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Zapalenie mieszków włosowych – objawy i leczenie

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Do zapalenia mieszków włosowych najczęściej dochodzi wskutek zakażenia bakteriami, rzadziej wirusami czy grzybami. Na tę dolegliwość szczególnie narażone są osoby o osłabionej odporności, chorujące na cukrzycę i AIDS.

Stan zapalny mieszków włosowych zwykle rozwija się na częściach ciała poddawanych depilacji i w miejscach, o które regularnie ociera się ubranie: na twarzy, pod pachami i w okolicach miejsc intymnych. Oprócz chorób obniżających odporność czynnikami zwiększającymi ryzyko zapalenia mieszków włosowych są nadwaga i nadmierna potliwość.

Objawy zapalenia mieszków włosowych

Pierwszym objawem zapalenia mieszków włosowych jest zaczerwienienie skóry. Następnie na szczycie zainfekowanego mieszka pojawia się niewielka żółta krosta, którą otacza rumieniowata obwódka. Krosta zazwyczaj jest przebita włosem. Wykwity skórne mogą być wypełnione treścią ropną lub surowiczą. Krosty często występują pojedynczo, ale zakażenie może objąć także okoliczne mieszki. W przypadku głębokiego zakażenia zmiany są bolesne w dotyku i pojawia się uporczywy świąd.

Rozdrapanie swędzących krost czy próba ich wyciskania prowadzą do rozprzestrzenienia się stanu zapalnego. W przypadku figówki, czyli przewlekłego ropnego zapalenia mieszków włosowych, zmiany po ustąpieniu mogą pozostawić blizny.

Jeżeli zmiany skórne są rozległe, mogą im towarzyszyć objawy ogólne, takie jak gorączka czy zmęczenie.

Leczenie zapalenia mieszków włosowych

W leczeniu zapalenia mieszków włosowych kluczowe jest regularne odkażanie objętego zmianami miejsca. Powinno się je przemywać kilka razy dziennie. Do tego celu można użyć spirytusu salicylowego lub innego preparatu antyseptycznego. Na zapalenie mieszka włosowego nie powinno się stosować maści i kremów na bazie wazeliny. Tego typu środki zatykają pory, co wydłuża proces gojenia. Można natomiast użyć nawilżających maści z mocznikiem. Na czas leczenia powinno się zrezygnować z obcisłych ubrań, by nie podrażniać zmian skórnych.

Jeżeli po upływie kilku dni stan zapalny nie ustąpi, należy zgłosić się do dermatologa. Nieleczone zapalenie mieszka włosowego może skutkować powstaniem czyraka. Lekarz na zapalenie o podłożu bakteryjnym może zapisać miejscowe antybiotyki. Jeżeli zmiany skórne są rozległe, może zostać wdrożona antybiotykoterapia ogólna. Pełne wyleczenie figówki może potrwać kilka miesięcy.

Źródła: „Chirurgia”, red. W. Noszczyk, t. 1, Warszawa 2005, str. 202.

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