Vitiligo

Vitiligo yog tawv nqaij mob qhov teeb meem uas muaj cov xim ploj (xim) los ntawm thaj chaw ntawm daim tawv nqaij. Qhov no ua rau pom qhov tsis dawb dawb uas tsis muaj xim, tab sis daim tawv nqaij zoo li ib txwm.

Vitiligo tshwm sim thaum cov tshuaj tiv thaiv kab mob tua cov hlwb ua rau xim av xim (melanocytes). Qhov kev rhuav tshem no yog xav tau los ntawm qhov teeb meem autoimmune. Lub autoimmune tsis meej tshwm sim thaum lub cev tiv thaiv kab mob, uas ib txwm tiv thaiv lub cev los ntawm kev kis kab mob, tawm tsam thiab rhuav tshem lub cev nqaij kom zoo. Qhov tseeb yog vim li cas ntawm vitiligo tsis paub.

Vitiligo tuaj yeem tshwm sim thaum muaj hnub nyoog li cas. Muaj tus nqi pib ntawm tus mob hauv qee tsev neeg.

Vitiligo yog txuam nrog lwm cov kab mob autoimmune:

• Kab mob Addison (kev tsis sib haum xeeb uas tshwm sim thaum lub qog adrenal tsis tsim cov tshuaj hormones txaus)
• Mob qog noj ntshav
• Mob Ntshav Pernicious (txo cov ntshav liab uas tshwm sim thaum cov hnyuv tsis tuaj yeem nqus tau cov vitamin B12)
• Mob ntshav qab zib

Cov chaw tiaj tus ntawm daim tawv nqaij ib txwm tsis hnov ​​xim dab tsi tshwm sim sai lossis maj mam. Cov chaw no muaj ciam teb tsaus dua. Cov npoo yog txhais tau zoo, tab sis tsis xwm yeem.

Vitiligo feem ntau cuam tshuam rau lub ntsej muag, lauj tshib thiab hauv caug, sab nraum qab ntawm tes thiab taw, thiab ntawm chaw mos. Nws cuam tshuam ob sab ntawm lub cev sib npaug.

Vitiligo muaj qhov pom ntau dua nyob hauv cov neeg tawv dub vim tias qhov sib piv ntawm daim tawv dawb dawb tiv thaiv cov tawv nqaij dub.

Tsis muaj lwm yam tawv nqaij hloov.

Koj tus kws kho mob tuaj yeem kuaj koj cov tawv nqaij kom paub meej tias kuaj mob.

Qee zaum, cov chaw muab kev pabcuam siv Wood teeb. Qhov no yog lub teeb nrig ultraviolet uas ua rau thaj chaw ntawm daim tawv nqaij uas tsis tshua muaj xim ci ci ua kom pom cov xim ci dawb.

Muaj qee kis, yuav tsum tau txiav ib qho nqaij ntawm daim tawv nqaij kom txiav txim tawm ntawm lwm qhov laj thawj uas ua rau cov xim xaim poob. Koj tus kws kho mob kuj tseem yuav kuaj ntshav los saib seb cov thyroid lossis lwm yam tshuaj hormones, ntshav qabzib, thiab vitamin B12 ua li cas rau lwm cov kev cuam tshuam.

Vitiligo yog qhov nyuaj kho. Cov kev kho thaum ntxov muaj xws li hauv qab no:

• Phototherapy, txoj kev kho mob uas koj cov tawv nqaij ua tib zoo tsom rau qee yam ntawm lub teeb ci ci ultraviolet. Txoj kev kho kom zoo tuaj yeem muab rau ib leeg, lossis tom qab koj noj tshuaj uas ua rau koj cov tawv nqaij tig mus rau lub teeb. Tus kws kho mob nqaij tawv ua rau kev kho mob no.
• Qee qhov lasers tuaj yeem pab cov tawv nqaij rov ua dua.
• Cov tshuaj kho rau daim tawv nqaij, xws li corticosteroid cream los yog tshuaj pleev, immunosuppressant cream los yog tshuaj pleev xws li pimecrolimus (Elidel) thiab tacrolimus (Protopic), lossis tshuaj pleev xws li methoxsalen (Oxsoralen) kuj tseem tuaj yeem pab tau.

Cov tawv nqaij yuav txav mus los (thawb) los ntawm cov qhov chaw pleev xim ib ce thiab muab tso rau hauv cov chaw uas muaj xim ploj.

Ob peb cover-up pleev los yog daim tawv xim yuav ua npog ntsej muag vitiligo. Nug koj tus kws kho mob txog cov npe ntawm cov khoom no.

Cov xwm txheej hnyav thaum lub cev feem ntau cuam tshuam, cov tawv nqaij uas tseem muaj xim ntxiv yuav ua rau ntsej muag, lossis ua kom ntshav dawb. Qhov no yog kev hloov mus tas li uas siv los ua cov kev xaiv kawg.

Nws yog ib qho tseem ceeb kom nco ntsoov tias daim tawv nqaij uas tsis muaj xim ntxiv yog qhov kev pheej hmoo ntawm hnub ci. Nco ntsoov siv cov tshuaj pleev xim rau sab nrauv (UVA thiab UVB), tiv thaiv tshav kub SPF lossis tiv thaiv tshav ntuj. Cov tshuaj pleev thaiv hnub tseem tuaj yeem pab ua kom tus mob tsis tshua pom kev, vim tias cov tawv nqaij tsis muaj kev cuam tshuam yuav tsis ua kom tsaus ntuj. Siv lwm yam kev tiv thaiv tiv thaiv kev tiv thaiv tshav ntuj, xws li hnav lub kaus mom nrog lub npoo dav thiab ntev tsho thiab ris ntev.

Ntau cov ntaub ntawv thiab kev txhawb nqa rau cov neeg uas muaj vitiligo mob thiab lawv tsev neeg tuaj yeem nrhiav tau ntawm:

• Txhawb nqa Vitiligo International - vitiligosupport.org

Lub chav kawm ntawm vitiligo sib txawv thiab tsis paub meej. Qee qhov chaw tuaj yeem rov ua xim dua li qub (pleev xim), tab sis lwm qhov chaw tshiab ntawm cov xim poob tuaj yeem tshwm sim. Cov tawv nqaij uas rov pleev dua los kuj yuav pom sib dua lossis tsaus dua li cov tawv nqaij uas nyob ib puag ncig. Xim xau poob peev yuav dhau sijhawm.

Hu mus teem sijhawm nrog koj tus kws kho mob yog tias thaj chaw ntawm koj cov tawv nqaij plam lawv cov xim tsis muaj laj thawj (piv txwv, tsis muaj kev raug mob ntawm daim tawv nqaij).

Kev tsis sib haum autoimmune - vitiligo

• Vitiligo
• Vitiligo - quav yeeb tshuaj
• Vitiligo ntawm lub ntsej muag
• Vitiligo sab nraub qaum thiab caj npab

Dinulos JGH. Lub teeb ntsig txog kab mob thiab kev cuam tshuam ntawm pigmentation. Hauv: Dinulos JGH, ed. Habif Qhov Chaw Kho Mob Dermatology. 7 tus ed. Philadelphia, PA: Elsevier; 2021: chap 19.

Passeron T, Ortonne J-P. Vitiligo thiab lwm yam kev cuam tshuam ntawm hypopigmentation. Hauv: Bolognia JL, Schaffer JV, Cerroni L, eds. Lub cev ntaj ntsug. 4 tug ed. Philadelphia, PA: Elsevier; 2018: tshooj 66.

Patterson JW. Kev cuam tshuam ntawm pigmentation. Hauv: Patterson JW, ed. Weedon's Cov Khoom Siv Tawv Tawv. Thib 5 ed. Philadelphia, PA: Elsevier; 2021: chap 11.