Dermatology - Hom kab mob ntawm daim tawv nqaij, ua rau, tsos mob thiab kev kho mob

Hom kab mob ntawm daim tawv nqaij yog Cov Txheej Txheem uas tuaj yeem cuam tshuam lossis ua rau koj cov tawv nqaij puas yog hu ua Cov tawv nqaij mob. Cov pob khaus, khaus, khaus, thiab lwm yam kev hloov ntawm daim tawv nqaij tuaj yeem tshwm sim los ntawm cov kab mob no. Qee hom kab mob ntawm daim tawv nqaij tej zaum yuav tshwm sim, lwm tus yuav yog vim tib neeg txoj kev ua neej. Muaj ntau hom kab mob ntawm daim tawv nqaij sib txawv nyob ntawm tus neeg.

Tus kws kho mob feem ntau tuaj yeem txheeb xyuas qhov mob ntawm daim tawv nqaij tsuas yog saib koj cov tawv nqaij. Yog tias kev tshuaj xyuas koj cov tawv nqaij tsis pom cov lus teb meej, koj tus kws kho mob tuaj yeem ua cov kev sim zoo li no:

o Ua ib qho piv txwv ntawm daim tawv nqaij biopsy
o Kab lis kev cai, lossis kuaj xyuas cov kab mob, kab mob, lossis kab mob
o Ntsuas koj cov tawv nqaij nrog ib thaj, hauv qab lub teeb dub, lossis nrog lub teeb ntoo kom pom tias koj cov xim zoo li cas nyob rau hauv lub teeb ultraviolet (UV).
o Diascopy cuam tshuam nrog kov lub tshuab tsom iav rau ib thaj ntawm daim tawv nqaij kom pom tias daim tawv nqaij hloov xim.
o Dermoscopy yog tus txheej txheem ntawm kev kuaj mob ntawm daim tawv nqaij nrog cov cuab yeej nqa tau hu ua dermatoscope.
o Tzanck test, uas suav nrog kuaj cov kua hlwv kom pom muaj tus kab mob herpes simplex lossis herpes zoster.

Tshuaj, tshuaj pleev ib ce, tshuaj pleev, los yog hloov txoj kev ua neej yog cov kev kho mob uas muaj rau cov tawv nqaij mob.

Raws li lub cev tsis hnov ​​​​tsw thiab excretory, daim tawv nqaij kuj ua haujlwm tseem ceeb hauv homeostasis, rwb thaiv tsev, vitamin D secretion, boosting kev tiv thaiv, tiv thaiv UV, thiab tiv thaiv los ntawm poob ntawm lub cev kua.
Cov khaubncaws sab nraud povtseg ntawm epidermis, dermis, thiab hypodermis, nrog rau lwm cov sublayers, ua rau ntawm daim tawv nqaij. Ib qho mob ntawm daim tawv nqaij tuaj yeem pib hauv ib txheej ntawm daim tawv nqaij thiab kis mus rau lwm tus, ua rau pom cov caws pliav lossis muaj qhov cuam tshuam loj hauv metabolic. Kev nkag siab txog cov txheej txheem hauv qab ntawm ntau yam kab mob ntawm daim tawv nqaij yog qhov tseem ceeb rau kev saib xyuas thiab kho kom zoo tshaj plaws.

Hom kab mob ntawm daim tawv nqaij:

1. Pob txuv
2. Atopic dermatitis (Eczema)
3. Tus kab mob (Herpes zoster)
4. Psoriasis
5. mob qog noj ntshav
6. Tus neeg ncaws pob taw
7. Rosacea
8. Hives
9. Hnub nyoog los yog kab mob siab
10. Vitiligo

Qee yam ntawm cov tawv nqaij tsis tshua muaj tshwm sim yog:

1. Ichthyosis

Ichthyosis yog hom kab mob ntawm daim tawv nqaij hais txog kev sau ntawm ib ncig ntawm 20 daim tawv nqaij mob uas ua rau tawv nqaij qhuav thiab scaling. Cov neeg uas muaj qhov teeb meem no poob qhov thaiv uas tiv thaiv kom tsis txhob ya raws ntawm lawv cov tawv nqaij. Tsis tas li ntawd, lawv tsim cov tawv nqaij sai dhau los yog tshem tawm nws qeeb dhau. Yog li ntawd, daim tawv nqaij tuab, scaly accumulates. Ichthyosis feem ntau muaj cov ntaub ntawv me me.

Feem ntau ntawm nws cov qauv yog qhov tsawg kawg nkaus. Cov hauv qab no yog ob hom uas feem ntau:

- Ichthyosis vulgaris: Kwv yees li ib ntawm txhua 250 tus neeg raug cuam tshuam los ntawm nws. Cov nplais xim av, dawb lossis grey tuaj yeem pom ntawm lub cev thaum yau.

- X-linked recessive ichthyosis: Tsuas yog cov txiv neej raug cuam tshuam, nrog rau qhov tshwm sim ntawm 1 ntawm 6,000. Kev pheej hmoo ntawm kev tsim qog nqaij hlav qog noj ntshav tuaj yeem nce ntxiv. Cov poj niam feem ntau yuav yog cov neeg nqa khoom thiab ntsib teeb meem kev ua haujlwm.

Ua rau Ichthyosis:

Ichthyosis hom kab mob ntawm daim tawv nqaij uas tau txais los ntawm noob caj noob ces. Qhov ntawd qhia tias koj tau txais los ntawm koj niam koj txiv. Cov proteins uas tiv thaiv thiab tswj cov dej noo ntawm koj cov tawv nqaij yog cuam tshuam los ntawm ichthyosis noob hloov. Lawv kuj muaj feem cuam tshuam rau sai npaum li cas koj lub cev rov tsim dua lossis tshem cov tawv nqaij. Thaum ntxov thaum yau yog thaum ichthyosis feem ntau tshwm sim. Koj yuav muaj tus kab mob hnyav dua yog tias koj ob leeg niam txiv nqa cov noob dua li tsuas yog ib leeg xwb.

Tau txais ichthyosis tshwm sim thaum laus. Cov neeg uas ntsib nws nquag kuj muaj lwm yam mob, xws li cov thyroid caj pas tsis muaj zog, raws li cov kws kho mob uas tsis paub tias yog vim li cas. Sarcoidosis, ib qho mob uas tsis tshua muaj tshwm sim hauv lub cev, kab mob raum, kab mob HIV, Hodgkin lymphoma, thiab lwm yam qog noj ntshav.

Ob peb cov tshuaj kuj yuav ua rau tus mob:

o Cov tshuaj tiv thaiv kab mob xws li vemurafenib, hydroxyurea (Droxia, Hydrea), thiab protease inhibitors (ib hom tshuaj siv los kho tus kab mob HIV) (Zelboraf).

o Cov roj cholesterol siab yog kho nrog Nicotinic acid.

Cov tsos mob ntawm Ichthyosis:

Cov tsos mob tseem ceeb yog cov tawv nqaij qhuav, scaly. Tsuas yog qee qhov ntawm lub cev, suav nrog tawv taub hau, ntsej muag, pob tw, ceg, thiab pob tw, tsim cov nplai.

Cov nplai yuav yog grey, tsaus xim av, los yog dawb. Lawv tuaj yeem tawg los ntawm qhov tawg loj lossis me me. Nyob rau hauv huab cua txias, qhuav, qhuav thiab scaling yuav hnyav dua. Huab cua sov feem ntau ua rau lawv zoo dua.

Lwm cov tsos mob ichthyosis muaj xws li tawv nqaij liab, hlwv, tev, khaus, mob, thiab mob. Ob txhais taw thiab xib teg ntawm txhais tes muaj kab, thiab daim tawv nqaij yog nruj thiab nyuaj txav mus rau hauv.
Eczema yog liab, khaus khaus uas cuam tshuam rau ntau tus neeg uas muaj ichthyosis.

Kev kho mob rau Ichthyosis:

Txawm hais tias tsis muaj kev kho, kev kho mob tuaj yeem pab koj tswj koj cov tawv nqaij qhuav, scaly.
Txhua txhua hnub, siv cov tshuaj pleev, tshuaj pleev, lossis tshuaj pleev rau koj cov tawv nqaij kom muaj dej noo. Nrhiav ib lub qab zib uas muaj lanolin, alpha hydroxy acids, urea, los yog propylene glycol. Ceramides thiab cov khoom uas muaj cov roj cholesterol kuj tseem pab kom cov tawv nqaij moisturize.

Thaum koj daim tawv nqaij tseem ntub tom qab da dej los yog da dej, thov cov tshuaj pleev ib ce tam sim ntawd. Qhov no yuav pab khaws cov dej noo. Tsis tas li ntawd, koj tuaj yeem sim:

– Siv da dej ntsev.

- Siv lub pob zeb pumice los txhuam koj cov tawv nqaij.

- Siv cov khoom uas muaj salicylic acid, glycolic acid, los yog lactic acid kom tshem tawm cov tawv nqaij tuag.

Koj tus kws kho mob yuav hais kom noj tshuaj retinoid hauv qhov ncauj xws li acitretin (Soriatane) lossis isotretinoin yog tias qhov qhuav thiab qhov ntsuas kub hnyav (Absorica, Claravis, Sotret, thiab lwm yam). Kev mob tshwm sim los ntawm retinoids tuaj yeem suav nrog cov pob txha tsis muaj zog, qhov ncauj qhuav, thiab mob plab.

2. Harlequin Ichthyosis

Kev hloov caj ces yog vim li cas rau qhov mob hnyav ntawm daim tawv nqaij hu ua Harlequin ichthyosis. Feem ntau ntawm lub cev ntawm cov me nyuam mos uas muaj tus mob no yog them rau hauv cov tawv nqaij tuab heev. Cov kab nrib pleb sib sib zog nqus cais cov hlau loj, pob zeb diamond-puab daim hlau uas cov tawv nqaij tsim (fissures). Cov tawv nqaij no txwv caj npab thiab ceg taw ntxiv rau kev hloov pauv ntawm daim tawv muag, qhov ntswg, qhov ncauj, thiab pob ntseg. Cov menyuam mos uas muaj harlequin ichthyosis tuaj yeem ntsib teeb meem ua pa thiab ua pa tsis ua haujlwm vim yog kev txwv lub hauv siab. Cov menyuam mos uas muaj tus mob no kuj muaj teeb meem noj mov. Harlequin ichthyosis-hais txog cov tawv nqaij tsis xws luag cuam tshuam rau qhov teeb meem no, ua rau nws nyuaj rau cov me nyuam mos uas cuam tshuam rau kev sib npaug ntawm cov dej poob, tswj lub cev kub thiab tiv thaiv kab mob.
Hauv thawj ob peb lub lis piam ntawm lub neej, cov menyuam mos uas muaj harlequin ichthyosis feem ntau ua rau cov kua dej ntau dhau (lub cev qhuav dej) thiab kis tau tus kab mob uas tuaj yeem ua rau tuag taus. Tom qab lub sij hawm cev xeeb tub, daim tawv nqaij tuab raug tshem tawm, thiab daim tawv nqaij ua reddened thiab npog hauv nplai.

Ua rau Harlequin Ichthyosis

Genetic susceptibility rau harlequin ichthyosis yog los ntawm autosomal recessive noob. Koj tuaj yeem nqa tus kab mob yam tsis muaj nws. Muaj 25% qhov tshwm sim uas tus menyuam yuav muaj mob yog tias ob leeg niam txiv yog tus neeg nqa khoom. Lub koom haum National of Rare Disorders kwv yees tias 1 ntawm 500,000 tus neeg muaj harlequin ichthyosis.

Cov tsos mob ntawm Harlequin Ichthyosis

Harlequin ichthyosis cov tsos mob thiab cov tsos mob sib txawv raws li hnub nyoog thiab feem ntau hnyav dua rau cov menyuam yaus.

Kev yug ntxov ntxov yog feem ntau rau cov menyuam mos uas muaj Harlequin ichthyosis.
Cov tawv tawv, cov nplai loj uas npog tag nrho lub cev, suav nrog lub ntsej muag, feem ntau yog thawj cov tsos mob uas tib neeg pom. Cov nplais tawg qhib thiab tawg thaum daim tawv nqaij rub nruj.

- Daim tawv muag tig sab hauv
- Qhov muag tsis kaw
- Daim di ncauj rub nruj, tawm hauv qhov ncauj qhib thiab ua rau cov neeg mob nyuaj
- Pob ntseg yog fused rau lub taub hau, me me txhais tes thiab ko taw uas o, txwv tsis pub txav mus los ntawm qhov kawg
- Nyuaj hauv kev saib xyuas neeg mob, teeb meem ntsig txog kev ua pa vim lub hauv siab nruj ntawm daim tawv nqaij
- Kab mob hauv daim tawv nqaij sib sib zog nqus
- Lub cev qhuav dej, qhov kub thiab txias hauv lub cev, thiab qib sodium siab hauv cov ntshav, hu ua hypernatremia, tsuas yog qee qhov teeb meem loj uas cov tawv nqaij tawv tuaj yeem ua rau.

Kev loj hlob ntawm lub cev hauv cov menyuam yaus uas muaj Harlequin ichthyosis tuaj yeem ncua sijhawm. Txawm li cas los xij, lawv feem ntau txhim kho kev txawj ntse raws li cov menyuam yaus lawv lub hnub nyoog.
Cov tawv nqaij ntawm tus me nyuam yug tshiab nrog Harlequin ichthyosis yuav nyob twj ywm liab thiab scaly thoob plaws lub neej.
Lawv kuj tuaj yeem muaj lub ntsej muag txawv txawv vim qhov tawv nqaij tawv, tsis hnov ​​​​lus los ntawm lub tsev teev ntuj hauv pob ntseg, nyuaj txav lawv cov ntiv tes vim yog tawv nqaij nruj, cov ntiv tes tuab, cov tawv nqaij rov tshwm sim, thiab kub dhau vim cov nplai uas tiv thaiv hws.

Kev kho mob rau Harlequin Ichthyosis

Cov chaw kho mob me nyuam mos tau zoo dua tuaj yeem ua rau cov me nyuam mos muaj kev noj qab haus huv thiab muaj sia nyob ntev dua. Txawm li cas los xij, kev kho sai sai yog qhov tseem ceeb.

Ob lub cev qhuav dej thiab kev noj zaub mov tsis zoo tuaj yeem zam nrog kev pub mis. Kev tiv thaiv thiab lubrication tshwj xeeb tuaj yeem pab tswj kev noj qab haus huv ntawm lub qhov muag.

Ntxiv cov kev kho mob thawj zaug.

- Siv cov retinoids los pab ua kom tawv
- Scaly daim tawv nqaij, tshuaj tua kab mob tshuaj tiv thaiv kab mob
- Bandaging daim tawv nqaij kom tsis txhob kis kab mob
- Txhawm rau pab ua pa ib lub raj yog muab tso rau hauv txoj hlab pa
- Siv cov tshuaj pleev qhov muag los yog cov khoom tiv thaiv ntawm lub qhov muag
- Bandaging daim tawv nqaij kom tsis txhob kis kab mob

Tom qab kev kho mob thawj zaug, kev saib xyuas (kev tswj hwm) dhau los ua ib qho tseem ceeb ntawm kev sib npaug vim tias tsis muaj kev kho rau Harlequin ichthyosis. Thiab daim tawv nqaij yog qhov tseem ceeb. Siv cov cream thiab moisturizers sai li sai tau tom qab da dej los yog da dej kom tau txais txiaj ntsig zoo tshaj plaws.
Xaiv cov khoom uas muaj qib siab ntawm hydrating cov khoom xyaw xws li

o Alpha-hydroxy acids (AHAs)
o Lanolin
o Cov roj (cholesterol).
o Petrolatum
o Ceramides

Lub AHA lactic acid-muaj ntxiv AmLactin yog qhia los ntawm ntau tus kws kho mob ichthyosis. Lwm tus qhia kom muab ob peb ooj ntawm glycerin rau hauv cov tshuaj pleev ib ce kom ntev lub sij hawm uas daim tawv nqaij tseem moisturized. Daim tawv nqaij tuab yog pab los ntawm qhov ncauj retinoids. Tsis tas li ntawd, koj yuav tsum siv zog kom tsis txhob muaj qhov kub thiab txias heev uas tuaj yeem ua rau koj cov tawv nqaij thiab tiv thaiv koj cov tawv nqaij los ntawm tshav ntuj.

3. Scalded Skin Syndrome

Cov kab mob ntawm daim tawv nqaij staphylococcal scalded skin syndrome (SSSS) hom kab mob ntawm daim tawv nqaij yog coj los ntawm cov kab mob staphylococcus aureus. Cov txheej txheej txheej ntawm daim tawv nqaij hlwv thiab tev zoo li lawv tau ntub dej hauv cov kua kub vim yog cov tshuaj lom exfoliative tsim los ntawm cov kab mob no. Ritter tus mob, tseem hu ua SSSS, yog ib qho mob tsis tshua muaj tshwm sim uas cuam tshuam txog li 56 tus neeg ntawm 100,000. Cov menyuam yaus hnub nyoog qis dua 6 xyoo feem ntau yuav tsim nws.

Ua rau Scalded Skin Syndrome

Hauv cov tib neeg noj qab haus huv, cov kab mob uas ua rau SSSS muaj ntau. Raws li British Association of Dermatologists, 40% ntawm cov neeg laus muaj nws yam tsis muaj cov tsos mob (feem ntau ntawm lawv daim tawv nqaij los yog mucous daim nyias nyias).

Thaum cov kab mob nkag mus rau hauv lub cev los ntawm daim tawv nqaij crevice, teeb meem tshwm sim. Cov kab mob tshuaj lom ua rau daim tawv nqaij tsis muaj peev xwm nyob ua ke. Qhov txawv txav ntawm SSSS yog tom qab ntawd coj los ntawm kev sib cais ntawm txheej txheej ntawm daim tawv nqaij los ntawm cov txheej sib sib zog nqus.
Ib qho tshuaj tiv thaiv yuav tshwm sim thoob plaws ntawm daim tawv nqaij thaum cov tshuaj lom nkag mus rau hauv cov hlab ntsha. Cov menyuam yaus, tshwj xeeb tshaj yog cov menyuam yug tshiab, muaj kev pheej hmoo siab tshaj plaws vim lawv tsis muaj lub cev tiv thaiv kab mob thiab lub raum uas tuaj yeem tshem tawm cov co toxins ntawm lub cev. 98 feem pua ​​​​ntawm cov neeg mob, raws li kev kawm hauv Annals of Internal Medicine phau ntawv journal, koom nrog cov menyuam yaus hnub nyoog qis dua rau xyoo. Cov neeg laus uas muaj lub raum tsis ua haujlwm lossis lub cev tsis muaj zog tiv thaiv kab mob kuj tseem muaj kev cuam tshuam.

Cov tsos mob ntawm Scalded Skin Syndrome

Cov cim qhia classic ntawm tus kab mob xws li
- Ua npaws
- Kev qaug zog
-Tshuaj
- Kev chim siab
- Poob qab los noj mov
– Tsis muaj zog
- Conjunctivitis, feem ntau tshwm sim ua ntej (ib qho mob lossis kab mob ntawm cov kab ntshiab uas npog qhov dawb ntawm lub qhov muag)

Kuj ua tau yog qhov tshwm sim ntawm qhov mob crusty. Rau cov menyuam mos thiab cov menyuam yaus, qhov mob feem ntau tshwm sim ntawm lub ntsej muag, hauv thaj chaw ib puag ncig ntawm txoj hlab ntsws, lossis hauv thaj chaw pawm. Nws tuaj yeem tshwm nyob qhov twg ntawm tus neeg laus.

Tej zaum koj kuj yuav pom cov hauv qab no thaum cov tshuaj tso tawm: liab, mob ntawm daim tawv nqaij, hlwv uas tau yooj yim sib cais thiab tuaj yeem tawg tawm hauv cov nplooj ntawv loj, txawm tias nyob rau thaj chaw uas cov kab mob nkag mus rau ntawm daim tawv nqaij lossis ntau dua.

Kev kho mob Scalded Skin Syndrome

Kev kho mob feem ntau yuav tsum tau mus pw hauv tsev kho mob. Cov chaw loj tshaj plaws los daws qhov teeb meem yog nquag hlawv chav.

- Cov tshuaj kho mob
- cream los npog cov tawv nqaij tawv
- Cov tshuaj tua kab mob hauv qhov ncauj los yog cov tshuaj tua kab mob tua kab mob yog cov kev kho mob ib txwm muaj.

Cov tshuaj steroids thiab nonsteroidal anti-inflammatory tshuaj tsis siv vim lawv tuaj yeem ua rau lub raum thiab lub cev tsis muaj zog.
Lub cev qhuav dej yuav dhau los ua qhov teeb meem thaum cov hlwv dej ntws thiab ooze. Koj yuav tau qhia kom hydrate zoo. Nyob rau hauv 24 mus rau 48 teev ntawm lub sij hawm pib ntawm kev kho mob, kev kho mob feem ntau pib. Nws yuav siv li tsib mus rau xya hnub kom rov zoo tag nrho.