Atopic cheilitis yog ib qho kab mob ntawm cov ciam teb liab ntawm daim di ncauj ntawm qhov xwm txheej, uas tshwm sim los ntawm kev ua xua ntawm lub cev mus rau ntau yam kev khaus. Tus kab mob manifests nws tus kheej nyob rau hauv daim ntawv ntawm khaus, hlawv, o, mob, dryness, tev tawm ntawm ciam teb ntawm daim di ncauj thiab daim tawv nqaij ntawm lub perioral cheeb tsam. Kev kuaj mob yog nyob ntawm cov ntaub ntawv ntawm kev kho mob tshwm sim, anamnesis, kuaj histological, kuaj tawv nqaij. Kev kho mob suav nrog cov vitamins, corticosteroids, antihistamines, tshuaj pleev tshuaj hormonal, thiab Bucca rays. Tus neeg mob tau pom zoo noj zaub mov, haus luam yeeb thiab haus cawv.
Atopic cheilitis yog ib daim di ncauj lesion tshwm sim los ntawm kev rhiab heev rau allergens. Tus kab mob no belongs rau qeb ntawm cov tsos mob cheilitis thiab suav hais tias yog ib qho ntawm cov tsos mob ntawm neurodermatitis (atopic dermatitis), txawm hais tias tsis muaj lwm yam kab mob tshwm sim tau ntev.cov tsos mob uas tsis yog di ncauj koom nrog. Cov kws tshaj lij hauv kev kho hniav niaj hnub ntseeg hais tias atopic cheilitis feem ntau yog vim muaj cov caj ces, tab sis ib puag ncig yam tseem ceeb hauv nws qhov tshwm sim. Tus kab mob feem ntau tshwm sim hauv cov tub ntxhais hluas thiab cov menyuam yaus hnub nyoog 5 txog 17 xyoo thiab feem ntau daws nws tus kheej nrog kev ua tiav ntawm kev puberty. Nws yuav tsum tau muab sau tseg tias nyob rau hauv xyoo tsis ntev los no, muaj "kev laus" ntawm pab pawg neeg hnub nyoog ntawm cov neeg mob - hom cheilitis no tshwm sim nyob rau hauv cov neeg tshaj 40.
Yog vim li cas
Feem ntau, kev txhim kho ntawm atopic cheilitis yog txuam nrog tus neeg mob txoj kev kho mob rau cov kab mob atopic allergies, nrog rau cov teeb meem ntawm lub hauv nruab nrab thiab autonomic paj hlwb. Cov txheej txheem pathological yog tshwm sim los ntawm kev cuam tshuam hauv kev ua haujlwm ntawm lub cev: kab mob ntev, kev tiv thaiv kab mob, kev noj zaub mov tsis zoo, tsis muaj cov vitamins thiab minerals, kev nyuaj siab thiab lub cev, kev ntxhov siab ntau zaus.
Muaj ntau ntau yam txawv txav uas yog qhov ua rau muaj kev fab tshuaj. Ntawm cov allergens feem ntau yog cov paj paj ntoo, tshuaj, cov plua plav hauv tsev, khoom noj khoom haus thiab ntau ntxiv. Nyob rau hauv tas li ntawd, relapses ntawm lub pathological txheej txheem yog tshwm sim los ntawm cov kab mob ntawm lub ntsws thiab digestive ib ntsuj av, pathologies ntawm endocrine system, kab mob ntawm ENT kab mob, kev puas siab puas ntsws kev nyuaj siab, plab hnyuv dysbacteriosis, cwj pwm phem thiab.lwm yam.
Symptoms
Nrog atopic cheilitis ntawm daim di ncauj, tus neeg mob muaj cov tsos mob tshwj xeeb uas tshwm sim los ntawm kev puas tsuaj rau ciam teb ntawm daim di ncauj thiab thaj chaw nyob ib puag ncig nws, thiab qhov no mob siab tshaj plaws nyob rau hauv cov ces kaum ntawm lub qhov ncauj. Lub mucous daim nyias nyias ntawm qhov ncauj kab noj hniav yeej tsis koom nrog thaum lub sij hawm pathological txheej txheem. Tus kab mob pib nrog me ntsis o ntawm daim di ncauj, dryness thiab khaus. Tom qab ntawd, ib qho chaw qhia meej meej ntawm cov xim liab dawb yog tsim rau ntawm qhov chaw cuam tshuam ntawm ciam teb, uas yog hu ua "erythema".
Tom qab ntawd, cov tsos mob ntawm atopic cheilitis tuaj yeem txo qis, muaj cov ntaub so ntswg lichenization hauv thaj chaw cuam tshuam. Peeling thiab infiltration ntawm ciam teb liab tsim, me grooves thiab kab nrib pleb. Cov tsos mob ntawm atopic allergy yog qhov pom ntawm cov tawv nqaij zoo sib xws hauv lwm qhov ntawm lub cev (folds ntawm lub luj tshib, ntsej muag, thaj chaw popliteal).
Tus kab mob no ntawm daim di ncauj liab yog qhov tshwm sim ntawm lub caij nyoog, tab sis exacerbations tshwm sim, raws li txoj cai, lub caij nplooj zeeg thiab lub caij ntuj no, thiab lub caij ntuj sov cov tsos mob ntawm tus kab mob ploj mus. Nws tau raug sau tseg tias nyob rau hauv ntau tus neeg mob hluas, cov tsos mob ntawm pathology feem ntau ploj mus ntawm lawv tus kheej nrog rau qhov ua tiav ntawm cov neeg laus, txawm tias tom qab rov qab los tseem ua tau.
ntsuas ntsuas
Atopic cheilitis yog kuaj los ntawm kws kho hniav, raws li daim duab kho mob, cov ntaub ntawv anamnesis. Yog tias tsim nyog, tuaj yeem nqa tauQee qhov kev tshawb fawb ntxiv: morphological tsom xam ntawm cov ntaub so ntswg cuam tshuam thiab kev ntsuam xyuas ntawm daim tawv nqaij kom ntseeg tau qhov ua rau ntawm kev loj hlob ntawm kev tsis haum tshuaj. Rau ib daim duab kuaj xyuas tiav, lwm tus kws kho mob tshwj xeeb kuj tuaj yeem koom nrog - tus kws kho mob ua xua, kws kho mob otolaryngologist, kws kho mob plab thiab kws kho mob dermatologist. Cov cim qhia ntawm cov kab mob no yog cov kab mob acanthosis, parakeratosis, muaj nyob rau hauv lub dermis ntawm perivascular infiltrates ntawm histiocytes, lymphocytes thiab eosinophils.
Atopic cheilitis yog qhov sib txawv ntawm hom cheilitis zoo ib yam ntawm cov tsos mob: exfoliative, actinic thiab tsis haum, nrog rau los ntawm candidal thiab streptococcal qaug dab peg. Actinic txawv ntawm atopic los ntawm kev sib txuas kom meej meej ntawm cov txheej txheem pathological thiab insolation, exacerbation ntawm cov tsos mob nyob rau hauv lub caij nplooj ntoos hlav-lub caij ntuj sov lub sij hawm thiab tsis muaj kev puas tsuaj rau lub ces kaum ntawm lub qhov ncauj.
Exfoliative cheilitis tsis yog tus cwj pwm los ntawm cov chav kawm undulating, muaj cov ntaub so ntswg infiltration thiab liab erythema hauv cov cheeb tsam cuam tshuam. Tsis tas li ntawd, nrog rau daim ntawv no, daim tawv nqaij thiab cov ces kaum ntawm daim di ncauj tsis cuam tshuam los ntawm cov txheej txheem pathological. Allergic cheilitis yuav tsum raug txiav tawm los ntawm qhov tsis muaj kev vam khom ntawm cov tsos mob ntawm tus kab mob ntawm kev sib cuag ntawm daim di ncauj nrog kev ua xua. Zoo sib xws hauv kev tshwm sim yog candidal thiab streptococcal qaug dab peg, uas cuam tshuam rau cov ces kaum ntawm lub qhov ncauj, tab sis nrog cov kab mob no tsis muaj cov ntaub so ntswg lichenization tshwj xeeb rau atopic daim ntawv ntawm cheilitis. Tsis tas li ntawd, tus kab mob yuav tsum tau sib txawv ntawm lupus erythematosus ntawm daim di ncauj los ntawm kev tshuaj xyuas cov chaw cuam tshuam hauv qab. Ntoo teeb.
Cov txheej txheem kho mob
Kev kho dav dav suav nrog kev tshem tawm cov teeb meem khaus thiab tsis muaj kev kho mob tshwj xeeb desensitizing: rau lub hom phiaj no, siv cov tshuaj tiv thaiv kab mob cheilitis ("Loratadin", "Chloropyramine", "Hifenadine", "Mebhydrolin"), tshuaj corticosteroid. ("Dexamethasone", "Prednisolone"), sodium thiosulfate (intravenously), "Histaglobulin" (subcutaneously). Yog tias tsim nyog, tus neeg mob yuav raug muab tshuaj tranquilizers ("Diazepam", "Oxazepam", thiab lwm yam).
Vitamin kho mob kuj tau ua - cov vitamins xws li B 1, B 6, B 12 yog qhov tseem ceeb heev, S, PP. Kev kho mob hauv zos suav nrog kev siv tshuaj pleev raws li corticosteroids - hydrocortisone ointment, "Prednisolone". Raws li cov lus qhia rau kev siv, tus neeg sawv cev yog thov nyob rau hauv ib txheej rau cov cheeb tsam ntawm daim tawv nqaij uas tau undergone o mus txog rau peb zaug ib hnub twg. Nws muaj peev xwm siv ib daim ntaub qhwv rau ntawm qhov chaw uas muaj mob. Lub sijhawm ntawm kev kho mob yog 6 hnub, yog tias tsim nyog, nws tau nce mus rau 10 hnub. Lub sijhawm thov siab tshaj plaws yog 14 hnub.
Ntxiv rau, daim ntawv thov ntawm thaj chaw cuam tshuam ntawm daim di ncauj ntawm cov neeg ua haujlwm keratoplastic, roj cov vitamins A thiab E, kev siv cov nplaum kho hniav raug pom zoo. Nrog rau qhov tsis muaj zog ntawm kev saib xyuas kev kho mob, qhov txiaj ntsig zoo yog kev siv ntawm Bucca tus ciam teb rays.
Kev noj haus
Lub luag haujlwm tseem ceeb hauv kev kho mob atopic cheilitisnoj zaub mov ua si. Los ntawm kev noj zaub mov, nws yog ib qho tsim nyog los tshem tawm cov khoom noj uas tuaj yeem ua rau muaj kev tsis haum tshuaj (chocolate, citrus txiv hmab txiv ntoo, strawberries, caviar, ntsim, qab ntsev, haus cov tais diav, thiab lwm yam) thiab txo cov carbohydrates kom tsawg. Nws tseem ceeb heev kom tsis txhob haus cawv thiab haus luam yeeb kiag li.
Nyob rau me nyuam
Atopic cheilitis nyob rau hauv ib tug me nyuam feem ntau tshwm sim vim qhov tseeb tias nws raug cua hlob, hluav taws xob ultraviolet lossis kub kub ntev ntev.
Qee lub sij hawm tus kab mob no muaj daim ntawv glandular, uas yog tus yam ntxwv los ntawm o ntawm cov qog qaub ncaug me ntawm daim di ncauj. Cov kab mob zoo li no tshwm sim nyob rau hauv feem ntau vim yog qhov txawv txav ntawm cov qog nqaij hlav ntawm hom congenital. Hom kab mob pathology no feem ntau tshwm sim vim muaj kev mob caj ces.
Eczematous form
Tus kab mob kuj tuaj yeem muaj daim ntawv eczematous, uas yog nrog los ntawm cov txheej txheem inflammatory ntawm daim tawv nqaij. Txhawm rau tshem tawm cov tsos mob, cov tshuaj pleev steroid raug sau.
Cov tshuaj tseem ceeb siv los tshem tawm cov tsos mob ntawm tus kab mob ntev yog Prednisolone ointment. Cov lus qhia rau kev siv paub meej tias nws tau sau tseg tsis yog rau cov neeg laus xwb, tab sis kuj rau cov menyuam yaus.
Huab cua
Thaum kho kom raug, qhov kev mob tshwm sim feem ntau zoo heev. Hauv cov menyuam yaus uas muaj hnub nyoog laus dua, qhov tshwm sim ntawm cov txheej txheem pathological tuaj yeem ploj mus yuav luag tag nrho ntawm lawv tus kheej, tab sis qhov no tsis suav nrog. Qhov yuav tshwm sim ntawm tus neeg laus dua.
Kev Tiv Thaiv
Txhawm rau tiv thaiv qhov tshwm sim ntawm atopic cheilitis, nws yog ib qho tsim nyog yuav tsum tau saib xyuas lub xeev kev noj qab haus huv tas li, ua kom muaj kev tiv thaiv kab mob, ua raws sijhawm kho cov kab mob ntev, noj kom txaus thiab ua kom zoo, zam kev ntxhov siab, kev tawm dag zog ntau dhau ntawm lub hlwb thiab lub cev. Yog tias muaj kev fab tshuaj rau kev ua xua, nws yog ib qho tsim nyog yuav tsum tsis suav nrog cov khoom noj uas ua rau lub cev rhiab heev ntawm kev noj zaub mov, tsis txhob sib cuag nrog cov tshuaj tsis haum (tshuaj, paj paj, plua plav, tsiaj txhu, thiab lwm yam), txo cov khoom noj carbohydrate, txiav tawm. haus luam yeeb thiab tsis txhob haus cawv.
