Cov Kev Xaiv Kho Mob rau Hidradenitis Suppurativa

Zoo Siab

• Cov kev kho mob yooj yim
• Sab sij huam
• Tshuaj tua kab mob
• Cov tshuaj tua kab mob yooj yim
• Sab sij huam
• Tshuaj tua kab mob qhov ncauj
• Sab sij huam
• Tshuaj kho mob siab
• Sab sij huam
• Corticosteroids
• Sab sij huam
• Kev kho tshuaj hormones
• Sab sij huam
• Retinoids
• Sab sij huam
• Cov khoom siv roj ntsha
• Sab sij huam
• Lub teeb, lasers, thiab lwm yam khoom siv zog
• Sab sij huam
• Kev phais mob siab
• Sab sij huam
• Kev tu mob
• Tej kev kho mob ntuj
• Cov nqa mus

Hidradenitis suppurativa (HS) yog mob voos ua rau tawv nqaij mob tshwm sim rau cov neeg Asmeskas. Cov neeg uas muaj HS muaj pob txha los ua pob ntxau - lossis mob riav zoo li thaj tsam ntawm lawv lub cev uas kov cov tawv nqaij.

Cuam tshuam cov chaw xws li:

• lub qhov tso
• pob tw
• ob lub mis
• puab tais
• ncej puab sab sauv

Qhov mob txhab ntxiv ntawm HS kuj tseem tuaj yeem sau nrog cov kua roj uas tsis hnov ​​tsw zoo uas tuaj yeem tso tawm tsis tau ceeb toom.

Tamsis no tsis muaj tshuaj los kho tus mob HS. Txawm li cas los xij, muaj ntau txoj kev xaiv kev kho mob thiab phais mob los pab koj tswj hwm koj tus mob, raws li cov lus qhia kho mob tsis ntev los no los ntawm Tebchaws Meskas thiab Canadian Hidradenitis Suppurativa Lub Tsev Haujlwm

Yog tias koj nyob nrog HS, nws yuav muaj txiaj ntsig kom paub txog txhua txoj kev kho mob kom koj thiaj li pom qhov zoo tshaj rau koj.

Nyeem rau kom paub txog ntau hom kev kho mob HS thiab seb lawv ua haujlwm li cas.

Cov kev kho mob yooj yim

Kev kho mob hauv siab yog ib yam uas koj siv ncaj qha rau ntawm koj daim tawv. Cov kev kho kom zoo tuaj yeem tuaj yeem ua ntau hom, suav nrog tshuaj pleev, pleev pleev, thiab pleev.

Nyob ntawm cov khoom lag luam, cov ntsiab lus kho tau tuaj yeem ua haujlwm kom ntxuav qhov chaw zoo, yooj yim voos, los yog pab hauv qhov txhab kho. Cov kev kho mob rau cov HS yog feem ntau yog cov khoom lag luam ua tshuaj tua kab mob los yog kho ntxau. Qee cov qauv yog:

• chlorhexidine
• zinc pyrithione
• resorcinol lee, 15%

Cov kev kho mob saum toj kawg nkaus yuav siv rau me me mus rau HS. Thaum lawv tsis tau kho yam uas ua rau muaj mob, lawv tuaj yeem pab daws qee cov tsos mob.

Cov tshuaj tua kab mob kuj tseem tuaj yeem siv tshuaj pleev rau kev kho HS. Cov tshuaj pleev clindamycin (Cleocin T, Clinda-Derm) tau suav hais tias yog.

Sab sij huam

Cov kev kho mob tshwj xeeb yuav ua rau tawv nqaij tsis zoo. Qhov no tuaj yeem suav cov tsos mob xws li liab liab, khaus, lossis khaus.

Tshuaj tua kab mob

Cov tshuaj tua kab mob hauv qhov ncauj thiab qhov ncauj siv tau los kho HS.

Cov tshuaj tua kab mob yooj yim

Cov tshuaj tua kab mob feem ntau, xws li clindamycin (Cleocin T, Clinda-Derm), feem ntau tau kho rau cov mob HS me. Lawv tuaj yeem kho tus kab mob, txo qhov mob, thiab tiv thaiv qhov txhab tshiab ntawm kev tsim.

Lawv kuj tseem tuaj yeem txo cov ntxhiab uas qee zaum tuaj yeem nrog kev sib kis.

Ib txoj kev kho mob nrog rau tshuaj tua kab mob tej zaum yuav siv tshuaj pleev rau koj qhov txhab HS ib hnub ob zaug. Lub sijhawm rau kev kho mob yuav sib txawv ntawm ib tus neeg mus rau lwm tus.

Sab sij huam

Kev phiv los ntawm cov tshuaj tua kab mob tuaj yeem suav nrog qhov mob me me thiab qhov kev pheej hmoo ntawm cov tshuaj tua kab mob tiv thaiv.

Tshuaj tua kab mob qhov ncauj

Qhov ncauj tshuaj tua kab mob tuaj yeem tsim kho rau tus mob me. Txawm li cas los xij, feem ntau lawv tau siv cov xwm txheej txaus txog rau HS loj lossis thaum kho tsis tau zoo.

Zoo li cov tshuaj tua kab mob hauv siab, cov tshuaj no pab kho kab mob thiab tswj kev mob.

Tshuaj tua kab mob siv los kho tus mob los ntawm HS muaj xws li:

• tetracycline tshuaj tua kab mob
• clindamycin
• metronidazole (Flagyl)
• moxifloxacin (Avelox) |
• rab phom (Rimactane)
• dapsone

Lawv feem ntau noj ntawm qhov ncauj rau 7 txog 10 hnub. Muaj qee kis nws yuav siv sijhawm ntev mus kho. Ua raws li qhov mob hnyav ntawm koj tus mob, koj tuaj yeem tau txais ib hom tshuaj tua kab mob lossis ntau yam tshuaj tua kab mob.

Sab sij huam

Kev phiv ntawm qhov ncauj tshuaj tiv thaiv tuaj yeem suav nrog raws plab, Clostridium difficile cov kab mob tua kab mob, thiab xeb-daj mus rau xim av xim ntawm cov zis.

Tshuaj kho mob siab

HS-mob mob tuaj yeem los ntawm ntau qhov chaw, suav nrog cov qhov txhab, mob qog, thiab caws pliav. Qhov no ua rau kev tswj hwm qhov mob yog qhov tseem ceeb ntawm kev kho HS.

Qhov mob txuam nrog HS tuaj yeem muaj ntau haiv neeg. Piv txwv li, nws tuaj yeem ua rau mob hnyav lossis mob tib yam li mob los yog tsis mob.

Tshuaj mob taub hau uas yuav muab siv muaj:

• lidocaine (Ztlido)
• nonsteroidal anti-inflammatory tshuaj (NSAIDs)
• tshuaj acetaminophen (Tylenol)
• opioids
• tshuaj thaiv kab mob

Cov tshuaj pleev qhov mob xws li lidocaine qee zaum siv los kho tus mob HS mob. Cov no tuaj yeem thov ncaj qha rau thaj chaw muaj kev puas tsuaj.

Cov tshuaj noj hauv qhov ncauj feem ntau zoo rau kev tswj hwm kev mob cuam tshuam nrog HS. Thawj cov tshuaj mob xws li acetaminophen thiab NSAIDs, xws li ibuprofen (Advil, Aleve) thiab naproxen (Naprosyn).

Yog tias cov tshuaj tua kab mob thawj zaug tsis pab tau, ib lub sijhawm luv luv ntawm opioids yuav raug kho. Cov tshuaj opioid tramadol (ConZip, Ultram) tuaj yeem siv ua lwm txoj kev siv tshuaj opioids xws li codeine thiab morphine.

Tsis tas li ntawd, qee cov tshuaj anticonvulsants, xws li gabapentin (Neurontin) thiab pregabalin (Lyrica), tuaj yeem ua kom zoo rau txo cov mob neuropathic.

Sab sij huam

Ntau yam phiv cuam tshuam nrog rau ntau yam tshuaj kho mob. Piv txwv li suav kev mob plab, xeev siab thiab ntuav, thiab cem quav. Kev siv tshuaj opioids tseem ua rau muaj kev pheej hmoo ploj.

Corticosteroids

Corticosteroids kuj tseem siv tau los txo qhov o, txo qhov mob, thiab tswj kev mob. Lawv tuaj yeem siv los ntawm kev txhaj tshuaj lossis qhov ncauj.

Txhaj tshuaj corticosteroids, tseem hu ua intralesional corticosteroids, tuaj yeem siv rau hauv qee kis mob me. Qhov kev txhaj tshuaj yog tsim ncaj qha rau ntawm thaj chaw muaj kev cuam tshuam thiab tuaj yeem pab txo qhov mob thiab o.

Qhov ncauj corticosteroids siv rau ntau qhov teeb meem me ntsis mus rau mob hnyav. Thaum noj ntawm qhov ncauj, corticosteroids tuaj yeem cuam tshuam rau tag nrho lub cev. Qhov no tuaj yeem pab txhawm rau txhawm rau HS qhov chaw ua haujlwm tshiab thiab tiv thaiv qhov tshiab tsis tuaj yeem ua.

Ib ntus kawm luv luv ntawm qhov ncauj corticosteroids tuaj yeem siv los tswj hwm qhov tshwm sim hauv lub cev.

Kev siv tshuaj ntau dua ntawm qhov ncauj corticosteroids kuj tseem siv tau rau hauv cov mob HS loj uas tsis teb rau cov kev kho mob. Txawm li cas los xij, hauv cov rooj plaub no, kev siv tshuaj qis tshaj yuav tsum yog cov kws kho mob.

Sab sij huam

Cov tshuaj txhaj tiv thaiv corticosteroids tuaj yeem ua rau mob ze ntawm qhov chaw txhaj tshuaj, yaug ntsej muag, thiab pw tsis tsaug zog.

Qee qhov mob tshwm sim ntawm qhov ncauj corticosteroids yog ntshav siab, hnyav, thiab lub siab lub ntsws hloov. Kev siv mus ntev yuav ua rau daim tawv nqaij ua kom tsis muaj ntshav qab zib, ntshav qab zib, thiab pob txha.

Kev kho tshuaj hormones

HS tau xav tias cuam tshuam los ntawm cov tshuaj hormones hu ua androgens. Cov kev hloov hauv keeb, xws li thaum lub cev ntas thiab cev xeeb tub, yuav ua rau muaj tus mob HS ntau dua.

Vim tias qhov tshwm sim ntawm cov tshuaj hormones ntawm HS, koj tus kws kho mob yuav pom zoo rau kev kho tshuaj hormones raws li kev xaiv kho tau ntxim nyiam. Kev kho tus pojniam yuav pab txo qis qhov mob thiab txo qhov dej txhaws tawm los ntawm qhov txhab HS thaum lub caij tawg.

Kev kho tus kheej rau HS yuav koom nrog kev noj tshuaj hauv qab no:

• qhov ncauj tshuaj tiv thaiv muaj estrogen
• spironolactone (Aldactone)
• cov finasteride (Propecia, Proscar)
• metformin (Glumetza)

Kev kho tus kheej rau HS yuav tau noj ntawm qhov ncauj. Nws yuav raug siv raws li kev kho mob nkaus xwb (kev kho mob monotherapy) rau me me mus rau HS. Hauv cov xwm txheej loj, nws tuaj yeem siv nrog lwm cov kev kho mob.

Kev siv ntawm qhov ncauj tiv thaiv uas tsuas yog muaj cov progestin feem ntau zam rau. Qhov no vim tias muaj qee cov lus pov thawj tsis txaus ntseeg tias HS yuav muaj kev phem ntau dua thaum siv hom tshuaj no.

Sab sij huam

Kev phiv los ntawm kev kho cov tshuaj hormone rau cov poj niam tuaj yeem suav nrog ntshav txhaws yog tias noj thaum cev xeeb tub. Tus txiv neej yuav muaj kev poob qis libido thiab teeb meem ejaculating.

Muaj qee zaus, txiv neej thiab poj niam tuaj yeem tsim mob qog noj mis uas yog ua kom tshwm sim.

Retinoids

Retinoids yog cov tshuaj muab tau los ntawm cov vitamin A. Lawv ua haujlwm los ntawm kev ua kom qeeb ntawm kev loj hlob ntawm cov tawv nqaij thiab tuaj yeem txo qhov mob. Retinoids tuaj yeem siv los kho ntau yam mob ntawm daim tawv nqaij mob, suav nrog ua pob ntxau thiab psoriasis.

Qhov ncauj retinoids yuav pab tau rau qee tus neeg nrog HS. Yog tias koj raug kho qhov ncauj qhov ncauj rau koj lub HS, nws yuav yog ib qho ntawm cov no:

• isotretinoin (Amnesteem, Claravis)
• acitretin (Soriatane)

Qhov ncauj retinoids feem ntau tsuas yog pom zoo ua qhov thib ob - lossis thib peb-kab kev kho mob rau HS. Lawv kuj tseem tuaj yeem kho tus mob yog tias pob txuv hnyav nrog rau HS qhov txhab.

Sab sij huam

Cov tshuaj retinoids yuav tsum tsis txhob noj thaum cev xeeb tub, vim tias lawv tuaj yeem ua rau lub sijhawm yug tsis zoo heev. Lwm qhov kev phiv tuaj yeem suav nrog cov tawv nqaij qhuav, daim tawv nqaij tawg, thiab txiav plaub hau ib ntus.

Cov khoom siv roj ntsha

Rau ntau qhov mob hnyav dua ntawm HS uas tsis teb los siv tshuaj tua kab mob lossis tshuaj tua qog noj, tshuaj biologic kuj yog qhov kev xaiv. Cov roj ntsha pab koj lub cev tua HS los ntawm hom phiaj ntawm qhov chaw tiv thaiv koj muaj zog uas txhawb kev o.

Kev siv tshuaj lom yog muab los ntawm kev txhaj tshuaj lossis kev tso ntshav tshuaj (IV) Txoj kev lis ntshav. Lawv feem ntau coj nyob rau txhua lub lim tiam thiab tuaj yeem siv tom tsev lossis tom tsev kho mob lossis chaw kuaj mob los ntawm tus kws kho mob.

Tsuas muaj HS txoj kev kho mob uas tau pom zoo los ntawm Chaw Tswj Xyuas Khoom Noj thiab Tshuaj (FDA), thiab ib qho nrog cov pov thawj muaj zog heev rau kev siv, yog adalimumab (Humira). Qhov biologic no tau txais kev pom zoo los kho mob nrab thiab loj txog HS.

Lwm yam kev ua liaj ua teb, xws li infliximab (Remicade) thiab anakinra (Kineret), kuj tseem yuav muaj txiaj ntsig zoo ntawm kev kho HS.

Sab sij huam

Cov kev mob tshwm sim tuaj yeem suav nrog:

• mob ze rau ntawm thaj chaw txhaj tshuaj
• ua npaws
• ua pa nyuaj
• ntshav siab
• nce kev pheej hmoo ntawm kev kis mob

Yog tias koj muaj kev kis kab mob, koj tus kws kho mob yuav txiav kev siv biologics thiab tshawb nrhiav lwm yam kev kho mob.

Tsis tshua muaj tab sis muaj kev phiv loj heev tuaj yeem suav nrog autoimmune hlab ntsha cov tsos mob thiab lub plawv tsis ua haujlwm. Cov roj ntsha ua ke kuj tseem tuaj yeem ua rau muaj kev pheej hmoo mob qog ntshav ntau dua. Tham nrog koj tus kws kho mob txog cov txiaj ntsig thiab qhov phom sij ntawm txoj kev kho no.

Lub teeb, lasers, thiab lwm yam khoom siv zog

Muaj ntau lub zog siv los pab kho HS. Cov no feem ntau yog siv rau qhov nruab nrab lossis loj txog HS tab sis kuj tseem siv tau rau mob me.

Ib qho ntawm cov tswv yim no suav nrog siv laser los kho qhov txhab txhab. Lub zog hluav taws xob los ntawm cov laser tuaj yeem rhuav tshem cov hauv paus plaub hau, pab tshem tawm cov txhab txhab. Hom kev kho no tej zaum yuav koom nrog peb mus rau plaub zaug kho kho laser.

Photodynamic therapy siv cov tshuaj hu ua photosensitizers thiab lub teeb ci los tua cov qe ntshav tsis zoo. Cov tshuaj photosensitizing tau pleev npe lossis txhaj rau ntawm qhov chaw txhab. HS cell ces nqus cov tshuaj no. Thaum lub teeb ci hluav taws xob rov qab, cov tshuaj muaj teeb meem nrog cov hlwb thiab ua rau lawv tuag.

Kev siv hluav taws xob ntau kuj tau siv los kho HS thiab tej zaum yuav ua rau muaj kev txhim kho hauv qee tus neeg. Txawm li cas los xij, vim nws cuam tshuam nrog koj lub cev mus rau hluav taws xob, koj tus kws kho mob yuav pom zoo kom kho lwm yam ua ntej.

Sab sij huam

Nws tuaj yeem tau tias koj yuav hnov ​​qee qhov tsis xis nyob thaum cov txheej txheem no. Lwm cov kev mob tshwm sim tom qab uas koj tuaj yeem ntsib tom qab tuaj yeem suav nrog kev tsis xis nyob ib ntus, liab, lossis o ntawm thaj chaw kho.

Kev phais mob siab

Muaj ntau txoj kev xaiv phais muaj rau kev kho HS, ntev li ntawm kev phais me kom ua tiav kev tshem tawm ntawm daim tawv nqaij cuam tshuam los ntawm qhov txhab.

Txawm hais tias koj tsim nyog rau kev phais HS yog nyob ntawm qhov mob hnyav ntawm koj HS thiab koj zoo npaum li cas rau lwm cov kev kho mob.

Cov neeg uas muaj HS loj uas tsis tau teb rau lwm hom kev kho mob yog qhov zoo rau kev phais mob. Cov tsos mob ntawm tus mob HS tuaj yeem suav nrog:

• qhov txhab to me lossis dav qog ua paug
• caws pliav
• ntau txoj kab txuas sib txuas hauv qab daim tawv nqaij

Qee cov txheej txheem kev phais mob uas siv tau suav nrog:

• Deroofing: Tus kws phais mob tshem cov ntaub so ntswg saum cov txhab lossis cov qog ntshav, cia thaj chaw kho kom zoo. Txoj kev no feem ntau yog siv rau kev rov muaj dua qhov txhab lossis ntau dua tshiab.
• Kev Cia Siab: Tus kws phais tshem tawm lub qhov txhab thiab qee cov tawv nqaij noj qab haus huv ib puag ncig. Qhov no tuaj yeem ua tiav nrog pob taws ntsej muag, laser, lossis khoom siv hluav taws xob. Nws tau siv rau qhov txhab dav ntxiv, rov muaj dua.
• Kev zam thiab cov kua dej: Tus kws phais mob tawm ib lossis ob qhov txhab thiab tom qab ntawd tshem lawv. Qhov no tsuas yog pom zoo los muab kev txiav txim siab luv luv rau kev mob txhab kiav txhab.

Yog koj xav tias koj yuav yog tus zoo rau kev phais mob, nrog koj tus kws kho mob tham txog qhov kev xaiv twg uas yuav zoo rau koj.

Sab sij huam

Qee qhov muaj txiaj ntsig zoo ntawm kev phais mob rau HS suav nrog caws pliav lossis mob ntawm qhov chaw phais. Tsis tas li ntawd, kev phais mob tsuas yog kho rau thaj chaw tshwj xeeb, yog li qhov mob txhab tuaj yeem tshwm sim ntawm qhov chaw tshiab.

Kev tu mob

Kev mob tsam tom qab kev phais mob rau HS kuj tseem ceeb heev. Koj tus kws kho mob yuav xaiv cov kev hnav khaub ncaws uas haum raws li qhov chaw nyob thiab phais ntev li cas. Lawv kuj tseem raug pom zoo kom siv cov tshuaj ntxuav tes thaum ntxuav tes.

Thaum saib xyuas rau lub qhov txhab tom qab kev phais mob rau HS, nws yog ib qho tseem ceeb kom ua raws li kev ua haujlwm zoo tshaj plaws rau kev saib xyuas qhov txhab, suav nrog:

• ib txwm ntxuav koj txhais tes ua ntej chwv thaj chaw
• zam tej khaub ncaws uas tuaj yeem xaws ntawm qhov txhab
• ua raws li koj tus kws kho mob cov lus qhia txog thaum twg thiab ntau npaum li cas los ntxuav koj lub qhov txhab lossis hloov nws hnav khaub ncaws
• ua tib zoo saib rau cov cim qhia ntawm kev pheej hmoo kis mob

Tej kev kho mob ntuj

Muaj ob peb yam kev kho mob thiab kev hloov kho lub neej uas yuav pab tau koj HS.

Kev haus luam yeeb luam yeeb thiab yog qhov hnyav tshaj hauv nruab nrab tau ua rau muaj mob HS nyhav ntxiv. Xyaum hloov kev ua neej xws li txiav kev haus luam yeeb thiab tswj lub cev tsis nyhav yuav pab tswj tau koj tus mob zoo dua.

Txuas ntxiv, muaj qee yam haujlwm uas yuav ua rau koj cov tawv nqaij ntxiv. Koj tuaj yeem pom tau tias nws yog qhov muaj txiaj ntsig zoo kom tsis txhob ua cov haujlwm hauv qab no ntawm lossis thaj chaw thaj tsam muaj kev cuam tshuam:

• hnav khaub ncaws nruj lossis hnav
• ntxuav nrog cov cuab yeej hnyav, xws li txhuam txhuam los yog cov phuam ntxuav muag
• siv cov ntaub qhwv cov nplaum
• siv cov khoom uas yuav muaj qhov ua xua, xws li xab npum lossis tshuaj tsw qab
• chais

Kuj tseem muaj qee qhov taw qhia tias kev noj zaub mov zoo, tshwj xeeb tshaj yog siv nrog zinc, yuav pab tau cov neeg uas muaj me me mus rau HS. Vim tias qhov no, koj tus kws kho mob yuav pom zoo kom noj tshuaj zinc rau qhov ncauj. Tsis txhob overdo nws, txawm hais tias - ntau dhau zinc yuav ua rau lub plab chim.

Zam kev noj zaub mov uas muaj mis nyuj los yog poov xab ua poov xab tuaj yeem pab qee tus neeg muaj HS. Txawm li cas los xij, kev tshawb fawb ntxiv yog xav tau los txhawb qhov no.

Cov nqa mus

Muaj ntau txoj kev kho rau HS, txhua tus nyias muaj nyias cov txiaj ntsig thiab cov kev mob tshwm sim. Yam kev kho mob twg (lossis kev kho mob) tuaj yeem pom zoo rau koj yuav yog nyob ntawm qhov mob hnyav ntawm koj tus mob.

Nws yog ib qho tseem ceeb kom tham meej txog cov kev kho koj nrog koj tus kws kho mob lossis kws kho mob dermatologist. Nco ntsoov qhia rau lawv paub yog tias koj muaj kev mob tshwm sim thaum kho thiab kuj tseem yog tias koj qhib los sim ua txhua yam kev kho mob tshiab. Ua haujlwm ua ke tuaj yeem pab koj tswj hwm koj qhov HS.