Scabies is a contagious skin infestation by the mite Sarcoptes scabiei. The most common symptoms are severe itchiness and a pimple-like rash. These symptoms can be present across most of the body or just certain areas such as the wrists, between fingers, or along the waistline.
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Scabies 是一种由微小螨虫引起的传染性皮肤病。这种螨虫会钻入皮肤,导致剧烈瘙痒,尤其在夜间更为明显。它主要通过皮肤接触传播,因此家庭成员和密切接触者的风险最高。2009 年,世界卫生组织 (WHO) 将 scabies 列为被忽视的皮肤病,强调其作为公共健康问题的重要性,尤其在发展中国家。 Scabies is a contagious skin condition resulting from the infestation of a mite. The Sarcoptes scabiei mite burrows within the skin and causes severe itching. This itch is relentless, especially at night. Skin-to-skin contact transmits the infectious organism therefore, family members and skin contact relationships create the highest risk. Scabies was declared a neglected skin disease by the World Health Organization (WHO) in 2009 and is a significant health concern in many developing countries.
Permethrin 是一种用于治疗疥疮和虱子的药物,属于拟除虫菊酯类合成化学物质,可影响神经系统。其作用机制是扰乱虱子、螨虫等昆虫神经细胞内钠离子的流动,导致其瘫痪并最终停止呼吸。 Permethrin is a medication used in the management and treatment of scabies and pediculosis. It is in the synthetic neurotoxic pyrethroid class of medicine. It targets eggs, lice, and mites via working on sodium transport across neuronal membranes in arthropods, causing depolarization. This results in respiratory paralysis of the affected arthropod.
目前可使用多种药物治疗,包括 Permethrin(氯菊酯)、Crotamiton(克罗米通)、Lindane(林丹)乳膏和 Ivermectin(伊维菌素)。过去一个月内有性接触或同住的人员也应同步治疗。过去三天使用过的床上用品和衣物应使用热水清洗,并用热烘干机烘干。治疗后症状可能持续两到四周,若仍未缓解,可能需要再次治疗。
疥 (Scabies) 是儿童最常见的三种皮肤病之一,另外两种是癣和细菌性皮肤感染。截至 2015 年,全球约有 2.04 亿人受其影响(约占世界人口的 2.8%),男女发病率相近。所有年龄段均可感染,尤其是儿童和老年人。该病在发展中国家和热带地区更为常见。
○ 治疗 – 非处方药
疥疮的一个重要特征是所有家庭成员同时出现瘙痒症状。有些药物(如 Permethrin(氯菊酯))可在非处方药 (OTC) 店购买,治疗应在全家范围内进行。
#Benzyl benzoate
#Permethrin
#Sulfur soap and cream
○ 治疗
#10% Crotamiton lotion
#5% Permethrin cream
#1% Lindane lotion
#5% Sulfur ointment