Tick hauv daim tawv nqaij: tshwm sim, ua rau thiab qhov tshwm sim, kuaj mob thiab kho demodicosis
Tib neeg demodex yog cov kab mob ntawm daim tawv nqaij ntawm lub ntsej muag uas ua rau tus kab mob demodicosis, tshwm sim los ntawm khaus, pustules purulent, plaub hau poob, pob muag thiab plaub muag. Txawm li cas los xij, cov neeg feem coob yog cov neeg mob asymptomatic ntawm demodex. Kev kho mob yog complex thiab ntev.
Txheem
- Tus zuam subcutaneous zoo li cas rau tus neeg?
- Etiology thiab pathogenesis ntawm demodicosis
- Clinical daim duab ntawm tus kab mob
- Cov yam ntxwv txaus ntshai
- Tib neeg demodex mite: kev kuaj mob
- Subcutaneous mites nyob rau hauv tib neeg: ib qho teeb meem ntawm tus kab mob
- Yuav ua li cas kho cov kab mob subcutaneous
- Yuav ua li cas kom tshem tau ntawm subcutaneous mites siv ib txwm siv txoj kev
- Tib neeg zuam: tiv thaiv
- Cov lus nug thiab lus teb ntawm tus kab mob
Tus zuam subcutaneous zoo li cas rau tus neeg?
Demodex yog ib qho arachnid ntsig txog mites. Tus kab mob no yog hais txog 0,4 mm nyob rau hauv loj, muaj ib tug elongated lub cev zoo thiab ib tug dawb-daj xim. Tus poj niam nteg txog 20 qe; tus kab mob nyob hauv cov qog sebaceous ntawm tib neeg.
Rau Demodex, qhov chaw nyob feem ntau yog thaj chaw uas muaj ntau cov qog sebaceous: lub puab tsaig, hauv pliaj, hauv pliaj, qhov ntswg, nasolabial furrow, qhov muag, nrog rau cov hauv paus plaub hau ntawm pob muag, plaub muag thiab tawv taub hau. Kab mob tshwm sim los ntawm kev sib cuag nrog tus tswv tsev lossis cov khoom uas muaj kab mob.
| Mites hauv qab daim tawv nqaij: qe | Tus poj niam demodex nteg qe nyob rau hauv daim tawv nqaij, nyob rau hauv lub sebaceous qog los yog plaub hau follicle. Lawv qhov loj me yog li 0,1 hli, cov larvae tshwm nyob rau hnub 2 lossis 3 hnub. |
| Subcutaneous mite nyob rau hauv tib neeg: larva | Lub larva yog theem thib ob ntawm kev loj hlob ntawm Demodex mite; nws zoo li ib tug nyias worm, tsis ntau tshaj 0,3 hli ntev. Nws tseem tsis tau tsiv mus nyob qhov twg, tab sis twb tau nquag noj thiab ua rau tib neeg raug mob. |
| Cov theem tom ntej: protonymph | Tom qab ob peb hnub, ib tug protonymph hlob tuaj ntawm lub ntsej muag; nws yog me ntsis loj dua cov larva, tab sis tseem tsis paub yuav ua li cas txav. Tom qab 3 hnub, nws loj hlob mus rau hauv nymph, nws lub cev ntev yog 0,4 hli, nws ceg ceg tau loj hlob tuaj thiab nws tuaj yeem txav mus los. |
| Tick hauv tib neeg daim tawv nqaij: neeg laus | Tom qab ob peb hnub, tus neeg laus demodex tawm ntawm nymph, uas muaj 4 khub ntawm ceg ntu ntawm nws lub plab. Tib lub sijhawm, poj niam thiab txiv neej muaj qhov sib txawv. Tus poj niam yog me ntsis loj dua tus txiv neej, nws qhov loj me txawv ntawm 0,3 mus rau 0,44 hli, lub qhov ncauj kuj zoo dua, thiab cov ceg ceg yuav luag zoo tib yam. Tom qab nws nteg qe nyob rau hauv lub follicle, nws tuag. Tus txiv neej yog 0,3 cm ntev, nrog lub plab ua rau feem ntau ntawm lub cev. Tom qab mating, nws kuj tuag. |
Etiology thiab pathogenesis ntawm demodicosis
Demodex pub rau sebum, tso tawm ntawm cov qog sebaceous thiab exfoliated hlwb ntawm cov epidermis. Feem ntau, demodicosis yog asymptomatic, tab sis cov neeg uas txo qis kev tiv thaiv kab mob, cov kab mob ua xua, cov neeg mob pob txuv, cov kab mob endocrine, nrog rau cov neeg laus thiab cov neeg nyob rau hauv cov xwm txheej ntawm kev ntxhov siab ntev yuav ntsib cov kab mob tsis zoo. Demodex ua rau kab mob ntawm daim tawv nqaij hu ua demodicosis.
Clinical daim duab ntawm tus kab mob
Cov tsos mob Demodex ntawm lub ntsej muag yog tshwm sim los ntawm cov qog sebaceous. Accumulated sebum thiab cov tawv nqaij tuag muab cov av rau cov kab mob, ua rau khaus, pob txuv, papules, pustules thiab o. Cov pob khaus yuav pom meej. Cov tawv nqaij qhuav thiab khaus khaus thiab nyiam tev.
Demodex ntawm lub ntsej muag feem ntau nrog thiab ua kom cov tsos mob ntawm pob txuv loj, rosacea thiab seborrheic dermatitis.
Demodex nyob ze qhov muag kuj ua rau demodicosis. Tus kab mob no feem ntau tshwm sim los ntawm kev hloov pauv ntawm cov kab mob cab los ntawm lwm qhov ntawm lub cev mus rau daim tawv muag. Vim qhov no, o ntawm cov npoo ntawm daim tawv muag tsim. Cov cim qhia ntawm subcutaneous mites:
- liab ntawm lub qhov muag thiab daim tawv muag;
- hnov ntawm lub xub ntiag ntawm lub cev txawv teb chaws nyob rau hauv lub qhov muag;
- kub hnyiab thiab khaus;
- poob thiab discoloration ntawm cov plaub muag;
- nce rhiab heev rau lub teeb, plua plav thiab pa taws;
- qhov tsos ntawm deposits thiab teev raws li cov npoo ntawm daim tawv muag thiab ntawm lub hauv paus ntawm cov plaub muag.
Tib neeg demodex ntawm tawv taub hau ua rau cov plaub hau tsis muaj zog thiab nce plaub hau, uas feem ntau tsis meej pem nrog alopecia areata. Cov tawv nqaij khaus (tshwj xeeb tshaj yog thaum hmo ntuj thaum cov kab mob txav mus los), ua oily, discoloration tshwm, qee zaum pob thiab o (thaum cov hauv paus plaub hau lossis qog sebaceous raug thaiv). Hauv qee qhov xwm txheej, cov kab mob subcutaneous tuaj yeem tshwm sim ntawm tes.
Cov yam ntxwv txaus ntshai
Cov tawv nqaij demodicosis tuaj yeem ua kom hnyav ntxiv los ntawm kev cuam tshuam sab nraud tsis zoo, txawm hais tias lawv tau ua ke nrog cov sab hauv:
- Ticks reproduce nquag ntawm ambient kub. Yog li ntawd, nws tsis pom zoo kom mus xyuas lub tsev da dej, solarium, sauna, lossis sunbathe.
- Kev noj zaub mov tsis raug.
- Kev nyuaj siab.
- Kev haus cawv.
- ecology phem.
- Kev xaiv tsis raug ntawm cov khoom tu tawv nqaij.
Tib neeg demodex mite: kev kuaj mob
Kev kuaj Demodex tuaj yeem ua tau txhua lub hnub nyoog, suav nrog menyuam yaus.
Ua ib feem ntawm koj qhov kev npaj, koj yuav tsum tsis txhob noj cov tshuaj lossis cov txheej txheem kho mob tsawg kawg 7 hnub ua ntej koj mus kuaj.
Lub ntsej muag yuav tsum tau ntxuav nrog dej sov thiab ib qho me me ntawm xab npum; ua ntej kev ntsuam xyuas, cream lossis tshuaj pleev ib ce yuav tsum tsis txhob siv rau ntawm daim tawv nqaij. Nws tseem txwv tsis pub zas plaub muag thiab pob muag.
Subcutaneous mite: tsom xam
Kev ntsuam xyuas Demodex yog ib qho kev ntsuam xyuas me me ntawm cov khoom siv los ntawm daim tawv nqaij ntawm lub ntsej muag, daim tawv muag, plaub muag lossis pob muag. Cov qauv yog tshuaj xyuas nyob rau hauv ib lub tshuab kuaj kab mob ntawm 20x magnification. Tus kab mob Demodex yog kuaj tau yog tias cov khoom siv kuaj muaj cov neeg laus, larvae lossis qe. Kev tshuaj xyuas yog suav tias yog qhov zoo yog tias ntau tshaj 5 tus neeg raug kuaj pom ib square centimeter ntawm daim tawv nqaij.
Subcutaneous mites nyob rau hauv tib neeg: ib qho teeb meem ntawm tus kab mob
Demodectic mange yuav tsum tau kho tsuas yog nyob rau hauv lub tsev kho mob lossis salon kev zoo nkauj uas muaj cov kws kho mob tsim nyog. Yog tias koj tsis quav ntsej txog qhov teeb meem no lossis sim daws nws ntawm koj tus kheej, nws yuav tsis tsuas yog tsis coj cov txiaj ntsig, tab sis kuj yuav ua rau muaj teeb meem.
Tus neeg mob ib txwm hnov qhov khaus thiab khawb nws daim tawv nqaij. Qhov no ua rau cov tsos ntawm pustules thiab nce qhov o.
yog vim li cas
Cov laj thawj tuaj yeem sib txawv heev thiab txhua tus neeg muaj lawv tus kheej. Feem ntau yam uas yuav ua rau muaj kev loj hlob ntawm tus kab mob yog:
- nce secretion ntawm subcutaneous rog;
- kev tu tawv nqaij tsis zoo, kev xaiv tsis raug ntawm cov tshuaj pleev ib ce;
- noj corticosteroids;
- rog dhau;
- kev cuam tshuam los ntawm hormonal;
- kab mob plab;
- kev tiv thaiv qis;
- kev noj zaub mov tsis zoo, kev tsim txom ntawm cov pa roj carbon monoxide sai thiab dej qab zib carbonated;
- kev ntxhov siab tsis tu ncua.
Subcutaneous zuam hauv tib neeg: cov tsos mob
Demodicosis cuam tshuam rau thaj chaw sib txawv, yog li cov tsos mob sib txawv me ntsis. Nrog demodicosis ntawm daim tawv nqaij ntawm lub ntsej muag, cov tsos mob hauv qab no tshwm sim:
- pob txuv tshwm, uas tuaj yeem pom nws tus kheej los ntawm cov pustules me me mus rau qhov tsis tu ncua ntawm cov hlab ntsha ntawm lub ntsej muag;
- khaus heev tshwm;
- sebum yog intensely secreted, uas muab ib qho chaw yug me nyuam rau mites;
- cov pob liab liab tshwm rau ntawm lub ntsej muag;
- lub qhov ntswg yuav loj dua.
Demodicosis ntawm daim tawv muag manifests nws tus kheej txawv:
- redness ntawm daim tawv muag tshwm sim;
- cov plaub muag lo ua ke thiab poob tawm;
- qhov muag tau nkees sai.
Yuav ua li cas kho cov kab mob subcutaneous
Kev kho mob demodicosis yuav tsum muaj kev qhia dav.
Ua ntej tshaj plaws, qhov ua rau thiab cov tsos mob sab nraud ua rau tus kab mob yuav tsum tau txiav txim siab.
Thaum kawg ntawm kev kho mob, prophylaxis yog siv los pab sib sau ua ke thiab tiv thaiv kev rov qab los. Kev kho mob demodicosis yuav tsum tau ua los ntawm cov kws kho mob uas tsim nyog nkaus xwb; qhov pib sai dua, qhov zoo dua, vim tias tus kab mob kis tau thiab tus neeg ua rau muaj kev phom sij rau lwm tus neeg.
Kev kho mob yog tsom rau kev tshem tawm cov kab mob thiab muaj ntau theem.
| Noj cov zaub mov | Nws yog ib qho tsim nyog yuav tsum tsis txhob noj carbohydrates ceev, rog thiab ntsim zaub mov. Kev noj zaub mov yuav tsum yog cov rog tsawg ntawm cov ntses, nqaij thiab nqaij qaib, zaub thiab txiv hmab txiv ntoo. |
| Kev kho mob | Tshuaj pleev ib ce muaj antibacterial thiab antiparasitic Cheebtsam. |
| kev kho mob | Mus ntsib kws kho mob tshwj xeeb kom paub seb puas muaj hormonal lossis metabolic tsis txaus hauv lub cev. Nws muaj peev xwm muab tshuaj tua kab mob lossis tshuaj hormonal. |
| Npaj | Daim ntawv sau tshuaj uas tshem tawm khaus, liab, thiab mob. |
| Physiotherapy | Electrophoresis, ozone lossis laser yuav raug sau tseg. |
Subcutaneous zuam ntawm lub cev: kev npaj tshuaj pleev
Kev ua lag luam muab kev xaiv loj ntawm cov tshuaj zoo rau demodicosis. Lawv yuav tsum raug xaiv los ntawm cov kws kho mob tshwj xeeb. Txoj kev siv tau zoo tshaj plaws tau piav qhia hauv qab no.
Ointment rau cov zuam subcutaneous hauv tib neeg
Cov tshuaj pleev zoo tshaj plaws rau demodicosis yog raws li hauv qab no.
Yuav ua li cas kom tshem tau ntawm subcutaneous mites siv ib txwm siv txoj kev
Kev kho demodicosis nrog tshuaj ntsuab yog dav siv:
- Tansy infusion. 1 tbsp. ncuav boiling dej tshaj cov tshuaj thiab tawm rau 2 teev. Moisten paj rwb pads thiab siv rau thaj chaw cuam tshuam los ntawm demodicosis. Fresh infusion yog npaj txhua hnub.
- Ib tug tincture ntawm juniper berries, calendula thiab eucalyptus yog npaj thiab siv nyob rau hauv ib tug zoo xws li txoj kev. Tsis txhob siv kub infusion.
Tib neeg zuam: tiv thaiv
Demodicosis ntawm cov plaub muag thiab lwm qhov ntawm lub cev tuaj yeem tiv thaiv. Txhawm rau ua qhov no, tsuas yog ua raws li cov cai tiv thaiv yooj yim:
- Ua tib zoo saib xyuas tus kheej (da dej tsis tu ncua, ntxuav koj lub ntsej muag, ntxuav koj cov plaub hau thiab plaub hau).
- Noj ntau yam khoom noj muaj txiaj ntsig thiab noj qab nyob zoo (xws li ntses, zaub thiab txiv hmab txiv ntoo hauv koj cov zaub mov).
- Txhawb kev tiv thaiv kab mob.
- Kev xaiv kom raug ntawm cov khoom siv kho kom zoo nkauj thiab tu cov tshuaj pleev ib ce.
- Tsis txhob siv lwm tus neeg cov tshuaj pleev ib ce thiab cov khoom siv tu cev.
Cov lus nug thiab lus teb ntawm tus kab mob
Nov yog cov lus nug feem ntau nug los ntawm tib neeg, cov neeg mob thiab cov lus teb los ntawm cov kws tshaj lij.
Yog lawm, tus kab mob no ua tau. Ntxiv mus, kis tau los ntawm kev sib cuag, los ntawm kev hnia, tuav tes, puag. Thiab tseem nyob hauv tsev, siv cov phuam so, txaj, khaub ncaws. Txawm li cas los xij, tus neeg mob yuav tsis tas yuav mob. Demodex mites muaj nyob rau hauv cov neeg feem coob, tab sis tsis ua rau cov kab mob ntawm daim tawv nqaij nyob rau hauv txhua tus, tab sis tsuas yog cov cab kuj. Lub impetus rau txoj kev loj hlob ntawm tus kab mob tej zaum yuav ib tug tsis muaj zog tiv thaiv kab mob.
Tsis yog, tsiaj nqa ib hom zuam sib txawv me ntsis. Thaum lawv nkag mus rau tib neeg lub cev, lawv tsuas tuag. Yog li ntawd, nws tsis zoo li tias koj tuaj yeem kis tau los ntawm tus tsiaj.
Yog lawm, koj tuaj yeem sim tiv thaiv qhov tshwm sim ntawm tus kab mob los ntawm kev siv cov hauv qab no: kev tu cev nruj, kev noj qab haus huv, kev noj zaub mov kom raug, ntxiv dag zog rau lub cev.
Dab tsi cov txheej txheem provoke ib exacerbation
Daim tawv nqaij raug Demodex mites yog qhov ua rau muaj kev cuam tshuam rau qee cov txheej txheem kom zoo nkauj:
- Phototherapy - ua kom cov tawv nqaij kub thiab ua kom cov ntshav khiav, nce sebum ntau lawm. Qhov no tsim cov xwm txheej zoo rau kev tsim cov kab mob subcutaneous.
- Tshuaj tev - tsis tuaj yeem siv rau theem mob ntawm tus kab mob, tab sis tuaj yeem ua tau zoo rau kev tshem tawm cov teebmeem ntawm daim tawv nqaij tom qab kho.
Dab tsi ntxiv yuav tsum tsis txhob ua thaum lub sij hawm exacerbation ntawm demodicosis?
Yog tias tus kab mob hnyav zuj zus, koj yuav tsum tsis txhob mus ntsib lub tsev da dej, sauna, solarium, lossis pas dej da dej uas cov dej chlorinated. Tsis txhob siv cov tshuaj pleev ib ce zoo nkauj, cream nrog fatty additives, xws li mink roj. Tsis muaj qhov xwm txheej twg koj yuav tsum nyem tawm pob txuv koj tus kheej; tus kab mob yuav kis thoob plaws koj lub ntsej muag.
Yav dhau los