Lentsoe intertrigo le tsoa ho Latin inter, between and tergo, I rub. Ka hona, e khetha li-dermatoses tse libakeng tseo ho tsona ho amang letlalo le ho hohla, tse bitsoang mameno.

Ke eng ? 

Intertrigo ke dermatosis sebakeng sa mameno a letlalo, ho sa tsotellehe hore na a ameha ka bonngoe kapa a kopane, a maholo (a inguinal, interlocking, axillary, submammary folds) kapa a manyenyane (interdigito-palmar, inter toes, umbilicus, retroauricular, labial commissures, mokhubu).

Mefuta e fapaneng ea intertrigo

Ho na le li-intertrigos tsa tšimoloho e tšoaetsanoang (mycoses, libaktheria, joalo-joalo), le li-intertrigo tse sa tšoaetsanoeng tseo hangata li bakoang ke ho kenngoa ha dermatoses (eczema, psoriasis, joalo-joalo) ka mameno.

Ka kakaretso, ho na le phapang pakeng tsa li-intertrigo tse omeletseng le li-intertrigos tse metsi le tse phallang.

Lisosa tsa intertrigo

Tšoaetso ea intertrigo

Fungus intertrigo, mycosis ea mameno

Tšoaetso ea tomoso ke sesosa se ka sehloohong sa intertrigo. Ho na le mefuta e 'meli ea li-fungus:

• Li-dermatophyte, hangata li fana ka li-intertrigo tse omileng
• Candida, e leng litomoso, hangata e bakang intertrigo e khanyang, e metsi

Libaktheria intertrigos

• Corynebacterium minutissium intertrigo, erythrasma: Erythrasma ke baktheria e kenang ka ho fetisisa mamenong a inguinal le axillary.
• Pseudomonas aeruginosa intertrigo: Pseudomonas, eo hape e bitsoang pyocyanic bacillus, ke baktheria e phelang mobung le metsing. Ka hona, re itšilafatsa ha re kopana le mobu o mongobo (serapa, joalo-joalo) kapa metsing a chesang (spa, joalo-joalo) 'me hangata e thatafatsa dermatophytic intertrigos ka maceration le mofufutso. Ka hona, e tloaelehile libakeng tse pakeng tsa menoana ea maoto, moo ka tšohanyetso e bang bohloko, e khoholeha, e ntša metsi kapa e nkha.

Intertrigos ho libaktheria tse ling tsa pathogenic

Li bakoa ke staphylococci, streptococci le bacilli ba Gram-negative (colibacilli). Li-intertrigos tsena li atile haholo ho batho ba batenya, ba nang le lefu la tsoekere le bakuli ba nang le bohloeki bo botle, 'me hangata ba thatafatsa dermatosis.

Li-intertrigo tse sa tšoaetsanoeng

• Psoriasis: Fold psoriasis kapa "inverted" psoriasis e tloaelehile lesakeng la intergluteal.
• Ho teneha: Ke ea bobeli ho sebelisoa ha liphekolo tsa lehae (antiseptic, cosmetics) kapa ka ho kopana le ntho e bakang kotsi.
• Eczema: E ka 'na ea e-ba ho kopana le eczema ka ho hanyetsa ntho e senyang monko ka maphatleng ka mohlala kapa dermatitis ea atopic e amang mameno a itseng (liforo tsa retroauricular, mameno a mangole, mameno a litsoe ...).

Lisosa tse sa tloaelehang

• Lefu la Hailey-Hailey ke lefu le sa tloaelehang la letlalo le futsitsoeng.
• Lefu la Paget ke lefu le kotsi le tsamaisanang le intraepidermal adenocarcinoma.
• Lefu la Crohn, lefu la ho ruruha ha tšilo ea lijo, le ka ama lemeno la intergluteal le inguinal.
• Vegetative pemphigus ke mofuta o sa tloaelehang oa kliniki oa vulgar pemphigus o amang mameno a maholo.
• Syphilis ea bobeli e ka ama mameno a maholo.
• Langerhans histiocytosis ke lefu le amanang le ho bokellana ha lisele tsa Langerhans.
• Necrolytic migratory erythema e tobane le glucagonomics, lihlahala tse kotsi tsa manyeme.
• Sneddon le Wilkinson's sub-cornea pustulosis ke ea sehlopha sa li-neutrophilic dermatoses, tse khetholloang ka boteng ba li-neutrophils letlalong le ho ama mameno a maholo.

Tlhahlobo ea bolotsana

Tlhahlobo ea intertrigo e bonolo: e hlalosoa ke bofubelu ba lesapo, le ka hlohlonang, la ba bohloko, la tsikitlanya… Ke ho fumana sesosa se bobebe haholoanyane. Ngaka e tla tsepamisa maikutlo ho litšoaneleho tse mo lumellang hore a ikemisetse ho sesosa se le seng kapa ho feta: li-intertrigo tsa linaha tse peli le tse ka 'nang tsa e-ba symmetrical kapa unilateral intertrigo, ho ba teng ha desquamation, ozing, ho iphetola ha lintho ka ho atolosa centrifugal, meeli e hlakileng kapa li-contours tse senyehileng, ho ba teng ha li-vesicles, pustules, ho phatloha ka tlase ho lesaka ...

Hangata hoa hlokahala ho nka sampole ea mycological (bakeng sa tlhahlobo e tobileng le temo) kapa esita le bacteriological le ka linako tse ling biopsy ea letlalo.

Khopolo ea ho iphetola ha lintho le mathata a teng

Intertrigo ha se hangata e atisang ho fola ka bo eona. E na le tšekamelo ea ho fetoha 'me hangata e mpefala ka lebaka la maceration, khohlano le ka linako tse ling tlhokomelo ea sebakeng seo e atisang ho e khopisa, e ka baka ho kula kapa esita le ho baka bothata (mohlala ha u sebelisa tranelate ea cortisone ho intertrigo e tšoaetsanoang).

Ho ata ha baktheria, bohloko le ho peperana le tsona ke mathata a khale.

Matšoao a fapana ho latela sesosa sa intertrigo:

Li-intertrigo tse tšoaetsanoang

Tšoaetso ea tomoso

Dermatophyte intertrigo

Boemong ba mameno a maholo, li fana ka bofubelu bo omeletseng le bo bofubelu bo nang le setsi se pinki, hangata se nang le mahlakore a mabeli le a symmetrical, e leng ho hlohlona. Ho iphetola ha lintho ho etsoa ka katoloso ea centrifugal, e nang le moeli o hlakileng, polycyclic, vesicular le scaly. Karolo ea khale ea ho kenya letsoho ke lesaka la inguinal.

Boemong ba mameno a manyenyane, ke "intertrigo inter toe" eo hangata e bitsoang "athlete's foot" hobane hangata e hlaha ho batho ba lipapali, haholo-holo sebakeng sa ho qetela sa menoana (pakeng tsa menoana e 'meli ea ho qetela). E etsa lekhalo le bopinki kapa le bokhubelu le moeling oa maceration le fanang ka letlalo ponahalo e mongobo, le lesoeu, ebe joale le ka namela ka morao ho leoto kapa bohatong ba leoto. Hangata o hlohlona.

Intertrigo ho Candida

Boemong ba mameno a maholo, ba fana ka intertrigo e khubelu e khanyang le e mongobo, eo ka tlase e atisang ho phunyeha, esita le ho koaheloa ka seaparo se sesoeu se bosoeu. Meeli ea li-intertrigo e phunyeletsoa ka mokelikeli o mosoeu le li-pustules tse seng kae. Mona hape, sebaka sa khetho ke lesaka la inguinal, empa le ka boela la bonoa tlas'a matsoele.

Boemong ba mameno a manyenyane, ke intertrigo e nang le litšobotsi tse tšoanang le tsa mameno a maholo, empa hangata a lutse pakeng tsa menoana kapa sekhutlong sa molomo (perlèche).

libaktheria

Intertrigo ho tloha Streptomyces phofo, l Erythrasma

Erythrasma e nka sebopeho sa plaque e sootho e chitja, e nang le moeli o lekaneng. Ho hlahlojoa ha leseli la Wood (lebone la UV) ho etsa hore e be bofubelu ba “korale”.

Intertrigo ho Pseudomonas aeruginosa

Pseudomonas intertrigo hangata e thatafatsa dermatophytic intertrigos haholo-holo pakeng tsa menoana ea maoto ka maceration le mofufutso oa lieta, tseo ka tšohanyetso li bang bohloko, li senyehang, li ntša metsi kapa esita le ho nkha.

Intertrigos ho libaktheria tse ling tsa pathogenic

Hangata ba boetse ba thatafatsa li-intertrigos tsa batho ba batenya, batho ba nang le lefu la tsoekere le bakuli ba nang le bohloeki ba 'mele: intertrigo e fetoha e khubelu, e phalla ka likhopo kapa pustules.

Li-intertrigo tse sa tšoaetsanoeng

Psoriasis

Psoriasis ea mameno kapa "inverted" psoriasis e etsa hore ho be le intertrigo, eo ka ho khetheha e fumanehang pakeng tsa marako le mokhubung, e khubelu, e benyang, e hlalositsoe hantle, 'me hangata e petsoha ka tlaase ho lesaka.

Ho koatisa

Hangata ho halefa ho amana le tšebeliso ea li-antiseptics, cosmetics kapa li-irritants. Intertrigo e bofubelu bo benyang, e sosobane ka linako tse ling li-vesicles kapa liso, 'me ho tloaelehile hore e etse hore motho a chese.

Eczema

Mena eczema e ka ba le tšimoloho e 'meli:

• Allergic contact eczema e atisang ho tsubella, e hlohlona ebile e ka ba le makhopho. E hlaha ka lebaka la ho hana ho kopana le sehlahisoa se kentsoeng ka lemenong, 'me se thatafatsa intertrigo e fetohang marotholi kapa vesicular mme e ka hlohlona.
• atopic dermatitis, haholo-holo mamenong a litsoe, mangole, molala, ka mor'a litsebe 'me hangata e shebahala e omme haholoanyane.

Lisosa tse sa tloaelehang

Boloetse ba Hailey-Hailey ke lefu le tšoaetsanoang ka seoelo, le tšoauoang ka ho hlaha khafetsa ha li-vesicles kapa esita le li-bubble molaleng, likoti tsa axillary le groin tse hlophisitsoeng ka li-patches tse hlalositsoeng hantle, tse pota-potiloeng ke mapetsong a nang le litšobotsi tse tšoanang.

Lefu la Paget ke intra-epidermal adenocarcinoma (mofuta oa mofets'e), hangata vulvar, e amahanngoang le mofets'e oa visceral (mohlala kapa oa mafu a basali) maemong a ka bang 1/3. E hlahisa e le patch e khubelu ea vulva, groin kapa botoneng ba ho ata butle-butle.

Lefu la Crohn, e leng lefu le sa foleng la ho ruruha, le ka kenyelletsa libaka tsa letlalo, haholo-holo lemenong la intergluteal le inguinal. Li hlaha joalo ka mapetsong, liso tse melang le tse tebileng joalo ka ho hlaba, maqeba a thatafalitsoeng ke fistula… a ka etellang pele ponahalo ea tšilo ea lijo ka likhoeli tse 'maloa.

Vegetative pemphigus ke mofuta o sa tloaelehang oa pemphigus o amang mameno a maholo, a ba fa bofubelu ba limela le ba budding.

Syphilis ea bobeli e ka etsa hore ho be le marotholi a mangata, a ruruhileng le a hoholehang, ka linako tse ling a mela mamenong.

Langerhans histiocytosis ke lefu le amanang le ho bokellana ha letlalo la lisele tsa Langerhans. E etsa hore ho be le letlalo le hlabang le le pherese, haholo-holo ka mameno a retroauricular, kapa esita le mameno a maholo.

Necrolytic migratory erythema ke ho ameha ha letlalo ho bakoang ke glucagonoma, hlahala e kotsi ea manyeme. E hlahisa maqeba a bofubedu bo phahamileng, a makwatla a katoloso ya centrifugal e nang le moedi o mokgoro kapa o hlehlehang o siyang lebadi le nang le mmala.

Sneddon-Wilkinson sub-cornea pustulosis ke neutrophilic dermatosis, e khetholloang ka boteng ba lisele tse tšoeu tsa mali tse bitsoang li-neutrophils letlalong. E hlahisa li-pustules tse ka holimo, tse nang le flaccid kapa li-bubble tse ka bang le boemo ba mokelikeli bo bitsoang hypopion pustule. Li-pustules le li-bubble li arotsoe ka ho hula li-arcs kapa mehele kapa li pota-potiloe haholo-holo holim'a kutu, metsong ea maoto le mamenong a maholo.

Lintho tse kotsi

Mameno a na le kotsi ea maceration, khohlano le mocheso tse khothalletsang ho teneha le ho ata ha likokoana-hloko ebang ke fungal kapa baktheria.

The acidity ea mameno a, botenya, bofokoli ba 'mele oa ho itšireletsa mafung, bokhachane, lefu la tsoekere le lithethefatsi tse itseng (kakaretso ea phekolo ea corticosteroid, lithibela-mafu) e khothalletsa ka ho khetheha candidiasis ea mameno.

Maikutlo a ngaka ea rona

Intertrigos ke lebaka la khafetsa la ho buisana le dermatology. Li arotsoe hantle ka lisosa tse hlahang sehloohong sena empa ha e le hantle li atisa ho sebelisoa ka bongata ha li bonoa ofising ea ngaka: dermatophytic intertrigo e fetoha superinfect le libaktheria 'me e hlahisa ho teneha le / kapa eczema ea allergic ho lihlahisoa tse sebelisoang ke mokuli. . Ho phaella moo, hangata mokuli o se a ntse a buisana le ngaka ea hae ea kakaretso e lekileng phekolo e le 'ngoe kapa tse ngata tsa sebaka seo ho fetola ponahalo ea intertrigo: ho hlahlojoa ha bona ho ka ba thata haholo ka linako tse ling, hammoho le phekolo ea bona.

Leha ho le joalo, molao o le mong hangata ke oa 'nete ho li-intertrigos: hangata ho molemo ho omisa lemeno ho feta ho sebelisa lintho tse mafura kapa litlolo ka har'a mealo e teteaneng.

Thibelo ea intertrigo

Mehato e bonolo ea tlhokomelo hangata e fokotsa kotsi ea intertrigo:

• hlatsoa letsatsi le leng le le leng 'me u omise mameno hantle
• qoba liaparo tsa kahare tse thata haholo, boea le likhoele tsa maiketsetso / likausi tsa k'hothone le liaparo tsa ka hare
• ntoa khahlanong le mabaka a tlatsetsang: lefu la tsoekere, botenya, tranelate ea cortisone, joalo-joalo.

Litlhare

Kalafo e itšetlehile ka sesosa:

Tšoaetso ea intertrigo

Dermatophyte intertrigos

Phekolo ea dermatophytic intertrigos e etsoa ka tšebeliso, hangata habeli ka letsatsi, ea li-antifungal, ka tranelate, lebese, ka spray, ka phofo:

• Imidazole: éconazole (Pevaryl®), miconazole (Daktarin®), oxiconazole (Fonx®)
• Allylamines: terbinafine (Lamisil®)
• Lintho tse tsoang ho pyridone: cyclopiroxolamine (Mycoster®)

Tabeng ea ho hanyetsa phekolo ea lehae, ngaka e ka fana ka moriana o thibelang likokoana-hloko o kang griseofulvin (Grisefuline®) kapa terbinafine (Lamisil®) bakeng sa libeke tse 3 ho isa ho tse 4.

Candida e khahla

Kalafo ea pele ho tsohle e loantšana le lintlha tse ratang candidiasis: ho qoba mongobo, maceration, lik'hemik'hale kapa ts'oaetso ea mechine. Lefu la tsoekere le ipatileng kapa le amanang le tšilo ea lijo kapa candidiasis ea setho sa botona le tsona li tlameha ho phekoloa.

E ipapisitse le li-antifungal tsa lehae, tranelate, lebese, spray, phofo, e sebelisoang habeli ka letsatsi:

• Imidazole: éconazole (Pevaryl®), miconazole (Daktarin®), oxiconazole (Fonx®)
• Allylamines: terbinafine (Lamisil®)
• Lintho tse tsoang ho pyridone: cyclopiroxolamine (Mycoster®).

Kalafo ea tsamaiso e ka fanoa ka matsatsi a 15 ha ho etsahala hape kapa ho tsepamisa maikutlo ho amanang le tšilo ea lijo (nystatin, Mycostatin®, ketoconazole, Nizoral®).

libaktheria

Intertrigo ho tloha Streptomyces phofo, l Erythrasma

Erythrasma e phekoloa ka phekolo ea lithibela-mafu ea sebakeng seo ka lotion ea erythromycin.

Intertrigo ho Pseudomonas aeruginosa

Litharollo tsa li-antiseptic tse sa hloekiseng li sebelisoa lemenong (chlorhexidine: Diaseptyl®, polyvidone iodine: Betadine®…) le / kapa silver sulfadiazine (Flammazine®). Ngaka ha e sebelise lithibela-mafu tsa molomo ka seoelo, ha tšoaetso e atolosoa kapa ho hanyetsa kalafo, hangata ke ciprofloxacin (Ciflox®).

Intertrigos ho libaktheria tse ling tsa pathogenic

Hangata li fokotseha ka li-antiseptics tsa sebakeng seo (chlorhexidine: Diaseptyl®, polyvidone iodine: Betadine®, joalo-joalo), e kopantsoe le phekolo ea lehae ea lithibela-mafu ka fusidic acid (Fucidine® cream).

Li-intertrigo tse sa tšoaetsanoeng

Psoriasis

Ka kakaretso e arabela hantle motsoakong oa corticosteroid le gel ea vithamine D (Daivobet® ...)

Ho koatisa

Kalafo ea ho teneha e hloka li-antiseptics tsa lehae (chlorhexidine: Diaseptyl®, polyvidone iodine: Betadine®…), emollients kapa esita le topical corticosteroids tlas'a tlhokomelo ea bongaka.

Eczema

Kalafo ea eczema e hloka li-emollients le topical corticosteroids tlas'a tlhokomelo ea bongaka.

Lisosa tse sa tloaelehang

• Lefu la Hailey-Hailey le hloka ho omisoa ha mameno ho fokotsa ho phatloha le kotsi ea tšoaetso ea baktheria, fungal le vaerase. Hangata ho phunya mameno a anngoeng ka ho buoa a lateloang ke ho hlomathisa letlalo ke eona feela phekolo e sebetsang.
• Lefu la Paget le hloka phekolo ea mofetše o amanang le visceral le ho ntšoa ha plaque ea lefu la Paget.
• Vegetative pemphigus e hloka topical corticosteroids tlas'a tlhokomelo ea bongaka.
• Syphilis ea bobeli e phekoloa ka liente tsa intramuscular tsa penicillin.
• Ho falla ha necrolytic erythema ho hloka ho tlosoa ha glucagonoma e khopisang.