Kab mob ntawm daim tawv nqaij npog yog ib pawg cais - dermatological pathologies. Muaj ntau ntau yam. Kev kuaj pom tseeb ntawm cov kab mob dermatological yog qhov tseem ceeb rau kev xaiv cov kev kho mob txaus. Ib qho ntawm thawj txoj hauv kev yog kev kuaj lub cev. Nws pib nrog kev ntsuam xyuas ntawm daim tawv nqaij thiab kuaj xyuas cov tsos mob ntawm tus yam ntxwv. Raws li cov ntaub ntawv no, cov kab mob zoo sib xws tuaj yeem sib txawv ntawm ib leeg. Ib qho ntawm feem ntau tshwm sim ntawm dermatological pathologies yog Nikolsky cov tsos mob. Feem ntau, nws tshwm sim hauv ntau hom pemphigus.
Nikolsky tus tsos mob - yog dab tsi?
Qhov kev tshwm sim ntawm cov kab mob dermatological tau paub txij li thaum xaus ntawm lub xyoo pua 19th. Nikolsky cov tsos mob muaj nyob rau hauv pemphigus, tab sis kuj tuaj yeem tshwm sim hauv lwm yam kab mob. Nws muaj nyob rau hauv detachment ntawm daim tawv nqaij nyob rau hauv tus ntawm kev sib txhuam. Qhov no yog vim cov txheej txheem ntawm acantholysis. Lub sij hawm kho mob no qhia txog kev hloov pauv ntawm cov txheej txheem prickly ntawm lub epidermis, vim qhov kev cuam tshuam ntawm kev sib txuas lus intercellular. Cov tsos mob Nikolsky yuav tsum tau kuaj xyuas ob qho tib si ntawm daim tawv nqaij thiab raumucous daim nyias nyias. Feem ntau nws tuaj yeem pom hauv qhov ncauj kab noj hniav. Qhov no yog vim qhov tseeb tias qee hom pemphigus pib tsim los ntawm cov pos hniav thiab sab hauv ntawm daim di ncauj.
Cov tsos mob no tshwm sim dab tsi?
Nws yuav tsum tau muab sau tseg tias cov tsos mob ntawm Nikolsky nyob rau hauv pemphigus tsis yog ib txwm pom. Tus kab mob no muaj ntau hom. Feem ntau ntawm cov ntau yam ntawm pemphigus yog nrog acantholysis. Nyob rau tib lub sijhawm, qhov zoo sib txawv ntawm Nikolsky cov tsos mob tau sau tseg. Muaj cov kab mob hauv qab no:
- Vulgar pemphigus. Cov kab mob no feem ntau cuam tshuam rau cov poj niam hnub nyoog 40 txog 60 xyoo. Hauv qhov no, kev ua txhaum ntawm qhov ncauj mucosa raug pom. Cov npuas tshwm rau ntawm cov pos hniav, tus nplaig, lub puab tsaig. Tom qab qhib lawv, kev yaig tseem nyob.
- Vegetative pemphigus. Hom no txawv ntawm qhov ntawd, ntxiv rau qhov ncauj kab noj hniav, thaj chaw ntawm daim tawv nqaij raug cuam tshuam. Feem ntau cov no yog inguinal folds, armpits, anus, umbilical nplhaib. Cov npuas muaj nyob ntau dua thiab muaj qhov me me. Tus kab mob no tsis tshua muaj.
- YPemphigus foliaceus. Nws muaj qhov pib tshwm sim sai thiab kev loj hlob sai. Npuas yog nyob ntawm thaj chaw plaub ntawm lub cev, lub taub hau. Tom qab qhib lawv, nyias crusts nyob twj ywm (reminiscent ntawm daim tawv nqaij).
Txhua hom pemphigus yog cov ntawv acantholytic. Nikolsky cov tsos mob nrog lawv yog qhov zoo. Nws tsis zoo rau lwm hom kab mob.
Kev kuaj mob ntawm Nikolsky tus tsos mob
Muaj 3 txoj hauv kev uas Nikolsky cov tsos mob tuaj yeem kuaj tau nrog pemphigus (cov duab ntawm tus kab mob tau nthuav tawm hauv tsab xov xwm). Hauv thawj kis, tus kws kho mob rub lub hau ntawm lub zais zis nrog tweezers. Nyob rau tib lub sijhawm, daim tawv nqaij noj qab nyob zoo yog los ntawm daim ntawv ribbon. Qhov thib ob txoj kev yog rub lub epidermis ntawm cov npuas. Nyob rau tib lub sijhawm, daim tawv nqaij, uas zoo li noj qab nyob zoo, kuj pib tsis lees paub. Hauv qhov thib peb, tus kws kho mob ua rau zawv zawg txav hauv thaj chaw deb ntawm cov npuas. Nyob rau hauv cov chaw no, lub epidermis yog yooj yim puas, tawm hauv erosive nto.
