Pob txuv vulgaris yog pob liab liab thiab dawb uas feem ntau tshwm rau sab nraub qaum, décolleté lossis lub ntsej muag. Qhov teeb meem no paub txog 50% ntawm cov pejxeem. Muaj kev pheej hmoo yog cov tub ntxhais hluas hnub nyoog 13 txog 19 xyoo thiab cov ntxhais hnub nyoog 11 txog 18 xyoo. Muaj qee zaus, cov pob khaus tshwm sim hauv cov neeg nyob rau lub sijhawm loj hlob ntawm lub neej. Qhov no feem ntau yog vim qhov tsis txaus ntawm cov tshuaj hormones lossis lwm yam teebmeem kev noj qab haus huv. Cov tsos ntawm liab, dawb pob liab liab thiab o ntawm lub cev tsis ua rau muaj kev phom sij loj rau lub neej, tab sis nws tuaj yeem ua rau muaj kev ntxhov siab ntau, nrog rau kev nplij siab thiab kev xav ntawm tus kheej.
Basic concepts
Pob txuv Vulgaris yog hom pob txuv uas tshwm sim los ntawm seborrhea. Qhov teeb meem dermatological no feem ntau tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev tsim cov roj ntsha ntau ntxiv, cov tawv nqaij oily ntawm sab nraub qaum, ntsej muag thiab décolleté. Kev tsim tawm ntau dhau ntawm sebum ua rau muaj kev hloov pauv ntawm cov qauv ntawm lub npog hauv qee qhov chaw.
Pob txuv Vulgaris feem ntau tshwm sim ntawm lub ntsej muag, vim hais tias ntawm no cov concentrationcov qog sebaceous yog qhov siab tshaj plaws. Yog hais tias nyob rau hauv lwm qhov chaw ntawm daim tawv nqaij nws yog hais txog 100 qog ib square centimeter, ces ntawm no lawv tus lej tuaj yeem ncav cuag 900.
Tus yam ntxwv ntawm tus kab mob
Tus kab mob pob txuv vulgaris qhia hauv dab tsi? Ntawm lub ntsej muag, cov pob khaus ntau tuaj yeem tshwm sim thaum hluas, tab sis feem ntau cov xwm txheej zoo li no tuaj yeem tshwm sim hauv 30 thiab 40 xyoo. Cov pob liab liab feem ntau yog dawb lossis liab, thiab qee zaum khaus thiab flaky.
Raws li ICD, pob txuv vulgaris muaj tus lej L70.0. Qhov no yog li cas tus kab mob no feem ntau raug xa mus rau hauv zej zog kho mob. Pob txuv feem ntau ua rau muaj kev txhawj xeeb ua ntej hnub nyoog 25 xyoos. Tom qab ntawd, lawv ua tsis tshua muaj suab thiab pom. Dab tsi ua rau tus kab mob no? Wb sim saib seb.
Yog vim li cas
Cia peb saib kom ze rau qhov no. Qhov tseem ceeb tshaj plaws uas ua rau pob txuv vulgaris yog hereditary predisposition. Yog tias ib tug ntawm koj niam koj txiv muaj tus kab mob nyob rau hauv kev sib tham, ces feem ntau koj tus kheej muaj kev pheej hmoo. Qee zaum, tus kab mob tuaj yeem kis tau los ntawm cov txheeb ze hauv kab thib ob lossis thawj kab.
Lwm qhov ua rau pob txuv yog kev noj zaub mov tsis txaus. Dermatologists tsis paub qhov txawv ntawm kev sib txuas ncaj qha ntawm hom kev noj zaub mov thiab qhov tshwm sim ntawm pob txuv. Txawm li cas los xij, ntau cov kev tshawb fawb tau pom tias nyob rau hauv cov neeg mob uas noj ntau cov khoom qab zib, starchy zaub mov, ceev ceev, mov, pob txuv tshwm sim ntau dua. Cov pob khaus ntawm daim tawv nqaij kuj tuaj yeem ua rau pathologies ntawm lub plab zom mov ntawm cov kab mob parasiticxwm - giardiasis, ascariasis, toxocariasis. Tus kab mob kuj tuaj yeem tshwm sim los ntawm qhov xwm txheej tsis zoo ib puag ncig, muaj kev ntxhov siab, kev cuam tshuam kev phais yav dhau los thiab kev ua haujlwm, thiab txo qis hauv kev tiv thaiv. Cov teeb meem tuaj yeem cuam tshuam nrog lub sijhawm tsis zoo, xws li raws caij nyoog beriberi, nrog rau lub cev tsis muaj hlau hauv lub cev, uas tshwm sim vim tsis muaj cov vitamins A, B, E thiab lwm yam khoom muaj txiaj ntsig.
Lwm qhov laj thawj uas tuaj yeem ua rau pob txuv vulgaris yog pathology ntawm endocrine system. Nws tuaj yeem yog hormonal tsis ua haujlwm. Cov tshuaj hormone androgen yog lub luag haujlwm rau kev loj hlob ntawm cov qog sebaceous thiab cov txheej txheem ntawm kev tso tawm ntawm sebum. Thaum lub ntuj ncig ntawm cov tshuaj no hauv lub cev raug cuam tshuam, qhov tsis txaus ntseeg tshwm sim.
Kev kawm mechanism
Yog li koj yuav tsum paub dab tsi txog qhov no? Cov pob txuv ua li cas hauv pob txuv vulgaris? Cov duab ntawm qhov txhab pom tseeb tias qhov teeb meem no feem ntau tshwm sim ntawm lub ntsej muag, hauv décolleté thiab sab nraub qaum. Nws tag nrho pib nrog kev ua txhaum ntawm lub ntuj ncig ntawm cov tshuaj hormones hauv lub cev. Yog li ntawd, lipid imbalance tshwm sim thiab sebum ntau lawm nce. Qhov no ua rau txo qis hauv cov concentration ntawm linoleic acid. Qhov no, nyob rau hauv lem, ua rau qhov tshwm sim ntawm follicular hyperkeratosis. Ntau dhau follicular hyperkeratosis tsim cov kev mob anaerobic zoo rau kev tshwm sim thiab kev loj hlob ntawm comedones. Muaj ib qho active reproduction ntawm cov kab mob. Tsis tas li ntawd, sebum yog hydrolyzed los ntawm cov kab mob lipases los tsim cov fatty acids dawb. Cov xwm txheej zoo li no ua rauua kom cov txheej txheem ntawm o thiab cov tsos ntawm pob liab liab. Kev mob hnyav tshwm sim, uas, yog tias tsis kho, tuaj yeem kis mus thoob qhov chaw kab mob.
Diagnosis
Nws zoo li cas? Yuav ua li cas kom tshem tau pob txuv vulgaris? Kev kho mob feem ntau pib nrog kev kuaj mob. Ua ntej tshaj plaws, tus kws kho mob dermatologist uas tsim nyog yuav muab kev xa mus rau koj rau kev kuaj. Koj kuj yuav tsum tau sab laj nrog cov kws kho mob tshwj xeeb xws li endocrinologist, urologist, gynecologist. Rau kev kuaj mob kom raug, nws yuav tsum tau kuaj xyuas qib ntawm prolactin, testosterone, dehydroepiandrosterone sulfate, thiab dehydroepiandrosterone. Tus kws kho mob dermatologist tuaj yeem sau tshuaj ntsuam xyuas xws li khawb cov mucous ntawm lub qhov ncauj thiab qhov chaw ntawm daim tawv nqaij. Qhov no yuav tsum tau txhawm rau txhawm rau tshem tawm cov kab mob xws li gram-negative folliculitis. Koj tseem yuav xav tau kev kuaj zis dav dav thiab kuaj ntshav dav dav. Koj tus kws kho mob tuaj yeem txiav txim siab kuaj ntxiv txhawm rau txiav tawm pob txuv thiab kab mob Coryne. Muaj tsawg zaus, pob liab liab tuaj yeem yog ib qho cim ntawm kev mob ntsws tuberculosis.
Yuav ua li cas mob?
Yog li koj yuav tsum paub dab tsi txog qhov no? Daim ntawv mob ntev ntawm pob txuv vulgaris ntawm qhov mob hnyav yog kho nrog tshuaj hormonal thiab tshuaj tua kab mob. Koj tseem tuaj yeem kawm txog lub teeb thiab laser tshem tawm cov plaub hau hauv lub salon. Rau cov txheej txheem zoo li no, cov teeb nrog xiav xim, lub wavelength ntawm 440 nm, tam sim no siv. Qhov no yog hom hluav taws xob zoo tshaj plaws. Nthwv dej ntawm hom ntawv no muaj kev cuam tshuam rau cov kab mob pathogenic. Cov tawv nqaij mob pom zoo zoo tom qab 2-3 txheej txheem. Blue rays pab txhawb kev ua kom cov txheej txheem oxygen evolution, uas txo cov kev ua ntawm cov kab mob anaerobic.
Tseem pob txuv
Cia peb saib kom ze rau qhov no. Txhawm rau kho pob txuv vulgaris, koj yuav tsum paub tias hom kab mob twg muaj nyob rau.
Yog li, muaj pob khaus xws li:
- Papular: muaj xim liab lossis xiav-liab tint. Hauv txoj kab uas hla lawv tuaj yeem ncav cuag 4 mm, thaum kov lawv tsis ua rau tsis xis nyob. Lawv raug kho nrog tshuaj tua kab mob sab hauv thiab sab nraud. Qhov nruab nrab ntawm kev kho mob yog 12 hnub.
- Pustular: tuaj yeem tsim los ntawm papular yog tias lawv tsis raug tshem tawm raws sijhawm. Nyob rau hauv tsos, lawv zoo li folliculitis, tsuas yog qhov mob tsawg dua. Txhawm rau tiv thaiv cov pob txuv no, koj yuav tsum ua raws li kev noj zaub mov, nrog rau kev kho mob nyuaj, suav nrog cov tshuaj tua kab mob thiab cov txheej txheem kom zoo nkauj.
- Abscessing: tshwm sim ntawm nraub qaum caj dab, sab nraub qaum thiab hauv siab.
- Phlegmonous: burgundy thiab pob txuv liab, txog li 1 cm inch, surrounded by edema.
- Indurative: ua rau mob thaum kov. Kev loj hlob tsis pub dhau 3-4 lub lis piam. Rau kev kho mob, kev kho mob nyuaj yog siv, suav nrog kev siv sab hauv thiab sab nraud.
- Drain: pob txuv ntawm hom no tshwm sim thaum phlegmonous, indurative thiab abscessed merge. Lawv mob burgundy, xiav-liab, qee zaum xim av ntawm daim tawv nqaij,nrog rau cov txheej txheem purulent. Ua rau mob thaum kov. Hauv qhov no, kev kho tshuaj tua kab mob yuav tsis txaus, yuav tsum tau phais.
- Conglobate: Qhov no yog qhov tseeb pyoderma, uas nyuaj rau kev tshem tawm thiab xav tau kev ua haujlwm zoo.
- Inverse: qhov laj thawj tseem ceeb rau lawv cov tsos yog cov haujlwm ntawm cov kab mob coagulase-positive staphylococcus. Qhov feem ntau localization ntawm xws pob txuv yog armpits thiab perianal cheeb tsam. Tej zaum kuj tshwm sim nyob rau hauv cov qog mammary. Nyob rau hauv cov qauv, lawv zoo li boils, tab sis tsis muaj ib tug necrotic pas nrig.
kho mob me
Yuav ua li cas kho pob txuv vulgaris kom zoo? Kev tshuaj xyuas tau lees paub tias nrog qhov mob hnyav ntawm tus kab mob no, nws muaj peev xwm tau txais los ntawm cov tshuaj pleev, tshuaj tua kab mob thiab tshuaj pej xeem. Cov kws tshaj lij pom zoo kom siv cov khoom uas muaj leej faj, ichthyol thiab kua txiv qaub. Nyob rau theem ntawm tus kab mob no, cov tshuaj xws li Klerasil yog qhov tshwj xeeb tshaj yog siv tau. Nws txo cov kev ua ntawm cov kab mob pathogenic thiab muaj cov nyhuv antibacterial hais. Zoo pab txhais tau tias "Oxy-5". Nws dries ntawm daim tawv nqaij thiab txo cov sebum, tab sis nyob rau hauv thawj daim ntawv thov nws yuav ua rau ib tug burning nov ntawm nqaij tawv. Tus kws kho mob kuj tuaj yeem sau tshuaj tua kab mob, xws li tetracycline lossis erythromycin. Nyob rau theem no, kev npaj raws li salicylic acid, tinctures ntawm calendula thiablwm yam tshuaj.
Kev kho mob rau qhov mob hnyav heev
Yog li koj yuav tsum paub dab tsi txog qhov no? Yuav ua li cas nrog me ntsis pob txuv vulgaris? Ntawm no koj yuav tsum siv ib yam dab tsi hnyav dua. Nrog ntau qhov txhab ntawm qhov mob, Retin-A pab tau zoo. Koj tuaj yeem siv gels thiab cream raws li nws. Cov tshuaj no yuav pab tshem tawm cov pores txhaws thiab tiv thaiv follicular hyperkeratosis. Kev saib xyuas tshwj xeeb yuav tsum tau noj thaum siv tshuaj tua kab mob raws li benzoyl peroxide, vim lawv tuaj yeem hlawv daim tawv nqaij. Kev siv cov nyiaj no yog qhov zoo tshaj plaws los pib nrog qhov tsis tshua muaj siab. Cov tshuaj tua kab mob xws li Tetracycline, Erythromycin thiab Dixycycline kuj tau siv los kho. Cov txheej txheem ntawm kev tswj hwm thiab ntau npaum li cas yuav tsum tau txiav txim siab los ntawm tus kws kho mob uas tsim nyog raws li tus kheej tus yam ntxwv ntawm tus neeg mob. Nrog rau kev siv tshuaj tua kab mob, cov kws kho mob pom zoo kom noj Bifidumbacterin lossis lwm yam tshuaj uas kho cov hnyuv microflora.
Kev kho mob rau theem hnyav
Pob txuv vulgaris (raws li ICD 10 - code L70.0, raws li twb tau hais lawm) nyob rau theem hnyav tuaj yeem nrog qhov mob hnyav thiab cov txheej txheem necrotic. Nyob rau theem no, ib qho kev npaj ntawm qhov ncauj thiab tshuaj pleev ib ce yuav tsum tau siv los kho cov tawv nqaij. Yog tias cov tshuaj tua kab mob tsis tau coj cov txiaj ntsig xav tau hauv kev kho pob txuv hauv cov ntxhais, cov tshuaj antiandrogenic feem ntau yog muab. Koj tus kws kho mob kuj tuaj yeem sau tshuaj estrogen-based tshuaj tiv thaiv qhov ncauj. Pab zoo rauKev kho mob ntawm complex "Isotretinoin", uas yog ob qho tib si ib tug hormonal neeg sawv cev thiab ib tug hluavtaws analogue ntawm vitamin A. Cov tshuaj no muaj kev cuam tshuam rau tag nrho cov kev sib txuas ntawm pathology, uas yog, nws txo cov zus tau tej cov sebum thiab slows down lub proliferation ntawm epithelial hlwb. ntawm ducts ntawm fatty qog.
Kev noj qab haus huv
Ib qho yuav tsum tau ua hauv kev tawm tsam pob txuv vulgaris yog kev noj haus. Tsis txhob ntsim, rog, haus luam yeeb, khoom qab zib thiab confectionery. Nws kuj tsis pom zoo kom haus cov kua txiv hmab txiv ntoo thiab dej cawv. Ib puag ncig zoo rau kev txhim kho pob txuv tsim kev siv cov khoom xws li nqaij npua, hnyuv ntxwm, nqaij, nqaij nyug, buns, ncuav mog qab zib, pastries thiab lwm yam. Nco ntsoov ntxiv cov zaub tshiab, txiv hmab txiv ntoo, cereals, cereals thiab cov zaub mov muaj roj tsawg rau koj noj txhua hnub. Kev noj zaub mov yuav tsum tau ua raws li kev kho mob txhua lub sijhawm.
tiv thaiv kab mob
Yuav ua li cas tiv thaiv kev txhim kho ntawm cov pob txuv mus rau qhov hnyav? Yog tias koj muaj kev pheej hmoo los yog muaj cov kab mob genetic predisposition rau tus kab mob no, nco ntsoov ua raws li cov lus qhia no:
- Ntxuav tsawg kawg ob zaug hauv ib hnub, tsis tas siv daim tawv nqaij, siv cov tshuaj ntxuav lub teeb.
- Tsis txhob pop koj pob ntxau. Qhov no tuaj yeem ua rau caws pliav thiab ua rau tus kab mob hnyav dua.
- Saib qhov muag ntawm koj cov khaub ncaws, nrog rau kev ua haujlwm. Tsis txhob tiv tauj nrog cov xwm txheej txaus ntshai.
- Saib xyuas koj txoj kev noj qab haus huv,haus cov vitamins thiab noj kom raug.
- Thaum muaj teeb meem ntawm daim tawv nqaij, kho tam sim ntawd kom tsis txhob muaj teeb meem tshwm sim.
Zaj lus
Hauv kev tshuaj xyuas no, peb tau saib seb pob txuv vulgaris yog dab tsi. Kev kho tus kab mob no nyob ntawm nws hom thiab theem. Raws li txoj cai, txoj kev kho nyuaj yog siv, uas suav nrog tshuaj tua kab mob, kev siv tshuaj pleev ib ce, cov txheej txheem kom zoo nkauj thiab ua raws li kev noj haus tshwj xeeb.
