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Паразит проникает в верхние слои кожи, проделывает ходы и откладывает яйца, что вызывает сильный зуд и воспаление [1](https://www.mos-clinics.ru/diseases/chesotka/). \n\nПри первых признаках чесотки необходимо обратиться к дерматологу [1](https://www.mos-clinics.ru/diseases/chesotka/).\n\n\n\n## Причины\n**Чесотка передаётся только от человека к человеку** [2](https://www.VIDAL.ru/encyclopedia/infektsionniebolesni/chesotka). Некоторые пути заражения: \n* **Прямой контакт с больным** (рукопожатия, объятия, половые контакты) [1](https://www.mos-clinics.ru/diseases/chesotka/). \n* **Использование общих вещей** (полотенца, одежда, постельное бельё) [1](https://www.mos-clinics.ru/diseases/chesotka/). \n* **Проживание в антисанитарных условиях** (общежития, тюрьмы, лагеря беженцев) [1](https://www.mos-clinics.ru/diseases/chesotka/). \n* **Ослабленный иммунитет** (ВИЧ, диабет, приём иммунодепрессантов) [1](https://www.mos-clinics.ru/diseases/chesotka/). \n\nКлещ может жить вне тела человека до 3 дней, поэтому заражение возможно даже без прямого контакта [1](https://www.mos-clinics.ru/diseases/chesotka/).\n\n## Симптомы\n**Первые признаки** появляются через 2–6 недель после заражения [1](https://www.mos-clinics.ru/diseases/chesotka/). **Основные симптомы**: \n* сильный зуд, усиливающийся ночью (активность клещей повышается в тепле) [1](https://www.mos-clinics.ru/diseases/chesotka/); \n* чесоточные ходы — сероватые извилистые линии на коже (1–10 мм длиной) [1](https://www.mos-clinics.ru/diseases/chesotka/); \n* сыпь (мелкие красные прыщики, волдыри, расчёсы) [1](https://www.mos-clinics.ru/diseases/chesotka/). \n\n**Типичные места поражения**: между пальцами, запястья, локти, подмышки, живот, пах [1](https://www.mos-clinics.ru/diseases/chesotka/). У детей и пожилых людей сыпь может распространяться на лицо, голову, ладони и стопы [1](https://www.mos-clinics.ru/diseases/chesotka/).\n\n## Диагностика\n**Для подтверждения диагноза используют**: \n* **Дерматоскопию** — осмотр кожи под увеличением [1](https://www.mos-clinics.ru/diseases/chesotka/). \n* **Извлечение клеща иглой** — для микроскопического исследования [1](https://www.mos-clinics.ru/diseases/chesotka/). \n* **Тест с чернилами** — окрашивание ходов для визуализации [1](https://www.mos-clinics.ru/diseases/chesotka/). \n* **Анализ соскоба** — обнаружение клещей, яиц или экскрементов [1](https://www.mos-clinics.ru/diseases/chesotka/).\n\n## Лечение\n**Терапия направлена на уничтожение клещей и снятие симптомов** [1](https://www.mos-clinics.ru/diseases/chesotka/). **Некоторые методы лечения**: \n* **Акарицидные препараты** (перметрин, бензилбензоат, серная мазь) [1](https://www.mos-clinics.ru/diseases/chesotka/). \n* **Антигистаминные средства** — для уменьшения зуда [1](https://www.mos-clinics.ru/diseases/chesotka/). \n* **Антибиотики** — при бактериальных осложнениях [1](https://www.mos-clinics.ru/diseases/chesotka/). \n* **Дезинфекция** — стирка белья при 60°C, обработка мебели и поверхностей [1](https://www.mos-clinics.ru/diseases/chesotka/). \n\n**Лечение проходят все члены семьи**, даже без симптомов [1](https://www.mos-clinics.ru/diseases/chesotka/). 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