Matenda a matenda aakulu a khungu omwe amayamba kuwonjezereka ndi ovuta komanso owononga nthawi. Mankhwalawa ayenera kupangidwa ndi dokotala payekha kwa wodwala aliyense. Popanda njira yoyenera, matendawa adzapitirira, chifukwa cha kusintha kwa khungu ndi mavuto ena osasinthika.
Kodi rosacea ndi chiyani?
Matendawa ndi matenda aakulu a mitsempha ya magazi ya epidermis. Kuchokera ku Chilatini, dzina la matendawa amatembenuzidwa ngati "rosacea" chifukwa cha zikhalidwe zake. Popanda kuchipatala moyenera komanso panthawi yake, matendawa amachititsa zotsatira zoopsa:
- kulowa mkati ndi khungu la khungu la maso, mphuno, chinkhu ndi makutu a khutu;
- kusintha kotchulidwa pa nkhope;
- keratitis ;
- chiwonongeko;
- matenda ovuta maganizo.
Rosacea - Zimayambitsa
Chiyambi chenicheni cha matendawa sichinafotokozedwe, ndizimene zimapangitsa kuti ziyambike. Rosacea pa nkhope yazifukwa izi:
- kusintha kwadzidzidzi m'mayendedwe a mahomoni, makamaka pa kusamba;
- dermatitis ;
- khungu lofewa, lodziwika, lofiira;
- matenda a dongosolo la endocrine;
- kugwiritsa ntchito mankhwala osokoneza bongo nthawi yaitali (antibiotic, steroid rosacea);
- matenda opweteka;
- demodicosis ;
- nthawi zonse muzipinda zozizira kapena zotentha;
- kawirikawiri mankhwala osokoneza bongo;
- kuwonetsedwa kwa dzuwa, chisanu, mphepo;
- kusintha kwa thupi;
- kugwiritsa ntchito zonunkhira, mowa;
- kuwonongeka kwa kayendetsedwe ka kayendedwe kake;
- angioneurosis.
Rosacea - zizindikiro
Zizindikiro zoyamba za matenda zomwe zimatchulidwa nthawi zambiri zimanyalanyazidwa, chifukwa sizimapangitsa kuti zisamakhale zovuta ndipo zimangokhala zosavuta kuzigwiritsira ntchito. Rosacea pamaso - zizindikiro za msinkhu woyambirira:
- Kufiira kwa khungu pambuyo poonekera kutentha kapena kuzizira;
- kupanga mawanga pamphumi, mphuno, masaya ndi chibwano;
- malo ooneka otetezeka m'madera ofiira;
- Kuyimira pang'onopang'ono khungu la khungu (masiku 3-6).
Zizindikiro zotsalira za rosacea ndi njira zothandizira matendawa zimadalira mtundu wake. Zizindikiro zingakhalepo:
- ziphuphu pa khungu;
- kupuma;
- nodes ndi papules;
- kuuma, kupukuta;
- kufalikira kwa epidermis;
- kugonjetsedwa kwa maso ndi maso.
Mafomu a Rosacea
Pali mitundu yotsatirayi ya matenda:
- Erythematous (telangiectatic) rosacea. Onetsetsani mawanga ofiira ndi mauna aakulu pamaso. Ichi ndi mtundu wosavuta kwambiri wa rosacea, chithunzichi chimasonyeza kuti zolephereka sizikuwoneka ngati maonekedwe, zikhoza kusokonezedwa.
- Puloteni yakuda (papule-pustular mawonekedwe). Kulimbana ndi mitsempha ya tizilombo toyambitsa matenda timapangidwa, yokutidwa ndi mamba. Amafulumira kufalikira kwa nkhope yonse ndipo amasandulika kukhala pustules (abscesses).
- Fimatose (infiltrative-productive) rosacea. Khungu lowonongeka limalowetsedwa ndi minofu yogwirizana, imakhala yokhuthala ndi yotupa, nkhope zimasintha.
- Maonekedwe a ocular (diso). Kuphatikizidwa ndi keratoconjunctivitis, iridocyclitis, blepharitis, keratitis, iritis, ikhoza kuyambitsa lens opacity ndi imfa ya masomphenya.
Rosacea pamaso - mankhwala
Chithandizo chovuta cha acne choterocho chimapangidwa ndi dermatologist payekha. Ndikofunika kupeza chifukwa chake ndi mtundu wanji wa rosacea ukuyenda pamaso, zomwe zimayambitsa ndi chithandizo cha matenda zimadalira wina ndi mnzake. Mitundu yochepa ya matendawa ndi yothandiza kwambiri m'deralo, njira zolemetsa zimaphatikizapo kuyendetsa mankhwala osokoneza bongo komanso kugwiritsa ntchito laser. Malangizowo ambiri a momwe angachitire rosacea:
- Gwiritsani ntchito mankhwala okhaokha a hypoallergenic ndi mankhwala oyeretsa.
- Kulepheretsa kapena kusalekanitsa matenda alionse omwe amachititsa (chisanu, mphepo, mpweya wotentha ndi zina zotere).
- Nthawi zonse muzigwiritsa ntchito mawindo a dzuwa pochoka.
- Pewani kugwiritsidwa ntchito mobwerezabwereza kwa mankhwala osokoneza bongo, mankhwala a tonal ndi zina zokhumudwitsa.
- Musamamwe mowa, zokometsera, zakudya zokometsera.
Cream ya rosacea
Kumayambiriro kwa matendawa, mungagwiritse ntchito mankhwala am'deralo omwe amachepetsa khungu ndikuchotsa mkwiyo. Njira yosavuta yogwiritsira ntchito rosacea imaphatikizapo zotupa zotere:
- Panthenol;
- Rosamet;
- Biodermal sensibio;
- Ruboril;
- Urjazh Roselyan;
- Rosex;
- Chodabwitsa;
- Rosaryl;
- Dermalex;
- Aven Antivayirasi ndi zofanana.
Pamaso pa mphukira ya purulent, papules ndi pustules, kusintha kwa mavitamini, njira za mankhwala zimagwiritsidwa ntchito. Mphuno ngati pinki pamaso imafuna mankhwala ndi maantimoni ndi corticosteroid. Dermatologist akhoza kupereka mankhwala otsatirawa:
- Bactroban;
- Fucidin;
- Acriderm;
- Dermacombine;
- Triderm;
- Azelik;
- Daivonex;
- Chosavuta;
- Prednisolone ndi ena.
Mafuta ochokera ku rosacea
Ngati khungu limalira kwambiri, ziphuphu ndi mapiko, mafuta ambiri ndi zowonjezereka mankhwala am'deralo adzachita. Musanayambe kupaka pinki pamaso ndi mafuta onunkhira, m'pofunika kukachezera dermatologist. Kusankha mwachindunji mankhwala kungapangitse kuwonjezereka kwa njira ya matenda, zochitika za mavuto. Mafuta owonjezera:
- heparin;
- Chodabwitsa;
- Anti-Curoperosis;
- Kalendula;
- Troxerutin ndi mankhwala ofanana a couperose.
Pamene nkhopeyo yayamba kale kupangidwa ndi papules ndi pustules, mafuta amaikidwa kuti azikhala ndi rosacea ndi retinoids:
- Uroderm;
- Sukulu;
- posachedwa;
- Tazorak;
- Retasol;
- Tretinoin;
- Redecyl ndi mafananidwe.
Pa milandu yoopsa, pamaso pa kutupa ndi kubwezeretsa khungu lenileni ndi minofu yothandizira, dermatologist imapereka maantibayotiki, mafuta opangira mahomoni kapena mankhwala othandizira kuti azisamalira rosacea:
- Erythromycin;
- Dioxydin;
- Hydrocortisone;
- Levosin;
- Baneocin;
- Elokom;
- Sinaflan;
- Lokoid ndi ena.
Mapiritsi ochokera ku rosacea
Mankhwala opweteka kwambiri samasowa kokha, komanso mankhwala othandizira maantibayotiki. Matenda a rosacea, kuphatikizapo kuchulukana kwa minofu yothandizira, kuphulika kwa khungu, kusintha kwa nkhope, kumasonyeza kugwiritsa ntchito retinoids ndi mahomoni a steroid. Mankhwala amphamvu amenewa amaperekedwa ndi dermatologist yekha. Chiwembucho chimasankhidwa pambuyo pozindikira zifukwa ndi mawonekedwe a rosacea, chithandizochi chingakhale ndi zotsatirazi:
- Doxycycline ;
- Metronidazole;
- Roxithromycin;
- Ornidazole;
- Erythromycin;
- Minocycline;
- Roaccutane ;
- Methylprednisolone ndi zofanana.
Rosacea - mankhwala ndi mankhwala owerengeka
Pazigawo zochepa za matenda, kufiira ndi makina opatsirana amathandizidwa ndi njira zina. Mphamvu zawo zimachepa, pokhapokha pamene mapulogalamu ndi rosacea zimapangidwa, chithandizo pazochitika zoterechi chiyenera kuchitidwa mankhwala. Kugwiritsa ntchito mankhwala achilengedwe ndi liwiro la chithandizo cha matendawa kumadalira kukula kwa zizindikiro ndi khalidwe la khungu. Ndikofunikira tsiku ndi tsiku komanso nthawi zonse kumenyana ndi rosacea, chithandizo chamakono chimabweretsa zotsatira.
Zitsamba zamakina
Zosakaniza :
- chamomile maluwa - 1 tbsp. supuni;
- Zotsatira - 1 tbsp. supuni;
- madzi - 1.5 malita.
Kukonzekera, ntchito
- Sakanizani zomera zouma.
- Thirani madzi otentha.
- Imani ola limodzi.
- Sungani yankho.
- Gauze adulidwe kuti adziwe mankhwala.
- Ikani pa nkhope.
- Gwiritsani ntchito mphindi 35-40.
- Bwerezani tsiku lililonse.
Mafuta ochizira rosacea
Zosakaniza :
- osadulidwa mpendadzuwa mafuta - 1 tbsp. supuni;
- babu - chidutswa 1;
- batala - 1 tbsp. supuni;
- mkati mafuta - 1 tbsp. supuni;
- Sera - 1 tbsp. supuni;
- chilichonse chotchedwa coniferous resin (fir, spruce, pine) - 1 tbsp. supuni.
Kukonzekera, ntchito
- Sakanizani anyezi ndi kuziyika m'magazi.
- Zosakaniza zokha, kupatula batala, kuvala poto yowotcha.
- Ikani zitsulo pa moto wochepa mpaka anyezi atuma.
- Yikani batala kwa okonzeka otentha osakaniza.
- Sungani zomwe mukupanga kupyolera mu 1 wosanjikiza wa gauze.
- Ikani mafutawo mu chidebe cha galasi.
- Ikani kamodzi pa tsiku kuti muyeretseni khungu.
Rosacea mankhwala ndi laser
Njira zakuthupi zimakhudza kwambiri pazigawo zoyamba za matendawa. Amathandizira kuthetseratu zizindikiro za rosacea, mankhwala a laser amachititsa kuti madzi asasunthike m'ziwiya zowonongeka komanso kugwedeza makoma awo. Chotsani zizindikiro zonse za couperose ndi redness. Zimakhala zovuta kuthetseratu ziphuphu zakumaso pang'onopang'ono, kuchipatala pazochitika zotero zimafuna kuchotsa zigawo zowonongeka za khungu ndi minofu. Pachifukwachi, amagwiritsa ntchito laser yamphamvu, yomwe imalowetsa scalpel. Zotsatira za mankhwalawa zikufotokozedwa mu chithunzi.
Kudya ndi rosacea
Kulimbanirana ndi matenda omwe akufunsayo ayenera kukhala ophatikizana, kuphatikizapo kuwongolera moyo ndi zakudya. Njira imodzi yochizira mavitamini a pinki ndiyo kutsatira zakudya kupatulapo mbale zomwe zimapangitsa kuti mitsempha yambiri ikule. Zakudya sizikuthandizani kuletsedwa kwakukulu, ndikulimbikitsidwa kukana zotsatirazi:
- zowawa ndi zowamba;
- zonunkhira, zonunkhira;
- zipatso za citrus;
- nyama yochuluka;
- nsomba;
- mowa;
- zakumwa zotentha.
Zodzoladzola za rosacea
Kusamalira khungu kuyenera kukhala kofatsa komanso hypoallerggenic. Zida zaukhondo siziyenera kukhala:
- acetone;
- mowa;
- malingaliro;
- aromatizers;
- fungo;
- eukalyti;
- zowonjezera timbewu.
Pamene khungu la rosacea silibwino kugwiritsa ntchito mankhwala okonzera zamadzimadzi, makamaka mapepala ndi zitsamba. Ambiri opanga makina ali ndi mndandanda wapadera kwa anthu okhala ndi pinki ya pinki:
- Chodabwitsa;
- La Roche-Posay Rosaliac;
- Avene Antirougeurs;
- iSin Clinical Rosacea;
- Uriage Roséliane ndi ena.
Zodzoladzola zokongoletsera ziyenera kukhala zapamwamba kwambiri, mankhwala osungirako mankhwala kapena zamtengo wapatali, mchere wambiri. Monga maziko, muyenera kugwiritsa ntchito khungu la dzuwa kapena malo apadera ndi SPF osachepera 15. Pamene mukugula zodzoladzola zatsopano, iwo amayesedwa pachigawo chaching'ono komanso chosazindikirika cha epidermis kuti ayese khungu lawo.