Lub sijhawm tib neeg lub cev tuaj yeem qhia nws tus tswv txog qee yam kab mob hauv lub cev. Kev loj hlob ntawm daim tawv nqaij ntawm lub cev ntawm ntau qhov sib txawv, qhov ntom ntom, roughness yog lub cim qhia tias ib yam dab tsi mus tsis ncaj ncees lawm hauv lub cev. Qhov chaw thiab cov yam ntxwv ntawm neoplasms ntawm daim tawv nqaij tuaj yeem qhia ntau yam txog tus neeg mob txoj kev noj qab haus huv. Dab tsi yog vim li cas rau qhov tshwm sim ntawm kev loj hlob ntawm lub cev? Puas muaj txoj hauv kev kho rau qhov tsis xws luag?
Ntau yam tsim ntawm daim tawv nqaij
Nyob rau hauv dermatology, muaj ntau hom tawv nqaij tsim. Qee tus ntawm lawv muaj kev nyab xeeb kiag li thiab dhau mus yam tsis muaj kab, tsis ua rau muaj kev cuam tshuam loj rau lawv tus tswv. Lwm tus qhia txog kev noj qab haus huv loj, yog harbiners ntawm mob qog noj ntshav.
Hom kev loj hlob ntawm lub cev:
- Ciam Teb - cov no yog cov txheej txheem uas tuaj yeem txhim kho mus rau hauv daim ntawv phem dhau sijhawm (piv txwv li,tawv nqaij horn, dermatosis lossis Bowen tus kab mob, xeroderma pigmentosa).
- Daim tawv nqaij ntawm qhov xwm txheej tsis zoo, uas cuam tshuam nrog cov qog nqaij hlav cancer. Lawv yog cov loj hlob me me uas nyob random raws txheej ntawm cov epidermis. Feem ntau muaj peev xwm metastasize rau txhua qhov ntawm lub cev, cov kabmob thiab cov kab ke (liposarcoma, basalioma, sarcoma, melanoma).
- Cov tawv nqaij tsim ntawm qhov zoo, tsis muaj peev xwm ua rau lub cev thiab tib neeg noj qab haus huv. Qee zaum, lawv yog qhov tsis xis nyob, hypochondria thiab mob (fibroma, mole, papilloma, hemangioma, lymphangioma).
Nyob rau hauv tsos, txawm tias tus kws kho mob dermatologist lossis tus kws kho mob oncologist tsis tuaj yeem txiav txim siab qhov tseeb ntawm hom kev kawm. Feem ntau, cov kev tshawb fawb tshwj xeeb yog xav tau, cov qauv ntawm cov khoom siv biomaterial ntawm neoplasm, txhawm rau tsim kom paub tseeb qhov xwm txheej ntawm nws txoj kev loj hlob.
daim tawv nqaij ntawm qhov tsis zoo
Cov hlwb ntawm cov tsim ntawm epidermis khaws ib nrab ntawm lawv cov haujlwm qub thiab muaj qhov loj hlob qeeb. Feem ntau, kev loj hlob ntawm daim tawv nqaij ntawm lub cev ntawm qhov zoo nkauj tsis ua rau muaj kev hem thawj rau kev noj qab haus huv. Yog tias tus neeg mob xav tau, lawv tuaj yeem raug tshem tawm tau yooj yim nrog kev pab los ntawm cov neeg ua haujlwm kho mob niaj hnub lossis cov kev daws teeb meem kub hnyiab raws li celandine. Ua ntej tshem tawm tus kheej, kev sab laj nrog kws kho hniav yog tsim nyog.
Ntau yam ntawm kev loj hlob ntawm tib neeg lub cev (qhov zoo):
- Fibroma feem ntau kuaj pom hauv cov poj niam hnub nyoog qis dua plaub caug xyoo. Sawv cev rau qhov zooqog. Nws muaj pes tsawg leeg yog connective fibers. Fibroma feem ntau yog qhov nruab nrab, tsis loj hlob thiab tsis tsim cov khoom sib txuam. Hauv txoj kab uas hla, nws feem ntau ncav cuag peb mus rau plaub centimeters. Nws zoo li ib tug me me nodule protruding saum npoo ntawm lub epidermis. Cov xim ntawm fibroma yog tsaus, qee zaum xiav lossis dub. Thaum nias ntawm ib tug fibroma nrog ib tug ntiv tes, nws feem ntau ntog mus rau hauv daim tawv nqaij thiab tsis ua mob.
- Liab. Qhov kev loj hlob ntawm lub cev no yog nrov hu ua wen. Nws yog cov qog ntawm cov rog txheej, uas nyob hauv qab ntawm daim tawv nqaij hauv nws cov ntaub so ntswg xoob. Outwardly, wen zoo li nodules (bumps) ntawm ntau qhov sib txawv yam tsis muaj qhov ntxhib nto. Los ntawm saum toj no, wen yog npog nrog daim tawv nqaij du, dhau sijhawm nws tuaj yeem ua rougher. Qhov no tshwm sim nyob rau hauv cov chaw uas lipoma yog tas li nyob rau hauv kev sib cuag nrog khaub ncaws los yog khau. Fatties tsis xa cov kev mob tshwm sim rau lawv tus tswv. Muaj tsawg zaus, lawv tuaj yeem degenerate rau liposarcoma.
- Neurofibroma. Feem ntau, ntau lub hnub nyoog me me tshwm nyob ib puag ncig nws ntawm lub cev. Xws li kev loj hlob yog ib pawg ntawm cov paj hlwb uas nyob hauv cov rog subcutaneous. Kev loj hlob ntawm neurofibromas nyob rau saum npoo ntawm daim tawv nqaij yog hu ua neurofibromatosis. Feem ntau nws muaj caj ces.
Ib pawg tshwj xeeb ntawm cov tawv nqaij tawv nqaij
Yog lipomas, fibromas thiab neurofibromas tuaj yeem "qhia tawm" ntawm lub cev ntawm lawv tus tswv rau ntau xyoo, ces muaj lwm yam subspecieskev loj hlob uas tshwm sim rau lub sijhawm luv luv. Feem ntau, lawv tawm ntawm tus tswv lub cev tam sim ntawd thaum lawv tshwm sim. Yog tias tus neeg mob xav tau, lawv tuaj yeem raug tshem tawm nrog kev pab los ntawm cov kws kho mob tshwj xeeb.
- Condyloma tshwm nyob rau hauv tus txheej txheem ntawm kev ua kom tus tib neeg papillomavirus hauv lub cev. Qhov chaw mos warts feem ntau nyob hauv qhov chaw mos thiab ua rau mob hnyav rau lawv tus tswv. Lawv yooj yim amenable rau kev kho tshuaj. Koj tuaj yeem tshem lawv ntawm ib qho mus ntsib kws kho mob lub chaw ua haujlwm. Tus neeg mob lub neej tsis raug hem.
- Warts thiab papillomas yog qhov loj me ntawm lub cev. Lawv txoj kab uas hla tsis tshua muaj ntau tshaj ib centimeter. Qee zaum, warts tuaj yeem khaus, ua rau kub hnyiab thiab mob. Papillomas tsis ua rau tsis yooj yim li no. Lawv tshwm sim, raws li txoj cai, raws li qhov tshwm sim ntawm kev txo qis hauv kev tiv thaiv kab mob thiab kis kab mob ntawm lub cev tsis muaj zog. Lawv yooj yim amenable rau kev kho tshuaj. Koj tuaj yeem tshem lawv ntawm ib qho mus ntsib kws kho mob lub chaw ua haujlwm. Kev kho mob zoo tshaj plaws thiab tsis mob rau cov pob qij txha niaj hnub no yog laser hlawv.
- Atheroma. Outwardly, qhov kev loj hlob no zoo li lub papule o. Nws tshwm sim vim qhov txhaws ntawm cov qog sebaceous. Qee zaum, nws tuaj yeem ncav cuag ib centimeter hauv txoj kab uas hla thiab ua rau mob rau nws tus tswv thaum nias. Feem ntau nws daws tau nws tus kheej, tab sis qee zaum nws yuav tsum tau mus rau kev pab los ntawm kws kho mob dermatologist.
malignant daim tawv nqaij
Kev loj hlob ntawm tib neeg lub cev ntawm qhov xwm txheej phem (cov uas tuaj yeem ua rau tuag vim tsim ntau yam metastases):
- Melanoma Feem ntau nws tshwm sim tom qab malignancy ntawm nevi, moles, tom qab lawv muaj zog irradiation los yog raug mob. Tej zaum nws yuav zoo li xim xim, zoo li nevus lossis atheroma. Cov tsos ntawm melanomas muaj ntau haiv neeg, yog li txawm tias tus kws kho mob dermatologist tuaj yeem ua yuam kev hauv kev kuaj mob. Melanomas yog qhov txaus ntshai vim tias lawv ua rau metastases hauv yuav luag txhua lub cev, pob txha, cov leeg. Kev kho mob yog nrog tshuaj kho mob thiab xov tooj cua.
- Basal cell carcinoma (squamous cell skin cancer), uas yog tsim los ntawm atypical basal hlwb ntawm daim tawv nqaij. Dawb nodules nrog lub pob zeb qhuav uas tshwm sim ntawm lub cev hais txog qhov pib ntawm pathology. Cov txheej txheem no tseem hu ua basilioma. Kev loj hlob dawb ntawm lub cev tsis yog ib txwm qhia tias muaj cov kab mob basal cell carcinoma. Rau kev kuaj mob kom raug, koj yuav tsum tau mus rau kev kuaj xyuas los ntawm tus kws kho mob oncologist.
- Liposarcoma. Qhov no yog daim tawv nqaij tsim ntawm ib tug malignant xwm, nyob rau hauv uas ib tug lipoma tuaj yeem degenerate. Thaum xub thawj, tus neeg mob tsis pom qhov txawv txawv, txawm li cas los xij, cov neoplasm maj mam loj hlob, cov hlwb txawv txav nkag mus rau hauv cov ntaub so ntswg nyob sib ze, thiab tom qab ntawd metastasis pib (kev sib cais ntawm cov hlwb txawv txav los ntawm ib pawg ntawm lawv tus kheej zoo thiab txav mus rau cov ntshav ntws mus ib feem ntawm tib neeg lub cev). Tsuas yog cov kev kuaj mob tshwj xeeb tuaj yeem txiav txim siab muaj tus kab mob no.
- Angiosarcoma (los yoghemorrhagic sarcomatosis). Nws yog kev loj hlob ntawm daim tawv nqaij ntawm ib qho khoom tshwj xeeb. Outwardly, lawv zoo li ntshav me ntsis tsis muaj ciam teb meej. Ua rau kev kawm: pathology ntawm epidermis, herpes hom 8. Qhov kev loj hlob ntawm daim tawv nqaij ntawm qhov tsis zoo no feem ntau kuaj pom hauv cov neeg muaj kab mob HIV.
Cov no yog kev loj hlob ntawm daim tawv nqaij ntawm lub cev, uas tom qab qee lub sijhawm feem ntau tuaj yeem degenerate mus rau hauv malignant:
- Daim tawv nqaij hneev taw yog lub khob zoo li daim tawv nqaij tsim. Feem ntau cov neeg mob cuam tshuam los ntawm ntsug cone-zoo li tus xim av loj hlob ntawm lub cev. Nws yog dab tsi? Nrog rau qib siab ntawm qhov tshwm sim, peb tuaj yeem teb tau tias qhov no yog qhov tseeb ntawm daim tawv nqaij horn. Tsuas yog qhov kev loj hlob no muaj cov yam ntxwv nkhaus ntsug thiab muaj xim xim av. Thaum zoo li no tshwm sim nyob rau saum npoo ntawm lub cev, koj yuav tsum tsis txhob yig, koj yuav tsum hu rau oncologist los yog dermatologist.
- Bowen's disease. Nws yog ib qho kev loj hlob uas tsim nyob rau hauv daim tawv nqaij tsis loj hlob mus rau hauv cov ntaub so ntswg. Cov tsos ntawm xws li ib tug tsim nyob rau hauv thawj theem yog qhov muag plooj ntawm cov xim liab-xim av. Nws tsis muaj ciam teb kom meej meej. Nws feem ntau tshwm sim hauv cov txiv neej thiab poj niam hnub nyoog tshaj tsib caug xyoo. Kev kawm tsis ua rau mob. Yog tias qhov kev loj hlob ntawm hom no tau tshwm sim ntawm lub cev, ces koj yuav tsum hu rau tus kws kho mob tam sim ntawd.
Warts thiab papillomas: cov khoom tseem ceeb
Cov tawv nqaij zoo li no muaj nyob rau ntawm lub cev ntawm ntau tus neeg. Dab tsi yog qhov txawv ntawm wart thiab papilloma? Cov kev loj hlob ntawm lub cev puas txaus ntshai rau kev noj qab haus huvtib neeg?
Papilloma yog ib qho kev loj hlob ntawm cov hlwb epithelial hauv lub dermis. Feem ntau, nws muaj qhov tsis zoo nkauj thiab yog qhov sib npaug ntawm qhov muag ntawm lub teeb liab mus rau xim av tsaus. Thaum nias, nws tsis ua rau mob. Nws tuaj yeem tshwm sim nyob qhov twg ntawm lub cev ntawm ob tus menyuam yaus thiab cov neeg laus. Papillomas feem ntau tshwm sim nyob rau hauv lub cev ntawm cov neeg uas tsis muaj kev tiv thaiv kab mob uas muaj kev nyuaj siab los yog mob hnyav.
Warts yog me me loj hlob ntawm lub cev. Lawv feem ntau yog tiaj tus. Qee zaum, nws tuaj yeem khaus, mob, dhau los ua qhov tsis xis nyob thiab kub hnyiab. Papillomas tsis tsim teeb meem li no.
Ob leeg warts thiab papillomas feem ntau ploj mus ntawm lawv tus kheej tom qab tus neeg mob lub cev tiv thaiv tau nce mus rau qib uas xav tau. Ob leeg warts thiab papillomas yog yooj yim amenable rau kev kho tshuaj. Koj tuaj yeem tshem tau lawv yooj yim heev.
Kev kho lub cev
Cov txheej txheem niaj hnub thiab zoo ntawm kev kho kev loj hlob ntawm lub cev, cov duab uas tau nthuav tawm hauv kab lus no, suav nrog kev siv cov txheej txheem kho vajtse:
- Electrocoagulation muab kev puas tsuaj tag nrho ntawm cov hlwb loj hlob thaum raug thermal puas. Cov kws kho mob pom zoo kho qhov chaw ntawm cauterization nrog antiseptic. Yog tias, tom qab ob txoj kev, kev loj hlob ntawm lub cev tsis tau tuag tag (uas yog qhov tsawg), cov txheej txheem electrocoagulation tuaj yeem rov ua dua tom qab ib hlis. Tus kws kho mob dermatologist yuav qhia hnub tseeb rau koj.
- Cryotherapy ua rau kev tuag ntawm cov hlwb loj hlob hauv qabraug rau cov kua nitrogen. Txoj kev no tsis mob, feem ntau nws pab tau tom qab thawj txheej txheem.
- Laser photocoagulation. Qhov no yog ib txoj hauv kev nyab xeeb thiab pheej yig kom tshem tawm yuav luag txhua qhov kev loj hlob ntawm daim tawv nqaij. Rau cov txheej txheem no, nws tsis yog qhov yuav tsum tau mus rau hauv tsev kho mob, vim muaj ntau lub tsev kho kom zoo nkauj muab kev pabcuam laser. Ua ntej tus txheej txheem, koj yuav tsum xyuas kom meej tias txoj kev loj hlob tsis yog malignant xwm. Txwv tsis pub, cuam tshuam yog nruj me ntsis txwv.
- Medicinal electrophoresis nrog zinc pab kom tsis txhob ceev, tab sis muaj txiaj ntsig zoo ntawm kev loj hlob ntawm daim tawv nqaij ntawm ib qho etiology. Cov txheej txheem feem ntau yog saib xyuas los ntawm kws kho mob dermatologist.
txhais tau tias raws li celandine rau hlawv tawm ntawm daim tawv nqaij loj hlob ntawm lub cev
Cov tshuaj uas nrov tshaj plaws uas hlawv tawm txhua qhov kev loj hlob ntawm daim tawv nqaij yog kua txiv celandine. Cov khw muag tshuaj tau muag ntev ntev Super Celandine, Celandine Plus, uas cov chaw tsim khoom ua haujlwm los kho cov pob txha thiab papillomas.
Nws tuaj yeem hlawv tawm qhov kev loj hlob ntawm daim tawv nqaij tom tsev, tab sis tus neeg mob yuav tsum ceev faj heev. Yog hais tias koj sim hlawv tawm ib tug malignant tsim, teeb meem kev noj qab haus huv loj yuav tshwm sim. Ua ntej siv cov khoom nrog celandine, nco ntsoov sab laj nrog tus kws kho mob oncologist lossis kws kho mob dermatologist.
cream thiab ointments rau daim tawv nqaij txhab
Los ntawm liab, daj ntseg lossis liab loj hlob tuajCov tshuaj pleev thiab cream hauv qab no muaj txiaj ntsig zoo rau lub cev:
- "Solcoseryl". Nws yuav soften daim tawv nqaij, txo qhov khaus thiab hlawv. Nws tuaj yeem siv los ua tus neeg sawv cev kho mob tom qab kho lub cev lossis raug tshem tawm ntawm moles, nevi, papillomas, warts. Muaj nyob rau hauv daim ntawv ntawm cream thiab tshuaj pleev. Cov tshuaj pleev muaj txiaj ntsig zoo dua, vim nws muaj feem ntau ntawm cov tshuaj nquag.
- "Salicylic ointment". Feem ntau siv tau zoo hauv kev tawm tsam warts. Nws yog contraindicated nyob rau hauv cov neeg uas muaj rhiab ntawm daim tawv nqaij, raws li nws muaj peev xwm provoke ib qho kev tsis haum tshuaj. Yog tias daim tawv nqaij oily, ces kev siv cov tshuaj pleev salicylic, raws li txoj cai, tsis ua rau tus neeg mob tsis yooj yim. Rau cov neeg uas muaj daim tawv nqaij qhuav thiab nyias, nws yog qhov zoo dua los xaiv ib qho tshuaj sib txawv.
- "Ichthyol ointment". Nrog kev siv tsis tu ncua, nws tuaj yeem hlawv tag nrho ob qho tib si mole thiab wart. Yog tias muaj kev xav kom tshem tawm sai sai, ces koj yuav tsum siv cov tshuaj pleev ib hnub ob zaug - thaum sawv ntxov thiab yav tsaus ntuj. Nws yuav tsum tau siv pointwise rau thaj tsam teeb meem. Thaum siv, khaus, tingling yuav hnov. Ua ntej tshem cov mole, wart los yog papilloma, nco ntsoov mus ntsib kws kho mob dermatologist lossis oncologist.
- "Bepanthen". Muaj nyob rau hauv daim ntawv ntawm cream thiab tshuaj pleev. Nws yog siv raws li ib tug kho tus neeg sawv cev tom qab physiotherapeutic tshem tawm ntawm moles, nevi, papillomas, warts. "Bepanten" tsis muaj cov khoom kub hnyiab, tab sis nws zoo kawg nkaus softens thiab nourishes ntawm daim tawv nqaij, txhawb kev kho sai ntawm qhov txhab tom qab tshem tawm ntawm kev loj hlob ntawm ntau yam etiologies.
Tus kws kho mob twg kuv yuav tsum hu rau kev kuaj mob
Tus neeg mob yuav tsum tau ceeb toom thiab nco ntsoov teem sijhawm nrog tus kws kho mob tshwj xeeb yog tias kev loj hlob ntawm lub cev muaj cov khoom nram qab no:
- Asymmetric daim tawv nqaij tsim.
- Rough, "torn" ntug ntawm kev kawm.
- Kev cais cov ntshav lossis cov kua qaub los ntawm kev loj hlob.
- Hloov xim lossis ntxoov ntxoo ntawm kev tsim.
- Yav dhau los, kev kawm tsis raug mob, tab sis pib ua rau tsis xis nyob.
Ua ntej koj yuav tsum tau teem sijhawm nrog kws kho hniav. Yog tias tsis muaj tus kws kho mob tshwj xeeb hauv lub tsev kho mob hauv zos, koj yuav tsum thov daim coupon ntawm lub tsev kho mob dermatovenerologic ze tshaj plaws.
Thaum teem sijhawm, tus kws kho mob ua lub hom phiaj (visual) kuaj, palpates daim tawv nqaij. Cov neeg mob feem ntau yuav tsum tau kuaj cov hauv qab no kom paub tseeb tias qhov kev loj hlob tsis mob qog noj ntshav:
- Biopsy (kev txiav lossis txiav tawm ntawm kev loj hlob los noj biomaterial).
- Dermatoscopy (kev tshuaj xyuas ntawm daim tawv nqaij uas siv lub teeb thiab ib qho cream tshwj xeeb).
- Histological kuaj (ib mole lossis ib feem ntawm nws tau tshuaj xyuas nyob rau hauv lub tshuab tsom iav tshwj xeeb).
- Kev tshuaj ntsuam xyuas hauv computer (ua haujlwm siv cov cuab yeej tshwj xeeb).
Yog tias qhov txiaj ntsig ntawm kev tshuaj xyuas nws tau pom tias daim tawv nqaij tsim los ntawm qhov tsis zoo, tus neeg mob raug xa mus rau kev sab laj nrog tus kws kho mob oncologist, kws phais neeg, oncodermatologist. Los ntawm cov kws tshaj lij no, tus neeg mob yuav tau txaiscoj mus ua lwm yam los tiv thaiv koj txoj kev noj qab haus huv.
