Seborrheic pemphigus yog ib yam kab mob uas tsis tshua muaj autoimmune ntawm daim tawv nqaij. Nws yog qhov txawv los ntawm qhov muaj nyob ntawm lub cev ntawm foci nrog hlwv, seborrheic hyperkeratosis thiab exfoliated epidermis. Ntawm lub ntsej muag, cov hlwv no tuaj yeem nrog kev hloov pauv erythematous, qee zaum nco txog cov tsos mob ntawm lupus erythematosus. Tsis tas li ntawd, hauv kev kuaj ntshav ntawm cov neeg mob uas muaj tus kab mob no, ib qho kev tiv thaiv kab mob tuaj yeem pom, uas yog qhov zoo rau lupus erythematosus.
Npua qauv
Npuas nrog qhov kev kuaj mob no muaj cov qauv tsis yooj yim, nrog rau qhov no, kev yaig tuaj yeem kov yeej hauv daim duab kho mob nrog rau foci ntawm daim tawv nqaij liab, daj crusts. Feem ntau tus kab mob no cuam tshuam rau lub ntsej muag, hauv siab thiab nraub qaum. Seborrheic pemphigus yog ib tug kab mob ntev, lub sij hawm ntawm kev zam txim yog hloov, raws li txoj cai, los ntawm tshiab relapses. Feem ntau raug kev txom nyem los ntawm tus kab mob noCov neeg mob uas muaj hnub nyoog ntawm 13 txog 50.
Yog vim li cas nws zoo li
Raws li twb tau sau tseg lawm, pemphigus hauv cov neeg laus yog tus cwj pwm los ntawm qhov xwm txheej autoimmune. Ntawd yog, yog vim li cas rau nws dag nyob rau hauv qhov tseeb tias lub cev tiv thaiv kab mob tua lawv tus kheej cov ntaub so ntswg uas noj qab haus huv. Hauv qhov xwm txheej no, cov tshuaj tiv thaiv kab mob cuam tshuam rau glycoprotein, uas yog lub luag haujlwm rau kev sib txuas ntawm cov txheej txheem ntawm daim tawv nqaij. Qhov kev sib txuas no raug rhuav tshem, raws li qhov tshwm sim ntawm cov epidermis pib tev tawm, ua npog nrog hlwv thiab ntau yam crusts. Liab feem ntau yog tshwm sim los ntawm daim tawv nqaij khaus tshwm sim los ntawm lub cev tiv thaiv kab mob.
Qee lub sijhawm, tus kab mob no tsis tuaj yeem piav qhia los ntawm autoimmune yam ntawm keeb kwm. Hauv cov xwm txheej zoo li no, idiopathic seborrheic pemphigus raug kuaj pom, uas tshwm sim rau qhov tsis paub. Nws ntseeg hais tias qhov teeb meem no tau txais txiaj ntsig. Ib lub luag haujlwm hauv kev txhim kho tus kab mob no yog ua los ntawm ntau yam kab mob autoimmune nyob rau hauv daim ntawv ntawm kev ua xua, lupus erythematosus, thiab lwm yam. Lwm cov laj thawj yog cov hauv qab no:
- Kev siv qee yam tshuaj, xws li inhibitors, tshuaj tsis-steroidal anti-inflammatory, penicillins, thiab lwm yam.
- Txoj kev tshav ntuj, kub hnyiab.
- Kev noj zaub mov tsis haum.
Tom ntej no, peb yuav pom tias seborrheic pemphigus manifests nws tus kheej li cas (daim duab hauv qab no).
Cov tsos mob ntawm pathology
Cia peb xav txog tag nrho cov txheej txheem ntawm kev txhim kho tus kabmob no:
- Thaum thawj theem ntawm lub cevredness nrog kom meej meej cov npoo tshwm - cov no yog cov thiaj li hu ua erythematous foci. Lawv feem ntau tshwm sim li npauj npaim ntawm ob sab plhu thiab qhov ntswg. Neoplasms muaj cov qauv xoob, flake, npog nrog daj thiab xim av crusts. Xws li cov pob khaus yog tsim los ntawm qhov qhib ntawm cov hlwv thiab ziab ntawm cov kua dej uas ntws tawm ntawm lawv. Qee zaum tus neeg mob yuav tsis pom cov txheej txheem ntawm kev tsim npuas, vim tias lawv tawg sai heev. Cov duab ntawm pemphigus kab mob ntshai ntau.
- Tib lub sijhawm, tawv taub hau ntawm lub taub hau yog npog nrog cov nplai zoo li seborrhea. Cov tawv nqaij hauv cov cheeb tsam no ua liab. Feem ntau, cov nplai tuaj yeem ua caws pliav, cov plaub hau kev loj hlob tsis nyob rau hauv tib lub sijhawm, thiab tawm tsam keeb kwm ntawm tag nrho cov no, cov neeg mob muaj cov tawv nqaij tawv.
- theem tom ntej yog kis ntawm erythematous pemphigus mus rau lwm qhov chaw ntawm lub cev (feem ntau tus kab mob mus rau sab nraub qaum thiab hauv siab). Nyob rau hauv cov cheeb tsam no, cov pob zeb zoo li npog nrog cov pob zeb ntom ntom, ua rau mob hnyav thaum tshem cov khaub ncaws.
- Nyob rau hauv txhua tus neeg mob thib peb, neoplasms tuaj yeem cuam tshuam cov mucous daim nyias nyias ntawm lub qhov ntswg, qhov chaw mos thiab qhov ncauj.
Thaum tus neeg pom cov tsos mob ntawm nws tus kheej, nws yuav tsum tau mus ntsib kws kho mob uas yuav kuaj xyuas kom raug, thiab tom qab ntawd sau tshuaj kho kom raug.
Kev kuaj kab mob
Lub cim tseem ceeb uas kuaj pom seborrheic pemphigus yog qhov muaj cov pob liab liab nyob rau hauv daim ntawv ntawm hlwv, pob zeb thiab yaig Ua tib zoo saib xyuas lawv qhov chaw, kev noj qab haus huv.tib neeg thiab cov kab mob ntev ntawm pathology. Tsis tas li ntawd, koj yuav tsum xeem cov ntawv nram qab no:
- histological;
- immunopathological;
- kev kawm txog ntshav ntshav kom muaj cov tshuaj tiv thaiv kab mob tiv thaiv antigens uas yog yam ntxwv ntawm pemphigus.
Kev kho mob
Lub hom phiaj ntawm kev kho tus kab mob no yog kev tshem tawm tag nrho ntawm daim tawv nqaij, uas yuav raug lees paub los ntawm cov txiaj ntsig tsis zoo ntawm kev sim tshuaj tiv thaiv kab mob. Thaum mob hnyav, cov neeg mob raug xa mus rau tsev kho mob.
Kev kho mob ntawm seborrheic pemphigus yog raws li kev siv cov tshuaj corticosteroids (Prednisolone thiab Dexamethasone ua ke nrog cov tshuaj tiv thaiv kab mob xws li Cyclophosphamide, Azathioprine thiab Methotrexate). Cov tshuaj corticosteroids maj mam txo ntau ntau lub hlis. Prednisolone yog 100 mg ib hnub twg. Raws li cov tshuaj "Cyclosophosphamide", nws yuav tsum tau noj ntawm 150 mg ib hnub twg.
Hauv cov xwm txheej tshwj xeeb, piv txwv li, yog tias tus neeg mob muaj contraindications rau kev noj cov tshuaj glucocorticoids, cov kws kho mob siv cov tshuaj "Immunoglobulin", "Cyclosporin" thiab lwm yam tshuaj uas ua rau lub cev tsis muaj zog. Kev kho mob yuav tsum tau ua los ntawm ib tus kws kho hniav uas tsim nyog.
Muaj Teeb Meem
Kev kho mob pemphigus rau cov neeg laus uas muaj cov tshuaj hormonal tuaj yeem ua rau muaj ntau yam teeb meem sib txawv, tab sis cov no tsis yog vim li cas thiaj li txwv tsis pub corticosteroids. Qhov no tuaj yeem piav qhia los ntawm qhov tseeb tias kev tsis kam siv lawv tuaj yeem ua raurov qab los, kev loj hlob ntawm tus kab mob tau piav qhia.
Cov teeb meem hauv qab no tuaj yeem tshwm sim thaum kho:
- Kev txhim kho ntawm kev puas siab puas ntsws.
- Qhov pom ntawm arterial hypertension.
- Qhov tshwm sim ntawm kev nyuaj siab thiab insomnia.
- Kev txaus siab heev.
- Txhim kho ntshav qab zib steroid, thrombosis, rog thiab angiopathy.
- Qhov tshwm sim ntawm kev yaig lossis kab mob ntawm txoj hnyuv thiab plab.
Kev kho mob ntawm seborrheic pemphigus
Yog tias tus kab mob no tshwm sim, cov neeg mob raug qhia kom da dej tshuaj tua kab mob txhua hnub, siv tshuaj pleev nrog glucocorticoids (piv txwv li, Dermozolon lossis Lorinden).
Yog hais tias cov mucous daim nyias nyias raug cuam tshuam, tus kws kho mob tau sau tshuaj tua kab mob, lossis cov tshuaj sib xyaw ua ke, xws li Natamycin. Cov nyhuv zoo yog tsim los ntawm cov txheej txheem physiotherapeutic hauv daim ntawv ntawm plasmapheresis, laser kho thiab hemosorption.
kab mob prognosis
Ntau yam xav paub ntev npaum li cas cov neeg uas muaj seborrheic pemphigus nyob.
Nrog kev kho kom raug, qhov kev mob tshwm sim feem ntau yog qhov zoo. Tus neeg mob tuaj yeem tshem tawm cov pob liab liab thiab tsis zoo nkauj. Nws yog ib qho tsim nyog sau cia tias seborrheic pemphigus muaj ib qho kev nyiam ua rau rov tshwm sim, hauv qhov no, nws yuav tsum tau mus xyuas nrog kws kho mob dermatologist, thaum tsis txhob muaj kev kub ntxhov ntawm lub hnub thiab qee yam tshuaj.
Kev kho mob nrog pej xeem txoj kev
Ntxiv rau kev kho mob ntawm seborrheic pemphigus, lub tsev kho mob sivpej xeem txoj kev.
Ntau cov tshuaj ntsuab muaj qhov rov tsim dua tshiab thiab soothing ntawm cov tawv nqaij, yog li tshuaj ntsuab tuaj yeem txhawb kev kho mob.
Nov yog cov zaub mov zoo tshaj plaws uas tuaj yeem pab tib neeg kom tshem tau tus kab mob no:
- Siv arnica decoction. Ib tablespoon ntawm arnica paj yog nchuav rau hauv ob khob dej. Tom ntej no, cov khoom yog boiled tshaj tsawg tshav kub rau tsib feeb. Tom qab no, lub broth yog tso cai rau brew rau txog kaum tsib feeb. Tom qab ntawd cov tshuaj yog lim, 50 g ntawm glycerin thiab ib tablespoon ntawm vinegar yog ntxiv rau cov tshuaj. Cov tshuaj uas tshwm sim yog siv los ntxuav qhov chaw cuam tshuam thiab compresses.
- Kev siv qej roj los kho. Tev 50 g ntawm qej, chop thiab sib tov nrog 200 ml ntawm txiv roj roj. Tom ntej no, cov sib tov yog infused nyob rau hauv ib khob hub rau 14 hnub ntawm lub hnub. Co cov ntsiab lus tsis tu ncua. Cov roj infused yog lim thiab 5 capsules ntawm cov kua vitamin E ntxiv rau nws, Txoj kev no koj tuaj yeem tau txais cov tshuaj tua kab mob zoo heev thiab cov tshuaj pleev kom qhuav uas yuav tsum tau siv rau thaj chaw muaj kab mob ob zaug ib hnub.
- Nrov thiab muab cov txiaj ntsig zoo kho ntawm pemphigus (daim duab hauv kab lus) nrog kev npaj tshuaj ntsuab, uas tau npaj raws li daim ntawv qhia hauv qab no. Noj 25 g ntawm dawb yasnotka paj thiab tib tus naj npawb ntawm nplooj plantain, ces ntxiv 50 g ntawm hyssop thiab yarrow. Ib diav ntawm cov resulting sib tov yog poured rau hauv ib khob dej. Tom ntej no, cov khoom yog boiled tshaj qis cua sov rau tsib feeb nyob rau hauv lub hau, ces nws yog tshem tawm los ntawm lub qhov cub thiabhais ntxiv kaum feeb. Lub resulting decoction yog ntxuav nrog mob me ntsis. Cov txheej txheem yuav tsum tau rov ua dua txhua hnub kom txog thaum rov ua tiav.
Kev noj haus rau seborrheic pemphigus
Kev noj zaub mov yuav tsum muaj cov khoom noj uas muaj cov kab mob, cov vitamins, proteins. Coarse-fiber, s alty, qaub, haus luam yeeb, kib zaub mov tsis suav nrog kom cov mucous daim nyias nyias ntawm lub plab zom mov tsis raug mob. Noj zaub mov yog feem ntau, txog li tsib zaug hauv ib hnub. Koj tuaj yeem siv mis nyuj, butter, tsev cheese, txiv hmab txiv ntoo, nqaij hau, zaub. Nws raug nquahu kom txwv cov ntsev kom tsawg. Kev noj zaub mov ntawm cov neeg mob pemphigus yuav tsum muaj cov protein ntau txaus (nqaij, tsev cheese), txiv hmab txiv ntoo tshiab thiab zaub.
cov kws kho mob
Tsis muaj kev ntsuas tshwj xeeb uas yuav tiv thaiv kev txhim kho ntawm cov kab mob no. Qhov siab dua ntawm kev tiv thaiv kab mob hauv tib neeg, qhov tsawg dua qhov kev pheej hmoo ntawm kev tsim cov kab mob dermatological tshwj xeeb. Yog li, cov kws kho mob pom zoo ua raws li cov lus qhia no:
- Control the nature of a chronic disease.
- Nco ntsoov sim ntxiv dag zog rau koj txoj kev tiv thaiv.
- Nws yog ib qho tseem ceeb rau kev tu tus kheej ntawm daim tawv nqaij.
- Nws yog ib qho tseem ceeb sib npaug ntawm kev noj zaub mov kom raug thiab sim zam cov khoom noj uas tuaj yeem ua rau muaj kev tsis haum tshuaj.
Cov kws kho mob kuj muab cov lus qhia hauv qab no rau kev tiv thaiv seborrheic pemphigus hauv cov menyuam yug tshiab:
- Yuav tsum hloov ntau zausme nyuam underwear.
- Koj yuav tsum tu koj tus menyuam daim tawv nqaij tsis tu ncua.
- Peb yuav tsum ua kom muaj zog tiv thaiv kab mob, tshwj xeeb tshaj yog rau cov menyuam yaus uas tsis muaj zog.
- yuav tsum tau ntxuav txhua txhua hnub, chav tsev uas tus menyuam nyob yuav tsum tau ua kom cua tsis tu ncua.
Yog tias koj pom cov pob khaus ntawm daim tawv nqaij, qhov pom ntawm pob khaus thiab pustules, koj yuav tsum hu rau tus kws kho mob tam sim ntawd. Kev kwv yees nyob rau hauv lub xub ntiag ntawm acantholytic pemphigus yog conditionally unfavorable. Thaum tsis muaj qhov tsim nyog tau txais kev kho mob, qhov tshwm sim ntawm cov teeb meem yog qhov siab heev. Tuag tau.
Hmoov tsis zoo, cov neeg mob uas raug mob pemphigus raug yuam kom siv glucocorticosteroids ntev, thiab qee zaum rau lub neej, uas ua rau muaj kev loj hlob ntawm txhua yam kev mob tshwm sim. Nws tseem tsim nyog sau cia tias qhov kev tsis lees txais tshuaj sai sai ua rau muaj kev rov qab sai sai ntawm tus kab mob. Glucocorticosteroids, raws li txoj cai, tsis tshem tawm qhov ua rau ntawm tus kab mob, tab sis muaj peev xwm cuam tshuam cov txheej txheem pathological, ntxiv rau, cov tshuaj no tsis tso cai rau nws mus ntxiv.
