Lichen planus yog kab mob ntawm daim tawv nqaij. Nws manifests nws tus kheej nyob rau hauv cov pob khaus ntawm lub mucous daim nyias nyias thiab dermis. Lwm lub npe rau tus kab mob yog Wilson tus kab mob. Nws muaj npe tom qab tus kws tshawb fawb Askiv E. Wilson, uas tau piav qhia txog tus kab mob, txiav txim siab nws qhov sib txawv ntawm lwm cov dermatoses thiab txheeb xyuas cov ntaub ntawv tseem ceeb. Tus kab mob no muaj nyob rau ntau tshaj li ib puas xyoo, tab sis qhov tseeb ua rau nws tshwm sim tseem tsis tau tsim. Hauv tsab xov xwm no peb yuav sim nrhiav seb yog vim li cas tus kab mob tshwm sim, dab tsi yog cov cim qhia ntawm lichen planus thiab yuav kho li cas.
Cov tsos mob ntawm Wilson's disease
Kev tshwm sim ntawm pathology muaj ntau yam, tab sis tag nrho cov pob liab liab muaj xws li tib lub papules me me (pimples uas zoo li cov pob lossis cov pob txha ntom ntom), txoj kab uas hla tuaj yeem ncav cuag tsib millimeters. Cov yam ntxwv tseem ceeb:
- Cov xim ntawm cov pob liab liab yog liab los yog liab nrog cov xim liab. Papules muaj qhov ci ntsa iab nrogretracted center.
- daim tawv nqaij tawm me ntsis, cov nplais nyias nyias nyias.
- Cov pob khaus yog tsim nyob rau hauv pab pawg, tuaj yeem ua ke rau hauv lub voj voog, kab txaij thiab garlands, sib koom ua ke, tsim cov plaques. Tom qab kho, cov xim liab tseem nyob ntawm thaj chaw cuam tshuam.
- Cov pob khaus ua rau khaus hnyav, ua rau muaj teeb meem pw tsaug zog. Qee zaum, cov tsos mob ntawm lichen planus ntawm tus ntiv tes yog pom los ntawm tus neeg mob ua pob khaus.
- Feem ntau, cov pob khaus tshwm rau ntawm lub luj tshib thiab hauv caug, hauv puab tais, ntawm sab hauv ntawm tus ncej puab, lub qhov ncauj mucous ntawm lub qhov ncauj.
- Cov ko taw, xib teg, ntsej muag thiab lub taub hau tsis tshua muaj kab mob, tab sis qee zaum cov pob liab liab tshwm rau ntawm lawv, ua rau khaus hnyav.
- Lichen hauv cov poj niam, nyob rau hauv qhov chaw mos, cuam tshuam nrog kev tso zis thiab kev sib raug zoo, ua rau mob. Tsis tas li ntawd, muaj qhov khaus tas li.
- Thaum liab lichen tshwm nyob rau hauv qhov ncauj kab noj hniav, ntawm qhov nkag mus rau hauv qhov chaw mos, ntawm lub caj pas noov, lub dermis tseem huv si. Cov nodules tshwm sim yog grey nyob rau hauv cov xim, pab pawg neeg, daim voj voog, mesh los yog rings. Cov plaques tiaj tus nrog jagged npoo feem ntau tshwm sim ntawm tus nplaig, thiab daim di ncauj raug cuam tshuam los ntawm ntshav papules nrog me ntsis tev.
- Cov papules loj yog npog nrog cov qauv tshwj xeeb hu ua Wickham daim phiaj.
- Thaum tus kab mob hnyav zuj zus, kev tsim cov hlwv tshiab tshwm sim ntawm qhov chaw puas ntawm daim tawv nqaij tom qab raug mob. Daim paib no hu ua Koebner's syndrome.
Forms of developmentPathology
Ib yam ntawm Wilson tus kab mob yog nws qhov kev tshwm sim sib txawv thiab hauv cheeb tsam. Raws li qhov no, cov ntaub ntawv kho mob ntawm lichen planus yog qhov txawv, uas muaj qee qhov sib txawv hauv kev loj hlob ntawm tus kab mob:
- Nyob zoo. Tus kab mob pib nrog cov tsos ntawm pob liab liab, uas tom qab hloov mus rau hauv kev loj hlob zoo li warts. Lawv cov qauv yog denser dua li cov qauv npuas. Cov pob khaus yog nrog los ntawm khaus khaus hnyav, uas tshem tawm tsis zoo. Tus kab mob no tsuas yog cuam tshuam rau lub shins xwb.
- Atrophic. Thaum pib ntawm tus kab mob, tus qauv papules tshwm. Tom qab ploj ntawm cov pob liab liab, thaj chaw ntawm daim tawv nqaij keratinized tseem nyob ntawm qhov chaw puas. Lub luj tshib thiab hauv caug pob qij txha thiab tawv taub hau raug cuam tshuam, qhov chaw dotted ntawm baldness yog tsim.
- Pigmented. Nrog rau cov pob liab liab, cov pob liab liab tshwm rau ntawm dermis. Cov ceg ceg, ntsej muag, thiab lub cev feem ntau cuam tshuam.
- Npaj. Nyob rau ntawm daim tawv nqaij ntawm ib tug neeg, lichen planus yog manifested los ntawm cov yam ntxwv vesicles - vesicles uas muaj ib tug serous tshuaj, nyob rau hauv tej rooj plaub nrog ib tug admixture ntawm cov ntshav. Cov hlwv tsim ntawm lawv tus kheej los yog saum cov papules thiab plaques. Tus kab mob no cuam tshuam rau ko taw thiab sab ceg.
- Moniform. Cov no yog cov kab nrib pleb puag ncig uas tau muab tso rau hauv daim ntawv ntawm lub caj dab. Cov pob khaus cuam tshuam rau hauv pliaj, auricles, nraub qaum ntawm tes, plab, thiab lub luj tshib. Cov tawv nqaij ntawm lub puab tsaig, qhov ntswg, cov leeg thiab thaj tsam interscapular yeej tsis cuam tshuam.
- Taw tes. Papules feem ntau tshwm ntawm lub taub hau. Rash npogcov hauv paus plaub hau nrog kev tsim ntawm kev loj hlob nyob rau hauv daim ntawv ntawm ib tug spike. Tom qab kho, caws pliav rau ntawm qhov chaw puas.
- Erosive thiab ulcerative. Manifested los ntawm ulcers thiab yaig, uas yog surrounded los ntawm o liab cheeb tsam ntawm lub mucosa. Daim ntawv no ntawm lichen planus tshwm sim hauv qhov ncauj kab noj hniav. Qhov cuam tshuam mucosa yog them nrog txheej txheej fibrinous, uas, thaum tshem tawm, ua rau los ntshav. Erosions tuaj yeem tsim ua ntau pawg uas muaj mob. Kev kho mob qeeb thiab nyuaj, thiab tom qab ntawd rov tshwm sim dua.
- Ntiv nplhaib. Hom kab mob no loj hlob sai heev. Ib tug yam ntxwv feature yog qhov nruj ntawm qhov chaw ntawm cov quav hniav, muab nws cov duab ntawm lub nplhaib. Cov txiv neej lub cev xeeb tub raug cuam tshuam. Qee lub sij hawm lub nplhaib puab ntawm lichen erythematosus yog yuam kev rau cov cim qhia ntawm tus mob syphilis.
yam ua rau muaj tus kabmob
Tsim kom muaj qhov ua rau lichen planus txuas ntxiv mus koom nrog cov kws tshawb fawb txog niaj hnub no. Nws tau pom tias tus kab mob no tshwm sim nrog kev sib xyaw ntawm ntau yam tsis zoo, feem ntau yuav yog cov hauv qab no:
- Neurogenic. Qhov tshwm sim ntawm pathology los yog rov tshwm sim hauv tus neeg mob coincides nrog kev puas siab puas ntsws uas nws raug kev txom nyem hnub ua ntej. Ntxiv nrog rau kab mob ntawm daim tawv nqaij, nws kuj muaj kev puas siab puas ntsws.
- Viral. Nkag mus rau hauv cov txheej txheem sab saud ntawm lub dermis, cov kab mob nyob hauv lub xeev sib npaug kom txog rau thaum qee qhov taw tes, kom txog thaum lub cev tsis muaj zog. Thaum qhib tau, lawv ua rau muaj tus kab mob hnyav heev.
- Txiv neej. Txoj kev xav uas twb muaj lawm hais tias qhov tshwm sim ntawm keeb kwm ntawm kev kis tus kab mob los ntawm ib tiam dhau ib tiam tsis tuaj yeem tsis lees paub.
- Kev mob ntshav siab. Qee cov tshuaj tuaj yeem ua rau lichen planus hauv tib neeg: quinine, arsenic, iodine, kub npaj, antimony, nrog rau cov tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob.
- Autointoxication. Koom nrog cov tsub zuj zuj ntawm ntau cov co toxins hauv lub cev. Qhov no tuaj yeem tshwm sim nrog ntshav qab zib mellitus, daim siab cirrhosis, gastritis, plab ulcers.
- Immunoallergic. Qhov no yog suav tias yog lub ntsiab. Kev ua tsis tiav ntawm lub cev tiv thaiv kab mob ua rau txhua yam kab mob, suav nrog lichen planus.
- Mechanical. Lub hom phiaj tshiab ntawm o yooj yim tshwm sim nrog kev puas tsuaj rau lub dermis los yog mucous daim nyias nyias: txhuam cov khaub ncaws, hniav nyiaj hniav kub, puas tsuaj rau hniav hniav, tom lub puab tsaig.
Kev kuaj mob ntawm Wilson's disease
Kev kuaj mob ntawm lichen planus yog raws li:
- tham nrog tus neeg mob;
- kev tshuaj xyuas pom. Feem ntau, tus kws kho mob tuaj yeem kuaj tau yooj yim raws li daim duab kho mob thiab tus neeg mob cov lus tsis txaus siab.
Nyob rau hauv qhov teeb meem tsis ntseeg tau teem tseg:
- kev tshuaj ntsuam dav dav ntawm cov ntshav thiab zis - nrog lichen liab, yuav tsum tsis muaj qhov txawv txav hauv cov zis thiab ntshav, tshwj tsis yog ESR thiab nce hauv leukocytes;
- ntshav biochemistry;
- kev sab laj ntawm gynecologist, kws kho mob, kws kho hniav;
- tsom xam rau kev kuaj ntshav - lub dermis raug coj los ntawm thaj chaw cuam tshuam thiab ua tiavKev tshawb fawb histological.
Tom qab kev tshawb fawb thiab kev cais tawm ntawm tus mob syphilis, psoriasis thiab lupus erythematosus, qhov kev kuaj mob zaum kawg tau tsim, raws li kev kho mob ntawm lichen planus.
Kev Kho Mob ntawm Wilson's disease
Tus neeg mob uas muaj kev txaus siab tsis tas yuav mus pw hauv tsev kho mob, kev kho mob yog ua raws li tus neeg mob sab nraud. Cov chav kawm ntawm kev kho mob yog sau rau hauv tus account daim ntawv ntawm lichen, tab sis yuav tsum muaj xws li:
- Sedatives, antidepressants, tranquilizers. Nrog lawv pab, normalize cov kev ua ntawm lub paj hlwb.
- Vitamin complexes - lub cev xav tau cov vitamins ntawm pawg B, PP, C, E, A, calcium thiab nicotinic acid. Kev kho cov tshuaj vitamin yog ua tiav rau rau caum hnub.
- tshuaj Corticosteroid - lawv feem ntau ua lub luag haujlwm tseem ceeb hauv kev kho lichen planus. Txhawm rau kom tsis txhob muaj kev phiv, tus kws kho mob tuaj koom yuav tsum xaiv cov kev kho mob thiab ntau npaum li cas. Cov tshuaj hormonal raug sau ua ke nrog cov tshuaj uas muaj potassium, calcium thiab multivitamin. Tsis tas li ntawd, kev noj zaub mov tsawg tsawg yog qhia.
- "Histaglobulin" - siv rau hauv kev txhaj tshuaj es tsis txhob siv cov tshuaj corticosteroids, coj mus rau hauv tus account tus yam ntxwv ntawm ib tug neeg.
- Hormonal ointments - siv rau kev siv sab nraud: Sinaflan, Fluorocort, Flucinar. Lawv txo qhov khaus thiab khaus, thiab siv rau cov pob khaus uas nyob thaj tsam ntawm daim tawv nqaij.
Kev noj tshuaj hormonal yuav tsum nyob rau hauv kev saib xyuas ntawm tus kws kho mob. Ua taucov kev mob tshwm sim, yog li cov kev kho mob tau ua luv luv thiab saib xyuas cov kev hloov pauv hauv cov ntshav siab thiab cov ntshav. Lichen planus nyob rau hauv lub qhov ncauj kab noj hniav ntawm erosive-ulcerative daim ntawv yog kho los ntawm chipping nrog ib tug hydrocortisone ncua kev kawm ntawv.
Txhawm rau tshem tawm cov tsos mob ntawm tus kab mob lichen, cov tshuaj siv los ua kom cov pa oxygen mus rau cov ntaub so ntswg.
kho lub cev
Qhov cuam tshuam ntawm lub cev yam ntawm qhov tshwm sim ntawm lichen erythematosus ua rau muaj txiaj ntsig ntawm kev kho tshuaj.
- PUVA txoj kev kho yog kev sib xyaw ua ke ntawm cov dermis ntawm cov tshuaj ntawm cov hauv paus chiv keeb: psoralens (P) thiab ultraviolet rays (UVA).
- Inductothermy - raws li kev siv cov hlau nplaum ntau zaus. Cov txheej txheem yog nqa tawm ntawm thaj tsam lumbar. Raws li qhov tshwm sim, adrenal cortex tsim cov tshuaj hormones glucocorticoid.
- Reflexotherapy - hauv kev kho mob ntawm lichen planus tshem tawm cov tsos mob xws li hlawv thiab khaus.
- Diadynamic therapy - kev kho lub plawv, nrog kev pab ntawm cov dej ntws ntawm ntau zaus, o, liab thiab khaus.
- Magnetotherapy - raug rau qhov chaw sib nqus mus ncig yuav pab ua kom lub paj hlwb zoo, txo qhov khaus.
- Electro pw tsaug zog kho - txo qis excitability, muaj cov nyhuv analgesic.
- Electrophoresis - ua rau thaj chaw cuam tshuam siv tshuaj "Hydrocortisone".
- Phonophoresis - muaj cov nyhuv kho mob thiab ultrasonic.
- Ozokerite daim ntawv thov -pab kom so, muaj kev tiv thaiv kab mob.
Kev kho mob ntawm lichen planus nrog pej xeem tshuaj
Rau kev kho ntau yam kab mob, lawv siv cov tshuaj pej xeem, cov zaub mov uas tau sim sijhawm. Cov kev kho mob hauv qab no yog tsim nyog los pab kho mob thiab kho lub cev:
- Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws. Cov khoom siv raw no yog siv rau kev npaj tshuaj pleev. Ua li no, ua kom muaj zog decoction thiab sib tov nrog roj av jelly. Papules raug smeared nrog cov tshuaj uas tshwm sim ib hnub ib zaug.
- Sea buckthorn roj. Nws yog siv rau qhov chaw cuam tshuam hauv daim ntawv thov. Cov roj tau pom dav siv nyob rau hauv kev kho mob ntawm mucous daim nyias nyias. Yuav siv qhov ncauj, ntawm plab khoob, ib teaspoon txhua hnub.
- calendula. Txhawm rau npaj cov infusion, noj ib tablespoon ntawm raw cov ntaub ntawv thiab ncuav ib khob ntawm boiling dej. Siv rau cov tshuaj pleev ib ce.
- Txoj hlua thiab chamomile. Txhua yam tshuaj yog noj nyob rau hauv sib npaug zos npaum li cas ntawm 100 g, ncuav rau hauv ib lub thoob dej, coj mus rau ib tug boil thiab tom qab peb feeb tshem tawm los ntawm tshav kub. Infuse rau ib nrab ib teev, lim thiab ntxiv rau da dej rau da dej.
Ua ntej koj pib siv cov tshuaj pej xeem, koj yuav tsum sab laj nrog koj tus kws kho mob.
Kev noj qab haus huv
Hauv kev kho mob ntawm lichen planus, cov txheej txheem ntsuas yuav tsum tau ua, uas cov zaub mov tsis yog qhov kawg. Cov pluas noj yuav tsum muab faib ua ntu zus.
khoom pom zoo:
- nqaij npua;
- zaub;
- ntsuab(parsley, dill, lettuce);
- porridge (mov, buckwheat, oatmeal, pob kws);
- fermented mis nyuj khoom;
- dej ntxhia tsis muaj roj.
Cov zaub mov hauv qab no tsis pom zoo rau tus kab mob no:
- cawv;
- smoked nqaij;
- ntses ntses thiab nqaij;
- cov kua txiv hmab txiv ntoo;
- spicy seasonings;
- sweets;
- khoom noj kaus poom;
- coffee;
- pickles;
- dej qab zib.
Lub hom phiaj tseem ceeb ntawm kev noj haus yog muab cov khoom noj kom zoo uas pab lub cev tiv thaiv kab mob.
Koj puas tuaj yeem mob Wilson?
Puas yog lichen planus kis tau lossis tsis? Tsis muaj ib lo lus teb. Qee qhov sib cav tias tus kab mob no tsis kis tau, yog li nws tsis tuaj yeem kis los ntawm tus neeg mob mus rau tus neeg noj qab haus huv. Lwm tus hais tias nrog kev sib cuag ntev thiab nyob ze yuav muaj feem me me ntawm kev kis tus kab mob. Qhov no tshwm sim thaum muaj cov caj ces predisposition thiab lub cev tsis muaj zog. Xaus - txhua tus txiav txim siab rau nws tus kheej yuav coj tus cwj pwm li cas nrog tus neeg mob uas muaj tus kab mob no.
Tseem siv tshuaj pleev rau kev kho mob pathology
Rau cov tshuaj pleev ib ce, cov tshuaj pleev lichen planus feem ntau siv. Lawv tau siv los ua tus neeg sawv cev ywj pheej thiab ua ke nrog cov kev daws teeb meem thiab ntau yam sib xyaw uas muaj citric acid, menthol, anestezin. Nrog rau khaus hnyav, cov tshuaj uas muaj cov tshuaj antihistamine raug sau tseg. Txhawm rau exfoliate ntawm daim tawv nqaij, salicylic tshuaj pleev yog sau. Nws pab txo qhov mobthiab ntxiv dag zog rau phab ntsa ntawm cov hlab ntsha me. Papules soften, puffiness txo, thiab noj qab nyob zoo hlwb tsim nyob rau hauv qhov chaw ntawm keratinized nto.
Cov tshuaj pleev yog siv rau qhov chaw puas thiab siv ntaub qhwv, tom qab ib hnub nws hloov. Cov kev kho mob txuas ntxiv mus txog nees nkaum hnub. Rau papules uas nyob rau hauv ib lub xeev combed, Solcoseryl ointment yog siv. Nws muab cov ntaub so ntswg nrog qabzib thiab oxygen, tiv thaiv cov tsos ntawm erosions thiab rwj. Thov txog li ob lub lis piam. Cov tshuaj pleev los yog gel "Fenistil" muaj cov nyhuv analgesic thiab antipruritic. Nws muaj ib tug ntxiv dag zog rau capillaries, relieves mob. Tus neeg sawv cev tau thov txog plaub zaug hauv ib hnub. Cov nyhuv tshwm sim tom qab 20 feeb. Txhua cov tshuaj pleev ua kom tiav nws lub luag haujlwm thiab muab kev pab los ntawm kev kho qhov puas ntawm daim tawv nqaij.
Kev kho mob zoo tshaj plaws rau lichen planus ntawm qhov ncauj mucosa
Tus kab mob no mob ntev thiab feem ntau rov tshwm sim dua, yog li nws yog ib qho teeb meem nyuaj rau cov kws kho hniav. Cov kws tshawb fawb thiab kws kho hniav txiav txim siab siv txoj kev kho mob kom tsim nyog tshaj plaws. Nws ib txhij cuam tshuam cov tsos mob ntawm tus kab mob, cov txheej txheem physiological hauv lub cev thiab suav nrog cov haujlwm hauv qab no:
- Kev tu lub qhov ncauj tag nrho thiab cov lus qhia ntawm nws txoj kev saib xyuas, kev noj zaub mov kom tiav, tsis suav nrog zaub mov khaus, cawv.
- Rau kev kho tshuaj hauv zos, cov tshuaj raug muab tshuaj nyob ntawm tus kab mob. Rau kev kho mob siv: antimicrobial, analgesic, tshuaj tua kab mob, tshuaj tua kab mob. NtawmHauv chaw kho mob hnyav, cov tshuaj corticosteroid raug siv los nti tawm qhov chaw puas.
- Rau kev kho dav dav, vitamin complexes, neurotropic, tshuaj tua kab mob thiab sedative, corticosteroids, tshuaj tua kab mob, immunomodulators thiab cytostatics raug pom zoo.
- Kev siv lub cev - galvanization, phonophoresis, laser acupuncture.
Thaum siv tag nrho cov kev ntsuas no thiab los ntawm kev sib txuas cov tshuaj ib txwm siv, tus neeg mob tau txais kev kho mob zoo tshaj plaws rau lichen planus, tom qab ntawd kev pab cuam los.
Kev Tiv Thaiv
Yuav ua raws li kev tiv thaiv, ua raws li cov cai yooj yim:
- ua neej noj qab nyob zoo;
- muaj kev tawm dag zog txhua hnub;
- ua kom lub cev tawv tsis tu ncua;
- zam cov xwm txheej ntxhov siab tom haujlwm thiab tom tsev yog tias ua tau;
- hnav khaub ncaws zoo;
- ua tib zoo saib xyuas qhov ncauj;
- muaj khoom noj kom raug;
- muab tus cwj pwm phem;
- raug mus kuaj mob tiv thaiv.
Lichen planus yog ib yam kab mob hnyav heev, nws ua rau muaj kev cuam tshuam ntau heev, tab sis nrog sijhawm mus ntsib kws kho mob thiab kho kom raug, nws muaj qhov pom zoo.
Zoo kawg
Wilson tus kab mob, feem ntau mob ntev, tshwm sim nrog cov pob liab liab thiab khaus khaus hnyav. Cov neeg ntawm txhua lub hnub nyoog raug rau nws, tab sis feem ntau cov poj niam sawv cev los ntawm40 mus rau 60 xyoo. Nrog kev xaiv kev kho kom zoo thiab kho raws sijhawm, cov pob khaus ploj tom qab ob lub hlis, thiab cov xim pigment ntawm daim tawv nqaij, lawv ploj tom qab ib ntus. Qee cov ntaub ntawv nyuaj rau kev kho, thiab cov txheej txheem ulcerative ntev ntawm cov mucous membranes tuaj yeem degenerate mus rau hauv cov qog malignant. Raws li International Classifier of Diseases, cov cai dav dav rau lichen planus ICD-10 / L43 tau raug muab, qhov zaus ntawm kev tsim yog li ntawm ib feem pua ntawm tag nrho cov kab mob ntawm daim tawv nqaij. Txhawm rau tiv thaiv qhov tshwm sim, thawj cov tsos mob ntawm tus kab mob, koj yuav tsum hu rau tus kws kho mob hauv zos tam sim ntawd, leej twg yuav xa koj mus rau tus kws kho mob tshwj xeeb.
