Momwe mungachiritsire perioral dermatitis mwachangu ndi maantibayotiki

Maphunziro a Zaumoyo

Ndinali ndi zaka 35 pamene ndinawona timagulu ting'onoting'ono tomwe timapanga ziphuphu m'mphuno mwanga. Ndinkachita nawo timatumba tating'onoting'ono monga momwe ndimapangira kuti ndiphulike - ndikuthira mafuta ndikuthira nkhope yanga mafuta onunkhira.

Tsiku lotsatira, dera lonselo linali lofiira komanso lofiira. M'masabata otsatira, chilichonse chomwe ndimayesa kuchotsa khungu langa, kuyambira kumaso mpaka mafuta opaka mafuta, chimangowonjezera mavuto.

Mothandizidwa ndi Google, pamapeto pake ndidapezeka kuti ndili ndi perioral dermatitis (amatchedwanso periorificial dermatitis), khungu lotupa lomwe dokotala pamapeto pake adandiuza kuti limakhala lofala kwa azimayi amsinkhu winawake. Ziphuphu zazing'ono zomwe ndimalakwitsa chifukwa cha ziphuphu kumayambiriro zinakhala pustules. Momwe zimatulukira, ma pustule awa adafalitsa zotupa ndikusiya khungu langa louma, lofiira, ndikuphulika.

Kwa miyezi isanu ndi iwiri, ndimasanthula intaneti kuti ndipeze mankhwala achilengedwe a perioral dermatitis-mafuta ofunikira, apulo cider viniga, zakudya zotsutsana ndi zotupa, kusintha mankhwala osagwiritsa ntchito fluoride, kutaya mankhwala omwe ndimakonda kwambiri, ndikuchotsa zodzoladzola zonse - palibe ntchito. M'malo mwake, totupa tidangowonjezereka, ndikufalikira pamphuno ndi mkamwa mwanga mpaka m'maso mwanga.

Apa ndipamene ndimadziwa kuti kuthana ndi ziphuphu kumafunikira njira zowopsa. Ndidaphunzira momwe ndingachiritse msanga dermatitis posintha ma steroids ndi mankhwala aziphuphu mwamphamvu ndi maantibayotiki ndi zakudya zotsutsana ndi zotupa.

Nchiyani chimayambitsa dermatitis ya perioral?

Perioral dermatitis ndi khungu lobwerezabwereza khungu lomwe limakhudza malo ozungulira pakamwa, komanso limatha kukhudzanso mbali zina za nkhope komanso khosi ndi chifuwa nthawi zina, akuti Todd Schlesinger , MD, dermatologist wovomerezeka ndi board komanso mtsogoleri wa South Carolina Medical Association. Imafanana ndi rosacea, koma imawoneka mosiyana pakhungu.

Perioral dermatitis imatha kufanana ndi khungu zingapo kuphatikiza seborrheic dermatitis, atopic dermatitis, ndi ziphuphu, zomwe zikutanthauza kuti nthawi yokumana ndi dermatologist nthawi zambiri imakhala yofunikira.

Palibe chifukwa chimodzi chodziwika cha perioral dermatitis, koma dermatologists amavomereza imakhudza kwambiri azimayi azaka zapakati pa 20 ndi 45. Pafupifupi 90% pazochitika zonse za perioral dermatitis zimapezeka mwa amayi azaka zapakati pa 18 ndi 50.

Ngakhale palibe zomwe zimayambitsa vutoli, mahomoni amathandizira ndipo kupsinjika kwakhala kukugwirizanitsidwa ndi kubwereranso kwa zotupa mu malo ofufuziras . Pali zifukwa zingapo zomwe zingayambitse dermatitis ya perioral, kuphatikizapo:

• Mankhwala otsukira mano otsukira
• Mafuta a Steroid, kuphatikiza pa-counter-hydrocortisone
• Steroid inhalers
• Mankhwala aziphuphu
• Mafuta odana ndi ukalamba
• Matenda a bakiteriya kapena fungal

Kodi perioral dermatitis imapezeka bwanji?

Perioral dermatitis nthawi zambiri imapezeka ndi dermatologist poyang'ana momwe imawonekera, komwe ikupezeka ndikufalikira pakhungu ndikufunsa mafunso angapo ofunikira, atero Dr. Schlesinger.

Anatinso kuti atenga mbiri, ma dermatologists nthawi zina amatha kuthandiza odwala kuzindikira zomwe zimayambitsa, kaya ndi zakudya zina (kuphatikiza zonunkhira monga sinamoni), mankhwala ( ibuprofen kapena mankhwala ena odana ndi kutupa ), zodzoladzola, ndi / kapena mankhwala otsukira mano otsukira.

Mgwirizano wina wofala umagwiritsidwa ntchito ndi ma topical steroid ndipo adanenedwa atagwiritsa ntchito nasal steroids kapena inhalers, atero Dr. Schlesinger.

Zakudya komanso njira zochiritsira perioral dermatitis

Pazomwe zimachitika perioral dermatitis, dokotala kapena dermatologist angakulimbikitseni kuti musinthe zina ndi zina kunyumba kuti muwone ngati mutha kuthetsa kupwetekako nokha. Ngati mungathe kuzindikira zomwe zimayambitsa kupsa mtima kwanu (monga topical steroids) ndikuchotseratu zomwe zimakhumudwitsa tsiku ndi tsiku, ndizotheka kuchotsa perioral dermatitis popanda chithandizo chamankhwala.

Mankhwala achilengedwe a perioral dermatitis ndi awa:

• Kuleka kugwiritsa ntchito steroids
• Kulandira zakudya zotsutsana ndi zotupa kuti mukhale ndi thanzi labwino
• Kuchotsa mankhwala aziphuphu ndi mankhwala odana ndi ukalamba pazomwe mumachita posamalira khungu
• Kugwiritsa ntchito chotsukira chofewa komanso chopangira khungu chopangira khungu
• Kusunga khungu lanu lopanda zodzoladzola mpaka zidzolo zitatha
• Kusintha mankhwala otsukira mano popanda fluoride
• Kusankha zoteteza ku dzuwa kwambiri
• Kupewa kukhala padzuwa nthawi yayitali, kutentha kwambiri, ndi mphepo

Funsani dokotala wanu musanayese mankhwala azitsamba, chifukwa ena atha kukulitsa vutoli. Koma ngati muli ndi perioral dermatitis wofatsa, makamaka ngati mumatha kuzindikira zomwe zimayambitsa, ndizotheka kuchotsa perioral dermatitis popanda mankhwala.

Maantibayotiki a perioral dermatitis

Pulogalamu ya American Osteopathic College of Dermatology (AOCD) imati maantibayotiki am'kamwa ndi mankhwala odalirika kwambiri perioral dermatitis. Maantibayotiki atatu omwe amadziwika kuti ndi a perioral dermatitis ndi awa:

• Tetracycline (Tetracycline coupons | Zambiri za Tetracycline)
• Doxycycline (Doxycycline coupons | Zambiri za Doxycycline)
• Minocycline (Minocycline coupons | Zambiri za Minocycline)

Chifukwa chomwe madotolo amalimbikitsira odwala kuyesa njira zachilengedwe zakuchiritsira ndikuchotsera njira yoyamba ndikuti kuchiza dermatitis ya perioral ndi maantibayotiki pakamwa kumafunikira njira yayitali ya mankhwala. Zimakhala zachizolowezi kupatsidwa mankhwala kwa milungu isanu ndi iwiri kapena isanu ndi iwiri ya maantibayotiki tsiku lililonse, ndipo maantibayotiki nthawi zina amabwera ndi zovuta zawo, kuphatikiza kukwiya m'mimba ndi matenda a yisiti . Koma pazochitika zowopsa kwambiri, maantibayotiki am'kamwa amakhala njira yotsimikizika kwambiri yochiritsira dermatitis ya perioral mwachangu. Cholinga cha mankhwala opatsirana pogwiritsira ntchito pakamwa ndikuthandizira kusintha mwachangu, malinga ndi ofufuza .

Perioral dermatitis zonona

Ngakhale kuti AOCD imalimbikitsa kuti mafuta a steroid azitayidwa nthawi yomweyo, popeza mafuta a steroid amatha kukulitsa vutoli, osakhala steroidal Mankhwala othandizira angagwiritsidwe ntchito nthawi imodzi.

Mankhwala osagwiritsa ntchito ma steroid omwe amatha kugwiritsidwa ntchito limodzi ndi maantibayotiki ndi awa metronidazole (mankhwala opha tizilombo), Elidel (pimecrolimus), kapena maantibayotiki apakhungu, monga chiwoo mafuta odzola, ndi kirimu erythromycin .Ma pimecrolimus apakhungu, omwe ndi calcineurin inhibitor, amagwiritsidwanso ntchito pochizira matenda am'mimba, komabe, ndi njira yokwera mtengo.Ikani izi ngati gawo lochepa m'malo omwe akhudzidwa, nthawi zambiri kawiri patsiku. Mankhwala opatsirana amatha kutenga miyezi itatu kuti agwire bwino ntchito koma amagwiritsidwa ntchito limodzi ndi maantibayotiki am'kamwa, perioral dermatitis imatha kuwonekera m'milungu ingapo.

YAM'MBUYO YOTSATIRA: Zambiri za Metronidazole | Zambiri za Elidel | Zambiri za Clindamycin | Zambiri za Erythromycin

Yesani khadi la SingleCare

Zimatenga nthawi yayitali bwanji kuti perioral dermatitis isinthe?

Ndidachita zonse zomwe ndingathe kuti ndichepetse zovuta zapakhomo kwa theka la chaka ndipo ndimagwiritsa ntchito mankhwala a metronidazole cream kwa miyezi. Palibe chomwe chidagwira ntchito, ndipo zotupazo zidangopitilira kufalikira. Kwa iwo omwe akufunsani momwe mungachotsere perioral dermatitis usiku, yankho ndi ili: simungathe.

Dokotala wanga anandipatsa mankhwala a miyezi iwiri ya doxycycline. Dokotala wanga, yemwe adalimbana ndi vuto lake la matenda opatsirana m'mimba m'mbuyomu, adalongosola kuti vutoli lili ndi njira yobwereranso mukasiya kumwa mankhwala asanamwalire, choncho adandiuza pitirizani kutenga maantibayotiki kwa miyezi yosachepera iwiri, kapena mpaka zidzolo zinali zitatha kwa milungu iwiri yathunthu.

Anandiuzanso kuti ndipitilize kugwiritsa ntchito zonona za metronidazole mpaka ziphuphu zitatha.

Ndidayamba kuzindikira kusiyana kwa zizindikilo zanga pafupifupi milungu iwiri ndikulowa maantibayotiki. Kukwiya kunali pansi ndipo kufiira kunali kubwerera. Khungu langa silinkawoneka ngati lotupa nthawi zonse.

Panali pafupifupi milungu isanu kuti zidzolo zitatha, choncho ndinapitirizabe kumwa maantibayotiki pa maphunziro a miyezi iwiri. Atasiya kumwa mankhwala, zotupazo sizinapite patali.

M'miyezi yotsatira, pang'onopang'ono ndidayamba kuwonjezera zinthu zomwe ndidazichotsa muntchito yanga yosamalira khungu. Ndidayamba ndimapangidwe amaso. Ndiyeno exfoliator wanga wokondedwa. Ndipo pamapeto pake, ndidakhala womasuka kuvalanso nkhope yanga yonse, osawopa kuyatsa.

Sindinawonjezerepo mafuta anga okalamba, komabe. Ndinaganiza zokhala ndi makwinya kusiyana ndi nkhope yopupuluma.

Momwe mungapewere perioral dermatitis

Ndikadadziwa chifukwa chenicheni cha matenda anga apakhungu, ndikutha kupewa kuphulika. Komabe, mutakhala nacho, pali kuthekera kolimba komwe kudzabwerere nthawi ina. Gogodani pamtengo, ndatha chaka ndi theka osabwerezanso mpaka pano.

Chinthu chabwino kwambiri chomwe mungachite kuti muteteze perioral dermatitis ndikufatsa khungu lanu. Ndipo kukaonana ndi dokotala nthawi yomweyo ngati mutayamba kuzindikira kuti mukubwereza. Chodandaula chenicheni chomwe ndili nacho sindimaganizira maantibayotiki a perioral dermatitis kuyamba pomwe. Sindikadayenera kubisa nkhope yanga kumakamera kapena kuchita manyazi kutuluka panja kwa theka la chaka.

Ngati ingabwererenso, maantibayotiki adzakhala mankhwala anga oyamba.