Lo lus "kua hluav taws xob dermatitis" yog to taub tias yog ib tus kab mob, cov chav kawm uas yog nrog los ntawm kev puas tsuaj rau daim tawv nqaij los ntawm cov nthwv dej. Tsis yog ib tus neeg muaj kev tiv thaiv los ntawm qhov tsis zoo ntawm qhov kawg. Kev cuam tshuam nrog cov teeb pom kev zoo tshwm sim tsis yog thaum lub sijhawm kho tshwj xeeb, tab sis kuj thaum nyob hauv solarium thiab hauv qab lub hnub qhib. Yog tias thawj cov tsos mob ntawm pathology tshwm sim, koj yuav tsum sab laj nrog kws kho mob. Tsis quav ntsej cov tsos mob ntawm hluav taws xob dermatitis (daim duab ntawm thaj chaw cuam tshuam tau nthuav tawm hauv qab no) ua rau muaj kev txhim kho ntawm txhua yam teeb meem. Qhov tshwm sim txaus ntshai tshaj plaws yog oncology.
Etiology
Radiation dermatitis yeej tsis yog tshwm sim los ntawm kev cuam tshuam rau sab hauv tsis zoo. Ua rau yog ib txwm ua rau sab nraud.
Cov pawg neeg hauv qab no muaj kev pheej hmoo:
- Cov neeg uasfeem ntau ntawm cov hnub yog siv nyob rau hauv lub hnub qhib. Cov rays nruj tshaj plaws yog thaum noj su.
- Cov neeg uas nquag solarium. Kev siv tshuaj ntau dhau ntawm cov hluav taws xob ultraviolet feem ntau ua rau muaj kev txhim kho pathology.
- Cov neeg uas nws txoj haujlwm muaj feem cuam tshuam nrog kev ua haujlwm ntawm cov khoom siv uas tsim hluav taws xob nthwv dej. Ib qho piv txwv zoo tshaj yog cov khoom siv pom hauv cov tsev kho mob thiab cov chaw kho kom zoo nkauj.
- Cov neeg mob uas raug yuam kom tau txais kev kho mob tsim nyog. Radiation dermatitis tom qab kev kho hluav taws xob yog ib qho kev mob tshwm sim.
Nws yog ib qho tseem ceeb kom paub tias tus kab mob tsis tuaj yeem tshwm sim los ntawm ib qho kev cuam tshuam rau qhov ua rau muaj qhov tshwm sim. Txhawm rau pib cov txheej txheem ntawm kev txhim kho ntawm qhov mob, tib neeg lub cev yuav tsum raug cuam tshuam rau cov hluav taws xob tsis zoo.
Qhov phom sij ntawm tus kab mob nyob ntawm qhov tseeb tias thawj qhov kev kuaj mob yuav tsis tshwm sim tam sim ntawd. Tej zaum cov tsos mob ntawm daim tawv nqaij tshwm sim tom qab ob peb lub hlis.
Kab mob mob hnyav
Qhov no yog theem pib ntawm pathology. Nws yog tus cwj pwm los ntawm kev puas tsuaj sai rau ntawm daim tawv nqaij. Kev tsim ntawm kev tsom mus rau pathology tshwm sim thawj 24 teev tom qab tau txais koob tshuaj 3 Gy lossis ntau dua.
Tus mob hluav taws xob mob dermatitis muaj cov tsos mob hauv qab no:
- khaus khaus.
- pab.
- Kev muaj qhov txhab qhib me me.
- Redness ntawm daim tawv nqaij.
Qee zaum, muaj plaub hau poob.
Kev kho cov kab mob hluav taws xob hauv qhov no suav nrog kev siv sab nraudkev kho mob txhais tau tias. Nrog rau kev mus ntsib kws kho mob raws sij hawm, qhov kev loj hlob ntawm tus kab mob tuaj yeem nres.
Bullous stage
Tshuaj tom qab kawg ntawm daim ntawv mob hnyav. Nyob rau theem no, cov tsos mob ntawm hluav taws xob dermatitis yog raws li nram no:
- Ntshav liab ntawm daim tawv nqaij.
- khaus khaus.
- pab.
- xav tawv nruj.
- puffiness ntawm cov ntaub so ntswg.
- Kev tsim ua npuas. Lwm lub npe yog bulls. Tom qab qhov tsis zoo ntawm cov duab hluav taws xob (12-20 Gy), daim tawv nqaij pib exfoliate. Qhov chaw tshwm sim yog maj mam sau nrog cov kua dej pathological. Feem ntau nws yog pob tshab lossis muaj xim daj.
- Erosion.
Raws li kev kho mob zuj zus, crusts tsim ntawm qhov txhab. Lawv poob lawv tus kheej tom qab li 2 lub hlis. Nyob rau theem no, cov kab mob ntawm cov kab mob dermatitis tuaj yeem nrog cov plaub hau poob, ua npaws, thiab nce qhov loj ntawm cov qog ntshav.
Daim ntawv bullous ntawm tus kab mob yuav tsum tau mus kho mob tam sim ntawd. Tus kws kho mob tshwj xeeb yuav ua cov kev ntsuas ntsuas - thiab, raws li lawv cov txiaj ntsig, yuav xaiv cov tshuaj zoo tshaj plaws.
Necrosis theem
hom kab mob no hnyav tshaj plaws. Nws txhim kho nrog kev raug rau 25 Grey lossis ntau dua. Cov theem necrotic yog qhov laj thawj rau kev sib cuag tam sim nrog lub tsev kho mob. Feem ntau, kev kho mob tau ua hauv tsev kho mob.
rauCov theem necrotic yog tus cwj pwm los ntawm cov tsos mob hauv qab no:
- mob hnyav uas yuav luag ua tsis tau.
- nce hauv lub cev kub, feem ntau mus rau qhov tseem ceeb.
- qaug zog heev.
- Insomnia.
- -liab heev thiab o ntawm daim tawv nqaij.
- Raws.
- Qhib qhov txhab.
Daim ntawv necrotic yog tus cwj pwm los ntawm kev kawm ntev. Nyob rau theem no, kev saib xyuas kev kho mob feem ntau tsis muaj txiaj ntsig. Kev phais ntau tshaj plaws.
Necrotic radiation dermatitis ua rau muaj kev phom sij tsis yog rau kev noj qab haus huv xwb, tab sis kuj rau tib neeg lub neej. Qhov no yog vim qhov tseeb tias nws feem ntau ua rau mob qog noj ntshav.
Diagnosis
Cov ntaub ntawv qhia txog yuav kho cov kab mob hluav taws xob li cas (ntawm qhov ntswg, hauv pliaj, puab tsaig, pob tw, ceg, thiab lwm yam) tuaj yeem muab los ntawm kws kho hniav. Txhawm rau kuaj xyuas qhov tseeb, nws txaus rau tus kws kho mob los tsim kom muaj kev sib txuas ntawm sab nraud tshwm sim thiab raug. Txog rau qhov kawg no, tus kws kho mob siv anamnesis thiab kuaj lub cev.
Nyob rau hauv cov xwm txheej hnyav dua, kev tshuaj ntsuam xyuas tau raug sau tseg, suav nrog:
- Kev tshuaj ntsuam xyuas cov kua dej txuas ntxiv.
- Studying the composition of tso zis.
- Kawm nyob rau hauv lub tshuab ntsuas kab mob ntawm cov khoom siv roj ntsha coj los ntawm kev tsom mus rau pathology.
- Kev sab laj ntawm lwm tus kws tshwj xeeb nqaim (tus kws ua xua, tus kws kho kab mob kis, tus kws kho endocrinologist, thiab lwm yam).
Radiation dermatitis tom qab kev kho hluav taws xob muaj nyob rau hauv 2 kis:
- tus neeg mob tau txais hluav taws xob ntau dhau ib zaug;
- tib neeg lub cev tau raug tsis tu ncua rau nws, tab sis qhov ntau npaum li cas tsawg.
Nyob rau hauv qhov no, tus kws kho mob dermatologist yuav muaj laj thawj zoo los ntseeg tias dermatitis yog ib qho cim thib ob ntawm kev mob oncological.
kev kho mob zoo
Txoj kev kho mob yog tsim los ntawm kws kho mob dermatologist, suav nrog cov duab kho mob ntawm tus kab mob, tus mob ntawm tus neeg mob thiab tus yam ntxwv ntawm nws txoj kev noj qab haus huv.
Txoj kev npaj kho mob classic muaj cov khoom hauv qab no:
- Noj tshuaj. Cov kws kho mob muab tshuaj tua kab mob thiab tshuaj tua kab mob.
- YVitamin therapy.
- Kev kho hauv zos ntawm foci ntawm pathology nrog tshuaj pleev tshuaj hormonal, rov tsim cov tshuaj nplaum thiab cov khoom siv panthenol.
- laser kho. Qhov no yog ib txoj hauv kev kho lub cev uas txhim kho cov ntshav ncig, pab txhawb kom sai sai ntawm cov txheej txheem inflammatory thiab ua kom muaj peev xwm rov tsim dua tshiab.
- Hyperbaric oxygen therapy. Cov txheej txheem yog ua nyob rau hauv lub siab chamber. Qhov tseem ceeb ntawm txoj kev yog siv cov pa oxygen nyob rau hauv siab. Qhov no tsim cov hlab ntsha tshiab thiab nce cov kua dej txuas ntxiv.
Txoj kev kho mob no tsuas yog cuam tshuam rau cov neeg mob uas muaj daim tawv nqaij mob ntawm daim tawv nqaij tawg. Pathology nyob rau hauv lub sij hawm ntev yuav tsum tau tsuas yog siv cov tshuaj pleev thiab cream, raws li zoo raws li cov khoom uas muaj cov ntshav ntawm cov mis nyuj nyuj.("Solcoseryl", "Actovegin"). Tsis tas li ntawd, nws yog ib qho tseem ceeb kom tshem tawm qhov ua rau muaj kev cuam tshuam.
Thaum mob hnyav dua, tus kws kho mob tuaj yeem sau tshuaj khomob thiab txhaj ntshav.
kev kho mob phais
Kev phais ntawm qhov txhab raug qhia yog tias muaj kev pheej hmoo siab ntawm kev mob qog noj ntshav ntawm daim tawv nqaij. Yog tias ib feem ntawm daim tawv nqaij tsis raug tshem tawm, qhov tshwm sim ntawm oncology nce ntau.
Tom qab kev ua haujlwm, ib tus neeg yuav tsum tsis muaj teeb meem tso cai rau kev sib cuag nrog qhov ua rau muaj kev cuam tshuam, ua raws li txhua tus kws kho mob cov lus qhia thiab qhia nws txog txhua yam kev hloov pauv uas tshwm sim thaum kho.
Huab cua thiab cov lus pom zoo ntawm cov kws tshaj lij
Qhov tshwm sim ntawm tus kab mob no tsis yog nyob ntawm qhov zaus ntawm kev tau txais cov koob tshuaj hluav taws xob nkaus xwb, tab sis tseem nyob ntawm lub sijhawm ntawm kev hu rau tus kws kho mob. Cov teeb meem feem ntau raug kuaj pom hauv cov neeg mob uas muaj tus kab mob ntev. Qhov tshwm sim tsis zoo tshaj plaws yog mob qog noj ntshav squamous cell.
Txhawm rau tiv thaiv tus kab mob rov qab los, yuav tsum tau ua raws li cov lus pom zoo hauv qab no:
- Tsis txhob nyob hauv qab lub hnub qhib thaum lub sijhawm nce siab ntawm kev ua phem ntawm nws cov rays.
- Tsis txhob mus solarium.
- Tsis txhob x-ray yog tias tsim nyog.
- Ua raws txhua qhov kev ceev faj yog tias kev ua haujlwm muaj feem cuam tshuam nrog kev ua haujlwm nrog cov neeg ua phem.
Tsis tas li ntawd, nws yog ib qho tsim nyog yuav tsum tau saib xyuas cov tawv nqaij tas li. Txhua yam kev hloov pauv yuav tsum raug qhia rau tus kws kho mob.
Nyob hauv kaw
Cov kab mob dermatitis tuaj yeem tshwm sim tawm tsam keeb kwm yav dhau los ntawm qhov tsis zoo ntawm cov nthwv dej. Thaum cov cim ceeb toom tshwm, koj yuav tsum hu rau tus kws kho mob dermatologist kom sai li sai tau. Qhov no yog vim qhov tseeb tias tsis quav ntsej txog cov kab mob pathology tuaj yeem ua rau muaj kev cuam tshuam tsis zoo rau kev noj qab haus huv, tab sis kuj rau lub neej ntawm tus neeg mob. Kev kho mob ntawm hluav taws xob dermatitis suav nrog kev noj tshuaj, kho foci ntawm pathology nrog kev npaj tshuaj pleev ib ce, nrog rau kev kho lub cev. Hauv qhov xwm txheej hnyav, qhov kev txiav tawm ntawm thaj chaw cuam tshuam tau qhia.
