Feem ntau, cov yam ntxwv tshwm sim ntawm ntau cov quav hniav psoriasis, daim duab hauv qab no, suav tias yog cov pob liab liab ntawm qhov mob me ntsis tsa saum daim tawv nqaij. Cov cheeb tsam kub hnyiab tau npog nrog ib txheej grey tev, uas yog ywj siab cais tawm ntawm qhov chaw. Nyob rau hauv cov txheej txheem no, thaj chaw ntawm daim tawv nqaij tau raug mob dawb thiab tuaj yeem los ntshav. Cov chaw no hu ua psoriatic plaques.
Yog vim li cas
Qhov feem ntau ua rau cov quav hniav psoriasis vulgaris yog cov tshuaj tua kab mob. Qhov kev pheej hmoo ntawm tus kab mob no nce ntxiv yog tias muaj cov txheeb ze hauv tsev neeg uas raug kev txom nyem los ntawm psoriasis. Tab sis genetic predisposition tsis txhais hais tias ib tug tsis siv neeg manifestation ntawm tus kab mob. Kom nws tshwm sim, muaj qhov cuam tshuam rau qhov tsim nyog:
- mob hnyav lossis mob ntev (SARS, tonsillitis);
- kab mob ntev (mob ntshav qab zib, kab mob ntawm lub plab zom mov);
- ua xua (kho tshuab) ntawm daim tawv nqaij, raug mob, tshav kub los yog kev sib txhuam (Koebner phenomenon, isomorphic irritanteffect);
- tshuaj xws li beta-blockers, ACE inhibitors, tshuaj tiv thaiv kab mob, tshuaj tua kab mob thiab tshuaj tua kab mob;
- tsis muaj zog tiv thaiv, beriberi;
- kab mob kab mob;
- metabolic disorder;
- kev ntxhov siab ntawm lub cev, kev xav tsis zoo;
- muaj zog hormonal hloov pauv (piv txwv, puberty);
- siv cov khoom siv tshuaj pleev ib ce uas tsis tsim nyog ua kom qhuav lossis khaus tawv nqaij (cov khoom muaj cawv, tshuaj pleev plaub hau);
- kev noj zaub mov tsis zoo, noj zaub mov tsis zoo, haus ntau dhau.
Symptoms
Cov tsos mob ntawm cov quav hniav psoriasis txawv ntawm ib tus neeg mus rau lwm tus thiab nyob ntawm seb hom kab mob. Cov cheeb tsam ntawm tus kab mob tuaj yeem sib txawv ntawm qhov loj ntawm tus kab mob, cuam tshuam rau thaj chaw me me ntawm lub cev lossis npog ib feem ntawm lub cev. Cov tsos mob feem ntau ntawm cov quav hniav psoriasis yog:
- pob me me ntawm daim tawv nqaij thaum ntxov;
- reddening ntawm thaj chaw muaj kab mob nyob rau hauv daim ntawv ntawm pob los yog o;
- tsim ntawm tuab grey nplai thiab / lossis plaques;
- sib txuas cov plaques rau hauv pab pawg;
- kev tshwm sim ntawm psoriasis ntawm cov plaub hau ntawm daim tawv nqaij, uas tuaj yeem ua rau cov plaub hau poob;
- ntau dhau ntawm daim tawv nqaij qhuav, uas tuaj yeem ua rau qhov txhab;
- mob ib ncig ntawm daim tawv nqaij;
- khaus thiab kub hnyiab thiab cov quav hniav; sib koom tes thiab mob leeg;
- mob nraub qaum;
- pom kev tsis zoo;
- kev cuam tshuam hauv kev loj hlob ntawm cov rau tes ntawm qhov extremities: hloov pauv ntawm cov ntsia hlau phaj, loosening ntawm tes, brittleness thiab lamination ntawm cov rau tes;
- kev puas tsuaj ntawm tus ntsia thawv.
Psoriasis tshwm sim nyob rau hauv lub sijhawm, thiab qhov tshwm sim tuaj yeem tshwm sim tsawg dua lossis hnyav dua nyob ntawm lub xeev kev noj qab haus huv. Nws yuav tshwm sim dua thiab dua. Qhov kev zam txim yuav kav ntev li ob peb lub lis piam mus rau ntau xyoo.
Diagnosis
Psoriasis yog kuaj pom tias yog cov quav hniav los yog zoo tib yam, hais lus tsis zoo vim yog kev tshaj lij ntawm kws kho mob dermatologist. Kev tshuaj xyuas cov cheeb tsam cuam tshuam, tus neeg mob tau nug cov lus nug txog lub xeev ntawm kev noj qab haus huv thiab lub sijhawm ntawm cov tsos mob ntawm kev hloov pauv ntawm daim tawv nqaij. Feem ntau hom kab mob no tshwm sim los ntawm qhov pib mob nrog cov pob liab me me ntawm cov xim liab. Papules zoo li nce, sib sau ua ke rau hauv cov plaques. Cov kab mob focal no yog qhov tseem ceeb rau kev kuaj mob.
Scraping
Kev kuaj mob yog tias tom qab khawb:
- flaking pom nyob rau hauv cov txheej txheem tshem tawm (nws muaj xim dawb ci ntsa iab);
- nplai protrude ib tug du nto, hu ua "thermal zaj duab xis tsos mob";
- ntshav drips tshwm sim, feem ntau lawv tshwm nyob rau hauv qis txheej.
Kev kuaj ntawm daim tawv nqaij biopsy. Qhov no yog qhov tsim nyog rau kev kuaj mob kom paub tseeb thiab kho kom raug.
Yog tias tus kab mob tau dhau mus rau theem zuj zus, nws muaj kev hloov pauv hauv cov ntshav. Leukocytosis tshwmerythrocyte sedimentation yog nruj dua. Qhov no yog vim li cas kev kuaj ntshav tseem ceeb heev rau kev kuaj mob. Kev hloov pauv tuaj yeem ceeb toom tias cov kab mob endocrine cuam tshuam. X-ray yuav xav tau yog tias tus neeg mob yws ntawm qhov mob pob qij txha.
Views
Plaque psoriasis yog kab tias feem ntau kuaj pom hom psoriasis, feem ntau tshwm sim nyob rau hauv daim ntawv ntev. Rau kev xaiv kom raug ntawm kev kho mob rau psoriasis, nws yog ib qho tsim nyog yuav tsum tau ua kom raug thiab raws sij hawm txiav txim siab txog hom pathology uas tau tshwm sim hauv ib tus neeg, theem ntawm kev loj hlob, thaj tsam ntawm daim tawv nqaij. Raws li feem ntau lees txais cov tsos mob, cov quav hniav psoriasis tau muab faib ua hom hauv qab no:
- Cov kab mob plaque psoriasis raug kuaj pom thaum tus kab mob npog ntau tshaj kaum feem pua ntawm daim tawv nqaij. Hom no suav tias yog mob hnyav thiab yuav tsum tau kho mob tam sim ntawd. Qhov txaus ntshai ntawm hom kab mob psoriasis no yog tias nws kis tau sai thoob plaws hauv lub cev thiab tuaj yeem cuam tshuam rau tawv taub hau thiab qis qis (tshwj xeeb, ko taw, ntiv tes). Thiab qhov no, nyob rau hauv lem, (piv txwv li, vim yog khawb lub taub hau, rub ob txhais ceg nrog khau tsis xis nyob) tuaj yeem ua rau tawv nqaij raug mob, ua rau muaj kab mob fungal thiab microbial.
- Cov kab mob plaque psoriasis yog ib hom kab mob psoriasis uas tshwm sim yog tias tsis pib kho tshwj xeeb raws sijhawm. Daim ntawv mob psoriasis tshwm sim, raws li txoj cai, hauv nthwv dej- Lub sij hawm ntawm kev zam txim yog hloov los ntawm lub sij hawm mob. Yog tias tus neeg mob uas mob psoriasis tsis tau txais kev kho mob tsim nyog, ces tus kab mob tuaj yeem txhim kho mus rau psoriatic mob caj dab nrog kev puas tsuaj rau cov kab mob hauv nruab nrog cev.
- Papular-plaque psoriasis yog ib hom kab mob uas, ntxiv rau cov pob txha liab liab (pob txha), thiaj li hu ua "papules" tshwm rau ntawm daim tawv nqaij. Lawv yog cov vesicles convex superficial, localized thoob plaws hauv lub cev nyob rau hauv daim ntawv ntawm peculiar rings.
Nyob ntawm cov duab thiab qhov pom ntawm psoriatic plaques, psoriasis yog raws li hauv qab no:
- yog cov quav hniav muaj qhov chaw concave, ces lawv hais txog daim ntawv oyster;
- rupioid psoriasis yog tus yam ntxwv los ntawm lub khob zoo li pob pob;
- nrog ntxhw psoriasis, cov plaques loj yog npog nrog cov nplais ntom ntom;
- yog cov plaques tau muab kauv rau ntawm lub cev, ces qhov no yog hu ua gyrata;
- yog tias qhov chaw ntawm papules thiab plaques pom zoo ib yam li daim ntawv qhia, ces daim ntawv no ntawm psoriasis feem ntau hu ua thaj chaw.
kev kho mob
Kev kho mob ntawm cov quav hniav psoriasis yuav tsum ua tiav thiab tsom rau kev kho tus neeg lub cev tiv thaiv kab mob thiab tshem tawm cov tsos mob sab nraud uas ua rau muaj kev tsis xis nyob thiab tsis xis nyob. Vim lub fact tias tus kab mob yog ib tug mob ntev, cov tshuaj yuav tsum tau nqa tawm mus rau hauv tus account lwm yam kab mob nyob rau hauv tus neeg mob lub keeb kwm yav dhau los tiv thaiv lawv aggravation thiab phiv.teebmeem.
Nyob ntawm theem ntawm psoriasis thiab qib kev puas tsuaj rau ntawm daim tawv nqaij, cov tshuaj hauv qab no tau pom zoo.
YCytostatics
Nyob rau theem tam sim no, cov tshuaj ntawm pawg cytostatic tau sau rau hauv cov ntsiav tshuaj:
- "Cyclosporine";
- "Methotrexate".
Ua ke nrog cov tshuaj saum toj no, nws yog ib qho tsim nyog yuav tsum siv cov tshuaj sab nraud, piv txwv li, xws li lanolin cream thiab naftalan ointment.
tshuaj pleev tshuaj hormonal
Yog tias qhov kev kho no nyob rau theem mob hnyav tsis ua rau muaj qhov zoo, ces qhov kev qhia luv luv ntawm kev npaj hormonal raug pom zoo (ob qho tib si hauv cov ntsiav tshuaj thiab hauv daim ntawv ntawm cov tshuaj hormonal):
- Y"Hydrocortisone";
- "Prednisolone";
Y "Cyclosporin".
Txhawm rau txhim kho cov xwm txheej ntawm tus neeg mob uas muaj daim ntawv mob hnyav ntawm cov quav hniav psoriasis, koj yuav tsum tau txais cov vitamin ntawm pawg B.
tshuaj tsis yog tshuaj hormonal
Nyob rau hauv daim ntawv me me ntawm tus kab mob, nrog rau ib qho chaw ntawm psoriatic plaques me me, cov tshuaj tsis yog tshuaj hormones hauv qab no tau pom zoo:
- Calcipotriol ointment yog tsim rau kev kawm ntev (ib lossis ob lub hlis), tsis siv rau cov quav hniav ntawm lub ntsej muag thiab tsis ua ke nrog salicylic acid;
- "Methotrexate" hauv daim ntawv ntsiav tshuaj, ntau npaum li cas thiab lub sijhawm ntawm chav kawm raug txiav txim siabtsuas yog los ntawm tus kws kho mob tuaj koom;
- Lorinden Cov tshuaj pleev yog tsim rau cov kev kawm luv luv, txwv tsis pub muaj kev quav yeeb quav tshuaj thiab kev ua haujlwm tau ploj.
kev kho neeg zoo
Hauv cov tshuaj pej xeem, muaj ntau yam tshuaj rau cov quav hniav psoriasis. Qhov nrov tshaj plaws yog:
Kev kho mob txhua hnub ntawm thaj chaw cuam tshuam nrog zaub qhwv zaub. Lub brine nws tus kheej tsis tas yuav tsum tau ntxuav tawm. Lawv ua hauj lwm nyob rau tib cheeb tsam. Qhov tshwm sim tshwm sim tom qab 6-8 hnub: cov plaques exfoliate, pom cov tawv nqaij huv.
Npaj cov tshuaj pleev tshwj xeeb. Nws cov khoom xyaw yog:
- birch tar (150g);
- rubbing cawv (150 g);
- qe yolks (3 pieces);
- camphor oil (teaspoon).
Txhua yam khoom sib xyaw. Xws li ib tug tshuaj pleev yuav tsum tau lubricated nrog rau tej qhov chaw. Tom qab cov txheej txheem no, koj tsis tas yuav ntxuav 3 hnub. Ntau zaus ntawm kev siv cov khoom no: peb zaug hauv ib lub lis piam kom txog thaum cov tawv nqaij zoo dua. Kev sib xyaw ntawm cov khoom xyaw no:
- aloe kua txiv (1 part);
- natural honey (1 part);
- eucalyptus kua txiv (3 ntu).
Cov sib tov yuav tsum tau khaws cia rau peb hnub, ib txwm nyob hauv qhov tsaus ntuj. Nws cov kab mob yuav tsum tau kho 2-3 zaug hauv ib hnub.
txhais tau tias ntawm cov khoom hauv qab no:
- vinegar (200 ml);
- butter (200 ml);
- qe nyoos.
Lawv txhua tus sib xyaw kom huv si thiab khaws cia rau hauv qhov chaw txias, tiv thaiv lub teeb. Lub sij hawm nthuav tawm - 7-8 hnub. Kev siv zog - 3-4 zaug hauv ib hnub.
Herbal composition. Nws cov khoom xyaw (hauv daim ntawv hmoov):
- qhuav celandine;
- sorrel cag;
- nyom succession.
Lawv puv nrog birch tar. Lub sijhawm tuav yog 4 lub lis piam. Cov cuab yeej no yog siv los kho qhov chaw cuam tshuam ua ntej yuav mus pw. Nws cov nyhuv tuaj yeem txhim kho los ntawm kev hloov pauv nrog Vishnevsky cov tshuaj pleev.
Tincture raws li ob lub paj ntawm Crimean Sophora. Lawv yuav tsum ncuav 100 g ntawm vodka. Lub sijhawm raug mob yog 4 lub lis piam hauv qhov chaw tsaus. Kev siv ntawm daim ntawv thov: ib teaspoon ua ntej noj mov, 3-4 zaug ib hnub twg. Lub sijhawm kho yog 2 lub hlis. Kev kho mob da dej los ntawm infusion ntawm sage, celandine thiab thyme. Lawv yuav tsum tau noj 15-20 feeb.
