Mob ntshav qab zib ua pob

Peb xav kom koj nyeem kab lus ntawm cov ncauj lus: "xoo pob khaus nrog ntshav qab zib" 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.

Cov tawv nqaij ua pob raws ntshav qab zib: yees duab ntawm urticaria thiab pemphigus

Video (nyem mus ua si).

Cov tsos ntawm daim tawv nqaij ua pob raws ntshav qab zib, cov duab uas tuaj yeem pom hauv Is Taws Nem, yog cov tsos mob tshwm sim. Txawm li cas los xij, nrog cov tsos ntawm pob khaus ntawm ib tus neeg, nws tsis tuaj yeem tham txog kev txhim kho ntawm kev mob, vim tias cov cim tseem ceeb ntawm tus kab mob yuav tsum muaj nyob rau txhua lub sijhawm - nquag tso zis thiab zoo li nqhis dej.

Nws yog ib qho tseem ceeb heev los soj ntsuam cov mob ntawm koj cov tawv nqaij, nyob rau hauv kev kuaj pom ntawm pob txawv txawv lossis ua pob, koj yuav tsum hu rau kws kho mob. Tom qab tag nrho, ntshav qab zib yog ib yam kab mob insidious, uas muaj ntau cov tsos mob.

Cov tawv nqaij ua xua tuaj yeem tshwm sim ob qho tib si thaum pib ntawm kev txhim kho pathology, thiab nrog nws nce zuj zus. Nws nyob ntawm tus cwj pwm ntawm tus neeg.

Video (nyem mus ua si).

Ntawm cov ntshav qab zib, tib neeg daim tawv nqaij yuav qhuav thiab ntxhib, qee zaum nws ua rau exfoliates. Hauv qee tus neeg mob, nws dhau los ua pob liab liab, pob ntxau tshwm rau nws. Cov ntxhais thiab cov poj niam paub txog nws cov plaub hau hle, thaum lawv plam tag thiab dull. Tus txheej txheem no tshwm sim vim yog qhov nce ntawm rhiab ntawm cov hauv paus plaub hau nyob hauv cov teeb meem metabolic.

Yog tias tus neeg mob tau mob alopecia, nws txhais tau hais tias kev kho mob ntshav qab zib yog qhov ua tsis tau zoo lossis muaj teeb meem pib txhim kho. Cov theem pib ntawm tus kabmob yog tus cwj pwm tsis yog ua pob khaus rau ntawm daim tawv nqaij, tab sis kuj yog khaus, hlawv, ntev kho ntawm qhov txhab, fungal thiab kab mob.

Cov tawv nqaij ua pob raws ntshav qab zib tuaj yeem tshwm sim los ntawm ntau yam. Cov yam tseem ceeb muaj xws li:

Macro thiab microangiopathy. Nrog rau txoj kev loj hlob ntawm pathology thiab ib qho kev nce siab hauv cov ntshav qab zib, capillaries tsis tau txais lub zog tsim nyog, qhov chaw ntawm uas muaj piam thaj. Yog li ntawd, daim tawv nqaij yuav dhau los thiab pib khaus. Tom qab ntawd me ntsis thiab pob ntxau tshwm.
Kev puas tsuaj los ntawm cov piam thaj molecules. Nws yog qee yam tsis tshua pom muaj ntawm tus tsos mob no. Muaj tau ntawm cov suab thaj nkag mus rau qee cov khaubncaws sab nraud povtseg ntawm daim tawv nqaij, uas ua rau tawv nqaij sab hauv thiab kab mob me.
Kab mob microbial. Nrog rau cov ntshav qab zib, lub cev tiv thaiv tsis muaj zog txaus, yog li tus neeg mob feem ntau mob khaub thuas. Ib qho ntxiv, vim yog sib txuas cov pob khaus ntawm daim tawv nqaij, qhov mob tshwm sim uas muaj ntau yam kabmob kis poob, tso cov khoom lom ntawm lawv cov haujlwm tseem ceeb nyob rau ntawd.

Ntxiv rau, qhov ua rau pob khaus tuaj yeem yog ntau yam hauv lub cev tsis ua haujlwm. Nrog rau txoj kev loj hlob ntawm cov kab mob no, lub siab feem ntau raug kev txom nyem.

Raws li qhov tshwm sim, ntau yam pob khaus tuaj yeem tshwm sim hauv lub cev, uas qhia txog kev nce ntshav hauv cov ntshav qab zib ntau ntau.

Tom qab paub qhov ua rau ua pob rau daim tawv nqaij, lawv hom yuav tsum tau txiav txim siab, uas tseem tuaj yeem tham txog theem ntawm tus kabmob thiab lwm yam kev nyuaj. Thiab yog li, cov ntaub ntawv ntawm daim tawv nqaij sawv pob yog qhov txawv:

Thawj Nws tshwm sim vim yog nce qib siab nyob hauv cov piam thaj. Qhov ntau dua cov concentration ntawm cov piam thaj hauv cov ntshav, tshaj tawm cov pob ntau dua.
Thib Ob Raws li qhov sib txuas ntawm cov pob khaus, mob tshwm nyob rau hauv uas cov kab mob daws. Txawm li cas los xij, lawv tsis kho ntev ntev. Yog li, nws yog ib qho tseem ceeb kom noj tshuaj tua kab mob uas tshem tawm cov kab mob, thiab tsuas yog tom qab ntawd nws yuav daws tau qhov teeb meem ntawm pob khaus tawv nqaij.
Tertiary. Muaj tshwm sim vim kev siv tshuaj.

Ib qho ntxiv, cov tsos mob ntxiv uas tau nrog ua pob rau ntawm lub cev tuaj yeem yog:

Hlawv thiab khaus ntawm thaj chaw ua pob.
Tawv xim hloov xim, pob pob tau liab, xim av, daj.
Cov pob xoo tuaj yeem thoob plaws lub cev, ua ntej txhua yam, tshwm sim ntawm sab hauv qab. Qhov no yog vim qhov tseeb hais tias ob txhais ceg yog deb ntawm lub siab thiab feem ntau ntawm tag nrho cov tsis muaj cov as-ham thiab lub zog.

Yog tias qhov kev hloov pauv zoo li pom ntawm daim tawv nqaij, nws yog qhov yuav tsum tau taug kev mus rau tus kws kho mob, uas yuav xa tus neeg mob rau kev kuaj mob tom qab.

Ua xua nrog insulin tsis kam thiab mob rau lub plawv

Thaum muaj kev ua txhaum ntawm qhov rhiab ntawm lub cev lub cev rau cov tshuaj insulin, ib qho kab mob yuav tshwm sim - acantokeratoderma. Yog li ntawd, daim tawv nqaij darkens, nyob rau qee qhov chaw, tshwj xeeb tshaj yog nyob rau hauv quav, ntsaws ruaj ruaj tshwm. Nrog rau tus kab mob no, cov xim tawv nqaij hauv thaj chaw muaj xim ua xim av, qee zaum nce siab tshwm sim. Feem ntau, tus mob no zoo li mob pob ntseg uas tshwm sim hauv puab tais, hauv qhov tso, thiab hauv siab. Qee lub sij hawm xws li cov tsos mob tuaj yeem pom ntawm tus ntiv tes ntawm tus mob ntshav qab zib.

Acanthekeratoderma tuaj yeem ua lub cim rau kev txhim kho ntshav qab zib, yog li yog tias koj pom cov cim zoo sib xws, koj yuav tsum tau sab laj nrog kws kho mob sai. Ntxiv rau, acromegaly thiab Itsenko-Cushing's syndrome tuaj yeem ua rau nws.

Lwm qhov mob hnyav dua yog mob ntshav qab zib lipodystrophy, nrog kev txhim kho ntawm cov collagen thiab subcutaneous rog lub cev ntawm lub cev, caj npab thiab ceg hloov. Lub txheej sab sauv ntawm daim tawv nqaij ua nyias heev thiab liab. Thaum lub hau npog tas, cov qhov txhab zoo kho qeeb vim yog qhov feem ntau ntawm ntau yam kis tau rau hauv lawv.

Ntshav qab zib dermopathy yog lwm yam kab mob uas tshwm sim los ntawm kev hloov cov hlab ntsha. Cov tsos mob tseem ceeb yog puag ncig liab, daim tawv nqaij nyias, ua khaus tas li.

Ntau tus neeg mob tuaj yeem mob sclerodactyly. Tus kab mob no yog pom los ntawm tuab ntawm daim tawv nqaij ntawm cov ntiv taw ntawm txhais tes. Tsis tas li ntawd, nws cog lus thiab ua waxy. Qhov kev kho mob ntawm cov kab mob no yog ua rau txo cov ntshav qabzib, thiab tus kws kho mob kuj tseem tuaj yeem sau tshuaj pleev ib ce rau kom tawv nqaij.

Lwm tus khub ntawm tus kab mob tuaj yeem ua pob xanthomatosis. Nrog lub siab insulin tsis zoo, cov rog yuav tsis tuaj yeem tawm ntawm cov ntshav ntshav. Tus kab mob no yog tshwm sim los ntawm cov ntaub qhwv ntawm qaum ntawm caj npab, khoov ntawm caj npab, ntsej muag, ceg, pob tw.

Qee zaum cov mob ntshav qab zib pemphigus yog ua tau, cov tsos mob ntawm cov hlwv ntawm cov ntiv tes thiab ntiv taw, ceg thiab caj npab. Tus kab mob no yog xam nrog rau cov neeg mob uas muaj ntshav qab zib hnyav lossis siab tshaj.

Tsis yog txhua yam kabmob uas tshwm sim nrog "tus kab mob qab zib" tau qhia saum toj no. Daim ntawv no tham txog cov kab mob sib kis uas feem ntau cov neeg mob ntshav qab zib mob.

Tawm tsam keeb kwm ntawm ntshav qab zib, lwm yam kab mob yuav tshwm sim. Yog li no, daim tawv nqaij xoo pob liab vog ib txwm tsis pom qhov kev vam meej ntawm qhov "qab zib mob."

Tus kws kho mob uas paub zoo yuav tuaj yeem sib txawv ua pob rau thaj tsam mob ntshav qab zib muaj lwm yam mob xws li:

Tus mob qhua pias qhua liab, plooj liab, plaw liab, erysipelas. Hauv kev txiav txim siab tus kabmob, qhov muaj lossis tsis muaj cov suab thaj ntau yog qhov tseem ceeb.
Ntau yam kabmob ntshav. Piv txwv, nrog thrombocytopenic purpura, pob liab liab tshwm sim, uas yog ntau zaus me dua li uas cuam tshuam txog ntshav qab zib.
Lub xub ntiag ntawm vasculitis. Thaum cov hlab ntsha cuam tshuam, muaj pob liab liab me me tshwm rau ntawm daim tawv. Txhawm rau txheeb xyuas cov kab mob pathology, tus kws kho mob yuav tsum ua tib zoo saib xyuas tus neeg mob.
Kab mob pwm. Txhawm rau txhawm rau txheeb xyuas qhov tseeb, koj yuav tsum coj los ua piv txwv. Nws tsis yog qhov nyuaj rau kws kho mob los txiav txim siab fungus, txij li ib qho kev qhia meej ntawm kev ntxeem tau tshwm ntawm daim tawv nqaij.
Dermatitis nrog ntshav qab zib. Piv txwv li, urticaria yog pom los ntawm pob liab liab, zoo li mob ntshav qab zib.

Yog tias tus kws kho mob koom nrog tsis ntseeg qhov ua rau ntawm pob khaus, txawm tias nws yog ntshav qab zib lossis lwm yam kab mob, nws sau cov kev kuaj ntxiv los tsim kev kuaj mob kom raug.

Qhov pib thawj nyob rau hauv cov tsos ntawm daim tawv nqaij ua pob yog hyperglycemia - nce ntxiv nyob rau hauv cov ntshav qab zib. Nws yog nrog nws uas koj yuav tsum tau tawm tsam, nqa cov ntsiab lus qabzib rov qab los zoo li qub.

Ua li no, koj yuav tsum sib txuas kev ua neej zoo nrog kev so, noj kom yog, soj ntsuam cov suab thaj theem thiab noj tshuaj nyob ntawm hom mob pathology.

Ntxiv nrog rau kev ua kom cov ntshav qab zib muaj zog, thaum muaj ntau yam mob, yuav siv cov kev kho mob hauv qab no:

anti-inflammatory siv yeeb siv tshuaj
Tshuaj pleev tua kab mob,
anti-allergic thiab antihistamines,
tshuaj pleev xim tus neeg.

Sai li tus neeg mob pom tias nws lub cev pib ua pob liab liab, nws yog qhov yuav tsum tau sab laj nrog kws kho mob. Qhov no tuaj yeem ua cov cim ntawm kev txhim kho ntshav qab zib lossis nws cov teeb meem, nrog rau lwm yam kab mob txaus ntshai uas yuav tsum muaj kev sib txuas ua ke. Daim vis dis aus hauv tsab xov xwm no yuav qhia txog kev phom sij ntawm daim tawv nqaij ntshav qab zib.

Ntxiv rau qhov kev pauv hloov uas tsis pom kev ntawm lub qhov muag uas tshwm sim nrog cov khoom nruab nrog sab hauv thiab cov qog ua kua hauv lub cev, muaj cov cim ntawm ntshav qab zib rau ntawm daim tawv nqaij, nyob ntawm daim ntawv, hnub nyoog ntawm tus kab mob, lub hnub nyoog ntawm tus neeg mob, kev vam meej (lossis futility) ntawm kev kho mob, qhia ntau lossis tsawg dua.

Cov no yog cov teeb meem tshwm sim hauv daim ntawv ntawm cov tawv nqaij ua paug (thawj), lossis ua rau tsis tsuas yog ua kom tawv nqaij puas, tab sis kuj ua rau kev koom tes ntawm cov kev sib sib zog nqus ntawm cov leeg (theem nrab, cuam tshuam nrog kev rau ntshav qab zib mellitus).

Txawm hais tias nws nyuaj rau kev txiav txim siab txog qhov tob ntawm cov kev hloov pauv uas tau tshwm sim hauv lub cev los ntawm cov duab hauv Is Taws Nem, qhov tseeb hais tias lawv twb "tawg tawm" (mus thiab hauv daim tawv nqaij) qhia lawv qhov tseem ceeb - thiab xav tau lub tswv yim tshiab - txoj kev ntsuas los tiv thaiv cov kab mob uas tsis tuaj yeem tswj tau.

Ntxiv nrog rau kev ua pa rau lub cev nrog nquag tso zis heev, saj ntawm cov zis qab zib (vim muaj cov suab thaj hauv nws), ib qho ntawm thawj cov tsos mob ntshav qab zib yog lub cev qhuav dej, uas pom los ntawm kev nqhis dej tsis txaus thiab qhov ncauj qhuav tas li, txawm tias nquag haus dej haus.

Muaj cov tsos mob no yog vim muaj kev cuam tshuam loj ntawm cov txheej txheem biochemical, vim cov dej zoo li "ntws los ntawm", tsis nyob hauv cov ntaub so ntswg.

Hyperglycemia (ntau dhau ntawm cov ntshav qab zib vim tias muaj qee yam kev noj haus ntawm lub cev metabolism) yog qhov ua rau qhov no, vim tias cov metabolism hauv lub hlwb cov ntaub so ntswg tau cuam tshuam nrog qhov tshwm sim ntawm nws qhov kawg.

Kev tsis sib haum xeeb ntawm cov kev hloov pauv ntawm lub hlwb ua rau muaj kev cuam tshuam hauv kev ua haujlwm ntawm cov hlab ntsha thiab cov leeg ntshav - vim li ntawd, cov teeb meem tshwm sim nrog cov ntshav thiab cov nqaij ua kom lub cev nyob sab hauv, uas ua rau muaj kev cuam tshuam hauv lawv cov trophism.

Muab cov khoom noj tsis txaus, "dej nyab" nrog cov khoom lag luam lom uas tsis tau tshem tawm hauv lub sijhawm, cov ntaub so ntswg pib qhuav thiab ces vau.

Cov tsos ntawm kev txuam nrog vim los ntawm tus kabmob hloov pauv ntau qhov tseem ceeb, ua rau pom qhov tsis meej vim qhov:

ntxhib tuab ntawm daim tawv nqaij, uas tau poob nws lub elasticity,
tev loj heev, tshwj xeeb yog tawv taub hau,
cov tsos ntawm calluses rau ntawm xib teg thiab cov taw,
tawg ntawm daim tawv nqaij, kis tau yam ntxwv ntawm cov xim daj,
cov kev hloov pauv hauv cov ntsia hlau, lawv cov deformation thiab tuab ntawm daim hlau vim yog qhov mob ntsws tsis ua haujlwm,
npub plaub hau
cov tsos ntawm pigmentation me ntsis.

Vim tias lub dryness ntawm txheej sab saud ntawm daim tawv nqaij thiab cov qog ua kua, uas tau tso tseg tsis ua tiav lawv txoj haujlwm tiv thaiv, khaus tawv nqaij, ua rau sib txuas (kom ntseeg tau yooj yim ntawm tus kab mob - cov kab mob nkag mus rau hauv lub plab hnyuv), cov neeg mob ntshav qab zib tau nquag ua kab mob pustular - hauv cov neeg hluas thiab cov tub ntxhais hluas cov no yog pob txuv, hauv cov neeg laus.

mob caj dab
boils thiab lwm yam tob pyoderma,
kev pom tseeb ntawm candidiasis.

Cov duab ntawm cov pob khaus raws ntshav qab zib:

Kev cuam tshuam ntawm cov tawv nqaij trophic ntawm cov tawv taub hau ua rau lub ntsej muag ua tsis ua haujlwm tawm hws thiab cov qog sebaceous (nrog cov tsos ntawm dandruff thiab diffuse - hnav rau tag nrho lub taub hau - plaub hau poob).

Qhov xwm txheej ntawm lub hau ntawm cov qis dua yog qhov cuam tshuam tshwj xeeb - vim yog qhov tseem ceeb ntawm kev ua haujlwm ntawm lub cev ntawm qhov qis qis, qhov mob hnyav ntawm lub cev tsis muaj zog yog qhov muaj zog, ntxiv mus, txhais ceg yuav luag tas li hnav thiab hle, uas txuas ntxiv ua rau cov ntshav ncig.

Txhua yam no ua rau pom qhov ua pob ntawm qhov tsis haum, thaum suav thiab kev raug mob me me yog qhov nyuaj rau kev kho - tab sis tib lub sijhawm nws mob txhaws.

Hloov pH ntawm saum npoo ntawm kev sib xyaw ua ke tsis yog txhawb nqa kev qhia txog tus kabmob microbial, tabsis tseem ua rau pom cov ciaj sia ntawm mycotic (fungal) muaj nyob rau ntawm nws - candida (poov xab-zoo li, uas ua rau pom thawb tawm) thiab lichen.

Nrog rau cov kev tshwm sim thaum ntxov ntawm tus mob ntshav qab zib li khaus (tshwj xeeb tshaj yog nyob hauv qhov chaw mos), qhov ntev ntawm cov txheej txheem kho kom zoo ntawm kev raug mob me (abrasions, qhov txhab, abrasions), keratosis-acanthosis nrog cov tsos ntawm hyperpigmentation ntawm daim tawv muag, thaj chaw mos (koom nrog rau sab hauv ntawm tus ncej puab) thiab qhov quav ua tau. cov tsos mob ntawm ib qho pathology - ntshav qab zib:

Kev hais tawm sab nraud ntawm cov txheej txheem tshwm sim sib sib zog nqus ntawm cov ntaub so ntswg yog chav kawm ntawm kev mob ntshav qab zib.

Nws yog qhia los ntawm cov tsos ntawm papules ntawm cov xim los ntawm liab mus rau yuav luag xim av, ntawm txoj kab uas hla me me (ntawm 5 txog 10-12 hli), symmetrically nyob rau ntawm nqua, feem ntau nyob rau sab pem hauv ntej ntawm ob txhais ceg.

Tom qab, lawv hloov mus rau atrophic hyperpigmented me ntsis nrog quav ntxau, uas tuaj yeem muaj sia nyob thiab ploj nthawv tom qab 1-2 xyoos (vim muaj kev txhim kho microcirculation thiab txo qis ntawm qhov mob tshwj xeeb microangiopathy).

Lawv tsis ua rau kev kawm tsis xis nyob, lawv tsis tas yuav muaj kev kho mob tshwj xeeb, feem ntau, qhov tshwm sim ntawm tus mob ntshav qab zib hom II hauv cov txiv neej muaj kev paub ntau dhau los yog sau tseg.

Qhov tshwm sim, uas ua lub luag haujlwm txuas ntxiv ntawm cov txheej txheem saum toj no, nrog kev txhim kho ntawm dystrophy-atrophy ntawm daim tawv nqaij vim qhov kev tuag ntawm nws cov haujlwm ua haujlwm nrog kev hloov ntawm lawv cov caws pliav.

Nws yog ib tus mob ntau dua rau cov poj niam dua li tus txiv neej, tshwm sim nws tus kheej hauv 1-4% ntawm cov mob ntshav qab zib insulin-tsis hais mob (tsis hais lub hnub nyoog, tab sis feem ntau tsis dhau 15-40 xyoo).

Tsis muaj qhov tseeb meej ua ke nrog cov tshuaj ntawm tus kab mob (pathology ob leeg tuaj yeem ua ntej lub tsev kho mob txuas ntxiv ntawm tus kab mob thiab tshwm sim ib txhij nrog nws), tib yam siv rau qhov mob hnyav ntshav qab zib.

Tsis hais txog thaj chaw txhaj tshuaj ntawm cov tshuaj insulin, foci (ib leeg, nrog thaj chaw muaj qhov txhab loj) tau nyob hauv qhov chaw ntawm ob txhais ceg, thaum pib ntawm cov txheej txheem tau tsim los ntawm kev tsim cov pob sawv ntawm qhov chaw lossis tiaj nodules nrog ib qho chaw tiaj uas muaj qhov zoo.

Lawv muaj cov xim xiav-xim liab, cov kab sib npaug los yog txhais los ntawm qhov kev txhaum ntawm qhov chaw hais meej meej uas txav mus rau qhov tsis sib xws thaum qhov ua kom pom tseeb zuj zus tuaj. Qhov kawg tsos ntawm cov formations yog li ib txwm uas nws tsis xav tau kev sib txawv ntawm cov qauv zoo sib xws (anular granuloma thiab zoo li).

Cov no yog foci kom meej meej delimited los ntawm cov ntaub so ntswg nyob ib puag ncig, muaj cov duab elongated nyob rau hauv cov kev taw qhia ntawm nqaj ntev (oval lossis polygonal).

Tsa ceg thaj av ntawm thaj ua rau lub ntsej muag lub ntsej muag hloov ua lub nplhaib (cyanotic liab nrog tev tshwm sim) nyob ib puag ncig thaj chaw nruab nrab (xim zoo nkauj los ntawm daj daj mus rau xim daj-daj), zoo li yog sunken, tab sis qhov tseeb muaj tib qib nrog daim tawv nqaij ib puag ncig.

Daim duab ntawm daim tawv nqaij voos nrog lipoid necrobiosis:

Txuas ntxiv atrophic cov txheej txheem nyob rau hauv qhov chaw ntawm kev kawm ua rau lub ntsej muag ntawm:

telangiectasias,
mob ntsws me me,
ntxuav.

Txoj kev hloov ntawm tus qauv ntawm daim tawv nqaij tsis ua rau pom kev hnov, hnov mob tsuas yog pib nrog kev pib mob.

Lwm yam kev hloov pauv ntawm daim tawv nqaij uas muaj suab thaj muaj xws li cov hauv qab no:

Mob ntshav qab zib lipodystrophy - atrophy (txog nws qhov kev ploj tag) ntawm lub cev subcutaneous rog txheej nrog rau qhov tsim nyog thinning ntawm daim tawv nqaij, qhov tshwm sim ntawm "kab laug sab leeg" - teleangiectasias, daim tawv nqaij puas tsuaj nrog kev tsim kho tom qab.
Xanthomatosis - qhov tshwm ntawm cov plaque plaque cov qauv, cov kab ntawv npawv, cov xim daj los ntawm daj mus ua xim av, tsa saum cov tawv nqaij (feem ntau rau ntawm lub pob tw, nraub qaum, tsawg dua ntawm lub ntsej muag, txhais ceg).
Hyperkeratosis - ntau dhau keratinization, ua rau daim tawv nqaij ntawm tus taw tuab (vim muaj kev puas tsuaj rau cov hlab ntsha leeg ntshav thiab cov hlab ntsha vim tias cov hlab ntsha tsis ua haujlwm thiab sab hauv).
Mob pwm thiab kab mob microbial (nrog kev tsim ntawm lub rwj, carbuncles thiab ntxaum kis ntawm daim tawv nqaij).
Ntiv nplhaib puab zoo li tus ntiv tes xoos - npog ntsej muag thiab txhais tes ntawm cov pob khaus, muaj arched (ntiv nplhaib-puab) cov ntsiab lus.
Ntshav pemphigus.

Lub tshuab ua ntshav qab zib (saib daim duab) yog lub exfoliation ntawm epidermis tsim nruab nrab ntawm nws thiab cov kua dej dermis, ua rau muaj qhov rov tshwm sim ntawm lub pas dej uas muaj cov tshuaj tshwj xeeb lossis ntshav dej sib xyaw nrog cov ntshav cov ntsiab lus - hemorrhagic cov ntsiab lus. Txawm hais tias kev sib xyaw ntawm cov kua hauv lub zais zis, nws ib txwm tsis huv.

Txawm hais tias qhov tsis mob ntawm qhov tsim (muaj qhov ntev ntawm ob peb millimetres lossis ob peb ntu) uas tau tshwm sim rau ntawm caj npab, pob luj taws, ntiv taw lossis sab caj npab tam sim ntawd, yam tsis muaj qhov liab liab, khaus lossis lwm yam tsos mob, nws ib txwm ua rau pom thiab ceeb toom rau tus neeg mob, txawm li ntawd ploj mus yam tsis muaj txim thiab yog li raws li inexplicably raws li nws tau tshwm sim (hauv 2-4 lub lis piam).

Pawg no suav nrog:

cov kab mob txhab
fungal kis.

Cov kab mob kis tau ntawm daim tawv nqaij nrog ntshav qab zib muaj ntau dua li cov neeg mob uas tsis muaj cov kab mob endocrine.

Ntxiv nrog rau qhov mob ntshav qab zib mob, uas ua rau xav tau kev txiav tawm ntawm tus ceg ntawm qib siab thiab ua rau lub cev tuag thaum tsim ntawm ko taw, tseem muaj ntau yam kev xaiv rau streptococcal thiab staphylococcal pyoderma:

carbuncles,
npau,
phlegmon
erysipelas,
tshuaj,
paronychia.

Lub xub ntiag ntawm cuam tshuam kev sib kis thiab cov txheej txheem ua rau lub cev tsis zoo ntawm cov neeg mob, lub sijhawm ntev dua ntawm cov theem ntawm decompensation ntawm tus kab mob, nrog rau kev nce ntxiv ntawm lub cev insulin kom ua.

Ntawm cov tawv nqaij fungal teeb meem, candidiasis, feem ntau yog ua rau los ntawm hom tsiaj Candida albicans, tseem muaj feem cuam tshuam.

Feem ntau cov neeg muaj mob yog cov neeg laus thiab cov hnub nyoog laus, cov neeg mob lub cev nyhav dhau los, qhov chaw ntawm ntau cov tawv nqaij ua qhov chaw nyiam hauv ib puag ncig:

inguinal
ua hauj lwm ua ke,
sublingual
nruab nrab ntawm lub plab thiab lub plab mog.

Tsis muaj tsawg dua "mus xyuas" los ntawm cov pwm yog qhov hnoos qeev ntawm cov qau thiab lub qhov ncauj ntawm lub qhov ncauj, qhov mob paug uas coj mus rau kev txhim kho:

vulvitis thiab vulvovaginitis,
tus mob balanitis (balanoposthitis),
angular cheilitis (nrog rau qhov chaw hauv cov fab ntawm qhov ncauj).

Candidomycosis, feem ntau dhau los ua qhov taw qhia rau cov ntshav qab zib, tsis hais txog thaj chaw twg, qhia nws tus kheej tias yog khaus tseem ceeb thiab tsis zoo, uas tus yam ntxwv ntawm tus kab mob tom qab koom nrog.

Raws li tuaj yeem pom hauv daim duab, maceration ntawm daim tawv nqaij yog qhov npaj "txaj" rau "tseb" ntawm cov pwm.

Qhov no yog qhov yaig (tsim vim qhov desquamation ntawm stratum corneum) cyanotic-ntshav saum npoo, ci thiab noo tawm hws cov ntshav los ntawm cov khaubncaws sab nraud povtseg nyob rau hauv cov epidermis, ntxiv mus, nws tau muab zais rau hauv lub cev ntawm lub cev (huab cua tsis xav tau ntau rau cov poov xab kab mob, tab sis cov cua sov ua rau germination ntawm spores thiab kev loj hlob ntawm hom hom pwm).

Thaj tsam ntawm kev yaig thiab cov npoo tawg yog ciam ntawm thaj chaw ntawm "kev tshuaj ntsuam", uas yog foci nrog cov npuas me, thaum qhib ntawm qhov kev tsim xeb theem ob yog tsim, uas zoo li sib koom ua ke thiab (tib lub sijhawm) loj hlob nrog kev nthuav dav thaj chaw thiab nws qhov tob zuj zus mus rau "av".

Muab qhov muaj kab mob hauv qab (mob ntshav qab zib), kev ntsuas kom huv si rau kev saib xyuas cov tawv nqaij muaj roj thiab tsis muaj zog yuav tsis coj cov txiaj ntsig.

Tsuas yog lawv cov kev sib xyaw nrog kev siv cov khoom siv suab thaj kom txo qis kom haum rau hom kab mob tuaj yeem ua kom tau txiaj ntsig zoo.

Tab sis vim yog muaj ntau lub nuances nyob rau hauv chav kawm dav dav ntawm tus kab mob, nrog rau qhov xam qhov tseeb hauv txhua tus neeg mob, ntxiv rau vim qhov xav tau kev kuaj ntshav qab zib qib, tus kws kho mob yuav tsum ua tus txheej txheem kev kho mob.

Video hais txog kev saib xyuas tus mob ntshav qab zib:

Tsis muaj kev ntxias siv cov txheej txheem ntawm "cov tshuaj ib txwm muaj" tuaj yeem hloov kho kev kho mob uas tsim nyog - tsuas yog tom qab kev pom zoo los ntawm tus kws kho mob kho lawv lawv tuaj yeem siv (nyob rau hauv hom kev pom zoo nrog kev soj ntsuam nruj ntawm qhov ntau ntawm cov txheej txheem).

Nrog cov teeb meem ntawm daim tawv nqaij ntshiab, kev ua pov thawj zoo tshuaj tau zoo nyob:

los ntawm cov pab pawg ntawm aniline dyes - 2 lossis 3% daws ntawm methylene xiav (xiav), 1% pob zeb diamond-grun (dej cawv tov ntawm "cov khoom ntsuab"), Fucorcin tov (Castellani muaj pes tsawg leeg),
pastes thiab ointments nrog cov ntsiab lus ntawm 10% boric acid.

Tus kab mob microbial, fungal, lossis sib xyaw ua ke, cov lus qhia raug xaiv tau raws li cov txiaj ntsig kev kuaj sim - tsom kab mob me me thiab nrog cov kab mob tuag ntawm ib qho khoom noj nruab nrab, tom qab ntawd los ntawm kev txheeb xyuas cov kab mob kev coj noj coj ua thiab nws qhov kev hloov pauv rau ntau pawg tshuaj (antimicrobial lossis antifungal).

Yog li, kev siv tshwj xeeb "pej xeem" txoj hauv kev tsis muaj ntau dua ib txoj hauv kev poob lub sijhawm zoo thiab tseem ua rau muaj teeb meem ntawm daim tawv nqaij nrog rau cov ntshav qab zib. Tus kws kho mob tshwj xeeb yuav tsum kho cov teeb meem ntawm nws txoj kev kho kom zoo.

Tsis yog qhov yooj yim ua pob nrog ntshav qab zib: ua rau thiab kho

Nyeem kab lus no

Cov tawv nqaij ua mob rau cov ntshav qab zib tuaj yeem yog ob qho tib si thawj zaug tshwm sim ntawm tus kab mob, thiab cov kev mob tshwm sim tawm tsam keeb kwm ntawm cov ntshav qab zib ntev ntev. Tus lej ntawm ntau yam cuam tshuam rau cov tsos mob ua pob: metabolic (ntshav qabzib siab, insulin tsis kam), vascular (tsawg permeability ntawm cov hlab ntsha loj thiab me me, capillaries), tiv thaiv kab mob (txo cov tawv nqaij tiv thaiv).

Kev tswj ntshav qab zib tsis txaus ua rau muaj qhov tseeb tias yuav luag 3 npaug ntawm cov microbes ntau dua pom ntawm daim tawv nqaij ntawm cov neeg mob dua li ntawm tus neeg noj qab haus huv. Kev noj ntshav qab zib ntau dhau yuav ua ib qho chaw yug tsiaj muaj txiaj ntsig zoo rau lawv txoj kev txhim kho, thiab cov khoom tiv thaiv ntawm daim tawv nqaij hauv ntshav qab zib tau raug txo qis. Tawm tsam ntawm cov keeb kwm yav dhau los, cov pob khaus feem ntau tshwm sim los ntawm staphylococcal, kab mob streptococcal, ntau yam sib xyaw microflora.

Cov qauv qhia yog:

ua pob liab vog,
folliculitis (mob rau cov hauv paus plaub hau),
furunculosis.

Cov tawv nqaij ua tawv nqaij yog qhov chaw ntawm kev txhim kho ntawm cov kab mob fungal, feem ntau feem ntau candidiasis. Nws npog tag nrho cov inguinal, axillary thaj av, thiab rau cov poj niam - quav nyob hauv qab cov qog mammary, nrog cov rog nws yog koom nrog hauv cov txheej txheem thiab thaj av nyob rau hauv kev hloov kho lub plab.

Ib qhov tshwj xeeb ntawm daim tawv nqaij voos yog annular granuloma. Tej zaum nws yuav yog thawj hom phiaj ntawm kev tiv thaiv yam mob ntshav qab zib hom 2. Thaum pib, ib lossis ntau dua nodules tshwm rau lub cev, maj mam loj zuj zus tuaj. Lawv cov xim yog xim liab, los yog liab lossis nrog ib lub zas paj yeeb. Hauv nruab nrab, daim tawv nqaij maj mam dhau los zoo li qub, thaum lub nplhaib loj thiab nce mus txog 2-5 cm inch. Cov tsos mob tsis mus kawm lossis muaj qhov khaus me ntsis, khaus.

Thiab ntawm no yog ntau txog melanostimulating hormone.

Kev qis qis hauv cov ntshav qab zib yog qhov ua rau muaj kev phom sij rau ntau yam mob, suav nrog daim tawv nqaij. Qhov no yog vim qhov tseeb hais tias vascular thiab neurological (angiopathy thiab neuropathy) koom nrog hauv lub cev tsis ua haujlwm.

Ntawm lub pob tw thiab sab pem hauv ntej ntawm ob txhais ceg, eruptive xanthomas tuaj yeem pom. Cov no yog cov ntxaij ntawm cov xim daj lossis daj liab txog li 4 hli hauv txoj kab uas hla. Lawv zoo li cov nplej me me, tab sis tom qab ntawd ua ke. Lawv cuam tshuam nrog cov roj metabolism hauv lub cev tsis txaus, triglycerides thiab roj cholesterol nyob rau hauv lawv.

Lipoid necrobiosis ntawm daim tawv nqaij

Hauv cov neeg mob cov neeg laus, lipoid necrobiosis tuaj yeem tshwm sim sab xub ntiag ntawm ob txhais ceg. Thaum xub thawj nws muaj cov tsos ntawm cov xim daj-xim av me me, nodule lossis taw tes tiv thaiv sab saud qib tawv. Tom qab ntawd hauv qhov chaw nruab nrab muaj foci ntawm kev tob thiab dilated cov nkoj me me uas ntxiv ci rau daim tawv nqaij. Qhov rhiab nyob ntawm qhov chaw ntawm cov khoom ntawd tsawg.

Nrog rau cov chav kawm ntev ntawm tus kab mob, cov kab mob ntshav qab zib ua. Lawv qhov sib txawv nws txawv ntawm 2 hli txog 1-2 cm. Lawv tuaj yeem yog ob qho tib si sab hauv daim tawv nqaij thiab ntawm nws qhov chaw. Feem ntau, lawv qhov ib ncig yog ko taw thiab sab ceg qis. Tom qab 0.5-1 lub hlis, cov npuas ploj ntawm lawv tus kheej. Tej zaum focal circulatory ntshawv siab yog koom nrog lawv txoj kev loj hlob.

Feem ntau ntawm cov txiv neej nyob rau pem hauv ntej ntawm sab ceg qis muaj foci ntawm caws pliav nqaij. Lawv tuaj yeem pom muaj ntshav qab zib ntev ntev. Cov pob xoo liab yog xim liab lossis xim av, lawv qhov loj tsis tshaj 1 cm. Tom qab ploj, foci nrog rau ntau yam xim ntxiv nyob twj ywm, muab cov tawv nqaij ua qauv nrov.

Cov kev hloov pauv hu ua mob ntshav qab zib dermopathy. Nws cov chav kawm tsis nrog kev mob lossis khaus, thiab cov ntsiab lus ploj mus sai tom qab 1-1.5 xyoo.

Kev dag noj qab haus huv rau tus menyuam yaus tshwm sim thaum lub ntsej mua nce ntshav siab - rubeosis - tshwm ntsej muag. Nws tshwm sim los ntawm kev nthuav dav ntau dhau ntawm cov nkoj me me thiab feem ntau tshwm sim hauv cov menyuam yaus thiab cov tub ntxhais hluas uas muaj tus mob 1. Tawm tsam cov keeb kwm yav dhau los no, tej zaum yuav muaj foci me-focal, zoo ib yam li pob khaus, ua rau cov tawv muag.

Tom qab 40 xyoo, liab me ntsis ntawm ntau cov duab thiab ntau thiab tsawg tshwm ntawm sab plhu. Lawv nyob ntawm daim tawv nqaij tsis ntev tshaj 3 hnub, tom qab ntawd ploj ntawm lawv tus kheej. Ntxiv nrog rau lub ntsej muag thiab caj dab yog ntawm caj npab thiab tes. Lawv cov tsos yuav yog imperceptible los yog xav nyob rau hauv daim ntawv ntawm ib tug me ntsis tingling cia.

Ntawm lub ntsej muag, nws tseem muaj peev xwm ua kom pom ntawm foci ntawm tawv nqaij tawv - vitiligo. Lawv feem ntau pom nyob ib ncig ntawm lub qhov ncauj, qhov muag thiab lub ntswg. Lawv txoj kev loj hlob yog vim muaj kev puas tsuaj ntawm cov xim ua cov hlwb.

Feem ntau, cov tawv nqaij khaus khaus raws hom mob ntshav qab zib. Nws tshwm sim 0.5-5 xyoo ua ntej cov duab hauv chaw soj ntsuam mob: nqhis dej, nce plab, nce ntxiv. Feem ntau cov feem ntau, khaus khaus tshwm sim hauv cov quav - inguinal, plab, ulnar. Thaum koom nrog neurodermatitis nyob rau hauv cov chaw no, cov leeg ntau ntau tshwm tuaj, nrog rau qhov khaus khaus. Cov tsos mob zoo li no tseem yog tus yam ntxwv ntawm candidiasis.

Ib qho ntawm cov laj thawj rau kev tsis tu ncua ntawm daim tawv nqaij yog nws lub ntsej muag ntau dhau.. Qhov no yog qhov tshwj xeeb tshaj plaws yog qhov qis thib peb ntawm qis dua ceg thiab taw.Cov. Microtrauma hauv thaj chaw no feem ntau dhau los ua lub qhov rooj nkag mus rau kev kis mob. Kev tiv thaiv tsis muaj zog thiab lub cev tsis tuaj yeem sab nraud tuaj yeem pab txhawb kev tsim kom muaj lub plab ua paug rau ntawm qhov chaw ntawm kev puas tsuaj. Yog li no, kev siv tsis tu ncua ntawm kev tu tsiaj thiab moisturizing cream rau kev tu tawv nqaij yog qhov pom zoo.

Daim tawv nqaij sib xyaw ntawm cov menyuam yaus sib txawv:

nce qhov yooj yim
ib tug nyiam mus rau ပွား microbes,
yooj yim sib cais ntawm cov epidermis (txheej txheej sab nraud),
tev thiab dryness.

Ntawm cov ntshav qab zib mellitus, lipoid necrobiosis hauv tus menyuam feem ntau tshwm sim, nyob ntawm caj npab, hauv siab thiab lub plab, tawv nqaij ntawm ob txhais ceg. Tus yam ntxwv ua kom mob yam ntshav qab zib hom 1 yog pustular duav thiab furunculosis. Ntawm qhov mob txhab fungal qhov txhab, candidiasis feem ntau muaj, nrog rau daim ntawv tawg nyob rau hauv kaum ntawm qhov ncauj (angular stomatitis).

Cov pob khaus ntsej muag, uas tuaj yeem tshwm sim, yuav tsum cais tawm ntawm cov tawv nqaij mob ntshav qab zib:

cov kab mob thaum yau (qhua pias, mob qhua pias, qhua pias, ua npaws liab,)
kev tsis haum tshuaj, diathesis, zaub mov, tshuaj tsis txaus ntseeg,
kab tom
cov txheej txheem mob hauv daim nyias nyias ntawm lub paj hlwb (daim npog hlwb),
txhaws lub hauv paus.

Txij li cov menyuam yaus uas muaj ntshav qab zib ua rau nws muaj mob ntau yam, yuav kom zam dhau qhov kev mob tshwm sim, nrog lub ntsej muag ua pob, koj yuav tsum tau mus ntsib tus kws kho menyuam yaus, tus kws kho mob endocrinologist sai.

Rau qee cov kab mob ntawm daim tawv nqaij (dermopathy, annular granuloma, lipoid necrobiosis, mob ntshav qab zib, xanthomatosis), kev kho yog nqa tawm los ntawm cov ntshav qab zib cov ntshav li qub. Ua li no, txheeb xyuas cov khoom noj, txo cov kev noj haus ntawm cov carbohydrates, cov rog cov tsiaj hauv nws.

Thaum cov tshuaj insulin nce qhov ntau ntxiv ntawm qhov hormone los yog qhov ntau zaus ntawm kev txhaj tshuaj. Nrog rau kev txiav txim siab ntawm hom 2 mob ntshav qab zib tiv thaiv keeb kwm yav dhau los ntawm kev puas tsuaj ntawm daim tawv nqaij ntau, tshwj xeeb ntawm kev kis mob, insulin tuaj yeem raug ntxiv rau cov ntsiav tshuaj.

Pustular ua pob, furunculosis yuav tsum tau teem caij ntawm cov tshuaj tua kab mob, suav nrog cov txiaj ntsig ntawm tseb. Nrog rau cov kab mob fungal, nws yog ib qho tsim nyog siv tshuaj sab hauv thiab siv rau daim tawv nqaij (Lamisil, Nizoral, Fluconazole).

Nrog lipoid necrobiosis, cov kab mob vascular (Xanthinol nicotinate, Trental), ntxiv rau kev txhim kho cov rog rog (Essentiale, Atocor) yog siv. Cov tshuaj pleev nrog cov tshuaj hormones, troxevasin, cov ntawv thov nrog kev daws dimexide tuaj yeem kho sab nraud.

Thiab ntawm no yog qhia ntxiv txog Rabson syndrome.

Cov pob khaus nrog ntshav qab zib tuaj yeem ua rau ob leeg los ntawm tus kab mob nws tus kheej (necrobiosis, dermopathy, hlwv), thiab los ntawm kev muaj feem ntau ntawm cov ntshav qab zib kom kis tau. Cov tawv nqaij khaus feem ntau ua pob ua pob, nws kuj yog cov yam ntxwv ntawm neurodermatitis, candidiasis. Hauv tus menyuam yaus, nws yog qhov tseem ceeb kom paub qhov txawv ntawm qhov mob txhab tawv nqaij thiab cov tsos mob ntawm tus kab mob loj. Them nyiaj mob ntshav qab zib thiab kev siv cov tshuaj siv sab nraud thiab sab hauv yog qhov tsim nyog los kho.

Saib cov yeeb yaj kiab qhia txog kab mob tawv nqaij hauv ntshav qab zib:

Kev xoom xaim ntawm kev mob ntshav qab zib tuaj yeem tshwm sim thaum muaj cov tsos mob pom tseeb - nqhis dej, tso zis ntau dhau. Kev xoom xaim ntawm ntshav qab zib hauv ib tug menyuam yaus tuaj yeem tshwm sim tsuas yog coma. Kev kuaj mob dav thiab kuaj ntshav yuav pab koj txiav txim siab kom ua. Tab sis nyob rau hauv txhua rooj plaub, kev noj haus yog qhov yuav tsum tau.

Xws li lub pathology ua ntshav qab zib mellitus hauv cov poj niam tuaj yeem txheeb xyuas keeb kwm ntawm kev ntxhov siab, qhov cuam tshuam ntawm hormonal. Thawj tus tsos mob yog nqhis dej, tso zis ntau dhau, tso tawm kom. Tab sis ntshav qab zib, txawm tias tom qab 50 xyoo, tuaj yeem nkaum. Yog li ntawd, nws yog ib qho tseem ceeb kom paub cov cai hauv cov ntshav, yuav ua li cas zam nws. Coob tus nyob nrog ntshav qab zib?

Zoo sib xws rau qee cov kabmob, uas tseem muaj kev pheej hmoo txaus ntshai rau cov neeg mob, Rabson's syndrome yog, zoo hmoo, tsis tshua muaj. Siv tsis tau. Cov neeg mob nrog Rabson-Mendenhall syndrome tsis tshua nyob rau thaum tiav hluas.

Nws raug tso cai noj currants hauv ntshav qab zib, thiab nws tuaj yeem nrog hom 1 thiab 2. Liab muaj cov vitamin C me ntsis dua li cov dub. Txawm li cas los xij, ob hom no yuav pab tswj kev tiv thaiv, ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntsha. Cov tshuaj yej nplooj kuj tseem siv tau.

Nws yog qhov zoo dua rau tus kws kho mob xaiv cov vitamins rau keeb kwm keeb kwm poj niam los ntawm tus poj niam raws li kev ua paug thiab kev tsom xam. Muaj ob qho tshwj xeeb tau tsim los rau kev rov ua haujlwm, thiab lawv tau xaiv ib tus zuj zus los ua ib txwm muaj keeb kwm poj niam keeb kwm poj niam.

Astamirova H., Akhmanov M. Loj phau ntawv qhia txog cov neeg mob ntshav qab zib, Eksmo - M., 2013 .-- 416 p.
Nikolaychuk L.V. Kev kho mob ntshav qab zib nrog nroj tsuag. Minsk, tshaj tawm tsev "Niaj hnub Niaj Hnub", 1998, 255 nplooj ntawv, ncig 11,000 daim ntawv luam.
Romanova, E.A. Mob ntshav qab zib mellitus. Ntawv pov thawj phau ntawv / E.A. Romanova, O.I. Chapova. - M .: Eksmo, 2005 .-- 448 p.

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau tshaj 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, kev sab laj yuav tsum nrog tus kws tshaj lij yog ib txwm tsim nyog.

Cov tawv nqaij hloov

Cov tawv nqaij ntawm cov ntshav qab zib vim tias tus kab mob dhau los ua qhuav heev ntxhib rau tus kov, nws cov turgor poob. Cov plaub hau hlob zoo npub thiab ntog tawm ntau dua li ib txwm, txij li lub ntsej muag plaub hau yog rhiab heev rau cov teeb meem metabolic. Tab sis diffuse baldness qhia tau hais tias tswj ntshav qab zib tsis zoo los yog kev txhim kho ntawm cov teeb meem. Piv txwv li, cov plaub hau poob ntawm txhais ceg qis hauv cov txiv neej yuav qhia tias qhov muaj leeg ntshav ntawm lub cev qis dua.

Cov hluas thiab xib teg yog npog nrog cov kab nrib pleb thiab calluses. Feem ntau daim tawv nqaij ua ib qho xim tsis zoo. Cov ntsia hlau tuab, deform, thiab hyperkeratosis ntawm subungual phaj tsim.

Feem ntau, cov tsos mob ua kom mob tawv nqaij, xws li ua kom qhuav thiab khaus ntawm daim tawv nqaij thiab cov qog ua kua, ua rau daim tawv nqaij ua mob thiab cov kab mob, ua lub cim ntawm qhov pib ntawm ntshav qab zib.

Kev faib tawm ntawm cov tawv nqaij mob ntshav qab zib hauv ntshav qab zib

Hauv cov tshuaj niaj hnub, hais txog 30 ntau qhov dermatoses tau piav qhia, uas txhim kho tiv thaiv tom qab ntawm tus kab mob no lossis ua ntej nws.

Txhua hom kab mob tawv nqaij hauv ntshav qab zib tuaj yeem faib ua 3 pawg loj:

Thawj - kab mob ntawm daim tawv uas yog tshwm sim los ntawm cov tib neeg mob ntshav qab zib. Uas yog, mob ntshav qab zib neuro- thiab angiopathy thiab lub plab zom mov siab. Cov kab mob tseem ceeb muaj xws li mob ntshav qab zib xanthomatosis, mob dermatopathy mob ntshav qab zib, lipoid necrobiosis, mob ntshav qab zib, thiab lwm yam,
Kab mob thib ob yog kab mob ntawm daim tawv nqaij los ntawm kab mob thiab kab mob fungal, feem ntau rov huam mob uas tshwm sim vim mob ntshav qab zib mellitus,
Dermatoses los ntawm cov tshuaj siv hauv kev kho mob ntshav qab zib. Cov no suav nrog kev kho mob tom qab txhaj tshuaj lipodystrophy, toxidermia, urticaria, eczematous kev tsis haum.

Cov tawv nqaij mob tawv nqaij ntawm cov tawv nqaij, raws li txoj cai, siv sijhawm ntev, lawv tsiag ntawv los ntawm cov neeg mob tawv ncauj ntau. Lawv qiv lawv tus kheej tsis zoo rau kev kho.

Tom ntej no, peb xav txog cov tshuaj dermatoses uas neeg nyiam tshaj plaws. Kev kuaj mob thiab kho mob rau pab pawg ntawm qhov tshwm sim ntawm ntshav qab zib mellitus yog ua los ntawm cov kws kho mob tshwj xeeb - tus kws kho mob endocrinologist thiab kws kho mob nqaij tawv.

Ntshav Qab Zib Yuav Dermatopathy

Feem ntau qhov mob txhab ntawm daim tawv nqaij nrog ntshav qab zib. Angiopathy muaj kev txhim kho, uas yog, kev hloov pauv hauv microcirculation hauv cov hlab ntshav uas pub cov tawv nqaij nrog cov ntshav.

Dermopathy yog pom los ntawm qhov pom ntawm liab ploog-papules (5-12 hli inch) ntawm sab xub ntiag ntawm ob txhais ceg. Ntev dhau sijhawm, lawv sib koom ua ib oval lossis round atrophic spot, ua raws los ntawm daim tawv nyias nyias. Qhov nqaij tawv nqaij no tau pom pom ntau dua hauv cov txiv neej muaj keeb kwm mob ntshav qab zib ntev.

Cov tsos mob, raws li txoj cai, tsis tuaj, tsis muaj mob, tab sis qee zaum ntawm qhov chaw ntawm qhov txhab, cov neeg mob hnov nws khaus lossis kub. Nws tsis muaj txoj hau kev los kho dermopathy; nws tuaj yeem ploj mus ntawm nws tus kheej hauv ib xyoos lossis ob xyoos.

Lipoid necrobiosis

Mob dermatosis mob ntev, uas yog tus cwj pwm ntawm cov roj ntsha tsis sib haum thiab focal collagen disorganization. Qhov ua rau muaj tus kab mob no yog insulin-tiv thaiv ntshav qab zib mellitus. Feem ntau cov poj niam muaj hnub nyoog 15 txog 40 xyoo muaj mob, tab sis lipoid necrobiosis tuaj yeem txhim kho nyob rau hauv cov ntshav qab zib twg. Nws tsis muaj qhov sib cuam tshuam ncaj qha rau ntawm qhov mob hnyav ntawm cov kws kho mob pom ntawm cov kab mob dermatosis thiab mob hnyav ntshav qab zib.

Qhov ua rau ntawm cov tawv nqaij mob ntshav qab zib yog microangiopathy thiab kev hloov thib ob hauv kev ua kom muaj zog. Yog tias lawv nyob ntawd, necrosis ntawm elastic fibers yog pom, mob nrog kev tsiv teb tsaws ntawm cov neeg sawv cev ua kom pom tseeb ntawm necrosis. Lub luag haujlwm tseem ceeb hauv pathogenesis ntawm necrobiosis yog ua si los ntawm kev muaj platelet ntau ntxiv, uas, ua ke nrog kev loj hlob ntawm cov endothelium, ua rau muaj kev nqhis dej ntawm cov hlab ntsha me.

Lipoid necrobiosis pib nrog qhov tsos ntawm daim tawv nqaij ntawm qis ceg ntawm ib qho me me cyanotic liab dawb los yog tiaj du nodules ntawm oval lossis duab tsis meej. Cov ntsiab lus zoo li yuav loj hlob raws qhov txuas nrog qhov txuas ntxiv ntawm elongated, kom meej meej delimited polycyclic lossis oval inductive-atrophic plaques. Lub daj daj-xim av hauv nruab nrab, uas yog me ntsis sunken, thiab qhov cyanotic-liab marginal feem yog qee qhov chaw siab. Qhov saum npoo ntawm cov quav hniav yog tus, tsis tshua muaj tawv nti tawm ntawm qhov cuab yeej cuab tam.

Sij hawm dhau los, qhov chaw nruab nrab ntawm cov quav hniav atrophies, mob ntshav vias (telangiectasias), mob ntshav siab me me, thiab qee qhov mob txhaws chaw, tshwm rau nws. Feem ntau, tsis muaj lub ntsiab kev hnov. Thaum lub sijhawm ua mob ntawm qhov txhab, mob tshwm sim.

Daim duab ntawm daim tawv nqaij mob nrog lipoid necrobiosis yog li ntawd tus xeeb ceem hais tias tsis muaj kev xav tau kev tshawb fawb ntxiv. Kev kuaj mob sib txawv yog nqa tawm tsuas yog nrog cov ntawv atypical nrog sarcoidosis, annular granuloma, xanthomatosis.

Cov kws tshawb fawb ntseeg tias hauv 1/5 ntawm cov neeg mob ntshav qab zib, lipoid necrobiosis tuaj yeem tshwm sim 1-10 xyoo ua ntej kev txhim kho ntawm cov tsos mob tshwj xeeb ntawm ntshav qab zib.

Kev kho lipoid necrobiosis

Tsis muaj ib txoj kev kho tau tus mob lipoid necrobiosis zoo. Cov tshuaj pom zoo uas normalize lipid metabolism thiab txhim kho microcirculation. Cov vitamins thiab multivitamin complexes kuj tau sau tseg. Ua tiav zoo siv cov tshuaj txhaj tiv thaiv kab mob siab rau heparin, insulin, corticosteroids.

cov ntawv thov nrog kev daws teeb meem ntawm dimexide (25-30%),
troxevasin, heparin tshuaj pleev,
bandages nrog corticosteroid tshuaj pleev.

Kev tawm dag zog lub cev. Phono - lossis electrophoresis nrog hydrocortisone, aevit, trental. Kev kho laser, tsis tshua muaj ulceration yog tshem tawm ua haujlwm.

Khaus Dermatoses

Qhov kab mob no tseem hu ua neurodermatitis, nws yog manifested los ntawm khaus ntawm daim tawv nqaij. Ntau zaus, neurodermatitis ua thawj tsos mob rau ntshav qab zib. Kev ua haujlwm hauv zos mas feem ntau quav ntawm lub plab, nqua, qhov chaw mos.

Tsis muaj qhov sib cuam tshuam ncaj qha rau ntawm qhov khaus ntawm qhov khaus thiab qhov mob ntshav qab zib. Txawm li cas los xij, nws tau sau tseg: qhov khaus thiab khaus heev yog pom nrog "ntsiag to" (zais) thiab mob ntshav qab zib mellitus. Neurodermatitis tuaj yeem tsim kho vim kev tswj tsis tau ntshav qab zib kom muaj ntshav qab zib tsim muaj.

Mob kab mob rau daim tawv nqaij hauv cov ntshav qab zib

Feem ntau cov feem ntau, candidiasis kev loj hlob, tus neeg sawv cev uas yog vim li cas ntawm Candida albicans. Cov mob candidiasis yog ib ntawm cov tsos mob thawj zaug ntawm ntshav qab zib.

Nws tshwm sim feem ntau hauv cov neeg laus thiab cov neeg mob tas nrho. Nws yog ib txwm nyob hauv thaj chaw ntawm qhov chaw mos thiab qhov loj ntawm daim tawv nqaij, nrog rau ntawm cov leeg hauv qhov txha caj dab, hauv qhov sib xyaw ua ke. Nrog rau txhua qhov chaw hauv ib cheeb tsam ntawm candidiasis, nws thawj daim phiajcim yog tawv ncauj thiab mob khaus heev, ces lwm cov hom phiaj ntawm tus kabmob tuaj koom nrog nws.

Thaum pib, ib txoj hlua ntxig dawb ntawm macerated epidermis tshwm sim hauv qhov tob ntawm cov quav, thiab daim npoo av thiab cov kab nrib pleb. Kev npog ntsej muag muaj qhov ci ci thiab zoo nkauj, qhov ntxeev ntawm nws tus kheej yog xiav-liab thiab tsuas yog txwv rau lub npoo dawb. Lub ntsiab tseem ceeb ntawm candidiasis yog ib puag ncig los ntawm cov ceg tawv me me thiab cov hlwv, uas yog nws cov kev kuaj mob. Cov ntsiab ntawm cov pob khaus qhib thiab ua kom yaig, yog li, thaj chaw hauv cheeb tsam loj hlob tuaj. Kev kuaj mob tuaj yeem lees paub yooj yim los ntawm kab lis kev cai thiab kuaj tshuab tsom.

Mob ntshav qab zib candidiasis kho mob

Kev kho yuav tsum muaj txhij txhua thiab suav nrog:

antimycotic ointments lossis pleev uas yuav tsum tau siv ua ntej cov pob khaus ploj, thiab tom qab ntawd li 7 hnub,
daws teeb meem ntawm aniline dyes, lawv tuaj yeem ua dej cawv los yog aqueous (nrog thaj tsam loj ntawm kev puas tsuaj). Cov no suav nrog - 1% daws ntawm ci ntsa iab ntsuab, 2-3% daws ntawm methylene xiav. Kuj, rau kev kho mob hauv zos, Castellani kua thiab 10% boric acid tshuaj pleev yog siv,
cov kab mob ua haujlwm tshwjxeeb fluconazole, ketoconazole, itraconazole. Qhov kev txiav txim siab ib txwm muaj ntawm kev sau cov tshuaj no yog tias lawv ua tau zoo heev, pheej yig, thiab ua tsaug rau lawv koj tuaj yeem tshem tawm sai sai ntawm cov tsos mob ntawm candidiasis.

Cov kab mob ntawm daim tawv nqaij muaj kab mob hauv cov ntshav qab zib

Feem ntau cov tawv nqaij muaj mob ailments hauv ntshav qab zib. Qhov nyuaj yog tias lawv nyuaj los kho thiab ua rau muaj kev phom sij txog lub neej, xws li sepsis lossis mob caj dab. Cov mob voos rau ntawm tus taw mob ko taw tuaj yeem ua rau ceg txiav lossis tuag yog tias kho tau qeeb.

Tus mob ntshav qab zib muaj ntau dua li lwm tus pej xeem muaj cov rwj, carbuncles, pyoderma, phlegmon, erysipelas, paronychia thiab panaritium. Raws li txoj cai, lawv tau tshwm sim los ntawm streptococci thiab staphylococci. Kev nkag mus ntawm cov mob kis thiab mob ntawm daim tawv nqaij ua rau ua rau mob ntshav qab zib ntev thiab mob siab thiab yuav tsum tau teem caij lossis nce ntxiv ntawm cov koob tshuaj insulin.

Kev kho cov kab mob no yuav tsum yog nyob ntawm cov txiaj ntsig tau los ntawm kev kawm txog hom pathogen thiab nws rhiab ntawm tshuaj tua kab mob. Tus neeg mob tau sau tshuaj los ntawm cov tshuaj tua kab mob ntau yam. Yog tias tsim nyog, phais cov txheej txheem raug ua, piv txwv li, qhib lub rwj, ntws tawm ntawm qhov qog, thiab lwm yam.

Cov kab mob ntshav qab zib xws li mob ntshav qab zib bullae, rubeosis, acantokeratoderma, ntshav qab zib scleroderma, mob ntshav qab zib xanthoma, nthuav tawm cov kab mob ntshav qab zib muaj tsawg.

Cov tawv nqaij ua mob rau cov neeg mob ntshav qab zib mas kuj tseem niaj hnub no. Cov kev kho mob ntawm cov mob no yuav muaj qee yam nyuaj. Nws yuav tsum pib ntawm kev tswjhwm zoo rau cov ntshav qab zib thiab kev xaiv ntawm cov tshuaj tsim nyog rau ntshav qab zib. Yog tias tsis kho los ntawm cov metabolism hauv cov rog hauv pawg ntawm cov neeg mob no, txhua txoj kev kho yog ua tsis muaj txiaj ntsig.

Raws li cov ntaub ntawv tshawb fawb, tsis tsuas yog pob khaus, tab sis kuj muaj lwm qhov tawv nqaij muaj nyob hauv 35-50% ntawm cov neeg muaj ntshav qab zib. Ntau cov teeb meem tsawg dua nrog cov kabmob epidermis, piv txwv li, ua cov kaub puab uas nyob hauv xaum ntaubCov. Piv txwv, tag nrho lossis ib nrab ntawm kev puas tsuaj rau cov tawv nqaij sib txuas, hloov pauv hauv tus qauv ntawm cov hlab ntshav thiab cov rau tes. Qhov no tsis yog tag nrho cov qhov txhab mob, qhov zuag qhia tag nrho kev kuaj mob hauv cov neeg mob ntshav qab zib yog 100%.

Muaj cov pob khaus ntawm daim tawv nqaij uas muaj tus cwj pwm tshwj rau tus mob ntshav qab zib mellitus thiab rau kev ua xua rau squid. Xws li lub pob xau tuaj yeem yog ntshav qab zib bullae, txwv tsis pub hu ua pemphigus, uas yog ib hom mob hnyav ua mobCov. Qhov no muaj tseeb tshwj xeeb tshaj yog nyob rau kis uas tus mob ais khoom nrog ntshav qab zib neuropathy.

Pemphigus, lossis ua pob xoo tshwj xeeb, tsim los ntawm qhov tseeb tias kev teeb tsa kev ntxhov siab tshwm sim:

nyob rau hauv cov pob qij txha ntawm txheej sab saud ntawm dermis, thaum nyob rau thawj theem nws pab zaub ntsuab,
qis dua - epidermis.

Hauv cov theem tom qab hauv cov ntshav qab zib mellitus lossis tsis muaj kev kho kom zoo, raws li tuaj yeem pom hauv daim duab, daim ntawv qhia yog blisters thiab qee zaum dawb, zoo li tsev me cheese, kev kawmCov. Lawv tsuas yog nyob hauv qis qis kawg.

Qee qhov nyuaj tshaj rau cov tawv nqaij ua, piv txwv li, muaj kev tiv thaiv tus kabmob lipoid, kuj tseem cuam tshuam nrog kev hloov pauv ntawm qhov sib piv ntawm cov piam thaj hauv cov ntshav. Yog li, cov pob khaus nyhav ua rau cov ntshav qab zib, dab tsi yog, ntau dua, qhov ua rau ntawm nws cov tsos?

Txog ntawm cov laj thawj

Nws yuav tsum tau yug hauv siab tias mob ntshav qab zib hauv nws tus kheej feem ntau cuam tshuam nrog kev tua kab mob fungal. Nws yog lawv uas yuav ua sai sai rau qhov txhab ntawm daim tawv. Ua ntej tshaj, nws tsim nyog sau rau hauv daim ntawv xws li mob candidiasis, uas nyob rau hauv cov neeg mob ntshav qab zib tau tsim nyob rau hauv txoj kev ua pob thiab ua kom tawv nqaij. Tsis tas li, peb tuaj yeem tham txog cov kev mob qog nqaij hlav txhawm, mob pob tw, ua pob txha ntev ua paug thiab txhaws ntswg (mob ntawm cov ntsia hlau thiab pob rau hauv thaj chaw no).

Txhua qhov tawm suab ntawm cov ntshav qab zib tshwm sim tiv thaiv keeb kwm ntawm kev nce qib ntawm cov piam thaj hauv cov ntshav. Hauv qhov no, nyob rau hauv tus txheej txheem ntawm kev tsim txawm tias qee qhov kev tsis txaus ntseeg, nws raug pom zoo kom yauv mus kuaj sai li sai tau. Qhov no yuav ua rau nws muaj peev xwm kuaj thiab txiav txim theem ntawm tus kab mob, txawm tias nyob hauv thawj theem. Dab tsi koj yuav tsum paub txog cov tsos mob thiab seb lawv tuaj yeem paub qhov txawv ntawm daim duab.

Hais txog cov tsos mob

Thawj qhov tsos mob yuav tsis pom tias muaj teeb meem nrog cov epidermis. Nov yog qee yam insidiousness ntawm tus kab mob. Yog li, tus mob ntshav qab zib tuaj yeem yws txog:

qaug zog,
nquag insomnia
kub nce.

Ntau zaus muaj ntshav qab zib mellitus, cov tsos mob hais tawm tau tsis them mloog, thiab hauv qhov no, qhov pib ntawm kev kho mob rau pob khaus qeeb.

Qhov no yog qhov phem heev, vim tias qhov sai tau pib qhov txheej txheem los kho cov pob khaus, ntev dua nws yuav muaj peev xwm tshem tawm cov teeb meem kom meej.

Cov tsos mob ntawm qhov kev txiav txim thib ob suav nrog kev ua haujlwm me me nyob rau hauv qis qis, uas tau hloov mus sai heev. Lawv pib cuam tshuam thaj chaw tseem ceeb ntawm tib neeg lub cev: los ntawm caj npab thiab ceg kis thoob plaws lub cev. Cov tsos mob no tsis tuaj yeem plam nws kuj vim tias nws cuam tshuam nrog kev pheej khaus thiab tev. Mus txog theem kawg, pob khaus yog pom los ntawm kev ua kom tawv nqaij, liab thiab tawv nqaij.

Yog li, cov tsos mob ntawm lub pob liab ntawm ntshav qab zib mellitus tseem nyob ntau dua li pom tseeb. Ua tib zoo saib lawv hauv lub sijhawm kom pib kho txheej txheem sai li sai tau.

Kev hais txog yuav ua li cas kho pob khaus, nws yuav tsum raug sau tseg tias muaj ntau txoj hau kev: los ntawm cov tshuaj siv los siv cov xab npum tshwj xeeb lossis da dej pleev. Tsis tas li ntawd, txheej txheem ntawm kev rov kho lub cev yuav tsum muaj kev sib koom ua ke, vim tias nws yuav tsum tau cuam tshuam tsis tas nrog cov teeb meem pob, tab sis kuj muaj ntshav qab zib. Koj tuaj yeem nyeem txog kev kho kab mob rau rotavirus rau ntawm lub xaib //infectium.ru.

Yog li, cov ntshav qab zib yuav tsum tau kho tshwj xeeb, tsis tas yuav noj tshuaj rau tus kheej. Ua ntej tshaj plaws, cov kws tshaj lij pom zoo xaiv cov tshuaj tua kab mob lossis tshuaj ntsuab uas cia siab tias yuav ua haujlwm zoo tshaj plaws. Raws li ib feem ntawm kev kho mob pob khaus, lwm txoj hauv kev qhia pom lawv tus kheej zoo heev, yog li lawv tau siv thiab pom zoo los ntawm cov kws kho mob ntshav qab zib.

Yog li, hauv qhov xwm txheej no, chamomile, lavender lossis lwm yam tshuaj ntsuab yuav pab tswv yim ntawm tus kws tshaj lij. Lawv tuaj yeem tsis tsuas yog siv sab hauv, tab sis kuj tseem siv los ua kev zom zaws mus rau qhov chaw uas mob heev. Nyob rau tib lub sijhawm, lawv tau noj tshuaj uas:

neutralize lub voos
laus thiab rov qab cov ntawv epidermis,
them nyiaj rau cov ntshav ua piv txwv.

Ib qho ntxiv, nws yuav raug nquahu rau kev siv cov tshuaj pleev tshwj xeeb thiab lwm txoj kev uas tuaj yeem ua tau raws li cov ntawv sau yuav ntawm ib tus neeg lossis yuav ntawm chaw muag tshuaj.

Qhov nrov tshaj plaws yog tar tar, nthuav tawm hauv daim duab, uas yuav pab nrog ntau cov teeb meem ntawm daim tawv nqaij.

Hais Txog Kev Tiv Thaiv

Cov kev mob piav qhia, raws li koj paub, yog fraught nrog ntau cov teeb meem kev noj qab haus huv, hauv kev sib txuas nrog uas nws yog qhov yuav tsum tau soj ntsuam qee yam, nruj dua, tiv thaiv kev ntsuas. Hauv kev tshwj xeeb, nws yog hais txog kev nyiam huv ntawm tus kheej thiab kev siv ntau yam ntawm compresses. Qhov no yuav pab ua kom tus mob epidermis zoo nkauj, thiab yog tias muaj pob xau tshwm sim, nws yuav ua rau nws pib kho lawv sai li sai tau.

Ib qho ntxiv, kev tiv thaiv ua pob khaus yog them nyiaj rau ntshav qab zib. Tom qab tag nrho, nws yog qhov tseeb hloov ntawm cov piam thaj hauv kev cuam tshuam rau cov mob ntawm daim tawv nqaij, uas ua rau nyias dua thiab ua rau lub cev tsis zoo.Nws raug nquahu kom haus cov vitamins ntau li sai tau, tsis txhob hnov qab txog kev qoj ib ce thiab tsis txhob tsim txom tsis tsuas rog los yog qab ntsev, nrog rau cov tais txob, tab sis tseem nco ntsoov siv cov ntxhia pob zeb thiab lwm yam ntxiv.

Yog li, tawm pob lossis tsuas ua pob rau daim tawv nqaij nrog ntshav qab zib yog, ntawm chav kawm, tsis kaj siab thiab txawm tias mob. Tab sis nrog kev pib kho mob kom raws sij hawm, qhov tshwm sim no yuav kov yeej sai sai.Cov. Hauv qhov no, nws raug nquahu kom ua tib zoo saib xyuas txhua yam kev hloov pauv ntawm daim tawv nqaij kom thiaj li tuav tau cov haujlwm yam tseem ceeb.

Hom Mob Ntshav Qab Zib

Qhov tshwm sim ntawm lub pob khaus yog nyob ntawm theem ntawm kev txhim kho ntawm tus kab mob thiab cov yam ntxwv ntawm lub cev.

Ntshav qab zib mellitus yog tus cwj pwm los ntawm cov teeb meem hauv lub cev hauv lub cev, uas ua rau muaj teeb meem ntawm daim tawv nqaij. Qab qab zib ntau ntau, qhov tsis ua tiav ntawm cov ntshav mus rau ntawm daim tawv nqaij, intoxication ua rau kev puas tsuaj rau cov epidermis, cov hlab ntsha thiab cov nqaij mos subcutaneous, kev txhim kho ntawm cov txheej txheem hauv cov qog hws. Feem ntau, ua pob liab vog nrog ntshav qab zib yog qhov ntsuas ntawm qhov mob hnyav ntawm pathology.

Rov qab rau cov lus txheej txheem

Insulin kuj

Nrog rau cov nqaij mos ua kom lub cev muaj zog cov tshuaj insulin rau hauv cov neeg muaj ntshav qab zib, acantokeratoderma tshwm sim. Vim yog cov kab mob pathology, cov xim hloov xim rau ntawm tus neeg hauv lub cev, cov kabmob epidermis dhau los ua ntom nti, cov qib siab dua qib qib ntawm daim tawv nqaij yog tsim. Feem ntau cov feem ntau, xws li daim tawv hloov pauv hauv ntshav qab zib mellitus yog tsim nyob rau hauv quav, piv txwv li, hauv puab tais, qhov tso tawm, hauv qab cov qog mammary. Qee zaum pathology ua rau kev hloov pauv ntawm daim tawv nqaij ntawm cov ntiv tes. Tus kab mob ua ntej mob ntshav qab zib thiab tau raug suav tias yog ib qho cim ntawm tus kab mob no.

Rov qab rau cov lus txheej txheem

Yog tias muaj teeb meem kev cuam tshuam txog cov ntshav txaus

Muaj ntshav qab zib txhaws ua rau cov hlab ntshav tawm pob.

Hauv hom 2 Ntshav Qab Zib, ua xua lossis pob me ntsis tshwm sim rau ntawm daim tawv nqaij. Qhov no tuaj yeem qhia tau tias kev puas tsuaj rau cov hlab ntsha cov leeg. Atherosclerosis nyob rau hauv cov ntshav qab zib tshwm sim vim yog qhov tseeb tias cov hlab ntsha ua rau txhaws nrog cov kua qab zib, thiab cov plaques ua rau hauv cov hlab ntsha loj. Cov xwm txheej zoo li no ua rau muaj kev ua txhaum ntawm cov ntshav, tshwj xeeb, tawv nqaij, thiab pob ntau yam.

Rov qab rau cov lus txheej txheem

Lipodystrophy

Kev puas tsuaj rau cov hlab ntshav ua rau kev hloov pauv ntawm cov rog rog. Vim tias qhov no, daim epidermis hla nws dhau los ua nqaim dua thiab tig liab. Feem ntau, pathology raug kuaj pom ntawm ob txhais ceg. Nrog kev kis mob ntawm qhov tshwm sim, qhov mob txhab uas nyuaj nyuaj los kho. Cov chaw raug mob ntawm daim tawv nqaij tau hais meej meej meej, qee zaum lawv mob lossis khaus.

Rov qab rau cov lus txheej txheem

Scleroderma

Ntshav qab zib scleroderma yog tus cwj pwm hloov los ntawm daim tawv nqaij, vim qhov tshwm sim ntawm daim tawv nqaij sib cog lus, nws thiaj li dhau los ua quav. Sealing ntawm epidermis yog ua tau. Tsiv ntiv tes yog qhov nyuaj, vim tias daim tawv nqaij ntawm cov phalanges yuav nruj. Yuav kom tshem tawm cov kab mob pathology, yuav tsum muaj suab thaj li qub. Daim tawv nqaij yog muag nrog cov tshuaj pleev kom zoo nkauj.

Nrog cov mob ntshav qab zib atherosclerosis, daim tawv nqaij tsis tau txais cov khoom noj uas tsim nyog, uas yog vim li cas nws txhaws, plaub hau ploj thiab tuab ntawm cov ntsia hlau.

Rov qab rau cov lus txheej txheem

Cov tawv xau xanthomatosis

Kev kho tsis txaus ntawm tus kab mob tuaj yeem ua rau tawv nqaij.

Vim yog qhov tsis tshua muaj siab ntawm cov ntaub so ntswg mus rau insulin thiab kev kho mob ntshav qab zib tsis txaus, qhov kev tshem tawm cov lipids los ntawm cov ntshav tawm tsam. Nrog rau kev nce qib hauv cov rog hauv ntshav qab zib, cov tawv nqaij muaj teeb meem tshwm sim, thiab nrog rau qhov no, qhov muaj peev xwm ntxiv ntawm kev txiav tawm ntawm lub pob txhaws. Ntawm daim tawv nqaij, tshwj xeeb tshaj yog nyob rau ntawm nqua, lub ntsej muag thiab pob tw, cov ciab-zoo li daim tawv nqaij daj. Tus mob no yog nrog nrog khaus ntawm cov quav hniav tsim, lawv cov liab thiab ua pob liab liab ncig lub me ntsis. Kev kho mob txhawm rau tswj cov qib ntawm cov rog hauv lub cev tso cai rau koj kom tshem ntawm kev ua kom tsis hnov mob xanthomatosis nyob rau hauv 2 lub lis piam.

Rov qab rau cov lus txheej txheem

Dab tsi ntxiv ua pob?

Yog tias tsis kho cov ntshav qab zib, tus neeg mob yuav muaj ntshav qab zib pemphigus. Nrog cov kab mob no, bullae yog tsim rau ntawm cov ntiv tes, caj npab thiab txhais ceg - hlwv zoo ib yam li hlawv. Cov pob xoo no dhau ntawm nws tus kheej, tsis hais kev kho mob, thiab nyob ntawm qib ntawm cov piam thaj hauv lub cev. Yog hais tias cov hlwv raug puas, ua haujlwm txheej txheem o tuaj yeem txhim kho.

Tsis tas li ntawd, ib lub nplhaib granuloma tuaj yeem tshwm sim hauv cov neeg mob ntshav qab zib. Pathology yog hloov zuj zus sai thiab pom los ntawm kev tsim cov teev ua ke los yog cov ntiv nplhaib rau ntawm daim tawv nqaij ntawm pob ntseg thiab ntiv tes, tsawg dua ntawm lub plab thiab txhais ceg. Hauv cov neeg mob uas muaj ntshav qab zib hom 1, kev txhim kho ntawm vitiligo yog ua tau - kev tsim ntawm cov xim tsis pom kev ntawm daim tawv nqaij. Nws yog ib qho tseem ceeb los tiv thaiv daim tawv nqaij los ntawm ultraviolet hluav taws xob.

Rov qab rau cov lus txheej txheem

Cov pob khaus thib ob

Daim tawv nqaij sawv pob ua pob khaus khaus, vim los ntawm qhov uas cov kiav txhab tshwm tuaj. Hauv qhov no, qhov muag o tuaj, mob txhab thiab mob ua txhab. Kev ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij thiab muaj cov ntshav qabzib ntau hauv lub cev ua rau muaj kev pheej hmoo kis mob thiab tshwm sim ntawm cov tawv nqaij fungal. Cov teeb meem zoo li no yog nrog ntxiv los ntawm cov pob khaus ntawm tus kab mob tshwj xeeb.

Rov qab rau cov lus txheej txheem

Pob xoo rau me nyuam yaus

Cov pob nyob rau cov menyuam uas muaj ntshav qab zib tsis yog ib tus tsos mob xav tau.

Pob xoo, ua pob thiab ntxau rau cov menyuam yaus uas muaj ntshav qab zib tsis yog qhov yuav tsum ua kom pom, qhia txog kev txhim kho ntawm "tus kab mob qab zib". Ib yam li cov neeg laus, mob ntshav qab zib hauv cov menyuam yaus yog qhov tsis muaj tus yam ntxwv ntawm pathology ntawm daim tawv nqaij. Nws nyob ntawm theem ntawm cov piam thaj hauv lub cev, qib ntawm kev tswj hwm kev noj qab haus huv ntawm tus menyuam thiab cov kev sib txawv ntawm cov kab mob me. Hauv qhov no, feem ntau cov menyuam mos tau mob furunculosis, khaus tshwm. Yog tias qhov tshwm sim zoo li no ua ke nrog kev nqhis dej ntau thiab tso zis heev, tshwj xeeb tshaj yog thaum tsaus ntuj, yuav tsum kuaj ntshav qab zib.

Rov qab rau cov lus txheej txheem

Dab tsi los kho?

Cov pob khaus, plaques, indentations ntawm daim tawv nqaij yog tsim nyob rau ntawm qhov chaw ntawm kev tswj fwm insulin feem ntau.

Qhov ua rau lub cev ua pob rau cov neeg mob ntshav qab zib yog kom muaj cov piam thaj ntau ntau hauv lub cev. Txhawm rau tshem tawm pob, koj yuav tsum ua kom qab zib. Rau qhov no, ib qho yuav tsum nruj me ntsis rau cov lus pom zoo ntawm tus kws kho mob koom nrog. Tswj kev ua suab thaj thiab kev rov ua kom tib neeg mob yog:

kev siv cov tshuaj raws cov kws kho mob tau teev tseg
kev noj haus
nquag lub neej
tsis muaj kev ntxhov siab
muab cov cwj pwm tsis zoo tso tseg.

Kev noj zaub mov kom zoo thiab kev noj qab haus huv rau cov ntshav qab zib yog qhov tseem ceeb.

Nrog rau cov pob khaus ua pob liab, cov ntsiab lus ntawm cov mob txhab los yog khawb los yuav tsum tau ua rau kev soj ntsuam txhawm rau txheeb xyuas tus neeg sawv cev ntawm tus kab mob. Txhawm rau tshem tawm khaus, antihistamines tau kho. Hauv kev kho kab mob ntawm daim tawv nqaij theem nrab, thov:

tshuaj tua kab mob
anti-inflammatory siv yeeb siv tshuaj
tshuaj pleev xim thiab kiav txhab zoo mob thiab kua pleev.

Rov qab rau cov lus txheej txheem

Kev Tiv Thaiv

Koj tuaj yeem tiv thaiv cov tawv nqaij ua pob raws ntshav qab zib nrog kev pab cuam ntawm qab zib. Kev xav zoo ntawm cov piam thaj hauv lub cev ua rau muaj kev hloov ntau yam ua rau muaj ntau yam kev hloov ntawm daim tawv nqaij. Kev ib txwm ua thiab tshuaj xyuas cov piam thaj tas li yuav pab tiv thaiv ntau yam mob ntshav qab zib, nrog rau cov uas cuam tshuam txog kev noj qab haus huv ntawm cov epidermis.

Tib lub sijhawm, nws yog ib qho tseem ceeb kom ua raws li kev cai ntawm kev nyiam huv. Nrog rau cov ntshav qab zib, kev tiv thaiv kab mob tsawg dua, thiab muaj suab thaj hauv txhua qhov chaw ntawm lub cev ua rau nkag mus rau kev nkag mus rau ntawm tus mob los yog kab mob fungal. Koj tsis tuaj yeem siv cov khoom siv tua kab mob tua kab mob, kom tsis txhob cuam tshuam cov microflora ntawm daim tawv nqaij. Txhua qhov kev nyiam huv thiab tshuaj pleev ib ce yuav tsum yog hypoallergenic.

Daim tawv nqaij hloov pauv li cas?

Daim tawv nqaij mob ntshav qab zib tuaj yeem pom hauv duab. Nws yog qhov ntxhib heev thiab qhuav thaum lub sijhawm palpation, muaj qhov txo ntawm turgor, muaj pob nyob rau ntawm nws, tej zaum yuav muaj pob ntxau. Dhuav thiab plaub hau ntau zaus tshwm sim dua li tus neeg noj qab nyob zoo. Qhov no yog vim qhov siab rhiab ntawm cov plaub hau plaub hau rau kev ua haujlwm ntawm cov txheej txheem hauv metabolic. Yog tias tus neeg muaj cov cim qhia ntawm tus mob alopecia, nws tuaj yeem hais tau tias mob ntshav qab zib tsis zoo tswj, lossis cov kev mob tshwm sim. Hauv cov ntshav qab zib mellitus, suav nrog nws cov tawv nqaij ua kom pom, piv txwv li, dryness, khaus, rov ua dua ntawm kev kis los ntawm cov kab mob hu ua fungi thiab kab mob, peb tuaj yeem tham txog kev tsim kab mob.

3 yam mob ntshav qab zib cov tawv nqaij pathology:

yog tias ib tug neeg muaj qhov mob txhab, qhov laj thawj tseem ceeb yog qhov mob ntshav qab zib ua rau nws muaj ntshav tawm. Kev puas tsuaj rau peripheral qab haus huv thiab cov hlab ntshav nrog qhov tsis ua haujlwm ntawm cov txheej txheem hauv metabolic tseem tau pom. Qhov no suav nrog ntshav qab zib dermopathy, pemphigus, lipoid necrobiosis, mob ntshav qab zib ua pob, xanthomatosis thiab lwm yam kab mob,
qhov ua kom muaj cov mob txhab ntxiv yog cov kab mob ntawm daim tawv nqaij uas tsim los vim muaj cov kab mob thiab cov hu ua fungi uas rov ua mob ntshav qab zib,
hom thib peb yog pom los ntawm tshuaj dermatoses tshwm sim los ntawm cov tshuaj thaum kho kho pathology. Cov no suav nrog toxemia, urticaria, thiab lipodystrophy tshwm sim los ntawm kev txhaj tshuaj.

Ntau qhov kev tshwm sim ntawm cov ntshav qab zib mellitus ntawm cov tawv nqaij muaj peev xwm pom tau ntev, lawv muaj kev nquag nquag tshem tawm, lawv txoj kev kho yog tsim nyog. Txhua qhov txhab tawv nqaij mob ntshav qab zib yog qhia hauv kev yees duab.

Nquag Los Diav Tshuaj

Feem ntau cov tawv nqaij mob hauv cov kab mob no yog suav tias yog tshuaj tua kab mob ntshav qab zib. Microcirculatory ntshawv siab tshwm sim hauv cov hlab ntsha uas muab tshuaj rau ntawm daim tawv nqaij. Nyob rau sab pem hauv ntej ntawm tibia, liab-xim av papules raug pom, muaj nyob rau ntawm lub cev, muaj txoj kab uas hla ntawm 5-7 txog 10-12 hli. Tom qab ib ntus, lawv tuaj yeem sib koom ua ke hauv daim ntawv puag ncig lossis oval atrophic me ntsis, nrog daim tawv nqaij nyias nyias yav tom ntej. Cov pob ntawd tsis ua rau mob, tab sis nyob hauv thaj chaw muaj kev cuam tshuam, cov neeg mob yuav hnov zoo li khaus thiab kub. Me ntsis pom nrog ntshav qab zib mellitus, yees duab.

Feem ntau, tus kab mob no yog cov yam ntxwv ntawm tus txiv neej, lawv tus kab mob kav ntev. Kev kho mob rau cov ntshav qab zib tsis dermopathy yog tsis tsim nyog. Daim duab ntxaws ntxaws ntawm cov zawv plaub hau dermopathy tuaj yeem muab cov duab qhia hauv kab lus.

Cov pob tshwm tshwm li cas?

Cov pob khaus uas pom muaj ntshav qab zib mellitus rau cov laus yog cov yam ntxwv ntawm ntshav qab zib pemphigus. Pob xoo pom nyob rau hauv cov ntshav qab zib, duab.

Yuav pom tus pob xoo yog tias tus neeg mob tau mob loj ntawm tus kab mob, tshwm sim nyob rau hauv kev ua ke nrog thiab kev loj hlob ntawm tus mob neuropathy nrog cov kab mob qab zib, yog tsawg. Cov pob voos pom ntawm daim tawv nqaij mob ntshav qab zib, yees duab.

Cov hom pob khaus pom nyob rau hauv cov ntshav qab zib, piv txwv li, ntawm ob txhais ceg, zoo li hlwv txaus ntshai tom qab hlawv.

Cov hlwv no tshwm sim ntawm phalanges ntawm tus ntiv tes ntawm sab qaum thiab sab dua. Pemphigus ntawm daim tawv nqaij tsis ua rau mob, tom qab peb lub lis piam nws ploj yog tias muaj ib qho li qub ntawm cov ntshav qab zib. Tsuas yog muaj qee qhov xwb. Tus npaws ntshav qab zib tau pom nyob hauv daim duab.

Hom ntawm hom tshuaj dermatoses

Yog tias tus neeg mob tau mob ntshav qab zib scleroderma, ces nws daim tawv nqaij tau ua tuab dua. Localization tshwm sim nyob rau hauv txha caj qaum cervicothoracic. Cov neeg mob uas muaj hom ntshav qab zib hom thib ob feem ntau yuav cuam tshuam tsis zoo.

Yog hais tias tus neeg mob tau muaj vitiligo, tom qab ntawd vim yog hyperglycemia, muaj cov nyhuv ntawm cov hlwb xim uas ua rau melanin. Qhov tshwm sim ntawm qhov no yog xim tsis muaj xim ntawm ntau qhov ntau thiab cov duab. Qhov chaw ntawm qhov chaw nyob yog thaj av ntawm lub plab, hauv siab, qee zaum ntawm lub ntsej muag. Ntau zaus cov pob no tau pom nyob hauv cov neeg mob uas muaj thawj hom kab mob. Kev kho mob hauv zos, cov tshuaj steroid thiab micropigmentation yog siv.

Yog tias ib tus neeg muaj cov tsos mob ntawm lipoid necrobiosis, lub pob zeb papule zoo li liab, los yog sawv cev los ntawm cov quav hniav uas nyob rau sab nraud ntawm sab ceg qis, tom qab ntawd hloov mus rau hauv cov nplhaib uas muaj lub ntsej muag uas cov hlab ntsha tau nrawm rau hauv plawv. Qee zaum kuj yuav muaj qhov txhab. Cov pob voos tuaj yeem muaj ntshav qab zib, duab.

Yog hais tias tus neeg mob muaj cov tsos mob khaus khaus ua pob, cov pob khaus ua ntawm ntau hom, lossis liab me nrog khaus heev uas tshwm sim vim yog hyperglycemia. Cov paib no tuaj yeem qhia ua ntej pib txoj kev pathology. Cov tawv nqaij ua pob xoo pom nyob rau hauv ntshav qab zib mellitus, yees duab.

Teleangiectasias hauv tus ntsia thawv txaj ─ Cov pob xoo ntawm no yog sawv cev los ntawm kab laug sab nrog cov hlab ntaws hauv cov ntsia hlau txaj.

Lub dermatoses hom tseem tuaj yeem suav pob khaus rau ntawm lub ntsej muag, tawm pob rau ntawm qhov chaw muaj ntau xim ntawm daim tawv nqaij, tawv daj daj ntawm cov rau tes thiab tawv nqaij. Cov pob khaus tuaj yeem pom ntshav qab zib, saib cov duab hauv kab lus.

Yog tias ib tus neeg muaj qhov pom ntawm tawv nqaij, lossis acrochordones, lossis acanthokeratoderma, daim tawv nqaij muaj qhov ntsej muag. Nws nyob ntau zaus hauv qhov tso, hauv caj dab, lossis hauv qab ntawm lub txiv mis. Ua ntej, daim tawv nqaij muaj qhov "velvet" tsos nrog cov xim pom tseeb, zoo li cov ntaub ntawm cov tawv nqaij nrog qhov zoo li ntawm daim tawv nqaij qias neeg.

Yog tias tus neeg mob tau ua kom tuab thiab nruj ntawm cov ntiv tes (sclerodactyly), ntau lub papules nyob rau hauv ib pawg, muaj kev cuam tshuam cov npoo sab nraud ntawm cov ntiv tes sib txuas, cuam tshuam rau kev sib koom tes ntawm cov phalanges. Qhov no tuaj yeem ua rau nws tsis yooj yim los kho cov ntiv tes ntawm txhais tes yog tias tus kab mob loj zuj zus tuaj. Txoj kev kho mob yog los ua kom ntshav qab zib.

Thaum tus neeg mob tau ua rau muaj kev mob tshwm sim xanthomatosis vim qhov tseeb tias triglycerides hauv cov ntshav muaj siab dua thaum lub cev tsis ua haujlwm, cov pob xoo yog sawv cev los ntawm cov plaques daj uas nyob ib puag ncig los ntawm lub corolla liab. Lawv nyob hauv lub ntsej muag thiab lub pob tw, ntawm qhov chaw ntawm cov nqaj, ntawm sab nraub qaum thiab sab saud. Feem ntau muaj khaus heev. Cov pob khaus ntawm ob txhais ceg ntshav qab zib, duab.

Cov kab mob thiab fungi

Ib tug kab mob uas cuam tshuam rau daim tawv nqaij nrog rau cov neeg mob fungi hauv cov neeg mob ntshav qab zib yog tshwm sim los ntawm tus neeg sawv cev vim li cas ntawm Candida albicans, hu ua candidiasis. Yog hais tias tus kab mob no rov tshwm sim, tom qab ntawd peb tuaj yeem tham txog kev tshwm sim ntawm ib qho ntawm thawj cov tsos mob ntawm tus mob ntshav qab zib. Cov kab mob nquag: vulvovaginitis, khaus khaus ntawm lub qhov quav, cheilitis angular lossis "jams", mob pob tw, cov kabmob ntawm cov ntsia hlau, lub caij ntev ua rau los ntawm blastomycetes. Kev kho mob yuav tsum tau nqa tawm nrog antifungal thiab antiviral agents, tshuaj tua kab mob, tshuaj pleev.

Kev hloov pauv ntawm daim tawv nqaij, piv txwv li, ntawm ob txhais ceg nrog ntshav qab zib, tau pom los ntawm dryness, microcracks, nrog qhov tsis tshua muaj siab, lossis nws ua tiav. Vim tias qhov no, txhua qhov txhab tsis tuaj yeem hnov txhua. Thiab hauv txoj kev no ib hom kab mob tsis zoo uas nkag rau hauv lub qhov txhab, nrog lawv cov kev ua dua tshiab thiab kev puas tsuaj rau cov ntaub so ntswg mos. Cov kev hloov txuas ntxiv tuaj yeem yog hauv daim ntawv ntawm mob txhab, mob qog tuaj yeem tsim kho, tom qab ntawd ces yuav tsum tau txiav tes taw.

Cov tshuaj dermatoses tshwm sim hauv cov neeg mob ntshav qab zib, uas raug yuam kom noj tshuaj uas txo cov suab thaj, muaj peev xwm ua rau muaj kev tsis haum tshuaj ntau yam, piv txwv li, mob ntxau nrog ntshav qab zib uas pom hauv daim duab hauv kab lus.