Cov pob liab mob ntshav qab zib uas muaj pob raws daim tawv nqaij ntawm lub cev thiab ceg

Peb muab koj los nyeem cov lus ntawm cov ncauj lus: "ua pob rau ntshav qab zib, tawm pob rau ntawm daim tawv nqaij ntawm cev thiab txhais ceg" 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, ib tug 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 ib txwm - 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 muaj kev voos sab hauv thiab microdamage.
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 tej zaum yuav yog ib qho cim ntawm kev txhim kho ntshav qab zib lossis nws cov teeb meem, thiab 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 tsis pom kev hloov uas tshwm sim nrog cov khoom hauv nruab nrog thiab cov leeg ua haujlwm sab hauv lub cev, muaj cov cim ntshav qab zib sab nraud 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 tias lawv twb "tawg tawm" (hauv thiab hauv qab 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, lub 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 tau pom los ntawm kev nqhis dej tsis txaus thiab qhov ncauj qhuav tas li, txawm hais 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 cov pyoderma sib sib zog nqus,
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 cov nplaim qhov sib xyaw ua ke tsis yog txhawb nqa kev qhia txog cov kab mob microbial, tab sis kuj tseem pom zoo rau cov kev ciaj sia ntawm mycotic (fungal) muaj nyob rau ntawm nws - candida (poov-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 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 ua tau ntawm daim tawv nqaij me me, qhov tshwm sim ntawm "kab laug sab leeg" - teleangiectasias, cov tawv nqaij puas tsuaj nrog kev tsim kho tom qab.
Xanthomatosis - qhov tshwm ntawm cov plaque plaque cov qauv, cov phiaj xwm npawv, cov xim los ntawm daj daj mus rau xim av daj, tsa saum cov tawv nqaij (feem ntau yog nyob ntawm pob tw, rov qab, 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,
tus saib xyuas chaw,
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 heev lawm, qhov twg thaj chaw ntawm ntau daim tawv nqaij dhau los ua thaj chaw nyiam ntawm 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 sib txuas raug xaiv raws li cov txiaj ntsig kev kuaj sim - tsom kab mob me me thiab nrog cov kab mob tuag ntawm ib qho khoom noj nruab nrab, tom qab ntawd los ntawm kev txheeb xyuas cov kab mob kab lis kev cai thiab nws cov neeg muaj ntau yam tshuaj (antimicrobial lossis antifungal).

Yog li, kev siv tshwj xeeb "pej xeem" txoj hauv kev tsis muaj ntau dua ib txoj hauv kev poob lub sijhawm zoo thiab txawm tias muaj ntau dua qhov teeb meem ntawm daim tawv nqaij nrog lub suab thaj. Tus kws kho mob tshwj xeeb yuav tsum kho cov teeb meem ntawm nws txoj kev kho kom zoo.

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 muaj kev tsis txaus siab tawm tsam keeb kwm ntawm kev mob ntshav qab zib 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 noob 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 khaus liab yog xim liab los yog xim daj, lawv qhov loj tsis ntau dua li 1 cm. Tom qab ploj, foci nrog rau ntau yam xim ntxiv nyob twj ywm, muab cov tawv nqaij ua qauv zoo nkauj.

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 qhov 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. Txhawm rau ua qhov no, lawv hloov kho kev noj haus, txwv kev ua kom zoo ntawm cov carbohydrates, cov tsiaj rog 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 kab 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.

Zakharov, Yu A. Kev kho mob ntawm hom 1 mob ntshav qab zib mellitus / Yu.A. Zakharov. - M .: Phoenix, 2013 .-- 192 p.
Dedov I.I., Shestakova M.V., Milenkaya T.M. Mob ntshav qab zib mellitus: retinopathy, nephropathy, Tshuaj -, 2001. - 176 p.
Baranov V.G. Qhia rau Sab Hauv Tshuaj. Cov kab mob ntawm cov kab mob endocrine thiab cov metabolism, Lub xeev cov ntawv tshaj tawm txog kev kho mob - M., 2012. - 304 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, yuav tsum tau sab laj nrog tus kws kho mob tshwj xeeb.