Ibukeka kanjani utwayi: isithombe nencazelo, izimpawu zesifo, ukuxilongwa kanye nokwelashwa kwalesi sifo
Ukhwekhwe yisifo sesikhumba esivamile esibangelwa ukulunywa. Lena i-parasite evela emndenini wama-arachnids, isigaba sezibungu, esenza ukunyakaza esikhumbeni, singena ngaphansi kwe-epidermis futhi siqale umsebenzi walo obalulekile lapho. Ukubonakala kokulunywa kusihlwa nasebusuku, izinguquko zesici esikhumbeni, lezi yizibonakaliso zokuqala zokutheleleka nge-scabies mite. Utwayi luhlasela izigidi zabantu emhlabeni wonke unyaka nonyaka, kungakhathalekile isimo sabo senhlalo.
Okuqukethwe
- Izimbangela zokubukeka
- Iyini i-agent ebangela utwayi
- Utwayi izibungu sarcoptes scabiei: kuyini
- Ungasusa kanjani ama-scabies ekhaya
- Utwayi usakazeka kanjani?
- utwayi ekufukameleni isikhathi
- Izimpawu zotwayi: ukubukeka okujwayelekile
- Ukuxilongwa kotwayi
- Ukhwekhwe: ukwelashwa
- Izici zokwelashwa kuye ngendawo
- Ukuvimbela ukuphinda utheleleke
Izimbangela zokubukeka
Imvamisa, ukutheleleka ngotwayi kwenzeka ngokuthintana, noma ezindaweni eziminyene, kudluliselwa ngokushesha lapho izindinganiso zokuhlanzeka zephulwa.
I-scabies mite evela kumuntu ogulayo ifika kumuntu onempilo ngokusebenzisa izitsha ezivamile, ukuthintana nezingubo zakhe, ukuxhawula.
Ikakhulukazi ekungenweni ukutheleleka nge-scabi abantu asebenesikhathi eside bexhumana: izingane ezinkulisa, ezikhungweni zezintandane, abantu abahlala emakhaya asebekhulile, emajele, ezindaweni zokugeza zomphakathi, ezindaweni zokuzivocavoca.
Iyini i-agent ebangela utwayi
Ngaphezu kweqiniso lokuthi lesi sifo sihambisana nokulunywa kusihlwa nasebusuku, singena ngaphansi kwesikhumba, utwayi lunyakaza lapho, ludla futhi luphindaphindeke, lushiye imfucuza, lapho ezimweni eziningi ukusabela okweqile kwenzeka khona. iziguli. Ngenxa yalokho, ezinye izimpawu zotwayi zengezwa ukulunywa kanye nokuqubuka emzimbeni: amaphuzu egazi kanye nemihuzuko emincane.
Utwayi izibungu sarcoptes scabiei: kuyini
I-Mite microscopic i-Sarcotes scabiei, ethathelwana isuka kumuntu ogulayo iye kumuntu onempilo ngokuthintana ngokuqondile, izinto zasendlini ezivamile. Ukusuka esigulini kuya kumuntu ophile kahle, isibungu noma insikazi ye-scabies mite iququda esikhumbeni futhi yenza amaphaseji ngaphansi kwaso, izalela amaqanda kuwo futhi ishiye imfucumfucu.
Ungasusa kanjani ama-scabies ekhaya
Uma ilungu lomndeni lihlaselwe utwayi, kufanele lihlaliswe yedwa kuze kube yilapho selilulama ngokuphelele. Zonke izinto zakhe, izingubo zokulala, nakho konke isiguli esihlangane nakho, kufanele kugezwe. Izindawo eziqinile zingelashwa ngamakhemikhali akhethekile e-anti-mite. Amathoyizi athambile engane kufanele afakwe esikhwameni sepulasitiki futhi ashiywe izinsuku ezi-5, phakathi naleso sikhathi i-parasite izofa.
Utwayi usakazeka kanjani?
Utwayi lusakazeka ngezindlela ezimbili: ngokuqondile, okungukuthi, ngokuqondile ukusuka ebholeni kuya kwabanempilo, noma ngaphandle kokugxila kokutheleleka, ezindaweni zomphakathi.
utwayi ekufukameleni isikhathi
Isikhathi sokufukamela ngemva kokungena kwe-parasite esikhumbeni singahlala kusukela ezinsukwini ezi-3 kuya ezinyangeni ezingu-1,5. Uma izimuncagazi zingena esikhumbeni, isikhathi esincane sizodlula kusukela ekuthelelekeni kuya ekubonakaleni kwezimpawu zokuqala: ukulunywa kanye notwayi. Ngezinhlobo ezahlukene zotwayi, ukuqubuka kuvela ezingxenyeni ezihlukene zomzimba womuntu.
Odokotela bahlukanisa uhlobo olujwayelekile lwe-scabies olunezici zalolu hlobo lwe-scabi kanye namafomu amaningana atypical.
Izimpawu zotwayi: ukubukeka okujwayelekile
Ngotwayi olujwayelekile, imivimbo emhlophe noma empunga ibonakala esikhumbeni - utwayi olukhuphuka ngaphezu kwesikhumba, ubude balo buyi-5-7 mm. Ama-papules, ama-vesicles, imihuzuko nama-blood crusts nawo avela emzimbeni. Ikakhulukazi itholakala ezandleni eziphakathi kweminwe, ezindaweni ezigobayo zesihlakala nendololwane, ngaphansi kwamakhwapha, engxenyeni yesisu, kwabesifazane ezindlaleni zebele, ezingonweni, emadodeni, nxazonke. izitho zangasese.
Kubantu abadala, izibungu zotwayi azinyakazi ezindaweni lapho kunenqwaba yezindlala ze-sebaceous, emhlane ongenhla, entanyeni, ebusweni, ngaphansi kwesikhumba ekhanda. Izindlala ze-sebaceous zikhiqiza i-sebum, evala utwayi esikhumbeni, futhi empilweni evamile, izibungu azikwazi ukungena emoyeni.
Ezinganeni ezinotwayi, utwayi lusebusweni, ekhanda, ezintendeni nasematheni ezinyawo. Ezinsaneni, i-parasite ingena ngisho nezinzipho. Esikhumbeni sezingane kunamabhamuza amaningi asobala nama-tubercles abomvu anama-crusts.
Kubantu asebekhulile, ngokuphambene nalokho, kukhona ama-scabi ambalwa esikhumbeni, kodwa simbozwe imihuzuko nama-blood crusts.
Utwayi oluyinkimbinkimbi lwenzeka ngokuxilongwa okungalungile noma ukwelashwa okufika ngesikhathi noma okukhethiwe ngokungalungile; izinkinga ezivame ukuvela kulolu hlobo lotwayi izilonda zesikhumba ezikhukhulayo, i-dermatitis kanye ne-microbial eczema. Lapho kuhlangana, amagciwane e-pathogenic angangena ngaphansi kwesikhumba, okungaba nomthelela ekuthuthukisweni kwe-folliculitis, i-furunculosis noma i-staphylococcal impetigo. Inhlalakahle evamile ingase ibe yimbi, ama-lymph nodes anda, izinga lokushisa lomzimba liyakhuphuka.
Inhlanzeko utwayi itholakala kubantu abavamise ukugeza noma ukugeza kusihlwa noma ebusuku. Iningi lezibungu zotwayi ziyagezwa futhi kubonakale isithombe somtholampilo esisuliwe: kukhona ama-papules nama-vesicles angawodwa emzimbeni.
Uphawu oluyinhloko lotwayi lwamaqhuqhuva amaqhuqhuva amancane aminyene ansomi ahlala ezinqeni, esiswini, ngaphansi kwezingalo, kwabesifazane ezindlaleni zebele, emadodeni esithweni sangasese. Kwezinye izimo, ngisho nangemva kokuphulukisa utwayi, ukuqubuka kuhlala esikhumbeni amasonto amabili kuya kwayisi-2.
Utwayi lwaseNorway luthinta abantu abanesimiso sokuzivikela ezifweni esibuthakathaka ngenxa yokusetshenziswa kwezidakamizwa zehomoni, i-cytostatics, noma abane-acquired immunodeficiency syndrome. Iziguli azizwa ukulunywa, inani lezibungu liyakhula ngokungalawuleki futhi lisakazeka kuwo wonke umzimba, isikhumba siba bomvu ngokugqamile futhi some, isikhumba ezinqeni nasezindololwaneni sisengozini enkulu yokulimala kwezibungu. Imikhaza iphila ngaphansi koqweqwe olumpunga noma olunsundu olumboze ingxenye enkulu yomzimba. Utwayi lwaseNorway luthinta izinzipho. Izigidi zama-parasites eziphilayo zingaphila emzimbeni wesiguli, ngakho kubhekwa njengezifo ezithathelwanayo kakhulu.
Lona utwayi oludluliselwa kubantu lusuka ezilwaneni. Imikhaza iphezu kwesikhumba, iyaluma futhi iyaluma. Ama-parasite awanyakazi, ama-papules namabhamuza avela esikhumbeni. Utwayi mbumbulu alutheleli umuntu onempilo kumuntu ogulayo.
Ukuxilongwa kotwayi
Utwayi lutholakala ngemva kokuhlolwa, ngokwezimpawu zesici: ukuqubuka notwayi. Kodwa i-biomaterial nayo ithathelwa ucwaningo lwaselabhorethri. Kunezindlela eziningana zokubona izibungu zotwayi:
- ukususa umkhaza ngaphansi kwesikhumba ngenaliti ekhethekile;
- ingxenye encane ye-epidermis ene-scalpel;
- ukukhuhla isikhumba.
Ukuthatha i-biomaterial yezindlela ezimbili zokugcina, kuyadingeka ukuthola utwayi ukuze kukhishwe i-parasite lapho. Isikhumba sidaywe ngesisombululo sotshwala se-iodine noma udayi we-aniline. Upharafini ofudumele noma upharafini owuketshezi ugcotshwa esikhunjeni lapho utwayi lukhona ukuze kusebenze umkhaza ngaphambi kokukhuhlwa.
Ukhwekhwe: ukwelashwa
Indlela yokuphatha kahle utwayi izonikeza izincomo ku-dermatologist ngemuva kokuhlolwa. Ingelashwa ekhaya, ngokulandela zonke izincomo. Izimo ezinzima kakhulu zelashwa esibhedlela.
| Ukunwaya okwehlisiwe | Ukunciphisa ukulunywa ngama-scabi, ama-antihistamine azosiza, angathengwa ngaphandle kwencwadi kadokotela, kodwa qaphela ngokucophelela umthamo lapho uthatha izidakamizwa. Ama-antihistamine kufanele anikezwe izingane kuphela uma kunqunywe udokotela. Udokotela wakho angase akunikeze i-anti-itch cream ukuze unciphise ukulunywa. Kwezinye izimo, ngisho nangemva kokuqeda ngokuphelele izibungu ze-scabies, ukulunywa kungathatha amasonto ambalwa, kuye ngokuthi umzimba usabela kanjani emikhiqizweni yemfucuza yezibungu. |
| Ukucekelwa phansi kwemikhaza | Ukuze abulale izibungu, udokotela unikeza amafutha okugcoba noma ukhilimu ogcotshwa esikhumbeni noma umuthi ophuzwa ngomlomo. Ezimweni ezikhethekile, udokotela angase anikeze zombili izinhlobo zemithi yokwelapha utwayi. Kubantu abadala, izidakamizwa ezilwa notwayi zisetshenziswa kuwo wonke umzimba, ngaphandle kobuso nesikhumba, izidakamizwa ezigunyazwe ukwelashwa kwezingane ezingaphansi kweminyaka emi-3 zisetshenziswa esikhumbeni sonke. |
| utwayi oluthuthukile | Ukuze uthole ukwelashwa okuphumelelayo kwama-scabies athuthukile, udinga ukubonisana nodokotela, ngemva kokuhlolwa, uzobeka ukwelashwa okuqondile ngenhlanganisela yezidakamizwa ezilwa notwayi ezinama-antihistamine. Ukwelashwa kukhethwa ngamunye esigulini ngasinye, kuye ngezinkinga eziye zavela. |
| Amakhambi otwayi kubantu | Ukwelapha utwayi, kusetshenziswa i-emulsion namafutha we-benzyl benzonate, i-peremetrin 5% emulsion concentrate ku-ethanol, i-chamois ointment, i-Vishnevsky wamafutha, i-zinc ointment. Ngemva kokuxhumana nodokotela wesikhumba, futhi enze ukuhlolwa, uzokhetha ikhambi elifanele lokwelapha utwayi. |
Izici zokwelashwa kuye ngendawo
Ungakwazi ukwelapha utwayi ekhaya, kodwa kubalulekile ukulandela lezi zincomo:
- Ukubulala bonke abantu abadala kanye nezibungu eziphuma emaqandeni, qhubeka nokwelashwa izinsuku ezi-4.
- Amafutha, ukhilimu noma i-lotion isetshenziswa esikhumbeni kusihlwa, ngaphambi kokulala.
- Ngesikhathi sokwelashwa, kunconywa ukuthi ungabhukudi, isikhumba kufanele somile futhi sipholile ngaphambi kokusebenzisa umkhiqizo.
- Ngemuva kokusebenzisa umuthi emini, awukwazi ukubhukuda, emva kosuku ungakwazi ukugeza ngamanzi ngaphandle kokusebenzisa insipho.
- Ukwelashwa kokuvimbela kwenziwa kuwo wonke amalungu omndeni ahlala ndawonye.
Ukuqubuka okunotwayi kuvela ezindaweni eziphakathi kwedijithali ezingalweni nasemilenzeni, ngakho-ke ama-anti-scabies kufanele ahlikihlwe kulezi zindawo, futhi uzame ukungazigezi. Uma udinga ukugeza izandla zakho, emva kokugeza, phinda usebenzise umkhiqizo.
Ukuvimbela ukuphinda utheleleke
Ukuze uvimbele ngempumelelo, kubalulekile ukwazi ukuthi utwayi luzibonakalisa kanjani.
- Zonke iziguli zihlukaniswa kuze kube yilapho sezilulame ngokuphelele.
- Abantu abathintwayo bathola ukwelashwa kwe-prophylactic.
- Izimpahla zesiguli, izingubo zokugqoka, ilineni lombhede, amathawula, nakho konke esihlangane nakho kumele kubulawe amagciwane.
- Ukugeza sebenzisa impushana yokuwasha kanye nemikhiqizo equkethe i-chlorine.
- Yini engekho ngaphansi kokwelashwa okushisa, phatha ngama-anti-mite agents akhethekile.