Txhua tus neeg uas muaj tus mob ntshav qab zib yuav tsum paub tias nws muaj ntau qhov teeb meem ntawm daim tawv nqaij heev uas tuaj yeem tshwm sim thaum lub sijhawm ua tsis tiav. Feem ntau, teeb meem ntawm daim tawv nqaij tuaj yeem raug tshem tawm hauv lub sijhawm luv, tab sis rau qhov no nws yog qhov yuav tsum tau nrhiav kev pab kho mob sai li sai tau yog tias cov pob pib pib tshwm rau ntawm txhais ceg thiab lub cev.
Cov tawv nqaij ua pob raws li cas los ntawm ntshav qab zib?
Tshuaj paub ntau yam teebmeem. Thawj zaug ntawm tag nrho cov, nws yuav tsum tau sau tseg ntshav qab zib scleroderma.
Ib qho xwm txheej zoo sib xws tiv thaiv keeb kwm ntawm ntshav qab zib mellitus thiab raug pom los ntawm cov tawv nqaij tuab rau sab nraub qaum thiab caj dab tom qab, daim tawv nqaij tuaj yeem hloov xim, nqaij me ntsis tshwm rau nws.
Lub ntsiab lus ntawm kev kho mob yuav yog qhov kev tswj hwm nruj tshaj plaws ntawm cov kua nplaum hauv cov ntshav ntawm tus neeg mob ntawd. Los ntawm cov tshuaj pleev ib ce los ntawm qhov pom, thov siv cov tshuaj pleev ib ce lossis pleev tshuaj pleev kom tawv nqaij muaj peev xwm pab tau. Qhov no yuav muag nws thiab tshem tawm qhov tsis hnov zoo, tuaj yeem tshem tawm stains, ntxiv rau pob khaus.
Vitiligo yog lwm tus khub ntshav qab zib. Feem ntau, xws li daim tawv nqaij mob khov kho muaj tshwm sim nrog thawj hom ntshav qab zib. Nrog cov vitiligo, cov kab mob ntawm daim tawv nqaij poob lawv cov xim ntuj (ua lub luag haujlwm ntawm cov tawv nqaij xim), uas ua rau pom qhov tsos dawb ntawm lub cev, ceg, ntsej muag, zoo li hauv daim duab.
Feem ntau ntawm tag nrho cov, vitiligo cuam tshuam rau lub plab, hauv siab, thiab tseem muaj lub ntsej muag (whitish me ntsis tshwm ib ncig ntawm lub qhov ncauj, qhov muag, lossis qhov ntswg). Thaum lub caij no, kho vitiligo txhais tau tias noj tshuaj steroids saum toj no (cov tshuaj hormones), nrog rau kev thov micropigmentation (tev tawv).
Cov neeg uas raug kev puas tsuaj los ntawm cov tshuaj pleev plhu no yuav tsum muaj nyob hauv lawv cov tshuaj kho kab mob tshwj xeeb uas tiv thaiv kev tiv thaiv tshav ntuj. Nws qhov kev tiv thaiv ntawm kev tiv thaiv hluav taws xob ultraviolet yuav tsum muaj tsawg kawg 15. Nws yog nyob rau hauv qhov xwm txheej uas hlawv rau ntawm thaj chaw ntawm daim tawv nqaij yuav raug cais tawm, thiab me ntsis yuav tsis pom.
Daim tawv nqaij tiv thaiv kab mob ua los ntawm insulin tsis kam
Acantokeratoderma muaj nyob hauv pawg no. Tus kab mob ntawm daim tawv nqaij no ua rau daim tawv nqaij ua rau xim tsaus thiab tuab ntawm qee qhov chaw ntawm qhov tseem ceeb, tshwj xeeb tshaj yog nyob hauv thaj chaw crease. Cov tawv nqaij yuav daj thiab ziab, thiab qhov chaw siab kuj tseem yuav pib ua haujlwm.
Feem ntau, cov mob no zoo li ua pob thiab tshwm sim rau thaj chaw ntawm qhov tsos, nyob hauv puab tais lossis hauv siab. Muaj qee kis, kis ntiv tes ntawm tus neeg mob kuj hloov tau.
Acanthokeratoderma yog qhov ua ntej ntawm ntshav qab zib thiab nws tuaj yeem hais tias mob tawv nqaij yog nws qhov cim. Tshuaj paub ntau qhov xwm txheej zoo sib xws uas dhau los ua ib qho kev ntxim nyiam ntawm acanthosis ntawm daim tawv. Peb tab tom tham txog cov kab mob zoo li no:
- Itsenko-Cushing's syndrome;
- acromegaly.
Cov tawv nqaij muaj kab mob cuam tshuam nrog ua kom tsis muaj ntshav txaus
Ntau zaus, atherosclerosis tuaj yeem dhau los ua pob. Tus kab mob no yog pom los ntawm txoj kev nqaim ntawm cov hlab ntsha vim lawv qhov tuab thiab tawv ntawm cov phab ntsa, uas tshwm sim vim yog qhov kev tso nyiaj ntawm cov quav hniav, vim tias qhov ntawd yuav muaj pob thiab ua pob rau ntawm daim tawv nqaij.
Txawm hais tias koom nrog ncaj qha ntawm atherosclerosis nrog cov hlab ntsha pericardial, tus kab mob no tuaj yeem cuam tshuam txawm tias cov neeg nyob hauv qab tawv nqaij. Muaj qee kis, lawv muaj peev xwm nqaim thiab tsis pub cov pa oxygen yuav tsum dhau mus. Cov tsos mob hauv qhov no yuav yog:
- cov plaub hau ceev ceev;
- thinning ntawm daim tawv nqaij, nws ci;
- txias integument;
- ua tuab tuab thiab cais tawm ntawm cov ntsia hlau phaj ntawm ob txhais ceg.
Ntau qhov teeb meem tuaj yeem nqa cov ntshav qab zib lipodystrophy. Nws yog qhov txawv txav los ntawm kev hloov hauv collagen thiab subcutaneous rog ntawm txhais ceg thiab lub cev. Cov khaubncaws sab nraud povtseg sab sauv ntawm daim tawv nqaij liab thiab nyias nyias. Feem ntau ntawm kev puas tsuaj tshwm sim rau ntawm sab ceg qis. Yog tias kis tau tus mob, tom qab ntawd cov cheeb tsam cuam tshuam yuav hnoos, me ntsis yuav tuaj rau hauv lub xeev muaj mob.
Feem ntau, qhov mob me me ntawm daim tawv nqaij kom meej meej los ntawm qhov ib txwm. Qee qhov xwm txheej, khaus thiab mob yuav pib. Yog tias qhov mob txhab tsis ntxiv lawm, tom qab ntawv kho tus mob ntxiv tsis muab rau, txawm hais tias qee qhov, sab laj tus kws kho mob yuav tsis ua mob.
Lwm qhov kev qhia pom los ntawm cov neeg muaj ntshav tsis txaus hauv cov ntshav qab zib yuav yog ntshav qab zib dermopathy.
Qhov xwm txheej zoo sib xws ntawm kev hloov pauv hauv cov hlab ntshav muab tshuaj rau daim tawv nqaij nrog ntshav. Dermatopathy qhov txhab yog oval lossis puag ncig. Lawv tau cim los ntawm daim tawv nqaij nyias nyias thiab tuaj yeem nyob rau pem hauv ntej ntawm sab ceg qis. Txawm hais tias qhov tseeb ntawm cov stains tsis xam qhov khaus ntawm qhov mob, lawv khaus, ua rau tsis xis nyob. Tus mob no tseem tsis tas yuav muaj kev kho mob cais.
Coob tus neeg mob ntshav qab zib muaj peev xwm txom nyem sclerodactyly. Nrog rau qhov mob no thaum mob ntshav qab zib, daim tawv nqaij ntawm cov ntiv tes thiab ntiv taw yuav ua nruj thiab waxy. Tsis tas li ntawd, cov tuab ntawm txoj kev sib xyaw kuj yuav tshwm sim, nrog rau ua nruj ntawm cov phalanges.
Tus kws kho mob yuav sau ntawv tawm cov tshuaj tshwj xeeb los pab tswj cov ntshav qab zib kom nyob hauv ib qho li qub. Txhawm rau txo tus mob, ntau yam tshuaj pleev ib ce tuaj yeem siv los ua kom tawv nqaij ntawm tes.
Xoo xanthomatosis yog lwm hom ntshav qab zib khub. Xws li cov tawv nqaij ua tsis taus tuaj yeem tsim nrog kev noj qab haus huv tsis muaj piam thaj hauv cov ntshav ntawm tus neeg mob ntshav qab zib. Nrog rau qhov muaj zog tiv thaiv cov tshuaj insulin, nws yuav nyuaj rau tshem tawm cov rog hauv cov ntshav. Yog hais tias theem ntawm cov rog mus tawm nplai, tom qab ntawv qhov no, qhov kev pheej hmoo ntawm kev txhim kho pancreatitis nce ntau zaug.
Xanthomatosis tshwm sim rau ntawm daim tawv nqaij hauv daim ntawv ntawm cov quav hniav vuas daj. Lawv tuaj yeem tshwm sim hauv thaj chaw ntawm daim tawv nqaij:
- sab qaum sab tes ntawm tes;
- ntawm ob txhais ceg;
- nqaj ceg khoov;
- ntsej muag;
- pob tw.
Cov pob no khaus, liab thiab yuav ncig los ntawm ib lub halo liab. Txoj kev kho yuav cuam tshuam cov ntshav lipids. Thaum cov mob no tau ntsib, cov taum daj thiab tawm pob los ntawm daim tawv nqaij yuav tawm tuaj li ntawm ob peb lub lis piam. Ntxiv rau, cov tshuaj uas tuaj yeem tswj hwm qib ntawm ntau cov rog hauv cov hlab ntshav tuaj yeem siv. Nws yog ib qho tseem ceeb kom paub qhov txawv me ntsis ntawm qhov mob xws li mob ko taw mob ntshav qab zib hauv thawj theem.
Lwm qhov chaw mob tawv nqaij
Pawg no yuav tsum muaj:
- ua pob
- cov plaques;
- hlwv;
- granulomas annular;
- zawv plab bullae.
Ua xua rau zaub mov, kab, thiab noj tshuaj tuaj yeem tshwm sim nrog pob khaus tawv nqaij ua kev tawm tsam lossis plaques, feem ntau ua pob liab vog. Tsis tas li ntawd, cov tawv nqaij zoo sib xws tau tshwm sim hauv cov chaw uas cov tshuaj insulin feem ntau tswj hwm.
Tsis tshua muaj txiaj ntsig txaus, ntshav qab zib pemphigus (bullae) tuaj yeem txhim kho. Lawv zoo ib yam hauv cov tsos rau blisters los ntawm kub nyhiab. Cov hlwv li no tuaj yeem pom ntawm cov ntiv tes thiab ntiv taw, caj npab lossis ceg. Lawv tuaj yeem hla dhau yam tsis muaj kev cuam tshuam kev kho mob, thiab tau txais txais nyob rau hauv cov neeg mob uas muaj ntshav qab zib hauv kev ua tiav. Txhua txoj kev kho yuav suav daws cov suab thaj.
Qhov kawg tau ua kom pom kev mob ntshav qab zib ntawm daim tawv nqaij yuav raug nthuav tawm txhua xyoo. Nws loj hlob sai heev thiab pom los ntawm thaj chaw ntawm lub hnub nyoog lossis arched ntawm daim tawv nqaij. Xws li qhov mob txhab tuaj yeem tshwm sim hauv pob ntseg lossis ntiv tes, thiab qee zaum muaj tsawg kawg ntawm lub plab lossis txhais ceg.
Cov pob no liab, xim av, lossis nqaij. Qhov kev muaj peev xwm kho tau ntau tshaj plaws yuav yog qhov kev siv tshuaj hauv zos, xws li hydrocartisone.
