Daim tawv nqaij ua rau muaj ntshav qab zib, khaus thiab tawv nqaij qhuav

Peb muab rau koj los nyeem ib qho xov xwm ntawm lub ncauj lus: "ua kom pom tawv nqaij hauv ntshav qab zib mellitus, khaus thiab tawv nqaij" nrog cov lus los ntawm cov kws tshaj lij. Yog tias koj xav nug ib lo lus nug lossis sau cov lus pom, koj tuaj yeem ua qhov yooj yim li hauv qab no, tom qab kab lus. Peb tus kws tshaj lij endoprinologist yuav teb rau koj.

Video (nyem mus ua si).

Cov tawv nqaij ua khaus nrog ntshav qab zib: cov tsos mob thiab kho nrog tshuaj pleev

Kev khaus ntawm daim tawv nqaij nrog ntshav qab zib yog qhov tsis txaus siab tshaj plaws ntawm tus kab mob, uas txhim kho vim yog qhov kev ua txhaum ntawm cov txheej txheem hauv lub cev hauv tib neeg lub cev. Cov kab mob no nws nyuaj los kho, ntxiv rau, cov xwm txheej zoo sib xws ua rau tus mob ntshav qab zib muaj kev tsis xis nyob ntau.

Ntawm cov ntshav qab zib mellitus, khaus ntawm ob txhais ceg hauv qab ntawm lub hauv caug lossis hauv thaj chaw ntawm taw, txhais tes, ntawm tus txiv neej thiab poj niam, nws khaus ntawm qhov chaw mos nyob rau hauv cov ntshav qab zib, hlawv ntawm lub qhov quav thiab cov nqaij hauv lub cev. Qhov teeb meem loj tshaj plaws yog neurodermatitis, nyob rau hauv kev ua haujlwm ntawm lub hauv nruab nrab lub paj hlwb tau cuam tshuam.

Video (nyem mus ua si).

Mob ntshav qab zib mellitus thiab khaus ntawm daim tawv nqaij feem ntau tshwm sim ua ke. Yog theem ntawm cov piam thaj hauv cov ntshav nce siab, tus neeg muaj kev mob plab zom mov, uas ua rau khaus thiab khaus.

Ua pob khaus los ntawm ntshav qab zib mellitus rau tag nrho lub cev thiab kub hnyiab yog suav tias yog qhov tshwm sim tsis txaus ntseeg, cov tsos mob zoo sib xws hauv daim duab feem ntau nrog tus kab mob no. Nrog cov piam thaj ntau ntxiv, cov piam thaj hauv cov ntshav me me, vim li ntawd, kev loj hlob ntawm microangiopathy tuaj yeem pom nyob rau hauv cov neeg mob ntshav qab zib. Tom qab, raum kev ua haujlwm tsis zoo thiab teeb meem tsis pom kev tshwm sim.

Daim tawv nqaij tam sim ntawd cuam tshuam rau cov txheej txheem tsis zoo uas tshwm sim hauv tus neeg mob cov ntshav, daim tawv nqaij sai sai ua rau daim tawv muag thiab tsis tuaj yeem, pib tev tawm ntawm lub cev, vim muaj kev ua txhaum ntawm kev tiv thaiv ib puag ncig, qab zib siab ua rau tawv nqaij ua pob khaus rau ntawm ntshav qab zib mellitus.

Feem ntau, nrog tus mob ntshav qab zib hom 2, txhais tes khaus, khaus tshwm nyob rau hauv qab qis, qhov chaw nyob ntawm caj ces, caj pas, pob ntseg. Ua kom khaus thiab kub nyhiab tuaj yeem pom nyob rau ntawm daim ntaub ua qog ua kua, dandruff feem ntau tshwm sim hauv txiv neej thiab poj niam mob ntshav qab zib mellitus, vim tias lub taub hau pib khaus.

Nrog tus mob ntshav qab zib khaus, tus kab mob ntshav qab zib feem ntau hnov cov cim qhia txog ntshav qab zib li kub nyhiab, tsis xis nyob, thiab kev sib xyaw yog rub ua ke. Ua ntej kho cov khaus khaus nrog ntshav qab zib, nws yog ib qho tseem ceeb kom pom cov hauv paus hauv ntsis ntawm tus kab mob thiab tshem tawm nws.

Nws kuj tseem yuav tsum tau ua kom cov qib ntshav qab zib hauv tus neeg mob cov ntshav.

Tus mob ntshav qab zib feem ntau pib ua ntau yam kab mob ntawm daim tawv nqaij. Txhawm rau kom tshem tawm cov khaus nyob rau hauv hom ntshav qab zib hom 2, raws li kev pom zoo los ntawm cov kws kho mob koom, qhov kev kho mob tau hais txog yav dhau los raug hloov pauv txhawm rau kho cov suab thaj hauv cov ntshav ntawm ib tus neeg.

Yog hais tias kev kho mob ntshav qab zib tsis tau pib lub sijhawm, cov tsos mob ntawm tus mob hnyav zuj zus ntxiv, cov ntshav siab ntawm cov ntshav khov ua rau cov tsim muaj cov hlwv thiab mob ntau thoob plaws lub cev. Mob khaus khaus yog xav nyob hauv thaj av inguinal, hauv thaj av ntawm qis qis dua, thiab qhov muag thiab puab tsaig khaus.

Txhua pathologies ntawm daim tawv nqaij yog tsim vim thawj los yog lwm yam ua rau. Lub hauv paus yog qhov ua txhaum cai ntawm cov txheej txheem ntawm kev tshem tawm cov tshuaj phem thiab co toxins ntawm lub cev ntawm cov ntshav qab zib, uas yog vim li cas thiaj pom angiopathy. Yam thib ob tau nrog cov tsos ntawm cov txheej txheem ua paug thiab purulent formations ntawm kev sib txuas. Raws li koj paub, nrog cov piam thaj ntau ntxiv, cov txheej txheem ntawm kev tshem tawm cov hws ua rau muaj kev ntxhov siab, vim tias ib puag ncig zoo li no yog qhov muaj txiaj ntsig zoo rau kev ua tiav cov kab mob.

Xws li tus mob pruritus hauv ntshav qab zib tuaj yeem tshwm sim tom qab noj ib qho tshuaj.Raws li qhov tshwm sim ntawm urticaria lossis ua rau muaj kev tsis haum tshuaj, cov ntshav qab zib muaj qhov khaus khaus, cov txiv neej muaj pob nyob rau hauv chaw mos, ua pob khaus rau hauv pob ntseg thiab sab hauv qab.

Cov pob khaus khaus ntawm daim tawv nqaij nrog ntshav qab zib, yog qhov taw qhia tseem ceeb ntawm cov khoom noj hauv lub cev, tuaj yeem nrog cov khoom hauv qab no:

Nrog lub cev metabolic tsis txaus siab thiab kev ua txhaum ntawm cov txheej txheem ntawm cov rog metabolism hauv lub cev, kev txhim kho cov ntshav qab zib xanthoma tshwm sim. Koj tuaj yeem kho cov xwm txheej zoo li no los ntawm kev ua kom cov ntshav qab zib tsis txaus, thiab tus kws kho mob kuj tau sau cov tshuaj uas tsim nyog uas ua kom lub cev tsis haum.
Ntawm cov txiv neej daim tawv nqaij mob ntshav qab zib, ntshav qab zib erythema yog qhov txawv txav, tus kab mob zoo sib xws tau pom hauv cov neeg mob hnub nyoog 40 xyoo.
Feem ntau qhov khaus ntawm ob txhais ceg hauv ntshav qab zib mellitus feem ntau loj tuaj rau hauv cov ntshav qab zib mob blisters. Tus taw ntawm qhov qis qis kuj tseem cuam tshuam. Muaj cov kua dej pinkish hauv npuas, qhov loj me uas nyob ntawm qhov loj me ntawm cov qauv hauv daim tawv nqaij.
Yog tias tus neeg mob muaj ntshav qab zib hom 2, feem ntau tsis yog tsuas yog lub cev ua kom khaus, tab sis daim tawv tuab tuab. Kev kho muaj nyob hauv qhov qis hauv qab ntawm cov piam thaj hauv cov ntshav, tshuaj pleev rau khaus rau ntshav qab zib thiab ua kom lub ntsej muag muag muag, tuaj yeem yuav hauv txhua lub tsev muag tshuaj, kuj tau sau tseg.
Nrog rau thawj hom mob, xim tawv nqaij tuaj yeem hloov pauv, hom kab mob no hu ua vitiligo. Kev hloov pauv raug pom ntawm lub ntsej muag, puab tsaig, pob ntseg. Txhawm rau hloov los ntawm qhov kev ua txhaum, tus neeg mob yauv kho kev kho mob.

Ntau tus neeg mob ntshav qab zib xav yog tias lub cev yuav ua rau nws tuaj yeem mob ntshav qab zib yog tias cov tshuaj insulin tsis tsim tawm hauv tus nqi. Nyob rau hauv cov ntaub ntawv ntawm kev nce nyob rau hauv cov ntshav qab zib, khaus tshwm sim nyob rau hauv pob ntseg, nrog ntshav qab zib, lub taub hau, caj npab thiab txhais ceg khaus, mob txhab tshwm rau ntawm lub caj ces.

Ua ntej koj tshem tawm cov pob khaus, koj yuav tsum tau mus soj ntsuam nrog tus kws kho mob koom nrog, uas ua qhov kev kuaj mob tsim nyog, yuav kuaj tus neeg mob, kho tshuaj nrog tshuaj thiab tshuaj pleev, thiab tseem xaiv, yog tias tsim nyog, kho nrog tshuaj ntsuab tshuaj.

Feem ntau, yog hais tias lub cev ua rau mob ntshav qab zib lossis khaus hauv pob ntseg yog pom, tus kab mob no tau kho los ntawm kev ua haujlwm li qub ntawm cov ntshav qab zib, suav nrog cov tshuaj tua kab mob uas ua raws cov cim kho mob.

Kev kho mob yog nqa tawm hauv ntau theem, nyob ntawm tus yam ntxwv ntawm tus kab mob.

Ib cov tshuaj tshwj xeeb tuaj yeem pab ua kom muaj roj thiab cov metabolism hauv lub cev. Txoj kev kho yog nqa tawm ob rau peb lub lis piam.
Hauv cov khoom muaj cov kab mob fungal, tus neeg sawv cev tiv thaiv kab mob yog siv. Txhawm rau tiv thaiv ob txhais tes thiab ko taw los ntawm khawb, thaum lub qhov txhab ua kom zoo sai dua, kho tshuaj pleev, tshuaj pleev thiab tshuaj pleev nyob ua ib ke.
Yog tias khaus nrog tus mob ntshav qab zib hom 2 tshwm sim tom qab tus mob ntshav qab zib tau noj ib qho lossis lwm yam tshuaj, cov tshuaj hloov nrog ib qho uas haum rau nws thiab tsis ua rau muaj kev phiv.
Cov niam txiv feem ntau nug seb tus menyuam lub cev puas tuaj yeem khaus tom qab noj ib yam khoom thiab yuav tshem tawm khaus. Thaum cov tsos mob zoo li no tshwm sim vim qhov khoom tsis raug zoo lossis cov khoom siv tsis haum, tus kws kho mob tau sau ntawv rau kev kho mob kom zoo.

Qee zaum khaus ntawm qhov puab tais hauv cov txiv neej tshwm sim thaum siv hom tshuaj insulin tshiab, yog tias hom tshuaj hormones no tsis haum rau tus neeg mob. Hauv qhov no, koj yuav tsum tau sab laj nrog koj tus kws kho mob kom xaiv hom tshuaj thiab xaiv txoj kev kho tshiab.

Yog li, yog tias lub cev ua rau mob ntshav qab zib, txhua yam yuav tsum ua ua ntej kom cov ntshav qab zib cov ntshav qab zib, nrog rau kev hloov mus rau qhov khoom noj kom zoo.

Nrog kev khaus ntev thiab qhov khaus ntawm daim tawv nqaij hauv thaj chaw ntawm qhov chaw mos chaw mos, lub xub pwg hniav, pob tw, plab ntawm poj niam, tus kws kho mob tuaj yeem kuaj mob angiopathy, uas nrog kev puas tsuaj rau cov ntshav me tshaj plaws - hlab ntsha thiab hlab ntsha.

Xws li tus kab mob cuam tshuam los ntawm cov ntshav hauv cov nqaij mos, txhaws qhov tseem ceeb ntawm cov as-ham rau lub nruab nrog cev.Yog tias tus mob huam zuj zus, tus poj niam muaj tev thiab tawv nqaij qhuav, microcracks pom ntawm daim tawv nqaij thiab cov leeg nqaij.

Kev tiv thaiv kab mob hauv zos thiab cov haujlwm tiv thaiv kuj tseem txo qis, acid-base balance ntawm daim tawv nqaij hloov pauv, uas cuam tshuam rau qhov teebmeem ntawm tus kabmob ntshav qab zib. Cov kab mob me me tshwm sim ntawm daim nyias nyias thiab nyias nyias, vim tias khaus thiab hlawv ntau zog. Cov kab mob pwm thiab cov kabmob huv mus rau hauv lub qhov txhab, uas ua rau kev txhim kho ntawm cov tshuaj tiv thaiv mob.

Feem ntau, cov poj niam uas muaj ntshav qab zib muaj qhov tsis xis nyob hauv perineum, pubis, vulva thiab paum. Xws li tus kab mob, khaus hauv pob ntseg, ntawm daim tawv nqaij ntawm qhov qis qis, hauv qab ntawm lub mis, sab hauv txhais taw sab hauv, hauv cov rog rog ua ke nrog nce hws, tawm qhov tso, nyob ib ncig ntawm lub xub pwg hniav thiab hauv qab.
Lub cev pib khaus tawm los ntawm qhov ua txhaum ntawm qhov xwm txheej ntawm cov hlab ntshav me me. Microangiopathy provokes malfunction hauv ob lub raum, uas ua rau nephropathy. Tom qab qee lub sijhawm, tus neeg lub zeem muag yuav tsis muaj zog thiab kev rov qab kho lub zog.
Raws li txoj cai, daim tawv nqaij pib hnov mob rau qhov kev hloov pauv ntawm lub cev ua ntej lwm tus. Nws pib qhuav, tev, khaus, hauv lub xeev no nws tsis muaj peev xwm tiv thaiv subcutaneous cov ntaub so ntswg los ntawm kev cuam tshuam ntawm cov kab mob pathogenic.

Hnov mob khaus thiab kub nyhiab, tus poj niam sib txuas ua ke ua kom tawv nqaij ua ntej tsim kev kub ntxhov, vim li ntawd, cov npuas nrog cov kua tawg thiab qhov mob uas tsis tuaj yeem tshwm. Tom qab ntawd, cov hlwv tshiab ua rau ntawm daim tawv nqaij, uas ua kom qhuav tawm thiab dhau los ua ib txheej tuab. Xws ua kaub puab yog khaus heev, tab sis tsis muaj teeb meem koj tuaj yeem tev tawm ntawm koj tus kheej. Txwv tsis pub, qhov txhab tshiab tau los ua qhov chaw kis thiab voos.

Nrog rau ntshav qab zib, nws yog ib qho tseem ceeb kom paub tias yuav kho kab mob rau daim tawv nqaij li cas thiaj li pab tau tus mob ntshav qab zib kom raws sij hawm. Txwv tsis pub, purulent abscesses, hu ua fungi thiab viruses yuav ua rau muaj kev mob nyhav uas nyuaj rau yauv kho.

Ntxiv rau kev ua kom cov ntshav qab zib ib txwm nyob, tus poj niam yuav tsum tau kuaj ntxiv kom paub tseeb tias tsis muaj kev fab tshuaj rau cov zaub mov thiab cov tshuaj siv.

Vitiligo yog kho los ntawm kev siv tshuaj kho hormone, thiab tus poj niam tau raug txiav txim siab nyob hauv qhov ntxoov ntxoo, kom deb ntawm kev tshav ntuj ncaj qha, yog li ua kom tawv nqaij tsis raug rau ultraviolet hluav taws xob. Sib cuag nrog cov tawv nqaij puas tuaj yeem ua rau voos.

Thaum hom mob ntshav qab zib hom 2 mob ntshav qab zib, kev kho mob muaj raws li kev noj haus tshuaj zoo. Yog tias hlawv thiab khaus khaus ntawm qhov chaw mos ntawm tus poj niam tshwm sim vim yog siv los ntawm cov tshuaj zoo rau lub cev, koj yuav tsum xaiv cov tshuaj zoo sib xws uas tsis ua rau muaj kev tsis haum tshuaj.
Cov poj niam yuav sai sai tshem tawm tsis xis nyob hauv thaj chaw ze huab cua yog tias lawv yuav ntxiv cov ntsiav tshuaj ntawm qhov paum, uas suav nrog kev siv tshuaj khov hauv lub cev (clotrimazole). Nws muaj peev xwm tshem tawm cov kev khaus ntawm qhov chaw mos ntawm qhov chaw mos nrog kev pab ntawm Fluomizin, cov tshuaj no yog qhov thib ob nrov tshaj plaws thiab siv tau.
Yog tias ua kom tawv nqaij thiab mob ua paug rau ntawm daim tawv nqaij, paub txog cov tshuaj zoo rau pej xeem hauv daim ntawv ntawm decoctions, lotions thiab douching ntawm qhov chaw mos tau pom zoo. Lawv yuav pab kom sai sai ua kom khaus ntawm cov ntshav qab zib hauv cov poj niam.

Rau kev tu tawv nqaij, chamomile, calendula, ntoo qhib xyoob ntoo, celandine, ib qho kev daws tsis muaj zog ntawm cov poov tshuaj permanganate, furatsilin zoo heev.

Txhawm rau tiv thaiv kev txhim kho ntawm cov kab mob ntawm daim tawv nqaij lossis maj mam tshem tawm pob ntawm thawj cov tsos mob txaus ntseeg, nws tsim nyog ua raws qee txoj cai. Txhawm rau txo cov ntshav qabzib thiab txhim kho cov mob ntawm tus neeg mob, lawv haus lub nroog Jerusalem artichoke kua txiv.

Tsis tas li ntawd, nws tseem ceeb heev uas yuav tsum kho cov pauv-endocrine tsis zoo. Txhua yam yuav tsum ua los txhawm rau txhim kho kev tiv thaiv thiab txhim kho kev noj qab haus huv. Qhov no yuav tiv thaiv lub cev ntawm cov teebmeem pathogenic.

Kev siv dag zog hauv lub cev, pab kho mob ntsws thiab qhia tshuaj kom zoo yog ib qho muaj txiaj ntsig zoo rau cov ntshav qab zib. Qhov tshuaj kho zoo yog tshuaj pleev rau khaus ntawm ob txhais ceg nrog ntshav qab zib, uas suav nrog corticosteroids. Tib cov tshuaj kho pob khaus hauv pob ntseg, tes thiab lwm qhov chaw muaj teeb meem.

Nrog rau khaus heev thiab nquag, kho mob ua paug, tshuaj tua kab mob thiab tshuaj tua kab mob yog kho ntawm thaj chaw muaj tawv nqaij. Qhov no pab tiv thaiv kom tsis txhob kis tus kab mob thiab txo tus neeg mob tus mob.

Txhawm rau tiv thaiv kev tsim cov ntshav txhaws thiab los ntshav nrog varicose leeg thiab ntshav qab zib, heparin tshuaj pleev yog siv, nws ob txhais ceg yog luag nyav hauv qab hauv caug.

Nrog rau cov kab mob khaus, yog tias lwm txoj kev kho mob tsis pab, tshuaj tua kab mob tuaj yeem tsim nyog. Yog hais tias tus mob ntshav qab zib qhia fistulas lossis malignant hlav ua, kev phais mob ceev yog siv.

Cov laj thawj thiab kev kho mob ntawm daim tawv nqaij khaus nyob rau hauv ntshav qab zib tau piav qhia hauv video hauv tsab xov xwm no.

Daim tawv nqaij ua rau muaj ntshav qab zib mellitus - dryness, khaus thiab tev

Cov tawv nqaij qhuav nrog ntshav qab zib yog ib qho kev cuam tshuam uas ntau tus neeg mob ntshav qab zib ntsib. Hauv qhov no, peb tau txiav txim siab los soj ntsuam kom ntxaws vim li cas cov tawv nqaij qhuav nrog ntshav qab zib ua tau nws tus kheej thiab yuav ua li cas nrog cov kev mob tsis zoo no. Yog tias tsis muaj dab tsi ua tiav, wrinkles yuav pib tshwm rau lub cev ua ntej, thiab tseem nws yuav dhau los ua flabby thiab hnyav dua tuaj yeem tshwm sim.

Peeling thiab dryness ntawm daim tawv nqaij hauv hom 2 mob ntshav qab zib yog vim kev ua txhaum ntawm cov rog metabolism thiab carbohydrate metabolism, vim tias cov khaubncaws sab nraud povtseg ntawm epithelium tsis tau txais cov tshuaj muaj txiaj ntsig. Cov piam thaj hauv ntshav siab ntau ua rau lub cev qhuav dej, ua rau lub cev puas tsuaj mus thiab ua rau cov metabolism hauv lub cev puas tsuaj.

Tawm tsam keeb kwm yav dhau los ntawm tag nrho cov no, epidermis kev tsim dua tshiab yog cuam tshuam thiab cov roj ntsha yog tsim, thiab daim tawv nqaij ua kom qhuav, poob ntawm elasticity thiab pib tev tawm. Ib lub zom zaws tiv thaiv cov ntshav qab zib muaj nyob hauv yuav luag txhua qhov teeb meem, thiab mob ntshav qab zib neuropathy thiab macroagniopathy ntxiv tsim, ua rau tawv nqaij mob ntxiv.

Cov tawv nqaij qhuav nrog ntshav qab zib thiab nws tev tawm tuaj yeem ua rau kev loj hlob ntawm cov teeb meem txaus ntshai. Piv txwv li, qhov tawv nqaij tawg thiab ua kom tsis muaj zog tiv thaiv kev tiv thaiv hauv zos nrog rau kev nkag mus ntawm kev kis kab mob, qhov pom ntawm qhov tsis muaj qhov mob tsis zoo thiab txawm tias mob caj dab hauv cov neeg tshwj xeeb. Hauv qhov no, nws yog ib qho tsim nyog kom ncav sijhawm pib tawm tsam kev tawm tsam ntawm daim tawv nqaij hauv ntshav qab zib, siv cov tshuaj pleev ib ce uas haum.

Dab tsi yog daim tawv tu khoom rau ntshav qab zib

Cov kws tshaj lij pom zoo kom tso tseg ib qho tshuaj pleev ib ce uas ua kom tawv nqaij qhuav, nrog rau cov khoom lag luam uas ua rau ib txheej ntawm nws txheej (tshwj xeeb yog pleev thiab pleev). Nws yog qhov zoo dua los siv cov khoom noj kom zoo thiab cov dej noo nrog cov tshuaj ntsuab ntawm cov tshuaj ntsuab, uas ua kom muaj kev tiv thaiv kev sib kis ntawm cov kab mob me:

Kev saib xyuas tshwj xeeb yuav tsum tau them rau daim tawv nqaij ntawm ob txhais ceg, txij li ntshav qab zib cuam tshuam qhov kawg ntawm cov hlab ntsha thiab cov hlab ntsha ntawm cov ceg tawv, cuam tshuam cov zaub mov ntawm cov nqaij thiab tsis txaus siab lawv xav tau.

Nrog rau cov tawv nqaij qhuav hauv cov ntshav qab zib mellitus, kev kho yuav tsum yog qhov tseeb thiab ua kom sai. Kev siv cov xab npum alkaline pH yuav ua rau qhov teeb meem los ntawm ziab tawv ntau ntxiv txawm tias rhuav tshem cov lipid txheej rau kev tiv thaiv. Vim li no, cov kws tshaj lij pom zoo kom koj siv cov tshuaj ntxuav tes, kua dej da dej thiab lwm yam khoom siv nrog pH nruab nrab nrog cov tawv nqaij qhuav rau cov ntshav qab zib, thiab siv cov khoom tshwj xeeb nrog cov lactic acid rau kev nyiam huv.

Thaum cov tawv nqaij ntxuav, nws raug nquahu kom ya raws thiab muag qhov chaw muaj teeb meem nrog cov khoom lag luam zoo nkauj:

moisturizing roj,
nourishing cream
mis nyuj.

Zoo haum rau me nyuam cov tshuaj pleev ib ce. Ua tib zoo saib xyuas kev saib xyuas tes nrog daim tawv qhuav vim yog hom ntshav qab zib 2.Lawv yuav tsum tsis tu ncua ua kom noo nrog qab zib txog ntau ntau zaus hauv ib hnub. Nws yog qhov zoo dua los siv cov cuab yeej tshwj xeeb uas tsim los saib xyuas cov xwm txheej ntawm daim tawv nqaij tam sim no - lawv yuav tsum khaws txoj cai zoo nkauj thiab noj qab haus huv.

Vim muaj cov txheej txheem ua kom tawv nqaij tsis zoo thiab muaj kev pheej hmoo kis tus kab mob vim lub cev qhuav thiab tev ntawm daim tawv nqaij hauv ntshav qab zib, kev kho mob ntawm kev puas tsuaj me me (khawb, microtraumas, thiab lwm yam) xav kom siv tsis tas siv tshuaj tua kab mob, tab sis kuj tseem muaj cov cream tshwj xeeb nrog cov khoom xyaw ntuj uas pab kho kom zoo sai.

Dermal pruritus hauv poj niam thiab txiv neej - yuav ua li cas kom tshem tau?

Ua tsis tiav ntawm cov txheej txheem hauv lub cev vim qhov ua rau lub qog ua haujlwm tsis zoo thiab kev nqus ntawm cov kua nplaum tsis zoo ua rau muaj teeb meem kev noj qab haus huv ntau. Khaus ntawm daim tawv nqaij ntau zaus txhawj xeeb cov neeg mob ntshav qab zib. Nws ua rau khaus txhua qhov ntawm lub cev, nws yog qhov muaj kev ntxhov siab heev thiab cuam tshuam rau cov leeg hlwb. Yuav ua li cas txo kev tsis xis nyob thiab muaj ntau txoj hauv kev los mus zam dhau nws?

Vim li cas tus mob ntshav qab zib pib khaus thiab khaus

Hauv lub cev, nrog rau kev txhim kho cov ntshav qab zib mellitus ntawm ib yam, cuam tshuam nrog kev nqus ntawm cov piam thaj tshwm sim vim tsis muaj cov tshuaj insulin rau. Qab Zib, deb dhau ntawm tus qauv, muaj crystallizes hauv cov hlab ntsha me. Vim tias qhov no, lawv dhau mus ua kev daig, uas cuam tshuam nrog cov ntshav ncig thiab ua rau muaj kev cuam tshuam kev ua haujlwm ntawm lub raum, cov leeg poob siab thiab lub ntsej muag.

Thawj qhov teb rau qhov tsis muaj oxygen nyob rau hauv cov ntaub so ntswg yog daim tawv nqaij - qhov chaw nkag siab tshaj plaws ntawm lub cev. Peeling, redness, cracks tshwm sim. Raws li qhov tshwm sim, nws lub ntuj ua haujlwm ploj: nws nres tiv thaiv subcutaneous fibers los ntawm txhoj puab heev ib puag ncig lub zog. Khaus thiab hlawv thoob plaws hauv lub cev pib. Qhov tsos mob no tuaj yeem qhia txog kev txhim kho ntshav qab zib yog tias tus neeg mob tseem tsis tau kuaj pom.

Ib qhov tas mus li ntawm cov piam thaj hauv lub cev ntawm cov ntshav qab zib ua rau txo qis lub peev xwm ntawm cov hlab ntsha. Kev tshem tawm cov co toxins thiab cov tshuaj lom tawm los ntawm cov hlwb hauv cov txheej txheem ntawm lub neej qeeb, ua rau muaj kev tsis haum nyob rau hauv lub cev. Txhawm rau poob nws cov khoom tiv thaiv, tawv nqaij ua lub hom phiaj rau fungal thiab pathogenic microbes. Lawv ywj pheej nkag mus rau nws cov txheej txheem, uas ua rau muaj teeb meem loj. Kev khawb thiab kos hauv cov ntshav qab zib tsis zoo, ua rau lawv muaj teeb meem ntau.

Kev khaus ntawm daim tawv nqaij ua rau muaj mob ntau ntxiv nrog rau kev txhim kho mob ntshav qab zib mellitus, ua rau muaj qhov zoo ntawm zawm thiab hlawv qhov xav hauv poj niam thiab tus txiv neej. Qhov ntxiv cov ntshav qab zib, qhov ntau dua qhov tsis xis nyob. Cov neeg ua rau khaus khaus ntiv tes, ntsej muag, muag. Tom qab, hlwv thiab mob tsis zoo kho rau ntawm qhov mob me. Fungal microorganisms yuav yooj yim koom nrog lawv, thaj chaw cuam tshuam pib fester thiab abscess.

Ntau yam kab mob sib kis (dermatoses), uas muaj pes tsawg txog 30 ntau yam, tuaj yeem ua teeb meem tawv nqaij. Lawv muaj cai raug faib ua 3 pab:

Thawj - kev tsim kho nrog kev puas tsuaj rau cov hlab ntshav: rubeosis, rog rog tsis txaus, xanthoma, dermatopathy, mob ntshav qab zib, thiab lwm yam.
Thib Ob - kev txhim kho vim qhov sib ntxiv ntawm cov kab mob hu ua fungi thiab bacteria.
Tshuaj Khw - tshwm sim los ntawm kev noj tshuaj uas tus neeg mob ntshav qab zib yuav tsum noj: rog tsis zoo, eczema, urticaria, thiab lwm yam.

Cov kabmob ntshav qab zib ua kom pom lub ntsej muag yog qhov pom ntawm ntom ntom rau cov mos lwj. Feem ntau nws tau pom hauv tus txiv neej. Kev kho mob nyob rau hauv cov xwm txheej zoo li no tsis tau sau tseg. Pathology hla dhau qhov tsis cuam tshuam sab nraud, tawm ntawm lub hnub nyoog. Tus neeg mob xav tau tshem tawm cov tawv nqaij ua pob khaus nrog rau cov tsos mob thiab tshuaj pleev pob zeb.

Cov hlwv ntshav qab zib uas muaj kua tso pa tawm ntawm ob txhais ceg thiab caj npab. Lawv tsis tas yuav muaj kev kho mob tshwj xeeb thiab dhau tom qab 1 lub hlis. Nyob rau hauv tsis muaj qhov xwm txheej lawv yuav tsum tau khawb, nyem, los yog hno, txwv tsis pub, kis tau tus mob.

Rubeosis yog pom los ntawm liab ntawm daim tawv nqaij. Feem ntau pom muaj hauv cov menyuam yaus thiab cov hluas thiab tsis tas yuav cuam tshuam kev kho mob.Ntshav qab zib xanthoma yog tshwm sim los ntawm cov lipid metabolism tsis ua hauj lwm. Qhov ntau ntawm cov rog rog ntxiv rau ntawm daim tawv nqaij hauv daim ntawv ntawm cov xim daj ua ke hauv cheeb tsam ntawm txhais tes, hauv siab, caj dab, ntsej muag.

Lipoid necrobiosis nyob rau hauv cov neeg mob ntshav qab zib yog tus cwj pwm los ntawm kev tawg ntawm cov ntaub so ntswg sib txuas. Nodules ntawm bluish-liab xim tshwm ntawm ob txhais ceg. Vim tias cov ntshav ncig tsis txaus, mob, mob rwj yuav tsis tshwm sim hauv lawv qhov chaw. Cov kab mob no tsis tuaj yeem kho mob. Cov tshuaj pleev ntau yam raws li cov tshuaj hormones, tshuaj tua kab mob, tshuaj tua kab mob siv los daws cov tsos mob. Ib qho ntxiv, kev tawm dag zog lub cev tau raug kho rau cov neeg raug.

Qhov pib ntawm cov tsos mob xws li khaus ntawm daim tawv nqaij hauv ntshav qab zib taw qhia qhov kev txhim kho ntawm ib qho ntawm cov teeb meem loj tshaj plaws ntawm tus kab mob - mob qog, ua rau muaj kev puas tsuaj rau cov hlab ntsha thiab cov leeg.

Feem ntau, cov poj niam thiab tus txiv khaus:

rog quav hauv lub plab,
lub hauv caug thiab lub luj tshib khoov,
hauv siab hauv cheeb tsam
inguinal cheeb tsam
lub qhov tso
ceg nyob sab hauv
ko taw
nplooj pu
pob tw.

Angiopathy yog qhov txaus ntshai nyob rau hauv uas lawv qhov mob nyhav dua tuaj vim yog qhov tsis muaj txiaj ntsig ntawm cov as-ham rau cov nqaij mos.

Qhov tshwm sim yog:

daim tawv nqaij qhuav
tev tawv
khaus tawv
ua txhaum ntawm daim tawv nqaij alkaline sib npaug,
kev tsim txom ntawm kev tiv thaiv hauv zos.

Tshwj xeeb cov poj niam raug kev txom nyem los ntawm cov kev pom no. Tom qab tag nrho, cov tsos yog nyob ntawm kev mob ntawm daim tawv nqaij. Nyob rau tib lub sijhawm, qhov khaus khaus ntawm qhov chaw mos tsis tso tseg, perineum, rab qau, thiab qhov chaw mos chaw khaus. Yog lawm, tus neeg mob lub neej muaj qhov tsis zoo, txij li qhov khaus ntawd nrog kev kub nyhiab thiab mob.

Tus poj niam dhau los ua kev khaus, khaus, tsis txaus ntseeg. Nws yooj yim poob rau hauv kev nyuaj siab, tiv taus kev tsis txaus ntseeg, poob rau kev txaus siab hauv lub neej.

Cov neeg mob ntshav qab zib tau tuaj yeem paub zoo txog cov cim tsis zoo ntawm tus kabmob vim tias khaus ntawm txhais ceg. Ua ntej tshaj, daim tawv nqaij tawm ntawm ib thaj chaw, tom qab ntawd qhov tsis txaus ntawm thaj chaw nce, liab ploog, dhau los ua cov hlwv me me uas pheej khaus. Ntau cov glycosylating tshuaj nyob rau hauv cov ntshav, qhov ntau cuam tshuam rau thaj chaw tawg.

Feem ntau qhov khaus ntawm tus txiv neej thiab poj niam feem ntau yog ua rau pom ntawm tus ntiv tes, sab hauv ntawm tus ncej, ntawm qhov quav. Thaum muab kev sib txuas, txheej txheej tiv thaiv ntawm daim tawv nqaij raug mob, vim qhov uas tawg thiab micro-mob pib tshwm. Cov tawv nqaij khaus tau nrog nws cov lus los ntawm kev nkag mus, mob.

Ntxiv rau ntawm cov ncauj lus ntawm ceg:

Cov tawv nqaij khaus tsis yog qhov teeb meem rau cov neeg mob ntshav qab zib. Cov roj ntsha ntawm lub qhov muag kuj raug mob. Vim tias txo qis hauv cov rog ua haujlwm, nws tsis muaj qhov tsis txaus ua kom ntub, plam kev tiv thaiv los ntawm ntuj hloov txheej txheem. Raws li qhov tshwm sim, qhov muag khaus khaus, qhov hnov mob tsis hnov tsw tshwm sim, tus neeg mob ntsib kev tsis xis nyob, pom kom pom tseeb. Nrog hais qhov tseeb, tus kws kho qhov muag yuav tsum tshwm sim los sau cov kev kho mob uas tsim nyog.

Kev mob ntshav qab zib retinopathy yog lwm qhov muag teeb meem hauv tus neeg mob ntshav qab zib.

Cov tsos ntawm cov kab nrib pleb thiab dryness ua rau khaus tas mus li rau qhov chaw zoo. Txhawm rau tiv thaiv kev kis kab mob, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam nruj ntawm tus kheej kev nyiam huv thiab zam kom tsis txhob khawb khawb cov teeb meem.

Cov tawv nqaij khaus, nti, hlawv, liab rau cov txiv neej mob ntshav qab zib mellitus hauv qhov puab tais xav tau kev kho mob hauv tsev kho mob. Kev siv tus kheej hauv qhov no tsis suav nrog. Tsuas yog cov kws paub txog dermatologist lossis therologist thiaj li tuaj yeem sau tshuaj kom raug txoj kev kho kom haum haum rau tus neeg mob tus mob.

Qhov chaw mos ua pob rau hauv cov poj niam provokes lub siab concentration ntawm cov piam thaj nyob rau hauv cov zis. Tsis tas li, khaus rau cov poj niam yog tshwm sim los ntawm kev ua txhaum ntawm cov khoom noj hauv lub cev, kev tsis muaj kev tiv thaiv hauv lub zos, thiab kev tu cev tsis zoo. Cov tee tso zis ntxiv ntawm cov qau ua qhov chaw yug me nyuam rau cov kab mob. Lub qhov paum ntawm lub paum hloov liab, qhov txhab thiab microcracks ua rau nws, uas ua rau mob tsis xis nyob.

Koj puas mob siab los ntshav siab? Koj puas paub tias kub siab ua rau lub plawv nres thiab mob nkees? Ntsig koj lub siab nrog. Lub tswv yim thiab cov lus qhia hais txog tus qauv nyeem ntawm no >>

Ntxiv nrog rau qhov teeb meem nrog ntshav muaj pes tsawg leeg thiab kev tu cev, khaus ntawm qhov chaw mos tuaj yeem ua rau kis kev sib daj sib deev (mob gonorrhea, mob syphilis, trichomoniasis, thiab lwm yam).

Tsuas yog tus kws kho mob paub dhau los tuaj yeem qhia koj yuav ua li cas kom tshem tau khaus. Ua ntej, nws yuav ncaj qha rau kev kuaj mob, thiab raws li nws cov txiaj ntsig nws yuav tshaj tawm txoj kev kho. Nws yog qhov nyuaj heev los daws qhov teeb meem no, tab sis txhua tus neeg mob tuaj yeem tswj lub cev zoo. Nws yog ib qho tseem ceeb kom ua raws li kev noj zaub mov uas txwv qhov kev noj ntawm cov zaub mov uas yooj yim thiab zom cov suab thaj.

yog hais tias qhov cuam tshuam yog tshwm sim los ntawm kev phiv tshuaj, ces cov kev kho mob ntawm pruritus hauv hom 2 mob ntshav qab zib yog raws li kev siv tshuaj antihistamines (Tavegil, Suprastin, Cetrizin, Fexadine, Fenistil),
yog tias cov piam thaj txo cov tshuaj ua rau muaj qhov teeb meem, tom qab ntawd lawv cov tshuaj noj tau tshuaj,
Nws raug nquahu kom tu cov tawv nqaij kom huv si, sib zog ua kom nws zoo nrog tshuaj pleev, pleev, tshuaj pleev, tsim tshwj xeeb rau cov neeg mob ntshav qab zib,
fungicidal npaj thiab tshuaj ntsuab pej xeem (dej qab zib, poov tshuaj permanganate, decoction ntawm ntoo qhib) yog siv rau kev tiv thaiv cov kab mob fungal,
mob qhov txhab uas ua rau khaus heev yog kho nrog tshuaj pleev nrog cov tshuaj tua kab mob uas muaj cov tshuaj tiv thaiv thiab antiseptic,
yog tias cov tawv nqaij khaus tas li, cov tshuaj pleev tshuaj hormonal siv,
cov tshuaj ua kom yoog kom zoo rau lub zog ntawm cov leeg hlwb,
cov neeg mob ntshav qab zib yuav tsum zam kom txhob raug hluav taws xob ultraviolet rau thaj chaw muaj teeb meem.

Nws yog ib qho tsim nyog los daws qhov khaus khaus ntawm ntshav qab zib mellitus kom nkag siab. Tus kws kho mob yuav ntxiv ntxiv cov tshuaj uas txhim kho kev ua kom zoo ntawm cov hlab ntsha.

Rau qhov khaus thiab hlawv hauv qhov chaw zoo nkauj hauv poj niam, nws pom zoo:

noj tshuaj antihistamines
nyob rau hauv muaj cov kab mob fungal, siv cov tshuaj pleev tshwj xeeb, cream, txhab tshuaj, ntsiav tshuaj,
tshem tawm kev voos ntawm mucosa nrog tshuaj ntsuab decoctions.

Ua raws li hom mob, tus kws kho mob tau sau tseg ib chav kho mob kom haum.

Txhua cov ntawv qhia uas cov neeg mob ntshav qab zib txiav txim siab siv yuav tsum tau tham nrog koj tus kws kho mob. Koj tuaj yeem tshem tawm cov tawv nqaij ua pob khaus nrog da dej siv tshuaj ntsuab kho kom zoo nkauj, compresses, tinctures:

Herbal antipruritic sau tau npaj raws li hauv qab no: chamomile, marigold, hlua, sage tau sib xyaw hauv cov sib npaug sib luag. 1 khob ntawm phytobox tshwm sim yog nchuav rau 500 ml ntawm dej npau thiab tso cai rau sawv ntsug sov so rau ib nrab ib teev. Tom qab straining, ntxiv rau da dej dej. Lub chav kawm ntawm kev kho mob yog 10 hnub txhua lwm hnub,
ib qho loj loj ntawm cov pob kws hmoov nplej yog diluted hauv 0.5 khob ntawm cov dej npau. Hauv kev daws, cov ntaub so ntswg yog moistened thiab thov rau thaj chaw cuam tshuam. Daim ntawv thov raug tsau nrog daim ntaub qhwv thiab tshem tawm tom qab 8-10 teev,
tws nplooj thiab blueberries. 1 diav loj ntawm phyto-raw cov ntaub ntawv yog nchuav nrog ib khob ntawm dej npau npau. Hais ntxiv 1 teev thiab siv peb zaug ib hnub rau ½ khob,
hliv ib qho loj ntawm cov paj linden 200 ml ntawm dej npau thiab muab ib nrab khob txhua hnub rau 3 lub lis piam,
ib diav loj ntawm txiv qaub balm yog brewed hauv 400 ml ntawm dej npau. Txheeb ib nrab ib teev, lim thiab noj plaub zaug ib hnub rau ½ khob 3-4 lub lis piam.

Cov tshuaj hauv pej xeem tsis kho tus kab mob, tab sis tsuas yog pab tshem nws cov lus tshaj tawm.

Txhawm rau tiv thaiv qhov pom ntawm khaus ntawm lub cev, cov neeg mob raug nquahu kom ua ntau yam kev tiv thaiv:

haus dej qab zib artichoke kua txiv, normalizing qib ntawm glycosylating tshuaj nyob rau hauv cov ntshav - Jerusalem artichoke rau ntshav qab zib,
Zam kev sib cuag nrog cov khoom lag luam tu huv si. Cov poj niam yuav tsum siv tshuaj pleev ib ce hypoallergenic, tshuaj ntxuav tes, tshuaj zawv plaub hau,
tiv thaiv kev sib pauv-endocrine tsis txaus,
soj ntsuam kom huv si thiab qhuav ntawm lub cev, ris tsho hauv qab, khau.

Yog tias khaus tas li, tus neeg mob yuav tsum nrhiav kev pab kho mob tam sim ntawd. Cov kws paub tshwj xeeb yuav tsim kom muaj qhov ua rau muaj kev tsis sib haum xeeb thiab qhia txog kev kho kom tsim nyog.Hauv cov ntshav qab zib mellitus, kev noj tshuaj rau tus kheej yog fraught nrog cov teeb meem loj, vim tias txawm tias qhov tshuaj ntsuab tsis muaj mob ntau tshaj thaum noj ntawm qhov ncauj yuav muaj kev cuam tshuam txog kev cuam tshuam ntawm cov ntshav.

Nco ntsoov kawm! Koj puas xav hais tias cov ntsiav tshuaj thiab cov insulin yog tib txoj kev ua kom tswj qab zib? Tsis muaj tseeb! Koj tuaj yeem soj ntsuam qhov no koj tus kheej los ntawm kev pib siv nws. nyeem ntxiv >>

Kuaj ntshav qab zib: vim li cas khaus tshwm sim hauv ntshav qab zib thiab yuav ua li cas kom tshem tau?

Cov tawv nqaij ua pob khaus thiab tawm pob muaj cai tsis tu ncua rau ntau tus neeg, tshwj xeeb yog cov uas nquag ua xua, uas muaj keeb kwm ua mob ntsws.

Tsawg tus neeg xav tias tsis xis nyob tuaj yeem yog cov tsos mob ntawm tus kab mob txaus ntshai - mob ntshav qab zib.

Lawv tshwj xeeb tshaj yog cov lus thaum hmo ntuj. Nws yog ib qho tseem ceeb kom paub thaum ntxov, khaus tshwm sim hauv ntshav qab zib lossis lwm qhov mob, vim qhov ua tiav ntawm kev kho yog nyob ntawm no.

Kev ua txhaum ntawm cov metabolism hauv cov metabolism nrog kev nce ntxiv hauv cov ntshav qabzib ntau ntxiv ua rau qhov kev tshem tawm qeeb ntawm cov khoom lom los ntawm lub cev. Angiopathy muaj kev txhim kho, cov nkoj loj thiab cov nkoj me me tau daig. Cov tawv nqaij ua rau cov txheej txheem no nrog kev ploj ntawm ya raws, uas ua rau lub cev qhuav dej ntawm lub dermis thiab nws khaus.

Hauv cov neeg mob insulin, nrog rau kev nce rau hauv cov ntshav qab zib, quaj thiab cov hlwv ua rau ntawm daim tawv nqaij, uas ua rau muaj kev tsis yooj yim.

Lawv khaus, cov neeg mob zuag lawv.

Hauv qhov no, kev kis mob ntawm qhov txhab tshwm sim, uas muaj ntshav qab zib hom 2 tsis tuaj yeem zoo. Cov xwm txheej hauv qhov xwm txheej no yuav tsum tau ntsuas tam sim ntawd txhawm rau txhawm rau txhawm rau txhawm rau txhawm mauv qog ntshav ntshav

Dermatological teeb meem tshwm sim nyob rau hauv lub xeev muaj mob ntshav qab zib.

Qhuav ntawm daim tawv nqaij, kev ntxhib ntxoo yog cov cim ntawm tus kab mob tsis haum, uas ntau tus ua rau muaj qhov tsis haum. Cov neeg mob pom tias cov neeg mob tawv nqaij yog qhov nyuaj kho. Qee cov neeg paub tias plaub hau ua nkig, ntsia hlau stratified.

Cov neeg mob tau ntxim rau seborrhea. Nws yog cov plaub hau kab thiab cov ntsia hlau uas xav tau cov as-ham rau lawv txoj kev loj hlob, thiab dhia hauv cov ntshav qabzib cuam tshuam nrog txoj kev ua no. Cov neeg mob yuav pom tias lawv mas do hau.

Cov kev sib raug zoo ntawm daim tawv nqaij ua pob khaus thiab ntshav qab zib

Ntawm cov kab mob tawv nqaij feem ntau pom nyob rau hauv cov neeg mob ntshav qab zib, neurodermatitis yog tau sau tseg. Nws cov tsos mob tseem ceeb yog ua kom khaus thiab muaj teeb meem hauv kev ua haujlwm ntawm lub paj hlwb.

Cov piam thaj hauv ntshav siab thiab cuam tshuam nrog nws cuam tshuam rau txhua txheej ntawm daim tawv nqaij: hws qog, epidermis, dermis. Ntawm cov ntshav qab zib, ntshav cov ntshav hauv cov hlab ntsha cuam tshuam, lub cev tsis muaj zog. Txhua yam no ua txhaum daim tawv nqaij, thiab khaus khaus ua rau pom kev ntawm qhov mob, mob txhab.

Daim tawv nqaij mob ntshav qab zib hauv ntshav qab zib tau muab faib ua hom:

thawjCov. Lawv yog lub txim ntawm kev mob caj dab. Cov no suav nrog cov hlwv ntshav qab zib thiab xanthomatosis, dermopathy,
theem nrabCov. Pom tshwm sim vim qhov tshwm sim ntawm cov txheej txheem ua xoos hauv lub qhov txhab tsom (pyoderma) los yog ntxiv rau ntawm qhov muaj mob fungal (candidiasis).

Ua pob khaus rau ntshav qab zib tuaj yeem tshwm sim rau ntau qhov chaw. Hauv qee qhov, nws nyob hauv ib thaj chaw, thaum nyob hauv lwm tus nws tshwm sim thoob plaws lub cev.

Ob txhais ceg yog qhov mob ntshav qab zib tsis muaj zog. Daim tawv nqaij rau lawv feem ntau nws khaus thiab peels.

Qhov xwm txheej no dhau mus rau cov ntiv taw, pob zeb thiab hauv caug. Cov npuas tshwm sim ntawm ko taw thiab xib teg. Tus kab mob pathology nthuav dav hauv lub hauv caug khoov, sab nraub qaum.

Daim tawv nqaij ntawm ob txhais ceg hloov liab, tawg. Cov tsos mob tshwj xeeb tshaj yog nyob rau hmo ntuj. Cov neeg mob dhau los ua kev npau taws vim tias lawv txom nyem los ntawm tsis muaj pw.ads-mob-2

Coob tus neeg mob qhia txog khaus khaus ntawm qhov chaw mos. Cov poj niam yws ntawm lub paum ntawm dryness, txiv neej - tshwv.

Thaum muab txauv, qhov mob txhab redden, o, mob tshwm sim. Cov neeg mob ua rau mob hnyav nyob rau ntawm qhov chaw mos.

Yog tias koj tsis soj ntsuam kev tu cev ntawm chaw mos, candidiasis tshwm sim. Cov poj niam muaj pungent tsw thiab tawm ntawm qhov paum.Yog tias daim ntawv papillomas, tus mob herpes tau koom nrog qhov mob.

Kev hnov mob ntawm qhov muag yog vim lub cev tsis muaj dej noo.

Dej tshuav nyiaj yog cuam tshuam. Txhua yam no cuam tshuam loj heev ua haujlwm ntawm lub cev. Cov neeg mob yws yws ntawm qhov muag pom tsawg dua. Ua tsis tiav cov rog ua rau lub cev ua rau poob ntawm qhov ua haujlwm ntawm kev tiv thaiv lub qhov muag los ntawm kev nqus.

Mob ntshav qab zib, qee cov neeg mob yuav ua rau muaj qhov khaus khaus loj heev xws li ua pob khaus, zoo li yog kab nkag hauv qab daim tawv.

Tib lub sijhawm, lawv comb lub dermis, nws tawg.

Staphylococci thiab streptococci txeem rau thaj chaw puas, puroc foci tshwm sim.

Yog tias tus neeg tau kuaj pom tias muaj tus kab mob ntshav qab zib, thawj qhov kev ntsuas los ua qhov xwm txheej rau cov teeb meem ntawm daim tawv nqaij yog qhov ib txwm ua rau cov pluas noj carbohydrate metabolism.ads-mob-1.

Cov kev kho mob tseem ceeb yuav tsum ua kom txo cov ntshav muaj ntshav qabzib ntau ntau. Txhawm rau txo cov kev ua kom tsis zoo, tus kws kho mob sau cov tshuaj tua kab mob, tshuaj tua kab mob rau daim ntawv cream thiab tshuaj pleev.

Txoj kev kho yog nyob ntawm thaj chaw nws khaus thiab qhov ua rau nws pom:

cream raws li prednisone yuav pab tiv thaiv qhov sib txuas ntawm perineum thiab genitalia: Laticort, Lokoid,
Mycoseptin, Lamisil, Pimafucin (hauv perineum), Clotrimazole, yuav tiv thaiv cov teeb meem fungal,
thaum pus tshwm, tshuaj tua kab mob thiab tshuaj pleev nrog cov nyhuv antihistamine siv: Gistan (hauv thaj chaw ze), Epidel, Triderm, tawv-hau.

Cov tshuaj pleev raws li corticosteroids yuav tiv thaiv kev sib txuas nrog neurodermatitis, eczema.

Kev tiv thaiv kab mob rau cov tawv nqaij suav nrog:

kev siv cov moisturizers,
hnav ris tsho uas ua los ntawm cov ntaub qhwv ntuj,
zaub mov zoo
raws sij hawm kev kho mob los txo cov ntshav qab zib,
Zam kev tshav ntuj ncaj qha.

Ua raws li kev noj zaub mov noj yog qhov tseem ceeb txuas hauv kev kho mob ntawm daim tawv nqaij mob.

Los ntawm cov khoom noj yuav tsum tau muab tshem tawm cov zaub mov muaj cov rog thiab carbohydrates.

Ua raws li cov cai no yuav txhim kho cov nqaij mob ntshav qab zib kom ntau.

Hauv cov ntawv qhia zaub mov koj yuav tsum suav nrog celery, sorrel thiab ntau yam txiv ntoo: gooseberries, aronia, cranberries. Nws yog tsim nyog xav txog cov yam ntxwv ntawm lub cev thiab tsis suav nrog cov khoom lag luam uas pab txhawb rau kev txhim kho kev ua xua.ads-mob-2

Cov zaub mov hauv qab no tuaj yeem siv los ua cov kev kho mob:

lotions nrog decoctions ntawm sage, chamomile,
linden Txoj kev lis ntshav,
decoction los ntawm cov hauv paus hniav ntawm elecampane,
Txoj kev lis ntshav ntawm rye nplej.

Cov roj ntsha yuav ua kom qhov khaus khaus khaus; qhov siv tau los so qhov chaw mos. Tsis tas li, cov dej tshiab ntawm cov kua thiab qos yaj ywm tau siv rau cov laj thawj no. Ua ntej yuav mus pw, koj tuaj yeem da dej nrog nettle Txoj kev lis ntshav.

Hais txog cov tawv nqaij khaus nrog ntshav qab zib hauv video:

Qhov ua rau muaj teeb meem dermatological nrog rau kev nce ntxiv hauv cov ntshav qab zib yog txhaws ntawm cov hlab ntsha thiab nyuaj rau tshem tawm cov co toxins tawm hauv lub cev. Ua pob khaus tawv nqaij nrog ntshav qab zib ua rau mob qhov txhab uas tsis yooj yim los kho. Cov neeg mob sib zog ua lub dermis thaum tsaus ntuj, ua rau mob lawv tus kheej.

Tus kws kho mob, nyob ntawm qhov chav kawm ntawm tus kab mob, yuav tshaj tawm cov tshuaj pleev kom ntub, lossis cov tshuaj uas muaj cov tshuaj tua kab mob thiab tshuaj tua kab mob. Cov kev ntsuas no yuav ua rau muaj txiaj ntsig zoo thaum ua raws li cov zaub mov muaj roj tsawg thiab tswj cov ntshav muaj ntshav qab zib ib txwm nyob.

Stabilizes qib qab zib kom ntev
Rov kho cov tshuaj insulin pancreatic

Potemkin, V.V. Xwm txheej ceev hauv chaw kho mob ntawm cov kab mob endocrine / V.V. Potemkin. - M.: Tshuaj, 1984. - 160 p.
Pervushina, E.V. Mob ntshav qab zib thiab nws txoj kev tiv thaiv. Endocrine system / E.V. Pervushina. - M .: Amphora, 2013 .-- 913 p.
Mob ntshav qab zib Briscoe Paul. Cov lus nug thiab lus teb (txhais los ntawm lus Askiv). Moscow, Kron-Xovxwm Luam Tawm Tsev, 1997, 201 nplooj ntawv, ncig ntawm 10,000 daim ntawv luam.

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau dua 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm.Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, yuav tsum tau sab laj nrog tus kws kho mob tshwj xeeb.

Ntawm daim tawv nqaij mob txhab

Kev tu tawv nqaij yog qhov tseem ceeb heev rau cov neeg muaj ntshav qab zib. Ntshav tawv nqaij feem ntau txom nyem los ntawm cov kab mob sib kis uas feem ntau muaj ntawm cov mob ntshav qab zib. Txij li cov ntshav qab zib cuam tshuam txog ntshav ncig thiab txo qis cov hlab ntsha hauv lub siab, qhov no ua rau nws nyuaj rau tshawb nrhiav teeb meem ntawm daim tawv nqaij.

Mob neuropathy mob ntshav qab zib txhais tau hais tias qhov mob txhab nqaij nyob rau hauv ntshav qab zib tsis tau txhais tau lossis tsis yog nyob rau theem uas lawv tuaj yeem ua rau muaj mob loj.

Vim li cas cov ntshav qab zib thiaj li yuav ntxim rau tawv nqaij?

Cov neeg muaj ntshav qab zib feem ntau hnov cov kua dej tawm vim yog cov ntshav qabzib ntau, uas tuaj yeem ua rau tawv nqaij qhuav ntawm lawv ob txhais ceg, lauj tshib, ob txhais taw, thiab lwm qhov hauv lub cev.

Cov tawv nqaij qhuav tuaj yeem tawg, thiab cov kab mob microbes tuaj yeem ua rau kis kab mob tuaj yeem nkag mus rau cov chaw muaj kab mob no, txhais tau hais tias kev saib xyuas ntawm daim tawv nqaij ntawm cov ntshav qab zib yog qhov kev txhawj xeeb tseem ceeb.

Cov teeb meem kev saib xyuas cov tawv nqaij me me tuaj yeem hloov mus rau qhov mob ntshav qab zib tsis txaus, xws li mob caj pas mob ntshav qab zib, uas tuaj yeem ua rau txiav tes taw. Daim tawv nqaij rau cov ntshav qab zib yuav tsum raug tswj nyob rau hauv kev mob zoo thiab yuav tsum yog ib qho tseem ceeb hauv kev tiv thaiv rau cov neeg muaj ntshav qab zib

Lipoid necrobiosis

Lipoid necrobiosis cuam tshuam rau sab ceg qis thiab tshwm sim nrog ntshav qab zib maj mam. Qhov no yog ib qho quav hniav thaj chaw uas muaj peev xwm hloov xim txawv ntawm daj mus rau xim av.

Ntshav qab zib cov tawv nqaij hauv thaj chaw no tuaj yeem ua kom nyias thiab mob plab. Thaum tau siv tshuaj kho tus mob no, qhov mob yuav tawm ib qho caws pliav. Cov ua kom mob lipoid necrobiosis tsis paub meej, tab sis nws cuam tshuam rau ntau ntawm cov neeg muaj ntshav qab zib hom 1.

Raws li tau hais txog, lipoid necrobiosis feem ntau tshwm ntawm ob txhais ceg, feem ntau ntawm ob sab, tab sis tuaj yeem tshwm rau ntawm txhais tes, caj npab, thiab pob tw ntawm tus neeg mob ntshav qab zib.

Qhov ua rau lipoid necrobiosis tsis paub thiab, txawm hais tias tus kab mob no feem ntau yuav tshwm sim tiv thaiv keeb kwm yav dhau los ntawm kev raug mob me me, pob txha los yog nqaij doog, hauv ntshav qab zib mellitus nws tuaj yeem tshwm rau qhov tsis muaj laj thawj.

Li ntawm ib nrab ntawm txhua tus neeg cuam tshuam los ntawm lipoid necrobiosis yog hom ntshav qab zib hom 1, txawm hais tias qhov feem pua ntawm cov neeg cuam tshuam los ntawm cov tawv nqaij no muaj tsawg dua 1%.

Txoj hauv kev zoo tshaj rau kev tiv thaiv lipoid necrobiosis yog tu kom zoo rau koj cov tawv nqaij. Daim tawv nqaij rau ntshav qab zib yuav tsum tau kho nrog cov dej noo, siv cov xab npum nruab nrab thiab ntxuav cov tawv nqaij tom qab ntxuav tas.

Yog tias koj twb tau khwv nyiaj lipoid necrobiosis, qhov zoo tshaj plaws yog ua yog nrhiav kev tawm tswv yim ntawm koj tus kws kho mob. Tiv thaiv thaj chaw muaj mob, ua kom daim tawv nqaij noo, huv si thiab zoo - qhov no yuav pab txo qis lipoid necrobiosis hauv ntshav qab zib.

Muaj qee kis, koj tuaj yeem siv pleev ua kom zais cov xwm txheej yog tias koj txaj muag, tab sis cov tshuaj pleev ib ce tuaj yeem ua rau hnyav dua lipoid necrobiosis. Nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob ua ntej siv kev tawm tsam.

Lipohypertrophy

Lipohypertrophy yog ib hom kab mob ua kom tawv nqaij uas cuam tshuam rau cov ntshav qab zib mob ntshav qab zib. Nws yog qhov cim los ntawm cov roj ntau ntawm cov ntsaws ruaj ruaj rau ntawm daim tawv nqaij uas tshwm sim yog tias ntau qhov kev txhaj tshuaj ntawm cov tshuaj insulin nyob rau ntawm qhov tam sim no. Lipohypertrophy kuj cuam tshuam nrog kev nqus insulin

Lipohypertrophy hauv cov ntshav qab zib tuaj yeem tiv thaiv tau yooj yim nrog kev hloov chaw mus txhaj tshuaj ib zaug, zaws thiab lub cev.

Acanthosis dub

Tus mob no yog qhov tshwm sim ntau thiab feem ntau ua tau nws tus kheej tias qhov tawv nqaij dub hauv qee qhov chaw ntawm lub cev uas tawv nqaij deformed. Qhov no feem ntau yog caj dab, qhov tso, puab tais thiab pob qij txha ntawm caj npab thiab ceg. Cov tawv nqaij tuaj yeem dhau los ua cov tuab tuab thiab ntau voluminous, khaus thiab ua paug.

Acanthosis dub hauv ntshav qab zib yog ntseeg tau tias qhov pom ntawm insulin tsis kam.

Ntshav qab zib saib xyuas cov tawv nqaij cov lus qhia

Kev tu tawv nqaij rau cov neeg muaj ntshav qab zib tsis yog qhov sib txawv ntawm qhov yuav tsum tau ua rau cov neeg uas tsis muaj ntshav qab zib. Txawm li cas los xij, qee cov lus qhia ntxiv ntawm kev tu tawv nqaij tuaj yeem pab ua kom zoo thiab tswj cov tawv nqaij noj qab haus huv zoo rau ntshav qab zib. Siv cov tshuaj ntxuav tes me me, nruab nrab thiab ua kom koj tau qhuav tom qab da dej tas. Txoj haujlwm ntawm kev ziab tawm tuaj yeem suav nrog kev ua kom tiav ntawm daim tawv nqaij ntawm cov ntiv taw, hauv qab qhov tso, thiab lwm qhov chaw uas cov dej seem yuav zais. Siv cov tshuaj lotion pleev uas yuav ua rau koj cov tawv nqaij mos thiab ntub. Hom lee no muaj ntau heev thiab yog qhov tseeb rau kev tu tawv nqaij mob ntshav qab zib. Hws noo koj lub cev los ntawm kev haus dej ntau - qhov no tuaj yeem pab ua kom koj cov tawv nqaij noo thiab noj qab haus huv. Hnav cov mos orthopedic ris tsho ua los ntawm 100% paj rwb - qhov no tso cai rau koj kom nqus tau koj cov tawv nqaij nrog dej ntws ntawm huab cua. Sim hnav cov thom khwm tshwj xeeb thiab khau, tshwj xeeb yog tias koj mob neuropathy thiab txhawj xeeb txog kev saib xyuas cov tawv nqaij. Them sai sai rau txhua qhov chaw qhuav lossis liab ntawm daim tawv nqaij uas mob ntshav qab zib, thiab tam sim ntawd mus rau kws kho mob, vim kev ncua sijhawm tuaj yeem ua rau koj nqi ntau.

Yog tias koj tsis quav ntsej qhuav, tawg ntawm daim tawv nqaij rau ntshav qab zib txawm tias lub sijhawm luv luv, nws tuaj yeem ua rau tus kab mob uas tuaj yeem hloov mus sai sai.

Daim tawv nqaij yuav tsum tau muab kev pabcuam zoo

Cov tawv nqaij, nrog rau lub xeev ntawm txhua yam kabmob, muaj feem cuam tshuam los ntawm yam koj noj. Tsis muaj cov tshuaj pleev ib ce yuav cuam tshuam koj cov tawv nqaij xws li khoom noj khoom haus. Cov vitamins A thiab C yog qhov muaj txiaj ntsig zoo tshwj xeeb rau cov tawv nqaij.

Yog li, vitamin C tuaj yeem tiv thaiv kev laus ua ntej ntawm daim tawv nqaij, yog qhov tsim nyog rau nws txoj kev noj qab haus huv thiab muaj cov kab mob antibacterial. Cov ntxhia zinc kuj tseem muaj txiaj ntsig zoo rau daim tawv nqaij: nws txhawb kev kho kom zoo dua qub thiab muaj peev xwm tiv taus kab mob.

Peb lub cev ua cov roj ntuj, sebum, uas kov qhov tawv nqaij thiab tsim txoj hauv kev tiv thaiv tawm tsam cov kab mob sab nraud. Tom qab 30 xyoo, sebum tsim tawm tsawg dua, vim tias peb cov tawv nqaij ua qis dua thiab yuag ntawm cov txheej tiv thaiv tshwm sim.

Txawm hais tias qhov tseeb ntawm daim tawv nqaij pib zuj zus nrog lub hnub nyoog, nws tuaj yeem qhuav tau thaum muaj hnub nyoog. Cov kev tshawb fawb tsis ntev los no tau qhia tias kwv yees li 39% ntawm cov neeg nyob hauv UK yws yws ntawm daim tawv nqaij qhuav, ntawm uas 22% raug kev txom nyem los ntawm cov tawv nqaij los yog ua xua. Tab sis kev tu kom zoo thiab haus dej pab kom txhim kho kev noj qab haus huv ntawm daim tawv nqaij.

Qhuav ntawm daim tawv nqaij

Cov neeg muaj ntshav qab zib feem ntau muaj teeb meem daim tawv nqaij. Qhov laj thawj tseem ceeb yog cov piam thaj hauv ntshav hloov. Nrog rau kev tswj ntshav qab zib kom zoo, cov neeg muaj ntshav qab zib muaj teeb meem daim tawv nqaij tsawg dua. Nrog rau cov ntshav qab zib hauv lub siab, lub cev poob ntau dhau, uas txhais tau hais tias daim tawv nqaij tseem ua rau lub cev qhuav dej, ua rau koj cov tawv nqaij kom qhuav.

Thiab yog tias koj muaj cov ntshav siab cov ntshav qab zib, tom qab ntawd koj lub cev muaj qhov qis dua qub tuaj yeem tiv thaiv kev kis kab mob thiab yog li kho tau tsawg dua. Qhov no tuaj yeem ua rau muaj kev pheej hmoo ntawm daim tawv nqaij kis, rwj thiab pob ntxau tuaj yeem tshwm rau ntawm daim tawv nqaij, qhov kho kom zoo uas yuav siv sijhawm ntev heev.

Cov neeg muaj ntshav qab zib muaj qhov tsis haum ntshav siab muaj qhov tawm hws tsawg dua, tshwj xeeb yog qis qis, thaum lub ntsej muag, caj dab thiab lub cev sab sauv.

Ntiv tes o

Koj cov ntiv tes tuaj yeem dhau los ua mob vim qhov tseeb tias thaum koj ntsuas ntshav qab zib, koj feem ntau hno lawv, tshwj xeeb yog tias koj tho qhov ntiv tes. Sim ua kom chob koj cov ntiv tes los ntawm sab, maj mam hloov.

Koj muaj kaum ntawm lawv - siv lawv lem.Yog tias koj cov ntiv tes raug mob, koj yuav tsum xyuas seb rab koob puas chwv koj cov ntiv tes tob dhau. Yog tias koj ob txhais tes thiab ntiv tes qhuav thiab tev tawv, noo noo yuav pab tau.

Qhov kev tsis txaus siab no yog concomitant mob ntshav qab zib, necrobiosis tshwm sim los ntawm kev hloov pauv hauv cov tawv nqaij muaj feem cuam tshuam nrog kev tso ntshav ntws los ntawm cov hlab ntsha. Ib qho kev txaus siab ntawm cov mob necrobiosis yog o, mob ntxau (me ntsis). Txhua yam no tuaj yeem ua rau mob thiab khaus. Nrog rau cov tsos mob zoo li no, koj yuav tsum sab laj nrog kws kho mob sai.

Mob ntshav qab zib tuaj yeem ua rau ntshav khiav tsis zoo. Kev haus luam yeeb ua rau muaj yeej thiab ua txhaum ntawm lub cev ntawm cov hlab ntsha siab thiab nyiam kom muaj kev cuam tshuam hauv lawv cov ntshav ncig, vim tias qhov twg txiav thiab nrawm dua qeeb, thiab tseem haus luam yeeb tiv thaiv kev nyiam ntawm oxygen thiab cov khoom noj muaj txiaj ntsig rau hauv cov ntshav.

Txawm tias tsis muaj ntshav qab zib, kev haus luam yeeb ib leeg ua rau muaj teeb meem ntawm daim tawv nqaij, xws li qhuav ntawm daim tawv nqaij, uas feem ntau cuam tshuam rau daim tawv nqaij ncig lub qhov muag. Yog tias koj tsis tuaj yeem tso tseg tsis haus luam yeeb hlo, sim kom tsawg kawg ntawm cov luam yeeb koj haus luam yeeb.

Yog tias koj xav txhim kho kev mob ntawm koj cov tawv nqaij, tom qab ntawd qhov zoo tshaj plaws uas koj tuaj yeem ua yog tso tseg kev haus luam yeeb.

Ua xua rau insulin

Kev ua xua rau cov insulin yog qhov tsawg. Yog tias nws zoo li rau koj tias qee yam hom insulin ua rau ua rau muaj kev tsis haum tshuaj nyob hauv koj, ces qhov no feem ntau yuav yog vim cov khoom siv ntxiv los ntawm cov tuam txhab tshaj li cov insulin nws tus kheej. Yog li ntawd, tsis txhob ntshai.

Koj thawj koom ruam zoo tshaj plaws yog hloov koj hom insulin tom qab sab laj nrog koj tus kws kho keeb endocrinologist ua ntej. Kuj kuaj xyuas seb koj ua qhov kev txhaj tshuaj li cas, yog tias rab koob tsis nkag rau hauv daim tawv nqaij qis, qhov no tseem tuaj yeem ua rau voos, thiab nkag mus tob dhau tuaj yeem tawm hauv qhov tawv nqaij.

Cov neeg muaj ntshav qab zib tau paub tias lawv txhais taw yuav tsum tau saib xyuas kom zoo. Cov ntshav qab zib siab feem ntau ua rau kev puas tsuaj rau cov hlab ntawm cov ceg thiab taw. Yog tias koj txoj hlab ntaws tsis zoo, tom qab ntawm thaj chaw ntawm kev puas tsuaj lawv tsis hnov mob, kub, txias.

Tag nrho cov ntawm no yog cov tsos mob ntawm tus mob neuropathy. Cov piam thaj hauv ntshav siab cuam tshuam cov txheej txheem ntshav ncig, tiv thaiv kev thauj ntshav mus rau ceg thiab ko taw. Yog li ntawd, qhov mob thiab qhov txhab zoo kho kom ntev. Koj ob txhais ceg yuav tsum tau saib xyuas zoo, txawm tias qhov mob me me nyob hauv ntshav qab zib tuaj yeem ua rau txiav tes txiav.

Ulcers tuaj yeem tshwm sim los ntawm coj khau tsis xis. Yog tias qhov leeg puas tam sim no, tom qab ntawv koj yuav tsis hnov qhov ntsej ntawm mob txhab, yog li kev pheej hmoo kis tus mob kuj nce ntxiv. Kev ua kom ntshav khiav tsis zoo tseem yuav ua kom lub cev muaj zog tiv thaiv kab mob. Yog tias koj muaj qhov mob txhab, tom qab ntawd koj yuav tsum mus ntsib kws kho mob sai sai, vim tias qhov txhab ua kom sai sai.

Tsis tas li, qhov mob rwj tuaj yeem tsim nyob rau hauv ib txheej txheej ntawm cov tawv nqaij tuag, yog li koj yuav tsum tau mus ntsib kws kho mob ntau zaus (hauv chav Diabetic Foot), leej twg yuav kuaj xyuas koj ob txhais ceg thiab tshem tawm cov tawv nqaij tuag.

Cov qhov txhab thiab nqaij to

Qhov tseeb, koj yuav tsum tsis txhob ntseeg tias yog tias koj muaj ntshav qab zib thiab koj txiav koj tus kheej, ces koj lub qhov txhab yuav zoo mus ntev. Yog tias koj tswj koj cov ntshav qab zib, tom qab ntawd koj cov qhov txhab thiab khawb yuav tsis zoo ntev dua li cov neeg tsis muaj ntshav qab zib. Tab sis tseem, qhov txhab yuav tsum tau kho tam sim ntawd.

Ntxuav cov kev txiav nrog dej thiab xab npum, ua tib zoo ziab thiab siv ib daim ntaub qhwv tsis huv. Yog tias koj lub qhov txhab tab sis ua rau koj txhawj xeeb, ces mus ntsib kws kho mob.

saib xyuas koj cov ntshav qab zib kom siab (4-7 mmol / l, nce ntxiv rau 10 rau lub sijhawm luv luv tom qab noj mov) haus dej ntau ntxiv kom cov tawv nqaij noo hauv sab hauv. da dej thiab da dej hauv dej sov, zoo li dej sov ua rau tawv nqaij. Kuj sim tsis txhob ua npuas dej da dej thiab tsis txhob txhuam cov tawv nqaij ntau nrog xab npum, vim tias qhov no kuj ua rau poob ntawm cov roj los ntawm cov khaubncaws sab nraud povtseg ntawm daim tawv nqaij, uas ua rau tev tawv nqaij.so kom huv si tom qab da dej los yog da dej thiab xyuas seb koj puas liab lossis tawv me ntawm koj cov tawv nqaij, vim lawv xav tau kev saib xyuas tam sim ntawd. hnav cov paj rwb hauv qab, raws li nws, tsis zoo li hluavtaws, tso cai rau huab cua hla. ntsib kws kho mob yog tias koj txhawj xeeb txog koj cov tawv nqaij mob

Thaum koj ntxuav koj txhais taw, nco ntsoov tias dej tsis kub heev, thiab muab cov ntiv taw los so kom huv si. Kuaj koj txhais taw txhua hnub rau o, liab, hlwv, hu, thiab lwm yam. yog tias koj ob txhais taw muaj cov tawv nqaij qhuav, siv ntau yam moisturizers lossis ko taw, tab sis tsis txhob txhuam lawv ntawm koj cov ntiv tes, vim tias cov av noo ntau tuaj yeem ua rau kis tau. Nyob rau hauv tsis muaj mob tsis txhob sim kho cov pob txha thiab cov hu tib yam rau koj tus kheej, qhia lawv rau tus kws kho mob. yog tias koj muaj ntshav qab zib, tom qab ntawv xyuas koj ob txhais ceg zoo zoo thaum koj saib xyuas koj cov ntshav qab zib.

Cov lus nug rau kws kho mob

Cov teeb meem hauv qab no yog kev txhawj xeeb: txog rau lub hlis dhau los, pob pib ntawm lub ntsej muag: thawj zaug ntawm sab plhu (thiab qee qhov tsuas yog sab xis), tom qab ntawd hauv pliaj. Qhov kev kho mob los ntawm tus kws tshaj lij tsis muaj kev cuam tshuam, tej zaum nws yog qhov teeb meem ntawm qhov sib txawv, piv txwv li ntshav qab zib?

Tej zaum nws yuav zoo. Tseeb, nrog rau cov ntshav qab zib, cov piam thaj accumulates ua ntej hauv cov ntshav, tom qab ntawd tsub kom vascular permeability thiab nkag mus rau cov ntaub so ntswg, zeem cia muaj thiab muaj cov txiaj ntsig tsis zoo. Cov kev hloov no siv rau txhua daim ntaub ntawm lub cev, suav nrog daim tawv nqaij.

Yog li, koj yuav tsum tau ua qhov kev tshawb nrhiav ntawm kev yoo ntshav cov piam thaj (los ntawm cov ntiv tes los yog los ntawm cov leeg ntshav), nrog rau kev kawm txog cov ntshav qab zib tom qab thawb 75 g suab thaj - kuaj ntshav qabzib. Txhawm rau ua cov kev tshawb fawb no, koj yuav tsum noj li niaj zaus, uas yog, tsis muaj kev noj haus, tsawg kawg 3 hnub.

Ua ntej txoj kev tshawb no, uas tau ua thaum ntxov thaum sawv ntxov ntawm lub plab khoob, koj yuav tsum yoo mov thaum hmo ntuj rau 10-14 teev. Koj tuaj yeem haus cov dej huv, tab sis koj tsis tuaj yeem noj ib yam dab tsi, nrog rau kev txhuam koj cov hniav nrog cov muaj qab zib. Nrog rau cov txiaj ntsig ntawm kev tshawb fawb, koj yuav tsum hu rau tus kws kho qhov muag endocrinologist uas yuav ntsuas qhov tshwm sim thiab xaiv cov kev tawm tsam ntxiv rau kev kuaj mob thiab kev kho mob.

Kuv raug mob ntshav qab zib hom 1. Kuv paub hais tias tus kab mob no tsis zoo thiab thoob plaws lub cev muaj mob. Yog li no, Kuv sim ua raws kev noj haus thiab ua raws txhua qhov lus pom zoo ntawm kws kho mob. Tsis ntev los no, Kuv pom tias daim tawv nqaij ua rau qhuav me ntsis. Thov qhia kuv seb yuav tu nws li cas thiaj li nws noj qab nyob zoo?

Nrog rau cov ntshav qab zib, txhua yam ntawm cov txheej txheem metabolic raug kev txom nyem, tshwj xeeb tshaj yog carbohydrate. Cov kev ua txhaum cai no tsuas tsis tuaj yeem cuam tshuam rau kev noj qab haus huv ntawm daim tawv nqaij - nws dhau los ua kom qhuav, plam elasticity, nquag nquag ua haujlwm xws li furunculosis thiab mob fungal.

Tsis tas li ntawd, cov tawv nqaij qhuav thiab tawv nqaij yog qhov yooj yim dua raug mob, thiab cov kev raug mob uas twb muaj lawm kho tau ntau qeeb dua thiab kis tau yooj yim. Txoj kev ua rau cov txheej txheem hloov kho yog qhov nyuaj rau kev kho, nquag hloov mus rau daim ntawv uas muaj mob ntev, thiab feem ntau yog qhov nyuaj.

Yog li, kev tu tawv nqaij rau cov ntshav qab zib yog qhov tseem ceeb heev - sim ua raws li cov cai hauv qab no thiab qhov kev pheej hmoo ntawm kev txhim kho ntau yam mob rwj, mob qog thiab lwm yam, yuav txo qis.

Yog li, sim tsis txhob siv xab npum (vim nws tsuas yog ua kom qhuav dej) rau koj cov chav dej txhua hnub (thaum ntxuav, da dej) lossis siv cov xab npum nruab nrab. Txoj phuam ntxuav muag yuav tsum muag muag maj mam kov cov tawv nqaij kom tsis txhob ua kom tawv nqaij ntxiv.

Rau lub tsev plob tsis siv neeg, xaiv cov xab npum tshwj xeeb nrog cov kua qaub tsim nyog, txij li lawv muaj lub zog ntawm thaj chaw no thiab tsis muaj qhov ziab lossis tsis zoo.

Lub qhov ncauj kab noj hniav tseem yuav tsum tau ua tib zoo saib xyuas thiab tsis txhob saib xyuas: tsis txhob cia microdamage rau mucosa, nco ntsoov tias txawm tias microtrauma tsis muaj mob muaj lub sijhawm muaj qhov hloov pauv mus rau hauv cov txheej txheem mob hnyav.Ntxiv mus, txhuam koj cov hniav ob zaug ib hnub thiab mus ntsib koj tus kws kho hniav tsis tu ncua.

Tshawb xyuas daim tawv nqaij txhua hnub, tshwj xeeb tshaj yog rau cov tawv nqaij ntawm lub taw. Them sai sai rau cov yam ntxwv ntawm kev saib xyuas ntsia thawv tu: tsis txhob txiav luv luv, tsis txhob txo cov fab, nyiam siv cov ntsia hlau ntsia thawv tsis siv txiab.

Thaum xaiv khaub ncaws thiab khau, muab kev nyiam rau cov khoom uas ua los ntawm cov ntaub ntuj. Them nyiaj tshwj xeeb rau cov khau - lawv yuav tsum tob haum koj (tsis txhob thawb, tsis txhob txhuam).

Zoo, ntawm chav kawm, ntxiv rau kev tu cev nqaij daim tawv kom huv, nws yog qhov tseem ceeb heev, Kuv xav hais tias, qhov tseem ceeb uas yog nruj tswj hwm ntawm cov ntshav qab zib cov ntshav qib.
Mus ntsib koj tus kws kho qhov muag endocrinologist tsis tu ncua thiab ua raws li nws cov lus pom zoo hais txog tshuaj noj thiab noj haus. Txhua qhov zoo tshaj plaws!

Nyob zoo Cov pob liab liab tau tshwm sim rau ntawm ib leeg ntawm ob txhais ceg, Kuv tseem hnov qee qhov kev hnov mob tawv nqaij, thiab thaum tsaus ntuj kuv txhais ceg pib mob heev. Tus kws kho mob, dab tsi yog cov pob thiab yuav kho lawv li cas? Thiab tseem, Kuv tau mob nrog cholecystitis, gastritis thiab ntshav qab zib, tej zaum qhov no tseem ceeb.

Nyob zoo thaum lub sijhawm, Sofia! Nws yog qhov ua tau los txiav txim siab ua cov txiaj ntsig cov tsos ntawm me ntsis tsuas yog tom qab kuaj ncaj qha. Kuv xav kom koj mus kom sai li sai tau rau kev sib tham tag nrho-sijhawm nrog cov kws tshaj lij, vim nws yog qhov ua tau tias koj tau txhim kho kev tsis txaus ntseeg ntawm polyneuropathy tawm tsam keeb kwm ntawm ntshav qab zib mellitus.

Muaj kev pheej hmoo rau nws tshwm sim yog muaj ntau dua glycemia (ntshav qab zib hauv cov ntshav qab zib), ntshav qab zib "kev paub", muaj lwm cov kab mob ntev hauv lub cev (rog dhau los), nrog rau kev tsim txom tsis zoo (haus dej cawv, nicotine).

Hauv cov kab mob no, cov hlab ntaws ua rau muaj kev cuam tshuam, uas tau tshwm sim los ntawm tingling hauv qhov kawg, mob, feem ntau ua rau kev tsaus ntuj thaum tsaus ntuj, loog thiab poob ntawm qhov hnov, zoo nkaus li mob khaub thuas thiab txias nyob rau hauv qhov kawg, o ntawm taw, nrog rau kev hloov ntawm daim tawv nqaij - dryness, tev, liab ntawm ib leeg ntawm ko taw, kev tsim ntawm tus mob pob txha thiab qhib nqaij.

Kev kuaj mob zaum kawg tsuas yog ua los ntawm tus kws kho paj hlwb tom qab ntau txoj kev tshawb fawb ntxiv (ntau cov kev soj ntsuam neurological thiab kuaj kev ua haujlwm los txiav txim siab txhua yam rhiab - nruj, ntsuas kub thiab qhov mob). Yog li, tsis txhob ncua sijhawm mus ntsib kws kho mob, nco ntsoov lub sijhawm los ua kom tau txais txiaj ntsig zoo yog ncaj qha sib npaug rau lub sijhawm sijhawm ntawm kev kho mob pib.

Txoj kev kho yog tus neeg thiab muaj:

kev ua haujlwm ntawm cov ntshav qabzib hauv lub cev, kev noj zaub mov kom zoo thiab tshem tawm cov kev coj ua tsis zoo (nicotine, haus dej cawv), kev tso cai ntau tshaj plaws ntawm lub cev, kev noj haus tsis tu ncua ntawm alpha-lipoic acid, vitamins thiab antioxidant, yog tias tsim nyog, tshuaj kho mob, tshem tawm ntawm qaug dab peg hauv cov ceg tawv, kho cov mob ko taw thiab kho cov kab mob sib kis, tsis txhob nco qab kev txhim kho ntawm tus kab mob xws li txha, prophylactically noj vitamins thiab minerals, thiab tseem nco ntsoov tias koj nkawm khau tsis nruj huag thiab xis.

Nco ntsoov tias cov lus qhia ib txwm hais tias cov xovtooj ntawm lub paj hlwb tsis rov qab yog, hmoov tsis, qhov tseeb qhov tseeb, yog li them nyiaj tshwj xeeb rau kev kuaj mob raws sij hawm ntawm tus kab mob no.

Kuv cov tawv nqaij nws khaus heev thiab cia li thoob kuv lub cev, Kuv xav tias qhov ua rau nws tuaj yeem ua kom ntshav qab zib, tuaj yeem ua dab tsi kom tsis txhob muaj teeb meem?

Zoo thaum tav su, Eugene! Koj hais yog lawm, ntshav qab zib yuav ua rau khaus. Qhov tseeb yog tias mob ntshav qab zib txhua yam ntawm cov metabolism hauv kev txom nyem, feem ntau cov carbohydrate, lipid (rog). Qhov no ib txwm muaj kev cuam tshuam cov mob ntawm daim tawv nqaij, vim hais tias nws cov khoom noj khoom haus hauv qhov no tsis sib haum xeeb.

Cov tawv nqaij yuav dhau los, ua rau poob tawv, muaj qhov khaus khaus. Nws yog qhov khaus no uas qee zaum dhau los ua thawj qhov tsos mob ntawm tus mob ntshav qab zib.Kev sib xyaw ntawm qee yam mob ntawm daim tawv nqaij (piv txwv li, feem ntau tsis pom los ntawm khaus heev) thiab mob ntshav qab zib (txhim kho qhov khaus khaus) kuj ua tau.

Txawm li cas los xij, koj yuav tsum mus rau tus kws kho qhov muag endocrinologist thiab tshuaj xyuas - txhawm rau txiav txim siab theem ntawm cov piam thaj hauv qab thiab tom qab noj 75 g ntawm cov piam thaj (kuaj ntshav qabzib kuaj - GTT). Nws tseem tsim nyog mus ntsib kws kho mob tawv ncauj kom tsis txhob nco ib qho ntawm ntau cov kab mob ntawm daim tawv nqaij. Tom qab kuaj xyuas, cov kws tshwj xeeb yuav muab tag nrho cov lus qhia uas tsim nyog rau koj uas yog tsim kev kuaj mob. Tsis txhob ncua sijhawm mus ntsib kws kho mob!

Qhia rau kuv, thov, qhov twg thiab tus kws kho mob twg Kuv xav tau hu rau. Qhov tseeb yog tias kuv pheej muaj pwm mob ntawm ib leeg, nruab nrab ntawm tus ntiv tes thiab rau tes - Kuv raug kho, luag nyav, Kuv ua txhua yam kev da dej nyob ntawd, tab sis nws pab tsuas yog rau ib lub sijhawm luv. Thiab tsis ntev los no, daim tawv nqaij rau tag nrho lub cev tau ua kom qhuav thiab khaus. Puas yog tej zaum cov fungus twb kis tau thoob plaws daim tawv? Ua tsaug rau koj

Nyob zoo thaum tav su, Irina! Koj lub zwj ceeb tam sim no yuav tsum muaj kev kuaj mob tshwj xeeb thiab kev kuaj mob nyhav. Thiab nws tsim nyog pib, xav tsis thoob, tsis yog los ntawm kws kho mob nqaij daim tawv, tab sis ua ntej txhua yam koj yuav tsum mus ntsib tus kws kho qhov muag endocrinologist.

Feem ntau rov ua mob fungal, qhov kev xav ntawm daim tawv nqaij qhuav thiab khaus tas li tuaj yeem yog thawj cov tsos mob ntawm tus kab mob xws li mob ntshav qab zib. Yog li, tsis txhob laug sij hawm mus ntsib kws tshaj lij!

Feem ntau yuav, koj yuav tau muab cov kev sim hauv qab no los pib: kev kuaj ntshav thiab tso zis, ntshav qab zib thiab ntshav qab zib, ntsuas ntshav ntawm lub txiav, kab mob tso zis raws li Zimnitsky, nrog rau kev tshawb bacteriological ntawm scraping los ntawm thaj tsam fungal ntawm daim tawv nqaij.

Tom qab ntawd, yog tias kev kuaj mob ntshav qab zib tau paub meej, kev kho mob, ua ntej txhua yam, yuav tsom rau kev txhim kho cov metabolism hauv carbohydrate. Thiab tsuas yog tom qab ntawd tus kws kho dermatologist yuav muab tshuaj rau koj, raws li kev tshawb fawb bacteriological, tshuaj tua kab mob. Kev kho Vitamin thiab kev siv tshuaj tiv thaiv immunostimulants yuav tsis ua superfluous.

Thiab tseem, xyuam xim rau kev tiv thaiv kev tiv thaiv: nco ntsoov hnav thom khwm lossis ris ntev, tsis muaj qhov xwm txheej coj lwm tus khau, mus saib chav da dej, sauna lossis pas dej da tsis poob, hnav khau (roj hmab, ntxhua khaub ncaws).

Feem ntau, yog tias koj nquag mus xyuas pas dej, da dej, saunas, tso dej rau pej xeem, ces nws raug nquahu kom muaj kev tiv thaiv kev tiv thaiv - siv cov tshuaj tua kab mob ib zaug. Thiab tseem, hauv cov neeg mob uas tau mycosis ntawm tus taw yav dhau los, nws raug nquahu kom ua txoj haujlwm me me ntawm kev tiv thaiv kev rov qab los so hauv lub caij ntuj sov (2-3 chav kawm ntawm 2 lub lis piam nrog 7 hnub nruab nrab ntawm lawv).

Kuv tau tsis ntev los no tau hnov qhov zawm tawv nqaij, thiab nws tau dhau los ua qhuav thiab qee zaum khaus! Kuv tsis siv tshuaj pleev ib ce, Kuv tsis ziab tshav thiab ib txwm saib xyuas kuv kev noj qab haus huv. Thov qhia kuv, dab tsi yuav ua rau cov tawv nqaij qhuav li no?

Lub tshuab heev ntawm cov tawv nqaij qhuav (xerosis) muaj raws li hauv qab no. Nws paub tias cov xwm txheej no cuam tshuam nrog rau cov yam zoo li no: lub cev qhuav dej ntawm txheej sab saud ntawm daim tawv nqaij thiab hloov ntau zaus ntawm cov kab mob epithelial, uas ua rau muaj kev ua txhaum ntawm kev tiv thaiv cov tawv nqaij.

Cov tawv nqaij qhuav tsis yog tus kab mob ywj pheej, tab sis ua tsuas yog ua ib qho ntawm cov tsos mob ntawm qee qhov mob pathological. Qhov tseeb, muaj ntau ntau yam ua rau lub siab tawv.

Ntawm no tsuas yog cov tshuaj tseem ceeb: tsis muaj cov vitamins (A thiab PP), cov tshuaj tiv thaiv hormonal (hypothyroidism), mob ntev ua rau qaug dej cawv (haus dej cawv, tshuaj lom neeg), cov teeb meem metabolic, cov kab mob mus ntev ntawm lub cev (kab mob siab, pancreatitis, cholecystitis, lub raum tsis ua haujlwm), ntau yam ua xua thiab dermatological kab mob.

Cov tawv nqaij qhuav tuaj yeem yog qhov mob tshwm sim los ntawm kev kho mob (tev tawm, laser tawv muag, dermabrasion).Yog li, nws yooj yim heev thiab tsis pom tseeb uas tsis muaj kev soj ntsuam kom zoo, Kuv tsis tuaj yeem txiav txim siab ua kom tawv nqaij qhuav hauv qee kis tshwj xeeb.

Nws yog qhov yuav tsum tau sab laj nrog kws kho mob nqaij daim tawv, tus kws kho pob tes taw endocrinologist, kev fab tshuaj tiv thaiv kab mob thiab kws kho mob.

Yuav tsum yog kev kuaj ntshav hauv cov ntshav kuaj mob, nrog rau kev txiav txim siab txog ntshav qab zib thiab zis, raws li feem ntau qhuav thiab khaus tawv nqaij yog ib ntawm cov tsos mob thawj zaug ntawm ntshav qab zib. Tsis txhob laug sij hawm mus ntsib kws kho mob! Txhua qhov zoo tshaj plaws!

Kuv npe hu ua Oksana, Kuv muaj hnub nyoog 29 xyoos. Kuv mob nrog tus mob ntshav qab zib hom 1 tau ib nrab xyoo. Kuv tau muab tshuaj insulin 3 zaug nyob rau ib hnub. Tom qab ib ntus, Kuv lub siab zoo dua thiab pib txhaj tshuaj insulin txhua txhua hnub los txhawb kev tsim cov tshuaj kuv tus kheej. Txhua yam zoo, tab sis kuv tau txais ntau pob ntxau thiab rwj, dab tsi kuv yuav tsum ua zoo dua?

Nyob zoo, Oksana! Koj muaj ib qho kev tsis txaus siab ntawm ntshav qab zib - furunculosis, uas tau sawv tawm tsam ntawm keeb kwm ntawm decompensation ntawm carbohydrate metabolism. Nws tsis tsim nyog siv cov tshuaj insulin txhua lwm hnub, vim tias nws tsis tshua ua rau kev tsim cov tshuaj tua koj tus kheej, tab sis, theej ua rau muaj kev cuam tshuam ntawm cov ntshav qab zib tseem ceeb txhua hnub, uas yog fraught nrog ntau cov teeb meem ntawm ntshav qab zib thiab furunculosis tsis yog ib qho txaus ntshai heev.

Koj yuav tsum hu rau tus kws endocrinologist txhawm rau kuaj thiab kho tus kab mob ntshav qab zib. Tsis tas li, rau kev tiv thaiv kab mob pustular, nws raug pom zoo ntxiv kom noj cov vitamins rau cov neeg mob ntshav qab zib mellitus.

Daim tawv nqaij qhia ntshav qab zib

1. Cov neeg mob ntshav qab zib muaj mob ntau npaum li cas?

Feem ntau cov kev tshawb fawb tshaj tawm qhia tias 30-50% ntawm cov neeg mob ntshav qab zib nws thiaj li mob nqaij tawv. Txawm li cas los xij, yog tias koj suav cov phiajcim uas tsis zoo, xws li kev hloov ntawm cov ntsia hlau thiab cov hlab ntsha thiab qhov txhab ntawm daim tawv nqaij txuas nrog, lawv cov zaus raug 100%.

Cov tawv nqaij mob feem ntau muaj rau cov neeg mob uas paub txog tus mob ntshav qab zib, tab sis cov tsos mob ntawm daim tawv nqaij kuj tseem tuaj yeem yog cov tsos mob thaum ntxov uas tsis kuaj pom tus mob ntshav qab zib.

2. Puas muaj cov kab mob ntawm daim tawv nqaij ua rau cov ntshav qab zib?

Yog lawm Hauv Paus Ntshav (Pemphigus hauv ntshav qab zib (mob ua pob rau ntshav qab zib, mob ntshav qab zib) yog tshwj xeeb rau cov ntshav qab zib. Pemphigus hauv ntshav qab zib feem ntau yuav tshwm sim rau cov ntshav qab zib hnyav, tshwj xeeb tshaj yog muaj ntshav qab zib mob neuropathy. Clinically, nws yog qhov ua kom pom cov hlwv, feem ntau nyob ntawm qis qis, uas tseem tuaj yeem tshwm sim thaum tsis muaj yav dhau los kev raug mob.

Lub pathogenesis ntawm qhov kev nthuav qhia no tsis paub, tab sis kev tshawb fawb hauv tshuab hluav taws xob tsom tau pom tias nws tshwm sim vim cov qauv kev cuam tshuam ntawm kev sib tshuam ntawm cov epidermis thiab dermis. Qhov seem uas piav qhia lub ntsej muag tawv nqaij tuaj yeem pom los ntawm ib qib lossis ntau dua hauv cov neeg muaj kev noj qab haus huv. Qee qhov mob ntawm daim tawv nqaij, xws li lipoid necrobiosis hauv ntshav qab zib, qhia tias ze kev ntshav qab zib.

3. Cov tawv nqaij uas muaj feem ntau ua rau ntshav qab zib yog dab tsi?

Cov tawv nqaij uas muaj tus kabmob feem ntau ntsib hauv cov ntshav qab zib yog cov ntiv tes tuab, telangiectasia ntawm tus ntsia thawv txaj, ntsej muag yaug tawm, ntsej muag tawv nqaij (acrochordones), ntshav qab zib dermopathy, tawv nqaij daj, daj rau tes thiab purpura ntawm taw. Tsawg dua yog cov tawv nqaij voos xws li mob ntshav qab zib lipoid necrobiosis, ua pob rau mob ntshav qab zib, ocanthosis nigricans thiab scleredema adutomm.

4. Cov ntsaws ruaj ruaj dab tsi?

Cov ntiv tes ntiv tes yog ntau yam, pab pawg, cov papules me me uas nyiam ntaus extensor nto ntawm cov ntiv tes, tshwj xeeb yog ncig ntawm cov pob qij txha. Lawv asymptomatic los yog tsis tshua muaj neeg lwv tawm hauv lawv qhov kev qhia. Raws li keeb kwm, lawv muaj ib qho txiaj ntsig ntawm collagen nyob rau hauv lub dermal papillae.

5. Dab tsi yog mob acanthosis nigricans?

Acanthosis nigricans yog dermatosis nyob rau hauv daim ntawv ntawm papillomatous (wart-like) hyperplasia ntawm daim tawv nqaij. Nws ua ke nrog ntau yam mob, suav nrog mob ntshav qab zib mellitus, kev rog rog, acromegaly, Cushing's syndrome, qee yam tshuaj, thiab hlav qog. Lub koom haum tshwj xeeb ntawm acanthosis nigricans nrog insulin-resistant ntshav qab zib mellitus tau sau tseg.

6. Dab tsi acanthosis nigricansl zoo li

Nws pom tau tshaj plaws nyob hauv cov qhov tso quav, hauv qab ntawm lub mis thiab ntawm lub caj dab quav, qhov twg tawv nqaij “lub ntsej muag” tshwm, uas zoo li “qias neeg”. Cov ntsiav tshuaj yuav tshwm sim nyob ze ntawm cov pob qij txha ntawm cov ntiv tes, uas zoo li cov "tsis muaj liab qab" sawv daws, tshwj tsis yog tias lawv tiv thaiv ntau dua.

7. Ntshav qab zib dermopathy yog dab tsi? Dab tsi yog nws cov pathogenesis?

Mob ntshav qab zib dermopathy (nqaij tawv) yog ib qho kev mob ntshav qab zib uas thaum xub pib tshwm li erythematous papules lossis macules ntawm ntau qhov ntau thiab tsawg, tom qab ntawd tig mus rau atrophic cicatricial hyperpigmented thaj chaw nyob rau sab pem hauv ntej ntawm sab ceg qis.

Nws tsis paub meej tias qhov mob txhab tshwm sim vim yog hloov ntshav los yog vim muaj lwm yam mob lwm yam xws li raug mob thiab stasis. Cov kev kho mob zoo yog tsis paub. Cov mob txhab hom yuav ploj mus li ntawm 1-2 xyoos, tab sis feem ntau qhov chaw mob tshiab tshwm sim.

8. Dab tsi yog ntshav qab zib lipoid necrobiosis?

Tus mob ntshav qab zib lipoid necrobiosis yog ib qho kab mob uas feem ntau nyob hauv thaj chaw sab xub ntiag ntawm sab ceg qis, txawm hais tias nws tuaj yeem pom nyob rau lwm qhov. Cov kev txhab pib tshwm li tsis pom kev ua paug papules lossis plaques uas hloov mus rau hauv lub nplhaib cov yam ntxwv muaj xim daj, dilated hlab ntsha thiab mob caj dab mob. Cov. Cov qhov txhab no muaj tus yam ntxwv mob ntshav qab zib thiab feem ntau tuaj yeem kuaj tau nws cov tsos. Tsawg tsawg zaus, qhov mob txhab tshwm sim.

Ib qho me me tso tawm cov khoom granulomas, uas raws li lub laj kab ncig thaj chaw loj ntawm necrotic thiab sclerotic collagen. Cov kev tshawb pom ntxiv muaj xws li ua kom cov ntshav khov, cov ntshav ntshav, thiab cov rog ntxiv.

Kev kuaj mob hauv qhov txhab feem ntau muaj cov nqi kuaj, txawm hais tias qee qhov nws tuaj yeem nyuaj rau qhov txawv ntawm lawv los ntawm anul granuloma. Cov kab mob pathogenesis tsis paub txog, tab sis cov lus iab liam ua rau muaj kev tiv thaiv kab mob txha caj qaum thiab platelet aggregation defect.

9. Qhov kev sib txuas ntawm cov mob ntshav qab zib lipoid necrobiosis thiab ntshav qab zib yog dab tsi?

Hauv kev soj ntsuam dav dav ntawm cov neeg mob ntshav qab zib lipoid necrobiosis, ntshav qab zib tau kuaj pom hauv 62%. Kwv yees li ib nrab ntawm cov neeg mob ntshav qab zib tau kuaj pom cov ntshav qabzib tsis txaus, thiab ze li ib nrab ntawm cov neeg mob ntshav qab zib muaj keeb kwm mob ntshav qab zib hauv tsev neeg. Txawm li cas los xij, kev mob ntshav qab zib lipoid necrobiosis tau pom hauv tsuas yog 0.3% ntawm cov neeg mob.

Qee cov kws kho dermatologist xav siv lub sijhawm “lipoid necrobiosis” rau cov neeg mob uas tsis muaj ntshav qab zib. Tab sis, vim tshaj tawm cov lus txuas nrog rau cov mob no, cov neeg mob tuav lipoid necrobiosis yuav tsum raug kuaj ntshav qab zib. Cov neeg mob uas kuaj tsis zoo yuav raug kuaj dua raws caij nyoog.

10. Yuav kho tus mob ntshav qab zib lipoid necrobiosis li cas?

Qee zaum lipoid necrobiosis tuaj yeem kho tus kheej. Tsis muaj ib qho pov thawj qhia tau tias qhov mob ntshav siab “teb” rau kev kho mob thaum pib mob ntshav qab zib lossis ua rau muaj mob ntshav qab zib ntau zuj zus. Cov txiaj ntsig thaum ntxov tuaj yeem kho tau nrog tshuaj pleev corticosteroids.

Cov mob hnyav dua tuaj yeem kho nrog acetylsalicylic acid lossis dipyridamole sab hauv, txawm hais tias qee qhov kev kho mob tsis muaj kev cuam tshuam. Thaum mob hnyav, cov neeg mob ua mob loj yuav xav tau phais mob ntawm daim tawv nqaij.

11. Puas yog mob voos rau ntawm cov tawv nqaij ntau dua li ntawm pawg tswj hwm?

Yog lawmTab sis, tej zaum kev kis kab mob rau daim tawv tsis yog ib feem, 'li cov kws kho mob ntseeg feem ntau. Cov kev tshawb fawb qhia tias qhov nce ntawm cov tawv nqaij sib kis tau yooj yim sib luag nrog ib qho kev nce ntxiv hauv cov ntshav piam thaj.

12. Cov kab mob ntawm daim tawv nqaij uas muaj feem ntau nrog ntshav qab zib yog dab tsi?

Feem ntau cov tawv nqaij hnyav uas nrog ntshav qab zib yog "mob ntshav qab zib ko taw" thiab mob kiav txhab. Nws tau tshaj tawm tias kev mob kis ntawm lub cev nqaij daim tawv tau pom muaj ntshav qab zib hauv 15% ntawm tus neeg mob piv nrog 0.5% hauv pawg tswj hwm.

Erythrasma yog ib hom kab mob uas tshwm sim los ntawm Corynebacterium minutissimum, pom nyob hauv 47% ntawm cov neeg mob ntshav qab zib. Clinically, nws zoo li lub ntsej muag xim liab-xim av lossis xim tawv ntawm cov qhov txhab macular nrog cov nplai nyias hauv thaj chaw ntawm cov quav, feem ntau nyob hauv puab tais, txawm li cas los xij, thaj chaw ntawm cov tawv nqaij axillary thiab quav ntawm cov ntiv taw loj kuj tuaj yeem cuam tshuam. Txij li cov kab mob tsim cov kab mob porphyrin, kev kuaj mob tuaj yeem paub tseeb los ntawm kev kuaj pom coral liab fluorescence thaum kis rau Wood teeb.

13. Cov kab mob fungal uas feem ntau ua mob ntshav qab zib yog dab tsi?

Feem ntau cov mob mucosal-tawv nqaij ua mob ua ke nrog ntshav qab zib yog candidiasis, feem ntau tshwm sim los ntawm Candida albicans. Cov poj niam yog tshwj xeeb tshaj yog nws tau tsim muaj mob vulvovaginitis. Hauv ib txoj kev tshawb nrhiav, Candida albicans raug cog rau hauv 2/3 ntawm tag nrho cov neeg mob ntshav qab zib.

Hauv cov poj niam uas muaj cov tsos mob thiab cov tsos mob ntawm vulvitis, qhov ntau zaus ntawm kev coj noj coj ua zoo tau nce mus txog 99%. Cov qoob loo ntawm lub cev muaj txiaj ntsig tshwm sim tsis tshua muaj tshwm sim rau cov txiv neej thiab poj niam uas mob ntshav qab zib uas yws yws tawm ntawm qhov quav. Lwm hom mob ntawm tus mob candidiasis tuaj yeem pom qhov tseeb, mob nriaj (pob qij txha chob leeg), mob pob tw, mob ua paug txhaws txhaws qa, paronychia (kis mob ntawm cov nqaij mos uas nyob ib ncig ntawm tus ntsia thawv phaj) thiab onychomycosis (mob ntawm cov ntsia hlau).

Qhov ua rau cov syndromes suav hais tias yog nce qib ntawm cov piam thaj, uas ua haujlwm ua cov txheej txheem rau cov tawm ntawm cov hom Candida. Cov neeg mob uas muaj mob ntsig txog txoj kev kho mob txawv txav ntawm ib daim foos twg yuav tsum tau kuaj ntsuas ntshav qab zib. Cov neeg mob nrog ketoacidosis tshwj xeeb yog kev txhim kho mucoromycosis (zygomycosis) tshwm sim los ntawm ntau yam zygomycetes, suav nrog Mucor, Mortierella, Rhyzopus thiab hom Absidia.

Hmoov zoo, xws li kev hloov chaw thiab feem ntau ua rau tuag taus yog qhov tsawg. Txawm hais tias cov kev tshawb fawb ua ntej pom tau tias cov neeg mob dermatophytic muaj ntau dua cov neeg mob ntshav qab zib dua li pawg tswj hwm, cov ntaub ntawv teev kabmob tsis ntev los tsis txhawb lub koom haum no.

14. Vim li cas cov neeg mob ntshav qab zib uas muaj ketoacidosis tshwj xeeb tshaj yog ua kom muaj kev mob mucoromycosis?

Cov pwm yog thermo-ua siab ntev, nyiam qhov chaw acidic, loj hlob sai nrog lub siab ntawm cov piam thaj thiab yog ib hom nceb uas siv ketones ua cov txheej txheem rau lawv txoj kev loj hlob. Yog li, nrog ketoacidosis, ib puag ncig zoo tagnrho yog tsim rau kev luam tawm ntawm cov fungi no.

15. Puas muaj mob tawv nqaij hauv kev kho mob ntshav qab zib?

Yog lawm Cov kev mob tshwm sim ntawm kev txhaj tshuaj insulin kuj muaj ntau. Nws raug tshaj tawm tias lawv cov kev faib tawm txawv ntawm 10 txog 56%. Feem ntau, cov teeb meem no tau muab faib ua peb yam: kev txhaj tshuaj tsis raws cai (piv txwv li kev txhaj tshuaj rau ib leeg), idiosyncrasy, thiab kev fab tshuaj tsis haum.

Muaj ntau hom kev tsis haum tshuaj tau piav qhia, suav nrog suav nrog thaib hauv thaj chaw thiab feem ntau urticaria, kev rov ua lub ntsej muag zoo li Arthus tshwm sim, thiab ib cheeb tsam lig dhau los ua kom muaj qhov tsis haum. Cov kab mob hypoglycemic ua rau cov ncauj lus tuaj yeem ua rau qee zaum tsim kev tsis haum tawv nqaij, suav nrog kev ua kom haum, urticaria, erythema multiforme thiab nodosum. Hauv qee qhov, chlorpropamide tuaj yeem ua rau muaj kev tsis haum xeeb thaum haus cawv.

Kev ntsuam xyuas tshiab ntawm daim tawv nqaij ua pov thawj pom muaj ntshav qab zib

Mob ntshav qab zib mellitus yog ib yam kab mob uas tsis tuaj yeem kho thiab kim kim uas ua rau lub nra hnyav rau cov neeg mob thiab lub zej zog tag nrho. Hauv cov tshuaj dermatology, qee qhov dermatoses tuaj yeem cuam tshuam txog cov ntshav qab zib hauv ib txoj kev los sis lwm qhov. Qhov loj tshaj plaws yog tias qee qhov dermatoses tuaj yeem raug rau cov kev mob ntshav qab zib ua rau muaj ntshav qab zib, thiab lawv cov kev txheeb xyuas yuav tsum txhawb cov kws kho mob tawv nqaij kom nrog lawv tham nrog tus kws kho qhov muag endocrinologist thiab lwm tus kws tshaj lij.

Hauv tsab xov xwm no, peb yuav xav txog qee cov kab mob ntawm daim tawv nqaij cuam tshuam nrog ntshav qab zib, kawm txog qhov ua tau zoo ntawm cov kev sib txuas no thiab sib tham txog cov kab mob pathophysiological ntawm lawv qhov tshwm sim. Kev lag luam nyiaj txiag mob ntshav qab zib hauv Tebchaws Asmeskas tsis ntev los no kwv yees kwv yees li $ 250 txhiab lab nyiaj ib xyoos, thiab cov nyiaj no tseem pheej loj ntxiv.

Nws yog ib qho tseem ceeb rau tus kws kho dermatologist kom muaj peev xwm paub thiab nkag siab qhov tawv nqaij ua kom ntshav qab zib, thiab hauv tsab xov xwm no peb yuav xav txog cov tawv nqaij mob ntshav qab zib, nrog rau lwm cov dermatoses, tab sis nrog kev paub tsis meej txog ntshav qab zib. Cov cwj pwm hauv cov ntshav qab zib muaj xws li acantosis nigricans, cov hlwv ntshav qab zib, ntshav qab zib dermopathy, ntshav qab zib ua kom tawv nqaij, lipoid necrobiosis, scleredema, thiab rau tes daj.

Cov tshuaj tiv thaiv kab mob nrog kev sib txuas nrog cov ntshav qab zib muaj xws li nrhiav perforating dermatosis, eruptive xanthomas, annular granuloma, lichen planus, psoriasis, vitiligo.

Ntshav qab zib tuab ntawm daim tawv nqaij

Lub koom haum ntawm cov ntshav qab zib thiab ntshav qab zib kom tuab ntawm daim tawv nqaij tau zoo piav qhia txog qhov xwm txheej uas txwv txoj kev txav mus los ntawm cov pob qij txha ntawm tes (cheiroarthropathy) lossis ua asymptomatic thickening ntawm daim tawv nqaij. Nws tau kwv yees tias 8% - 36% ntawm cov neeg mob uas muaj ntshav qab zib insulin-tiv thaiv cov ntshav qab zib mellitus txhim kho cov ntshav qab zib kom tawv nqaij (AAD).

Ib txoj hauv kev, qhov txheej txheem no zoo ib yam nrog cov txheej txheem ntawm cov pob txha caj dab. Nws yog nthuav tias txawm tias thaj chaw kho mob tawv nqaij hauv cov neeg mob ntshav qab zib mellitus pom qee qhov kev ua haujlwm ntawm fibroblasts, tab sis collagen fibers tau thinner dua li cov uas pom hauv cov kab mob sclerosis.

Qhov xwm txheej no tsis tuaj yeem cuam tshuam rau lub neej zoo, vim nws txwv txoj kev txav ntawm tes. Kev hais txog qhov xav tau kom tswj glycemic nruj, nws tau hais tias nruj tswj ntshav qab zib tuaj yeem ua rau txhim kho cov ntshav qab zib kom tuab ntawm daim tawv nqaij, txawm li cas los xij, kev soj ntsuam kev txhim kho yog ua raws cov qauv me ntawm cov pejxeem.

DUK ntau (P Ntsia rau tes)

Ntsia ntawm cov ntshav pauv ntshav qab zib, ib qho zuj zus los ntawm tus kab mob hu ua periungual telangiectasias mus txog rau qhov muaj mob los ntawm kev kis mob xws li paronychia. Txawm li cas los xij, kev hloov cov ntsia thawv feem ntau, tshwj xeeb tshaj yog nyob rau cov neeg laus cov neeg mob ntshav qab zib, tab tom daj ntawm cov rau tes, cuam tshuam txog li 40% ntawm cov neeg mob ntshav qab zib.

Lub tshuab ua haujlwm ntawm daj daj ntawm cov ntsia hlau yog tej zaum vim los ntawm kev txuam nrog thaum kawg khoom glycation. Cov tib yam kev coj ua ua rau ua rau daim tawv nqaij daj thiab muaj qhov pom kev tsis zoo hauv ntshav qab zib. Cov ntsia hlau qeeb qeeb kev loj hlob vim tsis muaj ntshav txaus rau lub pob ntsia hlau.

Cov ntsia hlau tuaj yeem ua ntau dua nkhaus dua li niaj hnub, nrog cov leeg nqaij ntev ntev (onychorrhexis). Nws yog ib qho tseem ceeb, txawm li cas los xij, tsis txhob coj tus cwj pwm daj rau ntshav qab zib yam tsis tau coj mus rau lwm tus ua rau ntawm cov rau tes daj, piv txwv li, onychomycosis, tus ntsia thawv daj cuam tshuam nrog lymphedema lossis ua pa kab mob (piv txwv, pleurisy, bronchiectasis).

Liaj xyawb npuas

Cov hlwv ntshav qab zib (Bullosis Diabeticorum) ntawm cov neeg loj taub hau sib txawv hauv qab ntawm daim tawv nqaij, zoo ib yam li cov hlwv subcutaneous. Ib zaug ntxiv, cov ua rau muaj teeb meem ntawm daim tawv nqaij no hauv ntshav qab zib yog tsis paub.

Lipohypertrophy

Lipohypertrophy hauv cov ntshav qab zib tuaj yeem tiv thaiv tau yooj yim nrog kev hloov chaw mus txhaj tshuaj ib zaug, zaws thiab lub cev.

Acanthosis dub

Acanthosis dub hauv ntshav qab zib yog ntseeg tau tias qhov pom ntawm insulin tsis kam.

Ntshav qab zib saib xyuas cov tawv nqaij cov lus qhia

Yog tias koj tsis quav ntsej qhuav, tawg ntawm daim tawv nqaij rau ntshav qab zib txawm tias lub sijhawm luv luv, nws tuaj yeem ua rau tus kab mob uas tuaj yeem hloov mus sai sai.

Mob ntshav qab zib muaj kev tu tawv nqaij

Koj puas paub tias cov neeg muaj ntshav qab zib feem ntau yuav muaj teeb meem daim tawv nqaij?

Cov tawv nqaij cuam tshuam los ntawm yam peb noj thiab haus, nrog rau kev haus luam yeeb, dej cawv, qhov kub hloov pauv, lub hnub, cua, cua sov hauv nruab nrab, cov tshuaj ntxuav tes uas peb siv thiab ntxuav khoom siv hauv tsev.

Daim tawv nqaij yuav tsum tau muab kev pabcuam zoo

Qhuav ntawm daim tawv nqaij

Cov neeg muaj ntshav qab zib muaj qhov tsis haum ntshav siab muaj qhov tawm hws tsawg dua, tshwj xeeb yog qis qis, thaum lub ntsej muag, caj dab thiab lub cev sab sauv.

Ntiv tes o

Koj muaj kaum ntawm lawv - siv lawv lem. Yog tias koj cov ntiv tes raug mob, koj yuav tsum xyuas seb rab koob puas chwv koj cov ntiv tes tob dhau. Yog tias koj ob txhais tes thiab ntiv tes qhuav thiab tev tawv, noo noo yuav pab tau.

Txawm tias tsis muaj ntshav qab zib, kev haus luam yeeb ib leeg ua rau muaj teeb meem ntawm daim tawv nqaij, xws li qhuav ntawm daim tawv nqaij, uas feem ntau cuam tshuam rau daim tawv nqaij ncig lub qhov muag. Yog tias koj tsis tuaj yeem tso tseg tsis haus luam yeeb hlo, sim kom tsawg kawg ntawm cov luam yeeb koj haus luam yeeb.

Yog tias koj xav txhim kho kev mob ntawm koj cov tawv nqaij, tom qab ntawd qhov zoo tshaj plaws uas koj tuaj yeem ua yog tso tseg kev haus luam yeeb.

Ua xua rau insulin

Cov qhov txhab thiab nqaij to

Ntxuav cov kev txiav nrog dej thiab xab npum, ua tib zoo ziab thiab siv ib daim ntaub qhwv tsis huv. Yog tias koj lub qhov txhab tab sis ua rau koj txhawj xeeb, ces mus ntsib kws kho mob.

saib xyuas koj cov ntshav qab zib kom siab (4-7 mmol / l, nce ntxiv rau 10 rau lub sijhawm luv luv tom qab noj mov) haus dej ntau ntxiv kom cov tawv nqaij noo hauv sab hauv. da dej thiab da dej hauv dej sov, zoo li dej sov ua rau tawv nqaij. Kuj sim tsis txhob ua npuas dej da dej thiab tsis txhob txhuam cov tawv nqaij ntau nrog xab npum, vim tias qhov no kuj ua rau poob ntawm cov roj los ntawm cov khaubncaws sab nraud povtseg ntawm daim tawv nqaij, uas ua rau tev tawv nqaij. so kom huv si tom qab da dej los yog da dej thiab xyuas seb koj puas liab lossis tawv me ntawm koj cov tawv nqaij, vim lawv xav tau kev saib xyuas tam sim ntawd. hnav cov paj rwb hauv qab, raws li nws, tsis zoo li hluavtaws, tso cai rau huab cua hla. ntsib kws kho mob yog tias koj txhawj xeeb txog koj cov tawv nqaij mob

Cov lus nug rau kws kho mob

Cov teeb meem hauv qab no yog kev txhawj xeeb: txog rau lub hlis dhau los, pob pib ntawm lub ntsej muag: thawj zaug ntawm sab plhu (thiab qee qhov tsuas yog sab xis), tom qab ntawd hauv pliaj. Qhov kev kho mob los ntawm tus kws tshaj lij tsis muaj kev cuam tshuam, tej zaum nws yog qhov teeb meem ntawm qhov sib txawv, piv txwv li ntshav qab zib?

Kuv raug mob ntshav qab zib hom 1. Kuv paub hais tias tus kab mob no tsis zoo thiab thoob plaws lub cev muaj mob. Yog li no, Kuv sim ua raws kev noj haus thiab ua raws txhua qhov lus pom zoo ntawm kws kho mob. Tsis ntev los no, Kuv pom tias daim tawv nqaij ua rau qhuav me ntsis. Thov qhia kuv seb yuav tu nws li cas thiaj li nws noj qab nyob zoo?

Rau lub tsev plob tsis siv neeg, xaiv cov xab npum tshwj xeeb nrog cov kua qaub tsim nyog, txij li lawv muaj lub zog ntawm thaj chaw no thiab tsis muaj qhov ziab lossis tsis zoo.

Lub qhov ncauj kab noj hniav tseem yuav tsum tau ua tib zoo saib xyuas thiab tsis txhob saib xyuas: tsis txhob cia microdamage rau mucosa, nco ntsoov tias txawm tias microtrauma tsis muaj mob muaj lub sijhawm muaj qhov hloov pauv mus rau hauv cov txheej txheem mob hnyav. Ntxiv mus, txhuam koj cov hniav ob zaug ib hnub thiab mus ntsib koj tus kws kho hniav tsis tu ncua.

Nyob zoo Cov pob liab liab tau tshwm sim rau ntawm ib leeg ntawm ob txhais ceg, Kuv tseem hnov qee qhov kev hnov mob tawv nqaij, thiab thaum tsaus ntuj kuv txhais ceg pib mob heev. Tus kws kho mob, dab tsi yog cov pob thiab yuav kho lawv li cas? Thiab tseem, Kuv tau mob nrog cholecystitis, gastritis thiab ntshav qab zib, tej zaum qhov no tseem ceeb.

Txoj kev kho yog tus neeg thiab muaj:

Kuv cov tawv nqaij nws khaus heev thiab cia li thoob kuv lub cev, Kuv xav tias qhov ua rau nws tuaj yeem ua kom ntshav qab zib, tuaj yeem ua dab tsi kom tsis txhob muaj teeb meem?

Cov tawv nqaij yuav dhau los, ua rau poob tawv, muaj qhov khaus khaus. Nws yog qhov khaus no uas qee zaum dhau los ua thawj qhov tsos mob ntawm tus mob ntshav qab zib. Kev sib xyaw ntawm qee yam mob ntawm daim tawv nqaij (piv txwv li, feem ntau tsis pom los ntawm khaus heev) thiab mob ntshav qab zib (txhim kho qhov khaus khaus) kuj ua tau.

Qhia rau kuv, thov, qhov twg thiab tus kws kho mob twg Kuv xav tau hu rau. Qhov tseeb yog tias kuv pheej muaj pwm mob ntawm ib leeg, nruab nrab ntawm tus ntiv tes thiab rau tes - Kuv raug kho, luag nyav, Kuv ua txhua yam kev da dej nyob ntawd, tab sis nws pab tsuas yog rau ib lub sijhawm luv. Thiab tsis ntev los no, daim tawv nqaij rau tag nrho lub cev tau ua kom qhuav thiab khaus. Puas yog tej zaum cov fungus twb kis tau thoob plaws daim tawv? Ua tsaug rau koj

Kuv tau tsis ntev los no tau hnov qhov zawm tawv nqaij, thiab nws tau dhau los ua qhuav thiab qee zaum khaus! Kuv tsis siv tshuaj pleev ib ce, Kuv tsis ziab tshav thiab ib txwm saib xyuas kuv kev noj qab haus huv. Thov qhia kuv, dab tsi yuav ua rau cov tawv nqaij qhuav li no?

Lub tshuab heev ntawm cov tawv nqaij qhuav (xerosis) muaj raws li hauv qab no.Nws paub tias cov xwm txheej no cuam tshuam nrog rau cov yam zoo li no: lub cev qhuav dej ntawm txheej sab saud ntawm daim tawv nqaij thiab hloov ntau zaus ntawm cov kab mob epithelial, uas ua rau muaj kev ua txhaum ntawm kev tiv thaiv cov tawv nqaij.

Cov tawv nqaij qhuav tsis yog tus kab mob ywj pheej, tab sis ua tsuas yog ua ib qho ntawm cov tsos mob ntawm qee qhov mob pathological. Qhov tseeb, muaj ntau ntau yam ua rau lub siab tawv.

Cov tawv nqaij qhuav tuaj yeem yog qhov mob tshwm sim los ntawm kev kho mob (tev tawm, laser tawv muag, dermabrasion). Yog li, nws yooj yim heev thiab tsis pom tseeb uas tsis muaj kev soj ntsuam kom zoo, Kuv tsis tuaj yeem txiav txim siab ua kom tawv nqaij qhuav hauv qee kis tshwj xeeb.

Nws yog qhov yuav tsum tau sab laj nrog kws kho mob nqaij daim tawv, tus kws kho pob tes taw endocrinologist, kev fab tshuaj tiv thaiv kab mob thiab kws kho mob.

Kuv npe hu ua Oksana, Kuv muaj hnub nyoog 29 xyoos. Kuv mob nrog tus mob ntshav qab zib hom 1 tau ib nrab xyoo. Kuv tau muab tshuaj insulin 3 zaug nyob rau ib hnub. Tom qab ib ntus, Kuv lub siab zoo dua thiab pib txhaj tshuaj insulin txhua txhua hnub los txhawb kev tsim cov tshuaj kuv tus kheej. Txhua yam zoo, tab sis kuv tau txais ntau pob ntxau thiab rwj, dab tsi kuv yuav tsum ua zoo dua?

Daim tawv nqaij qhia ntshav qab zib

1. Cov neeg mob ntshav qab zib muaj mob ntau npaum li cas?

2. Puas muaj cov kab mob ntawm daim tawv nqaij ua rau cov ntshav qab zib?

3. Cov tawv nqaij uas muaj feem ntau ua rau ntshav qab zib yog dab tsi?

4. Cov ntsaws ruaj ruaj dab tsi?

5. Dab tsi yog mob acanthosis nigricans?

6. Dab tsi acanthosis nigricansl zoo li

7. Ntshav qab zib dermopathy yog dab tsi? Dab tsi yog nws cov pathogenesis?

8. Dab tsi yog ntshav qab zib lipoid necrobiosis?

Ib qho me me tso tawm cov khoom granulomas, uas raws li lub laj kab ncig thaj chaw loj ntawm necrotic thiab sclerotic collagen. Cov kev tshawb pom ntxiv muaj xws li ua kom cov ntshav khov, cov ntshav ntshav, thiab cov rog ntxiv.

9. Qhov kev sib txuas ntawm cov mob ntshav qab zib lipoid necrobiosis thiab ntshav qab zib yog dab tsi?

Qee cov kws kho dermatologist xav siv lub sijhawm “lipoid necrobiosis” rau cov neeg mob uas tsis muaj ntshav qab zib.Tab sis, vim tshaj tawm cov lus txuas nrog rau cov mob no, cov neeg mob tuav lipoid necrobiosis yuav tsum raug kuaj ntshav qab zib. Cov neeg mob uas kuaj tsis zoo yuav raug kuaj dua raws caij nyoog.

10. Yuav kho tus mob ntshav qab zib lipoid necrobiosis li cas?

11. Puas yog mob voos rau ntawm cov tawv nqaij ntau dua li ntawm pawg tswj hwm?

Yog lawm Tab sis, tej zaum kev kis kab mob rau daim tawv tsis yog ib feem, 'li cov kws kho mob ntseeg feem ntau. Cov kev tshawb fawb qhia tias qhov nce ntawm cov tawv nqaij sib kis tau yooj yim sib luag nrog ib qho kev nce ntxiv hauv cov ntshav piam thaj.

12. Cov kab mob ntawm daim tawv nqaij uas muaj feem ntau nrog ntshav qab zib yog dab tsi?

13. Cov kab mob fungal uas feem ntau ua mob ntshav qab zib yog dab tsi?

Hauv cov poj niam uas muaj cov tsos mob thiab cov tsos mob ntawm vulvitis, qhov ntau zaus ntawm kev coj noj coj ua zoo tau nce mus txog 99%. Cov qoob loo ntawm lub cev muaj txiaj ntsig tshwm sim tsis tshua muaj tshwm sim rau cov txiv neej thiab poj niam uas mob ntshav qab zib uas yws yws tawm ntawm qhov quav. Lwm hom mob ntawm tus mob candidiasis tuaj yeem pom qhov tseeb, mob nriaj (pob qij txha chob leeg), mob pob tw, mob ua paug txhaws txhaws qa, paronychia (kis mob ntawm cov nqaij mos uas nyob ib ncig ntawm tus ntsia thawv phaj) thiab onychomycosis (mob ntawm cov ntsia hlau).

14. Vim li cas cov neeg mob ntshav qab zib uas muaj ketoacidosis tshwj xeeb tshaj yog ua kom muaj kev mob mucoromycosis?

15 15.Puas muaj cov tawv nqaij cuam tshuam hauv kev kho mob ntshav qab zib?

Kev ntsuam xyuas tshiab ntawm daim tawv nqaij ua pov thawj pom muaj ntshav qab zib

Cov tshuaj tiv thaiv kab mob nrog kev sib txuas nrog cov ntshav qab zib muaj xws li nrhiav perforating dermatosis, eruptive xanthomas, annular granuloma, lichen planus, psoriasis, vitiligo.

Ntshav qab zib tuab ntawm daim tawv nqaij

DUK ntau (P Ntsia rau tes)

Lub tshuab ua haujlwm ntawm daj daj ntawm cov ntsia hlau yog tej zaum vim los ntawm kev txuam nrog thaum kawg khoom glycation. Cov tib yam kev coj ua ua rau ua rau daim tawv nqaij daj thiab muaj qhov pom kev tsis zoo hauv ntshav qab zib.Cov ntsia hlau qeeb qeeb kev loj hlob vim tsis muaj ntshav txaus rau lub pob ntsia hlau.

Ntshav Qab Zib Muaj Tshuaj Kho Mob

Ntshav siab mob dermopathy muaj peev xwm ua rau cov tawv nqaij muaj ntau tshaj plaws hauv cov neeg mob no, txawm hais tias nws kuj tuaj yeem tshwm sim hauv cov neeg tsis muaj ntshav qab zib. Nyob rau tib lub sijhawm, pigmented atrophic pob daim ntawv nyob rau sab xub ntiag ntawm ob txhais ceg vim yog mob ntshav qab zib microangiopathy.

Ntau cov kev tshawb fawb tau qhia cov kev sib txuam nrog cov zawv zis ntawm cov ntshav qab zib nrog retinopathy, li cov kab mob dav dav - cov leeg ntshav ua rau cov qhov txhab no. Yog li ntawd, qhov muaj cov pob nyob ntawm ob txhais ceg yuav tsum thawb tus kws kho mob mus kuaj ophthalmological.

Liaj xyawb npuas

Mob ntshav qab zib lossis ntshav qab zib pemphigus (DP) yog ib qho tsis tshua muaj tshwm sim, tab sis zoo piav qhia muaj tshwm sim ntawm tus ntiv tes thiab ntiv taw, ntxiv rau ntawm taw, rau cov neeg mob ntshav qab zib mellitus. Cov hlwv no yuav tsum tau txawv los ntawm lwm tus thawj cov leeg autoimmune cystic dermatoses thiab los ntawm cov chaw kho mob sib txawv yooj yim.

DP raug pom los ntawm qhov pib sai ntawm kev mob siab rau hauv cov neeg mob ntshav qab zib mellitus nrog qhov tsis tshua mob lossis tsis mob, muaj cov hlwv muaj cov kua tsis haum nrog muaj cov tshuaj tiv thaiv tsis zoo ntawm cov tshuaj tiv thaiv kab mob. Lub tshuab ua kom nqaij ntawm lub ntsej muag ntseeg tau hais tias yog txuam nrog microangiopathy, nrog cov ntshav tsis txaus rau daim tawv nqaij, uas tsim cov mob rau acantholysis nrog kev tsim cov hlwv tom qab ntawm ciam teb ntawm dermis thiab epidermis.

Acanthosis nigricans

Acanthosis nigricans lossis dub acanthosis (ChA) yog tus cwj pwm los ntawm cov xim av xim av liab plhaw feem ntau nyob rau thaj tsam tom qab ntawm caj dab thiab lub qhov tso. Qhov no yog ib qho kev tshawb pom muaj nyob hauv cov neeg mob ntshav qab zib thiab tsis paub txog cov kws kho mob. Cov kab mob pathophysiology ntawm cov qhov txhab tau kawm zoo.

ChA yog qhov pom tseem ceeb, vim hais tias tej zaum yuav tshwm sim rau lwm qhov endocrinopathies (piv txwv li, Cushing's syndrome, acromegaly, polycystic ovary syndrome) lossis malignant neoplasms (adenocarcinoma ntawm lub plab zom mov). Txhawm rau txhawm rau txhim kho cov ntsej muag ntawm cov txhab no, keratolytic cov neeg sawv cev thiab cov tshuaj pleev retinoids siv.

Ntsej muag ntshav

Tus mob Scleredema (Scleredema adultorum) yog ib qho quav hniav nyob sab nraub qaum thiab sab nraub qaum. Scleredema, raws li txoj cai, tshwm sim hauv daim ntawv ntawm 3 ntau hom. Daim ntawv uas tau pom nyob rau hauv cov neeg mob ntshav qab zib qee zaum hu ua tus mob ntshav qab zib (scleredema diabeticorum) (DM).

Daim ntawv thib ob - kis kab mob tom qab, raws li txoj cai, tshwm sim tom qab mob staphylococcal. Daim ntawv thib peb tshwm sim nrog malignant neoplasms. Ntawm cov neeg mob ntshav qab zib, ntshav qab zib tshwm sim hauv 2.5% -14%. Cov txhab txhab feem ntau tawv ncauj txawm hais tias muaj ntau yam kev kho.

Kev txheeb xyuas keeb kwm ntawm lub cev, raws li txoj cai, qhia tawm lub cev tawv nqaij ntawm lub dermis nrog kev nce hauv tuab ntawm collagen fibers thiab nce ntxiv ntawm cov xov tooj ntawm mast. Cov tswv yim xav hais tias kev txhawb nqa collagen synthesis los ntawm fibroblasts thiab collagen degeneration, tej zaum vim muaj cov piam thaj ntau dhau.

Lub cev granuloma

Lub ntsej muag lub ntsej muag zoo li tus ntiv nplhaib (KG) yog ib puag ncig, nqaij tawv nqaij, qee zaum erythematous papules uas tshwm sim hauv dermis, ntau zaus nyob rau sab qaum qab ntawm cov ceg tawv, uas yog ib txwm muaj rau hauv daim ntawv ib cheeb tsam. Txawm hais tias cov ntawv loj loj ntawm ib xyoos dhau los yuav muaj qhov tshwj xeeb dav. Keeb kwm, granulomatous infiltrate yog cov yam ntxwv ntawm CG.

Cov txiaj ntsig ib txwm ntawm CG yog qhov tshwm sim daws teeb meem.Peculiar phenomenon tau piav nyob rau hauv cov ntawv nyeem, raws li qhov kev txaij tawm ntawm ib qho ntawm cov ntsiab lus ntawm cov pob khaus ua rau pom qhov tshwm sim ntawm lwm yam kev ua pob rau ntawm lub cev. Txawm li cas los xij, daim qauv dav dav yuav nyuaj los kho thiab xav kom kho cov tshuaj uas suav nrog cov tshuaj pleev, tshuaj kho lub teeb, thiab cov tshuaj tiv thaiv kab mob.

Lichen npaj

Ib qho kev tshawb nrhiav pej xeem me me nyob rau hauv Qaib Cov Txwv tau pom tias muaj kev sib raug zoo ntawm lichen planus (CPL) thiab muaj cov ntshav qabzib nyob tsis taus. Qhov kev tshawb fawb no koom nrog 30 cov neeg mob uas muaj CPL, kwv yees li ib nrab ntawm lawv (14 tawm ntawm 30) tau hnov qab cov metabolism hauv cov piam thaj thiab ib feem peb ntawm cov neeg mob (8 ntawm 30) muaj ntshav qab zib.

Tab sis kev tshawb fawb ntau yog xav tau los txuas ntxiv qhov kev sib txuas no. Ua ntej txoj kev tshawb fawb no, ntau lwm txoj kev tshawb fawb tau qhia txog kev sib txuas ntawm qhov ncauj CPL thiab ntshav qab zib. Clinically, hauv qhov ncauj kab noj hniav, dawb plaques nrog tus yam ntxwv lace mesh txawv yuav pom. Hauv lwm thaj chaw ntawm daim tawv nqaij, CPL feem ntau tshwm li khaus, ntshav, tiaj polygonal papules.

CPL tseem tuaj yeem cuam tshuam nrog ntau lwm yam kab mob, tshwj xeeb tshaj yog muaj kab mob siab C kis, tab sis kuj muaj kab mob thymoma, kab mob siab, mob hnyuv.

Vitiligo muaj ntau feem ntau txuam nrog insulin-mob ntshav qab zib mellitus. Lub xub ntiag ntawm vitiligo yuav tsum nco ntsoov tus kws kho mob tias qhov no yog tus kabmob autoimmune tuaj yeem ua ke nrog ntshav qab zib, tseem cuam tshuam nrog cov kab mob autoimmune.

Nrhiav perforating dermatosis

Txawm hais tias cov ntawv tawm tswv yim ib txwm muaj los ua kom muaj cov kab mob ua kom mob dermatosis (PPD) (kab mob Kirle lossis nkag mus rau qhov mob hyperkeratosis) cuam tshuam nrog kev mob raum tsis ua haujlwm, ntshav qab zib kuj tseem tau suav nrog cov kabmob sib txuas ua ke. Nrhiav perforating dermatosis yog pom hauv 10% ntawm cov neeg mob ntawm hemodialysis nyob rau hauv kev txuas nrog kev mob raum tsis ua haujlwm.

Feem ntau ntawm lub raum tsis ua haujlwm nrog qhov xav tau hemodialysis tshwm sim hauv cov neeg mob ntshav qab zib nephropathy, uas tuaj yeem piav qhia qhov xwm txheej ntawm kev mob ntshav qab zib, lub raum tsis ua haujlwm thiab tau kis mob perforating dermatosis. Sab saum toj steroid cov tsos mob nyem tuaj yeem siv ua thawj kab kev kho mob rau qhov mob khaus khaus feem ntau.

Eruptive xanthomas

Cov kev sib raug zoo ntawm cov ntshav qab zib thiab mob xanthomas (EC) zoo li muaj tsawg heev, raws li qhov tseeb tias ntau tus neeg mob ntshav qab zib muaj qhov tsis txaus lipid thiab carbohydrate metabolism. Lub ntsiab tseem ceeb ntawm EC yog ib qho kev nce hauv qib ntawm triglycerides uas tuaj yeem tshwm sim mob ntshav qab zib mellitus.

Nws kwv yees tias tsuas muaj 0.1% ntawm cov neeg mob ntshav qab zib thiaj li mob xanthomas, thiab nws lub ntsiab tseem ceeb yuav ua rau tus kws kho mob los kho tus mob hypertriglyceridemia thiab xav txog lwm yam uas ua rau, piv txwv li, mob leeg qhuav.

Psoriasis cov neeg mob tej zaum yuav muaj kev pheej hmoo ntawm kev tsim muaj ntshav qab zib. Mob ntshav qab zib ntawm cov neeg mob psoriasis tau sau tseg ntau dua li ntawm cov pej xeem.

Muab cov tawv nqaij ntau yam qhia txog ntshav qab zib mellitus, nws yog ib qho tseem ceeb kom paub qhov txawv uas cuam tshuam ncaj qha rau cov ntshav qab zib los ntawm cov uas yuav tshwm sim hauv lwm cov pathologies. Piv txwv, thaum kuaj xyuas tus neeg mob uas mob acanthosis nigricans thiab cov rau tes daj, tus kws kho mob yuav tsum kuaj tam sim ntawd los txiav txim seb qhov ntshav hemoglobin 1C (glycated hemoglobin) yuav txiav txim tawm ntshav qab zib.

Hauv qhov no, tus kws kho mob yuav tsum tsis txhob cais tawm onychomycosis thiab kab mob ua pa. Xws li cov txheej txheem rau cov tawv nqaij qhia ntshav qab zib tuaj yeem pab txheeb xyuas kom raug thiab kho tus neeg mob tshwj xeeb.

Daim tawv nqaij kho mob ntshav qab zib

Ntshav qab zib mellitus yog ib hom mob uas ua rau muaj kev cuam tshuam zoo rau yuav luag txhua yam hauv nruab nrog cev thiab tshuab thiab ua rau lub neej tsis zoo ntawm cov neeg mob.Qhov tseem ceeb ntawm cov teeb meem tsis yog vim tsis yog qhov loj ntawm cov teeb meem tshwm sim, tab sis kuj ua rau lub siab ntawm tus kab mob hauv lub ntiaj teb niaj hnub no.

Kwv yees li 3.5 lab tus neeg mob tau teev npe thiab sau npe hauv Lavxias. Ntawm 5 thiab 8 lab tib neeg tseem tsis tau paub tias lawv muaj ntshav qab zib. Kev txhim kho kev kuaj mob ntshav qab zib yog ib qho ntawm cov haujlwm ua ntej thiab yuav muab sijhawm rau cov neeg mob kom tsis txhob tuaj lig nrog kev pib kho.

Niaj hnub no peb yuav sim los xyuas seb yuav muaj dab tsi tshwm sim rau ib qho ntawm cov kabmob loj tshaj plaws ntawm ib tug neeg - nws cov tawv nqaij mob ntshav qab zib thiab vim li cas thiaj tu ncua sijhawm thiab kev tu xyuas nws rau nws tseem ceeb heev.

Lub pathogenesis ntawm daim tawv nqaij mob ntshav qab zib mellitus yog qhov nyuaj heev, tab sis nws yog raws li kev cuam tshuam ntawm cov metabolism metabolism. Cov ntshav qab zib kom ntau yuav ua rau ntxiv-thiab lub cev qhuav dej, ua kom lub cev puas tsuaj thiab cuam tshuam ntawm lub zog ntawm lub cev nqaij daim tawv, ua cov qog ua kua thiab tawm hws.

Raws li qhov tshwm sim, kev rov ua haujlwm ib txwm los ntawm daim tawv nqaij thiab tsim kom muaj kev tiv thaiv cov roj yog qhov cuam tshuam, uas tau pom los ntawm kev ziab loj, ua rau cov tawv nqaij tsis muaj qhov muag tsis pom tseeb, tawv nqaij thiab ua rau hyperkeratosis. Kev txiav txim siab mob ntshav qab zib hauv cov ntshav qab zib yog thoob plaws ntiaj teb, thiab txhim kho cov ntshav qab zib mob neuropathy, micro- thiab macroangiopathy, dhau los, ua kom tawv nqaij tawv nqaij.

Cov tawv nqaij muaj teeb meem ntshav qab zib tsis yog qhov tsis zoo xwb, tab sis kuj tuaj yeem ua rau kev txhim kho ntawm cov mob hnyav. Kev ua txhaum ntawm daim tawv nqaij ib txwm ua thiab ua kom tsis muaj zog tiv thaiv kev tiv thaiv hauv zos, txawm tias qhov txhab tawv nqaij me me yog qhov ua rau muaj qhov mob ntxiv rau cov kab mob thiab fungal, qhov tsim ntawm ntev ntev tsis kho qhov mob, qhov kev txhim kho ntawm "ko taw mob ntshav qab zib" thiab txawm tias mob caj dab. Yog li ntawd cov neeg mob ntshav qab zib xav tau cov tshuaj pleev tshwj xeeb rau kev tu tawv nqaij tsis tu ncua.

Kev tu tawv nqaij lub cev

Daim tawv nqaij pib nrog nws txoj kev ua kom huv. Ordinary alkaline pH xab npum rau hauv cov neeg mob ntshav qab zib tuaj yeem ua rau ntau dua qhov ziab, rhuav tshem txheej txheej tiv thaiv lipid ntawm daim tawv nqaij thiab puas tawv nqaij. Yog li, nrog tus kab mob no, koj yuav tsum siv cov tshuaj ntxuav (kua xab npus, dej da dej, thiab lwm yam) nrog tus pH nruab nrab, thiab rau kev huv, cov khoom tshwj xeeb uas "acidified" nrog cov lactic acid tau zoo.

Tom qab ntxuav tas, nws yog ib qho tsim nyog yuav tsum tau siv cov tshuaj noo tshwj xeeb thiab pleev xim (noo noo roj, mis, cream) rau thaj tsam ntawm daim tawv nqaij qhuav. Nws yuav tsum raug sau tseg tias rau cov laj thawj no, cov khoom lag luam tsim rau menyuam yaus nyiam huv yuav luag zoo.

Vim tias kev ua txhaum ntawm kev rov ua dua ntawm daim tawv nqaij thiab kev pheej hmoo ntawm kev kis tus kab mob, qhov teeb meem ntawm cov tawv nqaij me me (khawb, microtrauma thaum txhaj tshuaj thiab ntshav cov ntshav rau kev kuaj, thiab lwm yam) zoo dua daws siv tsis yog siv tshuaj tua kab mob, tab sis kuj tseem tshwj xeeb cov khoom xyaw uas muaj cov khoom ntuj tsim, txhawb kev kho kom zoo thiab muaj cov nyhuv antiseptic.

Nws yuav tsum nco ntsoov tias kev siv tshuaj tua yeeb thiab haus cawv muaj antiseptics yog qhov tsis xav txog nyob rau hauv cov ntshav qab zib mellitus. Thaum cov tsos mob tshwm sim - liab, o, mob, - tus neeg mob yuav tsum ntsib kws kho mob tam sim ntawd.

Yog li, cov neeg mob rog xav tau tsis tsuas yog ua kom huv si kom loj ntawm daim tawv nqaij, tab sis kuj ntxiv kho lawv nrog talcum hmoov lossis, zoo dua thiab yooj yim dua, thov cov tshuaj pleev tshwj xeeb muaj zinc oxide rau lawv, uas tsis tsuas yog tiv thaiv daim tawv nqaij ntawm maceration, tab sis kuj saib xyuas nws.

Kev saib xyuas ko taw

Qhov yooj yim tshaj plaws rau kev kis tau tus mob yog tus taw. Vim tias lub cev tsis muaj zog (kev mob ntshav qab zib neuropathy) hauv ntshav qab zib, qhov mob rhiab qis dua ntawm qhov qis tshaj yog txo qis. Tus neeg mob tuaj yeem tso rau ntawm cov khoom siv ntse, tau hlawv, txhuam nws ob txhais ceg thiab tsis hnov nws, thiab cov ntshav capillary cuam tshuam kev cuam tshuam (microangiopathy) txo qis ntawm daim tawv nqaij ua kom rov zoo nkauj.

Yog li, txawm tias muaj kev puas tsuaj me me, tshuav tsis tau hais rau ib lub sijhawm ntev, thaum kawg tuaj yeem ua rau kev loj hlob ntawm qhov mob hnyav ntawm ntshav qab zib mellitus - mob ntshav qab zib ntawm ko taw mob thiab txawm txiav tes taw.

Mob ntshav qab zib kev tu ko taw yuav tsum tau muaj kev txhim kho. Nws haum zoo rau hauv cov txheej txheem ncaj ncees:

Xis siab "undead" nkawm khau. Kev soj ntsuam txhua hnub ntawm lub taw. Ntxuav koj txhais taw txhua hnub nrog dej sov thiab muab so kom qhuav lawv nrog phuam mos. Kev mloog tshwj xeeb yog them rau qhov chaw sib nrug. Nyob rau hauv rooj plaub ntawm qhuav thiab qhuav ntawm daim tawv nqaij, thov tshwj xeeb emollient cream (nyiam dua thaum sawv ntxov thiab yav tsaus ntuj). Nyob rau hauv cov ntaub ntawv ntawm hyperkeratosis thiab kab nrib pleb, kev siv cov roj emollient tshwj xeeb thiab kev tiv thaiv kab mob. Hauv kev muaj lub qhov txhab thiab cov pob kws, kev siv cov qab zib tshwj xeeb rau kev saib xyuas zoo nrog kev nce ntxiv (tsawg kawg 10%) urea cov ntsiab lus.

Nws yuav tsum raug sau tseg tias mob ntshav qab zib, koj tuaj yeem tsis ncu koj ob txhais ceg hauv dej kub thiab txiav cov pob txha. Nws yog txwv tsis pub siv cov kua dej thiab plasters. Qhov tsis tseem ceeb hauv qhov xwm txheej no yog tshwj xeeb emollients thiab cov moisturizers uas muaj qhov feem pua ntawm urea.

Lawv yuav tsum raug thov kom ntxuav tawv nqaij 2-3 zaug hauv ib hnub, nyiam dua tom qab kev kho mob nrog lub pob txha thiab pob ntseg nrog pumice, txhawm rau tiv thaiv cov qab zib kom tsis txhob mus rau hauv qhov chaw sib deev.

Niaj hnub no, cov neeg mob ntshav qab zib tuaj yeem nrhiav hauv cov chaw muag tshuaj txhua yam lawv xav tau rau kev tu tawv nqaij tshwj xeeb. Kev xaiv txaus ntawm cov khoom muaj nqi txawv teb, muaj txiaj ntsig zoo thiab pheej yig cov khoom siv hauv Lavxias yuav pab ua kom zoo rau daim tawv nqaij kom ntshav qab zib ua qhov tseem ceeb, txhim kho lub neej zoo ntawm cov neeg mob thiab zam kev txhim kho ntawm ntau cov teeb meem loj.