic yomlomo kunye neyomlomo ingasetyenziselwa ukuphatha impetigo. Ukuba impetigo ibangelwa yi-MRSA, ibhakteria engamelana neziyobisi, ngoko kufuneka i-antibiotic yomlomo. Indlela efanelekileyo yokukhusela i-MRSA kukuzihlambulula kakuhle kwaye uphephe ukwabelana ngempahla kunye nethupha.
Lichen Simplex Chronicus
Inkcazo yeklinikhi : Iiplati, i-lichenification
Iqela leminyaka eliphambili : Abantu abaneminyaka engama-30 no-50 ubudala
Isizathu : Engaziwayo
Inkambo : Ixesha elide, libuyisela unyango
I-simplehenx chronicus i-Lichen iyimeko ekhutshana yesikhumba ebangelwa ukubetha nokutshiza. Ukuxinezeleka, ukuxhalaba, ukuphazamiseka okunyanisekileyo kunye nokuphazamiseka kokulala konke kunokudlala indima ebalulekileyo kwimeko kunye nokuqhubeka kwekhosi ye-lichen simplex chronicus. Abantu abanesifo sokutya kunye ne-atopy baxhomekeke ekuhlaleni i-lichen simplex chronicus. Ukubamba okuqhubekayo kunokugqibeleni kukukhokelela kwiindawo ezincinci zolusu. I-Antihistamines kunye ne-steroids ingasetyenziselwa ukunciphisa itchch of lichen simplex chronicus. Xa i-itch ilawulwa, i-lichen simplex chronicus iyakususa.
Pityriasis Rosea
Inkcazo yekliniki : i-Herald patch, ipapules kunye nezikali (okt, i-papulosquamous)
Iqela leminyaka eliphambili : Naliphi na ubudala kodwa ininzi ibonakala kubantu abaphakathi kwe-10 no-35
Isizathu : Engaziwayo
Inkambo : Kwiingama-80 zabantu, i-rash isombululo kwiiveki eziyi-8. Ngokuqhelekileyo, ukukhawuleza kuqhubekeka phakathi kweenyanga ezintathu no-5.
I-marker ye-herald iyimpawu ephawulekayo ye-pityriasis rosea kwaye ivela kwi-trunk. I-marker ye-sheald yodwa i-lesion, i-oval, inyama-okanye i-salmon-colored lesion ngokukhawuleza emngceleni. Kuphakathi kwama-0.8 no-4 intshi ububanzi. Emva kweveki okanye ezimbini kwiiveki emva kokubonakala kwipaki yommemezeli kwisiqu, ezininzi ezincinci zeepulosquamous zilonda zixhamle kunye neembambo kwi-Christmas tree pattern. Ngaphandle kwesikhumba, akukho zibonakaliso zepityriasis rosea. Phantse kwikota yabantu, le meko iyinto enzima. I-Pityriasis rosea isombulula ngokwayo kwaye ayifuni unyango. Nangona kunjalo, i-steroids yama-topical kunye ne-antihistamines inokukunceda ukunciphisa ukutshaya.
Psoriasis
Inkcazo yeklinikhi : Amaphepha okanye iiplati ezinamazinga okugcina (okt, i-papulosquamous)
Iqela leminyaka eliphambili : Abaninzi abantu abadala kodwa banokuthi naluphi na ubudala
Isizathu : Zenzele ngokuzenzakalelayo
Inkambo : Ixesha elide
I-Psoriasis isifo esingasigxina, esizimelayo, esibhubhisayo esikhuseleni esibangela ukuphakanyiswa, izilonda ezibomvu ezinezikali zesikhumba. I-plaque psoriasis iyona hlobo eqhelekileyo ye-psoriasis, ebalwa malunga neepesenti ezingama-90 zazo zonke izifo zesifo. Iiplati zivame ukwandisa ngokukhawuleza emva kwexesha kwaye zibonise ngokulinganayo kwimida, ngamadolo, i-scalp, izibhokhwe, njalonjalo.
Le meko ichaphazela malunga nama-3 ekhulwini kumaMerika. I-Psoriasis inokuchaphazela amajoyina, okubangelwa i- psoriatic arthritis . Amaphupha aphando olutsha kwinto yokuba i-psoriasis yintlupheko ebangela ukuvutha komzimba, okuquka ukubetha, ukuhlaselwa yintliziyo kunye nokufa.
I-psoriasis enobubele ingaphathwa nge-hydrocortisone okanye kwezinye iifrimu eziphezulu. I-psoriasis enesisindo iyakwazi kunyangwa nge-immunomodulators.
I-Mountainy Mountain Inokutsha
Ukunikezwa kweeNtsholongwane: i-Petechiae kwiintendelezo okanye kwiintsimbi
Iqela leminyaka eliphambili : nawuphi na ubudala
Isizathu : Ibhaktheriya ephethe iikiti ebizwa ngokuba yiRickettsia rickettsii
Inkambo : enye ukuya kwiiveki ezimbini
I-Rocky Intaba ebonakalayo i-Fever igqithise ngokugqithisa, intloko yesifo, kunye nomkhuhlane owenzeka emva kokukhawulwa kwekhaksi yakutshanje. Nangona kunjalo, iipesenti ezingama-30 ukuya kuma-40 zezigulane aziyi kubalisela i-tick bite, kwaye izigulane ezininzi azivezi.
Ngomkhuhlane weRawny spotty, abantwana abadala kunye nabadala baqala ukuvelisa intloko elandelwa ziintlungu kunye neentlungu kwiimisipha kunye namalungu.
Nangona i-Rocky Mountain inomlilo ibonakala kuyo yonke i-United States, ixhaphake kakhulu kwi-Atlantic ne-south-central state. Kwakhona ku-Oklahoma. Ngokuqhelekileyo, abantu banentsholongwane ne-Rocky Mountain ebonakalayo kwimfiva ngexesha lefudumala lonyaka apho iikhiza zisebenza.
Amanyathelo amanyathelo angathathwa ukuze athinte ukukhawulwa kweekethi kubandakanya oku kulandelayo:
- Ukugqoka iimpahla ezinde
- Ukusebenzisa izambatho kunye nemigodi ephathwa nge-premethrin
- Ukwenza iikiti uhlole wena kunye nezilwanyana
- Ukuhlamba ngokukhawuleza xa ubuyela ekhaya ukusuka kwindawo enemihlathi
Ukukhawuleza kukuqala i-maculopapular (ukudibanisa iimpawu ze-macules kunye neepilules) kwaye ivela kwiimbumba kunye ne-ankle. Ukugqithisa kwandwendwela kwi-body apho ibonakalisa njenge-petechiae. I-Thrombocytopenia, okanye isibalo esiphantsi seplatelet, iqhelekile kunye ne-Rocky Mountain ebonakalayo kunye ne-petechiae.
I-antixytic doxycycline isetyenziswe ekuphatheni le ntsholongwane. Unyango kunye ne-doxycycline lusebenza ngokugqithiseleyo xa luqaliswe kwiintsuku zokuqala ezintathu ukuya kwezi-5 zokugula. Izigulane ezineempawu ze-neurological, ukuhlanza, iimpawu ezinqabileyo ezizinzileyo, okanye umsebenzi ochaphazelekayo weengtso kufuneka zifakwe esibhedlele.
Rosacea
Inkcazo yeklinikhi : Ubomvu bobuso obuphambili kunye nama-pustules
Iqela leminyaka eliphambili : Abantu abadala kunye nabantu abadala
Isizathu : Engaziwayo
Inkambo : Ixesha elide; ukuphazamiseka kunye nokukhutshwa
I-Rosacea yisifo esingapheliyo esibangela ubomvu kunye neengcambu zobuso kunye ne-acne. Kulinganiselwa ukuba izigidi ezili-14 zaseMerika zine-rosacea. Isimo esivuthayo esichaphazela ubuso kunye namehlo kwaye ngokuqhubekayo kuqhubeka ngokuhamba kwexesha. I-Rosacea inokubangela ukukhathazeka komzimba.
Ukuhamba kwexesha kubangela oku kulandelayo:
- Iphunga lempumlo
- Isikhumba somzimba esincinci
- Ukuqhuma
- Imigca ebomvu ebusweni
- Imida yegazi ebusweni
- Olubomvu, amehlo anamehlo
I-Rosacea ibonakala kakhulu phakathi kwabafazi abamhlophe. Ngokuxhomekeka kubuhlobo nobunzima, i-rosacea ingaphathwa nge-antibiotics, i-lasers, okanye utyando.
Seborrhea
Inkcazo yezonyango : Ukuchithwa kakubi, iifomati ezibomvu kunye ne-greasy, izikali eziphuzi zihlala zijikeleze isikhumba, amaqoma, ibunzi, izihlathi kunye neempumlo; inokuchaphazela nomzimba
Iqela leminyaka eliphambili : Amadoda aphakathi kweminyaka engama-20 no-50
Isizathu : Engaziwayo
Inkambo : Ixesha elide, ukubuyela kwakhona
I-Seborrhea yimeko engapheliyo, evuthayo echaphazela iindawo zobuso ezivelisa i-sebum. I-Sebum yinkcenkceshe yamanzi eveliswa yimigqomo. Iintsana zinokuthi zibe ne-seborrhea ye-scalp (i-cap-cap) okanye i-seborrhea echaphazela indawo ye-diaper. Abantu abane-seborrhea banokuthi bafumane ikoloni kunye ne- Malassezia , uhlobo lwesidya. Nangona abantu abanentsholongwane kaGawulayo kunye ne-AIDS banama-seborrhea, isininzi sabantu abane-seborrhea banamasosha omzimba avamile. I-Seborrhea iphathwa ngokugqithiseleyo ngemithi ye-antifungal.
Tinea
Inkcazo yeklinikhi : Imfudu ebomvu, eneengqayi, kunye nomda we-scaly; ukucoca okuphakathi kungabomvu
Isizathu : Iifungus
Iqela leminyaka eliphambili : Amaxesha onke
Inkambo : Ngokuqhelekileyo isombululo emva kokunyanga kwe-anti-cervical treatment
I-Tinea ibhekisela kwiqela lezifo ezibangelwa yi-fungus ebizwa ngokuthi i-dermatophytes. I-Tinea iyakwazi ukusasazwa ngabantu emva kokudibana kunye netheyile, igumbi lokugcina indawo, kunye nokunye. Le fungus inokuchaphazela amalungu ahlukeneyo omzimba kwaye ibangela iimpawu ezithile kwiindawo ezibandakanya:
- I-Ringworm apho i-rash ithatha uhlobo lwempondo entanyeni, iingalo, imilenze, okanye i-trunk
- I-Scalp ringworm
- Inyawo lomdlali
- Jock itch
I-ointments kunye nama-creams aqhele ukuphatha i-tinea ngexesha elifutshane. Amatyala amaninzi angadinga unyango kunye nemishanguzo yonyango.
Urticaria (Hives)
Inkcazo yezonyango : Amavili
Iqela leminyaka eliphambili : Amaxesha onke
Isizathu : Ukutya konke ukutya okanye iziyobisi
Inkambo : Isixazululo ngokuqhelekileyo emva kweentsuku ezimbalwa okanye iiveki ezimbalwa
Urticaria, okanye imihlathi , kunye ne-angioedema iqhutyana kunye. I-Angioedema ibhekisela ekuvupheni kwesikhumba. Imifuno ivela kuma-20 ekhulwini kubemi ngexesha elithile. Malunga ne-0.5 ekhulwini labantu abanomhlalaphantsi, okanye ixesha elide, i-urticaria, eyona nto iyimfuneko yokuzimela. I-Urticaria iphathwa nge-steroids kunye nama-antihistamines kunye nokususwa kweyiphi na imichiza okanye ukutya okubangela ukuba.
Varicella (i-Chickenpox)
Ukunikezwa kweeNtsholongwane: Amaphepha, ama-vesicle, ama-pustules kunye ne-crusting, esasazeka kwiziko (oko kukuthi, i-centrifugal)
Iqela leBakala eliPhezulu : Abantwana
Isizathu : I-Varicella virus yezilwanyana
Inkambo : Ixesha elifutshane, lihlala iiveki ezimbini
Ukusuleleka kwintsholongwane ye-varicella yoster virus ngokuqhelekileyo kubonakala kubantwana phakathi kweminyaka eyi-1 ukuya kweyesi-9 kwaye kubangele inkukhu . Kubantu abadala, intsholongwane yokuqala ye-HIV isoloko ikhuni kwaye ihamba ne-pneumonia. Inqaku elibonakalayo lokuxilongwa ngentsholongwane ye-varicella yintsholongwane ye-vesicular, eqala njengama-papules kwaye utshintshe kwi-vesicles kunye nama-pustules ngaphambi kokugqithisa. Ukuqala kokukhawuleza kubandakanya ubuso, i-trunk kunye ne-scalp. Ekugqibeleni, ukukhawuleza kuya kwiingalo nemilenze. Ezinye iimpawu zeenkukhu ziquka intloko, ubuthathaka kunye nokulahlekelwa yidlo. Unyango lwe-inkukhu isifo, kunye ne-acetaminophen enikwe umkhuhlane; amanzi afakelwe ukuhambisa amanzi; kunye nama-antihistamines, i-calamine lotion, kunye ne-colloidal oatmeal baths ezisetyenziselwa ulusu. Ulwaphulo lwe-antiviral nge-acyclovir lunokunciphisa ubude bentsholongwane kunye nobukhulu beempawu. Ukugonya kwabantwana okuchasene nenkukhu kunconywa yi-CDC.
> Imithombo:
> Isahluko 116. Impetigo. Ku: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. eds. Umbala we-Atlas of Medicine Family, 2e eNew York, NY: McGraw-Hill; 2013.
> ICulton DA, uLi Z Z, uDiaz LA. Isahluko 56. I-Bullous Pemphigoid. Ku: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K. eds. I-Ditzatrick's Dermatology kwi-Medicine General, 8e eNew York, NY: McGraw-Hill; 2012.
> Jaffe J, u-Ratcliff T. Isahluko 42. Izifo ezithintekayo. Ku: I-Stone C, i-Humphries RL. eds. UKUPHATHWA KWEZINDAWO ZOKUPHATHWA KWEZINDAWO ZONYAKA NOKUPHATHWA KWEZINDAWO ZONYAKA, 7e eNew York, NY: iMcGraw-Hill; 2011.
> Leung DM, Eichenfield LF, Boguniewicz M. Isahluko 14. I-Aicic Dermatitis (I-Aicic Eczema). Ku: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K. eds. I-Ditzatrick's Dermatology kwi-Medicine General, 8e eNew York, NY: McGraw-Hill; 2012.
> Zaenglein AL, EM-Graber EM, iThiboutot DM. Isahluko 80. I-Acne Vulgaris kunye ne-Acneiform Eruptions. Ku: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K. eds. I-Ditzatrick's Dermatology kwi-Medicine General, 8e eNew York, NY: McGraw-Hill; 2012.