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Scabies


Infectious disease caused by scabies, which is distinguishable as a whitish eye the size of a poppy seed, point. It can live and reproduce only on human skin. It is estimated that without treatment for three months only able to be born six generations of mites in the amount of 150 million individuals.
The fertilized female perforate the upper layers of the epidermis move itch - gallery where otkaladyvaet eggs, which hatch into larvae, they come to the surface, and with males that live on the skin, their bites produce itching and scratching. The incubation period of scabies is 7-10 days. Infection is usually by direct close contact with sick or healthy, it is less common, through a variety of objects - total bed (pillowcases, sheets, blankets) and underclothes underwear, outerwear, gloves.
Symptoms and over:
For scabies is characterized by itching, especially worse at night, paired nodular or blisters localized in certain favorite places. Externally, the itch moves are barely elevated above the level of the skin thin as a thread, strip, running in a straight line or a zigzag. Often, the end of the course ends with a transparent bubble, which can be seen through the white point - the body of the tick.
On the site there are small bites, the size of a grain of millet, and some more nodules, which are due to be covered scratching bloody crusts.
Fasting skin damage is often compounded by various kinds of infections and pustular ekzemnogo development process.
Favourite localization itch rash: a brush, especially the interdigital fold and lateral surfaces of the fingers, flexion folds of the forearms and shoulders, nipple area, especially in women, the buttocks, the skin of the penis in men, the thigh, popliteal cavities in young children - soles, and face and even the scalp.
Treatment:
Spontaneously scabies never runs and can take many months and years, sometimes sharpening. To heal a patient with scabies, enough to destroy the mite and its eggs, which is easily achieved by using local resources; no general treatment is not required.
Preparations can be divided into 4 groups: 1. Synthetic derivatives of balsamic means (benzyl benzoate); 2. Sulphur and its derivatives: 10-33% sulfur ointment, ointment Wilkinson; 3. Insecticidal antiparasitic agents - soap K, 510% ointment piretry (dolmatskoy chamomile), liquid type flitsida, Lysol, creolin;
4. "Traditional" methods and tools - gasoline, kerosene, avtolovoe oil, fuel oil, crude oil, ash lye.
Before use, the patient should wash means for mechanically removing ticks from the surface of the skin and microbial flora, and rub these drugs in the entire skin (except the head), especially vigorously in place of a typical localization. In some cases (complicated pyoderma and eczematous dermatitis) is replaced by massaging the affected areas specified lubrication protivoparazitpymi drugs.
The most commonly used emulsion of benzyl benzoate 20% for adults and 10% for small children. Treatment is carried out as follows: the first day of the emulsion with a cotton tamponchikom consistently rubbed all lesions twice for 10 minutes with 10-minute break. After that, the patient puts on decontaminated clothes and change bed linen. On the second day repeated rubbing. After 3 days, then - showering and changing clothes again.
Method Dem'yanovich. Make two solutions: N1 - 60% Sodium giposulfata and N2 - 6% hydrochloric acid solution. Treatment is carried out in a warm room. A solution of N1 poured into dishes in an amount of 100 ml. The patient undresses naked, the solution is rubbed into the skin kistyurukvtakoy sequences: the left shoulder and left arm; in his right shoulder in his right hand; in the torso; in the left leg; in the right leg. Rub 2 minutes vigorous movements and carefully in those places where there are scabies rash. Then, within a few minutes the patient is resting. During this time, a solution fairly quickly dries the skin, covered with tiny crystals of sodium giposulfata becomes white, as it were, powdery, After that the same solution and the same sequence is performed second massaging, also for 2 minutes in each area. Salt crystals, destroying tires burrows facilitate delivery of the drug directly into the moves.
After drying, proceed to the treatment of the skin with hydrochloric acid. This solution must be taken straight from the bottle, pouring it as needed in the palm. Rubbing is performed in the same sequence, but it only lasts for one minute. After drying of the skin is repeated 2 more times.
Then, the patient puts on clean clothes, and does not wash off the remaining medication within 3 days, and then washed. As a result of the interaction of sodium giposulfata and hydrochloric acid released sulfur dioxide and sulfur, which kill the scabies mites, their eggs and larvae. Pediatric patients with scabies treatment by the method of prof. Dem'yanovich is usually carried out by parents. If the first course does not give a full recovery, then after 2-5 days of treatment must be repeated. In extremely rare cases, it required to hold the 2nd course.
Sulfuric ointment (33%) is rubbed into the whole body, except the head, 1 time at night for 4-5 days. Then, rubbing 1-2 days do not, the patient all this time remains in the same clothes, which is impregnated with ointment. Then wash and put on all clean. In individuals with hypersensitivity often develop dermatitis, so rubbing sulfur ointment in areas with thin and delicate skin should be done with extreme caution, and the children to apply ointments 10-20% concentration. Proposed one-time and rubbing sulfur ointment. The patient in this first rehydrate the body with soapy water and rub into the affected area dry sulfuric ointment for 2 hours, after which the skin powder oneself talc or starch. Ointment is not washed off for 3 days, then the patient to clean and change the linen.
Good therapeutic results can be obtained from the use of old folk remedy - a simple wood ash, which contains enough to kill the scabies mite amount of sulfur compounds. Because ash is prepared or ointment (30 pieces of ash and 70 parts of any fat), which is used similarly to sulfur ointment, or take a glass of ash and two cups of water and boil for 20 minutes. After boiling the liquid is filtered through a gauze or cloth bag. The remaining pellet in the pouch is wetted with liquid in the resulting liquor and daily at night for weeks on rubbing the skin in 1.2 hours.
Kerosene mixed with any vegetable oil, for 2-3 days, once at night, all smeared and sprayed body underwear, socks, mittens; morning wash the body and change clothes; usually enough to cure 2-3 lubrication, lack of method - the possibility of dermatitis, particularly in children.
Immediately after the end of treatment, all linen patient as underclothes and bedding should be thoroughly "wash and boil, top dress and clothing should be decontaminated by a tick in the disinfection chamber or by nroglazhivaniya hot iron, especially on the inside, or ventilate the air in . for 5-7 days also come with a mattress, a blanket and other things the patient crucial importance simultaneous treatment of all patients -.. in the same family, school, hostel and so on.
Please be aware that the mites that cause scabies in animals (dogs, cats, horses, etc.) can also get to the man, but did not find here suitable conditions for its existence, and quickly die, causing a short-term itching and rash, which, without reinfection pass even without treatment.
Epidermofntiya groin. Fungal disease. The defeat is localized mainly in large inguinal-femoral folds of the skin. It has a relapsing course. There is a predominantly male; occurs in the form of isolated cases, not transmitted to others, on the contrary, spreading rapidly, giving rise to the emergence of small outbreaks in some families, schools, hospitals and so forth. The infection is not usually directly, but through the bath, laundry, restrooms.
Symptoms and over:
In the inguinal-femoral folds may receive one or more spots, bright pink, slightly scaly and itchy. They quickly grow, merge and form a more or less large, always symmetrical, with sharp edges lesions.
The central part of them has a pale color, the periphery is bordered puffy, slightly elevated roller, often dotted with small bubbles, peel or flake whitish plate.
Sometimes, under the influence of mechanical stimuli, irrational therapy and so on., The entire surface of the lesion becomes intensely red, edematous, quite significantly rises above the surrounding healthy skin, entirely covered with small bubbles, cracks, serous-bloody and purulent crusts and pustulkami.
Appearing originally pahovobedrennyh folds, athlete's mostly not limited to this area, and provides screenings, which can spread to thighs, perineum, buttocks and pubic area. Often at the same time are affected axillary hollows, folds under the breast, between the fingers, especially the legs. Sometimes it is quite intense itching.
Recognition:
It is based on the typical localization, sharp edges and V symmetrical lesions and confirmed by microscopic analysis of scales taken from the edges of the lesion. Among epithelial flakes easily detected rough and thick mushroom.
Treatment:
Once a day, lubrication 1% alcoholic solution of iodine with the use of zinc paste with possible skin irritation. In order to avoid relapse after treatment should be for some time to do the daily rubbing of folds vodka followed by powdering with talc.