Cov txiv neej muaj ntau zaus mus ntsib kws kho mob nrog cov tsos mob ntawm kev ua haujlwm ntawm cov kab mob genitourinary dua li kev sib deev ncaj ncees. Qhov txaus ntshai tshaj plaws yog sawv cev los ntawm cov mob precancerous thiab malignant formations. Thawj pab pawg ntawm pathologies suav nrog Keyr's erythroplasia. Dab tsi yog?
Kev piav qhia tus kab mob
Erythroplasia ntawm Keyra yog hais txog qhov mob ua ntej ntawm cov mucous membranes. Hauv kev kho mob, koj tuaj yeem nrhiav lwm lub npe rau cov kab mob no - velvety epithelioma. Feem ntau ntawm cov neeg mob, tus kab mob no cuam tshuam rau lub caj pas noov. Ntau tsawg zaus, erythroplasia raug kuaj pom hauv kev sib deev ncaj ncees. Nyob rau hauv cov ntaub ntawv no, lub foci ntawm cov txheej txheem pathological yog cov mucous daim nyias nyias ntawm qhov chaw mos, qhov ncauj kab noj hniav thiab cheeb tsam perianal.
Erythroplasia ntawm Queyrat thiab Bowen tus kab mob muaj ntau yam zoo sib xws, tab sis ib tug xov tooj ntawm cov yam ntxwv tshwj xeeb ua rau nws muaj peev xwm mus ua ib tug thawj zaug raws li ib tug ywj siab daim ntawv ntawm cov qog. Nws feem ntau kuaj tau rau cov txiv neej laushnub nyoog. Tus kab mob no yog tus cwj pwm los ntawm kev nyiam degenerate mus rau squamous cell carcinoma (30% ntawm tag nrho cov mob). Ib ntawm tsib tus neeg mob muaj cov kab mob metastases, qhia tias muaj qhov tsis zoo.
Etiology ntawm tus kab mob
Cov neeg sawv cev ntawm kev sib deev muaj zog tshaj 55 xyoos feem ntau raug kev txom nyem los ntawm qhov tshwm sim ntawm cov kab mob xws li Keyra erythroplasia. Cov laj thawj rau nws txoj kev loj hlob tseem tsis tau paub. Cov kws kho mob paub qhov txawv tag nrho cov pab pawg ntawm cov yam ntxwv uas ua rau qhov pib ntawm cov tsos mob ntawm tus kab mob. Ntawm lawv yog:
- mob balanoposthitis;
- kab mob papillomavirus;
- kab mob herpes;
- kev raug mob rau cov ntaub so ntswg ntawm noov;
- tsis ua raws li cov cai ntawm kev tu tus kheej.
Raws li kev cuam tshuam ntawm ib lossis ntau yam ib txhij, Queira erythroplasia tsim.
Cov tsos mob thiab thawj qhov tsos mob
Cov tsos mob tseem ceeb ntawm tus kab mob yog qhov tshwm sim ntawm ib qho mob ntawm lub mucosa. Hauv cov txiv neej, nws yog localized ntawm lub taub hau ntawm noov, nyob rau hauv cov poj niam - nyob rau hauv lub qhov ncauj. Cov lesion yog txawv los ntawm cov npoo, muaj ib tug reddish los yog brownish tint. Nws nto yog ci, me ntsis velvety. Mob tej zaum yuav tshwm sim ntawm palpation. Raws li cov txheej txheem pathological tsim, me me erosions tshwm sim ntawm qhov chaw no. Nyob rau hauv rooj plaub ntawm tus kab mob, qhov chaw ntawm qhov tsom xam yuav daj, ib tug purulent zais cia tshwm.
Erythroplasia ntawm Keyra nyob rau hauv lub qhov ncauj kab noj hniav yog yus muaj los ntawm ib tug tej yam kev kho mob daim duab. Cov kab mob yog nyob rau ntawm qhov chaw ntawm tus nplaig thiab daim di ncauj mucous. Lawv muaj ib tug reddish tint, meej ciam teb. Qhov sib xws ntawm cov formations feem ntau yog mos, me me erosions tsis suav nrog.
Txoj kev kuaj mob
Yog tias xav tias erythroplasia, tus kws kho mob thawj zaug tshuaj xyuas cov tsos mob ntawm pathology, tom qab ntawd mus rau kev tshawb fawb histological. Lub hauv paus ntawm kev kuaj mob yog ib qho kev sim yooj yim, thaum lub sij hawm daim ntawv thov lossis kev daws teeb meem ntawm toluidine xiav yog siv rau qhov chaw mob. Qhov chaw ntawm erythroplasia hloov xiav, thaum ib txwm erythema tsis hloov ntxoov ntxoo.
Lwm qhov kev kuaj mob ntawm tus kab mob yog qhov pom tseeb ntawm qhov mob. Hauv cov txheej txheem inflammatory, lawv muaj qhov tsis pom tseeb, thiab kev siv cov tshuaj corticosteroids nrog rau cov pob khaus sai.
Ib kauj ruam tseem ceeb hauv kev kuaj mob ntawm tus neeg mob yog kev kuaj mob sib txawv. Lub symptomatology ntawm tus kab mob yog nyob rau hauv ntau txoj kev zoo ib yam li cov tshwm sim ntawm Zun's balanitis. Yog li ntawd, nws tsis tuaj yeem ua qhov kev kuaj mob tseeb raws li kev kuaj mob ib leeg. Nyob rau hauv cov ntaub ntawv no, ib tug yuav tsum tau mus rau kev pab los ntawm ib tug histological / cytological kuaj. Daim duab tshwm sim feem ntau zoo ib yam li Bowen tus kab mob. Ntawm cov qauv coj mus kuaj, muaj pes tsawg tus atypical hlwb, focal hyperkeratosis.
Qhov sib txawv tseem ceeb ntawm syphilitic chancre yog qhov tsis muaj thickening thiab cheeb tsam scleradenitis. Txawm li cas los xij, nyob rau theem ntawm kev hloov mus rau squamous cell carcinoma, Keyr's erythroplasia yog nrog cov ntaub so ntswg thickening. Tom qab metastasis mus rau inguinal lymph nodes - lawv nce. Cytology qee zaum yuav tsum tau qhia meej qhov kev kuaj mob. Yog tias tsis muaj treponemas daj ntseg hauv qhov tso tawm, tab sis cov qog hlwb tau pom meej meej, erythroplasia kuj tau lees paub.
Txoj Cai Kev Kho Mob
Erythroplasia Keyr tus kab mob qhia txog kev sib koom ua ke rau kev kho mob, uas muaj cov kws khomob thiab kev siv cov tshuaj sab nraud. Kev siv cov tshuaj tshwj xeeb yog nyob ntawm theem ntawm cov txheej txheem pathological, txiav txim siab los ntawm cov txiaj ntsig ntawm kev kuaj histological.
Nyob rau hauv daim ntawv ntawm tus kab mob, cov tshuaj kws khomob tau sau tseg. Ntawm lawv, Bleomycin yog qhov zoo tshaj plaws. Cov tshuaj yog muab intramuscularly los yog intravenously, thaum nws yog ib qho tsim nyog yuav tsum tau ceev faj thiab tsis txhob sib cuag nrog daim tawv nqaij. Ib koob tshuaj yog 15 mg. Rau kev txhaj tshuaj, cov tshuaj tshiab tau npaj txhua lub sijhawm, lawv yuav tsum tau rov ua dua txhua hnub. Muab tus neeg mob tus mob, ib koob thib ob ntawm cov tshuaj yuav raug sau tseg. Lub sij hawm nruab nrab ntawm cov kev kho mob yog tsawg kawg yog ob lub hlis.
Kev kho mob sab nraud ntawm tus kab mob yog xaiv nyob ntawm qhov chaw ntawm qhov tsom. Piv txwv li, kev puas tsuaj rau lub taub hau ntawm noov yog siv cov kua nitrogen. Cov tshuaj kho mob tau siv ua ntej pib cryotherapy. Cov txheej txheem rov ua dua ob zaug hauv ib lub lis piam, thiab tag nrho cov chav kawm muaj tsib zaug. Fluorofur lossis fluorouracil ointment kuj siv rau tus kab moberythroplasia ntawm Queyra. Nws yog siv ncaj qha rau qhov txhab. Lub sijhawm kho yog 20 hnub.
Nyob rau hauv daim ntawv invasive, thaum muaj cov lus hais tawm los ntawm inguinal lymph nodes, X-ray kho tau pom zoo. Kev loj hlob ntawm cov kab mob pathology ntawm qhov chaw mos feem ntau xav tau kev phais. Kev ua haujlwm cuam tshuam nrog kev tshem tawm ntawm lub foreskin, raws li qhov tshwm sim ntawm tus kab mob qeeb lossis rov ua dua. Lub ntsiab qhia rau kev phais yog qhov nyuaj erythroplasia ntawm Queyrat.
Kev kho mob nrog pej xeem tshuaj
Ua ntej siv cov zaub mov txawv, koj yuav tsum sab laj nrog tus kws kho mob tshwj xeeb. Kev kho tus kheej ntawm cov kab mob precancerous yuav tsis tsuas yog tsis muab cov txiaj ntsig xav tau, tab sis kuj ua rau cov kab mob hnyav dua.
- Nyob hauv tus kab mob no, cov kws kho mob ib txwm qhia siv cov nyom nyom nyom. Nws yuav tsum tau crushed, thiab tom qab ntawd siv rau thaj chaw cuam tshuam.
- YKoj tuaj yeem siv cov kua txiv hmab txiv ntoo tshiab (50 ml) thiab hemlock (25 ml). Nyob rau hauv lub resulting sib tov, ntxiv 100 ml ntawm carrot kua txiv. Nws raug nquahu kom khaws cov khoom hauv lub tub yees. Nws yog ib qho tsim nyog yuav tau noj nws rau tshuaj noj ob zaug ib hnub twg hauv ib tablespoon, ntxuav nrog kefir. Lub sijhawm ntawm kev kho mob tsis pub dhau ib hlis.
Ib zaug ntxiv peb sau tseg: mus rau kev kho mob raws li cov tshuaj kws kho mob yuav tsum yog tom qab sab laj nrog kws kho mob nkaus xwb. Cov kev kho mob zoo li no tsis tuaj yeem suav tias yog lwm txoj hauv kev kho mob lossis phais.
Kev ntsuas rau cov neeg mob
Keyr's erythroplasia feem ntau yog tus cwj pwm los ntawm kev kawm zoo. Kev loj hlob ntawm cov kab mob pathogenic thiab kev koom tes hauv cov txheej txheem ntawm cov qog ntshav hauv cheeb tsam yog qhov tsawg heev. Cov qog hloov pauv mus rau squamous cell carcinoma feem ntau yog nrog los ntawm qhov tsis zoo.
ntsuas kev tiv thaiv
Kev tiv thaiv ntawm erythroplasia yog qhov kuaj pom tus kab mob thaum ntxov, kev kho kom tsim nyog. Nws lub hom phiaj tseem ceeb yog los tiv thaiv qhov degeneration ntawm pathology mus rau squamous cell carcinoma. Yog tias muaj qhov tsis txaus ntseeg tshwm sim ntawm qhov chaw mos, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Kev kuaj xyuas cytological yog qhov lav ntawm kev tshawb pom raws sijhawm ntawm cov ntsiab lus atypical.
