Kev txo qis hauv kev tiv thaiv yuav ua rau muaj kev loj hlob ntawm cov kab mob loj uas yuav tsum tau kho tam sim. Ib tug ntawm lawv yog cov plaub hau leukoplakia. Nws yog dab tsi, dab tsi cuam tshuam rau qhov pib ntawm tus kab mob thiab cov kev kho mob twg yog muab - peb yuav txiav txim siab tag nrho cov no hauv kab lus.
Kev txhais thiab cov qauv ntawm tus kab mob
Cov plaub hau leukoplakia yog ib yam kab mob ntawm cov qog nqaij hlav los ntawm kev kis tus kab mob Epstein-Barr. Pathology tuaj yeem cuam tshuam cov mucous membrane ntawm txoj hlab pas, ncauj tsev menyuam, qhov chaw mos, lub ntsws thiab zais zis. Tab sis feem ntau cov leukoplakia ntawm qhov ncauj kab noj hniav thiab tus nplaig. Nws tau txais nws lub npe vim yog daim duab kho mob - cov cheeb tsam cuam tshuam yog them nrog dawb lossis greyish me villi. Cov plaub hau leukoplakia feem ntau tshwm sim hauv cov neeg haus luam yeeb tom qab 40 xyoo, tab sis qhov tshwm sim ntawm pathology hauv cov neeg laus thiab cov menyuam yaus tsis tuaj yeem txiav tawm. Hauv cov neeg noj qab haus huv, tus kab mob no tsawg heev.
Cov plaub hau leukoplakia tuaj yeem tshwm sim hauv cov ntaub ntawv hauv qab no:
- Yooj yim. Pom zoo li cov pob dawb uas tsis tuaj yeem tshem tawm.
- Vim. Warts los yog plaques tshwm nyob rau yav tas los dawb me ntsis.
- Nyob zoo. Cov kab mob tshwm sim nyob rau thaj tsam cuam tshuam, uas tuaj yeem txhim kho mus rau hauv daim ntawv malignant.
Daim duab ntawm plaub hau leukoplakia yog qhia hauv qab no.
Kev tshwm sim
Tam sim no, tus kab mob Epstein-Barr yog suav tias yog qhov ua rau muaj kev loj hlob ntawm tus kab mob. Muaj kev xav tias feem coob ntawm cov pej xeem hauv ntiaj teb yog cov neeg nqa tus kab mob no. Thiab yog tias nyob rau hauv tus neeg noj qab haus huv nws cov kev tsim tawm thiab kev ua haujlwm raug txwv los ntawm T-lymphocytes, tom qab ntawd hauv cov kab mob nrog rau kev tiv thaiv tsis zoo, tus kab mob pib ua kom muaj zog, ua rau muaj kev phom sij txaus ntshai. Xav txog qhov feem ntau ua rau cov plaub hau leukoplakia ntawm tus nplaig.
- HIV, AIDS thiab lwm yam kab mob uas tuaj yeem ua rau lub cev tsis muaj zog.
- mob leukemia.
- kab mob autoimmune.
- haus luam yeeb ntev.
- cov txheej txheem Oncological ntawm qhov ncauj kab noj hniav.
- Nyob ntev raug rau ultraviolet rays ntawm lub qhov ncauj.
- Kev puas tsuaj tas mus li ntawm cov ntaub so ntswg hauv lub qhov ncauj (piv txwv li, hlau prostheses).
- Kev tsis txaus lossis tsis muaj kev huv ntawm qhov ncauj.
- Ua haujlwm txaus ntshai.
- Kev noj tshuaj tiv thaiv kab mob.
- YVitamin B deficiency.
- Cov plaub hau leukoplakia tuaj yeem txhim kho mus rau tom qab phaislub sij hawm.
- Iron deficiency anemia.
- Kab mob plab hnyuv.
- Hormonal tsis ua haujlwm.
Symptomatics
Cov tsos mob feem ntau ntawm cov plaub hau leukoplakia ntawm tus nplaig yog:
- Pom cov quav hniav dawb ntawm lub hauv paus ntawm tus nplaig thiab ntawm nws sab nraud.
- Sensation of dryness ntawm tus nplaig.
- Hloov hauv saj.
- Ntawm thaj chaw cuam tshuam ntawm tus nplaig, tus kws kho mob kuaj pom villi me.
- Lub foci ntawm tus kab mob zoo li pob tshab lossis xim dawb, qhov ntev ntawm qhov, raws li txoj cai, tsis pub tshaj 1 centimeter.
- Inhomogeneous mucosal nto.
- Ntawm qhov kev yaig thiab tawg uas yuav ploj mus, tab sis rov tshwm sim dua.
- Thaum palpation ntawm thaj chaw cuam tshuam tsis ua rau mob.
- Dawb cov quav hniav tsis tuaj yeem tshem tawm nrog txhuam lossis txawm tias ib lub spatula tshwj xeeb.
- Nyob rau theem siab ntawm tus kab mob, khaus thiab ua tsis taus pa tshwm sim.
- Yog tias tsis kho, qhov kev hloov pauv tag nrho ntawm lub epithelium ntawm tus nplaig raug pom.
Diagnosis
Yog tias koj xav tias muaj kab mob, koj yuav tsum hu rau koj tus kws kho hniav lossis tus kws tshuaj tiv thaiv kab mob. Tus kws kho mob tuaj yeem kuaj pom thawj zaug thaum lub sijhawm kuaj. Tab sis kom paub meej tias nws thiab txheeb xyuas qhov ua rau ntawm qhov tshwm sim, yuav tsum muaj cov txheej txheem kuaj mob, uas suav nrog kev kuaj ntsuas thiab ntsuas ntsuas. Xav txog lawv cov npe kom ntxaws ntxiv.
- Nyobkuaj ntshav los txiav txim tus neeg mob lub cev tiv thaiv kab mob.
- Kev smear los txiav txim seb cov cellular muaj pes tsawg leeg hauv thaj chaw cuam tshuam.
- Biopsy. Nws yog txoj kev kuaj mob tseem ceeb tshaj plaws rau kev kuaj pom tus kab mob Epstein-Barr.
- Histology. Qhov no yog qhov yuav tsum tau soj ntsuam uas tsis suav nrog lossis lees paub kev txhim kho ntawm cov txheej txheem oncological.
- X-ray kuaj lub puab tsaig. Qhov no yog qhov tsim nyog txhawm rau txhawm rau kawm txog cov ntaub so ntswg tawv hauv thaj tsam ntawm thaj chaw cuam tshuam.
Txij li cov plaub hau leukoplakia tshwm sim ntau zaus hauv HIV, kev sim txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau nws, nws muaj cov txiaj ntsig zoo, nws yog qhov yuav tsum tau kuaj cov kab mob leukoplakia cov plaub hau plaub hau muaj ntau heev. Cov no suav nrog:
- PCR kuaj mob.
- kawm txog kev tiv thaiv kab mob.
- IFA.
- Immune blotting.
Kev kho mob
Kev kho cov plaub hau leukoplakia ntawm tus nplaig pib tsuas yog tom qab tau txais cov txiaj ntsig ntawm txhua qhov kev kuaj mob. Raws li txoj cai, txoj kev kho nyuaj yog raug sau tseg, uas suav nrog kev kho tshuaj thiab ua raws li qee cov cai ntawm kev nyiam huv ntawm tus kheej. Qee zaum, kev phais yuav raug qhia. Cia wb mus saib cov kev xaiv kho mob.
- Ua ntej tshaj plaws, yuav tsum tshem tawm cov hauv paus hauv paus ntawm tus kab mob. Piv txwv li, yog tias kev ntsuam xyuas pom pom muaj tus kab mob Epstein-Barr, cov tshuaj tiv thaiv kab mob tau muab tshuaj. Cov no suav nrog "Acyclovir", "Zidovudine" thiab lwm yam. Thaum koom nrog cov kab mob fungal, lawv raug tshuajtshuaj tiv thaiv kab mob (piv txwv li, "Fluconazole"). Feem ntau, tom qab kev kho mob, cov tsos mob ntawm tus kab mob no ploj mus, tab sis nrog kev txo qis hauv kev tiv thaiv, qhov rov ua dua tuaj yeem ua tau.
- Yog tias muaj qhov khaus tas li, koj yuav tsum tau tshem tawm sai li sai tau. Piv txwv li, yog tias muaj kev raug mob mus tas li rau tus nplaig thiab qhov ncauj kab noj hniav, qhov ua rau yuav tsum raug tshem tawm sai li sai tau. Cov no tuaj yeem yog cov npoo ntse ntawm qhov txhaws, ib qho tsis raug ntsia prosthesis, thiab lwm yam. Tom qab tshem tawm qhov teeb meem, lub qhov ncauj kab noj hniav yog huv si.
- Hauv cov xwm txheej tshwj xeeb, kev kho phais yuav raug pom zoo, uas cov chaw cuam tshuam raug tshem tawm siv lub laser lossis cryodestruction. Qee zaum kev tshem tawm ntawm cov ntaub so ntswg hloov pauv tau ua nrog lub scalpel.
- Nws tseem ceeb heev kom tshem tau tus cwj pwm phem thiab noj kom raug, tsis txhob noj zaub txias lossis kub dhau.
- txhuam koj cov hniav thiab tus nplaig txhua hnub nrog txhuam hniav mos.
- Yuav koj lub qhov ncauj nrog tshuaj tua kab mob.
Kev kho mob HIV
Feem ntau tshwm sim ntawm cov plaub hau leukoplakia ntawm tus nplaig hauv HIV. Nrog rau tus kab mob no, muaj kev pheej hmoo siab ntawm kev tsim cov qog ntshav qog ntshav, yog li cov neeg muaj kab mob HIV raug tshuaj kho hluav taws xob lossis tshuaj khomob, uas cov hlwb hloov pauv tau raug rhuav tshem hauv thaj chaw cuam tshuam ntawm lub qhov ncauj. Nws yog ib qho tsim nyog yuav tsum nco ntsoov tias hauv cov neeg mob HIV-zoo yam tsis muaj kev kho mob qog noj ntshav, cov plaub hau leukoplakia feem ntau degenerates rau hauv.malignant form.
tshuaj ntsuab
Nws yog ib qho tsim nyog sau cia tias cov plaub hau leukoplakia tsis tuaj yeem kho nrog kev pab ntawm cov tshuaj ib txwm siv, tab sis lawv tuaj yeem siv los ua cov tshuaj tiv thaiv lossis ua kev kho mob ntxiv hauv cov kev kho mob tseem ceeb. Nyob rau hauv cov ntaub ntawv no, cov nyhuv ntawm kev siv pej xeem tshuaj yuav yog aimed ntawm tshem tawm cov tsos mob ntawm tus kab mob. Cia peb saib ntxiv.
Txhawm rau tshem tawm kev puas tsuaj ntawm cov kab nrib pleb thiab rwj, nws tuaj yeem siv lub qhov ncauj yaug nrog decoctions ntawm cov nroj tsuag tshuaj lossis hauv zos siv cov nyiaj no rau thaj chaw cuam tshuam. Propolis, chamomile, strawberry nplooj, sage, St. John's wort, oak bark thiab lwm tus tau ua pov thawj lawv tus kheej zoo. Nws yog ib qho tseem ceeb kom nco ntsoov tias kev siv cov tshuaj ib txwm siv yuav tsum tau pom zoo nrog tus kws kho mob.
Kev Tiv Thaiv
Ua raws li kev tiv thaiv ntau, koj tuaj yeem txo qhov kev pheej hmoo ntawm kev tsim tus kabmob.
- Ua ntej tshaj plaws, nws yog ib qho tsim nyog yuav tsum mus ntsib kws kho hniav thiab kho txhua yam teeb meem tshwm sim raws sijhawm (piv txwv li, caries lossis chips ntawm txhaws).
- Txhob tus cwj pwm phem. Qhov no muaj tseeb tshwj xeeb rau kev haus luam yeeb.
- Eat a balanced diet.
- Tsis txhob siv cov txuj lom hauv kev noj haus.
- Kho txhua yam kab mob, tiv thaiv lawv txoj kev hloov mus rau theem ntev.
- Txhawb kev tiv thaiv muaj zog.
- Tiv thaiv HIV thiab STDs.
Huab cua
Rau cov neeg tsis muaj kab mob uas nyuaj siablub cev tiv thaiv kab mob, feem ntau qhov kev cia siab yog qhov zoo. Txawm hais tias muaj kev pheej hmoo siab rov qab los, nrog kev saib xyuas kev kho mob tas li tom qab rov zoo, nrog rau thaum noj cov kev tiv thaiv, qhov yuav tshwm sim ntawm tus kab mob no tsawg.
Nyob hauv cov neeg mob HIV, qhov kev cia siab rau kev rov zoo tsis zoo heev. Yog li ntawd, thaum kuaj pom tus kab mob, nws yog ib qho tsim nyog yuav tau pib kho mob qog noj ntshav sai li sai tau txhawm rau txhawm rau tshem tawm qhov pheej hmoo ntawm degeneration ntawm cov cheeb tsam cuam tshuam.
Zoo kawg
Cov plaub hau leukoplakia yog ib yam kab mob txaus ntshai uas tuaj yeem ua rau kev txhim kho ntawm cov txheej txheem oncological. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau saib xyuas koj txoj kev noj qab haus huv thiab, ntawm thawj cov cim qhia ntawm kev txhim kho cov txheej txheem pathological, hu rau tus kws kho mob tshwj xeeb uas yuav sau tshuaj ntsuam xyuas, thiab raws li lawv cov txiaj ntsig, kev kho mob zoo tshaj plaws.
Nws tsis pom zoo rau kev kho tus kheej, vim nws tuaj yeem ua rau qhov xwm txheej hnyav dua. Kev siv tshuaj ib txwm ua tau tsuas yog tom qab sab laj nrog kws kho mob, vim qee cov zaub mov tsuas tuaj yeem ua rau mob.
