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Perawatan pityriasis rosea

Oleh Dr Ananya Mandal, MD

Pityriasis rosea adalah suatu kondisi kulit yang mewujudkan dengan lesi secara luas didistribusikan kulit yang merah, bersisik dan sering gatal. Kondisi ini biasanya mempengaruhi orang-orang antara usia 10 dan 40 tahun dan sedikit lebih umum di kalangan perempuan daripada laki-laki.

Dalam kebanyakan orang kondisi menyelesaikan dengan sendirinya dalam 4-8 minggu atau pada sebagian besar dua belas minggu atau tiga bulan waktu dan tidak ada pengobatan khusus yang diperlukan. Perawatan ini terutama ditujukan untuk meredakan gejala seperti gatal atau benar sekunder infeksi bakteri atau komplikasi lainnya. 1-7

Perawatan pityriasis rosea termasuk pelembab kulit atau emollients, krim yang mengandung kortikosteron dan sebagainya.

Pelembab kulit atau emollients

Ini adalah krim kulit yang ditargetkan untuk melembabkan atau menenangkan kulit atas lesi. Ini mengarah ke bantuan dari gatal. Ini tersedia sebagai salep, lotion juga.

Pada beberapa orang sabun dengan pelembab mungkin juga diresepkan. Sabun biasa menyebabkan iritasi dan menguras lapisan minyak atas kulit karena kekerasan mereka. Pasien mungkin dianjurkan untuk menghindari sabun ini dan menggunakan sabun dengan pelembab lebih tinggi atau konten yg melunakkan. Ini dapat diterapkan sebagai sering yang diperlukan untuk meringankan gatal dan mencegah kekeringan kulit.

Pelembab atau yg melunakkan harus diterapkan dengan lembut ke arah pertumbuhan rambut dan menggosok kuat harus dihindari.

Krim yang mengandung Kortikosteron

Obat-obat ini ditujukan untuk mengurangi peradangan atas lesi. Ini perlu diresepkan oleh dokter untuk kebanyakan orang. Kortikosteron diresepkan jika emollients gagal untuk menunjukkan keberhasilan. Ini adalah dasarnya bentuk sintetis hormon yang diproduksi oleh kelenjar adrenal dalam tubuh manusia. Mereka bertindak dengan mengurangi gatal yang disebabkan oleh kemerahan dan peradangan.

Krim yang harus diterapkan ringan pada daerah yang terkena kulit sekali atau dua kali sehari. Krim steroid yang tidak diresepkan untuk lebih dari seminggu dan biasanya dosis sedang dianjurkan. Hal ini karena mereka dapat mengakibatkan komplikasi seperti melebar peradangan jika berhenti tiba-tiba. Selain itu beberapa orang akan mengalami sedikit pembakaran atau sensasi menyengat ketika mereka pertama kali menerapkan obat. Ini biasanya efek samping sementara dan pergi jauh dengan waktu.

Antihistamin mengandung pil

Ini adalah obat anti-allergy yang dapat meringankan gatal. Obat-obatan yang paling umum dari kelas ini adalah Hydroxyzine atau chlorphenamine.

Antihistamin generasi pertama seperti chlorphenamine menyebabkan sedation dan mengantuk dan digunakan sebelumnya untuk alergi. Ini dapat membantu dalam pityriasis rosea karena mereka membantu pasien tidur lebih baik. Namun, pasien dianjurkan untuk tidak mengemudi atau mengoperasikan mesin-mesin berat saat menggunakan obat ini. Agen-agen baru biasanya tidak menyebabkan sedation tapi menghilangkan gatal.

Terapi cahaya ultraungu b

Jika pasien tidak menanggapi terapi umum mereka mungkin dianjurkan untuk terapi cahaya UV B. Ini melibatkan dikontrol mengekspos kulit terkena selama beberapa menit interval teratur untuk sinar UV B di bawah pengawasan seorang dokter kulit atau spesialis kulit. Paparan sinar matahari alam juga dapat berguna tapi matahari luka bakar harus dihindari dan paparan sinar matahari dapat juga menyebabkan risiko yang lebih tinggi dari kanker kulit.

Obat lain untuk pityriasis rosea

Obat lain yang mungkin mencoba termasuk acyclovir yang adalah obat antivirus yang dapat digunakan untuk herpes infeksi. Terdapat bukti terbatas bahwa acyclovir sangat berguna dalam pityriasis rosea dan Selain itu bermanfaat hanya jika itu diambil selama minggu pertama dari kondisi.

Orang-orang yang mengembangkan infeksi bakteri sekunder selama lesi juga perlu antibiotik untuk mengobati infeksi.

Penghindaran faktor yang memperburuk kondisi

Pasien yang dianjurkan untuk menghindari apa pun yang memperburuk kondisi mereka. Ini termasuk panas mandi, aktivitas fisik yang mengarah ke berkeringat dll.

Ditinjau oleh , BA Hons (Cantab)

Bacaan lebih lanjut

Sumber-sumber

  1. http://www.NHS.uk/conditions/Pityriasis-rosea/Pages/Treatment.aspx
  2. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001874/
  3. http://www.BBC.co.uk/Health/physical_health/conditions/pityriasisrosea.shtml
  4. http://www.Patient.co.uk/Doctor/Pityriasis-Rosea.htm
  5. http://uhs.Berkeley.edu/Home/healthtopics/PDF%20Handouts/Pityriasis%20Rosea.PDF
  6. http://Evans.amedd.Army.mil/peds/PDF/pityros.PDF
  7. http://www.insted.in/eJournal/review23.PDF

Last Updated: Sep 6, 2012

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Comments
  1. Kreyon Divinity Kreyon Divinity United States says:

    MY PITYRIASIS ROSEA STORY!!!!

    So most of the stories I've read in these forums are usually vague and don't really give people the answers and hope they need. Let me tell you my "PITY" story in hopes that it will lift your spirits and help you through this....
    AHEm..this is the story of my pityriasis rosea outbreak and healing...lol

    I am 25 years old and african american
    So one day I was driving and my friend looked at my arm and said i was breaking out. I looked at ny arm and say a couple of bumps, i simply thought they were heat bumps and brushed them off.. later that day i went home and not thinking i looked at my arm and saw it was covered in many many small bumps...i have no allergies and have never had a reaction to anything. The bumps were not itchy at all and i live in florida and I'm constantly in the sun so again i thought it was a simple heat rash, so i tried to stay inside out of the sun. The next morning I woke up and not only were there more bumps, I saw they had spread to my other arm, This is the point when I started to panic, I began to think about all the things iI had done and the only different thing i could think of was the fact I had eaten peanuts from a spanish women the day before so I thought I may have been allergic or something, But hell I've eaten peanuts all my life so I know that wasn't the issue. So like every one else I took it to the web, I ruled out any STD'd because I practice safe sex, and I haven't been active for a month (BY CHOICE lol)
    I couldn't find anything that matched my symptoms....days went by and the bumps now covered my chest, my back, my neck, shoulders, and neck, eventually they would cover my face. By this point it had been 4 days, and these tiny bumps covered my body except my hands and my feet. Day 5 I happened to get in a car accident and found myself in a hospital, the nurses took off my shirt and were confused and amazed by the rash that covered my body, the doctor asked me a few questions and explained to me that I had something called Pityriasis Rosea, I WAS RELIEVED TO FIND OUT THIS MAN KNEW WHAT THIS WAS!....until he told me there was no cure, and I thought I would catch a heart attack, WHERE DID IT COME FROM?!? was my first question, but then he tells me HES not sure of the cause...No Cause...No cure....you could imagine what I was thinking. He simply smiled and said I had absolutely nothing to worry about as it would go away In a few weeks. Now Im a good looking young man...and when he told me I would look like this for weeks i almost threw my phone away as my social life had died.
           A week had gone by and these bumps had now become Raised Skin colored Patches all over, Whe  i took my clothes off, I SAW THE CHRISTMAS TREE PATTERN all over my chest and back, by this point it started to Itch like CRAZY..THIS WAS THE WORST ITCH IMAGINABLE, It was one time were every point on my body itched at the same time and I could only choose to scratch two places...I wanted to cry. I went to the store and got some **YES TO COCONUT WIPES**, **BENEDRYL**,**HEMP LOTION**,**ORGANIC MINT BODY WASH**. I immediately took a shower and used the MINYT BODY WASH, and immediately felt relief, It was as if a cool feeling covered my body, I got out of the shower, and took some benedryl, for the first time i was able to relax. It wasn't until night time that again I had an itching episode, I used the coconut wipes, and again I was relieved..I was amazed the coconut wipes worked so well, I grabbed them randomly looking for moisturisers but yet these worked better than anything else. Morning I put on the Hemp lotion with seemed to keep the patches calm, and whenever i started itching i used the coconut wipes..I found relief using these for the next few days..

    days later all the patches seemed to get flat and now my skin looked very...scaly? and dry? if that made since. I didn't care...I was just glad the bumps were gone, but now I had this to deal with..Ithe patches seemed to get flaky and just rub off. So i thought i had begun healing...unitl the itching started again..The coconut wipes didn't seem to work on this phase but the hemp seemed to keep my skin moist whenever I was drying out.
       I was now 2 weeks into the rash and now my skin seemed to get dry and flaky where ever the bumps were...I was shedding everywhere...and itching. My friend told me about how his mom used to get flaky skin when she was doing cancer treatments. So i talked to her and she told me she used **Cocobutter Petroleum Jelly** **Jergens Shea Butter Deep conditioning moisturisers** **Lotion with Aloe extract** and **aquaphor healing ointment** and i was to apply the all in that order. I put them on and for the first time since I had this god forsaken rash...My skin Felt Normal, I could see that where my skin was peeling there was light patches, It was like the darker layer of my skin was peeling off revealing a new lighter layer. Days went by and the itch became less, but I was flaking more and more, my skin looked rough and even when i scratched my head flakes began falling out, I then went and got **HEAD AND SHOULDERS SHAMPOO AND CONDITIONER**, after about 3 times the flakes on my hair began to stop. I said hell why not, I used the head and shoulders shampoo and conditioner as body wash. After about three showers, and the application of the lotions, my skin began to look like its original texture, but i still had the light patches everywhere. at first I was scared to go back out in the sun because i thought thats what started this whole mess. But my skin tone began to even out the more time i spent in the sun. The itching became less and less, AND ONLY ITCHED IF I THOUGHT ABOUT IT.
       3 Weeks in the flakes were now non existant, you could barely notice the light patches, the first part to completely clear up was my face, and I COULDN'T stop smiling. Although my skin would get dry from time to time. I was still showering with the head and shoulders and applying all four lotions. The next week all the light spots were gone, I wasn't flaking but my skin was only getting a little dry but It was completely back to the way it was before this rash started.

    4 WEEKS PEOPLE!!! IT DOES GET BETTER I SWEAR!!!!!!!!!!!!!!!!!!!
    Heres a list of all the things i used:
    First stage (Bumps, patches, and Itching)
    Weeks 1-2
    -Say yes to coconut wipes
    -Hemp Lotion
    -Benedryl

    2nd Stage(Dry, Flaking, and Itching)
    Weeks 2-4
    -Cocobutter Petrolium Jelly
    -Jergens shae butter drep conditiong moisturiser
    -Aloe vera lotion
    -Aquaphor healing ointment

    Total: $34.76 cvs

    I HOPE THIS HELPS!! THIS WAS THE WORST!!!!

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News-Medical.Net.
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