Kab mob rau cov ntshav qab zib hauv cov neeg laus duab
Txhua yam pauv hloov ntawm daim tawv nqaij ntawm tus neeg tau qhia tias muaj teeb meem sab hauv lub cev. Cov kws kho kaus hniav tshwj xeeb los ntawm cov tsos mob ntawm daim epidermis feem ntau ua kev kuaj mob ua ntej thiab xa tus neeg mob mus rau tus kws tshaj lij tshwj xeeb.
Mob ntshav qab zib mellitus kuj muaj ib hom kev qhia sab nraud, uas yuav tsum yog lub teeb liab rau kev tiv tauj nrog tus kws kho mob lossis kws kho mob tawv nqaij. Cov pob khaus uas mob ntshav qab zib tshwm sim rau tib neeg lub cev ntev ua ntej kev kuaj mob ntawm tus kab mob lossis yuav ua rau muaj tus mob no, txhua tus neeg kawm paub yuav tsum paub.
Kev faib tawm ntawm cov tawv nqaij muaj teeb meem taw qhia cov ntshav qab zib
Raws li qhov tseeb tias cov piam thaj ntau dhau mus ua ke hauv cov hlab ntshav, leeg ntshav thiab hlab ntsha yog qhov raug hloov pauv hauv thawj qhov chaw. Txheej txheem carbohydrate metabolism yog cuam tshuam, uas ua rau cov ua tsis tiav hauv kev muab zaub mov xa mus rau cov kab mob epidermal. Daim tawv nqaij poob nws elasticity, nws ua qhuav, tev tawm.
Cov kev hloov pauv no tej zaum yuav tsis tshwm sim txawv sijhawm ntawm kev txhim kho ntshav qab zib, vim tsis muaj ib daim ntawv ntawm tus kabmob no. Qee lub sij hawm ib tus neeg tsis paub txog qhov teeb meem nrog kev nqus ntawm cov piam thaj, thiab pob xoo ntawm daim tawv nqaij ua lub teeb liab.
Txhua pathologies nrog daim tawv nqaij uas qhia txog ntshav qab zib tuaj yeem faib ua ntau pawg:
- Cov neeg siv tawv ntoo ntawm tus kabmob yog khaus ntawm daim tawv nqaij ntawm ntau qhov chaw ntawm lub cev, zawm ntawm daim tawv nqaij ntawm ko taw, qhov zoo li ntawm qhov tawg, nthe daj, hloov ntawm cov ntsia hlau phaj ntawm cov ntiv tes. Coob tus neeg suav qhov teeb meem zoo li no los ntawm kev tawm tsam cov fungus thiab tsis muaj kev mob siab rau pib kho lossis muaj tshuaj rau tus kheej. Tus kws kho qhov tawv nqaij yuav xav tias tus mob ntshav qab zib hom 2, tshwj xeeb yog tias tus neeg mob muaj cov cim qhia txog kev rog. Kab mob pwm feem ntau yog cov tsos mob theem nrab ntawm tus mob ntshav qab zib, txhim kho vim tsis zoo los ntawm daim tawv nqaij txheej.
- Cov teeb meem tshwm sim los ntawm hom mob ntshav qab zib hom 1 thiab ntshav qab zib hom 2 thaum kho tsis ua haujlwm zoo. Lawv raug hu ua thawj, vim tias lawv tau tshwm sim vim muaj ntshav qab zib hloov pauv ntawm cov hlab ntsha thiab cov zaub mov hauv lub cev hauv lub cev.
- Kev ua xua rau khaub thuas - ua pob liab liab lossis khaus liab yog ib cov tshuaj tiv thaiv kev kho mob tsis tu ncua. Ntau yam tshuaj ntshav qab zib muaj cov tshuaj phiv no. Kev noj tshuaj tsis yog ntawm cov tshuaj insulin kuj tseem tuaj yeem ua xua.
Qhuav ntawm daim tawv nqaij
Ua ntej tshaj plaws, cov piam thaj ntau dhau hauv cov kab mob sib txawv cuam tshuam rau lub raum thiab dej tshuav. Hauv cov ntshav qab zib, nquag mus tso zis, lub cev sim kom tshem tawm cov kua nplaum ntau dhau yog tias nws tsis tau nqus los ntawm cov hlwb.
Kev tso zis ntau dhau yuav txo cov dej. Lub cev qhuav dej provokes qhuav ntawm daim tawv nqaij, sebaceous thiab hws qog tau ntxhov. Cov neeg qhuav ua rau khaus, uas tuaj yeem ua kom raug mob ntawm daim tawv nqaij. Cov av plua plav tawm ntawm daim tawv nqaij yooj yim nkag mus rau sab hauv, qhov chaw microbes pib txheej txheem ntawm lawv lub neej.
Kev saib xyuas tshwj xeeb yuav tsum tau them nyiaj rau kev nyiam huv ntawm cov qaum thiab qis, txhawm rau tiv thaiv kev kis kab mob los ntawm kev nkag mus hauv qab daim tawv nqaij.
Cov tawv nqaij qhuav rau cov ntshav qab zib tuaj yeem raug txo los ntawm kev nce ntau ntawm cov dej noo. Koj yuav tsum tau haus cov dej huv tas li thiab tswj cov ntshav qabzib nrog kev noj zaub mov lossis tshuaj noj.
Callosity ntawm tus taw
Cov kws kho mob hlwb hu qhov teeb meem no "hyperkeratosis." Coob tus mob tshwm rau ntawm txhais ko taw, uas yog lub sijhawm dhau los tuaj yeem tig mus rau hauv qhov ncauj tawm thiab kuj tseem ua rau mob kis ntawm cov nqua thiab.
Kev tsim cov txhim kho yog txhim kho los ntawm hnav tsis xis, khau nruj. Cov pob kws tau nias ntawm qhov epidermis thiab ua rau mob ntshav liab. Yav tom ntej, mob txhab txhim kho, daim tawv nqaij yuav pib ntub lossis qhov chaw ruaj khov tshwm.
Cov ntaub ntawv tawg rau ntawm pob taws uas nyuaj tawv. Thiab txhua qhov tawg yog qhov chaw rau kev txhim kho cov kab mob, mob, suppuration.
Qhov teeb meem ntawm calluses yog qhov tsis yooj yim hauv kev txav, vim tias nce taw ntawm ko taw tuaj yeem mob txawm tias nyob hauv nkawm thom khwm.
Mob taw vwm yog qhov tshwm sim ntawm kev saib xyuas ko taw tsis zoo. Rau cov mob ntshav qab zib, nws tuaj yeem hem txoj kev txhim kho ntawm tus mob sepsis, mob caj dab thiab cais ntawm nqua.
Kev Pom Dermatopathy
Hais txog qhov pom ntawm daim tawv nqaij kom ntshav qab zib. Nyob rau sab pem hauv ntej ntawm ob txhais ceg ntawm tus neeg mob tshwm sim duab liab-xim av liab papules, ncav cuag hauv ntim ntawm 5 txog 12 millimeters.
Yuav mus rau theem ntawm pigmented atrophic me ntsis. Nws yog feem ntau pom nyob rau hauv cov txiv neej mob ntshav qab zib nrog kev paub dhau los. Cov tsos ntawm cov pob vim muaj kev puas tsuaj rau cov hlab ntsha hauv hom ntshav qab zib.
Cov pob khaus khaus
Cov pob khaus tuaj yeem tshwm sim poob nthav thiab ua rau lub cev liab. Kev mob hnyav heev tshwm sim hauv qhov chaw tsis zoo, thaj chaw hauv plab, nruab nrab ntawm lub pob tw, sab lauj tshib, rau cov poj niam hauv cov menyuam hauv qab hauv qab ntawm lub mis.
Tej zaum nws yog thawj yam qhia txog kev pib mob ntshav qab zib, uas tus neeg tsis paub txog. Qhov mob hnyav heev ntawm tus kabmob tsis cuam tshuam rau qhov siv ntawm qhov khaus.
Nws tau sau tseg tias kev muaj siab xav txhawm rau kos cov chaw no tshwm sim nrog cov mob ntshav qab zib me lossis tsis mob mus ntev. Thaum kuaj kev mob thiab pib kho, khaus thiab liab ntawm daim tawv nqaij tuaj yeem ploj nthawv.
Cov pwm thiab mob txhab
Thawj cov teeb meem ntawm daim tawv nqaij ntawm cov ntshav qab zib ua kom pom qhov ua pob liab vog. Lawv tshwm sim vim yog tus cwj pwm tsis saib xyuas tus neeg mob rau nws tus kheej. Ua tsis tiav kev tu cev nrog khaus tawv nqaij los yog tsim cov ntsaws ruaj ruaj, kab nrib pleb, dryness provokes qhov sib txuam ntawm cov fungi lossis nkag mus ntawm cov kab mob mus rau hauv thaj chaw cuam tshuam.
Hauv cov neeg uas muaj rog, mob candidiasis feem ntau tshwm sim - ib qhov mob fungal ntawm epidermis hauv cov quav ntawm lub cev. Ua ntej, ib tus neeg pib khaus heev. Tus kab mob tso rau ntawm thaj chaw uas puas lawm, cov kab nrib pleev saum npoo thiab av yaig yog tsim. Cov txhab tau ntxiv dej noo, xiav-xim liab thiab lub npoo dawb.
Maj mam, kev tshuaj ntsuam nyob rau hauv daim ntawv ntawm npuas thiab pustules tshwm sim los ntawm lub ntsiab tseem ceeb. Cov txheej txheem tuaj yeem tsis muaj qhov kawg, vim tias thaum qhib, cov npuas tsim tau yaig tshiab. Tus kab mob yuav tsum tau kuaj thiab kho tam sim ntawd.
Hauv pawg insulin-nyob ntawm tib neeg, lub cev xav tau cov tshuaj hormone ntau ntxiv.
Ua xua pob
Cov neeg muaj mob ntshav qab zib hom 1 thiab ntshav qab zib hom 2 yuav tsum tau noj tshuaj tshwj xeeb thawm xyoo lawv lub neej txhawm rau them nyiaj qab zib. Tab sis txhua lub cev teb tsis meej rau insulin lossis lwm yam tshuaj. Cov khaub thuas ua xua tuaj yeem tshwm sim rau ntau thaj chaw ntawm daim tawv nqaij.
Qhov teeb meem no daws tau yooj yim dua li yav dhau los. Nws yog qhov txaus los kho qhov ntau npaum li cas lossis xaiv lwm yam tshuaj kho kom tshem tawm cov tawv nqaij ua pob khaus nrog ntshav qab zib.
Kev tiv thaiv ntawm daim tawv nqaij mob txhab ntshav ntawm ntshav qab zib
Cov tawv nqaij hloov pauv hauv ntshav qab zib mellitus yog lub cev hloov pauv ntawm lub cev mus rau qhov tsis ruaj khov ntawm kev ua haujlwm ntawm cov metabolism. Cov pob xoo tuaj yeem yog nyob rau ob tus menyuam yaus thiab neeg laus.
Txhua qhov chaw yuag lossis liab yuav tsum tau kuaj los ntawm kws kho mob dermatologist kom kho txoj kev kho kom zoo.
- Tus mob ntshav qab zib yuav tsum tau ua tib zoo saib xyuas kev tu cev ntawm daim tawv nqaij, tshwj xeeb tshaj yog sab sauv, nqua thiab tawv nqaij. Muaj cov khoom tshwj xeeb saib xyuas cov tawv nqaij uas muaj qhov nruab nrab pH.
- Hauv qhov chaw muag tshuaj koj tuaj yeem yuav cov tshuaj pleev tshwj xeeb, pleev, pleev mis rau cov khoom siv rau kev saib xyuas ntawm daim tawv nqaij qhuav ntawm lub ntsej muag, tes thiab taw. Urea-cream tawm muab cov txiaj ntsig zoo. Cov txheej txheem kev tu cev thiab dej kom tsawg yuav tsum muaj txhua hnub.
- Tus taw ntawm cov ntshav qab zib yog thaj chaw tshwj xeeb ntawm kev nce siab. Nco ntsoov mus ntsib orthopedist kom paub qhov theem pib ntawm kev deformation ntawm qis qis thiab xaiv cov khau orthopedic txoj cai lossis cov insoles. Kev puas tsuaj rau cov hlab ntshav thiab cov leeg heev cuam tshuam rau kev xa zaub mov rau cov ceg. Nrog lub hnub nyoog, teeb meem nrog ntshav tso rau ntawm ceg yuav tshwm sim txawm tias cov neeg noj qab haus huv. Tus mob ntshav qab zib nquag nquag rau cov teeb meem zoo li no ntau dua. Cov kws kho mob ib txwm ceeb toom cov neeg mob txog kev txhim kho mob ntshav qab zib ko taw.
- Cov mob txhab thiab mob rau daim tawv nqaij yuav tsum muaj kev soj ntsuam los ntawm kws kho dermatologist. Tom qab kev kuaj mob thiab kuaj qhov muag, tus kws kho mob yuav muab tshuaj rau tshuaj pleev thiab ntsiav tshuaj, thiab tsim nyog kho tshuaj insulin yuav tsum. Yuav siv tshuaj tua kab mob.
- Kev tawm hws ntau ntxiv thiab ua txhaum ntawm thermoregulation feem ntau xam qhovkev rau cov neeg muaj ntshav qab zib. Kev ua pob pawm thiab cov kab mob tuaj yeem nkag mus rau ntawm daim tawv nqaij. Txhawm rau txo cov xwm txheej, talcum hmoov lossis tshuaj pleev tshwj xeeb muaj zinc oxide pab.
Tus kws endocrinologist lossis kws kho mob zawv zaws tuaj yeem muab cov lus qhia ntxiv rau kev tiv thaiv ua pob thiab lwm yam tawv nqaij mob ntshav qab zib mellitus.
Qhov yuav tsum tau ua ua ntej kom muaj kev tiv thaiv txhua qhov teeb meem tawm tsam keeb kwm yav dhau los ntawm cov ntshav qabzib ntau yog ua haujlwm kom txo cov ntsuas no los ntawm kev noj zaub mov noj, kho tshuaj thiab ua kom zoo rau koj tus kheej.
Hauv kev xaus
Cov tsos ntawm dryness, tawm pob, thiab lwm yam kev hloov ntawm daim tawv nqaij nrog ntshav qab zib yog tus qauv thiab tuaj yeem coj tus neeg muaj teeb meem ntau dua. Tsis txhob kho qhov liab lossis khaus khaus yog qhov tshwm sim ib ntus uas yuav dhau los ntawm nws tus kheej.
Txawm tias tus neeg noj qab haus huv yuav tsum mloog cov cim ntawm lub cev, uas tuaj yeem hint ntawm kev hloov sab hauv loj heev, piv txwv li, thawj theem pib ntawm ntshav qab zib ntawm qib 2.
Txog ntawm cov laj thawj
Nws yuav tsum tau yug hauv siab tias mob ntshav qab zib hauv nws tus kheej feem ntau cuam tshuam nrog kev tua kab mob fungal. Nws yog lawv uas yuav ua sai sai rau qhov txhab ntawm daim tawv.
Ua ntej tshaj, nws tsim nyog sau rau hauv daim ntawv xws li mob candidiasis, uas nyob rau hauv cov neeg mob ntshav qab zib tau tsim nyob rau hauv txoj kev ua pob thiab ua kom tawv nqaij. Tsis tas li, peb tuaj yeem tham txog cov kev mob qog nqaij hlav txhawm, mob pob tw, ua pob txha ntev ua paug thiab txhaws ntswg (mob ntawm cov ntsia hlau thiab pob rau hauv thaj chaw no).
Txhua qhov tawm suab ntawm cov ntshav qab zib tshwm sim tiv thaiv keeb kwm ntawm kev nce qib ntawm cov piam thaj hauv cov ntshav. Hauv qhov no, nyob rau hauv tus txheej txheem ntawm kev tsim txawm tias qee qhov kev tsis txaus ntseeg, nws raug pom zoo kom yauv mus kuaj sai li sai tau. Qhov no yuav ua rau nws muaj peev xwm kuaj thiab txiav txim theem ntawm tus kab mob, txawm tias nyob hauv thawj theem. Dab tsi koj yuav tsum paub txog cov tsos mob thiab seb lawv tuaj yeem paub qhov txawv ntawm daim duab.
Yog tias ua tsis tiav hauv cov txheej txheem hauv cov khoom noj hauv lub cev thiab nthuav tawm hauv cov nqaij mos ntawm cov khoom lag luam ntawm cov khoom noj tsis haum rau hauv ntau lub nruab nrog cev thiab kabmob, nrog rau kev sib xyaw ntawm daim tawv nqaij, kab mob hloov. Yog li ntawd, txoj haujlwm ua haujlwm ntawm daim tawv nqaij, cov hws qog thiab cov hauv paus ua tsis taus.
Tsis tas li, kev tiv thaiv kab mob hauv zos tsis zoo nyob rau hauv cov neeg mob, vim tias cov pathogens cuam tshuam los ntawm cov kab mob dermis. Yog hais tias chav kawm ntawm tus kab mob no hnyav, ces daim tawv nqaij coarsen, tev ntau thiab poob lawv cov elasticity.
Cov tsos mob ntshav qab zib hauv cov poj niam muaj lawv tus kheej tshwj xeeb. Lub ntsiab nthuav dav suav nrog:
- hnov tsw ntawm acetone los ntawm lub qhov ncauj,
- ceeb thawj phaus
- daim tawv nqaij mob.
Tom qab 40 xyoo, mob ntshav qab zib tuaj yeem tshwm sim ua txhaum ntawm lub cev ntas, ua rau cov plaub hau thiab ntsia hlau, kiv taub hau thiab tsis muaj zog. Cov tsos mob ntawm tus kab mob hauv cov poj niam ntawm 50 yog qhov muag pom tsis zoo.
Cov cim qhia txog ntshav qab zib hauv cov txiv neej yog nqhis dej, tso zis ntau zaus, thiab muaj teeb meem nrog potency.
Pob txuv tsim nyob rau hauv cov ntshav qab zib yog feem ntau cuam tshuam nrog kev nce ntawm cov ntshav qab zib. Qhov no yog vim qhov tseeb tias lub cev tab tom sim ua kom tshem cov kua nplaum ntau dhau, thaum siv tag nrho cov khoom siv muaj cov dej noo.
Qhov tshwm sim ntawm xws li lub luag haujlwm yuav tsum suav tias yog lub cev qhuav dej kom ntau, uas tsis tuaj yeem nres txawm tias qhuav los ntawm apricots. Hauv qhov no, peb tab tom hais txog tag nrho lub cev, nrog rau ncaj qha rau daim tawv.
Yog li, pob txuv tshwm sim los ntawm cov ntshav qab zib yuav tsum xav txog qhov taw qhia tsis tas yuav muaj teeb meem nrog cov qog endocrine hauv lub cev. Rov qab los ntawm daim tawv nqaij yuav tsum tau nqa tawm hauv cov kev ua ib puag ncig, suav nrog ntau txoj hauv kev ntawm kev sib kis, tsis suav nrog dumplings thiab lwm yam khoom lag luam phom sij.
Ib qho ntxiv, nws yuav tsum tau ua los ntawm txoj haujlwm ntawm kev coj ua uas muaj kev koom tes sib luag rau kev ua haujlwm:
- endocrinologist
- tus kws kho mob plab zom mov
- rau kws kho mob tawv nqaij.
Feem ntau ntawm cov xwm txheej, ntau yam kev hais tawm ntawm daim tawv nqaij tuaj yeem daws tau yog tias qhov xwm txheej rau kev kuaj pom ntxov.
Ntxiv rau, kev kho mob raws sijhawm thiab kev tiv thaiv yuav tsum tau qhia, uas yuav pab tau los ntawm kev nkag siab muaj peev xwm ntawm txhua cov laj thawj uas cuam tshuam txog kev txhim kho pob txuv.
Ntawm cov ntshav qab zib, tib neeg daim tawv nqaij yuav qhuav thiab ntxhib, qee zaum nws ua rau exfoliates. Hauv qee tus neeg mob, nws dhau los ua pob liab liab, pob ntxau tshwm rau nws. Cov ntxhais thiab cov poj niam paub txog nws cov plaub hau hle, thaum lawv plam tag thiab dull. Tus txheej txheem no tshwm sim vim yog qhov nce ntawm rhiab ntawm cov hauv paus plaub hau nyob hauv cov teeb meem metabolic.
Yog tias tus neeg mob tau mob alopecia, nws txhais tau hais tias kev kho mob ntshav qab zib yog qhov ua tsis tau zoo lossis muaj teeb meem pib txhim kho. Cov theem pib ntawm tus kabmob yog tus cwj pwm tsis yog ua pob khaus rau ntawm daim tawv nqaij, tab sis kuj yog khaus, hlawv, ntev kho ntawm qhov txhab, fungal thiab kab mob.
Ntshav qab zib cuam tshuam rau feem ntau ntawm cov kab ke hauv lub cev, yog li qhov ua tsis tiav hauv nws cov haujlwm tsis ntev ntev tom ntej. Yog li, cov laj thawj ntawm cov teeb meem tawv nqaij tau muab faib ua peb pawg:
- ua rau cov ntshav sib txawv rau cov tawv nqaij,
- endocrine mob,
- fungal thiab kis mob txhab.
Lo lus "atherosclerosis" yog siv los siv rau cov nkoj hauv ze ntawm lub plawv. Tab sis txawm tias cov kab mob me me uas nyob hauv qab ntawm daim tawv nqaij tuaj yeem cuam tshuam los ntawm tus kab mob no. Lawv cov phab ntsa los ua thicker thiab denser, ntshav permeability txo. Vim tias qhov no, cov kabmob epidermal tsis muaj oxygen thiab cov as-ham. Txhua yam no ua rau muaj kev ua txhaum hauv nws txoj haujlwm.
Kev cuam tshuam ntawm cov hlav tuaj yeem ua rau zais cov qog ntawm sebaceous qog thiab teeb meem nrog cov metabolism. Cov khoom lag luam ntawm cov roj ntsha tsis zoo nthuav tawm hauv cov nqaij ua kom tawv nqaij, uas ua rau cuam tshuam hauv txhua txheej.
Qhov kev tiv thaiv ntawm tus neeg muaj ntshav qab zib feem ntau tsis muaj zog. Nyob rau ntawm daim tawv nqaij ntawm cov ntshav qab zib muaj 1/5 ntau cov kab mob dua ntawm daim tawv nqaij ntawm tus neeg noj qab haus huv. Hauv qhov no, txoj haujlwm tiv thaiv ntawm tus kabmob epidermis tsis muaj zog. Yog li, qhov ntxim nyiam ntawm kev tsim muaj ntau hom fungi nce ntxiv, thiab txhua qhov kev mob zoo kho kom ntev thiab tuaj yeem fester.
Hom Mob Ntshav Qab Zib
Ib ntawm cov yam ntxwv ntawm tus cwj pwm qhia tias muaj ntshav qab zib yog cov tawv nqaij khaus. Yog li ntawd, tus neeg mob feem ntau muaj cov kab mob fungal thiab furunculosis. Rau cov poj niam, tus kab mob pathology tau nrog ua kom mob hnyav ntawm perineum.
Yog tias tus neeg muaj ntshav qab zib hom 1 lossis hom 2, cov pob khaus tawv nqaij hu ua ntshav qab zib pemphigus tuaj yeem pom ntawm daim tawv nqaij ntawm cov neeg laus thiab menyuam yaus.
Kev cuam tshuam zoo sib xws ntawm daim tawv nqaij loj hlob tuaj thaum uas tus mob ntshav qab zib muaj qhov mob hnyav ua rau mob ntshav qab zib neuropathy.
Tshwj xeeb, kev mob tawv nqaij hauv qab no tau qhia tawm hauv cov neeg mob:
- Cov pob xoo tshwm rau ntawm lub ntsej muag rau mob ntshav qab zib mellitus, cov tsos mob tau qhia hauv daim duab,
- Muaj qib nce ntawm pigmentation,
- Ntiv tes ua rau tuab lossis ua kom nruj,
- Rau tes thiab tawv nqaij tig daj
- Thaum cuam tshuam los ntawm fungi lossis kab mob, rwj, folliculitis, qhov txhab thiab kab nrib pleb, candidiasis tshwm.
Feem ntau nrog cov tsos ntawm cov tsos mob ntawd, tus kws kho mob kuaj mob ntshav qab zib, yog li ntawd, nrog kev ua txhaum thawj zaug ntawm daim tawv nqaij, koj yuav tsum sab laj nrog koj tus kws kho mob.
Ntshav pob rau cov tawv nqaij rau menyuam yaus thiab cov neeg laus tuaj yeem muaj ntau hom:
- Cov tawv nqaij raug,
- Thawj dermatosis, uas zoo li ua pob khaus,
- Kab mob theem ob thiab kab mob fungal,
- Dermatosis tshwm sim los ntawm kev siv sijhawm ntev siv tshuaj rau hom 1 thiab ntshav qab zib hom 2.
Ntawm daim tawv nqaij yog ib qho ntawm thawj zaug los teb rau cov nce ntxiv hauv qabzib hauv cov ntshav ncig lossis hyperglycemia. Kev ua kom tsis haum cov roj metabolism ua rau pom thiab nthuav tawm ntawm cov khoom atypical metabolic, uas cuam tshuam cov kev ua ntawm cov hws thiab cov qog sebaceous.
Kev hloov pauv ntawm cov hlab ntsha me me ntawm daim tawv nqaij, polyangiopathy, thiab kev ntxhov siab nyob rau hauv cov hlab ntaws ntawm cov leeg ntshav tau ua ke nyob rau hauv cov ntshav qab zib mellitus uas muaj teeb meem ntawm cov tshuaj tiv thaiv, ob leeg dav dav thiab hauv zos. Tag nrho cov xwm txheej no ua rau cov tsos ntawm ntau yam kab mob ntawm daim tawv nqaij, khaus, khawb thiab kis.
Cov tawv nqaij ua pob khaus tuaj yeem sib txawv hauv cov xim, qauv thiab thaj chaw. Raws li qhov no, koj tuaj yeem txiav txim siab qhov ua rau ntawm qhov txhab: qee zaum ntawm lawv tus kheej, tab sis ntau zaus nrog kev pab ntawm tus kws kho mob.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias hauv kev kho mob ntawm tag nrho cov kab mob no, ib qho yog ib qho li qub ntawm cov suab thaj los ntawm kev noj haus thiab insulin. Tsis txhob tsis quav ntsej cov hau kev no, tsuas yog siv cov tsos mob kev kho mob. Kev tswj hwm ntawm tus kws kho mob tuaj koom yog xav tau.
Lub cev granuloma
Qhov ua rau muaj tus kabmob no tuaj yeem yog qhov ua tsis zoo ntawm cov tshuaj hormones. Nws muaj cov tsos ntawm cov pob zeb collagen me, cov xim uas tuaj yeem liab, liab-violet lossis nqaij. Feem ntau, cov pob khaus ua cov nplhaib ntawm cov qauv sib txawv. Lawv tuaj yeem pom ntawm txhais tes, ob txhais ceg, ntau zaus ntawm ob txhais ceg, tsawg dua ntawm lub plab lossis sab nraub qaum.
Qee zaum nws tuaj yeem tau txais daim ntawv uas kis tawm - tom qab ntawd cov pob khaus zoo li thoob plaws lub cev, zoo li lub mesh.
Txhawm rau tiv thaiv qhov tshwm sim ntawm tus mob no, cov tshuaj "Tocopherol" (tocopherol acetate) yog siv. Nws muaj feem cuam tshuam rau cov txheej txheem metabolic, txhim kho kev noj haus ntawm tes, ua rau kom qis dua lawv cov laus thiab kev xeb. Siv sab nraud siv ntawm Chlorethyl, nws muaj peev xwm ua rau mob mob thiab khaus. Qhov txiaj ntsig zoo yuav yog qhov nqus cov vitamins ntawm pawg B, vitamin C.
Qee zaum tus kws kho mob yuav pom zoo ua pob ua pob nrog kua nitrogen los yog PUVA txoj kev kho, uas pab ntxuav cov tawv nqaij.
Seborrheic dermatitis
Qhov kev mob tawv nqaij no tshwm sim vim qhov ua haujlwm ntawm cov qog sebaceous: lawv lub luag haujlwm nce ntxiv, thiab cov lus sib xyaw ntawm qhov paug hloov pauv. Xws li lub mis tsis ua haujlwm tshwm sim vim cov keeb kwm kev hloov pauv.
Yog li muaj ib puag ncig zoo rau kev tsim kho cov fungus, uas provokes qhov tsos ntawm tus kab mob no. Tus kab mob no feem ntau tshwm sim hauv lub taub hau, muaj cov tsos ntawm cov daj-daj nodules uas sib xyaw ua ke.
Ntau cov nplai pom tias tawg ntawm daim tawv nqaij. Cov tawv taub hau thiab plaub hau dhau los ua oily, cov sib xyaw ua ke ua cov plaques uas npog nrog cov xim daj tawv daj.
Seborrheic dermatitis tuaj yeem cuam tshuam rau ntawm daim tawv nqaij ntawm koj txhais tes, taw lossis ntsej muag.
Rau kev kho mob siv cov tshuaj ua kom quav raws ketoconazole - nws tuaj yeem yog zawv plaub hau los yog pleev. Txog kev kho, lawv siv tsawg kawg ob zaug hauv ib lub lis piam, tom qab ntawd - rau kev tiv thaiv, raws li cov lus qhia. Ntxiv rau, kev siv cov anti-inflammatory thiab exfoliating agents yog qhov tsim nyog.
Ntshav qab zib scleroderma
Hauv cov kab mob autoimmune no, pob tshwm rau ntawm daim tawv nqaij ntawm lub xub pwg hniav thiab nruab nrab ntawm lawv. Nyob rau hauv cov cheeb tsam cuam tshuam, daim tawv nqaij yog ntau ntom, ntxhib, tej zaum muaj xim. Nyob rau theem pib, qhov chaw me me yog daj-daj ntseg, tom qab ntawd lawv pib tig daj los ntawm nruab nrab mus rau qhov sawv. Qhov no yog qhov txiaj ntsig ntawm lub cev tsim cov protein ntau dhau los ntawm collagen.
Tsis muaj kev kho mob tshwj xeeb, tab sis koj tuaj yeem txhim kho tus mob nrog kev pab los ntawm cov neeg sawv cev uas ua kom cov hlab ntshav txhaws. Hws noo tuaj yeem nqa qee qhov mob siab. Cov kws kho mob pom zoo kom kho lub cev.
Tshuaj mob ntsws
Cov pob khaus no yog cov pob khaus, los ntawm cov kab puag ncig ces loj tuaj, lawv txoj kab uas tuaj yeem ncav txog 10 hli. Tom qab qee lub sijhawm, cov pob tshuam. Daim tawv nqaij nyob rau thaj chaw muaj mob yog thinning, kis tau xim liab ploog. Cov pob khaus feem ntau nyob ntawm ob txhais ceg. Pob khaus ntawm dermopathy tsis mob, tab sis qee zaus lawv tuaj yeem khaus, thaum daim tawv nqaij sib nrug.
Tus kab mob no tshwm sim tawm tsam ntawm keeb kwm ntawm tus mob ntshav qab zib. Txhawm rau kom yooj yim, cov kws kho mob tuaj yeem pom zoo siv tshuaj los txhim kho cov ntshav hauv cov hlab ntsha hauv capillaries, lipoic acid npaj thiab cov vitamins. Cov tshuaj ib txwm pom zoo kom da dej nrog cov ntoo qhib thiab cov thyme, sib xyaw hauv qhov sib luag. Nyeem ntxiv txog dermopathy thiab nws cov kev kho mob ntawm no.
Lipoid necrobiosis
Kev ua txhaum ntawm cov ntshav mus rau ntawm daim tawv nqaij ua rau tsim ntawm liab-liab pob hlav. Lawv mob thiab loj hlob sai heev.
Qhov saum npoo ntawm daim tawv nqaij glistens: nws ua nyias thiab translucent - dhau los ntawm nws koj tuaj yeem qee zaum txawm tias pom cov hlab ntsha. Qhov mob pob yuav ua rau thaj chaw ua pob.
Cov pob khaus ua ib puag ncig los ntawm lub nplhaib ntawm liab tubercles thiab nodes, thiab nruab nrab yog me ntsis hauv qab daim tawv nqaij thiab muaj xim daj ua daj. Nws yog qhov txiaj ntsig ntawm kev cuam tshuam cov tshuaj hormones, lipid thiab carbohydrate.
Cov txhab ntawm cov hom no ib txwm muaj ntau, feem ntau tshwm sim zoo ib yam.
Cov kab mob no yuav tsum tau kho mob ntev thiab ntev. Tab sis nrog cov normalization ntawm qib qab zib, qee qhov me me poob qis lossis ploj tag nrho, txawm hais tias tsis tas yuav ua txhua yam. Rau kev kho mob hauv zos, cov tshuaj pleev tshuaj hormonal siv.
Cov tawv xau xanthomatosis
Qhov tseeb hais tias nyob rau hauv cov ntshav qab zib ntshav tsis teb rau kev ua haujlwm ntawm insulin txwv tsis pub tshem tawm cov lipids (rog) hauv cov ntshav. Qhov no cuam tshuam loj heev rau tus txiav. Raws li qhov tshwm sim, khaus tubercles thiab nodules ntawm liab lossis daj xim ib puag ncig los ntawm tus ciam teb liab tshwm rau ntawm daim tawv nqaij. Sab hauv zoo li cov tubercles yog cov rog nruab nrab.
Xws li cov pob khaus tshwm sim feem ntau rau ntawm pob tw, lauj tshib, hauv caug, hauv qab. Txog kev kho mob, cov tshuaj uas tswj cov ntshav muaj roj yuav tuaj yeem kho tau.
Ntshav pemphigus
Pob xoo ntawm hom no zoo li cov hlwv ntawm hlawv. Qhov tshwm sim no tsis tshua muaj, feem ntau muaj cov ntshav qab zib siab heev hauv cov neeg laus.
Feem ntau, txhua txoj kev kho mob los ntawm kev tswj hwm qib qab zib. Cov tsos mob tuaj yeem txo qis los ntawm kev thov lub pulp ntawm aloe nplooj rau thaj chaw muaj kev puas tsuaj. Lwm txoj kev qhia los ntawm cov tshuaj ib txwm muaj yog lub decoction ntawm birch buds. Koj yuav tsum tau swm ib daig ntaub lossis ib qho dab tsi hauv nws thiab txuas rau ntawm cov hlwv.
Kev ua xua thiab ntshav qab zib khaus
Cov pob khaus uas mob ntshav qab zib, uas yog tsis khaus khaus yog qhov ua txhaum cai tuaj yeem ua kom pom kev ua xua. Tus mob ntshav qab zib feem ntau yuav tsum tau noj ntau yam tshuaj.
Feem ntau ntawm cov kev phiv ntawm cov tshuaj no yog kev tawm tsam tsis haum. Lub cev yog nyob rau hauv kev tawm tsam tas li ntawm tus kab mob, yog li cov tsos mob ntawm kev tsis haum yog qhov tsis txaus ntseeg.
Yog tias cov pob khaus tsuas tshwm sim tom qab siv qee yam tshuaj, koj yuav tsum tau nrhiav ib qho analogue.
Khaus, ntawm qhov tod tes, yog nyob rau hauv nws tus kheej ua kom pom cov ntshav qab zib. Txhawm rau paub qhov tsis haum ntawm cov mob ntshav qab zib, nws tsim nyog soj ntsuam lwm cov tsos mob: nrog kev ua xua, ua xua, tawm pob lossis ua pob yuav tshwm sim, nrog rau kev nce qib hauv qab zib - nquag tso zis thiab nqhis dej.
Ua raws li cov laj thawj tau piav qhia saum toj no, cov kab mob hauv qab no cov tsos mob ntawm daim tawv nqaij "ntshav qab zib" yog qhov txawv:
- Thawj. Lawv feem ntau yog tshwm sim los ntawm hyperglycemia. Ib qho kev nce qib hauv cov ntshav qabzib concentration ncaj qha nce qhov kev ua kom paub tseeb ntawm cov tsos mob.
- Thib Ob Vim yog kev txuas ntxiv ntawm kab mob microflora. Tshuaj tua kab mob los ua thawj qhov chaw kho mob. Nrog kov yeej qhov ua rau kev puas tsuaj rau lub cev membrane, nws yuav muaj peev xwm kom tshem tau cov teeb meem.
- Tertiary. Feem ntau qhov tshwm sim ntawm kev noj tshuaj.
Kev tsim cov hlwv, plaques thiab papules
Cov quav, tso tawm, lossis ntau qhov tshwm sim ua pob ua pob rau ntawm tus neeg mob cov tawv nqaij. Qhov laj thawj yog qhov ua xua rau kev siv tshuaj, zaub mov, kab (feem ntau txhim kho pob khaus yog ua rau qee cov kab ua cov cab kuj muaj ntau yam kabmob).
Ntawm ntshav qab zib mellitus, tus neeg mob yuav tsum tau mloog zoo rau qhov xwm txheej ntawm nws cov tawv nqaij. Feem ntau qhov no siv rau cov chaw uas tshuaj insulin. Yog tias tshawb pom pathological hloov pauv ntawm daim tawv nqaij, nws raug nquahu kom sab laj nrog tus kws kho mob tam sim ntawd.
Pob xoo rau me nyuam yaus
Pob xoo, ua pob thiab ntxau rau cov menyuam yaus uas muaj ntshav qab zib tsis yog qhov yuav tsum ua kom pom, qhia txog kev txhim kho ntawm "tus kab mob qab zib". Ib yam li cov neeg laus, mob ntshav qab zib hauv cov menyuam yaus yog qhov tsis muaj tus yam ntxwv ntawm pathology ntawm daim tawv nqaij.
Nws nyob ntawm theem ntawm cov piam thaj hauv lub cev, qib ntawm kev tswj hwm kev noj qab haus huv ntawm tus menyuam thiab cov kev sib txawv ntawm cov kab mob me. Hauv qhov no, feem ntau cov menyuam mos tau mob furunculosis, khaus tshwm.
Yog tias qhov tshwm sim zoo li no ua ke nrog kev nqhis dej ntau thiab tso zis heev, tshwj xeeb tshaj yog thaum tsaus ntuj, yuav tsum kuaj ntshav qab zib.
Mob ntshav qab zib mellitus yees duab: cov tsos mob thiab cov tsos mob
Qhov pib ntawm tus kab mob tuaj yeem yog qhov ua tsis zoo rau txoj kev kho kom zoo dua ntawm cov qhov mob me tshaj. Cov rwj thiab pob txuv hauv cov ntshav qab zib mellitus (yees duab 2) kuj yog rau cov cim thaum ntxov ntawm teeb meem nrog cov txiav.
Cov pob khaus nyob rau hauv cov ntshav qab zib mellitus tshwm sim hauv 80% ntawm tus neeg mob. Tus kabmob no tseem qhia los ntawm kev muaj daim tawv nqaij ntau ntxiv thiab qhov tshwm ntawm cov pob cos me nyob ib puag ncig lawv (acanthosis).
Thiab cov pob khaus tawv nqaij zoo li ntshav qab zib mellitus (duab hauv gal), zoo li cov ntshav qab zib pemphigus, qhia tias daim tawv nqaij mob tob thiab xav tau kev phais mob.
Kev kuaj mob sib txawv
Tawm tsam keeb kwm ntawm ntshav qab zib, lwm yam kab mob yuav tshwm sim. Yog li no, daim tawv nqaij xoo pob liab vog ib txwm tsis pom qhov kev vam meej ntawm qhov "qab zib mob."
Hauv kev tsim cov tsos mob ntawm daim tawv nqaij, nws tsim nyog kom pom tseeb lawv qhov ua rau. Txoj kev xaiv ntawm cov kev taw qhia hauv txoj kev kho thiab qhov ua tiav ntawm nws kev nqis tes ua yuav nyob ntawm qhov no.
Feem ntau cov mob uas koj yuav tsum coj txawv pob xoo muaj mob ntshav qab zib rau cov neeg laus thiab menyuam yog cov hauv qab no:
- Kab mob Cov no suav nrog: tus mob qhua pias, qoob qhua daj, ua npaws liab, mob erysipelas ntawm daim tawv. Tus kws paub dhau los thiab ua tib zoo saib xyuas tus kws kho mob tsis yog qhov nyuaj rau qhov txawv lawv. Qhov loj tshaj plaws uas yuav pab tau yog qhov pom los yog qhaj nce cov ntshav qab zib.
- Ntshav kabmob. Thrombocytopenic purpura yog tus cwj pwm los ntawm ntau txoj kev mob ntshav tawm thoob plaws lub cev, thaum mob ntshav qab zib ntau dua nws qhov loj thiab pib nrog qis qis hauv feem ntau (feem ntau).
- Vasculitis Periarteritis nodosa yog tshwm sim los ntawm telangiectasias. Cov no yog cov tshwj xeeb "kab laug sab" uas nyuaj rau kev ntseeg siab nrog qee yam. Txawm li cas los xij, nws yog ib qho tsim nyog los ua tib zoo tshuaj xyuas tus neeg mob lub cev kom txheeb xyuas txhua yam ua tau.
- Lub cev mob tawv nqaij mob. Cia li nws yog qhov yooj yim kom paub qhov txawv. Qhov pom tseeb ntawm cov ciam teb ntawm qhov ntxeem tau ua kom pom tseeb thiab nws txoj kev sib txawv tseem yog tus yam ntxwv. Txhawm rau kom pom tseeb kev kuaj mob, ib qho qauv raug coj los rau kev tshuaj xyuas.
Nyob rau hauv txhua rooj plaub, nws yog qhov yuav tsum tau ua tib zoo txiav txim siab txog keeb kwm ntawm chav kawm ntawm tus kab mob hauv tus neeg mob thiab ua cov kev kuaj ntxiv. Tsuas yog tom qab ntawd nws thiaj li ua tau kom txhim kho kev ua kom mob ntawm daim tawv nqaij.
Kev hais txog yuav ua li cas kho pob khaus, nws yuav tsum raug sau tseg tias muaj ntau txoj hau kev: los ntawm cov tshuaj siv los siv cov xab npum tshwj xeeb lossis da dej pleev. Tsis tas li ntawd, txheej txheem ntawm kev rov kho lub cev yuav tsum muaj kev sib koom ua ke, vim tias nws yuav tsum tau cuam tshuam tsis tas nrog cov teeb meem pob, tab sis kuj muaj ntshav qab zib.
Koj tuaj yeem nyeem txog kev kho mob rau kabmob rotavirus ntawm https: // infectium.
Yog li, cov ntshav qab zib yuav tsum tau kho tshwj xeeb, tsis tas yuav noj tshuaj rau tus kheej. Ua ntej tshaj plaws, cov kws tshaj lij pom zoo xaiv cov tshuaj tua kab mob lossis tshuaj ntsuab uas cia siab tias yuav ua haujlwm zoo tshaj plaws. Raws li ib feem ntawm kev kho mob pob khaus, lwm txoj hauv kev qhia pom lawv tus kheej zoo heev, yog li lawv tau siv thiab pom zoo los ntawm cov kws kho mob ntshav qab zib.
Yog li, hauv qhov no, chamomile, lavender lossis lwm yam tshuaj ntsuab yuav pab rau lub tswv yim ntawm tus kws tshaj lij. Lawv tuaj yeem tsis tsuas yog siv sab hauv, tab sis kuj tseem siv los ua kev zom zaws mus rau qhov chaw uas mob heev. Tib lub sijhawm, cov tshuaj tau noj uas:
- neutralize lub voos
- laus thiab rov qab cov ntawv epidermis,
- them nyiaj rau cov ntshav ua piv txwv.
Ib qho ntxiv, nws yuav raug nquahu rau kev siv cov tshuaj pleev tshwj xeeb thiab lwm yam uas tuaj yeem ua tau raws li cov ntawv sau yuav ntawm ib tus neeg lossis yuav ntawm chaw muag tshuaj.
Qhov nrov tshaj plaws yog tar tar, nthuav tawm hauv daim duab, uas yuav pab nrog ntau cov teeb meem ntawm daim tawv nqaij.
Cov kev tiv thaiv thiab yuav ua li cas thiaj li muaj txiaj ntsig nws yuav muaj ntshav qab zib?
Lub hauv paus ntsiab lus hauv cov txheej txheem ntawm kev tu tawv nqaij rau ntshav qab zib yuav tsum tau txiav txim siab ua dej tas mus li, uas yuav muaj kev cuam tshuam zoo rau cov mob ntawm nws txoj kev noj qab haus huv.
Xaiv lub cuab yeej uas muab kev tu tawv nqaij kom tiav, cov kws tshaj lij pom zoo nrog tshwj xeeb.
Nyob rau tib lub sijhawm, cov khoom lag luam zoo li no yuav tsum tau muab cais tawm, uas cawv, salicylic acid, glycerin, flavours thiab ntau yam tshuaj tsw qab muaj txawm tias nyob hauv qhov sib piv tsawg.
Ib qho ntawm cov khoom siv uas tshaj tawm yuav tsis yog tsuas yog qhuav tawm ntawm daim tawv nqaij xwb, tab sis yuav zoo tuaj yeem cuam tshuam nws cov kev mob tshwm sim ntau heev dua. Qhov kev xaiv zoo tshaj plaws nyob rau hauv cov xwm txheej no yuav tsum tau txiav txim siab zoo li cov khoom siv pleev plhu ua tau zoo raws li lub ntuj tsim. Lawv, raws li kws kho mob, muaj peev xwm ua kom tob tob thiab daim tawv nqaij ua kom noo tas li. Cov no tsis yog tsuas yog cov cream cream, tab sis kuj:
- ntshav dej
- tshuaj tsuag
- qhov ncauj qhov ntswg thiab ntau ntxiv.
Nws yog ib qho tseem ceeb uas yuav tsum them sai sai, hauv txoj kev xaiv xaiv, mus rau qhov muaj cov khoom me me.
Lwm, tsis muaj tsawg dua qhov tseem ceeb hauv kev hais txog kev kho pob txuv hauv ntshav qab zib mellitus yuav yog qhov muag ntxhiab ntawm daim tawv nqaij. Tseeb, tsuas yog tswj qhov ntsuas cov dej noo hauv daim tawv nqaij yuav deb dhau los. Nws yuav tsum tau ntxuav kom huv, uas yuav ua rau nws muaj peev xwm kom tsis txhob muaj cov kab mob thib ob thiab txhua yam tshwm sim ntawm pob txuv.
Hauv cov neeg uas tau ntsib tus kab mob piav qhia, daim tawv nqaij yog qhov tsis zoo sib xws. Hauv kev hais txog qhov no, cov tshuaj ntxuav kom huv yuav tsum tsis txhob suav nrog cov khoom siv kev txhoj puab uas yuav tuaj yeem rhuav tshem cov txheej txheej tiv thaiv tawv nqaij. Cov ntaub ntawv tsawg kawg ntawm kev tiv thaiv yog dab tsi?
Cov pob xoo thiab sawv pob ntawm daim tawv nqaij mob ntshav qab zib tuaj yeem tshwm sim rau tib neeg tsis hais hnub nyoog li cas. Txhawm rau tiv thaiv kev txhim kho ntawm tus kabmob sib kis, koj yuav tsum ua raws li cov cai ntawm kev nyiam huv thiab noj kom raug.
Kev noj zaub mov zoo yog txwv kev siv zaub mov ntau nyob rau hauv lub teeb carbohydrates, uas ua rau kev nce ntshav hauv cov ntshav qabzib. Cov neeg laus lossis menyuam yaus yuav tsum noj zaub thiab txiv hmab txiv ntoo tshiab txhua hnub.
Txhawm rau txhim kho kev tiv thaiv thiab txhim kho kev tiv thaiv kev ua haujlwm ntawm cov ntaub so ntswg ntawm tag nrho lub cev, zib ntab yog siv rau hauv qhov ntau me me. Cov khoom no tseem yuav pab ua kom tsis muaj cov vitamins thiab lwm yam muaj txiaj ntsig uas tsim nyog rau kev ua haujlwm ntawm lub cev.
Txhawm rau soj ntsuam koj tus mob, koj yuav tsum tau kuaj ntshav tsis tu ncua, yauv mus kuaj mob kom tsim nyog, soj ntsuam daim tawv nqaij. Yog tias kab nrib pleb, ntsaws ruaj ruaj, liab, liab, lossis lub ntsej muag tawv nqaij, koj yuav tsum sab laj nrog koj tus kws kho mob thiab nrhiav cov laj thawj. Kev tshuaj xyuas kev ua txhaum lub sijhawm yuav ua rau koj tau sai thiab tsis muaj txim dabtsis tawm ntawm cov teebmeem.
Tus neeg mob ntshav qab zib yuav tsum saib xyuas daim tawv nqaij, tas li ua cov txheej txheem tu cev, tiv thaiv daim tawv nqaij los ntawm ultraviolet hluav taws xob, hnav cov khau siab zoo, siv cov khaub ncaws zoo los ntawm cov ntaub.
Hauv tsev muag tshuaj, nws raug nquahu kom yuav ib tus neeg tshwj xeeb cov kab mob uas nquag so tes thiab taw. Txhawm rau ua kom tawv nqaij muag thiab tiv thaiv kom ntau li ntau tau, siv cov roj pleev xim ntuj.
Tsis tas li, txhawm rau kom tsis txhob muaj kev txhim kho ntawm tus mob fungal, thaj tsam ntawm tus ntiv taw thiab tes, qhov tso quav tau kho nrog talc kho mob. Daim vis dis aus hauv tsab xov xwm no yuav pab koj nkag siab qhov tseem ceeb ntawm pob khaus nrog ntshav qab zib.
Ua ntej tshaj plaws, nws yog qhov yuav tsum tau them sai sai rau cov ntsuas ntawm cov piam thaj hauv tus neeg mob, txij li tsuas yog nrog nws qhov kev txo qis tuaj yeem them nyiaj ntawm qhov kev mob pib muaj peev xwm ua tau thiab qhov kev vam meej ntawm cov kab mob tiv thaiv tau. Ua li no, siv:
- kev kho kev noj haus
- kev siv lub cev kom txaus
- noj tshuaj (txhaj tshuaj insulin, noj tshuaj txo qab zib).
Qhov tsim nyog kho yuav pab tus kws endocrinologist
Cov pob xeb ua ntshav qab zib yuav tsum tau kho nyob hauv zej zog. Cov tshuaj pleev pleev nrog cov tshuaj tua kab mob yog siv los tiv thaiv kev sib kis, tshuaj tiv thaiv kev tiv thaiv, tshuaj loog hauv zos (tshuaj pleev xim rau cov tshuaj pleev).Cov kws kho mob kuj tau hais tawm cov tshuaj kom ua xua rau kev tshem tawm khaus, kub nyhiab thiab o, uas tuaj yeem nrog cov kab mob tawv nqaij.
Kev kho kom raws sij hawm thiab ua raws li cov lus pom zoo ntawm cov kws tshaj lij yuav pab nres qhov kev vam meej ntawm tus mob pathological thiab nrawm kho kom zoo pob thiab mob.
Cov pob khaus, plaques, indentations ntawm daim tawv nqaij yog tsim nyob rau ntawm qhov chaw ntawm kev tswj fwm insulin feem ntau.
Txij li nws txhua tus pib nrog hyperglycemia hauv ntshav qab zib, peb yuav tsum tawm tsam nws kom haum. Txawm hais tias muaj lwm yam ntxiv, ua ntej ntawm txhua yam, nws yog qhov yuav tsum tau ua kom ib txwm muaj suab thaj hauv ntshav dej. Yog li, nws yuav muaj peev xwm tshem tawm vascular sclerosis, kev loj hlob ntawm micro- thiab macroangiopathy thiab neutralize khaus ntawm daim tawv nqaij.
Lwm cov qauv ntawm lub hwj chim tej zaum yuav suav nrog:
- Tshuaj tua kab mob tua kab mob rau kev tawm tsam los ntawm cov kab mob me me.
- Siv tshuaj tiv thaiv.
- Tshuaj loog kom zoo nkauj.
- Antihistamines thiab tshuaj tiv thaiv kev ua xua.
Tag nrho lawv tau ua lub luag haujlwm pabcuam thiab kev kho tus mob. Qhov loj tshaj plaws yog tig mus rau tus kws kho mob hauv lub sijhawm thiab ua raws nws cov lus qhia.
Yuav ua li cas kom tshem tawm pob txuv hauv ntshav qab zib
Cov kabmob ntshav qab zib tau niaj hnub muaj kev nyuaj siab txhua xyoo! Lavxias Kev Ntshav Qab Zib Lavxias thov tias ib ntawm 10 tus neeg hauv peb lub tebchaws muaj ntshav qab zib. Tab sis qhov tseeb lim hiam tshaj plaws yog tias nws tsis yog tus kab mob nws tus kheej uas ntshai, tab sis nws qhov kev nyuaj thiab kev ua neej uas coj mus rau.
Kev tshem tawm pob txuv hauv ntshav qab zib yog qhov yooj yim txaus - lub ntsiab yog xaiv cov tshuaj kom zoo rau cov tawv nqaij ua kom tawv nqaij.
- Koj tuaj yeem sim cov cuab yeej tsim tshwj xeeb rau cov neeg muaj tawv nqaij nyias - lawv yuav zoo heev pab cov neeg mob ntshav qab zib kov yeej lub sijhawm tsis txaus siab no thiab rov ua kom zoo rau lub ntsej muag. Qhov tseeb yog tias cov nyiaj no tsis tsuas yog tso cai rau koj kom tob tob daim tawv nqaij, tab sis kuj tiv thaiv kev txhaws ntawm cov hlab ntshav thiab qhov hws, uas nyob rau hauv lem tsis pub pob txuv tshwm sim. Xws li cov tshuaj pleev ib ce yog ib txwm ua los ntawm cov khoom xyaw ntuj, thiab vim li ntawd lawv thiaj pab tau ntau. Yog lawm, tus nqi ntawm cov tshuaj ntawm hom no muaj ntau heev, tab sis lawv tuaj yeem daws cov teeb meem pob txuv hauv lub sijhawm luv. Tom qab cov kev kho no, koj yuav tsis tsuas yog hnov qab txog pob txuv, tab sis kuj hais txog yuav ua li cas thiab yuav kho lawv li cas.
- Nws tseem yuav tsum tau tshem tawm cov kab mob ntawm daim tawv nqaij. Qhov no ua tiav los ntawm kev noj tshuaj tua kab mob, los yog kho cov chaw muaj mob ntawm daim tawv nqaij nrog cov tshuaj tua kab mob.
- Ib zaug ib asthiv, ntxuav cov tawv nqaij nrog siv cov nplauv thiab.
- Thiab rau kev tiv thaiv, tsuas yog ib yam yuav qhia - ua tib zoo saib xyuas koj lub ntsej muag!
Nws yog ib qho tseem ceeb kom nco ntsoov tias mob ntshav qab zib nws yog kev siv tsis yooj yim kom tshem tawm pob txuv hauv txoj kev zoo nkauj, koj tsuas tuaj yeem txo lawv tus lej. Txhawm rau kom tshem tawm lawv kom meej, koj yuav tsum xaiv koj cov khoom noj thiab tshuaj kom zoo li sai tau.
Yog tias cov piam thaj nws ib txwm muaj feem ntau, pob txuv yuav pib dhau. Ntxiv rau koj yuav tsum tau kuaj mob rau lwm yam kab mob.
Thaum koj pom lawv sai, qhov kev kho yuav yooj yim dua.
Lwm yam teebmeem thib ob
Kev sib txuas tas mus li, kev tawm tsam tas mus li rau cov tawv nqaij nrog ib qho kev txo qis hauv kev tiv thaiv ntawm ob qho tib si thoob plaws thiab hauv zos, sai dua lossis tom qab ntawd ua rau qhov tseeb tias kev raug mob me thiab mob ntawm daim tawv nqaij yog kis nrog ntau yam kab mob me.
Feem ntau cov feem ntau, cov no yog cov ua rau muaj kab mob ntawm cov kab mob fungal. Qhov tseeb yog tias nws yog cov kab mob fungal uas muaj txiaj ntsig ntxiv nyob rau hauv cov xwm txheej ntawm kev hloov pauv hauv pH ntawm tib neeg daim tawv nqaij hauv ntshav qab zib.
Cov xwm txheej zoo tsim tau rau lawv:
- ua txhaum ntawm pH ntawm daim tawv nqaij,
- loj hlob ntawm epithelial paib - nti, hyperkeratosis,
- kev tso tawm hws ua rau maceration - abrasions thiab ua pob ua pob rau ntawm daim tawv nqaij.
Cov kab mob pwm nyob rau hauv cov ntshav qab zib mellitus ua rau khaus khaus tawv nqaij, tsis yooj yim rau kev kho, tawm ntawm cov xim tawv nqaij tom qab lawv tus kheej, cov pob khaus ua rau loj tuaj thiab sib xyaw ua ke, daim duab qhia tias candidiasis ntawm daim tawv nqaij.
Kev kho mob cuam tshuam nrog kev kho mob hauv zos nrog tshuaj pleev tshuaj tua kab mob, aniline dyes (ci ntsa iab ntsuab, Castellani). Muaj qee kis, tus kws kho mob tau sau tshuaj rau antimycotic rau kev tswj hwm qhov ncauj.
Kev kis mob ntawm daim tawv nqaij ua pob rau cov neeg mob ntshav qab zib muaj ntau dua li cov neeg tsis mob vim yog tus mob no. Cov pob khaus khaus yuav ua rau kis mob thiab mob hnyav ntxiv. Cov no suav nrog erysipelas, phlegmon, rwj, carbuncles, paronychia thiab panaritium.
Hais Txog Kev Tiv Thaiv
Thawj qhov uas yuav pab tiv thaiv kom tsis txhob ua pob khaus tawv nqaij nrog ntshav qab zib yog mus ntsib kws kho mob tawv nqaij kom raws sij hawm. Koj yuav tsum tsis txhob hais txog kev tawm pob thiab khaus, vim tias qhov mob ntxiv rau qhov mob no yuav cuam tshuam rau kev noj qab haus huv, thiab qee zaum kev nyiam tus kheej.
Nws yog tsim nyog nco ntsoov kev nyiam huv, thaum nws yog qhov zoo dua los muab kev nyiam rau cov xab npum tar yooj yim. Nws txig ntxuav thiab ntxuav cov tawv nqaij, tshem tawm cov nqaij sebaceous tso zis thiab muaj qhov zoo ntawm lub ntsej muag. Kev siv tes thiab lub cev tsis tu ncua yuav ya raws thiab pub cov tawv nqaij, thiab ib da dej tsis sib xws nrog cov nyhuv zaws yuav txhim kho cov ntshav ncig.
Cov tawv nqaij ua pob xoo nrog ntshav qab zib yog qhov tshwm sim ntau dua. Cov laj thawj nyob hauv cov teeb meem hauv lub cev hauv lub cev tsis txaus, ua rau cov ntshav khiav tsis zoo thiab txo qis ntawm kev tiv thaiv. Kev tswj cov suab thaj thiab qib rog, ua ke nrog cov tshuaj hauv zos thiab kev siv dag zog hauv lub cev, yuav pab kom kov yeej kev sib ntaus rau daim tawv huv.
Koj tuaj yeem tiv thaiv cov tawv nqaij ua pob raws ntshav qab zib nrog kev pab cuam ntawm qab zib. Kev xav zoo ntawm cov piam thaj hauv lub cev ua rau muaj kev hloov ntau yam ua rau muaj ntau yam kev hloov ntawm daim tawv nqaij. Kev ib txwm ua thiab tshuaj xyuas cov piam thaj tas li yuav pab tiv thaiv ntau yam mob ntshav qab zib, nrog rau cov uas cuam tshuam txog kev noj qab haus huv ntawm cov epidermis.
Tib lub sijhawm, nws yog ib qho tseem ceeb kom ua raws li kev cai ntawm kev nyiam huv. Nrog rau cov ntshav qab zib, kev tiv thaiv kab mob tsawg dua, thiab muaj suab thaj hauv txhua qhov chaw ntawm lub cev ua rau nkag mus rau kev nkag mus rau ntawm tus mob los yog kab mob fungal. Koj tsis tuaj yeem siv cov khoom siv tua kab mob tua kab mob, kom tsis txhob cuam tshuam cov microflora ntawm daim tawv nqaij. Txhua qhov kev nyiam huv thiab tshuaj pleev ib ce yuav tsum yog hypoallergenic.
Cov tawv nqaij khaus
Pruritus yog ib qho ntawm thawj cov cim qhia txog ntshav qab zib. Feem ntau nws ua rau kev puas tsuaj rau cov hlab ntsha nyob rau hauv cov khaubncaws sab saud ntawm lub dermis, cuam tshuam nrog cov ntshav qab zib. Txawm li cas los xij, txawm tias ua ntej cov leeg puas, ib qho kev hloov pauv tau tshwm sim hauv lawv nrog kev tso tawm ntawm cov tshuaj nquag - cytokines, uas ua rau khaus. Hauv cov neeg mob hnyav, cov tsos mob no yog cuam tshuam nrog hepatic lossis lub raum tsis ua haujlwm, uas tau tsim los ntawm kev muaj mob ntshav qab zib ntau cov nqaij.
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Qhov khaus khaus yog muaj nrog qee cov kab mob ntawm daim tawv nqaij:
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- fungal tau mob ntawm tus taw,
- kis tau tus mob
- xanthomas,
- lipoid necrobiosis.
Mob ntshav qab zib pruritus feem ntau pib ntawm qis qis dua. Hauv cov chaw no, qhov txawv txav ntawm daim tawv yog feem ntau ploj thiab tingling lossis kub ncus tshwm. Tus neeg mob tsis xis nyob los ntawm cov khaub ncaws zoo tib yam, feem ntau tsim thaum hmo ntuj, nws xav tau qhov nws tus kheej tas li. Txawm li cas los xij, nws kuj yuav tsis muaj lwm yam cim sab nraud ntawm tus kabmob.
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Qhov tos ntawm cov tawv nqaij mob rau hom ntshav qab zib
Cov mob txhab hauv qab no hauv cov neeg muaj ntshav qab zib muaj ntau dua li ib nrab. Txawm li cas los xij, qee qhov ntawm lawv tus cwj pwm ntau dua li qee yam kabmob.
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Nrog rau tus kab mob ntawm hom 1 yam no, nws yuav raug sau tseg:
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- xa xov tooj,
- lipoid necrobiosis,
- zawv plab bullae
- vitiligo
- lichen planus.
Hauv cov neeg muaj hom 2 pathology, hauv qab no feem ntau pom:
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- sclerotic hloov pauv
- ntshav siab mob ntshav qab zib,
- acanthosis dub,
- xanthomas.
Cov mob txhab txhab tau pom nyob rau hauv cov neeg muaj ob hom ntshav qab zib, tab sis tseem muaj ntau dua ntxiv nrog tus thib ob ntawm lawv.
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Hloov raug cov tawv nqaij
Cov kws kho plaub hau tau pom ntau yam teeb meem ntawm daim tawv nqaij nrog ntshav qab zib. Cov txheej txheem sib txawv muaj cov txheej txheem sib txawv thiab, yog li ntawd, muaj kev kho mob sib txawv. Yog li no, thaum thawj cov tawv nqaij hloov tshwm sim, koj yuav tsum hu rau tus kws endocrinologist.
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Ntshav Qab Zib Yuav Dermatopathy
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Ua tau los ntawm qhov pom ntawm me ntsis ntawm thaj chaw ntawm ob txhais ceg. Qhov no yog feem ntau cov tawv nqaij hloov hauv ntshav qab zib thiab feem ntau qhia tau hais tias kho tsis tau zoo. Dermatopathy yog qhov chaw me lossis kheej kheej daj ntawm daim tawv nqaij, zoo ib yam li cov xim (moles).
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Feem ntau lawv pom nyob rau sab pem hauv ntej ntawm ob txhais ceg, tab sis nyob hauv thaj chaw asymmetric. Cov pob tsis nrog ua pob thiab khaus thiab tsis tas kho. Cov laj thawj rau cov tsos ntawm cov kev hloov pauv no yog microangiopathy mob ntshav qab zib, uas yog, kev puas tsuaj rau lub txaj capillary.
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Lipoid necrobiosis
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Tus kabmob yog cuam tshuam nrog kev puas tsuaj rau cov hlab ntsha me tshaj plaws. Clinically pom los ntawm qhov tshwm sim ntawm ib lossis ntau qhov muag daj-xim av plaques, uas maj mam tsim ntawm sab xub ntiag ntawm ob txhais ceg tau ob peb lub hlis. Lawv tuaj yeem nyob ntev xyoo. Hauv qee cov neeg mob, qhov mob tshwm sim ntawm lub hauv siab, nqua sab sauv, pob tw.
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Thaum pib ntawm lub pathology, xim av-liab los yog nqaij-papules cov xim pom tshwm, uas tau maj mam npog nrog cov ntaub npog cov plaub hau. Lub ciam teb puag ncig yog nce me ntsis, thiab qhov nruab nrab poob thiab txais lub daj cov txiv kab ntxwv daj. Lub epidermis ua atrophic, thinned, ci, ntau telangiectasias pom ntawm nws qhov chaw.
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Lub foci nquag rau peripheral lwg thiab fusion. Hauv qhov no, cov duab polycyclic yog tsim. Cov quav hniav tuaj yeem ua rau mob ntxig;
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Yog hais tias muaj tus mob cuam tshuam tsis yog rau sab ceg qis, tab sis lwm qhov ntawm lub cev, cov plaques tuaj yeem nyob rau ntawm ib qho chaw siab, edematous, them nrog cov hlwv me me. Atrophy ntawm lub dermis tsis tshwm sim.
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1. Mob ntshav siab mob taub hau
2. Lipoid necrobiosis
Rau Txhua Lub Sijhawm telangiectasia
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Manifest li liab dilated nyias cov hlab ntsha, rau
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Qee qhov yog lub txim ntawm poob ntawm ib qho microvasculature zoo thiab nthuav ntawm cov capillaries ntxiv. Hauv cov neeg uas muaj qhov mob ntshav qab zib, cov tsos mob no tau pom nyob hauv ib nrab kis. Nws yog feem ntau ua ke nrog kev liab ntawm lub ncoo periungual, mob nqaij, tas li burrs thiab cuticle raug mob.
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Vitiligo
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Cov tsos mob ntawm cov tawv nqaij sib me me feem ntau tshwm sim nrog mob ntshav qab zib hom 1 hauv 7% ntawm cov neeg mob. Tus kab mob no tshwm sim thaum muaj hnub nyoog 20-30 xyoo thiab muaj feem xyuam nrog polyendocrinopathy, suav nrog kev ua tsis txaus adrenal, lub cev tsis ua haujlwm ntawm lub qog ua haujlwm rau cov thyroid caj pas thiab lub caj pas pituitary. Vitiligo tuaj yeem ua ke nrog gastritis, pernicious anemia, plaub hau poob.
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Tus kab mob yog qhov nyuaj los kho. Cov neeg mob tau qhia kom zam kev tshav ntuj thiab siv duab hnub ci ci nrog lub ntsej muag lim dej ultraviolet. Nrog cov kab mob me me uas nyob ntawm lub ntsej muag, tshuaj pleev nrog glucocorticosteroids tuaj yeem siv.
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1. Cov kab mob ntsej muag zoo nkauj
2. Vitiligo
Lichen npaj
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Qhov mob txhab nqaij tawv no tau pom ntawm cov neeg mob ntshav qab zib hom 1. Clinically, lichen planus yog ua kom pom meej los ntawm txoj kev tiaj tiaj liab ntawm lub dab teg, sab nraum qab ntawm ko taw thiab sab ceg qis. Kuj, pathology cuam tshuam rau lub qhov ncauj kab noj hniav hauv daim ntawv ntawm kab txaij dawb. Nws yog ib qho tsim nyog kom paub qhov txawv ntawm qhov tshwm sim tsis zoo los ntawm cov tshuaj tiv thaiv lichenoid rau cov tshuaj (piv txwv li, tshuaj tiv thaiv los yog antihypertensive), tab sis kev sib txawv muaj tseeb yog ua tau tsuas yog tom qab kev tshawb nrhiav keeb kwm ntawm lub qhov txhab.
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Cov hlwv ntshav qab zib (bullae)
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Qhov mob ntawm daim tawv nqaij no tsis tshua muaj, tab sis qhia tias muaj cov ntshav qab zib ntau ntau hauv cov ntshav. Ntshav qab zib cov hmoov av zoo ib yam li cov hlwv uas tshwm sim thaum lub caij hlawv. Lawv nyob hauv ib ncig ntawm xib teg, ko taw, caj npab, qis dua qhov qis. Hauv ob peb lub lis piam, cov txhab mob ploj mus sai sai yog tias muaj tus kab mob zaum ob tseem tsis tau koom nrog thiab qhov pom tau tsis tshwm sim. Teeb meem feem ntau cuam tshuam rau cov txiv neej.
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Cov teeb meem ua rau neeg lub cev raug mob yog kev raug mob, tab sis kev puas tsuaj tuaj yeem tshwm sim nthawv. Qhov luaj li cas ntawm cov npuas ib qho txawv ntawm ob peb millimeters mus rau 5 cm.
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Lub hauv paus rau cov ntshav qab zib ntshav qab zib tsis meej. Lawv muaj cov kua ntshiab huv thiab tom qab ntawd zoo zoo yam tsis muaj qhov ua kom zoo. Tsuas yog qee zaum muaj cov nti me me uas teb tau zoo rau kev kho sab nraud.
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Tus kab mob cuam tshuam nrog kev tswj tsis zoo ntawm tus kab mob thiab ntshav qab zib kom ntau.
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1. lichen planus
2. Mob khaub thuas mog
Ntshav Qab Zib Mob Rubeosis
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Qhov no yog tas mus li los yog ib ntus liab ploog ntawm cov epidermis ntawm lub puab tsaig, feem ntau tsis tshua muaj lub hauv pliaj lossis nqua. Nws yog txuam nrog kev tsis zoo hauv cov ntshav ntawm cov hlab ntsha thaum lub sij hawm microangiopathy.
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Pauj Kev Ntsim Siab
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Daim tawv nqaij qhia ntshav qab zib feem ntau muaj xws li mob txhab. Qhov no yog vim muaj kev txo qis hauv kev tiv thaiv kab mob thiab tsis muaj ntshav txaus. Txhua tus mob uas tshwm sim tawm tsam keeb kwm ntawm tus mob ntshav qab zib angiopathy muaj ntau dua. Hauv cov neeg zoo li no, rwj, carbuncles, folliculitis, impetigo, mob ntxau, panaritium thiab lwm yam kev pyoderma ntau zaus tshwm sim.
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Yuav pom muaj mob rau cov tawv nqaij raws li cov ntshav qab zib yog furunculosis. Qhov no yog sib sib zog nqus o ntawm cov hauv paus plaub hau, ua rau muaj kev tsim cov qog. Liab, o, mob nodules tshwm sim rau thaj chaw ntawm daim tawv nqaij uas muaj plaub. Qhov no feem ntau yog thawj yam tsos mob ntawm tus mob ntshav qab zib.
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1. Mob ntshav qab zib rubeosis
2. Pyoderma
Kab mob pwm
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Cov kab mob ntawm daim tawv nqaij nrog ntshav qab zib feem ntau cuam tshuam nrog cov mob fungal. Cov xwm txheej tshwj xeeb yog tsim rau kev tshaj tawm ntawm cov kab mob fungi ntawm genus Candida. Feem ntau feem ntau, kev puas tsuaj tshwm sim hauv cov tawv nqaij nrog cov cua sov thiab cov av noo, piv txwv li, hauv qab cov qog mammary. Kev ua haujlwm ntawm qhov tsis sib xws ntawm txhais tes thiab taw, lub kaum ntawm lub qhov ncauj, qhov kab noj hniav axillary, thaj tsam hauv lub cev thiab qhov chaw mos kuj tau cuam tshuam. Tus kabmob yog nrog nws khaus, hlawv, liab, plaque dawb ntawm thaj chaw muaj kev cuam tshuam. Ntsia thawv pwm thiab ntau xim lichen tuaj yeem txhim kho.
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Lub cev granuloma
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Nov yog qhov mob ua kom tawv nqaij mob rov zoo nrog daim duab sib txawv. Cov pob xoo tuaj yeem yog ib qho lossis ntau qhov chaw, nyob hauv subcutaneously lossis hauv daim ntawv ntawm cov nodes. Ntawm ntshav qab zib, feem ntau tau nthuav tawm (ntau) daim ntawv yog pom.
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Sab nraud, lub qhov txhab pom zoo li cov papules tuab (tubercles) hauv daim ntawv ntawm lo ntsiab muag thiab nodules ntawm liab-paj yeeb los yog nqaij tawv. Lawv mus sib xyaw ua ntau cov ntawv ntoo ib puag ncig nrog ib qhov chaw uas du. Lawv nyob rau ntawm lub xub pwg, lub ntsej muag sab saud, sab nraub qaum xib teg thiab sab xib taws, hauv qab sab taub hau, ntsej muag. Tus naj npawb ntawm cov ntsiab ntawm cov pob khaus tuaj yeem ncav cuag ntau pua, thiab lawv qhov loj tuaj yeem mus txog 5 cm. Cov kev tsis txaus siab feem ntau tsis tuaj, qee zaum mob sib khuav me ntsis, tsis tuaj yeem khaus.
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1. Cov mob pwm
2. Lub nplhaib zoo li tus granuloma
Ntshav qab zib sclerosis ntawm daim tawv nqaij
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Cov tawv nqaij hloov yog tshwm sim los ntawm edema ntawm qaum qaum ntawm dermis, kev ua txhaum ntawm tus qauv ntawm collagen, kev txuam nrog hom 3 collagen thiab acidic mucopolysaccharides.
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Sclerosis yog ib feem ntawm "caj npab mob ntshav tes" syndrome, cuam tshuam txog ib feem peb ntawm cov tib neeg uas muaj kev tiv thaiv kab mob insulin feem ntau ntawm tus kab mob thiab yog chaw kho mob hais txog kev muaj mob scleroderma. Cov tawv nqaij qhuav heev nyob rau sab tom qab ntawm xib teg thiab cov ntiv tes zawm thiab cog lus, hauv thaj tsam ntawm cov pob qij txha interphalangeal nws dhau los ua ntxhib.
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Cov txheej txheem tuaj yeem kis mus rau sab caj npab thiab txawm mus rau lub cev, ua raws li scleroderma. Nquag ua haujlwm thiab ua haujlwm dhau ntawm cov pob qij txha yog txwv, cov ntiv tes ntawm tes tuav txoj haujlwm tas li ntawm kev hloov pauv.
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Liab thiab tuab ntawm daim tawv nqaij ntawm lub cev sab saud kuj tseem tuaj yeem tshwm sim. Qhov no yog pom hauv 15% ntawm cov neeg mob. Cuam tshuam rau thaj chaw yog tawg tawm ntawm daim tawv nqaij noj qab haus huv. Tus mob no yog 10 zaug ntau dua rau tus txiv neej. Cov txheej txheem pib maj mam, yog qhov tsis tau zoo, feem ntau tshwm sim hauv cov tib neeg muaj kev rog.
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Xanthomas
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Kev tswj cov ntshav qab zib tsis zoo tuaj yeem ua rau xanthomas - daj liab (ua pob), uas nyob ntawm sab nraum qab ntawm cov nqaj. Xanthomas cuam tshuam nrog txhawb cov ntshav lipids. Hauv cov mob no, cov rog ntau ntau hauv cov tawv nqaij hlwb.
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1. Mob ntshav qab zib sclerosis ntawm daim tawv nqaij
2. Xanthomas
Lawb Dab Tsov Noj
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Qhov no yog tus mob hnyav ntawm txhais ko taw uas tshwm sim nrog qhov kev ua txhaum loj ntawm cov ntshav xa mus rau nqua. Nws cuam tshuam cov ntiv taw thiab luj taws. Sab nraud, qhov chaw mob zoo li thaj chaw dub, raug txiav tawm los ntawm cov nqaij mos noj qab haus huv los ntawm thaj chaw liab. Tus kab mob yuav tsum tau kho mob sai sai, txiav ib qho ntawm thaj tsam ntawm lub cev yuav tsum tsim nyog.
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Ntshav qab zib mob
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Qhov no yog puag ncig, sib sib zog nqus, tsis zoo kho qhov txhab. Feem ntau feem ntau nws tshwm sim ntawm tus taw thiab ntawm lub hauv paus ntawm tus ntiv tes xoo. Kev mob rwj tshwm sim hauv qab ntawm ntau yam, xws li:
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- tiaj tus taw thiab lwm yam deformations ntawm lub cev pob txha ntawm ko taw,
- peripheral neuropathy (puas tsuaj rau cov hlab ntaws),
- atherosclerosis ntawm peripheral leeg.
Txhua yam mob no feem ntau pom tseeb nyob hauv ntshav qab zib.
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1. Mob ntshav qab zib muaj menyuam laib
2. Mob plab kiav txhab
Acanthosis dub
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Nws ua tau nws tus kheej raws li kev hloov pauv yam tsis txaus ntseeg ntawm daim tawv nqaij plaques uas nyob rau ntawm qhov chaw flexion ntawm cov pob qij txha thiab thaj chaw uas muaj kev sib txhuam. Keratinized symmetrical tsaus plaques tseem nyob hauv axillary folds, hauv caj dab, ntawm xib teg.
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Ntau zaus nws cuam tshuam nrog cov insulin tsis kam thiab rog rog, tsawg dua nws tuaj yeem yog tus tsos mob qog nqaij hlav. Acanthosis tseem ua haujlwm ua ib qho ntawm cov cim ntawm Cushing's syndrome, acromegaly, polycystic ovary, hypothyroidism, hyperandrogenism thiab lwm yam kev cuam tshuam ntawm endocrine muaj nuj nqi.
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Yuav ua li cas thiab yuav ua li cas kom txo tau khaus nyob rau hauv cov ntshav qab zib?
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Thawj txoj cai yog txoj kev ib txwm ua ntawm cov piam thaj hauv ntshav, uas yog, muaj kev kho mob puv ntoob rau tus mob hauv qab.
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Thaum khaus tsis muaj lwm yam cim sab nraud, cov lus hauv qab no yuav pab:
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- tsis txhob siv da dej kub uas ua kom tawv nqaij qhuav,
- pleev cov tshuaj pleev kom ntub dej rau tag nrho lub cev tam sim ntawd tom qab ziab tawv nqaij thaum ntxuav tas, tsuas yog rau thaj chaw sib,
- zam kom tsis txhob ya raws nrog dyes thiab ntxhiab, nws yog qhov zoo tshaj plaws los siv hypoallergenic khoom lossis tshuaj tshwj xeeb npaj rau kev tu tawv nqaij rau ntshav qab zib,
- soj ntsuam xyuas cov zaub mov tsim nyog, zam kev siv cov carbohydrates yooj yim.
Kev tu tawv nqaij rau ntshav qab zib kuj suav nrog cov cai no:
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- siv cov tshuaj ntxuav tes tsis tshua huv, yaug nws kom zoo thiab maj mam qhuav ntawm daim tawv nqaij kom tsis txhob txhuam,
- maj mam ua thaj chaw ntawm thaj chaw sib tshuam, tsis txhob tawm hws ntau ntawm taw,
- tsis txhob raug mob rau daim tawv nqaij, txaij txiav cov menyuam, cuticle thaum tu cov ntsia hlau,
- tsuas yog siv cov ris tsho hauv qab thiab thom khwm,
- yog ua tau, hnav cov khau qhib uas ua rau kom txhais ko taw tau zoo ua pa,
- yog tias muaj cov stains lossis kev puas tsuaj tshwm sim, sab laj nrog tus kws kho qhov muag endocrinologist.
Daim tawv nqaij tas mus li feem ntau so thiab tuaj yeem kis mob. Nyob rau hauv lub neej yav tom ntej, qhov no tuaj yeem ua rau muaj kev phom sij hnyav. Yog li no, thaum muaj kev puas tsuaj tshwm sim, kws kho mob sab laj yog qhov tsim nyog. Ntxiv nrog rau cov tshuaj uas txhim kho cov ntshav ncig thiab peripheral hlab ntsha muaj nuj nqi (piv txwv li, Berlition), tus kws kho mob endocrinologist tuaj yeem muab tshuaj pleev kho kom zoo. Ntawm no yog cov zoo tshaj plaws rau ntshav qab zib:
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- Bepanten, Pantoderm, D-Panthenol: nrog dryness, kab nrib pleb, abrasions,
- Methyluracil, Stisamet: nrog cov tsis zoo ua rau lub qhov txhab, mob txhab ntshav,
- Ua kom zoo: nrog cov qhov txhab tsis huv, trophic mob,
- Solcoseryl: gel - rau cov qhov txhab tshiab, ntub dej, tshuaj pleev - rau qhuav, kho qhov txhab,
- Ebermin: txoj kev kho mob zoo heev rau qhov mob txhab.
Txoj kev kho yuav tsum tau nqa tawm tsuas yog nyob ntawm kev saib xyuas ntawm kws kho mob. Mob ntshav qab zib kis tau sai heev thiab cuam tshuam rau cov tawv nqaij tob. Kev cuam tshuam los ntawm cov ntshav thiab sab hauv tuaj yeem tsim cov kev mob rau cov nqaij mos necrosis thiab tsim muaj cov qog ntshav. Kev kho mob rau tus mob no feem ntau yog phais mob.
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Daim tawv nqaij ua rau cov tshuaj insulin
Tsis txhob hnov qab tias ntau daim tawv nqaij mob ntshav qab zib hauv ntshav qab zib yog cuam tshuam nrog kev tswj hwm ntawm insulin. Protein impurities hauv kev npaj, cov tshuaj ua kom lub cev, cov tshuaj molecule nws tus kheej tuaj yeem ua rau muaj kev tsis haum tshuaj:
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- Cov tshuaj tiv thaiv hauv zos ncav cuag qhov hnyav tshaj plaws hauv 30 feeb thiab ploj tom qab ib teev. Qhia los ntawm liab, qee zaum urticaria tshwm sim.
- Cov kab ke qhia ua rau ua rau pom ntawm daim tawv nqaij liab thiab diffuse urticardial pob. Anaphylactic kev tsis haum yog kev xav tsis hloov.
- Feem ntau, kev hloov pauv ntawm qhov ua kom lub cev tsis haum lub ntsej muag yog muab sau tseg. Lawv tau sau tseg 2 lub lis piam tom qab pib tshuaj insulin: ib qho hnoos qeev tshwm ntawm qhov chaw txhaj tshuaj 4-24 teev tom qab nws.
Lwm qhov kev cuam tshuam ntawm cov tshuaj insulin suav nrog keloid scarring, keratinization ntawm daim tawv nqaij, purpura, thiab hauv cheeb tsam xim. Kev siv tshuaj insulin kuj tseem tuaj yeem ua rau cov lipoatrophy - qhov txo qis ntawm cov khoom ntim ntawm adipose ntawm qhov chaw txhaj tshuaj 6-24 lub hlis tom qab pib kho. Feem ntau cov menyuam yaus thiab poj niam uas muaj rog rog raug tus kab mob no.
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Lipohypertrophy clinically zoo ib yam li lipoma (wen) thiab zoo li cov kua muag ntawm thaj chaw ntawm kev hno heev.
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Hloov cov tawv nqaij mob ntshav qab zib
Ntxiv nrog rau kev ua pa rau lub cev nrog nquag tso zis heev, lub qab zib ntawm cov zis (vim muaj cov suab thaj hauv nws), ib qho ntawm thawj cov tsos mob ntshav qab zib yog lub cev qhuav dej, uas pom los ntawm kev nqhis dej tsis txaus thiab qhov ncauj qhuav tas li, txawm tias nquag haus dej haus.
Muaj cov tsos mob no yog vim muaj kev cuam tshuam loj heev ntawm cov txheej txheem biochemical, vim cov dej zoo li "ntws los ntawm", tsis nyob hauv cov ntaub so ntswg.
Hyperglycemia (ntau dhau ntawm cov ntshav qab zib vim tias muaj qee yam kev noj haus ntawm lub cev metabolism) yog qhov ua rau qhov tsis txaus ntseeg, qhov txiaj ntsig ntawm qhov metabolism hauv lub hlwb cov ntaub so ntswg tau cuam tshuam nrog qhov tshwm sim ntawm nws qhov kawg.
Kev tsis sib haum xeeb ntawm cov kev hloov pauv ntawm lub hlwb ua rau muaj kev cuam tshuam hauv kev ua haujlwm ntawm cov hlab ntsha thiab cov leeg ntshav - vim li ntawd, cov teeb meem tshwm sim nrog cov ntshav thiab cov nqaij ua kom lub cev nyob sab hauv, uas ua rau muaj kev cuam tshuam hauv lawv cov trophism.
Muab cov khoom noj tsis txaus, "dej nyab" nrog cov khoom lag luam lom uas tsis tau tshem tawm hauv lub sijhawm, cov ntaub so ntswg pib qhuav thiab ces vau.
Cov kab mob ntawm daim tawv nqaij muaj ntshav qab zib
Cov tsos ntawm kev txuam nrog vim los ntawm tus kabmob hloov pauv ntau qhov tseem ceeb, ua rau pom qhov tsis meej vim qhov:
- ntxhib tuab ntawm daim tawv nqaij, uas tau poob nws lub elasticity,
- tev loj heev, tshwj xeeb yog tawv taub hau,
- cov tsos ntawm calluses rau ntawm xib teg thiab cov taw,
- tawg ntawm daim tawv nqaij, kis tau yam ntxwv ntawm cov xim daj,
- cov kev hloov pauv hauv cov ntsia hlau, lawv cov deformation thiab tuab ntawm daim hlau vim yog qhov mob ntsws tsis ua haujlwm,
- npub plaub hau
- cov tsos ntawm pigmentation me ntsis.
Vim tias lub dryness ntawm txheej sab saud ntawm daim tawv nqaij thiab cov qog ua kua, uas tau tso tseg tsis ua tiav lawv txoj haujlwm tiv thaiv, khaus tawv nqaij, ua rau sib txuas (kom ntseeg tau yooj yim ntawm tus kab mob - cov kab mob nkag mus rau hauv lub plab hnyuv), cov neeg mob ntshav qab zib tau nquag ua kab mob pustular - hauv cov neeg hluas thiab cov tub ntxhais hluas cov no yog pob txuv, hauv cov neeg laus.
- mob caj dab
- boils thiab lwm yam tob pyoderma,
- kev pom tseeb ntawm candidiasis.
Cov duab ntawm cov pob khaus raws ntshav qab zib:
Kev cuam tshuam ntawm cov tawv nqaij trophic ntawm cov tawv taub hau ua rau lub ntsej muag ua tsis ua haujlwm tawm hws thiab cov qog sebaceous (nrog cov tsos ntawm dandruff thiab diffuse - hnav rau tag nrho lub taub hau - plaub hau poob).
Qhov xwm txheej ntawm lub hau ntawm cov qis dua yog qhov cuam tshuam tshwj xeeb - vim yog qhov tseem ceeb ntawm kev ua haujlwm ntawm lub cev ntawm qhov qis qis, qhov mob hnyav ntawm cov leeg ntshav tau muaj zog, ntxiv mus, txhais ceg yuav luag tas li hnav thiab duav, uas txuas ntxiv ua rau cov ntshav ncig.
Txhua yam no ua rau pom qhov ua pob ntawm tsis haum, thaum suav thiab kev raug mob me me yog qhov nyuaj rau kev kho - tab sis tib lub sijhawm nws mob txhaws.
Hloov pH ntawm cov nplaim qhov sib xyaw ua ke tsis yog txhawb nqa kev qhia txog tus kabmob microbial, tabsis tseem ua rau pom cov ciaj sia ntawm mycotic (fungal) muaj nyob rau ntawm nws - candida (poov-zoo li, uas ua rau pom thawb tawm) thiab lichen.
Thawj cov kab mob
Nrog rau cov kev tshwm sim thaum ntxov ntawm tus mob ntshav qab zib li khaus (tshwj xeeb tshaj yog nyob hauv qhov chaw mos), qhov ntev ntawm cov txheej txheem kho kom zoo ntawm kev raug mob me (abrasions, qhov txhab, abrasions), keratosis-acanthosis nrog cov tsos ntawm hyperpigmentation ntawm daim tawv muag, thaj chaw mos (koom nrog rau sab hauv ntawm tus ncej puab) thiab qhov quav ua tau. cov tsos mob ntawm ib qho pathology - ntshav qab zib:
Kev tu tawv nqaij
Muab qhov muaj kab mob hauv qab (mob ntshav qab zib), kev ntsuas kom huv si rau kev saib xyuas cov tawv nqaij muaj roj thiab tsis muaj zog yuav tsis coj cov txiaj ntsig.
Tsuas yog lawv cov kev sib xyaw nrog kev siv cov khoom siv suab thaj kom txo qis kom haum rau hom kab mob tuaj yeem ua kom tau txiaj ntsig zoo.
Tab sis raws li qhov pom ntawm muaj ntau lub nuances nyob rau hauv chav kawm dav dav ntawm tus kab mob, nrog rau qhov xam qhov tseeb hauv txhua tus neeg mob, nrog rau qhov xav tau los ntawm chav kuaj ntshav qab zib ntau ntau, tus kws kho mob yuav tsum tswj cov txheej txheem kho.
Video hais txog kev saib xyuas tus mob ntshav qab zib:
Tsis muaj kev ntxias siv cov txheej txheem ntawm "cov tshuaj ib txwm muaj" tuaj yeem hloov kho kev kho mob uas tsim nyog - tsuas yog tom qab kev pom zoo los ntawm tus kws kho mob kho lawv lawv tuaj yeem siv (nyob rau hauv hom kev pom zoo nrog kev soj ntsuam nruj ntawm qhov ntau ntawm cov txheej txheem).
Nrog cov teeb meem ntawm daim tawv nqaij ntshiab, kev ua pov thawj zoo tshuaj tau zoo nyob:
- los ntawm cov pab pawg ntawm aniline dyes - 2 lossis 3% daws ntawm methylene xiav (xiav), 1% pob zeb diamond-grun (dej cawv tov ntawm "cov khoom ntsuab"), Fucorcin tov (Castellani muaj pes tsawg leeg),
- pastes thiab ointments nrog cov ntsiab lus ntawm 10% boric acid.
Tus kab mob microbial, fungal, lossis sib xyaw ua ke, cov lus sib txuas raug xaiv raws li cov txiaj ntsig kev kuaj sim - tsom kab mob me me thiab nrog cov kab mob tuag ntawm ib qho khoom noj nruab nrab, tom qab ntawd los ntawm kev txheeb xyuas cov kab mob kab lis kev cai thiab nws cov neeg muaj ntau yam tshuaj (antimicrobial lossis antifungal).
Yog li, kev siv tshwj xeeb "pej xeem" txoj hauv kev tsis muaj ntau dua ib txoj hauv kev poob lub sijhawm zoo thiab txawm tias muaj ntau dua cov teeb meem ntawm daim tawv nqaij nrog lub suab thaj. Tus kws kho mob tshwj xeeb yuav tsum kho cov teeb meem ntawm nws txoj kev kho kom zoo.