1.What is the matter with getting scabies?
Scabies is a contact infectious skin disease caused by the scabies mite in the epidermis of human skin. It can spread epidemic between families and contacts. Clinical manifestations are characterized by papules, blisters and tunnels on the tender skin, pruritic nodules on the scrotum, and increased itching at night.
2.What are the characteristics of scabies itching?
Itching is mainly at night, but basically not during the day.
3.What are the sites of scabies itching?
Scabies itching is mainly in the finger crevices, abdomen, armpits, under the breasts of women, inner thighs, and scrotum of men, and there are rice grain sized papules or scratches.
4.How do I know that I have scabies?
First of all, I have blisters on my fingers, I have nodules on my inner thighs or scrotum, and the itching is mainly worse at night, and people living together have similar symptoms.
5. How was scabies diagnosed in ancient times?
Our ancestors had knowledge of scabies long ago, and there is a simple and easy to remember recipe “scabies is a dragon, first from the hands, three turns in the waist, and a big camp in the crotch”. It means that scabies first develops from the fingers, blisters and itching, then itching around the waistband and rash, and in about a month, itching and nodules in the perineum. Very good to remember, right!
6.Is there an effective means of examination for scabies?
You can take scabies dander and see if scabies can be detected under the microscope.
7.What is the clinical manifestation of scabies?
The scabies mite is often parasitic on the parts of the skin that are thin and soft, such as the finger crevices and their sides, the flexural surface of the wrist, the elbow fossa, the axilla, the umbilicus, the waist, the lower abdomen, the genitals, the groin and the inner part of the upper part of the femur. The head and face are not involved, with the exception of children. The lesions are pinhead-sized papules and herpes. Tunnels dug by scabies are often found at the fingertips, and female worms can be picked out at the mouth of the tunnels with the tip of a needle. This is a characteristic symptom of scabies. It is often accompanied by severe itching at night. If the lesions do not heal over time, secondary changes often occur, such as scratch marks, blood scabs, punctate pigmentation, eczema-like changes, and pustules. Some patients may have pale or reddish-brown, mung bean to soybean-sized hemispheric inflammatory hard nodules with severe itching in the scrotum and penis, called scabies nodules. Another rare type is Norwegian scabies, a severe form of scabies that occurs mostly in patients who are weak or immunocompromised, and the rash of this type is extensive and has a special odor.
Infants, children’s skin cuticle thin, lesions with special characteristics, lesions manifested as polymorphic, can be similar to papular urticaria, eczema, etc., often involving the head and face, palm and plantar, and these parts of adults and other not easy to be involved.
8.What are the main groups of people infected with scabies?
Generally, it is easy to be infected by each other in schools, construction sites, prisons, group dormitories and other places where people live in groups, and it is usually spread through direct contact or clothing. Especially people who often travel and live in hotels are easy to get this disease.
9.How is scabies treated formally?
Scabies is a worm infection of the skin, so it is generally not necessary to take medication only topical medication can be. Generally, the preparation of scabies killing is mainly used externally. Where the collective occurrence or family members of patients should be treated at the same time. Treatment procedures are as follows: before applying the drug, it is best to take a bath with hot water and soap, and the drug should be applied to the whole body from the line below the neck when applying the drug, and the parts where the rash is concentrated should be repeatedly applied and rubbed with pressure. You should not take a bath during the treatment period, and then take a bath with hot water and soap at the end of the course of treatment. Change the clothes and quilts in time, and change the clothes and quilts and all the clothes since the onset of the disease boiled and disinfected with water or scalded and exposed to the sun.
10.What are the effective topical drugs for treating scabies?
①10% sulfur (5% sulfur for children), 3% salicylic acid ointment. ②1% γ-666 emulsion or ointment, pay attention to neurotoxicity. ③10%-25% benzyl benzoate lotion or emulsion. ④Paracetamol cream for external use. ⑤40% sodium thiosulfate solution and 4% dilute hydrochloric acid solution apply the former 2 times first, and then apply the latter 2 times after drying. Apply once a day in the morning and once in the evening for 3 to 4 days. (6) 10% Clomid emulsion or application is applied once a day in the morning and once in the evening for 3 days. Personally, I think sulfur cream is the most effective and has little side effects, easy to apply all over the body, and prohibit drinking alcohol before applying the medicine.
Where the above topical drug treatment, should be observed for 2 weeks, such as no new lesions appear, can be considered cured. Because the scabies eggs can develop into adult worms only after 7-10d. If there is no new rash after healing and still itchy, you can apply topical compound glyburide lotion, or glucocorticoid cream.
11.How to treat the nodules in the scrotum?
It is called scabies nodules and can be treated with ① tar gel applied every night for 2 to 3 weeks. ②Injecting glucocorticoid (tretinoin) into the skin lesion. ③Triamcinolone acetonide neomycin paste is applied topically. ④Cryotherapy. The treatment time is usually about one month.
12.What should I do if the itching is still unbearable after using the medicine?
If the itching is severe, use antihistamines as appropriate, and add antibiotics if secondary infection occurs.
13.How to prevent scabies?
①Pay attention to personal hygiene, “three diligence”: diligent bathing, diligent changing of clothes, diligent drying of clothes and quilts. ②Do not live with the patient, shake hands, and do not put together with the patient’s clothes. ③find the patient timely treatment, change down the clothes to boil to exterminate the insects, can not boil the hot person with a plastic bag wrapped 1 month later, to be washed after the scabies mites starved.
14.Is it useful to eat Chinese medicine?
This disease eating Chinese medicine is not any effect. And it is easy to damage the liver.