Panniculitis yog cov txheej txheem ntawm o ntawm cov ntaub so ntswg subcutaneous, uas rhuav tshem cov rog rog, lawv tau hloov los ntawm cov ntaub so ntswg, cov pob txha, infiltrates thiab cov plaques tsim. Nrog rau hom kab mob visceral, cov rog rog ntawm lub raum, daim siab, txiav txiav, cov ntaub so ntswg rog ntawm lub omentum lossis thaj tsam tom qab peritoneum raug cuam tshuam. Hauv kwv yees li 50% ntawm cov neeg mob, cov kab mob pathology siv ib daim ntawv idiopathic, uas feem ntau pom hauv cov poj niam hnub nyoog 20-50 xyoo. Lwm 50% yog tus mob panniculitis thib ob, uas tshwm sim tawm tsam keeb kwm ntawm cov kab mob hauv lub cev thiab cov tawv nqaij, kev tiv thaiv kab mob, thiab cuam tshuam ntawm ntau yam ua rau muaj kev cuam tshuam (txias, qee yam tshuaj). Kev tsim ntawm panniculitis yog raws li qhov tsis xws luag hauv lipid peroxidation.
Yog vim li cas thiaj pom
Qhov mob ntawm cov ntaub so ntswg subcutaneous tuaj yeem tshwm sim los ntawm ntau yam kab mob (tsuas yog staphylococci thiab streptococci). Feem ntau, nws tsim nyob rau hauvqis qis. Tus kab mob tuaj yeem tshwm sim tom qab muaj kab mob fungal, raug mob, dermatitis, rwj tsim. Cov chaw uas muaj kev phom sij tshaj plaws ntawm daim tawv nqaij yog cov kua dej ntau dhau (piv txwv li, nrog o). Tsis tas li ntawd, panniculitis tuaj yeem tshwm sim hauv thaj tsam ntawm qhov caws pliav tom qab ua haujlwm.
Hauv daim duab, qhov mob ntawm cov ntaub so ntswg subcutaneous yog qhov nyuaj rau pom.
Cov tsos mob ntawm panniculitis
Qhov tshwm sim tseem ceeb ntawm tus mob panniculitis yog cov kab mob nodular nyob ntawm qhov sib txawv hauv cov rog subcutaneous. Lawv feem ntau tshwm sim ntawm ob txhais ceg thiab caj npab, tsis tshua muaj ntawm lub plab, hauv siab thiab ntsej muag.
Tom qab kev puas tsuaj nodular, atrophied foci ntawm cov ntaub so ntswg rog nyob, muaj daim ntawv ntawm thaj tsam ntawm daim tawv nqaij retraction. Cov nodular variant yog txawv los ntawm cov tsos ntawm ib txwm nodes nyob rau hauv cov ntaub so ntswg nyob rau hauv daim tawv nqaij xws li loj los ntawm peb millimeters mus rau tsib centimeters.
Kev sib xyaw ntawm daim tawv nqaij hla cov pob tuaj yeem ua xim xim ib txwm lossis ci liab. Nrog rau cov plaque hom o ntawm cov ntaub so ntswg subcutaneous adipose, cais nodular accumulations tshwm sim, uas coalesce thiab tsim tuberous conglomerates.
Tshaj li cov txheej txheem no, daim tawv nqaij tuaj yeem yog burgundy-bluish, burgundy lossis liab dawb. Qee zaum, cov pob txha pob txha txuas mus rau cov ntaub so ntswg ntawm lub xub pwg nyom, sab ceg lossis ncej puab, nyem cov hlab ntsha thiab cov hlab ntsha. Vim li no, pom pom kev mob tshwm sim, lymphostasis tsim, libs o.
Hom kab mob nkag mus nrog cov yaj ntawm cov nodes thiab lawv cov conglomerates. Hauv thaj chaw ntawm cov pob txha los yog cov quav hniav, cov tawv nqaij yog xim liab los yog burgundy. Tom qab ntawd ib qho kev hloov pauv tshwm sim, uasCov yam ntxwv ntawm abscesses thiab phlegmon, txawm li cas los xij, thaum lub pob qhib, cov xim daj daj tawm tawm, thiab tsis muaj kua paug. Lub rwj ntev uas tsis kho yuav nyob twj ywm rau ntawm qhov qhib ntawm qhov chaw.
Nrog ib hom kab mob panniculitis, daim ntawv nodular hloov mus rau hauv cov quav hniav, tom qab ntawd mus rau hauv ib qho infiltrative. Qhov kev xaiv no tau sau tseg hauv cov xwm txheej tsawg. Thaum pib ntawm tus kab mob, tej zaum yuav kub taub hau, mob nqaij thiab pob qij txha, xeev siab, mob taub hau, thiab tsis muaj zog. Nrog rau hom visceral ntawm tus kab mob, cov kab mob ntawm cov nqaij rog tshwm sim thoob plaws hauv tib neeg lub cev nrog kev tsim cov kab mob tshwj xeeb hauv cov fiber ntau tom qab peritoneum thiab omentum, pancreatitis, kab mob siab thiab nephritis. Panniculitis tuaj yeem nyob ntev li ob mus rau peb lub lis piam mus txog ntau xyoo.
Txoj kev kuaj mob
Kev mob ntawm cov ntaub so ntswg subcutaneous, lossis panniculitis, raug kuaj pom ntawm kev sib koom ua ke los ntawm kws kho mob dermatologist thiab nephrologist, kws kho mob rheumatologist, kws kho mob gastroenterologist. Kev kuaj zis thiab ntshav, kev tshawb fawb ntawm pancreatin enzymes, Reberg's test, thiab kuaj lub siab yog siv. Lub ntsiab txhais ntawm cov nodes hauv visceral hom panniculitis tshwm sim vim kev kuaj ultrasound ntawm lub plab thiab ob lub raum. Ntshav kab lis kev cai rau sterility pab kom tshem tawm cov kab mob septic orientation. Kev kuaj mob kom raug yog ua tom qab tau txais kev kuaj mob biopsy ntawm qhov tsim nrog kev tshuaj xyuas histological.
Kev faib tawm
Muaj thawj, tshwm sim thiab theem nrab ntawm cov ntaub so ntswg subcutaneous. Tus mob panniculitis thib ob yog:
- Yimmunologic panniculitis -Feem ntau tshwm sim hauv cov kab mob vasculitis;
- lupus-panniculitis (lupus) - nrog qhov mob tob tob ntawm lub cev lupus erythematosus;
- enzymatic panniculitis - cuam tshuam nrog kev cuam tshuam ntawm pancreatic enzymes;
- proliferative cell panniculitis - nrog lymphoma, histiocytosis, leukemia, thiab lwm yam;
- mob khaub thuas panniculitis yog ib hom kab mob hauv zos uas tsim los ua cov tshuaj tiv thaiv kab mob khaub thuas;
- steroid panniculitis - tshwm sim hauv cov menyuam yaus tom qab ua tiav kev kho corticosteroid;
- artificial panniculitis - tshwm sim los ntawm kev tswj hwm tshuaj;
- crystalline panniculitis - tshwm sim hauv lub raum tsis ua haujlwm, gout vim qhov tso tawm ntawm calcifications, urates hauv fiber ntau;
- hereditary panniculitis, uas yog tshwm sim los ntawm qhov tsis muaj α1-antitrypsin.
Nodular, plaque thiab infiltrative hom kab mob yog txawv los ntawm cov duab ntawm cov nodes.
Tus neeg mob ua haujlwm
Yog tias thawj cov tsos mob ntawm tus mob panniculitis tshwm sim, koj yuav tsum mus ntsib kws kho mob. Ntawm lwm yam, koj yuav tsum nrhiav kev kho mob yog tias koj muaj cov tsos mob tshiab (ua npaws tsis tu ncua, tsaug zog, qaug zog heev, hlwv, thiab nce liab).
Txoj kev kho mob
Txoj kev kho mob ntawm cov ntaub so ntswg subcutaneous yog txiav txim los ntawm nws cov chav kawm thiab daim ntawv. Hauv cov kab mob panniculitis ntev, cov tshuaj tiv thaiv kab mob uas tsis yog-steroidal (Ibuprofen, Diclofenac sodium), antioxidants (vitamin E thiab C) yog siv; nti tawm nodal formationsglucocorticoids. Cov txheej txheem physiotherapeutic kuj tseem siv tau: hydrocortisone phonophoresis, ultrasound, UHF, laser therapy, ozocerite, magnetotherapy.
Nyob rau hauv cov quav hniav thiab infiltrative hom, cov kab mob subacute yog tus cwj pwm los ntawm kev siv glucocorticosteroids (Hydrocortisone thiab Prednisolone) thiab cytostatics (Methotrexate). Cov ntaub ntawv thib ob ntawm tus kab mob tau kho nrog kev kho mob tiv thaiv keeb kwm ntawm vasculitis, gout, pancreatitis thiab kab mob lupus erythematosus.
Los ntawm panniculitis, kev tiv thaiv yog kev kuaj mob raws sijhawm thiab kev kho mob ntawm thawj kab mob - kab mob thiab kab mob fungal, tsis muaj vitamin E.
Kev mob ntawm cov ntaub so ntswg subcutaneous ntawm ob txhais ceg tshwm sim li cas?
YCellulite
Cellulite, lossis gynoid lipodystrophy, yog tshwm sim los ntawm kev hloov pauv hauv cov ntaub so ntswg adipose, feem ntau ua rau cov ntshav microcirculation tsis zoo thiab lymph stagnation. Tsis yog txhua tus kws tshaj lij xav txog cellulite tus kab mob, tab sis lawv hais tias nws tuaj yeem hu ua qhov tsis xws luag.
Cov o ntawm cov rog subcutaneous yog qhia hauv daim duab.
Feem ntau cellulite tshwm sim hauv cov poj niam vim muaj kev cuam tshuam hormonal uas tshwm sim ib ntus: thaum hluas, cev xeeb tub. Qee zaum, nws cov tsos mob tuaj yeem ua rau kev siv tshuaj tiv thaiv hormonal. Qhov tseem ceeb tshaj plaws yog qhov tseem ceeb ntawm kev yug me nyuam thiab qhov tshwj xeeb ntawm kev noj haus.
Yuav ua li cas thiaj tshem tau?
Tissue lipodystrophy hauv qab ntawm daim tawv nqaij yog khotsim nyog complex. Yuav kom ua tiav txoj kev vam meej, koj yuav tsum noj kom raug, haus cov vitamins ntau, antioxidants. Ib feem tseem ceeb ntawm kev kho mob yog kev ua kis las thiab ua pa ua pa.
Cov kws kho mob pom zoo kom muaj cov txheej txheem los txhim kho cov ntshav thiab qog ntshav - bioresonance stimulation, massage, siab thiab magnetotherapy. Cov rog rog ua me me tom qab mesotherapy, ultrasound, electrolyolysis thiab ultraphonophoresis. Lawv siv cov tshuaj tiv thaiv cellulite tshwj xeeb.
