Raws li koj paub, kev loj hlob ntawm cov tshuaj tsis nyob twj ywm. Kev tshawb nrhiav tshuaj tshiab tau ua txhua hnub. Txawm li cas los xij, tam sim no tseem tsis tau muaj peev xwm tshem tawm qee qhov mob. Ib qho piv txwv yog psoriasis. Qhov no pathology yog yus muaj los ntawm ib tug systemic lesion ntawm daim tawv nqaij, nws dryness thiab cov tsos ntawm tawv plaques. Cov tsos mob tshwj xeeb pab kom paub txog qhov muaj tus kab mob - psoriatic triad. Qhov tshwm sim no tau paub ntau xyoo. Nws yog qhov kev kuaj mob tseem ceeb rau tus kab mob thiab qhia txog kev kho mob.
Psoriatic triad: piav qhia ntawm qhov tshwm sim
Psoriasis muaj ntau daim ntawv kho mob. Yog li ntawd, cov tsos mob ntawm pathology tsis tas yuav tsum yog tib yam hauv cov neeg mob sib txawv. Txawm li cas los xij, muaj ntau cov tsos mob uas yog tus yam ntxwv ntawm txhua hom kab mob. Cov no suav nrog psoriatic triad. Nws yog dab tsi thiab yuav ua li cas paub nws? Tsuas yog tus kws kho mob tuaj yeem txheeb xyuas cov cim qhia ntawm tus kab mob.dermatovenereologist tom qab kuaj. Txhawm rau pom cov tsos mob zoo li no, tus kws kho mob yuav tsum ua tib zoo tshuaj xyuas daim tawv nqaij thaum lub sij hawm exacerbation thiab khawb cov plaques. Lub psoriatic triad suav nrog cov khoom hauv qab no:
- Kev muaj tus mob stearin spot syndrome.
- Pom pom qhov pom ntawm hemorrhages ntawm daim tawv nqaij thaum khawb.
- Muaj cov yeeb yaj kiab terminal.
Stearin yog hom rog. Cov tshuaj no tsis cuam tshuam rau psoriasis. Txawm li cas los xij, ib qho ntawm cov cim qhia ntawm triad hu ua "stearin spot syndrome". Qhov no tshwm sim vim lub fact tias thaum lub sab sauv txheej ntawm cov tawv nqaij cuam tshuam exfoliated, loj dawb cheeb tsam ntawm lub epidermis yog sib cais. Outwardly, lawv zoo li stearin.
Tus yam ntxwv tom ntej ntawm psoriasis yog qhov pom tseeb hemorrhages. Lawv tshwm sim thaum cov nplais sib cais. Lwm lub npe rau qhov tshwm sim no yog ntshav dew syndrome. Qhov kawg ntawm lub triad yog lub xub ntiag ntawm lub davhlau ya nyob twg ntawm daim tawv nqaij. Nws yog nyob rau hauv psoriatic plaques. Cov zaj duab xis muaj ib tug du ci nto. Tsuas yog los ntawm kev tshem tawm, koj tuaj yeem pom cov ntshav liab.
Cov kws kho mob paub tam sim ntawd paub txog qhov tshwm sim ntawm psoriatic triad. Txawm li cas los xij, nws tsis tsim nyog tshem cov nplai ntawm koj tus kheej kom paub tseeb tias kev kuaj mob. Qhov no tuaj yeem ua rau daim tawv nqaij puas thiab kis tau qhov mob.
Ua rau psoriasis
Psoriasis yog ib txoj kev kho mob ntev uas cov kws kho mob tau tawm tsam rau ntau pua xyoo. Nrhiav kev kho mobmuaj peev xwm tshem tawm tag nrho cov kab mob no, thiab ua tsis tiav. Qhov no yog vim qhov tseeb tias cov kws kho mob tseem tsis tau paub txog qhov tseeb etiology ntawm tus kab mob. Muaj ntau qhov kev xav txog qhov ua rau psoriasis. Lub ntsiab yog qhov kev tshawb xav ntawm caj ces. Tom qab tag nrho, tus kab mob no feem ntau pom nyob rau hauv cov tswv cuab ntawm tib tsev neeg. Rau ntau dua, qhov kev xav no yog siv tau rau thaum ntxov ntawm psoriasis. Yog hais tias tus kab mob tshwm sim nyob rau hauv cov neeg laus thiab tsis muaj lub nra hnyav keeb kwm, ces tus kab mob yog txuam nrog rau lwm yam ua rau. Ntawm lawv yog cov kab mob thiab kab mob txoj kev xav. Tsis tas li ntawd, yuav luag txhua tus neeg mob muaj kev tiv thaiv kab mob.
Raws li qhov no, peb tuaj yeem hais tias psoriasis yog kab mob polyetiological, uas yog, nws tsim nyob rau hauv kev cuam tshuam ntawm ntau yam ua rau thiab muaj cov kab mob nyuaj. Ntawm cov xwm txheej uas ua rau muaj qhov tshwm sim ntawm cov kab mob no, muaj:
- Npaj xeeb xeeb.
- Kev noj tshuaj lom.
- tawv tawv thiab qhuav.
- raug tshuaj lom neeg thiab lub cev ua xua.
- teebmeem kev nyuaj siab.
- Cov txheej txheem pathological uas cuam tshuam rau ntawm daim tawv nqaij.
Tus kab mob no nquag kawm tsis yog los ntawm kws kho hniav xwb, tab sis kuj los ntawm cov kws kho mob tshwj xeeb xws li kws tshuaj tiv thaiv kab mob thiab cov tshuaj tsis haum. Tom qab tag nrho, nrhiav kom paub qhov ua rau thiab qhov tshwm sim ntawm cov kab mob pathology yuav ua rau pom txoj kev kho kom zoo.
Mechanism of symptom development
Koj tuaj yeem kuaj xyuas raws li lub hauv paus ntawm psoriatic triad. Txhua yam ntawm cov tsos mob tseem ceebmuaj ib tug tej yam mechanism ntawm kev loj hlob. Stearin spot syndrome yog tshwm sim los ntawm flaking ntawm sab saum toj txheej ntawm lub epidermis. Cov tawv nqaij poob dej thiab ua kom qhuav. Yog li ntawd, cov nplai raug tsim. Nrog rau ntau txheej txheej ntawm qhuav epidermis, daim tawv nqaij pib tev tawm. Yog li ntawd, psoriatic plaques tshwm nyob rau ntawm qhov chaw cuam tshuam. Thaum khawb tawm, cov epidermis puas zoo li stearin.
Lub ntsiab tseem ceeb ntawm psoriasis yog papule. Nws tshwm sim ntawm daim tawv nqaij vim cov txheej txheem inflammatory. Cov tsos mob ntawm papules kuj yog vim qhov kev faib tawm sai ntawm cov hlwb epidermal. Qhov no ua rau lub fact tias cov txheej saum toj kawg nkaus ntawm daim tawv nqaij tsis muaj sij hawm los ua kom tiav daim ntawv thiab, raws li nws yog, yog "thawb" rau saum npoo, tsim pob. Qhov no qhia txog pathohistology ntawm psoriatic triad. Lub papule yog them nrog ib txheej nyias ntawm lub davhlau ya nyob twg zaj duab xis. Outwardly, nws zoo li polyethylene. Qhov tsos ntawm "dej dew" yog vim kev puas tsuaj rau cov hlab ntsha me me nkag mus rau lub thickness ntawm daim tawv nqaij.
Kev faib tawm ntawm cov ntsiab lus psoriatic
Muaj ntau ntau yam ntawm psoriasis, uas txawv ntawm qhov chaw ntawm qhov txhab thiab cov tawv nqaij. Cov pob khaus classic suav nrog cov plaques. Lawv yog cov me me pinkish-liab papules npog nrog nplai. Hauv thaj chaw muaj kev cuam tshuam, qhov kub ntawm daim tawv nqaij yog siab dua nyob rau hauv cov ntaub so ntswg noj qab nyob zoo. Qhov no yog vim inflammatory xwm ntawm tus kab mob. Nyob rau saum npoo ntawm papule, lub epidermis yog flaky thiab muaj ib tug qhuav qauv. Yog li ntawd, cov nplai ntawm cov xim dawb-nyiaj tshwm. Nrog kev loj hlob ntawm pathology, cov plaques nce thiab sib koom ua ke,tsim "paraffin pas dej".
Hom kab mob tom ntej yog psoriasis ntawm qhov chaw flexion. Nws yog tus cwj pwm los ntawm cov tsos ntawm liab-liab inflammatory me ntsis ntawm daim tawv nqaij folds. Localization ntawm qhov txhab - axillary thiab inguinal cheeb tsam, puab ncej puab. Hauv cov poj niam, cov pob tuaj yeem tshwm sim ntawm lub plab thiab hauv qab cov qog mammary. Xws li cov ntsiab lus psoriatic tsis npog nrog nplai, yog li ntawd, lawv tau yooj yim puas.
Cov pob khaus tsis tshua muaj xws li pob ntxau uas zoo li tee lossis npib. Ib hom pob khaus ntawm daim tawv nqaij tsis zoo yog pustule. Nws yog ib lub hlwv uas muaj exudate. Nyob rau saum npoo ntawm pustule muaj ib tug qhuav exfoliating txheej ntawm lub epidermis. Txawm tias muaj kev raug mob me me, cov hlwv qhib, tsim kev yaig. Cov pustules zoo li coalesce thiab kis tau. Nail psoriasis suav hais tias yog ib hom kab mob sib cais.
Tus yam ntxwv kho mob tshwm sim
Qhov peculiarity ntawm tus kab mob yog tias nws tsis kis los ntawm kev sib cuag. Yog li ntawd, psoriasis tsis txaus ntshai rau lwm tus. Txawm li cas los xij, qhov tshwm sim ntawm cov kab mob pathology yuav tsum raug coj mus rau hauv tus account. Cov me nyuam uas nws niam txiv muaj psoriasis muaj feem ntau yuav tsim tus kab mob. Ntxiv nrog rau qhov mob ntawm daim tawv nqaij, o ntawm cov pob qij txha, pathologies ntawm endocrine, pob txha thiab paj hlwb feem ntau pom. Vim li no, psoriasis yuav tsum tau muab cais ua kab mob. Tus kab mob no muaj undulating mob. Ntxiv nrog rau psoriatic triad, cov yam ntxwv ntawm tus kab mob muaj xws li: lub xub ntiag ntawm ib ncig ntawm cov quav hniav, cov qauv ntom ntom.daim tawv nqaij cov ntsiab lus thiab cov tsos ntawm papules thaum lub epidermis puas. Yog tias pom cov tsos mob no, nws tsim nyog mus kuaj.
Kev kuaj mob ntawm psoriatic triad
Kev kuaj kab mob pib nrog kev kuaj mob dermatological. Tus kws kho mob ua daim tawv nqaij ntawm qhov chaw ntawm cov plaques thiab kuaj pom cov tsos mob ntawm psoriatic triad. Stearin stain yog thawj qhov kev kuaj mob. Kev khawb ntawm daim tawv nqaij tsis ua rau mob rau tus neeg mob. Qhuav epidermis yog yooj yim tev tawm nrog ib tug spatula. Tom qab tshem tawm tag nrho cov nplai, pom ib daim duab nyias nyias. Nws kuj yog ib qho yooj yim kom cais tawm ntawm papule. Yog tias koj tseem khawb daim tawv nqaij, qhov thib peb kos npe ntawm tus kab mob yog kuaj - pinpoint hemorrhages.
Ntxiv rau kev kuaj mob dermatological, ua:
- X-ray pob txha thiab hauv siab.
- Arthroscopy.
- MRI.
- Kev kuaj kab mob ntawm daim tawv nqaij.
- Kev kuaj ntshav dav dav thiab biochemical.
Kev kuaj mob yuav tsum yog qhov nyuaj, vim tias psoriasis tuaj yeem ua rau ntau yam qauv. Raws li qhov tshwm sim ntawm kev kho mob, tus kws kho mob xaiv ib qho kev kuaj mob rau txhua tus neeg mob.
Kev kuaj mob sib txawv
Kev kuaj mob sib txawv yog tsim nrog lwm yam kab mob ntawm daim tawv nqaij. Feem ntau nws yog tsim nyog rau atypical daim ntawv ntawm psoriasis. Piv txwv li, yog tias muaj pob khaus pustular ntawm daim tawv nqaij lossis kev puas tsuaj rau cov rau tes. Lub psoriatic triad tso cai rau kev ntseeg siabua kev kuaj mob.
Txoj kev kho tus kab mob
Kev kho kab mob ntawm psoriasis suav nrog kev siv tshuaj pleev raws li glucocorticosteroids. Cov tshuaj hormonal pab txhawm rau txo cov mob inflammatory thiab ua kom cov kab mob qeeb zuj zus. Txawm li cas los xij, kev kho mob mus sij hawm ntev nrog cov tshuaj steroids ua rau muaj kev mob tshwm sim. Cov tshuaj muaj kev nyab xeeb muaj xws li cov tshuaj pleev uas muaj cov nyhuv keratolytic. Lawv soften cov nplai thiab moisturize ntawm daim tawv nqaij. Tsis tas li, cov tshuaj tiv thaiv kab mob tau siv.
Da dej nrog tshuaj tua kab mob (calendula, chamomile) thiab daim ntaub ntawv av nplaum pab txhim kho daim tawv nqaij. Tsis tas li ntawd, koj yuav tsum siv cov cream ib txwm.
Tshuaj kho rau psoriasis
Nyob rau lub sijhawm exacerbation ntawm psoriasis, tshuaj hormones raug sau tseg. Cov no suav nrog tshuaj pleev xws li Flucinar, Triamcinolone thiab Hydrocortisone. Txhawm rau tiv thaiv khaus thiab kis ntawm pob khaus, cov tshuaj tiv thaiv kab mob tau sau tseg. "Salicylic" tshuaj pleev muaj cov nyhuv keratolytic. Nws rhuav tshem cov tawv nqaij qhuav uas tsim cov plaques. Kuj tseem siv tshuaj "Sinalar" thiab "Dermovate". Cov tshuaj ntxiv muaj xws li tshuaj pleev uas muaj zinc, tar thiab ichthyol.
ntsuas kev tiv thaiv rau psoriasis
Txhawm rau kom lub sijhawm tshem tawm, nws raug nquahu kom tsis txhob cuam tshuam lub cev thiab tshuaj lom neeg ntawm daim tawv nqaij. Sunbathing tsis pom zoo. Kev txhim kho ntawm daim tawv nqaij pab txhawb kev siv cov tshuaj pleev thiab cov tshuaj pleev ib ce. Qhov zoo dynamics pom tom qab kev kho mob sanatorium thiabKev hloov pauv huab cua.
