儿童手癣足癣怎么办？

h2span style="font-size: 16px;"儿童手癣足癣怎么办？/span/h2divpspan style="font-size: 16px;"在夏季，有些孩子在户外玩耍，/span回到家脱下鞋袜后，可能会做这个动作：会有点尴尬，为什么呢？/pp很可能是脚上的那一些“小泡”让孩子总是喜欢用手抠脚。br/br/“我不要变成“抠脚大汉”br/br//psectionsectionsectionsectionsectionpspan style="font-size: 16px;"主任医师：/span掌、跖、指趾间及手、足背皮肤的皮肤癣菌感染称为手癣和足癣俗称手气和脚气。/p/section/section/sectionsectionsectionsectionspan style="font-size: 16px;"足癣：足癣常见于夏季，好发于热带和亚热带地区，使用公共浴池中的木盆、拖鞋和穿密闭鞋者发病率增加。/span/sectionsectionspan style="font-size: 16px;"手癣：而手癣常则一般是由于足癣感染到手部所致。/span我国主要致病菌为红色毛癣菌、须癣毛癣菌、白色念球菌，常见指间糜烂性改变。/section/section/section/section/sectionsectionsectionsectionsectionsectionsectionsectionsectionsectionsection/section/sectionsectionsectionsectionsectionsectionsection/section/section/section/section/section/sectionsectionsection/section/section/section/sectionpbr//p/section/section/section/section/section/sectionsectionsectionsectionsectionsectionsectionsectionsectionspan style="font-size: 16px;"手癣和足癣有什么症状吗？/span/section/section/section/section/section/section/sectionpspan style="font-size: 16px;"好发部位：损害好发于手掌、足跖、指趾间，亦可波及腕、踝部。/span/psectionsectionsectionsectionsectionblockquotespan style="font-size: 16px;"足癣：/span足癣好发在足趾间，特别是第4~5趾间，常表现为浸渍、糜烂。/blockquoteblockquotesection/section/blockquote/section/sectionsectionsectionblockquotespan style="font-size: 16px;"手癣：/span手癣往往从单侧发病，逐渐发展至双手。/blockquote/section/section/section/section/sectionsectionsectionsectionsectionsectionblockquotespan style="font-size: 16px;"急性损害：/span急性损害为丘疹、丘疱疹和水疱，伴有瘙痒。/blockquote/section/sectionsectionsectionblockquotespan style="font-size: 16px;"慢性损害：/span慢性损害为鳞屑和角化，皮肤粗糙增厚，易发生皲裂。/blockquote/section/section/section/sectionpbr//p/sectionsectionsectionsectionsectionsectionsectionpspan style="font-size: 16px;"危害：/span剧烈搔抓可继发如丹毒、蜂窝织炎等细菌感染。/ppspan style="font-size: 16px;"急性期足癣若过度使用刺激性药物可出现癣菌疹及湿疹样改变，甚至出现自身敏感性皮炎，损害泛发全身，所以，在治疗方面一定要遵医嘱。/span/p/section/section/section/section/sectionsectionsectionpbr//psectionsectionsectionsectionsectionsectionsectionsectionspan style="font-size: 16px;"如何检查呢？/span/section/section/section/section/section/section/section/sectionsectionsectionsectionsectionpspan style="font-size: 16px;"真菌免疫荧光检测：在我院皮肤科进行的真菌免疫荧光检测中，医生会据孩子情况在皮肤表面刮取鳞屑，在显微镜下观察皮损鳞屑，阳性可见真菌菌丝或孢子。/span/p/section/section/sectionsectionsectionsectionsection/section/sectionsectionsectionsectionsectionsectionsection/sectionspan style="font-size: 16px;"▲真菌免疫荧光检测/span/section/section/section/section/section/section/sectionp/psectionspan style="font-size: 16px;"真菌免疫荧光检测下带菌丝红圈处的标本/span/sectionpbr//p/section/section/section/sectionsectionsectionsectionsectionsectionsectionsectionsectionsectionspan style="font-size: 16px;"如何治疗呢？/span/section/section/section/section/section/section/sectionsectionsectionsectionsection/sectionsectionsectionpspan style="font-size: 16px;"1. 局部治疗：遵医嘱抗真菌外用药，一般疗程需2~4周。/span/ppspan style="font-size: 16px;"急性损害忌用刺激性药物。浸渍糜烂型足癣外用粉剂，干燥后再用抗真菌制剂。/span/ppspan style="font-size: 16px;"对角化肥厚性损害，可选择相应软膏。对足癣继发感染的应首先治疗细菌感染。足癣继发菌疹、湿疹化的应先行抗过敏治疗，可外用含皮质类固醇及抗真菌药的复方制剂。/span/p/section/section/section/section/sectionsectionspan style="font-size: 16px;"2. 全身治疗：对于局部治疗无效的顽固病例除外用药外，可遵医嘱口服用药1~2周。/span/sectionsectionpbr//p/section/sectionsectionsectionsectionsectionsectionsectionsectionsectionspan style="font-size: 16px;"家庭中如何护理？/span/section/section/section/section/section/section/sectionsectionsectionsectionsectionsectionsectionspan style="font-size: 16px;"1. 保持干燥：保持手脚干燥，每天清洗足部，勤更换袜子；/span/sectionsectionspan style="font-size: 16px;"2. 避免传染：宝宝可能喜欢穿大人的鞋传染足癣的，所以，提醒家长的鞋要放好，同时与家人的洗脚盆和擦脚巾应该区分开，以免相互传染；/span/sectionp/psectionspan style="font-size: 16px;"3. 注意鞋袜：建议患足癣的孩子，平日穿鞋不易穿不透气的鞋，以免造成脚汗过多；指缝紧密的孩子可以用纱布夹在中间，或者分趾袜；/span/sectionsectionspan style="font-size: 16px;"4. 避免抓挠：足癣可传染，所以要避免抓挠；手癣也要尽量避免抓挠，若刺痒厉害时，可以按揉止痒。/span/sectionsectionspan style="font-size: 16px;"5. 及时就医。/span/section/section/section/section/section/section/section/section/section/divpbr//p