I-Dyshidrosis: izimbangela, izimpawu nokwelashwa

I-Dyshidrosis: izimbangela, izimpawu nokwelashwa

I-Dyshidrosis yisimo sesikhumba esibonakala ngama-vesicles ebusweni be-lateral yeminwe nezinzwane, kanye nasezintendeni nasematheni. Kuvamile, ikakhulukazi ehlobo.

Incazelo ye-dyshidrosis

I-Dyshidrosis uhlobo lwe-eczema olubizwa nge-vesicular dermatosis yezandla. I-Dyshidrosis kufanele yehlukaniswe nezinye izinhlobo ze-vesiculo-bulous eczema yezandla ezinjenge:

  • le i-pompholyx, okuhambisana nokuqubuka okungazelelwe kwe-palmoplantar vesicular kanye / noma i-bullous rash ngaphandle kokubabomvu, ngokuvamile okulandelwa ukukhishwa kwe-desquamation cishe amasonto angu-2 kuya kwangu-3 futhi kungase kuphinde kuvele
  • thei-eczema engapheli ye-vesiculobullous kuvame ukuqhubekela ekuqhekekeni nasekuqiniseni kwesikhumba
  • la i-hyperkeratotic dermatosis yezandla, Ngokuvamile okuthinta amadoda aphakathi kweminyaka engu-40 no-60 kwakheka amabala aminyene, alumayo ngezinye izikhathi anemifantu phakathi nendawo yezandla. Ngokuvamile kubangelwa izimbangela eziningi, ukuhlanganisa ukungezwani komzimba, ukucasuka kanye nokuhlukumezeka okungapheli (i-DIY, njll.)
  • umonakalo omkhulu we-vesicular yesibili kuya i-mycosis izinyawo noma izandla.

Izimbangela ze-dyshidrosis

Kuncane okwaziwayo ngezimbangela ze-dyshidrosis kepha kuyaziwa ukuthi kuhlotshaniswa nezinye izimo:

  • the mycoses kuma-dermatophytes afana ne- unyawo lomsubathi
  • l 'i-hyperhidrosis i-palmoplantar noma ukujuluka okwandayo ezandleni nasezinyaweni. Ngokufanayo, kuyinto yakudala ukubona i-dishidrosis ivela ehlobo lapho kukhuphuka ukushisa.
  • thephezulu : sithola umndeni noma umlando womuntu siqu we-atopy kwezinye izifundo kodwa hhayi kwezinye ...
  • l 'ukungezwani komzimba kwensimbi (i-nickel, i-chromium, i-cobalt, njll.), amapulasitiki athile (paraphenylene diamine) kanye ne-Beaume du Pérou atholakala kwezinye iziguli.
  • le ugwayi kungaba yinto ebhebhethekisayo

Ukuxilongwa kwe-dyshidrosis

Kunezinhlobo ezimbili ze-dyshidrosis:

  • i-dyshidrosis elula, ayihambisani nokubomvu. Kukhona ama-vesicles kuphela esikhumbeni
  • dyshidrotic eczema, ukuhlanganisa ama-vesicles nokubomvu noma ukukala.

Kuzona zozimbili lezi zikhathi ukulunywa kuvame ukuba namandla futhi kungandulela noma kuhambisane nokuqubuka kwamabhamuza.

Lokhu kucacile (njengokuthi “amabhamuza amanzi”), imvamisa kucishe kufane ngokulinganayo esandleni nasenyaweni ngalinye, kuvame ukuhlangana, bese:

  • noma zome, zivame ukwenza uqweqwe olunsundu.
  • noma aqhume, akhe amanxeba aphumayo

Ukudlanga kwe-dyshidrosis

IDyshidrosis ikhona emhlabeni wonke kepha kubonakala kungavamile e-Asia. Kuvame kakhulu kubantu abadala kunezingane. Kuthinta abesilisa nabesifazane.

Kubonakala sengathi ukuthintana ngokuphindaphindiwe nemikhiqizo ecasulayo (imikhiqizo yokuhlanza, njll.) namanzi, kanye nokugqoka amagilavu ​​isikhathi eside, kuyizici ezibangela i-dyshidrosis. Ngakho-ke, ochwepheshe abasengozini yokwanda kwe-dyshidrosis bangababhaki, abadayisi, abapheki nabathengisa ukudla, kodwa futhi nochwepheshe bezempilo futhi ngokuvamile bonke ubuchwepheshe ngezandla zabo emanzini noma umoya oshisayo nonomswakama. .

Ukuziphendukela kwemvelo kanye nezinkinga ezingenzeka ze-dyshidrosis

Ukuziphendukela kwemvelo kuvame ukuphindaphinda, ngezinye izikhathi kuphawulwe yizinkathi zonyaka (ukuphindaphinda entwasahlobo noma ehlobo ngokwesibonelo). Kwesinye isikhathi, i-dyshidrosis vesicles itheleleka: okuqukethwe kwayo kuba mhlophe (i-purulent) futhi kungabangela i-lymphongitis, i-lymph node ku-armpit noma i-groin ...

Izimpawu zesifo

I-Dyshidrosis ichazwa ngokubonakala kwamabhamuza alumayo ezandleni nasezinyaweni. Kuphakathi kokuthi azihambisani nobomvu, yi-dyshidrosis elula.

Noma kukhona ukubomvu noma ukuxebuka, sikhuluma nge-dishidrotic eczema:

  • Ezinyaweni: ububomvu butholakala kakhulu ezinzwaneni, emgodini wonyawo nasezindaweni ezisemaceleni zezinyawo.
  • Ezandleni: zivame kakhulu eminweni nasebusweni besundu

Izici zobungozi ze-dyshidrosis

Izici eziyingozi ze-dyshidrosis zifaka:

  • the mycoses izinyawo nezandla ezinama-dermatophyte afana nonyawo lomsubathi
  • l 'i-hyperhidrosis i-palmoplantar noma ukwanda kokujuluka ezandleni nasezinyaweni.
  • the izifo izinsimbi (nickel, chromium, cobalt, njll.), amapulasitiki athile (paraphenylene diamine) kanye neBeaume du Pérou
  • le ugwayi okungaba yinto ebhebhethekisayo ukuthintana ngokuphindaphindiwe nemikhiqizo ecasulayo (imikhiqizo yokuhlanza, njll.), amanzi noma isimo sezulu esishisayo nesinomswakama nokugqoka amagilavu ​​isikhathi eside

 

 

Umbono kadokotela wethu

I-Dyshidrosis yinkinga yesikhumba enobungozi kepha kukhulunywa kakhulu ngayo ngokubonisana ngenxa yokunwaya okubabayo. Iziguli zifikelwa ukwesaba ukuphindeka futhi kaningi zinehubhu kakhilimu elungele ukusetshenziswa…

Kodwa-ke, kufanele sesabe ukusetshenziswa okungapheli kwama-topical corticosteroids, imithombo yezinkinga zesikhathi eside (ikakhulukazi i-atrophy yesikhumba) nokuncika. Ngakho-ke udokotela kufanele acele iziguli zakhe ukuthi zilinganisele izici ezibangelayo futhi zisebenzise kuphela i-topical corticosteroids uma kwenzeka kuba nenkinga, izinsuku ezimbalwa kuphela bese ziwayeka.

UDkt Ludovic Rousseau

 

Ukuvimbela i-dyshidrosis

Kunzima ukuvimbela i-dyshidrosis ngoba ukuphindaphinda kwesinye isikhathi kwenzeka noma ngabe kuhlonishwa ukugwema izici ezinomthelela:

  • ukulinganiselwa komjuluko,
  • ukuxhumana no okokuhlanza (imikhiqizo yasendlini…),
  • ukuxhumana isikhathi eside neamanzi nokugeza izandla kaningi…

Phakathi kwezinyathelo ezizothathwa ukunciphisa ubungozi bokubuyela emuva yilezi:

  • Gwema ukuthintana nama-irritants namanzi.
  • Gwema ukuthintana nemikhiqizo ongezwani nayo uma udokotela ehlonze ukuthi kukhona okungezwani naye
  • Yeka ukubhema okungaba nomthelela.
  • Ukulwa nokujuluka uma kwenzekai-hyperhidrosis

Ukwelashwa kwe-dyshidrosis

Ukwelashwa kwendawo kusekelwe kuma-corticosteroids anamandla (ngoba isikhumba sezandla nezinyawo siwugqinsi), njenge Ukususwa, evame ukusetshenziswa kakhulu kumakhilimu, kusihlwa ngokuncipha kancane kancane kwenani lezicelo

Ukwelashwa kwe-UV (UVA noma i-UVB), okufakwa phezulu ezandleni nasezinyaweni endaweni yezokwelapha, kunganciphisa i-dishidrosis kanye nenani lokuvutha

I-Heliotherapy, indlela ehambisanayo ye-dyshidrosis

I-Heliotherapy iqukethe ukuveza ngokulingene (imizuzu emi-5 ngosuku) izandla nezinyawo ezithintekile elangeni elinciphayo, ngabo-17 ntambama ehlobo. Kuyafana ngokwendlela yokwelashwa kwe-UV okulethwa ehhovisi likadokotela.

shiya impendulo