Hidradenitis suppurativa
☆ Germaniyaning 2022 yilgi Stiftung Warentest natijalariga ko'ra, iste'molchilarning ModelDermdan qoniqish darajasi pullik teletibbiyot maslahatlariga qaraganda bir oz pastroq bo'lgan.
Hidradenitis suppurativa (I bosqich) qo'ltiq ostida. Bu Hidradenitis suppurativa ning juda yumshoq holati.
References
Hidradenitis suppurativa - surunkali bo'lib, qayta tiklanadigan va hayotingizga jiddiy ta'sir ko'rsatishi mumkin bo'lgan teri kasalligi. Bu soch follikulalarining yallig'lanishidan kelib chiqadi va ko'pincha bakterial infektsiyalarga olib keladi. Shifokorlar odatda sizda mavjud bo'lgan yaralarning turlariga (masalan, tugunlar, xo'ppozlar yoki sinus yo'llari) , ular qayerda (odatda teri burmalarida) va qanchalik tez-tez qaytib kelishlari va qancha vaqt davomida yopishishlariga qarab tashxis qo'yishadi.
Hidradenitis suppurativa is a chronic, recurrent, and debilitating skin condition. It is an inflammatory disorder of the follicular epithelium, but secondary bacterial infection can often occur. The diagnosis is made clinically based on typical lesions (nodules, abscesses, sinus tracts), locations (skin folds), and nature of relapses and chronicity.
Hidradenitis suppurativa is a chronic, recurrent, and debilitating skin condition. It is an inflammatory disorder of the follicular epithelium, but secondary bacterial infection can often occur. The diagnosis is made clinically based on typical lesions (nodules, abscesses, sinus tracts), locations (skin folds), and nature of relapses and chronicity.
Biologik bo'lmagan va protsessual bo'lmagan muolajalar odatda engil kasallik uchun yolg'iz qo'llaniladi va o'rtacha va og'ir kasalliklar uchun biologik terapiya va jarrohlik bilan birlashtirilishi mumkin. Oxirgi tadkikotlar HS alevlenmeleri va lokalizatsiya qilingan lezyonlar uchun to'g'ridan-to'g'ri lezyonlar ichiga yuborilgan kortikosteroidlarni qo'llash samaradorligining qo'shimcha dalillarini taqdim etadi. Bundan tashqari, faqat tetratsiklinlardan foydalanish klindamitsinni rifampitsin bilan birlashtirish kabi samarali bo'lishi mumkinligini ko'rsatadigan dalillar mavjud.
Non-biologic and non-procedural treatments are often used as monotherapy for mild disease and can be used in conjunction with biologic therapy and surgery for moderate to severe disease. Recent studies highlighted in this review add support for the use of intralesional corticosteroids for HS flares and localized lesions, and there is evidence that monotherapy with tetracyclines may be as effective as the clindamycin/rifampicin combination.
Non-biologic and non-procedural treatments are often used as monotherapy for mild disease and can be used in conjunction with biologic therapy and surgery for moderate to severe disease. Recent studies highlighted in this review add support for the use of intralesional corticosteroids for HS flares and localized lesions, and there is evidence that monotherapy with tetracyclines may be as effective as the clindamycin/rifampicin combination.
Hidradenit suppurativa uchun ko'plab davolash usullari, jumladan antibiotiklar, retinoidlar, antiandrogenlar, immunitetni pasaytiradigan dorilar, yallig'lanishga qarshi dorilar va erta lezyonlar uchun radiatsiya terapiyasi qo'llaniladi. Tavsiya etilgan eng yaxshi davolash usullari adalimumab va lazer terapiyasidir. Jarrohlik, oddiy eksizyon yoki terini payvandlash bilan to'liq mahalliy eksizyon, boshqa davolash usullariga yaxshi javob bermaydigan og'ir, rivojlangan holatlarda afzal qilingan variantdir.
Many treatments are used for hidradenitis suppurativa, including antibiotics, retinoids, antiandrogens, immune-suppressing drugs, anti-inflammatory medications, and radiotherapy for early lesions. The top recommended treatments are adalimumab and laser therapy. Surgery, either simple excision or complete local excision with skin grafting, is the preferred option for severe, advanced cases that don't respond well to other treatments.
Many treatments are used for hidradenitis suppurativa, including antibiotics, retinoids, antiandrogens, immune-suppressing drugs, anti-inflammatory medications, and radiotherapy for early lesions. The top recommended treatments are adalimumab and laser therapy. Surgery, either simple excision or complete local excision with skin grafting, is the preferred option for severe, advanced cases that don't respond well to other treatments.
Aniq sabab odatda noaniq, ammo genetik va atrof-muhit omillarining kombinatsiyasini o'z ichiga oladi, deb ishoniladi. Kasallikka chalinganlarning taxminan uchdan bir qismi oila a'zolaridan biri bilan kasallangan. Boshqa xavf omillariga semirish va chekish kiradi. Vaziyat infektsiyadan, yomon gigienadan kelib chiqmaydi.
Hech qanday davo ma'lum emas. Yaralarni drenajlash uchun ularni kesib tashlash sezilarli foyda keltirmaydi. Antibiotiklar keng tarqalgan bo'lib qo'llanilsa-da, ulardan foydalanish bo'yicha dalillar kam. Immunosupressiv dorilarni ham sinab ko'rish mumkin. Kasallik og'irroq bo'lganlarda, lazer terapiyasi yoki zararlangan terini olib tashlash uchun operatsiya qilish mumkin. Kamdan kam hollarda terining shikastlanishi teri saratoniga aylanishi mumkin.
Agar hidradenitis suppurativa ning engil holatlari kiritilgan bo'lsa, uning chastotasi aholining 1-4% ni tashkil qiladi. Ayollarda erkaklarnikiga qaraganda uch baravar ko'proq tashxis qo'yiladi. Kasallik odatda yoshlik davrida boshlanadi.