Dermatitis nrog ntshav qab zib: kev kho mob nrog tshuaj pleev, cov duab ntawm erythema thiab urticaria

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Ntshav qab zib mellitus yog ib yam kab mob uas tshwm sim nws tus kheej hauv cov teeb meem ntawm cov metabolism hauv feem ntau tshaj plaws hauv tib neeg. Qhov no muaj qhov tsis zoo rau tag nrho cov nruab nrog cev thiab cov kab ke ntawm tus neeg mob, ua rau kev txhim kho ntawm kev phom sij txaus ntshai.

Qhov tshwj xeeb tshaj yog cuam tshuam los ntawm tus kab mob no yog kev noj qab haus huv ntawm daim tawv nqaij, uas ua rau txoj kev txhim kho ntawm tus mob hnyav li mob dermatitis. Nws loj hlob dhau los ntawm qhov kev ua txhaum ntawm cov khoom noj uas muaj cov metabolism thiab ua kom cov ntshav qab zib ntau ntxiv, uas ua rau muaj qhov txuam nrog cov khoom phom sij hauv txhua cov nqaij hauv lub cev, suav nrog daim tawv.

Cov tshuaj no cuam tshuam rau cov qauv hauv daim tawv nqaij, ua rau muaj kev hloov ntau ntawm cov dermis thiab cov tawv nqaij ntawm daim tawv nqaij, nrog rau cuam tshuam rau cov hauv paus plaub hau thiab cov qog hws. Hauv kev sib xyaw nrog polyneuropathy (kev puas tsuaj rau cov hlab ntsha xaus), micro- thiab macroangiopathies (necrosis ntawm cov hlab ntsha hauv lub plawv) thiab ua rau lub cev tsis muaj zog, lawv dhau los ua kab mob ntawm daim tawv nqaij.

Txhawm rau tiv thaiv qhov no, koj yuav tsum paub txhua yam txog dab tsi dermatitis hauv ntshav qab zib mellitus yog kev kho mob ntawm tus kab mob no thiab nws txoj kev tiv thaiv.

Cov Hom Tshuaj Dermatitis

Nws tau ntev tau pom tias dermatitis thiab ntshav qab zib tau sib cuam tshuam zoo. Feem ntau, cov tsos mob ntawm daim tawv nqaij yog cov tsos mob qhia thawj yog kev txhim kho mob ntshav qab zib. Hauv cov theem pib ntawm ntshav qab zib, nws tuaj yeem tshwm sim ua rau daim tawv nqaij qhuav thiab khaus tas li, zoo li rov ua mob ntxiv rau daim tawv nqaij xws li candidiasis thiab pyoderma.

Qhov pom ntawm dermatitis nyob rau hauv cov neeg twb muaj ntshav qab zib tuaj yeem qhia qhov zuj zus ntawm chav kawm ntawm tus kab mob lossis kev xaiv kho tsis raug. Hauv qhov no, tus neeg mob tawv nqaij tawv heev thiab tsis muaj peev xwm, nws peels tawm ntau heev, thiab cov kab nrib pleb thiab ntau cov pob txha tuaj yeem ua rau thaj chaw ntawm xib teg thiab tes.

Dermatitis feem ntau cuam tshuam rau saum tawv taub hau, ua rau plaub hau hle. Tsis tas li ntawd xwb, lawv cuam tshuam rau cov xwm txheej ntawm cov ntsia hlau, ua rau lawv deformation thiab thickening.

Dermatitis nyob rau hauv cov ntshav qab zib tau muab faib ua peb pawg loj:

  1. Thawj. Lawv tsim nyob rau hauv kev sib txuas nrog kev ua txhaum ntawm cov metabolism ntawm carbohydrates thiab kev ua txhaum ntawm peripheral poob siab thiab cov hlab ntsha hauv lub cev. Cov no suav nrog dermatopathies uas mob ntshav qab zib, mob ntshav qab zib xanthomatosis, lipoid necrobiosis thiab mob ntshav qab zib.
  2. Thib Ob Cov hom kab mob dermatitis no tshwm sim los ntawm kev kis tus mob nrog tus mob fungal lossis kab mob. Ntawm lawv, candidiasis, pyoderma, rwj, carbuncles thiab phlegmon muaj feem ntau,
  3. Ua xua thiab sab. Cov dermatitis no tshwm sim hauv tus neeg mob hauv daim ntawv los ntawm kev phiv tshuaj lossis ua xua rau cov tshuaj uas siv los kho ntshav qab zib. yog li nws tsuas yog muaj kev fab tshuaj tsis haum ntshav qab zib xwb.

Cov no yog eczematous kev tsis haum, urticaria, toxidermia, tom qab txhaj lipodystrophy.

Cov tsos mob

Neurodermatitis. Qhov kev mob tawv nqaij no tuaj yeem pom hauv cov neeg mob ntshav qab zib txawm tias nyuam qhuav pib mob. Neurodermatitis lossis, raws li nws tseem hu ua, atopic dermatitis, feem ntau dhau los ua ib qho ntawm thawj cov cim qhia tias muaj ntau ntxiv qib ntawm cov piam thaj hauv cov ntshav, uas feem ntau pab txheeb xyuas ntshav qab zib, uas tau nce hauv cov ntawv latent.

Nrog rau mob neurodermatitis, tus neeg mob khaus heev, uas feem ntau tau mob hauv plab, puab tais, pob tw, ncej puab thiab lauj tshib. Hauv qhov no, ib tus neeg ntsib qhov khaus khaus heev thaum nyuam qhuav pib muaj mob. Nrog rau kev txhim kho ntshav qab zib, nws maj mam ploj.

Ntshav Qab Zib erythema. Tus kab mob no nthuav qhia nws tus kheej hauv daim ntawv ntawm cov duab liab dawb, uas tau ua rau thaj chaw qhib ntawm daim tawv nqaij, xws li ntsej muag, caj dab thiab tes. Erythema feem ntau cuam tshuam rau cov muaj hnub nyoog nruab nrab (40 xyoo thiab laus dua) uas mob ntshav qab zib tsis ntev.

Erythematous pob, raws li txoj cai, muaj lub cev loj txaus, cov duab sib npaug thiab qhia meej cov ciam teb. Nrog rau qhov mob no, tus neeg mob feem ntau tsis hnov ​​mob los yog khaus. Muaj qee zaus, cov neeg mob yws yws qhov tsis hnov ​​dab tsi ntawm kev hnov ​​mob hauv daim tawv nqaij.

Tus kab mob ntawm daim tawv nqaij no yog tus cwj pwm los ntawm lub sijhawm luv, tsis pub ntau tshaj 2-3 hnub. Tom qab uas nws hla nws tus kheej yam tsis muaj kev kho mob tshwj xeeb.

Cov kab mob tua tau kab mob. Feem ntau, cov neeg mob ntshav qab zib ua rau muaj pyoderma - purulent o ntawm daim tawv nqaij los ntawm pyococci, staphylococci thiab streptococci. Thaum pib, nws ua tau nws tus kheej hauv daim ntawv ntawm pob, muaj cov tawv nqaij me me.

Nrog rau kev loj hlob ntawm tus kab mob, tus neeg mob yuav muaj kev mob ntau dua thiab ntxaum cov tawv nqaij mob, xws li folliculitis, hydradenitis, furunculosis thiab carbunculosis. Cov xwm txheej zoo li no txaus ntshai tshaj plaws rau cov ntshav qab zib mellitus thiab nws tuaj yeem tsim kev phom sij rau tus neeg mob lub neej.

Vim tias cov ntshav qab zib ntau ntau, purulent inflammations hauv cov ntshav qab zib tau zoo rau lub sijhawm ntev thiab ua mus nrog kev qaug cawv ntawm lub cev. Cov kab mob txhab ntawm ob txhais ceg yog qhov tshwj xeeb tshaj yog qhov txaus ntshai, vim tias lawv tuaj yeem ua rau kom txo qis ntawm cov leeg.

Kev ua xua tsis haum. Feem ntau hauv cov neeg mob ntshav qab zib, ntau yam ua xua ntawm daim tawv nqaij yog pom, uas yog lub cev lub cev tiv thaiv tshuaj ntau yam, nrog rau cov tshuaj insulin. Tus mob ntshav qab zib tuaj yeem tsim ntau yam kev ua xua, tab sis kev sib txuam ntawm cov kab mob xws li urticaria thiab ntshav qab zib mellitus feem ntau muaj.

Urticaria muaj cov tsos mob tawm pob khaus, uas tuaj yeem muaj qhov loj me ntawm ob peb millimeters mus rau ob peb centimeters. Urticaria yog tus cwj pwm los ntawm hnyav liab ntawm daim tawv nqaij thiab khaus heev.

Urticaria hauv ntshav qab zib mellitus, cov duab uas tau qhia hauv tsab xov xwm no, tuaj yeem ua rau muaj kev mob ntsws ntev ntev thiab tsim kho ntau lub lis piam thiab txawm ntau hli.

Kev Kho Mob

Lub hauv paus rau kev kho ib tus mob dermatitis hauv ntshav qab zib yog txo cov ntshav qab zib thiab khaws nws hauv qhov txwv. Rau qhov no, nws yog ib qho tseem ceeb heev rau tus neeg mob ntshav qab zib kom ua raws li kev kho mob tshwj xeeb, uas koom nrog kev cais tawm ntawm cov zaub mov ntawm txhua cov zaub mov muaj roj thiab carbohydrates.

Tom qab ob peb hnub tom qab kev noj zaub mov zoo li no, tus neeg mob yuav hnov ​​qhov kev txhim kho tseem ceeb: kev siv khaus yuav txo qis, thaj chaw ntawm cov pob khaus yuav pom tias tsawg dua, cov tawv nqaij yuav tsum tev tawm thiab rov ua dua zoo dua thiab ywj pheej. Tej zaum qhov khaus tuaj yeem tshwm sim rau cov poj niam muaj ntshav qab zib hauv qhov chaw ua si, tab sis qhov no yog lwm qhov ntawm kev ua yeeb yam.

Kev kho mob ntawm neurodermatitis - rau qhov no, nws raug nquahu kom siv cov tshuaj pleev corticosteroid, uas muaj txiaj ntsig zoo khaus thiab pab cuam sai rau cov mob no. Ntawm cov ntshav qab zib, cov roj pleev nram qab no yog qhov zoo tshaj:

  • Prednisone;
  • Dermozolone;
  • Paj Ntsha.

Txhawm rau tiv thaiv urticaria, tus neeg mob yuav tsum siv tshuaj antihistamines, uas muaj ob qho tib si hauv cov tshuaj pleev thiab ntsiav tshuaj. Cov neeg ua hauj lwm tiv thaiv zoo tshaj plaws yog:

  1. Claritin;
  2. Zirtek;
  3. Semprek;
  4. Telfast;
  5. Erius.

Nws yog ib qho tsim nyog los kho pyoderma muaj ntshav qab zib kom to taub. Hauv cov kab mob no, tsis muaj ib qho dab tsi yuav tsum koj ntub qhov chaw ntawm daim tawv nqaij, vim tias qhov no tuaj yeem ua rau mob o.

Nws yog ib qho tseem ceeb kom soj ntsuam kev tu cev thiab ntxuav koj txhais tes kom ntau li ntau tau. Lub cev yuav tsum tau ceev kom huv thiab so txhua hnub nrog lub phuam nchuav ntxhua hauv dej sov. Cov tawv nqaij noj qab haus huv ib puag ncig lub qhov txhab yuav tsum tau ua ntu zus nrog cov tshuaj hauv qab no:

  • 0.1% aqueous daws ntawm poov tshuaj permanganate;
  • 1 - 2% cawv tov ntawm salicylic acid;
  • 1 - 2% cawv tov ntawm boric acid.

Txhawm rau kho cov kab mob purulent nws tus kheej, koj tuaj yeem siv cov kab mob xws li:

  1. Fucortsin;
  2. Ib qho kev daws teeb meem ntawm methylene xiav;
  3. Ci ntsa iab ntsuab tov;
  4. Cawv tov ntawm chlorophyllipt.

Tsis tas li ntawd, rau qhov kev sib kis hauv zos rau thaj tsam cuam tshuam ntawm daim tawv nqaij, nws raug nquahu kom siv cov tshuaj pleev rau hauv qab no:

  • Hyoxyzone;
  • Lincomycin;
  • Erythromycin;
  • Ichthyol;
  • Vishnevsky tshuaj pleev.

Tsis tas li rau lub hom phiaj no, koj tuaj yeem siv pastes nrog cov nyhuv antibacterial, namely lincomycin lossis erythromycin.

Yog hais tias kev kho mob hauv zos ntawm pyoderma tsis muab cov txiaj ntsig uas xav tau thiab tus neeg mob tus mob pib ploj zuj zus, nws yog qhov tsim nyog los ntxiv dag zog rau kev kho mob. Rau qhov no, kev npaj tshuaj tiv thaiv kab mob yuav tsum tau siv, uas tuaj yeem nqa ob qho tib si ntawm qhov ncauj thiab hauv hom kev txhaj tshuaj intramuscular.

Cov txiaj ntsig zoo tshaj plaws hauv kev kho cov tawv nqaij purulent tawv yog muab los ntawm cov tshuaj ntawm lawv pawg macrolide, uas yog:

  • Lincomycin;
  • Cephalosporin.

Txhawm rau kom lub cev tiv thaiv tsis taus rau tus neeg mob, nws raug nquahu kom pib siv tshuaj tiv thaiv immunomodulators tsom tshwj xeeb ntawm kev sib ntaus pyococci, staphylococci thiab streptococci:

  1. y-globulin;
  2. Staphylococcal toxoid;
  3. Antifagin.

Rau qhov dav dav ntxiv dag zog rau lub cev, kev npaj ua tshiab multivitamin tuaj yeem siv.

Ob peb cov tshuaj zoo rau neeg mob rau cov tawv nqaij muaj ntxig tawm hauv cov yeeb yaj kiab hauv tsab xov xwm no.

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