{"id":6101,"date":"2020-03-11T12:53:40","date_gmt":"2020-03-11T12:53:40","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=6101"},"modified":"2020-03-11T12:53:40","modified_gmt":"2020-03-11T12:53:40","slug":"eritemul-fesier","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/eritemul-fesier\/","title":{"rendered":"Eritemul fesier"},"content":{"rendered":"
\"\"<\/a>
Dr. Delia CHIRA\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Medic specialist pediatru www.pediatrucluj.ro <\/strong><\/em><\/figcaption><\/figure>\n

\u00a0<\/strong>Eritemul fesier, \u00een limbaj popular \u201cop\u0103rirea\u201d este destul de frecvent \u00een perioada de bebelu\u0219 \u0219i are ca \u0219i cauz\u0103 principal\u0103 irita\u021bia produs\u0103 de contactul cu urina\/scaunele bebelu\u0219ului \u00eentr-un mediu cald \u0219i umed. Trebuie men\u021bionate \u00eens\u0103 \u0219i alte cauze, mai rare dar posibile, care ascund infec\u021bii virale\/bacteriene\/micotice(ciuperci) \u0219i care pot s\u0103 fie trecute cu vederea, tergivers\u00e2nd astfel un diagnostic corect \u0219i un tratament eficient.<\/p>\n

Ce este eritemul fesier?<\/u><\/p>\n

*Irita\u021bie a pielii din zona feselor dar \u0219i a \u0219an\u021bului interfesier, uneori cu extindere \u00een zona genital\u0103, inghinal\u0103 iar \u00een formele severe \u0219i pe abdomen\/zona lombar\u0103, precum \u0219i pe fa\u021ba intern\u0103 a coapselor;<\/p>\n

*\u00een formele severe pot s\u0103 apar\u0103 r\u0103ni deschise, ulcer\u00e2nde, exist\u00e2nd un mare pericol de suprainfectare;<\/p>\n

De ce apare?<\/u><\/p>\n

* aciditatea crescut\u0103 a urinii dar mai ales a scaunelor, asociat\u0103 cu contactul prelungit al scutecului cu tegumentul respectiv;<\/p>\n

* folosirea \u00een exces a serve\u021belelor umede pentru toalet\u0103, \u00een detrimentul apei \u0219i s\u0103punului;<\/p>\n

* exces de produse cosmetice \u00een \u00eengrijirea bebelu\u0219ului; chiar dac\u0103 multe din aceste produse sunt special concepute pentru copii, la unii dintre ei, pot s\u0103 apar\u0103 reac\u021bii iritative din cauza ingredientelor;<\/p>\n

* transpira\u021bia \u00een exces, materialele sintetice, scutece de calitate precar\u0103; aten\u021bie la scutecele textile: acestea trebuie schimbate mult mai des iar subs\u021banele folosite la sp\u0103larea\/dezinfectarea lor trebuie s\u0103 fie atent alese;<\/p>\n

* infec\u021bii bacteriene: urinare\/digestive (enterocolit\u0103 bacterian\u0103);<\/p>\n

* infec\u021bii virale: enterocolit\u0103 viral\u0103;<\/p>\n

* infec\u021bii micotice: disbioza intestinal\u0103, prezen\u021ba candidei sau a altor ciuperci \u00een scaun sau la nivelul tractului genital;<\/p>\n

* poate fi favorizat de boli preexistente: dermatit\u0103 atopic\u0103, dermatit\u0103 seboreic\u0103, psoriazis (foarte rar la copii);<\/p>\n

* este foarte frecvent dup\u0103 \u00eenceperea diversific\u0103rii, ap\u0103r\u00e2nd cu predilec\u021bie dup\u0103 consumul de citrice, ro\u0219ii, vinete, etc;<\/p>\n

* folosirea \u00een exces a cremelor de protec\u021bie, aplicate \u00een strat foarte gros; de\u0219i aceste creme sunt special concepute pentru prevenirea irita\u021biei de scutec, sunt bebelu\u0219i care nu le tolereaz\u0103 \u0219i la care s\u0103 apar\u0103 efectul invers;<\/p>\n

Care este tratamentul?<\/u><\/p>\n

a) remedii \u201cb\u0103be\u0219ti\u201d:<\/p>\n

– mu\u0219e\u021bel, flori de soc: se fac b\u0103i, sp\u0103l\u0103turi cu ceai concentrat;<\/p>\n

– solu\u021bie de bicarbonat: concentra\u021bia difer\u0103 \u00een func\u021bie de severitatea leziunilor;<\/p>\n

– ap\u0103 cu fulgi de ov\u0103z sau t\u0103r\u00e2\u021be de gr\u00e2u: se fac b\u0103i de \u0219ezut amestec\u00e2nd fie fulgii de ov\u0103z, fie t\u0103r\u00e2\u021bele de gr\u00e2u cu ceai de mu\u0219e\u021bel \u0219i\/sau bicarbonat asociat;<\/p>\n

– unguent de g\u0103lbenele, t\u0103t\u0103neas\u0103, c\u0103tin\u0103: se aplic\u0103 \u00een strat foarte sub\u021bire, dup\u0103 sp\u0103lare \u0219i uscare;<\/p>\n

– ulei de m\u0103sline fiert \u0219i r\u0103cit, aplicat \u00een strat foarte sub\u021bire;<\/p>\n

– castravete crud sau suc de castravete: se aplic\u0103 direct pe leziuni 5-10 minute, av\u00e2nd un excelent efect astringent \u0219i cicatricizant;<\/p>\n

b) tratament medicamentos:<\/p>\n

– dac\u0103 este vorba despre o infec\u021bie digestiv\u0103 sau una urinar\u0103, se trateaz\u0103 aceste infec\u021bii conform recomand\u0103rii medicale; \u00een diaree, pe l\u00e2ng\u0103 tratamentul recomandat un rol esen\u021bial \u00eel are regimul alimentar;<\/p>\n

– unguente bazate pe oxid de zinc\/ihtiol, pantenol, etc; acestea se administreaz\u0103 strict la indica\u021bia medicului, nu haotic, \u00eencerc\u00e2nd diverse preparate;<\/p>\n

– unguent cu antibiotic dac\u0103 se constat\u0103 o suprainfectare a leziunilor ini\u021biale; exist\u0103 situa\u021bii c\u00e2nd e necesar\u0103 asocierea antibioticului cu un preparat pe baz\u0103 de cortizon, \u00een func\u021bie de severitatea leziunilor; –\u00a0 unguente antimicotice dac\u0103 se suspicioneaz\u0103 o candid\u0103 sau o alt\u0103 micoz\u0103;<\/p>\n

– pe durata tratamentului, pe l\u00e2ng\u0103 igiena riguroas\u0103, se recomand\u0103 cel pu\u021bin 5-10 minute de c\u00e2teva ori pe zi \u00een fundicul gol, aerul ajut\u0103 foarte mult la vindecare; de evitat serve\u021belele umede \u0219i aplicarea cremelor \u00een start foarte gros.<\/p>\n

Cum putem preveni?<\/u><\/p>\n

– schimbarea la timp a scutecelor murdare, mai ales atunci c\u00e2nd copila\u0219ul prezint\u0103 o form\u0103 de diaree;<\/p>\n

– evitarea folosirii serve\u021belelor umede, pun\u00e2nd accent pe toaleta local\u0103 cu ap\u0103 \u0219i s\u0103pun;<\/p>\n

– sp\u0103larea pe m\u00e2ini cu ap\u0103 cald\u0103 \u0219i s\u0103pun at\u00e2t \u00eenainte c\u00e2t \u0219i dup\u0103 schimbarea scutecului;<\/p>\n

– evitarea excesului de crem\u0103 protectoare (aceasta se aplic\u0103 \u00een start foarte sub\u021bire \u0219i se maseaz\u0103 p\u00e2n\u0103 p\u0103trunde \u00een piele);<\/p>\n

– folosirea scutecelor de bun\u0103 calitate; \u00een cazul scutecelor textile, se recomand\u0103 pruden\u021b\u0103, acestea nu absorb suficient de bine, necesit\u00e2nd astfel schimbarea\u00a0 mult mai frecvent\u0103 a scutecului;<\/p>\n

– \u0219tergerea pielii bebelu\u0219ului prin tamponare \u0219i nu prin frecare;<\/p>\n

– \u00een cazul \u00een care eritemul apare dup\u0103 consumul anumitor alimente, acestea se exclud temporar din alimenta\u021bie, fiind ulterior introduse \u00een cantit\u0103\u021bi foarte mici, crescute progresiv, \u00een func\u021bie de cum evolueaz\u0103 pielea bebelu\u021bului;<\/p>\n

– tratamentul corect al oric\u0103rei infec\u021bii urinare\/digestive cu asociere obligatorie de probiotice \u00een cursul oric\u0103rui tratament antibiotic.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00a0Eritemul fesier, \u00een limbaj popular \u201cop\u0103rirea\u201d este destul de frecvent \u00een perioada de bebelu\u0219 \u0219i are ca \u0219i cauz\u0103 principal\u0103 irita\u021bia produs\u0103 de contactul cu urina\/scaunele bebelu\u0219ului \u00eentr-un mediu cald […]<\/p>\n","protected":false},"author":9,"featured_media":6050,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[67,340],"tags":[],"class_list":["post-6101","post","type-post","status-publish","format-standard","has-post-thumbnail","category-articole","category-pediatrie"],"yoast_head":"\nEritemul fesier<\/title>\n<meta name=\"description\" content=\"Articol: Eritemul fesier Autor: Dr. Delia CHIRA - Medic specialist pediatru www.pediatrucluj.ro\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/pacienti\/eritemul-fesier\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Eritemul fesier\" \/>\n<meta property=\"og:description\" content=\"Articol: Eritemul fesier Autor: Dr. Delia CHIRA - 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