Экзема один из самых распространенных дерматитов – по сути это воспалительный процесс кожных покровов. Данное заболевание поражает одинаково как взрослых, так и детей, вне зависимости от пола.
Заболеванию характерны сезонные обострения. Помимо неприятных ощущений заболевание имеет довольно нелицеприятный вид, а при игнорировании болезнь переходит в хроническую форму, что грозит возникновением осложнений, которые несут опасность для здоровья.
10 Фото Экземы на ногах с описанием
Причины экземы на ногах
Факторов, по которым может возникнуть экзема множество, их называют триггерные факторы и делят на несколько категорий – внешние и внутренние.
Внутренние:
- Снижение уровня иммунитета – ослабленный иммунитет не в силах сдерживать активный рост патогенных бактерий, вследствие чего на кожных покровах образовываются различные поражения, среди которых экзема;
- Глистные инвазии – по мнению специалистов, наличие гельминтов в организме человека, может провоцировать различные дерматологические заболевания;
- Авитаминоз – из-за недостатка в организме необходимых витаминов и микроэлементов кожа теряет защитные функции, эластичность снижается это становиться причиной развития сухости, и возникновения трещин;
- Аллергия – как известно аллергия в первую очередь проявляется на кожных покровах, а постоянный контакт с аллергеном вырабатывает повышенную чувствительность организма и как следствие на этом фоне возникают дерматологические заболевания;
- Сбои в работе органов пищеварения/ острые и хронические заболевания внутренних органов – в большинстве случаев могут спровоцировать развитие экземы;
- Генетический фактор – наличие у одного или обеих родителей аллергий или экземы, повышают риск развития таких заболеваний у ребенка;
- Варикозное расширение вен.
Внешние:
- Поражения кожи (механические или дерматозы) – наличие в анамнезе дерматозов отражаются на защитных функциях кожи, и поэтому зачастую на их фоне развивается экзема. А механические повреждения кожи становятся вратами для попадания в организм различных инфекций и вирусов которые могут быть возбудителем экземы;
- Контакт с химией – бытовая химия/моющие средства/косметика/химия на производствах могут вызывать аллергию, а также способствуют развитию экземы;
- Ношение синтетической одежды.
Вышеперечисленные факторы признаны самыми частыми, которые могут спровоцировать развитие экземы на ногах, зачастую это не отдельные причины, а совокупность негативных факторов.
Помимо вышеописанных факторов, хронические инфекционные или вирусные заболевания, также могут стать причиной возникновения заболевания.
Виды экземы на ногах
Так как причин возникновения экземы на ногах множество, выделены виды, которые могут отличаться не только причиной возникновения, но и расположением очагов поражения на кожных покровах.
- Истинная – причиной возникновения этого вида считают негативное влияние внешних факторов, например частый контакт с аллергенном или на фоне хронических заболеваний.
- Микробная/грибковая – как может стать понятно из названия этого вида экзема, причиной развития недуга могут стать патогенные бактерии или грибки, которые попали в организм через раны или ожоги.
- Варикозная – варикозное расширение вен может стать причиной появления экземы на ногах.
- Профессиональная – контакт с химическими элементами или средствами, которые имеют в своем составе агрессивные компоненты, по долгу службы может стать причиной развития экземы.
- Дисгидротическая – причиной этого вида экземы считают повышенное потоотделение.
Для эффективного лечения экземы необходимо выяснить причину, устранение причины не только залог скорого лечения, но и профилактика рецидива.
В разделе фото вы можете увидеть, как выглядят различные виды экземы на ногах.
Симптомы экземы на ногах
Общие признаки экземы на ногах:
- На начальном этапе отмечается сухость кожи и образование трещин. Образование узелков, которые имеют тенденцию к сливанию в объединенные группы.
- Образование сыпи с мутноватым содержимым.
- Вскрытие папул. Образование мокнущих участков.
- Сегменты кожи подверженные экземе могут изменять оттенок, отмечается пигментация.
- Отечность кожных покровов в местах поражений.
- Зуд/жжение/болезненные ощущения.
Некоторые симптомы экземы на ногах могут варьироваться в зависимости от вида.
- Истинная – отмечается гиперемия кожных покровов, образование сыпи с мутноватым содержимым, данный вид имеет быстрое течение. В короткие сроки сыпь вскрывается, что становится причиной возникновения эрозий. Данный вид чаще встречается у людей старше 40 лет, на фоне психологических и физических изменений организма.
- Микробная/грибковая – основное отличие этого вида это образование высыпаний с гнойным содержимым, после вскрытия гнойных папул образуются корки, кожа уплотняется, заболевание сопровождается болезненными ощущениями и ухудшением общего физического состояния.
- Варикозная – этому виду характерны типичные экземе симптомы. Единственным отличием этого вида случайное расположение очагов поражения и зуд при попадании воды. Заболевание в основном возникает у людей пожилого возраста.
- Профессиональная – по симптоматике схожа с истинным видом экземы. Главное отличие это спонтанность, при устранении возбудителя заболевание идет на спад, и наоборот возникает при повторных контактах.
- Дисгидротическая – данный вид имеет вялое течение, локализуется в основном на ступнях (подошва), высыпания практически не заметны и не доставляют особого дискомфорта.
Как выглядит каждый отдельный вид экземы, вы можете посмотреть в разделе фото.
Экзема на ногах у взрослых
Экзема на ногах возникает чаще у взрослых, обусловлено это множеством негативных факторов.
Помимо заболеваний внутренних органов, взрослые больше подвержены стрессам, что также играет роль в развитии кожных заболеваний. Наряду с другими причинами, гормональные всплески могут быть катализатором развития экземы.
Экзема на ногах у детей
Экзема у детей возникает по нескольким причинам – наследственный фактор, наличие дерматозов, недостаточная гигиена.
Лечение экземы у детей мало чем отличается от терапии взрослых, основное лечение устранение первопричины.
Лечение экземы на ногах
Перед тем как приступить к лечению экземы, необходимо провести диагностику для установки точного диагноза, т.к. экзема имеет схожие симптомы с несколькими другими дерматологическими заболеваниями, а также для установки причины, которая спровоцировала развитие заболевания.
В качестве диагностики врач назначает:
- Общий и биохимический анализ крови.
- Анализ кала.
- Соскоб отделяемых частичек дермы с пораженных участков.
- Гистологическое исследование.
- Микроскопическое исследование клеток дермы с мест поражения.
В отдельных случаях дерматолог, может дать направление для консультации у узкоспециализированных врачей.
Помимо основной терапии многие дерматологи советуют при экземах придерживаться диеты, основной рацион должен основываться на правильном питании и исключении из еды продуктов которые могут спровоцировать аллергию.
Лечение экземы на ногах народными средствами
В качестве дополнительного лечения экземы на ногах, можно использовать народные средства. Основные способы альтернативной медицины это применение отваров или настоек на основе трав:
- ромашка/календула – обладают успокаивающим эффектом;
- березовые почки/подорожник – обладают ранозаживляющим и противовоспалительным эффектом;
- крапива/кора дуба – обладают регенеративными и антисептическими свойствами.
Применение любых способ народной медицины допустимо только после консультации лечащего врача, особенно в отношении детей.
Лечение экземы на ногах медикаментозными средствами
На основании полученных анализов врач назначает лечение, которое основано на комплексной терапии, для устранения причины и снятия неприятных симптомов:
- Антибактериальная терапия — направленная на губительное влияние на инфекции. В случаях микробной экземы.
- Антигистаминные препараты (таблетки/мази) — для снятия неприятных ощущений (зуда).
- Противогрибковая терапия – направленная на губительное влияние на грибки, в случаях грибковой экземы.
- Антисептические растворы — для обработки пораженных участков.
- Гормональные мази — для регенерации тканей.
- Витаминные комплексы — для повышения или поддержания уровня иммунитета.
Самолечение крайне нежелательно, рассчитать необходимую дозировку может только врач, а также подобрать подходящие вам препараты.
Профилактика экземы на ногах
В качестве профилактики необходимо придерживаться простых советов:
- укреплять иммунитет;
- соблюдать правила личной гигиены;
- лечить все дерматозы;
- лечить острые и хронические заболевания внутренних органов;
Если заболевание возникло, для эффективного лечения и скорого выздоровления желательно:
- соблюдать предписания врача;
- не бросать лечение, даже если симптомы заболевания пошли на спад;
- уделять внимание личной гигиене.
При появлении подозрительных симптомов не затягивайте с визитом к врачу.
Спектр кожных патологий широк, и экзема среди них является одной из самых распространенных. Экзема, фото, симптомы и лечение у взрослых — вот те пункты, которые будут подробно рассмотрены в данной статье. Понять, как лечить заболевание можно только после ознакомления с его провоцирующими факторами.
Экзема: что это такое
При появлении каких-либо элементов сыпи на коже тела, конечностей или лица человек может задаться вопросом: “Что такое экзема?” Экзема — это полиэтиологичное заболевание, которое проявляется в форме распространенной и локализованной кожной сыпи. Характер высыпаний определяется разновидностью патологического процесса, она же и определяет тактику терапевтической коррекции. Экзема провоцирует как сыпь у ребенка, так и сыпь у взрослого, но тактика коррекции этого состояния в разном возрасте будет отличаться.
Нельзя однозначно сказать, экзема заразная или нет, поскольку множество форм этого заболевания не передается. Микробная форма экземы может быть опасна для окружающих, то есть ответ на вопрос будет частично положительным. Кожные проявления экземы есть на фото, симптомы и лечение у взрослых этого состояния взаимосвязаны и будут подробно рассмотрены ниже.
Стадии прогрессирования истинной экземы
Истинная формы экземы чаще всего локализована на кожных покровах стоп, кистей и лица. В начале развития патологии наблюдается появление нескольких очагов воспаления, при дальнейшем прогрессировании болезни отмечаются такие стадии:
- Эритематозная. Кожные покровы краснеют, и это является предвестником острого развития экземы. Обострения возможны при стрессах, травмировании кожи, контакте с агрессивными веществами.
- Везикуло-папулезная стадия, при которой появляется сыпь на теле, сыпь на рукахили сыпь на лице. Высыпания имеют вид пузырьков небольшого размера, которые заполнены жидкостью.
- Мокнутие. Эта стадия прогрессирует после того, как пузырьки лопаются, и из них выходит содержимое. В это время воспаленная кожа становится наиболее уязвимой для присоединения инфекции.
- Образование корочек. После высыхания лопнувших пузырьков на кожных покровах образуются корочки желтоватого или коричневого оттенка. Отпадание корочек приводит к уплотнению, утолщению кожи на пораженном участке.
Экзема: причины возникновения
Действие различных причин приводит к прогрессированию разных форм экземы. Можно рассмотреть формы экземы на фото, симптомы и лечение у взрослых определяются именно причинами патологического процесса. Данное заболевание развивается из-за действия нейроэндокринных, аллергических, метаболических и ряда внешних факторов. Следует разобраться с тем, что именно может спровоцировать развитие каждой формы болезни:
- Истинная, или идиопатическая, форма экземы представляет собой тот случай, когда точная причина заболевания не установлена. Ее развитие возможно при сочетании нескольких факторов, а именно: стрессов, сахарного диабета, вегетососудистой дистонии, патологий щитовидной железы, болезней желудочно-кишечного тракта, генетической предрасположенности. Одной из разновидностей этой формы является сухая, или дисгидротическая экзема.
- Также распространена мокнущая экзема, проявляющаяся в форме пузырьковых высыпаний с серозной жидкостью внутри.
- Атопическая форма экземы. Развивается у тех пациентов, которые склонны к реакциям гиперчувствительности, то есть к аллергии.
- Профессиональная форма экземы. Возникает у тех людей, какие по роду трудовой деятельности подвергаются воздействию агрессивных веществ (формальдегид, никель, хром, бытовая химия, красители). Сначала профессиональная экзема возникает на месте контактирования с веществом, а после может распространяться и на другие участки кожных покровов.
- Микробная экзема развивается из-за прогрессирующего воспаления кожи, спровоцированного патогенными микроорганизмами: бактериями или грибками.
- Себорейная экзема возникает из-за активной жизнедеятельности микроорганизма грибковой природы Malassezia furfur.
- Варикозная экзема — патология, возникающая на кожных покровах ног при варикозной болезни.
Основные виды экземы представлены на фото, симптомы и лечение у взрослых этой патологии тесно взаимосвязаны и будут рассмотрены ниже.
Экзема на руках: чем лечить, фото
На руках довольно часто проявляется экзема, фото, как выглядит это состояние, отражает основные клинические признаки патологии. Симптоматика поражения определяется разновидностью патологии у детей и у взрослых, поэтому каждую форму болезни следует рассмотреть подробнее:
Идиопатическая экзема на руках
К спектру ее симптомов входят:
- высыпания в форме эритем, пузырьков и папул, часто имеющие симметричное расположения, что заметно на фото;
- в начале патологии появляются пузырьки, которые могут сливаться, а после вскрытия образовывать эрозии;
- не стоит сомневаться и в ответе на вопрос, чешется ли экзема или нет — при этой форме зуд является одним из основных признаков;
- при переходе в хроническую форму может наблюдаться лихенизация кожных покровов.
Атопическая экзема на руках
Среди ее симптомов нужно выделить:
- отечность и покраснение кожи рук, образование мелких пузырьков, изображение на фото — начальная стадия патологии;
- разрыв везикул с образованием участков мокнутия;
- покрытие кожи корками, сухость и шелушение;
- выраженный зуд и во время обострения, и в период ремиссии патологии.
Профессиональная экзема на руках
Для нее характерны:
- локализация воспалительных очагов на коже, контактирующей с раздражающим веществом, чаще всего на пальцах и кистях;
- распространение сыпи по мере развития болезни, возможна сыпь на теле;
- наблюдается стадийность идиопатической формы экземы.
Микробная экзема на руках
При развитии этой патологии можно наблюдать такие клинические проявления:
- локализация вокруг очагов гнойного воспаления, ожогов, ран;
- постепенное отслоение рогового слоя пораженного участка, шелушение или мокнутие из-за образования экссудата;
- образование корочек;
- зуд выражен не сильно.
Дисгидротическая экзема на руках
Среди ее симптомов следует выделить:
- высыпания в форме наполненных жидкостью пузырьков;
- сыпь у взрослых формируется на боковой поверхности пальцев, затем распространяется на ладонную поверхность;
- развивается отечность и гиперемия;
- при вскрытии везикул образуются эрозии, кожные покровы сильно шелушатся;
- характерен сильный зуд;
- частый симптом — инфицирование, из-за чего возможна болезненность, растрескивание пораженной кожи и ее лихенизация.
Тактика лечения экземы на руках
Причины и лечение экземы являются тесно связанными понятиями. Ответ на вопрос, чем лечить заболевание, может дать только лечащий врач после определения фактора, спровоцировавшего развитие патологического процесса. Должна быть подобрана общая и местная терапия
Методы общей терапии представлены ниже:
- Нормализация метаболизма и укрепление иммунитета.
- Коррекция чувствительности к аллергенным веществам. Предусматривает назначение антигистаминов, иммуносупрессантов, цитостатиков, глюкокортикоидных препаратов. Возможно назначение плазмафереза, энтеросорбции.
- Коррекция невротических нарушений. Предусматривает назначение транквилизаторов и успокоительных средств.
- Дезинтоксикация организма. Назначение энтеросорбентов, внутривенных инфузий кальция хлорида, тиосульфата натрия, внутримышечных инъекций глюконата кальция.
- Гормональная терапия. Назначение глюкокортикоидов.
- Витаминотерапия. Особенно важны витамины группы В, фолиевая кислота, аскорбиновая и никотиновая кислоты, токоферол.
- Нормализация функции пищеварительной системы. Лечение ферментными препаратами, пробиотиками.
- Антибактериальная и противогрибковая терапия при микробной экземе.
Местное лечение предусматривает такие меры:
- При микробной экземе: смазывание корок бриллиантовой зеленью, генцианвиолетом, пантенолом, левовинизолем, резорциновые примочки.
- Для снятия воспаления и уменьшения зуда: нитрат серебра, сульфаты меди и цинка, подофиллиновая мазь, димедроловая паста.
- Для устранения отечности и мокнутия: борная кислота, танин, галаскарбин.
- На стадии угасания воспалительного процесса для ускорения выздоровления: ихтиоловая паста, метилурациловая мазь, цинковая мазь, паста Лассара.
- Гормональные мази: Флуцинар, Адвантан, Элоком.
Эффективными методами физиотерапевтического лечения являются:
- гальванизация;
- электросон;
- лазеротерапия;
- ультрафонофорез;
- УФ-лечение;
- магнитотерапия;
- аппликации с парафином.
Не менее важно соблюдение рациональной диеты с исключением аллергенных продуктов, жареной, острой, соленой пищи. Какое-то время хорошо соблюдать молочно-растительную диету.
Экзема на ногах: фото, начальная стадия
Симптоматика экземы при локализации на ногах также определяется формой заболевания, однако, можно выделить ряд общих симптомов, характерных для патологии:
- Полиморфная сыпь (фото), для появления которой характерно волнообразное течение. Образование везикул, пузырьков, участков эритемы, чешуек и корочек.
- Выраженное покраснение пораженных участков кожных покровов нижних конечностей.
- Сухость и интенсивное шелушение кожных покровов при снижении выраженности воспалительных реакций.
- Ухудшение сна из-за усиления зуда в ночное время.
Как выглядит экзема на ногах, можно увидеть на фотографиях.
Экзема на лице: фото, начальная стадия
Клинические проявления экземы на лице определяются разновидностью этого заболевания.
Истинная экзема
Для этой формы характерно хроническое течение с частыми обострениями. Очаги воспалительного процесса симметричны. Сначала пораженный участок кожи становится гиперемированным и отечным, затем на нем появляются папулы и везикулы, которые вскрываются. На их месте остаются эрозии, из которых выделяется экссудат. Затем образуются желтовато-серые корочки, под которыми формируется обновленный эпителий. Кожа становится уплотненной, на ней усиливается рисунок. Для истинной экземы характерен выраженный кожный зуд.
Себорейная экзема
Такая разновидность экземы затрагивает кожные покровы и лица, и волосистой части головы. Сыпь часто локализуется в области лба, бровей, по линии роста волос, а также за ушами, на носогубном треугольнике. Возможно вовлечение в патологический процесс кожи шеи, формируется так называемый “экзематозный шлем”. При корректном лечении возможно полное восстановление кожи.
Микробная экзема
Локализация экземы на лице характерна для сикозиформной разновидности заболевания. Чаще сыпь локализована на подбородке и верхней губе. Патология провоцируется гнойничковым поражением кожи, основным возбудителем является золотистый стафилококк.
Другие формы патологического процесса, такие, как атопическая, профессиональная или варикозная на лице практически не встречаются.
Экзема: лечение — мази и народные средства
Можно рассмотреть экзему на фото, а с симптомами и лечением у взрослых болезни пациента должен ознакомить врач. Терапия назначается только после определения причины заболевания и формы патологии. При появлении подозрительных симптомов следует обращаться к дерматологу. Самолечение может спровоцировать ухудшение состояния и развитие серьезных осложнений.
Лечение экземы можно разделить на такие этапы:
- Общие (системные) медикаментозные средства.
- Местные препараты (мази, крема, эмульсии, примочки, ванны).
- Физиотерапевтические методы (магнитотерапия, электрофорез, гальванотерапия и другие).
- Коррекция рациона питания.
- Исключение контактирования с аллергенами и агрессивными веществами.
Следует более подробно рассмотреть местные гормональные препараты, оказывающие противовоспалительный и заживляющий эффект:
- Элоком. Формы выпуска — мазь, крем, лосьон. Снижает выраженность симптомов, устраняет воспаление.
- Адвантан. Чаще назначают при дисгидротической экземе благодаря жирной консистенции.
- Локоид. Формы выпуска — мазь и крем. Наносятся на кожные покровы до 4 раз в день.
Инновационными препаратами для лечения экземы являются медикаменты из группы топических ингибиторов кальциневрина. К ним относятся Такролимус (мазь) и Пимекролимус (крем). Благодаря их применению снижается зуд, уходят симптомы воспалительной реакции. Продолжительность применения каждого местного средства определяет врач.
Народные средства в лечении экземы
Некоторые целебные средства народной медицины, которые несложно приготовить в домашних условиях, отличаются высокой эффективностью в отношении экземы. Перед использованием любого из них следует посоветоваться с врачом, чтобы такое лечение точно принесло пользу и не навредило пациенту.
Среди наиболее эффективных народных рецептур можно выделить следующие:
- примочки с травяными отварами (ромашка, календула, шалфей);
- примочки с отваром дубовой коры;
- компрессы из свежей измельченной травы мать-и-мачехи (можно ставить на ночь);
- компресс с соком листьев каланхоэ.
Конечно, целебных средств гораздо больше, но не все из них безопасно использовать без назначения врача.
Экзема, фото, симптомы и лечение у взрослых — именно эти подробности о распространенном кожном заболевании были рассмотрены в этой статье. Важно помнить, что своевременное обращение к врачу и соблюдение всех его рекомендаций — залог успешного лечения и достижения ремиссии и выздоровления.
Мы рассмотрели болезнь экзема. Фото, симптомы и лечение у взрослых помогли определиться? А вы наблюдали такое? Оставьте свое мнение или отзыв для всех на форуме.
Экзема на ногах доставляет заболевшему немало страданий. Причем, если в случаях болезни рук и лица, на которые окружающие обращают внимание, врача очень тревожит психосоматика (влияние психологических факторов на течение болезни), то воспаление на ногах (никому не бросающееся в глаза) причиняет заболевшему в основном физическую боль — в особо тяжелых ситуациях пациент буквально не может из-за нее ходить.
Рекомендуем ознакомиться с прошлой статьей, где мы рассказывали о том, что такое экзема и является ли она заразной – тут.
Причины появления
Экзема чаще всего поражает бедро, голень, колени, часть стопы возле пальцев и сами пальцы ног. Толчком к началу заболевания являются следующие факторы:
- наличие у человека (в прошлом или настоящем) аллергических либо кожных болезней;
- наследственная предрасположенность к заболеванию (если среди близких родственников экзема была у 1-го человека, риск заболеть составляет 30%, если у 2-х – 50%);
- наличие долго не заживающих ран, полученных в результате травмы или какой-либо болезни;
- ожоги на коже (в том числе химические);
- заражение организма глистами, продукты жизнедеятельности которых попадают в кровь и вызывают бурную иммунную реакцию на токсины;
- заболевания желудочно-кишечного тракта и печени (дисбактериоз, холецистит, гепатит);
- неграмотно организованное питание, вызвавшее у человека дефицит необходимых микроэлементов и витаминов группы B;
- использование в быту и на работе различных агрессивных химических веществ.
Виды и стадии и их симптомы
Существует несколько видов экземы, отличающихся своей симптоматикой.
Простая экзема (идиопатическая)
У этого вида болезни, как правило, аллергическая природа и две стадии развития – мокнущая и сухая экзема (ей посвящена отдельная подробная статья).
зуд — появляется в самом начале болезни и буквально выбивает человека из привычной жизни;
- жжение – результат раздражения нервных окончаний;
- сыпь красноватого цвета;
- папулезная сыпь – появление пузырьков, которые, вскрываясь самостоятельно, оставляют после себя мокнущие язвы;
- шелушение – начинается после того, как язвы заживут;
- трещины – вызывают очень болезненные ощущения, даже будучи совсем неглубокими;
- бессонница – полноценного сна не получается из-за постоянного зуда и жжения.
Места локализации воспалений: подошвы, пятки, ягодицы, бедра.
Инфекционная (микробная)
Это заболевание вызывают стрептококки, золотистый стафилококк. Инфекционная экзема поражает кожу в районе пролежней, ран. Угрозу для здоровья в этом случае представляют гнойная инфекция и сепсис.
- сильные боли;
- зуд;
- образование трещин;
- гиперемия (покраснение) кожи;
- папулы с гнойным содержимым.
При лечении этого заболевания почти всегда используются антибиотики.
О том, с чего начинается болезнь и как лечить стрептодермию у взрослых мы рассказывали в данном материале.
Подробно о стрептококковом импетиго, а также других видах заболевания читайте по ссылке.
Грибковая
Возбудитель этого заболевания – грибки из рода Кандида. Его симптомы:
- боль в местах заражения;
- зуд и жжение;
- появление сыпи;
- трещины на кожных покровах;
- беловатый налет там, где имеются повреждения кожи.
Дисгидротическая форма
Болезнь локализуется на подошвах и стопах. Симптоматика не так ярко выражена, как в предыдущих случаях, иногда болезнь даже путают с грибком стопы. Задача медиков в этом случае — быстро провести необходимую диагностику и начать правильное лечение.
Особенность этой формы экземы в том, что больного не так сильно мучают жжение и зуд, а сыпь практически не видна .
Варикозная
Венозная, или варикозная экзема, как следует из названия болезни, поражает кожу ног пациента, имеющего проблемы с венами. Кровоснабжение в этом случае бывает нарушено, и даже ткани, окружающие сосуды, меняют свое строение из-за происходящего распада гемоглобина и накапливания продуктов окисления железа. Кожа выглядит более темной, чем обычно, ощущается зуд. Могут появиться ранки, поскольку эпидермис при этом диагнозе не настолько устойчив к различным повреждениям, как обычно.
Чаще всего заболевание охватывает голени – те части ног, куда кислород поступает в ограниченном количестве, и проявляет себя следующими симптомами:
- кожа сильно чешется;
- кожа становится утолщенной и покрывается мелкими пузырьками (в дальнейшем они лопнут, им на смену придут язвы и затем – сухие корочки);
- появляются отеки;
- цвет кожных покровов становится малиново-красным или даже фиолетовым.
Помимо основных форм экземы существуют также себорейная (поражает подколенную область), тилотическая (на пятках), монетовидная (очаги воспаления имеют округлую форму), профессиональная (эпидермис повреждается при несоблюдении техники безопасности на вредных производствах), детская (экзема различных форм, диагностируемая у ребенка – младенца или подростка).
Экзема разных форм (не считая варикозную) развивается практически по одному сценарию, состоящему из 4-х стадий:
- Эритематозная, симптомы – зуд, боль, покраснение эпидермиса.
- Папулезная – образование пузырьков с жидким содержимым.
- Экзема мокнущая (мокрая) – вскрывшиеся папулы, открытые ранки.
- Экзема сухая – жесткая, ороговевшая кожа, образование трещин, отслаивание чешуек.
Существует также классификация, согласно которой стадии болезни характеризуются как:
- острая (может длиться до 2-х месяцев);
- подострая (до 0,5 года);
- хроническая (неопределенное по продолжительности время, в течение которого происходят рецидивы и ремиссии).
Фото экземы на ногах на начальной стадии
Диагностика
Чтобы поставить диагноз, врач проводит визуальный осмотр пациента и назначает лабораторные анализы: кала – на наличие яиц гельминтов, а также кожные пробы – на различные аллергены.
Помимо дерматолога в диагностике участвуют невропатолог, аллерголог, эндокринолог, гастроэнтеролог.
Чем лечить экзему на ногах: стопах, пальцах, коленях
К лечению экземы на ногах врачи подходят комплексно – используют различные лекарственные препараты, физио- и диетотерапию.
Медикаментозное лечение
- антигистаминные препараты (Перитол, Зиртек, Эриус), с помощью которых устраняются зуд, отечность;
- энтеросорбенты (Полисорб, Энтеросгель), задача которых очистить организм от вредных продуктов, провести детоксикацию;
- антибиотики, при наличии микробной инфекции;
- успокоительные препараты (настойки валерианы, пустырника, Персен) для приведения в нормальное состояние нервной системы пациента;
- иммуномодуляторы;
слабительные и мочегонные средства для скорейшего освобождения организма от аллергенов;
- лекарство, восстанавливающее микрофлору кишечника (Линекс, Мезим);
- кортикостероидные препараты при сложном течении заболевания;
- витаминные комплексы в качестве общеукрепляющего средства.
Важную роль в лечении экземы на ногах играют наружные средства: мази и кремы (о них подробно можно прочитать в данной статье). Необходимые назначения, в зависимости от формы заболевания, делает врач.
Из гормональных мазей могут быть рекомендованы:
- Преднизолон (курсом не более 2-х недель, поскольку этот препарат вызывает довольно быстрое привыкание и чреват снижением иммунитета пациента);
- Гидрокортизоновая мазь (одно из самых эффективных средств при условии обработки воспалений 2-3 раза за день); от чего еще помогает и для чего применяется мазь Гидрокортизон читайте здесь;
- Содерм (помогает избавиться от боли и жжения, имеет побочные эффекты, поэтому не может быть рекомендован всем пациентам).
Негормональные препараты (их обычно применяют на начальной стадии заболевания и при незначительной зоне воспаления):
- Ауробин (восстанавливает поврежденные кожные покровы);
- Дермасан (лечит открытые язвы);
- Скин-кап (практически не имеет побочных эффектов, используется при инфекционных формах заболевания).
Раздражения на коже хорошо снимают такие традиционные мази, как цинковая, нафталановая, дегтярная. При наличии грибкового заражения используются индивидуально подобранные врачом для конкретного пациента антимикотические препараты.
Если заболеванием поражены ногти, больному назначаются препараты железа для их укрепления и компрессы, в составе которых могут быть синтомициновая эмульсия, 2-процентный тинол, Хризаробин, 5-процентная гелиомициновая мазь. С помощью этих средств восстанавливается пластина ногтя.
Физиотерапия
Снять болезненные симптомы экземы, остановить воспаление помогают физиопроцедуры, среди которых:
- электрофорез с использованием антигистаминных препаратов;
- магнитотерапия;
- ультразвук;
- электростатический душ (по-научному – франклинизация) в качестве успокаивающего средства;
- электросон;
- криотерапия для обезболивания;
- аппликации парафина, которые помогают нормализовать кровообращение;
- лазеротерапия, с помощью которой можно полностью устранить дефекты кожи на завершающих этапах лечения.
Диетотерапия
Как и при любых других видах экземы (на руках, лице), больному необходимо пересмотреть свой рацион. Диета должна исключить продукты, вызывающие аллергическую реакцию. Кроме того, надо придерживаться следующих правил:
- питаться 5-6 раз в день, при этом порции должны быть небольшими;
- выпивать больше жидкости (простой и минеральной воды, соков) – как минимум 2 л в день;
- блюда варить или запекать, не жарить;
- не пользоваться услугами фастфуда;
- устраивать разгрузочные дни.
С причинами, симптомами, самыми эффективными методами лечения, а также с фото рожи на ноге можно ознакомиться по этой ссылке.
Информацию о том, какими средствами следует лечить чирей на глазу найдете здесь.
Лечение народными средствами
В домашних условиях экзему на ногах лечат веками проверенными народными средствами. Вот несколько рецептов наружных лекарств:
- Компресс из картофеля . Для него понадобится полстакана натертого на терке свежего картофеля и 1 ч.л. меда. Ингредиенты тщательно перемешивают, смесь прикладывают к местам воспаления и прибинтовывают. Спустя 2 часа компресс убирают.
- Компресс из моркови . 2-3 корнеплода натирают на терке, отжимают лишний сок и накладывают массу на воспаленную кожу. Компресс держат 3 часа.
- Аппликации с календулой . Их готовят из сухих измельченных цветов (30 г), сока хрена и яблочного уксуса (того и другого – по 1 ст.л.). Перед тем как смешивать ингредиенты, цветы нужно распарить. На воспаленную кожу аппликации накладывают на 1 час.
Мазь с чесноком . Ее можно использовать при сильном шелушении кожи и наличии корочек. 3-4 головки чеснока чистят от шелухи, пропускают через пресс, добавляют к полученной массе жидкий мед (около 50 г), чтобы получить смесь консистенцией, как у густой сметаны. Пользоваться мазью надо ежедневно.
- Растительная смесь . Если нижние конечности инфицированы сухой экземой, поможет смазывание их смесью из мелко порубленных листьев смородины (черной) и свежих ягод калины (ингредиентов следует взять поровну), которые надо хорошенько растереть.
- Мазь с чистотелом . В ней 3 компонента – измельченный чистотел (2 части), вазелин и ланолин (по 1 части). Смазывать мазью пораженные участки кожи можно 4 раза в день, между процедурами мазь должна храниться в холодильнике.
- Сосновое масло — эффективное средство для быстрого заживления трещин, устранения сухости. Оно может использоваться и как профилактическое в периоды ремиссии. Масло готовят из измельченных сосновых игл (ветки собирают в марте), заполнив ими половину 3-литровой банки. Оставшееся место в ней займет растительное масло. После этого банку убирают в темное место. Средство будет готово к использованию через 2-3 недели.
В лечении экземы очень полезны отвары, которые принимают внутрь (например, из коры крушины, корней одуванчика и цикория, плодов фенхеля, других растительных компонентов).
Воспаленной коже полезно также кукурузное масло, которое принимают по 1 ст.л. утром и вечером, запивая водой, в которую добавлены мед и яблочный уксус.
Возможные последствия
Экзема, поразившая ступни, может спровоцировать их гнойное воспаление. Если это произойдет, на коже появляются пузырьки, наполненные жидкостью, у больного резко поднимается температура. Подошвы ног сильно зудят, ходить пациент не может. В этом случае ему необходима госпитализация.
Особенно опасна эритродермия – состояние, при котором воспаление охватывает почти всю кожу больного. И в этом случае без госпитализации не обойтись, так как осложнения подобного рода без квалифицированной медицинской помощи могут вызвать сепсис и некроз тканей.
Профилактика
Чтобы избежать распространения экземы на другие участки тела, а при хроническом течении болезни обезопасить себя от рецидивов, необходимо:
- исключить из меню продукты, провоцирующие обострение;
- беречь свою нервную систему;
- обувь выбирать из натуральных материалов (в ней кожа будет дышать);
- для ухода за ногами и телом пользоваться только гипоаллергенными средствами;
- поддерживать в квартире оптимальную влажность.
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