A recent patient sat down and said, "I always itch in the middle of the night and can't figure out the condition, especially the wrist and scrotum." ”
I got up to check it out and found that he had needle-sized papules, papules, and blisters in a symmetrical distribution, reddened skin around the rash, and gray-white lines at the finger slits. I have a number in my mind.
He asked him again, "Do people in the family have itching symptoms?" ”
"My wife can't sleep lately, so she scratches with me!" Now I can be diagnosed.
"You have scabies!" Scabies mites in the skin! I told him to go back and boil his clothes and bedding in boiling water to disinfect them or expose them to the sun to kill the scabies mites and the eggs on them.
And when applying the drug, it should be applied from the neck to the feet, and the skin folds, around the anus, the edge of the nail and the skin fold at the base of the nail are not missed. Do not bathe or change clothes during the medication, and then take a bath after the treatment is over.
Scabies is listed by the World Health Organization as one of the transmitted diseases, it is a skin disease caused by human infection with scabies (human scabies mite), is a contact infectious disease, scabies nodules are a special manifestation of scabies, most of the damage occurs at the same time as scabies.
How is scabies caused?
1. Direct contact transmission: In general, most scabies patients are infected through sexual contact, so that the pathogen is exposed to infection.
2, indirect contact transmission: scabies is a communication is a strong disease, in life, there are many people with scabies, because of poor life hygiene habits caused. In general, daily necessities, such as underwear, towels, bathtubs, may be tools for the transmission of scabies virus.
3. Low autoimmunity: Friends who do not have scabies at the beginning come into contact with the secretions of scabies patients or contaminated utensils such as foot cloth foot basins, cloth quilts, and even toilet seats in toilets in daily life, which can be infected. Therefore, patients are asked to pay special attention in their daily lives so as not to cause some unnecessary trouble.
How to treat quickly?
Below the neck of the whole body external sulphur ointment, there are lesions of the site of more rubbing, do not bathe during treatment to make the effect lasting, pay attention to clothing is disinfected, clothing, underwear boiling disinfection, such as family co-disease should be treated at the same time. The treatment cycle of scabies generally takes 7 to 10 days, pay attention to the medication method and disinfection is completely curable!
Commonly used anti-scabies topical drugs:
(1) 10% sulfur (children 5% sulfur), 3% salicylic acid ointment.
(2) 1% γ-666 emulsion or ointment, pay attention to neurotoxicity.
(3) 10% ~ 25% benzyl benzoate lotion or emulsion.
(4) Extinguish the cream for external use.
(5) 40% sodium thiosulfate solution and 4% dilute hydrochloric acid solution are first coated with the former twice, and then applied twice after drying. Use once a day in the morning and once in the evening for 3 to 4 days.
(6) 10% crometone emulsion or liniment is applied once a day in the morning and once in the evening, and used for 3 days.
After treatment with the above topical drugs, it should be observed for 2 weeks, and if no new skin lesions appear, it can be considered cured. Because scabies eggs do not develop into adults until 7-10 days later. If there is no new rash and itching after healing, compound calamine lotion can be applied externally.
Who is at higher risk of scabies?
1. Sexually active adults;
2. Prisoners of prisons;
3. People living in crowded environments;
4. People and nursing personnel living in welfare institutions such as welfare homes and nursing homes;
5. People who have been active in kindergartens and other childcare institutions for a long time.
So, how can we prevent scabies?
(1) Pay attention to personal hygiene, for contaminated clothes, sheets, etc. should be washed with boiling water to kill insects, such as those who cannot be ironed, must be placed in the sun for more than 1 week and then used.
(2) Eliminate unclean sexual intercourse. Once someone in the family is infected, other family members should also be treated at the same time to be eradicated.
(3) Take a bath frequently and pay attention to changing bed sheets. Cats and dogs can also parasitize scabies, and if you have frequent contact with cats and dogs, you must be careful to guard against them.
(4) The care of scabies should first be cleaned in time, especially for clothes, bedding and daily necessities that may be contaminated; secondly, excessive scratching should be avoided, nails should be cut in time to prevent infection with abscess by scratching, and wiping, bathing and changing clothes should be timely.
(5) Once scabies is found in the collective unit or family, it is necessary to isolate as soon as possible and give active treatment to prevent the infection of the disease.
The number of scabies infections is now increasing, and more people are at risk of infection. Therefore, each of us should raise awareness of disease prevention and strengthen the prevention of disease. If unfortunately infected with a disease, patients must pay attention to the treatment of the disease and actively seek effective treatment.