Assoc. Dr. Zhana Kazandzhieva: Atopic dermatitis tuaj yeem npog tag nrho lub cev

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Assoc. Dr. Zhana Kazandzhieva: Atopic dermatitis tuaj yeem npog tag nrho lub cev
Assoc. Dr. Zhana Kazandzhieva: Atopic dermatitis tuaj yeem npog tag nrho lub cev
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Assoc. Kazandzhieva kawm tiav hauv cov tshuaj hauv xyoo 1985 thiab pib ua haujlwm ua tus pabcuam hauv Department of Dermatology thiab Venereology ntawm VMI-Pleven. Nyob rau hauv 1992, nws tau txais ib tug tshwj xeeb nyob rau hauv dermatology thiab venereology. Txij li thaum xyoo 1994, nws tau nyob hauv Tsev Kho Mob rau Daim tawv nqaij thiab Kab Mob Venereal ntawm Medical University - Sofia.

Tshwj xeeb ntawm cov kab mob ntawm daim tawv nqaij ntawm University Skin Clinics hauv Vienna thiab Zurich. Hauv xyoo 2008, nws tau raug xaiv los ua tus thawj coj ntawm Lub Tsev Haujlwm Saib Xyuas Kev Dermatology thiab Venereology, MU-Sofia. Nws yog ib tug tswv cuab ntawm pawg thawj coj ntawm European Academy of Dermatology thiab Venereology, kev tswj hwm ntawm Bulgarian Dermatology Society, tus kws tshaj lij hauv European program rau kev tiv thaiv kev ua haujlwm ntawm daim tawv nqaij ua xua.

Cov neeg mob atopic dermatitis tau dhau los ua ntau zaus. Rau 20 xyoo dhau los, txhua tus menyuam thib tsib raug mob ntawm daim tawv nqaij. Xws li yog qhov kev tshawb pom ntawm cov kws kho mob dermatologist tshwj xeeb hauv kev sib tw "Dawb hauv lawv daim tawv nqaij" rau atopic dermatitis. Prof. Dr. Zhana Kazandzhieva qhia ntxiv txog lub ncauj lus.

Prof. Kazandzhieva, yog vim li cas thiaj li muaj coob tus neeg mob atopic dermatitis nyob rau hauv xyoo tas los no?

- Undoubtedly, yog vim li cas yog txoj kev hloov ntawm lub neej - industrialization, ntiaj teb no muaj kuab paug, kev nyuaj siab. Muaj ib qho kev kawm nthuav ua nyob rau hauv ob lub nroog loj hauv Suav teb thiab ib qho hauv Asmeskas. Cov kws sau ntawv tau kawm txog daim tawv nqaij microflora thiaj li yuav tau txais lub tswv yim ntawm qhov hloov pauv ntawm atopic dermatitis. Thaum kawg ntawm txoj kev tshawb no, lawv tau xav tsis thoob - nws tau pom tias cov kab mob ntawm daim tawv nqaij sib txawv heev uas tsuas yog los ntawm kev hloov pauv hauv microbiome tuaj yeem paub tias tus menyuam nyob hauv lub nroog twg.

Qhov tseeb, dab tsi yog atopic dermatitis thiab dab tsi yog qhov etiological yam rau nws tshwm sim?

- Atopic dermatitis yog hom kab mob eczema. Ib feem ntawm peb eczemas loj - kev sib cuag, seborrheic thiab atopic. Cia peb qhia meej tias cov ntsiab lus dermatitis thiab eczema yog sib npaug. Nws yog ib qho tsim nyog hais tias atopic dermatitis thiab / lossis atopic eczema. Lub etiology ntawm atopic dermatitis tseem tsis to taub tag nrho. Peb paub dab tsi txog tam sim no? Peb paub tias tsis zoo li lwm hom kab mob eczema, muaj cov kab mob genetic predisposition, kab mob ntawm daim tawv nqaij tawg thiab kev tiv thaiv kab mob tsis zoo.

Tus kab mob tshwm sim nws tus kheej li cas - qhov twg ntawm lub cev nws cuam tshuam thiab tuaj yeem tsis yog kws kho mob ua yuam kev rau lwm hom dermatosis?

- Atopic dermatitis, tsis zoo li lwm hom kab mob eczema, muaj qhov tshwm sim sib txawv hauv cov hnub nyoog sib txawv. Hauv cov menyuam mos, lub ntsej muag feem ntau cuam tshuam, hauv cov menyuam yaus - qhov khoov ntawm lub luj tshib thiab hauv caug, thiab hauv cov neeg laus, kev hloov pauv yuav txwv rau sab nraub qaum lossis ceg ceg, tab sis lawv tuaj yeem npog tag nrho lub cev. Ntau yam kev kho mob tshwm sim ntawm daim tawv nqaij feem ntau nyuaj, thiab yog li ntawd nws yog qhov zoo los kuaj xyuas los ntawm tus kws kho mob dermatologist, uas tom qab ntawd tsis yog tsuas yog cov kev kho mob tsim nyog, tab sis kuj yog cov tshuaj pleev ib ce tshwj xeeb.

Kev kuaj mob li cas?

- Ntau txoj kev kuaj mob tau siv. Feem ntau, dermatologists ua raws li kev faib tawm ntawm Hanifin thiab Rayka. Qhov kev faib tawm no hnub rov qab 40 xyoo, tab sis tseem qhia tau tseeb tshaj plaws ntawm cov txheej txheem kho mob. Kuj tseem muaj ntau txoj hauv kev los xam qhov hnyav ntawm atopic dermatitis - EASI, SCORAD. Tus kws kho mob qhov kev paub yog qhov tseem ceeb tshaj plaws - atopic dermatitis tsis tsuas yog xav tau kev kho mob xwb, tab sis kuj muaj ntau cov lus qhia txog kev ua neej.

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Dab tsi yog atopic dermatitis tawm tsam thiab dab tsi yog yam uas ua rau tus mob hnyav dua?

- Kuv tsis xav tias "kev qaug dab peg" yog lo lus raug. Atopic dermatitis yog ib yam kab mob rov qab mus ntev, thiab thaum nws hnyav zuj zus, peb tham txog kev rov qab los.

Muaj ntau yam uas ua rau tus kab mob hnyav dua - kev ntxhov siab, tawm hws ntau dhau, hnav khaub ncaws woolen, siv cov tshuaj pleev ib ce tsis raug, kev ua qias tuaj hauv ib puag ncig kev ua haujlwm.

Puas muaj kev kho mob rau atopic dermatitis thiab puas muaj rau Bulgarians?

- Yog tias peb xav tias "kev kho mob cardinal" yog qhov sib piv nrog "kev kho mob tseeb", ces tsis muaj qhov zoo li ntawd. Nyob rau hauv cov ntaub ntawv loj heev, peb cia siab rau lub thiaj li hu biotherapeutics uas txhim kho eczema hloov pauv thiab yog li tus neeg mob lub neej zoo. Qee cov tshuaj, hu ua biologics thiab me me molecules, twb tau pom zoo los ntawm European Medicines Agency. Hmoov tsis zoo, lawv tseem tsis tau muaj nyob hauv Bulgaria rau cov neeg mob uas muaj mob atopic dermatitis

Puas muaj kev saib xyuas txhua hnub uas tuaj yeem txo tus menyuam atopic dermatitis?

- Tau kawg, kev saib xyuas zoo li no yog qhov yuav tsum tau ua, tsis hais tus menyuam puas tau txais kev tso cai lossis muaj tus kab mob hnyav dua. Feem ntau, emollients raug sau tseg, uas kho cov dej-lipid tshuav ntawm daim tawv nqaij. Los ntawm qhov ntawd - kev xaiv cov tshuaj ntxuav tes, khaub ncaws, zaub mov, khoom ua si … Cov lus pom zoo rau cov khoom no yog tus kheej, nyob ntawm qhov hnyav ntawm atopic dermatitis thiab tus yam ntxwv ntawm tus neeg mob.

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