Pob txuv yog ib yam kab mob loj ntawm daim tawv nqaij. Nws tshwm sim nyob rau hauv lub thiaj li hu ua pilosebaceous qauv ntawm ib tug neeg. Cov qauv no yog tsim los ntawm cov qog sebaceous thiab cov hauv paus plaub hau.
History of the term
Lo lus uas txhais tau tias muaj kab mob xws li pob txuv hauv cov tub ntxhais hluas tau tshwm sim hauv tebchaws Greece thaum ub. Nws tau hais thawj zaug hauv cov ntawv sau ntawm Aetius ntawm Amides, uas ua haujlwm ua tus kws kho mob rau Byzantine huab tais Justinian I hauv xyoo pua 6 AD.
Lub tswvyim ntawm "pob pob zeb" yog ib qho derivative ntawm Greek lub tswvyim thaum ub, txhais tau tias "siab, vam meej, taw tes".
Ua rau kab mob
Cov kws tshaj lij txheeb xyuas ntau yam laj thawj vim li cas pob txuv tshwm sim hauv cov hluas. Kev kho mob yog ua tau, tab sis yuav tsum tau mob siab rau thiab ua tib zoo ua raws li tag nrho cov kws kho mob cov tshuaj.
Ib qho ntawm cov laj thawj tseem ceeb ntawm pob txuv yog kab mob. Cov kws kho mob tseem tso tawm cov tshuaj hormonal thaum lub hnub nyoog hluas, thaum cov ntxhais pib lawv lub cev coj khaub ncaws, thiab pob txuv ntawm cov tub hluas tshwm thaum hnub nyoog laus.
Pob txuv kuj tuaj yeem tshwm sim vim muaj teeb meem nrog lub plab zom mov, kev ntxhov siab, cov qog sebaceous ntau dhau, tsub zuj zuj zuj zus. Cov tawv nqaij tuag, kuj tuaj yeem yog qhov tshwm sim ntawm kev siv cov tshuaj anabolic, nrog rau cov tshuaj muaj halogens.
Qhov feem ntau version ntawm cov kws kho mob yog qhov pob txuv hauv cov hluas tshwm sim vim kev ua haujlwm hormonal nkaus xwb. Txawm li cas los xij, tom qab cov kws tshawb fawb pom tias ntau cov tshuaj hormones provoke tus kab mob. Tshwj xeeb yog testosterone.
Nyob rau lub sijhawm tom qab yug me nyuam, pob txuv hauv cov ntxhais hluas tsis tshua muaj. Nyob rau hauv cov ntaub ntawv no, nws twb yog ib tug tsos mob ntawm ib tug mob hnyav, xws li Cushing's syndrome. Tib lub sijhawm, ntau dhau ntawm carbohydrates hauv cov zaub mov ua rau tawv nqaij tsis zoo.
Kev faib kab mob
Yuav kom paub seb yuav pab daws qhov teeb meem no li cas, nws yog ib qho tseem ceeb kom nkag siab tias pob txuv zoo li cas hauv cov tub ntxhais hluas. Kev kho mob yuav txawv nyob ntawm hom kab mob.
Cov kws kho mob paub qhov txawv ob peb daim ntawv. Ua ntej, comedonal. Nws yog tus cwj pwm los ntawm cov tsos ntawm cov pob ntxau kaw ntawm lub puab tsaig, hauv pliaj thiab tis ntawm lub qhov ntswg. Nyob rau tib lub sijhawm, cov txheej txheem inflammatory, raws li txoj cai, tsis txhob mus ntxiv.
Lwm daim ntawv yog papulo-pustular. Nws yog manifested los ntawm cov tsos ntawm purulent formations, ob qho tib si qhib thiab kaw. Tib lub sijhawm, cov pustules me me.
Pob txuv hauv cov tub hluas feem ntau tshwm sim nws tus kheej hauv daim ntawv nodular. Lawv qhov tshwj xeeb qhov chaw yog nyob ntawm lub hauv pliaj, puab tsaig, qhov ntswg thiab lub puab tsaig. Nyob rau tib lub sijhawm, tsawg kawg 25-30 pustules tshwm.
Qhov teeb meem tshaj plaws yog daim ntawv hnyav. Nyob rau hauv cov ntaub ntawv no, cov hluas pob txuv merges nrog pustules, sib sib zog nqus thiab mob nodes tshwm sim, loj cheeb tsam ntawm daim tawv nqaij ua o. Yog tias koj tsis muab sijhawm sijhawmpab, ces daim ntawv no yog fraught nrog cov tsos ntawm nti thiab nti ntawm daim tawv nqaij.
daim duab kho mob
Cov kws kho mob txheeb xyuas ntau hom pob khaus thiab pob txuv hauv cov tub ntxhais hluas. Kev kho mob yog ua tau; feem ntau, txawm tias cov kab mob tsis nyob hauv daim tawv nqaij. Ntxiv rau lub ntsej muag, o tuaj yeem tshwm sim ntawm lub hauv siab, tshwj xeeb tshaj yog nyob rau sab sauv, thiab sab nraub qaum. Tom qab tag nrho, nws yog nyob rau hauv cov cheeb tsam uas loj tshaj plaws sebaceous qog nyob rau hauv. Pob txuv kuj provokes o, uas ua rau purulent formations.
Purulent vesicles, uas cov kws tshaj lij hu ua pustules, qhuav tom qab qhib. Qhov no kuj ua rau cov pob khaus uas pom cov caws pliav.
Pob txuv nti tuaj ntau hom. Qhov txaus ntshai tshaj plaws thiab tsis kaj siab yog qhov tob, nrog rau kev tsim ntawm cov yam ntxwv ntawm daim tawv nqaij acid.
Cov ntiab tawm feem ntau tshwm sim ntawm lub tuam tsev thiab sab plhu. Lawv zoo ib yam li cov teebmeem ntawm kab mob qhua pias. Keloid nti kuj tuaj yeem tshwm sim.
Feem ntau, daim duab kho mob muaj ntau yam rau cov hluas pob txuv. Kev kho mob tuaj yeem mob thiab tuaj yeem siv sijhawm ntau xyoo.
Symptoms
Feem ntau thaum hluas, muaj kab mob tshwm sim uas muaj lub npe Latin pob txuv vulgaris. Cov tub ntxhais hluas hnub nyoog 14 xyoos tshwj xeeb tshaj yog nyob rau hauv daim ntawv no. Nws tshwm sim vim ntau qhov tso tawm ntawm sebum los ntawm cov qog, uas txhaws qhov pores. Kev sib sau ntawm cov ntsiab lus no tshwm sim vim kev ua txhaum ntawm cov txheej txheem keratinization. Nws tseem hu ua keratinization, thaum cov hlwb tuag nyob rau hauv cov txheej txheem ntawm daim tawv nqaij.
BThaum kawg, tag nrho cov no ua rau exfoliation ntawm daim tawv nqaij. Nyob rau tib lub sij hawm, sebum yog concentrated nyob rau hauv lub pores thaiv los ntawm tus kab mob. Tag nrho cov xwm txheej no tsim ib qho chaw zoo rau kev yug me nyuam ntawm cov kab mob phem.
pob txuv ua rau kab mob
Nyob hauv pob txuv, qhov pores hauv cov hluas ua rau mob vim yog cov kab mob sib npaug, qhov txaus ntshai tshaj plaws yog propionibacterium acnes. Nws pub rau sebum fatty acids. Nws tau txais nws lub npe rau ib qho derivative ntawm ib qho ntawm cov metabolites - butyric acid.
Cov kab mob no nkag siab zoo rau cov tshuaj tua kab mob los ntawm pawg tetracycline, thiab cov tshuaj fluoroquinolone kuj tau siv los tawm tsam nws. Ib qho nrov tshaj plaws ntawm lawv yog Adifloxacin.
UV rays tua tau cov kab mob zoo. Tsis tas li, qee tus kws kho mob pom zoo kom siv cov aminolevulinic acid. Txawm li cas los xij, nws feem ntau ua rau muaj kev phiv hauv cov neeg mob.
Feem ntau cov kab mob no cuam tshuam rau lub ntsej muag thiab caj dab sab sauv, txawm tias muaj qhov tshwj xeeb. Ntawm qhov tsis tshua muaj tshwm sim uas cov kab mob no tuaj yeem ua rau yog qhov tsim ntawm purulent thiab sebaceous cysts. Lawv tuaj yeem tawm nti ntawm daim tawv nqaij.
kho pob txuv
Kev kho pob txuv hauv cov tub ntxhais hluas yuav tsum tau ua siab ntev thiab ua siab ntev, yuav tsis muaj peev xwm kov yeej tus kab mob no ib hmos. Lub luag haujlwm tseem ceeb yog txhawm rau tshem tawm cov hauv paus hauv paus - seborrhea.
Qhov no yog ib qho mob ntawm tib neeg cov tawv nqaij uas tshwm sim los ntawm qhov muaj zog heev sebum secretion. Cov teeb meem zoo li no tshwm sim los ntawm kev ua txhaum ntawm ib lossis ob qho tib siob peb lub luag haujlwm ntawm cov qog sebaceous ntawm daim tawv nqaij. Piv txwv li, tshee lossis endocrine.
Cov cim qhia pom tseeb ntawm tus neeg mob seborrhea - oily ci tawv nqaij, khaus, tev, plaub hau poob thiab dandruff. Nws tuaj yeem tshwm sim raws li qhov tuab ntawm stratum corneum ntawm epidermis.
Txhawm rau tshem tawm tus kab mob no, siv cov nyiaj "Selenium Disulfide", "Ketoconazole", "Lithium Succinate". Ua ntej yuav siv tshuaj, yuav tsum tau ntsib kws kho mob.
Kev siv tshuaj tua kab mob
Tshuaj tua kab mob feem ntau yog kev kho mob zoo tshaj plaws rau cov hluas pob txuv. Lawv tsim nyog nyob rau hauv cov mob hnyav ntawm tus kab mob. Yav dhau los, lawv tau siv cov cuab yeej uas nws cov txiaj ntsig tsis tau muaj pov thawj los txog niaj hnub no. Qhov no yog kev hloov pauv ntawm tus neeg mob nws tus kheej cov ntshav, thiab tshuaj estrogen, thiab muab tshuaj txhuam nrog salicylic acid, thiab ultraviolet irradiation, thiab cryotherapy.
Rau kev tawm tsam zoo ntawm pob txuv, nws yog ib qho tsim nyog yuav tsum tshem tawm cov comedones - ib hom hlwv tshwj xeeb uas tshwm sim thaum lub qhov ncauj ntawm cov plaub hau yog tsim los ntawm horny masses. Qhov no tej zaum yuav yog desquamated epithelium nrog rau cov roj tuab. Pob txuv ces qhib.
Txoj kev muaj txiaj ntsig
Tawm tsam pob txuv, kws txawj siv deincrustation. Qhov no yog cov txheej txheem ntawm kev tshem tawm blackhead rog core siv lub tshuab nqus tsev lossis galvanization.
Galvanization hauv kev kho lub cev qhia qhov cuam tshuam ncaj qha rau tus neeg mob lub cev nrog qhov tsis tu ncua thiab tsis tu ncua ntawm lub zog me me thiab qhov hluav taws xob. Lub hom phiaj yog tsuas yog kho thiab prophylactic. Galvanization yog nqa tawm los ntawm electrodes muab tso rau ntawm tus neeg mob lub cev, lawv yuav tsum tau los rau hauv kev sib cuag nrog cov teeb meem ntawm daim tawv nqaij uas muaj feem cuam tshuam rau tus kab mob.
Tiv thaiv pob txuv
Txhawm rau tiv thaiv qhov tshwm sim ntawm pob txuv thiab pob pob liab liab thaum hluas, qhov kev tiv thaiv tseem ceeb yog kev kho mob raws sij hawm ntawm seborrhea.
Tseem muaj ob peb lwm yam tseem ceeb uas yuav cawm koj ntawm cov kab mob no. Qhov no yog ua raws li txoj cai. Nws yog ib qho tsim nyog yuav tsum mob siab rau lub sijhawm txaus los ua kom pw tsaug zog zoo, ua lub neej nquag. Siv sijhawm ntau li ntau tau sab nraum zoov, taug kev ntau zaus, tsis txhob hnov qab txog kev tawm dag zog lub cev.
Ib qho tseem ceeb ntawm kev tiv thaiv pob txuv yog ua raws li kev noj zaub mov nruj. Yog tias koj xav kov yeej cov pob txuv hluas, ces categorically cais cov rog, tshwj xeeb tshaj yog cov roj refractory, thiab roj los ntawm koj cov khoom noj.
Ntau tus kws tshaj lij qhia siv cov zinc-raws li kev npaj ua kev tiv thaiv. Cov tshuaj no inhibits cov haujlwm ntawm cov qog sebaceous, qhov tshwm sim ntawm qhov mob tshwm sim yog maj mam txo mus rau xoom.
Yuav ua li cas pob txuv tau kho ua ntej
Txiv neej tau sim ntau pua xyoo los nrhiav txoj hauv kev zoo thiab zoo ntawm kev kho pob txuv. Nov yog ib qho teeb meem uas tib neeg tau ntsib thoob plaws hauv keeb kwm.
Txawm tias nyob hauv Rome thaum ub, cov hluas tau siv da dej tshwj xeeb thiab dej ntxhia los tiv thaiv pob txuv. Nyob rau hauv lub xyoo pua puv 19, sulfur tau nquag siv los kho pob txuv thiab pob txuv. Xyoo 1920, cov kws kho mob tau txais benzoyl peroxide. Qhov no tshwj xeeb organiccompound, kev siv uas, txawm li cas los xij, tsis paub meej tias nws cov txiaj ntsig. Xyoo 1930, cov kws kho mob Asmeskas tau pub lawv cov neeg mob cov tshuaj laxatives los tiv thaiv pob txuv.
Thiab txij li xyoo 1950s tau siv tshuaj tua kab mob. Hauv xyoo 1960, tretinoin tau pib siv zog. Qhov no yog ib qho kev npaj tshuaj uas muaj ntau cov vitamin A. Nws tsis tsuas yog muaj cov nyhuv anti-seborrheic, tab sis kuj pab tiv thaiv cov qog thiab mob hauv zos. Nws yog feem ntau siv los txo wrinkles. Cov nyhuv tsim nyog yog ua tiav los ntawm kev txhim kho cov kev ua haujlwm ntawm cov hlwb thiab lawv cov kev rov ua dua tshiab.
Ntawm lub khw niaj hnub no koj tuaj yeem pom ntau yam tshuaj uas muaj tretinoin. Muaj, piv txwv li, zoo heev thiab zoo pob txuv cream.
tshuaj niaj hnub
Txij li xyoo 1980, cov tshuaj "Isotretinoin" tau siv los ntawm kws kho mob. Cov tshuaj no yog kev cawmdim tiag tiag rau ntau yam kab mob dermatological. Ntawm nws cov tub ntxhais, nws yog ib qho qauv analogue ntawm vitamin A.
Nyob hauv pob txuv, lub tshuab ua haujlwm yog raws li hauv qab no. Cov tshuaj ua ntej txo cov thickness ntawm lub sab sauv txheej ntawm lub epidermis. Thaum nws tsoo ntawm daim tawv nqaij, nws pib tsis muaj zog cuam tshuam rau cov hlwb ntawm stratum corneum. Vim li no, lawv tev thiab tev tawm. Muaj cov nyhuv peeling. Yog li, lub thickness ntawm stratum corneum ntawm lub epidermis yog maximally txo. Qhov no yog qhov tseem ceeb, vim tias nws muaj feem ntau ntawm cov cell tuag lawm. Cov txheej txheem no qhib qhov pores ntawm daim tawv nqaij, uas tiv thaiv kev tsim ntawm blackheads lossis roj ntsaws.
Tom ntej tshuajsiv nws cov khoom comedonolytic. Nws dissolves fatty plugs, vim hais tias ntawm daim tawv nqaij pores yog tas li nyob rau hauv ib tug clogged lub xeev. Cov tawv nqaij yog dawb los ntawm pob txuv. Tsis tas li ntawd, nws yog ib qho kev tiv thaiv zoo ntawm pob txuv thaum hluas.
Kuj "Isotretinoin" txo qis kev ua haujlwm ntawm cov qog sebaceous. Tab sis qhov no yog ib qho ntawm cov tseem ceeb uas ua rau blackheads, pob txuv thiab pob txuv. Kev ua haujlwm ntau ntxiv ntawm cov qog sebaceous nws thiaj li ua rau qhov tseeb tias cov ducts qhib, thiab qhov nce hauv kev tsim cov fatty secretion provokes blockage ntawm pores.
"Isotretinoin" tuaj yeem ua haujlwm zoo tshaj plaws ntawm cov qog sebaceous, txo lawv cov zais cia.
Nyob rau xyoo 1990, lasers pib siv dav hauv cov chaw kho mob pob txuv.
tshuaj pob txuv
Hnub no, ntawm cov khw muag tshuaj, koj tuaj yeem pom cov tshuaj ntau, nrog ntau qib ntawm kev vam meej, tso cai rau koj tawm tsam pob txuv.
Nws tuaj yeem yog tshuaj tua kab mob hauv zos. Lawv siv rau cov ntawv me me. Txawm li cas los xij, nquag siv cov khoom no ua rau cov tawv nqaij qhuav heev, khaus thiab liab.
tshuaj tua kab mob xws li Erythromycin thiab tetracycline tshuaj tua kab mob yog siv tshuaj pleev.
Kev siv qhov ncauj, tshuaj tua kab mob xws li Doxycycline, Lymecycline yog qhov tsim nyog, qee zaum kws kho mob dermatologist tau sau Trimethoprim.
Nyob rau xyoo tas los no, kev kho tshuaj hormone tau siv zog. Nws yog qhov tshwj xeeb tshaj yog rau cov poj niam. Cov tshuaj xav taucoj los ua ke. Piv txwv li, estrogen nrog rau progestogen.
Ntau cov retinoids, tshwj xeeb tshaj yog cov uas muaj nyob rau hauv gels thiab tshuaj pleev, tau raug pov thawj zoo. Piv txwv li, cov no yog Effezel, Klenzit, Isotrexin.
Retinoids kuj tau siv qhov ncauj. Qhov xav tau rau qhov no tshwm sim nyob rau hauv cov ntaub ntawv loj ntawm pob txuv. Hauv qhov no, dermatologists muab Isotretinoin rau tus neeg mob.
Xws li ib txoj kev nrov li kev kho mob phototherapy tau ua pov thawj nws tus kheej zoo. Rau kev kho mob, cov teeb tshwj xeeb lossis lub laser raug siv, nrog kev pab los ntawm kev ua kom tsis muaj menyuam hauv zos ntawm foci ntawm qhov mob ua tiav.
Nyob tsis tshua muaj, cov kws kho mob dermatologist kuj siv azelaic acid (feem ntau rau pob txuv me me) thiab zinc los kho pob txuv.
