Dermatophytosis: ndi chiyani, mitundu yayikulu, kuzindikira ndi chithandizo

Zamkati

• Main dermatophytoses
• 1. Tinea pedis
• 2. Matenda a m'matumbo
• 3. Tinea cruris
• 4. Tinea corporis
• 5. Onychia
• Matenda a dermatophytoses
• Momwe mankhwalawa amachitikira
• Kuchiza kunyumba

Dermatophytoses, omwe amadziwikanso kuti mycoses opitilira muyeso kapena ziphuphu, ndi matenda omwe amayambitsidwa ndi bowa omwe amagwirizana ndi keratin ndipo, chifukwa chake, amafikira malo omwe pali mapuloteni ambiri, monga khungu, tsitsi, tsitsi ndi misomali.

Dermatophytoses imatha kuyambitsidwa ndi mafangayi a dermatophyte, yisiti komanso mafangasi osachita dermatophyte, pang'ono pang'ono, omwe ndi omwe sakonda keratin. Kutumiza kwa dermatophytoses kumachitika kudzera pakukhudzana ndi nyama, anthu kapena zinthu zowonongeka, kulumikizana ndi nthaka yomwe kuli kukula kwa mafangasi komanso kupumira zidutswa za keratin zomwe zimakhala ndi bowa zomwe zimayimitsidwa mlengalenga.

Kukula kwa mycoses wamba ndikofala kwambiri kwa anthu omwe zochita zawo kapena thanzi lawo limakhudza kulumikizana kapena kufalikira kwa bowa, monga alimi, othamanga, odwala matenda ashuga, anthu omwe ali ndi chitetezo chamthupi chodetsa nkhawa komanso anthu omwe amagwira ntchito ndi magolovesi ndi mankhwala oyeretsera.

Main dermatophytoses

Dermatophytoses amadziwika kuti ziphuphu kapena tineas ndipo amatha kupezeka m'malo osiyanasiyana amthupi, chifukwa chake, amatchulidwa malinga ndi komwe amakhala. Matineas amalimbikitsa kuwonekera kwa zizindikilo malinga ndi komwe zimachitikira ndipo nthawi zambiri amachiritsa pawokha kapena samakhala okhazikika. Ma dermatophytoses akulu ndi awa:

1. Tinea pedis

Tinea pedis imafanana ndi mbozi yomwe imakhudza mapazi ndipo imatha kuyambitsidwa ndi bowa Thichophyton rubrum ndipo Trichophyton mentagophytes interdigitale. Tinea pedis amadziwika kuti chilblains kapena wothamanga phazi, chifukwa ndimakonda kuchita masewera olimbitsa thupi omwe nthawi zambiri amavala nsapato zotseka ndi masokosi, omwe amapita kumalo achinyontho, monga mabafa ndi maiwe osambira, popeza bowa amakhala mosavuta m'malo amtunduwu .

Chizindikiro chachikulu cha phazi la wothamanga ndikumayabwa pakati pa zala zakuphazi, kupindika ndi kuyeretsa kwa dera, komanso fungo loipa. Mankhwala a tinea pedis ndiosavuta, ndipo ayenera kugwiritsidwa ntchito pogwiritsa ntchito mafuta ophera fungal kwa nthawi yomwe adokotala adakupatsani, kuphatikiza pakuwonetsedwa kuti mupewe kukhala nsapato kwa nthawi yayitali komanso kuvala nsapato m'malo opezeka anthu ndi chinyezi. Phunzirani momwe mungadziwire ndi kusamalira tinea pedis.

2. Matenda a m'matumbo

Tinea capitis imafanana ndi zipere zomwe zimachitika pamutu ndipo zimatha kuyambitsidwa Matenda a Trichophyton ndipo Trichophyton schoenleinii, zomwe zimayambitsa mawonetseredwe osiyanasiyana azachipatala.

O Matenda a Trichophyton imayambitsa tinea tonsurant, yomwe imadziwika ndi mawonekedwe a zikwangwani zazing'ono zouma za alopecia, ndiye kuti zigawo za scalp zopanda tsitsi. Tonsurant tinea amathanso kuyambitsidwa ndi Microsporum audouinii, zomwe zimatsogolera pakupanga zikwangwani zazikulu za alopecia zomwe zimawala pansi pa nyale ya Wood.

OTrichophyton schoenleinii Ili ndi udindo wa tinea favosa, yomwe imadziwika ndi mapangidwe azikwangwani zazikulu zoyera pamutu, zofananira ndi zotupa.

3. Tinea cruris

Tinea cruris imafanana ndi mycosis ya malo am'mimba, mkatikati mwa ntchafu ndi matako ndipo zimayambitsidwa makamaka ndi Trichophyton rubrum. Mphutsi imeneyi imadziwikanso kuti zipere za khungu lonyezimira, chifukwa zimakhudza madera omwe kulibe tsitsi.

Maderawa nthawi zambiri amakhala nthawi yayitali masana, kuwapangitsa kukhala abwino pakukula kwa mafangasi ndikukula ndikubweretsa kuwonekera kwa zizindikilo zomwe zimakhala zosasangalatsa, monga kuyabwa mderalo, kufiira kwanuko ndi kukwiya.

4. Tinea corporis

Tinea corporis ndi mbozi yapakhungu yakuthambo ndipo mafangayi omwe nthawi zambiri amalumikizidwa ndi mtundu wa zipereTrichophyton rubrum, Microsporum canis, Trichophyton verrucosum ndipo Microsporum gypseum. Zizindikiro zamatenda a tinea corporis zimasiyanasiyana kutengera bowa, koma zizindikilo zowoneka bwino kwambiri ndi mawanga okhala ndi mawonekedwe ofiira pakhungu, opanda kapena kupumula, kuyabwa mderalo, kapena osasenda.

5. Onychia

Onychia ndi dermatophytosis yomwe imakhudza misomali ndipo imayamba chifukwa cha Trichophyton rubrum, zomwe zimayambitsa kusintha kwa mtundu, mawonekedwe ndi makulidwe amisomali. Onani momwe mungadziwire ndi kuchizira zipere za msomali.

Matenda a dermatophytoses

Kuzindikira kwa dermatophytosis kutengera mawonekedwe azilonda zoyambitsidwa ndi mafangasi ndi mayeso a labotale. Kungowunika kwa zilondazo sikokwanira, chifukwa zizindikilo zimatha kusokonezedwa ndi matenda ena.

Chifukwa chake, tikulimbikitsidwa kuti kuwunika kocheperako kwa zitsanzo kuchokera patsamba lomwe lakhudzidwa kuchitike, ndiye kuti, zitsanzo za khungu, tsitsi ndi misomali, ziyenera kusonkhanitsidwa. Zitsanzozi zimatumizidwa ku labotale yapadera kuti ikawunikidwe.

Matendawa omwe amadziwika kuti dermatophytoses amafanana ndi kuwunika mwachindunji, momwe zitsanzo zimayang'aniridwa ndi maikulosikopu akangofika ku labotale, ndikutsatiridwa ndikuwunika kwachikhalidwe, momwe zitsanzo zosonkhanitsidwazo zimayikidwa mchikhalidwe choyenera kuti pakhale kukula ndi zina zitha kuwonedwa.

Kufufuza kwa labotale kuti azindikire dermatophytoses kumatenga pafupifupi 1 mpaka 4 masabata kuti amasulidwe, chifukwa zimatengera mawonekedwe a bowa, momwe mitundu ina imatenga nthawi yayitali kuti ikule ndikudziwika kuposa ena.Komabe, ngakhale nthawi yofunikira kuti mupeze matendawa, iyi ndiye njira yabwino kwambiri yozindikiritsira ma mycoses apamwamba.

Chimodzi mwazoyeserera zomwe zitha kuchitidwa ndi Wood Lamp, momwe kuwala kotsika kwamphamvu kwa UV kumagwiritsidwa ntchito kudera lomwe lakhudzidwa kuti muwone ngati kutulutsa kwa fluorescence, popeza bowa wina amachita pakakhala kuwala, kulola ID yanu. Mvetsetsani zomwe Wood Lamp ndiyomwe imagwirira ntchito.

Momwe mankhwalawa amachitikira

Nthawi zambiri, chithandizo cha ma dermatophytoses chimakhala chapamwamba, ndiye kuti, dokotala amatha kungolimbikitsa kugwiritsa ntchito mafuta kapena mafuta okhala ndi maantifungal. Komabe, pakakhala zilonda zochulukirapo kapena ngati ziphuphu pamsomali kapena pamutu, pangafunikenso kugwiritsa ntchito mankhwala ophera mkamwa.

Mankhwala oyenera kwambiri ochiritsira dermatophytosis ndi Terbinafine ndi Griseofulvin, omwe ayenera kugwiritsidwa ntchito molamulidwa ndi adotolo ndipo Griseofulvin sayenera kugwiritsidwa ntchito mwa ana.

Kuchiza kunyumba

Pali mbewu zina zomwe zingathandize kuthana ndi dermatophytosis ndikuchotsa kuyabwa, chifukwa zimakhala ndi maantibifungal komanso machiritso. Zomera zomwe zitha kugwiritsidwa ntchito pokonza zithandizo zapakhomo za zipere pakhungu ndi tchire, chinangwa, aloe vera ndi tiyi, mwachitsanzo. Onani momwe mungakonzekerere zithandizo zapakhomo.