Txawv lub ntsej muag tsaus nti lossis lub teeb tawv nqaij

Txawv ntxawv lossis tsaus daim tawv yog daim tawv uas ua rau muaj xim dub lossis sib dua dua li ib txwm.

Cov tawv nqaij ib txwm muaj cov cell hu ua melanocytes. Cov hlwb no tsim cov melanin, uas yog cov uas ua kom tawv nqaij nws cov xim.

Cov tawv nqaij uas muaj melanin ntau dhau yog hu ua daim tawv nqaij hyperpigmented.

Daim tawv nqaij nrog cov melanin tsawg dhau los yog hu ua hypopigmented. Daim tawv nqaij uas tsis muaj melanin txhua yog hu ua depigmented.

Cov tawv nqaij daj ntseg vim yog melanin tsawg dua los yog melanocytes tsis zoo nkauj. Cov chaw tsaus nti hauv daim tawv nqaij (lossis thaj chaw uas yooj yim dua) tshwm sim thaum koj muaj ntau melanin los yog ovean melanocytes.

Bronzing ntawm daim tawv nqaij qee zaum kuj yuav yuam kev rau suntan. Qhov kev hloov ntawm daim tawv nqaij no feem ntau yog pib qeeb, pib ntawm lauj tshib, tes, thiab hauv caug thiab kis txij ntawd. Bronzing kuj tseem yuav pom pom pob tsuas ob txhais taw thiab ob sab xib teg. Cov xim tooj daj tuaj yeem ua tau los ntawm lub teeb mus rau qhov tsaus ntuj (hauv cov neeg ncaj ncees tawv nqaij) nrog qhov ntsuas ntawm kev tsaus ntuj vim yog qhov pib.

Ua rau hyperpigmentation muaj xws li:

• Cov tawv nqaij o (mob tom qab hyperpigmentation)
• Siv qee yam tshuaj (xws li minocycline, qee yam tshuaj tua kabmob khees xaws thiab tshuaj tswj kom muaj menyuam)
• Kab mob hauv cov tshuaj tua kab mob xws li Kab mob Addison
• Hemochromatosis (hlau ntau dhau)
• Hnub raug
• Cev xeeb tub (ntshav qab zib, lossis daim npog ntawm cev xeeb tub)
• Tej yam tshwm sim ua ntej

Cov ua rau hypopigmentation suav nrog:

• Cov tawv nqaij o
• Qee yam mob fungal (xws li tinea versicolor)
• Pityriasis alba
• Vitiligo
• Qee yam tshuaj
• Cov tawv nqaij mob hu ua idiopathic guttate hypomelanosis hauv thaj chaw mob tshav ntuj xws li caj npab
• Qee qhov chaw yug

Cov tshuaj yuav tom khw los yog tshuaj noj rau cov ntsej muag tawv nqaij. Hydroquinone ua ke nrog tretinoin yog qhov ua ke tau zoo. Yog tias koj siv cov tshuaj pleev no, ua raws cov lus qhia kom zoo, thiab tsis txhob siv ib zaug ntev dua 3 lub lis piam hauv ib zaug. Cov tawv nqaij tsaus zog xav tau kev saib xyuas ntau dua thaum siv cov kev npaj no. Tshuaj pleev ib ce kuj tseem tuaj yeem pab npog ntsej muag.

Tsis txhob raug tshav ntau dhau. Txhua hnub siv cov tshuaj pleev thaiv hnub nrog SPF ntawm 30 lossis siab dua.

Tsis zoo li cov tawv nqaij tsaus yuav tseem txuas ntxiv txawm tias tom qab kho.

Hu koj tus kws kho mob kom teem sijhawm yog tias koj muaj:

• Tawv tawv nqaij uas ua rau muaj kev txhawj xeeb tseem ceeb
• Txheem ntev, qhia txog qhov tsaus nti lossis tsaus ntawm daim tawv nqaij
• Ib qho kev mob lossis tawv nqaij uas hloov qhov zoo, qhov loj me, lossis xim yuav yog qhov qhia tias mob qog nqaij hlav

Koj tus kws khomob yuav kuaj ib ce thiab nug txog koj tus tsos mob, suav nrog:

• Lub sijhawm twg kev txhim kho ntxiv?
• Puas yog nws tsim dheev?
• Puas yog nws mob heev dua? Ceev npaum li cas?
• Nws puas kis tau mus rau lwm qhov ntawm lub cev?
• Koj noj tshuaj dab tsi?
• Puas muaj leej twg hauv koj tsev neeg muaj teeb meem zoo li no?
• Muaj pes tsawg hnub koj nyob hauv lub hnub? Koj puas siv lub hnub ci teeb lossis mus rau hauv cov khw txiav tanning?
• Koj cov zaub mov zoo li cas?
• Koj muaj lwm cov tsos mob zoo li cas? Piv txwv, puas muaj pob khaus lossis tawv nqaij?

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Adrenocorticotrophin cov tshuaj tiv thaiv kev sim tshuaj
• Nqaij xyoob tawv nqaij
• Kev tshawb nrhiav cov thyroid muaj nuj nqi
• Kev kuaj ntoo teeb
• KOH xeem

Koj tus kws kho mob yuav qhia cov tshuaj pleev, tshuaj pleev, phais, lossis pleev ntsej muag, nyob ntawm seb koj muaj tawv nqaij zoo li cas. Cov tshuaj ua kom tawv ncauj tuaj yeem pab rau qhov tsaus ntawm daim tawv nqaij.

Qee qhov hloov xim ntawm daim tawv nqaij tuaj yeem rov zoo li qub yam tsis tau kho.

Hyperpigmentation; Kev Txiav Txim Siab; Daim tawv nqaij - lub teeb tsis xws luag lossis tsaus tsaus

• Vitiligo - quav yeeb tshuaj
• Vitiligo ntawm lub ntsej muag
• Incontinentia pigmenti ntawm ceg
• Incontinentia pigmenti ntawm ceg
• Muaj ntshav siab 2
• Post-inflammatory hyperpigmentation - plab hlaub
• Cov roj ntsha hyperpigmentation w / malignancy
• Post-inflammatory hyperpigmentation 2

Tseej MW. Kev tsis taus ntawm hyperpigmentation. Hauv: Bolognia JL, Schaffer JV, Cerroni L, eds. Lub cev ntaj ntsugCov. 4 tug ed. Philadelphia, PA: Elsevier; 2018: chap 67.

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