Cov tsos mob ntshav qab zib hauv poj niam tuaj yeem tshwm sim raws hnub nyoog sib txawv. Yog li, txhawm rau kom paub txog tus kab mob thaum tseem ntxov, nws yog ib qho tseem ceeb kom paub nws cov tsos mob thawj zaug thiab muaj peev xwm paub qhov txawv ntawm nws hom. Yog li, nws muaj ob hom mob ntshav qab zib.
Hauv thawj hom mob, muaj qhov tsis txaus los ntawm insulin. Yeej, tus kab mob manifests nws tus kheej ntse thiab acutely, feem ntau ua rau txoj kev loj hlob ntawm ketoacidotic coma.
Qhov thib ob ntawm ntshav qab zib no tshwm sim rau qhov tsis muaj cov tshuaj insulin. Nws yog tsiag ntawv los ntawm cov chav kawm asymptomatic. Nyob rau tib lub sijhawm, tus neeg mob muaj lub cev tsis txaus siab vim los ntawm kev ua tiav ntawm pancreatic reserves thiab tus kab mob pib tshwm nws tus kheej ntau vividly, tab sis los ntawm lub sijhawm no vascular cuam tshuam tshwm sim, uas feem ntau tsis tuaj yeem hloov ua.
Cov ua rau thiab cov tsos mob ntawm tus mob ntshav qab zib rau poj niam
Yog tias ua tsis tiav hauv cov txheej txheem hauv cov khoom noj hauv lub cev thiab nthuav tawm hauv cov nqaij mos ntawm cov khoom lag luam ntawm cov khoom noj tsis haum hauv ntau lub cev thiab cov kabmob, nrog rau kev sib xyaw ntawm daim tawv nqaij, kab mob hloov. Yog li ntawd, txoj haujlwm ua haujlwm ntawm daim tawv nqaij, cov hws qog thiab cov hauv paus ua tsis taus.
Tsis tas li, kev tiv thaiv kab mob hauv zos tsis zoo nyob rau hauv cov neeg mob, vim tias cov pathogens cuam tshuam los ntawm cov kab mob dermis. Yog hais tias chav kawm ntawm tus kab mob no yog mob hnyav, ces daim tawv nqaij coarsen, tev ntau thiab poob lawv cov elasticity.
Cov tsos mob ntshav qab zib hauv cov poj niam muaj lawv tus kheej tshwj xeeb. Lub ntsiab nthuav dav suav nrog:
- hnov tsw ntawm acetone los ntawm lub qhov ncauj;
- ntse poob ceeb thawj;
- daim tawv nqaij mob.
Tom qab 40 xyoo, mob ntshav qab zib tuaj yeem tshwm sim ua txhaum ntawm lub cev ntas, ua rau cov plaub hau thiab ntsia hlau, kiv taub hau thiab tsis muaj zog. Cov tsos mob ntawm tus kab mob hauv cov poj niam ntawm 50 yog qhov muag pom tsis zoo.
Cov cim qhia txog ntshav qab zib hauv cov txiv neej yog nqhis dej, tso zis ntau zaus, thiab muaj teeb meem nrog potency.
Hom Mob Ntshav Qab Zib Cov Kab Mob Ntshav
Ib ntawm cov yam ntxwv ntawm tus cwj pwm qhia tias muaj ntshav qab zib yog cov tawv nqaij khaus. Yog li ntawd, tus neeg mob feem ntau ua mob fungal thiab furunculosis. Rau cov poj niam, tus kab mob pathology tau nrog ua kom mob hnyav ntawm perineum.
Tus kws kho ntshav qab zib tuaj yeem tsim ntau dua peb caug ntau yam dermatoses, uas tau muab faib ua 3 pawg:
- Lub Koom Haum Me Nyuam Yaus - tshwm sim tawm tsam ntawm keeb kwm ntawm qhov ua tsis taus metabolic (dermopathy, xanthomatosis, mob ntshav qab zib, plhaw ntshav).
- Secondary - tshwm sim nyob rau hauv cov ntaub ntawv ntawm txuas ntawm fungal los yog kab mob kis tau.
- Cov tawv nqaij ua mob tshwm sim tsis zoo tom qab siv qee yam tshuaj.
Dermatopathy yog qhov pom tshwm sim ntau tshaj plaws ntawm cov ntshav qab zib rau cov poj niam ntawm daim tawv nqaij thiab cov duab uas qhia tias xim av papules 5-12 cm hauv qhov loj pom tshwm ntawm sab xub ntiag ntawm sab ceg qis. Pathology tsim tawm ntawm keeb kwm ntawm kev hloov pauv tshwm sim hauv cov hlab ntsha me.
Lwm qhov kev tshwm sim mob ntshav qab zib ntawm daim tawv nqaij yog lipoid necrobiosis. Qhov kev tsis txaus siab tshwm sim los ntawm qhov tsis ua tiav ntawm cov khoom noj metabolism. Xws li tus kab mob yuav siv ntau lub xyoo tsuas yog cov kev mob tshwm sim ntawm hyperglycemia hauv cov neeg mob insulin.
Feem ntau, cov poj niam hnub nyoog 15-40 xyoo raug kev txom nyem los ntawm necrobiosis. Thaum txoj kev loj hlob ntawm tus kab mob, cov tawv nqaij ntawm ob txhais ceg raug cuam tshuam, qhov twg loj xiav-liab me lossis lossis asymmetric nodular pob tshwm sim.
Thaum lub sijhawm dhau los, cov qauv tsim ua cov quav hniav loj dua nrog cov xim daj-daj rau kev ntxhov siab nyob hauv nruab nrab. Ntxiv mus rau hauv nruab nrab ntawm lawv tshwm sim atrophy, them nrog telangiectasias. Thiab qee zaum mob txhab tshwm hauv cov quav hniav, uas mob siab heev.
Lub zais zis nyob ntawm daim tawv nqaij zoo li nkag tsis tau. Pemphigus tshwm sim tsis muaj liab ntawm txhais taw, tes thiab ntiv tes.
Cov npuas tuaj yeem muaj ntau qhov sib txawv, thiab hauv nruab nrab lawv tau sau nrog kua. Raws li txoj cai, hlwv ploj hauv 2-4 lub lis piam tsis muaj tawm qhov nti.
Kuj, ntshav qab zib tuaj yeem nrog nrog mob peripheral atherosclerosis. Qhov kev tsis txaus siab no yog tus cwj pwm los ntawm kev puas tsuaj rau cov hlab ntsha ntawm ob txhais ceg nrog kev tsim cov atherosclerotic plaques uas cuam tshuam cov ntshav kev khiav mus los. Yog li ntawd, cov khoom noj khoom haus ntawm cov dermis muaj kev cuam tshuam.
Nrog kev mob atherosclerosis, daim tawv nqaij yuav ua nyias thiab qhuav, thiab cov kiav txhab kho zoo zuj zus, yog li txawm tias cov kiav txhab me me tuaj yeem dhau los ua ntau yam teeb meem rau tus neeg mob. Tsis tas li ntawd, thaum taug kev hauv plab hlaub, qhov mob tshwm sim.
Eruptive xanthomatosis tseem tuaj yeem yog kev txhawj xeeb rau cov neeg mob ntshav qab zib. Nws yog xim pob tawv nqaij daj uas tau ncig los ntawm pob zeb burgundy corollas.
Qhov chaw tseem ceeb ntawm kev ua kom thaj chaw nyob ntawm cov pob xoo yog txhais ceg, pob tw, nraub qaum, tsis tshua pom lawv nthuav nyob ntawm lub ntsej muag, caj dab thiab hauv siab. Feem ntau cov tsos mob ntawm tus kab mob, ntxiv rau theem siab ntawm cov piam thaj, ua rau cov ntsiab lus ntau dhau ntawm triglycerides hauv cov ntshav.
Cov kev mob tshwm sim tom qab ntawm ntshav qab zib yog papillary-pigmentary dystrophy ntawm daim tawv nqaij. Nws yog tus cwj pwm los ntawm kev tsim cov xim av hauv lub puab tais, zawv caj dab thiab caj dab. Qhov hom dermatosis no feem ntau pom muaj nyob hauv cov neeg mob nyhav dhau.
Tsis tas li, nrog ntev hyperglycemia, lub nplhaib zoo li tus ntiv tes pob zeb loj hlob, nyob rau hauv uas arched lossis ntiv nplhaib-tshwm pob ua pob tshwm sim. Hauv qhov no, txhais ko taw, ntiv tes thiab tes yog cuam tshuam.
Neurodermatitis thiab khaus ntawm daim tawv nqaij feem ntau txhim kho ua ntej pib ntawm qhov pib mob. Nws yog ib qho tseem ceeb hais tias cov cim zoo li ntshav qab zib ntawm daim tawv nqaij raws li daim duab qhia, pom tseeb tshaj qhov pom thaum daim ntawv latent ntawm cov ntshav qab zib muaj tshwm sim. Cov chaw uas khaus feem ntau yog cov pob txha intergluteal, cov quav ntawm lub plab, lauj tshib quav thiab thaj chaw inguinal.
Qee zaum, hauv cov neeg mob ntshav qab zib, cov pleev xim melanin ploj hauv qee qhov chaw ntawm daim tawv nqaij, vim qhov dermis ntxuav hniav dawb. Vitiligo tsuas yog nyob hauv thaj chaw hauv siab, plab thiab ntsej muag.
Nws tsim nyog sau cia tias cov neeg mob uas muaj teeb meem zoo sib xws yuav tsum tsis txhob nyob hauv tshav ntev ntev. Yog li, thiaj li tsis xav kom tau txais kev hlawv, lawv yuav tsum thov cov tshuaj nplaum tshwj xeeb rau ntawm daim tawv nqaij nrog SPF ntawm tsawg kawg 30.
Acanthokeratoderma yog qhov ua ntej rau ntshav qab zib. Nws yog tus cwj pwm los ntawm kev ntom nti thiab tsaus tawv nqaij ntawm caj dab, puab tais thiab qhov tso.
Nrog tus kabmob no, cov tawv nqaij ua xim av. Feem ntau, mob acanthosis, tshwm sim los ntawm cov ntawv tsaus ntuj, pom hauv cov neeg mob rog rog.
Feem ntau, ntshav qab zib yog nrog mob fungal. Hauv cov poj niam, ib qho ntawm cov kabmob tshwm sim tshaj plaws yog candidiasis, uas tshwm sim thaum Candida albicans tau txais ntawm daim tawv nqaij.
Feem ntau, pom kev txhawj xeeb txog qhov hnyav tshaj thiab cov neeg laus laus. Cov chaw ntawm nws qhov chaw nyob yog cov nqaij mos ntawm qhov chaw mos thiab qhov ncauj, cov tawv nqaij loj ua ntu nruab nrab ntawm cov ntiv tes ntawm nqaj.
Thaum pib, ib txoj hlua xim dawb yog tsim rau ntawm daim tawv nqaij los ntawm qhov mob pliaj desquamated stratum, tom qab ntawd daim tawv nqaij du nrog thaj chaw Kars-xiav thiab cov kab nrib pleb tshwm rau nws. Tom qab ntawd, npuas thiab pustules daim ze rau ntawm lub hauv paus tsom.
Cov chaw raug mob yooj yim tshaj plaws rau cov kab mob fungal yog cov ntsia hlau thiab ntiv taw. Ntxiv nrog rau qhov mob candidiasis, cov ntshav qab zib feem ntau qhia:
- mob plab mob hlwb;
- txhab txiag;
- epidermophytosis ntawm ko taw.
Cov kab mob sib kis nrog hyperglycemia kuj tsis yooj yim dua. Yog li ntawd, cov neeg mob yuav tuaj yeem dhau carbuncles (subcutaneous txuam nrog ntawm pob txuv purulent thiab rwj (zoo ib yam li pustules).
Ib qho mob hnyav tshaj plaws ntawm ntshav qab zib yog suav tias yog ko taw deformity, qhov kev loj hlob sai ntawm uas qee zaum xaus nrog kev zawm caj dab. Tus kabmob pib txhim kho vim yog kev puas tsuaj rau daim tawv nqaij, cov leeg, cov pob txha thiab cov nqaij mos. Ntxiv mus, tus neeg mob ntsib mob yog tias koj kov qhov chaw cuam tshuam.
Ntshav qab zib mob ko taw yog yam ntxwv:
- tiaj tus taw;
- deformation ntawm ko taw thiab ntiv taw;
- ko taw nce ntxiv hauv qhov loj me.
Tsis tas li ntawd, cov ntsia hlau tuaj yeem cuam tshuam los ntawm cov pwm. Qee zaum mob txhab rau ntawm ib leeg.
Cov Kab Mob Ntshav Qab Zib Saib Xyuas Tawv Ntshav
Thawj kauj ruam yog los ntxuav cov tawv nqaij. Tab sis cov kws kho ntshav qab zib yuav tsum tsis txhob siv cov xab npum alkaline, vim tias nws qhuav ntawm daim tawv nqaij ntau heev, uas ua rau muaj kev puas tsuaj ntawm cov lipid txheej thiab ntau yam kev puas tsuaj.
Yog li, cov tshuaj ntxuav dej ua kua nrog pH nruab nrab yuav tsum siv. Thiab rau kev nyiam huv, nws raug nquahu kom xaiv cov gels nrog lactic acid.
Tom qab ntxuav tas, emollients thiab ya raws tau siv rau qhov chaw qhuav ntawm lub cev. Nws yog qhov tseem ceeb rau kev tu koj txhais tes, ua tib zoo mloog koj lub lauj tshib thiab txhais tes. Rau lub hom phiaj no, lub txiv kab ntxwv yuav tsum tau pleev ntau zaus ib hnub rau cov tawv nqaij ntawm nqua.
Vim yog lub cev tsis ua haujlwm ntawm cov txheej txheem tsim kho dua tshiab thiab muaj kev pheej hmoo siab rau kev kis tus kab mob, txawm tias lub qhov txhab tawv nqaij feem ntau yuav tsum tau ua tib zoo kho nrog kev siv tshuaj tua kab mob thiab cov cawv tshwj xeeb uas ua rau cov txheej txheem kho sai.
Yog tias muaj pob khaus pob nyob rau hauv cov tawv nqaij loj, koj yuav tsum tau saib xyuas kev nyiam huv ntawm cov chaw no. Thiab tom qab ntxuav tas, ib qho qab zib uas muaj zinc oxide siv rau thaj chaw cuam tshuam.
Kev tu tawv nqaij rau cov ntshav qab zib muaj kev saib xyuas ceev faj ntawm cov mob ntawm ob txhais ceg, vim nws yog txhais taw uas yog qhov muaj kev nyab xeeb rau ntau yam mob. Yog li, cov ntshav qab zib yuav tsum tau ua raws li cov kev cai tshwj xeeb:
- hnav khaub ncaws zoo nyob xwb uas tsis nyem koj ko taw;
- kuaj xyuas tus taw txhua hnub;
- txhua hnub ntxuav cov ceg tawv hauv dej sov, ua tib zoo so lawv nrog phuam so, tshwj xeeb tshaj yog nyob rau thaj tsam ntawm cov ntiv tes;
- Thaum sawv ntxov thiab yav tsaus ntuj, lub ntsej muag muag qab zib yuav tsum tau nruab rau ko taw.
- Nyob rau hauv qhov muaj kab nrib pleb thiab hyperkeratosis, yuav tsum siv cov tshuaj tiv thaiv tshwj xeeb.
- Yog tias muaj mob caj dab thiab calluses, kev siv tshuaj xyuas zoo muaj urea yuav tsum tau siv.
Yog tias koj ua cov kab mob ntshav qab zib kom raws sij hawm, tom qab ntawv qhov yuav tshwm sim tsawg tsawg.
Nws yog qhov tsim nyog hais tias cov neeg mob ntshav qab zib tsis pub soar lawv ko taw hauv dej kub. Tsis tas li, koj tsis tuaj yeem txiav txiav caj dab, siv plasters thiab kua pob kws. Nws raug nquahu los kho kev tsim ua nrog pumice, thiab tom qab ntawd thov cov qab zib tshwj xeeb rau lawv tsawg kawg ob zaug hauv ib hnub.
Txhawm rau cov tawv nqaij ua rau ntshav qab zib mellitus tsis tshua muaj siab lossis tsis thab ntxiv txhua lub sijhawm, koj tuaj yeem siv tshuaj ntsuab. Ua li no, npaj dej haus tshwj xeeb los ntawm celery hauv paus (100 g) thiab txiv qaub nrog tev.
Cov khoom xyaw yog hauv av hauv rab, muab tso rau hauv lub khob ntim thiab tso kom txias. Haus tshuaj sutra ua ntej noj tshais rau 1 tbsp. diav. Lub sijhawm tiv thaiv kho yog li ob xyoos.
Txhawm rau txhim kho cov mob ntawm daim tawv nqaij, koj tuaj yeem ua ntu zus da dej nrog qhov sib ntxiv ntawm kev ntxaum los ntawm txoj hlua lossis tawv ntoo. Thiab nrog ntau yam dermatoses, nws raug nquahu kom so cov cheeb tsam cuam tshuam nrog Txoj kev lis ntshav los ntawm birch buds. Nrog rau cov cuab yeej no, koj tuaj yeem tshem tawm cov tawv nqaij qhuav nrog ntshav qab zib.
Aloe tseem ua tau zoo rau cov tawv nqaij ua pob raws ntshav qab zib. Cov nroj tsuag yog siv raws li hauv qab no: ib daim ntawm cov paam dlev tshiab yuav tsum tau siv rau thaj chaw ntawm pob khaus txhua hnub, tom qab tshem cov pos ntawm nws.
Txhawm rau so kom tawv nqaij nrog khaus, koj tuaj yeem ua tshuaj pleev ntau raws li tawv ntoo qhib, St. John lub wort thiab mint (3 diav ntawm nyom hauv 1 khob dej). Hauv cov tshuaj sov, daim ntawv so ntswg yog noo noo, thiab tom qab ntawd mam mus thov qhov chaw khaus. Daim vis dis aus hauv tsab xov xwm no yuav pab koj tsis nco cov tsos mob ntshav qab zib.
