2012年2月22日星期三

Response to the eczema staging treatment effect

Eczema trouble lies in the complex etiology, is often the result of inside and outside a variety of factors interact, incentives and increase the reason too many people keep track of; is intense itching, the patient often unconsciously scratch, hot wash with soap and hot water mental troubles, sicker, and difficult to heal; longer duration of eczema, easy recurrent upsetting.
The internal cause of eczema patients with allergies and genetic, to age and environmental change. Mental factors (such as worries tension, agitation, insomnia, fatigue, etc.), endocrine, metabolic, gastrointestinal dysfunction, the infected foci and the incidence is also a relationship. In addition to external factors such as sunlight, cold, damp and hot, dry, scratching, rubbing, cosmetics, soap, animal fur, dyes, synthetic fibers, certain foods (fish, eggs, etc.) may induce or aggravate eczema.
Pathogenesis, general eczema is divided into acute, subacute, chronic in three stages. The three stages of conversion, may also be only a stage.
Acute eczema are generally more rapid, rash varied shapes, initially as edema, erythema, and later on the intensive miliary-sized papules, Qiu herpes, blisters, blisters after the bursting of erosion, exudation, crusting, rash central fusion films, are scattered around in small papules, state is unclear, was satellite-like distribution. Rash bilaterally symmetrical distribution, predilection to the head, face, limbs and vulva.
Subacute eczema may be acute stage of evolution of rash with small pimples, scaly and crusted, only a small amount of Confucius herpes, small blisters and erosions, itching is more severe.
Chronic eczema and more from the acute or subacute eczema recurrent transition from, the performance of the rough skin, thickening of part of lichenification, may have scratches, scabs and pigmentation. More limited rash seen in hand, foot, leg, cubital fossa, the country fossa, vulva, anus, etc., more symmetrical distribution. Intense itching, paroxysmal heavier when exposed to heat or night. Uncertain course of the disease to recur, often prolonged unhealed.
Eczema prevention to learn more about history, carry out the necessary checks, try to identify possible causes or incentives, to be removed or avoided, the understanding of eczema occurs, the law of development and prevention methods, with treatment, keep the skin clean and avoid external stimuli such as scratch, hot wash, soap, scrub, to avoid irritating diet of Xingshan, spicy wine.
Local treatment
An acute phase (non-exudative stage), topical calamine lotion, 2 or 3 times a day, 3% boric acid solution or saline can be used to do a cold wet compress until the inflammation was controlled after the switch to topical corticosteroids. To avoid long-term topical fluoride efficient hormone side effects, new listing using the 0.1% 17-butyrate, hydrocortisone cream (brand name Locoid, Zhuoer,), 0.1% bran furoate cream (brand name Yi Luosong, Eloson) for external use, its role and efficacy and side effects.

Acute phase (exudative stage) commonly used in wet dressing solution of 3% boric acid solution, the solution of 0.1% rivanol 1:20 of liquid aluminum acetate, 1:5000 ~ 8000 potassium permanganate solution, saline, and so on. Choose one of the open cold wet compress, wet dressing interval of available zinc oxide oil coated to reduce the lesions dry and discomfort. When the leakage reduction, topical zinc oxide paste.
3 sub-acute phase can be used to paste cream or cream, such as bran creosote paste paste, black beans creosote paste cream, zinc oxide paste cream or corticosteroid cream. Select one of the coated, 2 to 3 times. Natural indigo powder oil (natural indigo 50g, Treats 50g, the gypsum 100g, talc 100g), research to fine the sesame oil and mix thoroughly topical, 2 or 3 times a day, there is convergence, the antipruritic effect.
Chronic eczema ointment type is appropriate, commonly used tar and cortex hormone preparations, such as the 5% to 10% black beans creosote ointment, coal tar ointment, bran distillate oil ointment and so on, select one of the topical, daily ~~ 3 times a cortical hormone preparations such as Fuqing Song, triamcinolone, En skin cream the halogen him loose cream (brand name appropriate indeed have, Sicorten), 0.05% vinegar and two fluorine pine (the commodity Ming Suokang Psorcon) and other. Hypertrophic lesions spent triamcinolone urea topical cream, urea increased hormone permeability and improve efficacy. In addition, corticosteroids dissolved in a high penetration of solvents such as dimethyl sulfoxide (DMSO) may improve the outcome. Topical corticosteroid ointment (cream) and refueling of paper or plastic film packet, can exponentially increase the hormone to penetrate the intradermal enhance the efficacy. But should not be hot and sweaty climate and hairy parts of the packet, or prone to cause side effects, such as infection. Chronic hand eczema, you can paint on drugs or applicator soaked in warm water, add the packet can improve efficacy. Also lesions in the small piece of skin diseases rather, dermatitis Ling hard ointment Post Office.

没有评论:

发表评论