December 19, 2011
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Hydradenitis
- A condition in which there
suppurative inflammation
apocrine sweat glands which are found in the armpits (usually unilateral inflammation) and in the inguinal folds. In rare cases, an inflammation appears around
Nipple
, in the area
anus
.
scrotum
.
labia majora
.
Such pathology manifests itself in all races. However, the most severe forms of the disease occur in people blacks. This hydradenitis diagnosed among representatives of both sexes with equal frequency. Basically inflammation manifests in middle age. To date, no data on the influence of genetic factors on the occurrence of the disease. Very often it hydradenitis progresses in the summer people who stay a long time in hot and very humid places.
Causes of hidradenitis sup-
The causative agent is basically hidradenitis sup- aurococcus . Passing through the mouth follicle , Staph is in the excretory duct apocrine glands . Factors that provoke the development of hidradenitis sup- usually becomes a weakening of the body in general, the condition of excessive sweating, as well as alkaline reaction which occurs in the armpits, in the anus and groin. Typically, these symptoms are caused by ignoring the rules of hygiene in the preparation of micro traumas, cuts. Also, the disease can occur because of scratching post dermatosis Causing itching, those who suffer from endocrine disorders nervous character (it can be dysfunction of the sex glands . diabetes ). Reducing resistance to local character may also predispose to the disease. Apocrine sweat glands develop only during puberty, and, in girls it happens sooner than boys. In the females, these glands more than men. The older the person, the faster the fade function of these glands. In view of this hydradenitis - uncharacteristic disease for the elderly.
Also, risk factors for this disease are immunosuppressive condition Applying means to depilation . obesity , Secondary bacterial infection .
The symptoms of hidradenitis sup-
At the very beginning of the disease in the course of the expert palpation reveals small plotnovata nodes located poodinochno. They are dermis or hypoderm . At this stage of the disease the person feels relatively little pain in the formation of nodules. The disease progresses, nodes relatively quickly become larger in size, is their soldering skin. Later, they find a pear shape, standing out as a nipple. Patient skin gets red and blue color, there is a swelling of the tissue localization of the disease are very painful. Sometimes isolated nodes begin to merge into one common failure occurs fluctuation And later they are opened freely, and wherein pus, wherein the detected impurity levels. In the development of the disease not to the formation of necrotic rod . In some cases, it may be a tight spilled doskoobrazny infiltration . In this case the pain a person feels not only during movement, but also at rest. As a result, the patient loses the capacity for work, he always feel bad.
Mainly in the process of maturation hidradenitis sup- manifested malaise, the patient gradually fever, pain becomes more intense. After nodes are opened, a sense of tension, and pain gradually reduced. A few days later, ulcers formed scars. If during the illness originated infiltration, it will dissolve over a longer period. But even after reduction of symptoms often occurs relapse, so hydradenitis lasts a long time. As a rule, in the armpits develops unilateral hidradenitis. Although in some cases, the disease can be simultaneously bilateral . On average hydradenitis lasts about 10-15 days, but relapses of the disease it for longer. The latter concerns obese people who complain about hyperhidrosis . diabetes . It is also prone to relapse hidradenitis sup- people who do not carefully tracking the hygiene of the body.
Diagnosis of hidradenitis sup-
As a rule, does not constitute a diagnosis of hidradenitis sup- special difficulties. Because of the very peculiar localization of the inflammatory process, as well as the characteristic pattern of disease, the expert primarily perform a thorough examination. From Boils hydradenitis different complete absence of necrotic core. It is also important to distinguish from hydradenitis kollikvativnogo TB . When kollikvativnom tuberculosis, the disease longer, the disease begins with lymph node involvement, pain a person feels.
Treatment of hidradenitis sup-
Treatment of hidradenitis sup- must necessarily take place under the close supervision of a specialist. As a rule, for the treatment of diseases doctor prescribes therapy with
antibiotics
.
nitrofurans
.
sulfonamides
. Also used autohaemotherapy. If the patient manifested recurrent hidradenitis sup- form, it is used for the treatment of specific immunotherapy, prescribe medications that have a general strengthening effect.
As a means for local therapy has been used successfully hidradenitis sup- ihtiolovaya tortilla . At a time when units of pus, it should change twice a day. At this time, the treatment using UHF, dry heat, ultraviolet radiation, as well as stay in the sun.
For the treatment of hidradenitis sup- topically applied not only to synthetic drugs and alcohol tincture of herbs (St. John's wort, Sophora, arnica), sea buckthorn and eucalyptus oil, the juice of the leaves of Kalanchoe.
If the disease process formed abscess , It is opened with a small incision. Subsequent treatment is carried out with the use of surgical techniques, and Phytotherapy . To close the wound after surgery, you can not use bandages that are in motion rubbed into the skin pus. Therefore, you should use bactericidal plaster.
Treatment of hidradenitis sup- would be most effective if you start it at the first stage of the disease. In the early days should be independently heated areas of the body where the disease develops, dry heat. The procedure is carried out every three to five hours. At home, you can do this by using a bath towel, the pressed pre-hot iron, and substituting the affected body part in direct sunlight.
To prevent further spread of the disease in the sweat glands, located next to be very carefully cut out the hair that grows in the affected area.
Do not take a bath, while continuing treatment of hidradenitis sup- because the water contributes to the rapid spread of infection. After the area where the disease develops, will tightly seal the plaster, you can take a shower. Twice a day, the place of defeat wipe cloth dampened in a weak solution of manganese. The skin around the lesion should be cleaned with salicylic or camphor alcohol to prevent infection of closely spaced sweat glands. It is enough to bring tangible effect hidradenitis sup- treatment using some folk remedies.
Usually, the illness lasts a sufficiently long period of time, periodic sharpening. Very rarely, the disease is cured spontaneously, generally require the appointment of conservative or surgical treatment.
Nutrition for hydradenitis
The complex of procedures aimed at the treatment of hidradenitis sup- very important to observe a specially developed
diet
. Immediately after the appearance of the disease in the next three months is strictly forbidden to drink alcoholic beverages, all spicy food, spicy seasonings. In limited quantities should have a sweet tooth. Also very important is quitting smoking.
Patients are encouraged to take polyvitamins , Eat foods that contain a large number of Phosphorus . gland . vitamins IN 1 . AT 2 . AT 6 . A . FROM . E . In addition, it is recommended to take funds that have the ability to improve the defenses of the human body. This sea buckthorn oil, ginseng tincture, Siberian Ginseng, dry beer yeast preparations.
Prevention hidradenitis sup-
The main principle of the prevention of hidradenitis sup- assumed compliance with the generally accepted rules of hygiene. So, be sure to wear a man should conform to temperature and humidity. Do not to wear too tight clothes.
People with overweight measures should be taken to normalize body weight. It is important every day to conduct proper hygienic procedures in the muscle depressions. An area in which are located the sweat glands, should be continuously processing solutions having disinfectant properties. However, too frequent shaving of hair in the armpit area may also be a cause of the disease due to the occurrence of minor wounds, through which penetrates the infection. Therefore, this procedure should be performed only when necessary, and using quality tools for shaving.
In some cases, the disease can provoke perfume agents which irritate the skin. Therefore, to avoid substandard and unsuitable cosmetics and perfumes. An important prevention measure should be considered as a healthy lifestyle and maintaining a high level of immunity.
Complications hidradenitis sup-
If the treatment was hidradenitis sup- defer or performed incorrectly, the disease can eventually lead to some serious complications. Thus, complications could be hidradenitis sup- lymphadenitis . abscess . phlegmon . sepsis .