Daim tawv nqaij yog tib neeg lub cev loj tshaj plaws, thiab thawj qhov tshwm sim ntawm ntau yam kab mob tshwm sim rau nws. Txhua qhov kev tawm tsam ntawm daim tawv nqaij lossis kev puas tsuaj yog lub cim qhia tias cov txheej txheem ntawm tus kab mob tau pib hauv lub cev, yog li cov pob liab liab yuav tsum tau qhia rau tus kws kho mob.
Cov tsos mob ntawm daim tawv nqaij tuaj yeem qhia txog cov teeb meem hauv qab no hauv lub cev:
- Immune system disorders;
- kab mob plab hnyuv;
- kev tsis haum;
- teeb meem ntawm lub paj hlwb.
pob khaus - piav qhia
Ib pob khaus tuaj yeem hloov pauv ntawm daim tawv nqaij lossis cov mucous membranes. Xws li cov kev hloov pauv tuaj yeem ua rau hauv daim ntawv ntawm rwj, boils, hlwv lossis nodules, thiab qee zaum lawv tshwm sim raws li kev hloov ntawm cov xim ntawm qee qhov chaw ntawm daim tawv nqaij, nws tev, suppuration, khaus hauv thaj chaw cuam tshuam. Muaj ntau hom pob khaus uas muaj qhov chaw ntawm lawv qhov tshwm sim, piv txwv li, ntawm tes lossis lub ntsej muag, thaum lwm tus tuaj yeem tshwm sim nyob qhov twg ntawm tib neeg lub cev.
Cov pob khaus tawv nqaij (cov duab tau nthuav tawm hauv tsab xov xwm) tshwm sim, raws li txoj cai, hauv daim ntawv ntawm qhov tshwm sim tam sim ntawd. Peb rov hais dua tias cov pob liab liab yog tus cwj pwm los ntawm kev hloov ntawm daim tawv nqaij, lawv blanching los yog liab, khaus thiab cov tsos ntawm plaques, vesicles, hlwv thiab lwm yam pob khaus ntawm nws. Cov tshuaj tiv thaiv ntawm daim tawv nqaij zoo sib xws tuaj yeem tshwm sim los ntawm ntau yam sib txawv, tab sis feem ntau nws yog kab mob ywj pheej.
Muaj ntau yam kab mob uas tshwm sim ntawm daim tawv nqaij.
Etiology
Cov pob khaus ntawm daim tawv nqaij tuaj yeem tshwm sim los ntawm cov hauv qab no:
- ua xua;
- kab mob ntshav;
- vascular ua rau;
- kab mob.
Qhov feem ntau ua rau pob khaus
Txawm li cas los xij, feem ntau ua rau pob khaus ntawm daim tawv nqaij yog kis tau nrog qee yam kab mob. Cov pob khaus ntawm ib qho xwm txheej muaj xws li qhua pias, kab mob qhua pias, rubella, herpes, scarlet fever thiab lwm yam. Cov kab mob no feem ntau tshwm sim los ntawm kub taub hau, ua daus no, tsis qab los noj mov, plab zom mov, mob caj pas thiab plab, thiab mob taub hau.
Yog qhov ua rau ntawm daim tawv nqaij ua xua, qhov ua rau qhov tshwm sim ntawm qhov no yog kev sib cuag nrog cov khoom ua xua, uas tuaj yeem ua tau ntau yam khoom noj, tshuaj hauv tsev, paj paj, tsiaj txhu tawm thiab txawm tias plua plav hauv tsev.
Nyob rau hauv cov kab mob ntawm cov hlab ntsha, pob khaus ntawm daim tawv nqaij provoked, raws li txoj cai, los ntawm kev ua txhaum ntawm kev ua haujlwmplatelets los yog txo lawv cov naj npawb, nrog rau kev ua txhaum ntawm permeability ntawm phab ntsa vascular. Cov kab mob uas tsis muaj kab mob no muaj xws li warts, rosacea, diaper pob, psoriasis, senile keratoma, seborrheic dermatitis, vitiligo, toxidermia, melanoma, thiab lwm yam.
Cov pob khaus tuaj yeem tshwm sim nrog cov teeb meem nrog lub siab, kev ua txhaum cai uas tuaj yeem ua rau o thiab pob khaus. Qhov liab thiab pob khaus nrog khaus tuaj yeem tshwm sim tom qab kab tom, kab mob fungal, scabies thiab pob txuv.
Kev faib tawm ntawm pob khaus
Daim duab kho mob ntawm daim tawv nqaij pob khaus yog qhov tshwm sim ntawm qee yam kab mob tuaj yeem ua tus yam ntxwv hauv qab no:
- thaj tsam ntawm liab, daj ntseg liab, dawb lossis xim av;
- blisters - nyob rau hauv daim ntawv ntawm me me ntxhib formations ntawm daim tawv nqaij ntawm ib tug ntom ntom;
- papules - peculiar nodules nyob rau hauv txheej txheej ntawm daim tawv nqaij;
- npuas - tsim ntawm ntau qhov ntau thiab tsawg, muaj cov kua nplaum lossis cov kua daj daj sab hauv;
- rwj thiab yaig - ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij;
- crusts yog cov tawv nqaij qhuav uas tuaj yeem tsim ntawm qhov chaw kho mob lossis hlwv.
Txhua qhov kev tshwm sim saum toj no tuaj yeem yog thawj lossis thib ob, nyob ntawm theem ntawm tus kabmob, nrog rau nws qhov ua rau.
Symptomatics
daim tawv nqaij ua pob khaus uas tshwm sim los ntawm qhov txawv txav hauv daim siab, muab dajCov tawv nqaij tawv, feem ntau yog nrog ntuav, xeev siab, quav tsis taus, iab saj hauv qhov ncauj, poob sai sai, tus nplaig tsis zoo, qhov tsos ntawm cov kab nrib pleb me me ntawm nws, kub taub hau, tawm hws hnyav thiab ntau yam tsos mob.
Kev kis kab mob ntawm daim tawv nqaij ua pob liab liab tshwm sim nws tus kheej hauv qhov tseeb tias cov pob liab liab tshwm sim thawj zaug ntawm daim tawv nqaij ntawm ob txhais ceg thiab caj npab thiab maj mam txav mus rau tag nrho lub cev. Piv txwv li, kab mob qhua pias pib nrog pob khaus ntawm tawv taub hau, thiab rubella provokes ib pob liab liab ua ntej ntawm lub ntsej muag. Thawj foci ntawm daim tawv nqaij pob khaus yog nyob rau hauv ib cheeb tsam, raws li txoj cai, nyob rau ntawm qhov chaw ntawm lub folds ntawm ceg ceg, nyob rau sab nraum qab thiab pob tw. Cov xim ntawm cov pob liab liab yog los ntawm dawb mus rau xim av tsaus. Tus kab mob tuaj yeem tshwm sim tsis tau tsuas yog raws li daim tawv nqaij, tab sis kuj muaj cov tsos mob xws li kub taub hau, o ntawm cov qog nqaij hlav, tsis muaj zog, tsis xis nyob, tachycardia tawm tsam, khaus khaus, tsaug zog, photophobia, thiab lwm yam. thiab cov pob liab liab yog cov yam ntxwv ntawm cov kab mob xws li rubella, kub taub hau, kab mob qhua pias thiab qhua pias.
Ntxhais pob khaus ntawm ntau yam kab mob
Cia peb xav txog dab tsi ua rau daim tawv nqaij ua pob khaus ntawm cov menyuam yaus thiab cov neeg laus.
Rubella tshwm sim ua pob liab me me ntawm lub ntsej muag thiab caj dab, tom qab ntawd nws kis thoob plaws hauv lub cev li ob peb teev. Cov pob khaus zoo li pob liab liab txog li 10 hli inch.
Measles yog ib yam kab mob uas feem ntau tshwm sim nws tus kheej li catarrh. Cov pob liab liab cuam tshuam rau ntawm daim tawv nqaij tsuas yog ob peb hnub tom qab qhov pib ntawm tus kab mob thiab raug xa mus rau thawj zaugsaib ntawm lub ntsej muag thiab kis mus rau ntawm daim tawv nqaij ntawm caj npab thiab lub hauv siab.
kab mob qhua pias yog ib yam kab mob uas ua rau cov tawv taub hau ua ntej. Cov pob khaus sai sai npog tag nrho cov tawv nqaij hauv ob peb teev thiab zoo li ntau cov npuas me uas muaj kua. Tom qab cov pob khaus tsis tshwm sim, cov hlwv pib maj mam coarsen thiab npog nrog crusts, uas qhia txog qhov kawg ntawm lub sij hawm mob ntawm tus kab mob.
Nrog liab liab, pob khaus ntawm daim tawv nqaij (daim duab hauv qab) tau kuaj pom 24 teev tom qab kis kab mob. Nws kis tau zoo tshaj plaws nyob rau sab nraub qaum, hauv thaj tsam inguinal, ntawm qhov khoov ntawm lub hauv caug thiab lub luj tshib. Cov pob xiav qee zaum tshwm rau ntawm daim tawv nqaij. Feem ntau pom ntawm ob sab plhu.
Herpes yog kab mob kis tau los ntawm kev tsim cov pob me me hauv lub ntsej muag, tshwj xeeb tshaj yog ntawm daim di ncauj.
Syphilis yog ib yam kab mob uas lawv muaj pob khaus ntawm daim tawv nqaij uas txawv ntawm lwm hom pob khaus zoo sib xws hauv kev ci ntsa iab, symmetry thiab profusion. Nrog rau kev kho mob txaus, cov kev tshwm sim ntawm daim tawv nqaij feem ntau tsis ploj mus sai sai - li ntawm ob lub hlis. Lwm yam kab mob ntawm daim tawv nqaij muaj dab tsi?
Candidiasis lossis poov xab pob khaus tshwm sim hauv daim tawv nqaij thiab feem ntau tshwm sim hauv cov neeg rog. Thaum pib, cov pob khaus ntawm daim tawv nqaij yog cov hlwv tshwj xeeb uas tawg thiab hloov mus rau hauv cov xim liab tsaus nti uas tsis tu ncua muaj qhov ntub dej. Nyob rau saum npoo ntawm daim tawv nqaij lesions sib sau ua dawbCov kua qaub uas yog yam ntxwv ntawm cov kab mob fungal.
Duab thiab piav qhia ntawm daim tawv nqaij pob ntawm ntau yam etiologies tau nthuav tawm hauv kab lus no.
Kab npaws zoo li hlwv lossis papules. Nyob rau tib lub sijhawm, scabies ua pom ntawm daim tawv nqaij, nyob rau hauv daim ntawv ntawm cov kab dawb. Kab mob Scabies yog kab mob cab uas tshwm sim los ntawm khaus khaus ib ncig ntawm cov pob liab liab uas tshwm sim thaum hmo ntuj thiab ploj thaum nruab hnub.
Lichen yog ib yam kab mob uas muaj ntau yam, raws li nws tshwm sim hauv ntau txoj kev. Ntawm lawv yog pityriasis, liab dawb, liab tiaj tus thiab herpes zoster.
Tseem muaj lwm yam ua rau pob khaus.
Rubrophytia yog kab mob fungal thaum thaj chaw cuam tshuam yog ko taw. Cov pob khaus manifests nws tus kheej nyob rau hauv daim ntawv ntawm tev ntawm daim tawv nqaij ntawm cov ntiv tes, nws keratinization, nrog rau cov tsos ntawm ulcers thiab vesicles.
Ostiofolliculitis yog ib hom pustules txog li 4 hli hauv txoj kab uas hla, muaj cov kua dej purulent sab hauv. Nws cuam tshuam los ntawm cov pob liab liab, raws li txoj cai, tawv taub hau thiab lub ntsej muag, thaj tsam ntawm cov ceg ntawm ceg. Tsis pub dhau ib lub lis piam, cov formations no qhuav tawm thiab tsim crusts, uas poob tawm lub sij hawm, tawm hauv cov cim ntawm pigmentation los yog tev.
Inguinal epidermophytosis yog ib yam kab mob uas tshwm sim los ntawm daim tawv nqaij ua pob liab vog nyob rau hauv qhov chaw ntawm qhov quav. Qhov saum npoo ntawm cov pob liab liab yog pib du thiab reddish, tab sis dhau sij hawm nws pib ua scaly ntawm daim tawv nqaij keratinized.
Urticaria yog ib qho kab mob ntawm daim tawv nqaijxwm, uas manifests nws tus kheej nyob rau hauv daim ntawv ntawm me me hlwv uas yuav khaus thiab khaus. Nyob ib ncig ntawm cov pob khaus, raws li txoj cai, daim tawv nqaij yog redder thiab zoo li mob.
Vitiligo yog ib yam kab mob uas tshwm rau ntawm daim tawv nqaij ua pob dawb ntawm ntau yam duab thiab ntau thiab tsawg.
Diagnosis
Thaum thawj daim tawv nqaij tshwm, tus neeg mob yuav tsum sab laj nrog kws kho mob txhawm rau txheeb xyuas qhov ua rau tus kab mob thiab tau txais cov lus pom zoo rau kev kho. Cov kws kho mob uas daws qhov teeb meem no yog thawj zaug, kws kho mob dermatologist, thiab tom qab ntawd cov kws kho mob tshwj xeeb xws li kws kho mob tshwj xeeb thiab tus tsis haum.
Tom qab kev kuaj thawj zaug, tus kws kho mob tuaj yeem muab tus neeg mob cov npe ntawm cov kev tshawb fawb uas yuav pab txheeb xyuas qhov ua rau tus kab mob thiab kuaj mob. Cov kev tshawb fawb no tuaj yeem yog kuaj kuaj, ultrasound ntawm lub siab, thiab lwm yam.
Kev kho mob
Yog tias muaj kev tsis haum tshuaj los ua qhov ua rau ntawm daim tawv nqaij, ces kev kho mob ntawm tus kab mob no yuav tsum yog raws li kev tshem tawm ntawm kev sib cuag nrog cov allergen. Txhawm rau txiav txim siab seb qhov twg yog qhov ua rau khaus khaus, nws yog ib qho tsim nyog yuav tsum ua cov kev ntsuam xyuas tshwj xeeb.
hws
Yog tias daim tawv nqaij raug mob tshwm sim los yog kub hnyiab ntawm daim ntaub qhwv, ces qhov teeb meem no tsis xav tau kev kho mob. Nyob rau tib lub sijhawm, nws yog qhov txaus los ua cov txheej txheem tu cev raws sijhawm, tom qab ntawd lubricate cov tawv nqaij thaj chaw uas cov pob khaus tau tshwm sim nrog cov kua nplaum tshwj xeeb ziab uas txo qhov o thiab khaus. Tsis tas li ntawd, cov kws kho mob pom zoo kom hnav khaub ncaws ua los ntawm cov ntaub ntuj tsim thiab ntxuav nrog tus me nyuam xab npum.
Yam kis kab mob
In caseKev kis kab mob, kev kho mob ntawm daim tawv nqaij ua pob khaus muaj nyob rau hauv kev noj tshuaj tshwj xeeb, uas tuaj yeem yog tshuaj tua kab mob, tshuaj tua kab mob, thiab tshuaj tua kab mob.
Kev mob ntshav qab zib
Nyob rau hauv cov ntshav qab zib mellitus, nrog rau cov kab mob siab, kev kho mob ntawm daim tawv nqaij ua pob khaus yog tshem tawm qhov ua rau ntawm lawv cov tsos, uas yog, ua kom lub siab ua haujlwm ntawm lub siab thiab txiav txiav, thiab, raws li qhov ua tau, txo qhov tshwm sim ntawm ntshav qab zib rau ntawm daim tawv nqaij npog. Hauv qhov no, ntxiv rau kev kho tshuaj, tus neeg mob yuav tsum ua raws li kev noj zaub mov nruj.
rau cov kab mob fungal
Nyob rau hauv cov kab mob fungal, pob khaus ntawm daim tawv nqaij yog kho nrog tshuaj pleev tshwj xeeb, tab sis lub ntsiab mob rau kev ploj ntawm cov kab mob no yog ua tib zoo tu tus kheej. Nyob rau hauv rooj plaub no, nws yog ib qho tseem ceeb heev uas yuav tsum tau saib xyuas kev huv ntawm cov khaub ncaws, nrog rau kev ua neej nyob - tu hauv thaj chaw nyob. Tsis tas li ntawd, tus neeg mob yuav tsum ua kom cov tes thiab tawv nqaij huv si tas li.
