Ukwelashwa kwesifo sikaDevergy, izimpawu, izimbangela

Izinqubo ze-Pathological zesikhumba zivame ngokulingana kuzo zombili izingane nasebuntwaneni. Ikakhulu, i-lichen. Lesi sifo sivela kwimvelaphi yegciwane kanye nesikhunta. Ku-encyclopedia yezokwelapha, ama-dermatoses ahlukaniswa ngokwezimpawu zomtholampilo kanye nezici zokuzelapha.

Okuvame kakhulu yi-ringworm. Izinhlobo ezingandile zifaka i-pityriasis hairy ebomvu, noma isifo se-Devergey. Ekushicilelweni kwanamuhla, sizochaza kabanzi isithombe somtholampilo, sikhulume ngezimbangela, izindlela zokwelapha, kanye nezindlela zokuxilonga. Ulwazi oluyisisekelo lokubonakaliswa okujwayelekile kwalesi sifo luzosiza iziguli ukuba zisihlukanise kwezinye izilonda zesikhumba futhi zivakashele uchwepheshe osesikhathini.

Incazelo emfushane

I-red pityriasis versicolor (isifo sikaDevergey) yaqala yachazwa ngudokotela waseFrance ngo-1856. Isikhumba sesikhumba saziwa ngemuva kwakhe. I-Keratosis kwezokwelapha iyivelakancane kakhulu. Lesi yisimo se-patological yesikhumba, lapho kunokuqina khona kwe-corneum ephezulu ye-stratum, esebenza njengesithiyo esivikela emiphumeleni emibi yezici zangaphandle.

Kumuntu onezinwele ezinje, ingaphezulu lesikhumba liba rhaba, somile, siqinile, kuso kuvela amaphepha aminyene osayizi wokusanhlamvu, ombozwe izikali ezimhlophe. Ama-Rashes anomtholampilo ofanayo onezigcawu ze-psoriatic, ngenxa yalokhu, odokotela bavame ukwenza ukuxilongwa okungalungile. Lesi sifo sithinta kabi isizinda semizwa yomuntu futhi sivame ukudala ukuphazamiseka kwengqondo.

Thola ubuthi beqiniso

Ngeshwa, umuthi womhlaba awusifundisisi ngokuphelele lesi sifo. Izifundo zemitholampilo zenziwa njalo, ochwepheshe bafuna izindlela ezintsha zokwelapha. Ngokwezibalo ezivela kwiziphathimandla zezempilo, izehlakalo ze-dermatological keratosis zingu-0,03% kuphela (1/3500). Kutholwe nabamele bezizwe ezahlukahlukene kanye nobudala besifo i-Devergey.

Izimbangela ze-pathology aziqondakali ngokuphelele. Kukholakala ukuthi lesi sifo singasizuza njengelifa. Amacala aqoshwe ngokungemthetho lapho wonke amalungu omndeni (izihlobo zegazi) etholakale elahlekelwe izinwele. Futhi, ochwepheshe baphakamisa ukuthi ukuntuleka kwe-retinol (uvithamini A) kungavusa i-pathology.

Kodwa-ke, le nguqulo ihlala ingumbuzo omkhulu, ngoba ezigulini eziningi ezinalesi sifo izinga le-vitamin lijwayelekile. Ukuhlolwa okuningana kwemitholampilo kukhombisile ukuthi ukuvela kwe-pityriasis versicolor ebomvu kuthinteka ekuphazamisekeni okuningi kwezinhlelo ze-neva ne-endocrine. Futhi, imbangela yalesi sifo ingaba yisifo sofuba, ukuphazamiseka kwengqondo.

Isifo se-Devergy: izimpawu nokubonakaliswa

Ngokusho kochwepheshe, lesi sifo sikhula ngisho nasebuntwaneni. Ifomu elitholile livela kubantu asebekhulile - ngemuva kweminyaka engama-50. Inkambo ye-keratosis yenzeka ngesimo esibuhlungu: isikhumba simbozwe izindawo ezinamabala aphuzi, embozwe esikalini. Isifo se-Devergy, ikakhulukazi esiteji sokuqala, sivame ukudidaniswa ne-seborrhea ne-psoriasis.

Ukuqalwa kabusha kwasekhaya kuqala ngemuva kwesikhashana - ngemuva kwezinyanga ezimbalwa. Ngokugomeka okuqinile, ukuthethelelwa okungaphelelanga (amarashini athile) kungahlala kuze kube yiminyaka eminingana. Isiguli sikholwa ngephutha ukuthi welashwa futhi asifuni usizo, simane silibala inqubo. Ngemuva kwesikhathi esithile, ama-nodular papule (ama-plaque) anezinwele ezincane zoboya ekugcineni atholakala emzimbeni. Imvamisa isikhumba esizungeze i-rash sibomvu (sikhanyisiwe).

Into engathandeki kakhulu ukuthi ama-plaque aphuzi akhula kakhulu aze agcwalise zonke izikhala, zithinta isikhumba esiphilile. Ekuhlolweni, imivimbo itholakala cishe kuwo wonke umzimba (izindololondo, intamo, ikhanda, imilenze, izintende zezandla, amasende). Kwezinye izimo, isiguli sizwa ukulunywa, ukuqina, ukuqina kwesikhumba, nokuxinana. Uma kungekho ukwelashwa okufanele, izipikili ezipikili ziyaqina bese zishintsha umbala. Ziba lukhuni, zizacile, ngokucindezela, kuzwakale izinhlungu.

Isifo sikaDevergy sithinta ulwelwesi lwamafinyila lomlomo wesibeletho. Izindawo ezibomvu ziyabonakala esibhakabhakeni kanye nengaphakathi lezihlathi. Lesi sifo singancipha futhi ngemuva kwesikhashana siphinde sizikhumbuze uqobo lwaso. Imvamisa, i-leukemia, i-myasthenia gravis (isifo se-autoimmune) ijoyina le-pathology. Inkambo ikhula kakhulu kwabesifazane abasezikhundleni, kanye nesikhathi sokuya esikhathini.

Kwenziwa kanjani ukuhlolwa?

Izindlela ezifanayo zisetshenziselwa ukuthola isifo se-Devergy ezinganeni nakubantu abadala. Ukubonisana kwenziwa ochwepheshe abancanyana bephrofayili: uchwepheshe wezifo ezithathelwanayo, udokotela wesikhumba. Ukuhlolwa okubukwayo akuvumeli njalo ukuthi uthole ukuxilongwa okulungile. Ukunquma ngokunembile isimo se-pathological, kudingeka umlando ophelele wezokwelapha, kufaka phakathi izikhalazo zesiguli, ukuhlolwa komlando, ukuhlolwa kwezilonda ngaphansi kwesibani seWood (luminescent). Ukusonga kusuka ebusweni besikhumba kuthathwa futhi ngaphandle kweminye i-pathologies (psoriasis, vitiligo, eczema, rubella, isimungumungwane, ukungezwani komzimba).

Isifo sikaDevergy: ukwelashwa kwendabuko

Ngemuva kokuxilongwa, inkambo yokwelashwa kwe-antifungal inqunywa: ngaphakathi nangomlomo. Ama-okhilimu nama-emulsions nawo anqunyelwe, okumele asetshenziswe njalo ezindaweni ezilimele zomzimba. Ama-lotions ahlukahlukene, izifutho kanye nama-shampoos anokuqukethwe kwe-selenium sulfide akhiqizwa isikhumba. Lezi zimali zinomthelela ekukhululekeni kwezimpawu zezimpawu futhi ziqabula isikhumba.

Ukwelapha akupheli ngaphandle kokusebenzisa i-retinol, B, C amavithamini, ama-antihistamines. I-UV irradiation kanye ne-PUVA yokwelashwa kungenzeka inqunywe. Kuhle kusiza amaholide we-spa. Ukuvimbela ama-rashes, inhlanzeko kufanele ibhekwe ngokucophelela.

Izindlela zabantu

Ngokuhambisana nezindlela zokwelashwa, izithasiselo zemifino kanye nama-decoctions asetshenziselwa ukusiza ukuphulukisa nokuhlanza isikhumba ngokushesha. Odokotela batusa ukusebenzisa i-birch tar ethengiswa ekhemisi lesilwane. Kuliqiniso, iphunga lomkhiqizo alisijabulisi ikakhulukazi, futhi iminonjana ihlala ezingutsheni. Ngakho-ke, kungcono ukuyisebenzisa ebusuku noma ngezimpelasonto. Iphumelela ekwelapheni i-sorrel ejwayelekile. Izinqumo zenziwa kulo.

• Gaya amagremu ayi-15 wembewu enezimpande, uthele amanzi (125 ml), uthele ngesishisi imizuzu engama-5-7. Hlunga umhluzi opholile, uthobe i-gauze bese usebenza endaweni ethintekile. Izinto zokutshala zikhulula ngokuphelele ukulunywa, ukuthambisa, kunyise isikhumba.

Namuhla, umuthi uthole imiphumela emangalisayo ekwelapheni ama-pathologies aqatha. Isifo se-Devergy singalashwa noma siphinde sinwebeke singancishiswa uma isiguli sinamathela kuzo zonke izincomo zikadokotela. Udinga ukuqonda ukuthi ukwelashwa kuthatha isikhathi eside impela: kusuka ezinsukwini ezingama-60 kuya kwezinyanga ezingama-24. Unyaka ngamunye, isiguli kufanele siphuze i-vitamin-mineral complex.

Izindlela zokuvimbela

Akekho ophephile ekuthelelekeni. Kepha wonke umuntu anganciphisa ubungozi. Uma lesi sifo asizuzwa njengefa, unenhlanhla enkulu. Thatha umkhuba wokuhlanzeka komzimba, izingubo ezihlanzekile nezindawo zokuhlala. Zama ukungathinti izilwane ezingenamakhaya, ngoba imvamisa zingabathwali be-pathologies eziyingozi. Ngaphezu kwalokho, hlinzeka umzimba ngamavithamini abalulekile, ngaphandle kwalapho izivikeli mzimba zethu zivele zishabalale.

Izinguquko zinqunywa kuphi?

Ngesifo se-Devergy, akukho kusungulwa kwendawo inqubo ye-pathological esikhunjeni. Imvamisa, izinguquko zitholakala emajoyini nasezintweni zamadolo (kaningi ngaphezulu kwangaphandle). Yize imithambo ingatholakala esikhumbeni (isikhumba), ebusweni, emuva, esiswini, noma kunoma yiziphi ezinye izitho zomzimba. Kepha ngisho nasezinkingeni ezinzima kakhulu, izindawo ezingathinteki kwesikhumba zihlala.

Kaningi, ushintsho lubonwa esikhunjeni sezandla nakwezinyawo (ngokungafani nesifo sikaKirle, i-keratosis, lapho okungekho khona ushintsho ngaso sonke isikhathi). Kulokhu, isifo se-Devergey siyefana ngokubonakaliswa kwaso kuya Isifo sikaReiterlapho i-hyperkeratosis yesundu nayo ingabonakala khona.

Izipikili zivame ukuthinteka, kukhona ukuqina kwamapuleti ezipikili, ukuvela kwama-longitudinal and transverse grooves, lesi sifo sifana ne-psoriasis yamazipho, lapho i-onychodystrophy nayo ibonwa, kepha izipikili zithinteka ngokungenasici, ngakho-ke kubukeka njengesidlakudla.

Izilokazana ze-Mucous ezine-pityriasis ebomvu enezinwele azithinteki ezigulini eziningi, kepha ezimweni ezingavamile, ubukhulu be-conical on the membrane mucous of the palate noma izingxenye ze-hyperkeratosis kulwelwesi lwe-mucous lwezihlathi zingabonakala. leukoplakia.

Ukugula ezinganeni

Uma izimpawu zesifo se-Devergy zibonwa nje lapho sezizalwa noma zisencane, lapho-ke kubhekwa njengokuzalwa kwemvelo. Ezinganeni eziningi ezinokubonakaliswa kwalesi sifo, ukwelulama kwenzeka ebusheni, obuhambisana nezinguquko zehomoni esikhathini sokuthomba.

Isifo Sokuthola Ukulimala Okutholakele

Kubantu abadala, lesi sifo sivame ukuvela eminyakeni yobudala, esimweni lapho kunenkolelo yokuthi sinomlingiswa ositholile. Inkambo enkulu ibonakala ngokuvela kwamaphashaza, umkhuhlane, ubuthakathaka obujwayelekile, kepha izehlakalo zibuyela ngokushesha lapho zivela.

Inkambo engapheli yesibeletho ibonwa kaningi kakhulu, cishe njalo izinguquko ziba kancane kancane, kancane kancane ziyaqhubeka, kepha kunzima kakhulu ukwelapha. Izikhathi zokuxolelwa kanye nokwanda kuyaphumelela, kwezinye izikhathi, ukuxolelwa noma ukululama okuphelele kwenzeka ngokungazelelwe ngisho nangaphandle kokwelashwa.

Izimbangela ze-Red hair Pityriasis

Izizathu zokuthuthuka kwalesi sifo azikasungulwa, ifomu lefa elihlotshaniswa ne-genetic predisposition. Kukholelwa ukuthi lesi sifo singadluliselwa kusuka kubazali ngohlobo lwefa oluzimele. Kepha uhlamvu olunjalo lubonwa kuphela ezifweni ze-Devergy ezinganeni.

Kubantu abadala, lesi sifo sifakwa ngokusobala, i.e. okubangelwa izinto zangaphandle, ukuthuthukiswa kwayo kuhlotshaniswa:

• ukuntuleka noma ukuminyazwa okune-Vitamin A,
• i-endocrine pathology (izinguquko emgodini we-thyroid kanye ne-carbohydrate metabolism engasebenzi kahle ingadala ukuthuthukiswa kwalesi sifo sodokotela),
• Indima yesifo sokuqina kwesibindi ekwakhiweni kwe-pityriasis versicolor,
• lesi sifo singakhula ngemuva kokutheleleka, kepha indima yomenzeli othile ekwakhiweni kwe-pathology ayikasungulwa.

Lesi sifo, esibizwa nge-lichen acuminatum ngesiLatin (ukungadidaniswa nama-shingles), siyivelakancane, futhi ukuxhumana kwaso nanoma yiziphi izimbangela ezingaphandle asikasungulwa, ngakho-ke kuyemukelwa ngokuvamile ukuthi kunezici zobungozi kuphela zokuthuthuka kwalesi sifo, futhi uqobo kuyiso polyetiological.

Izimpawu ze-papular keratosis Devergy

Uphawu oluphambili lwe-devergy's keratosis engapheli i-follicular papular keratosis, i.e. ukwakheka kwamaphaphu ezungeze izinhlamvu zezinwele ezinezindawo ezinobuchopho obusebusweni bawo, amaphaphu athambekele ekukhuleni nasekuhlanganiseni nokwakheka kwe-foci embozwe esikalini se-horny.

Amaphaphu wesayizi omncane, aze afike amasentimitha amabili ububanzi, aphakama ngaphezu kobuso futhi abe nombala onsundu noma obomvana, avele esikhunjeni esinesifo i-Devergy's. Izikali zeHorny zivele ebusweni bazo, ezingakwazi ukuhlukaniswa kalula, ukucindezelwa kuhlala kusendaweni yabo, kepha akukho ketshezi olubonakalayo (ngokuqhathanisa nendawo emanzi nenye i-hyperkeratosis - isifo sikaKirle).

Izici ezihlukile ze-pityriasis ebomvu enoboya yilezi:

• ukuntuleka kokulimala okuphelele kwesikhumba,
• ukuhamba kancane (ngefomu elingamahlalakhona, ebonwa kaningi),
• ukuba khona kwamaphepha amancane ahlanganisa kancane kancane,
• imivimbo ibomvu ngokuphuzi ngombala futhi ihlukile nesikhumba esinempilo,
• ukulunywa kanye nezinye izimpawu ezisetshenziswayo ngokuvamile azikho,
• isimo esejwayelekile asihlupheki
• ulwelwesi lwama-mucous aluvamile ukuthinteka, kepha kungaba nezinguquko endaweni yangaphakathi yesihlathi ngendlela yezindawo ze-keratinization namaphaphu asesimweni esinzima,
• imvamisa indawo yesandla nesandla sethanga lezinyawo, lapho kwakhiwa izindawo ze-hyperkeratosis,
• izinzipho zivame ukuthinteka (ukuqina kwawo kuyenzeka, ukubukeka kokuqina).

I-Pityriasis versicolor (isifo seDerma)

Izindlela Zokuxilonga

Kunzima kakhulu ukuthola ukuxilongwa ekuhlolweni kwangaphandle, lesi sifo kufanele sihlukaniswe:

• i-psoriasis (ebonakaliswa yi-hyperkeratosis kanye nendawo ebusweni be-extensor emajoyini),
• i-erythroderma yesibili (ukuba khona kwamaphepha kanye nokubomvu kwesikhumba),
• Isifo sikaKirle (ukuba khona kwezingxenye ze-hyperkeratosis),
• izinhlobo ezahlukahlukene ze-eczema.

Ukuxilongwa okuyiqiniso kudinga ukuhlolwa ngokomlando kwesikhumba, izindlela zokuxilonga kukhona i-parafollicular hyperkeratosis kanye nokufakelwa okuncane kokufakelwa kwe-papillary dermis.

Siphathwa kanjani isifo sikaDevergey?

Ukwelashwa kususelwa ekusetshenzisweni komthamo omkhulu we-Vitamin A, obekiwe amayunithi ayizinkulungwane eziyi-100-200 ngosuku, isifundo esiphansi siyizinyanga ezimbili, emva kwalokho kunconywe ukuthatha ikhefu elifanayo, uma kunesidingo, bese siphinda isifundo.

Ama-Multivitamin complexes noma amavithamini we-B owodwa no-Vitamin E anqunyelwe ngaphezu kwalokho, ukusetshenziswa kwawo, njengomthetho, kunikeza imiphumela emihle.

Kufakazelwe kahle ekulweni nalesi sifo kanye nama-retinoids (i-Roaccount), kodwa-ke, isinqumo ngokusetshenziswa kwabo senziwa udokotela ngemuva kokwenza ukuxilongwa okuyikho.

Kunconywa ukuthi ukwelashwa kwezidakamizwa kufakelwe amaseshini we-PUVA (imvamisa inkambo inamaseshini ayi-10), ukwelashwa okunjalo kwenziwa nge-pathology enzima futhi uma kungekho kuphikiswa, kusetshenziswa izindlela zomzimba ezifana ne-phonophoresis ene-glucocorticosteroids.

Ekwelashweni kwasendaweni, kuthandwa kakhulu ukugcotshwa ngamavithamini A, ukugcotshwa kwamafutha okusekelwe ku-acetylsalicylic acid kusetshenziselwa kakhulu ukuqeda ukuvuvukala esikhunjeni. Ngenqubo ebanjiwe yokuvuvukala, ukugcotshwa kwamafutha ngama-glucocorticosteroids asetshenziswa, ezimweni ezimbi kakhulu, i-glucocorticoids e-systemic inqunyelwe.

Ukwelashwa ngemithi yabantu

Ukusebenza kokunye ukwelashwa kwesifo i-Devergy kuhlala kungumbuzo omkhulu, noma kunjalo, ezinye izindlela zingahlangabezana kahle nokwelashwa okuyinhloko. Ikakhulu ukusetshenziswa kwe-izaqathe noma ujusi we-karoti, u-anyanisi nge-karoti noma ujusi we-beetroot.

Kunconywa ukusebenzisa uwoyela we-rosehip (okuqukethwe umthamo omkhulu we-vithamini C kungaba nomthelela omuhle enkambweni yalesi sifo), ama-chamomile ne-oak bark asetshenziselwa ukulungisa ama-infusions, asetshenziswa ngendlela yokugeza, okunciphisa ubukhulu benkambiso yokuvuvukala ku-dermis.

Kunobufakazi bokuthi i-tar noma i-grated sorrel inomphumela omuhle (ukusetshenziselwa kwangaphandle), noma kunjalo, ukusetshenziswa kwanoma iyiphi enye indlela kufanele kube ukwengeza kokwelashwa okuyinhloko.

Isimo sezulu nezinyathelo zokuvimbela

Ukuvimbela i-lichen acuminatum akuthuthukisiwe, ngoba izimbangela zesifo azaziwa, kepha ukuvimbela kwezifo ezithathelwanayo, ukuhlolwa okufika ngesikhathi kanye nokwelashwa kwesibindi, izifo zamathumbu kanye ne-endocrine kungavimba ukuvela kwezimpawu ze-follicular papular keratosis.

Isifo sokuxilonga siyathandeka, lesi sifo siyelapheka kalula, futhi kwezinye izimo sibuyela emuva ngaphandle kokuthola ikhambi elithile.

I-Etiology ne-pathogenesis

Izimbangela zalesi sifo azikaziwa. Ososayensi abavumelani nge-etiology yenqubo ye-pathological. Umbono ovelele wembangela yesifo sokudalwa kwesikhumba uwumbono olungiselelwe ifa, odluliswa ngendlela evelele ye-autosomal.

Ngaphezu kwalokhu mbono, ngenxa yocwaningo lokufakwa kwe-papule ukungena nge-immunoblogging, kwatholakala ukuthi kukhona izinguquko zesimo se-keratin senziwa ngamanye ama-dermatoses - ukwephulwa komsebenzi we-keratinization, obonwa nge-ichthyosis kanye nenqubo ethuthukisiwe yokwanda kwe-keratinocyte, njengase-psoriasis. Iziguli eziningi ezinesifo i-Devergy's nazo zinezifo ezingekho emisebenzini yamaseli amasosha omzimba - ukwehla kwezinga labasizi be-T kanye nokwanda kwesibalo sabaT-suppressors.

Ngokwezibalo, imvamisa ye-pathology ayincikile ebulilini, okutsho ukuthi, lesi sifo sithinta abesilisa nabesifazane. Kukhona futhi akunamkhawulo weminyaka yobudala - inani lezigameko lisukela eminyakeni emi-5 kuye kwengama-75. I-Pathology iboniswa yinkambo ende, imvamisa ukuya eminyakeni eyishumi nambili, isifundo esingamahlalakhona.

Izithombe zemitholampilo

Ukubonakaliswa kwemitholampilo kuyahluka ngokwasendaweni. Ngokubukeka, ukubonakala kwamaphaphu akhombe kuyaphawuleka, okuthi phezu kwe-palpation kuzwakale njengokuqhuma okuqinile, okuqinile. Ngaphezu kwalokho, ukugxila kumbozwe nge-epidermal flakes ngendlela ye-bran. I-Erythema (ubomvu nokwanda kwama-capillaries) nayo iyaphawulwa, okubangela igama lalesi sifo - i-pityriasis hodicolor ebomvu. Izilonda zitholakala emalungeni emilenzeni (emadolweni, ezinqeni, ebusweni, kwisikhumba).

Ngokufana kwangaphandle kwesilonda esithuthukayo sesikhumba esenziwe endaweni engaphezulu yolayini, ngokuboniswa kwe-psoriasis, kukhona umehluko wesimo - ukushintshana kwezindawo ezithintekile nezinempilo zesikhumba ngaphakathi kokugxila okufanayo kanye nokuba khona kwama-keratin plugs (ama-Beunier cones) emaphepheni eminwe. Lezi zimpawu zihlukile ekucaciseni ukutholakala kwezifo.

Ngesifo se-Devergy, kwenzeka ushintsho epuleti lezipikili. Ngaphansi kobuso bezipikili kukhona isisindo se-porous fibrous mass, esithengiselwe ngqo ebusweni bensimbi yepikili. Umbala wezipikili ushintsha ube ngu-tan; ukuqina kokuqina, ukuqina, ne-hyperkeratosis kuyaphawulwa. Lapho ucindezela isipikili esithintekile, isiguli sizwa izinhlungu.

Ngokuqhubeka kwe-pathology, kanye kanyekanye nokuqala kwayo, kuvela i-hyperkeratosis yesundu.

Ezincwadini zesayensi kunobufakazi bokuhlanganiswa kwe-pityriasis hodicolic enezifo ezinjenge-hypothyroidism, i-HIV, i-leukemia, i-myasthenia gravis nezinqubo ezinobungozi emzimbeni.

Ukuxosha i-Devergey kungaholela ezinkingeni eziningi, ngokwesibonelo, njengokufakwa kwejwabu leso ku-eyeball (ectropion), ngokwenza kwasendaweni kugxile ku-ijwabu leso ne-erythroderma. Imvamisa ngesikhumba eselimele singena ekuthelelekeni ngegciwane kanye nasegciwane, okwenza kube nzima ukungena kwesikhumba.

Inqubo ye-pathological ingahle ichaze noma ibekwe endaweni ngokucacile, ithumele, ngokwesibonelo, indawo yokulinganisa yendawo ephezulu noma engezansi.

Ngokusekelwe ezicini ze-etiological ezifakwe kuhlu zesifo, umuntu angaphendula umbuzo ovame ukubuzwa odokotela bamazinyo ukuthi: "Ingabe i-pityriasis versicolor noma cha?" Cha. Lesi sifo asibeki ingozi kwabanye.

Ukuhlukaniswa

Ngokuya ngeminyaka yesiguli kanye nobungako bokubonakaliswa, ukuncipha kwezinwele ze-Devergy kunokuhlukaniswa okulandelayo.

I-Pathology eqenjini labantu abadala:

• uhlobo lwasendulo nolwe-atypical.

• zakudala
• kunqunyelwe
• Izinhlobo ze-atypical.

Njengamanje, ngemuva kokuhlaziywa ngokucophelela kwezimpawu zokubonakaliswa kwalesi sifo emtholampilo, kunqunywe ukuthi kuhlanganiswe izinhlobo zakudala nezintsha, ngoba akukho mehluko ngaphandle kobudala. Ngakho-ke, ukuhlukaniswa kwesimanje kunefomu elilandelayo:

• zakudala
• ulutsha olulinganiselwe
• Okuhlobene ne-HIV.

Izimpawu zesifo se-Devergey

Lesi sifo sinjengezibonakaliso zesimo, ngesimo se:

• ukuba khona kwama-islets we-epidermis enempilo, ehlangana nemiphu,
• isikhumba umbala obomvu we-lesion noma we-karoti,
• ukwakheka kwamapulangwe akhonjwe ngamapulagi we-keratin.

Ngakho-ke:

• ukwakheka kwamakhonkco adonsayo we-diameter ehlukahlukene,
• hyperkeratinization lesikhumba sezintende nezinyawo,
• ukuguqulwa nokudideka kwepuleti lezipikili,
• Ukwakhiwa kwesigaxa seBeunier.

Izimpawu zesifo se-Devergy zitholakala kuma-dermatoses amaningi futhi zibonakala njenge:

• isikhumba esiqinisa imizwa
• Ubuhlungu obubangelwa ukuqhekeka ku-hyperkeratosis,
• ukulunywa, ukukhonkotha.

Kulesi sifo, umphumela esimweni esivamile sesiguli awulona uphawu. Kwesinye isikhathi esigabeni esibuthakathaka kungahambisana nokushintshwa okuncane kwesimo.

Ukuxilonga

Ukuxilongwa kunzima, njengoba kungekho ndlela ngqo yokuxilonga. Ukubonakaliswa nezimpawu ze-pityriasis hodicolor ngezindlela eziningi ezifanayo nenkimbinkimbi yezifo ezifana:

Umphumela wokuhlolwa kwe-histological awuthembekile, ngoba izinguquko ekubunjweni kwe-epidermis nokuvuvukala kufakwa ezingxenyeni ezijulile zesikhumba zitholakala ku-psoriasis kanye ne-lichenification.

Isibonakaliso esiyingqayizivele sokuhlukanisa sihlala siyiziqhingi zesikhumba esinempilo ezitholakala ngesikhathi sokuhlolwa okubonakalayo, okungakhethi kwamanye ama-dermatoses kanye ne-non-pathogenetic (ngaphandle kokushintsha isimo esivamile). Ngaphezu kwalokho, ukusetshenziswa kweziguli okunamandla kuyasetshenziswa.

Ngesifo se-Devergy, ukuhlangana kweziqhingi zamaphaphu ngenxa yenqubo ye-erythematosquamous kuyinto ehlukile. Iqoqo lezimpawu kanye nemiphumela yokuhlolwa kwe-histological kusivumela ukuthi sicacisa ukutholakala kwale nkinga.

Ukwelashwa kwesifo i-Devergy kubaluleke kakhulu. Ukubuyiselwa kwesakhiwo sesikhumba kwenzeka ngaphansi kwethonya lama-retinoids, njengeNeotigazone noma i-analogues yakhe iBeroxan, Oxoralen, Ammifurin. Ukwelashwa isikhathi eside, ukuthuthuka kuqashelwa ngemuva kwenyanga engu-1 yokwamukelwa ngethamo elinconyelwe iziguli ezindala. Kwesinye isikhathi kukhuphuka umthamo kuyadingeka.

Isinqumo ngokulungiswa kwamthamo senziwa udokotela. Isikhathi esimaphakathi sokuxazulula i-pathology izinyanga eziyi-9, kepha singenzeka ngemuva kweminyaka engu-4 yokwelashwa. Ukunciphisa imiphumela emibi yama-retinoid ngesimo sesikhumba esomile nolwelwesi lwama-mucous, okhilimu abanamavithamini A kanye nokugeza okunamafutha abalulekile kunqunyiwe. Ngenxa yokuthi imiphumela emibi iyabonakala kwiziguli eziningi ezithatha i-Neotigozone, ukwelulekwa kokusetshenziswa kwayo, umthamo kanye nesikhathi sesifundo kunqunywa ngudokotela oya khona.

Ekwelapheni isifo se-Devoirgi ezinganeni, iNeothigozone isetshenziswa ezimweni ezimbi kakhulu. Ukunxenxa umphumela ongemuhle wesidakamizwa emzimbeni, umuthi wokulungisa nge-hepatoprotectors, ama-enzyme esiswini, i-Vitamin B ne-nicotinic acid ebekiwe. Uhlobo lokwelashwa luthuthukiswa udokotela esimweni ngasinye, kususelwa ezimeni zodwa, ubudala kanye nezifo ezihambisanayo.

Uma ukwelashwa kweNeothigozone kungasebenzi, khona-ke iMethotrexate ingabekwa kumthamo ophansi. Ukwelashwa okwenziwe nge-Vitamin A kuyakhonjiswa, kumthamo omkhulu wenyanga. Ngemuva kwekhefu, isifundo siyaqhubeka.

Ukuqinisekisa ukufakwa kwe-Vitamin A, ukusetshenziswa kwama-androgens kunconyelwa ukwandisa amaprotheni abopha i-retin egazini. Ngaphezu kwalokho, i-Vitaminization inqunywa kusetshenziswa ama-multivitamin complexes noma ama-monopreparations wamavithamini B no-E.

Ukwelapha kwasendaweni akubalulekile kakhulu, kepha kuthuthukisa isimo sesiguli. Ukugcoba okusekwe ku-salicylic, kunqunywa i-malic acid, okunciphisa ubukhulu be-erythema. Ekwelashweni kwezingane, preference inikezwa ekwelashweni kwasendaweni. Ukugcotshwa kanye nama-okhilimu wezenzo ze-keratolytic, okunempilo nokunikeza amandla, kuchaziwe. Ezimweni ezinzima ze-pathology, izidakamizwa ezinama-corticosteroids zinqunywe.

Njengengxenye yokwelashwa okuphelele, kusetshenziswa izindlela zokwelapha ngokomzimba:

• corticosteroid electrophoresis,
• i-hydrotherapy: i-sulfide, yokugeza i-radon.

Izincwadi ziqukethe idatha evela ezifundweni zomtholampilo ezibonisa ukusebenza kahle ekusetshenzisweni okuhlangene kwe-retinoids kanye ne-PUVA therapy (Photochemotherapy). Kunconywa ukwelashwa kwe-spa, ukugeza olwandle.

Akukho mbono ojwayelekile mayelana nokunemba kokuqokwa kwemisebe ye-ultraviolet, ngoba ukunyuswa okuthe xaxa kubangela ukwanda kwenqubo.

Ukwelashwa isikhathi eside kudinga indlela ngokucophelela ekukhetheni izidakamizwa. Iziguli ezinezifo zesibindi, ezinye izimo ezinzima, kanye nezingane neziguli ezihlobene nobudala, zine-retinoid therapy elinganiselwe. Ngakho-ke, ukuthi ungelashwa kanjani futhi yini, okungukuthi, ukuthuthukiswa kwecebo lokwelashwa, kunqunywa kuphela ngudokotela ohambelayo.

Umphumela omuhle nesisombululo esisheshayo ubonakala ezinganeni nasebusheni. Kumahhafu amacala, kulesi sigaba sobudala, ukululama kusuka ku-Devergy's sifo kwenzeka kungakapheli iminyaka emibili. Kubantu abadala, inqubo yokuphulukisa ingabambezeleka.

Ngemuva kokwelashwa, isiguli singaphansi kokubhekwa ku-dermatologist. Ukuze uvikele ukubuyela emuva, kuqhutshwa izifundo ezenziwa ngamavithamini.

Umuntu omdala wasendulo

Ukuthuthukiswa kuvame iqala ngokubonakala kwamaqhubu engxenyeni engenhla yomzimba, ubuso, kanye nesikhumba. Emavikini angama-2-3 noma inani elifanayo lezinyanga, ama-rashes asakazeka engxenyeni engezansi yomzimba.

Amafomu ama-follicular rash form, ifomu le-orange-orange plaques. Ezindaweni ezithintekile, kukhona iziqhingi zesikhumba esingabonakali.

Ngaphansi kwezimo ezingezinhle, i-erythroderma iyenzeka. Ngemuva kwamasonto ambalwa, i-keratinization ngokweqile ngomonakalo wezipikili iba ezintendeni zezandla nakwezinyawo. Ngale hlobo, noma ngabe ukukhubazeka kuphawuliwe, ukutakula kwenzeka ezigulini eziyi-8 kweziyishumi kungakapheli iminyaka emithathu. Inani lezigameko liyi-55%.

Umuntu omdala we-Atypical

Isikhathi ukukhula kwesifo kuleli cala singafinyelela eminyakeni engama-20 (noma ngaphezulu). Akukho zinguquko ezibonakalayo ezitholakalayo. Kukhona ukuxoshwa okuqanjiwe ngokuhlukaniswa kwezinhlayiya zokukhanya grey. Ukwehlulwa kwezisekelo zezandla nezandla zezandla kubonakaliswa ngumbuso wamapuleti. Kwesinye isikhathi kuvela ukwanda kwezinwele. Izinga lezehlakalo limi ku-5%.

Ingane yakudala

Izimpawu nentuthuko ziyefana nohlobo lwabantu abadala bakudala, kepha kukhona ezinye izici nomehluko. Lolu hlobo luphawulwa ezinganeni kusuka eminyakeni emi-5 kuye kweli-10. Ukusakazeka kusakazeka kusuka engxenyeni engezansi yomzimba. Inkambo yalesi sifo iyathandeka. Ama-Rashes adlula ngokuzimela kungakapheli unyaka.

Inani lezigameko liyi-10%.

Intsha enomkhawulo

Kubonwa ezinganeni kusuka eminyakeni emi-3 kuye kweli-10. Izindawo ezithintekile ze-follicular hyperkeratosis kanye namathafa erythema anqunyelwe kuso sonke lesi sifo. Ama-rashes avela ikakhulukazi ezinqeni nasemadolweni. Imvamisa kukhona i-lesion of the soles yemilenze nezintende. Ukubuyiselwa emuva kwenzeka ngamacala angama-30- 32% kungakapheli iminyaka emithathu. Izinga lezigameko lingama-25%.

Umntwana omncane

Kuyaphawulwa ezinganeni ezingaphansi kweminyaka emi-4. Inkambo yalesi sifo ayilapheki. Kukhona i-follicular hyperkeratosis, kanye ne-exfoliation ngokuhlukaniswa kwezinhlayiya zokukhanya grey. Ingxenye enkulu yamacala omndeni iwela kulolu hlobo oluthile. Izinga lezehlakalo limi ku-5%.

I-HIV ehlobene

I-red pityriasis versicolor ingaba umaki wokutheleleka nge-HIV. Ngokungafani nomuntu omdala wasendulo, lolu hlobo lunezifo ezingathandeki.

Ekuqaleni kwalesi sifo, ukubhoboza kuvela kanye namaphaphu we-follicular, kusatshalaliswa ngokulinganayo ezingalweni zezingalo. Izigaxa zeBeunier (ukwakhiwa kwamaphuzu amnyama), ezingatholakali ngohlobo lwabadala abadala, ziyavela.

I-Erythroderma ivame ukukhula. Ukulimala ezintendeni zezandla, ezinsweni nasezipikweni kungenzeka kube khona. Imvamisa yokwenzeka iyahluka.

Ukuxilongwa okuhlukile

Izindlela ezibalulekile zokuxilongwa okulungile yilezi:

• Ukuba khona kwempilo enhle, ukuntuleka kobuthakathaka obujwayelekile bomzimba. Lesi simo asisijwayelekile kwe-psoriasis ne-toododerma.
• Umbala obonakala ngokusobala obomvu noma ophuzi-owolintshi wezindawo ezithintekile.
• Ukuba khona kweziqhingi zesikhumba esinempilo ngemingcele ecacile.
• Ukuntuleka kwamandla ashukumisayo ngesikhathi sokwelashwa okujwayelekile.
• Ukuba khona kwamaphaphu kwahlatshwa isikhungo yizinwele.

Izindlela zokwelapha

Ngenxa yokungakwazi ukuthola imbangela yokuqala kwalesi sifo, ukwelashwa kuhloswe ngakho ukuqeda izimpawu. Ukuze wenze ukwelashwa okuhleliwe, inkambo yevithamini A kwimithamo ephezulu inqunyelwe:

• i-isotretion ekubalweni kwe-1 mg / kg yesisindo somzimba ngosuku, ehlala kumaviki ayi-12 kuye kwangama-26, noma i-methotrexate kusuka ku-5 kuye ku-30 ​​mg ngeviki.

Uma kwenzeka kungabekezelelwa le mishanguzo, Enye yezindlela zokwelapha ezisetshenziswayo:

• i-acitretin kumthamo we-25 kuya ku-50 mg ngosuku,
• i-acitretin 25 mg ngosuku, Photographapy ye-UVA-1,
• I-50 mg acitretin ngosuku, ukwelashwa kwe-PUVA,
• i-cyclosporine kumthamo wesisindo somzimba esingu-5 mg / kg ngosuku, yehlisa umthamo ukuya ku-2-3 mg,
• i-azithioprine kusuka kuma-150 kuye kwangama-200 mg ngosuku.

Ukwehlisa imiphumela emibi, kwenziwa enye indawo yokwelapha yangaphakathi. Ezindaweni ezithintekile zomzimba kuyasetshenziswa: amakha ngamafutha enziwe ngosawoti noma wezithelo, uwoyela wokugcoba we-glucocorticosteroid, okhilimu abahlukahlukene bokuhlobisa.

Ngenxa yenqubo ende yokutakula, indlela ekukhetheni izidakamizwa kufanele ibe yimbi ngangokunokwenzeka.

Ukusebenza kwelashwa kaningi akulethi imiphumela, noma kunjalo, kunobufakazi bokuthuthuka kokuvuselela okuzenzakalelayo.

Uma umphumela ngemuva kokwelashwa ungabonakali, kulungiselelwe imvelo, efana:

Ngesikhathi sokwelashwa kwemvelo, njalo ezinyangeni ezi-3:

• ukuhlolwa ngudokotela ohambelayo,
• ukuhlolwa yisazi sezinzwa,
• ukubonisana nodokotela wenhliziyo,
• ukuhlolwa kwegazi
• urinalysis.

Kubalulekile! Uma lesi sifo siwuphawu lokutheleleka ngegciwane lesandulela ngculaza, ukwelashwa ngama-antiretroviral kunqunywa udokotela onesifo esithathelwanayo.

Ukwelashwa ezinganeni

Bazali kufanele banake izimpawu ezenzeka ngentsha yakudala, nentsha ekhawulelwe, ulutsha lwasekhaya, izinhlobo ezihlobene negciwane lesandulela ngculaza. Uma benengane, kufanele uyihambise kudokotela wesikhumba.

Ukwelashwa kwezingane, i-acitretin ichazwa kumthamo ka-0.5 mg / kg wesisindo, kanye nokwelashwa kwe-ultraviolet.

Ukuvimbela

Uma kungekho ukuqonda okucacile kwezindlela zokuvela, ukuvimbela akukho.

Isifo sikaDevergey siyisifo esibi esidinga usizo lochwepheshe oluqeqeshiwe. Ukuntuleka kokwelashwa kuvame ukungazibangeli zinkinga ezinkulu ngaphandle kokungaphatheki kahle. Noma kunjalo, amacala okuwohloka kwamamashi abe ukuguqulwa komdlavuza ayaziwa. Ngakho-ke, akufanele uzitholele uzimele nokuzindla.

Udokotela kuphela onganquma kahle imbangela yokuqala kwezimpawu futhi anikeze ukwelashwa okuyikho. Kuyadingeka ukuthi ubonwe udokotela wesikhumba ngemuva kokululama okungenani omunye unyaka.

Amavidiyo awusizo

I-Zhibera pink lichen.

Ukutheleleka nge-fungus - isikole sikaDkt Komarovsky.

Incazelo yesifo se-Devergey

Ukuqedwa kwezinwele ezibomvu ze-pityriasis kuyisifo, noma kungeyona into evame kakhulu futhi eyaziwayo, kodwa sina impela.Kukholakala ukuthi isizathu esikhulu sokubukeka kwalolu hlobo lwesifo sokwephula inqubo yenqubo keratinization, ngenkathi inqubo yokuvuvukala iqala emgungundlovu we-papillary ngenxa yokuvela kwama plugs ezimpondo lapho.

Lolu hlobo lwesikhumba, njengomthetho, luthinta izingane, kodwa abantu abadala nabo bangahlaselwa isifo se-Devergy. Kulokhu, le ndlela yokusebenza ihlukaniswe ngamaqembu amabili amakhulu: i-lichen yezingane nomuntu omdala. Kuyemukelwa ngokuvamile ukuthi uhlobo lwezinsana luthinta kusukela ekuzalweni noma kusukela kusencane, ngenkathi luzuzwa yisimiso esivelayo se-autosomal. Uhlobo lwabantu abadala lwalesi sifo lubonakala kumuntu okhulile, ovame ukuguga, bese uyatholakala.

Kunemibono eminingana yemvelaphi yalesi sifo:

• ukungalingani okwanele kuka-Vitamin A ngumzimba,
• ukwenza buthaka kwamasosha omzimba ngemuva kwezifo ezithathelwanayo,
• ukuphazamiseka kohlelo lwezinzwa, ama-pathologies ahlukahlukene ohlelweni lomzimba lwe-endocrine, anobuthi.

Okulandelayo, sibheka kabanzi ngezimpawu kanye nokwelashwa kwesifo sikaDevergey.

Izimpawu zesifo

Ukubonakaliswa kwezifo zesikhumba i-Devergy kulula kakhulu ukudida ngokuthuthukiswa kwama-pathologies anjenge-psoriasis noma i-seborrhea. Izimpawu zabo ziyafana, futhi ukuthola ukuxilongwa okuyikho kubalulekile ukusebenzisa izindlela ezahlukahlukene.

Yiziphi izimpawu zesifo okufanele unake?

• Ukuba khona kobomvu ngezikali eziphuzi, ezenziwe ekhaya ngaphansi kwe-hairline.
• Ukuluma, izinhlungu, ukushisa ezindaweni ezithintekile.
• Umbala we-Nail ushintsha usuka kokujwayelekile uye ophuzi onsundu.
• I-Hyperkeratosis
• Lesi sifo sifinyelela emaphethweni emilenzeni nasemikhondweni yesikhumba.

Isimo esifanayo sokuthuthuka kwalesi sifo emabangeni okuqala kubuye kube nengxenye yezilonda ezikhumbeni zesikhumba.

Yini isifo esiwohlokayo

Isifo sohudo, noma i-pityriasis hodicolor ebomvu, satholakala okokuqala ngo-1828. Ngemuva kweminyaka engama-30, udokotela waseFrance, uDevergey, ngemuva kwezifundo eziningi, wanikeza incazelo eningilizayo ye-pathology. Lesi sifo singokwesigaba sezifo zesikhumba futhi siyindlela ekhethekile ye-keratosis. Lesi sifo senzeka ngasiphi iminyaka. Kunezinhlobo zamafa esizitholile.

Izimpawu zingavela zingalindelekile ezinganeni nakubantu abadala; zingahlangana kalula nezimpawu zezinye izifo zesikhumba. Kulesi sifo, ifomu elingamahlalakhona libukeka kakhulu, lapho amasonto, izinyanga nezinyanga isiguli singakhathazeki. Odokotela bezikhumba belulekwa ukuba banake lezi zimpawu ezilandelayo:

1. Ububomvu obunamasikali aphuzi phezulu kufana ne-seborrhea noma i-psoriasis kutholakala ngaphansi kwentambo ekhanda.
2. Ngemuva kwesikhashana, kuvela amaphepha amaningi abomvu, akhuphuka ngosayizi futhi athinta indawo enkulu yesikhumba.
3. Lapho ubamba endaweni ethintekile ngesandla, uvutha, uluma, kuzwakala izinhlungu.
4. Ukuqhuma kusakazekela nakwezinye izingxenye zomzimba, kutholakala emphethweni wesikhumba, ukugoba kwemilenze.
5. Izipikili zithola umthunzi we-tan, i-hyperkeratosis iyabonakala.
6. Inqubo iboniswa ngokwanda kwamaphepheni ngosayizi, ngokuhlangana kwawo angakhula, abe yizindawo eziqinile.

Lesi sithombe somtholampilo sidideka kalula ne-psoriasis. Ukuze unqume isifo esithile, udokotela wenza ukuhlolwa okugcwele kwesiguli. Izifo zingabonakala ngokuba khona kwamakholiphu ama-follicular akhelene emaphethelweni ezinkundla: ochwepheshe babiza lezi zinhlobo ngokuthi “abangane”. Ukubonakala kokuqhekeka emadolweni ngaphansi kwamadolo, izindolowane, amaseli nokukhula kwamathafa kuyizimpawu ezengeziwe ze-pityriasis enoboya.

Izimbangela Zesifo Sobuchopho

Izizathu zokuthi kwehle izinwele zeDevergee zenzeke akukaphenywa. Ochwepheshe bakhombisa izimo ezahlukahlukene ezinomthelela ongemuhle emzimbeni. Ngokombono wabo, imbangela eyinhloko ye-pathology ngukudluliselwa kohlobo olungenasici ifa. Ezinye izici zifaka:

• ukusweleka kwe-Vitamin A enzima,
• ubunzima ngemuva kwezinye izifo zesikhumba.

Kusungulwe ukuthi kwezinye izikhathi, ukulahleka kwezinwele kuyatheleleka lapho abantu abaningana besebenzisa izingubo. Ukuphindaphinda okuphindaphindiwe kuthinteka ekudleni okungekuhle, ukuphuza imithi, inqubo yansuku zonke engafanele, kanye nokuthambekela kokungezwani komzimba. Ngaphezu kwalokho, iziguli ezisindayo:

• ubuthi bezinto eziyingozi,
• ingcindezi nokushaqeka kwemizwa,
• izifo ezihambisana nokungasebenzi kahle kwe-hormonal metabolism.

Ukwelashwa kokuncipha kwezinwele

Ukuze ususe izinwele ezihlisayo ze-Devergea, udinga ukuhlolwa kanye nenkambo ende yokwelapha ngemithi ebekwe udokotela wesikhumba. Isikhathi sokwelashwa, umuthi, isilinganiso somuthi sikhethwe ngokuya esigabeni sesifo se-Deverge, iminyaka nesimo sesiguli. Ngokuvamile kuthatha izinyanga ezimbalwa ngaphambi kokuba ukuthuthuka kuqale. Ingane engaphansi kweminyaka emi-5 kufanele ihlolwe ngaphezulu ngudokotela wezingane.

Imithi

Ukubuyisela isikhumba ezindaweni ezithintekile, izidakamizwa zakudala neze-retinoid zisetshenziselwa ngaphandle nangomlomo, ziqukethe i-Vitamin A kuma-sprays, amaphilisi, okokugcoba namathebulethi. Izidakamizwa ezisebenza kahle zibandakanya:

Uma ukugula kukaDevergey kuqhubeka ngendlela ebabazekayo, isiguli sibekwa esibhedlela nasemalungiselelweni we-homeopathic, kunqunywa inhlanganisela yamavithamini E, B1, B12 ngemijovo. Lapho izinkinga zenzeka ngendlela ye-erythroderma, kufanele uqale ngokuthatha ama-corticosteroids emthanjeni okhonjiswe udokotela wakho. Izinhlobo eziyinkimbinkimbi zesifo se-Devergey ziphathwa ngemisebe ye-photochemotherapy nemisebe ye-ultraviolet ngosizo lwamadivayisi akhethekile.

Isifo sikaDevergy - izimpawu eziyinhloko:

• Isikhumba ukuqhuma
• Ubuthakathaka
• Umkhuhlane
• Isikhumba sikhonkotha
• Ukuqina kwesikhumba
• Ukuvela kwamaphepha

Isifo se-Devergy sisho i-keratosis engapheli, ebonakala nge-follicular hyperkeratosis. Lesi sifo senziwa esikhunjeni futhi siziveza ngesimo sezinwele ezibomvu. Inkambo yesifo ihlangana nesiteji sokukhipha kanye nokuxolelwa, izilonda zingabamba izindawo ezinkulu zesikhumba.

Lesi sifo sivame kakhulu kubantu abadala nasezinganeni, futhi sikhula ngenxa yokwephulwa kwenqubo yekeratinization yesikhumba.

Kutholwa ukuhlolwa kwangaphandle ngudokotela wesikhumba, kuyilapho kwenziwa izivivinyo zelebhu ukuhlukanisa lesi sifo ezifweni ezifanayo.

Izindlela zokwelapha zinikeza umphumela omuhle, kepha akwenzeki njalo ukuqeda ngokuphelele inqubo ye-pathological. Abantu abanalolu hlobo lokuxilonga badinga njalo ukuthola ukwelashwa okuvimbayo: thatha ama-vitamin complexes, usebenzise i-o-anti-infirmative bese udla kahle.

Lokhu kudalwa kwezifo kungatholakala ezinganeni nakubantu asebekhulile. Ezinganeni, lesi sifo sizalwa ngokwemvelo, sivela ngenxa yezinguquko eziguqukayo kuhlu lofuzo, kuyilapho kunethuba elikhulu lokudluliselwa kwalesi sifo ngefa - kusuka kubazali kuya ezinganeni.

Lapho i-lichen ivela ekugugeni, ukuvela kwayo kunezizathu ezilandelayo:

• ukusweleka kwe-Vitamin A nezinkinga zokugaya ukudla,
• izinqubo ze-endocrine ze-pathological ezihambisana nokuphazamiseka kwe-yegilo yegilo nokuphazamiseka kokudla kwe-carbohydrate metabolism,
• ukuphazamiseka kwesibindi ngenxa yezinqubo ze-pathological ngaphakathi kwalesi sitho,
• ngemuva kokudluliswa kwezifo ezithathelwanayo.

Uma ezinganeni lesi sifo sinyamalala ebusheni ngesikhathi sezinguquko ze-hormonal emzimbeni, khona-ke kubantu abadala kuvame ukuba yisifo esingalapheki. Uma lungalashwa, izimpawu ziya ziba zimbi, futhi i-pathology izothwebula zonke izindawo ezinkulu zesikhumba.

Ngokwe-ICD-10 (Ukuhlukaniswa Kwamhlaba Kwezifo Emhlabeni jikelele), isifo salolu hlobo sathola ikhodi engu-L 44.0.

Izinkinga ezingaba khona

Kwezinye izimo, ukwelashwa kuyasekela ngokwemvelo futhi kucindezela lesi sifo isikhathi esithile, kepha uma kungekho lapho isiguli sinezinhlobonhlobo zezinkinga:

• izilonda zingatheleleka futhi zidale izinkinga zesifo,
• ukuvela kwezimbangela ezinobungozi,
• ngokuqalwa kwendawo okwenziwa kuyo i-lichen esisebeni, kungahle kube nobungozi obukhulu ekubumbeni ijwabu leso kusuka kwiso lamehlo.

Isifo sikaDevergy sivame ukubhekisa kwizilonda zesikhumba ezingalapheki ezinganeni nakubantu abadala, ngakho-ke, sidinga ukwelashwa okufika ngesikhathi, ukuqashwa njalo ngudokotela wamazinyo, ukuze ungaphuthelwa isikhathi lapho lesi sifo siba sibi kakhulu.

Izimbangela zokwenzeka

Kwakungenakwenzeka ukukhomba izimbangela zokuvela kwelayisi ebomvu. Kunolwazi kuphela ukuthi kukhona ifomu lesifo esihlangene nelezinguquko zofuzo. Uhlobo olufanayo lwesifo i-Devergey lwenzeka ebuntwaneni.

Uma lesi sifo siqala kubantu abadala, khona-ke izici zangaphandle zidlala indima enkulu ekukhuleni kwaso:

• I-hypovitaminosis kanye nokuntuleka kwevithamini A,
• ukwephula ukwakheka nokuqanjwa kwama-hormone we-thyroid, izinguquko ku-carbohydrate metabolism,
• Izifo zesibindi ezingamahlalakhona ngenxa yokuthuthuka kwe-pathologies eyinkimbinkimbi emzimbeni,
• izifo ezithathelwanayo zesimo segciwane - iphuzu eliphikisana kakhulu phakathi kwezimbangela ze-Devergee's syndrome.

Ibonakala kanjani i-herpes ekhanda: izimpawu nezindlela zokwelashwa.

Ngokusekelwe kulokhu, singasho ukuthi lesi sifo sivela emvelo ngokwemvelo, ngoba sihambisana nethonya lezinto ezithile emzimbeni, osuvele unesandulela sofuzo ekuthuthukisweni kwalesi sifo.

Ukubonakaliswa okuyinhloko

I-Follicular papular keratosis iyisibonakaliso esiyinhloko somtholampilo wesifo se-Devergey. Esigulini, izindawo ezikhulayo ze-keratinization eziphuma ngaphezulu kwesikhumba zakhiwe esikhunjeni endaweni yezinwele zezinwele. Isici ukuthambekela kwabo ukwanda ngosayizi, ukuhlangana nomunye.

Ngokulahleka kwezinwele kwe-Devergy, isikhumba sesiguli sinokuphakama okuyi-papular kufinyelela ku-1.5 cm ubukhulu. Kulesi simo, izakhi zesibonakaliso se-rash protrude ngaphezu kobuso, ziyehluka ngombala onsundu noma obomvu. Isikali esinguHorny sivele ebusweni bepulule, endaweni lapho kuhlala khona izinto eziyinkimbinkimbi. Kulokhu, akukho kukhishwa okuvela ngaphansi kwesikali kungabonakali, okubalulekile ngokuya ngokuxilongwa okuhlukile ngesifo sikaKirle, lapho kukhululwa khona uketshezi.

Izici zokuncishiswa izinwele:

• isikhumba asithinteki kulo lonke ubude baso,
• ukuqhubeka okuqhubekayo,
• into yokuqala yokuqhuma ngamaphaphu amancane, axhumeke ahlanganiswe,
• umbala we-rash unsundu noma ubomvu, ubonakala ngokusobala esikhunjeni esiphilile,
• iziguli azikhonondi ngezimpawu ezihamba phambili zokuqhuma okufana nokweluka, ukukhahlela,
• ushintsho esimweni esejwayelekile somuntu alubonwa,
• izilonda kulwelwesi lwama-mucous empeleni azenzeki, kepha zisekhona,
• inhlanganisela ejwayelekile yomonakalo wezinwele ngokubonakala kwezinto ezixakile ezinyaweni nasezandleni,
• ezigulini, ushintsho esimweni sezikhonkwane, ukuqina kwazo kungaphawulwa.

Uma isiguli sinezimpawu ezinjalo, udokotela ofanele kufanele asole isifo sikaDevergey futhi aqhubeke nezindlela zokuhlola ezingeziwe.

Izindlela zokwelapha

Ukwelapha isifo se-Devergey kuwumsebenzi onzima futhi onzima. Indlela yomhlaba wonke yokwelashwa ifaka ukusetshenziswa kwe-Vitamin A kumithamo emikhulu (amayunithi ayizinkulungwane eziyi-150-200 ngosuku). Isifundo sihlala okungenani izinyanga ezimbili, ngemuva kwalokho kuba nekhefu lesikhashana ekwelashweni kwesikhathi esifanayo. Uma kunesidingo, phinda izifundo ze-Vitamin therapy. Kwesinye isikhathi amavithamini E anqunyelwa futhi ngamavithamini B.

Kwesinye isikhathi ama-retinoids anqunyelwe (i-Roaccount), asetshenziswa ngokuphezulu. Kodwa-ke, ukuqokwa kwabo kufanele kwenzeke ngemuva kokuqinisekiswa okuyiqiniso kokuxilongwa ngenxa yobungozi obunokwenzeka bemiphumela emibi.

Kungani i-lichen ivela ekhanda lengane, ukuthi ilashwa kanjani nezidakamizwa namakhambi abantu.

Thola ukuthi kungani induna ivela ekhanda lakho nokuthi ungayiphatha kanjani.

Izimbangela nezimpawu zamathumba ekhanda ezinweleni, ekwelapheni ukuvuvukala.

I-PUVA - ukusetshenziswa kwemisebe ye-ultraviolet enezinto ezigcwele izithombe kukhombisa imiphumela emihle. Inani lamaseshini lihlukile ezigulini ngazinye, kepha ngokwesilinganiso zingama-8-10 izikhathi zokwelashwa. Uhlobo oluthile lokwelashwa lukhonjiswa ezigulini ezinezinhlobo eziqinile zesifo uma kungekho okuphikiswa. Kuvunyelwe ukusebenzisa i-physiotherapy, isibonelo, i-phonophoresis ngezidakamizwa ze-glucocorticoid.

Ezimweni ezinobunzima zesifo se-Devergey, kukhethwa izindlela zokwelapha zasendaweni: ukugcotshwa nge-vithamini A, imithambo enezidakamizwa ezingezona ezokulwa nezivimbela ukuvuvukala okunciphisa ukuvuvukala ku-dermis papillary. Uma ngabe le ndlela yokwelapha ayisebenzi, kusetshenziswa izindlela zokwelapha ze-glucocorticoids.

Kubalulekile! Ukuzelapha ngokwakho akufanele kwenziwe. Zonke izidakamizwa, imvamisa yokusetshenziswa, isikhathi sesifundo sinqunywa udokotela ohambelayo.

Izinketho zokuvimbela

Lesi sifo kulula ukusivimbela kunokwelapha. Ngakho-ke, ukuvimbela kwesifo i-Devergey kufanelekile. Ngeshwa, izindlela zokuvimbela azithuthukiswanga kahle, ngoba izimbangela ze-pathology bezingafundwa.

Kodwa-ke, kunezincomo eziningi ezijwayelekile zokunciphisa ubungozi bokuthola lesi sifo:

• izifo ezithathelwanayo
• izivivinyo zokwelashwa ezijwayelekile zokutholwa kokuqala kwezifo zezitho zangaphakathi, ikakhulukazi uhlelo lwe-endocrine.

Ukufingqa

Isifo sikaDevergy yisilonda sesikhumba esingapheli ezinganeni nakubantu abadala. Indlela yesimanjemanje yokwelashwa isuselwa ekwelashweni kokuqala kwesiguli, ukusetshenziswa kwemithamo emikhulu ye-Vitamin A, okokugcoba okukhona okwenziwa ngaphakathi. Ngasikhathi sinye, kukhona ukuphendula okuhle kwezokwelapha, ukwehla kwe-foci ye-follicular hyperkeratosis. Kubalulekile ukuthi zonke iziguli zikhumbule ukuthi akunakwenzeka ukusilulama ngokuphelele lesi sifo, kepha, ngokwelashwa okwanele nokubambelela ezinconyweni zikadokotela, lesi sifo sixolelwa ngokuqinile.

Ukubonakaliswa kwalesi sifo kubantu abadala

Uhlobo lokuqala (iklasikhi lakudala) lingazibonakalisa bobabili kancane kancane nangokucacile, kuyilapho ama-rashes enziwe asendaweni, njengomthetho, emzimbeni ophezulu wesiguli. Izilonda zingaba amabala eyodwa noma i-erythematous ehlelwe ngamaqembu, zisabalalisa umzimba. Ekuqaleni kwesifo, uphawu olukhulu oluhlukumeza isiguli ukulunywa kanzima. Ngokuqhubeka kwenkambo yokwelapha, kuma-80% amacala, iziguli zibonisa i-hyperkeratosis yesundu, futhi kuma-50% ama-follicular, abizwa ngokuthi uphawu lwaseBehenier. Okubaluleke kakhulu ekutholakaleni kweqiniso i-1sttype yesifo se-Devergy ubukhona bezindawo zesikhumba esinempilo ngemuva kwesilinganiso sobubanzi obungu-1 mm.

Uhlobo lwabantu abadala be-atypical, njengoba negama lisho, liziveza okungelona elijwayelekile: izilonda ngalo zikhulu kunehlobo lwakudala. Lo mbhalo ubonakala ngokuba khona kwezilonda ezifana ne-eczema ezikhudlwana kuneziguli ezine-subtype yokuqala yesifo. Ngokuvamile izilonda zenziwa endaweni emaphethelweni aphansi, ukulahleka kwezinwele ekhanda kungenzeka. Olunye lwezimpawu eziphambili ezenza kube nokwenzeka ukubona isifo se-Devergee yizilonda ezesabekayo ezenziwa ekhaya emathanjeni esihlaka esihlanganweni nasesinqeni.

Umtholampilo walesi sakhi esincane ufana ne-dermatitis ye-allergic, i-seborrhea, i-psoriasis, i-neurodermatitis, i-lymphoma yesikhumba nezinye izifo ezifanayo. Ngaphezu kwalokhu okungenhla, kungaphawulwa ukuthi ukwanda kohlobo lwe-atypical yenkambo yesifo kukude kunokuxolelwa kwaso, futhi kunzima kakhulu ukwelapha.

Isifo sikaDevergy ezinganeni nasentsheni

Ngokusho kukaW. Griffiths, izinhlobo zentsha zokubonakaliswa kwalesi sifo ziqala ebusheni noma ebuntwaneni. Ngaphezu kwalokho, ngokuqhubeka kwesikhathi, lesi sifo siba esingamahlalakhona.

Ukwehlukahluka kwengqondo kwensizwa ye-pathology akufani kakhulu nohlobo lwabantu abadala, ngaphandle kokutholwa kwasendaweni yezilonda, imvamisa etholakala emzimbeni ophansi. Ngaphezu kwalokho, umehluko ubuye nokuthi izimpawu zibonakala zibuthakathaka kunabantu abadala. Le subtype yesifo se-Devergey itholakala ezinganeni zeminyaka yokuqala neyesibili yokuphila.

Ukwahluka okulinganiselwe kwe-pathology, njengomthetho, kuthinta izingane ezineminyaka eyi-11 kuya kwe-12, okungukuthi, esikhathini sokuphila. Lesi sifo sinezimpawu eziningana eziphawuliwe:

• izindawo ze-follicular hyperkeratosis ne-erythema emaphethelweni aphansi zinemingcele ecacile,
• inkambo engapheli
• ukuntuleka komkhuba wokuqhubeka nokusabalala.

Ngokuqondene nokwahlukahluka kwalesi sifo kobuntwana, kuphephile ukusho ukuthi lo mbhalo ungaphansi uveza igama lawo: i-erythema iziveza ibuthakathaka kakhulu nge-follicular hyperkeratosis. Kwezinye izimo, uhlobo lwe-levoid lwezilonda luyabonakala.

Ukuhlukahluka kwe-atypical kuyavela futhi eminyakeni yokuqala yempilo yengane, ekugcineni kube ukugula okungapheli.

Isifo sikaDevergy sehlukaniswe izigaba eziningana ngenxa yokuvezwa kwawo okuhlukile. Ake sihlolisise kabanzi isigaba ngasinye sokukhula kwesifo se-Devergy's.

Izigaba zokukhula kwe-pathology

Isifo se-Devergy, njengomthetho, sikhula kancane kancane ngezigaba:

• Isigaba sokuqala. Lapha, endaweni yendawo okwenziwa kuyo impucuko, kwakhiwa izimbotshana zokuqala, kuyilapho umbala wesikhumba uguquka usuka okhanyayo ubomvu. Ngokungabonakali, izilonda zesikhumba ezikulesi sifo zingafaniswa nezikali.
• Ifomu eliqhubekayo. Uma kungekho ukwelashwa okufanele nokunakwa kwezimpawu zokuqala, lesi sifo siyaqhubeka ukukhula. Kulesi sigaba, amaqhuqhuva ama-follicular ahlangana abe munye, umbala wabo uyashintsha ube ophuzi noma owolintshi.
• Uhlobo olunganakwa lwalesi sifo. Ngaphezu kwalokhu okungenhla, isikhumba siyakhula kumasayithi we-lesion; ama-grooves ajulile angavela.

Ukwelashwa ngezindlela zabantu

Izindlela ezihlukile zisetshenziswa futhi zisiza iziguli ezinesifo sikaDevergy. Lezi yizinto zokugcoba kanye nama-decoctions alungiselelwe ekhaya.

Izinto ezisetshenziswayo zamakhambi zisetshenziselwa ukwelashwa kwe-Devyrega red lichen ngemithi yabantu

Ungalungisa izinto ezidingekayo zombili ngokuzimela bese uzithenga ekhemisi. Esimweni sesibili, kuyadingeka ukulandela ngokucophelela imiyalo yokusebenzisa imithamo ekhonjiswe kuyo. Ukwelashwa kwalesi sifo, ungasebenzisa izindlela zokuhlola ezihlolwa isikhathi eside:

• I-Birch tar isetshenziswa ezindaweni ezithintekile zesikhumba izikhathi ezingama-2-3 ngosuku.
• Izipuni ezi-2 zentambo noma i-calendula zithululelwa ngamanzi abilayo, faka, hlunga bese uxubha izindawo ezithintekile zesikhumba ngokufakwa okuholela.

Kwi-Intanethi, ungathola ezinye izindlela eziningi zokwelashwa kwesifo se-Devergey, kepha kumele zisetshenziswe kuphela ngaphansi kokuqashwa kukachwepheshe futhi kungabikho mpikiswano engahambelani nale ngxenye.

Ngokulashwa okufanele kwesifo se-Devergey, i-prognosis yokululama iyathandeka impela. Ngemuva kwezifundo eziningana zokwelashwa, iziguli eziningi zikwazi ukuqeda lesi sifo ngokuphelele, noma kunjalo, ngisho nangemva kokwelashwa, umuntu udinga ukubhekwa njalo ngudokotela wesikhumba.