Demodicosis - treatment on the face: symptoms, diagnosis and preventive measures. Treatment of demodex on the face at home

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So the first principle of treatment for demodicosis is the complexity of therapy. It is necessary to eliminate all factors predisposing to the development of the disease. So local remedies aimed at the destruction of the tick should be combined with the treatment of concomitant pathology (treatment of diseases of the gastrointestinal tract, correction of endocrine disorders, etc.).

In addition, in order to get rid of the manifestations of demodicosis forever, you should adhere to a special diet, lead a healthy lifestyle and choose the right cosmetics.

Diet for demodicosis of the face, eyelids and eyes

The diet for demodicosis consists primarily in the exclusion from the diet of a whole list of foods that cause a rush of blood to the face, such as:
  • alcohol;
  • spicy dishes;
  • hot and carbonated drinks.
In addition, "heavy" foods - fried, smoked dishes, as well as foods containing too much fat, salt or sugar - are banned.

Demodicosis often occurs against the background of allergies, therefore, as in the case of common acne, doctors advise to abandon products that are prone to cause allergic reactions (chocolate, cocoa, citrus fruits).

For modern medicine, the connection between demodicosis and disorders of the gastrointestinal tract is obvious. Therefore, in the fight against skin manifestations of demodicosis, a diet that helps normalize bowel function will help.

A proper diet is needed, so it is better to eat at the same time, in small portions (4-5 times a day). Focus on fermented milk products (kefir, yogurt, cottage cheese) and natural vegetable fiber (wholemeal bread, cereals (buckwheat, oatmeal), carrots, cabbage, apples).

Cosmetics for demodicosis

With an exacerbation of demodicosis, decorative cosmetics should be abandoned, which contributes to the reproduction of pathogenic mites.

Another very significant "minus" of decorative cosmetics (including expensive ones) is the ability to cause allergic reactions. The fact is that demodicosis, as a rule, goes hand in hand with skin allergies, and it is better to relieve the skin of the face from additional stress at least for a while.

As the process fades, you can resume the use of decorative cosmetics, however, it should be selected especially carefully, guided by the recommendations of experienced dermatologists, and not advertising agents of firms.

Treatment of demodicosis on the face

Spray Spregal

Spregal is one of the latest remedies used for local treatment of facial demodicosis. This medicinal product was developed as an aerosol for the treatment of scabies.

However, both the scabies mite and Demodex mites are equally sensitive to this drug. Clinical studies have shown that the drug Spregal is well tolerated by patients and leads to improvement in 70-87% of cases.

Spregal is intended for spraying, but in the case of demodicosis, a cotton swab should be irrigated with the drug (it is strictly forbidden to spray the drug on the face, as indicated in the instructions).

With a cotton swab moistened with Spregal, wipe the face 1-3 times a day, achieving the rubbing of the drug into the skin. The course of treatment is 7-15 days.

Sulfur ointment: use for demodicosis

Sulfur ointment is a time-tested acaricidal (anti-mite) agent. In addition, the drug has an antimicrobial effect, so it helps in the fight against secondary infection and promotes the speedy healing of the skin.

Since mites are active mainly at night, the drug is rubbed into the skin late in the evening. At the same time, sulfuric ointment is applied to the skin of problem areas washed with warm water.

The active ingredient in the ointment is permethrin, low toxicity for warm-blooded animals and humans. No more than 2% of permethrin is absorbed from the skin surface, which is cleaved and quickly excreted from the body.

It is believed that the advantage of permethrin ointment over other anti-tick drugs is that it penetrates especially well through the protective shell of mites and is equally toxic to adults, larvae and eggs.

With demodicosis, benzyl benzoate cream is used, which is rubbed into the affected areas of the skin of the face 3-5 times a day. The duration of the course is determined by the speed of positive dynamics (itching subsides, inflammation relief, skin cleansing).

The drug is applied to the affected areas of the skin of the face, capturing 3-4 cm of healthy skin. Yam ointment is used twice a day. In this case, the presence of the drug on the skin should be limited. First - 15 minutes, then gradually increase the contact of the ointment with the skin for 5-10 minutes a day.

As a rule, the effect of the drug begins to appear after 7-10 days. However, a full recovery requires a longer course. The drug is quite toxic and, being absorbed into the blood, can cause unwanted side effects (headache, general malaise). Therefore, treatment should be carried out under medical supervision.

However, it should be noted that in terms of efficiency, birch tar is significantly inferior to other drugs used for demodicosis. Therefore, it is better to use it for complex treatment, as one of the aids.

The method of using tar soap is very simple: you need to lather your face with soap and wait two to three minutes, and then rinse your skin with water.

Trichopol tablets (metronidazole)

Trichopolum (metronidazole) is a broad-spectrum antimicrobial agent. It does not have a direct effect on Demodex mites, but, nevertheless, has been successfully used for a long time in the treatment of demodicosis.

The fact is that in the development of this disease, especially at its second - papular-pustular stage, an important role is played by the activation of microbes that begin to multiply rapidly in the affected sebaceous glands, causing their inflammation and suppuration. We observe the result in the form of the appearance of conglomerates of inflamed purple acne.

For the treatment of demodicosis, dermatologists recommend combining external and internal use of the drug. It is necessary to undergo a course of treatment with tablets (10 days, one tablet twice a day, with meals) in combination with the external use of metronidazole gel, which is applied to the washed skin of the affected areas of the face twice a day (morning and evening).

Such treatment is contraindicated:
1. Patients with severe damage to the liver and kidneys (the drug decomposes in the liver and is excreted by the kidneys, therefore, with insufficient function of these organs, an overdose is possible);
2. With a tendency to leukopenia (at least once in a lifetime, a decrease in the number of leukocytes in the blood was recorded);
3. Pregnant women and nursing mothers;
4. In the presence of a serious pathology of the central nervous system (epilepsy, etc.);
5. In case of individual hypersensitivity to the drug.

It should be remembered that metronidazole causes intolerance to ethyl alcohol (used in the treatment of alcoholism), therefore, in order to avoid trouble for the period of taking the drug, it is necessary to stop drinking alcohol (even in small doses).

In addition, metronidazole does not combine well with certain drugs. So if you are taking any medications, be sure to tell your doctor about it.

Help, I have a demodicosis mite. Facial treatment is needed. Can streptocide be used for demodicosis?

No. It is forbidden.

Streptocid is a drug from the group of antimicrobial chemotherapeutic agents - sulfonamides, which are absolutely helpless against Demodex mites.

Of course, streptocid can be used at the papular-pustular stage of development of the process to combat secondary infection. However, the fact is that streptocide is one of the oldest antimicrobial agents, so that many microorganisms have already acquired a kind of immunity to it. Therefore, even at this stage of the disease, the use of metronidazole tablets (Trichopol) orally in combination with external use of Metrogyl gel will be much more effective.

Experience shows that many drugs used in animals can also be used in humans. However, it should be borne in mind that human skin is more delicate and sensitive, so it is necessary to test for sensitivity to the drug, first lubricating a small area of ​​the affected skin.

In cases where aversectin ointment causes an unpleasant sensation (itching, burning) or swelling, irritation and rashes appear on the skin, the drug should not be used.

Treatment regimen for facial demodicosis: aversectin ointment and cream for demodicosis DEC

Some dermatologists advise using aversectin ointment for the treatment of demodicosis in humans in short courses - 5 days each. In this case, the drug is applied to the affected areas of the skin once a day (at night).

After each such course, you should take a break for two days, during which they fight demodicosis with the help of DEC emulsion cream.

This drug is a mixture of antiseptics (dioxidine, decamethoxin and aethony), enriched with vitamin A. The latter is able to stimulate regenerative processes, accelerating the healing of damaged tissues.

DEC cream is applied to damaged areas twice a day (morning and evening).

A complete course of treatment for demodicosis includes five such seven-day courses. Laboratory control of the elimination of Demodex mites is carried out two weeks after the end of treatment.

I have demodicosis, what should I do? Used special soap - does not help. I want to try Apit ointment for demodicosis, can it be used in humans?

The anti-demodectic effect of Apit ointment is associated with sulfur that kills ticks. This medicinal product is intended for animals, therefore it is poorly adapted to human skin.

Dermatologists do not prescribe Apit ointment to their patients, since there is an analogue drug intended for people - sulfuric ointment.

Sulfur ointment is indeed more effective against Demodex mites than Apit ointment. However, it is best not to self-medicate, but to consult with your doctor, since effective therapy for demodicosis involves a number of measures (diet, elimination of concomitant diseases, etc.).

Demodicosis of the scalp: effective treatment

Shampoo "Demodeks"

Shampoo for demodicosis Demodex is produced by a fairly well-known North American company Ovante. The composition of this therapeutic and prophylactic drug includes a whole complex of active substances that contribute to the elimination of the tick, the subsidence of the inflammatory process, the restoration of the normal state of the skin and hair growth.

Specifically, the shampoo contains:

  • medical sulfur (destroys mature individuals, larvae and eggs of the tick);
  • zinc oxide (relieves inflammation);
  • tea tree oil (destroys bacteria and softens the skin);
  • eucalyptus extract (cleanses the surface of the skin);
  • celandine extract (promotes healing of affected areas of the scalp);
  • beech extract (normalizes metabolic processes in skin cells and hair follicles);
  • vitamin and mineral complex (stimulates hair growth).
With demodicosis of the scalp, Demodex shampoo should be used daily at night. The drug must be applied to wet clean hair with massaging movements, and washed off after 3-5 minutes.

The course of treatment is 2-4 weeks.

Medicines for demodicosis of the line Demodekoz Complex. Shampoo "Demodex Complex" and Xinsheng cream (Demodex Complex) for demodicosis of the face and scalp

Today, drugs against demodicosis, created on the basis of ancient recipes of Chinese herbalists, have become very popular.

So, for example, many patients with demodicosis of the face and scalp use a combination of Demodex Complex shampoo and Xinsheng cream (Demodex Complex).

The method of using the shampoo is daily standard (the drug is applied to wet hair, lightly rubbed into the scalp and absorbed within 3 minutes). Manufacturers advise using the conditioner of the same name in conjunction with the shampoo.

Cream Xinsheng (Demodex Complex) is applied to the affected areas of the skin of the face daily (at night).

First of all, it is necessary to identify and eliminate the factors that contribute to the development of demodicosis of the eyelids and eyelashes. The fact is that in most patients, demodectic blepharitis occurs in isolation, without skin manifestations on the face. However, many patients with rosacea on the face do not complain about the condition of the eyelids and eyes.

So the rapid reproduction of Demodex mites may be associated with any concomitant diseases of the organ of vision, such as:

  • uncorrected refractive errors of the eye (nearsightedness, farsightedness, astigmatism);
  • chronic conjunctivitis associated with exposure to adverse environmental factors at work or at home (smoke, gas, fumes, dust, etc.);
  • eyelid massage to normalize the activity of the affected meibomian glands;
  • treatment and/or prevention of secondary bacterial infection.

Demodicosis of the eyelids and eyelashes in humans: treatment begins with hygiene procedures

Local treatment of demodectic blepharitis should begin with the procedure for cleansing the eyelids and eyelashes from the waste products of ticks, scales of dead epithelium, mucus residues, etc.

The fact is that with demodectic blepharitis, the edges of the eyelids are covered with crusts, and the cilia are characteristic muffs and without prior preparation, the active ingredients of the drugs will not penetrate into the right place.

In addition, contamination caused by the Demodex mite contributes to the aggravation of dysfunction. meibomian glands , and negatively affect the condition of the eyelashes and skin of the eyelids.

The procedure for cleaning the eyelids and eyelashes with demodicosis begins with washing the skin of the face with tar soap, which can be purchased at any pharmacy. If soap with birch tar dries your skin too much, and there are no demodectic rashes on your face, you can replace soap with calendula infusion.

Then the edges of the eyelids are cleaned with a mixture of 70% ethyl alcohol and ether. This mixture is made in a pharmacy in a ratio of 1: 1 (1 part alcohol to 1 part ether).

In addition, alcohol tinctures of calendula and eucalyptus can be used to cleanse the eyelids and eyelashes. With increased skin sensitivity, ophthalmologists recommend blefaroloson - a healing solution containing extracts of chamomile, witch hazel and green tea. In addition, the composition of this therapeutic drug includes hemodez (polyvinylpyrrolidone solution), which has sorbing and detoxifying properties.

On the road for hygiene procedures, it is convenient to use special disposable blepharos napkins, consisting of a soft non-woven material soaked in blepharo lotion and calendula extract.

First, they wipe the upper eyelid (this procedure is more convenient to carry out with the eye closed), and then the lower eyelid (here, on the contrary, it will be more convenient to open the eye).

To avoid blinking while wiping the lower eyelid, try to keep the eye open by slightly pulling the eyelid at the outer (temporal) corner of the eye with your finger.

It is very important to release the access of the active substances of drugs to the roots of the eyelashes, for this it is necessary to clean the eyelashes well. It is very convenient to use a toothpick or a specially pointed match. Before use, you should consult with a specialist.

The term "opportunistic pathogen" means that the pathogen can cause disease if a favorable environment is created for its reproduction and development. In other conditions, the pathogen is not able to cause signs and symptoms of the disease. It is precisely these properties that the acne gland (demodex folliculorum) has - a mite that settles in the mouths of the sebaceous glands, in the area of ​​\u200b\u200bthe eyebrows, eyelashes and in hair follicles.

Nevertheless, in medicine there is such a thing as biocenosis, that is, the state of vital activity of two biological systems that coexist in the same environment and are interconnected. So, as a result of numerous studies by biologists, it has been proven that demodex as a biological system is involved in the process of skin biocenosis, providing the necessary pH balance. In the process of life, the tick destroys pathogenic bacteria that settle in large numbers on the face and other parts of the body.

Demodicosis of the skin of the face is more common than other parts of the body, since the face is richly supplied with sebaceous glands, which quickly become contaminated. The usual food for the iron is sebum, eating which Demodex throws out toxins and waste products.

Demodex mite surrounded by lymphocytes, neutrophils and histiocytes

Factors that can cause tick growth and reproduction include:

  • Insufficient hygiene of the skin.
  • Excess sebum production (oily skin).
  • The use of cosmetics, which contain hormones.
  • Skin lesions of various nature (including infectious).
  • Reduced immunity.
  • Long-term use of certain forms of medication.
  • Endocrine pathology.
  • Elderly age.
  • Chronic diseases of the gastrointestinal tract and other body systems.
  • Abuse of ultraviolet radiation (in the sun or in a solarium).
  • Frequent visits to the sauna (bath).

About demodex in video

Forms and nature of the course of the disease

Most often, demodicosis is localized in the following places:

  • Skin of the face and eyelids.
  • Superciliary arches.
  • forehead area.
  • Chin and area around the mouth.
  • Nasolabial folds.
  • The area around the ear canal.
  • Shoulders, back, chest and groin (less often than on the face).

Depending on the localization of the lesion, the following forms of demodicosis are distinguished:

Dermatological - with damage mainly to the skin.

Ophthalmic - mainly with damage to the eyelids and eyeballs.

In addition, among the skin forms of the disease, the following are distinguished:

  • Erythematous - the main symptom is redness of the skin.
  • Pustular - when pustules of different sizes come to the fore.
  • Papular - when the skin is covered with a large amount of small rash.
  • Combined or combined - when the patient has symptoms of all of the listed forms.

According to the nature of the flow, they distinguish:

  1. Primary demodicosis - when the symptoms of the disease in a patient appear suddenly, against the background of deteriorating health.
  2. Secondary demodicosis, the most common - when the symptoms occur against the background of other diseases (often chronic) of a person

Symptoms and diagnosis of facial demodicosis

Symptoms that may indicate illness include:

  • Severe itching that increases after washing.
  • The presence of pustular lesions of the skin.
  • Relief change (hilly).
  • Redness in places of inflammation.
  • Dilated vessels on the surface of the skin.
  • The presence of small bursting bubbles and increased peeling.
  • Slow growth of eyebrows and eyelashes, hair loss in these areas.

The disease develops, as a rule, gradually. At first, pink or reddish spots may appear on the face, which turn into a small acne. Unlike common acne, this rash causes the patient severe itching. If you do not contact a dermatologist at this time and do not start treatment, then the disease progresses and proceeds with the defeat of new areas.

Diagnostics

Before treating demodicosis of the face, it is imperative to undergo laboratory diagnostics. For differential diagnosis, it is required to conduct a laboratory study of scrapings of the epithelium from the affected areas. A few days before the test, you can not wash your face and use cosmetics.

There is a high probability that the larvae and adults of the tick will not be found during the first analysis. Therefore, for accurate diagnosis, it is recommended to undergo a laboratory analysis several times. The diagnosis of demodicosis is made if on a skin area of ​​1 sq. cm during the diagnosis, 5 adults were found.

Treatment of demodicosis of the face

For effective therapy, combined treatment is used, namely:

  • Local preparations for the destruction of the tick.
  • Systemic remedies for demodicosis on the face to increase the immune system and treat underlying diseases (with secondary demodicosis).

Systemic therapies:

Local preparations

Treatment of demodicosis of the face with topical preparations is carried out for a long time, preferably in courses with short breaks. Depending on the stage and form of demodicosis, treatment can last from 4-6 weeks to 1 year. Therefore, it is better to start therapy when signs of the disease appear and the diagnosis is established.

Ointment for demodicosis of the face is the most effective remedy as a local therapy. A good result is given by drugs that contain sulfur, mercury, tar, antiprotozoal drugs, zinc. All of these agents block the respiratory function of ticks or simply destroy them. These include:

  • Ointment with metronidazole (Klion, Metagyl).
  • Ointment with clindamycin or erythromycin.
  • Spregal (esdepalletrin-pyrethroid) in the form of a spray.
  • Demalan ointment.
  • Sulfuric ointment.
  • Benzyl benzoate.
  • Azelaic acid preparations.
  • sodium thiosulfate.
  • Sulfur-tar alcohol.
  • Yellow mercury ointment.
  • Ichthyol.
  • Lindane.
  • Amitrazol.
  • Crotamiton.

If demodicosis affects the eyeball, then additional means such as eye drops (tosmilen, armin, physostigmine) are used. To stimulate the growth zones of the hair of the eyebrows and eyelashes, burdock oil is rubbed into the eyelid.

How to treat demodicosis: video

Care measures during treatment and prevention

It is not recommended to use traditional cosmetics (including cleansers) during treatment. It is better to wash your face not with water, but with a decoction of herbs (chamomile, yarrow, calendula, sage). Oil-based creams are excluded. Every day you need to treat the skin of the face with tar soap. In case of damage to the eyelids, it is recommended to treat the skin with an alcohol 70% solution.

Prevention measures include:

  • Daily processing of all individual personal hygiene items (towels, bed linen, underwear), which are best boiled and ironed.
  • A diet is recommended with the exclusion from the diet of fried, smoked, salty and spicy foods.
  • Treatment of other diseases of the body is necessary.
  • For the entire period of therapy, it is better to refuse from long exposure to the sun, going to the sauna and bath, as well as from solarium sessions.
  • All cosmetic procedures for demodicosis are strictly contraindicated.

Treatment results

The living conditions of the tick contribute to the fact that it appears most often in those places where there are a large number of sebaceous glands. This is the back, face, head, and eyelids. The fact is that there is a moist shell here, which functions precisely thanks to the sebaceous glands.

Treatment of demodicosis is divided into several types and varies, depending on where exactly the disease manifests itself. The second name of demodicosis is acne.

The main symptoms of demodicosis

At the first appearance of signs of acne, people try to get rid of the problem on their own, using a variety of. The fact is that taking some of them can only worsen the situation and cause ticks to multiply under the skin.

Symptoms may vary depending on where in the body the disease begins to develop. For example, demodicosis of the scalp is accompanied by problems such as:

  • red spots on the skin, inflammation, bumps, bumps;
  • itching, worse in the evening;
  • peeling of the skin;
  • inflammation of the pores and the manifestation of acne.

In this case, it is worth thinking about methods of treating the disease.

Demodicosis of the eyelids is accompanied by more serious and unpleasant symptoms:

  • inflammation around the eyelids and swelling of the eyes;
  • loss and sticking of eyelashes;
  • frequent appearance of barley;
  • the formation of a purulent crust on the eyelids.

Is it possible to cure demodicosis of the head, face and eyelids

The disease can and should be treated, but only after an accurate diagnosis. Do not try to fix a problem if you are not sure that it is present. In this case, you can only aggravate the situation and provoke the development of other skin diseases. Methods of treatment depend on the specific type of demodicosis. Let's analyze each of them in order.

1. Demodicosis eyelids. How to treat

In addition, the doctor will prescribe special eye drops to help get rid of bacteria in the danger zone. Regardless of the stage of pathology, demodicosis of the eyelids must be treated with a long-term complex. The total treatment time is at least one month.

2. How to treat demodicosis of the scalp

This process must be approached with no less responsibility. The duration of treatment is also at least 4-6 months. If you finish the recovery process earlier, a relapse of the disease is possible. In this case, getting rid of the tick can be much more difficult. Therefore, demodicosis on the head, the treatment of which takes place under the supervision of a doctor, is considered an equally dangerous pathology. It should not be confused with other dermatological problems that you will learn about.

Here, acne poses the least danger to the human body. Nevertheless, it is also necessary to understand how to cure demodicosis in this case carefully.

The process itself is similar to the treatment of the scalp, but other drugs may be used here. It all depends on what stage of development the pathology is at.

We will analyze the most popular and effective means for the treatment of demodicosis.

How to get rid of demodicosis forever. The most effective drugs

An American-made cream that has antibacterial, anti-inflammatory and anti-comedogenic effects. This means that the drug helps not only get rid of the tick, but also completely remove all inflammation remaining after the disease, remove acne, and so on.

Demodexin, whose instructions are as simple as possible, works most effectively in combination with cosmetics designed to cleanse the skin. Before use, thoroughly wash the area of ​​the body to which the product is to be applied. The cream is applied 3 times a day with a thin layer.

Like other drugs, demodexin is most effective when the full course of treatment is completed. If you use the cream for 2 weeks, you can feel some relief and see a concrete result, but, most likely, the tick simply weakens, but remains in the body.

The methods of using the drug are very different from Demodexin, since the ointment has a much stronger effect on the body. It is recommended to apply it once a day with a thin layer exclusively on the affected areas of the skin. After 24 hours, the treated parts of the body must be thoroughly washed under warm water and the procedure repeated.

Given the characteristics of permethrin, it is strictly forbidden to use the ointment for the treatment of children under 3 years of age, as well as pregnant or lactating women.

It is also necessary to carefully consider the choice of the drug for people with hypersensitivity and a tendency to various types of allergies.

A few generations ago, everyone knew that the best remedy for the treatment of scabies is sulfuric ointment. Demodicosis, as practice shows, is treated with this drug no less effectively.

The tool affects the inflammation of the affected areas of the skin and actively fights the vital activity of demodex. Please note that the ointment cannot be used to treat pathology in all parts of the body. For example, demodicosis on the eyelids requires completely different drugs and treatments. Understanding how to treat demodicosis of the eyelids, pay attention to the possibility of using oral medications. Many external products can adversely affect the skin around the eyes.

One of the best remedies for removing demodex on the eyelids. The drug is used to treat many bacterial pathologies. Once in the body, it creates unfavorable conditions for the development of malignant microorganisms, as a result of which they die and are excreted.

It is necessary to drink tablets 3 times a day during or after meals. Trichopol from demodex on the eyelids can help much more effectively than any external remedy.

Demodex lesion symptoms

The development of the disease begins with itching of the affected areas of the skin.

The development of demodicosis of the skin begins with inflammation and itching in the affected areas, the appearance of a rash like rosacea. When the skin of the eyelids is affected, swelling, redness, itching, discoloration and increased loss of eyelashes are observed. If these symptoms appear, you should consult a dermatologist. Ignoring early signs leads to the development of allergic reactions to biotoxins released by Demodex. The risk of secondary infections that provoke a pustular rash, ulceration and scarring of the skin increases.

When to treat?

Skin treatment in the initial stages is faster and easier, has a positive prognosis. Early diagnosis of demodicosis allows you to timely establish the internal disorders that caused the disease, prevent their development, complications. If time is lost, significant damage has been done to the skin, it will be difficult and costly to cure demodex and restore the epidermis. Treatment during an exacerbation and complications with infections has its own characteristics, the doctor may prescribe additional antibacterial drugs or potent drugs.

Can we cure demodicosis completely?

Full recovery is possible only with complex therapy under the supervision of a specialist.

Successful treatment of demodicosis is possible only with complex therapy. It is important to understand that the elimination of internal causes, although it is a prerequisite, will not in itself cure demodicosis that has already developed. Mite colonies will continue to multiply and infect healthy areas of the skin. Passing a course prescribed by a dermatologist is mandatory to get rid of the disease. According to statistics, among those who have recovered from a tick, 10% fall ill again, so even after treatment is completed, it is important to follow the recommendations of a specialist.

How to cure?

Self-activity in treatment can lead to a prolongation of the disease, the occurrence of allergic reactions. To achieve the result, an individual therapy regimen is prescribed based on laboratory tests, skin characteristics, dynamics and localization of the disease. There are many effective drugs for demodicosis, it is important to choose the right set of remedies in order to recover quickly and without complications. In addition, for healing, you must adhere to the following rules:

  • do not use decorative and facial cosmetics - it creates a favorable environment for tick reproduction;
  • do not use decorative cosmetics that were used before diagnosis and treatment;
  • use disposable paper towels after washing;
  • use organic shampoos and hygiene products;
  • refuse to visit the solarium, sauna, bath;
  • do not take baths, avoid prolonged stay in the shower;
  • do not expose the skin to sunlight;
  • regularly wash and iron all things, towels, bed linen that have been in contact with infected areas;
  • follow a diet, completely abandon foods prohibited during demodicosis;
  • normalize the activity of the gastrointestinal tract and liver;
  • actively treat the internal causes that provoked demodicosis, do not leave it for later;
  • after recovery, follow the doctor's recommendations to prevent relapse.

Preparations

Drugs can be used only under the supervision of a physician.

The most effective in the fight against ticks are acaricidal preparations, creams, ointments, drops. Permethrin ointment has proven itself well, which destroys not only adults, but also masonry, has practically no side effects and contraindications. Ointments based on sulfur and tar are effective, but have a pungent odor, which is not always convenient for regular use. Ointments based on zinc oxide are detrimental to ticks. Advanced demodicosis is often treated with skin-aggressive drugs such as benzyl benzoate ointment. Preparations containing metronidazole also cope with Demodex colonies, but due to toxicity, they have a number of contraindications.


Demodicosis of the skin of the face is manifested by a deterioration in the condition of the epithelium, this is caused by clogging of the mouths of the sebaceous follicles. The secret thickens, sebaceous plugs appear from sebum and desquamated epithelium. In the expanded mouths, favorable conditions appear for the activity of opportunistic and pathogenic microorganisms that invade from the outside and live on human skin. Most often, the gland is activated in the spring, against the background of winter-spring beriberi.

The size of demodex is from 0.2 to 0.5 mm, the body is elongated, translucent, spindle-shaped. Localization of colonies - in areas of the skin with multiple hair follicles and sweat glands. But for normal life, the tick needs an influx of air, so it rarely activates under clothing, preferring the face, hair growth zone and the ciliary line.

Teenagers of pubertal age are more likely to suffer from demodicosis, since the secretion of the sebaceous glands is increased due to hormonal formation, and older people suffering from rosacea.

Causes of demodicosis


Regarding the disease of demodicosis, dermatologists still do not have an unequivocal opinion. It is believed that the reason for the increased activity of a permanent inhabitant of human hair follicles is a violation of the acid-base balance of the skin, but the theory of infection through bedding or personal hygiene items is not completely rejected.

All organic processes that affect the secretion of the sebaceous glands provoke demodicosis:

  • Violation of metabolic processes in the body and hormonal disruptions;
  • Digestive problems - delayed bowel movements, dysbacteriosis;
  • Diseases of the cardiovascular system, in which the peripheral blood supply is disturbed;
  • Diseases of the respiratory system that reduce the supply of oxygen to organic tissues and organs, since the skin is one of the largest organs;
  • Diseases of the nervous and endocrine systems;
  • Infectious inflammatory processes and other conditions that cause intoxication, such as alcohol or drug intoxication;
  • Traumatic lesions - violation of the integrity of the skin.
The increase in demodex activity is influenced by external factors:
  1. Abuse of sweet, salty, fatty foods that stimulate the production of sebaceous secretion and activate the reproduction of fungal conditionally pathogenic flora, which creates favorable conditions for the life of the gland.
  2. Unfavorable climate or microclimate in a room where you have to stay for a long time - high humidity and radiation, temperature above + 24 ° C.
  3. Improper self-care: neglect of personal hygiene rules or abuse of cosmetics with perfumed ingredients, abuse of cosmetic procedures that disrupt the sebaceous glands - scrubbing, grinding, and the like.
The development of demodicosis of the eyelids is caused by ophthalmic diseases and surgical interventions for their treatment. Overstrain of the organ of vision negatively affects the condition of the skin of the eyelids.

The main symptoms of demodicosis


It is quite difficult to distinguish facial demodicosis from acne or dermatological diseases on your own, if you have not encountered the disease before. The disease is manifested by cosmetic defects, so they try to cope with it by intensifying skin care, which aggravates the condition - the acid-base balance is irreversibly disturbed.

First, some places of the face turn red, itch, scratching the upper layer of the epithelium is injured, flaky. Subcutaneous pimples with liquid content form on the affected areas, papules and pustules form, the surface of the face becomes uneven, bumpy.

Symptoms can be identified:

  • The formation of subcutaneous abscesses, when squeezed out, erosion and ulcerative lesions are formed, which do not heal for a long time;
  • Increased peeling of the epidermis;
  • There is a feeling that there is always a mask on the face: the skin thickens, acquires an earthy hue, the border of the lesion is determined;
  • The pores become large, constantly enlarged, an oily sheen appears, which cannot be eliminated using special cosmetics or tinting agents.
  • With a neglected disease, a significant deterioration in appearance is noticeable: the wings of the nose swell, constantly shine, the eyelids become red, and eyelashes begin to fall out. When demodicosis spreads to the scalp, the hair thins in the temples and above the forehead, large bumps appear in this area. A scaly coating forms along the hair growth line, resembling the crust of babies.

    Symptoms of demodicosis of the eyelids are not limited to the deterioration of the ciliary line. The eyelids turn red, the eyes are constantly tired, purulent discharge appears in the corners of the eyes, first in the morning, and then constantly. After sleep, it is difficult to open the eyelids because of the discharge. Papules, abscesses, erosions form along the edges of the eyes, papillomavirus joins, because favorable conditions are created for it, papillomas begin to form.

    The growth of the tick population can be stopped only by competent complex treatment.

    How to treat demodicosis

    The diagnosis is not difficult. For an experienced dermatologist, a visual examination is enough; for clarification, they do an analysis-scraping from the affected area. Ticks can be seen on a glass slide using a conventional microscope. To confirm eye demodicosis, scales are taken from the eyelids for examination or 1-2 eyelashes are pulled out. Treatment begins after the diagnosis is made.

    How to cure demodicosis with ointments


    If the disease is not started, the lesions are small, the inflammatory process is not pronounced, then you can limit yourself to local remedies.

    Ointments for demodicosis:

  • . Another remedy from veterinary practice. The composition includes acids (carbolic and salicylic), ichthyol, lysol, lanolin, zinc oxide, medical vaseline, tar, turpentine and sulfur. Apply 2 times a day to the inflamed areas, continue treatment until the skin is completely cleansed. Side effects were not identified.

    Treatment of demodicosis with pills


    With widespread demodicosis, drugs for oral administration are used.

    Can be assigned:

  • Antihistamines 1-2-3 generations. To eliminate itching and swelling, it is necessary to choose fast-acting drugs: Suprastin, Zodak, Loratadin, Citrine, Diazolin, Tavegil and the like. The dosage of antihistamines is calculated according to the age and status of patients; for children and the elderly, the preferred treatment forms are drops or syrup.
  • Antibacterial therapy. It is prescribed for secondary infection, when bacterial foci in the body are activated against the background of weakened immunity, purulent-inflammatory processes of the skin, for example, furunculosis, can develop. Erythromycin, Azithromycin, Sumamed, Doxycycline, Roxithromycin, Tsiprolet are predominantly prescribed.
  • Antimycotics. Used when attaching a fungal infection Nystatin, Mycozoral, Orunit, Diflucan.
  • Vitamin and mineral complexes. Used to increase immunity, drugs in the form of dragees or capsules with a high amount of vitamins A and E, which stimulate the acceleration of skin regeneration.
  • Complex treatment of demodicosis with systemic and local drugs quickly stops the activity of the tick and restores the quality of the skin.

    How to get rid of demodicosis with the help of physiotherapy


    Physiotherapeutic methods complement the treatment, help to restore the skin of the face in a short time, get rid of aesthetic defects.

    Used:

    1. Cryotherapy. It is used if the accumulation of ticks is localized in a separate area with pronounced boundaries, the skin is already thickened. After cauterization with liquid nitrogen, the crust should separate itself, only then there will be no scars.
    2. electrophoresis. Used to relieve acute inflammatory processes. Medicinal complex for electrophoresis: Dimexide, Potassium iodide or Zinc sulfate. The complex can be supplemented with Calcium Gluconate or Calcium Chloride.
    3. Microdermabrasion. It is used after the elimination of an acute process. During the procedure, the surface layer of disfigured skin is removed. The duration of rehabilitation is 5-7 days.
    4. . The procedure may be prescribed against the background of treatment with systemic drugs. The acid complex - fruit and lactic acids, shifts the balance of the skin to the acid side, which stops the reproduction of demodex and prevents the appearance of new rashes.
    Physiotherapeutic procedures are recommended by the doctor, assessing the clinical picture and the severity of the disease.

    Home treatment of demodicosis folk remedies


    Traditional medicine accelerates the healing process and helps to get rid of the external manifestations of demodicosis.

    Traditional medicine recipes:

    • Garlic lotions. Combine garlic gruel with the same amount of sea buckthorn oil and apply to the affected areas as a lotion for 20-25 minutes.
    • Apple horseradish mask. The peeled apple and horseradish root are crushed with a blender, the components are taken in equal amounts. The mask is applied for a week for 15 minutes, washed off with warm water.
    • . Wipe the skin 2 times a day. Eliminates itching and inflammation.
    • Vitamin infusion to improve immune status. Calendula flowers, currant and strawberry leaves, St. John's wort, lemon balm, sea buckthorn, hawthorn and rose hips are mixed in equal quantities. Brew as tea a tablespoon of the collection in 1 cup of boiling water, leave for 15 minutes. Drink a quarter glass in the morning. To improve the taste, you can add a teaspoon of honey.
    To prevent secondary infection, the face can be wiped with alcohol tinctures of calendula, yarrow, golden mustache. Before using this method, it is necessary to determine the sensitivity of the skin of the face to alcohol products, so as not to provoke burns.

    During treatment, water procedures are limited to showers, saunas and baths should be excluded, overheating should be avoided and sunbathing should be avoided.

    Prevention of demodicosis


    Special measures to prevent an increase in demodex activity have not been developed. But you can reduce the likelihood of a recurrence of the disease and prevent infection at home by following these recommendations:
    1. The patient should change the pillowcase daily, iron it on both sides after washing.
    2. After washing, it is necessary to dry the skin thoroughly, removing moisture, for this, paper towels are used.
    3. Chronic diseases are treated in time, without waiting for a decrease in immunity.
    4. You can not use other people's cosmetics.
    5. It is necessary to try to avoid contact with others suffering from SARS.
    How to treat demodicosis - look at the video:


    Be sure to think about increasing immunity, walking in the fresh air, eating rationally, observing sanitary and hygienic requirements. This will help maintain the acid-base balance of the skin at a stable level and prevent disruption of sebum production.
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