Cov tawv nqaij ua kom pom tseeb tshwm sim hauv 50% ntawm cov neeg mob ntshav qab zib, tshem qhov hloov thiab cov tsos mob tuaj yeem pom nyob rau yuav luag txhua tus neeg mob. Tus mob ntshav qab zib dermopathy yog hais txog qhov mob ua kom tawv nqaij uas ua rau ntshav qab zib. Qhov ua rau muaj cov kev tsis txaus siab no zoo ib yam li lwm cov kev cuam tshuam - muaj ntau dua ntawm cov piam thaj hauv cov ntshav thiab kev txuam nrog cov khoom ntawm cov kab mob pathological hauv cov ntaub so ntswg. Raws li qhov tshwm sim tsis zoo rau lub dermis, epidermis, hauv paus thiab qog, lawv cov qauv thiab xim hloov. Cov kab mob ntawm daim tawv nqaij hauv ntshav qab zib yog feem ntau tsis txaus ntshai yog tias lawv tsis ua kom yooj yim los ntawm cov kab mob los yog kab mob fungal.
Yog dab tsi dermopathy
Ntshav siab mob dermopathy zoo li thaj ua rau tawv nqaij tawv nqaij uas muaj xim tsaus. Tus kab mob no suav hais tias yog feem ntau cov tawv nqaij qhov tshwm sim ntawm ntshav qab zib. Feem ntau, cov pob tsuas tshwm sim zoo ib yam li ntawm sab xub ntiag ntawm sab ceg thiab sab nraud ntawm sab ko taw, tab sis lwm qhov ntawm lub cev kuj tuaj yeem cuam tshuam.
Thaum cov pob tshwm tuaj, lawv yuav me me, ntev li 1 cm, puag ncig lossis oval, liab lossis lub teeb xim av. Txoj kev nyem thiab ntom ntawm daim tawv nqaij feem ntau tsis hloov, tab sis cov nodules uas tiv thaiv me ntsis sab saud kuj tuaj yeem pom. Feem ntau, mob ntshav qab zib dermopathy nyob rau theem pib yog qhov yuam kev rau lub hnub ci lossis tawv nqaij ntsig txog hnub nyoog. Maj mam, tus naj npawb ntawm cov pob nce, lawv tuaj yeem sib dhos ua ke thiab npog tag nrho cov ceg qis. Cov tawv nqaij nyob hauv thaj chaw loj yog thinned thiab ua rau qhuav, thiab yuav khaus lossis khaus. Feem ntau, dermopathy yog asymptomatic.
Mob ntshav qab zib thiab siab surges yuav yog ib yam dhau los
- Li qub ntawm qab zib -95%
- Kev tshem tawm ntawm cov hlab ntsha thrombosis - 70%
- Ntaus tau ntawm lub plawv dhia muaj zog -90%
- Kev tshem tawm ntshav siab - 92%
- Qhov nce hauv lub zog nruab hnub, txhim kho pw tsaug zog thaum hmo ntuj -97%
Cov yam ntxwv ntawm tus kabmob:
- Nws tshwm sim hauv ntshav qab zib nkaus xwb, yog li dermopathy yog ib qho cim tias muaj piam thaj ntau.
- Nws raug pom ntau dua rau cov txiv neej mob ntshav qab zib mellitus ntev.
- Nrog concomitant polyneuropathy hauv thaj chaw cuam tshuam, hnov mob lossis kub hnyiab tau hnov.
- Spots ploj ntawm lawv tus kheej tom qab 2 xyoo, thaum lub ntsej muag ntawm cov tshiab tsis tau txiav txim.
Txhawm rau kom paub tseeb kev kuaj mob ntawm dermopathy, kev tshuaj xyuas lub cev thiab cov ntaub ntawv ntawm cov ntshav glycemia ntawm tus neeg mob yog txaus. Txog kev kuaj mob sib txawv, hauv kev ua xyem xyav, daim tawv nqaij txhuam nrog nws cov kev soj ntsuam txuas ntxiv, kev soj ntsuam nrog Wood Lub teeb.
Ua rau muaj teeb meem ntshav qab zib
Siv cov keeb kwm keeb kwm thiab kev tshawb fawb ntawm daim tawv nqaij, nws tau ua pov thawj tias mob ntshav qab zib mellitus hloov qhov hloov ntawm daim tawv nqaij, "kev laus" nws. Hauv nws, tus nqi ntawm elastin fibers txo qis, cov nqaij sib txuas loj hlob, elastin synthesis poob qis, thiab cov lus sib xyaw ntawm collagen hloov. Los ntawm kev teeb tsa, daim tawv nqaij ntawm tus neeg muaj hnub nyoog 40 xyoo yog ze rau cov tawv nqaij ntawm tus neeg muaj hnub nyoog 60 xyoo uas tsis muaj teeb meem ntawm cov metabolism thiab cov tshuaj hormones. Qhov mob ntshav qab zib tsawg yog tswj tau, ua kom tawv nqaij tsis zoo.
Cov teeb meem tseem ceeb yog tev, dryness, zoo nkaus rau zawm, khaus, plaub hau poob. Tag nrho cov ntawm lawv yog qhov tshwm sim ntawm cov tawv nqaij tsis zoo vim yog microangiopathy. Nws tau tsim tsa uas nyob hauv thaj chaw uas muaj cov kab mob ntshav qab zib ua rau tag nrho cov cim ntawm angiopathy raug pom: cov hlab ntsha puas tsuaj, cov phab ntsa ntawm cov hlab ntsha thiab cov plab hnyuv siab yog thickened.
Cov laj thawj rau cov kev hloov no yog cov suab thaj siab. Nws coj:
- ua kom tsis muaj zog ntawm cov phab ntsa ntawm cov hlab ntsha vim glycation ntawm cov protein nyob hauv lawv;
- rau cov kev sib txuam hauv cov ntaub so ntswg ntawm cov khoom lag luam ntawm cov tsis sib luag metabolism - sorbitol thiab glycosaminoglycan. Lawv exacerbate vascular puas tsuaj, cuam tshuam rau qhov kawg ntawm cov hlab;
- rau txoj kev loj hlob ntawm endothelium, nkag mus ntawm cov hlwb tuag mus rau hauv lumen ntawm cov hlab ntsha.
Yog li, qhov ua kom muaj cov xim pigment yog ua tiav kev ua tiav ntawm cov ntshav xa mus rau thaj tsam ntawm daim tawv nqaij. Nws ntseeg tau tias kev raug mob me me saum npoo av thiab khawb thiab ua rau vascular kev puas tsuaj.
Dermopathy yog qhov kaj cim xim uas qhia teeb meem nrog cov hlab. Cov tsos ntawm cov pob yuav tsum kuaj tsis pom zoo ntawm lwm yam kev mob ntshav qab zib. Nyob rau tib lub sijhawm zoo li dermopathy, retinopathy, nephropathy, arthropathy, neuropathy tsim.
Hom dermopathy muaj li cas
Feem ntau cov kab mob ntawm daim tawv nqaij hauv ntshav qab zib mellitus yog dermopathy hauv qab ceg, rubeosis ntawm daim tawv nqaij ntawm lub ntsej muag, acrochordones thiab hemorrhagic vasculitis. Tsawg dua qub yog lipoid necrobiosis, pemphigus, xanthomatosis.
| Daim tawv nqaij mob | Tsos | Cov tsos mob | Vim li cas |
| Tshuaj mob ntsws | Cov me ntsis ntawm daim tawv nqaij, pib ua tsis muaj zog pigmented, maj mam tsaus ntuj. | Tsis muaj, tsis tshua muaj - nti thiab khaus. | Kev rhuav tshem cov hlab ntshav muab cov tawv nqaij vim yog them cov ntshav qab zib tsis txaus. |
| Mob Rawv Raum | Liab ntawm daim tawv nqaij, thawj zaug ntawm sab plhu thiab puab tsaig, tuaj yeem maj mam npog tag nrho lub ntsej muag. | Yog tsis tuaj. | Kev loj hlob ntawm cov hlab ntsha li ib qho tshuaj tiv thaiv lawv puas nyob rau hauv cov ntshav qab zib |
| Acrochordons | Outgrowths sab saud ntawm daim tawv nqaij, tiaj tiaj lossis sab ceg. Feem ntau cov xim beige, tab sis tuaj yeem pom pom. | Yog tias nyob hauv thaj chaw ntawm kev txhuam, lawv tuaj yeem ua kev puas tsuaj, mob, o. | Kev laus tawv nqaij ntxov ntxov. Hauv lub hnub nyoog laus yog ib txwm hloov pauv ntawm daim tawv nqaij. |
| Hemorrhagic vasculitis | Tsaus nti liab, cov hlwv me me nrog cov ntshav ntawm ob sab ceg lossis pob tw. Tom qab ob peb hnub, me ntsis zoo thiab maj mam ploj. | Tsis muaj ib txwm. Yuav khaus, o ntawm txhais taw lossis txhais tes rau ntawm thaj chaw cuam tshuam. Muaj qee zaus, qhov mob ntawm pob qij txha yog xav li cas, mob rau sab hauv. | Kev mob ntawm cov hlab ntawm daim tawv nqaij vim lawv qhov kev puas tsuaj thiab txo qis hauv kev tiv thaiv hauv tus neeg mob ntshav qab zib. Feem ntau cuam tshuam nrog ntshav qab zib nephropathy. |
| Lipoid necrobiosis | Me ntsis, liab ib ncig ntawm puag ncig thiab daj, nrog thaj ua rau thaj tawv nqaij atrophy sab hauv, feem ntau feem ntau tau tawm hauv ob txhais ceg. | Tsis muaj ib txog thaum daim tawv nqaij puas. Qhov mob tshwm sim thaum mob txhab tshwm sim hauv thaj chaw ntawm necrosis. | Hloov pauv hauv cov carbohydrate thiab lipid metabolism hauv lub cell, tsis txaus cov ntshav ncig hauv qee thaj chaw. |
| Pemphigus (bullae) | Cov npuas loj loj muaj kua. Feem ntau nyob rau ntawm qhov qis qis tshaj. | Mob mob tom qab ua rau puas rau lub zais zis. | Tsis tsim, tus kab mob no muaj ntau rau cov neeg mob ntshav qab zib thiab neuropathy. |
| Xanthomatosis | Pav los yog khoob rau ntawm cov xim daj, uas nyob rau ntawm daim tawv muag lossis hauv qhov quav ntawm daim tawv nqaij. | Cov pob khaus khaus yog qhov ua tau ntawm lub ntsej muag ntawm lub xanthoma. | Kev tshem tawm cov lipids hauv daim tawv nqaij vim lawv cov qib siab hauv cov ntshav. |
Yuav kho tus mob ntshav qab zib li cas li
Cov hau kev tshwj xeeb uas tuaj yeem kho kho dermopathy tsis muaj nyob. Yog li, kev siv zog ntawm cov kws kho mob tsom rau kev ua tiav glycemia ib txwm, kev kho mob ntawm angiopathy thiab neuropathy. Nws tau pom tias nrog kev txhim kho hauv lub xeev ntawm cov hlab ntsha, qhov tshwm sim ntawm dermopathy txo qis qis, qhov chaw tshiab nres tshwm sim, thiab cov qub ploj dua sai dua. Yog tias koj pib kho thaum ntxov, koj tuaj yeem ua tiav thim rov qab ntawm kev dermopathy tsis pub dhau 2-3 lub hlis.
Cov tshuaj siv los ua kom cov metabolism hauv plab li qub:
- B vitamins, tshwj xeeb tshaj yog B3 - nicotinic acid. Kev txhaj tshuaj Intramuscular lossis cov ntsiav tshuaj yog tshuaj kho (Neuromultivit, Milgamma compositum, Angiovit, Mega B complex);
- thioctic (lipoic) acid, kev tswj hwm dej khov lossis kev npaj ntsiav tshuaj;
- statins, mas rosuvastatin.
Lwm txoj kev kho mob
Txhawm rau kho cov qhov txhab, cov nroj tsuag nrog lub siab ntawm tannins feem ntau siv: decoctions ntawm ntoo qhib thiab cov tawv ntoo willow, St. John lub wort nyom, tshuaj yej muaj zog. Hauv cov ntshav qab zib ua kom tawv nqaij, cov kab mob no tuaj yeem ua rau daim tawv nqaij kom tsis zoo vim tias nws qhuav dhau los. Rau tib qho laj thawj, cawv tinctures tseem raug txwv tsis pub. Txoj hauv kev zoo tshaj plaws los ua kom cov nqaij mos rov tsim dua tshiab thiab kev loj hlob ntawm cov hlab ntsha tshiab yog paam dlev, muaj lub zog tshwj xeeb biogenic.
Yuav kho cov dermopathy nrog paam dlev li cas:
- Xaiv cov nroj tsuag uas muaj kev noj qab haus huv, tsob ntoo aloe yog qhov zoo dua, nyob rau hauv nws qhov tsis muaj - paam dlev vera, tawm nws yam tsis tau ywg dej rau ib lim piam.
- Txiav cov nplooj qis dua, qhwv lawv hauv ntawv thiab xa hauv tub yees rau 12 hnub.
- Ntxuav 1 daim ntawv, zom nws rau hauv gruel, siv rau ntaub qhwv los yog daim ntaub thiab siv rau thaj tsam ntawm daim tawv nqaij nrog dermopathy li 20 feeb.
- Thawj lub hli compresses tau ua txhua hnub. Nrog rau pib kev txhim kho, lawv hloov mus rau 2 compresses tauj ib lim tiam.
Kev Tiv Thaiv
Yuav lav tsis tau kom tsis txhob dermopathy, tus neeg mob tas nws lub neej yuav tsum tswj nws tus mob ntshav qab zib: nrhiav tus kws kho mob muaj peev xwm thiab ua raws li tag nrho nws cov lus pom zoo, ua kis las kis las, tau kuaj mob raws sijhawm. Kev kho mob ntawm angiopathy thiab neuropathy yuav tsum tau pib sai li sai tau thaum thawj thawj cov kev tsis meej pom los ntawm cov txheej txheem kho vajtse.
Ib yam tseem ceeb yog kev saib xyuas tawv nqaij. Txhawm rau ntxuav siv tsuas yog cov dej da dej daj nrog kev tsis huv pH - txoj cai ntawm kev tu tawv nqaij rau tus mob ntshav qab zib. Ntawm thawj cov cim ntawm dryness thiab tev, moisturizers nrog urea siv, uas zoo dua rau cov neeg mob ntshav qab zib. Cov ris tsho hnav yuav tsum yog qhov tsim tau, khau yuav tsum xis thiab muag sab hauv.
Koj yuav tsum tau mus ntsib kws kho mob tam sim ntawd tom qab kuaj pom tus mob ntshav qab zib. Thaum pib kho tus mob sai sai, qhov zoo dua nws qhov kev ntsuas pom.
