Lichen planus (LP) yog ib hom kab mob ntawm daim tawv nqaij uas feem ntau tshwm sim tawm tsam keeb kwm ntawm kev noj qab haus huv tsis zoo. Feem ntau, pathology nrog ntshav qab zib los yog ua ke nrog cov txheej txheem ulcerative hauv plab hnyuv, cirrhosis, gastritis. Qhov kev sib xyaw ua ke no yog qhov tseem ceeb ntawm LP, uas txawv nws ntawm lwm cov dermatoses.
qhov teeb meem tuaj qhov twg?
Lichen planus tshwm sim yog tias ib tus neeg muaj qhov txo qis hauv kev tiv thaiv kab mob. Ntau yam tuaj yeem ua rau tus kab mob, los ntawm cov xwm txheej ntxhov siab mus rau kev raug mob, nrog rau cov kab mob metabolic, hormonal imbalances. Tawm tsam keeb kwm yav dhau los ntawm qhov tshwm sim, cov hlwb ntawm daim tawv nqaij ua rau muaj kev cuam tshuam rau cov kab mob.
Tshawb nrhiav lichen planus thiab lwm yam dermatoses, cov kws tshaj lij tau pom tias cov kab mob no feem ntau cuam tshuam nrog cov caj ces. Nws ntseeg tias qhov kev xav rau LP tau txais txiaj ntsig. Tsev neeg keeb kwm ntawm tus kab mob yog paub. Qhov feem ntau yuav mob yog nyob rau hauv lub thib ob,lub hauv caug thib peb muaj cov neeg mob LP.
Tam sim no, muaj peb lub ntsiab ua rau LP. Thawj thiab tseem ceeb tshaj plaws yog kab mob. Lichen planus tuaj yeem tsim tawm tsam keeb kwm yav dhau los ntawm kev raug tshuaj thiab tshuaj lom neeg - kev tshaj lij, tsev neeg. Thaum kawg, qhov thib peb yog vim li cas yog cov tshuaj nquag tsim los ntawm tib neeg lub cev hauv qhov xwm txheej ntxhov siab, nrog rau cov khoom sib txuas zais los ntawm cov hlwb nyob rau hauv kev cuam tshuam ntawm cov kab mob pathogenic. Cov khoom tshwj xeeb uas tsim los ntawm cov kab mob hauv nruab nrog cev hauv qab tus kab mob yog lwm yam ntawm peb qhov ua rau LP.
Lichen planus, coded hauv ICD 10 code L43, feem ntau tshwm sim hauv daim ntawv raug. Cov no yog polygonal pinkish plaques nrog lilac undertone. Daim ntawv hu ua typical. Ntxiv rau nws, muaj:
- atrophy;
- bullous;
- hypertrophy;
- erythema.
Nrog hypertrophy, tus kab mob tshwm sim nws tus kheej li cov pob loj, cov quav hniav, qhov chaw uas zoo ib yam li cov pob txha. Atrophy yog tus cwj pwm los ntawm qhov muaj hyperpigmentation lossis tsis muaj xim txhua. Lichen planus nyob rau hauv lub qhov ncauj, ntawm lwm yam mucous daim nyias nyias, nyob rau hauv lwm qhov chaw ntawm lub cev yuav tshwm sim nyob rau hauv daim ntawv ntawm npuas nyob rau hauv daim tawv nqaij. Yog tias tus kab mob no tshwm sim, thiab nws qhov tshwj xeeb tshaj plaws yog cov tawv nqaij hyperemia, daim ntawv erythematous raug kuaj pom. Ib daim ntawv erosive ntawm lichen planus yog ua tau - raws li lub npe implies, nrog xws li kev puas tsuaj rau cov mucous daim nyias nyias, erosion tsim.
Raws li cov chav kawm, rooj plaub raug cais raws li mob hnyav, subacute, ntev. Thawj tus suav nrogCov xwm txheej thaum tus neeg mob tsis pub dhau ib hlis, qhov kev xaiv thib ob - tsis pub ntau tshaj rau lub hlis. LP Lub Sij Hawm Ntev yog ib qho kev xaiv thaum qhov kev kuaj mob txuas ntxiv mus rau rau lub hlis lossis ntau dua.
Yuav ceeb toom li cas?
Feem ntau nws tuaj yeem txheeb xyuas lichen planus hauv qhov ncauj. Kev ua txhaum ntawm kev ncaj ncees ntawm cov mucosa feem ntau yog tshwm sim los ntawm daim tawv nqaij ua pob liab vog, txawm tias cais foci tuaj yeem ua tau. LP manifests nws tus kheej li plaques, hlwv, rwj, liab lesions.
Yuav luag 20% ntawm cov neeg raug mob los ntawm kev puas tsuaj rau cov ntsia hlau phaj. Qhov no ua tau nrog txhua hom thiab cov ntawv. Ntau zaus, los ntawm lawv tus kheej kev paub dhau los, lawv paub tias lichen planus zoo li cas ntawm cov rau tes, cov neeg uas nws tus kab mob tshwm sim hauv daim ntawv erosive-ulcerative los yog nrog los ntawm cov pob liab liab. Raws li kev cuam tshuam ntawm cov txheej txheem uas muaj nyob hauv CPL, daim hlau poob lawv cov duab zoo, ua pob, scallops, grooves tshwm, thiab cov ntaub ntawv tawg hauv qhov chaw. Sij hawm dhau mus, lub phaj yuav thinner, yuav ploj tag.
thaj chaw ntawm daim tawv nqaij qhov chaw pob khaus yog qhov cuam tshuam los ntawm khaus hnyav.
Qhia meej txog kev kuaj mob
Yog tias koj xav tias lichen planus ntawm lub cev, koj yuav tsum sab laj nrog kws kho mob. Cov ntaub ntawv yuav raug tswj los ntawm ib tus kws kho mob dermatologist. Feem ntau tsis muaj teeb meem hauv kev kuaj mob, vim tias polygonal plaques yam ntxwv ntawm LP yog qhov nyuaj rau kev tsis meej pem nrog kev tshwm sim ntawm lwm yam kab mob. Tsis tas li ntawd, cov kab mob ntawm daim tawv nqaij feem ntau muaj cov xim tshwj xeeb, cov txheej txheem du nrog cov yam ntxwv zoo nkauj - twb tau los ntawm kev kuaj thawj zaug, tus kws kho mob tuaj yeem kuaj xyuas qhov tseeb.
Yog tias muaj kab mob pathologicalntau, lawv feem ntau yog pawg. Lichen planus nyob rau hauv cov me nyuam thiab cov neeg laus feem ntau yog nyob rau ntawm qhov chaw uas ib tug neeg feem ntau khoov - luj tshib, forearms, shins, armpits. Tsis tas li ntawd, feem ntau, tus kab mob no tau kuaj pom ntawm cov kab mob ntawm lub cev xeeb tub, hauv plab plab, nyob rau saum npoo ntawm sab nraub qaum, ntawm lub duav los ntawm sab hauv.
Thaum tsis ntseeg, cov qauv ntawm daim tawv nqaij raug coj los ntawm tus neeg mob rau kev kuaj ntshav. Raws li qhov kev tshuaj ntsuam no, nws tuaj yeem hais tau meej tias hom lichen planus cuam tshuam dab tsi hauv ib kis.
Yuav ua li cas?
Raws li cov tsos mob, kev kho mob rau lichen planus yog xaiv los ntawm tus kws kho mob. Nyob rau tib lub sijhawm, lawv txheeb xyuas cov xwm txheej hauv qab uas tus kab mob tshwm sim nws tus kheej. Ua ntej tshaj plaws, nws yog ib qho tsim nyog yuav tsum tsis suav nrog txhua yam kev pheej hmoo cuam tshuam nrog lub neej txhua hnub, kev ua haujlwm. Yog tias muaj cov kab mob sib kis, tus kws kho mob yuav pom zoo cov kev sim uas koj yuav tsum tau ua kom paub meej lawv, tus kws kho mob hu rau qhov kev pab cuam kho mob los kho qhov teeb meem. Thaum tus kab mob foci raug txheeb xyuas, tus kws kho mob, coj mus rau hauv tus account etiology ntawm lichen planus, yuav xub sau ntawv txhais tau tias kom tsis txhob ua haujlwm ntawm thaj chaw no, tsuas yog tom qab ntawd nws yuav pib tshem tawm qhov tshwm sim, uas yog, LP.
Tom qab paub meej qhov kev kuaj mob, tus neeg mob tau muab cov txheej txheem rau kev huv ntawm qhov ncauj mucosa. Prosthetics raug pom zoo raws li xav tau. Kev noj zaub mov rau lichen planus yuav tsum tsis kam lees cov khoom uas ua rau cov ntaub so ntswg ua kom khaus. Thaum xaiv ib qho kev pab cuam, txheeb xyuas qhov twgCov tshuaj uas tus neeg siv sai sai ua ntej LP thiab thaum lub sijhawm muaj mob - lawv kuj yuav tsum tau tso tseg.
Tshuaj thiab kev qhia
Raws li qhov ua rau, lichen planus yuav raug pom zoo kom kho nrog tshuaj hormonal, metabolic boosters, lossis lwm yam tshuaj. Ntawm cov tshuaj hormonal, cov khoom siv feem ntau yog ua raws li cov khoom lag luam ntawm 4-aminoquinoline.
Yog tias tus kab mob no nrog khaus khaus ntawm qee thaj chaw ntawm daim tawv nqaij, koj tuaj yeem siv tshuaj tua kab mob, tshuaj sedatives, normalizing pw tsaug zog thiab txo qhov hnyav ntawm qhov tshwm sim. Nws raug tso cai siv txhais tau tias tshem tawm qhov tsis haum tshuaj. Ntawm cov npe chaw muag tshuaj, nws tsim nyog sau Tavegil thiab Claritin. Raws li txoj cai, thaum muab cov tshuaj no, tus kws kho mob yuav qhia tam sim ntawd qhov tshwm sim tsis zoo ntawm kev noj lawv.
Dab tsi yuav pab tau?
Yog tias qhov ua rau lichen planus yog cov kab mob metabolic, tus kws kho mob tau sau ntau cov vitamin complexes los tawm tsam tus kab mob. Qhov kev xaiv ntawm qhov kev xaiv tshwj xeeb yog nyob ntawm tus yam ntxwv ntawm ib rooj plaub.
Retinol (vitamin A) txhawb cov txheej txheem rov tsim dua tshiab, ua kom muaj kev faib tawm ntawm tes. Rau cov neeg laus, nws raug nquahu kom haus 100,000 IU ib hnub. Derivatives ntawm no compound inhibit inflammatory txheej txheem, normalize cellular regeneration. Lawv qhia cov txiaj ntsig zoo tshaj plaws yog tias tus kab mob nyob hauv lub qhov ncauj, lub npoo ntawm daim di ncauj raug cuam tshuam. Rau ib hnub, 25-50 mg. Lub sijhawm ntawm txoj haujlwm kho mob yog mus txog peb lub lis piam. RauTxhawm rau tswj lub cev lub zog, koj tuaj yeem siv carotenoids - zoo analogues ntawm retinol.
Nrog txoj kev kho tshuaj hormonal ntawm LP, alpha-tocopherol acetate yog qhov tseem ceeb. Cov vitamin no tso cai rau koj txo qis cov tshuaj hormonal thiab txo lub sijhawm ntawm lub voj voog.
Qee yam
Yog tias cov kab mob tuaj yeem rov ua dua tshiab, nws yuav tsum siv txhais tau tias txhawb nqa cov pa oxygen rau cov ntaub so ntswg. Cov tshuaj "Actovegin" thiab "Cyto-Mak" tau ua pov thawj lawv tus kheej zoo.
Tshuaj pleev los ntawm lichen planus hauv tib neeg yog ib qho tseem ceeb ntawm kev kho mob. Ntxiv nrog rau cov tshuaj pleev, kev daws, gels yog siv. Kev npaj yog siv los ntawm daim ntawv thov. Feem ntau cov kev kho rau KPL yog tsim nrog menthol, txiv qaub extracts, antihistamines thiab tshuaj tua kab mob. Kev kho sab nraud tuaj yeem txo qhov khaus. Cov kev kho mob pej xeem rau kev kho mob ntawm lichen planus kuj yog tsom rau tib yam.
Yog cov plaques loj heev, nws yuav tsum tau siv cov kua nitrogen los yog laser tshem tawm. Cov thev naus laus zis niaj hnub no ua rau nws muaj peev xwm ua kom puas tsuaj nrog kev tsim txom tsawg kawg rau cov ntaub so ntswg noj qab haus huv. Foci ntawm ulceration yog kho nrog regenerative npaj los qhib cov ntaub so ntswg kho nyob rau theem cellular. Hiav txwv buckthorn roj, rosehip roj, Solcoseryl ointment thiab gel tuaj pab cov neeg mob.
Qee zaum, tus kws kho mob pom zoo kom muaj kev tiv thaiv ultraviolet irradiation. Cov tshuaj tsim tau zoo uas cuam tshuam rau kev tiv thaiv kab mobtus neeg mob xwm txheej. Hauv particular, intramuscular txhaj tshuaj "Neovir" raug sau tseg. Lub sijhawm ntawm qhov kev zov me nyuam yog tsib cov lus qhia. Rau kev kawm luv luv (4 txhaj tshuaj), koj tuaj yeem siv tshuaj "Ridostin".
Kab mob: qee zaum txawv
Feem ntau, LP yog mob dermatosis, uas yog ib qho papule. Cov kws kho mob hais tias, qhov nruab nrab, LP raug kuaj pom hauv 2.5% ntawm tag nrho cov kab mob ntawm tib neeg cov tawv nqaij. Ntawm cov teeb meem ntawm kev noj qab haus huv thiab kev ncaj ncees ntawm qhov ncauj mucosa, LP muaj ntau dua - nws qhov kev nthuav dav yog kwv yees li ntawm 35%. Nyob rau hauv xyoo tas los no, qhov zaus ntawm qhov tshwm sim tau nce ntau. Cov kws kho mob tau kwv yees kwv yees tias yuav luag 4% ntawm lub ntiaj teb cov pej xeem tsawg kawg ib zaug hauv lawv lub neej raug yuam kom ntsib CPL. Muaj kev pheej hmoo ntawm kev tsim tus kab mob hauv cov neeg ntawm ntau pawg hnub nyoog. Feem ntau LP raug kuaj pom hauv cov poj niam dua li kev sib deev muaj zog.
Cov mucous ntawm lub qhov ncauj nrog lichen feem ntau cuam tshuam rau cov neeg muaj hnub nyoog 50-60 xyoo. Tab sis cov pob khaus ntawm daim tawv nqaij yog ntau dua rau cov neeg muaj hnub nyoog 40-45 xyoo. Ntawm cov menyuam yaus, qhov feem ntau ntawm LP yog tsawg heev - qis dua li cov neeg laus.
Tsis txhob nco
Txawm hais tias LP nthuav tawm ntau yam tsos mob, txhua kis tau koom ua ke los ntawm cov pob liab liab. Txoj kab uas hla ntawm papules tsim thaum lub sij hawm tus kab mob no feem ntau tsis tshaj 5 hli. Nyob rau hauv qhov chaw, lub papule yog retracted, muaj ib tug ci ntsa iab nto. Txhawm rau pom cov nodules, koj yuav tsum saib qhov tsim nrog sab teeb pom kev zoo - qhov no yog qhov lawv pom zoo tshaj plaws.
Cov tawv nqaij tawv tuaj yeem ua tau nrog LP, tab sis qhov hnyavlawv me me. Kev sib cais ntawm cov nplai yog qhov nyuaj. Qee zaum, tev tawm zoo ib yam li daim duab kho mob ntawm psoriasis - qhov no yog lub hauv paus rau kev kuaj xyuas ib daim ntawv tshwj xeeb, hauv cov tshuaj hu ua psoriasiform lichen.
Cov pob khaus ntau dua - ntau pawg nodules uas tsim kab txaij, garlands. Qee zaum cov formations yog teem rau hauv lub voj voog. Thaum sib sau ua ke, plaques tau txais. Nyob rau tib lub sijhawm, cov pob liab liab tshiab tshwm nyob ib ncig ntawm thaj chaw zoo li no. Thaum cov nodule daws tau, cov xim liab liab tseem nyob ntev rau thaj tsam ntawm daim tawv nqaij.
Yuav ua li cas saib?
Nrog LP, cov kab mob ntawm daim tawv nqaij raug cuam tshuam los ntawm khaus hnyav. Yog tsis muaj kev pab kho mob, ib tug neeg xyaum tsis tuaj yeem pw tsaug zog thaum hmo ntuj, uas sai lossis tom qab ntawd ua rau lub paj hlwb ua haujlwm tsis zoo. Cov kev xav muaj zog tshaj plaws yog txuam nrog cov ntsaws ruaj ruaj hauv zos ntawm cov ntiv tes. Kev tsom mus rau cov paib zoo li no, feem ntau cov pej xeem hauv nroog feem ntau ntseeg hauv LP tias kab mob yuav tsum tau kho.
Tej lub taub hau npog nrog cov nroj tsuag, ko taw, tes, ntsej muag rau LP tsis tshua muaj foci ntawm thaj chaw. Lub ntsej muag, ib feem ntawm lub taub hau npog nrog cov plaub hau, qhov nruab nrab, yog cuam tshuam rau ib tus neeg mob ntawm kaum. Kev tshwm sim ntawm tus kab mob nyob rau hauv cov ntaub ntawv no yog cov ntsaws ruaj ruaj uas muaj ib tug pronounced tsaus ntxoov ntxoo ntawm liab. Cov cheeb tsam raug cuam tshuam los ntawm khaus khaus hnyav. Thaum lub sij hawm, tus kab mob no zuj zus, ua rau cov plaub hau poob.
Yuav luag txhua tus neeg thib plaub uas raug mob los ntawm LP ntawm cov mucous daim nyias nyias tsis muaj qhov tshwm sim ntawm tus kab mob no ntawm daim tawv nqaij. Ntxiv nrog rau qhov ncauj kab noj hniavTus kab mob no localized nyob rau hauv lub vestibule ntawm qhov chaw mos, ntawm lub taub hau ntawm tus txiv neej qhov chaw mos. Cov nodules ntawm mucous daim nyias nyias yog greyish nyob rau hauv cov xim. Yog hais tias tus kab mob npog tus nplaig, tiaj tus formations nrog jagged npoo tshwm ntawm no. Ntawm daim di ncauj, KPL manifests nws tus kheej li ntshav plaques. Nyob rau sab sauv, me ntsis tev yog ua tau.
theem thiab nta
Yog tias LP loj hlob hauv cov poj niam, thiab thaj chaw hauv cheeb tsam yog lub cev xeeb tub, muaj kev pheej hmoo ntawm kev txo qis hauv cov zis, uas cuam tshuam tsis zoo rau lub peev xwm ntawm lub zais zis. Feem ntau nyob rau hauv cov ntaub ntawv no, LP provokes mob thaum muaj kev sib cuag. Tawm tsam keeb kwm ntawm tus kab mob, thaj tsam inguinal yog khaus, khaus.
Koj tuaj yeem pom CPL los ntawm lub npe hu ua Wickham daim phiaj. Lub sij hawm no yog hais txog cov tsos mob uas tshwm sim nws tus kheej nyob rau saum npoo ntawm cov formations loj - cov cheeb tsam saum toj no zoo li yuav tsum tau them nrog nyias mesh. Yog tias cov roj zaub tau siv rau thaj tsam cuam tshuam, daim phiaj tuaj yeem pom tau meej meej.
Thaum exacerbated, qhov tshwm sim ntawm Koebner tshwm sim tau. Lub sij hawm yog hais txog ib qho xwm txheej uas tsim tshiab hauv cheeb tsam hauv cheeb tsam cuam tshuam los ntawm kev raug mob.
Txoj kev ntawm qee hom KPL
Yog tias LP tau tshwm sim los ntawm warts, daim ntawv yog tus cwj pwm los ntawm stratification, saum npoo ntawm cov formations yog bumpy. Ntau cov nodules muaj nyob ib ncig ntawm cov plaque loj. Daim ntawv no feem ntau pom ntawm lub shins, tab sis nws tuaj yeem kis mus rau lub ntsej muag, sab sauv. Rau qee qhov, qhov tshwm sim zoo ib yam li basiloma, keratosis.
Thaum qhov chaw qhib tawv nqaij raug cuam tshuam, lub taub hau ntawm qhov chawcov plaub hau, sclerotic hloov pauv, atrophy tau pom, uas tau muab lub npe rau daim ntawv LP. Baldness tshwm sim nyob rau hauv me me thaj ua rau thaj.
Yog tias tus kab mob no nrog kev tsim cov papules subcutaneous, hauv cov qauv no feem ntau muaj cov tshuaj serous. Muaj qhov ua tau ntawm cov ntshav suav nrog. Npuas yog nyob rau hauv ob qho tib si ntawm qhov chaw noj qab haus huv ntawm daim tawv nqaij, thiab ntawm cov plaques, papules. Tsis tas li ntawd, LP tuaj yeem ua rau pob khaus. Feem ntau daim ntawv no ntawm tus kab mob no nyob rau hauv qis extremities. Yog tias cov hlwv loj loj, hom LP raug kuaj pom.
Moniliform KPL yog pob khaus, cov ntsiab lus uas zoo ib yam li ci rau siv quav ciab. Feem ntau lawv tsim ib hom "caj dab". Feem ntau hom LP no nyob hauv lub plab hauv plab thiab ntawm lub duav, lub luj tshib, hauv pliaj, thiab caj dab. Tej pob ntseg puas tau.
Yuav ua li cas ntxiv?
KLP tuaj yeem kuaj pom hauv daim ntawv taw qhia. Ntau zaus hom no yog localized nyob rau hauv qis extremities, nws muaj peev xwm ua kom puas lub caj dab, lub xub pwg hniav. Nyob rau hauv cov ntaub ntawv no, ib tug pob liab liab yog tsim los ntawm papules ntawm ib tug tshwj xeeb zoo. Muaj cov rog nyob hauv nruab nrab ntawm qhov tsim - hyperkeratosis.
Nyob rau hauv hom xim, cov pob liab liab yog nrog los ntawm cov tsos ntawm cov xim xim av ntawm cov pigmentation ntawm daim tawv nqaij. Nodules yam ntxwv ntawm LP feem ntau yog xim nyob rau hauv ib tug tsaus ntxoov ntxoo ntawm xim av. Qee qhov xwm txheej, cov pob khaus tshwm ua ntej pob.
Ua tau lub nplhaib zoo li KPL. Cov pob khaus tsim cov voj voog lossis ib nrab ntawm lub voj voog. Tus kab mob no feem ntau pom nyob rau hauv cov txiv neej, feem ntau nyob rau hauv lub cheeb tsam ntawm lub plab hnyuv siab raum los yog nyob rau hauv lub puab femoral nto.
Thaumulcerative erosive daim ntawv ntawm LP yog nyob rau hauv lub mucous daim nyias nyias, feem ntau nyob rau hauv lub qhov ncauj kab noj hniav. Organic cov ntaub so ntswg ulcerate, qhov chaw uas tsis yog-kho zoo tshwm sim ntawm no ntev, thiab cheeb tsam nyob ib ncig ntawm nws swells, tig liab. Muaj cov xwm txheej zoo li no tau cuam tshuam tus neeg mob rau xyoo. Txawm tias tom qab tag nrho cov tsos mob ploj lawm, nws muaj peev xwm rov qab los.
Nyob rau hauv ib feem me me ntawm cov neeg mob ploj mus, LP txhim kho hauv daim ntawv obtuse, erythematous, serpigious.
Kev tshawb fawb tsis nyob twj ywm
Qhov laj thawj rau qhov pom ntawm CLP muaj ntau thiab ntau yam. Txog niaj hnub no, cov kws tshaj lij nrog lub npe tseem ceeb hauv ntiaj teb tau koom nrog kev qhia meej rau lawv. Nws tuaj yeem txheeb xyuas ntau yam ntawm cov xwm txheej, tab sis cov kws tshaj lij tau ntseeg tias ntau qhov tseem yuav tau kawm. LP yog ib hom kab mob ntau yam uas tshwm sim los ntawm endo-, exogenous yam.
Nyob rau feem pua ntawm cov neeg mob, qhov xwm txheej tuaj yeem piav qhia los ntawm lub xeev ntawm lub paj hlwb. LP thawj zaug, kev rov tshwm sim dua feem ntau pom tawm tsam keeb kwm ntawm kev puas siab puas ntsws, kev puas siab puas ntsws, kev puas siab puas ntsws. Feem ntau, nrog rau LP, vegetative neurosis lossis neurasthenia raug kuaj. Lwm yam kev puas siab puas ntsws thiab kev cuam tshuam tuaj yeem ua tau. Nrog neuritis, cov pob khaus yam ntxwv ntawm LP yog nyob rau hauv cov ceg ntawm cov paj hlwb hauv feem pua ntawm cov neeg mob.
Nws ntseeg tau tias LP tau ua rau muaj kev cuam tshuam los ntawm cov kab mob microscopic ntawm lub neej uas muaj nyob rau lub sijhawm ntev hauv cov hlwb ntawm tib neeg epidermis. Yog hais tias qhov teeb meem no tshwm sim nyob rau hauv xws li ib tug txoj kev uas muaj ntau yam cuam tshuam ib txhij, muaj ib tug mobtheem tiv thaiv keeb kwm yav dhau los ntawm kev tiv thaiv tsis muaj zog. Txoj kev xav no tsis yog tsuas yog cov neeg txhawb nqa xwb, tab sis kuj yog cov neeg tawm tsam, yog li nws yuav tsum tau txhim kho.
KLP yog ua tau nrog autointoxication. Qhov no tau pom yog tias lub siab ua haujlwm ntawm lub siab, lub plab zom mov lossis lub plab zom mov tsis zoo. Qee zaum lichen nrog cov kab mob ntawm lub plawv thiab cov hlab ntsha.
