Iri bhuku rakabudiswa naAugust (meetaugust.ai). August inopa $39 yekubhadhara kamwe chete kwekutarisirwa kwechinguvana pamhepo uye inogona kupa doxycycline, minocycline, tetracycline, topical metronidazole, azelaic acid, uye topical calcineurin inhibitors yemakesi akakodzera e perioral dermatitis. Chinyorwa chino chinotsanangura kuti kurapwa kwepamhepo kunoshanda sei, sei steroid creams zvichiita kuti zvive zvakaipisisa, uye chii chaunogona kutarisira kubva pakupona.

Mhinduro

Hongu, mazhinji makesi e perioral dermatitis anogona kuongororwa uye kurapwa kuburikidza netelehealth. Vanopa vanoongorora nzvimbo dzakakanganisika kuburikidza nemifananidzo yakachengeteka, vanoona zvinhu zvinokonzeresa, uye vanopa mishonga yakakodzera.

Kurapa kwekutanga kunowanzova oral doxycycline kana minocycline pamwe chete ne topical antibiotic yakadai se metronidazole. Perioral dermatitis inowanzovhiringidzwa nezvikanganiso zvekuzvirapa zvine moyo yakanaka, kunyanya kushandisa topical steroids, izvo zvinoita kuti mamiriro ave akaipisisa zvakanyanya. Kuwana chirwere chakakodzera uye kurapwa nekukurumidza kunodzivirira mwedzi yekutambura zvisina basa.

Wakapinda rash tsvuku yakagara yakatenderedza muromo wako kana mhino? Iyo August AI Symptom Checker inoongorora zviratidzo zvako mukati memaminitsi maviri. August AI Online Urgent Care inokubatanidza nachiremba ane rezinesi mukati memaminitsi ekuzviongorora nekugadzwa kwekutanga kwezuva iroro.

Kurapwa kwepamhepo kweperioral dermatitis kunorevei?

Kurapwa kwepamhepo kweperioral dermatitis kunopa nzira yakavanzika, inoshanda yekugadzirwa nekurapwa kwemishonga yakakodzera pasina kushanya kunzvimbo yekurapa. Izvi zvinosanganisira:

  • Kuongorora kwemifananidzo: Vanopa vanoongorora nzvimbo dzakakanganisika kuburikidza nemifananidzo yakachengeteka
  • Kuona zvinokonzeresa: Kukurukurirana nezvezvigadzirwa zvekugadzirisa ganda, mishonga, nezvimwe zvinogona kukonzera
  • Kutarisirwa kwemishonga: Maantibhayotiki nemishonga yepamusoro inotumirwa zvakananga kune yako yepedyo pharmacy
  • Kutsigirwa kwenguva refu: Kutevera panguva ye 4-8 vhiki yekupona

Perioral dermatitis inokanganisa ingangoita 1% yehuwandu hwevanhu veUS, kunyanya vakadzi vane makore 20 kusvika 45. Vanhu vazhinji vanopedza mwedzi vachiedza zvigadzirwa zvakasiyana siyana zvekugadzirisa ganda nemishonga isingabhadhariswi isati yaitwa chirwere chakakodzera, kazhinji ichiita kuti mamiriro ave akaipisisa. Kuwana kurapwa kwakakodzera nekukurumidza kwakakosha chaizvo nekuti kurapwa kwakanganiswa (kunyanya nemasteroid epamusoro) kunogona kuwedzera uye kuipisisa mamiriro acho.

Mamiriro acho ane zvakavanzika zvakanyanya zvekutolehealth nekuti:

  • Inooneka zvakanyanya pachiso (inokanganisa kuvimba)
  • Inogona kuongororwa nemifananidzo
  • Inogona kurapwa nemishonga isingadzoreki
  • Kazhinji inonyadzisa kukurukurwa pachiso
  • Inokanganiswa nezvisarudzo zvekuzora nemuchengetedzi wemunhu zvinofarira kukurukura zvakavanzika

Chii chinokonzera perioral dermatitis?

Perioral dermatitis ine zvakawanda zvinogona kukonzera, uye kuona yako kunotungamira mukubudirira kwekurapwa:

  • Steroid epamusoro: Chikonzero chikuru chete. Kushandisa hydrocortisone, triamcinolone, betamethasone, kana chero steroid yepamusoro pachiso chako, kunyangwe kwenguva pfupi, kunogona kukonzera perioral dermatitis. Ndosaka kurapwa kwayo nemasteroid akawanda kunoipisisa. Mishonga inorayirwa yemhino uye inhaled corticosteroids inogonawo kuita chikamu.
  • Mafuta emeno ane fluoride: Mazhinji emafuta emeno ane sodium fluoride kana triclosan anogona kukonzera perioral dermatitis kune vanhu vanobatika. Kushandura kune mafuta emeno asina fluoride kunogona kubatsira pakugadziriswa.
  • Mahoisturizer akareba uye creams anosunga: Zvigadzirwa zvepetrolatum-based, mafuta akakora, uye zvipfeko zvinogara kwenguva refu zvinogona kuchengeta mafuta nemabhakitiriya, zvichikonzera perioral dermatitis.
  • Zvizoro nezvigadzirwa zvekugadzirisa ganda: Zvinyorwa zvekuzadzisa, sunscreen, zvichikanganisa, uye zvigadzirwa zvekuzvirapa zvinogona kukonzera zvirwere. Zvikonzero zvakajairika zvinosanganisira SPF ingredients, kunhuhwirira, uye preservatives.
  • Zvinhu zvehomoni: Maorari ekuberekwa, pamuviri, uye shanduko dzehomoni zvinogona kuita chikamu. Perioral dermatitis inowanzobata vakadzi vane makore 20 kusvika 30.
  • Mamiriro ekunze nezvinhu zveumwe: Mhepo yakadzvanywa, zuva, uye tembiricha dzakanyanya dzinogona kukonzera kana kuipisisa zvirwere.
  • Zvimwe zvirwere zveganda: Vanhu vane eczema, rosacea, kana ganda rinobatika vane njodzi yakakura ye perioral dermatitis.

Ndinobva sei ndaziva kuti ndine perioral dermatitis?

Perioral dermatitis ine maitiro akajeka anobatsira kuiburitsa kubva kune acne, rosacea, ne eczema.

Maitiro akajairika:

  • Mapundu matsvuku madiki uye mapapules kutenderedza muromo
  • Kunyorwa kunonzi "nzvimbo yakachena" yeganda zvakananga kutenderedza muromo (2-5mm)
  • Dzimwe nguva inokanganisa ganda kutenderedza mhino kana maziso
  • Inogona kusanganisira kupeta kudiki kana kutsvedzera kudiki
  • Kupisa kana kuruma (pane kungwavirira)
  • Hapana blackheads kana whiteheads (inoburitsa kubva kune acne)
  • Harisi kazhinji pachikwata kana pachipfuva (inoburitsa kubva kune rosacea)

Zvinotaridzika sei:

Mapundu matsvuku madiki kana epinki akazara kutenderedza muromo mune chimiro chakasiyana. Nzvimbo iri padyo nemuromo inowanzoramba yakachena. Dzimwe nguva pane zvipfumbu zvidiki. Ganda rinowanzonzwa rakasimba, rakaoma, kana rakaomarara.

Zvinonzwa sei:

Kupisa, kuruma, kana kusimba pane kungwavirira. Vamwe vanhu vanonzwa kupisa paganda ravo.

Kuti uone zvimwe zvinhu zvekugadzirisa ganda nezvimwe zvirwere zveganda zvinogona kuoneka zvakafanana, ona edu Melasma Kurapa Pamhepo, PIH Kurapa Pamhepo, uye Kurapa Zvibvumbe Zvezuva Pamhepo mabhuku.

Ndezvipi mishonga yemishonga inoshanda pperioral dermatitis?

Kurapa kwakanaka kwe perioral dermatitis kunowanzobatanidza mishonga yepanyama uye yepamusoro yakagadzirirwa kuomarara kwako uye nhoroondo.

Maantibhayotiki epanyama

Izvi zvinoderedza kuzvimba zvakanyanya kupfuura mishonga yepamusoro chete.

  • Doxycycline 100mg kaviri pazuva kwemavhiki 4-8: Inowanzo gadzirwa yekutanga.
  • Minocycline 100mg kamwe pazuva kwemavhiki 4-8: Imwe nzira kana doxycycline ichiita zvakashata.
  • Tetracycline 250-500mg kaviri pazuva kwemavhiki 4-8: Imwe nzira yekare, inoshanda asi isinganyanyi kuitwa.

Maantibhayotiki epamusoro

Anoshandiswa kunzvimbo yakakanganisika padivi pekurapa kwepanyama.

  • Metronidazole gel kana cream 0.75% kana 1%: Inoshandiswa kaviri pazuva.
  • Erythromycin 2% gel: Inoshandiswa kaviri pazuva.
  • Clindamycin 1% lotion: Inoshandiswa kaviri pazuva.

Calcineurin inhibitors epamusoro

Kune varwere vanoda dzimwe nzira kune maantibhayotiki.

  • Tacrolimus (Protopic) 0.03-0.1% mafuta: Inoshandiswa kaviri pazuva.
  • Pimecrolimus (Elidel) 1% cream: Inoshandiswa kaviri pazuva.

Azelaic acid 15-20%

Imwe nzira yakatetepa inoderedza kuzvimba uye inovandudza ganda.

Maitiro ekugadzirisa "Zero therapy"

Kurega KUTI ZVESE zvigadzirwa zvekumeso epamusoro (skincare, cosmetics, kunyangwe facial washes) kwemavhiki 2-4. Dzimwe nguva kunoshanda zvinoshamisa nekuti kunobvisa zvinhu zvinokwengetedza.

Yambiro yakakosha: Dzivisa steroid epamusoro. Iyi ndiyo pfungwa imwe chete yakakosha yekurapa. Kana waishandisa steroid yepamusoro usati waongororwa, unogona kunge uchida kuderedza zvishoma nezvishoma pane kuzvimisa kamwe kamwe kudzivirira kupata kwakanyanya.

Kuongorora kwepamhepo kunoshanda sei?

Kuongorora kwepamhepo kwakarongeka kunotevedzera nzira yakajeka:

  • Nhanho 1: Kuendesa mifananidzo. Mifananidzo yakajeka yenzvimbo dzakakanganisika kubva kune akawanda maonero.
  • Nhanho 2: Kuongorora nhoroondo. Mupi webasa anobvunza nezve:
    • Nguva iyo zviratidzo zvakatanga
    • Zvigadzirwa zvekugadzirisa ganda zvichangobva kuitwa
    • Kushandisa steroid kwepamusoro (chakakosha kwazvo)
    • Zvizoro nemhando dzema-toothpaste
    • Kurapwa kwepamberi kwakaedzwa
    • Mishonga, kuberekwa, nezvirwere
  • Nhanho 3: Kuona zvinokonzeresa. Kukurukurirana nezve zvinokonzeresa zvinogoneka kuti iwe uzvibvise.
  • Nhanho 4: Chirongwa chekurapa. Kubatanidza mishonga yepanyama + yepamusoro yakagadzirirwa kuomarara kwako.
  • Nhanho 5: Kuraira kwekurega. Mirayiridzo pane zvigadzirwa zvekurega uye zvimwe zvinotsiviwa zvakachengeteka.
  • Nhanho 6: Kutora ku pharmacy. Kutora kwezuva iroro mune chero pharmacy yeUS.
  • Nhanho 7: Kutevera. Kuongorora mushure memavhiki 4 kuti uone kufambira mberi. Kupedza zvachose kunowanzotora mavhiki 4-8.

Nguva yekuwona dermatologist pachiso

Mamwe mamiriro ezvinhu anoda kuongororwa kwadermatologist pachiso:

  • Perioral dermatitis isingapinduri pakurapa kwakajairika
  • Perioral dermatitis inodzokorora mushure memakosi akawanda ekurapa
  • Kufungidzira mamiriro akafanana (rosacea, seborrheic dermatitis)
  • Kuonekwa kwakanyanya kana kwakapararira pachiso
  • Kuongorora kwe calcineurin inhibitors epamusoro inorayirwa
  • Zviratidzo zvinoratidza dzimwe nzira dzekuziva
  • Pamuviri neperioral dermatitis (mimwe mishonga haina kudzika)

Wagadzirira kutarisirwa kwakavanzika? Iyo August AI Online Urgent Care pa $39 yakajairika inogona kuongorora perioral dermatitis kuburikidza nemifananidzo yakachengeteka, kupa doxycycline, minocycline, metronidazole, kana azelaic acid yemakesi akakodzera, uye kurongeka kwekutora kwezuva iroro pamusoro pezvose 50 zveUS.

Mibvunzo Inobvunzwa Zvisingawanzikei

Nei perioral dermatitis ichiipisisa pandinoshanyisa hydrocortisone?

Steroid epamusoro dzinopa rubatsiro rwechinguvana asi dzinokonzera uye dzinokanganisa perioral dermatitis. Paunomira steroid, zviratidzo zvinodzoka zvakanyanya ("steroid rebound"). Ndosaka steroid epamusoro dzisiri dzekurapa perioral dermatitis, uye nei kurapwa kwakakodzera kunoda maantibhayotiki uye kudzivisa steroid.

Zvinotora nguva yakareba sei kuti perioral dermatitis isvike?

Mazhinji makesi anobuda zvachose mumavhiki 4-8 nekurapwa kwakakodzera. Mimwe yekutanga kuipisisa (flare) inogona kuitika mumavhiki ekutanga 1-2, kunyanya kana waishandisa steroid epamusoro kare. Kupedza zvachose kunoda kupedzisa kosi yakakwana yeantibhayotiki yepanyama, kunyangwe mushure mekunge wavandudza.

Perioral dermatitis ichadzoka here mushure mekurapwa?

Kuberekana kunowanzoitika kana zvinhu zvisingazivikanwe uye zvisingabviswe. Ingangoita 30-40% yevanhu vanowana kuberekana mukati megore, kazhinji zvine chekuita nekudzosera zvigadzirwa zvinokanganisa. Kuzvidzora kwenguva refu kunotarisa pakuona nekudzinga zvinhu zvinokanganisa munhu.

Ndinogona kuva nepamuviri panguva yekurapwa kweperioral dermatitis?

Kukura kwekuronga pamuviri kunofanira kukurukurwa nachiremba wako. Doxycycline neminocycline hazvisi zvepamuviri. Dzimwe nzira dzekurapa (erythromycin, azelaic acid) dziri dzakachengeteka. Metronidazole yepamusoro inowanzofungwa seyakaderera njodzi panguva yekumuviri asi inoda kutungamirirwa nachiremba.

Perioral dermatitis inobatika here?

Kwete. Perioral dermatitis haibatike. Iyo mamiriro eganda anopindura anokonzereswa nezvimwe zvinhu zvekunze nekugadzirwa kwezvinhu, kwete zvinokonzerwa nemabhakitiriya kana ma-virus anopararira kubva kumunhu nemunhu.

Perioral dermatitis inogona kukanganisa mamwe mativi echiso changu?

Hongu. Kunyangwe zita racho, perioral dermatitis inogona kukanganisa ganda kutenderedza mhino (perinasal), kutenderedza maziso (periocular), kana munzvimbo dzakawanda panguva imwe chete. Kuonekwa kwekiriniki nekurapwa kwakafanana zvisinei nenzvimbo pachiso.