Pityriasis versicolor yog daim tawv nqaij ntawm qhov tsis paub keeb kwm, suav tias yog kab mob kis. Tus kab mob no manifests nws tus kheej nyob rau hauv daim ntawv ntawm cov yam ntxwv patchy pob khaus, thiab nyob rau hauv thawj theem nws muaj peev xwm sawv cev los ntawm ib tug nkaus xwb (niam txiv) chaw.
Hauv kev kho mob dermatology, tus kab mob no tseem hu ua roseola scaly, pitiriasis rosea, lossis tsuas yog Gibert's lichen rosea (daim duab).
zoo li cas?
Ib yam kab mob ntawm daim tawv nqaij zoo sib xws tshwm sim nyob rau hauv daim ntawv ntawm ntau oval-puab me ntsis thiab ci xim liab, uas yog nyob rau hauv ib cheeb tsam, raws li txoj cai, ntawm daim tawv nqaij ntawm lub cev thiab sab. Qhov ua rau ntawm pitiriasis yog tam sim no tsis paub. Qee cov kws tshawb fawb tau tso ntau qhov kev xav rau qhov tshwm sim ntawm liab lichen, txawm li cas los xij, tsis muaj leej twg piav qhia txog keeb kwm ntawm pathology. Txawm li cas los xij, nws tau tsim zoo tias qhov ua rau tus kab mob no tsis yog ntau yam kab mob fungal.
Kev soj ntsuam qhia tias Gibera liab lichen hauv tib neeg tshwm sim feem ntau tawm tsam keeb kwm yav dhautxias nyob rau lub caij nplooj zeeg los yog caij nplooj ntoos hlav.
Kev ua txhaum cai yog qhov tshwm sim hauv qhov xwm txheej, uas yog, nws yog lub cev cov tshuaj tiv thaiv rau kev cuam tshuam ntawm qee yam sab hauv lossis sab nraud, nrog rau kev kis tus kabmob kis tus kabmob tsis paub txog kev kho mob science.
Nrog kev kho tsis raug sab nraud, tus kab mob tuaj yeem koom nrog tus kab mob no, ua rau muaj qhov tshwm sim tsis zoo, tshwj xeeb tshaj yog thaum tus neeg muaj qhov txo qis hauv kev tiv thaiv kab mob.
Kev xav ntawm keeb kwm ntawm pathology
Tus etiology ntawm tus kab mob no tsis to taub tag nrho. Pink deprive Zhibera tsis txaus ntshai rau lub neej thiab tsis kis kab mob, thiab tuaj yeem tshwm sim vim muaj ntau yam. Muaj ntau ntau txoj kev xav txog qhov ua rau pathology:
- Viral txoj kev xav: muaj kev xav tias tus kabmob ua rau tus kabmob. Nws yuav tsum tau muab sau tseg ntawm no tias roseola scaly muaj tib lub sij hawm incubation raws li tus kab mob uas ua rau nws, thiab xws li ib txoj kev xav qhia qhov tseeb hais tias nyob rau hauv cov xwm muaj ib tug ntawm nws subspecies, uas ua rau Gibert tus kab mob.
- Ib txoj kev xav kab mob uas tshwm sim thaum cov kws tshawb fawb pom tias kev txhaj tshuaj tiv thaiv kab mob streptococcal qee zaum ua rau muaj kev cuam tshuam lichen. Qhov no kuj muaj pov thawj los ntawm qhov tseeb tias feem ntau tus kab mob no feem ntau tshwm sim tom qab mob khaub thuas.
- Txoj kev xav ntawm kev mob tshwm sim, uas txiav txim siab qhov pathology no yog lub cev tiv thaiv kab mob siab rau cov kab mob.kab mob.
- Multifactorial txoj kev xav - coj mus rau hauv tus account qhov kev iab liam ntawm tag nrho cov laj thawj saum toj no, nrog rau cov txiaj ntsig ntawm kev puas siab puas ntsws (kev ntxhov siab, qhov tshwm sim psychosomatic) ntawm daim tawv nqaij.
Tsis txaus ntshai lossis kis tau
Ib qho zoo heev yog tias liab lichen tsis muaj kev phom sij rau lwm tus thiab tsis tuaj yeem kis los ntawm cov tsiaj. Lichen thaj ua rau thaj feem ntau ploj mus ntawm lawv tus kheej tom qab ob peb lub lis piam tsis muaj qhov cim ntawm daim tawv nqaij.
Ntxiv rau, pitiriasis tsis yog ib qho mob rov qab los, thiab qhov tseeb no qhia tias kev tiv thaiv kab mob ntawm daim tawv nqaij yog tsim nyob rau hauv tib neeg lub cev. Yog li ntawd, nws tau raug tshawb fawb pov thawj tias Gibert's liab lichen yeej tsis ua mob ntev thiab tsis kav ntev.
daim duab kho mob
Ua ntej pib ntawm pitiriasis, ib tug neeg yuav hnov mob tsis zoo, nws yuav hnov mob hauv pob qij txha, cephalgia, inflammatory tshwm sim hauv cov qog ntshav, tom qab ntawd leej niam cov quav hniav tshwm - ib qho chaw loj ntawm daim tawv nqaij.
Tom qab no, theem tom ntej pib - kev sib kis ntawm cov pob liab liab lossis daj daj thoob plaws hauv lub cev, me ntsis nce saum npoo ntawm lub epithelium. Cov pob khaus no tsis tshwm sim ib zaug. Spots maj mam kis thoob plaws hauv lub cev, qee zaum nws tshwm sim hauv flashes lossis extinction ntawm cov txheej txheem pathological. Cov formations no yog symmetrical, muaj ciam teb meej, thiab lawv cov duab yog elongated los yog sib npaug. Cov tsos mob ntawm liab lichen Zhibera (duab muaj nyob rau hauv tsab xov xwm) yog ib qho tseem ceeb kom paub txograws sijhawm.
Rash sawv cev rau pityriasis rosea kis thoob plaws lub cev. Cov ntsiab lus pib yog nyob rau ntawm lub hauv siab, tom qab uas lawv txav mus rau sab nraub qaum, inguinal folds, caj dab, lub duav, lub xub pwg nyom. Tsawg me ntsis, lichen cuam tshuam rau cov ceg, qhov chaw mos. Plaques nyob ntawm tawv taub hau thiab ntsej muag yog qhov tsawg heev.
Pitiriasis yeej tsis kis mus rau mucous daim nyias nyias. Kev hnov mob ntawm tus neeg, raws li txoj cai, tsis txhob thab, tsuas yog qee zaus hauv thawj theem ntawm tus kab mob, cov neeg mob pom qhov khaus me ntsis.
Kwv yees li ntawm thawj xya hnub ntawm cov txheej txheem pathological nyob rau hauv nruab nrab ntawm txhua qhov chaw, lub epithelium pib qhuav tawm thiab exfoliate rau ntau qhov me me. Nyob rau lub sijhawm no, cov khaub ncaws nruj uas ua los ntawm cov ntaub hluavtaws yuav tsum tsis txhob hnav thiab tawm hws ntau dhau yuav tsum zam. Tsis txhob txhuam cov pob khaus nrog cov tshuaj cawv thiab cov tshuaj pleev uas muaj zinc lossis sulfur kom tsis txhob muaj tawv nqaij khaus.
Tom qab cov nplais ntawd tawm los, ib lub paj liab tseem nyob hauv qhov chaw ntawm cov plaques, uas nce ib ncig ntawm qhov chaw, thiab tom qab nws ploj tag, cov hnub nyoog me ntsis tuaj yeem tshwm sim, uas tseem ploj mus nrog lub sijhawm.
Duration
Lub sijhawm ntawm tus kabmob no yog kwv yees li ob lub hlis, tom qab ntawd rov ua tiav tiav.
Hauv cov tib neeg uas muaj tus kab mob tiv thaiv kab mob, cov lichen liab feem ntau cuam tshuam nrog cov kab mob zoo sib xws. Yog hais tias ib tug neeg poob mob nrog pitiriasis thaum ligCov theem ntawm HIV, thaum qhov txo qis hauv kev tiv thaiv tsis tuaj yeem tshwm sim, tom qab ntawd cov kab mob ntawm daim tawv nqaij tuaj yeem ua rau atypical.
Qhov tshwm sim ntawm rosacea ntawm Gibert feem ntau tshwm sim hauv cov neeg muaj hnub nyoog qis dua 30 xyoo, nrog tib zaus ntawm cov poj niam thiab cov txiv neej. Cov menyuam yaus tsis tshua muaj tus kab mob no.
Gibera liab lichen tshwm sim li cas hauv cov menyuam yaus?
Kev tshwm sim ntawm tus kab mob hauv cov menyuam yaus
Cov tawv nqaij ntawm cov menyuam yaus yog qhov muag heev, yog li ntawd, nrog Gibert tus kab mob, lawv feem ntau txhawj xeeb txog khaus ntawm thaj chaw muaj kev cuam tshuam, thiab qhov tsis muaj zog ntawm lub cev tiv thaiv kab mob lossis kev txhaj tshuaj tiv thaiv tuaj yeem yog qhov ua rau. Nws yuav tsum raug sau tseg tias kev txhaj tshuaj tiv thaiv thaum qhov siab ntawm cov kab mob no tsis pom zoo, vim tias kev tiv thaiv kab mob hauv cov menyuam yaus raug txo rau lub sijhawm no.
Daim duab ntawm Zhiber's liab lichen tuaj yeem ua tib zoo txiav txim siab hauv kab lus.
Differential and Laboratory Diagnosis
Giber's disease muaj cov cim tshwj xeeb ntawm kev kuaj pom, txawm li cas los xij, muaj qee yam kab mob uas zoo ib yam li nws. Yog li ntawd, nws yog ib qho tseem ceeb heev kom paub qhov txawv ntawm ib leeg, uas qhov kev kuaj mob sib txawv ntawm tus neeg mob tau ua tiav. Cov npe ntawm cov kab mob zoo ib yam li Gibert tus kab mob suav nrog:
- Lichen planus, nyob rau hauv cov pob khaus yog qhov tshwm sim los ntawm qhov tsis muaj daim tawv nqaij exfoliation.
- Pityriasis versicolor, uas yog tshwm sim los ntawm cov kab mob fungal. Cov chaw nrog cov kab mob no tsis muaj cov ntsiab lus meej thiab feem ntau sib koom ua ke, tsim ib qho chaw loj.
- Psoriasis outwardly yuav luag tsis txawv ntawm cov lichen liab, tab sis yog tus cwj pwm los ntawm kev mob ntevdhau.
- Cov kab mob los yog kab mob microsporia yog yam ntxwv ntawm qhov tseeb tias nws cuam tshuam rau ntawm tawv taub hau.
- Shingles tshwm sim los ntawm tus kab mob herpes thiab mob thiab hlwv zoo li.
- Syphilitic roseola, uas yog ib qho tsos mob ntawm tus mob syphilis thib ob. Cov pob khaus hauv tus kab mob no nyob thoob plaws hauv lub cev, suav nrog cov mucous daim nyias nyias.
- Allergic dermatitis, uas tshwm sim nws tus kheej ntawm qhov chaw ntawm kev sib cuag ncaj qha ntawm daim tawv nqaij nrog kev ua xua. Nyob rau tib lub sijhawm, cov pob khaus, tsis zoo li Zhiber tus kab mob, tsis txhob kis thoob plaws hauv lub cev thiab ploj mus tom qab ob peb teev.
- Eczema, uas yog ib yam kab mob uas ua rau pob khaus hauv daim ntawv hlwv (hlawv), thiab cov tsos mob tas li ntawm cov kab mob no yog khaus khaus hnyav thiab mob ntev.
Txhawm rau tshem tawm cov kab mob fungal, kab mob thiab kab mob zoo ib yam li pitiriasis, qee qhov kev sim kuaj yuav pab tau. Nyob rau tib lub sijhawm, cov kws kho mob tshwj xeeb tshaj tawm cov kev tshawb fawb tshwj xeeb ntawm cov kab mob epithelial ntawm qhov chaw ntawm kev tsim cov stain kom tshem tawm cov kab mob no. Kev kuaj ntshav kuj tseem pab txiav txim seb qhov muaj lossis tsis muaj tus kab mob syphilitic, txiav txim siab tag nrho cov lus teb hauv lub cev, thiab pab ntsuas qib ntawm kev tiv thaiv kab mob.
Cov tsos mob thiab kev kho mob ntawm Gibert's rosacea muaj kev cuam tshuam.
kho kab mob
Cov neeg mob uas raug kev txom nyem los ntawm qhov tsis sib xws ntawm pitiriasis, raws li kws kho mob, tsis tas yuav kho tus kab mob no, vimnyob rau hauv ob lub hlis txij li thaum pib ntawm tus kab mob pathological, kho tshwm sim spontaneously.
Thaum rosacea ploj mus, feem ntau tsis muaj kab nyob ntawm daim tawv nqaij, thiab tus neeg yeej tsis muaj teeb meem ib yam ntxiv. Gibert's lichen tsis kis tau, thiab yog tias tus neeg mob hnov zoo thiab tsis pom cov tsos mob ntawm tus yam ntxwv tsis zoo ntawm qhov pib ntawm tus kab mob, nws raug tso cai mus xyuas cov chaw pej xeem thiab ua haujlwm tshaj lij.
Kev kho mob ntawm liab lichen Gibert yog dab tsi (daim duab qhia nws qhov tsos)?
Thaum lichen nrog cov khaus khaus hnyav, mob lossis lwm yam tshwm sim, cov txheej txheem kho mob yog tsim nyog. Rau cov laj thawj zoo li no, qee cov tshuaj tiv thaiv kab mob tau siv rau hauv cov ntsiav tshuaj, kev daws teeb meem rau kev siv qhov ncauj, nrog rau cov tshuaj immunomodulators txhawm rau tshem tawm cov txheej txheem inflammatory thiab khaus.
Nws tseem yuav tsum tau muab sau tseg tias da dej hauv dej, txhuam cov tawv nqaij thiab siab rau nws, nrog rau cov hluav taws xob ultraviolet thiab qee cov tshuaj uas muaj cov tar thiab sulfur hauv lawv cov muaj pes tsawg leeg, ua rau lub fact tias Gibert lichen pib kis. thoob plaws hauv lub cev ntau dua, ua rau rov qab zoo dua li qhov xav tau. Yog li ntawd, cov neeg mob uas muaj tus kab mob no tsis pom zoo kom mus ntsib chav da dej, sauna lossis pas dej ua ke. Koj tuaj yeem ntxuav hauv qab da dej, dej sov thiab tsis siv cov ntaub ntxhua khaub ncaws.
Tsis tas li ntawd, cov dej num uas tuaj yeem ua rau hws ntau dhau yuav tsum zam, vim qhov no tseem ua rau muaj kab mob ntawm daim tawv nqaij. Thaum lub sij hawm ntawm pathology, cov kws kho mob kuj xav kom tsis txhob sunbathing thiab sunbathing.
Ntxiv rau qhov saum toj no, cov npe ntawm cov lus pom zoo suav nrog kev ua kom tus neeg mob noj zaub mov zoo, tshem tawm cov khoom noj rog, kas fes, dej cawv, thiab tseem txo qis cov piam thaj thiab ntsev noj.
Tshuaj thiab tiv thaiv
Hauv kev kho mob liab lichen Zhibera, raws li txoj cai, kev kho mob yog siv. Cov no suav nrog:
- Antihistamines: Erius, Suprastin, Cetrin, Tavegil, thiab lwm yam.
- Cov tshuaj uas txo cov kev mob tshwm sim hauv lub cev: calcium chloride, Pantothenate.
- Cov tshuaj hauv zos hauv daim ntawv ntawm cov tshuaj pleev uas muaj cov tshuaj hormonal: Elokom, Advantan, Momat, Lokoid, thiab lwm yam.
- Cov kev daws teeb meem thiab muab tshuaj txhuam uas muaj zinc, naphthenic hydrocarbons 2%, borate 2%, Piv txwv li, Tsindol, zinc ointment, thiab lwm yam.
Hauv kev kho mob liab lichen ntawm Zhiber, kev daws teeb meem xws li iodine, Fukortsin, Tsindol, ci ntsuab, boric acid, potassium permanganate, hydrogen peroxide, kua cider vinegar, roj hiav txwv buckthorn thiab lwm yam tshuaj yuav tsum tsis txhob siv.
Kev siv cov kev kho mob lub cev xws li nruab nrab yoj UV irradiation kuj pom zoo.
Kev kho mob pityriasis versicolor hauv menyuam yaus
Feem ntau tsis tas yuav kho. Feem ntauQhov tseem ceeb tshaj plaws yog ua raws li kev noj zaub mov tsis zoo thiab tiv thaiv kev sib kis ntawm cov pob qij txha ntawm daim tawv nqaij, koj yuav tsum xyuas kom meej tias tus me nyuam tsis zuaj thiab ua rau qhov chaw raug mob. Nyob rau hauv cov ntaub ntawv ntawm khaus khaus, "Tsindol" thiab antihistamines ("Claritin") yog muab. Nrog eczematous phenomena, nyob rau hauv tsawg zaus, corticosteroid tshuaj pleev thiab cream (Beloderm) yog sau.
Ib daim duab ntawm Zhibera liab lichen hauv cov menyuam yaus yog nthuav tawm hauv qab no.
Rov qab los ntawm cov kab mob no tuaj yeem pom nyob rau hauv daim ntawv ntawm kev hloov pauv ntawm qhov ntxoov ntxoo ntawm tus yam ntxwv pob. Cov pob txha plam lawv cov kab mob inflammatory, tig daj ntseg, thiab tom qab ntawd ploj mus.
Kev Tiv Thaiv
Kev tiv thaiv xws li pathology yuav tsum muaj xws li kev ntsuas los tswj kev ua haujlwm ntawm lub cev tiv thaiv kab mob. Nws tseem yuav tsum tau ua raws li kev tswj hwm ntawm kev tawm dag zog thiab so, suav nrog hauv kev noj zaub mov kom txaus ntawm cov vitamins uas muaj nyob hauv cov zaub tshiab thiab txiv hmab txiv ntoo, thiab tseem ua kom pw tsaug zog zoo.
Ib qho tseem ceeb hauv kev tiv thaiv tus kab mob Zhiber yog kev ruaj ntseg ntawm lub paj hlwb. Nyob rau tib lub sijhawm, cov xwm txheej ntxhov siab yuav tsum raug zam, uas feem ntau dhau los ua qhov tshwm sim rau kev loj hlob ntawm liab lichen.
Peb tau tshuaj xyuas cov liab lichen Zhibera, duab, tsos mob thiab kev kho mob.
