Vitiligo hnub no yog ib qho kev kawm me me ntawm cov kab mob dermatological. Pathology muab ntau yam teeb meem ntawm kev puas siab puas ntsws thiab zoo nkauj rau tus neeg mob nyob hauv lub neej niaj hnub ntshai thiab tsis kam ua siab ntev. Kev ua txhaum ntawm melanin synthesis yog tsawg. Ntau tus tsuas tsis paub tias tus kab mob no tsis kis tau, yog li lawv zam thiab ua txhaum txhua txoj hauv kev ib tus neeg uas muaj pob dawb ntawm daim tawv nqaij.
cov ntaub ntawv dav dav
Vitiligo (lwm lub npe: aub, daim tawv nqaij piebald, kab mob dawb, leukopathy) yog kab mob dermatological. Kev tshawb fawb tau tsim tias nyob rau hauv ib feem peb ntawm cov neeg mob kis tus kab mob. Lub npe los ntawm Latin lo lus vitium, uas txhais tau hais tias "tsis muaj" lossis "tsis zoo". Pathology yog hais txog ib pawg ntawm daim tawv nqaij dyschromias - ntau yam pigmentation tsis meej (chroma - "xim" los ntawm Latin, thiab cov lus ua ntej dys- txhais tau hais tias "kev sib txawv ntawm cov qauv" lossis "kev ua haujlwm tsis zoo").
Nyob rau hauv lub xeev ib txwm, cov tawv nqaij laus yog txiav txim los ntawm cov ximMelanin, carotene, txo qis thiab oxygenated hemoglobin. Txo hemoglobin yog xiav thiab pom nyob rau hauv venules, thaum oxygenated hemoglobin nyob rau hauv capillaries yog liab. Melanin muab cov xim xim av thiab carotene muab cov xim daj. Feem ntau, cov tawv nqaij pigmentation teeb meem yog txuam nrog ntau dhau los yog tsis muaj melanin.
Tus kab mob dab tsi yog vitiligo, puas yog kis tau, leej twg feem ntau ntsib nrog pathology? Pigmented dermatosis tuaj yeem tshwm sim rau txhua lub hnub nyoog, tab sis feem ntau cov tsos mob tshwm sim hauv cov neeg muaj hnub nyoog qis dua 20 xyoo, nrog ib nrab ntawm cov kab mob tshwm sim hauv thaj tsam li 10 txog 30 xyoo. Qhov nruab nrab, qhov tshwm sim ntawm pathology yog kwv yees li 1%, thaum cov poj niam muaj feem yuav raug kev txom nyem los ntawm vitiligo. Tus kab mob no tsis kis tau, tsis ua rau muaj kev mob qog noj ntshav ntawm daim tawv nqaij, thiab muaj kev nyab xeeb rau kev noj qab haus huv.
Kev tshwm sim
Lub cev ua rau vitiligo thiab cov txheej txheem tom qab kev txhim kho ntawm tus kab mob tseem tsis paub txog kev kho mob, tab sis muaj ntau cov kev tshawb fawb qhia txog kev kho mob. Nws tsis tuaj yeem txiav txim siab tias qee qhov ntawm lawv yuav ua tiav, tab sis qhov no yuav raug lees paub tsuas yog tom qab ntau qhov kev sim tshuaj. Niaj hnub no, ib tus tsuas tuaj yeem sau ntau qhov kev xav txog kev tshawb fawb, tab sis ib tus yuav tsum coj mus rau hauv tus account tias tseem muaj qhov ua yuam kev ntau heev hauv qhov teeb meem no.
Txhua qhov kev xav hais txog qhov ua rau vitiligo hauv cov menyuam yaus thiab cov neeg laus yog qhov tsis meej ntawm qhov pom ntawm cov tshuaj pov thawj, tab sis lawv muaj txoj cai muaj nyob. Cov kev xav hauv qab no tam sim no yog cov ntsiab lus tseem ceeb: ntau yam kab mob endocrine, kev puas siab puas ntsws, kev puas siab puas ntsws ntawm lub paj hlwb, autoimmune ua, tsev neeg keeb kwm, enzyme deficiency ntawm tyrosinase, uas yog lub luag haujlwm rau kev sib txuas ntawm melanin hauv tib neeg..
Qhov ua rau vitiligo (kev kho mob hauv qhov no yog qhov tshwj xeeb) yuav muaj tshuaj lom neeg, tab sis qhov no, cov kab mob dermatological tau faib ua theem nrab thiab kho tau. Tret-butylphenol, polyacrylate, butylpyroxatechin thiab lwm yam tshuaj tuaj yeem ua rau pob dawb ntawm daim tawv nqaij.
Txoj kev sib cav
Qee tus kws tshaj lij tau sib cav tias qhov tshwm sim ntawm tus kab mob dermatological tsuas yog qhov qhia tau, uas yog, lawv qhia tias muaj mob hnyav dua. Piv txwv li, cov kab mob ntawm cov thyroid caj pas tuaj yeem cuam tshuam qhov tshwm sim ntawm vitiligo. Raws li kev txheeb cais, 10% ntawm cov neeg mob kuaj mob vitiligo kuj muaj cov thyroid tsis ua haujlwm. Kev ua haujlwm tsis zoo ntawm cov qog nqaij hlav, qog adrenal, lub qog pituitary cuam tshuam tsis zoo rau cov kab mob dermatological.
Dyschromia tuaj yeem tshwm sim los ntawm cov kab mob trophic cuam tshuam nrog kev kub hnyiab (xws li sunburns) lossis raug mob ntawm daim tawv nqaij. vitiligo pib li cas? Thawj qhov tshwm sim feem ntau pom nyob rau hauv cov cheeb tsam yav tas los puas, vim tias lawv muaj cov tshuaj tiv thaiv kab mob autoimmune vim cov txheej txheem inflammatory. Cov hlwb ntawm daim tawv nqaij uas tsim melanin tau maj mam puas, uas nws thiaj li ua rau muaj kev ua txhaum caidaim tawv nqaij pigmentation.
Vitiligo feem ntau tsim tawm tsam keeb kwm ntawm dysbacteriosis, chim siab plob tsis so tswj, malabsorption, impaired lub cev muaj zog thiab acid-forming zog ntawm lub plab zom mov. Cov kab mob no ua rau muaj kev cuam tshuam ntawm kev nqus cov vitamins thiab lwm yam tshuaj lom neeg lom neeg (piv txwv li, qee cov enzymes thiab B vitamins), uas yog ib qho tseem ceeb rau kev tswj xyuas qhov zoo ntawm daim tawv nqaij. Stagnation ntawm cov kua tsib tuaj yeem ua rau cov tawv nqaij tsis zoo thiab ua rau cov tsos mob ntawm vitiligo.
Qee cov tshuaj pab txhawb kev txhim kho cov txheej txheem pathological, tshuaj pleev ib ce uas muaj cov khoom tsis zoo lossis tshuaj lom neeg. Genetic predisposition kuj yog ib qho ua rau muaj feem cuam tshuam. Vitiligo tsis yog ib yam kab mob hauv lub cev, tab sis tsim los ntawm ntau yam. Tab sis cov kws tshawb fawb tau ua pov thawj tias dyschromia muaj feem cuam tshuam nrog cov noob caj noob ces. Muaj ib pawg ntawm cov noob uas ua rau tib neeg muaj kev phom sij. Tsis tas li ntawd, nws tau pom tias cov neeg uas muaj qhov muag xim av muaj feem ntau yuav tsim cov pob dawb ntawm lawv daim tawv nqaij, thaum cov neeg uas muaj qhov muag xiav lossis ntsuab muaj qhov tsis tshua muaj kab mob.
Qhov xwm txheej autoimmune ntawm pigmentation teeb meem yog suav tias yog hnub no yog qhov tseem ceeb. Kev ua haujlwm tsis zoo ntawm lub cev tiv thaiv kab mob ua rau muaj qhov tshwm sim ntawm cov tshuaj tiv thaiv kab mob uas cuam tshuam tsis tau tsuas yog cov kab mob txawv teb chaws, cov kab mob thiab cov kab mob fungi, tab sis kuj rau lub cev ntawm cov hlwb. Qhov kev xav no tau txhawb nqa los ntawm qhov tseeb tias lupus erythematosus feem ntau pom nyob rau hauv cov neeg mob kuaj mob vitiligo,rheumatoid mob caj dab, autoimmune thyroid kab mob thiab lwm yam kab mob txuam nrog malfunctioning ntawm lub cev tiv thaiv kab mob.
Psychosomatics of disease
Ntxiv rau qhov ua rau lub cev muaj zog, kev loj hlob ntawm daim tawv nqaij dyschromia cuam tshuam los ntawm kev xav, uas yog, tus kab mob tuaj yeem ua rau psychosomatic. Vitiligo yog ib yam kab mob tshwj xeeb thiab tsis to taub tag nrho, yog li muaj ntau txoj kev xav txog nws. Ib tug ntawm lawv yog psychosomatics. Tus kab mob ntawm vitiligo, raws li kev puas siab puas ntsws, tuaj yeem pom nws tus kheej hauv cov neeg uas xav tias txaj muag lossis thuam lawv tus kheej ntau dhau rau ib yam dab tsi, tsis ua txhaum. Tom qab ntawd lub paj hlwb "txiav txim siab pab" los ntawm "kev ntxuav", thiab daim tawv nqaij yuav npog nrog pob dawb.
Nyob rau hauv tej yam ntuj tso, albino tsiaj sawv tawm sharply tawm tsam keeb kwm yav dhau. Tib "kev pab cuam" tuaj yeem ua haujlwm rau tib neeg. Piv txwv li, ib tug me nyuam yaus xav tias tsis xav tau tom qab lub ntsej muag ntawm ib tug kwv tij los yog muam hauv tsev neeg, thaum cov niam txiv mob siab rau tag nrho lawv cov kev xav thiab lub sij hawm dawb rau tus me nyuam. Nyob rau lub sijhawm zoo li no, tus menyuam raug kev txom nyem los ntawm kev sib cais los ntawm nws niam nws txiv thiab xav sawv tawm txhawm rau kom nyiam. Lub cev tuaj yeem teb rau cov kev paub muaj zog los ntawm vitiligo.
Psychosomatics qhia txog lwm yam ua rau muaj tus kab mob. Yog li ntawd, cov neeg mob raug qhia kom them sai sai rau lawv cov kev paub thaum lub sij hawm kev loj hlob ntawm tus kab mob - cov tsos ntawm thawj dawb me ntsis ntawm daim tawv nqaij, raws li txoj cai, ntog nyob rau hauv lub active theem ntawm kev tsis sib haum xeeb. Qee zaum, kev kho kom zoo nkauj tsis zoo pabtshem tawm kev ua haujlwm nrog cov kws kho kev puas siab puas ntsws uas tsim nyog lossis tus kws kho mob hlwb.
Kev faib kab mob
Cov kws kho mob paub qhov txawv ntawm cov kab mob dav dav, hauv cheeb tsam thiab thoob ntiaj teb. Qhov ntau tshaj plaws yog generalization, thaum cov chaw nyob thoob plaws hauv lub cev, nrog localized - nyob rau hauv nyias qhov chaw. Daim ntawv universal ntawm tus kab mob tshwm sim nyob rau hauv ib tug me me feem pua ntawm cov neeg mob thiab yog yus muaj los ntawm ib tug yuav luag tag cov xim (ntau tshaj 80% ntawm lub cev nto yog them nrog me ntsis).
Cov hom tawv nqaij dyschromia tseem ceeb tau muab faib ua pawg. Nrog vitiligo vulgaris, me ntsis nyob rau hauv symmetrically thoob plaws hauv lub cev, acrofacial cuam tshuam rau cov ceg thiab lub ntsej muag, thiab sib tov yog ua ke ntawm ob hom. Tag nrho cov pab pawg no yog cov yam ntxwv tsuas yog rau daim ntawv dav dav ntawm tus kab mob. Nrog rau daim ntawv hauv cheeb tsam, focal vitiligo (tej chaw hauv ib lossis ob thaj chaw), mucous (tej chaw tsuas yog nyob ntawm cov mucous daim nyias nyias), segmental (tej chaw ntawm ib sab ntawm lub cev) tuaj yeem kuaj tau.
Muaj kev faib raws li xim ntawm qhov chaw. Nyob nruab nrab ntawm daim tawv nqaij noj qab haus huv thiab ib qho chaw vitiligo, tej zaum yuav muaj ib qho me me pigmented cheeb tsam, ntxiv rau peb xim, ib cheeb tsam ntawm cov pigmentation muaj zog tuaj yeem ntxiv. Qee qhov xwm txheej, thaj ua rau thaj ua rau muaj xim xiav lossis mob - ciam teb ntawm thaj tsam tau tsa thiab ua rau mob.
Cov kab mob tuaj yeem ua tiav, uas yog, cov txheej txheem ntawm depigmentation tau pom tas li, tab sis nws tuaj yeem nrawm lossis qeeb. Nrog vitiligo ruaj khov, cov pob tsis hloov mus ntev.lub sijhawm. Daim ntawv tsis ruaj tsis khov ntawm tus kab mob yog tus cwj pwm los ntawm qhov tseeb tias qee qhov chaw ploj mus ib ntus, thaum lwm tus, ntawm qhov tsis sib xws, nce.
Cov tsos mob Vitiligo
vitiligo pib li cas? Spots ntawm ntau qhov sib txawv thiab cov duab tshwm rau ntawm daim tawv nqaij, uas tuaj yeem nce thiab sib koom ua ke. Cov plaub hau ntawm qhov chaw cuam tshuam yuav ua tsis muaj xim. Nyob rau hauv cov ntaub ntawv no, tus neeg mob tsis muaj tej yam kev xav: tsis muaj mob, khaus, khaus, tev los yog dryness. Qee qhov chaw tuaj yeem ploj mus raws sijhawm. Raws li txoj cai, cov ceg ceg, puab tsaig thiab qhov quav, txhais tes raug cuam tshuam rau vitiligo. Feem ntau, qhov no tsuas yog kev kho kom zoo nkauj xwb. Lub psychosomatics ntawm vitiligo muab txoj cai los xav tias cov kab mob pib nrog kev xav tau zoo.
Qee lub sij hawm tus kab mob tuaj yeem nrog qee cov tsos mob. Psychosomatics ntawm vitiligo feem ntau tsis piav txog qhov tshwm sim no nyob rau hauv ib txoj kev, tab sis cov kws kho mob, raws li txoj cai, sai sai nrhiav physiological ua. Tus kab mob no tuaj yeem nrog kev khaus khaus, choreoretinitis (mob ntawm lub retina thiab nraub qaum ntawm lub qhov muag), cov plaub hau grey thiab lightening ntawm cov plaub hau nyob rau hauv cov cheeb tsam uas muaj vitiligo, psoriasis, scleroderma, lichen planus, hws tsis zoo nyob rau hauv cov cheeb tsam cuam tshuam, dermatitis thiab ntau yam kab mob ntawm txoj hnyuv.
kuaj kab mob
Vitiligo yog ib qho yooj yim los kuaj xyuas. Kev kuaj mob yog ua raws li kev kuaj pom, kev kuaj xyuas nyob rau hauv ib lub teeb tshwj xeeb Wood, qhov sib txawv ntawm qhov tseeb, tom qab mob thiab cov tshuaj leukoderma, pityriasis versicolor, idiopathic guttate hypomelanosis, ib nrabalbinism, tuberous sclerosis thiab lwm yam kab mob dermatological.
kev kho mob vitiligo
Qhov ua rau vitiligo thiab kev kho mob yuav cuam tshuam yog tias tus kab mob tshwm sim los ntawm kev raug tshuaj lom neeg. Tab sis, raws li txoj cai, tshwj xeeb provoking yam tsis tuaj yeem txheeb xyuas. Tsis muaj kev kho mob tshwj xeeb rau vitiligo niaj hnub no, tab sis kho vajtse thiab kuaj kuaj thiab tshuaj tsis nyob twj ywm, tab sis tseem tab tom txhim kho, yog li cov hauv qab no yuav tsum tau coj mus rau hauv tus account:
- helium-neon laser.
- Vitamin kho. Cov vitamins rau vitiligo yog muab rau txhua tus neeg mob. Feem ntau tus kws kho mob dermatologist pom zoo kom noj (xws li chipping cov kab mob cuam tshuam) pawg B tshuaj, vitamin A.
- Macro thiab microtherapy. Pom zoo tooj liab sulfate 0.5-1%, electrophoresis nrog sulfur, zinc, hlau. Cov lus pom zoo kawg los ntawm qhov tseeb tias cov neeg mob vitiligo ib txwm tsis muaj tooj liab.
- Glucocorticosteroid kho. Siv sab nraud thiab sab hauv: chipping lesions, daim ntaub ntawv, cream rau sab nraud siv, noj tshuaj sab hauv.
- PUVA therapy. Irradiation ntawm lub cev qhov chaw nrog ultraviolet lub teeb ntawm ib co wavelength thiab tswj kev siv. Cov txheej txheem ntawm kev kho mob suav nrog kev noj cov lus hais los yog sab nraud txhais tau tias txhim kho kev nkag siab ntawm cov hluav taws xob ultraviolet, tom qab uas cov irradiation hauv zos los yog dav siv tau siv cov cuab yeej tshwj xeeb. Tom qab ob peb zaug, pigmentation ntawm thaj chaw cuam tshuam ntawm daim tawv nqaij tuaj yeemrov qab.
- Kev noj haus. Nws raug pom zoo kom suav nrog nqaij nruab deg, yaj, txiv apples, oats, mov, pob kws, cod siab, zaub qhwv, txiv lws suav hauv kev noj haus.
- Cosmetology. Nco ntsoov siv cov khoom siv UV nrog rau qib kev tiv thaiv ntau dua 30, koj tuaj yeem siv cov npog ntsej muag tshwj xeeb.
- Kev sab laj ntawm tus kws kho kev puas siab puas ntsws lossis tus kws kho puas siab puas ntsws (nyob ntawm qhov xav tau kev kho lub hlwb). Yog tias qhov kev puas siab puas ntsws ntawm vitiligo tsis raug cais tawm, tus kws kho mob dermatologist yuav pom zoo kom tus neeg mob mus ntsib kws kho mob hlwb.
- Phytotherapy. Kev siv tsim nyog tau pom zoo rau sab hauv, nrog rau sab nraud, marsh duckweed, echinacea (ua kom cov T-lymphocytes, uas feem ntau tsis muaj daim tawv nqaij dyschromia), St. John's wort.
Kev kuaj mob rau vitiligo tsis zoo li yuav zoo vim tias thaj ua rau thaj tuaj yeem kis mus thoob lub cev txawm tias thaum kho. Qee zaum, txawm tias kev ua haujlwm ntawm daim tawv nqaij grafting tsis pab. Nyob rau tib lub sijhawm, cov chaw uas feem ntau raug mob thiab kev sib txhuam (vitiligo ntawm caj npab, ceg), lossis cov uas muaj kev puas tsuaj rau daim tawv nqaij, hloov sai tshaj plaws, tsis zoo thiab zoo.
Txoj kev ua neeg
Puas muaj peev xwm kho vitiligo hauv tsev nrog pej xeem txoj kev? Kev noj tshuaj rau tus kheej tsis tsim nyog, vim tias tsuas yog ib tus kws kho mob dermatologist uas tsim nyog tuaj yeem tsim thiab ua kom pom tseeb lub tswv yim tsim nyog rau kev tswj hwm tus neeg mob, tab sis tom qab kev sib tham, koj tuaj yeem siv cov tshuaj tsis zoo uas tau piav qhia hauv qab no.
10 ntsiav tshuaj aspirin yuav tsum tau crushed thiabsib tov nrog ib nrab ib lub raj roj cream. Koj yuav tsum tau lubricate qhov chaw cuam tshuam ob mus rau peb zaug hauv ib hnub, khaws cov tshuaj hauv lub tub yees. Raws li kev tshuaj xyuas, cov neeg mob uas muaj cov tawv nqaij me tau tshem tawm ntawm vitiligo hauv 10-20 hnub ntawm kev kho mob.
Muaj Teeb Meem
Daim tawv nqaij dyschromia muaj kev kawm ntev, thaum lub pathology yog tus cwj pwm los ntawm kev txheeb ze. Thaum lub sij hawm lub sij hawm ntawm active kev loj hlob, vitiligo tuaj yeem ntes cov cheeb tsam loj ntawm daim tawv nqaij. Tsuas yog qhov teeb meem pov thawj ntawm tus kab mob rau hnub no tuaj yeem hu ua kev puas siab puas ntsws tsis xis nyob los ntawm cov neeg mob kuaj mob vitiligo. Psychology ntawm kev mob hauv qhov no yog qhov teeb meem loj.
Qhia rau tus neeg mob
Nrog vitiligo, nws yog qhov pom zoo kom noj cov vitamins, kev noj zaub mov zoo uas suav nrog cov khoom noj uas muaj tooj liab - txiv lws suav, nqaij nruab deg, yaj, cod siab, kev siv cov khoom uas muaj kev tiv thaiv UV siab. Txoj kev ua neej yog txiav txim siab los ntawm tus kab mob nws tus kheej, vim hais tias xws li pathology ua rau muaj kev xav thiab kev xav tsis zoo. Txhawm rau tshem tawm cov kev tshwm sim no, nws raug nquahu kom mus ntsib kws kho mob hlwb.
ntsuas kev tiv thaiv
Tsis muaj kev ntsuas tshwj xeeb los tiv thaiv tus kabmob. Muaj kev pheej hmoo yuav yog cov neeg mob uas muaj kev cuam tshuam ntawm endocrine system, kab mob autoimmune, helminthiasis thiab qee yam kab mob ntawm txoj hnyuv. Vitiligo tuaj yeem yog qhov tshwm sim ntawm cov kab mob hauv nruab nrog cev thiab lub tshuab tsis paub txog lub sijhawm, yog li lub sijhawm tseem ceebQee lub sij hawm dhau mus kuaj mob thiab kho qhov ua txhaum cai.
