
tinia cruris

joocq ichu ennum ariyappedunna tinia cruris, thaadiyellu, nithambam mekhalayile oru saadhaarana pakarchavyaadhiyaanu, ithu pradhaanamaayum purushanmaarilum choodulla eerppamulla kaalaavasthayilum mathramalla, marichu sambhavikkunnath.
saadhaaranayaayi, mukalile aantharika thudakalil, nannayi nirvachikkapetta valanja athirthiyulla chuvanna chorichil niranja chulivukal undaakunnu. ithu palappozhum athlattukalude call, fungus aani anubadha, amithamaya vearp, rogabadhithamaaya tavalukaloo sports vasthrangalo pankidal ennivayumaayi bandhappettirikkunnu. kuttikalil ithu apoorvamaanu.
candidal intertrigo, erithraasma, invezhs psoriasis, seboroic dermatitis ennivayulppede charmmatthinte madakkukalil undaakunna mattu chila paadukalkku samanamaayirikkum ithinte roopam. parisodhanakalil microscopy, charmmatthile scrappinginte samskaaram enniva ulppedaam.
chikitsa topical antifungal marunnukalodeyaanu, rogalakshanangal aduthide aarambhikkukayaanenkil ithu prathyekichum falapradamaanu. oresamayam undaakunna fungus anubadhakal chikilsikkukayum eerppam vardhikkunnathu ozhivakkaanulla nadapadikal sweekarikkukayum cheiyunnathu, iduppu bhagam varandathaakkuka, irukiya vasthrangal ozhivaakkuka, ponnatthadi undengil sareerabhaaram kuraykkuka enniva aavarthanangalude prathirodhatthil ulppedunnu.
perukal.
joocq rott", "dhobi ichu", "croach ichu", "scrott rott", "jiim ichu", "ringwarm oof groin", "exima maarjinettam" ennivayaanu mattu perukal.
adayaalangalum lakshanangalum.
saadhaaranayaayi, mukalile aantharika thudakalkku mukalil, nannayi nirvachikkapetta scayley borderulla chuvanna uyarnna paadukal undu. chila pottukal undakam, karachil undakam, koodaathe paadukal gudathinu sameepam ethaam. vitharanam saadhaaranayaayi njarambinte iruvashathumundu, madhyabhagam ilam nirathilaayirikkaam. thadippu chuvapp, karupp, thavitt, pilarpp, tharamgam, tholi, irisense allengil pottuna charmmam ennivayodoppam kaanapedaam.
aaa vyakthikk romamundengil, romakoopangal veerkkukayum athu phalakathinullil chila pottalukal (paappyoolukal, noduleukal, paastuleukal) undaakkukayum cheyyum. purushanmaaril eee phalakam vrishanathilum sthreekalil labia mejara, moons pubisilum athiyekkaam. rogaprathirodhasheshi kuravo stiroyidukalude upayogamo illengil lingathe saadhaaranayaayi baadikkilla.
rogabadhitharaaya aalukalkk saadhaaranayaayi eduppil theevramaaya chorichil anubhavappedunnu, athu gudadvaaram vare vyapikkum.
kaaranagal.
tinia cruris palappozhum athlattukalude call, fungus nakham anubaadhakalumaayi bandhappettirikkunnu. vasthrangalil ninnu theikkal, amita vearp, prameham, ponnatthadi ennivayaanu apakada gadakangal. ithu pakarchavyaadhiyaanu, charmmavumayi sanbarkkam pularthunnathiloodeyo malinamaaya kaayika vasthrangalumayulla sanbarkkathiloodeyo towelukal pankidunnathiloodeyo ithu oraalilekk pakaraam.
lokathinte vividha bhaagangalil fangasinte tharam vyathyaasappedaam; udaaharanathinu, "trichophyton rubram", "epidermophyton flocosum" enniva nyoosilandil saadhaaranamaanu. saadhaaranagathiyil "trichophyton mentagrophyteukal", "trichophyton verucosum" enniva ulppedunnu. "trichophyton interdigital" ennathum ulppeduthiyittundu.
roganirnayam.
roganirnayam nadatthaan saadhaaranayaayi parisodhanakal aavasyamilla, ennaal aavashyamenkil, microscopy, charmma scrappinginte kalchar, fungus parishodhikkunnathinulla koh parisodhana allengil charmma biopsy enniva ulppedaam.
deferential diagnosis.
tinia kroorisinte lakshanagal njarambile chorichil mattu kaaranangalkk samaanamaayirikkaam. candidal intertrigo, erithraasma, invezhs psoriasis, seboroic dermatitis ennivayulppede charmmatthinte madakkukalil undaakunna mattu chila paadukalkku samanamaayirikkum ithinte roopam.
prathirodham.
tinia cruris aavarthikkunnath thadayaan, athlattinte call polulla oresamayathulla fungus anubadhakal chikilsikkendathundu. iduppu bhagam varandathaakkuka, irukiya vasthrangal ozhivaakkuka, ponnatthadi undengil sareerabhaaram kuraykkuka enniva ulppedeyulla eerppam vardhikkunnathu ozhivakkaanulla nadapadikalum nirddeshikkappedunnu. athlattukalude call allengil tinia cruris ulla aalukalkk avarude towelukal mattullavarkk kadam kodukkathe pakarunnath thadayaan kazhiyum.
chikitsa.
iduppu bhaagath allilamine allengil azole tharatthilulla antifungal marunnukal prayogichaanu tinia cruris chikilsikkunnathu. asolukalumaayi (clottrimasol, econasol, kettokanaasol, oksikonaasol, micronasole, salkonasol) thaarathamyappeduthumbol alilamines (naftifine, terbinafine) vegameriyathum ennaal kooduthal chelaveriyathumaaya chikilsaareethiyaanennu padanangal soochippikkunnu. deerghakaalamaayi rogalakshanangal undengil allengil kreemukal purattinilkke avastha vashalaakukayaanenkil, terbinafine allengil itraakanasol vaayiloode nalkaam.
oru antifungalinu purame topical stiroyidukalude upayogathinte gunangal vyakthamalla. rogashanti nirakk kooduthalaayirikkaam, pakshe nilavil maarganirddeshangalonnum ithu cherkkaan shupaarsha cheiyunnilla. vaittfeeldinte thailatthinte phalavum vyakthamalla, pakshe nalkumbol, ithu pakuthi shakthiyil nirddeshikkappedunnu.
parutthiyude adivasthrangalum soxukalum dharikkuka, iduppu varandathaakkuka, antifungal podikal upayogikkuka enniva sahaayakaramaan.
pravachanam.
tinia cruris jeevanu bheeshaniyalla, chikitsa falapradamaanu, prathyekichu lakshanagal deerghakaalamaayi illengil. ennirunnaalum, aavarthanam sambhavikkam. theevramaaya chorichil liconificationilekkum secondary bacteria anubaadhayilekkum nayichekkaam. prayogicha marunnukal moolamaanu prakopanavum allergy ulla kondaakt dermatitis undaakunnath.
epidemiology.
choodulla eerppamulla kaalaavasthayil saadhaaranamaaya tinia cruris dermatophytosisinulla randaamathe ettavum saadhaaranamaaya klinikkal avatharanamaanu. kuttikalil ithu apoorvamaanu.