‫)وﻗﻞ رﺑﻲ زدﻧﻲ ﻋﻠﻤﺎ(‬

‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬

‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ(‬

‫‪Chapter‬‬
‫‪Dermatology‬‬
‫‪One‬‬

‫اﻟﻤﺴﺆول ﻋﻦ اﻟﻜﻮرس‪:‬‬
‫اﻟﺼﻴﺪﻻﻧﻴﺔ ﻓﺎﻃﻤﺔ اﻟﻤﻮﺳﻮي‬
‫‪INSTAGRAM:‬‬ ‫اﻟﺼﻴﺪﻻﻧﻴﺔ ﻣﻨﺎر اﻟﺨﻔﺎﺟﻲ‬
‫‪@Laya.lcare‬‬

‫‪TELEGRAM:‬‬
‫‪t.me/layaltraining‬‬
 ‫‪Chapter‬‬
‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬
‫‪Dermatology‬‬ ‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ(‬
‫‪One‬‬

‫‪Eczema‬‬
‫ﻋﺒﺎرة ﻋﻦ اﻟﺘﻬﺎب ﻳﺼﻴﺮ ﺑﺎﻟﺠﻠﺪ‬

‫ﺗﻼﺣﻆ وﺟﻮد ﻗﺸﺮة ع اﻟﺠﻠﺪ واﻟﺠﻠﺪ ﺟﺎف‬

‫ﻻﺣﻈﻮﻟﻲ اﻫﻢ ﺷﻲ ﺟﺎف‬
‫ﻟﺬﻟﻚ اﻟﺘﺮﻃﻴﺐ ﻛﻠﺶ ﻣﻬﻢ ﻟﻜﻞ اﻻﺷﺨﺎص‬

‫ﻳﻌﻨﻲ ﺣﺘﻰ ﻟﻮ ﻣﺎﻋﻨﺪه اﻛﺰﻳﻤﺎ ﻻزم ﻳﺮﻃﺐ ﺑﺎﺳﺘﻤﺮار ﻻن اﻟﺠﻔﺎف ﻋﺎﻣﻞ ﻣﻬﻢ‬
‫ﺑﺎﻻﺻﺎﺑﺔ ﺑﺎﻻﻛﺰﻳﻤﺎ‬
‫واﻳﻀﺎ ﺣﻜﻪ ﻗﻮﻳﻪ واﺣﻤﺮار‬

‫وﺑﻌﺾ اﻟﺤﺎﻻت ﺗﺮاﻓﻘﻬﺎ ﺣﺮﻗﺔ واﻟﻢ وﺗﻈﻬﺮ ع ﺷﻜﻞ ﺑﺜﺮ‪ ,‬ﻣﻤﻜﻦ اﻛﻮ اﻧﺘﻔﺎخ‪.‬‬

‫اﻻﺳﺒﺎب‪:‬‬

‫اﻟﺴﺒﺐ اﻟﺪﻗﻴﻖ ﻟﻼﮔﺰﻳﻤﺎ ﻏﻴﺮ ﻣﻌﺮوف‬

‫ﻟﻜﻦ ﻳﻌﺘﻘﺪ اﻻﻃﺒﺎء ان ﻫﻮ ﻣﺰﻳﺞ ﻣﻦ اﻟﻌﻮاﻣﻞ اﻟﻮراﺛﻴﺔ واﻟﺒﻴﺌﻴﺔ‬

‫اﻟﻮراﺛﻴﺔ ‪:‬ﻗﺪ ﻳﻜﻮن ﻋﻨﺪﻫﻢ ﺧﻠﻞ ﻓﻲ اﻟﺠﻴﻦ اﻟﻤﺴﺆول ﻋﻦ ﺗﻜﻮﻳﻦ اﻟﺒﺮوﺗﻴﻦ‬

‫اﻟﻤﺴﺆول ﻋﻦ ﺑﻨﺎء ﻃﺒﻘﺔ ﺣﺎﻣﻴﺔ ﻟﻠﺠﻠﺪ‬

‫اﻟﺒﻴﺌﻴﺔ ‪ :‬ﻗﺪ ﺗﺤﺪت ﻧﺘﻴﺠﺔ ﻻﺻﺎﺑﺔ ﻓﻄﺮﻳﺔ او اﻟﺘﻌﺮض ﻟﺸﻲء ﻣﻤﻜﻦ ﻳﻬﻴﺞ‬
‫اﻟﺒﺸﺮة واﻟﺠﻠﺪ ﻟﻬﺬا اﻟﺤﺪ‬
‫ﻳﻌﻨﻲ ﻳﺼﻴﺮ ﻧﺘﻴﺠﺔ رد ﻓﻌﻞ ﻣﻨﺎﻋﻲ‬

‫‪@layaltraining‬‬
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 ‫‪Chapter‬‬
‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬
‫‪Dermatology‬‬ ‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ(‬
‫‪One‬‬

‫ﻣﻜﺎن اﻻﺻﺎﺑﺔ‪:‬‬

‫ﺗﺤﺪث ﺑﺎﻣﺎﻛﻦ ﻣﺨﺘﻠﻔﺔ ﺑﺎﻟﺠﺴﻢ ‪:‬‬

‫اﻟﺮﻗﺒﺔ واﻻﻳﺪي )ﺧﺎﺻﺔ اﻟﻠﻲ ﻳﺴﺘﻌﻤﻠﻮن اﻟﻤﻨﻈﻔﺎت ﺑﻜﺜﺮة واﻻﺷﺨﺎص اﻟﻠﻲ‬
‫ﻳﺸﺘﻐﻠﻮن ﺑﻤﻮاد اﻟﻜﻴﻤﻴﺎوﻳﺔ ( وﻛﺬﻟﻚ ﻋﲆ اﻷﺻﺎﺑﻊ‪.‬‬

‫ﺗﻌﺎﻟﻮا ﻧﻜﺘﺐ ﻫﺎﻟﻤﻼﺣﻈﺔ ﺳﻮه‬

‫ﻣﻦ ﻋﻼﻣﺎت اﻻﻛﺰﻳﻤﺎ ‪:‬‬

‫اﻟﺠﻠﺪ ﺟﺎف وﻣﺘﻘﺸﺮ وﺣﻜﺔ ﻗﻮﻳﺔ واﺣﻤﺮار وﻣﻤﻜﻦ اﻛﻮ ﺧﺮاج‬
‫اﻟﺠﻔﺎف ﻫﻮ ﻋﺎﻣﻞ ﻛﻠﺶ ﻣﻬﻢ ﻳﺴﺎﻋﺪ ﻋﲆ اﻻﺻﺎﺑﻪ ﺑﺎﻻﻛﺰﻣﺎ‬

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‫‪Page 7‬‬
 ‫‪Chapter‬‬
‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬
‫‪Dermatology‬‬ ‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ(‬
‫‪One‬‬

‫اﻗﺴﺎم اﻻﻛﺰﻣﺎ‬
‫ﻧﻘﺴﻤﻬﺎ اﱃ ﺛﻼث اﻧﻮاع‪:‬‬

‫‪ .1‬ﺣﺎد ‪:acute‬‬
‫اﺣﻤﺮار وﺣﻜﺔ وﻣﻤﻜﻦ ﻣﺎﻛﻮ ﺣﻜﺔ‬
‫وﺟﻔﺎف وﻗﺸﻮر وﻫﻢ اﻛﻮ ﻗﻴﺢ ﻳﻌﻨﻲ اﻛﻮ اﻟﺘﻬﺎب‬
‫ووﺗﻜﻮن ﻣﻌﺮﺿﻪ ﻟﻼﻟﺘﻬﺎب ﺑﻜﺘﻴﺮي او ﻓﻄﺮي واﻛﻮ اﻧﺘﻔﺎخ‬

‫‪:Sub acute .2‬‬

‫ﻣﺎﻛﻮ اﻧﺘﻔﺎخ‬
‫اﻛﻮ ﺣﻜﻪ ﺧﻔﻴﻔﻪ‬
‫ﻣﺘﻘﺸﺮ ﺑﺴﺒﺐ ﻛﺜﺮة ﺣﻜﺔ ﻟﻠﻤﻨﻄﻘﺔ وﻣﻤﻜﻦ اﻛﻮ ﺟﺮوح‬

‫‪ .3‬ﻣﺰﻣﻦ ‪Chronic‬‬
‫ﻫﻨﺎ ﻋﺒﺎره ﻋﻦ ﺟﻠﺪ ﻳﺎﺑﺲ وﺗﺨﺘﻔﻲ اﻟﻘﺸﻮر‬
‫ﻣﻤﻜﻦ اﻛﻮ ﺣﻜﺔ‬
‫وﻏﺎﻟﺒﺎ ﺑﻴﻬﺎ اﻟﺘﻬﺎﺑﺎت ﺑﻜﺘﻴﺮﻳﺔ‬

‫‪ .4‬اﻛﻮ ﻧﻮع ﻣﻦ اﻻﻛﺰﻳﻤﺎ ﺗﻮﺟﺪ ﻓﻲ اﺳﻔﻞ اﻟﺴﺎق‬

‫ﺗﻜﻮن ﺷﺎﺋﻌﻪ ﻟﻼﺷﺨﺎص اﻟﻌﺪﻫﻢ دواﻟﻲ )اﻟﺪواﻟﻲ ﺣﺎﻟﺔ ﻣﺮﺿﻴﺔ(‬

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 ‫‪Chapter‬‬
‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬
‫‪Dermatology‬‬ ‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ(‬
‫‪One‬‬

‫اﺷﻜﺎل اﻻﻛﺰﻳﻤﺎ ﺗﺒﻌﺎ ﻟﻼﺳﺒﺎب‪:‬‬

‫‪contact dermatitis-1‬‬
‫اﻟﺘﻬﺎب وﺣﺴﺎﺳﻴﺔ ﻓﻲ اﻟﺠﻠﺪ ﻋﻨﺪ اﻟﺘﻌﺮض ﻟﻤﺎدة ﻣﻌﻴﻨﺔ‪..‬‬
‫ﻫﻨﺎ ﻣﻤﻜﻦ ﺣﺘﻰ اﻛﻮ ﺗﻮرم وﺣﺮﻗﻪ وﻃﻔﺢ وﻣﻤﻜﻦ اﻛﻮ ﺑﺜﻮر‬

‫‪Common examples about contact dermatitis‬‬

‫‪Nickel allergy /A‬‬

‫اﻛﺰﻣﺎ او ﺗﺤﺴﺲ ﻓﻲ ﻣﻜﺎن وﺿﻊ اﻟﻤﺠﻮﻫﺮات او ﺳﺎﻋﻪ اﻟﻴﺪ وﻗﺪ ﺗﻈﻬﺮ ﻓﻲ‬
‫وﻗﺖ ﻣﺘﺎﺧﺮ‬

‫‪household cleanser allergy /B‬‬

‫اﻟﺤﺴﺎﺳﻴﺔ ﻣﻦ اﻟﻤﻨﻈﻔﺎت وﻫﺬي ﻣﺸﻬﻮره وﺟﺪا وﺗﺼﻴﺐ رﺑﺎت اﻟﺒﻴﻮت ‪..‬‬
‫وﻳﻼﺣﻆ اﺣﻤﺮار اﻟﺠﻠﺪ وﺗﻘﺸﻴﺮ ﻓﻲ اﻟﻴﺪﻳﻦ ﺑﻌﺪ اﻟﺘﻌﺮض او اﺳﺘﺨﺪام‬
‫اﻟﻤﻨﻈﻔﺎت اﻟﻜﻴﻤﻴﺎﺋﻴﺔ ﻟﻔﺘﺮات ﻃﻮﻳﻠﻪ‪ .‬واﺣﻴﺎﻧﺎ ﻟﻔﺘﺮة ﻗﺼﻴﺮة ‪...‬‬
‫واﻟﺘﻌﺮض ﻻي ﻣﻮاد ﻛﻴﻤﻴﺎﺋﻴﺔ ﻓﻲ اﻟﺸﻐﻞ ﻣﺜﻞ زﻳﺖ اﻟﺴﻴﺎرات او اﻻﺳﻤﻨﺖ‬
‫ﻣﻤﻜﻦ ﻳﻌﻤﻞ ﻧﻔﺲ اﻟﻤﺸﻜﻠﺔ ‪..‬‬

‫‪Repeated licking allergy /C‬‬

‫ﺣﺴﺎﺳﻴﺔ اﻟﺸﻔﺘﻴﻦ ﻟﻼﺷﺨﺎص اﻟﻲ ﻣﺘﻌﻮدﻳﻦ ع ﺗﺮﻃﻴﺐ اﻟﺸﻔﺎﻳﻒ ﺑﺎﻟﻠﺴﺎن‪..‬‬

‫‪deodorant/perfume/ D‬‬
‫ﺣﺴﺎﺳﻴﺔ ﺗﺤﺖ اﻻﺑﻂ ﻣﻜﺎن ﻣﺰﻳﻞ اﻟﻌﺮق ﺟﺪﻳﺪ او ﻣﻜﺎن رش ﺑﻤﻌﻄﺮ ﺟﺪﻳﺪ‪..‬‬

‫‪topical lotion & cosmetics /E‬‬

‫ﺣﺴﺎﺳﻴﺔ ﻣﻜﺎن اي ﻛﺮﻳﻢ او ﻣﺴﺘﺤﻈﺮ ﺟﺪﻳﺪ ﻣﺴﺘﺨﺪم ع اﻟﺠﻠﺪ‪.‬‬

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 ‫‪Chapter‬‬
‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬
‫‪Dermatology‬‬ ‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ(‬
‫‪One‬‬

‫‪:atopic dermatitis-2‬‬
‫ﻫﺬه ﺣﺎﻟﻪ ﻣﻦ ﺿﻌﻒ اﻟﻤﻨﺎﻋﻪ وﺗﻜﻮن ﺷﺎﺋﻌﻪ ﻓﻲ اﻻﻃﻔﺎل وﻳﺼﻴﺮ ﻋﲆ اﻟﺨﺪ‬
‫‪،‬ﻋﲆ اﻟﺮﺟﻞ ‪،‬ﻋﲆ اﻻﻳﺪ وﻋﺎدة ﻣﺎ ﻳﺒﺪأ ﻫﺬا اﻟﻨﻮع ﻣﻦ اﻷﻛﺰﻳﻤﺎ ﻓﻲ اﻟﻄﻔﻮﻟﺔ‬
‫وﺗﺘﻄﻮر اﻻﻋﺮاض ﺷﻮﻛﺖ ؟‬
‫ﻋﻨﺪ اﻟﺘﻌﺮض ﻟﻤﺴﺒﺒﺎت اﻟﺤﺴﺎﺳﻴﺔ او اﻟﺘﻬﻴﺞ‬

‫م‪ /‬ﺷﺎﻳﻔﻴﻦ ﻟﻤﻦ اﻟﺨﺪود ﻣﺎل ﻃﻔﻞ ﺗﻜﻮن ﺣﻤﺮاء ؟‬

‫ﻳﻜﻮن ﻫﺬا اﻟﻨﻮع ﻣﻦ اﻟﺤﺴﺎﺳﻴﺔ ﻏﺎﻟﺒﺎ ﻣﺼﺤﻮب ﺑﺎﻧﻮاع اﺧﺮى ﻣﻦ اﻟﺤﺴﺎﺳﻴﺔ‬
‫او ﺗﺎرﻳﺦ ﻋﺎﺋﻠﻲ ﺑﺎﻟﺤﺴﺎﺳﻴﺔ‪..‬‬

‫ﻳﺰﻳﺪ ﻫﺬا اﻟﻨﻮع ﻣﻦ اﻟﺤﺴﺎﺳﻴﻪ ﻋﻨﺪ ﺗﻨﺎول اﻻﻛﻼت اﻟﻲ ﺑﺘﺴﺒﺐ ﺗﺤﺴﺲ‬
‫وﻳﺘﺤﺴﺲ ﻣﻨﻬﺎ اﻟﻤﺮﻳﺾ‪.‬‬

‫واﻳﻀﺎ اﺳﺘﺨﺪام ﺻﺎﺑﻮﻧﺔ اﻟﺪﻳﺘﻮل اﻛﺜﺮ ﻣﻦ اﻟﺼﻮرة اﻟﻄﺒﻴﻌﻴﺔ راح ﺗﻘﺘﻞ‬

‫اﻟﺒﻜﺘﺮﻳﺎ اﻟﻄﺒﻴﻌﻴﺔ اﻟﻤﻮﺟﻮدة ﺑﺎﻟﺠﻠﺪ وﺗﺴﺒﺒﻠﻲ ﺟﻔﺎف وﺗﺴﺒﺐ اﻛﺰﻳﻤﺎ‬

‫ﻫﺎي ﺣﺎﻟﻪ ﻗﻮﻳﻪ ﺗﺤﺘﺎج ﻋﻼج‬

‫ﻫﺎي ﺣﺎﻟﻪ ﺧﻔﻴﻔﻪ‬

‫ﻧﺴﺘﺨﺪم ﻓﻘﻂ ﻣﺮﻃﺐ‬
‫ﻣﺜﻞ ﺑﻴﺒﺎﻧﺜﻴﻦ‬

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‫‪Page 10‬‬
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‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬
‫‪Dermatology‬‬ ‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ(‬
‫‪One‬‬

‫اﻟﻌﻼج‬
‫ﻻزم اﻟﻌﻼج ﻳﺘﻜﻮن ﻣﻦ‪:‬‬

‫اﻟﻤﺮﻃﺐ‪Emollients :‬‬
‫اﻟﻤﺮﻃﺐ ﻛﻠﺶ ﺿﺮوري ﻻن اﻟﺠﻠﺪ ﻳﺼﻴﺮ ﺟﺎف ﻛﻠﺶ وﻫﻢ اﻟﻤﺮﻃﺐ ﻳﺒﺮد‬
‫اﻟﺠﺴﻢ‬

‫زﻳﻦ ﻳﺎ ﻣﺮﻃﺐ دﻛﺘﻮرة ؟‬

‫ﻋﻴﻮﻧﻲ اﻟﻤﺮﻃﺐ ﺗﮕﺪر ﺗﺴﺘﺨﺪم‬
‫‪1. Vaseline‬‬
‫)‪2. Aqua soft :(GLycerin‬‬
‫‪3. Sudocrem‬‬
‫‪4. Ecurin‬‬
‫‪5. calamine lotion‬‬
‫‪6. Glysolid‬‬
‫‪7. glcerin‬‬

‫ﺣﺎوﻟﻮا ﺗﺒﺘﻌﺪون ﻋﻦ اﺳﺘﺨﺪام اﻟﺒﻴﺒﺎﻧﺜﻴﻦ ك ﻣﺮﻃﺐ ﻻن ﺷﻐﻠﺘﻪ ﻣﺮﻣﻢ‬

‫ﺛﻘﻴﻞ ﻟﻠﺒﺸﺮه ﻣﺎرح ﻳﺴﻮي اﺧﺘﺮاق ﻟﻠﺪواء وﻻ رح ﻳﺮﻃﺐ‬

‫ﻓﺎﺋﺪه اﻟﺒﻴﺒﺎﻧﺜﻴﻦ ﻫﻮ اﻟﺒﺸﺮه اﻟﺠﺎﻓﻪ ﻛﻠﺶ واﻟﻤﺘﻘﺸﺮة راح ﻳﻌﻴﺪ ﺑﻨﺎءﻫﺎ‬

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‫‪Page 11‬‬
 ‫‪Chapter‬‬
‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬
‫‪Dermatology‬‬ ‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ(‬
‫‪One‬‬

‫اﻟﻌﻼج‬

‫‪steroid‬‬
‫ﺣﺘﻰ ﻳﻘﻠﻞ ﻣﻦ اﻟﺘﻬﺎب اﻟﺠﻠﺪ وﻣﻴﺼﻴﺮ ﻧﺴﺘﺨﺪﻣﻪ ﻟﻠﺠﺮح اﻟﻤﻔﺘﻮح او ﺑﻴﻪ‬
‫ﺻﺪﻳﺪ‬
‫ﻣﺜﻼ ﻋﺪﻧﺎ‬
‫‪1. Hydrocortisone‬‬
‫)‪2. clobetasone (Dermodin‬‬
‫‪3. betamethasone‬‬
‫ﻳﺴﺘﺨﺪم ﻟﻤﺪه اﺳﺒﻮع ﻓﻘﻂ وﺑﻌﺪﻫﺎ ﻧﺴﺘﻤﺮ ﻋﲆ اﻟﻤﺮﻃﺐ‬

‫ﻟﻠﻮﺟﻪ ﻧﺴﺘﺨﺪم ‪ Hydrocortisone‬وﺑﺎﻗﻲ اﻻﻣﺎﻛﻦ ‪ Dermodin‬او‬

‫‪betamethasone‬‬

‫ال ‪ Hydrocortisone‬ﻳﻔﻀﻞ اﻋﻄﺎءه ﻟﻞ ﻳﺪ‬

‫ال ‪ clobetasone‬ﻳﻌﻄﻰ ﻟﻠﺮﻛﺒﻪ اﻟﻘﺪم ﻋﻜﺲ اﻟﻴﺪ‬

‫‪ Hydrocortisone‬أﺿﻌﻒ واﺣﺪ ﻣﻦ ‪ steroid‬ﻳﺴﺘﺨﺪم ﻟﻠﻤﻨﺎﻃﻖ اﻟﺮﻗﻴﻘﻪ‬

‫وﻟﻠﺤﺎﻻت اﻟﺒﺴﻴﻄﻪ وﻳﺴﺘﺨﺪم ﻟﻼﻋﻤﺎر ﻓﻮق ‪ 10‬ﺳﻨﻮات‬

‫‪ clobetasone‬أﻗﻮى ﺷﻲ ﻳﺴﺘﺨﺪم ﻟﻠﻤﻨﺎﻃﻖ اﻟﺴﻤﻴﻜﻪ وﻳﺴﺘﺨﺪم ﻟﻠﺤﺎﻻت‬

‫اﻟﻤﺘﻮﺳﻄﻪ ﻳﺴﺘﺨﺪم ﻟﻼﻋﻤﺎر ﻓﻮق ‪ 12‬ﺳﻨﻪ‬

‫ﻣﻼﺣﻈﺔ‪:‬‬
‫ال ‪ ointment‬ﻳﺴﺘﺨﺪم ﻣﺮه اﱃ ﻣﺮﺗﻴﻦ‬
‫ال ‪ cream‬ﻳﺴﺘﺨﺪم ﻣﺮﺗﻴﻦ اﱃ ﺛﻼث ﻣﺮات‬

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 ‫‪Chapter‬‬
‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬
‫‪Dermatology‬‬ ‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ(‬
‫‪One‬‬

‫اﻟﻌﻼج‬

‫وﻛﺬﻟﻚ ﻧﺴﺘﺨﺪم ﻣﻀﺎد ﺣﻴﻮي ﻣﻮﺿﻌﻲ ﻻن ذﻛﺮﻧﺎ ﺳﺎﺑﻘﺎ‬

‫اﻟﺠﻠﺪ ﻳﺼﻴﺮ ﺟﺎف ف ﻣﻌﺮض ﻟﻨﻤﻮ اﻟﺒﻜﺘﺮﻳﺎ‬
‫)ﻳﺼﻴﺮ اﻛﻮ ﺧﺮاج ( او اذا ﻛﺎن اﻟﺠﺮح ﻣﻔﺘﻮح‬

‫وﻧﺴﺘﺨﺪم ‪ antihistamine‬ﻟﺘﻘﻠﻴﻞ اﻟﺤﻜﺔ ﻳﻔﻀﻞ ﻧﻨﻄﻲ ‪ oral‬ﺑﺪل‬

‫‪ .topical‬اﻣﺜﻠﺔ ﻋﻠﻴﻬﻢ‪:‬‬

‫)اﻟﺮﻣﻴﻦ(‪1. diphenhydramine‬‬
‫‪2. chlorpheniramine‬‬
‫‪3. Desloratadine‬‬
‫‪4. loratadine‬‬

‫اﺳﺘﺨﺪام ‪ antihistamines‬ﻻزم ﻣﺎﻳﺘﺠﺎوز ‪ 5‬اﻳﺎم‬

‫اﻛﻮ ﻣﻼﺣﻈﺔ ﺻﻐﻴﺮة‪:‬‬

‫ﺑﻌﺾ اﻟﺼﻴﺎدﻟﺔ ﻣﺎﻳﻔﻀﻠﻮن ﻳﻨﻄﻮن ‪ antihistamines orally‬ﺑﺤﺎﻟﺔ‬
‫اﻹﻛﺰﻳﻤﺎ إذا ﺟﺎﻧﺖ اﻟﺤﺎﻟﺔ ﺑﺴﻴﻄﺔ وﻣﺎﻣﻨﺘﺸﺮة ﺑﻜﻞ اﻟﺠﺴﻢ‬
‫وﻳﻔﻀﻠﻮن ﻳﻨﻄﻮن ال اﻧﺘﻲ ﻫﺴﺘﺎﻣﻴﻦ ال ‪ orally‬ﻓﻘﻂ ﺑﺎﻟﺠﺮب وال‬
‫اﻟﺤﻜﺔ اﻟﻨﺎﺗﺠﺔ ﻋﻦ اﻟﺤﺰام اﻟﻨﺎري‬

‫واﻛﻮ ﺷﻐﻠﻪ ﻛﻠﺶ ﻣﻬﻤﺔ ﺑﺎﻟﻌﻼج وﻫﻲ ﻧﻜﻮل ﻟﻠﻤﺮﻳﺾ ﻳﺒﺘﻌﺪ ﻋﻦ اي ﺷﻲ‬
‫ﺳﺒﺐ ﻟﻪ اﻻﻛﺰﻳﻤﺎ‬
‫ﻣﺜﻼ اذا ﻣﺴﺘﺨﺪم ﻛﺮﻳﻢ ﺟﺪﻳﺪ ﻋﲆ اﻟﺒﺸﺮة ﻧﻜﻠﺔ ﻳﻌﻮﻓﺔ‬

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 ‫‪Chapter‬‬
‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬
‫‪Dermatology‬‬ ‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ(‬
‫‪One‬‬

‫اﻟﻌﻼج‬

‫اﻟﺤﻠﻮ ﺑﺎﻟﻤﻮﺿﻮع ان اﻛﻮ ﻣﺴﺘﺤﻀﺮات ﺻﻴﺪﻻﻧﻴﺔ ﺟﺎﻫﺰة ﺗﺠﻤﻌﻠﻨﺎ اﻛﺜﺮ ﻣﻦ ﻧﻮع‬

‫ﺷﻨﻮ ﻳﻌﻨﻲ‬

‫ﻳﻌﻨﻲ ﻣﺜﻼ ‪:‬‬

‫‪ steroid‬وﻳﺔ ‪antibiotic‬‬
‫‪ anti fungal‬ﻣﺜﻞ ‪Panderm cream‬‬
‫وﻋﺪﻧﺎ ﻫﻢ ‪ Eurax Hc cream‬ﻫﺬا ﻣﺘﻜﻮن ﻣﻦ‪:‬‬
‫ال ‪) crotamiton‬ﻫﺬا ﻳﻬﺪأ اﻟﺤﻜﺔ ( وﻳﺔ ‪ Hydrocortisone‬ﻳﻌﻨﻲ‬
‫‪Combination‬‬
‫وﻋﺪﻛﻢ ﻫﻢ ﻛﻮادرﻳﺪﻳﺮم‬

‫‪ Ketonaz shampoo‬اﺳﺘﺨﺪﻣﻪ ﻟﻞ اﻻﮔﺰﻳﻤﺎ ﻳﻠﻲ ب ﻓﺮوة اﻟﺮاس واﻟﻠﺤﻴﺔ‬

‫ﺑﺎﻋﻮا اﻻﻛﺰﻳﻤﺎ ﻣﻮ راح ﺗﺴﻮي ﺣﻜﺔ وﺗﻬﻴﺞ ﺑﺎﻟﺠﻠﺪ رح ﻳﺴﺒﺒﻠﻨﺔ ﻫﺎﻟﺸﻲ‬

‫ﺗﺴﺎﻗﻂ ﺷﻌﺮ اﻳﻀﺎ‪.‬‬

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 ‫‪Chapter‬‬
‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬
‫‪Dermatology‬‬ ‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ(‬
‫‪One‬‬

‫ﻣﻠﺨﺺ ﻟﻠﻌﻼج‬
‫اﻟﻌﻼج ﻳﺘﻜﻮن ﻣﻦ ‪:‬‬
‫‪ :steroid .1‬اول ﺷﻲ ﻧﺤﻂ ‪ steroid‬وﺑﻌﺪﻫﺎ ﻧﺤﻂ اﻟﻤﺮﻃﺐ ﻻن اﻟﻤﺮﻃﺐ‬
‫ﻗﺪ ﻳﺸﻜﻞ ﺣﺎﺟﺰ ﻳﺆﺛﺮ ﻋﲆ اﻻﻣﺘﺼﺎص اﻟﻔﻌﺎل ﻟﻞ ‪steroid‬‬
‫‪ .2‬ﻣﺮﻃﺐ‬
‫‪ .3‬واذا ﺟﺎن اﻛﻮ اﻟﺘﻬﺎب ﻳﻌﻨﻲ ﺧﺮاج ﻧﺴﺘﻌﻤﻞ ‪ antibiotic‬و‬
‫‪ antihistamine‬ﺣﺘﻰ ﻧﻘﻠﻞ اﻟﺤﻜﺔ‬

‫اﻛﻮ ﻧﺼﺎﺋﺢ ﻧﻨﻄﻴﻬﺎ ﻟﻠﻤﺮﻳﺾ‬

‫‪ .1‬ﻳﺒﺘﻌﺪ ﻋﻦ اﻟﺼﺎﺑﻮن وﻏﺴﻮﻻت اﻟﺠﺴﻢ واﻟﺸﺎﻣﺒﻮ ﻻزم ﻣﺎﻳﻨﺰل ﻋﲆ‬
‫اﻟﻤﻨﻄﻘﺔ اﻟﻤﺼﺎﺑﺔ‬
‫‪.2‬ﻧﻘﻠﻞ ﻣﻦ اﻟﻤﺎء ﻋﲆ اﻟﻤﻨﻄﻘﺔ اﻟﻤﺼﺎﺑﺔ‬

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 ‫‪Chapter‬‬
‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬
‫‪Dermatology‬‬ ‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ(‬
‫‪One‬‬

‫ﺗﻘﻠﻞ ﻟﻲ اﻟﺤﻜﺔ ﻳﻠﻲ ﺗﺼﺎﺣﺐ اﻫﻞ‬

‫اﻻﻛﺰﻳﻤﺎ‬

‫اﻻﺳﻢ اﻟﻌﻠﻤﻲ ﻟﻞ ﻓﺎزﻟﻴﻦ ﻫﻮ‬

‫‪Petrolatum‬‬
‫ﻃﺒﻌﺎ اﻻﻛﻮاﺳﻮﻓﺖ ﻳﺤﻮي ‪glycerin‬‬
‫ﻛﻠﺶ ﻳﻨﻄﻲ ﻓﻌﺎﻟﻴﺔ ﺣﻠﻮه وﺑﻮﻗﺖ‬
‫ﻗﺼﻴﺮ اﻣﺘﺼﺎﺻﻪ ﺳﺮﻳﻊ‬

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 Chapter
‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬
Dermatology (‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ‬
One

Antibiotics// fusidic acid

Steroid // betamethasone

@layaltraining
Page 17
 ‫‪Chapter‬‬
‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬
‫‪Dermatology‬‬ ‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ(‬
‫‪One‬‬

‫ال ﻣﻮﻣﻴﺘﺎزون ﺗﺴﺘﻌﻤﻞ‬

‫ﻟﻼﻛﺰﻳﻤﺎ ﻫﻢ‬

‫ﻣﻮﻣﻴﺘﺎزون‬
‫و ﺳﺎﻟﺴﻴﻠﻴﻚ اﺳﻴﺪ‬

‫ال ﺳﺎﻟﺴﻴﻠﻴﻚ اﺳﻴﺪ ﺷﻐﻠﻪ ﻳﻘﺸﺮ اﻟﺒﺸﺮة‬

‫ﺑﺎﻻﻛﺰﻳﻤﺎ ﻣﻮ ﻣﻦ ﻋﻼﻣﺎﺗﻬﺎ ﻇﻬﻮر ﻗﺸﺮة ؟‬
‫اذا ً ﺳﺎﻟﺴﻴﻠﻴﻚ اﺳﻴﺪ ﻫﻮ اﻟﻲ ﻳﺰﻳﻞ اﻟﺘﻘﺸﺮات‬

‫ﻟﻼﻛﺰﻳﻤﺎ ﻳﻔﻀﻞ ﻧﺴﺘﺨﺪم ﻛﺮﻳﻢ ﻟﻮ ﻣﺮﻫﻢ؟‬

‫ﺑﻘﺎءة اﻛﺜﺮ ﺗﺮﻃﻴﺒﻪ ﻟﻠﺠﻠﺪ ﻋﻤﻴﻖ ﺗﻀﻞ اﻟﻤﺎدة اﻟﻔﻌﺎﻟﺔ‬ ‫ﻣﺮﻫﻢ‬
‫اﻛﺜﺮ وﺧﺼﻮﺻﺎ ً اذا ﻛﺎﻧﺖ اﻛﺰﻳﻤﺎ ﻗﻮﻳﺔ‬

‫اﻻﺷﺨﺎص ﻳﻠﻲ ﻋﺪﻫﻢ رﺑﻮ ﻫﻢ ﻣﻌﺮﺿﻴﻦ ﻟﻼﺻﺎﺑﺔ ﺑﺎﻻﻛﺰﻳﻤﺎت‬

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 ‫‪Chapter‬‬
‫ﻛﻮﺭﺱ ﺍﻟﺘﺪﺭﻳﺐ ﺍﻟﺼﻴﺪﻟﻲ‬
‫‪Dermatology‬‬ ‫اﻟﺨﺎص )اﺑﻄﺎل اﻟﺼﻴﺪﻟﺔ(‬
‫‪One‬‬

‫ﺗﻢ ﺍﻟﻨﺸﺮ ﻓﻲ ﻗﻨﺎﻩ ﺍﻟﻜﻮﺭﺱ ﻣﺨﺘﻠﻒ‬

‫ﺍﻟﻜﻴﺴﺎﺕ ﻭﺍﻟﻜﻮﺯﺍﺕ ﻭﺗﻢ ﻣﻨﺎﻗﺸﺘﻬﺎ‬
‫ﺩﺍﺧﻞ ﻗﻨﺎﻩ ﺍﻟﻜﻮﺭﺱ‬

‫‪------------------------------------‬‬

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