Acanthosis dub tau piav qhia thawj zaug hauv tebchaws Yelemes xyoo 1889. Raws li kev tshawb fawb, nws yuav muaj kev sib raug zoo nrog cov qog nqaij hlav malignant thiab benign.
Dab tsi yog kab mob
Black acanthosis - pigment-papillary dystrophy ntawm daim tawv nqaij. Nws belongs rau cov kab mob txaus ntshai, raws li nws tuaj yeem ua benign thiab malignant. Daim ntawv benign tshwm sim feem ntau hauv cov menyuam yaus thiab nws cuam tshuam nrog kev cuam tshuam ntawm endocrine system, tshwj xeeb tshaj yog cov kab mob xws li kev rog thiab ntshav qab zib. Tsis tas li ntawd, dystrophy tuaj yeem ua txhaum ntawm lub paj hlwb.
Daim ntawv phem tshwm sim dhau los lawm. Tus kab mob no yog qhov txaus ntshai vim nws tau nrog cov kab mob tsis zoo ntawm cov kab mob hauv nruab nrog cev thiab tau pom nyob rau hauv qhov chaw muaj kev sib txhuam ntawm daim tawv nqaij loj tshaj plaws.
Kev tshwm sim
Qhov ua rau dub acanthosis tsis tau txhais raws nraim, tab sis cov kws tshawb fawb tau tsim muaj qee yam kev sib raug zoo nrog cov yam ntxwv uas muaj tshwm sim. Tshwj xeeb, cov xwm txheej no suav nrog:
- malignantneoplasms;
- kev cuam tshuam endocrine;
- noj qee yam tshuaj.
Tus kab mob tuaj yeem tshwm sim hauv ib tus neeg ntawm txhua lub hnub nyoog, thiab qhov tseem ceeb vim li cas nws tsim los kuj sib txawv hauv cov hnub nyoog sib txawv. Tsis tas li ntawd, kev noj cov zaub mov muaj roj lossis hmoov txhuv nplej siab, nrog rau kev rog dhau, tuaj yeem ua rau muaj kev cuam tshuam.
Cov tsos mob tseem ceeb
Dub acanthosis ntawm papillary txheej ntawm daim tawv nqaij yog tshwm sim los ntawm cov tsos mob xws li:
- roughening thiab exfoliation ntawm daim tawv nqaij;
- nce pigmentation ntawm thaj chaw cuam tshuam ntawm daim tawv nqaij;
- pom papillomas thiab fibroids ntawm daim tawv nqaij.
Tus kab mob no feem ntau tshwm sim nws tus kheej nyob rau hauv lub ntuj folds ntawm daim tawv nqaij. Tsis tshua muaj heev, nyob rau hauv ib tug neeg mob, kev hloov ntawm daim tawv nqaij npog tau dav thiab npog ib qho chaw tseem ceeb nyob ze ntawm lub qhov txhab loj. Tib lub sijhawm, kev hloov pauv tuaj yeem pom ntawm cov kabmob nyob ze.
Daim duab ntawm acanthosis dub qhia meej meej txog qhov peculiarity ntawm cov kab mob. Thaum xub thawj, tus neeg mob tsim ib thaj chaw daj, uas dhau sij hawm dhau los ua tsaus thiab ntau dua. Maj mam, fibromas thiab papillomas pib tsim ntawm thaj chaw cuam tshuam. Cov mucous feem ntau tsis cuam tshuam, tab sis papillomas tuaj yeem tsim rau lawv. Qee zaum ib tus neeg yuav hnov qhov khaus thiab khaus ntawm thaj chaw cuam tshuam.
Nyob rau hauv lub xub ntiag ntawm ib tug phemqog nqaij hlav, ib tug neeg xav tias tsis muaj zog heev, apathy, tsaug zog, thiab kuj pib poob phaus.
Diagnostics
Yog tias acanthosis dub tshwm sim hauv tib neeg, ces qhov kev kuaj mob hauv cov neeg laus hnub nyoog nruab nrab thiab cov neeg laus yog nyob ntawm kev tshuaj xyuas sab nraud ntawm cov chaw tshwm sim. Txhua tus neeg mob uas muaj tus kab mob no yuav tsum tau mus kuaj xyuas kom paub tseeb tias mob qog noj ntshav.
Tus kws kho mob xaj kom kuaj kuaj. Cov kev txawv txav no tuaj yeem kuaj pom los ntawm kev sim tshuaj insulin, vim tias feem ntau tsis muaj cov tsos mob ntawm ntshav qab zib, tab sis qib ntawm insulin hauv cov ntshav yuav siab heev. Yog li ntawd, yog hais tias ib tug benign qog yog xav tias yuav, ib tug endocrinologist yuav tsum tau sab laj. Tsis tas li ntawd, kev kuaj ntshav biopsy yuav raug sau tseg, ua raws li kev tshawb fawb ntawm cov ntaub so ntswg tau.
Kev kho mob
Tsis muaj txoj hauv kev tshwj xeeb rau kev kho acanthosis nigricans. Lub hom phiaj tseem ceeb ntawm kev kho yog tshem tawm cov kab mob hauv qab. Feem ntau, rau kev kho mob ntawm benign neoplasm, vitamin A, ascorbic acid, thiab salicylic ointment yog siv, uas yuav tsum tau siv rau qhov chaw ntawm daim tawv nqaij puas. Nyob rau hauv lub xub ntiag ntawm hormonal ntshawv siab, hormonal kho yog muab.
Kev kho nrog kev siv cov kua nitrogen siv tau zoo heev. Thaum lub sijhawm kho, nws yog qhov zoo tshaj yog tias tus neeg mob nyob hauvtsev kho mob. Yog tias acanthosis dub ntawm daim ntawv malignant tshwm sim, ces qhov kev tshem tawm ntawm cov qog yog ua tiav. Txawm li cas los xij, nws tsim nyog nco ntsoov tias tus kab mob tuaj yeem rov tshwm sim nrog kev rov ua dua thiab muaj cov metastases.
Malignant acanthosis nigricans yog qhov tshwm sim heev, thiab nws txoj kev kho mob nrog Vetom coj tau zoo heev, vim tias cov tshuaj no pab txo qis cov tshuaj tua kab mob. Nyob rau hauv lub xub ntiag ntawm malignant neoplasms, qhov kev kho no yog siv los ntxiv dag zog rau lub cev tiv thaiv kab mob, raws li ib tug restorative antitumor tshuaj.
Nyob rau hauv lub xub ntiag ntawm warts ntawm daim tawv nqaij, cov ntaub so ntswg coagulation yog nqa tawm nyob rau hauv lub zog ntawm hluav taws xob tam sim no. Cov tshuaj pleev tshwj xeeb lossis cawv tinctures yog siv rau thaj chaw uas muaj cov tawv nqaij pigmentation. Nws yog ib qho tseem ceeb kom ntxiv dag zog rau lub cev, uas yog siv cov vitamin complexes, nrog rau echinacea thiab ginseng extracts. Tsis tas li ntawd, tshuaj tua kab mob thiab tshuaj tua kab mob yog siv. Da dej nrog ntxiv ntawm poov tshuaj permanganate pab zoo.
Nyob rau hauv cov mob hnyav, kev kho tshuaj hormone yog muab. Cov neeg mob thoob plaws hauv lawv lub neej xav tau kev noj cov tshuaj zinc tas li los pab tswj tus neeg mob zoo.
Kev ntsuas tus kab mob
Ntau tus neeg mob uas muaj tus kab mob benign muaj cov tshuaj insulin ntxiv, uas dhau los ua qhov tseem ceeb ntawm acanthosis. Qhov mob hnyav ntawm cov kab mob thiab qhov tshwm sim tom qab kev kho mob feem ntau yog nyob ntawm qib ntawm insulin tsis kam. Nrog rau daim ntawv qhibKev ntsuas ntshav qab zib yog qhov poob siab heev. Nrog rau kev kho kom raug thiab raws sijhawm, koj tuaj yeem ua tiav kev rov qab sai. Daim ntawv hluas yog tus yam ntxwv ntawm qhov tseeb tias tus kab mob no ploj mus ntawm nws tus kheej, thaum tus menyuam loj hlob tuaj.
Thaum muaj tus kab mob malignant tshwm sim, qhov kev tshwm sim yog qhov tsis zoo, vim tias cov qog loj muaj qhov ua phem heev. Qhov nruab nrab lub neej expectancy ntawm cov neeg mob no yog 2 xyoo, txawm hais tias muaj cov neeg nyob rau ntau tshaj 10 xyoo.
prophylaxis
Txhawm rau txo qhov yuav kis tau tus kab mob, qee yam kev tiv thaiv yuav tsum tau soj ntsuam. Cov kev tiv thaiv no suav nrog kev tuav lub cev hnyav. Tsis tas li ntawd, nws yog qhov tsim nyog los tswj cov qib ntawm insulin thiab ua kom nws zoo li qub.
Kev nyuaj siab
Cov teeb meem tuaj yeem sib txawv heev, nyob ntawm tus yam ntxwv ntawm cov kab mob acanthosis dub. Hauv cov menyuam yaus, tus kab mob feem ntau tshwm sim hauv daim ntawv tsis zoo, yog li qhov tshwm sim ntawm cov teeb meem txaus ntshai tsis raug pom.
Hauv cov neeg laus, tus kab mob no mob hnyav dua, thiab pom muaj teeb meem loj thaum tus kab mob mus ntev. Feem ntau muaj qhov tshwm sim ntawm seborrhea, kab mob fungal, nrog rau kev rov ua dua thiab metastasis ntawm cov qog nqaij hlav malignant.
Dub acanthosis hauv dev: nta ntawm chav kawm thiab kev kho mob
Hauv cov tsiaj, tus kab mob no tshwm sim los ntawm qhov tshwm sim ntawm ntau yam kev loj hlob thiab papillomas hauv daim tawv nqaij loj. Hauv qhov no, cov xim ntawm daim tawv nqaij hloov thiab cov hlwb loj tuaj.
Dub acanthosis hauv dev tshwm sim rau ntau yam, tshwj xeeb xws li:
- kab mob endocrine;
- malignant neoplasms;
- obesity;
Cov cim tseem ceeb ntawm tus kab mob yog qhov pom ntawm daim tawv nqaij keratinized thiab muaj zog pigmentation. Cov chaw no feem ntau yog nyob nruab nrab ntawm lub pob tw, hauv lub duav thiab puab tais quav, armpits, ze ntawm lub dab teg, ze ntawm pob ntseg thiab ob sab caj dab.
Cov tawv nqaij ntawm tus tsiaj ua xim av thiab qhuav heev, thiab tom qab ib pliag lawv pib tsaus. Muaj ntau cov folds thiab kev loj hlob tshwm sim, thiab kev nyem tau zoo heev. Thawj hom kab mob tshwm sim hauv dachshunds ntawm ob leeg poj niam, feem ntau mus txog ib xyoos. Secondary yog pom nyob rau hauv cov dev ntawm tag nrho cov breeds, tab sis feem ntau nyob rau hauv cov plaub hau du. Cov mob no qhia tau tias muaj teeb meem nrog lub qog adrenal lossis cov thyroid caj pas.
Kev kho tus kab mob thawj zaug tam sim no tsis muaj txiaj ntsig, vim tsis muaj tshuaj tiv thaiv. Tus mob ntawm tus tsiaj tsuas yog txo tau los ntawm kev noj tshuaj hormonal thiab ntau yam tshuaj pleev ib ce.
Y Kev noj cov glucocorticoids, nrog rau cov vitamin E tau qhia. Thaum muaj cov kab mob thib ob, kev kho tsis tas yuav tsum tau, vim tias cov cim feem ntau ploj ntawm lawv tus kheej. Qhia tsuas yog kev siv nyiaj los tshem tawm qhov mobtawv.
