Tau txais kev hloov pauv thiab senile keratosis (keratoma) yog hom kab mob uas tsis yog mob uas kis rau tus neeg mob daim tawv nqaij. Cov kab mob zoo li no raug xa mus rau qhov teeb meem tshuaj pleev ib ce loj uas ua rau cov tawv nqaij puas tsuaj thiab cuam tshuam rau tag nrho cov tsos ntawm tus neeg. Qhov zoo ntawm qhov loj thaum lub sijhawm keratosis tuaj yeem hloov pauv sai sai rau malignant.
Kev txhais ntawm keratosis
Daim tawv nqaij keratosis yog ib qho kev sau ntawm txhua yam kab mob dermatological uas txawv los ntawm lawv qhov tsis muaj mob. Tus kab mob ua rau cov tsos ntawm ib lub pob liab liab nyob rau saum npoo ntawm daim tawv nqaij, ua rau kom qeeb ntawm cov txheej txheem ntawm exfoliation ntawm daim tawv nqaij. Daim duab ntawm senile keratosis ntawm daim tawv nqaij thiab kev kho mob yog nthuav tawm hauv qab no.
Nrog kev loj hlob ntawm cov hlwb tawv, cov kab mob no tuaj yeem ua rau cov tsos mob tsis zoo, tsim cov kab nrib pleb, rwj nrog los ntshav, hlawv thiab muaj zog.khaus. Cov laj thawj tseem ceeb ntawm keratosis suav nrog cov hauv qab no:
- hnub nyoog-txog kev hloov pauv hauv tib neeg lub cev, uas ua rau pom cov tsos mob ntawm qhov txhab;
- kab mob sib kis;
- teeb meem nrog kev ua haujlwm ntawm lub paj hlwb;
- cuam tshuam hauv kev ua haujlwm ntawm endocrine system;
- tsis muaj cov kab muaj txiaj ntsig thiab cov vitamins hauv lub cev;
- mob qog noj ntshav ntawm lub cev hauv tib neeg;
- ntau hom kev cuam tshuam sab nraud: cov tshuaj lom neeg, kev cuam tshuam ntawm cov neeg kho tshuab thiab ultraviolet.
Ntau yam tseem ceeb thiab cov ntaub ntawv ntawm qhov txhab
Hereditary keratosis tuaj yeem ua cov ntaub ntawv hauv qab no:
- Ichthyosis - teeb meem nrog tawv tawv. Lub xeev no ib txwm tshwm sim nws tus kheej hauv ntau txoj kev - los ntawm me ntsis tev mus rau kev loj hlob ntawm cov nplai ntawm daim tawv nqaij.
- Follicular keratosis - ib qho mob tshwm sim hauv cov hauv paus plaub hau, thaum lawv cov cork hardens thiab cov plaub hau tsis loj hlob ib txwm.
- Keratoderma ntawm pob taws thiab xib teg - kis symmetrically hauv stratum corneum thiab tawv nqaij.
- Mibelli's porokeratosis - tsim ntawm grey nodes ntawm daim tawv nqaij nrog lub khob hliav qab.
- Congenital polykeratosis - suav nrog ntau hom keratosis uas tuaj yeem ua teeb meem nrog kev ua haujlwm ntawm lub paj hlwb thiab lwm yam kab mob.
Daim ntawv tau txais ntawm keratosis tau muab faib ua:
- kis tau - tshwm sim tawm tsam keeb kwm ntawm ntau yam kab mob sib deev, nrogpulmonary tuberculosis;
- symptomatic - tshwm sim nrog teeb meem nrog cov kab mob endocrine thiab lwm yam teeb meem hauv kev ua haujlwm ntawm lub paj hlwb hauv nruab nrab;
- para-oncological - nrog rau ntau yam kab mob ntawm lub cev ntawm cov xwm txheej phem;
- kev tshaj lij - tshwm sim thaum lub cev raug rau cov khoom siv tshuab, tshuaj lom neeg thiab cov khoom siv rov ua haujlwm;
- mechanical - ntau tus calluses tshwm ntawm ob txhais tes thiab ko taw;
- vitamin - tshwm sim thaum tib neeg lub cev tsis muaj cov vitamins-splitting.
senile keratosis ntawm daim tawv nqaij tau muab faib ua hom hauv qab no:
- Txog Hnub nyoog - tshwm sim thaum pib ntawm cov hnub nyoog tseem ceeb ntawm kev hloov pauv hauv lub cev uas pib tawm tsam keeb kwm ntawm kev laus, suav nrog teeb meem nrog kev ua haujlwm ntawm cov qog sebaceous.
- Actinic - piav qhia los ntawm kev nthuav dav rau lub teeb ultraviolet.
- Seborrheic daim ntawv - ntawm daim tawv nqaij ntawm ib tug neeg muaj ntau yam formations uas zoo ib yam li moles thiab warts. Lawv tuaj yeem yog ntau hom: hnub nyoog me ntsis, moles, ntau yam tsim. Cov moles tuaj yeem tshwm sim ntawm txhua qhov ntawm lub cev, tsis suav nrog xib teg thiab ko taw.
Kev phom sij ntawm kev rov qab los ntawm tus kab mob
daim tawv nqaij keratosis thiab mob qog noj ntshav ncaj qha rau ib leeg. Keratomas yog los ntawm lawv qhov xwm txheej zoo, tab sis qee zaum lawv degenerate rau hauv daim ntawv malignant. Neoplasms ntawm hom no yog qhov nyuaj heev kom paub qhov txawv. Nws yuav luag tsis tuaj yeem kuaj pom mob qog noj ntshav lossis keratosis hauv tus neeg nrog txoj kev pom.
Rau qhov no, siv cov tshuaj histological, uas pab txiav txim seb hom keratoma. Ib qho keratosis feem ntau yuav qhia tau tias muaj mob qog noj ntshav hauv lub cev ntawm tus neeg. Raws li kev txheeb cais, tawm ntawm 9 txhiab tus neeg mob nrog keratoma, 900 tau kuaj pom tias mob qog noj ntshav. Daim duab ntawm senile keratosis ntawm daim tawv nqaij tuaj yeem pom hauv qab no.
Symptoms of disease
Cov cim feem ntau ntawm senile keratosis (los yog senile keratoma) yog ib qho loj uas tshwm sim ntawm qhov chaw ntawm lub cev, xws li nraub qaum, hauv siab, thiab hauv pliaj. Qee qhov xwm txheej, cov txheej txheem kuj txuas mus rau caj dab, taub hau thiab tes. Hauv qhov loj me, xws li lub foob tuaj yeem sib txawv ntawm 1 millimeter mus rau ob peb centimeters.
Ntau zaus, cov neoplasm yog qhov txawv ntawm nws cov duab puag ncig thiab tsis muaj cov lus hais. Cov pob khaus ntawm daim tawv nqaij tuaj yeem yog xim liab thiab daj rau xim av tsaus thiab dub. Lawv kuj muaj ib tug ntxhib nto nyob rau hauv zaj duab xis, nrog rau lub cev muaj zog, cov ntshav pib los ntawm nws. Thaum cov zaj duab xis yog compacted, cov npoo ntawm keratoma hloov mus rau ib qho tsis xwm yeem.
Cov teeb meem tseem ceeb
Kev kho mob ntawm senile keratosis ntawm daim tawv nqaij tuaj yeem siv sijhawm ntev heev. Ib hom kab mob zoo li no tuaj yeem ua rau muaj kev phom sij txaus ntshai uas cuam tshuam rau tib neeg lub neej.
Cov teeb meem feem ntau suav nrog:
- Rebirth rau ib daim ntawv malignant. Lub keratoma tuaj yeem hloov mus rau qhov xwm txheej phem, ua rau muaj kev phom sij rau lub neejkev tshwm sim.
- Teeb meem nrog endocrine system.
- Pib mob hniav. Cov teeb meem zoo li no tuaj yeem tshwm sim nrog ib daim ntawv ntawm polykeratosis.
- Microbial eczema yog txheej txheem inflammatory hauv daim tawv nqaij.
ntsuas ntsuas
Txhawm rau txiav txim siab daim ntawv ntawm tus kab mob thiab sau ntawv kho kom zoo thiab muaj txiaj ntsig, koj yuav tsum siv cov kev kuaj mob hauv qab no:
- Cia li kuaj nrog kws kho hniav. Tus kws kho mob yuav kuaj xyuas tus neeg mob sab nraud, ntsuas qhov dav ntawm daim tawv nqaij.
- Histological kuaj. Nws yog ib qho tseem ceeb uas yuav tau ua qhov kev tshawb fawb no yog tias xav tias malignant degeneration ntawm cov qog thiab ua ntej kev phais.
- Dermatoscopy - kuaj ntawm daim tawv nqaij nrog cov cuab yeej tshwj xeeb uas muaj peev xwm nce ntxiv.
- Biopsy - sau cov neeg mob biomaterial los ntawm ib feem ntawm lub cev los txiav txim seb tus kab mob.
- kuaj ultrasound - txheeb xyuas qhov hnyav thiab tag nrho qhov tob ntawm qhov txhab.
Tshuaj thiab Khoom Noj
Yog tias ib tus neeg muaj kev pheej hmoo ntawm kev hloov pauv keratosis mus rau cov qog nqaij hlav cancer, cov neeg mob tau muab cov tshuaj cytostatic uas inhibit qhov kev muaj peev xwm ntawm cov qog nqaij hlav cancer, nrog rau cov tshuaj tua kab mob uas yuav pab tiv thaiv kev kis tus kabmob thib ob.. Tsis tas li ntawd, cov tshuaj pleev thiab cov tshuaj pleev yuav tsum tau siv uas muab cov khoom emollient thiab exfoliating - Diclofenac, Solcoderm thiab fluorouracil ointment.
Tsis tas li, cov neeg mob yuav tsum ua raws li kev noj zaub mov tshwj xeeb uas yuav muaj ntau cov zaub mov nrog cov vitamins A, B thiab C hauv cov ntsiab lus, nrog rau cov rog. Txhawm rau saib xyuas cov dej sib npaug hauv tib neeg lub cev thiab muab cov tawv nqaij nrog cov dej noo ib txwm, nws yog ib qho tseem ceeb kom ua raws li kev haus dej kom raug.
Txoj kev tshem tawm kev kawm:
- Cryodestruction. Thaum lub sij hawm tus txheej txheem, cov kab mob ntawm lub cev yog khov nrog kua nitrogen. Cov txheej txheem no siv tau rau ib leeg keratomas.
- Kev tshem tawm los ntawm laser. Cov chaw mob raug tshem tawm nrog lub teeb laser.
- Electrocoagulation. Cov txheej txheem raug tshem tawm nrog electrocautery. Qhov zoo tshaj plaws siv rau me me formations.
- Photodynamic kho mob. Txoj kev no suav nrog kev siv cov tshuaj tua kab mob thiab kis ntawm thaj chaw cuam tshuam rau lub teeb nthwv dej, uas ua rau muaj kev sib kis ntawm cov ntaub so ntswg necrosis.
- Kev kho mob. Txoj kev no yog siv rau follicular keratosis. Hauv qhov no, lub hnab nrog cov hauv paus plaub hau raug muab tshem tawm.
- Kev phais. Nws yog siv rau qhov mob loj heev, nrog rau kev tshem tawm cov ntaub so ntswg uas nyob ib sab uas muaj kev pheej hmoo ntawm kev hloov mus rau qib malignant.
- Tshuaj tua kab mob. Trichloroacetic acid yog siv rau hauv qhov kev kho mob no.
Kev kho mob hauv tsev
Kev kho mob keratosis nrog thaj tsam me me ntawm qhov txhab hauv tsev tsuas yog ua tau tom qab kev sab laj nrog kws kho hniav. Cov neeg nyiam tshaj plaws hauv kev kho mob ntawm senile keratosis ntawm lub qhov ntswg thiab lwm qhov ntawm lub ntsej muagyog aloe. Txhawm rau tshem tawm cov neoplasm, koj yuav tsum rub cov kua txiv hmab txiv ntoo ntawm cov kab lis kev cai thiab muab cov ntaub qhwv nrog cov nplooj chilled, uas yuav pab tshem tawm cov tsos mob tsis zoo ntawm tus kab mob.
Walnut kuj tseem siv rau hauv kev kho mob, uas ua rau txo qis kev loj hlob ntawm neoplasms. Celandine kua txiv yuav pab txo lawv qhov loj me. Yog hais tias ib tug neeg muaj qhov tsis kaj siab kub hnyiab, ces qhov kev kho mob zoo tuaj yeem ua tiav nrog kev pab ntawm da dej nrog tshuaj ntsuab.
Lwm yam zaub mov txawv teb chaws
Ua ntej kho keratosis hauv tsev, koj yuav tsum mus ntsib kws kho mob uas yuav pab txiav txim qhov kev loj hlob ntawm cov qog nqaij hlav cancer. Propolis yuav tsum tau siv los tshem tawm focal keratosis nrog pej xeem tshuaj. Ua li no, ib txheej nyias ntawm propolis yog siv rau lub qog tsim, npog nrog gauze thiab sab laug rau ob peb hnub. Tom qab ntawd, koj yuav tsum hloov kho cov txheej txheem propolis thiab siv cov ntaub so ntswg tshiab. Cov txheej txheem yuav tsum rov ua dua peb zaug.
Lwm txoj kev kho zoo rau keratosis yog dos tev. Ua li no, noj 4 tablespoons ntawm husk thiab yaug nrog dej kub. Qhuav lub husk, tso rau hauv ib lub tais opaque thiab ncuav 250 milliliters ntawm vinegar. Cov sib tov tiav yog infused rau 14 hnub. Cov khoom tiav yuav tsum tau lim thiab siv rau thaj chaw muaj kab mob ntawm lub cev rau peb caug feeb. Lub sijhawm dhau mus, cov txheej txheem yuav tsum tau nqa mus txog 3 teev.
ntsuas kev tiv thaiv yooj yim
Taukom tsis txhob muaj kev loj hlob ntawm tus kab mob, nws yog ib qho tseem ceeb uas yuav tsum ua raws li qee cov cai. Lub hnub rays cuam tshuam rau tib neeg cov tawv nqaij, yog li nws yog ib qho tseem ceeb kom tsis txhob nyob hauv lub hnub ntev (sunbathing thaum sawv ntxov los yog yav tsaus ntuj), siv cov tshuaj tiv thaiv yam tsis tau poob, thiab tiv thaiv cov tawv nqaij. Nws tseem yog ib qho tseem ceeb kom kuaj cov tawv nqaij kom pom muaj qhov muaj kev tsim kom raws sijhawm, tab sis nws yog ib qho loj me los txiav txim siab lawv qhov loj me, cov duab thiab ntxoov ntxoo.
Tiv thaiv qhov chaw ntawm daim tawv nqaij, cov kws tshaj lij qhia kom tsis kam siv cov tshuaj pleev ib ce, uas muaj cov tshuaj lom neeg hnyav. Koj yuav tsum xaiv cov khaub ncaws zoo, ris tsho hauv qab thiab khau kom tsis muaj ib qho ntawm cov khoom wardrobe cuam tshuam kev txav los yog rub. Txij li thaum tus cwj pwm tsis zoo, txoj kev ua neej tsis zoo tuaj yeem ua rau cov tsos mob ntawm keratoma, nws yog ib qho tseem ceeb uas yuav tau hloov koj tus cwj pwm rau kev noj haus thiab rov xav txog koj txoj kev xav ntawm lub neej.
hom kab mob senile keratosis
Nyob ntawm tus qauv kev kawm, cov kws kho mob faib ntau hom. Cov kws tshaj lij los ntawm lwm lub teb chaws paub qhov txawv ntawm 6 hom kab mob hauv qab no:
- acantholytic tsos - yam ntxwv kev puas tsuaj ntawm prickly txheej ntawm daim tawv nqaij;
- hom reticular lossis adenoid - thaum cov qog ntawm daim tawv nqaij nce;
- papillomatous lossis hyperkeratotic hom - txhim kho cov txheej txheem ntawm exfoliation ntawm txheej txheej sab saud ntawm daim tawv nqaij;
- clonal type - ua rau pom ntau lub hlwb tshiab ntawm cov txheej txheem ntawm daim tawv nqaijcover;
- hom mob - provokes cov tsos ntawm cov txheej txheem inflammatory;
- hom khaus - keratomas tshwm sim ntawm daim tawv nqaij.
Ntxiv rau hom kev tsim tawm saum toj no, kuj tseem muaj 2 ntau hom keratomas: adamantoid, uas muaj ntau cov mucin accumulates nyob rau hauv intercellular qhov chaw, thiab keratomas los ntawm hom, thaum lub hlwb ntawm lub basal. txheej kab nyob rau hauv tib qhov kev txiav txim.
Vim txoj kev loj hlob
Qhov ua rau ntawm kev tsim ntawm senile keratomas tsis to taub tag nrho. Cov mob no yog tus cwj pwm los ntawm qhov sib npaug ntawm tus kab mob. Keratomas yog tsim los ntawm kev muaj zog insolation, nkag mus rau tus kab mob kis mus rau hauv lub cev, muaj teeb meem nrog lub xeev ntawm kev tiv thaiv kab mob. Cov kab mob caj ces ntawm txoj kev loj hlob ntawm senile keratosis ntawm daim tawv nqaij kuj tshwm sim, uas yog, lawv tuaj yeem tshwm sim los ntawm cov kab mob hauv kev loj hlob ntawm tus kab mob.
Hauv kev kho mob, txhua daim ntawv ntawm keratoma yog suav tias yog cov txheej txheem ua ntej thiab yuav tsum tau saib xyuas thiab tswj los ntawm kws kho mob. Qhov no tuaj yeem piav qhia: kab mob qog noj ntshav feem ntau zoo li senile keratomas thiab tuaj yeem tsim ntawm qhov txwv ntawm neoplasm, masquerading li cov ntaub so ntswg. Kev pheej hmoo ntawm kev hloov pauv ntawm keratoma rau hauv daim ntawv malignant yog tsawg heev.
Cov tsos mob ntawm ntau tus kab mob keratomas ntawm tib neeg lub cev tuaj yeem qhia tias muaj cov txheej txheem qog nqaij hlav hauv lub cev - Leser-Trela syndrome.
Zoo kawg
Qhov kev pheej hmoo ntawm kev hloov pauv ntawm senile keratoma mus rau hauv cov qog nqaij hlav yog tsawg. Tseem ceeb ntawm nws tus kheej lossis nyob rau hauv kev saib xyuas ntawm tus kws tshaj lij ua tib zoosaib xyuas cov xwm txheej ntawm neoplasm. Muaj tsawg zaus, keratomas ploj mus ntawm lawv tus kheej, tom qab tshem tawm, qhov caws pliav me me yuav nyob twj ywm.
