Necrobiosis lipoidica diabeticorum

Necrobiosis lipoidica diabeticorum yog ib qho tsis txawv txav ntawm daim tawv nqaij ntsig txog ntshav qab zib. Nws ua rau thaj chaw liab xim av ntawm daim tawv nqaij, feem ntau ua rau ntawm sab ceg qis.

Qhov ua rau muaj tus mob necrobiosis lipoidica diabeticorum (NLD) tsis paub meej. Nws tau xav tias yuav txuas rau kev mob hlab ntshav ntsig txog autoimmune yam. Qhov no ua kom cov nqaijrog hauv daim tawv nqaij (collagen).

Cov neeg muaj ntshav qab zib hom 1 feem ntau yuav muaj feem tau txais NLD dua li cov muaj mob ntshav qab zib hom 2. Poj niam cuam tshuam ntau dua los ntawm txiv neej. Kev haus luam yeeb ua rau muaj kev pheej hmoo ntau rau NLD. Tsawg dua li ib nrab ntawm ib feem pua ​​ntawm cov neeg muaj ntshav qab zib tau ntsib teeb meem.

Cov tawv nqaij ua paug yog qhov chaw ntawm tawv nqaij uas sib txawv ntawm daim tawv nqaij ncig nws. Nrog NLD, qhov mob txhab tau pib khov kho, du, pob liab liab (papules) rau ntawm daim ntaub thiab ntawm sab ceg. Lawv feem ntau tshwm rau tib thaj chaw ntawm sab nraud ntawm lub cev. Lawv tsis muaj mob thaum ntxov.

Raws li papules ua tus loj, lawv flatten cia. Lawv txhim kho ci ci xim av daj qhov chaw uas tsa ceg liab rau purplish sawv. Cov leeg muaj pom hauv qab daj ntu ntawm qhov chaw txhab. Lub qhov txhab mob tsis xwm yeem lossis ib puag ncig oval nrog cov ciaj ciam zoo. Lawv tuaj yeem sib kis thiab sib koom ua ke kom muab cov tsos ntawm thaj.

Cov tawv nqaij tseem muaj peev xwm tshwm sim tau ntawm ntawm caj ceg. Tsis tshua muaj, lawv yuav tshwm sim rau ntawm lub plab, lub ntsej muag, tawv taub hau, xib teg, thiab lub xib taws ntawm taw.

Kev poob plig yuav ua rau cov qhov txhab txhab mob txhab. Nodules kuj tseem tuaj yeem loj hlob. Thaj chaw yuav dhau ua khaus thiab mob.

NLD txawv ntawm qhov mob txhab uas tuaj yeem tshwm sim ntawm tus taw lossis pob taws hauv cov neeg mob ntshav qab zib.

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

Yog tias xav tau, koj tus kws kho mob yuav ua kom rho tawm ib qho nqaij mus kuaj txhawm rau kuaj tus kab mob. Qhov tso tawm kom rho tawm ib qho hnoos qeev tawm ntawm ntug los ntawm qhov chaw txhab.

Koj tus kws kho mob yuav kuaj ntsuas piam thaj kom pom seb koj puas muaj ntshav qab zib.

NLD tuaj yeem nyuaj rau kho. Tswj ntshav ntshav qab zib tsis txhim kho cov tsos mob.

Kev kho mob yuav suav nrog:

• Corticosteroid cream
• Txhaj tshuaj corticosteroids
• Cov tshuaj noj uas tiv thaiv kev tiv thaiv ntawm lub cev
• Siv tshuaj tiv thaiv
• Cov tshuaj kho mob uas txhim kho cov ntshav txaus
• Kev siv pa tshuaj hyperbaric yuav siv los ua kom cov pa oxygen ntau ntxiv hauv cov ntshav los txhawb cov qhov txhab
• Kev siv tshuaj pleev ib ce, ib txoj kev kho mob hauv daim tawv nqaij ua tib zoo saib rau lub teeb ci ntsa iab
• Kev kho laser

Thaum mob hnyav, lub qhov txhab tuaj yeem raug tshem tawm los ntawm kev phais mob, tom qab ntawd txav (txhuam) tawv nqaij los ntawm lwm qhov ntawm lub cev mus rau thaj chaw ua haujlwm.

Thaum kho mob, saib xyuas koj cov ntshav qabzib raws li qhia. Zam kev raug mob rau thaj chaw tiv thaiv lub qhov txhab ua kom mob rau sab hauv.

Yog tias koj muaj qhov mob txhab, ua raws li cov qib qhia seb yuav tu lub qhov txhab.

Yog koj haus luam yeeb, lawv yuav qhia kom koj txiav luam yeeb. Kev haus luam yeeb tuaj yeem qeeb kho qhov mob txhab.

NLD yog ib tus kab mob mus ntev. Cov txhab mob tsis zoo thiab nws yuav rov muaj mob dua. Kev mob nqaij tawv kho nyuaj. Cov tsos ntawm daim tawv nqaij yuav siv sijhawm ntev heev los ua kom zoo li qub, txawm tias tom qab kho tas.

NLD tuaj yeem ua rau mob qog nqaij hlav zoo (ua nqaij hlav ntawm hlwb ua pob).

Cov muaj nrog NLD yog qhov pheej hmoo pheej hmoo rau:

• Mob ntshav qab zib retinopathy
• Ntshav qab zib nephropathy

Hu rau koj tus kws kho mob yog tias koj muaj ntshav qab zib thiab pom tias qhov txhab tsis zoo nyob ntawm koj lub cev, tshwj xeeb yog sab hauv qab ntawm ob txhais ceg.

Necrobiosis lipoidica; NLD; Mob ntshav qab zib - necrobiosis

• Necrobiosis lipoidica diabeticorum - plab
• Necrobiosis lipoidica diabeticorum - ceg

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Patterson JW. Lub granulomatous cov qauv tshwm sim. Hauv: Patterson JW, ed. Weedon's Cov Khoom Siv Tawv TawvCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2021: chap 8.

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