Ungayelapha kanjani i-seborrheic dermatitis enganeni

Izindawo ezincike ku-Androgen - izindawo esikhumbeni esinokuqunjelwa okukhulu kwezindlala ze-sebaceous (isikhafu, i-auricles, ubuso: isifunda samashiya, imigoqo ye-nasolabial, isithathu elingenhla lesifuba nomhlane, amathanga angaphakathi)

Ama-ejenti weKeratolytic - le yimithi yangaphandle esetshenziselwa ukuthambisa nokwenqaba i-stratum corneum ye-epidermis, izinwele, izipikili zezifo ezahlukahlukene zesikhumba.

Izimali zeSeboregulatory - lawa ngamalungiselelo wezokwelapha okusetshenziselwa ukugcotshwa ngokweqile nokwenziwe ngezimonyo okwenza kube ngokwejwayelekile ukusebenza kwezindlala ze-sebaceous.

Isenzo sokuqamba kusiza ukwehlisa ukulahleka komswakama we-transepidermal futhi kuthuthuka ngenxa yokusebenzisa izinhlobo ezithile zezimali zangaphandle.

I-Etiology ne-pathogeneis

Isibalo esikhulu soshukela ezinganeni ezisanda kuzalwa kungenxa yokuba khona kwezindlala ezinkulu ze-sebaceous kanye nezinga elikhulayo lokuvikelwa kwe-sebum, ngokuqhathaniswa nalokho kwabadala. Lezi zici zingahlotshaniswa nokuqukethwe okuphezulu kokujikeleza kwama-hormone womama noma ukukhiqizwa okwandisiwe kwama-adrenocorticosteroids ebuntwaneni bokuqala, kanye noshintsho ekwakhiweni kwamakhemikhali ama-lipids ebusweni besikhumba. Izifundo eziningi zesimanjemanje azikuqinisekisanga ukubaluleka kwe-etiopathogenetic yokwenziwa ikoloni kwe-Malassezia furfur ku-dermatitis yobuntwana [5,6,7,8].

Ukuvela kwesifo sikashukela ekuthweni kokukhula nangaphezulu kubangelwa umsebenzi omkhulu wezemfihlo wezindlala ze-sebaceous, ukuphambuka ekwakhiweni kwe-lipids nge-predominance ye-cholesterol, triglycerides, njll, kanye neqhaza elibalulekile le-lipophilic fungus Malassezia [6,7].

Uhlobo lokukhula kwesikhumba se-seborrheic dermatitis luvame ukuhlotshaniswa nezifo ze-neurological, ngaphezu kwalokho, kunenkambiso yokwanda kwesifo sikashukela ngemuva kokuchayeka ezicini zokuxineka. Ukubuyela njalo kwesifo sikashukela kubantu abadala kungaba umaka wesikhumba we-human immunodeficiency syndrome.

Ukushintshashintsha kwezinkathi zokushisa komswakama kanye nomswakama kuthinta inkambo yesi sifo, kuthi lapho kubanda, kuvame ukwanda kwesifo sikashukela.

1.3 I-Epidemiology

Isifo sikashukela sezingane nesifo sikashukela sentsha sidalwa yizici ezahlukahlukene ze-etiopathogenetic.

Ezinganeni, lesi sifo sikhula ezinyangeni zokuqala zokuphila, imvamisa phakathi kwamaviki okuqala [5,6]. Ukwanda kwesikhumba se-seborrheic dermatitis ezinganeni ezisanda kuzalwa zezinyanga ezintathu zokuqala. Impilo ifinyelela ku-70% [6,7].

Ukubonakaliswa kwesifo sikashukela sokuthomba kwenzeka esikhathini sokuthomba nangaphezulu, kaningi phakathi kwabesilisa.

1.5 Izibonelo zokuxilonga

• • I-seborrheic dermatitis yesikhumba.
  • I-seborrheic dermatitis yobuso.
  • I-seborrheic dermatitis yesikhumba nobuso.
  • I-Seborrheic blepharitis.
  • I-seborrheic dermatitis yobuso nesiqu.
  • I-seborrheic dermatitis, ifomu elijwayelekile.

1.6 Ukuhlukaniswa

Hlela isifo sikashukela sengane kanye nesifo sikashukela esiseyintsha.

Isifo sikashukela sezingane:

• Isifo sikashukela sikakhanda ("i-bonnet yosanda kuzalwa"),
• Isifo sikashukela seTorso
• Isifo se-Leiner-Mousse (erythroderma desquamative).

Isifo sikashukela sentsha:

• Isifo sikashukela sesikhumba,
• Ubuso be-SD
• Isifo sikashukela seTorso
• Uhlobo olujwayelekile lwesifo sikashukela.

2.1 Izikhalazo kanye nomlando wezokwelapha

• Lapho uqoqa i-anamnesis nezikhalazo ngesifo sikashukela sezingane okusolisayo, kunconywa ukuthi unake:

• isikhathi sokuqala kwezimpawu zokuqala zesifo,
• uhlobo lokondla (isifuba / okwenziwe ngamafuphi),
• ukuba khona kwezilonda esikhunjeni sesikhumba, ubuso, izindawo ezihlangene,
• ukuba khona noma ukungabikho kokulunywa kwayo.

• Uma usola isifo sikashukela entsheni, kunconywa ukuthi unake:

• ukubonakala kwamaphashaza (ukuqala / ukuthomba),
• ukuba khona kwezilonda esikhunjeni esinezindlala ze-sebaceous (isikhumba, ubuso, isifuba, ingxenye ephezulu yesithathu emuva, amathanga angaphakathi),
• umlando womndeni (ukuba khona kwalezi zimpawu ezingenhla ezihlotsheni eziseduze).

2.2. Ukuhlolwa ngokomzimba

• Ngesikhathi sokuhlolwa komtholampilo nge-dermatitis yesifo sengane esolisayo, kunconywa ukuthi kuhlolwe ukuvumelana kokukhula komzimba wengane, kanye nokuba khona kwezimpawu eziphambili zomtholampilo zikashukela wezingane:

• amanoni aphuzi aphuzi (i-crusta lactea - ubisi lwebele) esikhumbeni, ikakhulukazi esifundeni esingaphambili,
• i-hyperemia, ikhonkotha ngemuva kwe-hairline nangemuva kwama-auricles,
• izilonda ze-erythematous, i-maceration esikhunjeni somlomo wesibeletho, ama-axillary, ama-inguinal folds,
• ukulunywa (kusuka kobumnene kuya obukhulu), ukukhathazeka.

Amazwana:Isifo sikashukela sezingane sivela, ezimeni eziningi, phakathi nengxenye yokuqala yokuphila futhi sibonakaliswa yisilonda esidala kakhulu semikhono yezikhumba ezinamaqhubu kanye nama-intertriginous folds.

Ngesifo sikashukela sikakhanda, inqubo ivame ukuthinta isifunda sangaphambili, izinwele aziphumi, ukuvuvukala akunakubaluleka, ukulunywa akukho.

Ngesifo sikashukela somzimba, amafolda esikhumba abandakanyeka kule nqubo: isibeletho, i-axillary, inguinal, indawo yendawo yedayimane ngomonakalo ongakhona esikhunjeni somzimba. Uhlobo lwama-rashes lungaba mbovane, lubunjiwe ngohlamvu lwemali kanye ne-polycyclic. Ukuhlelwa kwezakhi kuyahlakazeka noma kuhlangana ngemvelo [5,6,11].

• Uma usola i-erythroderma Leiner-Moussa, kunconyelwa ukuthi kuhlolwe ubukhona:

• sub- noma i-hyperemia ephelele yesikhumba,
• ukukhonkotha
• i-anemia
• isifo sohudo
• umkhuhlane
• ukunciphisa umzimba
• lymphadenopathy.

Ukuhlanganiswa kwalezi zimpawu kudala isimo esijwayelekile.

Amazwana:ezimweni ezingavamile, ezinesifo sikashukela, ukuhlanganiswa okungazelelwe kokugxila ngokuthuthukiswa kwe-erythroderma kaLeiner-Mousse kuyabonakala. Lesi simo se-pathological siyakhula, njengomthetho, ezinyangeni ezi-3 zokuqala. Impilo futhi ibonwa njengengxaki yesikhumba se-seborrheic dermatitis. Isici sobuchopho esidala ukuthi ubunzima bakhona asaziwa, kodwa umphumela wokuzwela wokutheleleka okungenzeka kanye nokuphazamiseka kwe-metabolic kungaba nomthelela ekwandeni kwesifo.

• Uma usola i-dermatitis ye-seborrheic ezithweni zentsha, kunconywa ukuthi kuhlolwe izinga le-sebum lesikhumba lezindawo ezixhomekeke ku-androgen, kanye nokuba khona kwalokhu:

• i-pityriasis ebhoboza esikhunjeni sesikhumba,
• ukungena kwe-erythematous foci, izingqimba zamafutha aphuzi aphuzi ezindaweni zesikhumba esinezindlala ze-sebaceous.

Amazwana:Isifo sikashukela sentsha singenzeka ngokuqhathaniswa nesizinda sokuthomba, kanye nasekukhuleni. I-DM iboniswa yinkambo engapheli yokuphindaphindwa, inkathi yokudlanga. Ngale ndlela yesifo sikashukela, inqubo ye-pathological yenziwa ezindaweni ezigcwele izindlala ze-sebaceous (isifunda se-fronto-parietal yekhanda, amashiya, isifunda sangemuva, imigoqo yesololial, isifuba, isifunda se-interscapular). Izilonda ezivame ukuhlanganiswa zesikhumba sobuso nekhanda ziyaphawulwa.

• Uma kusolwa ushukela ojwayelekile, kunconyelwa ukuthi kuhlolwe ubukhona bezindawo eziphuzi kanye nezibomvana ezinemikhawulo ebonakalayo kanye nokukhonkotha esikhunjeni somzimba, ukulimala kwamagobongo, ukusondelana nokunameka kokutheleleka kwesibili, okufaka isandla ekwandeni kwendawo yomonakalo.

Amazwana:Izinhlobo ezikhethekile zokuhlukahluka okulinganiselwe kwesikhumba se-seborrheic dermatitis ziyizilonda zoxhaxha lwamakhemikhali angaphandle kanye namajwabu amehlo.

Zonke izinhlobo ezihlukene zesikhumba se-seborrheic dermatitis zingahambisana nokulunywa kuhla kusuka kokumnene kuye kokujula.

I-algorithm yokuxilonga isifo sikashukela ivezwa kwiSithasiselo G1.

Ukuxilongwa okuhlukile

Ukuxilongwa kwesifo sikashukela ezinganeni kususelwa kwimininingwane evela esithombeni sasemtholampilo. Kwenziwa nezinye izifo zesikhumba zonyaka wokuqala wokuphila, obonakala ngokuba khona kwe-erythematous foci enezinto ezixobayo.

1. I-Atopic dermatitis iba nokuqala kokuhamba kwesikhathi (amasonto angama-8 kuya kwelesi-12), ezimweni eziningi kunomlando wokungezwani komndeni, ama-rashes akhona kakhulu esikhumbeni sobuso, indawo yodayida ayinqabile kakhulu, kuzo zonke izimo ukulunywa kukhona.
2. I-Psoriasis ngobuningi bamacala akuyona uphawu lwaleli qembu leminyaka. Amathafa acwebezelwe kakhulu, anemingcele ecacile, ebhoboza usilika ebusweni. Indawo yasesikhumbeni ingathinteka. Ukubonwa okuningi kukhombisa umlando womndeni. Ukuhlolwa komlando kuyadingeka ezimweni ezingabazekayo.
3. I-dermatophytosis yesikhumba esibushelelezi ibonakala ngokuba khona kwezilonda ezichazwe kahle ze-erythematous nge-roller peripheral. Ku-anamnesis kunezinkomba zokuxhumana nezilwane. Ukuhlaziywa kwe-Microscopic nge-KOH kuzoqinisekisa ubukhona bokutheleleka ngefungus.
4. I-Histiocytosis evela kumaseli we-Langerhans ihambisana nokuba khona kwama-rashes esikhumbeni, isiqu, imigoqo, lapho izakhi zomzimba zingamelwa khona ngamaphaphu we-erythematous, izigxobo ezincane ezingekho emthethweni ngethanga, embozwe ngumbala ophuzi. Uma usola isifo Ukuhlolwa komlando kuyadingeka.

I-algorithm ehlukile yesifo sikashukela sentsha isuselwa ekutholakaleni kwe-foci yezilonda zesikhumba:

1. Izilonda zengqondo zesikhumba kanye nama-auricles zibonakaliswa yi-hyperemia enamandla kakhulu kanye nokufakwa ngaphakathi kwezinto, ukuqina kwesikhuxu se-silvery, kanye nemicimbi emihle ye-psoriatic. Ukulimazeka kumapuleti ezipikili, ukuba khona kwama-rashes ezinye izindawo kungenzeka.
2. Nge-dermatitis ye-atopic, umlando ongamelana nawo ungalandelelwa, ukuqubuka kwezinye izingxenye zesimo somzimba kunqunywa, kunokukhishwa okukhulu kakhulu.
3. I-dermatitis yokuxhumana iboniswa yimingcele ecacile ye-foci, ehambelana nendawo yokuchayeka ekuvuseleleni, ukungabi khona kokulinganiswa kwezinhlamvu, ukugcwala.
4. Lapho kukhona imivimbo esikhunjeni somzimba, ukuxilongwa okuhlukile kwenziwa nge-pink lichen giber, ebonakala ngokubonakala okugxiliwe kwama-rashes, ukuba khona kokukhonkotha okumnene enkabeni yamathafa.

Lapho kukhona i-foci kule canal yangaphandle yokuhlola, ukuxilongwa okuhlukile kuyenziwa ngezilonda zesikhumba ze-fungology etiology.

Ezimweni eziningi, isifo sikashukela sezingane sixazululwa ngokwaso futhi asidingi ukwelashwa okungelashwa. Ukuzikhethela kwamaqhinga okwelapha isifo sikashukela kuya ngesilinganiso nobunzima bokubonakaliswa kwemitholampilo, isikhathi lesi sifo nokwelashwa kwangaphambilini.

3.1 Ukwelashwa okuqondayo

Izinhloso zokwelapha isifo sikashukela esinzima:

• kukhulula futhi kususe ama-flakes namakhowe,
• ukuncishiswa kwe-erythema
• ukulawulwa kokutheleleka kwesibili.

• Ngesifo sikashukela sikakhanda, ukuqokwa kwama-keratolytic agents kuyanconywa [1,5,7].

(Amandla ezincomo - III, ukuthembeka kobufakazi - D)

Amazwana:- ukhilimu nge-1-2% salicylic acid g (ikhodi ye-ATX D01AE12,

- Izingcindezi ezifudumele ngamafutha (umnqumo, i-peach, i-almond), asetshenziswa kwizilonda imizuzu engama-40-60 ngaphambi kokuhlunga.

• Ngemuva kokususa isikali nama-croples, kunconywa ukuthi kunqunywe ama-corticosteroids angenamandla njengemithi elwa nokuvuvukala [1,3,10].

(Amandla ezincomo - II, ukuthembeka kobufakazi - C)

Amazwana:amafutha ngama-1% hydrocortisone w, bk (ikhodi ye-ATX D07AA02), kusuka eminyakeni engu-2,

ukhilimu we-0,1% prednisolone aceponate g, bk (ikhodi ye-ATX D07AC14), isebenza kusukela eminyakeni yobudala bezinyanga ezi-4,

ukhilimu we-0,1% hydrocortisone 17-butyrate (ikhodi ye-ATX D07AB02), uyasebenza kusukela eminyakeni engu-6 izinyanga,

Izicelo zemithi zenziwa izikhathi ezi-2 ngosuku izinsuku ezingama-5-7.

• Njengoba ama-keratoregulatory agents, kusukela esikhathini sokufika kwezinsuku, kunconywa ukunquma okhilimu abaqukethe i-malic acid ester, ibhotela le-shea, ibhotela le-shea, i-glycerin [11,12].

(Amandla ezincomo - IV, ukuthembeka kobufakazi - D)

• Uma kwenzeka kulimaza izindawo ezi-intertriginous, amaqhinga ezokwelapha ahloselwe ukunciphisa i-hyperemia, ukuvikela ukutheleleka kwesibili, ngenxa yalesi sizathu kunconyelwa ukunquma ama-ejenti ahlanganisiwe we-topical [5,6,7].

(Amandla ezincomo - II, ukuthembeka kobufakazi - C)

Amazwana:ukhilimu nge-hydrocortisone / natamycin / neomycin (ikhodi ye-ATX D07CA01), isetshenziswa kusukela ekuzalweni, kuze kube unyaka 1 - ngokuqapha [9,12].

Izicelo zenziwa izikhathi ezi-2 ngosuku izinsuku ezingama-5-7.

• Uma kuba manzi, kunconywa ukwengeza izixazululo zedayi ye-aniline nama-pastes aqukethe i-zinc njengama-antiseptic nama-adsorasing agents ekwelashweni, ukuzisebenzisa ngaphambi kokusebenzisa ama-topical steroid.

(Amandla ezincomo - V, ukuthembeka kobufakazi - D)

Amazwana:ukucima izixazululo ezinamanzi ze-gentian violet noma i-methylene eluhlaza okwesibhakabhaka izikhathi ezimbili ngosuku ngezinsuku ezi-5,

-Izicelo zokunameka nge-zinc izinsuku ezingama-3-5.

• Uma kwenzeka kunesifo sikashukela i-mellitus, ukwelashwa kuhloswe futhi ukuqeda isimo sokuvuvukala, ukuvimbela ukutheleleka kwesibili, ngenxa yalesi sizathu kunconyelwa ukunquma ama-topical steroid [7,8] ahlanganisiwe.

(Amandla ezincomo - II, ukuthembeka kobufakazi - C)

Amazwana:ukhilimu nge-hydrocortisone / natamycin / neomycin (ikhodi ye-ATX D07CA01) ngokuvama kwezicelo izikhathi 2 ngosuku izinsuku ezingama-5-7.

• Uma kwenzeka ukulunywa, kunconywa ukunquma ama-antihistamines [5,6].

(Amandla ezincomo - III, ukuthembeka kobufakazi - C)

Amazwana:I-dimetinden (ikhodi ye-ATX R06AB03) i-3-5 yehla amahlandla ama-3 ngosuku,

i-cetirizine g, bk (ikhodi ye-ATX R06AE07) i-5 yehla isikhathi esingu-1 ngosuku kusukela eminyakeni eyi-6.

Ukusetshenziswa kwama-antihistamines kwenziwa ngaphambi kokuqedwa kokulunywa.

• E-mellitus eyinkimbinkimbi yesifo sikashukela ngokuthuthukiswa kwe-erythroderma engaphansi noma ephelele, kunconywa ukuqhuba ukwelashwa esibhedlela usebenzisa izifundo ezimfishane zemithi ye-hormonal ne-antibacterial [6,7].

(Amandla ezincomo - III, ukuthembeka kobufakazi - C)

Amazwana:Izinhloso zokwelapha isifo sikashukela esisebusheni zihlanganisa:

• ukususwa kwe-peeling kanye ne-erythema ezindaweni ezithintekile,
• ukunciphisa ukulunywa
• ukulawulwa kokutheleleka kwesibili.

• Lapho kuqondiswa indawo okwenziwa kuyo isifo sikashukela esikhumbeni njenge-keratolytic, anti-inflammatory, antipruritic agent, kunconywa ukunquma amalungiselelo aqukethe i-salicylic acid ne-glucocorticosteroids [4,5].

(Amandla ezincomo - II, ukuthembeka kobufakazi - C)

Amazwana:i-lotion ene-betamethasone dipropionate / i-salicylic acid (i-ATX khodi D07XC01) imvamisa yokusetshenziswa izikhathi ezi-2 ngosuku ngezinsuku eziyi-7, evunyelwe kusukela eminyakeni engu-6 ubudala.

• Ukucindezela ukusakazwa okungenzeka kwesikhunta iMalassezia esikhunjeni sesikhumba nasesikhunjeni somzimba, kunconyelwa ukusebenzisa ama-shampoos aqukethe izingxenye ze-antifungal [11,12,14].

(Amandla ezincomo - II, ukuthembeka kobufakazi - A)

Amazwana:I-2% ketoconazole shampoo (ikhodi ye-ATX D01AC08), sebenzisa izikhathi ezi-2 ngesonto amasonto ama-3-4, bese kuthi izikhathi ezi-2 ngenyanga ukuvimbela ukubuyela emuva [8,9,12,14].

- i-shampoo ene-cyclopirox (ikhodi ye-ATX G01AX12), sebenzisa izikhathi ezi-2 ngeviki amasonto ama-3-4, bese kuthi izikhathi ezi-2 ngenyanga ukuvimbela ukuphinda ubuye, zisebenza kusukela eminyakeni eyi-10.

• Njengama-ejenti ane-sebum-elawula, i-anti-inflammatory, isenzo se-antifungal, kunconywa ukunquma amalungiselelo nge-pyrithione-zinc.

(Amandla ezincomo - III, ukuthembeka kobufakazi - D)

Amazwana:-1% shampoo, 0,2% aerosol nge-pyrithione-zinc (ikhodi ye-ATX D11AX12), evunyelwe kusukela eminyakeni engu-1, sebenzisa izikhathi ezi-2 ngeviki amasonto ama-2-3 ngokuhoxiswa komuthi kancane kancane.

• Uma kwenzeka kulimala isikhumba sobuso, umsele wamatshe wokuhlola wangaphandle, isiqu somzimba ngesikhathi semicimbi yokuvuvukala okukhulu, kuyanconywa ukunquma amalungiselelo aqukethe ama-corticosteroids ngezindlela ezingabangeli umphumela we-occlusive [5,8,11].

(Amandla ezincomo - II, ukuthembeka kobufakazi - C):

Amazwana:ukhilimu we-0.1% mometasone furoate g, bk (ikhodi ye-ATX D07AC13) evame ukusetshenziswa kwesikhathi esingu-1 ngosuku ngezinsuku ezi-5 ukuya kwezi-10, uvunyelwe kusukela eminyakeni engu-2,

ukhilimu u-0.05% betamethasone dipropionate W, BK (ikhodi ye-ATX D07AC01) isetshenziswa ngokuqapha kusuka eminyakeni engu-6 izinyanga, imvamisa yokusebenzisa isikhathi esingu-1 ngosuku ngezinsuku ezingekho ngaphezulu kwezi-5.

• Lapho ufinyelela ukutheleleka kwesibili, kunconywa ukunquma ama-ejenti wokuhlanganisa [5,7,8].

(Amandla ezincomo - II, ukuthembeka kobufakazi - C)

Amazwana:- ukhilimu nge-betamethasone / gentamicin / clotrimazole (ikhodi ATX D07XC01) uvunyelwe kusukela eminyakeni engu-2, imvamisa yokusebenzisa izikhathi ezi-2 ngosuku ngezinsuku ezi-5 ukuya kwezi-10.,

- ukhilimu nge-hydrocortisone / natamycin / neomycin (ikhodi ATX CA01) usebenzisa kusukela ekuzalweni, kuze kube unyaka 1 - ngokuqapha, imvamisa yokusebenzisa izikhathi ezi-2 ngosuku ngezinsuku ezi-5 ukuya kwezi-10.,

• Ngemuva kokumisa ukuvuvukala okukhulu, kunconywa ukufaka ekwelapheni ukulungiswa:

ukhilimu nge-0,2% pyrithione-zinc (ikhodi ye-ATX D11AX12) uvunyelwe kusukela eminyakeni engu-1, sebenzisa izikhathi ezi-2 ngosuku ngezinsuku eziyi-10-14 ngokuhoxiswa kancane kancane komuthi.

- ukhilimu nge-pimecrolimus (ikhodi ye-ATX D11AH02) uvunyelwe kusukela eminyakeni yezinyanga ezi-3. Sebenzisa izikhathi ezi-1-2 ngosuku ngezinsuku eziyi-10-16 ngokuhoxiswa kancane kancane komuthi

(Amandla ezincomo -III, ukuthembeka kobufakazi - C)

• Lapho kukhona ukulungiswa, kunconywa ukunquma ama-antihistamines wesizukulwane sesibili [1,5,7].

(Amandla ezincomo -III, ukuthembeka kobufakazi - C)

Amazwana:

-cetirizine g, bk (ikhodi ye-ATX P06AE07) 10 mg kanye ngosuku ngezinsuku eziyi-7-10,

-levocetirizine (ikhodi ye-ATX R06AE09) 5 mg kanye ngosuku izinsuku ezingama-7-10,

-loratadine g, bk (ikhodi ye-ATX R06AX13) 10 mg kanye ngosuku izinsuku ezingama-7-10,

-desloratadine (ikhodi ye-ATX R06AX27) ama-5 mg kanye ngosuku izinsuku ezingama-7-10.

• Esikhathini sikashukela esinzima se-mellitus, esibonakaliswa inkambo ejwayelekile noma ye-torpid yenqubo, ukuqashwa kwezidakamizwa ze-antifungal zokusetshenziswa komlomo kunconyiwe [8,11].

(Amandla ezincomo -II, ukuthembeka kobufakazi - B)

Amazwana:- I-ketoconazole, ithebhu. (Ikhodi ye-ATX J02AB02), evunyelwe kusukela eminyakeni engu-2, yezingane ezinesisindo esingu-15-30 kg 100 mg 1 isikhathi ngosuku, ngaphezu kwama-30 kg - 200 mg ngosuku amasonto amane [11,14],

-itraconazole. (Ikhodi ye-ATX J02AC02) i-200 mg 1 isikhathi ngosuku ngeviki, bese kuba ngu-200 mg njalo emavikini ama-2,

-ngaphezulu, ithebhu. (Ikhodi ye-ATX D01BA02), evunyelwe kusukela eminyakeni engu-2, ngesisindo somzimba esingaphezu kwama-40 kg, ama-250 mg kanye ngosuku amasonto angama-4-6,

i-fluconazole cap. g, bk (ikhodi ye-ATX J02AC01), 50 mg kanye ngosuku amasonto ama-2 noma ama-300 mg kanye ngeviki amasonto ama-2.

3.3 Ezinye izinhlobo zokwelashwa

• Iziguli ezine-Leiner-Mousse erythroderma, kanye ne-gastroenterologist kanye ne-lezempilo, ziyanconywa ukuthi zenze umuthi wokudla okunempilo ukuze kulungiswe ukuphazamiseka kwesisu.

(Amandla ezincomo -V, ukuthembeka kobufakazi - D)

• Izincomo ezijwayelekile zezingane ezinezindawo zesifo sikashukela zifaka ukudla okunengqondo kwengane nonina. Esikhathini sikashukela wentsha, kunconywa ukulandela ukudla okunengqondo okunomkhawulo wezinto ezengeziwe, ngaphandle kokusebenzisa izinto zokuhlanza ezinolaka, kanye nokugqokwa kwezingubo zokwenziwa.

(Amandla ezincomo -V, ukuthembeka kobufakazi - D)

• Kunconywe ukugcina isizinda esihle ngokwengqondo nangokomzwelo ngaphandle kokufakwa kwezinto ezicindezelayo.

(Amandla ezincomo -V, ukuthembeka kobufakazi - D)

• Uma kwenzeka kulimala isikhumba sesiqu kanye nezindawo ezihlanganayo, kunconywa izimbiza zomoya, ukugeza ngamanzi afudumele nokusebenzisa uwoyela wezimonyo.

(Amandla ezincomo -V, ukuthembeka kobufakazi - D)

5. Ukuvimbela kanye nokulandela

Iningi leziguli ezinesifo sikashukela sengane kanye nabeve eshumini nambili zithola ukwelashwa ngaphandle kokuphuma. Endabeni yokwenziwa okujwayelekile kwenqubo yesikhumba, isimo esibi ezinganeni zonyaka wokuqala wokuphila, ukuthuthukiswa kwe-erythroderma kaLeiner, ukwelashwa okungalawuleki kukhonjisiwe.

Ubude bokuhlala esibhedlela bungaba isilinganiso sezinsuku eziyi-10-14.

Izindlela zokuhlola ikhwalithi yokunakekelwa

Ithebula 1 - Izimo zenhlangano nezobuchwepheshe zokuhlinzekelwa kwezokwelashwa.

Uhlobo lokunakekelwa kwezokwelapha

Usizo Olukhethekile

Imibandela yokunakekelwa

Ukunakekelwa kwangaphakathi / kwezinsuku

Ifomu Losizo Lokwelashwa

Ithebula 2 - Izindlela zokunakekelwa kwekhwalithi yokunakekelwa

Izimbangela zesikhumba se-seborrheic dermatitis

Izizathu eziyinhloko zokukhula kwe-seborrheic dermatitis ezinganeni aziqondakali ngokuphelele, kepha namuhla iqiniso eliqinisekisiwe ubukhona bommeleli we-causative walesi simo se-pathological - i-fungus Malassezia furfur. Zibhekwa njengezinemvelo ezincane ezingama-pathogenic, ezisetshenziswa phambi kwezimo ezivumayo zokuzala kwazo.

Izici ezibangela ezinkulu ze-seborrhea ezinganeni nasezinganeni ezincane zihlukaniswe ngamaqembu amabili: angaphakathi nangaphandle.

• ukungalingani kwe-hormonal, okweqile kwama-hormone egazini lengane, ku-endocrine pathologies,
• izingcindezi noma izifo zesistimu yezinzwa,
• kwehle ukungatheleleki,
• ukuntuleka kwe-biotin (uvithamini weqembu B) olawula izinqubo zemetabolism emzimbeni.

• ukuqagela komndeni
• ukuphazamiseka kwesithukuthuku kanye nezindlala ze-sebaceous, ushintsho ekwakhekeni kwabo esikhathini sokukhulelwa,
• isimo esingesihle semvelo
• ukubamba nge-shampoos equkethe i-alkali.

Ukubonakaliswa kwemitholampilo kwe-seborrhea ezinganeni

Izimpawu zokuqala zesikhumba se-seborrheic dermatitis ezinganeni zivela kumaviki amabili kuya kwayi-3 ngemuva kokuzalwa. Zihlotshaniswa nokwanda kwama-hormone egazini wosana olusanda kuzalwa, olungena emzimbeni wakhe ngobisi lwebele, kanye nokuqala kokusebenza kokusebenza kwezindlala ze-sebaceous.

Okokuqala, izakhi zokuxhamazela zibonwa esikhumbeni ngesimo sezindawo ezincane zokubomvu, zimbozwe isikali esimhlophe esimhlophe noma siphuzi. Lapho-ke ama-rashes aphenduka abe yi-gneiss. Kwakhiwa kusuka kumaseli we-epithelial cell kanye ne-sebum futhi kumboza izingxenye ezithile zesikhumba sesikhumba namashiya ngendlela yesikhuhlu esingalingani sobukhulu obuhlukahlukene. Futhi, i-seborrheic foci ingavela emphethweni wemvelo, kumaphiko ekhaleni, emaphethelweni.

Uma kuvela izimpawu zokuqala zesikhumba se-seborrheic dermatitis ezinganeni, kufanele uthintane nodokotela onguchwepheshe - udokotela wezingane noma udokotela wezingane.

Imigomo yokwelashwa kwe-pathology ngezindlela ezahlukahlukene

[I-adrotate banner = "4 ″] I-dermatitis ye-Seborrheic ebuntwaneni iyisifo esiyinkimbinkimbi, kodwa hhayi esiyingozi, esithi, ngokunakekelwa okufanele nangemithetho yezenhlanzeko, inyamalala ngokwayo kungapheli amasonto ambalwa. Ngasikhathi sinye, umuntu akakwazi ukuzindla - ukubonakaliswa kwe-seborrhea ezinganeni kungadidaniswa nezinye izifo, ngakho-ke kuyadingeka ukucacisa ukutholakala kwezifo, futhi ukwelashwa kufanele kwenziwe kuphela ngaphansi kokuqondisa udokotela.

Ukwelashwa kwesikhumba se-seborrheic dermatitis kusekelwe kwindlela ehlanganisiwe futhi kufaka phakathi:

• ukugeza ikhanda lengane ngama-shampoos akhethekile we-hypoallergenic (Skin-cap, Mustela Bebe shampoo-foam, Ionel), anciphisa umsebenzi wesikhunta futhi kunciphise ukuvuvukala kwesikhumba,
• ukususwa ngobumnene kwebhulashi ngebhulashi elithambile noma ikamu elikhethekile,
• Ukudla okuyi-hypoallergenic komama abancelayo, isingeniso esifanele sokudla okuhambelana,
• ukusetshenziswa kwemithi (ama-antifungal agents, okokugcoba okuqukethe ama-hormone endawo kanye nemithi elwa namagciwane lapho kunamathiselwe ukutheleleka ngegciwane),
• amakhambi abantu ekwelapheni izinhlobo ezahlukahlukene zesikhumba se-seborrheic dermatitis (izinqumo zamakhambi zokuzihlikihla esikhumbeni, izicelo ezivela kusawoti, usawoti wasolwandle nezinye izinhlanganisela zokupholisa, amafutha abalulekile kanye namafutha okugcoba).

Ukwelashwa kwesikhumba se-seborrheic dermatitis ezinganeni ezinamakhambi abantu

Ukwelashwa kwesikhumba se-seborrheic dermatitis ezinganeni ezinemithi yesintu, kusetshenziswa amafutha abalulekile namakhambi anemiphumela yokulwa nokuvuvukala, ukomisa, ukuthambisa kanye nokubulala amagciwane:

• izimbali ze-daisy ne-calendula
• amacembe we-sage, nettle, yarrow ne-plantain,
• amagxolo oki
• izimbali ezimnandi
• inhlanganisela ekhethekile yamakhambi namafutha abalulekile (isihlahla setiye, i-eucalyptus ne-lavender).

Ukusetshenziswa kwamakhambi abantu ezinganeni

Isikhumba sesikhumba sezingane ezisanda kuzalwa nezingane ezincane sinezici ezithile zomzimba nezisebenzayo:

• ubungozi
• ukwakheka okukhethekile kwe-epidermis,
• ukuphakelwa kwegazi okusebenzayo.

Ngakho-ke, akuwona wonke umuthi wendabuko ongasetshenziswa ezinganeni. Ukwelashwa kwesikhumba se-seborrheic dermatitis ezinganeni kusetshenziswa unyaka:

• umhluzi we-chamomile (uthele izipuni ezimbili zezimbali ngelitha lamanzi abilayo, ugcizelele isigamu sehora) - esetshenziselwa ukuhlanza ikhanda lengane ngemuva kokugeza nge-shampoo ekhethekile noma ufake njengama-lotions ngemuva kokukhipha amakhubalo e-seborrheic,
• ukumisela imbali engamabhisidi: uthele amagremu ayikhulu ezimbali ngelitha lamanzi abilayo futhi akuyeke ukwenze imizuzu engama-30 kuya kwengama-isetshenziswa ukuhlanza isikhumba ngemuva kokugeza,
• umhluzi we-nettle noma we-sage (uthele amalitha ayi-100 wamanzi abilisiwe ku-100 amagremu wezinto zokusetshenziswa ezomile, upheke kubhavu wamanzi imizuzu eyi-10, ugcizelele imizuzu engama-20) - isetshenziswa ukugeza noma ukuhlanza ikhanda.

Amafutha abalulekile kulo nyaka asetshenziswa ngokuqapha ngokweqile, kuqondiswa udokotela kuphela.

Ngaphambi kokuhlanganisa i-gneiss, ikhanda lomntwana ligcotshwa ngo-ayisikhilimu wengane onamafutha, i-almond noma i-olive noma i-petroleum jelly. Faka isigqoko bese kuthi ngemuva kwemizuzu engama-20 kuye kwengama-30 ukhiphe ubhulashi ngebhulashi ekhethekile. Ngemuva kwenqubo, ama-lotions avela kuma-oki bark noma ukuqoqwa kwamakhambi (i-sage, i-chamomile, i-calendula ne-nettle) ayasebenza.

Izinhlobo eziphambili ze-seborrhea nezimpawu zesifo

I-seborrheic dermatitis yisifo sesikhumba esidalwa yibacteria fungal yohlobo lweMalassezia. I-Seborrhea ezinganeni ingaba khona kunoma yiziphi izinhlobo: ezinobumnene, ezilinganiselayo noma ezinzima.

1. Ifomu elithambile libonakaliswa ubomvu besikhumba, futhi kwesinye isikhathi ukubukeka kwesikali.
2. Ifomu eliphakathi nendawo liboniswa ngokusakazeka kokucwilisa nokubomvu kwesibumbu sezingane nasemilenzeni. Ukuqhuma kwesikhumba kungavela emaphethelweni esikhumba.
3. Ifomu elinzima lihambisana nokusakazeka kwezigxobo zesikhumba ebusweni, emahlombe, isiqu ezindlebeni.

Ekuqaleni kwesifo, ubomvu buvela ekhanda lengane, elingakhipha kancane kancane.

Ngokuhamba kwesikhathi, ingane iba nokuphumula, kunezinkinga emathunjini.

Ezimweni ezinzima ze-seborrhea ebuntwaneni ezinganeni ezisanda kuzalwa, kuboniswa lezi zimpawu ezilandelayo:

• ukungalali kahle
• ukukhathazeka
• ukuhlanza
• ukuntuleka kwesifiso sokudla
• ubuqili.

Ukwelashwa kwezimpawu kufanele kuqale ngokususa imbangela yezimpande.

Amakhambi e-Folk ekwelapheni i-dermatitis yesibeletho kwintsha

Imbangela enkulu yezimpawu zesifo se-seborrhea ebusheni ukuguquka kwamahomoni emzimbeni nokuphazamiseka kokusebenza okujwayelekile kwezindlala ze-sebaceous nezithukuthuku. Ngakho-ke, ukwelashwa kuhloselwe ukuthuthukisa izinqubo ze-metabolic emzimbeni kanye nokunciphisa ukuvuvukala kwesikhumba.

Amalungiselelo amakhambi asetshenziswa kabanzi ukwelapha lolu hlobo lwalesi sifo, ikakhulukazi, amakhambi okusetshenziswa endawo (ukuwasha, ukukhipha isikhumba, ukugcoba, ukusikeka, imaski):

• ijusi amadevu
• decoction we-burdock, i-sage ne-oak bark,
• Ukumiliselwa kwe-wort yaseSt
• i-decoction yezimbali ezingama-tansy.

Qiniseka ukuthi ucebisa ukudla kwengane yakho ngemikhiqizo equkethe amavithamini namaminerali:

Kunconywa ukusebenzisa amakhompiyutha akhethekile wokuphulukisa ukuxubha isikhumba esikhunjeni:

• i-camphor utshwala, uviniga kanye nejusi le-aloe,
• usawoti wolwandle oncibilikisiwe endaweni encane yamanzi,
• Ukumiliselwa kweKombucha
• uwoyela obalulekile wesihlahla setiyi, i-lavender ne-eucalyptus ngomsebenzi we-antifungal,
• amafutha okhethekile wejusi amadevu wegolide (1 tbsp.spoon), i-tincture ye-valerian (1 tbsp.spoon) no-ukhilimu wengane ngamafutha omnqumo 1 tbsp ngalinye. akhuhlwe esikweni nsuku zonke amahora amathathu, inkambo yokwelashwa ingamaviki ama-2-3.

Ukulungisa i-metabolism ngokwejwayelekile, thatha i-decoction ye-currant bark, ukumnika kwe-hypericum ne-yarrow.

Kubalulekile ukukhumbula ukuthi zonke lezi zimali ziyingxenye yokwelashwa okuyinkimbinkimbi kwe-seborrheic dermatitis futhi inqunywe ngudokotela.

Izimbangela zesikhumba se-seborrheic dermatitis ezinganeni

Kuyiqiniso, akuyona yonke ingane ene-dermatitis yesibeletho. Lesi sifo sikhona ngenxa yalezi zizathu:

1. Uma ingane isenama-hormone omama emzimbeni, okuyinto eyiqoqelezile ngesikhathi ihlala esiswini sayo. Inani elikhulu lama-hormone livusa umsebenzi osebenzayo wezindlala ze-sebaceous. Isikhumba sethenda siqala ukugcwala nokubomvu.
2. Isisulu sokuqothuka, esibonakaliswa ukusabela kokungezwani kokutheleleka, ukungasebenzi kahle kwendlela yokugaya ukudla, i-dysbiosis. Kungani izindlala ze-sebaceous zisebenza ngokwengeziwe.
3. Ukutheleleka nge-fungus Malasseriafurfur. Ngokugomeka okwehlisiwe, isikhunta sanda ngokushesha okukhulu. Ukuzikhipha kungaba nzima kakhulu.

Uma lesi sifo sishubile futhi kungekho zinkinga, singahamba sodwa. Kodwa-ke, kunezimo lapho i-dermatitis ye-seborrheic ezinganeni ithuthuka futhi ihlala kuze kube yiminyaka eminingana. Leli fomu lidinga ukwelashwa.

Ngokuqondene ne-dermatitis ezinganeni esezikhulile, kubalulekile ukunquma imbangela yokuqala kwalesi sifo. Ngemuva kwakho konke, inkambo yokwelapha ihloselwe ukuqeda isici esithile. Izimbangela zokulimala kwesikhumba ekhanda zingaba ngale ndlela elandelayo:

• ukuntuleka kokunakekelwa kwezingane okufanele,
• uhlala eduzane nebhizinisi lezimboni noma elezinsimbi, ifektri elingcolisa imvelo ngothuli lwamakhemikhali, amagesi amakhulu aqeda amagesi,
• Imithi ekhethwe ngaphambilini ngokunembile yokwelapha i-dermatitis enganeni,
• ukuthintana nekhanda lezinto ezinemibala.

Izimpawu zesikhumba se-seborrheic dermatitis

Izimpawu zesifo ezinganeni zinqunywa ngamaphuzu alandelayo:

• amakhanda ekhanda abangela ukulunywa, okwenza umntwana ahleke futhi akhale njalo,
• lapho isikhunta sinanyathiselwe, isikhumba simbozwe ngotshani obomvu ngama-plaque (ama-plaque ahlukile kwimingcele ebushelelezi, ukwakheka kwakheka ngokuhlanganisa izimbotshana ezimbozwe esikalini zibe yinto eyodwa),
• uma lesi sifo siqala ukwanda, izigxobo ziphenduka izakhi ezinjengezimbali ezungeza ikhanda lengane,
• ngemuva kwezindlebe, i-dermatitis ye-seborrheic ithatha uhlobo lwesikali esinamathelayo kanye nemifantu ekhalayo,
• isikhumba sikhonkotha, ekuqaleni kwezinwele kukhona amabhloka aphuzi amaningi afana ne-dandruff.

Uma ungaphathi isikhumba kuleli cala, ingane ingalahlekelwa zonke izinwele ekhanda. Izindawo ezithintekile ziyagcwala, kunengozi yokutheleleka ngegciwane lesibili. Ukunikezwa kungenzeka. Ingane iba ebulalayo, iphelelwe isifiso sokudla, ukukhathazeka, isisindo somzimba siyehla kancane kancane.

Izindlela zokwelapha

Ngohlobo lwezinqubo zokuvuvukala, izinhlobo ezi-4 zesikhumba se-seborrheic dermatitis ziyahlukaniswa.

1. Oily. Kuhambisana nokwanda komsebenzi wezindlala ze-sebaceous, ukwakheka kwesikali esikhulu se-lamellar esikhumbeni, okuthi, lapho kuhlanganisiwe, kwakhiwe i-foci ebanzi. I-Sebaceous secretion iba yindawo enhle yokuthuthukiswa kwamagciwane, ngakho-ke ukuvuvukala kungaba nzima ngokutheleleka.
2. Umile. Kubonakaliswa secretion encishisiwe ye-sebum, ukwakheka kwesikali esimpunga noma esimhlophe siphuzi simboze wonke ikhanda lekhanda (lisuswe kalula lapho lingena phakathi). Ngaso leso sikhathi, ukuncipha kwezinwele kwenzeka, ziba brittle, ziqale ukuwa. Uhlobo olomile lwe-seborrhea olutholakala kaningi ezinganeni.
3. Kuhlanganisiwe. Uhlobo oluhlanganisiwe lwe-pathology lapho i-seborrhea eyomile ingakhula khona ekhanda, kanye ne-oily seborrheic dermatitis esikhunjeni sobuso.
4. Okomzimba. Imvamisa ikhula ebusheni ngenxa yezinguquko ezenzeka emaholidini. Kulokhu, umphumela wokungasebenzi kahle kwezindlala ze-sebaceous ngumqubuko.

Imvamisa, i-dermatitis ye-seborrheic ekhanda lengane iqala ukukhula emavikini angama-2-3 ngemuva kokuzalwa. I-Foci of seborrhea ithinta ikhanda, ingavela futhi emikhakheni yesikhumba. Ngokuya kobunzima bezimpawu zomtholampilo, ama-degree ama-3 we-seborrhea enganeni ahlukaniswa.

1. Elula - okugxilwe kokuvuvukala kwenziwa endaweni ekhanda, akuvamisile ukuthinta isikhumba ebunzini, izihlathi, ngemuva kwezindlebe. Ngaphezu kwalokho, isimo esejwayelekile somntwana asisibi kakhulu.
2. Ukwehla okulinganiselwe - i-foci ekhanyayo isabalale esikhunjeni sesiqu kanye nemikhawulo. Izimpawu zesikhumba zenezelwa yizimpawu ezijwayelekile: ukuphazamiseka kokugaya ukudla (isifo sohudo, ukubhalwa okujwayelekile), ukuvusa imizwelo.
3. Kakhulu - ⅔ yendawo yonke yesikhumba ibandakanyeka ezinqubweni ze-pathological. Izindawo ezithintekile ziphenduka zibomvu, zidumbile, zixakaniseka nokutheleleka kwesibili. Ubuthakathaka kanye nokuqina kokuthuthukiswa okugxilwe ku-infi. Isifiso sokudla kwengane siyanda, isisindo somzimba siyancipha, isifo sohudo sihlala sikhona. Ukhala ngokubabazekayo, angaphumuli, alale kabi.

Ukutheleleka kwesikhumba kwesibili kungaholela ekukhuleni kwe-blepharitis, i-otitis media, i-pyoderma kanye nezinye izinkinga zamagciwane.

Ukwelashwa kwezinsana, njengomthetho, ukusetshenziswa kwama-shampoos akhethekile nokuhlanganiswa ngokucophelela kwama-crople nge-comb yezingane kwanele. Uma i-dermatitis ye-seborrheic itholwa enganeni esekhulile, khona-ke kudingeka ukuxilongwa okwengeziwe (ukuhlolwa kwegazi, i-ultrasound yesistimu yokugaya ukudla kanye ne-thyroid gland, izifundo ze-bacteriological) ukuthola imbangela ngqo yalesi sifo. Uma kunesidingo, udokotela uthumela ingane ukuthi ibonane nodokotela wezifo ze-gastroenterologist, i-endocrinologist, psychotherapist.

Ngemuva kokunquma izimbangela nokwenza ukuxilongwa okuqondile, kunikezwa ukwelashwa okufanele: I-seborrheic dermatitis yesikhumba ezinganeni iphendula kahle ekwelashweni kwezidakamizwa, ngokuya ngezincomo zikadokotela, ukuqaliswa kwezindlela zokuvimbela ukunakekelwa kwesikhumba, nenhlangano yokudla kokudla kwengane.

Ukwelashwa kwezidakamizwa kwesikhumba se-seborrheic dermatitis ezinganeni kuqala ngokusetshenziswa kwama-shampoos akhethekile we-pharmacological:

1. I-Nizoral - i-shampoo esekwe yi-ketoconazole inomphumela we-antifungal, isebenza ngokulwa nama-microorganisms abangela ukukhula kwesikhumba se-seborrheic dermatitis. Umuthi uqeda ngempumelelo ukubhoboza kanye nokulunywa, akunamikhawulo yobudala. Ingasetshenziswa ukugeza izinwele zakho ukwelashwa (kabili ngesonto izinsuku eziyi-15-30) noma ukuvimbela ukuvimbela (kanye ngesonto inyanga).
2. U-Ionel, i-analogue yesakhiwo se-Nizoral esekwe ku-ketoconazole, ubukisa izakhiwo ezingabambeki, unciphise ukushiswa nokulunywa kwesikhumba, ubomvu nokukhonkotha. Kusetshenziswa kabili ngesonto. Inkambo ephelele yokwelashwa - kusuka kumaviki amabili kuya kwayi-4.
3. Isikhumba-Cap - i-shampoo esekwe ku-zinc pyrithionate ikhombisa umsebenzi we-antifungal ne-antibacterial, ucindezela izinqubo zokuhlukaniswa kweseli okusebenzayo ngokweqile. Ithuluzi linciphisa ukuvuvukala nezimpawu zesikhumba se-seborrheic dermatitis. Kusetshenziselwa ukugeza izinwele izikhathi ezingama-2-3 ngesonto izinsuku eziyi-14. Ibekelwe izingane ezingaphezulu konyaka.
4. I-Tsinovit - inhlanganisela ye-shampoo esekwe ku-zinc pyrithione, dexpanthenol, klimbazola inemiphumela yokulwa nokuvuvukala, i-antibacterial ne-antifungal, sebostatic ne-regenerative. Kusetshenziswa izikhathi ezingama-2-3 ngesonto inyanga. Kubekelwe izingane kusuka onyakeni wokuqala wempilo.

Ngaphezu kwama-shampoos, ukugcotshwa kwesibabule kungabekwa ukwelapha i-seborrhea. Isibabule esivele sikhona, esiyingxenye yomkhiqizo, sinomphumela we-antiseptic, disinfectant, antimicrobial and antiparasitic. Kodwa-ke, i-oyili iyayicasula kakhulu isikhumba, ngakho-ke i-contraindicated ezinganeni ezingaphansi kweminyaka engu-3 ubudala.

Uma, ngemuva kwenkambo yokwelashwa ngama-shampoos namafutha okugcoba, akunakwenzeka ukwelapha i-dermatitis ye-seborrheic enganeni, udokotela angabeka ama-ejenti angaphandle e-hormonal. Uma i-seborrhea iyinkimbinkimbi yi-pyoderma, ukugcotshwa ngama-antibhayoriki kubuye kunqunywe. Izidakamizwa zikhethwa esimweni ngasinye ngazinye, zibheka ubukhulu be-pathology kanye nobudala bengane.

Ngesikhathi esifanayo nokwelashwa kwezibonakaliso zesikhumba se-seborrhea, ukwelashwa kuhloselwe ukuqeda imbangela ye-pathology. Yabela:

• izidakamizwa (kususelwa ku-valerian, i-lemon balm, i-mamawort namanye amakhambi athambisayo),
• amalungiselelo wokubuyiselwa kwezimbali zamathumbu (Atzilact, Hilak Forte),
• izidakamizwa zokuvuselela (i-Viferon, i-Derinat),
• ama-vitamini complexes (i-Pikovit, i-alfabhethi, i-Aevit).

Amakhambi esintu

Ukwelashwa kwesikhumba se-seborrheic dermatitis enganeni, kanye nokwelashwa kwezidakamizwa, amakhambi abantu asetshenziswa:

• ukufakwa kwegxolo le-oki (kusiza ukunciphisa ukubonakaliswa kwesimo esinamafutha se-seborrhea, esihlikihlwe esikhunjeni nsuku zonke),
• ukumiselwa kwe-plantain, i-calendula, i-chamomile (ehlikihlwe kwi-infi ekhanyisiwe njalo ekuseni),
• i-olive noma i-almond oil (kufakwa kwisilonda imizuzu engama-20 ngaphambi kokufaka i-shampooing, kuthambisa amakhreyithi, kusize ukususwa kwawo),
• insipho yokuwasha (esetshenziselwa ukugeza izinwele ezinganeni ezineminyaka engaphezu kwengu-5),
• ukumnika kwe-sage noma i-chamomile (esetshenziswa njengama-lotions).

Kubalulekile ukuqonda ukuthi ukusetshenziswa kwamakhambi abantu kuyindlela yokusiza futhi akukhanseli ukwelashwa kwezidakamizwa okuyinhloko.

Kanye nemithi ebekiwe kanye nezincomo zokunakekelwa kwenhlanzeko, izingane zidinga ukudla kweziguli ezisencane, okususelwa ekusetshenzisweni kwengane noma ngumhlengikazi wezingane zokudla eziphakeme ngamavithamini A, C, iqembu B, i-zinc, ne-selenium. Kubalulekile ukuvikela ukweqisa kwalezi zingxube, ngaphandle kwalokho izinqubo zokuvuvukala zinganda.

Ngesikhathi sokuphela kokuqeda nokwelashwa, odokotela, kubandakanya nodokotela wezingane odumile u-EO. Komarovsky, batusa ukuthi ingane nonina ongumhlengikazi banikeze izondlamzimba ezifanele: bangabandakanyi ukudla okubangela ukungezwani komzimba (ama-sitrobheni, izithelo zosawolintshi, uju, amantongomane, amakhowe, ukudla kwasolwandle), ufulawa, okumnandi, okunamafutha, ukulondolozwa kanye nama-marinade.

Nge-dermatitis ye-seborrheic, isisekelo sokudla kwansuku zonke kwengane noma umama ongumhlengikazi kufanele:

• imikhiqizo yobisi,
• izinhlanzi ezinamafutha amancane, inyama,
• imifino, izithelo namajikijolo (ngaphandle kwalawo allergenic),
• okusanhlamvu
• amaqanda enkukhu
• izitsha ezisuselwa ku-gelatin (jelly, aspic),
• isinkwa rye
• uwoyela wemifino (umnqumo, i-sunflower, i-linseed).

Zonke izitsha zinconywa ukuba zidliwe, zibhakwe noma ziboshelwe. Okuthosiwe ekudleni nakho kungafakwa ngokuphelele.

Izimbangela zesifo

I-dermatitis ye-seborrheic ingaba khona ezinganeni ngezizathu ezahlukahlukene, imvamisa inegalelo kulesi sifo:

• isakhi sofuzo
• ukwehluleka kwe-hormonal
• izifo ezithathelwanayo nezingamahlalakhona
• umsebenzi ophazamisekile womgudu wokugaya ukudla,
• ukuhlanzeka okungekuhle, ukunakekelwa okuntulayo,
• ukuphuza izidakamizwa ezithinta kabi ukungasebenzi komzimba,
• ukucindezela
• izimonyo ezikhethwe kabi.

“Isisusa” esiyinhloko se-seborrheic dermatitis yi-fungus Malassezia furfur. Isikhunta-njengemvubelo siphila cishe kuwo wonke umzimba womuntu, kodwa ukusebenza kwawo kwenzeka ngaphansi kwezimo eziwathandayo, ngokwesibonelo, ukwehla kokungavikeleki noma ushintsho kwe-acidity yesikhumba.

Izinhlobo kanye nezimpawu zomtholampilo zalesi sifo

I-Seborrhea ekhanda lengane ingaba zezinhlobo eziningana: ezinamafutha, zomile futhi zixubekile. Ukuthuthukiswa kohlobo oluthile lwe-seborrhea kuya ngezici ezahlukahlukene futhi kuzibonakalisa ngokuhlukile esimweni ngasinye:

1. Ifomu eliBold. Kwenzeka ngenxa yokwanda kokusebenza kwezindlala ze-sebaceous enganeni. Leli fomu libonakala ngokubonakala kwesikali esikhulu, esivame ukuhlangana sibe yindawo eyodwa eqhubekayo. Ngenxa yenani elikhulu lamafutha ekhanda, izinqubo ezehlukene zokutheleleka zingavela. Ngokubonakaliswa kwe-seborrhea enamafutha ebusheni, izinduna zingavela ngasikhathi sinye. Funda kabanzi mayelana nokwelashwa kwalolu hlobo lwe-seborrhea kule ndatshana.
2. I-seborrhea eyomile. Esimweni sokusebenza kancane kwezindlala ze-sebaceous, kungenza uhlobo olomile lwe-seborrhea ekhanda lomntwana. Lolu hlobo lubonakala ikakhulukazi ezinganeni ezincane. Kulokhu, izikali zinombala omhlophe grey noma ophuzi-omhlophe. I-dermatitis eyomile isongela izinwele ezinciphile nezithibhile, iziqalo ezincane zempandla zingavela nazo. Okuningi ngalolu hlobo lapha.
3. Ukubuka okuxubekile. Uhlobo oluxubekile lwalesi sifo lubonakala ngokuba khona kwesikali esinamafutha nesomile. Ukomiswa kuvame ukubonwa ekhanda, futhi izindawo ezinamafutha zibonakala esikhunjeni sobuso.

Ukwelashwa kwe-seborrhea ezinganeni

Okokuqala, kuyadingeka ukuxilonga ngokunembile futhi uthole imbangela yokubonakala kwesikhumba. Ukusetshenziswa kwezindlela ezahlukahlukene akudingeki ngaso sonke isikhathi, kwezinye izimo, i-seborrhea idlula ngokuzimela.

Kubalulekile! Kwesinye isikhathi abazali baphendukela kumakhambi esintu ukwelapha i-seborrhea. Azihlali njalo zinomphumela omuhle futhi zingalimaza noma. Ungabeki impilo yengane engcupheni.

Ama-ejenti angaphandle asetshenziselwa ukwelapha i-seborrheic dermatitis yesikhumba ezinganeni. Lapho kukhona amakhaza aphuzi ezinganeni ezincane, ezimweni ezibucayi, kwanele ukusebenzisa ama-shampoos akhethekile ukugeza, bese uvimba ngobunono amakhubalo ngenkume yengane.

Kwezinye izimo, ukwelashwa okuyinkimbinkimbi kunconywa kusetshenziswa:

• amalungiselelo okwelapha ngendlela yokugcoba kanye nama-okhilimu,
• ukwelashwa ngomzimba
• ama-shampoos akhethekile nezinye izimonyo
• ukudla okhethekile.

Into enjena njenge-dermatitis ezinganeni akufanele inganakwa futhi ulinde ukuthi idlule, ngaphandle kwalokho ungaqala isimo. Akunconywa nokuthi ukhethe i-ejenti yokwelapha ngokwakho futhi, ikakhulukazi, ukubheka emithini yendabuko ngaphandle kokuthinta uchwepheshe kuqala.

Ukwelashwa ngeke kulunge ngaphandle kokulandela ukudla okhethekile. Ukusuka ekudleni, kuphoqelekile ukukukhipha: ukudla okunamafutha, ufulawa nokudla okunezipayisi, amaswidi, ukudla okusheshayo, ukudla okusemathinini, inyama ebhemayo, ama-marinade, ukudla okulula, amasoseji namanzi amnandi akhazimulayo.

Futhi, kwezinye izimo, kufanele ulahle imikhiqizo engadala ukungahambi kahle komzimba: uju, amantongomane, amakhowe, ama-citruse, ukudla kwasolwandle nokuningi.

Kokubili okhulile nengane enesifo sokuqina kwesikhumba, kubalulekile ukufaka imikhiqizo elandelayo ekudleni:

• inyama ebambekayo: inkukhu, iturkey, unogwaja, i-veal,
• imifino, izithelo namajikijolo okungewona ama-allergen angaba khona,
• okusanhlamvu: i-buckwheat, i-oatmeal, ibhali,
• isinkwa rye
• Amafutha: umnqumo, i-sunflower, i-linseed nabanye,
• inhlanzi enamafutha amancane, uma ingane ingasabeli kuyo,
• ubisi: i-kefir, ukhilimu omuncu kanye neyogathi,
• amaqanda enkukhu.

Amavithamini azosiza futhi ukuvikela ukukhula kwesikhumba se-seborrheic dermatitis. Amafutha wezinhlanzi, amavithamini wamaqembu A, E no-B ikakhulukazi afaka isandla ekuvikeleni i-seborrhea.

Ama-Vitamin complexes aphelele: iPikovit, VitaMishki, Alfabhethi, i-Aevit nabanye. Ngaphambi kokusebenzisa, qiniseka ukuthi uthintana nodokotela wakho.

Izithako kanye nokhilimu

Nge-dermatitis enganeni, ezimeni eziningi, kumiselwe ama-ejenti angewona ama-hormone, okuyizinto ezesabisayo, anti-allergic, cosmetic, immunostimulating, njll. Okubi kuphela ukuthi ukwelashwa okungeyona i-hormonal kuvame ukuhlala isikhathi eside kunokusebenzisa izidakamizwa ze-hormonal.

Ngokuvamile abazali basebenzisa imikhiqizo esekwe ku-zinc, kanye namafutha e-ichthyol. Ngaphezu kwalokho, okuvela kwizikhwama zekhemisi kufanele uphawule okulandelayo:

• Amafutha e-La Cree - azosiza ukuqeda ubomvu, ukukhonkotha nokukhanywa, okusetshenziselwa ukuzalwa,
• amafutha e-syntomycin - umuthi olwa namagciwane wokulwa nokuvuvukala aqukethe i-antibiotic, ukusetshenziswa ngemuva konyaka ongu-1 kuvunyelwe,
• I-Bepanten - ithuluzi eliphephile elikhuthaza ukubuyiselwa kwamaseli ngokushesha, isetshenziswa ngisho nasezinganeni ezisanda kuzalwa.

Esimweni lapho ukusetshenziswa kwemikhiqizo equkethe ama-hormone kungenakugwemeka, kuzoba nokuningi ongakukhetha kukho. Ezimweni ezinganakwa ikakhulukazi, yizo izidakamizwa ezinjengalezi ezizosiza ukuqeda ngokushesha izimpawu futhi kudambise isimo sengane. Kubalulekile ukukhetha umuthi ofanele futhi uwusebenzise okwesikhashana nje.

Endabeni yokwelashwa kwe-hormone, kufanele kuqashelwe ukuthi kuze kube yiminyaka eyi-7, umuthi unqunywe kuphela ngudokotela! Ezinganeni ezisanda kuzalwa nezinsana, ukugcoba okuqukethe ama-hormone kanye nama-okhilimu akusetshenziswa.

Phakathi kwezidakamizwa ezisebenzayo, kufanelekile ukuphawula:

• IHydrocortisone ingamafutha athandwayo asetshenziswa kabanzi ekwelapheni kwezingane,
• I-Advantan - iqukethe i-methylprednisolone ekwakhiweni kwayo futhi isetshenziswa kunoma iyiphi indawo yesikhumba ezinganeni ngemuva kwezinyanga eziyisithupha,
• I-Flucinar - isakhi esisebenzayo yi-flucionol acetonide, kuze kube yiminyaka emibili kubekiwe.

Kubalulekile ukukhetha ngokucophelela i-ointment noma ukhilimu onama-hormone, ngoba wonke anokuphikisana okuningi nemiphumela emibi engenzeka. Ngokuqondene nalokhu, ukuzelapha akukanconywa kakhulu!

Imikhiqizo yezimonyo

Ama-shampoos ajwayelekile angadala ukucasuka okuthe xaxa enganeni, ngakho-ke kunconywa ukusebenzisa izindlela ezikhethekile zokugeza izinwele nekhanda ngesakhiwo esimnene:

• I-Friderm shampoo-foam,
• I-Psoriloma
• UMustela Bebe.

Izinkampani ezaziwa kahle zikhiqiza umugqa ohlukile wama-shampoos wezingane ezingaphansi kweminyaka emibili. Imvamisa, ukwakheka akuhlukile kakhulu kunhlobo yabantu abadala, umehluko usekuqoqweni lwezinto ezisebenzayo kuphela.

Yini i-seborrhea yesikhumba emntwaneni

Ezinganeni, i-seborrhea yes scalp iziveza ngendlela yokubhoboza kanye ukulunywa okungathandeki. Lesi simo sidalwa ukungasebenzi kahle kwezindlala ze-sebaceous. Uma kukhishwa i-sebum encane, khona-ke i-dandruff imhlophe.

Uma kuvela secretion ngokweqile, izinhlayiya ze-keratinized zinamathela ndawonye futhi zithole i-tint ephuzi.

Ukuzwakala kwesikhumba kubizwa ngokuthi i-seborrheic dermatitis (seborrhea ngesiGreek kusho "ukuvuza"). Kukholelwa ukuthi i-ejenti yayo ye-causative iyi-fungus, eqala ukwanda ngokuningiliziwe uma kwenzeka kwephulwa ibhalansi yesikhumba ye-lipid.

Lesi sithombe esilandelayo sengane sikhombisa ukuthi i-seborrheic dermatitis noma “amakhowe obisi” ezinsaneni abukeka kanjani.

Izinhlobo nezimpawu ze-seborrhea

Kunezindlela eziningana zezifo:

1. Umile. Kuhlotshaniswa nokusebenza kabi kwezinduna ze-sebaceous. Njengomthetho, i-seborrhea enjalo yenzeka ezinganeni ezisanda kuzalwa. Kubonakala ngesikali seziphuzi eziphuzi noma ezikhanyayo ezimpunga.
2. Oily. Ngokuphambene nalokho, kuhlotshaniswa nokuqunjelwa ngokweqile kwe-sebum. Ikhanda libukeka kahle, licwebekile. Isikali siqala ukunamathela ndawonye, ​​sigcwalisa ingxenye enkulu engaphezulu yesikhumba.
3. Kuhlanganisiwe. Ezinye izindawo zikhombisa izimpawu zesikhumba esomile, kanti ezinye zivela njengamachashaza amakhulu. Kwenzeka ngasiphi iminyaka.

Ukuqalisa kahle ukwelashwa, omama kufanele baqondiswe yizimpawu zokubonakaliswa kwalesi sifo.

Izimpawu zesikhumba emntwaneni yilezi:

• ukwakheka kwezikali eziphuzi, ezimhlophe noma ezimpunga ikakhulu ezingxenyeni zekhanda nasekhanda,
• ukuba khona kwama-seborrheic cr crs kwezinye izindawo zesikhumba ezinganeni, ngokwesibonelo, ezinhlamvini zamehlo, entanyeni, ngemuva kwezindlebe (ezinganeni, i-seborrhea ingaguqukela ezingxenyeni ezinqenqemeni, emihubeni, ezinkalweni),
• akukho ukuvuvukala okushiwo kakhulu (lapho ususa amakhreyithi, isikhumba sizoba nombala onempilo, mhlawumbe obomvana kancane),
• ukukhonkotha akuyilethi enkulu ingane, ikakhulukazi uma “ubisi” lukhala ezinsaneni,
• ukulahlekelwa izinwele ezinzima
• kwezinye izikhathi - ukujuluka ngokweqile kwezandla, izinyawo nasezindongeni.

Kwesinye isikhathi ingaphezulu lesikhumba liqala ukuthola impumuzo, embozwe amashubhu. Izindawo ezinjalo zibizwa ngokuthi ama-seborrheic element noma ama-zone. Imvamisa, zitholakala ebusweni, amashiya, isikhumba.

Kwenzeka ukuthi ezinye izinto ze-seborrheic zitholwe endaweni ngemuva - engxenyeni yayo ephezulu.

I-Atopic dermatitis, ngokungafani ne-dermatitis ye-seborrheic, ibonakaliswa isithombe esiveziwe somtholampilo ngokuvuvukala okunzima, ukulunywa kanye nama-vesicles amancane. Kuyindlela yokungezwani komzimba ekudleni noma kwezinye izinto, izakhi zekhabethe. Ngesikhathi komzimba omubi kakhulu, umkhuhlane kungenzeka.

Iphuzu elibalulekile! Ufuna ukuhlola isikhumba esinamafutha sengane? Thatha indwangu yokuhlanzeka uyisule ngobuso bakho, ikakhulukazi obamba ekhaleni. Qinisekisa ukuthi ngaphambi kwalapho ingane ayizange isebenzise izimonyo - izigcobo, amagelasi wesikhumba, njll. Uma umkhondo uhlala kwi-napkin, khona-ke ingane ine-secretion eyengeziwe ye-sebum.

I-Seborrhea ezinsaneni ekhanda

Amaconsi angathandeki ezinganeni ezisanda kuzalwa zikamama angabonakala esontweni lesibili lokuphila kwengane. Isikali esisebenzayo ikakhulu sakhiwa ezinyangeni ezi-3 zokuqala, lapho kwenziwa ukwakheka kwazo zonke izinhlelo zomzimba ze crumb. Njengomthetho, ayanyamalala eduze nonyaka, kepha angabambezeleka aze afike eminyakeni engama-2-4.

Esikhunjeni nasekhunjeni okungu-50% wezinsana, kuvela isikhumba. Ngokuhamba kwesikhathi, kuyadlula, kepha izikali kudingeka zisuswe ngomshini.

Uma sikhuluma ngembangela yale nto, ayifundwa kahle. Odokotela bakholelwa ukuthi i-seborrhea ezinganeni ezisanda kuzalwa ivela ngenxa:

• ukulungiswa kwe-hormonal (njengoba uyazi, ngemuva kokuzalwa, ama-hormone awathatha kunina ngesikhathi sokukhula kwe-intrauterine ayakhishwa ezinganeni - isizinda sawo se-hormonal sakhiwe, sibonisa ngokungasebenzi kahle kwezindlala ze-sebaceous),
• izinto zangaphandle (ukuhlala njalo esigqokweni, ukugeza ngama-shampoos, ukondla umama ongumhlengikazi, ukuxuba okwenziwe kanye nokondla kwasekuqaleni)
• ukuzalaniswa kwesikhunta iMalassezia furfur, ehlala esikhumbeni futhi kuholele ekwakhekeni kwe-dandruff,
• ukungasebenzi komzimba okwenziwe buthaka (ukutheleleka kwangaphambilini, isisindo esiphansi, ukuqagelwa kofuzo kungaba izimbangela zesifo),
• ukwephulwa kwezinqubo ze-thermoregulatory, okuyinto ejwayelekile ezinganeni kuze kube unyaka (ngenxa yokugoqwa njalo kwengane, i-thermoregulation yehluleka, ethinta ukusebenza kwezindlala ze-sebaceous).

Izikhumba zabantwana ezinganeni

Ubusha yikhasi elingalibaleki nelimangazayo empilweni yawo wonke umuntu. Ngalesi sikhathi, izingane zizama ukuvela esixukwini, ngoba ukwakheka kwe- "Mina" yakwabo kwenzeka. Ngokokuqala ngqa bathandana ngokweqiniso futhi bafuna ukukhanga ngangokunokwenzeka. Kepha lapha, ngenxa yezimo ezithile, ukuqubuka, ukukhonkotha esikhunjeni nokuqina kwesikhumba okungahambi kahle kusonakalisa isithombe.

Uma i-dermatitis ye-seborrheic engaphansi kweminyaka eyodwa yonyaka ithinta izinwele, kungakhathalekile ubulili, khona-ke ebusheni, amantombazane ahlushwa kakhulu yilesi sifo.

Ebusheni, njengoba wazi, ushintsho lwamahomoni emzimbeni luyenzeka. Kungakho esikhunjeni ungabona amachashazi amnyama (ama-blackheads, ama-comedones), ukukhonkotha nokuqina izinwele.

Ezinye izimbangela zesikhumba:

• i-gastrointestinal tract pathologies (dysbiosis iholela ekuphazamisekeni kwe-metabolic, okuthi, kuphinde kuthinte ukucasulwa, kutholakala ezinganeni ezineminyaka engu-5 kuya kwengu-12 ubudala, futhi kungenzeka kube yintsha ngenxa yokungondleki),
• izingcindezi ezivame ukwenziwa (isimo esibuthakathaka 'sokwengqondo sithinta ukuphazamiseka emithanjeni ye-sebaceous, ngoba kuyaqapheleka ukuthi izingane ezive eshumini nambili zizama ukuvelela kontanga zazo, kepha azihlali ziphumelela, noma zithola uthando olungafanele - ngenxa yalokhu, ukuphazamiseka okuvame ukwenziwa),
• umsebenzi osebenzayo wesikhunta se-furfur fungus iMalsesezia, okuthi, njengomthetho, ukhule esikhumbeni, kubangele ukuqina (iminyaka eyi-13-16),
• ukondleka okungalinganiseli (uma amaswidi nofulawa kuvame ukuvakashela ekudleni kwengane, khona-ke isikhunta esikhumbeni, esinikwa yimikhiqizo enjalo, siqala ukuzizwa sikhulu, kanti nokuntuleka kwe-Vitamin A ne-E kunomthelela ngqo ekungasebenzi kahle kwezindlala ze-sebaceous),
• ukusetshenziswa njalo kwezimonyo eziqukethe utshwala (njengoba wazi, intsha isula ngenkuthalo isikhumba sayo ngama-lotions, ngaphandle kokucabanga ngokwakhiwa kwayo),
• Ukukhetha okungafanele kwe-shampoo (uma ungacabangi ngohlobo lwesikhumba, khona-ke ungashuba isimo saso kuphela),
• ukuvezwa njalo elangeni noma i-hypothermia ebusika kusithinta kabi isimo sesikhumba (amantombazane nabafana abasebusheni abavamile kakhulu ukwenqaba ukugqoka izigqoko, bese behlushwa ukuboniswa okungathandeki esikhunjeni).

Iphuzu elibalulekile! Kwesinye isikhathi amantombazane asemasha asebenzisa isicashile ukufihla ukuboniswa okungajabulisi kwe-seborrhea. Kwenqatshelwe ngokuphelele ukwenza lokhu, ngoba ngenxa yokuvalwa kwama-pores, inkinga ikhula kuphela.

Izici zokwelapha

I-dermatitis ye-seborrheic yesikhumba esiswini enganeni ayibulalanga. Kepha ngenxa yokuhlanganiswa kwezimo ezithile, izinkinga zokugula zingenzeka, okuzibonakalisa kusimo:

• ukulunywa kanzima okuvusa isifiso sengane sokuhlanganisa isikhumba negazi,
• ukusakazwa kwesikali kuvela ngaphandle kwesikhumba,
• ubomvu obukhulu besikhumba lapho kufakwa khona ikhasi
• ukutheleleka nge-streptococci ne-staphylococci, okuvela ngenxa yokusakazeka kwezinqubo zokuvuvukala.

Ngakho-ke, ukuze uvimbele lezo zinkinga, udinga ukuqala ukwelashwa okulungile ngokushesha okukhulu.

Ngaphambi kokwelapha i-seborrhea, kunconyelwa ukuthi uvakashele udokotela wesikhumba. Udokotela ogxile kakhulu uzokwenza ukuhlonza okubonakalayo kwalesi sifo, futhi anikeze nokuhlolwa kwesikhumba ukuze kutholakale isikhunta nokuhlolwa kwegazi kwe-biochemical kwama-hormone. Ezimweni ezingavamile, kwenziwa i-ultrasound yegland yegilo kanye nesisu sesisu. Kungemva kokuxilongwa kwe-dermatitis kuphela ngemuva kokuxilongwa okutholwe kahle.

Akunakusho ukuthi kufanele ufake insipho yezingane ezindaweni ze-seborrheic, ngoba isomisa isikhumba. Ezinganeni, ukusetshenziswa kwe-shampoos kubantu abadala akuvunyelwe - i-shampoo yezingane ekhethekile kuphela efanelekile isikhumba sabo.

I-dermatitis ye-seborrheic ingahle ididaniswe ne-atopic, psoriasis, eczema kanye nama-rickets. Ngakho-ke, ukuphela kwesinqumo esifanele kuwukuya kudokotela wezikhumba.

Ukwelashwa ekhemisi

Enye indlela yokwelashwa iya ekhemisi, lapho usokhemisi ezokutholela khona ikhambi lokuxola kanye nokwelapha isifo somoya.

Phakathi kokusetshenziswa kwezidakamizwa ekhemisi:

• Amafutha okuhlanza e-jojoba, i-olive, i-peach, i-almond, ezothambisa izikali ngenhloso yokususa eminye imishini,
• okhilimu, amagilemu, amagwebu, ama-lotion nawo aklanyelwe ukulwa nokususwa kwesikali nokuhlanza i-pore (kufakwa ebusuku, futhi kuhlanzwa nje ekuseni, izimpi zezimonyo zokulwa ne-seborrhea, zilawula ukugcinwa kwezindlala ze-sebaceous, okuyizindlela eziphumelela kakhulu zomkhiqizo waseFrance DS Urance, U-Mustela Stelaker),
• amakhambi okwelapha (asetshenziswa kaningi ngosuku futhi angagezwa, ahloselwe ukulwa namagciwane futhi aqinise izindlala ze-sebaceous, yimikhiqizo edume kakhulu iBioderma Sensibio DS +, Saforel, engasetshenziswa futhi kwesikhumba sezinsana),
• ama-antiseborrheic shampoos (ahlose ukulwa ne-fungus kanye nokubuyisa ibhalansi ye-lipid, isibonelo, i-Friederm, Nizoral, Sebozol, Sulsen) nesepha lensha,
• amalungiselelo asuselwa ku-zinc asetshenziswa kwangaphandle azomisa isikhumba, i-salicylic acid kanye ne-ovil ye-sulfuric,
• imali yokusetshenziswa kwangaphakathi (i-bifonazole, ketoconazole), ukutholwa kwayo okunconywayo uma kutholwa ukhunta.

Zonke lezi zidakamizwa azinamphumela wombani. Kufanele kuthathe izinyanga eziyi-1-2 ukuthi ubone ukuthuthuka.

Kubalulekile! Uma ingane yakho ithole ukuthi i-atopic dermatitis, amafutha akhethekile antifungal awakwazi ukuhanjiswa. Njengomthetho, izinhlungu zokugcoba zibekiwe, ezibandakanya i-betamethasone, clobetasol ne-hydrocortisone.

Ukwelashwa ngemithi yabantu

Kahle kahle ekulweni ne-dandruff kuzosiza ama-decoctions asuselwa kumakhambi okwelapha:

Lapho ugeza ingane, qiniseka ukuthi wengeza intambo eyephukile, izigaxa zehip hop, amagxolo e-oki kubhavu wokugeza.

Ukuqeda i-dandruff, lungiselela i-decoction esekwe eSt John wort, izimpande ze-burdock namandla ayisishiyagalolunye. Hlanganisa izithako ezichotshoziwe ngokulingana bese upheka umlilo imizuzu engama-20. Ngemuva kokungeniswa kokufakwa, fafaza ngesihlungo bese uqala ukusikaza esikhunjeni. Mboza izinwele ngensimbi yepulasitiki bese uyisonga ngethawula.

Kumntwana ongaphezulu kweminyaka emi-5, kunconywa ukuthambisa uwoyela we-castor, usawoti osanda kufakwa we-aloe ne-isikhupha seqanda esikweleni.

Intsha ingazama ithuluzi elinamandla ngokulwa ne-peeling: hlanganisa ngokulingana kwe-anyanisi juice, i-vodka ne-castor oil. Hlikihla isikhumba bese ubhekana nehora elilodwa ngaphambi kwezinqubo zamanzi.

Uma ufuna ukuthambisa kalula amakhonkco, Ungalungisa uwoyela okhethekile. HhawuIzici zokupheka:

• hlanganisa amaqabunga aqhekeziwe e-plantain, izimbali ze-hypericum kanye ne-calendula,
• ubilise ngomlilo ukuze unciphise ingxube ngesigamu,
• engeza i-Vaseline encane noma ibhotela elingavuthwanga,
• hlikihla njalo esikhumbeni kuze kube yilapho izimpawu ziphela nya.

Ukuqeda ukubonakaliswa kwe-seborrhea, sebenzisa iparsley entsha. Chop mayelana 3 tbsp. l imifino bese uyigcwalisa ngengilazi yamanzi abilayo. Vumela ihambisane nesigamu sehora futhi ungaqala ukukhipha isikhumba. Inkambo yokwelashwa okungenani inyanga.

Ukwelashwa okuhlukile

Enye indlela yokwelapha ukususa ngomshini amakhonkco afakwe ngaphambi kokugcotshwa uwoyela ukuze awathambise.

Ukususa "amakhaza obisi" enganeni, landela lezi zincomo ezilandelayo:

1. Geza izandla zakho ngaphambi kwenqubo.
2. Ihora ngaphambi kokugeza, thambisa uwoyela wengane ojwayelekile esikhumbeni - kufanele kufudumale.
3. Manje bopha i-bonnet efudumele futhi ungadlala nengane.
4. Masinyane ngaphambi kokugeza, isicwecwe siyasuswa bese sikhonkotha sisuswa ngenhlanganisela yepulasitiki enama-clove amancane. Zama ukukhipha izikali ngensimbi, ukuyibamba engela lama-degree angama-30- 40.
5. Manje usungaqala ukubhukuda.
6. Ngemuva kwenqubo yamanzi, phinda uye ngaphezulu kwekamu, ngoba inhloko yemvuthuluka igcwele kahle.

Ukunaka! Ukwenza lokhu kukhwabanisa, kwenqatshelwe ukukhipha isikhumba ngezipikili zakho noma ukuqina kwesikhumba esikhumbeni esomile, ngoba ungalimaza kakhulu isikhumba esibuthakathaka sengane bese udala ukutheleleka.

Ngeshwa, ukususwa kwemishini kwesikhubekiso akuhlali kuholela emiphumeleni oyifunayo. Okungenani izinqubo ezingama-2-3 kumele zigcwaliswe ukuqeda ama-flakes. Ngaphezu kwalokho, imvamisa kakhulu ukuvela okusha okuvela ekhanda lezinwele, ngoba imbangela ayikasuswa.

Futhi ungazama usawoti wolwandle. Lungiselela isixazululo sokugeza ama-curls asuka kuso ngemuva kokugeza okukhulu.

Esikhundleni se-shampoo, kunconywa ukusebenzisa izikhathi ezi-2 ngenyanga buhlalu lwesinaphi oluhlanjululwe (ilungiselelwe izingane kuphela ezineminyaka engu-13 ubudala).

Ukususa ukhunta okuhlala esikhumbeni, kugeze ngejwayelekile amanzi ngokufakwa kukaviniga noma i-salicylic acid.

Uma insizwa isetshenziswa ukugeza izinwele zayo ngensipho, khona-ke kungcono ukuyifaka esikhundleni sayo umenzeli we-tar.

Ukuze unciphise ukulunywa, ungasebenzisa ijusi kalamula buhlanjululwe ngamanzi.

Ukuvikelwa kwezifo

Njengomthetho, i-dermatitis ye-seborrheic nge-kupita kokuthomba ihambe. Kepha ukuze angaveli futhi, udinga ukulandela lezi zincomo:

• gcina ukubusa kosuku (ngaphandle kokuzivocavoca ngokweqile ngokweqile, ukuqapha isikhathi sokulala ebusuku - okungenani amahora angu-8, nezingane ezincane, kanye namahora ambalwa phakathi nosuku)
• buyisela ekudleni (amaswidi namakhekhe kudinga ukukhawulelwa, esikhundleni sawo, faka izithelo ezintsha nemifino, qiniseka ukuthi usebenzisa amagremu ama-40 amaprotheni (inyama noma ushizi, ubhontshisi) ekudleni ngakunye),
• thatha ama-multivitamin complexes njengomthetho (ekhemisi uzothola amavithamini amaningi wezingane, uqiniseke ukuthi afaka i-Vitamin B, ejwayela i-sebaceous gland),
• cabanga kabusha izimonyo zengane (ngaphandle kokugcoba okuqukethe utshwala, khetha okhilimu kanye nama-shampoos kuya ngohlobo lwesikhumba),
• qiniseka ukwelapha wonke ama-pathologies angaholela ekungalingani kwe-lipid kwesikhumba,
• uma kwenzeka ukushaqeka okukhulu kwemizwa nokuphazamiseka, yenza isikhathi sokudibana nodokotela oyi-neurologist noma udokotela wengqondo,
• qinisa ukuvikelwa komzimba (ukondleka okufanele, ukulala kahle, ukuhamba emoyeni omusha, ukuvivinya umzimba ngokulinganisela, ukushiswa yilanga),
• unakekele isikhumba sakho njalo (kungakuhle ukuthi ukhethe izimonyo ngemuva kokubonisana nodokotela wezikhumba).

Uma uzosusa i-dermatitis ye-seborrheic isikhathi eside, kuyenqatshelwa ukugeza izinwele zakho kaningi - okungenani isikhathi esingu-1 ezinsukwini ezi-3.

Qaphela omama bezingane ezisanda kuzalwa: Misa ukugoqa ingane yakho uma igumbi noma umgwaqo ufudumele ngokwanele. Bathe umntwana wakho osanda kuzalwa njalo futhi ngenkathi efudumele uhambe ngaphandle kaningana ngosuku. Omama abangabahlengikazi akufanele bakhohlwe ngokudla kwabo, ukuze kungabikho dermatitis, qeda ukudla okunamafutha.

Izinkinga

Njengoba sekushiwo, ifomu le-seborrhea elithuthuke kakhulu liholela ekusakazekeni kwalo kwezinye izindawo. Uma unganikeli ngosizo lwezokwelashwa ngesikhathi, ingane ingaqala ukuba nesifo sohudo kanye nokuvuka okujwayelekile - Ukhathala, ukozela noma ukuqwasha, ukulahleka kwesifiso sokudla kanye ne-anemia.

Ngokuzivikela komzimba okubuthakathaka kanye nokuntuleka kokwelashwa okufika ngesikhathi, ukutheleleka kungangezwa ku-dermatitis ejwayelekile. Ukuba khona kwayo kudinga ukungenelela kwezokwelapha (amaphilisi, imijovo).

Ngakho-ke, i-seborrhea enganeni ingenzeka ngenxa yezimo ezahlukahlukene. Uma kuvela izikali eziphuzi ekhanda lengane, kufanele ziqedwe nje ngomshini. Ngokwakheka kohlelo lokugaya ukudla kanye nesizinda se-hormonal, ukukhonkotha kuzonyamalala kukodwa. Uma kwenzeka lapho usola i-dermatitis ezinganeni esezikhulile, funa usizo kudokotela wesikhumba ozokunikeza ukwelashwa okufanele, akhombe imbangela yangempela.

Izimbangela zesikhumba ezinganeni

Izimbangela eziphambili ze-seborrhea ezinganeni yilezi:

1. Ukuqongelela kwama-hormone omama emzimbeni wengane ngesikhathi sokukhulelwa. Ngenxa yobukhona bazo, izindlala ze-sebaceous zisebenza ngokuzikhandla, okuholela ekubukekeni kwamaqhubu namabala.
2. Ifa lokuzalwa.
3. Ukusakazeka kwemvubelo ye-Malassezia furfur, okubangelwa ukuphazamiseka okuhlukahlukene emzimbeni wengane. Lokhu kuholela ekubonakalisweni okubucayi kwesifo futhi kugcizelela kakhulu ukwelashwa.
4. Izifo ezithathelwanayo.
5. Dysbacteriosis
6. Ukuphazamiseka kwendlela yokuhamba kwamathumbu emathunjini.

Ezinye izimbangela zokwephulwa yilezi zinto ezilandelayo:

• ukunakekelwa kwengane okunamaphutha,
• ukuhlala isikhathi eside endaweni yokungcola ngamakhemikhali, amagesi aqeda ukuphuma nokukhishwa kwamabhizinisi wezimboni,
• ukwelashwa okungafundile,
• ukuchayeka ezindabeni ezinombala.

Kwesinye isikhathi izimbangela zesifo zingaba yizici ezimbalwa kulowo ohlanganayo. Kulokhu, ukwelashwa kuzoba yinkimbinkimbi.

Ukuxilongwa nokwelashwa kwalesi sifo

Izifo eziningi ziyefana kakhulu ngezimpawu, i-seborrhea yezingane nayo iyashiyana. Ngakho-ke, ukunquma ukuxilongwa okuqondile kokuhlolwa kokuqala kw uchwepheshe kungenzeka kunganele. Kuyadingeka ukwenza ucwaningo oluningi:

• ukuhlolwa kwesikhumba kwesikhumba,
• isikhumba kuyizinhlayiyana,
• imicroscopy yama-flakes,
• ukuzimisela kwesizinda se-hormonal.

Bazosiza ekuboneni imbangela yokuvela kwe-seborrhea enganeni, futhi banikeze ukwelashwa ngokuhambisana nezimpawu zesifo.

Izindlela zokwelashwa zincike esimweni sengane nakwimbangela yalesi sifo.

Uma i-seborrhea enganeni ivela enganeni futhi ibangelwa ukwakhiwa kabusha kwesizinda se-hormonal, ukwelashwa kungenzeka kungadingeki: ezinyangeni ezi-6 zizonyamalala zodwa. Kodwa kufanele kukhunjulwe ukuthi uma i-dermatitis isesikrinini, ukuqina kwe-seborrheic ezinganeni kungaphazamisa izinqubo ze-metabolic kanye nokugeleza okujwayelekile kwe-oksijini kulesikhumba. Ukwenza ngcono lesi simo, ungathatha izinyathelo ezithile:

1. Buyekeza ukudla kukamama ukuze unqume ama-allergener angaba khona.
2. Ngomsoco wengane, kungcono ukhethe ukuxubeka kwe-hypoallergenic.
3. Ukunakekela, kufanele usebenzise ama-shampoos wezokwelapha nama-okhilimu alawula ukukhiqizwa kukasawoti.
4. Ngemuva kokwenza izinqubo zokuhlanzeka, ama-ejenti wokomisa kufanele asetshenziswe:

• I-Bioderm
• Friderm
• Sulsena.

Ungasebenzisa uwoyela wemifino. Ukuze wenze lokhu, ihora ngaphambi kokugeza izinwele zakho, i-olive yamafutha noma u-oyela wezingane okhethekile kufakwa esikhunjeni esithintekile. Isihloko sendwangu yekotini sibekwa ngaphezulu. Ngemuva kokugeza izinwele, uqweqwe kufanele lukhishwe ngenhlanganisela enamazinyo amancane. Inqubo kumele iphindwe ngaphambi kokugeza ngakunye.

Uma ukhunta waba imbangela yokuvela kwesikhuhla, ungasebenzisa ama-shampoos akhethekile:

Uma zonke izindlela zokwelashwa zinganikezi umphumela oyifunayo, ukugcotshwa kwamafutha anezithako zehomoni kungabekwa.

Ukutheleleka ngegciwane kufanele kwelashwe ngama-antimicrobial agents kanye nezidakamizwa ukuqinisa ukungatheleleki komzimba.

Ukwelashwa kwe-seborrhea ezinganeni ezineminyaka engu-5 nangaphezulu, ukusetshenziswa kwamafutha okugcoba kufanelekile:

Uma inqubo isisakaze emafini esikhumba, kunconywa ukusetshenziswa kwe-Castellani liquid.

Ukusetshenziswa kwezindlela zokwelapha abantu

Kulabo abesaba ukuphatha ingane ngemithi, ungasebenzisa izindlela zokupheka zabantu. I-dermatitis ye-seborrheic enganeni iphathwa nge-decoctions kanye ne-infusions yamakhambi okwelapha:

1. Kunconywa ukusula izindawo ezithintekile nge-decoction ye-chamomile noma i-sage.
2. Umphumela omuhle unikezwa ngama-lotions we-decoction wama-oki bark, alungiselelwe ngokwesilinganiso: isipuni seglasi lamanzi.
3. Ungapheka ukumisa nge-sage, kuhlanganiswe noju. Kungathatha isikhundla sokulanywa kwamafutha kanye nama-ejenti wokupholisa.

Lezi zimali ziqeda i-dandruff, zinciphise ukumiswa futhi zomise isikhumba.

Imithetho Yokunakekela

Ukuze ukwelashwa kwe-seborrheic dermatitis enganeni kuphumelele, kubalulekile:

• geza ikhanda lengane yakho njalo
• ungasebenzisi insipho, ama-shampoos ahloselwe abantu abadala ukugeza,
• ungasebenzisi amathawula abanye abantu,
• khipha ngobunono isikhumba esikhunjeni, kepha ungamhlanganisi ukuvuvukala (ungaletha ukutheleleka),
• shintsha amashidi embhede masonto onke,
• hlinzeka ukuhamba njalo emoyeni omusha nokulala okuhle,
• susa imithwalo eyandayo yokuqeqeshwa kanye nezingcindezi.

Isilinganiso se-Oak bark

I-decoction yama-oki bark isiza ukubhekana kahle nesifo sekhanda kahle.

Ukuze uyenze udinga ukuthatha i-spoonful of bark, uthele amanzi abilayo phezu kwayo. Bese ubamba nge-thermos noma ugaye endaweni yokugeza emanzini. Bese ufaka i-spoonful of uju lapha. Ithuluzi lihlikihlwe esikweleni. Ngemuva kwalokho hlambulula ngamanzi afudumele. Kwenziwa ngosuku.

Ungayiphatha kanjani i-dermatitis ye-seborrheic ezinganeni

Uma ingane ingahlupheki ngamakhanda ekhanda, isifo sokwelashwa kwesikhumba akufanele selashwa. Abazali bayalulekwa ukuthi bagcine izisekelo zokuhlanzeka futhi lokhu kwanele. Kepha kwesinye isikhathi inkambo yalesi sifo iyinkimbinkimbi. Kube sekuthathwa udokotela wezikhumba ukuze athole ukwelashwa. Izimo ezinhle kakhulu zenzelwe izingane ezisanda kuzalwa - ingane ekhethiwe izingubo ezenziwe ngezindwangu zemvelo ezingeke zicasule isikhumba, kuyomelwe ushiye izigqoko ezinama-coarse seams.

Ukwelashwa nge-anthelmintic kanye nenkambo ye-antimycotic kunqunyelwe kusetshenziswa umuthi ofakazelwe. Kunconywa ukushintshela ekudleni okudala

• ushokoledi awukhishwe ekudleni kwengane,
• okwesikhashana kufanele balahle amantongomane,
• uju kungaba yingozi
• izinto ezenziwa yi-allergic zitholakala kumaqanda nezithelo, imifino ebomvu.

Uma ingane ibele, umama ushintshela ekudleni okuqukethe i-zinc, i-selenium, amavithamini A, C, iqembu B. Ukweqisa izidakamizwa nakho ngeke kuvunyelwe, uma kungenjalo ukuvuvukala kwesikhumba sengane kuzonyuka kuphela.

Imithi

Imithi enqunywe udokotela wamazinyo yenzelwe ukulungisa ukugeleza kwengane kwe-sebaceous. Ngenxa yabo, amakhaza nesikali kuzohamba ngokushesha kwesikhumba. Uma i-dermatitis itholwa ngendlela emnene, i-shampoo, Foam, ijeli kuzosiza. Odokotela banquma uFiderm, uSaforel, uSensibio Bioderma, uMustela Bebe njengezidakamizwa ezisebenzayo.

Insipho yengane yokuxolelwa ayisebenzi. Ngaphezu kwalokho, yomisa ama-dermis ngokuphelele. Lapho amakhubalo ethambisa, aphathwa ngamafutha. Ngale njongo, kusetshenziselwa uwoyela oyinyumba ephephile ezinganeni noma owoyela owenziwe ngeoyile ochithiwe. Ngemuva kokugcoba ikhanda lengane, umama udlula ngokucophelela amaqhubu ngejamu kanye namakhethini amancane.

Ngendlela enamafutha yesikhumba, kusetshenziswa umuthi onama-zinc. Boma kancane isikhumba, banciphise ukuvuvukala, ukuvuvukala. Uma lokhu kwelashwa futhi kwavela kungasebenzi, zama i-antifungal, usebenzisa iMiconazole, iNizoral. Ukubuyekezwa okuhle kuqoqe izinhlelo zokusebenza ngamafutha e-keratolytic. Ezimweni ezimbi kakhulu ,guqukela ekwelashweni kwehomoni.

Lokho uComarovsky akucabangayo ngesikhumba se-seborrheic dermatitis, uzofunda ngokubuka ividiyo:

Ukuvimbela Isikhumba Sase-Seborrheic in Babies

Ukuvimbela kuyindlela engcono kakhulu yokugwema ukwelashwa isikhathi eside. Ukuze unciphise amathuba okuba nesikhumba, kunconywa lezi zinyathelo ezilandelayo:

• ngesikhathi sokukhulelwa, owesifazane kufanele abheke ngokucophelela ukondleka,
• usana olusha kufanele lunikezwe yonke imithetho,
• lapho wethula ukudla okuhambisana nakho, kufanele uthintane nodokotela wezingane futhi ulandele izincomo zakhe,
• ukunakekela ingane (ikakhulukazi kuze kube unyaka), udinga ukusebenzisa izimonyo ze-hypoallergenic ukuvikela ukwenzeka kwesikhumba se-seborrheic dermatitis enganeni,
• lapho unakekela ingane kufanele isebenzise imikhiqizo eyenziwe ngezindwangu zemvelo.

Izinyathelo eziyisisekelo zingayiphazamisa kakhulu impilo yengane futhi zingabandakanyi ukubonakala kwezifo ezithile zesikhumba.