Keratosis yog ib hom kab mob ntawm daim tawv nqaij uas feem ntau tshwm sim hauv cov xwm txheej, tab sis tuaj yeem tshwm sim vim muaj ntau yam sab nraud. Cov kab mob cuam tshuam rau cov neeg laus thiab menyuam yaus. Txoj kev kho mob rau cov neeg mob loj thiab me yog txawv. Yuav ua li cas tiv thaiv kev txhim kho ntawm cov teeb meem ntawm tus kab mob, vim li cas keratosis tshwm sim, cov tsos mob thiab kev kho mob ntawm pathology - tus nyeem ntawv yuav pom cov ntaub ntawv ntawm cov no thiab lwm yam teeb meem hauv peb tsab xov xwm.
Keratosis yog dab tsi?
Keratosis yog hais txog tag nrho pawg ntawm cov kab mob dermatological, feem ntau cov yam ntxwv tshwm sim uas yog cov thickening ntawm epidermis. Pathology tsis muaj qhov xwm txheej ntawm keeb kwm, tab sis yog qhov tshwm sim ntawm qee qhov kev cuam tshuam ntawm qhov ua rau muaj kev cuam tshuam. Cov no suav nrog:
- tawv nqaij qhuav, uas yog suav tias yog lub hauv paus ua rau pathology. Yog hais tias daim tawv nqaij tsis moisturized, cov nplais tuag yuav tsis exfoliate kom zoo, yog li tsim cov av fertile rau cov tsos.mob mob. Qhov ua rau dryness tuaj yeem yog siv cov tshuaj ntxuav tsev ntau zaus, nrog rau kev tsim txom ntawm tshav kub (ultraviolet light dries ntawm daim tawv nqaij);
- Tsis muaj cov vitamins A, C, E hauv lub cev tuaj yeem ua rau muaj kev cuam tshuam metabolic thiab ua rau keratosis;
- Kev noj cov tshuaj hormonal ua rau lub hlwb rov ua dua tshiab thiab ua rau qhov pib ntawm tus kab mob. Cov kab mob pathological kuj tuaj yeem tshwm sim nws tus kheej thaum lub sij hawm puberty hauv cov tub ntxhais hluas, nrog rau thaum cev xeeb tub, thaum cov tshuaj hormones hloov hauv lub cev tshwm sim thiab cov khoom tsim keratin nce;
- Keratosis tuaj yeem tshwm sim los ntawm cov kab mob hauv plab hnyuv, nrog rau kev ntxhov siab, ua rau lub cev tsis muaj vitamin B hauv lub cev, tsis muaj qhov ua rau tawv nqaij qhuav.
Kev sib raug zoo nrog oncology
Muaj ntau tus tau hnov txog tus kab mob xws li keratosis. Qhov nws yog, txawm li cas los xij, tsis yog rau txhua tus. Qhov tseeb, pathology ua rau cov tsos ntawm keratomas ntawm tib neeg daim tawv nqaij - benign neoplasms (ib zaug lossis ntau yam). Txog niaj hnub no, cov kev xav ntawm cov kws tshaj lij txog tus kabmob thiab qhov ua rau nws tshwm sim tsis meej, cov kws kho mob tau muab faib ua ob lub chaw pw hav zoov. Ib txhia sib cav hais tias cov ua rau cov tsos mob ntawm tus kab mob yog purely genetic nyob rau hauv cov xwm. Lwm tus tsis suav nrog kev koom tes hauv qhov tshwm sim ntawm pathology ntawm cov xwm txheej tau hais los saum toj no. Yog li ntawd, cov lus teb rau cov lus nug txog yuav ua li cas kho keratosis kuj txawv.
Ib txoj kev lossis lwm qhov, tab sis ntawm keratosis thiab qog nqaij hlav tawv nqaij muajkev sib raug zoo. Keratoma muaj qhov tsis zoo, txawm li cas los xij, muaj cov xwm txheej thaum mob qog noj ntshav hauv nws cov qauv. Neoplasms yog qhov txawv me ntsis ntawm ib leeg, yog li nws yog qhov pom kev nyuaj los txiav txim siab hom kab mob (mob qog noj ntshav lossis keratosis). Nws yog dab tsi yuav pab tsim kom muaj kev kuaj histological nkaus xwb. Yuav luag txhua qhov xwm txheej, cov txheej txheem yog siv rau thaum kuaj mob.
Ntau foci ntawm keratosis tuaj yeem qhia tias muaj mob qog noj ntshav hauv cov kabmob sab hauv. Muaj qee qhov kev txheeb cais, raws li, ntawm 9 txhiab tus neeg mob kuaj mob keratoma, 900 tus neeg tau kuaj pom muaj ntau hom mob qog noj ntshav.
Kev faib tawm
Tus kab mob "keratosis" tau muab faib ua pawg raws li ntau yam cim. Piv txwv li, raws li lub hauv paus chiv keeb, lawv paub qhov txawv:
- Symptomatic keratosis - pathology tshwm sim tawm tsam keeb kwm ntawm lwm yam kab mob, nrog rau kev cuam tshuam ntawm qhov tsis zoo ib puag ncig;
- Hereditary keratosis yog ib hom kab mob uas tsim los ntawm caj ces thiab feem ntau tshwm sim nws tus kheej thaum muaj hnub nyoog ntxov lossis tam sim tom qab yug;
- Keratosis yog ib yam kab mob uas ua rau nws tsis nkag siab.
Nyob ntawm seb keratomas tshwm sim ntawm lub cev, lawv paub qhov txawv:
- Localized keratosis - tus kab mob cuam tshuam rau ib cheeb tsam (chaw) ntawm daim tawv nqaij;
- Diffuse keratosis - tus kab mob npog tag nrho lub cev lossis thaj chaw loj heev ntawm daim tawv nqaij.
Kuj tseem ceeb:
- Follicular keratosis, nrognyob rau hauv uas foci ntawm tus kab mob (horny plugs) tsim ntawm cov plaub hau follicle;
- Actinic keratosis tsis sib luag, thaj ua rau thaj tsam ntawm daim tawv nqaij uas maj mam hloov mus rau hauv cov kab mob scaly xws li cov tawv nqaij ib txwm mus rau xim liab-xim av;
- Seborrheic keratosis yog ib qho kev tsim nodular npog nrog cov nplais horny tsaus.
Type of seborrheic keratosis
Seborrheic keratosis kuj tau muab faib ua qee hom:
- Cov duab hauv qab no qhia txog keratoma uas tau tsa me ntsis saum npoo ntawm daim tawv nqaij thiab yog cov xim muaj zog - qhov no yog kab mob hu ua "flat keratosis" (duab). Kev kho mob ntawm cov neoplasm no raug tshem tawm phais;
- Irritable keratosis yog ib hom kab mob uas nyob rau hauv cov qauv ntawm ib tug benign tsim muaj loj tsub zuj zuj ntawm lymphocytes. Cov ntsiab lus ntawm cov qog tuaj yeem txiav txim siab los ntawm kev soj ntsuam histological;
- Adenoid keratosis - tshwm sim ntawm tus kab mob nyob rau hauv daim ntawv ntawm ib tug network ntawm nyias pigmented hlwb;
- Clear cell melanoacanthoma yog ib hom kab mob tsis tshua muaj keratosis uas tshwm sim raws li warty masses uas yog sib npaug thiab zoo li cov plaques ntub. Melanoacanthomas tshwm sim feem ntau ntawm sab qis;
- Lichenoid keratosis. Nws yog dab tsi? Pathology nyob rau hauv uas lub neoplasm yog yus muaj los ntawm inflammatory kev hloov thiab zoo xws li nyob rau hauv manifestations rau mycoses los yog erythematosis nyob rau hauv lupus erythematosus. Zoo sib xws foci hauvdaim tawv nqaij kuj tuaj yeem tshwm sim nrog lichen planus.
Lwm hom kab mob keratosis
Kev xyaum kho mob kuj tseem paub:
- keratotic papilloma,
- dermal horn,
- clonal keratosis.
Keratotic papilloma yog ib hom kab mob pathology uas tshwm sim nws tus kheej li me me uas muaj cov hlwv ib leeg nrog suav nrog cov hlwb horny;
pob kws pob kws yog ib hom kab mob keratosis uas suav hais tias tsawg heev. Lub pathology yog manifested los ntawm kev tsim ntawm horny hlwb ntawm ib tug conditionally cylindrical zoo protruding saum npoo ntawm daim tawv nqaij. Tus kab mob no feem ntau cuam tshuam rau cov neeg laus. Cov qog nqaij hlav, uas tuaj yeem sib txawv me me, tau muab faib ua ob hom:
- Pib - tsis muaj cov ntaub ntawv txaus ntawm hom kab mob no, nws tuaj yeem tshwm sim nws tus kheej, tsis muaj laj thawj meej;
- Secondary - pathology tshwm sim tawm tsam keeb kwm yav dhau ntawm cov txheej txheem inflammatory hauv lwm cov tawv nqaij tsim. Nws yog daim ntawv no ntawm daim tawv nqaij hneev taw uas tuaj yeem degenerate mus rau hauv ib qho malignant tsim nyob rau hauv kev cuam tshuam ntawm cov kab mob los yog microtrauma;
YClonal keratosis. Nws yog dab tsi? Hom kab mob no zoo ib yam li epithelioma thiab hais txog ib daim ntawv tshwj xeeb ntawm tus kab mob, uas yog tus cwj pwm los ntawm cov plaques nyob rau hauv daim ntawv ntawm warts. Tsis tas li ntawd, cov zes yog nyob rau hauv lub epithelial txheej ntawm cov qog. Cov formations lawv tus kheej muaj xws li keratinocytes - pigmented hlwb. Clonal keratosis feem ntau tshwm rau ntawm sab qis thiab feem ntau hauv cov neeg laus.
Cov tsos mob tseem ceeb
Cov paib pom tseeb tshaj plawskeratosis yog neoplasms (ib leeg lossis ntau yam) uas tshwm sim ntawm thaj chaw qhib ntawm daim tawv nqaij - nraub qaum, hauv siab, hauv pliaj. Qee zaum tus kab mob tuaj yeem cuam tshuam rau caj dab, tawv taub hau, nraub qaum ntawm tes, qhov chaw mos. Muaj tsawg zaus thaum cov kab mob tshwm sim ntawm ob txhais taw. Qhov loj ntawm cov qog nqaij hlav tuaj yeem sib txawv ntawm ob peb hli mus rau ob peb cm. Nws muaj peev xwm hais tias tus neeg mob yuav khaus ntawm qhov chaw ntawm cov qog.
Loj hlob feem ntau yog xim liab lossis daj, tab sis tej zaum yuav yog xim av lossis xim dub. Qhov saum npoo ntawm cov qog yog ntxhib, npog nrog zaj duab xis nyias, thaum tshem tawm lossis puas, cov ntshav tawm. Maj mam, zaj duab xis ua thicker, tej zaum yuav npog nrog cov kab nrib pleb. Nrog thickening ntawm lub crust, cov npoo ntawm cov qog hloov thiab coj mus rau ib qho tsis xwm yeem. Nyob rau tib lub sijhawm, neoplasm dhau los ua convex, nrog cov xim dub lossis lub teeb.
pab pawg pheej hmoo thiab teeb meem
Pab pawg neeg hauv qab no raug mob ntau dua:
- cov neeg mob tiv thaiv kab mob (kev kho mob tom qab kho mob, AIDS lossis kab mob ntshav),
- neeg muaj caj ces,
- cov neeg laus tawv nqaij qhuav,
- Cov neeg sawv cev ntawm lub tebchaws uas muaj huab cua sov thiab muaj hnub ci ntau hauv ib xyoos,
- Keratosis feem ntau kuaj tau rau cov neeg uas muaj tawv nqaij ncaj thiab plaub hau liab.
Kev kho mobkeratosis, kev tshuaj xyuas ntxov yog qhov tseem ceeb, yog li ntawd, ua ntej tsim kev kuaj mob, nws tau ua tiav:
- kev kuaj mob dav dav ntawm tus neeg mob;
- histological kuaj ntawm biomaterial.
Keratosis yog ib yam kab mob uas kho tau tas li thiab siv sijhawm ntev. Cov theem siab ntawm tus kab mob tuaj yeem ua rau muaj teeb meem ntau yam:
- Degeneration ntawm benign qog mus rau hauv qog noj ntshav;
- Pathology ua rau muaj kev ua haujlwm tsis zoo ntawm endocrine system, nrog rau cov hlab ntsha thiab qhov kawg;
- Pathology tuaj yeem ua rau cov hniav poob;
- Cov kab mob eczema feem ntau tshwm tawm tsam keeb kwm ntawm keratosis.
txoj kev kho
Raws li txoj cai, hauv kev kho mob keratosis, txoj hauv kev zoo tshaj plaws yog kev phais. Tab sis tsuas yog nyob rau hauv rooj plaub thaum lub manifestation ntawm pathology yog sawv cev los ntawm ib tug neeg lub ntsiab nyob rau hauv qhib qhov chaw ntawm lub cev. Kev saib xyuas ntawm kev kho mob muab cov txiaj ntsig me me, txawm hais tias feem ntau txhawm rau txhawm rau txhawm rau txhawm rau txhim kho pathology, tus neeg mob tau muab tshuaj ntau ntawm ascorbic acid.
Kuv yuav tsum hais tias qhov kev ntsuas no ua rau muaj qhov zoo ntawm kev kho mob. Kev kho mob yog ua nyob rau hauv cov chav kawm ntev txog ob lub hlis. Nyob nruab nrab ntawm cov theem ntawm kev kho mob, nws yog ib qho tsim nyog yuav tsum tau so ntawm ob peb lub lis piam kom lub cev so. Kev kho mob hauv chav kawm pab kom paub tseeb tias yav tom ntej tsis muaj foci tshiab ntawm tus kab mob nrog lub npe "keratosis". Kev kho mob nrog pej xeem tshuaj yog ib qho kev ntsuas ntxiv rau ob qho saum toj no.
Kev tshwm sim ntawm keratosis raug tshem tawmlos ntawm ntau yam manipulations:
- Laser lossis xov tooj cua yoj hluav taws xob;
- Cryodestruction yog txheej txheem kev kho mob raws li cov nyhuv ntawm cov kua nitrogen rau ntawm qhov chaw ntawm daim tawv nqaij. Cov txheej txheem no yog siv feem ntau rau ntau keratoses;
- Tshuaj tev - trichloroacetic acid yog siv rau cov txheej txheem (hauv daim ntawv ntshiab lossis cov tshuaj hauv ntau qhov sib piv);
- Electrocoagulation yog ib qho txheej txheem uas siv hluav taws xob tam sim no hauv kev kho mob ntawm cov chaw cuam tshuam ntawm lub cev;
- Curettage yog txheej txheem scraping siv cov cuab yeej tshwj xeeb hlau (curette).
Cov menyuam yaus raug mob raws li cov neeg laus. Feem ntau, cov neeg mob me tau kuaj pom muaj follicular keratosis, uas tshwm sim hauv thaj tsam ntawm cov hauv paus plaub hau. Yog vim li cas rau txoj kev loj hlob ntawm ib tug mob tej zaum yuav yog lub caij txias; tsis muaj cov vitamins hauv lub cev; kab mob ntawm cov kab mob gastrointestinal; kev ntxhov siab txhua hnub hauv tsev kawm ntawv lossis hauv tsev neeg. Cov pob khaus nodular uas zoo li "goosebumps" manifests follicular keratosis hauv cov menyuam yaus. Daim duab ntawm ib qho kev tshwm sim zoo sib xws ntawm tus kab mob muaj nyob rau hauv cov lus piav qhia hauv qab no.
Kev kuaj mob yog tsim los ntawm kev kuaj xyuas, ntxiv rau, kev kawm txog cov khoom siv roj ntsha tuaj yeem ua tiav. Feem ntau, kev saib xyuas kev kho mob tsuas yog txhawm rau tshem tawm qhov tsis xws luag kom zoo nkauj. Lub luag haujlwm tseem ceeb ntawm kev kho yog kom moisturize ntawm daim tawv nqaij thiab exfoliate cov tawv nqaij tuag nrog kev pab los ntawm cream tshwj xeeb thiab tshuaj pleev.
Kev Tiv Thaiv
Qhov tseem ceebNco ntsoov tias nyob rau hauv cov xwm txheej ntawm cov kab mob pathological, koj tsis tuaj yeem kho tus kheej. Koj yuav tsum tau nrhiav tswv yim tam sim los ntawm tus kws tshaj lij thiab paub seb qhov ua txhaum cai tau tshwm sim hauv lub cev.
Koj yuav tsum mus ntsib kws kho mob yog:
- kev loj hlob tshiab hloov pauv qhov loj me, xim nyob rau lub sijhawm luv,
- tus neoplasm tau ua mob lossis raug mob,
- qhov chaw tsis zoo lossis los ntshav tshwm rau ntawm daim tawv nqaij,
- mob lossis khaus khaus yog hnov ntawm qhov chaw ntawm keratoma.
Txhawm rau tiv thaiv kab mob, koj yuav tsum:
- Muaj kev sab laj nrog kws kho hniav;
- Nyob hauv lub hnub tsuas yog lub sijhawm tso cai thiab tiv thaiv daim tawv nqaij los ntawm UV raug;
- Nco ntsoov tias daim tawv nqaij ib txwm moisturized - rau qhov no koj tuaj yeem siv ntau yam tshuaj pleev ib ce;
- Txhob kom ntev daim tawv nqaij khaus khaus los yog khaub ncaws tsis xis nyob.
Tumours tsis ploj ntawm lawv tus kheej, dhau sijhawm lawv tsuas vam meej.
tshuaj ntsuab zaub mov txawv rau keratosis
Raws li tau sau tseg ua ntej, lwm cov tshuaj tsuas tuaj yeem dhau los ua ib qho kev ntsuas ntxiv rau kev saib xyuas (kev phais) kev kho mob thiab tsuas yog tom qab tsim qhov kev kuaj mob kom raug. Kev kho mob keratosis hauv tsev yog siv ntau yam tshuaj pleev thiab compresses raws li qos yaj ywm, propolis, poov xab. Piv txwv li, lawv npog nrog propoliscuam tshuam thaj chaw ntawm daim tawv nqaij (nws yog ib qho tsim nyog yuav tau thov cov khoom hauv ib txheej nyias) rau ob peb hnub. Tom qab ntawd lawv muab cov tawv nqaij so, thiab tom qab ib pliag lawv rov ua cov txheej txheem zoo sib xws. Cov kev kho mob muaj ntau lub voj voog.
Kev tiv thaiv kab mob keratosis yog kev siv cov qos yaj ywm nyoos. Cov txiv hmab txiv ntoo yog rubbed rau ntawm ib tug nplua grater, muab tso rau hauv ob peb txheej ntawm gauze thiab thov mus rau qhov chaw ntawm daim tawv nqaij rau 40-60 feeb. Cov txheej txheem rov qab siv cov qos yaj ywm tshiab.
Feem ntau cov poov xab nyob yog siv rau compresses. Cov khoom siv yog siv rau thaj chaw teeb meem rau ob peb teev, tom qab ntawd ntxuav nrog dej kom ntau. Cov chav kho mob rov ua dua rau tsib hnub.
Kev kho lub cev kuj tuaj yeem dhau los ua ib feem tseem ceeb ntawm kev tshem tawm cov tsos mob ntawm tus kab mob. Txawm li cas los xij, qhov tseem ceeb tshaj plaws hauv kev kho tus kab mob yog kev tu tawv nqaij txhua hnub.
