Cov kab mob tua hluav taws: nws yog dab tsi, cov tsos mob, ua rau thiab kho

Zoo Siab

• Cov tsos mob tseem ceeb
• Cov teeb meem muaj peev xwm
• Yuav kho tus mob li cas
• Saib xyuas thaum kho

Cov kab mob tua hluav taws, hu ua pemphigus, yog ib yam kab mob autoimmune uas tsis muaj zog tiv thaiv kab mob hauv lub cev ua rau cov tshuaj tua kab mob thiab tua cov hlwb nyob rau hauv daim tawv nqaij thiab cov qog ua paug xws li lub qhov ncauj, qhov ntswg, caj pas lossis caj ces, tsim cov hlwv lossis kiav txhab uas ua rau hlawv , kev kub nyhiab thiab mob, ua ntau rau cov neeg laus thiab cov neeg laus dua, txawm hais tias nws tuaj yeem tshwm sim rau txhua lub hnub nyoog.

Piv txwv li cov tsos mob ntawm cov hluav taws kub hnyiab tuaj yeem nkag siab nrog cov mob ntawm lwm cov kab mob ntawm daim tawv nqaij, xws li bullous pemphigoid, lupus erythematosus thiab tus mob Hailey-Hailey, piv txwv. Yog li, nws yog ib qho tseem ceeb uas tus kws kho mob dermatologist lossis tus kws tshaj lij tau tawm tswv yim kom qhov kev kuaj mob ntawm cov hluav taws kub hnyuv tau tuaj yeem paub tseeb thiab, yog li, kev kho mob tsim nyog tshaj tuaj yeem pib daws cov tsos mob thiab tiv thaiv cov teeb meem.

Cov tsos mob tseem ceeb

Qhov tseem ceeb tshaj plaws ntawm qhov hluav taws kub yog qhov tsim cov hlwv uas tuaj yeem ua kom tawg yooj yim thiab ua rau cov qhov txhab uas ua rau kub thiab hnov ​​tus mob. Raws li qhov pom cov hlwv tshwm, kab mob tua hluav taws tau muab faib ua ob hom loj:

• Vulgar qus hluav taws kub los pemphigus vulgaris: nws pib sawv hlwv tawm ntawm qhov ncauj thiab tom qab ntawd rau ntawm daim tawv nqaij lossis cov qog ua kua xoos xws li caj pas, qhov ntswg lossis caj ces, uas feem ntau mob tab sis tsis khaus. Thaum lawv tshwm hauv qhov ncauj lossis caj pas lawv tuaj yeem ua rau nws nyuaj rau noj thiab ua rau tsis muaj teebmeem tsis zoo;
• Tsiaj qus hluav taws kub los yog pemphigus foliaceus: cov hlwv feem ntau ua rau saum tawv taub hau, ntsej muag, caj dab, hauv siab, nraub qaum lossis nraub qaum, cuam tshuam rau txheej sab nraud ntawm daim tawv nqaij, thiab tuaj yeem sib kis thoob plaws lub cev ua rau hlawv thiab mob. Qhov hluav taws kub hav zoov no tsis ua rau muaj cov nqaij npuas.

Yog tias cov hlwv pom tshwm rau ntawm daim tawv nqaij lossis hnoos qeev uas tsis zoo, nws yog qhov tseem ceeb uas kws kho mob lossis kws kho mob tau tawm tswv yim, vim nws yog qhov ua tau los ntawm kev ntsuam xyuas cov tsos mob tau ua thiab kuaj ntshav thiab kuaj ntshav thiab kuaj cov tawv nqaij thiab mucosa kom paub meej. kuaj ntshav tua kab mob sib kis. Thaum tus neeg muaj kev tsis xis nyob rau hauv lub caj pas, tus kws kho mob kuj tseem yuav pom zoo kom ua qhov endoscopy kom paub meej tias qhov kev ua txhaum tiag.

Cov teeb meem muaj peev xwm

Cov hluav taws qus yog tus kab mob autoimmune uas lub nruab nrog cev tiv thaiv kab mob hauv cov tawv nqaij lossis hnoos qeev, tawm tsam thiab rhuav tshem cov hlwb no yog tias lawv txawv teb chaws rau lub cev, uas ua rau pom cov hlwv thiab mob.

Lwm qhov ua rau kev kub nyhiab, txawm hais tias nws muaj tsawg dua, yog kev siv tshuaj kho mob ua rau tshuaj tiv thaiv kab mob angiotensin-hloov pauv enzyme los yog penicillins, uas tuaj yeem txhawb qhov khoom lag luam autoantibodies uas tua cov tawv nqaij hlwb, ua rau muaj kev loj hlob ntawm cov nplooj ntoo ua hluav taws.

Yuav kho tus mob li cas

Kev kho cov hluav taws kub hnyiab tau ua tiav los tswj cov tsos mob, txo kev tsim cov hlwv thiab mob, thiab zam kom tsis txhob muaj teeb meem xws li kev noj zaub mov tsis zoo lossis cov kab mob dav dav. Cov tshuaj uas kws kho mob dermatologist tuaj yeem pom zoo kho mob yog:

• Corticosteroids raws li cov kab mob prednisone los yog prednisolone uas txo qhov o thiab txo qis ntawm kev tiv thaiv ntawm lub cev, siv rau hauv kev kho thaum pib thiab hauv mob me;
• Kev txhaj tshuaj tiv thaiv kab mob xws li azathioprine, mycophenolate, methotrexate lossis cyclophosphamide, vim lawv pab tiv thaiv kom lub cev tiv thaiv kab mob ntawm daim tawv nqaij los yog cov qog ua ntshav, thiab raug siv rau hauv rooj plaub uas corticosteroids tsis txhim kho cov tsos mob lossis hauv mob hnyav mus rau mob hnyav;
• Monoclonal antibody xws li rituximab, uas ua los ntawm kev tswj hwm kev tiv thaiv kab mob thiab txo qis cov teebmeem ntawm lub cev tiv thaiv kab mob hauv lub cev, tau siv ua ke nrog corticosteroids lossis immunosuppressants rau kev kho mob thaum pib mob hnyav lossis mob hnyav.

Tsis tas li, tus kws kho mob tuaj yeem pom zoo rau lwm cov tshuaj xws li tshuaj kho mob, tshuaj tua kab mob los tua cov kab mob lossis cov tshuaj loog rau lub qhov ncauj.

Yog tias kev siv ib qho tshuaj twg yog qhov ua kom muaj qhov pom ntawm cov hlwv, txwv tsis pub siv cov tshuaj tuaj yeem kho hluav taws tau zoo.

Thaum muaj teeb meem tsis txaus noj vim zaub mov tsis zoo vim los ntawm cov hlwv thiab kiav txhab hauv lub qhov ncauj lossis caj pas, pw hauv tsev kho mob thiab kho nrog ntshav qab thiab kev noj zaub mov zoo, uas tau muab ncaj qha rau hauv cov hlab ntsha, yuav tsim nyog kom txog thaum tus neeg zoo tu qab tso.

Saib xyuas thaum kho

Qee qhov yuav tsum tau ceev faj yog qhov tseem ceeb thaum kho mob los pab koj kom rov zoo dua lossis tiv thaiv kom rov muaj cov tsos mob ntxiv:

• Saib xyuas cov kiav txhab raws li kws kho mob lossis kws saib mob hais;
• Siv xab npum me me los ntxuav lub cev maj mam muab;
• Zam kev tiv tshav ntuj, vim tias hluav taws xob ultraviolet tuaj yeem ua rau cov hlwv tshiab tshwm rau ntawm daim tawv nqaij;
• Zam tej ntsim lossis kua qaub tej khoom noj uas tuaj yeem ua rau hnoos npuas hauv koj lub qhov ncauj;
• Zam kev ua si lub cev uas tuaj yeem ua mob rau koj cov tawv nqaij, xws li kev sib tw kis las.

Thaum muaj hluav taws kub hnyiab ua rau cov qhov ncauj tawm hauv lub qhov ncauj uas tiv thaiv tus neeg los ntawm kev txhuam hniav lossis hniav dig, kev kho tshwj xeeb yuav tsim nyog los tiv thaiv kab mob pos hniav lossis kab noj hniav. Yog li, nws yog ib qho tseem ceeb kom sab laj nrog kws kho hniav yuav tsum tau kev coj ua raws li kev tu lub qhov ncauj, raws li kev ua txhaum loj ntawm txhua kis.