Yuav Qhia Kom Paub thiab Kho Mob Rash

Zoo Siab

• Tshuaj muaj pob yog dab tsi?
• Cov tshuaj ua pob khaus zoo li cas?
• Kev ua pob txawv
• Cov pob laus pob
• Kev tshua dhau los
• Erythroderma
• Stevens-Johnson syndrome (SJS) thiab mob ua paug lom (TEN)
• Anticoagulant-vim raug tawv nqaij necrosis
• Tshuaj tiv thaiv nrog eosinophilia thiab cov tsos mob raws lub cev (DRESS)
• Vim li cas cov tshuaj muaj pob tshwm sim?
• Yuav kho cov pob khaus liab li cas?
• Qhov tshwm sim yog dab tsi?

Tshuaj muaj pob yog dab tsi?

Cov pob khaus tawm ntawm tshuaj, qee zaum hu ua kev cuam tshuam tshuaj, yog qhov tshuaj tiv thaiv koj cov tawv nqaij tuaj yeem muaj qee yam tshuaj.

Yuav luag txhua yam yeeb tshuaj tuaj yeem ua pob. Tab sis cov tshuaj tua kab mob (tshwj xeeb tshaj yog cov tshuaj penicillins thiab tshuaj sulfa), NSAIDs, thiab cov tshuaj tiv thaiv qaug dab peg yog cov tshuaj siv tshaj plaws kom ua pob.

Nyeem rau kom paub ntau ntxiv txog ntau yam kev sib txawv ntawm cov tshuaj thiab seb yuav tswj lawv li cas.

Cov tshuaj ua pob khaus zoo li cas?

Kev ua pob rau tshuaj feem ntau yog zoo ib yam. Qhov no txhais tau tias lawv tshwm sim sib npaug ntawm ob qho tib si ntawm koj lub cev.

Cov pob khaus ua tshuaj tsis zoo ib qho ntxiv ua rau lwm cov tsos mob ntxiv, tab sis qee qhov nws muaj nrog khaus lossis tawv.

Koj tuaj yeem feem ntau cais cov tshuaj tawm pob los ntawm lwm cov pob khaus vim tias lawv zoo ib yam li pib nrog cov tshuaj tshiab. Tab sis qee kis, nws tuaj yeem siv yeeb tshuaj kom ntev li ob asthiv kom ua pob.

Cov pob khaus feem ntau yuav ploj mus thaum koj tso tseg tsis haus tshuaj.

Nov yog saib ntawm qee qhov tshwm sim feem ntau cov kev tshwm sim tshuaj.

Kev ua pob txawv

Nov yog feem ntau ntawm cov pob khaus tshuaj, ua txog kwv yees li 90 feem pua. Nws yog cim los ntawm cov txhab me me ntawm daim tawv nqaij liab. Cov txhab no tuaj yeem tsa ua lossis tsa ncaj. Qee zaum, koj tuaj yeem pom cov hlwv thiab hnoos qeev muaj qhov txhab txhab.

Cov teeb meem tshwm sim ntawm cov tshuaj uas tsis zoo ua pob:

• tshuaj penicillins
• tshuaj sulfa
• cephalosporins
• tshuaj tiv thaiv qaug dab peg
• allopurinol

Cov pob laus pob

Urticaria yog lwm lo lus rau khaus. Khaus yog qhov thib ob hom mob ua pob khaus. Lawv yog cov pob me me thiab lub ntsej muag liab uas tuaj yeem ua rau thaj ntau dua. Khaus feem ntau kuj tseem khaus heev.

Cov tshwm sim ntawm cov tsos mob urticarial muaj xws li:

• non-steroidal anti-inflammatory tshuaj (NSAIDs)
• ACE inhibitors
• tshuaj tua kab mob, tshwj xeeb tshaj yog penicillin
• kev ua kom loog

Kev tshua dhau los

Qee cov tshuaj tuaj yeem ua rau koj cov tawv nqaij ua raws li lub teeb ci ultraviolet. Qhov no tuaj yeem ua rau khaus khaus yog tias koj tawm mus sab nraud yam tsis muaj kev tiv thaiv.

Cov tshuaj uas nyiam qhov ntsej muag tshuaj muaj xws li:

• qee yam tshuaj tua kab mob, suav nrog tetracycline
• tshuaj sulfa
• tshuaj tua kab mob
• antihistamines
• retinoids, xws li isotretinoin
• statins
• tshuaj kho mob
• ib co NSAIDs

Erythroderma

Hom no ua rau yuav luag txhua daim tawv nqaij ua khaus thiab liab. Cov tawv nqaij kuj tseem tuaj yeem ua tus ntxhiab thiab ua kom sov li kov. Kub taub hau kuj yuav tshwm sim.

Ntau yam tshuaj tuaj yeem ua rau mob erythroderma, suav nrog:

• tshuaj sulfa
• tshuaj penicillins
• tshuaj tiv thaiv qaug dab peg
• chloroquine
• allopurinol
• isoniazid

Qhov mob hauv qab lub cev kuj tseem tuaj yeem ua rau mob erythroderma.

Erythroderma tuaj yeem dhau los ua neeg hnyav thiab lub neej. Nrhiav kev kho mob sai sai yog tias koj xav tias qhov no yog hom pob khaus koj muaj.

Stevens-Johnson syndrome (SJS) thiab mob ua paug lom (TEN)

SJS thiab TEN suav tias yog tib qho mob, tab sis muaj qhov sib txawv ntawm ob:

• SJS koom nrog tsawg dua 10 feem pua ​​ntawm lub cev.
• TEN koom nrog ntau dua 30 feem pua ​​ntawm lub cev.

SJS thiab TEN yog cov cim los ntawm cov hlwv mob heev. Lawv kuj tuaj yeem ua rau thaj chaw loj ntawm txheej sab saum toj ntawm koj cov tawv nqaij tawm, tawm hauv qhov nqaij nyoos, qhib qhov txhab.

Tej yam ua muaj hauv yeeb tshuaj nrog rau:

• tshuaj sulfa
• tshuaj tiv thaiv qaug dab peg
• ib co NSAIDs
• allopurinol
• nevirapine

SJS thiab TEN yog cov kev txhaum loj heev uas tuaj yeem txo tau txoj sia. Nkawd ob leeg yuav tsum tau kuaj mob tam sim.

Anticoagulant-vim raug tawv nqaij necrosis

Qee qhov ntshav ua kom ntshav dawb, xws li warfarin, tuaj yeem ua rau cov tawv nqaij ua rau lub cev tiv thaiv kab mob. Qhov no ua rau daim tawv nqaij ua xim liab thiab hnov ​​mob.

Nws thiaj li, cov ntaub so ntswg hauv qab daim tawv nqaij tuag. Feem ntau nws tsuas yog tshwm sim thaum pib noj ntau ntau ntawm cov ntshav thinner.

Anticoagulant-vim raug tawv nqaij necrosis yog ib qho kev txhaum hnyav heev uas yuav tsum tau kho tam sim.

Tshuaj tiv thaiv nrog eosinophilia thiab cov tsos mob raws lub cev (DRESS)

DRESS yog yam tsis tshua pom tshwm tawm ntawm txoj kev ua pob khaus uas tuaj yeem cuam tshuam txoj sia. Nws tuaj yeem siv li ob mus rau rau lub lis piam rau cov tsos mob kom tshwm sim tom qab pib siv tshuaj tshiab.

Cov pob liab liab liab liab liab thiab feem ntau pib ntawm ntsej muag thiab lub cev. Cov tsos mob ua ke nrog yog mob hnyav thiab tuaj yeem koom nrog cov khoom hauv nruab nrog cev. Lawv suav nrog:

• ua npaws
• o cov qog ntshav o
• ntsej muag o
• hlawv cov nqaij mob thiab khaus khaus
• cov tsos mob khaub thuas zoo li
• khoom hauv nruab nrog cev

Cov tshuaj uas tuaj yeem ua rau DRESS suav nrog:

• tshuaj thaiv kab mob
• allopurinol
• abacavir
• minocycline
• sulfasalazine
• proton twj tso kua mis inhibitors

DRESS yog ib qhov tshuaj tiv thaiv mob hnyav heev uas yuav tsum tau kuaj mob tam sim.

Vim li cas cov tshuaj muaj pob tshwm sim?

Cov pob tshwm sim thiab tshuaj tshwm sim rau ntau qhov laj thawj, suav nrog:

• kev fab tshuaj tiv thaiv
• buildup ntawm cov tshuaj uas ua kom lom rau ntawm daim tawv nqaij
• ib cov tshuaj ua rau daim tawv nqaij hnyav dua rau lub hnub ci
• kev sib cuam tshuam ntawm ob lossis ntau yam tshuaj

Qee zaum cov tshuaj ua pob xau tuaj yeem tshwm sim thiab tshwm sim yam tsis muaj laj thawj.

Qee yam ua tseem tuaj yeem ua rau koj muaj feem ua mob pob quav tshuaj, xws li cov laus thiab poj niam.

Lwm yam kev pheej hmoo suav nrog muaj:

• kis khaub thuas thiab noj tshuaj tiv thaiv kab mob
• lub cev tsis muaj zog tiv thaiv vim yog raug mob lossis lwm yam tshuaj
• mob cancer

Yuav kho cov pob khaus liab li cas?

Feem ntau, cov kev tawm tsam tshuaj yuav ploj mus ntawm lawv tus kheej thaum koj tsum tsis noj cov tshuaj uas ua rau koj lub pob.

Yog tias cov pob khaus khaus heev, ib yam tshuaj antihistamine los yog tshuaj steroid tuaj yeem pab tswj qhov khaus kom txog thaum cov pob khaus ua pob.

Nco ntsoov nrog koj tus kws kho mob tham ua ntej tso tseg ib qho yeeb tshuaj. Nov yog qhov tseem ceeb nws yuav tsum tau noj tshuaj ntau. Hauv qhov no, koj tus kws kho mob yuav kom koj ua raws li phiaj xwm tshwj xeeb txog kev txiav tawm txhua cov tshuaj kom txog thaum koj paub tseeb tias dab tsi ua rau muaj kev cuam tshuam dab tsi.

Yog tias koj mob loj urticaria, erythroderma, SJS / TEN, anticoagulant-vim tawv nqaij necrosis, lossis DRESS, koj yuav tsum tau kho ntau dua. Qhov no suav nrog cov leeg tshuaj steroids thiab dej haus.

Qhov tshwm sim yog dab tsi?

Feem ntau, ua pob ua pob rau tshuaj nws tsis muaj dab tsi txhawj txog. Feem ntau lawv daws tawm thaum koj tsum tsis haus tshuaj. Tsuas yog nco ntsoov nrog koj tus kws kho mob tham ua ntej txiav tawm ib qho tshuaj tsis raug cai.

Rau cov tsos mob ntawm kev phiv tshuaj ntau ntxiv, lub taub hau mus rau kev saib xyuas sai lossis tsev kho mob sai li sai tau kom tsis txhob muaj teeb meem.