‫ﻣﻮﺿﻮﻉ‪:‬‬

‫ﺑﻴﻤﺎﺭﻳﻬﺎﻱ ﻗﺎﺭﭼﻲ ﭘﻮﺳﺖ‬

‫ﺗﻬﻴﻪ ﻭ ﺗﻨﻈﻴﻢ‪:‬‬

‫ﻛﺎﺭﮔﺮﻭﻩ ﺳﻪ ﭘﻴﻚ ﺩﺍﺭﻭﻳﻲ ﻧﻮﻳﻦ‬

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 ‫ﻓﻬﺮﺳﺖ‬

‫ﻣﻌﺮﻓﻲ ﺍﻋﻀﺎ ﻛﺎﺭﮔﺮﻭﻩ ﺳﻪ ﻧﻮﻳﻦ‪3.......................................................................................................‬‬

‫ﭘﻴﺸﮕﻔﺘﺎﺭ‪4.....................................................................................................................................‬‬

‫ﺑﻴﻤﺎﺭﻳﻬﺎﻱ ﻗﺎﺭﭼﻲ ﭘﻮﺳﺖ ‪5..............................................................................................................‬‬

‫ﻓﺎﻛﺘﻮﺭﻫﺎﻱ ﻣﻮﺛﺮ ﺩﺭ ﺑﺮﻭﺯ ﻋﻔﻮﻧﺖ ﻫﺎﻱ ﻗﺎﺭﭼﻲ‪5.....................................................................................‬‬

‫ﺍﻧﻮﺍﻉ ﻗﺎﺭﭼﻬﺎﻱ ﭘﻮﺳﺘﻲ‪6...................................................................................................................‬‬

‫ﺩﺭﻣﺎﺗﻮﻓﻴﺖ ﻫﺎ ﻭﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﭘﻮﺳﺖ……………………‪7…………………………..........………………………….‬‬

‫ﻛﭽﻠﻲ ﺳﺮ ﻳﺎ ﺗﻴﻨﺎ ﻛﺎﭘﻴﺘﻴﺲ‪7..............................................................................................................‬‬

‫ﺗﻴﻨﺎ ﻛﻮﺭﭘﻮﺭﻳﺲ ﻳﺎ ﻛﭽﻠﻲ ﺑﺪﻥ‪9.........................................................................................................‬‬

‫ﻛﭽﻠﻲ ﺩﺳﺖ ﻭﭘﺎ ‪ T.padis‬ﻭ‪10....................................................................................... T.manum‬‬

‫ﻛﭽﻠﻲ ﻧﺎﺧﻦ ﻳﺎ ﺗﻴﻨﺎ ﺍﻭﻧﮕﻮﺋﻴﻮﻡ‪11.........................................................................................................‬‬

‫ﻋﻔﻮﻧﺘﻬﺎﻱ ﻗﺎﺭﭼﻲ ﻛﻪ ﺗﻮﺳﻂ ﻣﺨﻤﺮﻫﺎ ﺍﻳﺠﺎﺩ ﻣﻲ ﺷﻮﻧﺪ ‪12........................................................................‬‬

‫‪16.....................................................................................................‬‬ ‫ﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﺍﻳﻨﺘﺮﺗﺮﻳﮕﻮ‬

‫ﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﭘﺘﺮﻳﺎﺯﻳﺲ ﻭﺭﺳﻴﻜﻮﻟﻮﺭ‪18..............................................................................................‬‬

‫ﺗﺸﺨﻴﺺ ﺑﻴﻤﺎﺭﻳﻬﺎﻱ ﻗﺎﺭﭼﻲ‪18............................................................................................................‬‬

‫ﺩﺭﻣﺎﻥ ﺑﻴﻤﺎﺭﻳﻬﺎﻱ ﻗﺎﺭﭼﻲ ﭘﻮﺳﺖ‪19......................................................................................................‬‬

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 ‫ﺍﻋﻀﺎ ﻛﺎﺭﮔﺮﻭﻩ ﺳﻪ ﻧﻮﻳﻦ‬

‫ﺩﻛﺘﺮ ﺷﻜﻮﻓﻪ ﻟﻮﺍﻳﻲ ﻣﺪﻳﺮ ﮔﺮﻭﻩ‬

‫ﺩﻛﺘﺮ ﺳﻤﺎﻧﻪ ﺻﻔﺮﻱ‬

‫ﺩﻛﺘﺮ ﻣﮋﮔﺎﻥ ﺭﻧﺠﺒﺮ‬

‫ﺩﻛﺘﺮ ﻣﺤﺪﺛﻪ ﻣﻴﺮ‬

‫ﺩﻛﺘﺮ ﺑﻬﻨﺎﺯ ﻧﻴﻜﺨﻮﺍﻩ‬

‫ﺩﻛﺘﺮ ﻧﻴﻠﻮﻓﺮ ﻋﻤﻴﺪﻱ‬

‫ﺁﻗﺎﻱ ﺍﻣﻴﺮ ﺍﺻﻼﻧﻲ ﻧﮋﺍﺩ‬

‫ﺩﻛﺘﺮ ﺁﻭﺍ ﺻﻔﺮﻱ‬

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 ‫ﭘﻴﺸﮕﻔﺘﺎﺭ‬

‫ﻣﺠﻤﻮﻋﻪ ﺍﻱ ﻛﻪ ﭘﻴﺶ ﺭﻭ ﺩﺍﺭﻳﺪ ﺑﺮ ﺍﺳﺎﺱ ﻣﻄﺎﻟﺐ ﺟﻤﻊ ﺁﻭﺭﻱ ﺷﺪﻩ ﺩﺭ ﺁﺭﺷﻴﻮ ﭘﻴﻚ‬

‫ﺩﺍﺭﻭﻳﻲ ﻧﻮﻳﻦ ﻭ ﻫﻤﭽﻨﻴﻦ ﻣﻄﺎﻟﺐ ﺗﻜﻤﻴﻠﻲ ﺍﺯ ﺳﺎﻳﺮ ﺭﻓﺮﻧﺲ ﻫﺎ ﺗﻬﻴﻪ ﺷﺪﻩ ﺍﺳﺖ ﻭ ﺩﺭ‬

‫ﺑﺎﺯﻧﮕﺮﻱ ﻫﺎﻱ ﺁﺗﻲ ﺗﺼﺤﻴﺢ ﻭ ﺗﻜﻤﻴﻞ ﺧﻮﺍﻫﺪ ﺷﺪ‪.‬‬

‫ﺗﺪﻭﻳﻦ‪1 :‬‬

‫ﺗﺎﺭﻳﺦ ﺗﺪﻭﻳﻦ‪ :‬ﺁﺑﺎﻥ ‪1394‬‬

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 ‫ﺑﻴﻤﺎﺭﻳﻬﺎﻱ ﻗﺎﺭﭼﻲ ﭘﻮﺳﺖ‬

‫ﻗﺎﺭﭼﻬﺎ ﺭﻳﺰ ﺟﺎﻧﺪﺍﺭﺍﻧﻲ ﻫﺴﺘﻨﺪ ﻛﻪ ﺩﺭ ﻫﻮﺍ ﺧﺎﻙ ﺍﺏ ﮔﻴﺎﻫﺎﻥ ﻭﺣﺘﻲ ﺑﺪﻥ ﻣﺎ ﺍﻧﺴﺎﻧﻬﺎ ﺯﻳﺴﺖ ﻣﻴﻜﻨﻨﺪ‬

‫ﺑﺪﻥ ﺍﻧﺴﺎﻥ ﻧﻴﺰ ﺩﺭﻭﻥ ﺧﻮﺩ ﺍﻧﻮﺍﻋﻲ ﺧﺎﺹ ﺍﺯ ﻗﺎﺭﭼﻬﺎ ﺭﺍ ﺟﺎﻱ ﺩﺍﺩﻩ ﺍﺳﺖ ﻛﻪ ﻣﻌﻤﻮﻻ ﺑﻲ ﺧﻄﺮ ﻫﺴﺘﻨﺪ ﺯﻣﺎﻧﻲ ﻛﻪ ﺑﻨﺎ ﺑﻪ ﺩﻻﻳﻠﻲ ﺧﺎﺹ‬

‫ﺑﻪ ﻧﺤﻮﻱ ﺑﻴﺶ ﺍﺯ ﺣﺪ ﺩﺭ ﺳﻴﺴﺘﻢ ﺑﺪﻥ ﺍﻧﺴﺎﻥ ﺗﻜﺜﻴﺮ ﺷﻮﻧﺪ ﻣﻴﺘﻮﺍﻧﻨﺪ ﻣﻨﺠﺮ ﺑﻪ ﺑﺮﻭﺯ ﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﮔﺮﺩﻧﺪ‬

‫ﻗﺎﺭﭼﻬﺎﻳﻲ ﻛﻪ ﻣﻨﺠﺮ ﺑﻪ ﺑﺮﻭﺯ ﻋﻔﻮﻧﺖ ﭘﻮﺳﺘﻲ ﺩﺭ ﺑﺪﻥ ﺍﻧﺴﺎﻥ ﻣﻴﮕﺮﺩﻧﺪ ﺍﺯ ﭘﺮﻭﺗﻴﻴﻨﻲ ﺑﻪ ﻧﺎﻡ ﻛﺮﺍﺗﻴﻦ ﺗﻐﺬﻳﻪ ﻣﻴﻨﻤﺎﻳﻨﺪ ﻛﻪ ﺍﻳﻦ ﭘﺮﻭﺗﻴﻴﻦ‬

‫ﺩﺭ ﻻﻳﻪ ﺑﻴﺮﻭﻧﻲ ﭘﻮﺳﺖ ﻭﻫﻤﻴﻦ ﻃﻮﺭ ﺩﺭ ﻣﻮ ﻭﻧﺎﺧﻦ ﻫﺎ ﻣﻮﺟﻮﺩ ﻣﻴﺒﺎﺷﺪ ﺩﺭ ﺻﻮﺭﺗﻲ ﻛﻪ ﺷﺮﺍﻳﻂ ﺑﺮﺍﻱ ﺭﺷﺪ ﺍﻳﻦ ﻣﻴﻜﺮﻭﺍﺭﮔﺎﻧﻴﺴﻢ‬

‫ﻫﺎﻱ ﻓﺮﺻﺖ ﻃﻠﺐ ﭘﻴﺶ ﺍﻳﺪ ﺭﺷﺪ ﻛﺮﺩﻩ ﻭ ﻻﻳﻪ ﻓﻮﻗﺎﻧﻲ ﭘﻮﺳﺖ ﻧﺎﺧﻦ ﻭﻳﺎ ﻣﻮ ﺭﺍ ﺍﻟﻮﺩﻩ ﻣﻴﻜﻨﻨﺪ ﻋﻔﻮﻧﺖ ﻫﺎﻱ ﻗﺎﺭﭼﻲ ﺑﺎ ﺗﻬﺎﺟﻢ ﺍﺯ‬

‫ﻃﺮﻳﻖ ﻻﻳﻪ ﻫﺎﻱ ﺯﻳﺮﻳﻦ ﭘﻮﺳﺖ ﻣﻤﻜﻦ ﺍﺳﺖ ﺑﻪ ﺧﻮﻥ ﻳﺎ ﺍﻧﺪﺍﻡ ﻫﺎﻱ ﺩﺍﺧﻠﻲ ﺗﻬﺎﺟﻢ ﻧﻤﺎﻳﻨﺪ‬

‫ﻓﺎﻛﺘﻮﺭﻫﺎﻱ ﻣﻮﺛﺮ ﺩﺭ ﺑﺮﻭﺯ ﻋﻔﻮﻧﺖ ﻫﺎﻱ ﻗﺎﺭﭼﻲ‬

‫‪1‬ﻣﺼﺮﻑ ﺍﻧﺘﻲ ﺑﻴﻮﺗﻴﻜﻬﺎ‬

‫ﺑﺎ ﻛﺎﻫﺶ ﺑﺎﻛﺘﺮﻫﺎﻱ ﻣﻔﻴﺪ ﺑﺪﻥ ﺗﻮﺳﻂ ﺍﻧﺘﻲ ﺑﻴﻮﺗﻴﻚ ﻫﺎ ﻗﺎﺭﭼﻬﺎ ﻓﺮﺻﺘﻲ ﺑﻬﺘﺮ ﺑﺮﺍﻱ ﺭﺷﺪ ﭘﻴﺪﺍ ﻣﻴﻜﻨﻨﺪ‬

‫‪2‬ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻛﻮﺭﺗﻴﻜﻮ ﺍﺳﺘﺮﻭﻳﻴﺪﻫﺎ‬

‫ﺑﺎ ﻛﺎﻫﺶ ﺳﻄﺢ ﺍﻳﻤﻨﻲ ﺑﺪﻥ ﺗﻮﺳﻂ ﺍﻳﻦ ﺩﺍﺭﻭﻫﺎ ﺷﺮﺍﻳﻂ ﻣﺴﺎﻋﺪﻱ ﺑﺮﺍﻱ ﺭﺷﺪ ﻗﺎﺭ ﭼﻬﺎ ﻓﺮﺍﻫﻢ ﻣﻴﺸﻮﺩ‬

‫‪3‬ﺑﻴﻤﺎﺭﻳﻬﺎ‬

‫ﺑﻴﻤﺎﺭﻳﻬﺎﻳﻲ ﻣﺎﻧﻨﺪ ﺩﻳﺎﺑﺖ ﻭﺑﺮﺧﻲ ﺍﺯ ﺍﻧﻮﺍﻉ ﺳﺮﻃﺎﻧﻬﺎ ﺳﺒﺐ ﻣﻴﺸﻮﻧﺪ ﻛﻪ ﺷﺨﺺ ﺩﺭ ﻣﻌﺮﺽ ﻋﻔﻮﻧﺘﻬﺎﻱ ﻗﺎﺭﭼﻲ ﻗﺮﺍﺭ ﮔﻴﺮﺩ‬

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 ‫‪4‬ﻧﻘﺺ ﺳﻴﺴﺘﻢ ﺍﻳﻤﻨﻲ‬

‫ﺿﻌﻒ ﺳﻴﺴﺘﻢ ﺍﻳﻤﻨﻲ ﺑﻪ ﺩﻻﻳﻠﻲ ﻣﺜﻞ ﺳﻨﺪﺭﻡ ﺍﻛﺘﺴﺎﺑﻲ ﻧﻘﺺ ﺍﻳﻤﻨﻲ ﻭﻳﺎ ﺷﻴﻤﻲ ﺩﺭﻣﺎﻧﻲ ﻓﺮﺻﺖ ﺭﺍ ﺑﺮﺍﻱ ﺭﺷﺪ ﻗﺎﺭ ﭼﻬﺎ ﻓﺮﺍﻫﻢ ﻣﻴﺎﻭﺭﺩ‬

‫‪5‬ﻋﻮﺍﻣﻞ ﻣﺤﻴﻄﻲ‬

‫ﻗﺎﺭﭼﻬﺎ ﺑﺮﺍﻱ ﺭﺷﺪ ﻭﺗﻜﺜﻴﺮ ﺧﻮﺩ ﺑﻪ ﺣﺮﺍﺭﺕ ﻭﺭﻃﻮﺑﺖ ﻧﻴﺎﺯ ﺩﺍﺭﻧﺪ ﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﻣﻌﻤﻮﻻ ﺩﺭ ﻧﻮﺍﺣﻲ ﻣﺮﻃﻮﺏ ﺑﺪﻥ ﺭﺥ ﻣﻴﺪﻫﻨﺪ‬

‫ﻛﻔﺶ ﻭﻟﺒﺎﺱ ﺑﻪ ﻋﺮﻕ ﻧﺸﺴﺘﻪ ﻭﻣﺸﺎﻏﻠﻲ ﻛﻪ ﺑﺎ ﮔﺮﻣﺎ ﻭﺭﻃﻮﺑﺖ ﺳﺮﻭ ﻛﺎﺭ ﺩﺍﺭﻧﺪ ﻣﻮﺟﺐ ﺍﻓﺰﺍﻳﺶ ﺍﺣﺘﻤﺎﻝ ﺭﺷﺪ ﻗﺎﺭﭼﻬﺎ ﻭﻋﻔﻮﻧﺖ‬

‫ﻗﺎﺭﭼﻲ ﻣﻲ ﮔﺮﺩﻧﺪ‬

‫‪6‬ﻭﺭﺍﺛﺖ‬

‫ﺑﺮﺧﻲ ﺍﻓﺮﺍﺩ ﺩﺍﺭﺍﻱ ﺍﺳﺘﻌﺪﺍﺩ ژﻧﺘﻴﻜﻲ ﻧﺴﺒﺖ ﺑﻪ ﻋﻔﻮﻧﺘﻬﺎﻱ ﻗﺎﺭﭼﻲ ﻣﻴﺒﺎﺷﻨﺪ‬

‫ﺍﻧﻮﺍﻉ ﻗﺎﺭﭼﻬﺎﻱ ﭘﻮﺳﺘﻲ‬

‫‪1‬ﺩﺳﺘﻪ ﺍﻭﻝ ﻛﻪ ﺗﻮﺳﻂ ﺍﻧﻮﺍﻋﻲ ﺍﺯ ﻗﺎﺭﭼﻬﺎ ﺑﻪ ﻧﺎﻡ ﺩﺭﻣﺎﺗﻮﻓﻴﺖ ﻫﺎ ﺍﻳﺠﺎﺩ ﻣﻴﺸﻮﺩ ﻛﻪ ﺑﻪ ﺑﻴﻤﺎﺭﻱ ﺣﺎﺻﻞ ﺍﺯ ﺍﻳﻦ ﺩﺳﺘﻪ ﺍﺯ ﻗﺎﺭﭼﻬﺎ‬

‫ﺩﺭﻣﺎﺗﻮﻓﻴﺘﻮﺳﻴﺲ ﻳﺎ ‪Dermatophytosis‬ﻳﺎ ﺗﻴﻨﺎ ‪ Tinea‬ﻳﺎ ﻛﭽﻠﻲ ﮔﻔﺘﻪ ﻣﻴﺸﻮﺩ‬

‫‪2‬ﻋﻔﻮﻧﺘﻬﺎﻳﻲ ﻛﻪ ﺗﻮﺳﻂ ﻣﺨﻤﺮ ﺍﻳﺠﺎﺩ ﻣﻴﺸﻮﺩﻛﻪ ﻣﻌﺮﻭﻓﺘﺮﻳﻦ ﻣﺨﻤﺮﻱ ﻛﻪ ﺑﺪﻥ ﺍﻧﺴﺎﻥ ﺭﺍ ﺩﺭﮔﻴﺮ ﻣﻴﻜﻨﺪ ﻛﺎﻧﺪﻳﺪﺍ ﺍﻟﺒﻴﻜﻨﺲ ﻣﻴﺒﺎﺷﺪ‬

‫ﺑﻪ ﻛﻠﻴﻪ ﻋﻔﻮﻧﺘﻬﺎﻱ ﻗﺎﺭﭼﻲ ﭘﻮﺳﺖ ﺩﺭﻣﺎﺗﻮ ﻣﺎﻳﻜﻮﺳﻴﺲ ‪ Dermatomycosis‬ﮔﻔﺘﻪ ﻣﻴﺸﻮﺩ‬

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 ‫ﺩﺭﻣﺎﺗﻮﻓﻴﺖ ﻫﺎ ﻭﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﭘﻮﺳﺖ‬

‫ﻋﻔﻮﻧﺖ ﻫﺎﻱ ﻗﺎﺭﭼﻲ ﭘﻮﺳﺖ ﻛﻪ ﺗﻮﺳﻂ ﺩﺭﻣﺎﺗﻮﻓﻴﺖ ﻫﺎ ﺍﻳﺠﺎﺩ ﻣﻴﮕﺮﺩﺩ ﺍﺻﻄﻼﺡ ﭘﺰﺷﻜﻲ ﺑﻪ ﻛﺎﺭ ﮔﺮﻓﺘﻪ ﺷﺪﻩ ﺑﺮﺍﻱ ﺍﻳﻦ ﺩﺳﺘﻪ ﺍﺯ ﺍﻳﻦ‬

‫ﻋﻔﻮﻧﺖ ﻫﺎ ﺗﻴﻨﺎ ﻳﺎ ﻛﭽﻠﻲ ﺍﺳﺖ ﻛﻪ ﺑﺮ ﻣﺒﻨﺎﻱ ﻣﻜﺎﻥ ﺍﻳﺠﺎﺩ ﺷﺪﻥ ﺗﻴﻨﺎ ﻭﺍژﮔﺎﻥ ﻣﺨﺘﻠﻔﻲ ﺩﺭ ﺟﻬﺖ ﺗﻌﺮﻳﻒ ﻋﻔﻮﻧﺖ ﭘﺪﻳﺪ ﺍﻣﺪﻩ ﺑﻪ‬

‫ﻭﺳﻴﻠﻪ ﺍﻳﻦ ﻗﺎﺭﭼﻬﺎ ﻣﻮﺭﺩ ﺍﺳﺘﻔﺎﺩﻩ ﻗﺮﺍﺭ ﻣﻴﮕﻴﺮﻧﺪ ﺑﺮﺧﻲ ﺍﺯ ﻋﻔﻮﻧﺖ ﻫﺎﻱ ﻗﺎﺭﭼﻲ ﺷﺎﻳﻊ ﻋﺒﺎﺭﺕ ﺍﺳﺖ ﺍﺯ‬

‫‪1‬ﺗﻴﻨﺎ ﻛﻮﺭﭘﻮﺭﻳﺲ ﻳﺎ ﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﺑﺪﻥ‬

‫‪2‬ﺗﻴﻨﺎ ﻛﺎﭘﻴﺘﻴﺲ ﻳﺎ ﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﭘﻮﺳﺖ ﺳﺮ ﻳﺎ ﻛﭽﻠﻲ ﺳﺮ‬

‫‪3‬ﺗﻴﻨﺎ ﭘﺪﻳﺲ ﻳﺎﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﭘﺎ ﻳﺎ ﻛﭽﻠﻲ ﭘﺎ ﻳﺎ ﻋﻔﻮﻧﺖ ﭘﺎﻱ ﻭﺭﺭﺷﻜﺎﺭﺍﻥ‬

‫‪4‬ﺗﻴﻨﺎ ﺍﻭﻧﮕﻮﻳﻴﻮﻡ ﻳﺎ ﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﻧﺎﺧﻦ ﻳﺎ ﻛﭽﻠﻲ ﻧﺎﺧﻦ‬

‫‪5‬ﺗﻴﻨﺎ ﺑﺎﺭﺑﺎﻳﻲ ﻳﺎ ‪ Tinea Barbae‬ﻳﺎ ﻛﭽﻠﻲ ﺭﻳﺶ‬

‫‪6‬ﺗﻴﻨﺎ ﻣﺎﻧﻮﻡ ﻳﺎ ‪ Tinea manum‬ﻳﺎ ﻛﭽﻠﻲ ﺩﺳﺖ‬

‫ﻛﭽﻠﻲ ﺳﺮ ﻳﺎ ﺗﻴﻨﺎ ﻛﺎﭘﻴﺘﻴﺲ‬

‫ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﺑﻴﺸﺘﺮ ﺩﺭﻛﻒ ﺳﺮ ﻭﻣﻮﻫﺎﻱ ﻛﻮﺩﻛﺎﻥ ﺩﻳﺪﻩ ﻣﻴﺸﻮﺩ ﺑﻴﻤﺎﺭﻱ ﻣﺴﺮﻱ ﻭ ﺩﻭﺭﻩ ﻛﻤﻮﻥ ‪ 3‬ﺗﺎ ‪ 4‬ﻣﺎﻩ ﻣﻴﺒﺎﺷﺪ ﻋﻔﻮﻧﺖ ﻣﻤﻜﻦ‬

‫ﺍﺳﺖ ﺩﺭ ﻧﺎﺣﻴﻪ ﻣﺤﺪﻭﺩ ﺍﺯ ﭘﻮﺳﺖ ﺳﺮ ﻳﺎ ﺍﻳﻨﻜﻪ ﺗﻤﺎﻡ ﭘﻮﺳﺖ ﺳﺮ ﺭﺍ ﻓﺮﺍ ﮔﻴﺮﺩ‬

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 ‫ﻋﻼﻳﻢ ﺷﺎﻳﻊ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﻋﺒﺎﺭﺗﻨﺪ ﺍﺯ‬

‫‪1‬ﻟﺨﺘﻪ ﻫﺎﻱ ﺑﻲ ﻣﻮ ﺑﻪ ﻫﻤﺮﺍﻩ ﺧﺎﺭﺵ ﻭﭘﻮﺳﺘﻪ ﭘﻮﺳﺘﻪ ﺷﺪﻥ‬

‫‪2‬ﻣﻮﻫﺎﻱ ﺍﺳﻴﺐ ﭘﺬﻳﺮ ﻛﻪ ﺗﻤﺎﻳﻞ ﺩﺍﺭﻧﺪ ﺑﺎ ﻛﻮﭼﻜﺘﺮﻳﻦ ﻛﺸﺸﻲ ﺭﻳﺨﺘﻪ ﺷﻮﻧﺪ‬

‫‪3‬ﻧﺎﺣﻴﻪ ﻣﺤﻞ ﻋﻔﻮﻧﺖ ﺑﻪ ﺭﻧﮓ ﺳﺮﺥ ﻳﺎ ﺧﺎﻛﺴﺘﺮﻱ ﺩﻳﺪﻩ ﻣﻴﺸﻮﺩ‬

‫‪4‬ﺩﺭﺩ ﻭﺳﻮﺯﺵ ﺩﺭ ﻧﺎﺣﻴﻪ ﻣﺤﻞ ﻋﻔﻮﻧﺖ‬

‫ﺩﺭ ﻣﺠﻤﻮﻉ ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﺑﺎ ﻳﻚ ﺑﺮﺍﻣﺪﮔﻲ ﻛﻮﭼﻚ ﻭﻳﺎ ﻟﺨﺘﻪ ﻛﻮﭼﻚ ﭘﻮﺳﺘﻪ ﭘﻮﺳﺘﻪ ﺑﺮ ﺭﻭﻱ ﭘﻮﺳﺖ ﺳﺮ ﺷﺮﻭﻉ ﻣﻴﺸﻮﺩ ﻭﺍﻣﻜﺎﻥ‬

‫ﺩﺍﺭﺩ ﺑﺎ ﺷﻮﺭﻩ ﺳﺮ ﺍﺷﺘﺒﺎﻩ ﮔﺮﻓﺘﻪ ﺷﻮﺩ ﻋﻔﻮﻧﺖ ﺑﻪ ﺍﺭﺍﻣﻲ ﭘﺨﺶ ﻣﻴﺸﻮﺩ ﻭﻳﻚ ﻳﺎ ﭼﻨﺪ ﻟﺨﺘﻪ ﺑﻲ ﻣﻮ ﭘﺪﻳﺪ ﻣﻴﺎﻭﺭﺩ ﻣﻮﺍﺭﺩ ﺣﺎﺩﻱ ﺍﺯ ﺍﻳﻦ‬

‫ﻋﻔﻮﻧﺖ ﻣﻤﻜﻦ ﺍﺳﺖ ﺑﻪ ﺭﻳﺰﺵ ﺩﺍﻳﻤﻲ ﻣﻮ ﻣﻨﺠﺮ ﺷﻮﺩ‬

‫ﻧﻮﻉ ﺩﻳﮕﺮﻱ ﺍﺯﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﺗﺤﺖ ﻋﻨﻮﺍﻥ ‪ kerion‬ﻳﺎ ﻛﭽﻠﻲ ﺍﻟﺘﻬﺎﺑﻲ ﻣﻴﺒﺎﺷﺪ ﻛﻪ ﻗﺎﺭچ ﻛﭽﻠﻲ ﺍﺯ ﺧﻴﻮﺍﻥ ﻣﻨﺘﻘﻞ ﻣﻴﮕﺮﺩﺩ ﻭﺑﺪﻥ ﺩﺭ‬

‫ﻣﻘﺎﺑﻞ ﺍﻥ ﻭﺍﻛﻨﺶ ﺍﻟﺘﻬﺎﺑﻲ ﺷﺪﻳﺪ ﺍﺯ ﺧﻮﺩ ﻧﺸﺎﻥ ﻣﻴﺪﻫﺪ ﺑﻪ ﻃﻮﺭﻱ ﻛﻪ ﻳﻚ ﻳﺎ ﭼﻨﺪ ﭘﻼﻙ ﺑﺪﻭﻥ ﻣﻮ ﻭﺷﺪﻳﺪﺍ ﻣﻠﺘﻬﺐ ﺍﻳﺤﺎﺩ ﻭﺍﺯ‬

‫ﭘﻮﺳﺖ ﺍﻃﺮﺍﻑ ﺧﻮﺩ ﻣﻠﺘﻬﺐ ﺗﺮ ﻣﻴﺒﺎﺷﺪ ﻛﻪ ﻣﻴﺘﻮﺍﺗﺪ ﻋﻔﻮﻧﺖ ﺑﺎﻛﺘﺮﻳﺎﻝ ﺗﻮﺍﻡ ﺑﺎ ﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﮔﺮﺩﺩ ﻛﻪ ﺩﺭ ﺍﻳﻦ ﺣﺎﻟﺖ ﻋﻼﻭﻩ ﺑﺮ‬

‫ﺩﺭﻣﺎﻥ ﺿﺪ ﻗﺎﺭچ ﺍﻧﺘﻲ ﺑﻴﻮﺗﻴﻚ ﻭ ﻛﻮﺭﺗﻴﻜﻮ ﺍﺳﺘﺮﻭﻳﻴﺪ ﻫﻢ ﺑﺎﻳﺴﺘﻲ ﺗﺠﻮﻳﺰ ﮔﺮﺩﺩ‬

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 ‫ﺗﻴﻨﺎ ﻛﻮﺭﭘﻮﺭﻳﺲ ﻳﺎ ﻛﭽﻠﻲ ﺑﺪﻥ‬

‫ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﺑﻴﺸﺘﺮ ﺩﺭ ﻛﻮﺩﻛﺎﻥ ﻭﺍﺏ ﻭﻫﻮﺍﻱ ﻣﺮﻃﻮﺏ ﺩﻳﺪﻩ ﻣﻴﺸﻮﺩ ﺍﻧﺘﻘﺎﻝ ﺍﺯ ﻃﺮﻳﻖ ﺗﻤﺎﺱ ﻣﺴﺘﻘﻴﻢ ﺑﺎ ﺍﻧﺴﺎﻥ ﺣﻴﻮﺍﻥ ﻭﻳﺎ ﻭﺳﺎﻳﻞ‬

‫ﺍﻟﻮﺩﻩ ﺍﻳﺠﺎﺩ ﻣﻴﮕﺮﺩﺩ ﺿﺎﻳﻌﺎﺕ ﭘﻮﺳﺘﻲ ﺣﻠﻘﻮﻱ ﻭﻏﻴﺮ ﻗﺮﻳﻨﻪ ﺑﻮﺩﻩ ﺩﻭﺭﻩ ﻛﻤﻮﻥ ‪ 1‬ﺗﺎ ‪ 2‬ﻫﻔﺘﻪ ﻣﻴﺒﺎﺷﺪ ﻋﻼﻳﻢ ﺷﺎﻳﻊ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﻋﺒﺎﺭﺗﻨﺪ‬

‫ﺍﺯ‬

‫‪1‬ﺳﺮﺧﻲ ﻭ ﻭﺭﻡ ﺩﺭ ﺍﻃﺮﺍﻑ ﻛﻬﻴﺮ ﺍﻳﺠﺎﺩ ﺷﺪﻩ‬

‫‪2‬ﺍﺣﺴﺎﺱ ﺧﺎﺭﺵ ﺩﺭ ﺍﻃﺮﺍﻑ ﻛﻬﻴﺮ ﻭ ﭘﻼﻙ ﺍﻳﺠﺎﺩ ﺷﺪﻩ‬

‫‪3‬ﭘﻮﺳﺘﻪ ﭘﻮﺳﺘﻪ ﺷﺪﻥ ﺩﺭ ﺍﻃﺮﺍﻑ ﻛﻬﻴﺮ‬

‫‪4‬ﺩﺭ ﻣﻮﺍﺭﺩ ﺣﺎﺩﺗﺮ ﺗﺐ ﻭﺧﺸﻜﻲ‬

‫ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﺑﻴﺸﺘﺮ ﺑﺎﺯﻭ ﺷﺎﻧﻪ ﺩﺳﺖ ﻭﭘﺎ ﺭﺍ ﺩﺭﮔﻴﺮ ﻣﻴﻜﻨﺪ‬

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 ‫ﻛﭽﻠﻲ ﺩﺳﺖ ﻭﭘﺎ ‪ T.padis‬ﻭ‪T.manum‬‬

‫ﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﭘﺎ ﻳﺎ ﺗﻴﻨﺎ ﭘﺪﻳﺲ ﻛﻪ ﺑﻪ ﻧﺎﻡ ﻋﻔﻮﻧﺖ ﭘﺎﻱ ﻭﺭﺯﺷﻜﺎﺭﺍﻥ ﻧﻴﺰ ﺷﻨﺎﺧﺘﻪ ﻣﻴﺸﻮﺩ ﺑﻪ ﻃﻮﺭ ﻣﻌﻤﻮﻝ ﺩﺭ ﻣﻴﺎﻥ ﻣﺮﺩﺍﻥ ﺟﻮﺍﻥ ﻭﺩﺭ‬

‫ﺍﺏ ﻭﻫﻮﺍﻱ ﮔﺮﻡ ﻭﻣﺮﻃﻮﺏ ﺑﻴﺸﺘﺮ ﺩﻳﺪﻩ ﻣﻴﺸﻮﺩ ﭘﻮﺷﻴﺪﻥ ﺟﻮﺭﺍﺏ ﻭﻛﻔﺶ ﻫﺎﻱ ﻣﺮﻃﻮﺏ ﻭﺗﻨﮓ ﭘﻮﺳﺖ ﺭﺍ ﮔﺮﻡ ﻭﻣﺮﻃﻮﺏ ﻧﮕﻪ‬

‫ﻣﻴﺪﺍﺭﺩ ﻛﻪ ﻣﺤﻴﻄﻲ ﺍﻳﺪﻩ ﺍﻝ ﺑﺮﺍﻱ ﺭﺷﺪ ﻭﻧﻤﻮ ﻗﺎﺭﭼﻬﺎ ﻣﻴﺒﺎﺷﺪ ﺑﺮﺧﻲ ﺍﺯ ﻋﻼﻳﻢ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﻋﺒﺎﺭﺗﻨﺪ ﺍﺯ‬

‫‪1‬ﺿﺎﻳﻌﺎﺕ ﻣﺮﻃﻮﺏ ﺧﺎﺭﺵ ﺩﺍﺭ ﻫﻤﺮﺍﻩ ﺑﺎ ﭘﻮﺳﺘﻪ ﺭﻳﺰﻱ ﺑﻴﺸﺘﺮ ﺩﺭ ﻓﻀﺎﻱ ﺑﻴﻦ ﺍﻧﮕﺸﺘﺎﻥ ﺳﻮﻡ ﻭﭼﻬﺎﺭﻡ‬

‫‪2‬ﺣﺲ ﺳﻮﺯﺵ ﻛﻪ ﻫﻤﺮﺍﻩ ﺑﺎ ﺧﺎﺭﺵ ﻭﺣﺲ ﮔﺰﻳﺪﮔﻲ ﺍﺳﺖ ﻋﻤﺪﺗﺎ ﺩﺭ ﻧﻮﺍﺣﻲ ﻛﻒ ﭘﺎ ﻭﻳﺎ ﻓﺎﺻﻠﻪ ﺑﻴﻦ ﺍﻧﮕﺸﺘﺎﻥ ﭘﺎ‬

‫‪3‬ﭘﺪﻳﺪ ﺍﻣﺪﻥ ﺗﺎﻭﻝ ﻫﺎﻳﻲ ﺧﺎﺭﺵ ﺩﺍﺭ ﺩﺭ ﻣﺤﻞ ﻋﻔﻮﻧﺖ‬

‫‪4‬ﭘﻮﺳﺖ ﺷﻜﺎﻓﺘﻪ ﺷﺪﻩ ﻛﻪ ﺍﺯ ﺳﻄﺢ ﻛﻨﺪﻩ ﻣﻴﺸﻮﺩ ﻛﻪ ﺩﺭ ﻧﺎﺣﻴﻪ ﻛﻒ ﭘﺎ ﻭﻳﺎ ﺩﺭ ﺑﻴﻦ ﺍﻧﮕﺸﺘﺎﻥ ﭘﺎ ﭘﺪﻳﺪ ﻣﻲ ﺍﻳﺪ‬

‫ﻛﭽﻠﻲ ﺩﺳﺖ ﻳﺎ ﺗﻴﻨﺎ ﻣﺎﻧﻮﺋﻮﻡ ﺑﻪ ﺻﻮﺭﺕ ﺍﺭﻳﺘﻢ ﺧﻔﻴﻒ ﺑﻮﺩﻩ ﻫﻤﺮﺍﻩ ﺑﺎ ﻫﺎﻳﭙﺮﻛﺮﺍﺗﻮﺯ ﻭﭘﻮﺳﺘﻪ ﭘﻮﺳﺘﻪ ﺭﻳﺰﻱ ﺩﺭ ﻛﻒ ﻭﺑﻴﻦ ﺍﻧﮕﺸﺘﺎﻥ‬

‫ﺩﺳﺖ ﻣﻲ ﺑﺎﺷﺪ‬

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 ‫ﻛﭽﻠﻲ ﻧﺎﺧﻦ ﻳﺎ ﺗﻴﻨﺎ ﺍﻭﻧﮕﻮﺋﻴﻮﻡ‬

‫ﻋﻔﻮﻧﺘﻲ ﺷﺎﻳﻊ ﻛﻪ ﻛﻼ ﺑﻪ ﻧﺎﻡ ﺍﻭﻧﻴﻜﻮ ﻣﺎﻳﻜﻮﺳﻴﺲ ﻳﺎ ‪ onychomycosis‬ﺷﻨﺎﺧﺘﻪ ﻣﻴﺸﻮﺩ ﺩﺭ ﺻﻮﺭﺗﻲ ﻛﻪ ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﺗﻮﺳﻂ‬

‫ﺩﺭﻣﺎﺗﻮﻓﻴﺖ ﻫﺎ ﭘﺪﻳﺪ ﺍﻣﺪﻩ ﺑﺎﺷﺪ ﺍﻥ ﮔﺎﻩ ﺑﻪ ﺍﻥ ﺗﻴﻨﺎ ﺍﻭﻧﮕﻮﺋﻴﻮﻡ ﮔﻔﺘﻪ ﻣﻴﺸﻮﺩ ﻛﻪ ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﻣﻴﺘﻮﺍﻧﺪ ﺗﻮﺳﻂ ﻣﺨﻤﺮﻫﺎ ﻛﺎﻧﺪﻳﺪﺍ‬

‫ﺍﻟﺒﻴﻜﻨﺲ ﻳﺎ ﺍﺳﭙﺮژﻳﻠﻮﺱ ﻧﻴﺰ ﺍﻳﺠﺎﺩ ﺷﻮﺩ ﺻﻔﺤﻪ ﻧﺎﺧﻦ ﺷﻜﻨﻨﺪﻩ ﺿﺨﻴﻢ ﻭﺑﺪ ﺷﻜﻞ ﻣﻴﺸﻮﺩ ﻭﻧﺎﺧﻦ ﻣﻴﺘﻮﺍﻧﺪ ﺍﺯ ﺑﺴﺘﺮ ﺟﺪﺍ ﮔﺮﺩﺩ ﺍﻣﻜﺎﻥ‬

‫ﺩﺍﺭﺩ ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﺩﺭ ﻧﺘﻴﺠﻪ ﮔﺴﺘﺮﺵ ﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﭘﻮﺳﺖ ﺷﻜﻞ ﮔﻴﺮﺩ ﻗﺎﺭچ ﻧﺎﺧﻦ ﺩﺭ ﻧﺎﺧﻦ ﻫﺎﻱ ﭘﺎ ﻧﺴﺒﺖ ﺑﻪ ﺩﺳﺖ ﺷﺎﻳﻊ ﺗﺮ‬

‫ﺍﺳﺖ ﻛﻪ ﺑﻪ ﻋﻠﺖ ﭘﻮﺷﻴﺪﻩ ﺷﺪﻥ ﺍﻧﮕﺸﺘﺎﻥ ﭘﺎ ﺑﺎ ﻛﻔﺶ ﻭﺟﻮﺭﺍﺏ ﻣﻴﺒﺎﺷﺪ ﻛﻪ ﺍﺯ ﺭﺳﻴﺪﻥ ﻫﻮﺍﻱ ﺗﺎﺯﻩ ﺑﻪ ﺍﻧﻬﺎ ﺣﻠﻮﮔﻴﺮﻱ ﻣﻴﻜﻨﺪ ﺩﺍﺷﺘﻦ‬

‫ﻳﻚ ﺟﺮﺍﺣﺖ ﺩﺭ ﺍﻃﺮﺍﻑ ﻧﺎﺧﻦ ﻫﺎ ﻣﻴﺘﻮﺍﻧﺪ ﺍﻧﻬﺎ ﺭﺍ ﺩﺭ ﺑﺮﺍﺑﺮ ﻗﺎﺭچ ﻧﺎﺧﻦ ﺍﺳﻴﺐ ﭘﺬﻳﺮ ﻧﻤﺎﻳﺪ ﺑﺮﺧﻲ ﺍﺯ ﻋﻼﻳﻢ ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﻋﺒﺎﺭﺗﻨﺪ ﺍﺯ‬

‫‪1‬ﺍﻳﺠﺎﺩ ﺗﻐﻴﻴﺮ ﺩﺭ ﺑﺎﻓﺖ ﻧﺎﺧﻦ ﻛﻪ ﺍﻣﻜﺎﻥ ﺩﺍﺭﺩ ﺿﺨﻴﻢ ﺗﺮ ﺑﻪ ﻧﻈﺮ ﺍﻳﻨﺪ‬

‫‪2‬ﻧﺎﺧﻨﻬﺎ ﺑﺪﻭﻥ ﻫﻴﭻ ﺟﻼﻳﻲ ﺑﺪ ﺷﻜﻞ ﻭﺳﺴﺖ ﺑﻪ ﻧﻈﺮ ﺑﺮﺳﻨﺪ‬

‫‪3‬ﻧﺎﺧﻨﻬﺎ ﺗﻴﺮﻩ ﻭﺷﻜﻨﻨﺪﻩ ﺑﻪ ﻧﻈﺮ ﺑﺮﺳﻨﺪ‬

‫‪4‬ﺍﺣﺴﺎﺱ ﺩﺭﺩ‬

‫ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﻣﻌﻤﻮﻻ ﺑﺎ ﻇﺎﻫﺮ ﺷﺪﻥ ﻳﻚ ﻟﻜﻪ ﺳﻔﻴﺪ ﻭﻳﺎ ﺯﺭﺩ ﺭﻧﮓ ﺩﺭ ﻧﻮﻙ ﻧﺎﺧﻦ ﻫﺎ ﺷﺮﻭﻉ ﺷﻮﺩ ﻛﻪ ﺑﻪ ﻣﻨﻈﻮﺭ ﺟﻠﻮﮔﻴﺮﻱ ﺍﺯ‬

‫ﭘﻴﺸﺮﻓﺖ ﺑﻴﻤﺎﺭﻱ ﻭﺟﺪﺍ ﮔﺮﺩﻳﺪﻥ ﻧﺎﺧﻦ ﺍﺯ ﺑﺴﺘﺮﺧﻮﺩ ﺩﺭﻣﺎﻥ ﻓﻮﺭﻱ ﺍﻣﺮﻱ ﺿﺮﻭﺭﻱ ﺑﻪ ﻧﻈﺮ ﻣﻴﺮﺳﺪ‬

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 ‫ﻋﻔﻮﻧﺘﻬﺎﻱ ﻗﺎﺭﭼﻲ ﻛﻪ ﺗﻮﺳﻂ ﻣﺨﻤﺮﻫﺎ ﺍﻳﺠﺎﺩ ﻣﻲ ﺷﻮﻧﺪ‬

‫ﻋﻔﻮﻧﺘﻬﺎﻱ ﻗﺎﺭﭼﻲ ﻛﻪ ﺗﻮﺳﻂ ﻣﺨﻤﺮﻫﺎ ﺍﻳﺠﺎﺩ ﻣﻴﺸﻮﻧﺪ ﺗﺤﺖ ﻋﻨﻮﺍﻥ ﻋﻔﻮﻧﺘﻬﺎﻱ ﻛﭙﻜﻲ ﻳﻜﻲ ﺩﻳﮕﺮ ﺍﺯ ﻋﻔﻮﻧﺘﻬﺎﻱ ﺷﺎﻳﻊ ﭘﻮﺳﺖ ﻫﺴﺘﻨﺪ‬

‫ﻛﻪ ﺑﻪ ﻭﺳﻴﻠﻪ ﮔﺮﻭﻫﻲ ﺍﺯ ﻗﺎﺭﭼﻬﺎ ﺑﻪ ﻧﺎﻡ ﻛﺎﻧﺪﻳﺪﺍ ﺍﻳﺠﺎﺩ ﻣﻴﮕﺮﺩﻧﺪ ﻛﺎﻧﺪﻳﺪﺍ ﺍﺯ ﺑﻴﺶ ﺍﺯ ‪ 20‬ﮔﻮﻧﻪ ﻣﺘﻔﺎﻭﺕ ﺗﺸﻜﻴﻞ ﺷﺪﻩ ﺍﺳﺖ ﻛﻪ ﺍﺯ‬

‫ﺑﻴﻦ ﺍﻧﻬﺎ ﻛﺎﻧﺪﻳﺪﺍ ﺍﻟﺒﻴﻜﻨﺲ ﮔﻮﻧﻪ ﺍﻱ ﺍﺯ ﻗﺎﺭچ ﺍﺳﺖ ﻛﻪ ﺳﺒﺐ ﺍﻛﺜﺮ ﻋﻔﻮﻧﺘﻬﺎﻱ ﭘﻮﺳﺘﻲ ﺍﺳﺖ ﺍﻳﻦ ﮔﻮﻧﻪ ﻋﻤﻮﻣﺎ ﺑﺮ ﺭﻭﻱ ﺳﻄﺢ ﺑﺪﻥ‬

‫ﻳﺎﻓﺖ ﻣﻴﺸﻮﺩ ﻭﻣﻌﻤﻮﻻ ﺑﻲ ﺿﺮﺭ ﻣﻴﺒﺎﺷﺪ ﺑﺎ ﺍﻳﻦ ﺣﺎﻝ ﺑﻪ ﻋﻠﺖ ﺑﺮﺧﻲ ﻋﻮﺍﻣﻞ ﺭﺷﺪ ﺍﻳﻦ ﻗﺎﭼﻬﺎ ﺍﺯ ﻛﻨﺘﺮﻝ ﺧﺎﺭﺝ ﮔﺮﺩﺩ ﺍﻳﻦ ﺍﺗﻔﺎﻕ‬

‫ﺯﻣﺎﻧﻲ ﺑﺮﻭﺯ ﻣﻴﻨﻤﺎﻳﺪ ﻛﻪ ﻗﺎﺭﭼﻬﺎ ﺩﺭ ﻣﺤﻴﻄﻲ ﮔﺮﻡ ﻭﻣﺮ ﻃﻮﺏ ﻗﺮﺍﺭ ﮔﻴﺮﻧﺪ ﺗﻔﺎﻭﺕ ﺑﻴﻦ ﺩﺭﻣﺎﺗﻮﻓﻴﺘﻬﺎ ﻭﻛﺎﻧﺪﻳﺪﺍ ﺩﺭ ﺍﻳﻦ ﺍﺳﺖ ﻛﻪ ﺍﻛﺜﺮ‬

‫ﻋﻔﻮﻧﺘﻬﺎﻱ ﻛﭙﻜﻲ ﻛﻪ ﺗﻮﺳﻂ ﻛﺎﻧﺪﻳﺪﺍ ﺍﻳﺠﺎﺩ ﻣﻴﺸﻮﻧﺪ ﻭﺍﮔﻴﺮ ﺩﺍﺭ ﻧﻴﺴﺘﻨﺪ‬

‫ﻋﻔﻮﻧﺘﻬﺎﻱ ﻗﺎﺭﭼﻲ ﺭﺍﻳﺞ ﻛﻪ ﺗﻮﺳﻂ ﻛﺎﻧﺪﻳﺪﺍ ﺍﻟﺒﻴﻜﻨﺲ ﺍﻳﺠﺎﺩ ﻣﻴﺸﻮﻧﺪ ﺷﺎﻣﻞ‬

‫⃣‪1‬ﺑﺮﻓﻚ ﺩﻫﺎﻥ‬

‫⃣‪2‬ﻋﻔﻮﻧﺘﻬﺎﻱ ﻛﭙﻜﻲ ﻭﺍژﻥ‬

‫⃣‪3‬ﻛﻬﻴﺮ ﭘﻮﺷﻚ ﻳﺎ‪Diaper Dermatitis‬‬

‫⃣‪4‬ﺍﻳﻨﺘﺮ ﺗﺮﻳﮕﻮ‬

‫⃣‪5‬ﭘﺘﺮﻳﺎﺯﻳﺲ ﻭﺭﺳﻴﻜﻮﻟﻮﺭ‬

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 ‫ﺑﺮﻓﻚ ﺩﻫﺎﻥ‬

‫ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﺑﻴﺸﺘﺮ ﺩﺭ ﻣﻴﺎﻥ ﺍﻃﻔﺎﻝ ﻭﻛﻮﺩﻛﺎﻥ ﻳﺎﻓﺖ ﻣﻴﺸﻮﺩ ﻗﺎﺭچ ﻛﺎﻧﺪﻳﺪﺍ ﺍﻟﺒﻴﻜﺎﻥ ﺑﻪ ﻃﻮﺭ ﻧﺎﻫﻨﺠﺎﺭﻱ ﺩﺭ ﺩﺍﺧﻞ ﺩﻫﺎﻥ ﺭﺷﺪ‬

‫ﻣﻴﻨﻤﺎﻳﺪ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﺩﺭ ﻧﻮﺟﻮﺍﻧﺎﻥ ﻭﺑﺰﮔﺴﺎﻻﻥ ﻧﻴﺰ ﻣﻤﻜﻦ ﺍﺳﺖ ﺩﻳﺪﻩ ﺷﻮﺩ ﺑﻪ ﺧﺼﻮﺹ ﺩﺭ ﺍﻓﺮﺍﺩﻱ ﻛﻪ‬

‫⃣‪1‬ﺳﻴﺴﺘﻢ ﺍﻳﻤﻨﻲ ﺿﻌﻴﻔﻲ ﺩﺍﺭﻧﺪ‬

‫⃣‪2‬ﻭﺟﻮﺩ ﺑﻴﻤﺎﻳﻬﺎﻱ ﺩﻳﺎﺑﺖ ﺳﺮﻃﺎﻥ ﻭﻳﺎ‪Hiv‬‬

‫⃣‪3‬ﻣﺼﺮﻑ ﺍﻧﺘﻲ ﺑﻴﻮﺗﻴﻚ ﻳﺎ ﻛﻮﺭﺗﻴﻜﻮ ﺍﺳﺘﺮﻭﻳﻴﺪ‬

‫⃣‪4‬ﺍﻓﺮﺍﺩ ﺳﻴﮕﺎﺭﻱ‬

‫ﻋﻼﻳﻢ ﺑﻴﻤﺎﺭﻱ ﺑﺮﻓﻚ ﺩﻫﺎﻥ‬

‫⃣‪1‬ﺍﻳﺠﺎﺩ ﺯﺧﻢ ﻫﺎﻳﻲ ﺩﺭ ﺟﺪﺍﺭ ﺩﻫﺎﻥ ﺍﻣﻜﺎﻥ ﺩﺍﺭﺩ ﺍﻳﻦ ﺯﺧﻢ ﻫﺎ ﺑﺮ ﺭﻭﻱ ﺯﺑﺎﻥ ﺳﻘﻒ ﺩﻫﺎﻥ ﻟﺜﻪ ﻫﺎ ﻟﻮﺯﻩ ﻫﺎ ﻭ ﺩﺍﺧﻞ ﮔﻮﻧﻪ ﻫﺎ ﻧﻴﺰ‬

‫ﻧﻤﺎﻳﺎﻥ ﺷﻮﻧﺪ‬

‫⃣‪2‬ﻧﺒﻮﺩ ﺣﺲ ﭼﺸﺎﻳﻲ ﺑﻪ ﻫﻤﺮﺍﻩ ﺣﺲ ﺩﺭﺩ ﺩﺭ ﻧﺎﺣﻴﻪ ﻋﻔﻮﻧﺖ ﻛﺮﺩﻩ‬

‫⃣‪3‬ﭘﻮﺳﺖ ﺗﺮﻙ ﺧﻮﺭﺩﻩ ﺩﺭ ﮔﻮﺷﻪ ﻟﺒﻬﺎ ﺑﻪ ﻫﻤﺮﺍﻩ ﺳﺮﺥ ﺭﻧﮕﻲ ﺍﻧﻬﺎ‬

‫ﻫﻨﮕﺎﻣﻲ ﻛﻪ ﻧﻮﺯﺍﺩ ﺑﻪ ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﻣﺒﺘﻼ ﮔﺮﺩﺩ ﺍﻳﻦ ﺍﺣﺘﻤﺎﻝ ﻭﺟﻮﺩ ﺩﺍﺭﺩ ﻛﻪ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﺩﺭ ﺯﻣﺎﻥ ﺷﻴﺮ ﺩﺍﺩﻥ ﺑﻪ ﻣﺎﺩﺭ ﺍﻧﺘﻘﺎﻝ ﻳﺎﺑﺪ ﻛﻪ‬

‫ﺍﻣﻜﺎﻥ ﺩﺍﺭﺩ ﻧﻮﻙ ﭘﺴﺘﺎﻧﻬﺎ ﻭﻫﺎﻟﻪ ﺩﻭﺭ ﺍﻧﻬﺎ ﺩﭼﺎﺭ ﻋﻔﻮﻧﺖ ﮔﺮﺩﻧﺪ ﻛﻪ ﺩﺭ ﺍﻳﻦ ﺻﻮﺭﺕ ﻋﻼﻳﻢ ﺯﻳﺮ ﻣﺸﺎﻫﺪﻩ ﻣﻴﮕﺮﺩﺩ‬

‫⃣‪1‬ﺍﺣﺴﺎﺱ ﺩﺭﺩ ﺷﺪﻳﺪ ﻭﻣﻨﻘﻄﻊ ﺩﺭ ﻧﺎﺣﻴﻪ ﺳﻴﻨﻪ‬

‫⃣‪2‬ﺍﺧﺴﺎﺱ ﺧﺎﺭﺵ ﺩﺭ ﻧﻮﻙ ﭘﺴﺘﺎﻧﻬﺎ ﺑﻪ ﻫﻤﺮﺍﻩ ﺩﺭﺩ ﺩﺭ ﺯﻣﺎﻥ ﺷﻴﺮ ﺩﺍﺩﻥ‬

‫⃣‪3‬ﭘﻮﺳﺖ ﺑﺮﺍﻕ ﻭﭘﻮﺳﺘﻪ ﭘﻮﺳﺘﻪ ﺷﺪﻥ ﺩﺭ ﻧﺎﺣﻴﻪ ﻫﺎﻟﻪ ﻭﻧﻮﻙ ﭘﺴﺘﺎﻥ‬

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 ‫ﻋﻔﻮﻧﺘﻬﺎﻱ ﻛﭙﻜﻲ ﻭﺍژﻥ‬

‫ﻛﺎﻧﺪﻳﺪﺍ ﺍﻟﺒﻴﻜﺎﻧﻬﺎ ﺷﺎﻳﻊ ﺗﺮﻳﻦ ﻋﻠﺖ ﻋﻔﻮﻧﺖ ﻛﭙﻜﻲ ﻭﺍژﻥ ﻣﻴﺒﺎﺷﻨﺪﺯﻣﺎﻧﻲ ﻛﻪ ﺭﺷﺪ ﻛﺎﻧﺪﻳﺪﺍ ﺩﺭ ﻧﺎﺣﻴﻪ ﻭﺍژﻥ ﺍﻓﺰﺍﻳﺶ ﭘﻴﺪﺍ ﻛﻨﺪ‬

‫ﻋﻔﻮﻧﺖ ﭘﺪﻳﺪ ﻣﻴﺎﻳﺪ ﻋﻼﻳﻢ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﺷﺎﻣﻞ‬

‫‪1‬ﺧﺎﺭﺵ ﻭﺳﻮﺯﺵ ﺩﺭ ﻧﺎﺣﻴﻪ ﻭﺍژﻥ‬

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 ‫‪2‬ﺧﺎﺭﺝ ﺷﺪﻥ ﭼﺮﻙ ﺳﻔﻴﺪ ﻭﻏﻠﻴﻆ ﺍﺯ ﻧﺎﺣﻴﻪ ﻭﺍژﻥ‬

‫‪3‬ﺍﺣﺴﺎﺱ ﺳﻮﺯﺵ ﺑﻪ ﻫﻨﮕﺎﻡ ﺍﺩﺭﺍﺭ ﻛﺮﺩﻥ ﻳﺎ ﻣﻘﺎﺭﺑﺖ ﺟﻨﺴﻲ‬

‫‪4‬ﺳﻮﺯﺵ ﺩﺭﺩ ﻭﺳﺮﺧﻲ ﺩﺭ ﻧﺎﺣﻴﻪ ﻭﺍژﻥ‬

‫‪5‬ﺩﺭﺩ ﺷﻜﺎﻓﺘﮕﻲ ﻭﭘﺎﺭﮔﻲ ﺩﺭ ﻧﺎﺣﻴﻪ ﻭﺍژﻥ ﺩﺭ ﺧﺼﻮﺹ ﻋﻔﻮﻧﺘﻬﺎﻱ ﺣﺎﺩ ﻛﭙﻜﻲ‬

‫ﺯﻧﺎﻥ ﺑﺎﺭﺩﺍﺭ ﻭﻳﺎ ﺍﻓﺮﺍﺩﻱ ﻛﻪ ﺍﺯ ﺳﻴﺴﺘﻢ ﺍﻳﻤﻨﻲ ﺿﻌﻴﻒ ﺗﺮﻱ ﺑﺮﺧﻮﺭﺩﺍﺭ ﻫﺴﺘﻨﺪ ﺑﻴﺸﺘﺮ ﺍﺯ ﺩﻳﮕﺮﺍﻥ ﺩﺭ ﻣﻌﺮﺽ ﺍﺑﺘﻼ ﺑﻪ ﺍﻳﻦ ﻋﻔﻮﻧﺖ‬

‫ﻣﻴﺒﺎﺷﻨﺪ ﺷﻴﻮﻉ ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﺑﺴﻴﺎﺭ ﺭﺍﻳﺞ ﺍﺳﺖ ﺍﻣﺎﺭ ﻧﺸﺎﻥ ﻣﻴﺪﻫﺪ ﻛﻪ ﺍﺯ ﻫﺮ ‪ 4‬ﺯﻥ ‪ 3‬ﻧﻔﺮ ﺩﺭ ﺑﺨﺸﻲ ﺍﺯ ﺯﻧﺪﮔﻲ ﺧﻮﺩ ﺍﺯ ﻋﻔﻮﻧﺖ‬

‫ﻛﭙﻜﻲ ﻭﺍژﻥ ﺭﻧﺞ ﻣﻴﺒﺮﻧﺪ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﺍﺯ ﻃﺮﻳﻖ ﺭﺍﺑﻄﻪ ﺟﻨﺴﻲ ﻣﻨﺘﻘﻞ ﻧﻤﻴﮕﺮﺩﺩ ﺍﻣﺎ ﺍﻣﻜﺎﻥ ﺩﺍﺭﺩ ﺩﺭ ﻃﻮﻝ ﻣﻘﺎﺭﺑﺖ ﭘﺨﺶ ﮔﺮﺩﺩ‬

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 ‫ﻛﻬﻴﺮ ﭘﻮﺷﻚ ﻳﺎ‪Diapper Dermatitis‬‬

‫ﺑﺎ ﻭﺟﻮﺩ ﺍﻳﻨﻜﻪ ﻋﻮﺍﻣﻞ ﮔﻮﻧﺎﮔﻮﻧﻲ ﺩﺭ ﺍﺭﺗﺒﺎﻁ ﺑﺎ ﻛﻬﻴﺮ ﻛﻬﻨﻪ ﺑﭽﻪ ﻭﺟﻮﺩ ﺩﺍﺭﺩ ﺍﻣﺎ ﻳﻜﻲ ﺍﺯ ﺍﻳﻦ ﻋﻮﺍﻣﻞ ﻋﻔﻮﻧﺖ ﻛﭙﻜﻲ ﺑﻪ ﺩﻟﻴﻞ‬

‫ﻛﺎﻧﺪﻳﺪﺍ ﺍﻟﺒﻴﻜﻨﺲ ﻣﻲ ﺑﺎﺷﺪ ﻫﻨﮕﺎﻣﻲ ﻛﻪ ﻧﺸﻴﻤﻨﮕﺎﻩ ﻛﺸﺎﻟﻪ ﺭﺍﻥ ﻭﺩﺳﺘﮕﺎﻩ ﺗﻨﺎﺳﻠﻲ ﻃﻔﻞ ﺩﺭ ﺍﻛﺜﺮ ﺍﻭﻗﺎﺕ ﭘﻮﺷﻴﺪﻩ ﺑﺎ ﭘﻮﺷﻚ ﺑﺎﺷﺪ ﺍﻳﻦ‬

‫ﻧﺎﺣﻴﻪ ﮔﺮﻡ ﻭﻣﺮﻃﻮﺏ ﺧﻮﺍﻫﺪ ﺑﻮﺩ ﻛﻪ ﻣﻜﺎﻧﻲ ﺍﻳﺪﻩ ﺍﻝ ﺑﺮﺍﻱ ﺭﺷﺪ ﻭﻧﻤﻮ ﻗﺎﺭ چ ﻫﺎ ﺍﺳﺖ ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﺩﺭ ﻣﻴﺎﻥ ﺑﭽﻪ ﻫﺎﻱ ﺯﻳﺮ ‪ 15‬ﻣﺎﻩ‬

‫ﺳﻦ ﺷﺎﻳﻊ ﺍﺳﺖ‬

‫ﻋﻼﻳﻢ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﺷﺎﻣﻞ‬

‫‪1‬ﺗﻐﻴﻴﺮ ﺩﺭ ﺑﺎﻓﺖ ﭘﻮﺳﺖ ﻣﻮﺟﻮﺩ ﺩﺭ ﺍﻃﺮﺍﻑ ﻧﺎﺧﻴﻪ ﻛﻬﻴﺮ‬

‫‪2‬ﻗﺮﻣﺰﻱ ﺩﺭﺩ ﻭﻣﺘﻮﺭﻡ ﺷﺪﻥ ﻧﺎﺣﻴﻪ ﻋﻔﻮﻧﺖ ﻛﺮﺩﻩ ﻣﺎﻧﻨﺪ ﺍﻧﺪﺍﻣﻬﺎﻱ ﺗﻨﺎﺳﻠﻲ ﺭﺍﻧﻬﺎ ﻭﻧﺸﻴﻤﻨﮕﺎﻩ‬

‫‪3‬ﺭﻓﺘﺎﺭ ﻋﺼﺒﻲ ﻭﮔﺮﻳﻪ ﺑﻴﺶ ﺍﺯ ﺍﻧﺪﺍﺯﻩ ﻃﻔﻞ ﺑﻪ ﻫﻨﮕﺎﻡ ﻋﻮﺽ ﻛﺮﺩﻥ ﭘﻮﺷﻚ ﻭﻳﺎ ﺑﻪ ﻫﻨﮕﺎﻡ ﺩﺳﺖ ﺯﺩﻥ ﺑﻪ ﻣﺤﻞ ﻋﻔﻮﻧﺖ ﻛﺮﺩﻩ‬

‫‪4‬ﻋﻔﻮﻧﺖ ﻭﺧﻴﻢ ﻣﻴﺘﻮﺍﻧﺪ ﻣﻮﺣﺐ ﺍﻳﺠﺎﺩ ﺗﺎﻭﻝ ﻭﺟﻮﺵ ﺑﻪ ﻫﻤﺮﺍﻩ ﭼﺮﻙ ﮔﺮﺩﺩ‬

‫‪5‬ﺗﺐ ﻭﺧﻮﺍﺏ ﺍﻟﻮﺩﮔﻲ ﺑﻴﺶ ﺍﺯ ﺍﻧﺪﺍﺯﻩ ﻣﻤﻜﻦ ﺍﺳﺖ ﻣﺸﺎﻫﺪﻩ ﮔﺮﺩﺩ‬

‫ﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﺍﻳﻨﺘﺮﺗﺮﻳﮕﻮ‬

‫ﻧﻮﻋﻲ ﺍﺯ ﻋﻔﻮﻧﺖ ﭘﻮﺳﺘﻲ ﺍﻳﺠﺎﺩ ﺷﺪﻩ ﺗﻮﺳﻂ ﻛﺎﻧﺪﻳﺪﺍ ﺍﻟﺒﻴﻜﻨﺲ ﻣﻴﺒﺎﺷﺪ ﻛﻪ ﺍﻛﺜﺮﺍ ﺩﺭ ﺍﻓﺮﺍﺩﻱ ﺑﻪ ﻭﻗﻮﻉ ﻣﻴﭙﻴﻮﻧﺪﺩ ﻛﻪ ﺩﺍﺭﺍﻱ ﺍﺿﺎﻓﻪ‬

‫ﻭﺯﻥ ﻣﻲ ﺑﺎﺷﻨﺪ ﻛﻬﻴﺮ ﺩﺭ ﺑﻴﻦ ﭼﺮﻭﻙ ﻫﺎﻱ ﻻﻳﻪ ﻫﺎﻱ ﭘﻮﺳﺖ ﺑﻪ ﻭﺟﻮﺩ ﻣﻴﺎﻳﺪ ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﻣﻌﻤﻮﻻ ﺩﺭ ﻣﻨﺎﻃﻘﻲ ﺍﺯ ﺑﺪﻥ ﻣﺎﻧﻨﺪ ﺯﻳﺮ‬

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 ‫ﺑﻐﻞ ﻻﻳﻪ ﭼﺮﺑﻲ ﻧﺎﺣﻴﻪ ﺷﻜﻢ ﮔﺮﺩﻥ ﺯﻳﺮ ﺳﻴﻨﻪ ﻫﺎ ﻛﺸﺎﻟﻪ ﺭﺍﻥ ﻭﻧﺎﺣﻴﻪ ﺩﺳﺘﮕﺎﻩ ﺗﻨﺎﺳﻠﻲ ﭘﺪﻳﺪ ﻣﻴﺎﻳﺪ ﮔﺮﻣﺎ ﻭﺭﻃﻮﺑﺖ ﺑﺎﻻﻱ ﺍﻳﻦ ﻧﻘﺎﻁ‬

‫ﺍﻣﻜﺎﻥ ﺭﺷﺪ ﻭﻧﻤﻮ ﻗﺎﺭچ ﺭﺍ ﻓﺮﺍﻫﻢ ﻣﻴﺎﻭﺭﺩ ﻋﻼﻳﻢ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﺷﺎﻣﻞ‬

‫‪1‬ﻛﻬﻴﺮ ﺧﺎﺭﺵ ﻭﭘﻮﺳﺘﻪ ﭘﻮﺳﺘﻪ ﻫﺎﻳﻲ ﻛﻪ ﻣﻤﻜﻦ ﺍﺳﺖ ﺑﻪ ﺭﻧﮓ ﻗﻬﻮﻩ ﺍﻱ ﻣﺎﻳﻞ ﺑﻪ ﻗﺮﻣﺰ ﻭﻳﺎ ﻛﺎﻣﻼ ﻗﺮﻣﺰ ﺭﻧﮓ ﺑﺎﺷﺪ‬

‫‪2‬ﺧﺸﻦ ﻭﺳﺨﺖ ﺷﺪﻥ ﺑﺎﻓﺖ ﭘﻮﺳﺖ‬

‫‪3‬ﺍﺳﺘﺸﻤﺎﻡ ﺑﻮﻱ ﺑﺪ ﺍﺯ ﻧﺎﺣﻴﻪ ﻋﻔﻮﻧﺖ ﻛﺮﺩﻩ‬

‫‪4‬ﻭﺟﻮﺩ ﺗﺮﺷﺤﺎﺗﻲ ﺑﻪ ﺭﻧﮓ ﺯﺭﺩ ﻣﺎﻳﻞ ﺑﻪ ﺳﻔﻴﺪ ﺍﺯ ﻣﺤﻞ ﻋﻔﻮﻧﺖ‬

‫ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﻫﻤﭽﻨﻴﻦ ﻣﻴﺘﻮﺍﻧﺪ ﺩﺭ ﺍﻓﺮﺍﺩﻱ ﻛﻪ ﺍﺯ ﺩﻧﺪﺍﻥ ﻣﺼﻨﻮﻋﻲ ﺍﺗﻞ ﻳﺎ ﺍﻋﻀﺎ ﻣﺼﻨﻮﻋﻲ ﺩﻳﮕﺮ ﺍﺳﺘﻔﺎﺩﻩ ﻣﻴﻜﻨﻨﺪ ﻧﻴﺰ ﺩﻳﺪﻩ ﺷﻮﺩ‬

‫ﺗﻮﺻﻴﻪ ﻫﺎ ﺩﺭ ﺍﻳﻨﺘﺮ ﺗﺮﻳﮕﻮ‬

‫⃣‪1‬ﻛﺎﻫﺶ ﻭﺯﻥ‬

‫⃣‪2‬ﺭﻋﺎﻳﺖ ﺑﻬﺪﺍﺷﺖ ﺷﺨﺼﻲ ﻭﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺣﻮﻟﻪ ﻫﺎﻱ ﺧﺸﻚ ﻭﺗﻤﻴﺰ‬

‫⃣‪3‬ﭘﻮﺷﻴﺪﻥ ﻟﺒﺎﺳﻬﺎﻱ ﮔﺸﺎﺩ ﭼﺮﺍ ﻛﻪ ﻟﺒﺎﺳﻬﺎﻱ ﺗﻨﮓ ﺟﻠﻮﻱ ﻫﻮﺍ ﺭﺳﺎﻧﻲ ﺭﺍ ﻣﻴﮕﻴﺮﻧﺪ‬

‫⃣‪4‬ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻟﺒﺎﺳﻬﺎﻱ ﻧﺨﻲ‬

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 ‫ﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﭘﺘﺮﻳﺎﺯﻳﺲ ﻭﺭﺳﻴﻜﻮﻟﻮﺭ‬

‫ﻭﺭﺳﻴﻜﻮﻟﻮﺭ ﺑﻪ ﻣﻌﻨﺎﻱ ﭼﻨﺪ ﺭﻧﮓ ﺍﺳﺖ ﻫﻤﺎﻥ ﮔﻮﻧﻪ ﻛﻪ ﺍﺯ ﻧﺎﻡ ﺍﻥ ﭘﻴﺪﺍﺳﺖ ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﻗﺎﺭﭼﻲ ﭘﻮﺳﺖ ﻣﻨﺠﺮ ﺑﻪ ﺷﻜﻞ ﮔﺮﻓﺘﻦ ﻟﻜﻪ‬

‫ﻫﺎﻳﻲ ﺑﺮ ﺭﻭﻱ ﭘﻮﺳﺖ ﻣﻴﮕﺮﺩﺩ ﺍﻓﺮﺍﺩﻱ ﻛﻪ ﺍﺯ ﭘﻮﺳﺖ ﺍﻓﺘﺎﺏ ﺧﻮﺭﺩﻩ ﺍﻱ ﺑﺮﺧﻮﺭﺩﺍﺭ ﻫﺴﺘﻨﺪ ﻟﻜﻪ ﻫﺎﻱ ﺳﻔﻴﺪ ﺭﻧﮓ ﻭﻓﺮﺍﺩﻱ ﻛﻪ ﺩﺍﺭﺍﻱ‬

‫ﭘﻮﺳﺖ ﺭﻭﺷﻨﻲ ﻫﺴﺘﻨﺪ ﻟﻜﻪ ﻫﺎﻱ ﺗﻴﺮﻩ ﺗﺮﻱ ﺭﺍ ﻧﺸﺎﻥ ﻣﻴﺪﻫﻨﺪ ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﺍﻛﺜﺮﺍ ﺩﺭ ﻧﻮﺟﻮﺍﻧﺎﻥ ﻭﺍﻓﺮﺍﺩ ﺟﻮﺍﻥ ﺩﺭ ﻣﻨﺎﻃﻘﻲ ﺍﺯ ﺑﺪﻥ ﻣﺎﻧﻨﺪ‬

‫ﺷﺎﻧﻪ ﻫﺎ ﭘﺸﺖ ﻭﻧﻮﺍﺣﻲ ﺑﺎﻻ ﺗﻨﻪ ﭘﺪﻳﺪ ﻣﻴﺎﻳﺪ ﻫﺮﭼﻨﺪ ﻛﻪ ﺍﻳﻦ ﻋﻔﻮﻧﺖ ﻫﺮ ﻗﺴﻤﺘﻲ ﺍﺯ ﺑﺪﻥ ﺭﺍ ﻣﻴﺘﻮﺍﻧﺪ ﺩﺭﮔﻴﺮ ﻛﻨﺪ ﺿﺎﻳﻌﺎﺕ ﻣﻌﻤﻮﻻ ﻏﻴﺮ‬

‫ﻗﺮﻳﻨﻪ ﻭﺍﺯ ﺳﻔﻴﺪ ﺻﻮﺭﺗﻲ ﺗﺎ ﻗﻬﻮﻩ ﺍﻱ ﻣﻴﺘﻮﺍﻧﺪ ﻧﻤﺎﻳﺎﻥ ﮔﺮﺩﺩ ﺩﺭ ﻛﻮﺩﻛﺎﻥ ﺩﺭ ﺻﻮﺭﺕ ﻧﻴﺰ ﻣﻴﺘﻮﺍﻥ ﻣﺸﺎﻫﺪﻩ ﻛﺮﺩ‬

‫ﺗﺸﺨﻴﺺ ﺑﻴﻤﺎﺭﻳﻬﺎﻱ ﻗﺎﺭﭼﻲ‬

‫ﺗﺸﺨﻴﺺ ﺑﺮ ﺍﺳﺎﺱ ﻣﻌﺎﻳﻨﻪ ﻭﻇﺎﻫﺮ ﭘﻮﺳﺖ ﻣﻮ ﻭﻧﺎﺧﻦ ﺩﻫﺎﻥ ﻳﺎ ﻭﺍژﻥ ﺻﻮﺭﺕ ﻣﻴﮕﻴﺮﺩﻭﻫﻤﭽﻨﻴﻦ ﻧﻤﻮﻧﻪ ﺑﺮﺩﺍﺭﻱ ﺍﺯ ﺗﻜﻪ ﻫﺎﻱ ﭘﻮﺳﺖ‬

‫ﻣﻮ ﻳﺎ ﻧﺎﺧﻦ ﻭﻣﺸﺎﻫﺪﺍﺕ ﻣﻴﻜﺮﻭﺳﻜﻮﭘﻲ ﻭﻫﻤﭽﻨﻴﻦ ﻧﻤﻮﻧﻪ ﺑﺮﺩﺍﺭﻱ ﺍﺯ ﺗﺮﺷﺤﺎﺕ ﺩﻫﺎﻧﻲ ﻭ ﻭﺍژﻥ ﺟﻬﺖ ﻛﺸﺖ ﺍﻧﺠﺎﻡ ﻣﻴﮕﻴﺮﺩ‬

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 ‫ﺩﺭﻣﺎﻥ ﺑﻴﻤﺎﺭﻳﻬﺎﻱ ﻗﺎﺭﭼﻲ ﭘﻮﺳﺖ‬

‫ﻛﻠﻮﺗﺮﻳﻤﺎﺯﻭﻝ‬

‫ﺍﺷﻜﺎﻝ ﺩﺍﺭﻭﻳﻲ‬

‫‪Topical cream 1%‬‬

‫‪Tioical solution 1%‬‬
‫‪Vaginal cream 1%‬‬
‫‪Vaginal tablet 100mg‬‬

‫ﻣﻜﺎﻧﻴﺴﻢ ﺍﺛﺮ ﻛﻠﻮﺗﺮﻳﻤﺎﺯﻭﻝ‬

‫ﻛﻠﻮﺗﺮﻳﻤﺎﺯﻭﻝ ﻳﻚ ﺿﺪ ﻗﺎﺭچ ﻭﺳﻴﻊ ﺍﻟﻄﻴﻒ ﺍﺳﺖ ﻛﻪ ﺑﺎ ﻣﻬﺎﺭ ﺳﺎﺧﺖ ﺍﺭﮔﻮﺳﺘﺮﻭﻝ ﻭﺍﺳﻴﺐ ﺭﺳﺎﻧﺪﻥ ﺑﻪ ﻏﺸﺎ ﺳﻠﻮﻝ ﺳﺒﺐ ﺗﻐﻴﻴﺮ ﺩﺭ‬

‫ﻧﻔﻮﺫ ﭘﺬﻳﺮﻱ ﺳﻠﻮﻝ ﻭﺑﺎﻋﺚ ﺧﺮﻭﺝ ﻋﻨﺎﺻﺮ ﺿﺮﻭﺭﻱ ﺩﺍﺧﻞ ﺳﻠﻮﻝ ﻣﻴﺸﻮﺩ‬

‫ﻋﻮﺍﺭﺽ ﺟﺎﻧﺒﻲ ﻛﻠﻮﺗﺮﻳﻤﺎﺯﻭﻝ‬

‫ﻋﻮﺍﺭﺽ ﺟﺎﻧﺒﻲ ﻛﻠﻮﺗﺮﻳﻤﺎﺯﻭﻝ ﺑﺴﻴﺎﺭ ﻧﺎﺩﺭ ﺑﻮﺩﻩ ﻭﻧﺪﺭﺗﺎ ﺑﺎﻋﺚ‬

‫⃣‪1‬ﺳﻮﺯﺵ ﻭﺗﺤﺮﻳﻚ ﻭﺍژﻥ‬

‫⃣‪2‬ﺑﺜﻮﺭﺍﺕ ﺟﻠﺪﻱ‬

‫⃣‪3‬ﺗﻜﺮﺭ ﺍﺩﺭﺍﺭ ﻭﺩﺭﺩ ﻧﺎﺣﻴﻪ ﺷﻜﻢ‬

‫ﻣﻲ ﮔﺮﺩﺩ‪.‬‬

‫ﻣﻮﺍﺭﺩ ﻣﺼﺮﻑ‬

‫ﻛﻠﻮﺗﺮﻳﻤﺎﺯﻭﻝ ﺩﺭ ﺩﺭﻣﺎﻥ ﻛﺎﻧﺪﻳﺪﻳﺎﺯ ﻧﺎﺷﻲ ﺍﺯ ﻛﺎﻧﺪﻳﺪﺍ ﺍﻟﺒﻴﻜﻨﺲ ﻛﭽﻠﻲ ﺑﺪﻥ ﻭﺭﺍﻥ ﻛﭽﻠﻲ ﺭﻳﺶ ﻭﺳﺮ ﻭﻛﭽﻠﻲ ﻧﺎﺧﻦ ﻣﺼﺮﻑ‬

‫ﻣﻴﺸﻮﺩ‬

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 ‫ﻣﻘﺪﺍﺭ ﻣﺼﺮﻑ‬

‫ﻣﻮﺿﻌﻲ ﺭﻭﺯﻱ ‪2‬ﺑﺎﺭ ﺍﺯ ﻣﺤﻠﻮﻝ ﻳﺎ ﻛﺮﻡ ﺑﻪ ﻣﻮﺿﻊ ﻣﺎﻟﻴﺪﻩ ﺷﻮﺩ‬

‫ﻗﺮﺹ ﻭﺍژﻳﻨﺎﻝ‬

‫ﺩﺭ ﺑﻴﻤﺎﺭﺍﻥ ﻏﻴﺮ ﺑﺎﺭﺩﺍﺭ ‪ 200‬ﻣﻴﻠﻴﮕﺮﻡ ﻗﺒﻞ ﺍﺯ ﺧﻮﺍﺏ ﺑﻪ ﻣﺪﺕ ‪ 3‬ﺭﻭﺯ ﻳﺎ ‪ 100‬ﻣﻴﻠﻴﮕﺮﻡ ﺑﻪ ﻣﺪﺕ ‪ 7‬ﺭﻭﺯ‬

‫ﻛﺮﻡ ﻭﺍژﻳﻨﺎﻝ‬

‫ﻣﻘﺪﺍﺭ ‪ 50‬ﻣﻴﻠﻴﮕﺮﻡ ﻳﺎ ﻳﻚ ﺍﭘﻠﻴﻜﺎﺗﻮﺭ ﺗﺮﺟﻴﺤﺎ ﻗﺒﻞ ﺍﺯ ﺧﻮﺍﺏ ﺑﻪ ﻣﺪﺕ ‪ 6‬ﺗﺎ ‪ 14‬ﺭﻭﺯ‬

‫ﻣﺼﺮﻑ ﻣﻮﺿﻌﻲ ﻛﻠﻮﺗﺮﻳﻤﺎﺯﻭﻝ ﺩﺭ ﺣﺎﻣﻠﮕﻲ ﺭﺩﻩ ‪ B‬ﻣﻴﺒﺎﺷﺪ‬

‫ﻓﻠﻮﻛﻨﺎﺯﻭﻝ‬

‫ﺍﺷﻜﺎﻝ ﺩﺍﺭﻭﻳﻲ‬

‫‪Cap 50‬‬
‫‪Cap 100‬‬
‫‪Cap 150‬‬
‫‪Cap 200‬‬

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 ‫ﻣﻜﺎﻧﻴﺴﻢ ﺍﺛﺮ ﻓﻠﻮﻛﻨﺎﺯﻭﻝ‬

‫ﻓﻠﻮﻛﻨﺎﺯﻭﻝ ﺍﻧﺰﻳﻢ ﻫﺎﻱ ﻭﺍﺑﺴﺘﻪ ﺑﻪ ﺳﻴﺘﻮﻛﺮﻭﻡ ‪p450‬ﺭﺍ ﻣﻬﺎﺭ ﻭﺑﻴﻮﺳﻨﺘﺰ ﺩﻳﻮﺍﺭﻩ ﺳﻠﻮﻟﻲ ﺭﺍ ﻣﻬﺮ ﻣﻴﻜﻨﺪ‬

‫ﻋﻮﺍﺭﺽ ﺟﺎﻧﺒﻲ ﻓﻠﻮﻛﻨﺎﺯﻭﻝ‬

‫⃣‪1‬ﺗﻬﻮﻉ ﺍﺳﺘﻔﺮﺍﻕ ﻭﺩﺭﺩ ﺷﻜﻢ‬

‫⃣‪2‬ﻛﻬﻴﺮ ﻭﺧﺎﺭﺵ‬

‫⃣‪3‬ﻛﺎﻫﺶ ﭘﻼﻛﺖ ﺧﻮﻥ‬

‫⃣‪4‬ﺳﻨﺪﺭﻡ ﺍﺳﺘﻴﻮﻥ ﺟﺎﻧﺴﻮﻥ‬

‫⃣‪5‬ﺩﺭ ﺻﻮﺭﺕ ﺍﺳﺘﻔﺎﺩﻩ ﺑﻴﺶ ﺍﺯ ‪ 14‬ﺭﻭﺯ ﺍﻣﻜﺎﻥ ﺑﺮﻭﺯ ﺍﺳﻴﺐ ﻛﺒﺪﻱ ﻭﻫﭙﺎﺗﻴﺖ ﻭﺟﻮﺩ ﺩﺍﺭﺩ‬

‫ﺗﺪﺍﺧﻼﺕ ﻓﻠﻮﻛﻨﺎﺯﻭﻝ‬

‫⃣‪1‬ﻣﺼﺮﻑ ﻫﻤﺰﻣﺎﻥ ﺭﻳﻔﺎﻣﭙﻴﻦ ﺑﺎ ﻓﻠﻮﻛﻨﺎﺯﻭﻝ ﺳﺒﺐ ﻣﻴﺸﻮﺩ ﺳﻄﺢ ﺳﺮﻣﻲ ﻓﻠﻮﻛﻨﺎﺯﻭﻝ ﻛﺎﻫﺶ ﻳﺎﺑﺪ‬

‫⃣‪2‬ﻓﻠﻮﻛﻨﺎﺯﻭﻝ ﺑﺎﻋﺚ ﺍﻓﺰﺍﻳﺶ ﺳﻄﺢ ﺳﺮﻣﻲ ﻓﻨﻴﺘﻮﻳﻴﻦ ﺩﺍﺭﻭﻫﺎﻱ ﺳﻮﻟﻔﻮﻧﻴﻞ ﺍﻭﺭﻩ ﺳﻴﻜﻠﻮﺳﭙﻮﺭﻳﻦ ﻭﺗﺮﻓﻨﺎﺩﻳﻦ ﻭﻭﺍﺭﻓﺎﺭﻳﻦ ﻣﻴﺸﻮﺩ‬

‫ﻓﻠﻮﻛﻨﺎﺯﻭﻝ ﺩﺭ ﺑﺎﺭﺩﺍﺭﻱ ﺭﺩﻩ ‪ C‬ﻣﻴﺒﺎﺷﺪ‬

‫ﻣﻮﺍﺭﺩ ﻣﺼﺮﻑ ﻓﻠﻮﻛﻨﺎﺯﻭﻝ‬

‫ﻓﻠﻮﻛﻨﺎﺯﻭﻝ ﺩﺭ ﺩﺭﻣﺎﻥ ﻛﭽﻠﻲ ﭘﺎ ﻛﭽﻠﻲ ﺳﺮ ﭘﺘﺮﻳﺎﺯﻳﺲ ﻭﺭﺳﻴﻜﺎﻟﺮ ﻛﺎﻧﺪﻳﺎﺳﻴﺲ ﭘﻮﺳﺖ ﻭﺍژﻥ ﺩﻫﺎﻥ ﺣﻠﻖ ﻣﺮﻱ ﻛﺎﺭﺑﺮﺩ ﺩﺍﺭﺩ‬

‫ﻣﻘﺪﺍﺭ ﻣﺼﺮﻑ‬

‫ﺩﺭ ﻛﺎﻧﺪﻳﺪﻳﺎﺯ ﻭﺍژﻳﻨﺎﻝ ‪ 150‬ﻣﻴﻠﻴﮕﺮﻡ ﺗﻚ ﺩﻭﺯ‬

‫ﻋﻔﻮﻧﺖ ﻫﺎﻱ ﻣﺨﺎﻃﻲ ﻧﺎﺷﻲ ﺍﺯ ﻛﺎﻧﺪﻳﺪﺍ ‪ 50‬ﺗﺎ ‪ 100‬ﻣﻴﻠﻴﮕﺮﻡ ﺑﻪ ﻣﺪﺕ ‪ 7‬ﺗﺎ ‪ 14‬ﺭﻭﺯ‬

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 ‫ﻋﻔﻮﻧﺖ ﻫﺎﻱ ﻗﺎﺭﭼﻲ ﭘﻮﺳﺖ ‪ 50‬ﻣﻴﻠﻴﮕﺮﻡ ﺭﻭﺯﺍﻧﻪ ﺑﻪ ﻣﺪﺕ ‪ 2‬ﺗﺎ ‪ 4‬ﻫﻔﺘﻪ ﻛﻪ ﺩﺭ ﻛﭽﻠﻲ ﭘﺎ ﺣﺪ ﺍﻛﺜﺮ ﺗﺎ ‪ 6‬ﻫﻔﺘﻪ ﻗﺎﺑﻞ ﺗﻜﺮﺍﺭ ﻣﻴﺒﺎﺷﺪ‬

‫ﻧﻴﺴﺘﺎﺗﻴﻦ‬

‫ﺍﺷﻜﺎﻝ ﺩﺍﺭﻭﻳﻲ‬

‫‪Vaginal tablet 100000 u‬‬

‫‪Coated tablet 500000u‬‬
‫‪For suspension droup 100000u‬‬
‫‪Topical ointment 100000u/gr‬‬

‫ﻣﻜﺎﻧﻴﺴﻢ ﺍﺛﺮ ﻧﻴﺴﺘﺎﺗﻴﻦ‬

‫ﻧﻴﺴﺘﺎﺗﻴﻦ ﺑﺎ ﺍﺗﺼﺎﻝ ﺑﻪ ﺍﺳﺘﺮﻭﻝ ﻫﺎﻱ ﻣﻮﺟﻮﺩ ﺩﺭ ﻏﺸﺎ ﺳﻠﻮﻝ ﺳﺒﺐ ﻣﻴﺸﻮﺩ ﻛﻪ ﻣﺤﺘﻮﻳﺎﺕ ﺿﺮﻭﺭﻱ ﺩﺍﺧﻞ ﺳﻠﻮﻟﻲ ﻗﺎﺭچ ﺍﺯ ﺍﻥ ﺧﺎﺭﺝ‬

‫ﺷﻮﺩ‬

‫ﻋﻮﺍﺭﺽ ﺟﺎﻧﺒﻲ ﻧﻴﺴﺘﺎﺗﻴﻦ‬

‫ﺗﻬﻮﻉ ﺍﺳﺘﻔﺮﺍﻕ ﻭﺗﺤﺮﻳﻜﺎﺕ ﭘﻮﺳﺘﻲ‬

‫ﻧﻴﺴﺘﺎﺗﻴﻦ ﺩﺭ ﺣﺎﻣﻠﮕﻲ ﺭﺩﻩ ‪ C‬ﻣﻴﺒﺎﺷﺪ‬

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 ‫ﻣﻮﺍﺭﺩ ﻣﺼﺮﻑ ﻧﻴﺴﺘﺎﺗﻴﻦ‬

‫ﻧﻴﺴﺘﺎﺗﻴﻦ ﻋﻤﺪﺗﺎ ﺩﺭ ﺩﺭﻣﺎﻥ ﻛﺎﻧﺪﻳﺪﻳﺎﺯ ﻧﺎﺷﻲ ﺍﺯ ﻛﺎﻧﺪﻳﺪﺍ ﺍﻟﺒﻴﻜﻨﺲ ﻫﻤﭽﻨﻴﻦ ﺩﺭ ﺩﺭﻣﺎﻥ ﻛﭽﻠﻲ ﭘﻮﺳﺖ ﻛﺎﺭﺑﺮﺩ ﺩﺍﺭﺩ‬

‫ﻣﻘﺪﺍﺭ ﻣﺼﺮﻑ ﻧﻴﺴﺘﺎﺗﻴﻦ‬

‫ﻣﺼﺮﻑ ﻣﻮﺿﻌﻲ ‪ 2‬ﺗﺎ ‪ 3‬ﺑﺎﺭ ﺩﺭ ﺭﻭﺯ‬

‫ﻣﺼﺮﻑ ﻭﺍژﻳﻨﺎﻝ ‪ 100000‬ﻭﺍﺣﺪ ﻳﻚ ﻳﺎ ﺩﻭ ﺑﺎﺭ ﺩﺭ ﺭﻭﺯ ﺑﻪ ﻣﺪﺕ ‪ 2‬ﻫﻔﺘﻪ‬

‫ﻣﺼﺮﻑ ﻗﻄﺮﻩ ﻧﻴﺴﺘﺎﺗﻴﻦ ‪ 100000‬ﻭﺍﺣﺪ ﻳﺎ ﻳﻚ ﻣﻴﻠﻲ ﻟﻴﺘﺮ ‪ 4‬ﺑﺎﺭ ﺩﺭ ﺭﻭﺯ‬

‫ﻛﺘﻮﻛﻨﺎﺯﻭﻝ‬

‫ﺍﺷﻜﺎﻝ ﺩﺍﺭﻭﻳﻲ‬

‫‪Tablet 200mg‬‬
‫‪Topical cream 2%‬‬
‫‪Shampoo 2%‬‬

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 ‫ﻣﻜﺎﻧﻴﺴﻢ ﺩﺍﺭﻭﻱ ﻛﺘﻮﻛﻨﺎﺯﻭﻝ‬

‫ﻛﺘﻮﻛﻨﺎﺯﻭﻝ ﺍﺛﺮ ﺿﺪ ﻗﺎﺭچ ﺧﻮﺩ ﺭﺍ ﺍﺯ ﻃﺮﻳﻖ ﻣﻬﺎﺭ ﺍﻧﺰﻳﻢ ﺳﻴﺘﻮﻛﺮﻭﻡ ‪ p450‬ﺍﻋﻤﺎﻝ ﻣﻴﻜﻨﺪ ﺑﺎ ﻣﻬﺎﺭ ﺍﻳﻦ ﺍﻧﺰﻳﻢ ﺗﻮﻟﻴﺪ ﺍﮔﻮﺍﺳﺘﺮﻭﻝ ﻛﻪ‬

‫ﻳﻚ ﺟﺰ ﺣﻴﺎﺗﻲ ﺩﺭ ﻏﺸﺎ ﺳﻠﻮﻝ ﻣﻬﺎﺭ ﻭﺑﺎ ﺗﻐﻴﻴﺮ ﺩﺭ ﻧﻔﻮﺫﭘﺬﻳﺮﻱ ﻏﺸﺎ ﻣﻨﺠﺮ ﺑﻪ ﺍﺯ ﺩﺳﺖ ﺭﻓﺘﻦ ﻋﻨﺎﺻﺮ ﺿﺮﻭﺭﻱ ﺩﺍﺧﻞ ﺳﻠﻮﻝ ﻣﻴﮕﺮﺩﺩ‬

‫ﻋﻮﺍﺭﺽ ﺟﺎﻧﺒﻲ ﻛﺘﻮﻛﻨﺎﺯﻭﻝ‬

‫⃣‪1‬ﺧﺎﺭﺵ ﻛﻬﻴﺮ ﺣﺴﺎﺳﻴﺖ ﺟﻠﺪﻱ‬

‫⃣‪2‬ﺗﻬﻮﻉ ﺍﺳﺘﻔﺮﺍﻕ ﺩﺭﺩ ﺷﻜﻢ‬

‫⃣‪3‬ﺣﺴﺎﺳﻴﺖ ﺑﻪ ﻧﻮﺭ ﻭ ﺳﺮﮔﻴﺠﻪ‬

‫⃣‪4‬ﺗﺮﻭﻣﺒﻮﺳﻴﺘﻮﭘﻨﻲ‬

‫ﻣﻮﺍﺭﺩ ﻣﺼﺮﻑ‬

‫ﺩﺭﻣﺎﻥ ﻛﭽﻠﻲ ﺳﺮ ﭘﻮﺳﺖ ﺭﻳﺶ ﭘﺎ ﻧﺎﺧﻦ ﭘﺘﺮﻳﺎﺯﻳﺲ ﻭﺭﺳﻴﻜﺎﻟﺮ ﻳﺎ ﺗﻴﻨﺎ ﻭﺭﺳﻴﻜﺎﻟﺮ‬

‫ﻫﺸﺪﺍﺭﻫﺎ ﺩﺭ ﺧﺼﻮﺹ ﻛﺘﻮﻛﻨﺎﺯﻭﻝ‬

‫ﻣﺼﺮﻑ ﺳﻴﺴﺘﻤﻴﻚ ﻛﺘﻮﻛﻨﺎﺯﻭﻝ ﺩﺭ ﺻﻮﺭﺕ ﻋﻴﺐ ﻛﺎﺭ ﻛﺒﺪ ﻭﻛﺎﻫﺶ ﺍﺳﻴﺪ ﻣﻌﺪﻩ ﺑﺎ ﺍﺣﺘﻴﺎﻁ ﻣﺼﺮﻑ ﮔﺮﺩﺩ‬

‫ﺩﺭ ﺻﻮﺭﺗﻲ ﻛﻪ ﻃﻮﻝ ﺩﺭﻣﺎﻥ ﺑﻴﺸﺘﺮ ﺍﺯ‪ 14‬ﺭﻭﺯ ﺑﺎﺷﺪ ﺍﺣﺘﻤﺎﻝ ﺑﺮﻭﺯ ﺍﺳﻴﺐ ﻛﺒﺪﻱ ﻭﻫﭙﺎﺗﻴﺖ ﻭﺣﻮﺩ ﺩﺍﺭﺩ ﻟﺬﺍ ﺩﺭ ﻃﻮﻝ ﺩﺭﻣﺎﻥ ﺑﺎ ﺍﻳﻦ‬

‫ﺩﺍﺭﻭ ﭘﻴﮕﻴﺮﻱ ﻛﺎﺭ ﻛﺒﺪ ﺿﺮﻭﺭﻱ ﺍﺳﺖ‬

‫ﺗﺪﺍﺧﻼﺕ ﺩﺍﺭﻭﻳﻲ ﻛﺘﻮﻛﻨﺎﺯﻭﻝ‬

‫ﺑﺎ ﺩﺍﺭﻭﻫﺎﻱ ﺍﻧﺘﻲ ﻛﻠﻲ ﺍﻧﺮژﻳﻚ ﺍﻧﺘﻲ ﺍﺳﭙﺎﺳﻤﻮﺩﻳﻚ ﺍﺗﺎﮔﻮﻧﻴﺴﺘﻬﺎﻱ ‪H2‬ﻭﺍﻣﭙﺮﺍﺯﻭﻝ ﺳﻮﻛﺮﺍﻝ ﻓﻴﺖ ﻭﺳﻴﺰﺍﭘﺮﺍﻳﺪ‬

‫ﻓﻨﻲ ﺗﻮﻳﻴﻦ ﻭﺍﺭﻓﺎﺭﻳﻦ ﺭﻳﻔﺎﻣﭙﻴﻦ ﻭﺳﻴﻜﻠﻮﺳﭙﻮﺭﻳﻦ ﺗﺪﺍﺧﻞ ﺩﺍﺭﺩ‬

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 ‫ﻛﺘﻮﻛﻨﺎﺯﻭﻝ ﺑﺎﻳﺪ ﺑﺎ ﻏﺬﺍ ﻣﺼﺮﻑ ﮔﺮﺩﺩ‬

‫ﻣﻘﺪﺍﺭ ﻣﺼﺮﻑ‬

‫ﺩﺭ ﻣﺼﺮﻑ ﺧﻮﺭﺍﻛﻲ ‪ 200‬ﻣﻴﻠﻴﮕﺮﻡ ﺭﻭﺯﺍﻧﻪ ﺑﻪ ﻣﺪﺕ ‪ 14‬ﺭﻭﺯ ﻛﻪ ﺩﺭ ﻋﻔﻮﻧﺖ ﻫﺎﻱ ﺷﺪﻳﺪ ﺩﻭﺯ ﺩﺍﺭﻭ ﺑﻪ ‪ 2‬ﺑﺮﺍﺑﺮ ﺍﻓﺰﺍﻳﺶ ﻣﻲ ﻳﺎﺑﺪ‬

‫ﺩﺭﻣﺼﺮﻑ ﻣﻮﺿﻌﻲ ‪2‬ﺗﺎ ‪ 3‬ﺑﺎﺭ‬

‫ﺩﺭ ﺩﺭﻣﺎﻥ ﺷﻮﺭﻩ ﺳﺮ ﻣﺼﺮﻑ ﺷﺎﻣﭙﻮ ‪ 2‬ﺑﺎﺭ ﺩﺭ ﻫﻔﺘﻪ ﺑﻪ ﻣﺪﺕ ‪ 4‬ﻫﻔﺘﻪ ﻛﻪ ﺍﻳﻦ ﻣﻘﺪﺍﺭ ﺑﻪ ﻳﻚ ﺑﺎﺭ ﺩﺭ ﻫﻔﺘﻪ ﺑﺮﺍﻱ ﻳﻚ ﻳﺎ ﺩﻭ ﻫﻔﺘﻪ‬

‫ﻛﺎﻫﺶ ﻣﻴﻴﺎﺑﺪ‬

‫ﻛﺘﻮﻛﻨﺎﺯﻭﻝ ﺩﺭ ﺑﺎﺭﺩﺍﺭﻱ ﺭﺩﻩ‪C‬ﻣﻴﺒﺎﺷﺪ‬

‫ﮔﺮﻳﺰﻭﻓﻮﻟﻮﻳﻦ‬

‫ﺍﺷﻜﺎﻝ ﺩﺍﺭﻭﻳﻲ‬

‫‪Tablet 125 250 500 mg‬‬

‫ﻣﻜﺎﻧﻴﺴﻢ ﺍﺛﺮ‬

‫ﮔﺮﻳﺰﻭﻓﻮﻟﻮﻳﻦ ﺍﺯ ﻣﻴﺘﻮﺯ ﺳﻠﻮﻝ ﻗﺎﺭچ ﺟﻠﻮﮔﻴﺮﻱ ﻛﺮﺩﻩ ﻭﺑﺎ ﺍﻳﻦ ﻋﻤﻞ ﺗﻘﺴﻴﻢ ﺳﻠﻮﻟﻲ ﺭﺍ ﺩﺭ ﻣﺮﺣﻠﻪ ﻣﺘﺎﻓﺎﺯ ﻣﺘﻮﻗﻒ ﻣﻴﻜﻨﺪ ﺍﻳﻦ ﺩﺍﺭﻭ ﺑﺎ‬

‫ﻣﻘﺎﺩﻳﺮ ﻣﺘﻔﺎﻭﺕ ﺩﺭ ﺳﻠﻮﻟﻬﺎﻱ ﭘﻴﺶ ﺳﺎﺯ ﻛﺮﺍﺗﻴﻦ ﭘﻮﺳﺖ ﻣﻮ ﻭﻧﺎﺧﻦ ﻫﺎ ﺭﺳﻮﺏ ﻛﺮﺩﻩ ﻭﺳﻠﻮﻟﻬﺎ ﺭﺍ ﺩﺭﻣﻘﺎﺑﻞ ﺗﻬﺎﺟﻢ ﻗﺎﺭچ ﻣﻘﺎﻭﻡ‬

‫ﻣﻴﺴﺎﺯﺩ ﻭﺑﺪﻳﻦ ﺗﺮﺗﻴﺐ ﺑﺎ ﺭﻳﺰﺵ ﻛﺮﺍﺗﻴﻦ ﺍﻟﻮﺩﻩ ﺑﺎﻓﺖ ﺳﺎﻟﻢ ﺟﺎﻳﮕﺰﻳﻦ ﻣﻴﮕﺮﺩﺩ‬

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 ‫ﻋﻮﺍﺭﺽ ﺟﺎﻧﺒﻲ‬

‫⃣‪1‬ﺳﺮﺩﺭﺩ ﺗﻬﻮﻉ ﺍﺳﺘﻔﺮﺍﻕ‬

‫⃣‪2‬ﺑﺜﻮﺭﺍﺕ ﺟﻠﺪﻱ ﻭﺣﺴﺎﺳﻴﺖ ﺑﻪ ﻧﻮﺭ‬

‫⃣‪3‬ﺍﮔﺮﺍﻧﻮﻟﻮﺳﻴﺘﻮﺯ ﻭﻟﻮﻛﻮﭘﻨﻲ‬

‫ﺗﺪﺍﺧﻼﺕ ﮔﺮﻳﺰﻭﻓﻮﻟﻮﻳﻦ‬

‫ﺑﺎﻋﺚ ﺍﻓﺰﺍﻳﺶ ﻣﺘﺎﺑﻮﻟﻴﺴﻢ ﺿﺪ ﺍﻧﻌﻘﺎﺩ ﻫﺎﻱ ﻛﻮﻣﺎﺭﻳﻨﻲ ﻭﺩﺍﺭﻭﻫﺎﻱ ‪ ocp‬ﺣﺎﻭﻱ ﺍﺳﺘﺮﻭژﻥ ﻣﻴﺸﻮﺩ‬

‫ﻣﻮﺍﺭﺩ ﻣﻨﻊ ﻣﺼﺮﻑ ﮔﺮﻳﺰﻭﻓﻮﻟﻮﻳﻦ‬

‫ﻣﺼﺮﻑ ﺍﻳﻦ ﺩﺍﺭﻭ ﺩﺭ ﺑﺎﺭﺩﺍﺭﻱ ﺭﺩﻩ ‪X‬ﻭﺍﻛﻴﺪﺍ ﻣﻤﻨﻮﻉ ﺍﺳﺖ‬

‫ﺩﺭ ﺑﻴﻤﺎﺭﻳﻬﺎﻱ ﺷﺪﻳﺪ ﻛﺒﺪﻱ ﻟﻮﭘﻮﺱ ﺍﺭﻳﺘﻤﺎﺗﻮﺯ ﻭﭘﻮﺭﻓﻴﺮﻱ‬

‫ﻧﻜﺎﺕ ﻗﺎﺑﻞ ﺗﻮﺻﻴﻪ‬

‫ﺑﻪ ﻣﻨﻈﻮﺭ ﻛﺎﻫﺶ ﺗﺤﺮﻳﻜﺎﺕ ﮔﻮﺍﺭﺷﻲ ﻭﺍﻓﺰﺍﻳﺶ ﺟﺬﺏ ﺩﺍﺭﻭ ﻫﻤﺮﺍﻩ ﻏﺬﺍ ﺧﺼﻮﺻﺎ ﻏﺬﺍﻫﺎﻱ ﭼﺮﺏ ﻭﻳﺎ ﻫﻤﺮﺍﻩ ﺷﻴﺮ ﻣﺼﺮﻑ ﮔﺮﺩﺩ‬

‫ﺩﺭ ﺻﻮﺭﺕ ﻣﺼﺮﻑ ﺩﺍﺭﻭﻫﺎﻱ ﺧﻮﺭﺍﻛﻲ ﺟﻠﻮﮔﻴﺮﻱ ﻛﻨﻨﺪﻩ ﺑﺎﺭﺩﺍﺭﻱ ﺣﺎﻭﻱ ﺍﺳﺘﺮﻭژﻥ ﻫﻤﺰﻣﺎﻥ ﺑﺎ ﺩﺍﺭﻭ ﺗﺎ ﻳﻚ ﻣﺎﻩ ﺑﻌﺪ ﺍﺯ ﺍﻥ ﺍﺯ‬

‫ﺳﺎﻳﺮ ﺭﻭﺷﻬﺎﻱ ﺟﻠﻮﮔﻴﺮﻱ ﻛﻨﻨﺪﻩ ﺍﺳﺘﻔﺎﺩﻩ ﺷﻮﺩ‬

‫ﺩﺭ ﻃﻮﻝ ﻭﺗﺎ ﻳﻚ ﻣﺎﻩ ﺍﺯ ﻣﺼﺮﻑ ﺩﺍﺭﻭ ﺯﻧﺎﻥ ﺑﺎﻳﺪ ﺍﺯ ﺑﺎﺭﺩﺍﺭ ﺷﺪﻥ ﺟﻠﻮﮔﻴﺮﻱ ﻛﻨﻨﺪ ﻣﺮﺩﺍﻥ ﺗﺤﺖ ﺩﺭﻣﺎﻥ ﺑﺎ ﺍﻳﻦ ﺩﺍﺭﻭ ﺗﺎ ‪ 6‬ﻣﺎﻩ ﭘﺲ ﺍﺯ‬

‫ﻗﻄﻊ ﻣﺼﺮﻑ ﻧﺒﺎﻳﺪ ﻗﺼﺪ ﺑﭽﻪ ﺩﺍﺭ ﺷﺪﻥ ﺩﺍﺷﺘﻪ ﺑﺎﺷﻨﺪ‬

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 ‫ﻣﻮﺍﺭﺩ ﻣﺼﺮﻑ ﮔﺮﻳﺰﻭﻓﻮﻟﻮﻳﻦ‬

‫ﺩﺭ ﺍﻧﻮﺍﻉ ﻛﭽﻠﻲ ﺭﻳﺶ ﻣﻮ ﺳﺮ ﻧﺎﺧﻦ ﺭﺍﻥ ﭘﺎ‬

‫ﻣﻘﺪﺍﺭ ﻣﺼﺮﻑ‬

‫ﺩﺭ ﻛﭽﻠﻲ ﻧﺎﺧﻦ ﻭﭘﺎ ‪ 500‬ﻣﻴﻠﻴﮕﺮﻡ ﻫﺮ ‪ 12‬ﺳﺎﻋﺖ‬

‫ﺩﺭ ﻛﭽﻠﻲ ﺳﺮ ﺑﺪﻥ ﺭﺍﻥ ‪ 250‬ﻣﻴﻠﻴﮕﺮﻡ ﻫﺮ ‪ 12‬ﺳﺎﻋﺖ‬

‫ﮔﺮﻳﺰﻭﻓﻮﻟﻮﻳﻦ ﺩﺭ ﻋﻔﻮﻧﺘﻬﺎﻱ ﺟﺰﻳﻲ ﻛﻪ ﺑﺎ ﺿﺪ ﻗﺎﺭﭼﻬﺎﻱ ﻣﻮﺿﻌﻲ ﻗﺎﺑﻞ ﺩﺭﻣﺎﻥ ﺍﺳﺖ ﻧﺒﺎﻳﺪ ﻣﺼﺮﻑ ﮔﺮﺩﺩ‪.‬‬

‫ﻃﻮﻝ ﻣﺪﺕ ﻣﺼﺮﻑ ﮔﺮﻳﺰﻭﻓﻮﻟﻮﻳﻦ‬

‫⃣‪1‬ﺩﻭﺭﻩ ﭘﻴﺸﻨﻬﺎﺩﻱ ﺑﺮﺍﻱ ﻛﭽﻠﻲ ﺳﺮ ‪8‬ﺗﺎ ‪ 10‬ﻫﻔﺘﻪ‬

‫⃣‪2‬ﻛﭽﻠﻲ ﺑﺪﻥ ‪2‬ﺗﺎ ‪ 4‬ﻫﻔﺘﻪ‬

‫⃣‪3‬ﻛﭽﻠﻲ ﭘﺎ ‪4‬ﺗﺎ ‪ 8‬ﻫﻔﺘﻪ‬

‫⃣‪4‬ﻛﭽﻠﻲ ﻧﺎﺧﻦ ﺩﺳﺖ ﺣﺪﺍﻗﻞ ‪ 4‬ﻣﺎﻩ‬

‫⃣‪5‬ﻛﭽﻠﻲ ﻧﺎﺧﻦ ﭘﺎ ﺣﺪﺍﻗﻞ ‪ 6‬ﻣﺎﻩ‬

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 ‫ﺗﻮﻟﻨﻔﺘﺎﺕ‬

‫ﺍﺷﻜﺎﻝ ﺩﺍﺭﻭﻳﻲ‬

‫‪Cream 1%‬‬
‫‪silution 1%‬‬

‫ﻣﻜﺎﻧﻴﺴﻢ ﺗﻮﻟﻨﻔﺘﺎﺕ‬

‫ﺗﻮﻟﻨﻔﺘﺎﺕ ﺍﺣﺘﻤﺎﻻ ﺑﺎ ﺍﻳﺠﺎﺩ ﺗﻐﻴﻴﺮ ﺩﺭ ﺭﺷﺘﻪ ﻫﺎﻱ ﻣﻴﺴﻴﻠﻴﻮﻡ ﻗﺎﺭچ ﻣﻮﺟﺐ ﺗﻮﻗﻒ ﺭﺷﺪ ﻣﻴﺴﻠﻴﻮﻡ ﻭﻣﺘﻮﻗﻒ ﺳﺎﺧﺘﻦ ﺭﺷﺪ ﻗﺎﺭچ ﻣﻴﺸﻮﺩ‬

‫ﻋﻮﺍﺭﺽ ﺟﺎﻧﺒﻲ ﺗﻮﻟﻨﻔﺘﺎﺕ‬

‫ﺍﻟﺘﻬﺎﺏ ﺧﺎﺭﺵ ﺩﺭﻣﺎﺗﻴﺖ ﻭﺣﺴﺎﺳﻴﺖ ﭘﻮﺳﺘﻲ‬

‫ﺗﻮﻟﻨﻔﺘﺎﺕ ﺩﺭ ﺑﺎﺭﺩﺍﺭﻱ ﺭﺩﻩ ‪ C‬ﻭﺩ ﻛﻮﺩﻛﺎﻥ ﻛﻤﺘﺮ ﺍﺯ ‪ 2‬ﺳﺎﻝ ﺗﻮﺻﻴﻪ ﻧﻤﻴﺸﻮﺩ‬

‫ﻣﻮﺍﺭﺩ ﻣﺼﺮﻑ‬

‫ﺗﻮﻟﻨﻔﺘﺎﺕ ﺩﺭ ﺩﺭﻣﺎﻥ ﺑﻴﻤﺎﺭﻱ ﻗﺎﺭﭼﻲ ﻧﺎﺧﻦ ﻳﺎ ﻋﻔﻮﻧﺘﻬﺎﻱ ﻣﺰﻣﻦ ﺳﺮ ﻭﭘﻮﺳﺖ ﻫﻤﺰﻣﺎﻥ ﺑﺎ ﺿﺪ ﻗﺎﺭ ﭼﻬﺎﻱ ﺧﻮﺭﺍﻛﻲ ﻣﺼﺮﻑ ﻣﻴﮕﺮﺩﺩ‬

‫ﻣﻘﺪﺍﺭ ﻣﺼﺮﻑ‬

‫ﺗﻮﻟﻨﻔﺘﺎﺕ ﻣﻌﻤﻮﻻ ‪ 2‬ﺑﺎﺭ ﺩﺭ ﺭﻭﺯ ﺣﺪﺍﻗﻞ ‪ 2‬ﺗﺎ ‪ 4‬ﻫﻔﺘﻪ ﺩﺭﻋﻴﻦ ﺣﺎﻝ ﺩﺭﻣﺎﻥ ﻣﻤﻜﻦ ﺍﺳﺖ ﺑﺮﺍﻱ ‪ 4‬ﺗﺎ ‪ 6‬ﻫﻔﺘﻪ ﺑﻪ ﻭﻳﮋﻩ ﺍﮔﺮ ﭘﻮﺳﺖ‬

‫ﺿﺨﻴﻢ ﺷﺪﻩ ﺑﺎﺷﺪ ﺿﺮﻭﺭﻱ ﮔﺮﺩﺩ ﺑﺮﺍﻱ ﻛﺎﻫﺶ ﺍﺣﺘﻤﺎﻝ ﻋﻮﺩ ﺑﻴﻤﺎﺭﻱ ﺩﺭﻣﺎﻥ ﺑﺎ ﺗﻮﻟﻨﻔﺘﺎﺕ ﺑﺎﻳﺪ ‪ 2‬ﻫﻔﺘﻪ ﭘﺲ ﺍﺯ ﺑﺮﻃﺮﻑ ﺷﺪﻥ ﻋﻼﻳﻢ‬

‫ﺍﺩﺍﻣﻪ ﻳﺎﺑﺪ‬

‫ﺳﻠﻨﻴﻮﻡ ﺳﻮﻟﻔﺎﻳﺪ‬

‫ﺍﺷﻜﺎﻝ ﺩﺍﺭﻭﻳﻲ‬

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 ‫‪Shampoo 1‬ﻭ ‪%2.5‬‬

‫ﺳﻠﻨﻴﻮﻡ ﺳﻮﻟﻔﺎﻳﺪ ﺟﻬﺖ ﺩﺭﻣﺎﻥ ﺷﻮﺭﻩ ﺳﺮ ﻳﺎ ﺩﺭﻣﺎﺗﻴﺖ ﺳﺒﻮﺭﻩ ﺍﻱ ﭘﻮﺳﺖ ﺳﺮ ﻫﻤﭽﻨﻴﻦ ﺩﺭﻣﺎﻥ ﭘﺘﺮﻳﺎﺯﻳﺲ ﺍﻭﺭﺳﻴﻜﺎﻟﺮ ﻳﺎ ﺗﻴﻨﺎ‬

‫ﺍﻭﺭﺳﻴﻜﺎﻟﺮ ﻛﺎﺭﺑﺮﺩ ﺩﺍﺭﺩ‬

‫ﻣﻜﺎﻧﻴﺴﻢ ﺍﺛﺮ ﺳﻠﻨﻴﻮﻡ ﺳﻮﻟﻔﺎﻳﺪ‬

‫ﺍﻳﻦ ﻓﺮﺍﻭﺭﺩﻩ ﺍﺯ ﻃﺮﻳﻖ ﺍﺛﺮ ﺿﺪ ﻣﻴﺘﻮﺯﻱ ﻣﻮﺟﺐ ﻛﺎﻫﺶ ﻓﺮﺍﻳﻨﺪ ﺳﺎﺧﺖ ﻭﺗﻜﺜﻴﺮ ﺳﻠﻮﻟﻬﺎﻱ ﺍﭘﻴﺪﺭﻡ ﻣﻴﮕﺮﺩﺩ ﻫﻤﭽﻨﻴﻦ ﺍﺛﺮ ﺿﺪ ﺑﺎﻛﺘﺮﻱ‬

‫ﻭﺿﺪ ﻗﺎﺭچ ﺧﻔﻴﻒ ﻧﻴﺰ ﺩﺍﺭﺩ‬

‫ﻫﺸﺪﺍﺭﻫﺎ ﺩﺭ ﺧﺼﻮﺹ ﺳﻠﻨﻴﻮﻡ ﺳﻮﻟﻔﺎﻳﺪ‬

‫ﺩﺭ ﺻﻮﺭﺕ ﻭﺟﻮﺩﺍﻟﺘﻬﺎﺑﺎﺕ ﭘﻮﺳﺘﻲ ﺑﻪ ﺩﻟﻴﻞ ﺍﻓﺰﺍﻳﺶ ﺟﺬﺏ ﺩﺍﺭﻭ ﻳﺎ ﺣﺴﺎﺳﻴﺖ ﺑﻪ ﺩﺍﺭﻭ ﺑﺎ ﺍﺣﺘﻴﺎﻁ ﻣﺼﺮﻑ ﺷﻮﺩ‬

‫ﺧﺸﻜﻲ ﻳﺎ ﭼﺮﺏ ﺷﺪﻥ ﻏﻴﺮ ﻣﻌﻤﻮﻝ ﭘﻮﺳﺖ ﺳﺮ ﺍﺯ ﻋﻮﺍﺭﺽ ﺷﺎﻳﻊ ﺩﺍﺭﻭ ﻫﺴﺘﻨﺪ‬

‫ﺩﺭ ﺻﻮﺭﺕ ﻭﺟﻮﺩ ﺗﺎﻭﻝ ﺗﺎﻭﻝ ﺟﺮﺍﺣﺎﺕ ﻳﺎ ﺯﺧﻢ ﺑﻬﺒﻮﺩ ﻧﻴﺎﻓﺘﻪ ﺭﻭﻱ ﭘﻮﺳﺖ ﺳﺮ ﺍﺯ ﻣﺼﺮﻑ ﺷﺎﻣﭙﻮ ﺍﺟﺘﻨﺎﺏ ﮔﺮﺩﺩ‬

‫ﺑﺮﺍﻱ ﻛﺎﻫﺶ ﺍﺣﺘﻤﺎﻝ ﺗﻐﻴﻴﺮ ﺭﻧﮓ ﻣﻮﻫﺎﻱ ﺭﻭﺷﻦ ﺑﻠﻮﻧﺪ ﻳﺎ ﻣﻮﻫﺎﻱ ﺭﻧﮓ ﺷﺪﻩ ﻻﺯﻡ ﺍﺳﺖ ﭘﺲ ﺍﺯ ﺍﺳﺘﻌﻤﺎﻝ ﻣﻮﻫﺎ ﺑﻪ ﺧﻮﺑﻲ ﺍﺑﻜﺸﻲ‬

‫ﺷﻮﻧﺪ‬

‫ﻣﻘﺪﺍﺭ ﻣﺼﺮﻑ‬

‫ﻣﻘﺪﺍﺭ ﻣﺼﺮﻑ ﺩﺭ ﺩﺭ ﻣﺎﻥ ﺩﺭﻣﺎﺗﻴﺖ ﺳﺒﻮﺭﻩ ﺍﻱ ﻳﺎ ﺷﻮﺭﻩ ﺳﺮ ﻟﻮﺳﻴﻮﻥ ‪ 1‬ﻳﺎ ‪ 2.5‬ﺩﺭﺻﺪ ﺩﻭ ﺑﺎﺭ ﺩﺭ ﻫﻔﺘﻪ ﺑﻪ ﻣﺪﺕ ‪ 2‬ﻫﻔﺘﻪ ﻭﺳﭙﺲ‬

‫ﻳﻚ ﺑﺎﺭ ﺩﺭ ﻫﻔﺘﻪ ﺑﻪ ﻣﺪﺕ ﻳﻚ ﻳﺎ ﺩﻭ ﻫﻔﺘﻪ‬

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 ‫ﺩﺭ ﺩﺭﻣﺎﻥ ﭘﺘﺮﻳﺎﺯﻳﺲ ﺍﻭﺭﺳﻴﻜﺎﻟﺮ ﻳﺎ ﺗﻴﻨﺎ ﺍﻭﺭﺳﻴﻜﺎﻟﺮ ﻣﻘﺪﺍﺭ ﻛﺎﻓﻲ ﺍﺯ ﻟﻮﺳﻴﻮﻥ ‪ 2.5‬ﺩﺭﺻﺪ ﺭﻭﺯﺍﻧﻪ ﻳﻚ ﺑﺎﺭ ﺑﻪ ﻣﺪﺕ ﻳﻚ ﻫﻔﺘﻪ ﺑﻪ ﺟﺰ‬

‫ﻧﺎﺣﻴﻪ ﺻﻮﺭﺕ ﻭﺩﺳﺘﮕﺎﻩ ﺗﻨﺎﺳﻠﻲ ﻭﭘﺲ ﺍﺯ ‪ 10‬ﺩﻗﻴﻘﻪ ﺑﺎ ﺍﺏ ﺷﺴﺘﻪ ﺷﻮﺩ‬

‫ﭘﺮﻳﺘﻴﻮﻥ ﺯﻳﻨﻚ‬

‫ﺷﺎﻣﭙﻮ ﭘﺮﻳﺘﻴﻮﻥ ﺯﻳﻨﻚ ﺑﻪ ﻣﻨﻈﻮﺭ ﻛﻨﺘﺮﻝ ﺷﻮﺭﻩ ﺳﺮ ﻳﺎ ﺩﺭﻣﺎﺗﻴﺖ ﺳﺒﻮﺭﻩ ﺍﻱ ﺍﺳﺘﻔﺎﺩﻩ ﻣﻴﺸﻮﺩ‬

‫ﻣﻜﺎﻧﻴﺴﻢ ﺍﺛﺮ‬

‫ﭘﺮﻳﺘﻴﻮﻥ ﺯﻳﻨﻚ ﺑﺎ ﺍﺛﺮ ﺿﺪ ﻣﻴﺘﻮﺯ ﺳﺒﺐ ﻛﺎﻫﺶ ﺳﺎﺧﺖ ﻭﺳﺎﺯ ﺳﻠﻮﻟﻬﺎﻱ ﺍﭘﻴﺘﻠﻴﺎﻝ ﻣﻴﺸﻮﺩ ﭘﺮﺗﻴﻮﻥ ﻫﻤﭽﻨﻴﻦ ﺍﺛﺮﺍﺕ ﺿﺪ ﻗﺎﺭچ ﻭﺿﺪ‬

‫ﺑﺎﻛﺘﺮﻱ ﻧﻴﺰ ﺩﺍﺭﺩ‬

‫ﻣﻘﺪﺍﺭ ﻣﺼﺮﻑ‬

‫ﺣﺪﺍﻗﻞ ‪ 2‬ﺑﺎﺭ ﺩﺭ ﻫﻔﺘﻪ ﻣﺼﺮﻑ ﮔﺮﺩﺩ‬

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