‎ اهلا وسهلا بكل الراقيات فى ارقى تجمع نسائى فى الوطن العربي اجتمعنا على حب الله وكونا معا مجتمعا خاصا بالراقيات من جميع الدول العربية وهدفنا هوالتحلى بمكارم الأخلاق على أن تكون منهاجــًا وأسلوبــًا لحياتنا وتعاملاتنا، والثبات على المبادئ والقيـم تحت ضغوط وإغراءات الحياة وهذا هو الرقى الحقيقى انضمى الان الى عائلة الراقيات سواء كنتى ( ربة منزل معلمة,طالبة,طالبة جامعية,موظفة,مهندسة,طبيبة ,محاسبة) ننتظرك لتنضمى الى مجتمع الراقيات

‎ وشعارانا دوما ‎

‎ نلــــــــــــــــتقى – لنرتــــــــــــــــــــــقى

‎ ابحتي عن اي شئ في منتدي الراقيات بالضغط هنا


العودة   منتدي الراقيات - منتدى نسائي للنساء فقط - معلومات عامة > منتدى الراقيات الطبي > منتدى الطب البديل

منتدى الطب البديل طب الاعشاب ، الطب النبوي ، الحجامة طب الاعشاب, الطب البديل, اعشاب طبيه طب الاعشاب, اعشاب طبية, ادوية, علاج, نصائح طبية, التداوي بالاعشاب, رجيم, حمية غذائية, وصفات طبية, حلول للمشاكل الصحية, العلاج البديلا

إضافة رد
 
أدوات الموضوع إبحث في الموضوع
#1  
قديم 01-03-2019, 09:01 AM
شوشو
عضوة غير مفعلة
شوشو غير متصل
لوني المفضل Cadetblue
 رقم العضوية : 242
 تاريخ التسجيل : May 2010
 فترة الأقامة : 3262 يوم
 أخر زيارة : 03-04-2014 (01:03 PM)
 المشاركات : 3,076 [ + ]
 التقييم : 319
 معدل التقييم : شوشو راقية مشاركةشوشو راقية مشاركةشوشو راقية مشاركةشوشو راقية مشاركة
بيانات اضافيه [ + ]
Flower2 أسباب وأعراض والوقايه وتشخيض وطرق علاج مرض الثعلبه


أسباب وأعراض والوقايه وتشخيض وطرق علاج مرض الثعلبه

أسباب وأعراض والوقايه وتشخيض وطرق علاج مرض الثعلبه

أسباب وأعراض والوقايه وتشخيض وطرق علاج مرض الثعلبه




أسباب وأعراض والوقايه وتشخيض وطرق علاج مرض الثعلبه







الثعلبه عباره عن بقعة محددة من فروة الرأس يتساقط منها الشَعر .. قد تكون بقعاً مفردة أو متعدّدة، ما أسبابها وكيف يتم التعامل معها!؟ورغم الجهود الحثيثة علمياً فإن مرض الثعلبة لا يتوفر له علاج جذريَ فعّال حتى وقتنا الراهن.
تنتمي الثعلبة (Alopecia Areata) في علم الأمراض الجلدية إلى مجموعة الحاصات الموضعيّة غير الندبيّة (Non-Scarring Localized Alopecia)، يحدث فيها تساقط لأشعار الرأس ضمن بؤرة محدّدة دائريّة الشكل.
قد تظهر بداية بشكل مفرد أو على هيئة مجموعات ذات توضّع غير متناظر في فروة الرأس، كما يمكن أن يقتصر التساقط الحاصل في سياق الثعلبة على شعر الرأس فقط، أو قد ينتشر ليشمل كامل شعر الجسم بما فيه شعر العانة.
تابع معنا هذا المقال لنتعرف أكثر على أسباب هذا المرض الجلدي وكيفية علاجه، لكن في البداية إليك مقدمة للتعرف على بنية الشعر.


  1. ما هو مرض الثعلبة؟
  2. أسباب الثعلبة
  3. تطور مرض الثعلبة
  4. تشخيص مرض الثعلبة
  5. العلاج ليس جذرياً
  6. نصائح لمرضى الثعلبة

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صورة لمصاب بمرض الثعلبة



يطلق على الثعلبة (الحاصة الموضعية غير الندبيّة) باللغة الإنكليزية الطبيّة (Alopecia Areata)، حيث كلمة (Alopecia) باليونانية القديمة تعني حرفياً "مرض الثعلب"، لاسيّما أن الثعلب يجدد فروه الخارجي مرتين في السنة الواحدة.
ومن هنا استوحي الاسم الخاص بهذا المرض، يُذكر أن مريضاً واحداً من بين خمسة مصابين بمرض الثعلبة لديه قصة عائلية حول تساقط الشعر الفجائيّ في سياق الحاصة الموضعية غير الندبيّة.
ورغم الجهود الحثيثة علمياً فإن مرض الثعلبة لا يتوفر له علاج جذريَ فعّال حتى وقتنا الراهن.

تنتمي الثعلبة (Alopecia Areata) في علم الأمراض الجلدية إلى مجموعة الحاصات الموضعيّة غير الندبيّة (Non-Scarring Localized Alopecia)، يحدث فيها تساقط لأشعار الرأس ضمن بؤرة محدّدة دائريّة الشكل.
قد تظهر بداية بشكل مفرد أو على هيئة مجموعات ذات توضّع غير متناظر في فروة الرأس، كما يمكن أن يقتصر التساقط الحاصل في سياق الثعلبة على شعر الرأس فقط، أو قد ينتشر ليشمل كامل شعر الجسم بما فيه شعر العانة.
تابع معنا هذا المقال لنتعرف أكثر على أسباب هذا المرض الجلدي وكيفية علاجه، لكن في البداية إليك مقدمة للتعرف على بنية الشعر.
1

الثعلبة وأنماطها السريريّة

يراجع مريض الثعلبة عيادة الأمراض الجلديّة مشتكياً من تساقط مفاجئ لشعر الرأس لديه، وخلال فحصه سريرياً من قبل الطبيب المختصّ، يُلاحَظ سلامة بشرة المنطقة التي تساقطت منها الأشعار.
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بمعنى أن مريض الثعلبة لن تزعجه أبداً أعراض جلدية كالحكة الشديدة أو القشور المتراكمة والتوسفات وغيرها، كما تبدو هذه المنطقة بحدود واضحة نسبياً، شكلها دائريّ وحجمها صغير، قد تظهر مفردة أو على شكل مجموعات غير متناظرة وعشوائيّة ضمن فروة رأس المريض.
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يتساقط شعر الرأس في معظم حالات الثعلبة من بؤر قليلة ومحددة نسبياً لتسمى بالحاصة الموضعية (Alopecia Areata)، وفي بعض الأحيان قد تنتشر الحاصّات لتشمل كامل شعر الرأس ونسميها هنا بالثعلبة الكليّة (Alopecia Totalis).
أسباب وأعراض والوقايه وتشخيض وطرقحالة تساقط شعرؤ الرأس كاملا

بينما إذا اشتملت في حالات نادرة على كامل شعر الجسد بما في ذلك شعر العانة مع الرأس فإننا نطلق عليها طبياً الثعلبة المجموعيّة (Alopecia Universalis)، وهنا لا يتبقى في جسد المريض سوى بعض الشعيرات البيضاء القليلة المتناثرة.
وقد نجد في بعض حالات الثعلبة الفعّالة بؤراً تحتوي على شعر قليل بصيلاته ضعيفة وضامرة، تظهر على هيئة علامة التعجّب. تجدر الإشارة إلى وجود بعض التوضعات المقلقة للثعلبة التي توحي بإمكانيّة ترقي المرض بسرعة لدرجات سيئة ومتقدمة.
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كأن تتوضع الحاصة مثلاً في المنطقة القفوية أو الصدغية لرأس المريض، حينها تعرف هذه الحالة طبيّاً بالثعلبة الثعبانيّة (Alopecia Ophiasis).
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ومن جهة أخرى، يمكن للأظافر أن تتأذى في سياق الثعلبة في نسبة 10% من الحالات، فتبدو حينها هشّة ورقيقة سهلة الكسر ومنقّرة (منظر أظافر الكشتبان).
الفئات والأجناس التي تتعرض لمرض الثعلبة

علينا أن نضع في حسباننا جيداً أن الثعلبة مرض جلديّ يحدث دون انحياز ل*** معيّن، فيمكننا أن نجده لدى الذكور أو الإناث بالتساوي، ونادراً ما يظهر لدى الأطفال تحت عمر السنتين، بينما يشيع أكثر لدى الفئات العمرية التي توافق سن المدرسة والمراهقة.



2

الأسباب المرضيّة المسؤولة عن حدوث الثعلبة

لا تزال الأسباب المرضية المسؤولة عن الثعلبة مجهولة طبياً، غير أن هناك فرضيّة قويّة يتفق عليها معظم الأطباء وأخصائيو الجلدية حول العالم؛ يعتبرون الثعلبة فيها مرضاً مناعياً ذاتياً (Auto-Immune Disease).
بمعنى أن الأضداد المناعية التي تجول في دم الإنسان تتجه لمهاجمة خلايا الشعرة وبصيلاتها وتدمّرها، لتظهر لدى مريض الثعلبة على هيئة تساقط مفاجئ في شعر رأسه أو كامل جسمه.
أما عن سبب هذه المهاجمة الخاطئة للأضداد المناعيّة، فلا تزال الأسئلة كثيرة حول ذلك دون جواب واضح يحدّد بدقّة ما يحرّض الجهاز المناعيّ للقيام بهذا الهجوم.
عادة ما يعتبر هجوم الأضداد المناعيّة على الجريبات الشعرية مؤقتاً، لنجد أن ثلث حالات الثعلبة تتراجع عفوياً دون تدخل علاجي صريح، بينما تستقر ثلث الحالات وتبقى على حالها دون تقدّم أو تراجع ملحوظ في سير المرض.
هذا وقد تترقى الحالات في الثلث الأخير لتصبح أشدّ مما كانت عليه في البداية، وتتحول الثعلبة الموضعية حينها إلى كليّة أو مجموعيّة.

3

الحالات التي تستمر فيها الثعلبة بالتطور

عادة ما ينمو الشعر الذي تساقط مجدداً في سياق مرض الثعلبة خلال بضعة أشهر، وله قوام ولون الشعر القديم المتساقط، غير أنه في حالات قليلة قد يستعيد فيها المريض شعراً ذا لون أبيض ناصع، مع ملمس ناعم وثخانة قليلة.
وتميل الحاصة الموضعية إلى التطور والاستمراريّة لدى بعض الحالات المرضيّة، لاسيّما إن كان المريض يحمل صفة واحدة على الأقل مما يلي:

  1. وجود قصة عائليّة لمرض الثعلبة.
  2. ظهور الثعلبة قبل سن البلوغ (Puberty).
  3. وجود مرض مناعيّ ذاتي آخر لدى مريض الثعلبة، كالداء السكري من النمط الأول (Diabetes Mellitus Type 1) أو الداء الرثيانيّ (Rheumatoid Arthritis).
  4. لدى المريض حالة من فرط الحساسيّة الشديدة، أو الإكزيما التأتبية مثلاً.
  5. تغير الصفات الطبيعية للأظافر، كلونها مثلاً أو ثخانتها وقوامها.

4

خطوات التشخيص الطبي للإصابة بمرض الثعلبة

يفحص الطبيب الجلديّ مريض الثعلبة بعد أن يستفسر منه بشكل دقيق عن البدء المفاجئ لتساقط الشعر لديه، وينظر عن كثب إلى طبيعة البقع العارية من الشعر الموجود في المناطق المصابة من جلد رأسه أو جسده، مركزاً على أهمية سلامة الجلد وخلوّه من الأذيات المرافقة.
قد تؤخذ عينات من الأشعار المتبقيّة لفحصها تحت المجهر الضوئي وتبيان أي تغيرات بنيوية فيها، كما يلجأ الطبيب إلى سحب عينة دمويّة لمعرفة خضاب الدم والتحري عن الأضداد المناعيّة التي تظهر في سياق بعض الأمراض المناعية الذاتيّة.

5

العلاج والتدبير الطبيّ لمرض الثعلبة

لا يتوفّر حتى الآن علاج جذري نهائيّ يقضي تماماً على مرض الثعلبة، إنما يلجأ الأطباء حالياً إلى حقن المناطق الجلديّة المصابة بالستيروئيدات القشريّة (Coticosteroids) كل 3 أو 4 أسابيع كوسيلة علاجيّة لمرضى الثعلبة، أو قد تستعمل الكريمات الستيروئيدية وتدهن موضعياً على البؤر المتأذية بالمشاركة مع المينوكسيديل 5%.
وفي سياق علاج الثعلبة، قد يستخدم مرهم أنثرالين (Anthralin) الذي يحرض نموّ الأشعار مجدداً، حيث يطبّق على البقع العارية من الشعر لفترة زمنيّة قصيرة، وقد يستغرق الأمر شهرين تقريباً ريثما تبدأ النتائج الإيجابيّة بالظهور للعين.
ينبغي الإشارة إلى أهمية تطبيق العلاج المناعي (Imuuno-Therapy) لدى مرضى الحالات الشديدة من الثعلبة، فيستخدم لهذه المعالجة دواء محسّس يسمّى DCP Diphenylcyclopropenone يعتبر بمثابة مضاد (Antigen) يحرّض استجابة مناعيّة معيّنة في المناطق التي يغيب فيها الشعر (بؤر الثعلبة).
مما يؤدي إلى تنشيط نموّه مجدّداً، يتوفر هذا الدواء بشكل سائل في الصيدليّات، يطبّقه الطبيب المعالج على البؤر المرضيّة مرة واحدة في الأسبوع مع حرصه على زيادة تركيز المادة المطبقة في كل زيارة.
يحتاج هذا العلاج إلى فترة زمنيّة قد تصل إلى 3 أشهر أو أكثر ريثما تظهر النتائج المرضية، هذا ويحرّض هذا الدواء بدوره التهاباً جلديّاً شديداً مع طفح بالغ وضخامة في العقد اللمفاوية لاسيّما على مستوى الرقبة.
ولهذا يحرص الأطباء على تطبيقه بشكل أسبوعي وبنطاق ضيّق جداً خوفاً من ارتفاع وتيرة الحساسيّة الناتجة عن العلاج.

6

نصائح خاصة لمرضى الثعلبة

لطالما كان شعر الرأس مصدر جاذبيةً كبرى لدى ال***ين، فيتطلب منّا وقتاً وجهداً لا يستهان بهما كي يبقى محافظاً على جماليته ورونقه، فلا بدّ أن نستنتج مدى سوء الوضع النفسيّ والتغيرات السلبية التي تطرأ على نفسية مرضى الثعلبة بعد حدوث التساقط المفاجئ لشعرهم، لذلك:
  • علينا ألا نهمل أهمية الدعم والتأهيل النفسي الكبير لمرضى الحاصة الموضعية.
  • لا ضير أبداً من إقناعهم بإمكانية تطبيق بعض الخطوات البسيطة لتدبير البؤر العارية من الشعر ريثما يسترد الشعر المتساقط ويتماثل إلى الشفاء، كاستخدام المواد التجميلية لرسم شعر الحاجب المتساقط، أو ارتداء القبعات ومحاولة تسريح الشعر المبتقي بما يتناسب مع إخفاء البقع المرضيّة.
  • مع ضرورة تطبيق الواقي الشمسيّ (Sun Screen) بشكل دائم على المناطق الخالية من الشعر لحمايتها من تأثير أشعة الشمس الحارقة.
  • إلى جانب المواظبة على ارتداء النظارات الشمسية لحماية العين من دخول الغبار وتأثير الأشعة الشمسية لاسيّما إذا ما تساقطت أهداب الأجفان.
  • يضاف لها أهميّة تشجيع مرضى الثعلبة على المشاركة في جلسات دعم جماعيّة (Support Group)، فتساعد هذه الجلسات في التعرف على العقبات التي يواجهها مرضى الثعلبة يومياً، وتدفعهم إلى مساندة بعضهم البعض نفسياً ومعنوياً للتغلب على العقبات وتحمّل الأعباء النفسية والاجتماعيّة التي يخلفها هذا المرض.
وفي نهاية المقال... لقد تعرفنا معاً على أسباب مرض الثعلبة وكيفية علاجه الحاليّة، مشيرين بدورنا إلى أن هذا المرض يشكل 2-5% من مجمل الاستشارات الطبية في العيادات الجلديّة، وقد سجّلت حوالي 6.8 مليون حالة مرضيّة بالثعلبة في الولايات المتحدة الأمريكية وحدها.








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