Tus Sau: John Stephens
Hnub Kev Tsim: 1 Lub Ib Hli Ntuj 2021
Hloov Hnub: 7 Lub Kaum Ib Hli Ntuj 2024
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Pemphigus Foliaceus - Pathology mini tutorial
Daim Duab: Pemphigus Foliaceus - Pathology mini tutorial

Zoo Siab

Txheej txheem cej luam

Pemphigus foliaceus yog ib hom kab mob autoimmune uas ua rau khaus khaus tawm los rau ntawm koj cov tawv nqaij. Nws yog ib feem ntawm ib tsev neeg uas tsis tshua muaj tawv nqaij cov tawv nqaij hu ua pemphigus uas ua tawm hlwv lossis mob ua paug rau ntawm daim tawv nqaij, hauv qhov ncauj, lossis ntawm qhov chaw mos.

Nws muaj ob hom ntsiab ntawm pemphigus:

  • pemphigus vulgaris
  • pemphigus foliaceus

Pemphigus vulgaris yog hom ntau thiab feem ntau. Pemphigus vulgaris cuam tshuam tsis tsuas yog daim tawv nqaij, tab sis kuj tseem mob ntawm cov leeg thiab. Nws ua rau cov hlwv uas mob nyob hauv koj lub qhov ncauj, ntawm koj cov tawv nqaij, thiab ntawm koj qhov chaw mos.

Pemphigus foliaceus ua rau cov hlwv me me ua rau sab npog sab thiab ntsej muag. Nws tseem me dua pemphigus vulgaris.

Pemphigus erythematosus yog ib hom pemphigus foliaceus uas ua rau cov hlwv tsuas ua rau ntawm lub ntsej muag. Nws cuam tshuam cov neeg mob lupus.

Cov tsos mob zoo li cas?

Pemphigus foliaceus ua rau cov kua dej tuaj yeem ua rau ntawm koj cov tawv nqaij, feem ntau ntawm koj lub hauv siab, nraub qaum, thiab xub pwg. Thaum xub thawj cov hlwv me me, tab sis lawv maj mam loj hlob thiab nce ntau. Nws thiaj li tuaj yeem npog tag nrho koj lub ntsej muag, ntsej muag, thiab tawv taub hau.


Cov hlwv qhib yooj yim. Cov kua dej yuav ntws tawm ntawm lawv. Yog tias koj txhuam koj cov tawv nqaij, tag nrho txheej saum toj kawg nkaus tuaj yeem cais tawm hauv qab tom qab thiab tev tawm hauv ib cov ntawv.

Tom qab cov hlwv tawg qhib, lawv tuaj yeem tsim tawm. Cov qhov ncauj tawm leeg thiab cov kiav txhab.

Txawm hais tias pemphigus foliaceus feem ntau tsis hnov ​​mob, koj yuav hnov ​​qhov mob lossis hnov ​​zoo li thaj chaw ntawm cov hlwv. Cov hlwv yuav khaus.

Dab tsi ua?

Pemphigus foliaceus yog ib tus kab mob autoimmune. Nquag, lub nruab zog tiv thaiv cov kab mob tso tawm hu ua cov tshuaj hu ua tshuaj los tua tawm tsam neeg txawv teb chaws li kab mob thiab kab mob. Hauv cov neeg muaj kab mob autoimmune, cov tshuaj tiv thaiv ua rau yauv mus tom qab lub cev cov ntaub so ntswg.

Thaum koj muaj pemphigus foliaceus, tshuaj tiv thaiv kab mob rau cov protein nyob rau txheej sab nraud ntawm koj cov tawv nqaij, hu ua epidermis. Hauv cov txheej txheej tawv nqaij no yog cov cell hu ua keratinocytes. Cov hlwb no tsim cov protein - keratin - uas muab cov qauv thiab txhawb nqa koj cov tawv nqaij. Thaum cov tshuaj tiv thaiv tua keratinocytes, lawv cais.Mob khaub thuas fills cov chaw uas lawv tso tseg. Cov kua no tsim cov hlwv.


Cov kws kho mob tsis paub dab tsi ua rau pemphigus foliaceus. Ob peb yam tuaj yeem ua rau koj qhov muaj feem tau tus mob no, suav nrog:

  • muaj cov neeg hauv tsev neeg nrog pemphigus foliaceus
  • raug tshav
  • txais cov kab tom (hauv tebchaws Asmeskas Qab Teb)

Ntau cov tshuaj kuj tau txuas rau pemphigus foliaceus, suav nrog:

  • tshuaj penicillamine (Cuprimine), siv los kho Wilson's kab mob
  • angiotensin hloov mus rau enzyme inhibitors xws li captopril (Capoten) thiab enalapril (Vasotec), siv los kho ntshav siab
  • angiotensin-II receptor blockers xws li candesartan (Atacand), siv los kho ntshav siab
  • tshuaj tua kab mob xws li rifampicin (Rifadin), siv los kho kab mob kis kab mob
  • nonsteroidal anti-inflammatory tshuaj (NSAIDs)

Pemphigus foliaceus tuaj yeem pib thaum muaj hnub nyoog li cas, tab sis nws feem ntau cuam tshuam rau cov neeg muaj hnub nyoog 50 txog 60. Cov neeg uas yog cov neeg Yudais cov cuab yeej cuab tam tau muaj kev pheej hmoo rau pemphigus vulgaris.


Cov kev kho mob yog dab tsi?

Lub hom phiaj ntawm kev kho mob yog kom tshem tawm cov hlwv thiab kho cov hlwv uas koj twb muaj lawm. Koj tus kws kho mob tuaj yeem sau corticosteroid lee los yog tshuaj ntsiav. Cov tshuaj no ua rau koj mob hauv koj lub cev. Kev noj tshuaj ntau ntau ntawm corticosteroids tuaj yeem ua rau muaj kev mob tshwm sim xws li cov ntshav qab zib ntau ntau, nce phaus, thiab pob txha poob.

Lwm yam tshuaj siv los kho pemphigus foliaceus suav nrog:

  • Kev tiv thaiv kab mob. Cov tshuaj zoo li azathioprine (Imuran) thiab mycophenolate mofetil (CellCept) tiv thaiv koj lub cev tiv thaiv kab mob ntawm koj lub cev nqaij. Cov kev mob tshwm sim loj los ntawm cov tshuaj no yog qhov pheej hmoo kis tus kab mob.
  • Tshuaj tua kab mob, tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob. Cov no tuaj yeem tiv thaiv cov hlwv los ntawm kis tau yog tias lawv qhib lub nrig.

Yog tias cov hlwv npog ntau ntawm koj cov tawv nqaij, koj yuav tsum tau nyob hauv tsev kho mob los kho. Cov kws kho mob thiab cov kws tu neeg mob yuav tu thiab muab ntaub qhwv koj cov qhov txhab kom tiv thaiv tus kab mob. Koj muab tau kua dej los pauv qhov koj tau poob los ntawm qhov mob.

Dab tsi yog cov nyom?

Cov hlwv uas tawg qhib yuav kis tau tus kab mob. Yog tias tus kab mob nkag rau hauv koj cov hlab ntshav, nws tuaj yeem ua rau tuag taus uas hu ua sepsis.

Thaum mus ntsib kws kho mob

Ntsib koj tus kws kho mob yog tias koj muaj cov hlwv ntawm koj cov tawv nqaij, tshwj xeeb yog tias lawv tawg.

Koj tus kws kho mob yuav nug txog koj cov tsos mob thiab tshuaj xyuas koj cov tawv nqaij. Tej zaum lawv yuav tshem ib qho nqaij ntawm qhov nqaij to thiab xa mus rau qhov chaw kuaj ntshav kuaj. Qhov no yog hu ua nqaij ntawm daim tawv nqaij.

Tej zaum koj yuav muaj kev sim ntshav rau saib cov tshuaj tiv thaiv koj lub cev tiv thaiv kab mob ua rau thaum koj muaj pemphigus foliaceus.

Yog tias koj tau kuaj pom tias muaj tus kab mob siab siab lawm, koj yuav tsum hu rau koj tus kws kho mob yog tias koj muaj mob:

  • cov hlwv tawm tshiab los yog cov hlwv
  • kis tawm sai sai rau cov neeg ua paug
  • ua npaws
  • liab lossis o
  • ua daus no
  • lub zog ua kom tsis taus lossis qog pob qij txha lossis pob qij txha

Outlook

Qee tus neeg mob tau zoo dua yog tsis kho. Lwm cov yuav nyob nrog tus mob no tau ntau lub xyoo. Tej zaum koj yuav tsum tau noj tshuaj rau xyoo kom tiv thaiv cov hlwv rov qab los.

Yog tias cov tshuaj ua rau pemphigus foliaceus, tsum tsis txhob noj cov tshuaj feem ntau tuaj yeem tshem tus mob.

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