Cov tawv nqaij ua pob raws ntshav qab zib: yees duab ntawm urticaria thiab pemphigus
Cov tawv nqaij ua pob raws ntshav qab zib yog qhov tshwm sim ntuj. Cov tawv nqaij muaj teeb meem nrog kev sib txuam nrog kev txhim kho kabmob. Endocrine pathology yog tus cwj pwm los ntawm kev qoj ib ce tsis txaus, kev tsis ua hauj lwm hormonal, thiab qhov ntshav nce ntxiv hauv cov ntshav cov ntshav qabzib. Qhov no tsis zoo cuam tshuam rau kev ua haujlwm ntawm txhua lub plab hnyuv siab raum thiab lub nruab nrog cev, muaj ntau yam teebmeem loj tuaj, nrog rau kev ua kom mob hauv qhov.
Qhov siv zog ntawm cov tsos mob tshwm sim nyob ntawm tus kheej cov yam ntxwv ntawm chav kawm thiab theem ntawm ntshav qab zib. Cov teeb meem nrog cov epidermis (daim tawv nqaij), muaj cov yam ntxwv ntawm sab nraud txawv txav, tuaj yeem muaj hauv cheeb tsam hauv txhua qhov ntawm lub cev, nrog los ntawm khaus khaus. Nrog rau qhov ua kom tsis muaj zog vim yog qhov pib ua mob (mob ntshav qab zib), cov tawv nqaij kho tsis zoo ntev ntev, feem ntau rov tshwm sim dua, thiab dhau los ua cov kab mob dermatological.
Cov nyhuv ntawm ntshav qab zib ntawm kev noj qab haus huv ntawm daim tawv nqaij
Degenerative-rhuav tshem kev hloov pauv ntawm daim tawv nqaij ua rau muaj kev cuam tshuam ntawm cov txheej txheem biochemical hauv lub cev uas tshwm sim vim yog kev muaj mob ntawm cov ntshav qab zib mellitus. Cov tsos mob ntshav qab zib hauv qab no cuam tshuam rau kev txhim kho ntawm daim tawv nqaij pathologies:
- Kev ntshaib plab metabolic. Zoo li lwm cov ntaub so ntswg thiab cov hlwb ntawm lub cev, daim tawv nqaij tsis tau txais cov khoom noj muaj txiaj ntsig, trophism yog cuam tshuam (cov txheej txheem ntawm kev noj zaub mov ntawm tes). Yog li ntawd, nws lub cev tiv thaiv kab mob raug txo kom tsawg.
- Kev ua txhaum ntawm kev rub tawm ntawm cov kua ntswg. Cuam tshuam kev rov ua mob epidermis. Nrog kev rov tsim dua tshiab, txawm tias me me abrasions thiab khawb tau yooj yim. Kev luam tawm ntawm cov kab mob pathogenic ua rau kom muaj kev tiv thaiv. Cov txheej txheem lim dej tsis zoo tuaj yeem cuam tshuam tsis tsuas yog cov khaubncaws sab saud ntawm lub dermis, tabsis tseem tuaj yeem hno cov nqaij subcutaneous.
- Txo cov sab hauv tsis pom qhov ntswg (cov ntaub so ntswg sib txuas nrog lub hauv nruab nrab cov hlab hlwb). Kev hnov mob ntawm cov hlab ntsha tau txais kev txhawj xeeb tsis zoo. Cov pob khaus khaus thiab liab ntawm daim tawv nqaij, feem ntau tshwm sim nrog txoj hlab ntaws.
- Kev puas tsuaj ntawm cov hlab ntsha thiab cov nkoj loj. Ketones (mob ntshav qabzib ua kom cov khoom tawg) thiab cov roj (loj tuaj) ua cov kab mob ntshav siab (ua rau cov mob ntshav qab zib) ua kom puas cov endothelium (txheej sab hauv ntawm cov leeg ntsa), thiab lub xeev ntawm cov leeg thiab cov nqaij collagen zuj zus. Cov hlab ntsha poob lawv qhov kev ywj pheej, cov hlab ntsha me yog txhaws nrog cov kua qab zib, tawg, ntshav ncig yog cuam tshuam, angiopathy muaj. Ua ntej tshaj plaws, cov txheej txheem no cuam tshuam rau qis qis. Qhov mob tsis zoo ua rau pom tshwm ntawm ob txhais ceg, thaum kawg hloov mus rau qhov txhab mob txhab.
- Kev tiv thaiv muaj zog thiab tsis txaus ntawm microflora. Ua tsis tiav cov metabolism cuam tshuam tsis zoo rau lub plab zom mov, hauv ntau cov kab mob ntshav qab zib dysbiosis yog ib qho kev mob tshwm sim heev. Txij li thaum muaj kab mob pathogenic microorganisms nyob ib feem tseem ceeb hauv microflora ntawm epidermis, nrog dysbiosis lawv pib ua kom nquag plias. Kev ua haujlwm tsis muaj zog ntawm lub cev tsis muaj zog tsis tuaj yeem tiv thaiv kab mob. Staphylococcal, kab mob streptococcal, mob candidiasis (kab mob fungus ntawm genus Candida) tsim.
- Daim siab ua hauj lwm. Hauv cov theem ua haujlwm thiab txiav ua kom ntshav qab zib, lub siab tsis ua haujlwm nrog kev rhuav tshem tas mus li ntawm kev tsim khoom thiab cov metabolism ntawm cov protein thiab lipids (rog), zoo li nrog cov tshuaj kho mob. Kev mob hnyuv thiab lub raum ua haujlwm tsis tuaj yeem tshem tawm cov teeb meem co toxins ntau dhau hauv txoj kev coj ua, yog li qee qhov tshwm sim ntawm daim tawv nqaij ua pob.
- Kev ntxhov siab Lub siab ntsws xav hauv xeev ntawm cov ntshav qab zib feem ntau tsis ruaj khov. Kev puas siab ntsws neuropsychological ua rau khaus khaus. Thaum muab cov khoom sib txuas ntawm lub cev, tus neeg mob tuaj yeem sib kis lossis ua rau lub cev tsis muaj kab mob ntawm cov kab mob.
- Hormonal tsis ua haujlwm. Tsis txaus ntawm cov keeb kwm hormonal ua rau muaj kev nce ntxiv hauv kev ua haujlwm ntawm cov qog sebaceous ntawm kev ua haujlwm sab nraud, rau kev tsim tawm ntawm sebum (sebum). Oily daim tawv nqaij tau yooj yim sai sai.
Qee zaum dermatological thiab kis kab mob uas tsis cuam tshuam nrog hyperglycemia (cov piam thaj ntau) tuaj yeem ua rau ua pob rau ntawm daim tawv nqaij. Cov no suav nrog:
- kev fab tshuaj rau khoom noj, tshuaj, tshuaj pleev ib ce thiab tshuaj tsw qab,
- tawv nqaij o ua rau cov menyuam mob ntshav qab zib ua mob qhua pias, mob qhua pias, qhua pias,
- pom kev mob pob khaus ntawm daim di ncauj, tawv muag (qee zaum ntawm lwm qhov ntawm lub cev),
- Werlhof's disease, txwv tsis pub thrombocytopenic purpura yog cov tsos mob liab uas tshwm sim los ntawm kev ua txhaum ntawm cov ntshav cov ntshav (txo qis hauv cov ntshav platelets).
Rau cov neeg laus, kev mob tawv nqaij tuaj yeem yog vim tus kabmob STIs (mob sib kis los ntawm kev sib deev). Nrog kev asymptomatic txog mob syphilis nyob rau thawj theem ntawm tus kab mob, ib cov pob tshwm ntawm cov xib teg ntawm lub sijhawm, zoo li erythema.
Yeem
Cov tawv nqaij hloov tuaj yeem tshwm sim lawv tus kheej li vitiligo - kho qhov tsis zoo ntawm thaj chaw ntawm txhais tes, taw, ntsej muag thiab caj dab vim tias kev tsis sib txuas ntawm cov tawv nqaij tsis txaus. Lub teeb asymmetric pom tshwm rau ntawm lub cev uas tsis muaj thaj tsam huv si. Vim tias qhov noo noo tas li los ntawm kev nquag tso zis thiab hyperhidrosis (tawm hws ntau dhau), daim tawv nqaij yuav qhuav.
Hyperkeratosis muaj kev loj hlob - hu rau cov tawv nqaij ntawm cov taw ntawm qhov nqaij tawv nrog kev ua txhaum ntawm desquamation (exfoliation ntawm cov tawv nqaij tuag flakes). Ib qho tseem ceeb yog qhov kev kuaj mob txawv txav ntawm cov kab mob ua kom mob dermatological. Nrog kev paub tsis meej txog tus mob, tus neeg mob tau muab ib chav kuaj ntshav kuaj thiab kuaj keeb kwm yav dhau los ntawm cov tawv nqaij.
Cov hom tawv nqaij ua pob
Cov hom mob pob khaus tawm tsam tom qab mob ntshav qab zib mellitus tau muab cais raws li lub sijhawm:
- Lub hauv paus (keeb kwm). Nws yog tsim vim kev mob ntshav qab zib hauv nruab nrog plab thiab ruaj khov hyperglycemia.
- Thib Ob (pyodermic). Nws tshwm sim los ntawm qhov txuas ntawm cov kab mob sib kis tau los ntawm cov kab mob uas tau nkag mus rau hauv phaum, lossis tau muab coj los nkag rau qhov txhab.
Ib pawg cais yog cov kabmob sib kis, tshwm sim los ntawm kev siv sijhawm ntev lossis siv tsis raug. Feem ntau muaj kev puas tsuaj rau cov ntaub so ntswg subcutaneous vim qhov tsis raug txhaj tshuaj tsis raug ntawm cov tshuaj insulin (tom qab txhaj tshuaj lipodystrophy), kab mob nettle (urticaria), thiab ua pob khaus.
Cov kev hloov sab nraud nrog ua rau hnov zoo li khaus thiab kub nyhiab hauv thaj chaw muaj kev puas tsuaj, kev tsis sib haum xeeb (pw tsaug zog), kev tsis txaus ntseeg tsis txaus ntseeg, dandruff, ntau dhau ntawm dryness thiab plaub hau tawg (ib feem alopecia tsim). Hauv daim ntawv theem nrab, hyperthermia (kub taub hau) tuaj yeem tshwm sim.
Sau npe Cov Tshuaj Tiv Thaiv Kab Mob
Cov teeb meem loj ntawm ntshav qab zib, los ntawm kev hloov pauv ntawm daim tawv nqaij, suav nrog:
- ntshav qab zib pemphigus,
- dermatopathy
- ntshav qab zib lipoid necrobiosis,
- annular (anular) granuloma,
- seborrheic dermatitis,
- scleroderma,
- xanthomatosis (aka xanthoma),
- kab mob thiab fungal pyoderma (kab mob streptococcal thiab staphylococcal, furunculosis, phlegmon, thiab lwm yam).
Rau cov poj niam, cov kab mob fungal yog feem ntau tshwm sim los ntawm candida fungus thiab tau laus hauv qhov chaw mos sab nraud thiab perineum. Qhov mob lwm yam yog mob ntawm qhov mob ntawm txoj hlab zis (txoj hlab zis), lub phab ntsa ntawm lub zais zis (cystitis), qhov chaw mos thiab qhov chaw mos (vulvovaginitis).
Rau cov ntshav qab zib hom 2, yam ntxwv hloov yog qhov tsaus ntuj thiab zawm ntawm daim tawv nqaij ntawm txoj kab ntawm pob txha, puab tais, hauv qab lub mis. Qhov sib txawv ntawm lub ntsej muag yog qhov kev ntsuas ntawm qhov txhab ntawm cov epidermis. Tus kab mob hu ua acantokeratoderma, lossis acanthosis dub, thiab tshwm sim vim yog cov kua dej los tiv thaiv (tiv thaiv insulin tsis tu los ntawm lub cev lub cev).
Pom tau qhov muag pom ntawm sab nraud ntawm qee cov tawv nqaij pathologies raug nthuav tawm hauv daim duab.
Tsis txhob koom nrog kev ntsuas tus kheej. Tsuas yog kws kho mob tuaj yeem txiav txim siab tus mob thiab nws cov laj thawj, nrog rau kev kho mob kom raug.
Kev Pom Dermatopathy
Cov pob xoo tuaj yeem vim yog vascular cuam tshuam nrog ntshav qab zib. Thaj chaw ntawm kev faib tawm yog qis nqeg, tshwj xeeb, sab ceg qis. Rau thawj theem ntawm tus kab mob, ib kis (mus txog 1 cm inch) yog tus yam ntxwv. Nrog cov kev nce qib ntawm cov txheej txheem, lawv sib koom ua ke rau hauv ib qho chaw tsis hnov mob. Dermatopathy mob siab rau lipoid ntshav qab zib plob tsis sib thooj.
Cov tawv xau xanthomatosis
Nws yog laus nyob rau lub ntsej muag, nraub qaum, pob tw, ntiv tes. Cais rau cov pab pawg ntawm cov kab mob metabolic dermatological cuam tshuam nrog kev hnov lus tsis zoo ntawm cov rog los ntawm lub cev. Raug los ntawm concomitant atherosclerosis. Cov tsos mob tshwm sim yog qhov ua kom txo qis lipids (cov roj (cholesterol thiab cholestanol)) ua cov xim daj plaques (xanthomas) hauv cov hlwb ntawm cov epidermis.
Lub cev granuloma
Pathology muaj mob nrog rau kev kawm nthwv dej. Lub caij nyoog so tom qab muaj kev rov huam mob dua, vim kev ua txhaum ntawm kev noj haus lossis ua kom ceeb. Tib cov pob khaus tsis tshua muaj tshwm sim, feem ntau, cov pob khaus kis mus rau ntau qhov chaw ntawm lub cev (lub xub pwg, xib teg, ntsej muag, thiab lwm yam). Outwardly, lawv saib zoo li violet-pink nodules, sib koom ua ke ntawm cov plaques loj heev hauv cov duab ib ncig, txog li 5-6 cm ntawm loj.
Ntshav qab zib daim tawv nqaij sclerosis
Qhov tshwm sim yog vim qhov kev ua txhaum ntawm kev tawm ntawm cov kua ntswg ntawm lub cev. Mob ntshav qab zib sclerosis muaj ntau rau cov neeg mob insulin. Cov tawv nqaij qhuav, ziab hauv xib teg yog rub ua ke, cuam tshuam nrog kev ua lub cev muaj zog ntawm cov ntiv tes. Hauv 1/6 ntawm cov neeg mob, cov txheej txheem txuas ntxiv rau ntawm caj npab, xub pwg, thiab hauv siab.
Ua rau mob pob khaus
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 qab zib sai.
Hom kev ua pob rau ntawm tus neeg mob lub cev
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.
Kev kuaj mob sib txawv
Tawm tsam keeb kwm ntawm ntshav qab zib, lwm yam kab mob yuav tshwm sim. Yog li no, daim tawv nqaij xoo pob liab vog ib txwm tsis pom qhov kev vam meej ntawm qhov "qab zib mob."
Tus kws kho mob uas paub zoo yuav tuaj yeem sib txawv ua pob rau thaj tsam mob ntshav qab zib nrog rau lwm yam kab 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.
Mob ntshav qab zib ua pob khaus
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.
Cov kab mob ntawm daim tawv nqaij zoo li cas rau tus neeg mob ntshav qab zib?
Nrog ntshav qab zib, daim tawv nqaij hloov pauv. Nws ua ntxhib thiab qhuav, uas tuaj yeem txiav txim siab yooj yim los ntawm palpation. Muaj qhov txo qis hauv elasticity thiab turgor, thaum kuaj, koj tuaj yeem pom cov tsos ntawm pob txuv, blackheads thiab pob.
Tsis tas li ntawd, tus kab mob hauv qab provokes cov tsos tshwm sim ntawm fungus ntawm daim tawv nqaij thiab txuas ntawm cov kab mob ntawm cov kab mob. Muaj ntau ntau yam kev hloov pauv hauv cov tawv nqaij:
- Pathologies ntawm daim tawv nqaij uas sawv los ntawm ntshav qab zib nws tus kheej. Cov txheej txheem zoo li no tau pom los ua kev puas tsuaj rau qhov ntu ntawm cov leeg poob siab, cov hlab ntshav, nrog rau kev hloov pauv hauv metabolic. Cov pab pawg muaj xws li mob ntshav qab zib neuropathy, pemphigus, kev txhim kho ntawm xentomatosis, lipoid necrobiosis, nrog rau ntau yam mob pob.
- Cov kab mob ntawm daim tawv nqaij uas tshwm sim vim yog ua ke ntawm cov kab mob thiab fungal kis tawm tsam keeb kwm ntawm "kab mob qab zib".
- Cov tsos ntawm cov tshuaj dermatoses los ntawm kev kho tshuaj thaum kho mob ntawm tus kab mob hauv qab. Qhov no suav nrog kev txhim kho urticaria, toxidermia.
Cov tsos mob ntawm pob khaus hauv ntshav qab zib mellitus thiab nws cov xwm tuaj yeem kwv yees los ntawm daim duab.
Ua rau ua pob
Lub hauv paus mob tshwm sim rau ntau qhov laj thawj. Thawj yog vascular puas tsuaj ntawm micro-thiab macroscopic xwm. Tawm tsam keeb kwm yav dhau los ntawm tus kab mob hyperglycemia, cov kev hloov pauv ntawm cov hlab ntsha thiab cov leeg ntshav ntawm tus neeg mob lub cev tau tshwm sim. Cov tawv nqaij thiab cov nqaij mos subcutaneous, zoo li lwm qhov chaw ntawm lub cev, tso tseg kom tau txais cov khoom noj khoom haus txaus, cov txheej txheem ntshav hloov pauv. Ua ntej, daim tawv nqaij yuav dhau los ua pob, khaus thiab tev tshwm sim, thiab tom qab ntawd me ntsis thiab pob tshwm tuaj.
Qhov laj thawj thib ob yog kev kis mob microbial. Cov kev tiv thaiv kev tiv thaiv ntawm lub cev ntawm cov ntshav qab zib tau tawg tsis muaj zog, uas ua rau cov neeg sai thiab loj ntawm cov tawv nqaij nrog kab mob pathological. Cov kab mob thiab hu ua fungi muaj peev xwm tsim cov tshuaj lom neeg uas ua hauv zos thiab ua rau muaj kev hloov pauv ntawm daim tawv nqaij hloov.
Qhov thib peb yog vim li cas yog ua haujlwm tsis zoo ntawm cov khoom hauv nruab nrog. Hauv kev sib txuam nrog lub siab, cov hlab ntsha, ob lub raum thiab lub hlwb, lub siab ua mob. Qhov no yog lub cev uas detoxifies lub cev. Nrog kev ua txhaum ntawm nws cov haujlwm, pob thiab thaj chaw ntawm hyperpigmentation tshwm sim ntawm lub cev.
Ntshav qab zib lipoid necrobiosis
Qhov no yog ib qho ntawm cov teeb meem mob ntshav qab zib, los ntawm cov poj niam raug kev txom nyem ntau dua (txog 3 zaug). Raws li txoj cai, pathology pib tsim tawm hauv plaub caug xyoo. Nws yog tus cwj pwm los ntawm qhov tseeb tias ntawm ob txhais ceg, caj npab, pob tw, qhov chaw mos, thaj chaw ntawm cov tsos mob liab ploog tshwm sim. Lawv tuaj yeem yog qhov me me (ua pob lossis ua pob) lossis loj (zoo li cov qhov txhab trophic, mob kiav txhab).
Tom qab ntawd, daim tawv nqaij hauv thaj teb pathology dhau los ua lub siab tawv, hloov nws xim. Lub hauv nruab nrab ntawm thaj chaw cuam tshuam ua daj, thiab ib puag ncig thaj chaw liab. Yog tias tus mob no raug tsis quav ntsej ntev, tsis muaj kev kho kom haum, kab mob kis tau. Tom qab kho kom zoo, tsaus me ntsis thiab nti.
Mob ntsws hawb pob
Cov rwj hu ua thaj chaw o ntawm cov hauv paus plaub hau thiab cov qog sebaceous, qhov zoo li ntawm yog tshwm sim los ntawm staphylococci. Cov rhaub muaj cov yam ntxwv li nram no:
- conical duab
- sab hauv muaj ib tug purulent pas nrig,
- ncig los ntawm thaj chaw ntawm hyperemia thiab o,
- tom qab 4-8 hnub lawv tau qhib, qhia txog kab mob pathological rau sab nraud,
- kho mob, tawm hauv qhov caws pliav me me,
- tuaj yeem nyob hauv cov nkauj lossis hauv pawg.
Nrog ntshav qab zib, lawv tshwm sim tawm tsam ntawm keeb kwm ntawm kev sib xyaw ua ke ntawm kev tiv thaiv kab mob tsis muaj zog thiab lub cev ntawm kab mob microflora pathological los ntawm me me khawb, abrasions, tawg. Vim tias cov khoom noj cov khoom noj hauv lub cev hloov pauv, cov ntshav qab zib tsis tuaj yeem tsim cov khoom noj protein ntau txaus uas yuav koom nrog kev sib txuas ntawm cov tshuaj tiv thaiv. Qhov no piav qhia txog lub xeev ntawm kev txhaj tshuaj tiv thaiv kab mob.
Ntshav pemphigus
Pemphigus hauv ntshav qab zib mellitus feem ntau tshwm sim tawm tsam ntawm keeb kwm ntawm hom 1. Qhov no yog vim lub autoimmune xwm ntawm pathological mob. Muaj ob peb hom pemphigus, cov yam ntxwv ntawm uas tau tham hauv qab no.
Daim foos txaus ntshai tshaj plaws uas yuav tsum tau kho ntev, qee zaum txawm tias yuav tsum kho koj lub neej ntev ntev. Kev kho yog nqa tawm los ntawm ntau cov tshuaj hormones, nws yuav tsim nyog siv tshuaj tiv thaiv kab mob, nrog rau cov tshuaj los pab txhawb lub siab.
Qhov xwm txheej yog qhov txawv txav ntawm qhov tseeb tias cov npuas me me tshwm ntawm daim tawv nqaij thiab cov leeg ntawm cov ntshav qab zib uas muaj cov ntsiab lus tuaj yeem ua kom pom xim lossis muaj ntshav tsis txaus. Tom qab ib ntus, cov npuas qhib, cov ntsiab lus dej tawm tuaj. Cov kiav txhab pom ntawm qhov chaw ntawm lub kua muag.
Ntxiv nrog rau cov kev mob hauv zos, cov sawv daws yuav tshwm sim:
- • hyperthermia,
- muaj zog tiv thaiv tsis tau zoo
- tsawg dua kev kawm
- cov tsos ntawm mob caj pas.
Muaj qee kis, txuas tus kab mob thib ob tau txuas rau, uas txhais tau tias nws yuav tsim nyog siv tshuaj tua kab mob.
Seborrheic
Nws yog tsiag ntawv los ntawm cov tsos ntawm cov npuas me. On to top lawv yog them nrog crusts ntawm daj los yog xim av xim, uas zoo li teev. Ntau zaus tshwm sim rau ntawm daim tawv nqaij ntawm lub ntsej muag, tawv taub hau, hauv siab, nraub qaum thiab xub pwg. Tom qab ua kaub puab tawv dhau lawm, ib qhov av liab qab uas tshwm tuaj.
Nplooj-daim duab
Tsis tshua muaj daim ntawv ntawm pemphigus, uas yog tus cwj pwm los ntawm oblong thiab npuas npuas. Tom qab cov npuas no qhib, cov tsos ntawm flakes superimposed ib qho ntawm ib qho tseem. Lub tom kawg sib tshuam ua ke nrog txhua lwm yam, tsim cov qhov txhab khoob khoob loj. Kev kho mob ntawm txhua hom pemphigus hauv ntshav qab zib yuav tsum tsis txhob siv cov tshuaj noj xwb, tab sis kuj muaj hemosorption, plasmapheresis, thiab qee zaum tseem muaj ntshav ntxiv.
Cov lus qhia rau kev kho mob pob khaus
Ua ntej tshaj plaws, nws yog qhov yuav tsum tau them sai sai rau cov ntsuas ntawm cov piam thaj hauv tus neeg mob, txij li tsuas yog nrog nws qhov kev txo qis tuaj yeem them nyiaj ntawm qhov kev mob pib muaj peev xwm ua tau thiab qhov kev vam meej ntawm cov kab mob tiv thaiv tau. Ua li no, siv:
- kev kho kev noj haus
- kev siv lub cev kom txaus
- noj tshuaj (txhaj tshuaj insulin, noj tshuaj txo qab zib).
Cov pob xeb ua ntshav qab zib yuav tsum tau kho nyob hauv zej zog. Cov tshuaj pleev pleev nrog cov tshuaj tua kab mob yog siv los tiv thaiv kev sib kis, tshuaj tiv thaiv kev tiv thaiv, tshuaj loog hauv zos (tshuaj pleev xim rau cov tshuaj pleev). Cov kws kho mob kuj tau hais tawm cov tshuaj kom ua xua rau kev tshem tawm khaus, kub nyhiab thiab o, uas tuaj yeem nrog cov kab mob tawv nqaij.
Kev kho kom raws sij hawm thiab ua raws li cov lus pom zoo ntawm cov kws tshaj lij yuav pab nres qhov kev vam meej ntawm tus mob pathological thiab nrawm kho kom zoo pob thiab mob.
Kev faib tawm ntawm pob khaus thiab ua mob rau cov neeg mob ntshav qab zib
Tau ntau xyoo tsis muaj kev vam meej nrog DIABETES?
Lub taub hau ntawm lub koom haum: “Koj yuav xav tsis thoob tias yoojyim kho mob ntshav qab zib li cas los ntawm kev noj tshuaj txhua hnub.
Txhua yam pauv hloov ntawm daim tawv nqaij ntawm tus neeg tau qhia tias muaj teeb meem sab hauv lub cev. Cov kws kho kaus hniav tshwj xeeb los ntawm cov tsos mob ntawm daim epidermis feem ntau ua kev kuaj mob ua ntej thiab xa tus neeg mob mus rau tus kws tshaj lij tshwj xeeb.
Mob ntshav qab zib mellitus kuj muaj ib hom kev qhia sab nraud, uas yuav tsum yog lub teeb liab rau kev tiv tauj nrog tus kws kho mob lossis kws kho mob tawv nqaij. Cov pob khaus uas mob ntshav qab zib tshwm sim rau tib neeg lub cev ntev ua ntej kev kuaj mob ntawm tus kab mob lossis yuav ua rau muaj tus mob no, txhua tus neeg kawm paub yuav tsum paub.
Kev faib tawm ntawm cov tawv nqaij muaj teeb meem taw qhia cov ntshav qab zib
Raws li qhov tseeb tias cov piam thaj ntau dhau mus ua ke hauv cov hlab ntshav, leeg ntshav thiab hlab ntsha yog qhov raug hloov pauv hauv thawj qhov chaw. Txheej txheem carbohydrate metabolism yog cuam tshuam, uas ua rau cov ua tsis tiav hauv kev muab zaub mov xa mus rau cov kab mob epidermal. Daim tawv nqaij poob nws elasticity, nws ua qhuav, tev tawm.
Cov kev hloov pauv no tej zaum yuav tsis tshwm sim txawv sijhawm ntawm kev txhim kho ntshav qab zib, vim tsis muaj ib daim ntawv ntawm tus kabmob no. Qee lub sij hawm ib tus neeg tsis paub txog qhov teeb meem nrog kev nqus ntawm cov piam thaj, thiab pob xoo ntawm daim tawv nqaij ua lub teeb liab.
Txhua pathologies nrog daim tawv nqaij uas qhia txog ntshav qab zib tuaj yeem faib ua ntau pawg:
- Cov neeg siv tawv ntoo ntawm tus kabmob yog khaus ntawm daim tawv nqaij ntawm ntau qhov chaw ntawm lub cev, zawm ntawm daim tawv nqaij ntawm ko taw, qhov zoo li ntawm qhov tawg, nthe daj, hloov ntawm cov ntsia hlau phaj ntawm cov ntiv tes. Coob tus neeg suav qhov teeb meem zoo li no los ntawm kev tawm tsam cov fungus thiab tsis muaj kev mob siab rau pib kho lossis muaj tshuaj rau tus kheej. Tus kws kho qhov tawv nqaij yuav xav tias tus mob ntshav qab zib hom 2, tshwj xeeb yog tias tus neeg mob muaj cov cim qhia txog kev rog. Kab mob pwm feem ntau yog cov tsos mob theem nrab ntawm tus mob ntshav qab zib, txhim kho vim tsis zoo los ntawm daim tawv nqaij txheej.
- Cov teeb meem tshwm sim los ntawm hom mob ntshav qab zib hom 1 thiab ntshav qab zib hom 2 thaum kho tsis ua haujlwm zoo. Lawv raug hu ua thawj, vim tias lawv tau tshwm sim vim muaj ntshav qab zib hloov pauv ntawm cov hlab ntsha thiab cov zaub mov hauv lub cev hauv lub cev.
- Kev ua xua rau khaub thuas - ua pob liab liab lossis khaus liab yog ib cov tshuaj tiv thaiv kev kho mob tsis tu ncua. Ntau yam tshuaj ntshav qab zib muaj cov tshuaj phiv no. Kev noj tshuaj tsis yog ntawm cov tshuaj insulin kuj tseem tuaj yeem ua xua.
Qhuav ntawm daim tawv nqaij
Ua ntej tshaj plaws, cov piam thaj ntau dhau hauv cov kab mob sib txawv cuam tshuam rau lub raum thiab dej tshuav. Hauv cov ntshav qab zib, nquag mus tso zis, lub cev sim kom tshem tawm cov kua nplaum ntau dhau yog tias nws tsis tau nqus los ntawm cov hlwb.
Kev tso zis ntau dhau yuav txo cov dej. Lub cev qhuav dej provokes qhuav ntawm daim tawv nqaij, sebaceous thiab hws qog tau ntxhov. Cov neeg qhuav ua rau khaus, uas tuaj yeem ua kom raug mob ntawm daim tawv nqaij. Cov av plua plav tawm ntawm daim tawv nqaij yooj yim nkag mus rau sab hauv, qhov chaw microbes pib txheej txheem ntawm lawv lub neej.
Kev saib xyuas tshwj xeeb yuav tsum tau them nyiaj rau kev nyiam huv ntawm cov qaum thiab qis, txhawm rau tiv thaiv kev kis kab mob los ntawm kev nkag mus hauv qab daim tawv nqaij.
Cov tawv nqaij qhuav rau cov ntshav qab zib tuaj yeem raug txo los ntawm kev nce ntau ntawm cov dej noo. Koj yuav tsum tau haus cov dej huv tas li thiab tswj cov ntshav qabzib nrog kev noj zaub mov lossis tshuaj noj.
Callosity ntawm tus taw
Cov kws kho mob hlwb hu qhov teeb meem no "hyperkeratosis." Coob tus mob tshwm rau ntawm txhais ko taw, uas yog lub sijhawm dhau los tuaj yeem tig mus rau hauv qhov ncauj tawm thiab kuj tseem ua rau mob kis ntawm cov nqua thiab.
Kev tsim cov txhim kho yog txhim kho los ntawm hnav tsis xis, khau nruj. Cov pob kws tau nias ntawm qhov epidermis thiab ua rau mob ntshav liab. Yav tom ntej, mob txhab txhim kho, daim tawv nqaij yuav pib ntub lossis qhov chaw ruaj khov tshwm.
Cov ntaub ntawv tawg rau ntawm pob taws uas nyuaj tawv. Thiab txhua qhov tawg yog qhov chaw rau kev txhim kho cov kab mob, mob, suppuration.
Qhov teeb meem ntawm calluses yog qhov tsis yooj yim hauv kev txav, vim tias nce taw ntawm ko taw tuaj yeem mob txawm tias nyob hauv nkawm thom khwm.
Mob taw vwm yog qhov tshwm sim ntawm kev saib xyuas ko taw tsis zoo. Rau cov mob ntshav qab zib, nws tuaj yeem hem txoj kev txhim kho ntawm tus mob sepsis, mob caj dab thiab cais ntawm nqua.
Cov pob khaus khaus
Cov pob khaus tuaj yeem tshwm sim poob nthav thiab ua rau lub cev liab. Kev mob hnyav heev tshwm sim hauv qhov chaw tsis zoo, thaj chaw hauv plab, nruab nrab ntawm lub pob tw, sab lauj tshib, rau cov poj niam hauv cov menyuam hauv qab hauv qab ntawm lub mis.
Tej zaum nws yog thawj yam qhia txog kev pib mob ntshav qab zib, uas tus neeg tsis paub txog. Qhov mob hnyav heev ntawm tus kabmob tsis cuam tshuam rau qhov siv ntawm qhov khaus.
Nws tau sau tseg tias kev muaj siab xav txhawm rau kos cov chaw no tshwm sim nrog cov mob ntshav qab zib me lossis tsis mob mus ntev. Thaum kuaj kev mob thiab pib kho, khaus thiab liab ntawm daim tawv nqaij tuaj yeem ploj nthawv.
Cov pwm thiab mob txhab
Thawj cov teeb meem ntawm daim tawv nqaij ntawm cov ntshav qab zib ua kom pom qhov ua pob liab vog. Lawv tshwm sim vim yog tus cwj pwm tsis saib xyuas tus neeg mob rau nws tus kheej. Ua tsis tiav kev tu cev nrog khaus tawv nqaij los yog tsim cov ntsaws ruaj ruaj, kab nrib pleb, dryness provokes qhov sib txuam ntawm cov fungi lossis nkag mus ntawm cov kab mob mus rau hauv thaj chaw cuam tshuam.
Hauv cov neeg uas muaj rog, mob candidiasis feem ntau tshwm sim - ib qhov mob fungal ntawm epidermis hauv cov quav ntawm lub cev. Ua ntej, ib tus neeg pib khaus heev. Tus kab mob tso rau ntawm thaj chaw uas puas lawm, cov kab nrib pleev saum npoo thiab av yaig yog tsim. Cov txhab tau ntxiv dej noo, xiav-xim liab thiab lub npoo dawb.
Maj mam, kev tshuaj ntsuam nyob rau hauv daim ntawv ntawm npuas thiab pustules tshwm sim los ntawm lub ntsiab tseem ceeb. Cov txheej txheem tuaj yeem tsis muaj qhov kawg, vim tias thaum qhib, cov npuas tsim tau yaig tshiab. Tus kab mob yuav tsum tau kuaj thiab kho tam sim ntawd.
Hauv pawg insulin-nyob ntawm tib neeg, lub cev xav tau cov tshuaj hormone ntau ntxiv.
Ua xua pob
Cov neeg muaj mob ntshav qab zib hom 1 thiab ntshav qab zib hom 2 yuav tsum tau noj tshuaj tshwj xeeb mus tas lawv lub neej txhawm rau them cov piam thaj. Tab sis txhua lub cev teb tsis meej rau insulin lossis lwm yam tshuaj. Cov khaub thuas ua xua tuaj yeem tshwm sim rau ntau thaj chaw ntawm daim tawv nqaij.
Qhov teeb meem no daws tau yooj yim dua li yav dhau los. Nws yog qhov txaus los kho qhov ntau npaum li cas lossis xaiv lwm yam tshuaj kho kom tshem tawm cov tawv nqaij ua pob khaus nrog ntshav qab zib.
Kev tiv thaiv ntawm daim tawv nqaij mob txhab ntshav ntawm ntshav qab zib
Cov tawv nqaij hloov pauv hauv ntshav qab zib mellitus yog lub cev hloov pauv ntawm lub cev mus rau qhov tsis ruaj khov ntawm kev ua haujlwm ntawm cov metabolism. Cov pob xoo tuaj yeem yog nyob rau ob tus menyuam yaus thiab neeg laus.
Txhua qhov chaw yuag lossis liab yuav tsum tau kuaj los ntawm kws kho mob dermatologist kom kho txoj kev kho kom zoo.
- Tus mob ntshav qab zib yuav tsum tau ua tib zoo saib xyuas kev tu cev ntawm daim tawv nqaij, tshwj xeeb tshaj yog sab sauv, nqua thiab tawv nqaij. Muaj cov khoom tshwj xeeb saib xyuas cov tawv nqaij uas muaj qhov nruab nrab pH.
- Hauv qhov chaw muag tshuaj koj tuaj yeem yuav cov tshuaj pleev tshwj xeeb, pleev, pleev mis rau cov khoom siv rau kev saib xyuas ntawm daim tawv nqaij qhuav ntawm lub ntsej muag, tes thiab taw. Urea-cream tawm muab cov txiaj ntsig zoo. Cov txheej txheem kev tu cev thiab dej kom tsawg yuav tsum muaj txhua hnub.
- Tus taw ntawm cov ntshav qab zib yog thaj chaw tshwj xeeb ntawm kev nce siab. Nco ntsoov mus ntsib orthopedist kom paub qhov theem pib ntawm kev deformation ntawm qis qis thiab xaiv cov khau orthopedic txoj cai lossis cov insoles. Kev puas tsuaj rau cov hlab ntshav thiab cov leeg heev cuam tshuam rau kev xa zaub mov rau cov ceg. Nrog lub hnub nyoog, teeb meem nrog ntshav tso rau ntawm ceg yuav tshwm sim txawm tias cov neeg noj qab haus huv. Tus mob ntshav qab zib nquag nquag rau cov teeb meem zoo li no ntau dua. Cov kws kho mob ib txwm ceeb toom cov neeg mob txog kev txhim kho mob ntshav qab zib ko taw.
- Cov mob txhab thiab mob rau daim tawv nqaij yuav tsum muaj kev soj ntsuam los ntawm kws kho dermatologist. Tom qab kev kuaj mob thiab kuaj qhov muag, tus kws kho mob yuav muab tshuaj rau tshuaj pleev thiab ntsiav tshuaj, thiab tsim nyog kho tshuaj insulin yuav tsum. Yuav siv tshuaj tua kab mob.
- Kev tawm hws ntau ntxiv thiab ua txhaum ntawm thermoregulation feem ntau xam qhovkev rau cov neeg muaj ntshav qab zib. Kev ua pob pawm thiab cov kab mob tuaj yeem nkag mus rau ntawm daim tawv nqaij. Txhawm rau txo cov xwm txheej, talcum hmoov lossis tshuaj pleev tshwj xeeb muaj zinc oxide pab.
Tus kws endocrinologist lossis kws kho mob zawv zaws tuaj yeem muab cov lus qhia ntxiv rau kev tiv thaiv ua pob thiab lwm yam tawv nqaij mob ntshav qab zib mellitus.
Qhov yuav tsum tau ua ua ntej kom muaj kev tiv thaiv txhua qhov teeb meem tawm tsam keeb kwm ntawm cov ntshav qabzib ntau dhau yog ua haujlwm kom txo cov ntsuas no los ntawm kev noj zaub mov noj, kev siv tshuaj thiab kev saib xyuas ntawm koj tus kheej.
Hauv kev xaus
Cov tsos ntawm dryness, tawm pob, thiab lwm yam kev hloov ntawm daim tawv nqaij nrog ntshav qab zib yog tus qauv thiab tuaj yeem coj tus neeg muaj teeb meem ntau dua. Tsis txhob kho qhov liab lossis khaus khaus yog qhov tshwm sim ib ntus uas yuav dhau los ntawm nws tus kheej.
Txawm tias tus neeg noj qab haus huv yuav tsum mloog cov cim ntawm lub cev, uas tuaj yeem hint ntawm kev hloov sab hauv loj heev, piv txwv li, thawj theem pib ntawm ntshav qab zib ntawm qib 2.
Cov pob liab mob ntshav qab zib mellitus: tawm pob ntawm daim tawv nqaij ntawm lub cev thiab ceg
Txhua tus neeg uas muaj tus mob ntshav qab zib yuav tsum paub tias nws muaj ntau qhov teeb meem ntawm daim tawv nqaij heev uas yuav tshwm sim thaum lub sijhawm ua tsis tiav tshaj plaws. Feem ntau, cov teeb meem ntawm daim tawv nqaij tuaj yeem raug tshem tawm hauv lub sijhawm luv, tab sis rau qhov no nws yog qhov yuav tsum tau nrhiav kev pab kho mob sai li sai tau yog tias cov pob pib tshwm rau ntawm txhais ceg thiab lub cev.
Cov tawv nqaij ua pob raws li cas los ntawm ntshav qab zib?
Tshuaj paub ntau yam teebmeem. Thawj zaug ntawm tag nrho cov, nws yuav tsum tau sau tseg ntshav qab zib scleroderma.
Qhov xwm txheej zoo sib xws tiv thaiv keeb kwm ntawm ntshav qab zib mellitus thiab raug pom los ntawm cov tawv nqaij tuab rau sab nraub qaum thiab caj dab tom qab, daim tawv nqaij tuaj yeem hloov xim, nqaij me ntsis tshwm rau nws.
Lub ntsiab lus ntawm kev kho mob yuav yog qhov kev tswj hwm nruj tshaj plaws ntawm cov kua nplaum hauv cov ntshav ntawm tus neeg mob ntawd. Los ntawm cov tshuaj pleev ib ce los ntawm qhov pom, thov siv cov tshuaj pleev ib ce lossis pleev tshuaj kom tawv nqaij muaj txiaj ntsig tuaj yeem pab tau. Qhov no yuav ua rau nws muag thiab tshem tawm qhov tsis hnov tsw, tuaj yeem tshem tawm stains, ntxiv rau pob khaus.
Vitiligo yog lwm tus khub ntshav qab zib. Feem ntau, xws li daim tawv nqaij mob khov kho muaj tshwm sim nrog thawj hom ntshav qab zib. Nrog cov vitiligo, cov kab mob ntawm daim tawv nqaij poob lawv cov xim ntuj (ua lub luag haujlwm ntawm cov tawv nqaij xim), uas ua rau pom qhov tsos dawb ntawm lub cev, ceg, ntsej muag, zoo li hauv daim duab.
Feem ntau ntawm tag nrho cov, vitiligo cuam tshuam rau lub plab, hauv siab, thiab tseem muaj lub ntsej muag (whitish me ntsis tshwm ib ncig ntawm lub qhov ncauj, qhov muag, lossis qhov ntswg). Thaum lub caij no, kho cov vitiligo txhais tau tias noj tshuaj steroids uas yog ib txwm muaj (cov tshuaj hormones), nrog rau ua ntawv thov micropigmentation (zas nqaij).
Cov neeg uas raug kev puas tsuaj los ntawm cov tshuaj pleev plhu no yuav tsum muaj nyob hauv lawv cov tshuaj kho kab mob tshwj xeeb uas tiv thaiv kev tiv thaiv tshav ntuj. Nws qhov kev tiv thaiv ntawm kev tiv thaiv hluav taws xob ultraviolet yuav tsum muaj tsawg kawg 15. Nws yog nyob rau hauv qhov xwm txheej uas hlawv rau ntawm thaj chaw ntawm daim tawv nqaij yuav raug cais tawm, thiab me ntsis yuav tsis pom.
Daim tawv nqaij tiv thaiv kab mob ua los ntawm insulin tsis kam
Acantokeratoderma muaj nyob hauv pawg no. Tus kab mob ntawm daim tawv nqaij no ua rau qhov tseeb tias daim tawv nqaij ua xim dub thiab tuab hauv qee qhov chaw ntawm qhov tseem ceeb, tshwj xeeb tshaj yog nyob rau thaj tsam ntawm thaj chaw. Cov tawv nqaij yuav daj thiab ziab, thiab qhov chaw siab kuj tseem yuav pib ua haujlwm.
Feem ntau, cov mob no zoo li ua pob thiab tshwm sim rau thaj chaw ntawm qhov tsos, nyob hauv puab tais lossis hauv siab. Muaj qee kis, kis ntiv tes ntawm tus neeg mob kuj hloov tau.
Txog kev kho mob pob qij txha, peb cov neeg nyeem tau siv DiabeNot siv tau zoo. Pom qhov nrov ntawm cov khoom no, peb tau txiav txim siab muab nws rau koj kom txaus siab.
Acanthokeratoderma yog qhov ua ntej ntawm ntshav qab zib thiab nws tuaj yeem hais tias mob tawv nqaij yog nws qhov cim. Tshuaj paub ntau qhov xwm txheej zoo sib xws uas dhau los ua ib qho kev ntxim nyiam ntawm acanthosis ntawm daim tawv. Peb tab tom tham txog cov kab mob zoo li no:
- Itsenko-Cushing's syndrome,
- acromegaly.
Cov tawv nqaij muaj mob ua rau lub cev tsis muaj txaus
Ntau zaus, atherosclerosis tuaj yeem dhau los ua pob. Tus kab mob no yog pom los ntawm txoj kev nqaim ntawm cov hlab ntshav vim lawv qhov tuab thiab tawv ntawm phab ntsa, uas tshwm sim vim yog qhov kev tso nyiaj ntawm cov quav hniav, vim tias qhov ntawd yuav muaj pob thiab xoo pob rau ntawm daim tawv nqaij.
Txawm hais tias koom nrog ncaj qha ntawm atherosclerosis nrog cov hlab ntsha pericardial, tus kab mob no tuaj yeem cuam tshuam txawm tias cov nyob hauv qab tawv nqaij. Muaj qee kis, lawv muaj peev xwm nqaim thiab tsis pub cov pa oxygen yuav tsum dhau mus. Cov tsos mob hauv qhov no yuav yog:
- ceev ceev cov plaub hau poob
- thinning ntawm daim tawv nqaij, nws ci,
- npog txias
- ua tuab tuab thiab cais tawm ntawm cov ntsia hlau phaj ntawm ob txhais ceg.
Ntau qhov teeb meem tuaj yeem nqa cov ntshav qab zib lipodystrophy. Nws yog qhov pom los ntawm kev hloov hauv collagen thiab subcutaneous rog ntawm txhais ceg thiab lub cev. Cov khaubncaws sab nraud povtseg sab sauv ntawm daim tawv nqaij liab thiab nyias. Feem ntau ntawm kev puas tsuaj tshwm sim rau ntawm sab ceg qis. Yog tias kis tau tus mob, tom qab ntawd cov cheeb tsam cuam tshuam yuav hnoos, me ntsis yuav tuaj rau hauv lub xeev muaj mob.
Feem ntau, qhov mob me me ntawm daim tawv nqaij kom meej meej los ntawm qhov ib txwm. Qee qhov xwm txheej, khaus thiab mob yuav pib. Yog tias qhov mob txhab ntxiv tsis thawm ntxiv, tom qab ntawv kho tus mob ntxiv tsis muaj, txawm hais tias qee qhov, sab laj tus kws kho mob yuav tsis ua mob.
Lwm qhov kev qhia pom los ntawm cov neeg muaj ntshav tsis txaus hauv cov ntshav qab zib yuav yog ntshav qab zib dermopathy.
Qhov xwm txheej zoo sib xws los ntawm kev hloov pauv hauv cov hlab ntshav muab tshuaj rau daim tawv nqaij nrog ntshav. Dermatopathy qhov txhab yog oval lossis puag ncig. Lawv tau cim los ntawm daim tawv nyias nyias thiab tuaj yeem nyob rau sab xub ntiag ntawm ceg. Txawm hais tias qhov stains tsis xam qhov khaus ntawm qhov mob, lawv khaus, ua rau tsis xis nyob. Tus mob no tseem tsis tas yuav muaj kev kho mob cais.
Coob tus neeg mob ntshav qab zib tuaj yeem mob sclerodactyly. Nrog rau qhov mob no thaum mob ntshav qab zib, daim tawv nqaij ntawm cov ntiv tes thiab ntiv taw yuav ua nruj thiab waxy. Tsis tas li ntawd, cov tuab ntawm txoj kev sib xyaw kuj yuav tshwm sim, nrog rau ua nruj ntawm cov phalanges.
Tus kws kho mob yuav sau ntawv mus yuav cov tshuaj tshwj xeeb los pab txo cov ntshav qab zib kom nyob li ib txwm tau. Txhawm rau txo tus mob, ntau yam tshuaj pleev ib ce tsom qhov muag ntawm daim tawv nqaij ntawm tes tuaj yeem siv.
Xoo xanthomatosis yog lwm hom ntshav qab zib khub. Xws li cov tawv nqaij ua tsis taus tuaj yeem tsim nrog kev noj qab haus huv tsis muaj piam thaj hauv cov ntshav ntawm tus neeg mob ntshav qab zib. Nrog rau qhov muaj zog tiv thaiv cov tshuaj insulin, nws yuav nyuaj rau tshem tawm cov rog hauv cov ntshav. Yog hais tias theem ntawm cov rog mus tawm nplai, tom qab ntawv qhov no, qhov kev pheej hmoo ntawm kev txhim kho pancreatitis nce ntau zaug.
Xanthomatosis tshwm sim rau ntawm daim tawv nqaij hauv daim ntawv ntawm cov quav hniav vuas daj. Lawv tuaj yeem tshwm sim hauv thaj chaw ntawm daim tawv nqaij:
- nraub qaum tes
- ntawm kuv txhais ko taw
- nqaj nqaj,
- ntsej muag
- pob tw.
Cov pob no khaus, liab thiab yuav ncig los ntawm ib lub halo liab. Txoj kev kho yuav cuam tshuam cov ntshav lipids. Thaum cov mob no tau ntsib, cov taum daj thiab tawm pob los ntawm daim tawv nqaij yuav tawm tuaj li ntawm ob peb lub lis piam. Ntxiv rau, cov tshuaj uas tuaj yeem tswj hwm qib ntawm ntau cov rog hauv cov hlab ntshav tuaj yeem siv. Nws yog ib qho tseem ceeb kom paub qhov txawv me ntsis ntawm qhov mob xws li mob ko taw mob ntshav qab zib hauv thawj theem.
Lwm qhov chaw mob tawv nqaij
Pawg no yuav tsum muaj:
- ua pob
- cov ntawv sau
- hlwv
- granulomas annular,
- zawv plab bullae.
Ua xua rau zaub mov, kab, thiab tshuaj noj tuaj yeem tshwm sim ua pob khaus tawv nqaij ua kev tawm tsam lossis plaques, feem ntau ua pob liab vog. Tsis tas li ntawd, cov tawv nqaij zoo sib xws tau tshwm sim hauv cov chaw uas cov tshuaj insulin feem ntau tswj hwm.
Tsis tshua muaj txiaj ntsig txaus, ntshav qab zib pemphigus (bullae) tuaj yeem txhim kho. Lawv zoo ib yam hauv cov tsos rau blisters los ntawm kub nyhiab. Cov hlwv li no tuaj yeem pom ntawm cov ntiv tes thiab ntiv taw, caj npab lossis ceg. Lawv tuaj yeem hla dhau yam tsis muaj kev cuam tshuam kev kho mob, thiab tau txais txais nyob rau hauv cov neeg mob uas muaj ntshav qab zib hauv kev ua tiav. Txhua txoj kev kho yuav suav daws cov suab thaj.
Qhov kawg tau ua kom muaj ntshav qab zib ntawm daim tawv nqaij yuav raug nthuav tawm cov kab ntsig txhua xyoo. Nws loj hlob sai heev thiab pom los ntawm thaj chaw ntawm lub hnub nyoog lossis arched ntawm daim tawv nqaij. Xws li qhov mob txhab tuaj yeem tshwm sim hauv pob ntseg lossis ntiv tes, thiab qee zaum muaj tsawg kawg ntawm lub plab lossis txhais ceg.
Cov pob no liab, xim av, lossis nqaij. Qhov kev muaj peev xwm kho tau ntau tshaj plaws yuav yog qhov kev siv tshuaj hauv cheeb tsam, xws li hydrocartisone.
Cov tawv nqaij ua pob raws ntshav qab zib: yees duab ntawm urticaria thiab pemphigus
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.