Isikhokelo somzali kwiintshulube ebantwaneni

Imfundo yezeMpilo

Ukukhohlela okungapheliyo nokuthimla, iimpumlo ezibalekayo, namaqhuqhuva angachazekiyo — abantwana babonakala bengumazibuthe kwiintsholongwane. Kwisikhokelo somzali wethu kwizigulo zobuntwana, sithetha ngeempawu kunye nonyango lweemeko eziqhelekileyo. Funda uthotho olupheleleyo Apha .

Yintoni umbandamu? | Iimpawu | I-ringworm vs ezinye irhashalala | Uxilongo | Unyango | Uthintelo

Yinyani okanye bubuxoki: Umbungu ubangelwa kukurhubuluza okurhubuluzayo okungcwaba phantsi kolusu? Uninzi lwabantu luyothuka ukufumanisa ukuba le meko ayinanto yakwenza neentshulube. Endaweni yoko, sisifo solusu esosulelayo esisasazeka ngokulula emva kokudibana ngqo nendawo eyosulelekileyo. Kuqhelekile-ubuncinci Amashumi amabini% yabantu banosulelo olunye ngexesha lokuphila kwabo-kodwa luyanyangeka, ngesiqhelo ngaphandle kwengxaki ezinzulu.

Yintoni umbandamu?

I-Ringworm, ekwabizwa ngokuba yi-tinea okanye i-dermatophytosis, sisifo sokungunda esichaphazela ulusu nezikhonkwane. Kukho iintlobo ezingama-40 ezahlukileyo ezibangela umqala, ziwela kwizintlu ezintathu: iTrichophyton, iMicrosporum, kunye ne-Epidermophyton. Imeko ifumana igama layo kwiimpawu zayo ezibonakalayo: ukujikeleza, ukurhawuzelela.

Ingabonisa phantse kulo naliphi na ilungu lomzimba ngaphandle kwesikhumba se-mucosal, utsho UAnna H. Chacon , MD, i-dermatologist eqinisekiswe yibhodi ese Mzantsi Florida, osebenza kwibhodi yeengcebiso kwiSmart Style Namhlanje. Ndiyibonile ebusweni, kwilungu lobufazi, esiqwini, emaphethelweni, nasekhanda. Inokuba namaqondo ahlukeneyo obukhali. Usulelo lubhekiswa ngendlela eyahlukileyo ngokuxhomekeke apho lubonisa khona.

Ngokwe- Amaziko e-U.S. OLawulo noKuthintela izifo (CDC), ibizwa ngokuba:

• I-Tinea pedis ezinyaweni (ezibizwa ngokuba yi Unyawo lweembaleki )
• I-Tinea cruris kwindawo ye-groin, amathanga angaphakathi, okanye iimpundu (ezibizwa ngokuba yi jock ukurhawuzelela )
• I-Tinea capitis ekhanda
• I-Tinea barbae kwiindevu (esiqhele ukubizwa ngokuba kukucheba kweenwele)
• Woodworm izandla ezandleni
• I-Tinea unguium kwiinzipho neenzipho
• I-Tinea corporis kwamanye amalungu omzimba, njengeengalo okanye imilenze

I-Ringworm yesikhumba se-scalp kunye nomzimba zezona ntlobo zixhaphakileyo zentshulube kumntwana omncinci. Ezinye iindlela zinqabile ngaphambi kokufikisa: Zichaphazela ngokubanzi ulutsha kunye nabantu abadala.

Kukho iintlobo ezingama-40 ezahlukileyo ezibangela umqala, ziwela kwizintlu ezintathu: iTrichophyton, iMicrosporum, kunye ne-Epidermophyton.

Uyibamba njani intshulube?

I-Ringworm isasazeka ngokuqhagamshelana ngqo-kaninzi ukusuka kumntu ukuya kumntu, indawo engcolileyo kumntu, okanye isilwanyana kumntu, utsho IAshanti Woods, MD , ugqirha wabantwana kwiziko lonyango iMercy eBaltimore. Rhoqo umntu uchukumisa indawo engcolileyo kwaye unefungus ezandleni zabo. Emva koko bazikrwempa kwaye babethelela ngundo owawusesandleni sabo kulusu lwabo.

Usulelo lwe-Ringworm luhlala luvela ezikolweni, kumaziko okhathalelo lwabantwana, kwindawo zokuzilolonga kunye namachibi. Inokuqhutywa nakweyiphi na indawo, kodwa ezinye zeengozi eziphambili zibandakanya:

• Imiphezulu emanzi okanye efumileyo
• Iitawuli, iikama, iibrashi, iminqwazi nezinye izinto zobuqu
• Iimethi zemithambo
• Izithuba ekwabelwana ngazo ezihlala zifudumele kwaye zifumile, njengezindlu zangasese kunye namagumbi okutshixa

Eminye imingcipheko yokufumana umbandela wombungu kubandakanya:

• Ukuhlala kwimozulu eshushu efumileyo
• Ukungondleki
• Ucoceko olubi
• Ukudlala imidlalo yoqhakamshelwano (ngakumbi ukubambana njengoko kubandakanya ulusu kunxibelelana nolusu)
• Amajoni omzimba abuthathaka (ngokugula okanye amayeza)

Ngelixa umbungu ungathatha iiveki ezininzi ukuba unyange ngokupheleleyo, kunjalo ingasasazeki kwabanye emva kweeyure ezingama-48 zonyango. Akukho mfuneko yokuba abantwana baphoswe isikolo okanye indawo yokugcina abantwana ngombungu, kodwa ukuba kunokwenzeka, licebo elilungileyo ukugquma indawo echaphazelekayo ngengubo okanye ibhandeji evulekileyo ngexesha losulelo ukunqanda ukusasazeka okunokubakho kwabanye abantwana okanye abanonopheli.

Iimpawu zentshulube ebantwaneni

I-Ringworm ifumana igama layo ekubukeni okufana neentshulube. Ngokwesiqhelo, umbungu uqala njengepimple ebomvu ekhula ibe yiringi enomda ophakanyisiweyo kunye nendawo egudileyo ecacileyo, utshilo uGqirha Woods. I-Ringworm yesikhumba se-scalp ikhokelela kumabala e-bald ngokukrola okanye ukubetha / ukukala ulusu. Ngamaxesha athile, ii-lymph node ezikufutshane nendawo yokuvuvukala ziya kudumba kwaye kunokuba buhlungu ukubamba.

Iimpawu zentshulube yomzimba zibandakanya :

• Irhashalala efana nerhashalala enomda ophakanyisiweyo
• Umbindi womsesane ihlala iba bomvu kancinci njengoko esi sifo siya sikhula
• Ukuluma kwindawo erhashazayo

Kwisikhumba sombala okhanyayo, amabala ahlala ebomvu okanye apinki. Kwisikhumba sombala omnyama, amabala ahlala emdaka okanye ngwevu. Iipatches zinokubonakala kwindawo enye okanye ezininzi kwaye zikhule kancinci kubungakanani.

Iimpawu zentsimbi yesikhumba ekhanda zibandakanya:

• Iipatchy, flaky, okanye scaly patches okanye izilonda
• Ukulahleka kweenwele okubangela ii-bald balches okanye i-blisters
• Ukurhawuzelela okanye ukuthamba kwentloko yentloko

Ukuba ii-patches ziyosuleleka, zinokuba sisibeleko, ubunzima obuzaliswe bubofu obukhokelela ekudumbeni nasezithweni zentloko ezingena entlokweni nasentanyeni.

I-ringworm vs ezinye irhashalala

Ezi zezinye zeemeko ezinokuthi ziphosakele njengeentshulube, ngokulandelelana kwazo okuqhelekileyo ukuya kokuncinci. Xa ungathandabuzeki, yenza i-aphoyintimenti kunye nomniki-nkonzo oyintloko wokuqinisekisa ukuxilongwa.Ndingenza ntoni xa ukrokrela ukuba umntwana wam uneentshulube?

Ndingenza ntoni xa ukrokrela ukuba umntwana wam uneentshulube?

[Uxilongo lweentshulube] lunokwenziwa ngoviwo kuphela, utshilo uGqirha Woods. Ngamaxesha athile, ugqirha okanye umongikazi angathatha isikhumba okanye isikhumba senkcubeko ukuqinisekisa ukuba ngumbungu. Umboneleli unokujonga kwakhona irhashalala phantsi kokukhanya okumnyama kwefluorescent.

Ngenxa yokuba ezinye iimeko zinokulinganisa umbandamu, licebo elihle ukubona ugqirha wezempilo ukuqinisekisa isifo. I-Ringworm inokuchongwa ngugqirha oqhelekileyo (ugqirha wosapho), ugqirha ongumongikazi, ugqirha wesikhumba, okanye ugqirha wabantwana.

Nxibelelana nomboneleli wezempilo kungaphelanga iiyure ezingama-24 ukuba kukho ubofu, irhashalala ifudumele ngaphandle kwebala, ibuhlungu, okanye isasazeka ngaphaya kwezilonda zokuqala, okanye ukuba umntwana ukulunywa kwamakhalane kutshanje kwaye kuvela irhashalala ebonakala ngathi ngumbungu.

Nxibelelana nomboneleli wezempilo ngexesha lomsebenzi ukuba:

• Umntwana wakho unefiva 101 okanye ngaphezulu.
• Umntwana wakho ungaphantsi kweenyanga ezili-12 ubudala.
• Awuqinisekanga ukuba irhashalala yintshulube.
• Ukhakhayi luyabandakanyeka.
• Irhashalala iba nkulu okanye isasazeka emva kweveki enye yonyango.
• Zingaphezulu kwesithathu izilonda ezikhoyo.
• Ukukhawuleza kuthatha ixesha elingaphezu kweeveki ezine.
• Umntwana wakho unamajoni omzimba abuthathaka.
• Umntwana wakho uthatha inxaxheba kwezemidlalo zonxibelelwano.

Unyango lweentshulube ebantwaneni

Ngamanye amaxesha umzimba unokuyicima imisundululu iyodwa, utshilo uSusan Bard, MD, ugqirha wesikhumba e Dermatology ephilayo eBrooklyn, eNew York. Kodwa amaxesha ngamaxesha [iintshulube] ziyakufuna ungenelelo kwezonyango.

Iintshulube zomzimba

Kwiimeko ezininzi, iintshulube zomzimba zinokunyangwa ekhaya ngamayeza e-over-the-counter (OTC), ngaphandle kokubandakanyeka koochwephesha bezonyango-kodwa akunakwenzeka ukuba ususe umkhuhlane ngokukhawuleza.

Unyango lweentshulube zomzimba yi-OTC yemihla ngemihla njenge-clotrimazole cream (Lotrimin), utshilo uGqirha Woods. Isetyenziswa kwindawo echaphazelekayo kabini ngemini iiveki ezine.

Ngokuqhelekileyo izithambiso zokubola kunyango lweentshulube zibandakanya:

• Desenex, iDermaFungal, kunye neMicaderm ( miconazole )
• ILamisil ( yitshine )
• Lotrimin, iMycelex ( clotrimazole )
• Xolegel (ketoconazole )

Iintsimbi zentloko yentloko

I-Ringworm yesikhumba se-scalp ifuna ugqirha kugqirha kwezonyango, kwaye unyango luhlala lukhona Ithatha inyanga enye ukuya kwezintathu . I-Ringworm yentloko yentloko inyangwa ngamayeza okubulala umlomo kunye ne-shampoo ye-antifungal ye-topical, utshilo uGqirha Woods.

Amayeza amayeza okubulala iintlungu asetyenziselwa ukunyanga iintshulube zesikhumba sentloko zibandakanya:

• Diflucan ( fluconazole )
• UGrifulvin V, Grey-PEG ( mzantsiweb )
• Onmel, I-Sporanox ( itraconazole )
• I-Terbinafine

Nangona i-ringworm inokuhlala iphathwa ngamayeza e-OTC, Unyango lwasekhaya alusebenzi .

Indlela yokuthintela iintshulube ebantwaneni

Kuqhelekile ukuba umbungu uphinde ubuye, kwaye unokusasazeka nakwamanye amalungu osapho. Ezinye iindlela zokuqinisekisa usulelo lweentshulube luyacoca luphele, kwaye ukunceda ukuthintela ukusasazeka kwalo kwamanye amalungu osapho kubandakanya:

• Sebenzisa onke amayeza njengoko kuyalelwe , kwaye ixesha elide njengoko kucetyiswa-nokuba umbungu ubonakala ngathi umkile.
• Nyanga yonke imisundululu ngexesha elinye (iindawo zomzimba, kunye nabantu abosulelweyo endlwini). Kwimeko yombungu weentsimbi entlonzeni, kuyanceda ukuba yonke indlu isebenzise ishampu yokubola nokuba ayibonisi zimpawu.
• Ziqhelise ukuhlamba izandla ngokufanelekileyo -Ngakumbi abo bachukumise indawo echatshazelwe ngumbungu, njengomntwana kunye nomntu onika unyango.
• Gcina umzimba womntwana wakho ucocekile kwaye womile , ingakumbi indawo echatshazelwe ngumbungu. Ukuphuhlisa imikhwa elungileyo yococeko njengokuhlamba rhoqo, kwaye ngobunono itawuli emva kweshawari nganye, ibhafu, okanye ukuqubha. (Sebenzisa itawuli eyahlukileyo kwindawo echaphazelekayo kunokomzimba wonke.) Ukuba umntwana wakho unosulelo oluphindaphindwayo, cinga ukomisa iindawo ezithile (umqala, phakathi kweenzwane) ngesomisi seenwele kwindawo epholileyo. Gcina lo mkhuba nokuba sele umbungu umkile ukunceda ukuthintela ukuphindaphinda.
• Yithi umntwana wakho anxibe iimpahla ezinokuphefumla (iimpahla ezingamenzi umntwana abile), kwaye batshintshe iimpahla zabo (kubandakanya iikawusi kunye nempahla yangaphantsi) yonke imihla.
• Khuthaza umntwana wakho ukuba ahlambe xa ebila , kwaye kuthintele ukwabelana ngeetawuli okanye ezinye izinto ezinje ngeminqwazi, iikombhi kunye neebhanti zentloko. Sebenzisa izihlangu zeshawari kumagumbi okuhlambela okanye kwiindawo zikawonkewonke.
• Ukubulala iintsholongwane okanye ukulahla izinto ezinokungcola kunxibelelwano nomntu osulelekileyo. I-Ringworm inokuhlala ngaphezulu umphezulu ixesha elide.
• Jonga isilwanyana sakho ngeempawu zentshulube , kwaye uyihambise kugqirha wezilwanyana ukuba ngaba ikho into ebonwayo. Ukuba umbungu uqhubeka uphinda-phinda, ingayinto elungileyo ukuba izilwanyana zakho zivavanywe ukuze zibone ukuba ngaba zingunobangela wosulelo.

I-Ringworm ayithandeki kwaye inenkani. Kulula ukuyibamba, kunzima ukuyilahla, kwaye ngokubanzi iyinkathazo. Ngombulelo, nge-OTC kunye nonyango lwamayeza, ihlala ihamba ngokupheleleyo, kwaye ngaphandle kweziphumo ezihlala zihleli.