\u010cerven\u00fd nebo b\u00edl\u00fd, n\u011bkdy bezbarv\u00fd, bolestiv\u00fd nebo ne: jak\u00fdkoli p\u0159etrv\u00e1vaj\u00edc\u00ed pup\u00ednek vy\u017eaduje konzultaci s dermatologem.<\/p>\n\n\n\n
Zde je p\u0159ehled t\u011bchto neobvykl\u00fdch ko\u017en\u00edch p\u0159\u00edznak\u016f.<\/p>\n\n\n\n
V l\u00e9t\u011b jsme v\u00edce vystaveni vn\u011bj\u0161\u00edm faktor\u016fm a nic na na\u0161em t\u011ble, t\u011ble na\u0161ich partner\u016f nebo t\u011ble na\u0161ich d\u011bt\u00ed neunikne na\u0161\u00ed pozornosti.<\/p>\n\n\n\n
N\u011bkdy naraz\u00edme na zvl\u00e1\u0161tn\u00ed pup\u00ednky. Pup\u00ednky, kter\u00e9 nejsou ani d\u016fsledkem akn\u00e9 od slunce, ani bodnut\u00ed hmyzem.<\/p>\n\n\n\n
Velk\u00e9 pup\u00ednky: co to je?
Tyto bulky mohou b\u00fdt bolestiv\u00e9, nazna\u010dovat infekci nebo n\u011bkdy n\u00e1dor \u2013 \u010dasto benign\u00ed, ale ne v\u017edy. Pokud se vyvinou a p\u0159etrv\u00e1vaj\u00ed del\u0161\u00ed dobu (n\u011bkolik dn\u00ed v p\u0159\u00edpad\u011b jasn\u00e9 infekce, t\u0159i m\u011bs\u00edce p\u0159i absenci bolestiv\u00e9ho z\u00e1n\u011btu), je nutn\u00e1 n\u00e1v\u0161t\u011bva dermatologa. Ten je m\u016f\u017ee vy\u0161et\u0159it dermatoskopem a v p\u0159\u00edpad\u011b pot\u0159eby odebrat vzorek nebo je dokonce odstranit. V\u0159edy, abscesy, mazov\u00e9 nebo tukov\u00e9 cysty a achromatick\u00e9 (bezbarv\u00e9) melanomy by nem\u011bly uniknout jejich pozornosti. Recenze s na\u0161\u00edm odborn\u00edkem, Dr. Georgesem Reuterem, soukrom\u00fdm dermatologem p\u0159idru\u017een\u00fdm k Univerzitn\u00ed nemocnici ve \u0160trasburku a viceprezidentem N\u00e1rodn\u00ed asociace dermatolog\u016f-venerolog\u016f (SNDV).<\/p>\n\n\n\n
Jak poznat v\u0159ed?
Je z\u0159ejm\u00fd, kdy\u017e je pup\u00ednek velmi velk\u00fd, tvrd\u00fd, bolestiv\u00fd a po okraj\u00edch \u010derven\u00fd s b\u00edlou skvrnou uprost\u0159ed. V\u0159ed je hlubok\u00e1 infekce vlasov\u00e9ho folikulu zp\u016fsoben\u00e1 bakteri\u00ed stafylokok a a\u010dkoli se stala m\u00e9n\u011b \u010dastou, vy\u017eaduje pe\u010dliv\u00e9 sledov\u00e1n\u00ed. Pokud se nezlep\u0161\u00ed ani po dom\u00e1c\u00edch antiseptik\u00e1ch prvn\u00ed volby, a zejm\u00e9na pokud se v\u0159edy mno\u017e\u00ed a objevuj\u00ed se na obli\u010deji, je to zn\u00e1mka toho, \u017ee se infekce \u0161\u00ed\u0159\u00ed. Okam\u017eit\u011b vyhledejte l\u00e9ka\u0159e.<\/p>\n\n\n\n
Jak se zbav\u00edte toho velk\u00e9ho, \u010derven\u00e9ho, \u200b\u200btvrd\u00e9ho a bolestiv\u00e9ho pup\u00ednku?
Z\u0159ejm\u00e9 pravidlo zn\u00ed: nevytla\u010dujte ho! Pup\u00ednek je \u010dasto stejn\u011b p\u0159\u00edli\u0161 bolestiv\u00fd na to, aby se dal vytla\u010dit.<\/p>\n\n\n\n
Jak l\u00e9\u010dit v\u0159ed? K zahojen\u00ed v\u0159edu jej n\u011bkolikr\u00e1t denn\u011b om\u00fdvejte m\u00fddlem a vodou, nejl\u00e9pe antiseptikem, jako je Cyteal s hexamidinem a chlorhexidinem. Pokud roztok nezabere do 24 hodin, aplikujte antibiotick\u00fd kr\u00e9m nebo dokonce peror\u00e1ln\u00ed antibiotika. Proto je nezbytn\u00e1 konzultace s l\u00e9ka\u0159em.<\/p>\n\n\n\n
Ko\u017en\u00ed absces: p\u0159\u00edznaky, kter\u00e9 je t\u0159eba rozpoznat.
\u0160patn\u011b obv\u00e1zan\u00e1 r\u00e1na, \u0161t\u00edpnut\u00ed kom\u00e1rem po\u0161kr\u00e1ban\u00e9 \u0161pinav\u00fdma rukama nebo bolestiv\u00fd nehet \u2013 infekce se vyvine v absces a vytvo\u0159\u00ed kapsu na\u017eloutl\u00e9ho hnisu. Pokud absces p\u0159etrv\u00e1v\u00e1 d\u00e9le ne\u017e 24 hodin i p\u0159es pou\u017eit\u00ed lok\u00e1ln\u00edch dezinfek\u010dn\u00edch prost\u0159edk\u016f, okam\u017eit\u011b vyhledejte l\u00e9ka\u0159e.<\/p>\n\n\n\n
L\u00e9\u010dba: Jak l\u00e9\u010dit absces?
Vyhn\u011bte se propichov\u00e1n\u00ed r\u00e1ny, abyste zabr\u00e1nili \u0161\u00ed\u0159en\u00ed hnisu na k\u016f\u017ei. R\u00e1nu opakovan\u011b omyjte m\u00fddlem a vodou a pot\u00e9 p\u0159ikl\u00e1dejte obklady namo\u010den\u00e9 v antiseptiku (nap\u0159. chlorhexidinu). Pokud v\u0161e ostatn\u00ed sel\u017ee, okam\u017eit\u011b se pora\u010fte s dermatologem nebo dokonce s pohotovost\u00ed, kde v\u00e1m podaj\u00ed men\u0161\u00ed chirurgick\u00fd z\u00e1krok k odvodn\u011bn\u00ed r\u00e1ny. Upozor\u0148ujeme, \u017ee ne v\u0161ichni prakti\u010dt\u00ed l\u00e9ka\u0159i tento typ z\u00e1kroku prov\u00e1d\u011bj\u00ed. Aplikace antiseptika po dobu n\u011bkolika dn\u016f obvykle posta\u010d\u00ed.<\/p>\n\n\n\n
Jak\u00fd je rozd\u00edl mezi v\u0159edem a abscesem?
I kdy\u017e se v\u0159ed m\u016f\u017ee vyvinout v absces, v\u017edy je d\u016fsledkem bakteri\u00e1ln\u00ed infekce vlasov\u00e9ho folikulu. Absces se naopak m\u016f\u017ee objevit kdekoli na t\u011ble a v d\u016fsledku infekce vytv\u00e1\u0159\u00ed nahromad\u011bn\u00ed hnisu.<\/p>\n\n\n\n
Jak pozn\u00e1te, \u017ee se jedn\u00e1 jen o cystu?
Projevuje se jako pohybliv\u00e1 bulka pod k\u016f\u017e\u00ed obsahuj\u00edc\u00ed b\u011blavou l\u00e1tku. Tomu se \u0159\u00edk\u00e1 epidermoidn\u00ed cysta a \u010dasto se objevuje na z\u00e1dech, h\u00fd\u017ed\u00edch, stehnech nebo mezi h\u00fd\u017ed\u011bmi, pokud se jedn\u00e1 o pilonid\u00e1ln\u00ed cystu; nebo pilonid\u00e1ln\u00ed cysta, pokud se nach\u00e1z\u00ed na poko\u017ece hlavy. Ve velk\u00e9 v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f se nejedn\u00e1 o nic z\u00e1va\u017en\u00e9ho a dermatolog ji dok\u00e1\u017ee odli\u0161it od bulky (kter\u00e1 m\u00e1 \u010dasto pevn\u011bj\u0161\u00ed konzistenci). Nem\u011bla by se zam\u011b\u0148ovat s lipomem, kter\u00fd vypad\u00e1 jako sp\u00ed\u0161e m\u011bkk\u00e1 tukov\u00e1 koule a nikdy nen\u00ed nebezpe\u010dn\u00fd. Pokud v\u0161ak m\u00e1te sebemen\u0161\u00ed pochybnosti, pora\u010fte se s odborn\u00edkem. Ten se m\u016f\u017ee rozhodnout cystu nebo lipom odstranit, pokud je nep\u0159\u00edjemn\u00fd, a nechat ho analyzovat.<\/p>\n\n\n\n
Jak odstranit tento pup\u00ednek pod k\u016f\u017e\u00ed?<\/p>\n\n\n\n
Pouze ablace to m\u016f\u017ee odstranit. Je lep\u0161\u00ed zas\u00e1hnout v\u010das, aby se minimalizoval dopad.<\/p>\n\n\n\n
Co kdy\u017e se jedn\u00e1 o melanom?
Hodn\u011b se mluv\u00ed o pigmentovan\u00fdch form\u00e1ch s nepravideln\u00fdmi konturami. Existuj\u00ed v\u0161ak i typy amelanotick\u00fdch melanom\u016f, kter\u00e9 jsou je\u0161t\u011b nebezpe\u010dn\u011bj\u0161\u00ed, pokud jsou diagnostikov\u00e1ny p\u0159\u00edli\u0161 pozd\u011b. Proto maj\u00ed \u010dasto t\u011blovou barvu, n\u011bkdy na\u010dervenalou. Jejich vzhled, n\u011bkdy drsn\u00fd, m\u016f\u017ee tak\u00e9 p\u0159ipom\u00ednat bradavici na chodidlech. A pokud tento typ l\u00e9ze p\u0159etrv\u00e1v\u00e1 d\u00e9le ne\u017e t\u0159i m\u011bs\u00edce nebo rychle roste, je d\u016fle\u017eit\u00e9 nav\u0161t\u00edvit dermatologa.<\/p>\n\n\n\n
K vy\u0161et\u0159en\u00ed m\u016f\u017ee b\u00fdt provedena biopsie nebo ablace. Tyto p\u0159\u00edpady jsou v\u0161ak vz\u00e1cn\u00e9 a anal\u00fdza \u010dasto odhal\u00ed, \u017ee se jedn\u00e1 o jednoduch\u00fd, bezbarv\u00fd a ne\u0161kodn\u00fd znam\u00e9nko.<\/p>\n","protected":false},"excerpt":{"rendered":"\u010cerven\u00fd nebo b\u00edl\u00fd, n\u011bkdy bezbarv\u00fd, bolestiv\u00fd nebo ne: jak\u00fdkoli p\u0159etrv\u00e1vaj\u00edc\u00ed pup\u00ednek vy\u017eaduje konzultaci s dermatologem. Zde je p\u0159ehled t\u011bchto neobvykl\u00fdch ko\u017en\u00edch p\u0159\u00edznak\u016f. V \n [...]<\/a>","protected":false},"author":1,"featured_media":6587,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-6586","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/posts\/6586","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6586"}],"version-history":[{"count":1,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/posts\/6586\/revisions"}],"predecessor-version":[{"id":6588,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/posts\/6586\/revisions\/6588"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=\/wp\/v2\/media\/6587"}],"wp:attachment":[{"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6586"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6586"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fakt24.biz.ua\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6586"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}