Perioral dermatitis chirwere chisingawanzozivikanwi, icho vakadzi, vane makore pakati pemakore makumi maviri nemakumi mana, vanowanzosangana. Nokuda kwechirwere ichi, kuonekwa paganda kunopoteredza muromo wemashura akasiyana-siyana, ayo anogonawo dzimwe nguva kugariswa munzvimbo dzemaharalabial, pamatama, pedyo nemeso, pamhino nematemberi. Mumatambudziko akaoma, ganda reziso rose rinoshandiswa.
Zviratidzo zve perioral dermatitis
Eruptions of perioral dermatitis inoratidzika semasikirini asina kukwana kana mapoka emagununu emhando yakakosha yekuyeuchidza mashizha. Aya maitiro anoonekwa pamusoro pezvakanaka kana ganda. Muchiitiko ichi, ruvara rweganda uye kuputika kunogona kuchinja pamwe nekufamba kwechirwere: kutanga mavanga acho ane ruvara rwepepuru, ndokuwana bluish kana brownish tinge.
Pustules inogona kugadziriswa uye inobva kumashure, kusvitsa nguva isati yasvika iyo inokonzera kuonekwa kwehuwandu hwehuwandu. Rashes mune zvimwe zviitiko zvinogona kuendeswa nemanzwiro echisimba cheganda, kubvarura uye kupisa, mune dzimwe nguva, pangasava nekunetseka kwakanyanya.
Zvinokonzera zve perioral dermatitis
Ipai zvikamu zvakasiyana-siyana zvinokonzera kukura kwechirwere, pakati peizvi zvinotevera:
- kukanganisa kwemahomoni, kusanganisira pakuberekwa uye kwenguva refu kushandiswa kwemishonga yehomoni (hormonal perioral dermatitis);
- zvirwere zvisingaperi zvinopararira;
- kushungurudzika kwenheyo yenheyo;
- zvirwere zvekugadzira muviri;
- kuwedzerwa kusuruvara;
- kuchinja mumamiriro ekunze;
- kushandiswa kwezvimwe zvinokonzera zvigadzirwa, mazino emvura uye fluoride;
- kukuvara kweganda nemamiti demodex;
- dysbiosis ;
- kudzivirira kudzivirira;
- nhaka.
Nzira yekurapa perioral dermatitis?
Oral dermatitis imwe yezvirwere zvakaoma-kurapa zvinoda kwenguva yakareba systemic therapy. Izvi zvinokanganisa hutano hwepfungwa dzevarwere: kune kusagadzikana, kuora mwoyo, kusachengeteka. Kusina kukwana kana kusakwanira kurapwa kwe perioral dermatitis kunogona kutungamirira kumatambudziko akadai sekupenya kana kuti kuputika kwechivara cheganda chemidziyo, kuonekwa kwechizema, nezvimwewo. Saka, kuitira kuti ubvise hutachiona, unofanirwa kuonana nedermatologist nekukurumidza nekukwanisa kugovera miedzo inodiwa kuti upe kurapa kwakakwana.
Chokutanga pane zvose, chikonzero che perioral dermatitis chinofanira kujekeswa uye kuyerwa kutorwa kuti kuitore. Izvo zvinosungirwa kuderedza kushandiswa kwezvokuzora, kusabvisa kushandiswa kweporoorine-ine pastes, kurega kutaridzika kwezuva rakananga, nezvimwewo.
Muzviitiko zvakawanda, kurapwa kwechipatara ichi kunoda kusarudzwa kwemishonga inorwisa mabhakitiriya yekutonga kwemukati (semuenzaniso, Doxycycline, Minocycline, Unidox Solutab, Tetracycline). Uyewo inowanzopiwa antihistamine, vitamini-mineral complexes.
Kurapa kwekunze kunowanzogadziriswa pamwe chete nehurongwa hwehutachiona, asi hunogonawo kugoverwa zvakasiyana kune yemuromo dermatitis uye inobva mukushandiswa kwemafuta, maramusi kana gels ane antimicrobial uye anti-inflammatory effects.
Kurumidza kubvisa zviratidzo zvekunze nemuromo
Mushonga unobudirira we perioral dermatitis ndiMetrogil gel, iyo inoshanda inoshandiswa iyo metronidazole. Iyo mishonga ine bactericidal uye bactteriostatic properties maererano nehuwandu hwezvirwere zvepachigoni zvezvirwere zveganda.
Pazvikamu zvekupedzisira zvinokurudzirwa kutora nzira yekuchechera maitiro nemvura inonzi nitrogen.