Cov tawv nqaij (tshwj xeeb tshaj yog nws txheej sab sauv - epidermis) reacts hypersensitively rau tej yam tsis ua hauj lwm hauv lub cev. Feem ntau qhov no yog qhia nyob rau hauv cov tsos ntawm me ntsis - qhov chaw ntawm lub dermis uas tau hloov nyob rau hauv cov xim. Feem ntau tus mob no yog nrog los ntawm tev - ib tug ceev tsis kam ntawm cov laus tuag hlwb ntawm lub epidermis. Peeling, pob khaus thiab khaus tsis yog lub teeb liab ua haujlwm tsis zoo hauv lub cev, lawv qw txog teeb meem.
Cov pob khaus tuaj yeem ua pob liab liab, qhov loj, xim daj uas kis thoob plaws hauv lub cev thiab sab hauv. Cov pob khaus ntawm lub cev feem ntau txawv ntawm qhov tsos, qhov loj me, zoo li. Cov pob khaus tuaj yeem hloov lawv cov xim, tom qab ntawd cov duab ntawm daim tawv nqaij kuj tuaj yeem hloov pauv: lawv tuaj yeem nce siab tshaj ntawm cov tawv nqaij hauv daim ntawv hlwv, plaques thiab pob. Tsis tas li ntawd, pob khaus tuaj yeem nrog khaus thiab mob. Cov tawv nqaij qhuav ntawm daim tawv nqaij yog flaky, lawv tuaj yeem qhia cov kab mob sab nraud lossis sab hauv, lossis nkag siab zoo yam tsis muaj pathology. Ntawm cov pathologiesnthuav qhia cov kab mob hauv lub cev, kab mob, ua xua.
Nyob stains
Thaum cov pob qhuav qhuav ntawm daim tawv nqaij tawm, lawv hom yuav muaj xim txawv. Tsis tas li ntawd, lawv txawv ntawm qhov loj me, qhov chaw, cov duab, thiab cov tsos mob tshwm sim. Cov tawv nqaij qhuav tuaj yeem yog dawb, liab dawb, liab, xim av tsaus lossis yuav luag dub. Los ntawm cov qauv, lawv tuaj yeem yog:
- ntxhib thiab du, tsis muaj flaking;
- dry - pob tev tawm ntawm daim tawv nqaij,
- nrog khaus ntawm qhov sib txawv hnyav;
- nyob rau hauv daim ntawv ntawm pob khaus pustules.
Smooth nto tsuas yog qhia txog kev hloov pauv ntawm daim tawv nqaij, thaum nws cov qauv tsis cuam tshuam. Cov chaw uas tev thiab khaus tshwm sim tshwm sim ntau zaus thiab tsis txhob thab lawv tus tswv.
Ntau tus xav tias nws tsuas yog ua xua rau qee yam lossis qee zaum khaus tawv nqaij, thiab lawv tsis mus ntsib kws kho mob. Thiab qhov tsis zoo yuav tsis ploj mus, ntxiv rau, nws pib kis mus rau thaj chaw noj qab haus huv ntawm daim tawv nqaij, yog li kev kuaj xyuas los ntawm kws kho mob yog qhov yuav tsum tau ua.
Yog vim li cas
Yog cov pob qhuav qhuav ntawm daim tawv nqaij yog flaky thiab ua rau muaj teeb meem ntau, lawv tuaj yeem tshwm sim rau ntau yam laj thawj:
- Kev tsis haum tshuaj yog ib qho ua rau ntau tshaj. Hauv qhov no, kev ua xua tuaj yeem ua raws caij nyoog lossis mus tas li. Nws yog qhov txaus ntshai rau kev txhim kho cov teeb meem, piv txwv li, Quincke's edema.
- Kab mob fungal - nrog khaus, tev. Nrog tsis muajCov kev kho mob tau yooj yim mus ntev thiab txo qis lub neej zoo.
- Kev ntxhov siab ntau zaus ua rau pob qhuav ntawm daim tawv nqaij (flake thiab khaus).
- Ntau lossis txo qis huab cua ib txwm ua rau muaj kev cuam tshuam tsis zoo rau daim tawv nqaij.
- Kub qhov sib txawv cuam tshuam rau lub ntsej muag.
- kab mob tawv nqaij.
- Teeb meem nrog cov thyroid caj pas (hypofunction) thiab lwm yam endocrinopathies, xws li ntshav qab zib mellitus.
- Kab mob plab hnyuv.
- YAvitaminosis.
- Dehydration.
- kab mob autoimmune.
- khoom kho mob hnyav.
- Nyob lub hnub raug, lub cev qhuav dej;
- Helminthiases, uas lom lub cev nrog cov khoom ntawm kev lwj thiab kev ua haujlwm tseem ceeb ntawm cov cab.
- Natural aging.
- Thaum qhuav me ntsis ntawm daim tawv nqaij tawm, nws tuaj yeem yog qhov tshwm sim ntawm oncology.
- Qhov tshwm sim ntawm kev nyob hauv thaj chaw uas muaj cua ntsawj ntshab tas li (kub lossis dej khov). Nyob rau hauv ob qho tib si, yog vim li cas rau qhov tsos ntawm cov pob qij txha yog qhov yuav los qhuav ntawm daim tawv nqaij.
- Ntev zaum ntawm lub khoos phis tawj kuj tseem muaj cov tawv nqaij qhuav ntawm lub ntsej muag thiab tes. Ua los ntawm lub vasospasm ntev thiab ib qho me me tab sis ntev hluav taws xob qhia rau thaj chaw tam sim no ntawm lub cev.
- Reflex mob ntshav thiab qog ntshav.
Yog li, yog tias cov pob qhuav qhuav ntawm daim tawv nqaij tev tawm, qhov ua rau ntawm qhov tsos tuaj yeem txawv heev - los ntawm qhov tsis zoo rau cov kab mob loj. 30% ntawm tag nrho cov mob yog neurological nyob rau hauv cov xwm - psycho-kev xav tawm thiab kev nyuaj siab. Cov chaw zoo li no tshwm sim ntawm lawv tus kheej (hauv ob peb teev,qee zaum hnub) ploj mus. Tej zaum yuav nrog khaus me ntsis.
Red qhuav chaw
Yog tias qhov chaw liab qhuav ntawm daim tawv nqaij tawm, qhov no yuav qhia tau cov txheej txheem ceev uas yuav tsum tau muaj cov ntshav txaus, uas yuav ua rau muaj kev noj haus thiab kev tiv thaiv rau qhov chaw no thiab tshem tawm cov ntaub so ntswg sai sai. Cov tsos mob ntawm cov pob no yog qhov zoo rau cov kab mob hauv qab no:
- viral;
- kab mob;
- mycosis (fungal);
- dermal;
- neurological.
Txawm qhov chaw tuaj yeem yog qhov tshwm sim ntawm kev ua xua, kab mob hauv lub cev thiab oncology.
Cov kab mob uas tshwm sim muaj xws li:
- psoriasis, lichen, diathesis;
- kis kab mob;
- avitaminosis, lub cev qhuav dej;
- kev nyuaj siab, lub siab ntev tsis ruaj khov.
YViral etiology - qhua pias, rubella, kab mob qhua pias.
Cov kab mob ua pob ua paug yog yam ntxwv ntawm cov hauv qab no - cov pob liab qhuav ntawm daim tawv nqaij tev tawm thiab suppurate - qhov no yog lawv lub cim.
Cov kab mob ntawm daim tawv nqaij sib txawv ntawm qhov ntawm daim tawv nqaij, nrog rau qhov chaw qhuav qhuav, thaj chaw maceration, hlwv thiab hlwv, pob zeb, qhov chaw caws pliav coexist tib lub sijhawm.
Dub breakout
Cov no suav nrog cov xim av ntawm daim tawv nqaij. Feem ntau lawv yog qhov tshwm sim ntawm cov hnub nyoog hloov pauv (kev laus - senile keratosis). Cov yam ntxwv thaum cev xeeb tub - tshwm sim vim muaj cov tshuaj hormonal surges thiab rearrangements nyob rau hauv lub cev. Tom qab yug me nyuam lawvploj ntawm lawv tus kheej.
Hnub nyoog me ntsis ntawm daim tawv nqaij (nce saum npoo av, sib txawv ntawm cov xim ntawm lub teeb xim av mus rau tsaus) muaj qhov tawg tawg nrog cov plaub hau loj hlob. Cov laj thawj yog ua txhaum ntawm daim tawv nqaij trophism, cov ntshav thiab cov qog ntshav, thiab cov uas twb dhau tag nrho cov ciam teb. Feem ntau ua rau cov xim av muaj xws li:
- Txhob tso tseg. Lawv tshwm raws li qhov chaw qhuav ntawm daim tawv nqaij (flake thiab khaus).
- Kev cuam tshuam ntawm UV raug.
- kab mob fungal.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
Dawb pigmentation qhia txog kev ua txhaum ntawm kev tsim cov melanin, uas yog lub luag haujlwm rau cov xim ntawm daim tawv nqaij. Yog tias qhov chaw dawb qhuav ntawm daim tawv nqaij yog flaky tab sis tsis khaus, feem ntau tsis tas yuav txhawj xeeb. Nws tsuas yog lub cev cov lus teb rau lub zog sab nraud stimuli, xws li lub hnub. Tsis tas li ntawd, ib tug neeg yuav muaj kev puas tsuaj ntau ntxiv ntawm melanin, piv txwv li, nrog vitiligo, ib qho ntawm lichens (paj liab, los yog Zhibera, pityriasis, kuj hu ua xim, tshav ntuj, puam), ib hom ntawm leukoderma (syphilitic, tshuaj los yog lwm yam).
Spotted disease
Psoriasis yog ib qho mob dermatosis ntawm cov xwm txheej mob ntev uas tsis tau kawm txog etiology. Tej zaum yuav tshwm sim thaum twg los tau. Nws muaj keeb kwm keeb kwm. Ntawm daim tawv nqaij ntawm lub luj tshib, hauv qab lub hauv caug, nraub qaum, hauv qab cov plaub hau ntawm lub taub hau, cov pob liab liab tshwm nrog tev, sib npaug thiab me me.
Psoriasis ntseeg tau tias yog qhov tshwm sim ntawm kev mob autoimmune hauv lub cev. Nws relapses yog yooj yim provokedkev ntxhov siab, mob ntev. Cov tsos mob tseem ceeb yog cov pob qhuav ntawm daim tawv nqaij (flaky thiab khaus), zoo li silvery flaky nplai. Lawv nyiam ua ke. Thawj theem yog plaques ntawm 1-2 cm nrog ib tug ntxhib nto. Kev khaus thiab mob tshwm sim tom qab.
Psoriasis yog kho tsis tau. Cov tshuaj niaj hnub tuaj yeem tsuas muaj qhov tshwm sim ntawm tus kab mob thiab ua kom ntev mus. Koj tuaj yeem tham txog psoriasis thaum cov pob qhuav tshwm rau ntawm daim tawv nqaij (flake thiab khaus).
Nws yog ib qho teeb meem ntawm kev tsis haum tshuaj thiab thaum pib ntawm nws txoj kev loj hlob nws manifests nws tus kheej nyob rau hauv ib tug neeg laus nrog qhuav me ntsis ntawm daim tawv nqaij (flake tawm thiab muaj xim liab los yog liab). Lawv qhov loj me tsis ntau tshaj ib npib. Kev khaus ntawm qhov sib txawv yuav raug sau tseg, nws yog nrog los ntawm o, liab, vesicles, hlwv thiab me me liab dots. Tej zaum yuav tshwm sim ntawm txhua qhov chaw ntawm daim tawv nqaij uas tau ntsib nrog cov allergen.
YPityriasis versicolor
Lichen yog tus cwj pwm los ntawm cov tsos ntawm qhuav, scaly thaj ua rau ntawm daim tawv nqaij. Nws ua rau yog ib tug fungus, uas yog heev nyuaj rau kho. Ringworm feem ntau ua mob ntev thiab kav ntau xyoo txawm tias kho.
Pityriasis versicolor muab cov pob khaus nyob rau hauv daim ntawv ntawm cov xim av ntawm cov duab tsis zoo, lawv tsis nce siab tshaj ntawm daim tawv nqaij. Tsis tshua muaj, cov thaj ua rau thaj tuaj yeem yog nqaij lossis liab.
Tus kab mob ua rau muaj kev zoo nkauj tsis yooj yim, feem ntau nyob ntawm lub hauv siab, caj dab, nraub qaum, xub pwg, plab. Cov tawv nqaij yog flaky thaum khawb, cov plaques me me(txog 2 cm inch).
Rashes nyiam sib koom ua ke. Raws li tus kab mob loj tuaj, cov pob liab feem ntau txav mus rau hauv puab tais. Relapses yog provoked los ntawm kev txo qis hauv kev tiv thaiv, piv txwv li, thaum cev xeeb tub, insolation, tom qab kis kab mob, hypothermia, thiab lwm yam.
Pityriasis rosea
Lwm tus kab mob fungal dermatosis, uas cov kws tshaj lij hu ua "sensor" ntawm kev tiv thaiv txo qis. Nws tseem hu ua roseola flaky.
Hauv 80% ntawm cov neeg mob - kab mob raws caij nyoog. Exacerbations yog feem ntau rau lub caij nplooj ntoos hlav thiab lub caij nplooj zeeg. Nws manifests nws tus kheej nyob rau hauv daim ntawv ntawm ib los yog ntau tshaj puag ncig qhuav me ntsis ntawm daim tawv nqaij ntawm liab los yog lub teeb liab xim. Localization - lub ntsej muag, caj dab, hauv siab, plab, nraub qaum, qis dua ob txhais ceg. Cov pob no flaky thiab khaus me ntsis.
czema
nquag tshwm sim pathology, mob hnyav lossis mob ntev, tsis sib kis. Etiology - neuro-allergic. Nws feem ntau yog tshwm sim los ntawm kev tsis haum tshuaj nrog kev mob tom qab, ntau yam pob khaus, khaus thiab rov ua dua.
Tham thawj theem ntawm eczema yog tus cwj pwm los ntawm qhov chaw qhuav, tom qab ntawd lawv tau hloov los ntawm lwm hom - vesicles, hlwv, quaj, crusts thiab nplai. Nyob rau hauv txhua hom muaj khaus khaus ntawm daim tawv nqaij. Eczema ib txwm ua mob ntev.
Kev tsis sib haum xeeb
Cov no yog cov pob liab liab tshwm sim los ntawm kev ntxhov siab, noj zaub mov tsis zoo lossis ua haujlwm dhau. Txhua qhov chaw qhuav ntawm daim tawv nqaij yog flaky thiab khaus.
Photodermatosis
Ib yam mob ntawm daim tawv nqaij uas tuaj yeem tshwm sim tom qab noj qee yam tshuaj vim raug lub hnub. Qhov no yog qhov tshwj xeebtawv nqaij tiv thaiv UV hluav taws xob. Nyob rau hauv rooj plaub no, thaum xub thawj me me pob tshwm nyob rau hauv daim ntawv ntawm cov pob liab liab nyob rau hauv qhib qhov chaw ntawm lub cev, tshwj xeeb tshaj yog nyob rau ntawm lub ntsej muag (tej daim tawv nqaij yuav o thiab khaus), ces cov pob liab liab hloov xim mus rau ib tug tsaus nti.
kab mob autoimmune
Nrog rau qhov pathology no, cov hlab ntsha thiab cov ntaub so ntswg sib txuas tau cuam tshuam los ntawm cov txheej txheem autoimmune. Qhov no yog tshwm sim los ntawm cov pob liab liab ntawm lub ntsej muag nyob rau hauv daim ntawv ntawm npauj npaim ntawm lub puab tsaig, uas yog flaky.
Tus kab mob no yog kab mob, uas lub cev tiv thaiv kab mob dhau los ua kev tawm tsam ntawm nws lub hlwb, xav tias lawv txawv teb chaws thiab pib tsim cov tshuaj tiv thaiv rau lawv. Eruptions kuj tshwm sim ntawm pob ntseg, taub hau thiab caj dab. Spots muab txoj kev caws pliav uas yuav luag kho tsis tau.
Txoj kev mob tshwm sim
yuav tsum tau kho mob ceev rau cov xwm txheej hauv qab no:
- flakes ntawm daim tawv nqaij pib loj hlob sai;
- daim tawv nqaij ua ntej khaus thiab ces tev tawm;
- ib ntus pob ploj thiab rov tshwm sim hauv tib qhov chaw;
- peeling kav ntau tshaj ib hlis;
- muag tshwm rau cov uas tau ntsib nrog lawv tus tswv;
- daim tawv nqaij tawg thiab quaj qhov txhab tshwm sim;
- mob thiab los ntshav ncig pob pob;
- -ulceration ntawm pob, ntxiv ntawm maceration.
Cov neeg laus yuav tsum tau ceev faj tshwj xeeb, vim cov tawv nqaij laus yog qhov muaj feem cuam tshuam rau kev yug dua tshiab.
ntsuas ntsuas
Kev kuaj mob:
- lab tests:
- tshuaj ntsuam los ntawm kws kho hniav;
- ntshav biochemistry thiab nws cov kev tshuaj ntsuam dav dav;
- tshuaj xyuas kev tsis haum;
- tshuaj ntsuam cov zis thiab quav;
- kuaj xyuas ntawm daim tawv nqaij scrapings thiab swabs;
- cog rau flora.
Yog tias qhov chaw qhuav ntawm daim tawv nqaij yog flaky, qhov kev kuaj mob kuj suav nrog dermatoscopy - kev ntsuam xyuas cov pob liab liab nrog cov cuab yeej tshwj xeeb - dermatoscope. Cov cuab yeej muaj lub koob yees duab loj.
Rau kev tsom xam, daim tawv nqaij raug tshuaj xyuas hauv qab lub tshuab ntsuas kom pom cov kab mob cab. Kev kuaj ntshav yuav qhia pom muaj qhov mob hauv lub cev.
Kev kho qhov muag
Yog cov pob qhuav ntawm daim tawv nqaij yog flaky, kev kho mob nyob ntawm qhov ua rau ntawm lawv qhov tsos.
Pityriasis versicolor yog kho, piv txwv li, nrog "Clotrimazole", so cov qhov txhab nrog boric cawv, tshuaj zawv plaub hau ("Nizoral", "Dermazol", "Sebozol"), "Fluconazole" hauv tshuaj ntsiav rau kev siv sab hauv.
Tsis tas li, nrog cov xim lichen, tus kws kho mob tuaj yeem sau tshuaj UVI hauv ib chav kawm ntawm 5-7 zaug. Qhov no yog qhov zoo rau cov pigmentation residual ntawm thaj chaw cuam tshuam ntawm daim tawv nqaij.
Da dej raws li Dead Sea ntsev, kev kho mob ntawm ntug hiav txwv chaw so (tshwj xeeb tshaj yog thaum lub sijhawm exacerbation) ua haujlwm zoo rau psoriasis thiab eczema.
Nrog rau qhov tsis haum ntawm qhov chaw, tshuaj tiv thaiv kab mob tau qhia - hauv zos thiab dav. Lawv yuav tsum tau desensitize lub cev. Feem ntau nws yog "Claritin" lossis "Diazolin", "Suprastin", "Erius", "Zodak", thiab lwm yam. Kev kho mob nrog tshuaj pleev ("Fenistil", "Gistan"), uas yuav tsum tau siv rau thaj tsam ntawm daim tawv nqaij rau 10 hnub.
Yog tias nws tsuas yog hais txog daim tawv nqaij qhuav xwb, keratosis tuaj yeem ua kom mos thiab impregnated nrog cov tshuaj nplaum thiab cov tshuaj pleev uas muaj cov nyhuv stimulating, xws li Bepanthen, Elidel, Panthenol. Lawv zoo kawg nkaus moisturize ntawm daim tawv nqaij, tiv thaiv cov kab nrib pleb thiab kho cov epidermis.
Cov tawv nqaij moisturized zoo heev thaum siv cream nrog urea. Nyob rau hauv daim tawv nqaij hnyav ntawm eczema, hormonal tshuaj pleev los ntawm koob ntawm glucocorticosteroids yog siv - prednisolone thiab hydrocortisone ointment, Sinaflan, Fluorocort, thiab lwm yam.
kab mob fungal yog kho nrog qhov ncauj thiab hauv zos tshuaj tua kab mob - Clotrimazole, Fundizol, Exoderil, Terbizil, thiab lwm yam.
Kev Tiv Thaiv
Kev Tiv Thaiv yog txhawm rau tshem tawm qhov ua rau muaj kev cuam tshuam thiab lub sijhawm. Cov neeg mob uas muaj teeb meem dermatological yuav tsum:
- eat right;
- zam kev ntxhov siab;
- pab kom tsaug zog;
- zam kev tiv thaiv kev ua xua;
- ua haujlwm nrog cov tshuaj hauv tsev tsuas yog siv cov cuab yeej tiv thaiv hauv daim ntawv npog, tsom iav thiab hnab looj tes;
- nyob rau lub caij ntuj sov, zam lub hnub ncaj qha rau ntawm décolleté, caj dab, ntsej muag;
- siv lub kaus mom dav dav thiab tshuaj pleev thaiv hnub.
Kab mob ntawm lub cev sab hauv yuav tsum tau kho raws sijhawm. Rau cov teeb meem nrog rau txoj hnyuv, nws yog ib qho tsim nyog los ua ib qho kev ntxuav thiab detox txoj kev kho, tshuaj xyuas koj.noj thiab sib npaug nws. Nrog helminthiases, nws yog ib qho tsim nyog yuav tau ua kev kho mob anthelmintic.
Koj yuav tsum tsis txhob haus luam yeeb - nicotine thiab nws cov resins ua kom tawv nqaij qhuav. Peb yuav tsum tsis txhob hnov qab txog kev tswj hwm kev tiv thaiv ntawm qib tsim nyog. Tsis tas li ntawd, nws yuav tsum tau noj cov tshuaj immunomodulators, vitamins thiab minerals uas kws kho mob tau sau tseg.
