Lumikizanani ndi dermatitis

Lumikizanani ndi dermatitis ndimkhalidwe womwe khungu limakhala lofiira, lowawa, kapena lotupa mutayanjana mwachindunji ndi chinthu.

Pali mitundu iwiri yolumikizana ndi dermatitis.

Dermatitis yopweteka: Uwu ndiye mtundu wofala kwambiri. Sizimayambitsidwa ndi ziwengo, koma khungu limachita ndi zinthu zosasangalatsa kapena mikangano. Zinthu zokhumudwitsa zitha kuphatikizira zidulo, zinthu zamchere monga sopo ndi zotsekemera, zofewetsa nsalu, zosungunulira, kapena mankhwala ena. Mankhwala okwiyitsa kwambiri amatha kuyambitsa vuto pakangodutsa kanthawi kochepa. Mankhwala olimba amathanso kuyambitsa vuto mukakumana nawo mobwerezabwereza.

Anthu omwe ali ndi atopic dermatitis ali pachiwopsezo chowonjezeka chokhala ndi vuto lodana ndi dermatitis.

Zinthu zomwe zimakhumudwitsa khungu lanu ndi monga:

• Simenti
• Utoto wa tsitsi
• Kutenga nthawi yayitali matewera onyowa
• Mankhwala ophera tizilombo kapena opha udzu
• Magolovesi a mphira
• Zojambulajambula

Matupi kukhudzana dermatitis: Matendawa amapezeka khungu lanu likakhudzana ndi chinthu chomwe chimakupangitsani kuti musamayende bwino.

Zomwe zimayambitsa matendawa ndizo:

• Zomatira, kuphatikiza zomwe zimagwiritsidwa ntchito ndi ma eyelashes abodza kapena ma toupe.
• Maantibayotiki, monga neomycin amapaka pakhungu.
• Basamu waku Peru (amagwiritsidwa ntchito pazinthu zambiri zodzikongoletsera, komanso zakudya ndi zakumwa zambiri).
• Nsalu ndi zovala, kuphatikiza zida ndi utoto.
• Mafuta onunkhiritsa, zonunkhira, sopo, ndi zonunkhira.
• Kupukutira kwa msomali, utoto wa tsitsi, ndi mayankho osatha a mafunde.
• Faifi tambala kapena zitsulo zina (zopezeka mu zibangili, zingwe zomenyera, zipi zachitsulo, zikopa za mabotolo, mabatani, zikwama zamatumba, zopalira milomo, ndi zopangira ufa).
• Ivy poizoni, oak wa poizoni, poizoni wam'mimba, ndi zomera zina.
• Magolovesi kapena nsapato za latex kapena nsapato.
• Zotetezera zomwe zimagwiritsidwa ntchito popanga mankhwala ndi mankhwala owonjezera pa tsamba.
• Formaldehyde, yomwe imagwiritsidwa ntchito pazinthu zingapo zopangidwa.

Simungachite ndi chinthu mukayamba kudziwitsidwa ndi chinthucho. Komabe, mupanga zomwe mungachite mutawonekera mtsogolo. Mutha kukhala omvera kwambiri ndikupanga zomwe mungachite ngati mumazigwiritsa ntchito pafupipafupi. Ndikothekera kulekerera mankhwalawa kwazaka zambiri kapena ngakhale zaka makumi angapo musanachite zovuta. Mukayamba kukhala ndi ziwengo sizingakhale bwino kwa moyo wanu wonse.

Zomwe zimachitika nthawi zambiri zimachitika pakadutsa maola 24 mpaka 48 kutuluka. Kuthamanga kumatha kupitilira milungu ingapo kutulutsa kuyima.

Zina mwazinthu zina zimangoyambitsa khungu likamawunikiridwa ndi dzuwa (photosensitivity). Izi zikuphatikiza:

• Kumeta mafuta odzola
• Zowonetsera dzuwa
• Mafuta a Sulfa
• Mafuta ena
• Malasha phula mankhwala
• Mafuta ochokera pakhungu la laimu

Ma allergener ochepa opumira, monga ragweed, mafuta onunkhira, nthunzi kuchokera ku lacquer ya msomali, kapena mankhwala ophera tizilombo, amathanso kuyambitsa dermatitis.

Zizindikiro zimasiyanasiyana kutengera zomwe zimayambitsa komanso ngati dermatitis imayamba chifukwa cha zomwe zimachitika kapena kukhumudwitsa. Munthu yemweyo amathanso kukhala ndizizindikiro zosiyanasiyana pakapita nthawi.

Thupi lanu siligwirizana limatha kuchitika modzidzimutsa, kapena kukula pakatha miyezi kapena zaka zowonekera.

Contact dermatitis nthawi zambiri imapezeka m'manja. Zopangira tsitsi, zodzoladzola, ndi mafuta onunkhira zimatha kuyambitsa khungu kumaso, kumutu, ndi m'khosi. Zodzikongoletsera zingathenso kuyambitsa mavuto akhungu m'deralo.

Kuyabwa ndi chizindikiro chofala. Pankhani ya matenda apakhungu, kuyabwa kumatha kukhala koopsa.

Mutha kukhala ndi zotupa zofiira, zopindika, kapena zosalala pomwe mankhwalawo adakhudza khungu. Zomwe zimayambitsa vutoli nthawi zambiri zimachedwa kuti ziphuphu zisawoneke mpaka maola 24 mpaka 48 mutawonekera.

Kuthamanga kungakhale:

• Khalani ndi zotupa zofiira zomwe zimatha kupanga zotupa, zolira
• Khalani ofunda komanso achifundo
• Dulani, kukhetsa, kapena kutumphuka
• Khalani mamba, yaiwisi, kapena yolimba

Dermatitis yoyambitsa kukhumudwitsa imatha kuyambitsanso kutentha kapena kupweteka komanso kuyabwa. Irritant dermatitis nthawi zambiri imawonetsa ngati khungu louma, lofiira, komanso loyipa. Mabala (ming'alu) amatha kupanga m'manja. Khungu limatha kuyaka chifukwa chokhala nthawi yayitali.

Wothandizira zaumoyo wanu amakupangitsani matendawa kutengera momwe khungu limawonekera ndikufunsa mafunso pazinthu zomwe mwina mwakumana nazo.

Kuyesa kwa ziwengo ndi zigamba za khungu (komwe kumatchedwa kuyesa kwa zigamba) kungakhale kofunikira kuti mudziwe chomwe chikuyambitsa. Kuyesedwa kwa zigamba kumagwiritsidwa ntchito kwa anthu ena omwe amakhala ndi nthawi yayitali kapena mobwerezabwereza yolumikizana ndi dermatitis. Pamafunika maulendo opita ku maofesi osachepera atatu ndipo ziyenera kuchitidwa ndi omwe amakupatsirani luso lomasulira zotsatira molondola.

• Paulendo woyamba, timagulu tating'onoting'ono tomwe timatha kugwiritsidwa ntchito pakhungu limagwiritsidwa ntchito pakhungu. Zigawozi zimachotsedwa patatha maola 48 kuti muwone ngati zomwe zachitikazo zachitika.
• Ulendo wachitatu, pafupifupi masiku awiri pambuyo pake, wachitika kuti ayang'ane zomwe zachedwa. Kwa zovuta zina monga zitsulo, ulendo womaliza ukhoza kukhala wofunikira pa tsiku la 10.
• Ngati mwayesapo kale kachidutswa kakang'ono ka khungu lanu ndipo mwawona momwe mungachitire, muyenera kubwera nanu.

Mayeso ena atha kugwiritsidwa ntchito kuthana ndi zina zomwe zingayambitse, kuphatikiza zotupa pakhungu kapena chikhalidwe cha zotupa pakhungu.

Wothandizira anu amalangiza chithandizo kutengera zomwe zikuyambitsa vutoli. Nthawi zina, chithandizo chabwino kwambiri ndikuchita kalikonse m'deralo.

Kawirikawiri, mankhwalawa amaphatikizapo kutsuka malowa ndi madzi ambiri kuti athetse chilichonse chonyansa chomwe chikadali pakhungu. Muyenera kupewa kukhudzana kwambiri ndi mankhwalawa.

Mafuta kapena zotchizira zimathandiza kuti khungu likhale lonyowa, komanso zimathandiza kukonza khungu. Amateteza khungu kuti lisathenso. Ndi gawo lofunikira popewa ndikuthandizira kukhudzana ndi dermatitis.

Mankhwala apakhungu a corticosteroid amagwiritsidwa ntchito kwambiri pochiza dermatitis.

• Matenda amatanthauza kuti mumayika pakhungu. Mudzapatsidwa kirimu kapena mafuta. Matenda a corticosteroids amathanso kutchedwa topical steroids kapena topical cortisones.
• OGWIRITSA NTCHITO mankhwala ambiri kapena kuwagwiritsa ntchito nthawi zambiri kuposa omwe amakulangizani kuti muwagwiritse ntchito.

Wothandizira anu amathanso kukupemphani mafuta ena onunkhira, monga tacrolimus kapena pimecrolimus, kuti azigwiritsa ntchito pakhungu.

Zikakhala zovuta, mungafunike kumwa mapiritsi a corticosteroid. Wopereka wanu adzakuyambitsani pamlingo waukulu ndipo mlingo wanu udzachepetsedwa pang'onopang'ono pamasiku khumi ndi awiri. Muthanso kulandira kuwombera kwa corticosteroid.

Mavalidwe onyowa komanso otonthoza a anti-itch (antipruritic) mafuta akhoza kulimbikitsidwa kuti achepetse zina.

Matenda a corticosteroids ayenera kugwiritsidwa ntchito kwakanthawi kochepa. Kugwiritsa ntchito nthawi yayitali kumawonjezera chiopsezo chokhala ndi dermitant yolumikizana kwambiri.

Kuyanjana ndi dermatitis kumatha popanda zovuta m'masabata awiri kapena atatu nthawi zambiri. Komabe, imatha kubwerera ngati chinthu chomwe chidayambitsa sichingapezeke kapena kupewa.

Mungafunike kusintha ntchito yanu kapena zizolowezi zantchito ngati vutoli limayamba chifukwa chakuwonekera kuntchito. Mwachitsanzo, ntchito zomwe zimafunika kusamba m'manja pafupipafupi zitha kukhala zosankha zoyipa kwa anthu omwe ali ndi dermatitis yamanja.

Nthawi zina, allergen yomwe imayambitsa kukhudzana ndi dermatitis reaction sichidziwika.

Matenda a khungu a bakiteriya amatha.

Itanani omwe akukuthandizani ngati:

• Muli ndi zizindikiro zakukhudzana ndi dermatitis.
• Khungu limayankha kwambiri.
• Simumachira mukalandira mankhwala.
• Zizindikiro za matenda monga kukoma mtima, kufiira, kutentha, kapena malungo.

Dermatitis - kukhudzana; Matupi dermatitis; Dermatitis - matupi awo sagwirizana; Irritant kukhudzana dermatitis; Kutupa pakhungu - kukhudzana ndi dermatitis

• Kutupa kwa thundu la poizoni padzanja
• Zodzitetezela ziwengo
• Zomera za poizoni
• Dermatitis, faifi tambala payokha
• Dermatitis - kukhudzana
• Dermatitis - kutseka kwa matupi awo sagwirizana
• Dermatitis - kukhudzana patsaya
• Dermatitis - kukhudzana pustular
• Ivy chakupha pa bondo
• Ivy chakupha mwendo
• Photocontact dermatitis padzanja

James WD, Elston DM, Chitani JR, Rosenbach MA, Neuhaus IM. Lumikizanani ndi dermatitis ndikuphulika kwa mankhwala. Mu: James WD, Elston DM, Tsatirani JR, Rosenbach MA, Neuhaus IM, eds. Matenda a Andrews a Khungu: Clinical Dermatology. Wolemba 13. Philadelphia, PA: Elsevier; 2020: mutu 6.

Khalani TP. Lumikizanani ndi dermatitis ndi kuyesa kwa chigamba. Mu: Habif TP, mkonzi. Matenda Opatsirana Matenda. Lachisanu ndi chimodzi. St Louis, MO: Elsevier; 2016: chap 4.

Nixon RL, Mowad CM, Zolemba JG. Matupi kukhudzana dermatitis. Mu: Bolognia JL, Schaffer JV, Cerroni L, olemba. Matenda Opatsirana. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 14.